A nurse caring for a toddler D. Administer analgesics
who has acute otitis media.
Which of the following is
the priority action for the
nurse to take?
A. Provide emotional
support tot the family
B. Educate the family on
care of the child
C. Prevent clinical
complications
D. Administer analgesics
A nurse in an outpatient B. Attends daycare 4 days per week
facility is caring for an infant D. History of a cleft palate repair
who has manifestations of E. parents smoke cigarettes outside
acute otitis. Which of the
following factors places the
infant at risk for otitis
media? (SATA)
A. Breastfeeding without
formula supplementation
B. Attends daycare 4 days
per week
C. Immunizations are up to
date
D. History of a cleft palate
repair
E. parents smoke cigarettes
outside
,A nurse is assessing a 2 1/2- B. Head circumference exceeds chest circumference
year-old toddler at a well-
child visit. Which of the Should be equal
following findings should
the nurse report to the
provider?
A. height increased by 7.5
cm (3 in) in the past year
B. Head circumference
exceeds chest
circumference
C. Anterior and posterior
fontanels are closed
D. Current weight equals
four times the birth weight
A nurse is assessing a 6- B. Plantar grasp
month-old infant. Which of
the following should the
infant exhibit?
A. Moro
B. Plantar grasp
C. Stepping
D. Tonic neck
A nurse is assessing a 12- C. Birth weight doubled
month-old infant during a
well-child visit. Which of the Should be tripled
following findings should
the nurse report to the
provider?
A. Closed anterior fontanel
B. Eruption of six teeth
C. Birth weight doubled
D. Birth length increased by
50%
,A nurse is assessing a child's D. Cerumen is present bilaterally
ears. Which of the following
is an expected finding?
A. Light reflex is located at
the 2 o'clock position
B. Tympanic membrane
color is red
C. Bony landmarks are not
visible
D. Cerumen is present
bilaterally
A nurse is assessing a child A. CORRECT: Fever is a manifestation of rotavirus
who has a rotavirus infection.
infection. Which of the B. CORRECT: Vomiting for approximately 2 days is a
following are expected manifestation of rotavirus infection.
findings? (Select all that C. CORRECT: Foul‑smelling, watery stools is a
apply.) manifestation of rotavirus infection.
A. Fever
B. Vomiting
C. Watery stools
D. Bloody stools
E. Confusion
A nurse is assessing a client A. Runny nose
who has pertussis. Which of B. Mild fever
the following findings C. cough with whooping sound
should the nurse expect? D. Swollen salivary glands
(SATA)
A. Runny nose
B. Mild fever
C. cough with whooping
sound
D. Swollen salivary glands
E. Red rash
, A nurse is assessing an B. Loud cry
infant. Which of the C. Lowered eyebrows
following are manifestations D. Rigid body
of pain in an infant? (select
all that apply)
A. pursed lips
B. Loud cry
C. Lowered eyebrows
D. Rigid body
E. Pushes away stimulus
A nurse is assessing an B. Rolling head side to side
infant. Which of the C. Loss of appetite
following findings are E. Crying
clinical manifestations of
acute otitis media? (SATA)
A. Decreased pain in the
supine position
B. Rolling head side to side
C. Loss of appetite
D. Increased sensitivity to
sound
E. Crying
A nurse is assessing an A. CORRECT: Narrowing of the lumen of the aorta
infant who has coarctation results in obstruction of blood flow from the ventricle,
of the aorta. Which of the resulting in weak or absent femoral pulses.
following findings should B. CORRECT: Narrowing of the lumen of the aorta results
the nurse expect? (Select in obstruction of blood flow from the ventricle, resulting
all that apply.) in cool skin of the lower extremities.
A. Weak femoral pulses E. CORRECT: Heart failure occurs when the heart is
B. Cool skin of lower unable to meet the body's demands, and is a
extremities manifestation of coarctation of the aorta.
C. Severe cyanosis
D. Clubbing of the fingers
E. Heart failure
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