A nurse is caring for a school-age child who has heart failure and is receiving
furosemide. Which of the following should the nurse recognize as a sign that this
medication is effective?
a. Increase in venous pressure
b. decrease in peripheral edema
c. decrease in cardiac output
d. increase in potassium level
B. DECREASE IN PERIPHERAL EDEMA
A nurse is evaluating an infant who has acute otitis media. Which of the following
findings should the nurse expect? (Select all that apply) a. Increased appetite b. enlarged
subclavian lymph node c. Crying d. Restlessness e. fever c. Crying d. Restlessness e.
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A nurse is teaching the parents of an infant who is going to have pilocarpine
iontophoresis testing for cystic fibrosis. Which of the following statements should the
nurse include in the teaching?
a. We will measure the amount of protein in your baby's urine over a 24-hour period
b. The test will measure the amount of water in your baby's sweat
c. A nurse will place an IV prior to the test
d. Your baby must fast for 8 hours before the test
b. During the test, the water composition in your baby's sweat will be analyzed
A pediatric nurse is triaging pediatric patients in urgent care. Which patient should the
nurse assess first?
a. Toddler diagnosed with nephrotic syndrome with swelling of the face
b. A preschool-age child who has a muffled voice with no spontaneous cough
c. A preschool-age child with diabetes mellitus who has blood glucose of 200 mg/dL
d. An adolescent with Crohn's disease who has had recent weight loss of 5kg mg (11 lb)
,b. A preschool-age child who has a muffled voice and no spontaneous cough
A nurse is teaching the parents of a toddler who will be having a sweat chloride test.
Which of the following should the nurse state?
a. The test will be conducted to see if your child has Crohn's disease
b. The technician will apply an electrical current with a device during the test
c. During the test, your child will be placed in a cold room
d. your child's sweat will be collected over 24 hours
d. your child's sweat will be collected over 24 hours
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A nurse working in the emergency department is providing care for an adolescent who
desires to be tested for STI. Which of the following action is appropriate for the nurse to
take?
a. Obtain verbal consent with the social worker present
b. call the client's parents and obtain phone consent
c. delay the test until the client's parents arrive
d. obtain a written consent from the client
obtain a written consent from the client
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A nurse in the emergency department is planning for the examination of the toddler who
presents with hyperpyrexia, severe dyspnea and drooling which of the following actions
would be the first to implement by the nurse?
a. blood culture of the toddler
b. antibiotic administration to the toddler
c. establish an IV catheter on the toddler
d. prepare the toddler for nasotracheal intubation
d. prepare the toddler for nasotracheal intubation
, A nurse is providing teaching to a 10 year old child with scheduled for an arterial cardiac
catheterization. Which of the following information should the nurse include in the
teaching?
a. You will have your dressing removed 12 hours after the procedure
b. You will need to keep your legs straight for 8 hours after the procedure.
c. You will be on a clear liquid diet for 24 hours after the procedure.
d. You will be required to rest in bed for 2 days after the procedure.
b. You will have to keep your legs straight for 8 hours after the procedure.
A nurse is caring for a preschooler who is post-operative following a tonsillectomy. The
child is now ready to resume oral intake which of the following dietary choices should the
nurse offer the child?
a. sugar-free Cherry gelatin
b. vanilla ice cream
c. chocolate milk
d. lime flavored ice pop
d. lime flavored ice pop
A nurse is caring for an infant who has Patent ductus arteriosus. The nurse should
identify that the defect is a shunting of the following locations of the heart. (you will find
hot spots to click onin the illustration below) Select only the hot spot that corresponds to
your answer)
B
A nurse is caring for a 10-month-old infant who was admitted to the emergency
department by his parents after suffering an injury to the head. Which of the following
nursing interventions is the priority?
a. Check ears for leakage of fluid
b. Assess respiratory status
c. Check pupillary response
d. Examine scalp for lacerations
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