1. A nurse is teaching a parent of a child with hemophilia how to control a minor bleeding episode. Which of the following statements by the parent indicates a need for further teaching? • “I will have my child rest.” • “I will compress the site.” • “I will apply heat.” • “I w...
1. A nurse is teaching a parent of a child with hemophilia how to control a minor
bleeding episode. Which of the following statements by the parent indicates a need for
further teaching?
“I will have my child rest.”
“I will compress the site.”
• “I will apply heat.”
“I will elevate the affected part.”
2. A nurse in an emergency department is caring for an infant who has a 2-day history of
vomiting and an elevated temperature. Which of the following should the nurse
recognize as the most reliable indicator of fluid loss?
• Body weight
Skin integrity
Blood pressure
Respiratory rate
3. Which of the following children should the nurse identify as a potential action of abuse?
A child who has frequent visitors
A child who uses the call light frequently
A child who has a BMI indicating obesity
• A child whose parents answer questions for the child
4. A nurse is teaching the mother of a child who has cystic fibrosis and has a prescription
for pancreatic enzymes three times per day. Which of the following statements indicates
that the mother understands the teaching?
“My child will take the enzymes to improve her metabolism.”
“My child will take the enzymes 2 hours before meals.”
“My child will take the enzymes following meals.”
• “My child will take the enzymes to help digest the fat in foods.”
5. A nurse is assessing a 3 month old. Which of the following findings should he report
to the provider?
Unable to pick up an object with his fingers
Unable to sit without support
• Unable to raise head when in prone position
Unable to bring an object to mouth
6. A nurse is admitting a 6 month old infant who has dehydration. Which of the
following amounts of urinary output should indicate to the nurse that the treatment has
confirmed the fluid imbalance?
7. A nurse is planning care for an infant who has spina bifida and is to undergo surgical
? Which of the following interventions should the nurse include in the plan of care?
Maintain the infant in the supine position
• Provide a latex free environment
Limit visitors to immediate family members
Initiate contact precautions
8. A nurse is caring for a child who has just died. The parents ask to be left alone so
that they ? The nurse should:
Discourage this because it will only prolong their grief
• Grant their request
Kindly explain that they need to say good bye to their child now and leave
Assess why they feel that this is necessary
9. A nurse is educating new parents on risk factors for sudden infant death
syndrome (SIDS). Which of the following statements by a parent would indicate
a need for additional teaching?
“I will give my baby a pacifier during naps and at bedtime.”
• “Our baby will sleep in my bed because I am breastfeeding.”
“My baby will be placed on her back when sleeping.”
“We will remove blankets and toys from the crib.”
10. A nurse is caring for an adolescent who has spina bifida and is paralyzed from the waist
down. Which of the following statements by the client would indicate to the nurse a
need for further teaching?
• “I only need to catheterize myself twice every day.”
“I only use a suppository every night to have a bowel movement.”
“I do wheelchair exercises while watching TV.”
“I carry a water bottle with me because I drink a lot of water.”
11. A parent tells a nurse that her toddler drink a quart of milk a day and has a poor
appetite for solid foods. The nurse should explain that the toddler is at risk for which of
the following disorders?
Rickets
• Iron deficiency anemia
Obesity
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