(level 3 exam notes)
1. A nurse is assisting a child who has multiple closed fractures of the
lower extremities due to a motor-vehicle crash. The nurse should
monitor the child for which of the following complications during the
first 24 hr. after the injury occurred?
Compartment syndrome
2. A nurse is teaching the parent of a toddler who has phenylketonuria
about meal planning. Which of the following information should the
nurse include in the teaching?
Avoid foods containing milk products
3. A nurse at an inpatient facility is planning care for a child who has
autism spectrum disorder. Which of the following interventions
should the nurse include in the plan of care?
Keep staff visits with the child brief
4. A nurse is assisting an infant who has severe dehydration due to
gastroenteritis. Which of the following findings should the nurse
expect?
Increase respiratory rate
5. A nurse is planning care for a child who has cystic fibrosis. Which of
the following interventions should the nurse plan to include?
Use a vest to perform high-frequency chest compressions
6. A nurse is teaching the parent of a school age child about bicycle
safety. Which of the following instructions should the nurse include in
the teaching?
Your child should walk the bicycle through intersections
,7. A nurse is preparing a child for a lumbar puncture. In which of the
following positions should the child be placed for the procedure?
Lateral
8. A nurse is reviewing the complete blood count results for a child who
is receiving treatment for acute lymphoblastic leukemia. Which of the
following findings should indicate to the nurse that the treatment is
having a therapeutic effect?
a. WBC count 15.000/mm
b. Hemoglobin 6.8 g/dL
c. Platelet count 98.0000/mm
d. RBC count 5/mm
d. RBC count 5/mm- (within expected range of 3.9-5.3)
9. A nurse is caring for a school age child who has pertussis. Which of
the following actions should the nurse take?
Report the diagnosis to the public health department
10. A nurse is assessing a week-old infant. The nurse should identify
which of the following manifestations can indicate neonatal abstinence
syndrome?
Excessive sucking
11. A nurse is preparing to initiate IV antibiotic therapy for a newly
admitted 12-month-old infant. Which of the following actions should
the nurse plan to take?
Cover the insertion site with an opaque dressing
, 12. A nurse is assessing a toddler who is 8 hr. postoperative following a
cardiac catheterization procedure. Which of the following findings
should the nurse report to the provider?
Weak pedal pulse distal to the site
13. A nurse is providing teaching to the parents of a child who has
varicella about management of the disease. Which of the following
instructions should the nurse include in the teaching?
Apply calamine lotion to vesicles on the child's skin
(FYI: Initiate airborne precautions)
14. A nurse is planning care for a child who is experiencing a sickle cell
crisis. Which of the following interventions should the nurse include in
the plan of care?
Initiate bed rest
15. A charge nurses teaching a group of nurses about identifying child
abuse. Which of the following findings should the nurse identify as a
potential indicator of child abuse?
A mother is hesitant to comfort her 6-month-old infant
16. A nurse is teaching the guardian of a 5-year-old child who has
encopresis about management of the condition. Which of the following
statements by the guardian indicates an understanding of the teaching?
I will have my child try to defecate 15 minutes after each meal
17. A nurse is assisting an infant who has respiratory syncytial virus
(RSV). For which of the following findings should the nurse intervene?
b. Tachypnea- fast breathing
1. A nurse is assisting a child who has multiple closed fractures of the
lower extremities due to a motor-vehicle crash. The nurse should
monitor the child for which of the following complications during the
first 24 hr. after the injury occurred?
Compartment syndrome
2. A nurse is teaching the parent of a toddler who has phenylketonuria
about meal planning. Which of the following information should the
nurse include in the teaching?
Avoid foods containing milk products
3. A nurse at an inpatient facility is planning care for a child who has
autism spectrum disorder. Which of the following interventions
should the nurse include in the plan of care?
Keep staff visits with the child brief
4. A nurse is assisting an infant who has severe dehydration due to
gastroenteritis. Which of the following findings should the nurse
expect?
Increase respiratory rate
5. A nurse is planning care for a child who has cystic fibrosis. Which of
the following interventions should the nurse plan to include?
Use a vest to perform high-frequency chest compressions
6. A nurse is teaching the parent of a school age child about bicycle
safety. Which of the following instructions should the nurse include in
the teaching?
Your child should walk the bicycle through intersections
,7. A nurse is preparing a child for a lumbar puncture. In which of the
following positions should the child be placed for the procedure?
Lateral
8. A nurse is reviewing the complete blood count results for a child who
is receiving treatment for acute lymphoblastic leukemia. Which of the
following findings should indicate to the nurse that the treatment is
having a therapeutic effect?
a. WBC count 15.000/mm
b. Hemoglobin 6.8 g/dL
c. Platelet count 98.0000/mm
d. RBC count 5/mm
d. RBC count 5/mm- (within expected range of 3.9-5.3)
9. A nurse is caring for a school age child who has pertussis. Which of
the following actions should the nurse take?
Report the diagnosis to the public health department
10. A nurse is assessing a week-old infant. The nurse should identify
which of the following manifestations can indicate neonatal abstinence
syndrome?
Excessive sucking
11. A nurse is preparing to initiate IV antibiotic therapy for a newly
admitted 12-month-old infant. Which of the following actions should
the nurse plan to take?
Cover the insertion site with an opaque dressing
, 12. A nurse is assessing a toddler who is 8 hr. postoperative following a
cardiac catheterization procedure. Which of the following findings
should the nurse report to the provider?
Weak pedal pulse distal to the site
13. A nurse is providing teaching to the parents of a child who has
varicella about management of the disease. Which of the following
instructions should the nurse include in the teaching?
Apply calamine lotion to vesicles on the child's skin
(FYI: Initiate airborne precautions)
14. A nurse is planning care for a child who is experiencing a sickle cell
crisis. Which of the following interventions should the nurse include in
the plan of care?
Initiate bed rest
15. A charge nurses teaching a group of nurses about identifying child
abuse. Which of the following findings should the nurse identify as a
potential indicator of child abuse?
A mother is hesitant to comfort her 6-month-old infant
16. A nurse is teaching the guardian of a 5-year-old child who has
encopresis about management of the condition. Which of the following
statements by the guardian indicates an understanding of the teaching?
I will have my child try to defecate 15 minutes after each meal
17. A nurse is assisting an infant who has respiratory syncytial virus
(RSV). For which of the following findings should the nurse intervene?
b. Tachypnea- fast breathing
