1. A nurse is assessing a school-age child who has heart b. a decrease in
failure and is taking furosemide.Which of the follow- peripheral edema
ing findings should the nurse identify as an indication
that the medication is effective?
a. An increase in venous pressure
b. a decrease in peripheral edema
c. a decrease in cardiac output
d. an increase in potassium levels
2. A nurse is assessing an infant who has acute oti- c. Crying
tis media. Which of the following findingsshould the d. Restlessness
nurse expect (select all that apply) e. fever
a. Increased appetite
b. enlarged subclavian lymph node
c. Crying
d. Restlessness
e. fever
3. a nurse is providing teaching to the parents of an b. The test
infant who is to undergo pilocarpine lontophoresis will measure the
Testing for Cystic Fibrosis. Which of the following amount of water in
statements should the nurse your baby's sweat
include in the teaching?
a. We will measure the amount of protein in your
baby's urine over 24 hour period
b. The test will measure the amount of water in your
baby's sweat
c. a nurse will insert an IV prior to the test
d. your baby will need to fast for 8 hours prior to the
test
4. A nurse in an urgent care clinic is prioritizing care for b. a preschool-age
children. Which of the following children should the child who has a
nurse assess first? muffled voice and
a. A toddler who has nephrotic syndrome and facial no spontaneous
edema cough
b. a preschool-age child who has a muffled voice and
no spontaneous cough
c. a preschool-age child who has diabetes mellitus
, PEDIATRIC CMS :)
and a blood glucose of 200 mg/dL
d. an adolescent who has Crohn's disease and recent
weight loss of 5kg mg (11 lb)
5. A nurse is providing teaching to the parents of a tod- b. the technician
dler who is to undergo a sweat chloride test. Which of will use a device to
the following statements should the nurse include? produce an electri-
a. The purpose of the test is to determine if your child cal current during
has Crohn's disease the test
b. the technician will use a device to produce an elec-
trical current during the test
c. during the test, your child will be in a room that is
cold
d. your child's sweat will be collected over 24 hours
6. A nurse in the emergency department is caring for an d. obtain written
adolescent who is requesting testing for STI. Which consent from the
of the following action is appropriate for the nurse to client
take?
a. Request verbal consent from the social worker
b. contact the client's parents to obtain phone consent
c. postpone the testing until the client's parents are
present
d. obtain written consent from the client
7. A nurse in the emergency department is assessing d. prepare the tod-
the toddler who has hyperpyrexia severe dyspnea and dler for nasotra-
drooling which of the following actions should the cheal intubation
nurse take first?
a. obtain a blood culture from the toddler
b. administering antibiotic to the toddler
c. insert an IV catheter for the toddler
d. prepare the toddler for nasotracheal intubation
8. A nurse is providing teaching to a 10 year old child b. you will need
with scheduled for an arterial cardiac catheterization. to keep your legs
Which of the following information should the nurse straight for 8 hours
include in the teaching? following the
a. You will have your dressing removed 12 hours after procedure
the procedure
, PEDIATRIC CMS :)
b. you will need to keep your legs straight for 8 hours
following the
procedure
c. you will be on a clear liquid diet for 24 hours follow-
ing the procedure
d. you will be on bed rest for 2 days after the procedure
9. A nurse is caring for a preschooler who is post-oper- d. lime flavored ice
ative following a tonsillectomy. The child is now ready pop
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
10. A nurse is caring for an infant who has Patent ductus Answer: B
arteriosus. The nurse should identify that the defect is
a switch of the following locations of the heart. ( you
will find hot spots to select
in the artwork below) Select only the hot spot that
corresponds to your answer)
11. A nurse is caring for a 10 month old child was brought b. assess respira-
to the emergency department by his parents following tory status
a head injury. Which of the following actions should
the nurse take first?
a. Inspect for fluid leaking from the ears
b. assess respiratory status
c. check pupil reactions
d. examine the scalp for lacerations
12. A charge nurse is planning care for an infant who has c. use
failure to thrive. Which of the following actions should half-strength for-
the nurse include in the plan of care? mula when feeding
a. Assign consistent nursing Staff Care for the infant the infant
b. Keep infant in a visually stimulating environment
c. use half-strength formula when feeding the infant
d. give the infant fruit juice between feedings
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