Quick
Teasing and bullying can be common during the school-age years. The nurse recognizes that:
A) Teasing and bullying can have a lasting effect on a child
B) It is impossible to predict who might bully other children
C) It is impossible to predict who might be victimized by a bully
D) Teasing and bullying occur most often inside the school classroom
A) Teasing and bullying can have a lasting effect on a child
An 8-year-old with Celiac disease is in the hospital. The nurse offers the child a breakfast of:
A) Scrambled eggs
B) Waffles
C) Raisin bran
D) Toasted rye bread with jelly
A) Scrambled eggs
The parents of a child with cognitive impairments ask the nurse to recommend appropriate toys. The nurse suggests the most important consideration when selecting toys for their child is:
A) Encouraging and improving motor skills
B) Safety
C) Toys designed for the child's chronologic age
D) Teaching useful skills
B) Safety
Which finding would lead the nurse to suspect that a child is experiencing moderate dehydration?
A) Sunken fontanels
B) Dusky extremities
C) Tenting of skin
D) Hypotension
A) Sunken fontanels
The nurse teaches the parents of a preschool girl about ways to prevent urinary tract infections. The nurse determines the parents understood the teaching if they state:
A) "we will tell our daughter to use the restroom as soon as she needs to go, and not hold her urine.
B) "we will buy nylon underpants for our daughter."
C) "we will encourage our daughter to daily take a bubble bath and/or wash her private area thoroughly with antibacterial soap."
D) "we will limit our daughter's fluid intake."
A) "we will tell our daughter to use the restroom as soon as she needs to go, and not hold her urine.
An infant who develops jaundice at 6 to 8 weeks of age should be evaluated for:
A) biliary atresia
B) hirschsprungs disease
C) ABO blood-type incompatibility with the mother
D) cystic fibrosis
A) biliary atresia
The nurse is caring for an infant with suspected pyloric stenosis. The nurse observes for:
A) Projectile vomiting
B) Diarrhea and hyperactive bowel sounds
C) Abdominal rigidity and decreased bowel sounds
D) Distention of abdomen and constipation
A) Projectile vomiting
The radiology report states a child has invagination (telescoping) of one segment of bowel within another. The nurse knows this is diagnostic for:
A) Gastroschisis
B) Inguinal hernia
C) Intussusception
D) Meckel's diverticulum
C) Intussusception
An infant with short bowel syndrome is being discharged home with total parenteral nutrition (TPN) and gastrostomy feedings. The nurse includes in the discharge teaching:
A) Do not let the infant suck on a pacifier or take any foods or fluids by mouth
B) Signs of central venous catheter infection
C) How to secure the IV line under the diaper to prevent it becoming dislodged
D) How to calculate the child's caloric needs based on weight
B) Signs of central venous catheter infection
A 6-year-old child tells the nurse the bruises on her back are from her father hitting her. She asks the nurse not to tell anyone else. The nurse should:
A) Call the child's physician to see if there has been any concern about abuse in the past
B) Call child protective services (CPS) as soon as possible and follow up with a written report to CPS
C) Not report the conversation since it was meant to be confidential
D) Go catch a case real quick
B) Call child protective services (CPS) as soon as possible and follow up with a written report to CPS
A child has been diagnosed with Hirschsprung disease. The nurse prepares the family to expect:
A) To administer daily enemas
B) A low-fiber diet
C) Total parental nutrition (TPN)
D) Surgical removal of the affected section of bowel
D) Surgical removal of the affected section of bowel
A 9-year-old has been diagnosed with Attention Deficit/Hyperactivity Disorder (ADHD). As the nurse in the clinic, you recognize all of the following behavior management techniques can be beneficial with a child with ADHD EXCEPT:
A) Establish a daily routine.
B) Set limits and hold child responsible for behavior.
C) Negotiate about the limits set.
D) Providing consistent caregivers.
C) Negotiate about the limits set.
The nurse is planning care for a neonate with a suspected tracheoesophageal fistula. The nurse includes all of the following interventions in the plan of care, but knows the most important nursing intervention prior to surgery is:
A) Record accurate I and O
B) Administer ordered IV antibiotics on time
C) Give nothing by mouth
D) Monitor lab results
C) Give nothing by mouth
A child comes to the emergency department with acute diarrhea and mild dehydration. The nurse anticipates an order for:
A) A clear liquid diet including fruit juice and jello
B) Antidiarrheal medications such as diphenoxylate (Lomotil)
C) Antibiotics
D) Oral rehydration solution (ORS)
D) Oral rehydration solution (ORS)
A father calls the clinic nurse because his 2-year-old child was bitten by a black widow spider. The nurse advises the father to:
A) apply warm compresses
B) take the child to the emergency department
C) apply a thin layer of corticosteroid cream
D) remove the stinger
B) take the child to the emergency department
The goals of treatment for gastroschisis include all of the following EXCEPT:
A) Preventing hypothermia.
B) Maintaining perfusion to abdominal contents.
C) Protecting from trauma.
D) Cover the abdominal contents with a clean dressing.
D) Cover the abdominal contents with a clean dressing.
An infant has been diagnosed with an inguinal hernia. The bedside nurse is doing a physical assessment of the infant. Which assessment finding would be concerning?
A) The infant having a fontanel that's soft and flat.
B) The nurse not being able to manually reduce the hernia.
C) The infant being irritable from being NPO for surgery.
D) The infant having a protrusion in the inguinal area.
B) The nurse not being able to manually reduce the hernia.
After teaching a class about the differences in the skin of infants and adults, the nurse determines that additional teaching is necessary when the class states:
A) "An infant has less subcutaneous fat, which places the infant at a higher risk for heat loss."
B) "An infant's skin is thinner than an adult's, so substances placed on the skin are absorbed more readily."
C) "The infant has a lower risk for damage from ultraviolet radiation because the skin is more pigmented."
D) "The infant's epidermis is loosely connected to the dermis, increasing the risk for breakdown."
C) "The infant has a lower risk for damage from ultraviolet radiation because the skin is more pigmented."
A child is diagnosed with celiac disease. Based on knowledge of the disorder, the nurse teaches the child and family about a gluten free diet including:
A) The child will need to limit protein
B) The child will not be able to eat wheat, barley, or rye
C) Once the GI tract has healed the child will be able to go back to an unrestricted diet
D) The child will need to eliminate all dairy and lactose containing foods
B) The child will not be able to eat wheat, barley, or rye
A parent tells the nurse she has heard a lot about autism but is not sure what it is. The nurse informs the parent that the diagnostic criteria for autism includes delayed or abnormal functioning in the following areas with onset before age 3 years:
A) Focus, and impulsivity
B) Play, and gross motor development
C) Growth less than fifth percentile, and fine motor development
D) Language development, and social interaction
D) Language development, and social interaction
A 4-month-old infant has gastroesophageal reflux (GER) but is thriving without other complications. In order to minimize reflux, the nurse recommends:
A) Thicken the formula with a small amount of rice cereal
B) Give larger, less frequent feedings
C) Give continuous nasogastric tube feedings
D) The parents request a prescription for a proton pump inhibitor such as lansoprazole
A) Thicken the formula with a small amount of rice cereal
A child is having vomiting and diarrhea with poor oral intake. The nurse assesses the child for dehydration. Assessment findings consistent with moderate to severe dehydration are:
A) weight loss of approximately 1 pound in a 40 pound 4 year old
B) increased pulse and respirations with cool, pale skin and sunken eyes
C) a bulging fontanel in an infant
D) 5 to 6 voids in a 24 hour period
B) increased pulse and respirations with cool, pale skin and sunken eyes
The nurse recommends to the parent of a child with cognitive impairment that the child should be referred for stimulation and educational programs:
A) As soon as the child has the ability to communicate
B) As young as possible
C) At 5 or 6 years of age when the child begins school
D) At 3 years of age when schools are required to provide services
B) As young as possible
The nurse plans care for a newborn with a cleft lip and palate before surgical repair. The nurse includes in the plan:
A) Attempt oral feedings but if formula comes out of the infant's nose do not feed the infant by mouth
B) Feed with pedialyte or glucose water only
C) Feed the infant in an upright position using special bottles with a one-way valve
D) Tube feedings and give nothing by mouth
C) Feed the infant in an upright position using special bottles with a one-way valve
A 16-year-old female with severe acne has been started on isotretinoin (Accutane). The nurse determines the teen understood the teaching about the medication if the teen states:
A) "I will complete the entire bottle before discontinuing the medication."
B) "I will ensure I do not get pregnant while taking this medication."
C) "I will increase my fluid intake while on this medication."
D) "If I need a mild pain medication I will take acetaminophen (Tylenol) instead of ibuprofen while on this medication."
B) "I will ensure I do not get pregnant while taking this medication."