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The nurse asks the parent during a clinic visit about the nutritional intake of her
eight-year-old child. The mother tells the nurse she leaves early for work and her teen
sibling takes care of the meals. What response by the nurse regarding nutrition is
appropriate?
1. Provide information about healthy meals and snacks that are easy for school-age
children and teens to prepare.
2. Provide a meal plan for the mother to take to her daughter.
3. Provide sample recipes for the mother.
4. Provide coupons for the mother when going to the grocery store.
The nurse is discussing genetic referral with the parents of children being seen in the
pediatric clinic. The child who would benefit from a genetic referral is the child whose
family has a history of:
1. Prominent epicanthal folds, resonant lungs, or absent tinnitus in Asian families.
2. Broad face, lower-extremity lichenification, or spider angiomas.
3. Normocephalic head, euthyroid, or five digits per extremity.
4. Cleft lip and/or cleft palate, diaphragmatic hernia, or cataract.
The nurse has admitted a child with a cyanotic heart defect. Which initial lab result will
the nurse anticipate?
1. A low platelet count
2. A high white blood cell count
3. A high hemoglobin
4. A low hematocrit
While assessing newborns, the nurse should differentiate normal findings from findings
which require further evaluation and intervention. Which would be normal newborn
findings?
Standard Text: Select all that apply.
1. Swelling over the occiput that crosses suture lines
2. Tiny white papules located primarily on the nose and chin
3. Tiny red macules and pustules that come and go, primarily on the trunk and
extremities
4. When the Moro reflex is elicited, the right arm extends and returns to the body. The
left arm remains resting against the chest.
5. Greenish discoloration of skin over the entire body that is not removed by the initial
bath
The nurse is teaching family members of a child getting ready for discharge how to
administer medication to the child via a G-tube. The nurse created a nursing care plan
with the diagnosis: knowledge deficit medication administration per G-tube. The most
appropriate outcome for this goal would be that prior to discharge, the family:
1. Understands how to administer the medication.
2. Is able to give a return demonstration.
3. Repeats the instructions.
4. Administers the medication through the G-tube.
An infant with a congenital heart defect is being discharged home until the infant
reaches an appropriate weight for the corrective surgery. The nurse would teach the
parents infant feeding techniques including:
Standard Text: Select all that apply.
1. Breastfeed if possible.
2. Complete each feeding within 30 minutes.
3. Position the infant flat to promote swallowing.
4. Dilute the formula with extra water to ensure adequate fluid intake.
5. Burp the infant frequently.
Student nurses are observing in the pediatric well-child clinic. The students observe that
prior to administering an immunization to a child, a nurse explains the reason for the
immunization series to the mother. While discussing the incident in post-conference, the
students report that this activity was:
1. Health screening.
2. Health promotion.
3. Health maintenance.
4. Health assessment.
The hospital admitting nurse is taking a history on a child's illness from the parents. The
nurse concludes that the parents treated their six-year-old child appropriately for a fever
related to otitis media when they report that they:
1. Put the child in a tub of cold water to reduce the fever.
2. Alternated acetaminophen with ibuprofen every two hours.
3. Offered generous amounts of fluids frequently.
4. Used aspirin every four hours to reduce the fever.
In order to prepare a six-year-old client for an intravenous catheter insertion, the nurse's
best response would be:
1. "If I were you, I would hold very still so that it will only take one stick."
2. "It is okay to cry. I know that this hurts."
3. "Why are you crying? I thought that you were a tough kid."
4. "Don't worry a bit; this is just like a little mosquito bite."
While performing a family assessment, the nurse identifies which symptoms associated
with dysfunctional family coping strategies?
Standard Text: Select all that apply.
1. Father acknowledges an addiction to alcohol.
2. The mother is a stay-at-home mother, and the father works two jobs to make ends
meet.
3. The family has deep religious beliefs.
4. The father makes all of the decisions for the family, and the mother is compliant with
the father's decisions.
5. Direct, open communication among family members is observed.
A five-year-old is hospitalized with a fractured femur. Which assessment tool is
appropriate for this child?
1. CRIES Scale
2. Faces Pain Rating Scale
3. SUN Scale
4. PIPP Scale
The nurse is working in the respiratory clinic. In assessing children for cystic fibrosis,
the nurse recognizes that children from which genetic and biologic racial background
are more likely to have assessment findings characteristic of cystic fibrosis?
1. Asian
2. White
3. Hispanic
4. Black
The nurse is teaching a child care class for mothers of young children. The nurse tells
the parent that the most common mode of transmission of infectious disease is:
1. Children who are playing with the same toy.
2. Children who are coughing.
3. Children who are sitting together eating meals.
4. Children who are playing board games.
The nurse is completing a physical examination of a four-year-old child. The best
position in which to place the child for assessment of the genitalia would be:
1. Supine, with legs at a 50-degree angle.
2. Right side-lying.
3. In prone position, with knees drawn up under the body.
4. Frog-leg position.
Following a hypospadias repair, the 10-month-old child returns from the operating
room with a urethral stent. It is now four hours since the child's surgery. Which
assessment finding should be reported to the surgeon?
1. The infant has bloody urine.
2. The infant has voided one time since returning from surgery.
3. The infant seems to be having bladder spasms that respond favorably to
anticholinergic medications.
4. Double diapering the infant has resulted in the stent being free from stool
contamination.
The school nurse is planning a smoking prevention program for middle school students.
All of the following activities will be utilized. Which is likely to be the most effective in
preventing middle school children from smoking?
1. A demonstration of the pathophysiology of the effects of smoking tobacco on the
body given by the school's biology teacher
2. A talk on the importance of not smoking given by a local high school basketball star
3. Colorful posters with catchy slogans displayed throughout the school
4. A pledge campaign during which students sign contracts saying that they will not use
tobacco products
A six-year-old boy is admitted to the hospital with a diagnosis of osteomyelitis of the
left femur. The plan of care includes a two-week round of intravenous antibiotics. The
father questions why the child must be hospitalized and why the child cannot receive
oral antibiotics. The nurse explains:
1. The antibiotic of choice is not available in oral form.
2. Blood flow to bones is limited, and parenteral administration is necessary to get
appropriate blood levels.
3. Because the child is older now, it is harder to get the child to cooperate with oral
antibiotics.
4. Because two weeks of therapy is necessary, the intravenous route will produce fewer
side effects.
The nurse is assigned to a child in a spica cast for a fractured femur suffered in an
automobile accident. The child's teenage brother was driving the car, which was totaled.
The nurse learns that the father lost his job three weeks ago and that the mother has just
accepted a temporary waitress job. An appropriate diagnosis for this family is:
1. Interrupted Family Processes related to a child with significant disability requiring
alteration in family functioning.
2. Risk for Caregiver Role Strain related to a child with a newly acquired disability and
the associated financial burden.
3. Impaired Social Interaction (parent and child) related to the lack of family or respite
support.
4. Compromised Family Coping related to multiple simultaneous stressors.
A new nurse takes a job in a clinic that works with immigrants from many different
cultures. The nurse recognizes that to be culturally sensitive, the nurse will need to:
Standard Text: Select all that apply.
1. Determine means to indoctrinate the patients in the American culture.
2. Gain knowledge about the cultural groups attending the clinic.
3. Avoid the use of interpreters to reduce the impression of a bias.
4. Honor the cultural variations of the patients at the clinic.
5. Acquire information and educational media, such as pamphlets and teaching videos,
that use languages spoken by the cultural groups attending the clinic.
