A parent is concerned about her eight-year-old child’s recent behavior and calls the
nurse for advice. According to the parent, her child is constantly crying, is not sleeping
well, and has withdrawn from activities. The nurse should recognize that this behavior
could be a response to:
1. Bullying.
2. Normal behavior for the age.
3. Lead poisoning.
4. Drug abuse.
While screening children, the nurse notes that one child seems to have “crossed eyes.”
Which screening tool might the nurse utilize to further screen this child?
1. Examine the eye with an otoscope.
2. Check for the “red reflex” in the eyes.
3. Perform the cover-uncover test.
4. Use a tonometer to evaluate the eyes.
The school nurse is teaching a class about safety. The nurse will teach the children that
they should wear protective athletic gear when participating in selected activities.
Which of these activities requires protective athletic gear?
1. Gymnastics
2. Swimming
3. Skateboarding
4. Basketball
After reading a magazine article on complementary medicine methods, a teenager
diagnosed with cancer asks the nurse about the possibility of adding CAM to the
medical treatment plan. The nurse would explain to the child that prior to deciding on a
CAM method, the adolescent must discuss:
1. The cost of the CAM with her parents.
2. The availability of CAM leaders with the hospital social worker.
3. The safety of the chosen CAM modality with her primary physician.
4. Alternative CAM methods with the nurse.
A three-year-old child was born with congenital adrenal insufficiency and is being
treated with oral hydrocortisone. When the child develops pneumonia and is admitted to
the hospital, the nurse would expect the dose of hydrocortisone to be:
1. Stopped.
2. Reduced by 50%.
3. Continued as previously prescribed.
4. Increased.
The mother brings her five-month-old infant to the clinic for a well-child visit. The
mother tells the nurse that the baby’s father had febrile seizures when he was an infant.
The mother says she is concerned her baby will have a febrile seizure and wants to
know what she should do to prevent it. The nurse explains:
Standard Text: Select all that apply.
1. That the baby has no more risk of febrile seizures than any other baby.
2. When the infant has a fever, the mother should give the baby dose-appropriate
aspirin.
3. That the baby should be sponged with cold water.
4. The mother should increase the child’s fluid intake.
5. That after the tepid bath, the child should be patted dry.
A pediatric nurse who is employed in a busy ambulatory clinic setting is informed by
the nurse manager that average nursing time allocated for each child and family is being
reduced to 10 minutes to manage the clinic more efficiently. The nursing activities must
include a nursing assessment and discussion on anticipatory guidance. Which of these
strategies should the nurse utilize in the plan of care delivery?
1. Ask each parent to complain to the nurse manager that there is not adequate time to
talk with the nurse at each visit.
2. Perform a limited assessment based on reason for visit and provide pamphlets
covering anticipatory guidance.
3. Focus anticipatory guidance strategies on topics in which the parent or child has
expressed interest.
4. Plan to do the anticipatory guidance first, because either the nurse practitioner or the
physician can perform an assessment of the child.
An adolescent has systemic lupus erythematosus (SLE). Which action by the teen
indicates acceptance of the body changes that occur because of SLE?
1. Attends school but doesn”t stay for after-school activities
2. Discusses the body changes with health care personnel only
3. Discusses the body changes with her best friend
4. Only attends small parties at friends’ homes
The nurse is counseling some parents on how they will feel after the death of a child.
The nurse understands that the parents might feel which of the following?
Standard Text: Select all that apply.
1. Loneliness
2. Guilt
3. Anger
4. High energy
5. Depression
The mother of a 16-year-old child with multiple medical and developmental issues says
to the nurse: “There are times that I think about just walking out of the house and not
coming back.” Which would be an appropriate nursing diagnosis for this mother?
1. Caregiver role strain related to providing 24-hour care for a child with medical and
developmental issues
2. Risk for injury (maternal) related to overwhelming demands of the medically fragile
child
3. Knowledge deficit (maternal) nursing care of the child
4. Health seeking behaviors (maternal) related to interest in learning to care for her
child
The mother of a six-year-old brings her son to the physician because his teacher thinks
he might have attention deficit/hyperactivity disorder (ADHD). The nurse is
interviewing the mother about the child’s history. The nurse knows that which factors
could be associated with ADHD?
1. Measles, mumps, and rubella vaccine
2. Advanced parental age
3. Prenatal exposure to smoke
4. Immune response
The hospital has instructed its nurses that they must participate in disease surveillance
associated with infectious agents. The nurses are warned that which of the following
disease(s) are likely to be the weapons of terrorists?
1. Rocky Mountain spotted fever and Lyme disease
2. Plague, anthrax, and smallpox
3. Rubella, mumps, and chickenpox
4. Severe acute respiratory syndrome (SARS)
In caring for a child with a life-threatening illness, the nurse should anticipate the
parent’s reaction to the child illness. Which response should the nurse anticipate the
parent will experience?
Standard Text: Select all that apply.
1. Anticipatory waiting
2. Post-traumatic stress disorder
3. Deprivation and loss
4. Anger and guilt
5. Readjustment and mourning
A nurse who is planning to teach school-age children about the “common cold” should
include what information?
1. Aspirin should be taken for alleviation of fever if the common cold is contracted.
2. Antibiotics will eliminate the nasopharyngitis virus.
3. Vaccinations can prevent contraction of a nasopharyngitis virus.
4. Proper hand washing can prevent the spread of the common cold.
A two-month-old infant is a direct admission to the pediatric unit with a diagnosis of
ALTE (apparent life-threatening event). The physician is to see the infant to write
medical orders. The nurse completes the nursing history and performs an assessment
and finds no abnormal findings. While waiting on the physician, which activity can the
nurse perform independently?
1. Place the child on an apnea monitor.
2. Place the child on nasal cannula oxygen.
3. Draw blood for arterial blood gases.
4. Place the child on contact isolation.
A two-year-old male child arrived in the emergency department with complaints of sore
throat, difficulty swallowing, and suspected diagnosis of acute epiglottitis. Which of the
following interventions should not be included in the child’s immediate care and
assessment?
1. Throat culture
2. Medical history
3. Vital signs
4. Assessment of breath sounds