The nurse and a young mother are discussing ways to best prepare children for starting
school. What would be the best suggestion for the nurse to make?
1. Teach the child the alphabet and how to count.
2. Encourage the mother to tell the child how much she will miss the child while the
child is at school.
3. Help the child relate to other adults and separate from the mother by planning play
dates and short stays with sitters.
4. Plan for an older child to accompany the child and introduce the child to the teacher
on the first day of school.
An analgesic is ordered for a post-surgical patient to be given every three to four hours.
The nurse knows that a delay in giving the medication will cause a(n):
1. Decrease in the chance of withdrawal symptoms.
2. Decrease in the chance of addiction.
3. Increase in the chance of breakthrough pain.
4. Increase in the child’s pain tolerance.
A 14-month-old child is admitted to the hospital. During the admission process, the
nurse determines that the child and family are visiting this country from a foreign
country. The nurse is unaware of the cultural traditions and values of that country. How
can the nurse best provide culturally competent health care?
1. Read about that country on the internet.
2. Ask the family members how care would be provided in their own country.
3. Ask a nurse who has visited the child’s home country about life in that country.
4. Ask a coworker who comes from the same region about customs and cultures in their
country.
The nurse is working with a child newly enrolled in an English as a Second Language
class. The nurse wants to teach the child about the importance of hand washing before
meals and to not eat food dropped on the exam room floor. The best way to evaluate the
child’s understanding of hygienic nutrition is to:
1. Have the child repeat his interpretation of the information that was taught.
2. Schedule a medical interpreter to accompany the patient to his next visit.
3. Provide written materials in English about hygiene and diet for the client to take
home.
4. Have the nurse model proper hand washing before examining the child, and throw
out the dropped cookie.
A newborn is admitted to the nursery from the delivery room. All of the activities must
be performed. Place the activities in order of performance from first to last.
Standard Text: Click and drag the options below to move them up or down.
Choice 1. Administer a vitamin K injection.
Choice 2. Take vital signs.
Choice 3. Place in an overbed warmer.
Choice 4. Administer eye prophylaxis.
Choice 5. Administer an admission bath.
Which of the following should be considered in disaster preparedness for children with
special needs?
1. Current medical information should be maintained only by the child’s health care
provider.
2. Only one family member should be trained to provide the needed care for the sake of
consistency.
3. The utility company needs advance notification when a child is technology-assisted
to provide emergency power.
4. Minimal supply of medication, equipment, and supplies should be maintained.
A child has an anaphylactic reaction to contrast dye used in an X-ray. After the
emergency is over and the child is stable in the intensive care unit, the nurse explains to
the parents what happens in anaphylaxis. The nurse explains that histamine is released
during an anaphylactic reaction and that the action of histamine includes:
Standard Text: Select all that apply.
1. Release of IgE antibodies.
2. Smooth muscle contraction.
3. Increased capillary permeability.
4. Vasoconstriction.
5. Red cell destructions
The nurse is applying for a job as a pediatric telephone advisor. Skills the nurse should
have to be effective in this position would include:
Standard Text: Select all that apply.
1. Good listening skills.
2. Extensive pediatric experience.
3. Internet experience.
4. Psychiatric experience.
5. Teaching and verbal communication skills
During a prenatal visit, the pregnant mother asks the nurse if she should have her baby’s
cord blood collected and stored. The best response by the nurse would be:
1. “If I were pregnant, I would certainly bank by baby’s cord blood.”
2. “You wonder if you should have your baby’s cord blood banked?”
3. “Let’s discuss the pros and cons of cord blood banking.”
4. “What does the baby’s father think about cord blood banking?”
The mother of a child who is recovering from surgery says to the nurse, “I don”t
understand why that other nurse told me to stroke his forehead when he is in pain. Why
will that make him feel better?” The nurse’s response will be based on the knowledge
that:
1. Stroking the child’s forehead reminds the child of the mother’s continued presence,
which is reassuring to the child.
2. Stroking causes a non-pain transmission to the brain that competes with the pain
transmission and inhibits the pain message from reaching the brain.
3. Stroking causes the release of biochemicals, such as prostaglandins, which block pain
transmission.
4. Stroking causes the release of endorphins, which reduce the perception of pain.
The nurse is doing a follow-up home visit to a family who lost their three-month-old
infant to SIDS eight weeks ago. The mother answers the door in her nightgown with
hair uncombed. During the interview, the mother states: “I don”t see the point of getting
dressed each day.” The nurse recognizes that the mother is demonstrating which stage
of grief behavior?
1. Recovery
2. Yearning, pining
3. Hostile
4. Disorganization
A baby just born with a meningomyelocele is to have surgery in the morning. The nurse
knows the care of this newborn includes:
1. Applying a diaper to prevent contamination of sac.
2. Positioning the newborn in a side-lying position.
3. Encouraging the mother to hold the newborn, because she will not be able to pick
him up after surgery.
4. Positioning the newborn in a prone position.
When caring for a child diagnosed with aplastic anemia, the nurse would educate the
parents regarding which common symptoms?
1. Fatigue and fever
2. Runny nose and cough
3. Nausea and vomiting
4. Cyanosis and bradycardia
A four-year-old girl has been treated for three urinary tract infections (UTI) in the last
two years. Which instructions can the nurse give to the mother to help reduce the child’s
risk of acquiring another UTI?
Standard Text: Select all that apply.
1. Wear only nylon underwear for better air flow.
2. Teach the child to wipe from front to back.
3. Encourage the child to take long baths by allowing the child bubbles and toys in the
tub.
4. Encourage the child to drink additional fluids throughout the day.
5. Plan potty breaks every two hours throughout the day.
The nurse is caring for a hospitalized three-year-old admitted with a history of
syndrome of inappropriate antidiuretic hormone (SIADH). He has just received his
breakfast tray. Which food should the nurse remove from his tray?
1. Oatmeal
2. Yogurt
3. Biscuit
4. Cantaloupe
The nurse is speaking with a preschool-age child whose sibling recently died. The nurse
understands that preschool-age siblings might feel that the death was due to:
1. The child’s being bad, and the sibling is being punished.
2. The child’s having a fight with their sibling.
3. The child’s having thoughts about their sibling dying.
4. Their parents’ not liking that sibling.
As the new school year begins, the school nurse evaluates several children to determine
their healthcare needs. Which child would the nurse consider to be medically fragile?
1. The child with a casted right arm due to a fracture
2. The child who wears hearing aids due to hearing loss secondary to meningitis as an
infant
3. The child requiring oxygen and tube feedings secondary to a congenital heart defect
4. The child with a developmental delay