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An adolescent female with untreated Graves' disease is admitted to the hospital. The
nurse expects to find which signs and symptoms in this client?
1. Hyperglycemia, ketonuria, and glucosuria
2. Weight gain, hirsutism, and muscle weakness
3. Tachycardia, fatigue, and heat intolerance
4. Dehydration, metabolic acidosis, and hypertension
The nurse has just finished a parent teaching session on preventing heat-related
illnesses for children who exercise. Which statement by a parent indicates
understanding of preventive techniques taught?
1. Wearing dark clothing during exercise is recommended
2. Water is the drink of choice to replenish fluids.
3. During activity, stop for fluids every 15 to 20 minutes.
4. Hydration should occur at the end of an exercise session.
The nurse is taking a health history from the family of a three-year-old child. Which
statement or question by the nurse would be most likely to establish rapport and elicit
an accurate response from the family?
1. "Tell me about the concerns that brought you to the clinic today."
2. "Does any member of your family have a history of asthma, heart disease, or
diabetes?"
3. "Hello, I would like to talk with you and get some information about you and your
child."
4. "You will need to fill out these forms; make sure that the information is as complete
as possible."
A six-year-old child is being seen by the nurse for well-child checkup. The parent tells
the nurse that they live on a farm and their water supply is from a well. Which should
be the nurse's main concern about the child's oral care?
1. Use of teeth whitener
2. Use of fluoride
3. Use of mouthwash
4. How many teeth have been lost
A six-year-old child is hypokalemic. The nurse is helping the child complete the menu.
The nurse would encourage this child to select which menu items?
1. Pizza with a fruit plate
2. Chicken strips with chips
3. Fajita with rice
4. A hamburger with French fries
A child has had a heart transplant. In preparation for discharge, the nurse provides
teaching about home medications. The nurse recognizes that postoperative teaching has
been successful when the parents state that the child is on cyclosporin A to:
1. Treat hypertension.
2. Reduce serum cholesterol level.
3. Prevent rejection.
4. Treat infections.
The four-year-old child is undergoing cardiac surgery. To reduce the child's stress in the
pre-operative period, the nurses will:
Standard Text: Select all that apply.
1. Explain the procedure to the child in simple terms of what the child will see, hear,
and feel while awake.
2. Explain to the child that the surgery will fix her "broken" heart.
3. Allow the parents to accompany the child to the surgical holding room and wait with
the child.
4. Allow the child to hold onto their special "teddy bear" while awake.
5. Wait until the child is in the holding room to insert the Foley catheter.
Prior to giving an intramuscular injection to a two-and-a-half-year-old child, the most
appropriate statement by the nurse would be:
1. "It is all right to cry. I know that this hurts. After we are done, you can go to the box
and pick out your favorite sticker."
2. "We will give you your shot when your mommy comes back."
3. "This is medicine that will make you better. First we will hold your leg, then I will
wipe it off with this magic cloth that kills the germs on your leg right here. Then I will
hold the needle like this and say 'one, two, three, go' and give you your shot. After the
shot is over with, I will hold the cotton ball until it stops bleeding and then put the
Band-Aid on. Are you ready?"
4. "This is a magic sword that will give you your medicine and make you all better."
The parents of an eight-month-old infant are very distressed that the infant cries for at
least one hour when they go out on Friday nights. Which of these statements should the
nurse make to the parents?
1. "Your infant is attached to you. This is an expected infant response."
2. "Your baby seems to be afraid of the sitter. Why don"t you try another sitter?"
3. "Your infant is too young to be experiencing stranger anxiety; however, you might
need to stop going out on Friday nights for a while."
4. "Oh, don't worry. All infants and toddlers display these behaviors until at least 2
years old."
The nurse is providing care to homeless teens at an outreach clinic. Which of the
following is most important for the nurse to understand?
1. Teens who are homeless will get a job and somewhere to live.
2. Teens who are homeless will seek help when needed.
3. Teens who are homeless will not be fearful of authority figures.
4. Teens who are homeless are most likely to have unprotected sex.
As a result of opioid administration, a child's respirations are slow and shallow. The
nurse would expect that lab changes that might be noted in response to the changes in
the child's uncompensated respiratory pattern would include:
1. Increased PCO2 and respiratory acidosis.
2. Decreased PCO2 and respiratory alkalosis.
3. Low pH and low PCO2.
4. High pH and high PCO2.
Nurses need to know normal development so they can recognize infants who fail to
meet developmental milestones. Place the following developmental milestones in order
from the earliest to appear to the latest to appear.
Standard Text: Click and drag the options below to move them up or down.
Choice 1. Responds to name
Choice 2. Waves bye-bye when directed
Choice 3. Lifts head when prone
Choice 4. Rolls from front to back
Choice 5. Makes cooing sounds
The nurse is explaining fetal circulation to a woman pregnant with a fetus with a
congenital heart defect. The nurse explains that there are three fetal structures and
explains that blood flow from the umbilical vein flows through the three fetal structures
in the following order:
Standard Text: Click and drag the options below to move them up or down.
Choice 1. Ductus arteriosus
Choice 2. Ductus venosus
Choice 3. Foramen ovale
A nurse observes an infant in a crib lying still, without facial movements except for
occasional sucking movements. At this time, the nurse will avoid:
1. Assessing heart and respiratory rate.
2. Attempts to feed the infant.
3. Skin assessment.
4. Repositioning the head of the infant.
A nurse is working with a pediatric client who is overweight. Which diseases are
associated with pediatric obesity?
Standard Text: Select all that apply.
1. Cardiovascular disease
2. Asthma
3. Infant mortality
4. Diabetes
The clinical nurse specialist is concerned about children's reactions to painful invasive
procedures such as intravenous starts. The nurse has decided to use distraction as a
means to comfort the school-age child. Depending on the age of the school-age child,
which technique might the nurse use to distract the child?
Standard Text: Select all that apply.
1. Blowing bubbles
2. Music therapy
3. Guided imagery
4. Hypnosis
5. Sucrose solution
