Tutor Mode Assessment

No.

1 :
A nurse is caring for a preschooler who is terminally ill. Which of the following reactions to death should the nurse expect?

Has feelings of isolation

Worries about physical body changes

Perceives death as a punishment

Understands that death is permanent

Hint : 🧠 Preschool = magical thinking

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

2 :
A nurse is contributing to the plan of care for a school-age child who has autism and is scheduled for surgery. Which of the following interventions should the nurse include in the plan?

Place the child in a semiprivate room.

Maintain eye contact if the child is agitated.

Minimize physical contact with the child.

Leave the television on for the child during the night.

Hint : ✋ Less touch = less overload

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

3 :
A nurse is collecting data from an infant who has respiratory syncytial virus (RSV). Which of the following findings should the nurse expect?

Barrel chest

Clubbing of the fingers

Vesicles on the trunk

Rhinorrhea

Hint : 🤧 Runny nose = early RSV

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

4 :
A nurse is caring for a toddler who has been vomiting for the past 8 hr. Which of the following findings indicates to the nurse that the child is dehydrated?

Increased blood pressure

Distended jugular veins

Flat anterior fontanel

Increased pulse

Hint : 💓 Tachycardia = volume loss

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

5 :
A nurse is reinforcing teaching with the parent of a preschooler who has a hip fracture and is in a spica cast. Which of the following findings should the nurse identify as an indication of infection?

General edema of the toes

Hot spot on the cast

Pruritus under the cast

Pain at the fracture site

Hint : ♨️ Local heat = possible infection

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

6 :
A nurse is reinforcing teaching about the purpose of the HbA1c test with an adolescent who has type 1 diabetes mellitus. Which of the following statements by the adolescent indicates an understanding of the teaching?

"This test checks for ketones in my urine."

"This test measures the amount of hemoglobin in my blood."

"This test tells me how much oxygen my body is carrying."

"This test checks my blood sugar over the last few months.”

Hint : 📊 HbA1c = 3-month average

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

7 :
A nurse is discussing allergies with the guardians of a school-age child prior to administration of the influenza vaccine. The nurse should identify that a prior anaphylactic reaction to which of the following is a contraindication to this immunization?

Neomycin

Gluten

Eggs

Gelatin

Hint : 🥚 Egg allergy = flu vaccine caution

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

8 :
A nurse is assisting with the collection of a bone marrow specimen from a preschooler. Which of the following actions should the nurse take?

Place the child in prone position to expose the posterior iliac crest.

Position the child side-lying to expose the vertebrae.

Place the child supine with legs flexed outward into a frog-like position.

Position the child sitting with their buttocks at the edge of the table.

Hint : 🛌 Prone = iliac crest access

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

9 :
A nurse is reinforcing teaching about food choices with a parent of a child who has celiac disease. Which of the following responses by the parent indicates an understanding of the teaching?

"I will give my child a chocolate malt for a snack."

"I should provide my child with rice pudding for dessert."

"I should make my child's sandwiches using rye bread."

"I will feed my child a barley-based breakfast cereal."

Hint : 🍚 Rice = safe for celiac

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

10 :
A nurse is preparing to administer recommended immunizations to an 11-year-old child who is up-to-date with current immunizations. Which of the following immunizations should the nurse plan to administer?

Haemophilus influenzae type b

Hepatitis A

Rotavirus

Human papillomavirus

Hint : 🧬 HPV = age 11–12 vaccine

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

11 :
A nurse is reinforcing teaching with the guardian of a school-age child who has asthma. Which of the following instructions should the nurse include in the teaching?

"Obtain a pneumococcal immunization for your child."

"Use salmeterol to manage your child's acute exacerbations."

"Have your child inhale deeply and quickly when using the peak flow meter."

"Avoid allowing your child to participate in school sports."

Hint : 💉 Protects against pneumonia

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

12 :
A nurse in a clinic is speaking with a parent of a 1-year-old toddler who received her scheduled immunizations 1 hr ago. Which of the following findings reported by the parent is the nurse's priority?

"My child has some swelling around her eyelids and mouth."

"My child cries when I touch the area where she received the shot."

"My child only ate 2 ounces during her last feeding."

"My child has a temperature of 100.7 degrees Fahrenheit."

Hint : 🆘 First sign of allergy

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

13 :
A nurse is contributing to the care plan of an 18-month-old child who has pneumonia. Which of the following items should the nurse select for the child's play activities?

Wooden building blocks

Stringing beads

Colored paper and safety scissors

Alphabet flash cards

Hint : 🧱 Encourages motor play

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

14 :
A nurse is collecting data from a school-age child who has Cushing's syndrome. Which of the following findings should the nurse expect?

Hypersomnia

Hypotension

Rapid weight loss

Rounded facial features

Hint : 🌕 Look for moon face

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

15 :
A nurse is reinforcing teaching with a parent of a toddler who has conjunctivitis. Which of the following instructions should the nurse include in the teaching?

Remove secretions by wiping from the outer corner of the eye to the inner canthus.

Clean the eye with a moist cloth.

Keep the eye covered with a compress.

Apply eye ointment in the morning.

Hint : 👁️ Wipe gently outward

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

16 :
A nurse is caring for an 18-month-old infant who is 12 hr postoperative following a myringotomy. Which of the following pain rating scales should the nurse use?

Poker Chip Tool

Color tool

Numeric scale

FLACC scale

Hint : 📊 Behavior-based scale

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

17 :
A nurse observes circumoral cyanosis in an infant who is choking. Which of the following actions should the nurse take?

Perform a head tilt and a chin lift and then give two rescue breaths.

Place the infant in a side-lying position and perform abdominal thrusts.

Move the infant into an upright position and suction the airway with a bulb syringe.

Deliver back blows with the infant face down over the rescuer's arm.

Hint : 🫁 First step in choking

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

18 :
A nurse is preparing to administer medications to a child via a nasogastric tube. Which of the following actions should the nurse take?

Crush sustained-release tablets prior to administration.

Allow medications to flow into the tube by gravity.

Flush the tube with 2 mL sterile water after all medications are administered.

Mix all the medications together prior to administration.

Hint : 🧪 Avoid pressure dosing

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

19 :
A nurse is reinforcing teaching with an adolescent who has a prescription for tretinoin topical for the treatment of acne. Which of the following instructions should the nurse include in the teaching?

Use a dime-sized amount of the medication.

Apply the medication in the morning.

Apply the medication 5 min after washing the face.

Use a sunscreen with an SPF of 15 or higher while using the medication.

Hint : 🌞Sun protection required

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

20 :
A nurse is caring for a child who received an initial dose of antibiotics 20 min ago. Which of the following findings is the priority to report to the provider?

Increased pulse

Maculopapular rash

Headache

Wheezing

Hint : 🫁 Respiratory signs = emergency

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

21 :
A nurse is reinforcing teaching with an adolescent who has a prescription for tretinoin topical for the treatment of acne. Which of the following instructions should the nurse include in the teaching?

Apply the medication in the morning.

Use a dime-sized amount of the medication.

Use a sunscreen with an SPF of 15 or higher while using the medication

Apply the medication 5 min after washing the face.

Hint : 🌞 Sunburn risk is higher.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

22 :
A nurse is preparing to administer a vaccine to a toddler. Which of the following actions should the nurse plan to take?

Massage the injection site for 15 seconds after administration.

Administer the vaccine into the dorsogluteal muscle.

Ensure the guardian signed an informed consent form for the immunization.

Aspirate for the presence of blood return prior to administering the vaccine.

Hint : 📄Consent is a must.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

23 :
A nurse is receiving change-of-shift report for a group of clients. Which of the following clients should the nurse plan to see first?

A school-age child who has endocarditis and a new onset of lethargy

A toddler who has Kawasaki disease and erythema of the lips

A school-age child who has rheumatic fever and an increased erythrocyte sedimentation rate

A toddler who has coarctation of the aorta and weak pedal pulses

Hint : 🚨 New lethargy = urgent.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

24 :
A nurse is reinforcing teaching with an adolescent client who has a new diagnosis of lactose intolerance. Which of the following instructions should the nurse include in the teaching?

"You should drink rice milk instead of cow's milk."

"You should eat flavored yogurt instead of plain yogurt."

"You should gradually increase lactose products in your diet."

"You should limit your intake of calcium-fortified orange juice."

Hint : 🥛 Avoid dairy lactose.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

25 :
A nurse is reinforcing teaching with the guardian of a school-age child who has a severe peanut allergy. Which of the following information should the nurse include?

The child's allergy will become more severe with prolonged exposure.

The child should refrain from eating any type of nut.

The child will likely outgrow the allergy in adolescence.

The child should carry an epinephrine auto-injector.

Hint : 🧴Carry epinephrine always.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

26 :
A nurse is preparing to collect data from a toddler during a well-child visit. Which of the following actions should the nurse plan to take?

Remove the toddler's outer clothing.

Discourage the toddler from sitting in the parent's lap.

Allow the toddler to inspect the stethoscope.

Perform traumatic procedures first.

Hint : 🩺 Reduce fear with play.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

27 :
A nurse is talking privately with an adolescent who has disclosed that their facial fractures are the result of their punishment for coming home 1 hr after their curfew. Which of the following responses should the nurse make?

"I won't tell anyone else about this unless you say it's okay."

"Your parent was wrong to hit you for coming home late."

"I'm guessing your other parent did not do anything to stop this from happening."

"It is not your fault that this happened to you."

Hint : 🛡️ Support without blaming.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

28 :
A nurse is caring for a child who is brought to the urgent care clinic following exposure to poison ivy 1 hr ago. Which of the following actions should the nurse take first?

Apply calamine lotion to the affected area.

Flush the area with cold, running water.

Instruct the parent to give the child an oatmeal bath twice daily.

Administer an oral corticosteroid.

Hint : 🍃 Rinse oil off fast.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

29 :
A nurse is caring for a child who has had diarrhea for 3 days. Which of the following actions should the nurse take?

Weigh the child weekly.

Keep the child NPO for the next 12 hr.

Collect a stool culture.

Offer the child 120 mL (4 oz) of apple juice every 2 hr.

Hint : 💩 Find the cause first.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

30 :
A nurse is preparing to perform suctioning for an infant who has a partial mucus occlusion of her tracheostomy tube. Which of the following actions should the nurse plan to take?

Select a catheter that fits snugly into the tracheostomy tube.

Instill 2 mL of 0.9% sodium chloride prior to suctioning.

Apply suction in 3 to 4 second increments.

Use clean technique when performing suctioning.

Hint : 🧼 Limit suction time.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

31 :
A nurse is collecting data from a 2-year-old toddler during a well-child visit. For which of the following findings should the nurse notify the provider?

Complete eruption of six teeth

Use of two-word or three-word phrases

Builds a tower of six to seven cubes

Picks up object without falling

Hint : 🦷 Too few teeth for age

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

32 :
A nurse is assisting with the care of an adolescent client who is in skeletal traction for the treatment of a fractured femur. Which of the following actions should the nurse take?

Perform passive range-of-motion exercises to the affected extremity every 2 hr.

Apply protective padding to the end of the pin sites.

Reduce intake of foods containing fiber while non ambulatory.

Gently lift the traction weights off the floor when repositioning the client.

Hint : 🛏️ Pad the pin ends

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

33 :
A nurse is caring for a school-age child who has a new prescription for continuous pulse oximetry monitoring. Which of the following actions should the nurse take?

Reposition the probe every 2 hr.

Tape the wire to the palm of the hand.

Apply the sensor to the index fingernail.

Warm the skin prior to probe placement.

Hint : 🌡️ Improve perfusion first

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

34 :
A nurse is collecting data from a 9-month-old infant. Which of the following developmental findings should the nurse expect?

Crude pincer grasp

Shakes head for "no"

Uses two-word phrases

Builds a four-block tower

Hint : 👶 Fine motor milestone

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

35 :
A nurse is preparing to administer recommended immunizations to a 4-year-old child who is up-to-date on current immunizations and severely immunocompromised. Which of the following immunizations should the nurse plan to administer?

Measles, mumps, and rubella (MMR)

Diphtheria, tetanus, and acellular pertussis (DTaP)

Varicella (Var)

Live attenuated influenza vaccine (LAIV)

Hint : 💉 Avoid live vaccines

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

36 :
A school nurse is assisting with health screenings for school-age children during a health fair. The nurse should identify that which of the following findings indicates scoliosis?

The neck flexing when bending forward at the waist

Shoulders that are uneven when standing erect

Toes that point inward when bending forward at the waist

Knees that bow outward when standing erect

Hint : 🧍‍♀️ Look for asymmetry

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

37 :
A nurse is caring for a 2-year-old child who has pneumonia and a temperature of 39.4° C (103° F). Which of the following actions should the nurse take?

Administer a 300-mg aspirin suppository.

Give 500 mg acetaminophen PO every 2 hr.

Lower the temperature of the room.

Place the child in an ice bath.

Hint : 🌬️ Cool environment helps

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

38 :
A nurse is contributing to the plan of care for a newly admitted adolescent client. Which of the following information should the nurse consider?

Changes in height and weight slow down at the onset of adolescence.

Decisions should be discussed with the parents privately because the adolescent is a minor.

Adolescents have little interest in discussing health promotion activities.

The timing of puberty onset affects adolescent self-esteem.

Hint : 🧠 Puberty impacts identity

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

39 :
A nurse is collecting data on a 1-month-old infant during a well-child visit. Which of the following findings should the nurse expect?

Absent rooting reflex

Respiratory rate 64/min

Head lag

Yellow sclera

Hint : 🍼 Normal newborn tone

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

40 :
A nurse is reinforcing teaching about bicycle safety with a school-age child. Which of the following instructions should the nurse include?

"Choose a helmet that is light in color and covers your ears."

"Ride against traffic to allow visibility to oncoming vehicles."

"Ride instead of walk your bicycle through crosswalks and intersections."

"Ensure the balls of your feet touch the ground when you are seated on the bicycle."

Hint : 🚴 Helmet = safe ride

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

41 :
A nurse is assisting with the care of a preschooler who is immediately postoperative following a tonsillectomy. Which of the following actions should the nurse take?

Apply an ice collar.

Encourage the child to use a straw.

Remind the child to cough and deep breathe.

Provide cherry fruit juice.

Hint : ❄️ Cold helps reduce swelling

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

42 :
A nurse is reinforcing dietary teaching with the guardians of a toddler. Which of the following snack foods should the nurse recommend?

Grapes

Raw carrots

Hard-boiled egg

Popcorn

Hint : 🥚 Soft, safe protein

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

43 :
A nurse is reinforcing teaching with the guardian of a 1-year-old infant about administering a liquid oral medication. Which of the following statements should the nurse make?

"You should position your child on their back during administration of the medication."

"You should add the medication to your child's formula prior to feeding."

"You should put small bits of ice on your child's tongue prior to administering the medication."

"You should place the medication along the side of your child's tongue during administration."

Hint : 👅 Administer along tongue side

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

44 :
A nurse is caring for a child and suspects the child has experienced physical maltreatment. Which of the following statements should the nurse make?

"It is not your fault that this happened."

"You should have told someone about this sooner."

"I promise I won't tell anyone about this."

"This should not have happened to you."

Hint : 💟 Provide emotional reassurance

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

45 :
A nurse is reinforcing teaching with a parent of a child who has gastroesophageal reflux disease and a new prescription for lansoprazole capsules. Which of the following statements by the parent indicates an understanding of the teaching?

"I should administer this medication 30 minutes before breakfast."

"I should place the capsule under my child's tongue."

"I will administer this medication four times per day."

"I will have my child chew the capsule completely."

Hint : ⏰ Give before breakfast

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

46 :
A nurse is assisting with the care of a school-age child who has shigella. Which of the following actions should the nurse take?

Give antidiarrheal agents every 4 hr.

Provide a diet high in sodium.

Administer antiviral medication.

Maintain oral rehydration therapy.

Hint : 💧 Rehydrate, don’t suppress

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

47 :
A nurse is contributing to the plan of care for an infant who has heart failure. Which of the following interventions should the nurse recommend?

Provide feedings every 3 hr.

Dilute formula to half strength.

Place the infant in lateral position during feeding.

Implement bolus gavage feedings.

Hint : 🍼 Small feeds, less effort

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

48 :
A nurse is assisting with the care of several clients. The nurse should identify that which of the following client conditions requires contact precautions?

Hemophilus influenzae

Streptococcal pharyngitis

Clostridium difficile

Mycoplasma pneumoniae

Hint : ⚠️ Spore-forming bacteria = contact

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

49 :
A nurse is preparing a child who has suspected bacterial meningitis for a lumbar puncture. Which of the following cerebrospinal fluid findings supports the diagnosis?

Decreased WBCs

Elevated total protein

Elevated glucose

Decreased pressure

Hint : 🧠 More protein = inflammation

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

50 :
A nurse is reinforcing teaching with the guardians of a toddler who has cystic fibrosis. Which of the following diets should the nurse recommend for the toddler?

High fat, low protein

Low carbohydrate, high fat

Moderate protein, low calorie

High protein, high calorie

Hint : 🍽️ Feed to fuel growth

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

51 :
A nurse is planning to collect data from an 11-month-old infant who has failure to thrive. Which of the following findings should the nurse expect?

Weight above the 10th percentile

Makes eye contact with others

Poor muscle tone

Stranger anxiety

Hint : 💪 Shows nutrition status

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

52 :
A nurse is assisting with the care of a school-age child who is terminally ill. Which of the following interventions should the nurse perform?

Encourage the family to involve siblings when caring for the child.

Reinforce with the family that they should avoid discussing death with the child.

Collect vital signs every 2 hr as the child's condition deteriorates.

Perform passive range of motion to the child's extremities every 4 hr.

Hint : 🧒 Include siblings in care

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

53 :
A nurse is reinforcing teaching with a parent of an infant who has a new diagnosis of heart failure. Which of the following findings should the nurse include as an expected manifestation of this disease?

Tachycardia

Increased blood pressure

Increased urinary output

Bounding peripheral pulses

Hint : ❤️ Fast heart = failing heart

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

54 :
A nurse in an urgent care clinic is collecting data from a preschooler who reports painful urination. Which of the following findings should the nurse identify as a possible manifestation of a urinary tract infection?

Facial edema

Increased temperature

Moist mucus membranes

Muscle twitching

Hint : 🌡️ Fever signals UTI

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

55 :
A nurse is monitoring a 6-month-old infant 20 min after administering a hepatitis B immunization. Which of the following findings is the nurse's priority?

Redness at the injection site

Temperature 37.7° C (99.9° F)

Prolonged crying

Hives on the child's neck

Hint : 🤧 Hives = hypersensitivity alert

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

56 :
A nurse is collecting data from a school-age child who has erythema infectiosum (fifth disease). The nurse should expect the rash to appear on which area of the child's body first? (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.)

Hint : 🌺 Red cheeks appear first!

Rationale :

Rationale to be Available Soon

57 :
A nurse is preparing to perform a heel stick using a spring-loaded automatic puncture device on a 1-week-old infant. In which of the following locations should the nurse puncture the infant's foot? (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.)

Hint : 🦶 Use the outer heel!

Rationale :

Rationale to be Available Soon

Total Questions: 57

Choose Different Exam !

ATI PN Pediatric Nursing~2023

No.

1 : A nurse is caring for a preschooler who is terminally ill. Which of the following reactions to death should the nurse expect?

2 : A nurse is contributing to the plan of care for a school-age child who has autism and is scheduled for surgery. Which of the following interventions should the nurse include in the plan?

3 : A nurse is collecting data from an infant who has respiratory syncytial virus (RSV). Which of the following findings should the nurse expect?

4 : A nurse is caring for a toddler who has been vomiting for the past 8 hr. Which of the following findings indicates to the nurse that the child is dehydrated?

5 : A nurse is reinforcing teaching with the parent of a preschooler who has a hip fracture and is in a spica cast. Which of the following findings should the nurse identify as an indication of infection?

6 : A nurse is reinforcing teaching about the purpose of the HbA1c test with an adolescent who has type 1 diabetes mellitus. Which of the following statements by the adolescent indicates an understanding of the teaching?

7 : A nurse is discussing allergies with the guardians of a school-age child prior to administration of the influenza vaccine. The nurse should identify that a prior anaphylactic reaction to which of the following is a contraindication to this immunization?

8 : A nurse is assisting with the collection of a bone marrow specimen from a preschooler. Which of the following actions should the nurse take?

9 : A nurse is reinforcing teaching about food choices with a parent of a child who has celiac disease. Which of the following responses by the parent indicates an understanding of the teaching?

10 : A nurse is preparing to administer recommended immunizations to an 11-year-old child who is up-to-date with current immunizations. Which of the following immunizations should the nurse plan to administer?

11 : A nurse is reinforcing teaching with the guardian of a school-age child who has asthma. Which of the following instructions should the nurse include in the teaching?

12 : A nurse in a clinic is speaking with a parent of a 1-year-old toddler who received her scheduled immunizations 1 hr ago. Which of the following findings reported by the parent is the nurse's priority?

13 : A nurse is contributing to the care plan of an 18-month-old child who has pneumonia. Which of the following items should the nurse select for the child's play activities?

14 : A nurse is collecting data from a school-age child who has Cushing's syndrome. Which of the following findings should the nurse expect?

15 : A nurse is reinforcing teaching with a parent of a toddler who has conjunctivitis. Which of the following instructions should the nurse include in the teaching?

16 : A nurse is caring for an 18-month-old infant who is 12 hr postoperative following a myringotomy. Which of the following pain rating scales should the nurse use?

17 : A nurse observes circumoral cyanosis in an infant who is choking. Which of the following actions should the nurse take?

18 : A nurse is preparing to administer medications to a child via a nasogastric tube. Which of the following actions should the nurse take?

19 : A nurse is reinforcing teaching with an adolescent who has a prescription for tretinoin topical for the treatment of acne. Which of the following instructions should the nurse include in the teaching?

20 : A nurse is caring for a child who received an initial dose of antibiotics 20 min ago. Which of the following findings is the priority to report to the provider?

21 : A nurse is reinforcing teaching with an adolescent who has a prescription for tretinoin topical for the treatment of acne. Which of the following instructions should the nurse include in the teaching?

22 : A nurse is preparing to administer a vaccine to a toddler. Which of the following actions should the nurse plan to take?

23 : A nurse is receiving change-of-shift report for a group of clients. Which of the following clients should the nurse plan to see first?

24 : A nurse is reinforcing teaching with an adolescent client who has a new diagnosis of lactose intolerance. Which of the following instructions should the nurse include in the teaching?

25 : A nurse is reinforcing teaching with the guardian of a school-age child who has a severe peanut allergy. Which of the following information should the nurse include?

26 : A nurse is preparing to collect data from a toddler during a well-child visit. Which of the following actions should the nurse plan to take?

27 : A nurse is talking privately with an adolescent who has disclosed that their facial fractures are the result of their punishment for coming home 1 hr after their curfew. Which of the following responses should the nurse make?

28 : A nurse is caring for a child who is brought to the urgent care clinic following exposure to poison ivy 1 hr ago. Which of the following actions should the nurse take first?

29 : A nurse is caring for a child who has had diarrhea for 3 days. Which of the following actions should the nurse take?

30 : A nurse is preparing to perform suctioning for an infant who has a partial mucus occlusion of her tracheostomy tube. Which of the following actions should the nurse plan to take?

31 : A nurse is collecting data from a 2-year-old toddler during a well-child visit. For which of the following findings should the nurse notify the provider?

32 : A nurse is assisting with the care of an adolescent client who is in skeletal traction for the treatment of a fractured femur. Which of the following actions should the nurse take?

33 : A nurse is caring for a school-age child who has a new prescription for continuous pulse oximetry monitoring. Which of the following actions should the nurse take?

34 : A nurse is collecting data from a 9-month-old infant. Which of the following developmental findings should the nurse expect?

35 : A nurse is preparing to administer recommended immunizations to a 4-year-old child who is up-to-date on current immunizations and severely immunocompromised. Which of the following immunizations should the nurse plan to administer?

36 : A school nurse is assisting with health screenings for school-age children during a health fair. The nurse should identify that which of the following findings indicates scoliosis?

37 : A nurse is caring for a 2-year-old child who has pneumonia and a temperature of 39.4° C (103° F). Which of the following actions should the nurse take?

38 : A nurse is contributing to the plan of care for a newly admitted adolescent client. Which of the following information should the nurse consider?

39 : A nurse is collecting data on a 1-month-old infant during a well-child visit. Which of the following findings should the nurse expect?

40 : A nurse is reinforcing teaching about bicycle safety with a school-age child. Which of the following instructions should the nurse include?

41 : A nurse is assisting with the care of a preschooler who is immediately postoperative following a tonsillectomy. Which of the following actions should the nurse take?

42 : A nurse is reinforcing dietary teaching with the guardians of a toddler. Which of the following snack foods should the nurse recommend?

43 : A nurse is reinforcing teaching with the guardian of a 1-year-old infant about administering a liquid oral medication. Which of the following statements should the nurse make?

44 : A nurse is caring for a child and suspects the child has experienced physical maltreatment. Which of the following statements should the nurse make?

45 : A nurse is reinforcing teaching with a parent of a child who has gastroesophageal reflux disease and a new prescription for lansoprazole capsules. Which of the following statements by the parent indicates an understanding of the teaching?

46 : A nurse is assisting with the care of a school-age child who has shigella. Which of the following actions should the nurse take?

47 : A nurse is contributing to the plan of care for an infant who has heart failure. Which of the following interventions should the nurse recommend?

48 : A nurse is assisting with the care of several clients. The nurse should identify that which of the following client conditions requires contact precautions?

49 : A nurse is preparing a child who has suspected bacterial meningitis for a lumbar puncture. Which of the following cerebrospinal fluid findings supports the diagnosis?

50 : A nurse is reinforcing teaching with the guardians of a toddler who has cystic fibrosis. Which of the following diets should the nurse recommend for the toddler?

51 : A nurse is planning to collect data from an 11-month-old infant who has failure to thrive. Which of the following findings should the nurse expect?

52 : A nurse is assisting with the care of a school-age child who is terminally ill. Which of the following interventions should the nurse perform?

53 : A nurse is reinforcing teaching with a parent of an infant who has a new diagnosis of heart failure. Which of the following findings should the nurse include as an expected manifestation of this disease?

54 : A nurse in an urgent care clinic is collecting data from a preschooler who reports painful urination. Which of the following findings should the nurse identify as a possible manifestation of a urinary tract infection?

55 : A nurse is monitoring a 6-month-old infant 20 min after administering a hepatitis B immunization. Which of the following findings is the nurse's priority?

1 :
A nurse is caring for a preschooler who is terminally ill. Which of the following reactions to death should the nurse expect?

2 :
A nurse is contributing to the plan of care for a school-age child who has autism and is scheduled for surgery. Which of the following interventions should the nurse include in the plan?

3 :
A nurse is collecting data from an infant who has respiratory syncytial virus (RSV). Which of the following findings should the nurse expect?

4 :
A nurse is caring for a toddler who has been vomiting for the past 8 hr. Which of the following findings indicates to the nurse that the child is dehydrated?

5 :
A nurse is reinforcing teaching with the parent of a preschooler who has a hip fracture and is in a spica cast. Which of the following findings should the nurse identify as an indication of infection?

6 :
A nurse is reinforcing teaching about the purpose of the HbA1c test with an adolescent who has type 1 diabetes mellitus. Which of the following statements by the adolescent indicates an understanding of the teaching?

7 :
A nurse is discussing allergies with the guardians of a school-age child prior to administration of the influenza vaccine. The nurse should identify that a prior anaphylactic reaction to which of the following is a contraindication to this immunization?

8 :
A nurse is assisting with the collection of a bone marrow specimen from a preschooler. Which of the following actions should the nurse take?

9 :
A nurse is reinforcing teaching about food choices with a parent of a child who has celiac disease. Which of the following responses by the parent indicates an understanding of the teaching?

10 :
A nurse is preparing to administer recommended immunizations to an 11-year-old child who is up-to-date with current immunizations. Which of the following immunizations should the nurse plan to administer?

11 :
A nurse is reinforcing teaching with the guardian of a school-age child who has asthma. Which of the following instructions should the nurse include in the teaching?

12 :
A nurse in a clinic is speaking with a parent of a 1-year-old toddler who received her scheduled immunizations 1 hr ago. Which of the following findings reported by the parent is the nurse's priority?

13 :
A nurse is contributing to the care plan of an 18-month-old child who has pneumonia. Which of the following items should the nurse select for the child's play activities?

14 :
A nurse is collecting data from a school-age child who has Cushing's syndrome. Which of the following findings should the nurse expect?

15 :
A nurse is reinforcing teaching with a parent of a toddler who has conjunctivitis. Which of the following instructions should the nurse include in the teaching?

16 :
A nurse is caring for an 18-month-old infant who is 12 hr postoperative following a myringotomy. Which of the following pain rating scales should the nurse use?

17 :
A nurse observes circumoral cyanosis in an infant who is choking. Which of the following actions should the nurse take?

18 :
A nurse is preparing to administer medications to a child via a nasogastric tube. Which of the following actions should the nurse take?

19 :
A nurse is reinforcing teaching with an adolescent who has a prescription for tretinoin topical for the treatment of acne. Which of the following instructions should the nurse include in the teaching?

20 :
A nurse is caring for a child who received an initial dose of antibiotics 20 min ago. Which of the following findings is the priority to report to the provider?

21 :
A nurse is reinforcing teaching with an adolescent who has a prescription for tretinoin topical for the treatment of acne. Which of the following instructions should the nurse include in the teaching?

22 :
A nurse is preparing to administer a vaccine to a toddler. Which of the following actions should the nurse plan to take?

23 :
A nurse is receiving change-of-shift report for a group of clients. Which of the following clients should the nurse plan to see first?

24 :
A nurse is reinforcing teaching with an adolescent client who has a new diagnosis of lactose intolerance. Which of the following instructions should the nurse include in the teaching?

25 :
A nurse is reinforcing teaching with the guardian of a school-age child who has a severe peanut allergy. Which of the following information should the nurse include?

26 :
A nurse is preparing to collect data from a toddler during a well-child visit. Which of the following actions should the nurse plan to take?

27 :
A nurse is talking privately with an adolescent who has disclosed that their facial fractures are the result of their punishment for coming home 1 hr after their curfew. Which of the following responses should the nurse make?

28 :
A nurse is caring for a child who is brought to the urgent care clinic following exposure to poison ivy 1 hr ago. Which of the following actions should the nurse take first?

29 :
A nurse is caring for a child who has had diarrhea for 3 days. Which of the following actions should the nurse take?

30 :
A nurse is preparing to perform suctioning for an infant who has a partial mucus occlusion of her tracheostomy tube. Which of the following actions should the nurse plan to take?

31 :
A nurse is collecting data from a 2-year-old toddler during a well-child visit. For which of the following findings should the nurse notify the provider?

32 :
A nurse is assisting with the care of an adolescent client who is in skeletal traction for the treatment of a fractured femur. Which of the following actions should the nurse take?

33 :
A nurse is caring for a school-age child who has a new prescription for continuous pulse oximetry monitoring. Which of the following actions should the nurse take?

34 :
A nurse is collecting data from a 9-month-old infant. Which of the following developmental findings should the nurse expect?

35 :
A nurse is preparing to administer recommended immunizations to a 4-year-old child who is up-to-date on current immunizations and severely immunocompromised. Which of the following immunizations should the nurse plan to administer?

36 :
A school nurse is assisting with health screenings for school-age children during a health fair. The nurse should identify that which of the following findings indicates scoliosis?

37 :
A nurse is caring for a 2-year-old child who has pneumonia and a temperature of 39.4° C (103° F). Which of the following actions should the nurse take?

38 :
A nurse is contributing to the plan of care for a newly admitted adolescent client. Which of the following information should the nurse consider?

39 :
A nurse is collecting data on a 1-month-old infant during a well-child visit. Which of the following findings should the nurse expect?

40 :
A nurse is reinforcing teaching about bicycle safety with a school-age child. Which of the following instructions should the nurse include?

41 :
A nurse is assisting with the care of a preschooler who is immediately postoperative following a tonsillectomy. Which of the following actions should the nurse take?

42 :
A nurse is reinforcing dietary teaching with the guardians of a toddler. Which of the following snack foods should the nurse recommend?

43 :
A nurse is reinforcing teaching with the guardian of a 1-year-old infant about administering a liquid oral medication. Which of the following statements should the nurse make?

44 :
A nurse is caring for a child and suspects the child has experienced physical maltreatment. Which of the following statements should the nurse make?

45 :
A nurse is reinforcing teaching with a parent of a child who has gastroesophageal reflux disease and a new prescription for lansoprazole capsules. Which of the following statements by the parent indicates an understanding of the teaching?

46 :
A nurse is assisting with the care of a school-age child who has shigella. Which of the following actions should the nurse take?

47 :
A nurse is contributing to the plan of care for an infant who has heart failure. Which of the following interventions should the nurse recommend?

48 :
A nurse is assisting with the care of several clients. The nurse should identify that which of the following client conditions requires contact precautions?

49 :
A nurse is preparing a child who has suspected bacterial meningitis for a lumbar puncture. Which of the following cerebrospinal fluid findings supports the diagnosis?

50 :
A nurse is reinforcing teaching with the guardians of a toddler who has cystic fibrosis. Which of the following diets should the nurse recommend for the toddler?

51 :
A nurse is planning to collect data from an 11-month-old infant who has failure to thrive. Which of the following findings should the nurse expect?

52 :
A nurse is assisting with the care of a school-age child who is terminally ill. Which of the following interventions should the nurse perform?

53 :
A nurse is reinforcing teaching with a parent of an infant who has a new diagnosis of heart failure. Which of the following findings should the nurse include as an expected manifestation of this disease?

54 :
A nurse in an urgent care clinic is collecting data from a preschooler who reports painful urination. Which of the following findings should the nurse identify as a possible manifestation of a urinary tract infection?

55 :
A nurse is monitoring a 6-month-old infant 20 min after administering a hepatitis B immunization. Which of the following findings is the nurse's priority?