Test Mode Assessment

No.

1 :
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?

Administer an oral corticosteroid.

Apply calamine lotion to the affected area.

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

Flush the area with cold, running water.

Hint : 🔷Wash first, treat later

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

2 :
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?

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

Select a catheter that fits snugly into the tracheostomy tube

Use a clean technique when performing suctioning.

Apply suction in 3 to 4-second increments.

Hint : 🟢Suction: brief is safe

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

3 :
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?

Warm the skin prior to probe placement.

Reposition the probe every 2 hr.

Tape the wire to the palm of the hand.

Apply the sensor to the index fingernail.

Hint : 💠Move probe for safety

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

4 :
A nurse is assisting with the care of a preschooler who is postoperative following tetralogy of Fallot correction. Which of the following manifestations indicates the child is possibly experiencing decreased cardiac output?

Extremities warm to touch.

Capillary refill 2 seconds.

Blood pressure 112/66 mm Hg.

Diminished pulses.

Hint : 🔴Weak pulse = red flag

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

5 :
A nurse is reviewing the laboratory report of a newly admitted school-age child who has a fever. The nurse should identify which of the following laboratory results is an indication of an infection and should be reported to the charge nurse immediately.

Urine osmolality 500 mOsm/kg.

WBC 17,500/mm3.

BUN 12 mg/dL.

Urine specific gravity 1.014

Hint : 🟡High WBC = infection alert

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

6 :
A nurse is planning to collect a stool specimen from an infant to check for the presence of ova and parasites. Which of the following actions should the nurse plan to take?

Obtain the specimen by swabbing the infant's rectum using a sterile culture swab.

Place a urine collection device on the infant until the specimen is obtained.

Transfer the specimen to the collection container using povidone-iodine-soaked gauze.

Maintain the specimen at room temperature after collection until it is transferred to the lab

Hint : 🔷Use bag for clean sample

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

7 :
A nurse is contributing to the plan of care for an adolescent client who has sickle cell anemia and is experiencing a vaso-occlusive crisis. Which of the following interventions should the nurse include in the plan?

Decrease daily oral fluid intake.

Maintain bed rest to prevent hypoxemia.

Apply cold compresses to painful joints.

Administer meperidine to eliminate a fever.

Hint : 🟢Less activity = less crisis

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

8 :
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?

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

Reduce intake of foods containing fiber while non ambulatory.

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

Apply protective padding to the end of the pin sites.

Hint : 💠Pad pins to protect skin

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

9 :
A nurse in a well-child clinic is collecting data from four clients. Which of the following findings should the nurse report to the provider as a potential indication of child maltreatment?

A 34-month-old child who has several small bruises on the shins.

A 6-year-old child who has a fracture of the arm from a bicycle injury.

A 15-month-old child who bites other children while at daycare.

A 4-year-old child who has a history of frequent urinary tract infections.

Hint : 🔴UTI history needs reporting

Correct Answers:

No Correct Answers Available !

Rationale :

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10 :
A nurse is reinforcing teaching with a parent of a child who has a sprained wrist. Which of the following interventions should the nurse instruct the parent to implement during the first 12 to 24 hours to minimize swelling?

Encourage active range of motion of the extremity.

Apply warm compresses to the extremity.

Elevate the extremity above the level of the heart.

Wrap the extremity loosely with an elastic bandage.

Hint : 🟡Keep it raised for relief

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

11 :
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 should provide my child with rice pudding for dessert.".

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

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

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

Hint : 💚Rice is gluten-free

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

12 :
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 glucose.

Elevated total protein.

Decreased pressure.

Hint : 🟦High protein = infection

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

13 :
A nurse is assisting with the plan of care for an infant who has heart failure. Which of the following actions should the nurse recommend to include in the plan of care?

Ensure the infant bottle feeds for 45 min.

Administer digoxin for a pulse of 70/min.

Allow for frequent rest periods.

Maintain the infant in a supine position.

Hint : 🟡Let the baby rest

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

14 :
A nurse is reinforcing teaching with a group of adolescents about safety. Which of the following information should the nurse include in the teaching?

Sun protection is not necessary when using self-tanning creams.

The risk of injury from firearms decreases as children enter adolescence.

Driving skills can be impaired when friends are present.

Medroxyprogesterone provides protection against gonorrhea.

Hint : 🔵Friends = distraction

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

15 :
A nurse is contributing to the plan of care for a school-age child who is being admitted for diabetic ketoacidosis. Which of the following interventions should the nurse recommend?

Implement fluid restrictions.

Monitor vital signs every 8 hr.

Initiate continuous cardiac monitoring.

Administer subcutaneous insulin 30 min before meals.

Hint : 🟣Monitor heart in DKA

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

16 :
A nurse is preparing to administer nasogastric tube feedings to a 2-month-old infant. Which of the following actions should the nurse plan to take?

Stabilize the tube by taping it to the infant's cheek.

Position the infant in a supine position during feedings.

Aspirate residual fluid from the infant's stomach and discard.

Microwave the infant's formula to a temperature of 41° C (105.8° F).

Hint : 💠Secure NG tube

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

17 :
A nurse in a clinic is speaking with a parent of a 1-year-old toddler who received her scheduled immunizations 1 hour 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 has a temperature of 100.7 degrees Fahrenheit."

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

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

Hint : 🔴Swelling = allergy alert

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

18 :
A nurse is collecting data from a school-age child who has hypothyroidism. Which of the following findings should the nurse expect?

Lethargy.

Diarrhea.

Tachycardia.

Hirsutism.

Hint : 🟢Slow = suspect thyroid

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

19 :
A nurse is reviewing the medical records of a group of clients. Which of the following findings should the nurse report to local authorities?

A 6-month-old infant who has a spiral fracture to a lower extremity.

A 9-month-old infant who has been exposed to bedbugs and has cellulitis.

A 4-year-old preschooler who has a rivalry with their siblings.

A 24-month-old toddler who experiences occasional incontinence.

Hint : 🔷Spiral fracture = abuse risk

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

20 :
A nurse is caring for a preschooler who is terminally ill. Which of the following reactions to death should the nurse expect?

Understands that death is permanent.

Perceives death as a punishment.

Worries about physical body changes.

Has feelings of isolation.

Hint : 💜Preschoolers: death = punishment

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

21 :
A nurse is collecting data from a child who has type 1 diabetes mellitus and has slurred speech, is diaphoretic, and has a blood glucose reading of 45 mg/dL. Which of the following should the nurse administer?

Insulin.

Metformin.

6 oz diet soft drink.

6 oz regular soft drink.

Hint : 🔴Regular soda = rescue

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

22 :
A nurse is collecting data from a 6-month-old infant during a well-child visit. The infant weighed 3.26 kg (7 lb 2 oz) at birth. Which of the following is the anticipated weight at 6 months of age?

8.6 to 9.5 kg (19 to 21 lb).

4.1 to 5 kg (9 to 11 lb).

6.8 to 7.7 kg (15 to 17 lb).

10.4 to 11.3 kg (23 to 25 lb).

Hint : 🟡2x birth weight at 6 months

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

23 :
A nurse is assisting with the collection of a bone marrow specimen from a preschooler. Which of the following actions should the nurse take?

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

Place the child in a 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.

Hint : 🔵Prone for iliac crest

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

24 :
A nurse is reinforcing teaching about sibling adaptation with a parent of a child who has cystic fibrosis. Which of the following instructions should the nurse include in the teaching?

Avoid discussing the child's diagnosis with the sibling.

Encourage phone calls between the siblings.

Designate one parent to stay at home with the sibling.

Avoid having the sibling visit the child in the facility.

Hint : 💚Sibling support matters

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

25 :
A nurse is caring for an adolescent client who is scheduled for surgery. Which of the following actions should the nurse take to prepare the child based on their developmental stage?

Discuss how the procedure might affect the client's appearance.

Avoid involving the client in decisions regarding treatment.

Emphasize that the procedure is not a punishment.

Keep equipment out of the client's sight.

Hint : 🟠Address appearance concerns

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

26 :
A nurse is caring for a child who has dehydration. Which of the following findings should the nurse expect?

Hct 45%.

Urine specific gravity 1.035.

Capillary refill less than 2 seconds.

Urine output 35 ml/hr.

Hint : 🔷High SG = dehydration

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

27 :
A nurse is reinforcing teaching with the parent of a child who has otitis media and a new prescription for amoxicillin oral suspension. Which of the following information should the nurse include?

This medication can cause ringing in the ears.

This medication can cause muscle pain.

This medication can cause loose stools.

This medication can cause blurred vision.

Hint : 🟡Watch for GI changes

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

28 :
A nurse is reinforcing teaching about the administration of an otic medication with the parent of a 2-year-old toddler. Which of the following instructions should the nurse include?

"You should place your child in a side-lying position on the affected side after you administer the medication."

"You should allow your child's medication to reach room temperature prior to administration."

"You should sit your child in an upright position to administer the medication."

"You should gently pull your child's ear upward.".

Hint : 🔵Warm before ear drops

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

29 :
A nurse is assisting in the admission of a client who has measles. Which of the following isolation precautions should the nurse initiate?

Contact.

Airborne.

Protective environment.

Droplet.

Hint : 💠Measles = airborne

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

30 :
A nurse is caring for a school-age child who had a tonic-clonic seizure 1 min ago. Which of the following actions should the nurse take?

Check inside the child's mouth for bleeding.

Place the child's head in a hyperextended position.

Give the child a drink of water.

Administer naloxone intramuscularly.

Hint : 🟣Mouth check post-seizure

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

31 :
A nurse is assisting with caring for an infant immediately postoperative following a cleft lip repair. Which of the following actions should the nurse take?

Clean the infant's suture line with chlorhexidine solution.

Apply elbow immobilizers to the infant.

Offer the infant a pacifier with sucrose for pain relief.

Place the infant in a prone position for sleeping.

Hint : 🟢Protect surgical repair

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

32 :
A nurse is providing a community health education class about suicide prevention. Which of the following should the nurse identify as risk factors for suicide? (Select all that apply).

Female gender.

Schizophrenia.

Substance use disorder.

Currently married.

Age greater than 45 years old.

Hint : 🔷Mental illness, substance, age = risk

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

33 :
A nurse is preparing to administer the measles, mumps, and rubella (MMR) vaccine to an adolescent. Which of the following should the nurse identify as a contraindication to administering this vaccine?

Current pregnancy.

Mild ear infection.

Family history of seizures.

Severe peanut allergy.

Hint : 🟡Pregnant = no live vaccine

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

34 :
A nurse is reinforcing dietary teaching with the guardians of a toddler. Which of the following snack foods should the nurse recommend?

Hard-boiled egg.

Grapes.

Raw carrots.

Popcorn.

Hint : 💚Pick safe, soft snacks

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

35 :
A nurse is caring for a client in the emergency department (ED).

Nurses notes

Client is brought to the ED by a family member who states that the client has not eaten, slept, or taken their medications in at least 2 days.
The client's family member states that the client's behavior is typical of manic episodes in the past.
The client is alert and oriented x 2.
The client is pacing the exam room and refuses to sit down.
Becomes agitated when asked questions.
The client appears to be pale, disheveled, and is wearing dirty clothes.
Able to obtain vital signs.
However, no other physical assessment as the client becomes severely agitated.

Which of the following interventions should the nurse implement?

Answer Options

Stay with the client.

Place the client in a room close to the nurses' station.

Offer the client a caffeinated beverage.

Weigh the client daily.

Offer the client finger foods.

Hint : 🔴Supervise during mania

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

36 :
A nurse is reinforcing teaching about controlling allergens with the parent of a child who has a new diagnosis of asthma. Which of the following instructions should the nurse include?

"Wash your child's pillow in cold water twice monthly.".

"Use a humidifier in your child's bedroom.".

"Use a damp cloth to dust your child's furniture weekly.".

"Install carpet in your child's bedroom.".

Hint : 🟣Wet dusting reduces triggers

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

37 :
A nurse at an urgent care clinic is caring for a child who hit her head on the playground at school 30 minutes ago. Which of the following findings is the nurse's priority?

2 cm (0.8 in) scalp laceration.

Nasal discharge negative for glucose.

Asymmetric pupils.

Negative Babinski reflex.

Hint : 🔵Unequal pupils = urgent

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

38 :
A nurse in an urgent care clinic is contributing to the plan of care for a group of clients. The nurse should identify which of the following clients will require parental consent prior to receiving treatment.

A 15-year-old client who requests testing for an STI.

A 14-year-old client who requires a biopsy of a mole.

A 16-year-old client who requires prenatal care for pregnancy.

A 13-year-old client who requests contraception advice.

Hint : 💠Procedures = parent consent

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

39 :
A nurse is reinforcing teaching with the guardian of a preschooler who has varicella and is hospitalized. Which of the following statements by the guardian indicates an understanding of the teaching?

"I can take my child to the playroom after all the lesions have crusted.".

"I will wait to bathe my child once the crusts have fallen off the lesions.".

"I should expect my child to remain on bed rest for 3 days.".

"I need to wear a mask when visiting my child, even though I have had chicken pox.".

Hint : 🟡Scabs = safe

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

40 :
A nurse is assisting with the care of a school-age child who has shigella. Which of the following actions should the nurse take?

Maintain oral rehydration therapy.

Provide a diet high in sodium.

Administer antiviral medication.

Give antidiarrheal agents every 4 hours.

Hint : 🟢Fluids first for diarrhea

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

41 :
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?

Rotavirus.

Hemophilus influenzae type b.

Hepatitis A.

Human papillomavirus.

Hint : 🔷HPV for preteens

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

42 :
A nurse is reviewing the laboratory report of a preschooler during a well-child visit. Which of the following laboratory results should the nurse report to the provider?

Iron 100 mcg/dL.

Hemoglobin 8 g/dL.

Sodium 140 mEq/L.

Calcium 9 mg/dL.

Hint : 🟡Low Hb = check cause

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

43 :
A nurse is reinforcing teaching with a parent of a child who has attention deficit hyperactivity disorder. Which of the following statements should the nurse include in the teaching to promote the child's learning?

"Provide your child with long-term goals to increase self-esteem.".

"Offer your child frequent breaks in activity during the day.".

"Administer your child's medication at bedtime to prevent insomnia.".

"Schedule a different routine for your child each day.".

Hint : 💚Breaks help kids focus

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

44 :
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?

Colored paper and safety scissors.

Stringing beads.

Alphabet flash cards.

Wooden building blocks.

Hint : 🔴Quiet, safe play aids healing

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

45 :
A nurse is caring for a child who has acute glomerulonephritis. Which of the following manifestations should the nurse expect?

Hypertension.

Dehydration.

Merck lines on the nails.

Hypokalemia.

Hint : 🟠Glomerulonephritis = watch BP

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

46 :
A nurse is contributing to the plan of care for a school-age child who has Crohn's disease. Which of the following food choices should the nurse include in the plan?

Popcorn.

Hot dog.

Dried apricots.

Plain yogurt.

Hint : 🔵Soft foods for gut health

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

47 :
A nurse is assisting with the care of a school-age child who recently returned to the PACU following pin placement for a radial head fracture with casting. Which of the following findings should the nurse monitor when conducting a circulatory check for compartment syndrome?

Edema.

Mottling.

Urticaria.

Pulselessness.

Hint : 🟡 No pulse = emergency

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

48 :
nurse is reviewing the laboratory results of an adolescent who has diabetes mellitus. For which of the following values should the nurse notify the provider?

Hematocrit 36%.

Hemoglobin 12 g/dL.

Glucose 120 mg/dL.

HbA1c 10.7%.

Hint : 💠High A1c = poor control

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

49 :
A nurse is reinforcing teaching with the parent of a 6-month-old infant about introducing solid foods into the infant's diet. Which of the following statements by the parent indicates an understanding of the teaching?

"I should start by feeding my baby 3 tablespoons of solid food.".

"I should limit my baby to 8 ounces of juice per day.".

"I should introduce a new solid food to my baby every five to seven days.".

"I should sweeten my baby's food with a teaspoon of honey.".

Hint : 🟣One food at a time

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

50 :
A nurse is assisting with the care of an infant who has heart failure. Which of the following actions should the nurse take?

Place the infant in a supine position during naps.

Feed the infant a bottle every 4 hr.

Document the infant's respiratory rate every 2 hr.

Withhold digoxin if the infant's heart rate is greater than 100/min.

Hint : 🟢Watch breathing closely

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

51 :
A nurse is reviewing the medical record of a school-age child who was admitted for suspected physical maltreatment. Which of the following findings in the child's medical history should the nurse identify as a potential risk factor for physical maltreatment?

Acute otitis media.

Myopia.

Prematurity.

Adopted.

Hint : 🔷Premature = higher risk

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

52 :
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 place the medication along the side of your child's tongue during administration.".

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

"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.".

Hint : 🟡Side tongue for safety

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

53 :
A nurse is caring for a preschooler who is in 90-90 traction. Which of the following is the nurse's priority action?

Administer pain medication.

Check capillary refill.

Cleanse and dress the pin sites.

Reposition the child every 2 hr.

Hint : 💚Check circulation first

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

54 :
A school nurse is caring for a child who has asthma and begins to have difficulty breathing. Which of the following actions should the nurse take?

Administer two puffs of albuterol.

Place the child in the supine position.

Encourage the use of a flutter mucus clearance device.

Instruct the child to perform controlled breathing exercises.

Hint : 🔴Rescue inhaler first

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

55 :
A nurse is reinforcing teaching with a female adolescent who has dysmenorrhea. Which of the following instructions should the nurse include?

Apply cold packs to the lower abdomen.

Increase daily intake of fat.

Massage the lower back area.

Limit physical activity.

Hint : 🟢Gentle massage eases cramps

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

56 :
A nurse is preparing to check the capillary blood glucose level of a school-age child. Which of the following actions should the nurse plan to take?

Allow the skin antiseptic to dry prior to puncturing the child's finger.

Place a cool washcloth on the child's finger for 5 min prior to the procedure.

Test the first drop of blood obtained after puncturing the child's finger.

Puncture the center of the pad of the child's index finger.

Hint : 🔷Let it dry for safety

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

57 :
A nurse is reinforcing teaching with the parents of a 10-week-old infant who is scheduled for surgical repair of a cleft lip. Which of the following pieces of information should the nurse include?

"You should give your baby a pacifier when she cries."

"Your baby will be placed in elbow restraints following surgery."

"Your baby cannot have anything by mouth until 2 hours after surgery."

"You should position your baby on her abdomen following surgery.".

Hint : 🟡Restraints = protect repair

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

58 :
A nurse is caring for an adolescent client who has a fractured right tibia and a cast. Which of the following findings should the nurse report to the provider?

Pain following range-of-motion exercises.

Pruritus under the cast.

Presence of swelling while the extremity is dependent.

Coolness of the toes.

Hint : 💠Cold toes = emergency

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

59 :
A nurse is caring for an 18-month-old infant who is 12 hours postoperative following a myringotomy. Which of the following pain rating scales should the nurse use?

FLACC scale.

Color tool.

Poker Chip Tool.

Numeric scale.

Hint : 🟢Use FLACC for infants

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

60 :
A nurse is assisting with the plan of care for an adolescent who has rheumatoid arthritis and reports difficulty feeding themselves. Which of the following referrals should the nurse recommend?

Occupational therapy.

Physical therapy.

Speech therapy.

Case manager.

Hint : 🔷OT = help with daily tasks

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

61 :
A nurse is caring for a school-age child who has acute otitis media and a new prescription for clindamycin. Which of the following findings indicates the child is experiencing an allergic reaction to the medication?

Urticaria.

Conjunctivitis.

Temperature 38°C (100.4°F).

Cool extremities.

Hint : 🟡Hives = drug allergy

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

62 :
A nurse is reinforcing teaching with the parents of a school-age child who has a new prescription for albuterol. The nurse should instruct the parents to report which of the following findings as an adverse effect of the medication.

Tinnitus.

Constipation.

Hypoglycemia.

Headache.

Hint : 💚Headache? Call provider

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

63 :
A nurse is collecting data from a school-age child who has bacterial meningitis. Which of the following findings should the nurse expect? (Select all that apply.)

Headache.

Negative Kernig sign.

Vomiting.

Seizures.

Tinnitus.

Hint : 🔴CNS symptoms = meningitis

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

64 :
A nurse in a family practice clinic is collecting data from a school-age child. Which of the following behavioral findings should the nurse identify as a possible indication of sexual abuse?

Perfectionistic.

Manipulative.

Withdrawn.

Destructive.

Hint : 🟠Withdrawal = red flag

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

65 :
A nurse is caring for a child who has a urinary tract infection. Which of the following findings should the nurse expect?

Positive leukocyte esterase.

Deep gold-colored urine.

Osmolality 700 mOsm/L

Specific gravity 1.015.

Hint : 🔴WBCs confirm UTI

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

Total Questions: 65

Choose Different Exam !

ATI PN Nursing Care of Children with NGN-2020

No.

1 : 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?

2 : 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?

3 : 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?

4 : A nurse is assisting with the care of a preschooler who is postoperative following tetralogy of Fallot correction. Which of the following manifestations indicates the child is possibly experiencing decreased cardiac output?

5 : A nurse is reviewing the laboratory report of a newly admitted school-age child who has a fever. The nurse should identify which of the following laboratory results is an indication of an infection and should be reported to the charge nurse immediately.

6 : A nurse is planning to collect a stool specimen from an infant to check for the presence of ova and parasites. Which of the following actions should the nurse plan to take?

7 : A nurse is contributing to the plan of care for an adolescent client who has sickle cell anemia and is experiencing a vaso-occlusive crisis. Which of the following interventions should the nurse include in the plan?

8 : 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?

9 : A nurse in a well-child clinic is collecting data from four clients. Which of the following findings should the nurse report to the provider as a potential indication of child maltreatment?

10 : A nurse is reinforcing teaching with a parent of a child who has a sprained wrist. Which of the following interventions should the nurse instruct the parent to implement during the first 12 to 24 hours to minimize swelling?

11 : 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?

12 : 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?

13 : A nurse is assisting with the plan of care for an infant who has heart failure. Which of the following actions should the nurse recommend to include in the plan of care?

14 : A nurse is reinforcing teaching with a group of adolescents about safety. Which of the following information should the nurse include in the teaching?

15 : A nurse is contributing to the plan of care for a school-age child who is being admitted for diabetic ketoacidosis. Which of the following interventions should the nurse recommend?

16 : A nurse is preparing to administer nasogastric tube feedings to a 2-month-old infant. Which of the following actions should the nurse plan to take?

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

18 : A nurse is collecting data from a school-age child who has hypothyroidism. Which of the following findings should the nurse expect?

19 : A nurse is reviewing the medical records of a group of clients. Which of the following findings should the nurse report to local authorities?

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

21 : A nurse is collecting data from a child who has type 1 diabetes mellitus and has slurred speech, is diaphoretic, and has a blood glucose reading of 45 mg/dL. Which of the following should the nurse administer?

22 : A nurse is collecting data from a 6-month-old infant during a well-child visit. The infant weighed 3.26 kg (7 lb 2 oz) at birth. Which of the following is the anticipated weight at 6 months of age?

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

24 : A nurse is reinforcing teaching about sibling adaptation with a parent of a child who has cystic fibrosis. Which of the following instructions should the nurse include in the teaching?

25 : A nurse is caring for an adolescent client who is scheduled for surgery. Which of the following actions should the nurse take to prepare the child based on their developmental stage?

26 : A nurse is caring for a child who has dehydration. Which of the following findings should the nurse expect?

27 : A nurse is reinforcing teaching with the parent of a child who has otitis media and a new prescription for amoxicillin oral suspension. Which of the following information should the nurse include?

28 : A nurse is reinforcing teaching about the administration of an otic medication with the parent of a 2-year-old toddler. Which of the following instructions should the nurse include?

29 : A nurse is assisting in the admission of a client who has measles. Which of the following isolation precautions should the nurse initiate?

30 : A nurse is caring for a school-age child who had a tonic-clonic seizure 1 min ago. Which of the following actions should the nurse take?

31 : A nurse is assisting with caring for an infant immediately postoperative following a cleft lip repair. Which of the following actions should the nurse take?

32 : A nurse is providing a community health education class about suicide prevention. Which of the following should the nurse identify as risk factors for suicide? (Select all that apply).

33 : A nurse is preparing to administer the measles, mumps, and rubella (MMR) vaccine to an adolescent. Which of the following should the nurse identify as a contraindication to administering this vaccine?

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

35 : A nurse is caring for a client in the emergency department (ED).

Answer Options

36 : A nurse is reinforcing teaching about controlling allergens with the parent of a child who has a new diagnosis of asthma. Which of the following instructions should the nurse include?

37 : A nurse at an urgent care clinic is caring for a child who hit her head on the playground at school 30 minutes ago. Which of the following findings is the nurse's priority?

38 : A nurse in an urgent care clinic is contributing to the plan of care for a group of clients. The nurse should identify which of the following clients will require parental consent prior to receiving treatment.

39 : A nurse is reinforcing teaching with the guardian of a preschooler who has varicella and is hospitalized. Which of the following statements by the guardian indicates an understanding of the teaching?

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

41 : 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?

42 : A nurse is reviewing the laboratory report of a preschooler during a well-child visit. Which of the following laboratory results should the nurse report to the provider?

43 : A nurse is reinforcing teaching with a parent of a child who has attention deficit hyperactivity disorder. Which of the following statements should the nurse include in the teaching to promote the child's learning?

44 : 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?

45 : A nurse is caring for a child who has acute glomerulonephritis. Which of the following manifestations should the nurse expect?

46 : A nurse is contributing to the plan of care for a school-age child who has Crohn's disease. Which of the following food choices should the nurse include in the plan?

47 : A nurse is assisting with the care of a school-age child who recently returned to the PACU following pin placement for a radial head fracture with casting. Which of the following findings should the nurse monitor when conducting a circulatory check for compartment syndrome?

48 : nurse is reviewing the laboratory results of an adolescent who has diabetes mellitus. For which of the following values should the nurse notify the provider?

49 : A nurse is reinforcing teaching with the parent of a 6-month-old infant about introducing solid foods into the infant's diet. Which of the following statements by the parent indicates an understanding of the teaching?

50 : A nurse is assisting with the care of an infant who has heart failure. Which of the following actions should the nurse take?

51 : A nurse is reviewing the medical record of a school-age child who was admitted for suspected physical maltreatment. Which of the following findings in the child's medical history should the nurse identify as a potential risk factor for physical maltreatment?

52 : 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?

53 : A nurse is caring for a preschooler who is in 90-90 traction. Which of the following is the nurse's priority action?

54 : A school nurse is caring for a child who has asthma and begins to have difficulty breathing. Which of the following actions should the nurse take?

55 : A nurse is reinforcing teaching with a female adolescent who has dysmenorrhea. Which of the following instructions should the nurse include?

56 : A nurse is preparing to check the capillary blood glucose level of a school-age child. Which of the following actions should the nurse plan to take?

57 : A nurse is reinforcing teaching with the parents of a 10-week-old infant who is scheduled for surgical repair of a cleft lip. Which of the following pieces of information should the nurse include?

58 : A nurse is caring for an adolescent client who has a fractured right tibia and a cast. Which of the following findings should the nurse report to the provider?

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

60 : A nurse is assisting with the plan of care for an adolescent who has rheumatoid arthritis and reports difficulty feeding themselves. Which of the following referrals should the nurse recommend?

61 : A nurse is caring for a school-age child who has acute otitis media and a new prescription for clindamycin. Which of the following findings indicates the child is experiencing an allergic reaction to the medication?

62 : A nurse is reinforcing teaching with the parents of a school-age child who has a new prescription for albuterol. The nurse should instruct the parents to report which of the following findings as an adverse effect of the medication.

63 : A nurse is collecting data from a school-age child who has bacterial meningitis. Which of the following findings should the nurse expect? (Select all that apply.)

64 : A nurse in a family practice clinic is collecting data from a school-age child. Which of the following behavioral findings should the nurse identify as a possible indication of sexual abuse?

65 : A nurse is caring for a child who has a urinary tract infection. Which of the following findings should the nurse expect?

1 :
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?

2 :
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?

3 :
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?

4 :
A nurse is assisting with the care of a preschooler who is postoperative following tetralogy of Fallot correction. Which of the following manifestations indicates the child is possibly experiencing decreased cardiac output?

5 :
A nurse is reviewing the laboratory report of a newly admitted school-age child who has a fever. The nurse should identify which of the following laboratory results is an indication of an infection and should be reported to the charge nurse immediately.

6 :
A nurse is planning to collect a stool specimen from an infant to check for the presence of ova and parasites. Which of the following actions should the nurse plan to take?

7 :
A nurse is contributing to the plan of care for an adolescent client who has sickle cell anemia and is experiencing a vaso-occlusive crisis. Which of the following interventions should the nurse include in the plan?

8 :
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?

9 :
A nurse in a well-child clinic is collecting data from four clients. Which of the following findings should the nurse report to the provider as a potential indication of child maltreatment?

10 :
A nurse is reinforcing teaching with a parent of a child who has a sprained wrist. Which of the following interventions should the nurse instruct the parent to implement during the first 12 to 24 hours to minimize swelling?

11 :
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?

12 :
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?

13 :
A nurse is assisting with the plan of care for an infant who has heart failure. Which of the following actions should the nurse recommend to include in the plan of care?

14 :
A nurse is reinforcing teaching with a group of adolescents about safety. Which of the following information should the nurse include in the teaching?

15 :
A nurse is contributing to the plan of care for a school-age child who is being admitted for diabetic ketoacidosis. Which of the following interventions should the nurse recommend?

16 :
A nurse is preparing to administer nasogastric tube feedings to a 2-month-old infant. Which of the following actions should the nurse plan to take?

17 :
A nurse in a clinic is speaking with a parent of a 1-year-old toddler who received her scheduled immunizations 1 hour ago. Which of the following findings reported by the parent is the nurse's priority?

18 :
A nurse is collecting data from a school-age child who has hypothyroidism. Which of the following findings should the nurse expect?

19 :
A nurse is reviewing the medical records of a group of clients. Which of the following findings should the nurse report to local authorities?

20 :
A nurse is caring for a preschooler who is terminally ill. Which of the following reactions to death should the nurse expect?

21 :
A nurse is collecting data from a child who has type 1 diabetes mellitus and has slurred speech, is diaphoretic, and has a blood glucose reading of 45 mg/dL. Which of the following should the nurse administer?

22 :
A nurse is collecting data from a 6-month-old infant during a well-child visit. The infant weighed 3.26 kg (7 lb 2 oz) at birth. Which of the following is the anticipated weight at 6 months of age?

23 :
A nurse is assisting with the collection of a bone marrow specimen from a preschooler. Which of the following actions should the nurse take?

24 :
A nurse is reinforcing teaching about sibling adaptation with a parent of a child who has cystic fibrosis. Which of the following instructions should the nurse include in the teaching?

25 :
A nurse is caring for an adolescent client who is scheduled for surgery. Which of the following actions should the nurse take to prepare the child based on their developmental stage?

26 :
A nurse is caring for a child who has dehydration. Which of the following findings should the nurse expect?

27 :
A nurse is reinforcing teaching with the parent of a child who has otitis media and a new prescription for amoxicillin oral suspension. Which of the following information should the nurse include?

28 :
A nurse is reinforcing teaching about the administration of an otic medication with the parent of a 2-year-old toddler. Which of the following instructions should the nurse include?

29 :
A nurse is assisting in the admission of a client who has measles. Which of the following isolation precautions should the nurse initiate?

30 :
A nurse is caring for a school-age child who had a tonic-clonic seizure 1 min ago. Which of the following actions should the nurse take?

31 :
A nurse is assisting with caring for an infant immediately postoperative following a cleft lip repair. Which of the following actions should the nurse take?

32 :
A nurse is providing a community health education class about suicide prevention. Which of the following should the nurse identify as risk factors for suicide? (Select all that apply).

33 :
A nurse is preparing to administer the measles, mumps, and rubella (MMR) vaccine to an adolescent. Which of the following should the nurse identify as a contraindication to administering this vaccine?

34 :
A nurse is reinforcing dietary teaching with the guardians of a toddler. Which of the following snack foods should the nurse recommend?

35 :
A nurse is caring for a client in the emergency department (ED).

36 :
A nurse is reinforcing teaching about controlling allergens with the parent of a child who has a new diagnosis of asthma. Which of the following instructions should the nurse include?

37 :
A nurse at an urgent care clinic is caring for a child who hit her head on the playground at school 30 minutes ago. Which of the following findings is the nurse's priority?

38 :
A nurse in an urgent care clinic is contributing to the plan of care for a group of clients. The nurse should identify which of the following clients will require parental consent prior to receiving treatment.

39 :
A nurse is reinforcing teaching with the guardian of a preschooler who has varicella and is hospitalized. Which of the following statements by the guardian indicates an understanding of the teaching?

40 :
A nurse is assisting with the care of a school-age child who has shigella. Which of the following actions should the nurse take?

41 :
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?

42 :
A nurse is reviewing the laboratory report of a preschooler during a well-child visit. Which of the following laboratory results should the nurse report to the provider?

43 :
A nurse is reinforcing teaching with a parent of a child who has attention deficit hyperactivity disorder. Which of the following statements should the nurse include in the teaching to promote the child's learning?

44 :
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?

45 :
A nurse is caring for a child who has acute glomerulonephritis. Which of the following manifestations should the nurse expect?

46 :
A nurse is contributing to the plan of care for a school-age child who has Crohn's disease. Which of the following food choices should the nurse include in the plan?

47 :
A nurse is assisting with the care of a school-age child who recently returned to the PACU following pin placement for a radial head fracture with casting. Which of the following findings should the nurse monitor when conducting a circulatory check for compartment syndrome?

48 :
nurse is reviewing the laboratory results of an adolescent who has diabetes mellitus. For which of the following values should the nurse notify the provider?

49 :
A nurse is reinforcing teaching with the parent of a 6-month-old infant about introducing solid foods into the infant's diet. Which of the following statements by the parent indicates an understanding of the teaching?

50 :
A nurse is assisting with the care of an infant who has heart failure. Which of the following actions should the nurse take?

51 :
A nurse is reviewing the medical record of a school-age child who was admitted for suspected physical maltreatment. Which of the following findings in the child's medical history should the nurse identify as a potential risk factor for physical maltreatment?

52 :
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?

53 :
A nurse is caring for a preschooler who is in 90-90 traction. Which of the following is the nurse's priority action?

54 :
A school nurse is caring for a child who has asthma and begins to have difficulty breathing. Which of the following actions should the nurse take?

55 :
A nurse is reinforcing teaching with a female adolescent who has dysmenorrhea. Which of the following instructions should the nurse include?

56 :
A nurse is preparing to check the capillary blood glucose level of a school-age child. Which of the following actions should the nurse plan to take?

57 :
A nurse is reinforcing teaching with the parents of a 10-week-old infant who is scheduled for surgical repair of a cleft lip. Which of the following pieces of information should the nurse include?

58 :
A nurse is caring for an adolescent client who has a fractured right tibia and a cast. Which of the following findings should the nurse report to the provider?

59 :
A nurse is caring for an 18-month-old infant who is 12 hours postoperative following a myringotomy. Which of the following pain rating scales should the nurse use?

60 :
A nurse is assisting with the plan of care for an adolescent who has rheumatoid arthritis and reports difficulty feeding themselves. Which of the following referrals should the nurse recommend?

61 :
A nurse is caring for a school-age child who has acute otitis media and a new prescription for clindamycin. Which of the following findings indicates the child is experiencing an allergic reaction to the medication?

62 :
A nurse is reinforcing teaching with the parents of a school-age child who has a new prescription for albuterol. The nurse should instruct the parents to report which of the following findings as an adverse effect of the medication.

63 :
A nurse is collecting data from a school-age child who has bacterial meningitis. Which of the following findings should the nurse expect? (Select all that apply.)

64 :
A nurse in a family practice clinic is collecting data from a school-age child. Which of the following behavioral findings should the nurse identify as a possible indication of sexual abuse?

65 :
A nurse is caring for a child who has a urinary tract infection. Which of the following findings should the nurse expect?