1. In a pediatric patient with a heart rate of 54/min who is on digoxin, what
additional assessment should the nurse perform before making a medication
decision?
Monitor the patient's respiratory rate for any changes.
Assess the patient's overall clinical condition and signs of digoxin
toxicity.
Check the patient's blood pressure to determine medication needs.
Evaluate the patient's dietary intake for potassium levels.
2. In a scenario where a 4-year-old child refuses to take their medication, what
approach should the nurse take if the child is also anxious about medical
procedures?
Use a stern voice to assert authority over the child.
Incorporate a familiar toy or game to ease the child's anxiety while
explaining the medication process.
Ignore the child's anxiety and proceed with the medication
administration.
Insist that the child takes the medication immediately without any
distractions.
3. A child is admitted with a suspected diagnosis of Wilms tumor. The nurse
should place a sign with which of the following warnings over the child's
bed?
Contact precautions
Do not palpate abdomen
, Collect all urine
No venipuncture or blood pressure in left arm
4. A nurse has just finished a wound irrigation for a client who requires contact
precautions. Which of the following pieces of PPE should the nurse remove
first?
Mask
Gloves
Face shield
Gown
5. In caring for a child admitted to the hospital with Kawasaki disease, the nurse
should monitor the child most closely for signs of which complication?
Anemia
Gastrointestinal disturbances
Renal failure
Thrombus formation
6. What is a common symptom of pyloric stenosis in infants?
Fever
Projectile vomiting
Diarrhea
Constipation
7. What food items did the mother mention that indicate a need for further
teaching?
, Applesauce and yogurt
Rice cereal and bananas
Peanut butter and mashed egg whites
Pureed carrots and peas
8. What would be most concerning for a patient with SLE?
Butterfly rash
Fatigue
BP of 130/84
Urine output of 20 mL/hour
9. According to the AAP, infants may be fed whole cow's milk once they reach
age:
12 mo
18 mo
8 mo
6 mo
10. If a nurse observes that a 9-month-old infant is not able to sit without
support, what should be the nurse's immediate action?
Provide educational materials on infant development.
Schedule a follow-up appointment in six months.
Reassure the parents that all infants develop at their own pace.
Conduct a further developmental assessment and consult with a
pediatric specialist.
, 11. Which congenital heart defect is characterized by the presence of a
persistent connection between the aorta and pulmonary artery, leading to
increased pulmonary blood flow?
Patent ductus arteriosus
Tetralogy of Fallot
Coarctation of the aorta
Aortic stenosis
12. Which lab value would a nurse most likely assess for a nutrition evaluation?
Albumin
WBC
Iron
Hemaglobin
RBC
13. A nurse in a federally qualified health center is reviewing the history of a 12-
year-old client. Which of the following immunizations should the nurse
expect to administer?
Herpes zoster
Meningococcal conjugate
Rotavirus
Pneumococcal polysaccharide
14. A nurse is caring for a client who has idiopathic thrombocytopenia purpura
(ITP). Which of the following lab values should the nurse expect to be
decreased?