QUESTIONS AND 100% CORRECT ANSWERS
A nurse is collecting data from an 18-month-old toddler. Which of the following is a
deviation from expected growth and development that the nurse should report to the
provider?
a) The toddler is unable to recognize familiar objects by name.
b) The toddler is unable to dress himself in simple clothing.
c) The toddler is unable to talk in complete sentences.
d) The toddler is unable to draw a circle --ANSWER: A
A nurse is reinforcing teaching with the parents of preschoolers regarding the use of
booster
seats in a motor vehicle. Which of the following instructions should the nurse include
in the
teaching?
a) Ensure the shoulder-lap portion of the seat belt fits across the child's abdomen
when
sitting in the booster seat.
b) Use a no-back, belt-positioning booster seat if the motor vehicle does not have
head rests.
c) Discontinue using a booster seat when the child is 135 cm (4 feet 5 in) in height.
d) Secure the child in the booster seat using the motor vehicle's shoulder-lap seat belt.
--ANSWER: D
A nurse is assisting with the admission of a toddler who has bacterial meningitis
caused by
Haemophilus influenza type B. which of the following isolation guidelines should the
nurse
plan to initiate?
a) Protective environment
b) Contact precautions
c) Airborne precautions
d) Droplet precautions --ANSWER: D
A nurse is reinforcing teaching with the parent of a 4-month-old infant who has a new
prescription for nystatin to treat oral candidiasis and is breastfeeding. Which of the
following instructions should the nurse include in the teaching?
a) Continue nystatin for 2 weeks after the symptoms disappear.
b) Clean the infant's pacifier every 2 days.
c) Discontinue breastfeeding until the infant is symptom-free.
d) Wipe the white patches from the infant's tongue using a gauze pad. --ANSWER: A
A nurse is reinforcing dietary teaching with an adolescent who is a lacto-vegetarian
and had
iron deficiency anemia. The nurse should recommend which of the following as the
best
source of iron?
,a) 1 cup (8 oz)
b) 1 cup (8 oz) apple juice
c) ½ cup (4 oz) sweet green peppers
d) ⅛ cup (1 oz) low-fat cheese --ANSWER: A
A nurse is reinforcing teaching with the parent of an infant who has a new diagnosis
of
human immunodeficiency virus (HIV). Which of the following statements made by
the
parent indicates an understanding of the teaching?
a) "The antiretroviral medication will stop the progression of the disease."
b) "It won't be possible for my child to attend daycare."
c) "I should bring my child in for immunizations on schedule."
d) "My child's nutritional needs will not change." --ANSWER: C
A nurse is preparing to assist a provider with a lumbar puncture for a school-age child.
Which of the following actions is the nurse's priority?
a) Labeling collected specimens
b) Providing reassurance to the child
c) Maintaining the child's position (The greatest risk to the child is injury to the spinal
nerves or the major vessels. Therefore, the priority action is for the nurse to maintain
the
child's position to prevent trauma.)
d) Monitoring the child's vital signs --ANSWER: C
A nurse is reinforcing discharge teaching with the guardians of a 6-month-old infant
following a surgical procedure to repair a hypospadias. Which of the following
instructions
should the nurse include?
a) Wait 1 week before giving the infant a tub bath
b) Apply antifungal ointment to the infant's penis.
c) Avoid giving the infant fruit juice.
d) Apply dry gauze dressing to the infant's penis twice daily --ANSWER: A
A nurse is reinforcing teaching with the guardians of a school-age child who has
frequent nosebleeds. Which of the following instructions should the nurse include?
a. place ice on the child's forehead
b. apply pressure to the child's nose
c. have the child lie down to rest until the bleeding stops
d. tape cotton gauze on the child's nose --ANSWER: b
A nurse is caring for a 3 year old female child who is prescribed an indwelling urinary
catheter. Which of the following actions should the nurse take when performing this
procedure?
a. place a nonsterile drape under the buttocks
b. use a catheter that is 12 french in size
c. insert the catheter another 10 cm (3.9 in) after urine returns
d. Apply 2% lidocaine lubricant into the urethral meatus --ANSWER: d
, A nurse is reinforcing teaching regarding the immunization schedule with the parent
of a 6 month old infant during a well-baby visit. Which of the following statements by
the parent indicated an understanding of the teaching?
a. my baby will receive his third dtap vaccine
b. my baby is old enough to receive the varicella vaccine today
c. my baby will receive his final polio vaccine today
d. my baby will receive his first hepatitis b vaccine today --ANSWER: a
A nurse in a pediatric clinic is assessing a toddler at a well-child visit. Which of the
following actions should the nurse take?
a. Perform the assessment in a head to toe sequence.
b. Minimize physical contact with the child initially.
c. Explain procedures using medical terminology.
d. Stop the assessment if the child becomes uncooperative. --ANSWER: B
A nurse is caring for an 18-year-old adolescent who is up-to-date on immunizations
and is
planning to attend college. The nurse should inform the client that he should receive
which of the
following immunizations prior to moving into a campus dormitory?
a. Pneumococcal polysaccharide
b. Meningococcal polysaccharide
c. Rotavirus
d. Herpes zoster --ANSWER: B
A nurse is teaching the parent of an infant about food allergens. Which of the
following
foods should the nurse include as being the most common food allergy in children?
a. Cow's milk
b. Wheat bread
c. Corn syrup
d. Egg --ANSWER: A
A nurse is teaching the parent of a toddler about home safety. Which of the following
statements by the parent indicates an understanding of the teaching?
a. "I lock my medications in the medicine cabinet."
b. "I keep my child's crib mattress at the highest level."
c. "I turn pot handles to the side of my stove while cooking."
d. "I will give my child syrup of ipecac if she swallows something poisonous." --
ANSWER: A
A nurse is performing a physical assessment on a 6-month-old infant. Which of the
following reflexes should the nurse expect to find?
a. Stepping
b. Babinski
c. Extrusion
d. Moro --ANSWER: B