from World-Leading Universities Chosen from Top
Universities Tested and Reliable Exam Strategies
Verified for Academic Excellence
A nurse is planning an educational program to teach parents about protecting their
children from sunburns. Which of the following instructions should the nurse plan to
include?
"Allow your child to play outside during the hours between 10:00 a.m. and 2:00 p.m."
"Choose a waterproof sunscreen with a minimum SPF of 15."
"Dress your child in loose weave polyester fabric prior to sun exposure."
"Reapply sunscreen every 4 hours." - -correct ans- -"Choose a waterproof sunscreen with a
minimum SPF of 15."
A nurse is performing hearing screenings for children at a community health fair. Which of
the following children should the nurse refer to a provider for a more extensive hearing
evaluation?
An 18-month-old toddler who has unintelligible speech
A 3-month-old infant who has an exaggerated startle response
A 4-year-old preschooler who prefers playing with others rather than alone
An 8-month-old infant who is not yet making babbling sounds - -correct ans- -An 8-month-
old infant who is not yet making babbling sounds
A nurse in an emergency department is assessing a 3 month old infant who has rotavirus
and is experiencing acute vomiting and diarrhea. Which of the following manifestations
should the nurse identify as an indication that the infant has moderate to severe
dehydration?
,Heart rate 124/min
Increased tear production
Sunken anterior fontanel
Capillary refill 2 seconds - -correct ans- -Sunken anterior fontanel
A nurse is admitting a 4-month-old infant who has heart failure. Which of the following
findings is the nurse's priority? (Click on the "Exhibit" button for additional information
about the client. There are three tabs that contain separate categories of data).
Episodes of vomiting
Formula consumption
Weight
Temperature - -correct ans- -Episdoes of vomiting
A nurse is providing teaching to the family of a school-age child who has juvenile idiopathic
arthrisis. Which of the following instructions should the nurse include in the teaching?
"Limit movement of the child's large joints."
"Encourage the child to perform independent self-care."
"Provide the child with a soft mattress for sleeping."
"Schedule a 2-hour daily nap for the child in the afternoon." - -correct ans- -"Encourage the
child to perform independent self-care."
A nurse is planning care for a school age child who has a tunneled central venous access
device. Which of the following interventions should the nurse include in the plan?
, Use sterile scissors to remove the dressing from the site.
Irrigate each lumen weekly with 10 mL of 0.9% sodium chloride solution when not in use.
Access the site using a noncoring angled needle.
Use a semipermeable transparent dressing to cover the site. - -correct ans- -Use a
semipermeable transparent dressing to cover the site.
A nurse is providing anticipatory guidance to the parent of a toddler. Which of the following
expected behavior characteristics of toddlers should the nurse include?
Controls impulsive feelings
Understands right from wrong
Easily separates from parents for long periods of time
Expresses likes and dislikes - -correct ans- -Expresses likes and dislikes
A nurse is providing discharge teaching to the parent of a school age child who has
moderate persistent asthma. Which of the following instructions should the nurse include?
"You should give your child their salmeterol inhaler every 4 hours when they are having an
acute episode of wheezing."
"You should monitor your child's weight weekly while they are receiving inhaled
corticosteroid therapy."
"Pulmonary function tests will be performed every 12 to 24 months to evaluate how your
child is responding to therapy."
"When using the peak expiratory flow meter, record your child's average of three readings." -
-correct ans- -"Pulmonary function tests will be performed every 12 to 24 months to
evaluate how your child is responding to therapy."
A nurse is assessing an adolescent who received a sodium polystyrene sulfonate enema.
Which of the following findings indicates effectiveness of the medication?