guaranteed A+
1) A child has just been diagnosed with juvenile arthritis (JA). The parents want to know what caused this to happen. Which statement by
the nurse is the most appropriate?
A. “Genetic abnormalities are triggered by infection.”
B. “No one seems to know what causes JA.”
C. “Latent infections can recur and cause JA.”
D. “It seems to be an autoimmune disease.”
2) The nurse recognizes that which is a sign and symptoms of cerebral palsy.
A. Excessive crying.
B. Muscle rigidity and muscle spasticity.
C. Excessive coughing.
D. Frequent bone fractures
3) A client is admitted for induction of labor for pregnancy-induced hypertension (PIH). Her laboratory studies show a platelet count of
80,000/mm3 elevated AST, and elevated ALT, and a decreasing hematocrit. The nurse notifies the physician that the lab results are indicative
of which of the following conditions?
A. Disseminated intravascular coagulation
B. Preeclampsia
C. HELLP Syndrome
D. Idiopathic thrombocytopenia
4) The parents of a child diagnosed with cystic fibrosis (CF) consult the nurse, stating they want to have more children but are worried that
subsequent children are still having the disease. Which information does the nurse provide the parents?
A. “This disease is rare, so other children should not be affected.”
B. “Unfortunately, there is no way to predict if they will have it.”
C. “You should have genetic testing to see who the carrier is.”
D. “Each child has a 25% chance of inheriting the disease.”
5) A nurse is instructing a woman who is contemplating pregnancy about nutritional needs. To reduce the risk of giving birth to a newborn who
has a neural tube defect, which of the information should the nurse include in the teaching?
A. Increase intake of iron-rich foods.
B. Avoid foods containing aspartame.
C. Limit alcohol consumption.
D. Consume foods fortified with folic acid
6) In what stage of labor is the infant born?
A. Transition.
B. Third.
C. Second.
D. First
7) A nurse in a pediatric clinic is caring for a client who is postpartum and asks the nurse what to do when her newborn cries persistently. Which
of the following strategies should the nurse suggest? (Select all that apply)
A. Shake the newborn until she stops crying.
B. Allow the newborn to continue crying.
C. Carry the newborn in a front-facing baby backpack.
D. Swaddle the newborn in a receiving blanket.
E. Take the newborn for a ride in the car
8) Tetralogy of Fallot is a combination heart defect of how many associated conditions?
A. 1
B. 4
C. 2
D. 3
9) A nurse is completing a health history for a client who is at 6 weeks of gestation. The client informs the nurse that she smokes one pack of
cigarettes per day. The nurse should advise the client that smoking places the client’s newborn at risk for which of the following complications?
, A. Type 1 diabetes mellitus.
B. Hyperglycemia.
C. Hearing loss.
D. Intrauterine growth restriction
10) A nurse is caring for a 7-year-old child who has enuresis. Which of the following is a complication of enuresis?
A. Emotional problems
B. Urinary tract infections
C. Progressive kidney disease
D. Urosepsis
11) A nurse has to perform a brief procedure on a toddler. What action by the nurse is the most developmentally
appropriate for this client?
A. Perform the procedure with no advance explanation.
B. Demonstrate the procedure on a stuffed animal.
C. Offer a choice as to when the procedure is done.
D. Tell the child about other kids who have done this
12) A nurse is caring for a child with suspected epilepsy. Which diagnostic test does the nurse facilitate as the priority for this child?
A. Lumbar puncture (LP)
B. Electrocardiogram (ECG)
C. Cerebral angiogram
D. Electroencephalogram (EEG)
13) The nurse is providing discharge teaching to the pediatric client and her family following inpatient treatment for anaphylaxis. Which of the
following statements by the client or family would indicate the need for more instruction?
A. “I will apply a medical alert bracelet to my child.”
B. “I will self-administer epinephrine if I begin to experience respiratory distress.”
C. “If my symptoms resolve after injection, I should stay home and rest for the remainder of the day.”
D. “I will make family members and caregivers aware of all known allergens and triggers”
14) The nurse in the orthopedic clinic is providing teaching to the pediatric client and family regarding the management of scoliosis. Which
of the following will be included in the information provided?
A. A molded brace will be worn 23 hours per day except when the child needs to shower.
B. The client will require occupational therapy for the maintenance of fine motor function.
C. Children with scoliosis require surgical management.
D. A molded brace will be worn only while the child is awake
15) The nurse is caring for a child with a superficial partial thickness burn to the distal forearm. Which of the following actions should the
nurse take?
A. Clean the affected area using a soft bristle brush.
B. Apply a cold, wet compress to the affected area.
C. Administer a 500 mL bolus of a 0.9% sodium chloride IV solution.
D. Administer morphine sulfate 2 mg IV push
16) The nurse assesses the newborn’s skin and documents the presence of a yellow coloration of the skin surface, sclera, and oral
mucous membranes. What condition is most likely the cause of these findings?
A. Physiological anemia of infancy.
B. Hypoglycemia.
C. Hyperbilirubinemia (jaundice).
D. Low glomerular filtration rate
17) A child has glomerulonephritis and hypertension. Which dietary modification is most appropriate for the nurse to suggest?
A. High potassium.
B. Low sodium.
C. Low saturated fat.
D. High fiber
18) A pregnant client should promptly report which of the following symptoms to the primary care provider?
A. Breast tenderness
B. Vaginal bleeding.
C. Swelling of the ankles.
D. Heartburn after eating.