and Answers
A nurse is teaching a group of parents about infectious mononucleosis. Which of the following
statements by a parent indicates an understanding of the teaching?
a. Mononucleosis is caused by an infection with the Epstein-Barr virus
b. Mononucleosis is a bacterial infection requiring 14 days of antibiotics
c. A Monospot is a throat culture used to diagnose mononucleosis
d. Children who get mononucleosis will need to refrain from sports for 6 months ANSa.
Mononucleosis is caused by an infection with the Epstein-Barr virus
A nurse is admitting a 4-month-old infant who has heart failure. Which of the following findings is the
nurse's priority? ANSEpisodes of vomiting
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?
a. allow your child to play outside during the hours between 10:00am and 2:00pm
b. choose a waterproof sunscreen with a minimum SPF of 15
c. dress your child in loose weave polyester fabric prior to sun exposure
d. reapply sunscreen every 4 hours ANSb. choose a waterproof sunscreen with a minimum SPF of 15
A nurse is caring for a school-age child who has primary nephrotic syndrome and is taking prednisone.
Following 1 week of treatment, which of the following manifestations indicates to the nurse that the
medication is effective?
a. decreased edema
b. increased abdominal pain
c. decreased appetite
,d. increased protein in the urine ANSa. decreased edema
A nurse is assessing an adolescent who received a sodium polystyrene sulfonate enema. Which of the
following findings indicates effectiveness of the medication?
a. reports an absence of nausea and vomiting
b. reports experiencing an onset of loose stools within 15 mins of administration
c. serum potassium level 4.1 mEq/L
d. blood pressure 86/52 mm Hg ANSc. serum potassium level 4.1 mEq/L
A nurse is teaching the parents of a toddler who has a cognitive impairment about toilet training. Which
of the following instructions should the nurse include in the teaching?
a. scold your child when they have a toileting accident
b. award your child with a sticker when they sit on the potty chair
c. play your child's favorite song while teaching them to use the potty chair
d. teach multiple steps of the skill at the same time ANSb. award your child with a sticker when they
sit on the potty chair
A nurse is teaching the guardian of a 6-month-old infant about teething. Which of the following
statements should the nurse make?
a. your baby might pull at their ears when they are teething
b. rub your baby's gums with an aspirin to decrease discomfort
c. place a beaded teething necklace around your baby's neck
d. your baby's upper middle teeth will erupt first ANSa. your baby might pull at their ears when they
are teething
A nurse is assessing the pain level of a 3-year-old toddler. Which of the following pain assessment scales
should the nurse use?
, a. FACES
b. numeric
c. CRIES
d. visual analog ANSa. FACES
A charge nurse is preparing to make a room assignment for a newly admitted school-age child. Which of
the following considerations is the nurse's priority?
a. length of stay
b. treatment schedule
c. disease process
d. self-care ability ANSc. disease process
A nurse is assessing a 6-month-old infant during a well-child visit. Which of the following findings should
the nurse report to the provider?
a. presence of a central incisor tooth
b. presence of strabismus
c. presence of an open anterior fontanel
d. presence of external cerumen ANSb. presence of strabismus
A nurse is assessing an 8-year-old child who has early indications of shock. After establishing an airway
and stabilizing the child's respirations, which of the following actions should the nurse take next?
a. insert an indwelling urinary catheter
b. measure weight and height
c. initiate IV access
d. maintain ECG monitoring ANSc. initiate IV access