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1. AnurseisprovidingteachingtotheparentsofaschoolagedchildwhohasADHD.Whicho
f thefollowinginstructionsshouldthenurseinclude?
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a. Placethechildsdailyactivitiesonanorganizationalchart
2. Anurseiscaringforachildwhohassicklecellanemia.Whichofthefollowingfindings
isapriorityforthenursetoreport totheprovider? BGBG
a. Facialtwitching
3. AnurseinthePACUiscaringforaschoolagedchildimmediatelyafteratonsill
ectomy.Whichofthefollowingactionsshouldthenursetake?
a. Placethechildinasidelyingposition
4. AnurseintheERiscaringforanadolescentwhowasrequestingtestingforSTIs.Whicho
fthefollowingactionsisappropriateforthenursetotake?
a. Obtainthewrittenconsentfromtheclient
5. A nurse is providing teaching about medication administration to the
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parents
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thetoddlerwhohasanewprescriptionforliquidferroussulfate.Whichofthefollowingi
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nstructions shouldthenurse include?
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a. Dilutethedropsofwaterpriortoadministration
6. Anurseisprovidingdietaryteachingtoaparentofa10-month-
oldinfantwhohasphenylketonuria. Which of the following responses by BGBG BGBG BGBG BGBG BGBG BGBG
the parent indicates anunderstandingof the teaching?
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a. Iwillsteamcarrotsandwillcutthemintosmallpiecesforher
7. anurseiscaringforachildwhos2dayspost-opfollowinganappendectomyduetothe
rupture of the appendix the childs NG tube is set to low
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intermittent
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suction.WhichofthefollowingindicatesthatthechildsGIfunctionhasreturned?
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a. Thenurseauscultatesbowelsounds
8. Anurseisprovidingteachingtotheparentofaninfantwhohasadiaperrash.Whichof the BGBG
following statements by the parents indicate an understanding of
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theteaching?
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a. Iwillusesuperabsorbentdisposablediapers
9. anurseisadministeringanopioidtoanadolescentwhoisinasicklecellcrisis.Whichstateme
ntistrueregardingopioidpainmanagement?
a. Oralopioiddoesshouldbelargerthanparenteraldoses
10. A nurse is providing discharge to the parents of a school aged
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child
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followingplacementofaventriculoperitonealshunt.Thenurseshoulddeterminethete
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achingwas effective when the parents identify which of the following
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as an indicator thattheshunthasbeendisplaced?
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a. Elevatedtemperature
11. Anurseisreviewinglaboratoryresultsofaschoolagedchild.Whichofthefollowingfinding
stothenursereportstheprovider?
a. Platelets110,000
12. A nurse is planning care for a child immediately following the
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insertion of a
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chesttubeforcontinuoussuctionwithacloseddrainagesystem.Whichofthefollowin
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ginterventionsshouldthenurseincludeinthe plan ofcare? BGBG BGBG
Ensurecontinuousbubblingispresentinthesuctioncontrolchamber
Anursescaringforaninfantwhohasheartfailureandisreceivingdigoxin.Whichofthefollo
,wingfindingsindicatesapositiveresponsetothemedication?
, a. Urineoutput2mL/kg/hr
13. Anurseisassessingasixmontholdinfantwhohasrespiratorysyncytialvirus.Thenurses
houldimmediatelyreportwhichofthefollowingfindingstotheprovider?
a. Tachypnea
14. Anurseisreviewingtheresultsofthenewbornscreeningofanewbornwhoisoneweek
old. Results include total T4 0.8mcg/dl phenylalanine0.7 and
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negativegalactosemia.Whichofthefollowingnursingincludeintheplanofcare?
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a. Instructthenewbornsparentabouthowtoadministerlevothyroxine
15. Anurseiscaringforanewlyadmittedtoddlerwhohasacutediarrhea.Whichofthefollowi
ngactions shouldthe nursetake first.
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a. Initiatecontactprecautions
16. Anurseiscaringfortoddlerwhopostoperativefollowingcleftpalaterepair.Whichofthef
ollowing actionsshouldthe nursetake?
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a. Administeropioidsformouthpain
17. Anurseisassessingachildwhohasmeasles.Whichofthefollowingareasshouldthenursein
spectfor koplik spots? BGBG BGBG
a. Insidethemouth
18. Anurseisassessinganinfantwhohasacuteotitismediawhichofthefollowingfinding
sshouldthenurseexpect?Selectallthat apply. BGBG
a. Crying
b. Fever
c. Restlessness
19. Anurseisassessingachildwhohasmeasleswhichofthefallowingareasshouldthenurseex
pectforkolpikspots?
A.Thepicturethatshowsinsideofthemouth
20. Anurseintheemergencydepartmentisassessinganadolescentwhoreportsinhal
ationofgasoline.Whichofthefallowingshouldthenurseexpect?
a. Ataxia
21. Anursecaringfora4yearoldchildwhohasmoderatedehydration.Whichofthefallowi
ngshouldthenurse expect? BGBG
a. Orthostatichypertension
22. Anurseisplanningtoteachanadolescentwhoislactoseintolerantaboutdietaryguideli
nes. Which of the fallowing instructions should the nurse include
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in theteaching?
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a. Youcanreplacemilkwithnondairysourceofcalcium
23. Anurseiscaringforaschoolagechildwhoisin90/90skeletaltraction.Whichofthefallowin
gactionsshouldthe nurse take? BGBG BGBG
a. Placethechildonanalternatingpressuremattress
24. Anurseisprovidingteachingtotheparentsofthechildwhoisreceivingradiationtherap
y. Which of the fallowing instructions should the nurse include in
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theteaching?(selectall thatapply)
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a. Avoidgivingyourchildlengthybaths
b. Encouragemildactivitydaily
c. Dressyourchildinloosefittingclothing
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