1. A nurse is providing teaching to the parents of a school aged child who has ADHD.
Which of the following instructions should the nurse include?
a. Place the child’s daily activities on an organizational chart
2. Patient Profile: A 7-year-old child is admitted to the emergency department with a history of asthma
exacerbation. The child's symptoms include wheezing, coughing, shortness of breath, and chest
tightness. The child has a history of asthma and is currently using a metered-dose inhaler (MDI) with a
spacer.
Question 1:
What is the most appropriate nursing intervention for this child at this time?
B) Administer a nebulized bronchodilator
Question 2:
What is the recommended technique for using a metered-dose inhaler with a spacer in a child?
D) Instruct the child to exhale fully before using the inhaler
Question 3:
What is an appropriate nursing intervention for preventing future asthma exacerbations in this child?
B) Provide education on proper inhaler technique
3. Patient Profile: An 8-year-old child with type 1 diabetes is admitted to the hospital with a blood
glucose level of 360 mg/dL. The child's parents report that the child has been experiencing increased
thirst, frequent urination, and weight loss over the past few weeks. The child is on insulin therapy and is
currently taking long-acting insulin once a day and short-acting insulin before meals.
Question 1:
What is the priority nursing intervention for this child at this time?
C) Administer IV insulin
Question 2:
What is an appropriate nursing intervention for preventing hypoglycemia in this child?
C) Monitor blood glucose levels regularly
Question 3:
What is an appropriate nursing intervention for promoting self-care management in this child?
A) Provide education on carbohydrate counting
4. A nurse in the ER is caring for an adolescent who was requesting testing for STIs.
Which of the following actions is appropriate for the nurse to take?
a. Obtain the written consent from the client
, 5. A nurse is providing teaching about medication administration to the parents of the toddler who has
a new prescription for liquid ferrous sulfate. Which of the following instructions should the nurse
include?
a. Dilute the drops of water prior to administration
6. A nurse is providing dietary teaching to a parent of a 10-month-old infant who has phenylketonuria.
Which of the following responses by the parent indicates an understanding of the teaching?
a. I will steam carrots and will cut them into small pieces for her
7. a nurse is caring for a child who’s 2 days post-op following an appendectomy due to the rupture of
the appendix the child’s NG tube is set to low intermittent suction.
Which of the following indicates that the child’s GI function has returned?
a. The nurse auscultates bowel sounds
8. A nurse is providing teaching to the parent of an infant who has a diaper rash. Which of the following
statements by the parents indicate an understanding of the teaching?
a. I will use superabsorbent disposable diapers
9. a nurse is administering an opioid to an adolescent who is in a sickle cell crisis. Which statement is
true regarding opioid pain management?
a. Oral opioid does should be larger than parenteral doses
10. A nurse is providing discharge to the parents of a school aged child following placement of a
ventriculoperitoneal shunt. The nurse should determine the teaching was effective when the parents
identify which of the following as an indicator that the shunt has been displaced?
a. Elevated temperature
11. A nurse is reviewing laboratory results of a school aged child. Which of the following findings to the
nurse reports the provider?
a. Platelets 110,000
12. A nurse is planning care for a child immediately following the insertion of a chest tube for
continuous suction with a closed drainage system. Which of the following interventions should the nurse
include in the plan of care?
Ensure continuous bubbling is present in the suction control chamber
13. A nurse is assessing a six month old infant who has respiratory syncytial virus. The nurse should
immediately report which of the following findings to the provider?
a. Tachypnea
14. A nurse is reviewing the results of the newborn screening of a newborn who is one week old. Results
include total T4 0.8mcg/dl phenylalanine 0.7 and negative
galactosemia. Which of the following nursing include in the plan of care?
a. Instruct the newborns parent about how to administer levothyroxine
Which of the following instructions should the nurse include?
a. Place the child’s daily activities on an organizational chart
2. Patient Profile: A 7-year-old child is admitted to the emergency department with a history of asthma
exacerbation. The child's symptoms include wheezing, coughing, shortness of breath, and chest
tightness. The child has a history of asthma and is currently using a metered-dose inhaler (MDI) with a
spacer.
Question 1:
What is the most appropriate nursing intervention for this child at this time?
B) Administer a nebulized bronchodilator
Question 2:
What is the recommended technique for using a metered-dose inhaler with a spacer in a child?
D) Instruct the child to exhale fully before using the inhaler
Question 3:
What is an appropriate nursing intervention for preventing future asthma exacerbations in this child?
B) Provide education on proper inhaler technique
3. Patient Profile: An 8-year-old child with type 1 diabetes is admitted to the hospital with a blood
glucose level of 360 mg/dL. The child's parents report that the child has been experiencing increased
thirst, frequent urination, and weight loss over the past few weeks. The child is on insulin therapy and is
currently taking long-acting insulin once a day and short-acting insulin before meals.
Question 1:
What is the priority nursing intervention for this child at this time?
C) Administer IV insulin
Question 2:
What is an appropriate nursing intervention for preventing hypoglycemia in this child?
C) Monitor blood glucose levels regularly
Question 3:
What is an appropriate nursing intervention for promoting self-care management in this child?
A) Provide education on carbohydrate counting
4. A nurse in the ER is caring for an adolescent who was requesting testing for STIs.
Which of the following actions is appropriate for the nurse to take?
a. Obtain the written consent from the client
, 5. A nurse is providing teaching about medication administration to the parents of the toddler who has
a new prescription for liquid ferrous sulfate. Which of the following instructions should the nurse
include?
a. Dilute the drops of water prior to administration
6. A nurse is providing dietary teaching to a parent of a 10-month-old infant who has phenylketonuria.
Which of the following responses by the parent indicates an understanding of the teaching?
a. I will steam carrots and will cut them into small pieces for her
7. a nurse is caring for a child who’s 2 days post-op following an appendectomy due to the rupture of
the appendix the child’s NG tube is set to low intermittent suction.
Which of the following indicates that the child’s GI function has returned?
a. The nurse auscultates bowel sounds
8. A nurse is providing teaching to the parent of an infant who has a diaper rash. Which of the following
statements by the parents indicate an understanding of the teaching?
a. I will use superabsorbent disposable diapers
9. a nurse is administering an opioid to an adolescent who is in a sickle cell crisis. Which statement is
true regarding opioid pain management?
a. Oral opioid does should be larger than parenteral doses
10. A nurse is providing discharge to the parents of a school aged child following placement of a
ventriculoperitoneal shunt. The nurse should determine the teaching was effective when the parents
identify which of the following as an indicator that the shunt has been displaced?
a. Elevated temperature
11. A nurse is reviewing laboratory results of a school aged child. Which of the following findings to the
nurse reports the provider?
a. Platelets 110,000
12. A nurse is planning care for a child immediately following the insertion of a chest tube for
continuous suction with a closed drainage system. Which of the following interventions should the nurse
include in the plan of care?
Ensure continuous bubbling is present in the suction control chamber
13. A nurse is assessing a six month old infant who has respiratory syncytial virus. The nurse should
immediately report which of the following findings to the provider?
a. Tachypnea
14. A nurse is reviewing the results of the newborn screening of a newborn who is one week old. Results
include total T4 0.8mcg/dl phenylalanine 0.7 and negative
galactosemia. Which of the following nursing include in the plan of care?
a. Instruct the newborns parent about how to administer levothyroxine
