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20 Multiple choice questions
Term 1 of 20
A nurse is collecting data from a 1-month-old infant who has just undergone a hernia repair. Which
of the following findings should the nurse report to the provider?
Blood pressure 64/40 mm Hg
The nurse should identify that this blood pressure is below the expected systolic pressure
of 80 mm Hg for a 1-month-old infant. The nurse should report this finding to the provider.
The child usually goes back to sleep immediately
The nurse should identify that going back to sleep quickly is an indication of sleep terrors,
rather than nightmares. A child who has sleep terrors is hard to keep awake. However, a
child who is experiencing nightmares is still frightened and retuming to sleep is slow.
Making sure the toddler has at least one nap during the day
Toddlers generally require at least one nap per day because of their high activity levels, At
approximately 3 years of age, children have established a sleep pattern similar to that of an
adult.
Monitor capillary refill of the casted extremity.
The first action the nurse should take when using the airway, breathing, circulation method
of client care is to monitor the circulatory status of the casted extremity. The extremity can
continue to swell following application of the cast, increasing the risk for compartment
syndrome.
,Term 2 of 20
A nurse is reinforcing teaching with the parent of a school-age child who is undergoing testing for
acute lymphoid leukemia (ALL). The nurse should inform the parent that the child will undergo
which of the following tests to confirm the diagnosis?
Sits unsupported
The nurse should identify that by 8 months of age, the infant is expected to sit unsupported
on the floor for up to 10 min.
Moist mucus membranes
The nurse should expect a toddler who has mild dehydration to exhibit moist mucus
membranes. Other manifestations include a slight thirst, decreased urine output, and the
presence of tears when crying.
Bone marrow biopsy
The nurse should inform the parent that the child will undergo a bone marrow biopsy to
confirm the diagnosis of ALL.
Amnesia
The nurse should identify that amnesia is an expected manifestation after a seizure.
Children often do not remember the seizure activity.
, Term 3 of 20
A nurse is reinforcing seat safety instructions with the parents of a 15-month-old toddler. Which of
the following statements by the parents indicates an understanding of the teaching?
"You should introduce one new food to your baby every 5 to 7 days."
The parents should introduce one new food, in plain and simple forms, over 5 to 7 days to
monitor the infant for allergles or food reactions.
"I will allow my child to have a drink of water each night prior to bedtime."
The nurse should reinforce to the parent to follow routine behavior such as allowing the
child to have a drink of water at bedtime. A consistent routine is a helpful strategy in
promoting successful sleep patterns.
"I should place my child in a rear-facing car seat until age 2."
The nurse should instruct the parents to use a rear-facing car seat until age 2. The American
Academy of Pediatrics (AAP) recommends that toddlers ride in a rear facing car seat up to
2 years of age or until they reach the highest weight or height allowed by the car seat's
manufacturer.
"I will keep my child's towels separate from those of the rest of the family."
The nurse should identify that a child who has an upper respiratory infection should use
separate towels, utensils, and cups to prevent the infection from spreading.
20 Multiple choice questions
Term 1 of 20
A nurse is collecting data from a 1-month-old infant who has just undergone a hernia repair. Which
of the following findings should the nurse report to the provider?
Blood pressure 64/40 mm Hg
The nurse should identify that this blood pressure is below the expected systolic pressure
of 80 mm Hg for a 1-month-old infant. The nurse should report this finding to the provider.
The child usually goes back to sleep immediately
The nurse should identify that going back to sleep quickly is an indication of sleep terrors,
rather than nightmares. A child who has sleep terrors is hard to keep awake. However, a
child who is experiencing nightmares is still frightened and retuming to sleep is slow.
Making sure the toddler has at least one nap during the day
Toddlers generally require at least one nap per day because of their high activity levels, At
approximately 3 years of age, children have established a sleep pattern similar to that of an
adult.
Monitor capillary refill of the casted extremity.
The first action the nurse should take when using the airway, breathing, circulation method
of client care is to monitor the circulatory status of the casted extremity. The extremity can
continue to swell following application of the cast, increasing the risk for compartment
syndrome.
,Term 2 of 20
A nurse is reinforcing teaching with the parent of a school-age child who is undergoing testing for
acute lymphoid leukemia (ALL). The nurse should inform the parent that the child will undergo
which of the following tests to confirm the diagnosis?
Sits unsupported
The nurse should identify that by 8 months of age, the infant is expected to sit unsupported
on the floor for up to 10 min.
Moist mucus membranes
The nurse should expect a toddler who has mild dehydration to exhibit moist mucus
membranes. Other manifestations include a slight thirst, decreased urine output, and the
presence of tears when crying.
Bone marrow biopsy
The nurse should inform the parent that the child will undergo a bone marrow biopsy to
confirm the diagnosis of ALL.
Amnesia
The nurse should identify that amnesia is an expected manifestation after a seizure.
Children often do not remember the seizure activity.
, Term 3 of 20
A nurse is reinforcing seat safety instructions with the parents of a 15-month-old toddler. Which of
the following statements by the parents indicates an understanding of the teaching?
"You should introduce one new food to your baby every 5 to 7 days."
The parents should introduce one new food, in plain and simple forms, over 5 to 7 days to
monitor the infant for allergles or food reactions.
"I will allow my child to have a drink of water each night prior to bedtime."
The nurse should reinforce to the parent to follow routine behavior such as allowing the
child to have a drink of water at bedtime. A consistent routine is a helpful strategy in
promoting successful sleep patterns.
"I should place my child in a rear-facing car seat until age 2."
The nurse should instruct the parents to use a rear-facing car seat until age 2. The American
Academy of Pediatrics (AAP) recommends that toddlers ride in a rear facing car seat up to
2 years of age or until they reach the highest weight or height allowed by the car seat's
manufacturer.
"I will keep my child's towels separate from those of the rest of the family."
The nurse should identify that a child who has an upper respiratory infection should use
separate towels, utensils, and cups to prevent the infection from spreading.
