A nurse in the emergency department is caring for a 2-year-old
child who was found by his parents crying and holding a
container of toilet bowl cleaner. The child's lips are edematous
and inflamed, and he is drooling. Which of the following is the
priority action by the nurse?
Remove the child's contaminated clothing.
Check the child's respiratory status.
Administer an antidote to the child.
Establish IV access for the child.
,Rationale: The nurse should apply the ABC priority-setting -
CORRECT ANSWER -Check the child's respiratory status.
A nurse is teaching a parent of a 12-month old child about
development during the toddler years. Which of the following
statements should the nurse include?
"Your child should be referring to himself using the appropriate
pronoun by 18 months of age."
"A toddler's interest in looking at pictures occurs at 20 months
of age."
C. "A toddler should have davtime control of his bowel and
bladder by 24 months of age.
d. "Your child should be able to scribble spontaneously using a
crayon at the age of 15 months." - CORRECT ANSWER -d. "Your
child should be able to scribble spontaneously using a crayon at
the age of 15 months."
A nurse is caring for a toddler and is preparing to administer
0.9% sodium chloride 100 mL IV to infuse over 4 hr. The drop
factor of the manual IV tubing is 60 gtt/mL. The nurse should
set the manual IV infusion to deliver how many gtt/min?
(Round the answer to the nearest whole number. Use a leading
zero if it applies. Do not use a trailing zero.) - CORRECT
ANSWER -25 GTT
,4. A nurse in a pediatric clinic is assessing a toddler at a well-
child visit. Which of the following actions should the nurse
take?
a. Perform the assessment in a head to toe sequence.
b. Minimize physical contact with the child initially.
c. Explain procedures using medical terminology.
d. Stop the assessment if the child becomes uncooperative. -
CORRECT ANSWER -b. Minimize physical contact with the child
initially.
4. A nurse is caring for an 18-year-old adolescent who is up-to-
date on immunizations and is planning to attend college. The
nurse should inform the client that he should receive which of
the following immunizations prior to moving into a campus
dormitory?
a. Pneumococcal polysaccharide
b. Meningococcal polysaccharide
c. Rotavirus
d. Herpes zoster - CORRECT ANSWER -b. Meningococcal
polysaccharide
, 4. A nurse is teaching the parent of a toddler about home
safety. Which of the following statements by the parent
indicates an understanding of the teaching?
a. "I lock my medications in the medicine cabinet."
b. "I keep my child's crib mattress at the highest level."
c. "I turn pot handles to the side of my stove while cooking."
d. "I will give my child syrup of ipecac if she swallows something
poisonous." - CORRECT ANSWER -a. "I lock my medications in
the medicine cabinet."
4. A nurse is performing a physical assessment on a 6-month-
old infant. Which of the following reflexes should the nurse
expect to find?
a. Stepping
b. Babinski
c. Extrusion
d. Moro - CORRECT ANSWER -b. Babinski
4. A nurse is teaching the parent of an infant about food
allergens. Which of the following foods should the nurse
include as being the most common food allergy in children?
a. Cow's milk
child who was found by his parents crying and holding a
container of toilet bowl cleaner. The child's lips are edematous
and inflamed, and he is drooling. Which of the following is the
priority action by the nurse?
Remove the child's contaminated clothing.
Check the child's respiratory status.
Administer an antidote to the child.
Establish IV access for the child.
,Rationale: The nurse should apply the ABC priority-setting -
CORRECT ANSWER -Check the child's respiratory status.
A nurse is teaching a parent of a 12-month old child about
development during the toddler years. Which of the following
statements should the nurse include?
"Your child should be referring to himself using the appropriate
pronoun by 18 months of age."
"A toddler's interest in looking at pictures occurs at 20 months
of age."
C. "A toddler should have davtime control of his bowel and
bladder by 24 months of age.
d. "Your child should be able to scribble spontaneously using a
crayon at the age of 15 months." - CORRECT ANSWER -d. "Your
child should be able to scribble spontaneously using a crayon at
the age of 15 months."
A nurse is caring for a toddler and is preparing to administer
0.9% sodium chloride 100 mL IV to infuse over 4 hr. The drop
factor of the manual IV tubing is 60 gtt/mL. The nurse should
set the manual IV infusion to deliver how many gtt/min?
(Round the answer to the nearest whole number. Use a leading
zero if it applies. Do not use a trailing zero.) - CORRECT
ANSWER -25 GTT
,4. A nurse in a pediatric clinic is assessing a toddler at a well-
child visit. Which of the following actions should the nurse
take?
a. Perform the assessment in a head to toe sequence.
b. Minimize physical contact with the child initially.
c. Explain procedures using medical terminology.
d. Stop the assessment if the child becomes uncooperative. -
CORRECT ANSWER -b. Minimize physical contact with the child
initially.
4. A nurse is caring for an 18-year-old adolescent who is up-to-
date on immunizations and is planning to attend college. The
nurse should inform the client that he should receive which of
the following immunizations prior to moving into a campus
dormitory?
a. Pneumococcal polysaccharide
b. Meningococcal polysaccharide
c. Rotavirus
d. Herpes zoster - CORRECT ANSWER -b. Meningococcal
polysaccharide
, 4. A nurse is teaching the parent of a toddler about home
safety. Which of the following statements by the parent
indicates an understanding of the teaching?
a. "I lock my medications in the medicine cabinet."
b. "I keep my child's crib mattress at the highest level."
c. "I turn pot handles to the side of my stove while cooking."
d. "I will give my child syrup of ipecac if she swallows something
poisonous." - CORRECT ANSWER -a. "I lock my medications in
the medicine cabinet."
4. A nurse is performing a physical assessment on a 6-month-
old infant. Which of the following reflexes should the nurse
expect to find?
a. Stepping
b. Babinski
c. Extrusion
d. Moro - CORRECT ANSWER -b. Babinski
4. A nurse is teaching the parent of an infant about food
allergens. Which of the following foods should the nurse
include as being the most common food allergy in children?
a. Cow's milk
