QUESTIONS AND ANSWERS GRADED A+
Question 1
A nurse is caring for a child who is having a seizure. Which of the following actions
should the nurse take? (Select all that apply)
Correct Answer
Place the client in a side lying position, Assess the client's airway patency, Remove
objects from the client's bed.
Question 2
A nurse receives a call from a parent of a child who has von Williebrand disease and
has having a nosebleed. Which of the following instructions should the nurse give to
the parent?
Correct Answer
"Have your child sit with her head tilted forward and hold pressure on her nose for
10 minutes."
Question 3
A nurse is planning care for a 10 month old infant who is 8 hr. postoperative following
cleft palate repair. Which of the following interventions should the nurse include in
the infant's plan of care?
Correct Answer
Apply and release elbow restraints periodically.
Question 4
A nurse at the pediatric hotline receives a call from a mother who plans to administer
aspirin to a toddler for a fever and wants to know the dosage. Which of the following
statements by the nurse is an appropriate response?
Correct Answer
"Give her acetaminophen, not aspirin."
Page 1 of 21
,Question 5
A nurse is completing a history and physical on a 3 year old child who is admitted for
a surgical repair of Tetralogy of Fallot (TOF). Which of the following manifestations of
the condition should the nurse expect? (Select all that apply)
Correct Answer
Cyanosis, Systolic Murmur
Question 6
An appropriate nursing intervention to minimize separation anxiety in a hospitalized
toddler is to:
Correct Answer
Encourage parents to room in
Question 7
A nurse is caring for a child who has been physically abused by a family member.
Which of the following is an appropriate statement for the nurse to say to the child?
Correct Answer
"It is not your fault that this happened"
Question 8
A nurse is caring for a child who has hemophilia and reports an increase in bruising.
Which of the following lab values should the nurse recognize as contributing to this
manifestation?
Correct Answer
Platelets 110,000 mm3
Question 9
A nurse is caring for a client diagnosed with glomerulonephritis who has recurrent
hypertension and edema. Analyzing the client's lab results in relationship to his
disease process, the nurse would expect to find an increase in which values?
Correct Answer
BUN
Page 2 of 21
, Question 10
A nurse in an emergency is assessing a 3 year old child who has a high fever, severe
dyspnea, and is drooling. Which of the following interventions is the nurse's priority?
Correct Answer
Prepare for nasotracheal intubation
Question 11
A nurse on a pediatric unit is reviewing her client assignment following the shift
report. Which of the following clients should the nurse plan to see first?
Correct Answer
An infant with pertussis receiving oxygen via nasal cannula.
Question 12
A nurse is caring for a 7 year old child who has an upper respiratory infection and
type 1 diabetes mellitus. Which of the following statements by the mother indicates a
need for further instructions?
Correct Answer
"I will continue to check her blood sugar two times every day"
Question 13
A nurse is planning care for a 6 year old child who has bacterial meningitis. Which of
the following nursing interventions is unnecessary in the client's plan of care?
Correct Answer
Measure head circumference every shift
Page 3 of 21