ACTUAL EXAM COMPLETE 300 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW
2024
A nurse in the emergency department is caring for a child who has bruises that support
a suspicion of child abuse. Which of the following actions should the nurse take? -
ANSWER-Report the suspected abuse to local authorities
A nurse is providing discharge teaching to parents whose infant had a
ventriculoperitoneal shunt placement for the treatment of hydrocephalus. Which of the
following statements by the parents indicates an understanding of the teaching? -
ANSWER-We will notify the doctor right away if he has a fever
A nurse is assessing a preschooler who has HIV. Which of the following manifestations
should the nurse expect? - ANSWER-Chronic diarrhea
A nurse is caring for a 5-year-old child who has a fever and begins to have a seizure.
Which of the following actions should the nurse take? - ANSWER-Place the child in a
side-lying position
A nurse is caring for a 7-year-old child who is in skeletal traction following a complete
fracture of the femur. Which of the following diversional activities should the nurse
offer the child? - ANSWER-Chapter books
,A nurse is providing discharge teaching to the parents of a child who has nephrotic
syndrome. Which of the following instructions should the nurse include in the teaching?
- ANSWER-Keep the child away from people who have an infection
A nurse is teaching an adolescent about various strategies for chronic pain
management. Which of the following activities should the nurse use as an example of
the nonpharmacological strategy of thought-stopping? - ANSWER-Repeat memorized
facts about the painful event
A nurse on a pediatric unit is planning care for a preschooler who will be having a
surgical procedure in the morning. The child has been crying despite his parents'
presence at his bedside. The nurse should add engaging the child in therapeutic play to
the care plan to offer which of the following benefits? - ANSWER-Allow the child to
manipulate toy medical equipment
A nurse at a pediatric clinic is assessing a 5-month-old infant during a well-child visit.
Which of the following findings should the nurse report to the provider? - ANSWER-Head
lagging when the infant is pulled from a lying to a sitting position
A nurse is assessing a 6-month-old infant at a well-child visit. Which of the following
findings indicates the need for further assessment? - ANSWER-The infant's legs remain
crossed and extended when supine.
A nurse is assessing a 6-month-old infant following a cardiac catheterization. Which of
the following findings should the nurse report to the provider? - ANSWER-BP 86/40
mmHg
,A nurse is providing teaching to the guardian of a child who has Kawasaki disease.
Which of the following statements by the guardian indicates an understanding of the
teaching? (Select all that apply.) - ANSWER-"My child will likely be irritable for the next
few weeks."
"I will ensure my child does not receive any live vaccines for at least 18 months."
"I will keep a record of my child's temperature until she has no fever for several days."
A school nurse is providing care to a child who has a nosebleed. Which of the following
actions should the nurse perform? (Select all that apply.) - ANSWER-Apply pressure to
the child's nose using the thumb and forefinger
Keep the child calm
A nurse is assessing the vital signs of a 1-month-old infant. Which of the following
actions should the nurse perform? - ANSWER-Count respirations before taking other
vital signs
A nurse is providing teaching about home care to the parents of an infant who has
diaper dermatitis. Which of the following instructions should the nurse include? -
ANSWER-Leave the zinc oxide ointment intact and reapply as necessary during diaper
changes
, A nurse in a pediatric clinic is assessing a toddler at a well-child visit. Which of the
following actions should the nurse take? - ANSWER-Minimize physical contact with the
child initially
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 recommend which of the following
immunizations prior to moving into a campus dormitory? - ANSWER-Meningococcal
polysaccharide
A nurse is providing education about the introduction of solid foods for the parent of an
infant. Which of the following instructions should the nurse include? - ANSWER-Begin
after the extrusion reflex has diminished.
A nurse is caring for a school-aged child who begins to have a tonic-clonic seizure
when leaving the bathroom. Which of the following actions should the nurse take first?
- ANSWER-Ease the child to the floor in Sims' position
A nurse is caring for a child who is in the emergency department after ingesting a
bottle of acetaminophen. Which of the following medications should the nurse plan to
administer? - ANSWER-Acetylcysteine
A nurse is assessing a 30-month-old toddler during a well-child visit. Which of the
following findings requires further assessment by the nurse? - ANSWER-The toddler's
birth weight is tripled.