VERIFIED QUESTIONS AND ANSWERS
1. A nurse is monitoring the oxygen saturation level of an infant using pulse
oximetry. The nurse should secure the sensors to which of the following areas
on the infant?
a) Wrist
b) Great toe
c) Index finger
d) Heel: b) Great toe
2. A nurse in an emergency department is auscultating the lungs of an ado-
lescent who is experiencing dyspnea. The nurse should identify the sound as
which of the following?
a) Wheezes
b) Crackles
c) Pleural friction rub
d) Rhonchi: a) Wheezes
3. A nurse in an emergency department is caring for a school-age child who has
epiglottitis. Which of the following actions should the nurse take?
a) Obtain a throat culture from the child
b) Monitor the child's oxygen saturation
c) Put a warm mist humidifier in the child's room
d) Place the child in the supine position: b) Monitor the child's oxygen saturation
4. A nurse is planning care to address nutritional needs for a preschooler who
has cystic fibrosis. Which of the following interventions should the nurse in-
clude in the plan?
a) Administer pancreatic enzymes 2 hr after meals
b) Discontinue the use of pancreatic enzymes if steatorrhea develops
c) Limit fluid intake to 750 mL per day.
d) Increase the fat content in the child's diet to 40% of total calories: d) Increase the
fat content in the child's diet to 40% of total calories
,5. A nurse is caring for a school-age child who has primary nephrotic syndrome
and is taking prednisone. Following 1 week of treatment, which of the following
manifestations indicates to the nurse that the medication is effective?
a) Decreased edema
, b) Increased abdominal girth
c) Decreased appetite
d) Increased protein in the urine: a) Decreased edema
6. A nurse is providing discharge teaching to the parents of a 6-month-old infant
who is postoperative following hypospadias repair with a stent placement.
Which of the following instructions should the nurse include in the teaching?
a) "You may bathe your infant in an infant bathtub when you go home"
b) "Apply hydrocortisone cream to your infant's penis daily."
c) "You should clamp your infant's stent twice daily."
d) "Allow the stent to drain directly into your infant's diaper": d) "Allow the stent to drain
directly into your infant's diaper"
7. A nurse is teaching the parents of a toddler who has a cognitive impairment
about toilet training. Which of the following instructions should the nurse
include in the teaching?
a) "Scold your child when they have a toileting accident"
b) "Award your child with a sticker when they sit on the potty chair"
c) "Play your child's favorite song while teaching them to use the potty chair"
d) "Teach multiple steps of the skill at the same time.": b) "Award your child with a sticker
when they sit on the potty chair"
8. A nurse is assessing an infant who has pneumonia. Which of the following
findings is the priority for the nurse to report to the provider?
a) Nasal flaring
b) WBC count 11,300/mm3
c) Diarrhea
d) Abdominal distension: a) Nasal flaring
9. A nurse is teaching a school-age child and their parent about postopera-
tive care following cardiac catheterization. Which of the following instructions
should the nurse include?
a) "Stay home from school for 1 week following the procedure"
b) "Follow a diet that low in fiber for 1 week"
c) "Wait 3 days before taking a tub bath"
d) "Apply a pressure dressing to the site for 3 days": c) "Wait 3 days before taking a tub bath"