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
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."
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.)
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.
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
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."
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
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
b. Wheat bread
c. Corn syrup
d. Eggs
a. Cow's milk
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
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."
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.)
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.
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
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."
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
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
b. Wheat bread
c. Corn syrup
d. Eggs
a. Cow's milk
