Correct Answers
After reviewing the information in the medical record, the nurse should identify that
the child is at risk for developing which of the following conditions? - Answer-The
nurse should identify that the child is at risk for developing SPLENOMEGALY as
evidence by POSITIVE MONONUCLEOSIS RAPID TEST
A nurse in a provider's office is preparing to administer immunizations to a toddler
during a well-child visit. Which of the following actions should the nurse plan to take?
- Answer-Withhold the measles, mumps, and rubella (MMR) vaccine.
A nurse is caring for a preschooler who has been receiving IV fluids via a peripheral
IV catheter. When preparing to discontinue the IV fluids and catheter, which of the
following actions should the nurse plan to take? - Answer-Turn off IV pump.
Occlude the IV tubing.
Remove the tape securing the catheter.
Apply pressure over the catheter insertion site.
Which of the following statements by a guardian indicates that the discharge
teaching was effective? - Answer-"We should apply a skin emollient after bathing our
child"
"We should keep our child's fingernails short"
"We should use a mild detergent for our laundry"
After reviewing the information in the child's medical record, which of the following
findings should the nurse report to the provider? - Answer-Arterial blood gases
WBC count
Oxygen saturation level
Respiratory assessment
The nurse should identify that which of the following findings require immediate
follow-up? - Answer-Partial- and full-thickness burns to the left upper anterior chest
and anterior neck.
SaO2 89% on room air.
Heart rate 150/min.
Which of the following potential prescriptions should the nurse identify as anticipated
or contraindicated? - Answer-Contraindicated: Apply sterile gauze soaked with cool
0.9% sodium chloride to the burn areas.
Indicated: Insert indwelling urinary catheter.
Provide 100% oxygen via face mask.
Weigh the child.