PROCTORED QUESTIONS AND CORRECT ANSWERS (DETAILED
ANSWERS) COMPLETE EXAM | A GRADE
A nurse in the emergency department is caring for a 12-year-old child who has ingested bleach. Which of
the following statements by the nurse indicates an understanding of this ingestion?
"Injury by a corrosive liquid is more extensive than by a corrosive solid."
A nurse is caring for a child who has bacterial endocarditis. The child is scheduled to receive moderate
term antibiotic therapy and requires a peripherally inserted central catheter (PICC). Which of the
following statements should the nurse include when teaching the child's parent?
"The PICC line will last several weeks with proper care."
A nurse is providing anticipatory guidance about accidental ingestion of a toxic substance to the parents
of a toddler. The nurse should instruct the parents to take which of the following actions first if the child
ingests a hazardous substance?
Call the poison control center.
A nurse is caring for a 2-year-old child who has cystic fibrosis. The nurse is planning to take the child to
the playroom. Which of the following activities would be appropriate for the child?
Building towers of blocks
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?
Birth weight is tripled
A nurse is teaching the parent of a preschool-age child about the treatment for pinworms. Which of the
following statements by the parent indicates an understanding of the teaching?
"I will give my child a dose of albendazole today and again in 2 weeks."
A nurse is assessing a child who has a ventricular septal defect. Which of the following findings should
the nurse expect?
Murmur at the left sternal border
A nurse is teaching an adolescent who has asthma about how to use a peak expiratory flow meter
(PEFM). Which of the following responses by the adolescent indicates an understanding of the teaching?
"I will record the highest reading of three attempts."
A nurse is providing teaching to the parents of an infant who has acute otitis media about how to
administer antibiotic eardrops. Which of the following instructions should the nurse include?
Massage the anterior area of the infant's ear following administration.
,A nurse is providing teaching to the parent of a 2-year-old toddler about nutrition. Which of the
following statements by the parent indicates an understanding of the teaching?
"My child should consume 1,000 calories per day."
A nurse is providing teaching about immunizations to the parents of a severely immunocompromised
child who has human immunodeficiency virus (HIV). Which of the following statements should the nurse
include in the teaching?
"The pneumococcal and influenza vaccines are recommended for your child."
A nurse in an emergency department is caring for a 4-year-old child who has burns to the neck and face
following a house fire. Which of the following actions should the nurse take first?
Determine the child's breathing pattern.
A nurse is assessing a 1-week-old infant at a well-child visit. The nurse should notify the provider about
which of the following assessment findings?
A blue coloring of the sclera
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?
Check the child's respiratory status.
A nurse is teaching a parent of a 12-month-old infant about development during the toddler years.
Which of the following statements should the nurse include?
"Your child should be able to scribble spontaneously using a crayon at the age of 15 months."
A nurse in a pediatric clinic is assessing a toddler at a well-child visit. Which of the following actions
should the nurse take?
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 inform the client that he should receive which of the following
immunizations prior to moving into a campus dormitory?
Meningococcal polysaccharide
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?
Cow's milk
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?
,"I lock my medications in the medicine cabinet."
A nurse is performing a physical assessment on a 6-month-old infant. Which of the following highlight
reflexes should the nurse expect to find?
Babinski
A nurse is preparing to administer recommended highlight immunizations to a 2-month-old infant.
Which of the following immunizations should the nurse plan to administer?
Haemophilus influenzae type B (Hib) and inactivated polio virus (IPV)
A nurse is developing a plan of care for a school-age child who underwent a surgical procedure that
resulted in a temporary loss of vision. Which of the following interventions should the nurse include in
the plan of care?
Explain sounds the child is hearing.
A nurse is assessing a 3-year-old child who is 1 day postoperative following a tonsillectomy. Which of the
following methods should the nurse use to determine if the child is experiencing pain?
Use the FACES scale.
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?
Legs remain crossed and extended when supine
A nurse is observing a mother who is playing peek-a-boo with her 8-month-old child. The mother asks if
this game has any developmental significance. The nurse should inform the mother that peek-a-boo
helps develop which of the following concepts in the child?
Object permanence
A nurse is caring for a 15-month-old toddler who requires droplet precautions. Which of the following
actions should the nurse take?
Wear a mask when assisting the toddler with meals.
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?
Head lags when pulled from a lying to a sitting position
A nurse is planning to collect a specimen from a male infant using a urine collection bag. Which of the
following actions should the nurse take?
Wash and dry the infant's genitalia and perineum thoroughly.
A nurse in a pediatric clinic is caring for a 3-year-old child who has a blood lead level of 3 mcg/dL. When
teaching the toddler's parent about the correlation of nutrition with lead poisoning, which of the
following information is appropriate for the nurse to include in the teaching?
, Ensure the child's dietary intake of calcium and iron is adequate.
A nurse is planning care for a 10-month-old infant who has suspected failure to thrive (FTT). Which of
the following interventions should the nurse include in the plan of care? (Select all that apply.)
Observe the parents' actions when feeding the child.
Maintain a detailed record of food and fluid intake.
A nurse is assessing a 7-year-old child's psychosocial development. Which of the following findings
should the nurse recognize as requiring further evaluation?
The child complains daily about going to school.
A nurse is providing education to the parent of a toddler who is about to receive an MMR (measles,
mumps and rubella) immunization. Which of the following statements by the parent indicates an
understanding of the teaching?
"I will help my child to blow bubbles during the injection."
A nurse is providing teaching to the parents of a 4-year-old child about fine motor development. Which
of the following tasks should the nurse include in the teaching as an expected finding for this age group?
Copies a circle
A nurse on a pediatric unit is admitting a 4-year-old child. Which of the following toys should the nurse
plan to provide for the child to engage in independent play?
Plastic stethoscope
A nurse in an emergency department is caring for an 8-year old who is up-to-date with current
immunization recommendations and has a deep puncture injury. Which of the following should the
nurse anticipate administering?
Adult tetanus booster (Td)
A nurse providing teaching about promoting sleep with the parent of a 3-year-old toddler. Which of the
following information should the nurse include?
Follow a nightly routine and established bedtime.
A nurse is planning to implement relaxation strategies with a young child prior to a painful procedure.
Which of the following actions should the nurse take?
Rock the child in long rhythmic movements.
A nurse is assessing a 6-year-old child at a well-child visit. Which of the following findings requires
further assessment by the nurse?
Presence of sparse, fine pubic hair
A nurse is caring for a preschool-age child who is dying. Which of the following findings is an age-
appropriate reaction to death by the child? (Select all that apply.)