A nurse in a clinic is preparing to administer pre-k-kindergarten vaccines to a 5 year
old child whose medical record indicates that his immunization are up to date which
of the following vaccines should the nurse plan to adminiser - ANSWER Mealsles,
mumps, rubella (MMR)
A nurse in a pediatric clinic is collecting data from a preschool age child who has
suspected impetigo contagiosa. Which of the following manifestations should the
nurse expect to find with this skin infection? - ANSWER Red macule with honey
colored crusts
A nurse in a provider's office is reinforcing teaching with a parent of a school age
child who has pediculosis capitis. Which of the following instructions should the
nurse include in the teaching? - ANSWER Wash all bed linens and dry them in a
dryer for at least 20 min
A nurse is a collecting data from an infant which of the following is a clinical
manifestation of pyloric stenosis?" - ANSWER Projectile Vomiting after feedings
A nurse is an urgent care clinic is assisting with the care of a toddler who ingested
30 tablets of aspirin. Which of the following substances should the nurse administer
to the toddler? - ANSWER Activated charcoal (can work with toxin, poison. Given
through ng tube absorbs toxins)
A nurse is assisting with the admission of a child who has pertussis. Which of the
following actions should the nurse take? - ANSWER Initiate droplet precautions
A nurse is assisting with the admission of an infant who has resp. Syncytial Virus
(RSV) which of the following rooms should the nurse assign the infant? - ANSWER
A private room with contact/droplet precautions
A nurse is assisting with the care of a school age child who has respiratory failure
due to pneumonia. Which of the following positons should the nurse encourage to
allow maximal lung expansions? - ANSWER Upright (orthopnic positon, semi fowler,
high fowler)
A nurse is assiting with the care of a child with spina bifida. Which of the folloing
precations should nurse take while caring for this child? - ANSWER Latex
Precautions
A nurse is caring for a 2 week old infant who's mother requests additional
information about sudden infant death syndrome (SIDS). Which of the following
responses should the nurse make? - ANSWER You should place your baby on her
back when sleeping to decrease the risk of SIDS
A nurse is caring for a 3 year old client who has persistent otitis media. To help
identify contributing factors, the nurse should ask the parents which of the following
questions? - ANSWER Does anyone smoke in the same house as your daughter?
, (smoking can cause irritation, cause mucus in respiratory and causes otitis media?)
(otitis media is purulent color)
A nurse is caring for a 4 year old child who has dehydration. Which of the following
findings should the nurse identify as the priority? - ANSWER Potassium 2.5 mEq/L
A nurse is caring for a 4 year old child who is 2 days postoperative following the
insertion of a ventriculoperitoneal shunt. Which of the following findings should the
nurse identify as the priority . (causes icp hydrocephalus) - ANSWER lethargy (high
pitched cry, respiratory changes, bradycardia, wide pulse pressure, irritability
A nurse is caring for a 4-year old child who refuses to take his medication because
of the bad taste. Which of the following strategies should the nurse use to medication
- ANSWER . Offer the child an ice pop prior to administering the medication ( numb
the tongue ...Nerves )
A nurse is caring for a 6 month old child. The childs provider has ordered a
diphtheria, tetanus, and pertussis (DTAP) vaccine to be administered. Which of the
following should cause the nurse to question the administration of this vaccine? -
ANSWER Temp of 40.5 C (104.9F) after last DTAP
A nurse is caring for a 6-month-old infant who is postoperative following a
myringotomy. Which of the following pain assessment scales should the nurse use to
determine the infants pain level? - ANSWER FLACC
a nurse is caring for a child following an open reduction and internal fixation of a
fractured femur and application of a cast. The cast has a window cut in it for viewing
of the incision. Which of the following actions should the nurse take first? - ANSWER
Perform neurovascular checks of the affected extremity (check for infection, color,
capillary refill, redness)
A nurse is caring for a child who has a suspected diagnosis of bacterial meningitis.
Which of the following is the nurse's priority? - ANSWER Administer antibiotics
when available
A nurse is caring for a child who has acute diarrhea and reports that he is thirsty.
Which of the following fluids should the nurse give the child? - ANSWER Pedialyte
A nurse is caring for a child who has acute glomerulonephritis. Which of the
following actions is the nurse's priority? - ANSWER Check the Childs weight daily
A nurse is caring for a child who has atopic dermatitis. Which of the following
findings should the nurse expect? - ANSWER Rash with thick skin
A nurse is caring for a child who has erythema infectiousm. Which of the following
findings should the nurse expect? - ANSWER Facial erythema
old child whose medical record indicates that his immunization are up to date which
of the following vaccines should the nurse plan to adminiser - ANSWER Mealsles,
mumps, rubella (MMR)
A nurse in a pediatric clinic is collecting data from a preschool age child who has
suspected impetigo contagiosa. Which of the following manifestations should the
nurse expect to find with this skin infection? - ANSWER Red macule with honey
colored crusts
A nurse in a provider's office is reinforcing teaching with a parent of a school age
child who has pediculosis capitis. Which of the following instructions should the
nurse include in the teaching? - ANSWER Wash all bed linens and dry them in a
dryer for at least 20 min
A nurse is a collecting data from an infant which of the following is a clinical
manifestation of pyloric stenosis?" - ANSWER Projectile Vomiting after feedings
A nurse is an urgent care clinic is assisting with the care of a toddler who ingested
30 tablets of aspirin. Which of the following substances should the nurse administer
to the toddler? - ANSWER Activated charcoal (can work with toxin, poison. Given
through ng tube absorbs toxins)
A nurse is assisting with the admission of a child who has pertussis. Which of the
following actions should the nurse take? - ANSWER Initiate droplet precautions
A nurse is assisting with the admission of an infant who has resp. Syncytial Virus
(RSV) which of the following rooms should the nurse assign the infant? - ANSWER
A private room with contact/droplet precautions
A nurse is assisting with the care of a school age child who has respiratory failure
due to pneumonia. Which of the following positons should the nurse encourage to
allow maximal lung expansions? - ANSWER Upright (orthopnic positon, semi fowler,
high fowler)
A nurse is assiting with the care of a child with spina bifida. Which of the folloing
precations should nurse take while caring for this child? - ANSWER Latex
Precautions
A nurse is caring for a 2 week old infant who's mother requests additional
information about sudden infant death syndrome (SIDS). Which of the following
responses should the nurse make? - ANSWER You should place your baby on her
back when sleeping to decrease the risk of SIDS
A nurse is caring for a 3 year old client who has persistent otitis media. To help
identify contributing factors, the nurse should ask the parents which of the following
questions? - ANSWER Does anyone smoke in the same house as your daughter?
, (smoking can cause irritation, cause mucus in respiratory and causes otitis media?)
(otitis media is purulent color)
A nurse is caring for a 4 year old child who has dehydration. Which of the following
findings should the nurse identify as the priority? - ANSWER Potassium 2.5 mEq/L
A nurse is caring for a 4 year old child who is 2 days postoperative following the
insertion of a ventriculoperitoneal shunt. Which of the following findings should the
nurse identify as the priority . (causes icp hydrocephalus) - ANSWER lethargy (high
pitched cry, respiratory changes, bradycardia, wide pulse pressure, irritability
A nurse is caring for a 4-year old child who refuses to take his medication because
of the bad taste. Which of the following strategies should the nurse use to medication
- ANSWER . Offer the child an ice pop prior to administering the medication ( numb
the tongue ...Nerves )
A nurse is caring for a 6 month old child. The childs provider has ordered a
diphtheria, tetanus, and pertussis (DTAP) vaccine to be administered. Which of the
following should cause the nurse to question the administration of this vaccine? -
ANSWER Temp of 40.5 C (104.9F) after last DTAP
A nurse is caring for a 6-month-old infant who is postoperative following a
myringotomy. Which of the following pain assessment scales should the nurse use to
determine the infants pain level? - ANSWER FLACC
a nurse is caring for a child following an open reduction and internal fixation of a
fractured femur and application of a cast. The cast has a window cut in it for viewing
of the incision. Which of the following actions should the nurse take first? - ANSWER
Perform neurovascular checks of the affected extremity (check for infection, color,
capillary refill, redness)
A nurse is caring for a child who has a suspected diagnosis of bacterial meningitis.
Which of the following is the nurse's priority? - ANSWER Administer antibiotics
when available
A nurse is caring for a child who has acute diarrhea and reports that he is thirsty.
Which of the following fluids should the nurse give the child? - ANSWER Pedialyte
A nurse is caring for a child who has acute glomerulonephritis. Which of the
following actions is the nurse's priority? - ANSWER Check the Childs weight daily
A nurse is caring for a child who has atopic dermatitis. Which of the following
findings should the nurse expect? - ANSWER Rash with thick skin
A nurse is caring for a child who has erythema infectiousm. Which of the following
findings should the nurse expect? - ANSWER Facial erythema
