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 -
Correct 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? - Correct 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? - Correct 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?" -
Correct 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? - Correct 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? - Correct 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? - Correct 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? - Correct 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? - Correct 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? - Correct 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? - Correct 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? - Correct 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) - Correct
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 - Correct 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? - Correct 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? - Correct 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? - Correct 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? - Correct 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? - Correct Answer Pedialyte
A nurse is caring for a child who has acute glomerulonephritis. Which of the following actions is the nurse's priority? -
Correct 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? -
Correct 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? -
Correct Answer Facial erythema
A nurse is caring for a child who has juvenile rheumatoid arthritis. Which of the following actions should the nurse
take? - Correct Answer Maintain night splints to the affected joint
A nurse is caring for a child who has nosebleed. Which of the following actions should the nurse take? - Correct
Answer Have the child sit with her head tilted forward and hold pressure on her nose for 10 mins (use ur fingers
pinching the nose)
A nurse is caring for a child who has tinea pedis. The childs parents ask the nurse what this infection is commonly
called. The nurse should respond with which of the following common names - Correct Answer Pinworms
A nurse is caring for a child who is experiencing a seizure. Which of the following Actions should the nurse take? -
Correct Answer Place the child in a side lying position(for aspiration)
A nurse is caring for a child who is having a tonic clonic seizure and vomiting. Which of th following action the nurse
priority - Correct Answer Move the child into a side lying position
A nurse is caring for a child who is having seizure. Which of the following actions should the nurse take ( SELECT
ALL THAT APPLY) - Correct Answer -loosen restrictive clothing
-clear the area of hard objects
A nurse is caring for a child who is having seizure. Which of the following actions should the nurse take? ( select all
that apply ) - Correct Answer Elbow
A nurse is caring for a child who Is postoperative following the insertion of a ventriculorperitoneal shunt. The nurse
should place the child in which of the following positions? - Correct Answer On the nonoperative side
A nurse is caring for a child who is to receive percussion, vibration, and postural drainage. Which of the following
actions should the nurse take first? - Correct Answer Administer albuterol by nebulizer (open the airway, and loosen
the secretions it will be more effective to loosen it up)
A nurse is caring for a newly admitted adolescents who has anorexia nervosa. Which of the findings should the nurse
expect - Correct Answer Lanugo
A nurse is caring for a preschool age child who has croup. Which of the following findings should the nurse report to
the provider? - Correct Answer Drooling (that could mean it can mean there's an epiglottitis causes obstruction of the
airway)