Questions and CORRECT Answers
A nurse is collecting data for an adolescent who has asthma and has received an albuterol
treatment. Which of the following findings indicates an improvement in the adolescent's
condition? - CORRECT ANSWER✔✔- Respiratory rate 20/min
A nurse is collecting data from an 18-month-old toddler who has just resented to the urgent
care clinic. Which of the following data should the nurse investigate further? - CORRECT
ANSWER✔✔- Blood pressure 120/80 mm Hg
A nurse is collecting data from a school-age child. The nurse should identify that which of the
following findings is a manifestation of physical abuse? - CORRECT ANSWER✔✔-
Bruises at various stages of healing
A nurse is reinforcing teaching with the parents of a 7-year-old child about behavioral
expectations. Which of the following behaviors should the nurse include in the teaching? -
CORRECT ANSWER✔✔- Spends a lot of time by themselves
A nurse is reinforcing teaching about liquid oral iron supplements with the guardian of
school-age child who has iron deficiency anemia. Which of the following statements by the
guardian indicates an understanding of the teaching? - CORRECT ANSWER✔✔- "I will
give this medication to my child with a straw."
A nurse in a pediatric clinic is assisting in the care of an infant who has heart failure and a
prescription for digoxin. Which of the following statements by the parent indicates the
desired therapeutic effect of the medication? - CORRECT ANSWER✔✔- "My baby is
breathing easier than they used to."
A nurse is preparing to administer ophthalmic drops to a child. Which of the following
actions should the nurse take? - CORRECT ANSWER✔✔- Apply pressure to the lacrimal
punctum for 1 min following administration
A nurse is preparing to administer furosemide to a toddler who has a heart defect. Which of
the following actions should the nurse take to identify the toddler? - CORRECT
ANSWER✔✔- Ask the guardian to verify the child's name
, A nurse is assisting with the care of a child who is receiving a blood transfusion. Which of
the following findings indicates the child is having a hemolytic reaction? - CORRECT
ANSWER✔✔- Chills and flank pain
A nurse is assisting in the care of a school-age child who has been admitted to the facility in
sickle cell crisis. The nurse is measuring the child's oral intake for the shift. The child
consumed 4 oz of juice at breakfast. For lunch, the child consumed 6 oz of milk, 6 oz of
gelatin, and drank 7 oz of water. What is the child's oral intake for this shift in milliliters? -
CORRECT ANSWER✔✔- 690 mL
A nurse in a provider's office is assisting in the care of a preschooler who has findings of
croup. Which of the following statements by the parent requires immediate intervention by
the nurse? - CORRECT ANSWER✔✔- "My child has refused to drink any fluids for the past
8 hours."
A nurse in a clinic is collecting data from an adolescent who has received all recommended
immunizations through the age of 6 years. Which of the following immunizations should the
nurse plan to administer? - CORRECT ANSWER✔✔- Tetanus, diphtheria toxoids, and
acellular pertussis (Tdap)
A nurse is assisting in the care of a preschooler who is suspected to have a Wilms tumor.
Which of the following findings should the nurse expect? - CORRECT ANSWER✔✔- A
decreased Hgb level
A nurse is assisting with the admission of a toddler who has bacterial meningitis caused by
Haemophilus influenza type B. Which of the following isolation guidelines should the nurse
plan to initiate? - CORRECT ANSWER✔✔- Droplet precautions
A nurse is reinforcing teaching regarding the immunization schedule with the parent of a 6-
month-old infant during a well-child visit. Which of the following statements by the parent
indicates and understanding of the teaching? - CORRECT ANSWER✔✔- "My baby will
receive their third DTaP vaccine today."
A nurse is assisting in the care of a child who has type 1 diabetes mellitus and has been
receiving insulin via subcutaneous infusion pump. Which of the following laboratory tests