60 Multiple choice questions
Term 1 of 60
A nurse is collecting data from a toddler who has heart failure. Which of the following findings
should the nurse expect?
Decreased urine output
The nurse should expect a toddler who has heart failure to exhibit decreased urine output
due to decreased renal perfusion.
Unable to tell the difference between right and left
The nurse should recognize that a child should know the difference between right and left
by 6 years of age.
Droplet
The nurse should initiate droplet precautions for a child who has a disease that is
transmitted through droplets larger than 5 microns, such as pertussis. Individuals providing
care for the child should wear a mask and the child should be placed in a private room.
Amnesia
The nurse should identify that amnesia is an expected manifestation after a seizure.
Children often do not remember the seizure activity.
,Term 2 of 60
A nurse is reviewing the medical records of several children in an outpatient clinic. The nurse
should identify that which of the following infections is included on the list of nationally notifiable
conditions?
Patch the unaffected eye during the day.
The nurse should instruct the parent to patch the unaffected eye during the day to
strengthen the affected eye.
Tetanus, diphtheria, acellular pertussis (Tdap)
The nurse should plan to administer the Tdap booster. The booster is administered to a
school-aged child between 11 and 12 years of age when the child has previously received
recommended immunizations.
Pertussis
Pertussis is known.as whooping cough, an infention that causes paroxysmal coughing fever,
and shortness of breath It is transmitted by direct contact
I will use charts to assist my child with organizing their day.
The use of charts to assist with organization is a recommended modification of the
environment to help the adolescent be more successful.
,Definition 3 of 60
Install window guards on windows is correct. The nurse should instruct the parents that installing
window guards on the windows is necessary to prevent falls.
Keep doors locked is correct. The nurse should instruct the parents to keep the doors locked or
use child-proof door knob covers at the entry of stairs, high porches, or other elevated areas to
prevent injuries.
Supervise playgrounds is correct. The nurse should instruct the parents to supervise their child at
playgrounds and select play areas with soft grounds and safe equipment to prevent injury.
A nurse is reviewing the medical record of a school-age child who is current on
recommended immunizations. Which of the following immunizations should the nurse plan
to administer at the 11-year-old well-child visit?
A nurse is reinforcing teaching about injury prevention with the parents of a toddler. Which
of the following instructions should the nurse include in the teaching? (Select all that
apply.)
A nurse is contributing to the plan of care for a preschooler who has moderate partial-
thickness burns on both lower extremities. Which of the following interventions should the
nurse recommend?
A nurse is reinforcing teaching with the guardian of an adolescent who has ADHD and a
prescription for methylphenidate. Which of the following statements by the guardian
indicates an understanding of the teaching?
, Definition 4 of 60
"I will inspect the inside of my child's mouth for sores every day."
The nurse should instruct the parent to inspect the child's mouth daily for lesions, sores, or
ulcerations. Conscientious mouth care is crucial to prevent infection of ulcerated areas because
gingival bleeding can lead to mucositis.
A nurse is reinforcing preoperative teaching with an adolescent client who is scheduled for
a surgical repair of scoliosis. Which of the following statements by the client indicates
effectiveness of the teaching?
A nurse is reinforcing teaching with the guardian of a 1-month-old infant who has a cleft lip
and is bottle fed. Which of the following statements by the guardian indicates that the
teaching was effective?
A nurse is reinforcing teaching with the parents of a preschooler who has recently started
to stutter. Which of the following instructions should the nurse include?
A nurse is reinforcing discharge teaching about preventing infections with the parent of a
child who is receiving chemotherapy and has a platelet count of 100,000/mm3. Which of the
following statements by the parent indicates an understanding of the teaching?