VERSIONS WITH VERIFIED SOLUTIONS GRADED A+ ASSURED SUCCESS
1. A nurse is caring for a 6-year-old child who is Determine if there are
experiencing encopresis. Which of the follow- any recent stressors in
ing actions should the nurse take? the child's environment
2. A nurse is caring for a child who has an exacer- Oxygen saturation 85%
bation of cystic fibrosis. Which of the following
laboratory findings should the nurse report to
the provider immediately?
3. A nurse is a pediatric clinic is caring for a Ensure the child's di-
3-year-old child who has a blood lead level of etary intake of calcium
3 mcg/dL. When teaching the toddler's parent and iron is adequate
about the correlation of nutrition with lead poi-
soning, which of the following pieces of infor-
mation is appropriate for the nurse to include?
4. A nurse is caring for a child who has sickle cell Administer ibuprofen
anemia and is experiencing a vaso-occlusive
crisis. Which of the following actions should the
nurse take?
5. A nurse at a pediatric clinic is assessing a Head lagging when the
5-month-old infant during a well child visit. infant is pulled from a ly-
Which of the following findings should the ing to a sitting position
nurse report to the provider?
6. A nurse is providing teaching to the guardians Add fortified rice cereal
of an infant who has failure to thrive (FTT). to the infants formula
Which of the following pieces of information
should the nurse include in the teaching?
7. A nurse is an emergency department is caring Determine the child's
for a 4-year-old child who has burns to the neck breathing pattern
and face following a house fire. Which of the
following actions should the nurse take first?
8. A nurse is teaching to a group of parents of ado- "My child spends 4 hours
lescents about developmental needs. Which of per day using online chat
the following statements by a parent should the rooms."
nurse investigate further?
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9. A nurse is providing discharge teaching to par- "We will notify the doc-
ents whose infant had a ventriculoperitoneal tor right away if he has a
shunt placement for the treatment of hydro- fever."
cephalus. Which of the following statements by
the parents indicates an understanding of the
teaching?
10. A nurse is performing a nutritional screening 18.2 - to calculate the
for a 12-year-old client who weighs 41 kg (90 lb) clients BMI, the nurse
and has a height of 1.5 m (60 in). Which of the should divide the clients
following values is the client's body mass index weight in kilograms by
(BMI) the square of the clients
height in meters. There-
fore, 41 kg divided by the
square of 1.5 m gives a
correct BMI of 18.2
11. A nurse is teaching the parents of an in- The provide direct stim-
fant about treatment option for profound sen- ulation of auditory nerve
sorineural hearing loss. The nurse should in- fiber
clude which of the following pieces of informa-
tion about the function of cochlear implants?
12. A nurse is instructing a group of parents Assign the child several
and guardians about child development. Which small chores
of the following recommendations should the
nurse make to promote the developmental task
of industry in the school-age child?
13. A nurse is providing teaching to the guardian "Adolescents need more
of an adolescent. The guardian reports that sleep due to rapid
the adolescent sleeps about 10 hour on week- growth."
end nights. Which of the following responses
should the nurse provide?
14. A nurse is caring for a child who is in skeletal Encourage the child to
traction. Which of the following actions is the use an incentive spirom-
nurse's priority? eter
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15. A nurse is assessing the gross motor skills Hopping on 1 foot
of a 4-year-old preschooler. The nurse should
expect the preschooler to perform which of the
following activities?
16. A nurse is caring for a school-aged child who Ease the child to the
begins to have a tonic-clinic seizure when leav- floor in Sims' position
ing the bathroom. Which of the following ac-
tions should the nurse take first?
17. A nurse is assessing a 4-year-old child. The Fastening buttons on a
nurse should expect the child to be able to per- shirt
form which of the following activities?
18. A nurse is reviewing the laboratory report of a Potassium 2.5 mEq/L
2-year-old child who has diarrhea and has been
vomiting for 24 hr. Which of the following find-
ings should the nurse report to the provider?
19. A nurse is evaluating the outcome of surgery The color of the infants
for an infant who had a bile duct obstruction stool is yellowish-brown
which of the following findings should indicate
to the nurse that the surgery was successful?
20. A nurse is teaching an adolescent client who "You should drink 4 ox of
has type 1 diabetes mellitus about managing orange juice if you expe-
hypoglycemia. Which of the following state- rience hypoglycemia
ments should the nurse include in the teach-
ing?
21. A nurse is assessing the fine motor skills devel- Copying a square
opment of a 4-year-old child. The nurse should
expect the child to be able to perform which of
the following activities?
22. A nurse is teaching the parents of a 4-month-old "I will add 1 teaspoon of
infant who has gastroesophageal reflex. Which rice cereal per ounce to
of the following statements by a parent indi- my baby's formula"
cates an understanding of the teaching?
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23. A nurse is caring for a 15-month-old client who Wear a mask when as-
requires droplet precautions. Which of the fol- sisting the toddler with
lowing actions should the nurse take? meals
24. A nurse is providing teaching to a 12-year-old "You will be able to par-
client who is recovering from an acute episode ticipate in physical exer-
of hemophilia A. Which of the following state- cise"
ments should the nurse include in the teach-
ing?
25. A nurse is caring for a child who has episaxis. Apply continuous pres-
Which of the following actions should the nurse sure to the lower part of
take? the childs nose
26. A nurse is teaching a parent of an infant who " I need to apply paste to
has a colostomy. Which of the following state- the back of the wafer on
ments by the parent indicates an understanding my child's appliance
of the teaching
27. A nurse is preparing to assess a 2-year-old tod- The child prefers to sit
dler. Which of the following behaviors should on the parent's lap dur-
the nurse expect during the examinations ing the examination
28. A nurse is caring for a child who has acute Check the child's blood
glomerulonephritis. Which of the following ac- pressure every 4 hr
tions should the nurse take?
29. A nurse is providing teaching about poisoning "Put all cleaning sup-
prevention top a group of parents with toddlers. plies in a locked cabinet"
Which of the following statements should the
nurse make?
30. A nurse is assessing an infant w ho has acute Capillary refill 5 seconds
gastroenteritis. Which of the following findings - Above 4 seconds is s/s
should the nurse identify as the priority? severe dehydration
31. An 18-month-old infant has pneumocystis The infant's mother is
carinii pneumonia. Results of enzyme-linked likely HIV positive
immunosorbent assay (ELISA) testing indicate
that she is HIV positive. When planning care, the