ATI RN PEDIATRICS NGN PRACTICE EXAM ACTUAL EXAM QUESTIONS AND
CORRECT ANSWERS.
Amnurseminmampediatricmclinicmismassessingmamtoddlermatmamwell-
childmvisit.mWhichmofmthe
followingmactionsmshouldmthemnursemtake?
a.mPerformmthemassessmentminmamheadmtomtoemsequence.
b.mMinimizemphysicalmcontactmwithmthemchildminitially.
c.mExplainmproceduresmusingmmedicalmterminology.
d.mStopmthemassessmentmifmthemchildmbecomesmuncooperative.m-
m"ACCURATEmANSWER"mmmmB
Rationale:mThemnursemshouldminitiallymminimizemphysicalmcontactmwithmthemtoddler,mandmt
hen
progressmfrommthemleastmtraumaticmtomthemmostmtraumaticmprocedures.
Amnursemismcaringmformanm18-year-oldmadolescentmwhomismup-to-
datemonmimmunizationsmandmis
planningmtomattendmcollege.mThemnursemshouldminformmthemclientmthatmhemshouldmreceiv
emwhichmofmthe
followingmimmunizationsmpriormtommovingmintomamcampusmdormitory?
a.mPneumococcalmpolysaccharide
b.mMeningococcalmpolysaccharide
c.mRotavirus
d.mHerpesmzosterm-m"ACCURATEmANSWER"mmmmB
Rationale:mThemmeningococcalmpolysaccharidemimmunizationmismusedmtompreventminfection
mby
certainmgroupsmofmmeningococcalmbacteria.mMeningococcalminfectionmcanmcausemlife-
threatening
illnesses,msuchmasmmeningococcalmmeningitis,mwhichmaffectsmthembrain,mandmmeningococce
mia,
whichmaffectsmthemblood.mBothmofmthesemconditionsmcanmbemfatal.mCollegemfreshmen,mpa
rticularly
thosemwhomliveminmdormitories,marematmanmincreasedmriskmformmeningococcalmdiseasemrel
ativemtomother
personsmtheirmage.mTherefore,mthemCentersmformDiseasemControlmandmPreventionmhasmissu
edma
recommendationmthatmallmincomingmcollegemstudentsmreceivemthemmeningococcalmimmuniza
tion.
Amnursemismteachingmthemparentmofmanminfantmaboutmfoodmallergens.mWhichmofmthemfol
lowing
foodsmshouldmthemnursemincludemasmbeingmthemmostmcommonmfoodmallergyminmchildren?
a.mCow'smmilk
b.mWheatmbread
c.mCornmsyrup
d.mEggm-m"ACCURATEmANSWER"mmmmA
Rationale:mAccordingmtomevidence-
basedmpractice,mthemnursemshouldminstructmthemparentmthatmcow's
milkmismthemmostmcommonmfoodmallergyminmchildren.mSomemchildrenmaremsensitivemtomt
hemprotein,
calledmcasein,mfoundminmcow'smmilk.mTheymhavemdifficultymmetabolizingmthemcaseinmandm
are,
therefore,mallergicmtomcow'smmilk.
,Amnursemismteachingmthemparentmofmamtoddlermaboutmhomemsafety.mWhichmofmthemfollo
wing
statementsmbymthemparentmindicatesmanmunderstandingmofmthemteaching?
a.m"Imlockmmymmedicationsminmthemmedicinemcabinet."
b.m"Imkeepmmymchild'smcribmmattressmatmthemhighestmlevel."
c.m"Imturnmpotmhandlesmtomthemsidemofmmymstovemwhilemcooking."
d.m"Imwillmgivemmymchildmsyrupmofmipecacmifmshemswallowsmsomethingmpoisonous."m-
m"ACCURATEmANSWER"mmmmA
Rationale:mLockingmupmmedicationsmandmothermpotentialmpoisonsmpreventsmaccess.mToddler
smhave
improvedmgrossmandmfinemmotormskillsmthatmallowmformfurthermexplorationmofmthemenviro
nmentmand
possiblemaccessmtomhazardousmsubstances.
Amnursemismperformingmamphysicalmassessmentmonmam6-month-oldminfant.mWhichmofmthe
followingmreflexesmshouldmthemnursemexpectmtomfind?
a.mStepping
mb.mBabinski
c.mExtrusion
d.mMorom-m"ACCURATEmANSWER"mmmmB
Rationale:mThemBabinskimreflex,mwhichmismelicitedmbymstrokingmthembottommofmthemfootm
andmcausing
themtoesmtomfanmandmthembigmtoemtomdorsiflex,mshouldmbempresentmuntilmthemagemofm
1myear.mPersistence
ofmneonatalmreflexesmmightmindicatemneurologicalmdeficits.
Amnursemismpreparingmtomadministermrecommendedmimmunizationsmtomam2-month-
oldminfant.
Whichmofmthemfollowingmimmunizationsmshouldmthemnursemplanmtomadminister?
a.mHumanmpapillomavirusm(HPV)mandmhepatitismA
b.mMeasles,mmumps,mrubellam(MMR)mandmtetanus,mdiphtheria,mandmacellularmpertussis
(TDaP)
c.mHaemophilusminfluenzaemtypemBm(Hib)mandminactivatedmpoliomvirusm(IPV)
d.mVaricellam(VAR)mandmlivemattenuatedminfluenzamvaccinem(LAIV)m-
m"ACCURATEmANSWER"mmmmC
Rationale:mThemrecommendedmimmunizationsmformam2-month-
oldminfantmincludemHibmandmIPV.mThe
Hibmimmunizationmseriesmconsistsmofm3mtom4mdoses,mdependingmonmthemimmunizationmus
ed,mandmatma
minimummismadministeredmatmthemagesmofm2mmonths,m4mmonths,mandm12mtom15mmont
hs.mThemIPV
immunizationmseriesmconsistsmofm4mdosesmandmismadministeredmatmthemagesmofm2mmont
hs,m4mmonths,m6
tom18mmonths,mandm4mtom6myears.
Amnursemismdevelopingmamplanmofmcaremformamschool-
agemchildmwhomunderwentmamsurgical
proceduremthatmresultedminmtemporarymlossmofmvision.mWhichmofmthemfollowingminterventi
ons
shouldmthemnursemincludeminmthemplanmofmcare?
a.mAssignmanmassistivempersonnelmtomfeedmthemchild.
b.mExplainmsoundsmthemchildmismhearing.
c.mHavemthemchildmusemamcanemwhenmambulating.
d.mRotatemnursesmcaringmformthemchild.m-m"ACCURATEmANSWER"mmmmB
Rationale:mThemnoisesminmamfacilitymcanmbemfrighteningmtomamchildmwhomismexperiencing
mamsensory
loss.mItmismimportantmtomexplainmthesemnoisesmtomallaymthemchild'smfears.
,Amnursemismassessingmam3-year-
oldmchildmwhomism1mdaympostoperativemfollowingmamtonsillectomy.
Whichmofmthemfollowingmmethodsmshouldmthemnursemusemtomdeterminemifmthemchildmis
experiencingmpain?
a.mAskmthemparents.
b.mUsemthemFACESmscale.
c.mUsemthemnumericmratingmscale.
d.mCheckmthemchild'smtemperature.m-m"ACCURATEmANSWER"mmmmB
Rationale:mPainmismamsubjectivemexperiencemevenmformam3-year-
oldmchild.mThemFACESmscalemcanmbe
usedmtomaccuratelymdeterminemthempresencemofmpainminmchildrenmasmyoungmasm3myears
mofmage.
12.mAmnursemismassessingmam6-month-oldminfantmatmamwell-
childmvisit.mWhichmofmthemfollowing
findingsmindicatesmthemneedmformfurthermassessment?
a.mGrabsmfeetmandmpullsmthemmtomhermmouth
b.mPosteriormfontanelmismclosed
c.mLegsmremainmcrossedmandmextendedmwhenmsupine
d.mBirthmweightmhasmdoubledm-m"ACCURATEmANSWER"mmmmC
Rationale:mLegsmcrossedmandmextendedmwhenmsupinemismanmunexpectedmfindingmandmreq
uiresmfurther
assessment.mAtm6mmonthsmofmage,mthemlegsmflexmatmthemkneesmwhenmtheminfantmismsu
pine.mCrossedmand
extendedmlegsmwhenmsupinemismamfindingmassociatedmwithmcerebralmpalsy.
Amnursemismobservingmammothermwhomismplayingmpeek-a-boomwithmherm8-month-
oldmchild.mThe
mothermasksmifmthismgamemhasmanymdevelopmentalmsignificance.mThemnursemshouldminfor
mmthe
mothermthatmpeek-a-boomhelpsmdevelopmwhichmofmthemfollowingmconceptsminmthemchild?
a.mHand-eyemcoordination
b.mSensemofmtrust
c.mObjectmpermanence
d.mEgocentrismm-m"ACCURATEmANSWER"mmmmC
Rationale:mObjectmpermanencemrefersmtomthemcognitivemskillmofmknowingmanmobjectmstillm
existsmeven
whenmitmismoutmofmsight.mInmdiscoveringmamhiddenmobjectmwhilemplayingmpeek-a-
boo,mtheminfant
experiencesmvalidationmofmthismconcept.
Amnursemismcaringmformam15-month-
oldmtoddlermwhomrequiresmdropletmprecautions.mWhichmofmthe
followingmactionsmshouldmthemnursemtake?
a.mHavemthemtoddlermwearmamdisposablemgownmwhenminmthemunit'smplayroom.
b.mWearmsterilemglovesmwhenmchangingmthemtoddler'smdiapers.
c.mWearmammaskmwhenmassistingmthemtoddlermwithmmeals.
d.mAskmvisitorsmtomwearmanmN-95mmaskmwhenmenteringmthemroom.m-
m"ACCURATEmANSWER"mmmmC
Rationale:mThemnursemshouldmwearmammaskmwhenmwithinm3mtom6mfeetmofmthemtoddler
mtompreventmthe
transmissionmofminfectionsmthatmaremspreadmviamlargemdropletmparticlesmexpelledminmthem
air.
Amnursematmampediatricmclinicmismassessingmam5-month-oldminfantmduringmamwell-
childmvisit.mWhich
, ofmthemfollowingmfindingsmshouldmthemnursemreportmtomthemprovider?
a.mHeadmlagsmwhenmpulledmfrommamlyingmtomamsittingmposition
b.mAbsencemofmstartlemandmcrawlmreflexes
c.mInabilitymtompickmupmamrattlemaftermdroppingmit
d.mRollsmfrommbackmtomsidem-m"ACCURATEmANSWER"mmmmA
Rationale:mAtmthemagemofm5mmonths,mtheminfantmshouldmhavemnomheadmlagmwhenmpulle
dmtomamsitting
position;mtherefore,mthemnursemshouldmreportmthismfindingmtomthemprovider
16.mAmnursemismplanningmtomcollectmamspecimenmfrommammaleminfantmusingmamurinemco
llectionmbag.
Whichmofmthemfollowingmactionsmshouldmthemnursemtake?
a.mWashmandmdrymtheminfant'smgenitaliamandmperineummthoroughly.
b.mApplymamsmallmcoatingmofmwater-
solublemlubricantmtomthemskinmofmtheminfant'smperineal
area.
c.mAvoidmplacingmthemscrotumminsidemthemcollectionmbag.
d.mWaitmseveralmhoursmaftermpositioningmthemdevicembeforemcheckingmit.m-
m"ACCURATEmANSWER"mmmmA
Rationale:mThismismthemmethodmusedmtomobtainmamroutinemurinemspecimenmofmanymsort
minmamchildmwho
ismnotmtoiletmtrained.mThemskinmshouldmbemwashedmandmdriedmtompromotemapplicationm
ofmthemadhesive
ofmthemcollectionmdevice.
Amnurseminmampediatricmclinicmismcaringmformam3-year-
oldmchildmwhomhasmambloodmleadmlevelmofm3
mcg/
dL.mWhenmteachingmthemtoddler'smparentsmaboutmthemcorrelationmofmnutritionmwithmlead
poisoning,mwhichmofmthemfollowingminformationmismappropriatemformthemnursemtominclude
minmthe
teaching?
a.mDecreasemthemchild'smvitaminmCmintakemuntilmthembloodmleadmlevelmdecreasesmtomzer
o.
b.mAdministermamfolicmacidmsupplementmtomthemchildmeachmday.
c.mGivempancreaticmenzymesmtomthemchildmwithmmealsmandmsnacks.
d.mEnsuremthemchild'smdietarymintakemofmcalciummandmironmismadequate.m-
m"ACCURATEmANSWER"mmmmD
Rationale:mAmchildmwhomhasmanmelevatedmbloodmleadmlevelmshouldmhavemanmadequatemi
ntakemof
calciummandmironmtomreducemthemabsorptionmandmeffectsmofmthemlead.mDietarymrecomme
ndations
shouldmincludemmilkmasmamgoodmsourcemofmcalcium.
.mAmnursemismplanningmcaremformam10-month-
oldminfantmwhomhasmsuspectedmfailuremtomthrivem(FTT).
Whichmofmthemfollowingminterventionsmshouldmthemnursemincludeminmthemplanmofmcare?
m(Selectmall
thatmapply.)
a.mObservemthemparents'mactionsmwhenmfeedingmthemchild.
b.mMaintainmamdetailedmrecordmofmfoodmandmfluidmintake.
c.mFollowmthemchild'smcuesmasmtomwhenmfoodmandmfluidsmaremprovided.
d.mSitmbesidemthemchild'smhighmchairmwhenmfeedingmthemchild.
e.mPlaymmusicmvideosmduringmscheduledmmealmtimes.m-m"ACCURATEmANSWER"mmmmA,B
Rationale:mObservingmthemparents'mactionsmwhenmfeedingmthemchildmismcorrect.mInappropri
ate
CORRECT ANSWERS.
Amnurseminmampediatricmclinicmismassessingmamtoddlermatmamwell-
childmvisit.mWhichmofmthe
followingmactionsmshouldmthemnursemtake?
a.mPerformmthemassessmentminmamheadmtomtoemsequence.
b.mMinimizemphysicalmcontactmwithmthemchildminitially.
c.mExplainmproceduresmusingmmedicalmterminology.
d.mStopmthemassessmentmifmthemchildmbecomesmuncooperative.m-
m"ACCURATEmANSWER"mmmmB
Rationale:mThemnursemshouldminitiallymminimizemphysicalmcontactmwithmthemtoddler,mandmt
hen
progressmfrommthemleastmtraumaticmtomthemmostmtraumaticmprocedures.
Amnursemismcaringmformanm18-year-oldmadolescentmwhomismup-to-
datemonmimmunizationsmandmis
planningmtomattendmcollege.mThemnursemshouldminformmthemclientmthatmhemshouldmreceiv
emwhichmofmthe
followingmimmunizationsmpriormtommovingmintomamcampusmdormitory?
a.mPneumococcalmpolysaccharide
b.mMeningococcalmpolysaccharide
c.mRotavirus
d.mHerpesmzosterm-m"ACCURATEmANSWER"mmmmB
Rationale:mThemmeningococcalmpolysaccharidemimmunizationmismusedmtompreventminfection
mby
certainmgroupsmofmmeningococcalmbacteria.mMeningococcalminfectionmcanmcausemlife-
threatening
illnesses,msuchmasmmeningococcalmmeningitis,mwhichmaffectsmthembrain,mandmmeningococce
mia,
whichmaffectsmthemblood.mBothmofmthesemconditionsmcanmbemfatal.mCollegemfreshmen,mpa
rticularly
thosemwhomliveminmdormitories,marematmanmincreasedmriskmformmeningococcalmdiseasemrel
ativemtomother
personsmtheirmage.mTherefore,mthemCentersmformDiseasemControlmandmPreventionmhasmissu
edma
recommendationmthatmallmincomingmcollegemstudentsmreceivemthemmeningococcalmimmuniza
tion.
Amnursemismteachingmthemparentmofmanminfantmaboutmfoodmallergens.mWhichmofmthemfol
lowing
foodsmshouldmthemnursemincludemasmbeingmthemmostmcommonmfoodmallergyminmchildren?
a.mCow'smmilk
b.mWheatmbread
c.mCornmsyrup
d.mEggm-m"ACCURATEmANSWER"mmmmA
Rationale:mAccordingmtomevidence-
basedmpractice,mthemnursemshouldminstructmthemparentmthatmcow's
milkmismthemmostmcommonmfoodmallergyminmchildren.mSomemchildrenmaremsensitivemtomt
hemprotein,
calledmcasein,mfoundminmcow'smmilk.mTheymhavemdifficultymmetabolizingmthemcaseinmandm
are,
therefore,mallergicmtomcow'smmilk.
,Amnursemismteachingmthemparentmofmamtoddlermaboutmhomemsafety.mWhichmofmthemfollo
wing
statementsmbymthemparentmindicatesmanmunderstandingmofmthemteaching?
a.m"Imlockmmymmedicationsminmthemmedicinemcabinet."
b.m"Imkeepmmymchild'smcribmmattressmatmthemhighestmlevel."
c.m"Imturnmpotmhandlesmtomthemsidemofmmymstovemwhilemcooking."
d.m"Imwillmgivemmymchildmsyrupmofmipecacmifmshemswallowsmsomethingmpoisonous."m-
m"ACCURATEmANSWER"mmmmA
Rationale:mLockingmupmmedicationsmandmothermpotentialmpoisonsmpreventsmaccess.mToddler
smhave
improvedmgrossmandmfinemmotormskillsmthatmallowmformfurthermexplorationmofmthemenviro
nmentmand
possiblemaccessmtomhazardousmsubstances.
Amnursemismperformingmamphysicalmassessmentmonmam6-month-oldminfant.mWhichmofmthe
followingmreflexesmshouldmthemnursemexpectmtomfind?
a.mStepping
mb.mBabinski
c.mExtrusion
d.mMorom-m"ACCURATEmANSWER"mmmmB
Rationale:mThemBabinskimreflex,mwhichmismelicitedmbymstrokingmthembottommofmthemfootm
andmcausing
themtoesmtomfanmandmthembigmtoemtomdorsiflex,mshouldmbempresentmuntilmthemagemofm
1myear.mPersistence
ofmneonatalmreflexesmmightmindicatemneurologicalmdeficits.
Amnursemismpreparingmtomadministermrecommendedmimmunizationsmtomam2-month-
oldminfant.
Whichmofmthemfollowingmimmunizationsmshouldmthemnursemplanmtomadminister?
a.mHumanmpapillomavirusm(HPV)mandmhepatitismA
b.mMeasles,mmumps,mrubellam(MMR)mandmtetanus,mdiphtheria,mandmacellularmpertussis
(TDaP)
c.mHaemophilusminfluenzaemtypemBm(Hib)mandminactivatedmpoliomvirusm(IPV)
d.mVaricellam(VAR)mandmlivemattenuatedminfluenzamvaccinem(LAIV)m-
m"ACCURATEmANSWER"mmmmC
Rationale:mThemrecommendedmimmunizationsmformam2-month-
oldminfantmincludemHibmandmIPV.mThe
Hibmimmunizationmseriesmconsistsmofm3mtom4mdoses,mdependingmonmthemimmunizationmus
ed,mandmatma
minimummismadministeredmatmthemagesmofm2mmonths,m4mmonths,mandm12mtom15mmont
hs.mThemIPV
immunizationmseriesmconsistsmofm4mdosesmandmismadministeredmatmthemagesmofm2mmont
hs,m4mmonths,m6
tom18mmonths,mandm4mtom6myears.
Amnursemismdevelopingmamplanmofmcaremformamschool-
agemchildmwhomunderwentmamsurgical
proceduremthatmresultedminmtemporarymlossmofmvision.mWhichmofmthemfollowingminterventi
ons
shouldmthemnursemincludeminmthemplanmofmcare?
a.mAssignmanmassistivempersonnelmtomfeedmthemchild.
b.mExplainmsoundsmthemchildmismhearing.
c.mHavemthemchildmusemamcanemwhenmambulating.
d.mRotatemnursesmcaringmformthemchild.m-m"ACCURATEmANSWER"mmmmB
Rationale:mThemnoisesminmamfacilitymcanmbemfrighteningmtomamchildmwhomismexperiencing
mamsensory
loss.mItmismimportantmtomexplainmthesemnoisesmtomallaymthemchild'smfears.
,Amnursemismassessingmam3-year-
oldmchildmwhomism1mdaympostoperativemfollowingmamtonsillectomy.
Whichmofmthemfollowingmmethodsmshouldmthemnursemusemtomdeterminemifmthemchildmis
experiencingmpain?
a.mAskmthemparents.
b.mUsemthemFACESmscale.
c.mUsemthemnumericmratingmscale.
d.mCheckmthemchild'smtemperature.m-m"ACCURATEmANSWER"mmmmB
Rationale:mPainmismamsubjectivemexperiencemevenmformam3-year-
oldmchild.mThemFACESmscalemcanmbe
usedmtomaccuratelymdeterminemthempresencemofmpainminmchildrenmasmyoungmasm3myears
mofmage.
12.mAmnursemismassessingmam6-month-oldminfantmatmamwell-
childmvisit.mWhichmofmthemfollowing
findingsmindicatesmthemneedmformfurthermassessment?
a.mGrabsmfeetmandmpullsmthemmtomhermmouth
b.mPosteriormfontanelmismclosed
c.mLegsmremainmcrossedmandmextendedmwhenmsupine
d.mBirthmweightmhasmdoubledm-m"ACCURATEmANSWER"mmmmC
Rationale:mLegsmcrossedmandmextendedmwhenmsupinemismanmunexpectedmfindingmandmreq
uiresmfurther
assessment.mAtm6mmonthsmofmage,mthemlegsmflexmatmthemkneesmwhenmtheminfantmismsu
pine.mCrossedmand
extendedmlegsmwhenmsupinemismamfindingmassociatedmwithmcerebralmpalsy.
Amnursemismobservingmammothermwhomismplayingmpeek-a-boomwithmherm8-month-
oldmchild.mThe
mothermasksmifmthismgamemhasmanymdevelopmentalmsignificance.mThemnursemshouldminfor
mmthe
mothermthatmpeek-a-boomhelpsmdevelopmwhichmofmthemfollowingmconceptsminmthemchild?
a.mHand-eyemcoordination
b.mSensemofmtrust
c.mObjectmpermanence
d.mEgocentrismm-m"ACCURATEmANSWER"mmmmC
Rationale:mObjectmpermanencemrefersmtomthemcognitivemskillmofmknowingmanmobjectmstillm
existsmeven
whenmitmismoutmofmsight.mInmdiscoveringmamhiddenmobjectmwhilemplayingmpeek-a-
boo,mtheminfant
experiencesmvalidationmofmthismconcept.
Amnursemismcaringmformam15-month-
oldmtoddlermwhomrequiresmdropletmprecautions.mWhichmofmthe
followingmactionsmshouldmthemnursemtake?
a.mHavemthemtoddlermwearmamdisposablemgownmwhenminmthemunit'smplayroom.
b.mWearmsterilemglovesmwhenmchangingmthemtoddler'smdiapers.
c.mWearmammaskmwhenmassistingmthemtoddlermwithmmeals.
d.mAskmvisitorsmtomwearmanmN-95mmaskmwhenmenteringmthemroom.m-
m"ACCURATEmANSWER"mmmmC
Rationale:mThemnursemshouldmwearmammaskmwhenmwithinm3mtom6mfeetmofmthemtoddler
mtompreventmthe
transmissionmofminfectionsmthatmaremspreadmviamlargemdropletmparticlesmexpelledminmthem
air.
Amnursematmampediatricmclinicmismassessingmam5-month-oldminfantmduringmamwell-
childmvisit.mWhich
, ofmthemfollowingmfindingsmshouldmthemnursemreportmtomthemprovider?
a.mHeadmlagsmwhenmpulledmfrommamlyingmtomamsittingmposition
b.mAbsencemofmstartlemandmcrawlmreflexes
c.mInabilitymtompickmupmamrattlemaftermdroppingmit
d.mRollsmfrommbackmtomsidem-m"ACCURATEmANSWER"mmmmA
Rationale:mAtmthemagemofm5mmonths,mtheminfantmshouldmhavemnomheadmlagmwhenmpulle
dmtomamsitting
position;mtherefore,mthemnursemshouldmreportmthismfindingmtomthemprovider
16.mAmnursemismplanningmtomcollectmamspecimenmfrommammaleminfantmusingmamurinemco
llectionmbag.
Whichmofmthemfollowingmactionsmshouldmthemnursemtake?
a.mWashmandmdrymtheminfant'smgenitaliamandmperineummthoroughly.
b.mApplymamsmallmcoatingmofmwater-
solublemlubricantmtomthemskinmofmtheminfant'smperineal
area.
c.mAvoidmplacingmthemscrotumminsidemthemcollectionmbag.
d.mWaitmseveralmhoursmaftermpositioningmthemdevicembeforemcheckingmit.m-
m"ACCURATEmANSWER"mmmmA
Rationale:mThismismthemmethodmusedmtomobtainmamroutinemurinemspecimenmofmanymsort
minmamchildmwho
ismnotmtoiletmtrained.mThemskinmshouldmbemwashedmandmdriedmtompromotemapplicationm
ofmthemadhesive
ofmthemcollectionmdevice.
Amnurseminmampediatricmclinicmismcaringmformam3-year-
oldmchildmwhomhasmambloodmleadmlevelmofm3
mcg/
dL.mWhenmteachingmthemtoddler'smparentsmaboutmthemcorrelationmofmnutritionmwithmlead
poisoning,mwhichmofmthemfollowingminformationmismappropriatemformthemnursemtominclude
minmthe
teaching?
a.mDecreasemthemchild'smvitaminmCmintakemuntilmthembloodmleadmlevelmdecreasesmtomzer
o.
b.mAdministermamfolicmacidmsupplementmtomthemchildmeachmday.
c.mGivempancreaticmenzymesmtomthemchildmwithmmealsmandmsnacks.
d.mEnsuremthemchild'smdietarymintakemofmcalciummandmironmismadequate.m-
m"ACCURATEmANSWER"mmmmD
Rationale:mAmchildmwhomhasmanmelevatedmbloodmleadmlevelmshouldmhavemanmadequatemi
ntakemof
calciummandmironmtomreducemthemabsorptionmandmeffectsmofmthemlead.mDietarymrecomme
ndations
shouldmincludemmilkmasmamgoodmsourcemofmcalcium.
.mAmnursemismplanningmcaremformam10-month-
oldminfantmwhomhasmsuspectedmfailuremtomthrivem(FTT).
Whichmofmthemfollowingminterventionsmshouldmthemnursemincludeminmthemplanmofmcare?
m(Selectmall
thatmapply.)
a.mObservemthemparents'mactionsmwhenmfeedingmthemchild.
b.mMaintainmamdetailedmrecordmofmfoodmandmfluidmintake.
c.mFollowmthemchild'smcuesmasmtomwhenmfoodmandmfluidsmaremprovided.
d.mSitmbesidemthemchild'smhighmchairmwhenmfeedingmthemchild.
e.mPlaymmusicmvideosmduringmscheduledmmealmtimes.m-m"ACCURATEmANSWER"mmmmA,B
Rationale:mObservingmthemparents'mactionsmwhenmfeedingmthemchildmismcorrect.mInappropri
ate
