QUESTIONS AND CORRECT ANSWERS VERIFIED BY
EXPERT.
⫸ A nurse is creating a plan of care for a newly admitted adolescent who
has bacterial meningitis. How long should the nurse plan to maintain the
adolescent in droplet precautions? Answer: d. For 24 hr following initiation
of antimicrobial therapy
⫸ A nurse is providing anticipatory guidance to the parent of a toddler.
Which of the following expected behavior characteristics of toddlers should
the nurse include? Answer: d. Expresses likes and dislikes
⫸ A nurse is admitting a 4-month-old infant who has heart failure. Which
of the following findings is the nurses priority? Answer: a. Episodes of
vomiting
⫸ A nurse in an emergency department is assessing a toddler who has
Kawasaki disease. Which of the following findings should the nurse expect?
(Select all that apply.). Answer: i) Increased temperature; iii)
Xerophthalmia; v) Cervical lymphadenopathy
⫸ A nurse is caring for a 10-year-old child following a head injury. Which
of the following findings should the nurse identify as an indication that the
child is developing diabetes insipidus? Answer: b. Sodium 155 mEq/L
⫸ A nurse is planning care to address nutritional needs for a preschooler
who has cystic fibrosis. Which of the following interventions should the
nurse include in the plan? Answer: d. Increase fat content in the child's diet
to 40% of total calories.
,⫸ A nurse is caring for a toddler who has acute otitis media and a
temperature of 40°C (104°F). After administering acetaminophen, which of
the following actions should the nurse plan to take to reduce the toddler's
temperature? Answer: b. Dress the toddler in minimal clothing.
⫸ A nurse is teaching a school-age child and their parent about
postoperative care following cardiac catheterization. Which of the
following instructions should the nurse include? Answer: "Wait 3 days
before taking a tub bath."
⫸ A nurse is assessing an infant who has pneumonia. Which of the
following findings is the priority for the nurse to report to the provider?
Answer: Nasal flaring
⫸ A nurse is teaching the parents of a toddler who has cognitive
impairment about toilet training. Which of the following instructions
should the nurse include in the teaching? Answer: "Award your child with a
sticker when they sit on the potty chair."
⫸ A nurse is monitoring the oxygen saturation level of an infant using
pulse oximetry. The nurse should secure the sensor to which of the
following areas on the infant? Answer: Great toe
⫸ A nurse is receiving change-of-shift report for four children. Which of
the following children should the nurse assess first? Answer: a. A toddler
who has a concussion and an episode of forceful vomiting
⫸ A nurse is providing dietary teaching to the guardian of a school-age
child who has cystic fibrosis. Which of the following statements should the
nurse make? Answer: a) "You should offer your child high-protein meals
and snacks throughout the day."
,⫸ A nurse is providing discharge teaching to the guardians of a toddler
who had lower leg cast applied 24 hr ago. The nurse should instruct the
guardians to report which of the following finding to the provider? Answer:
b) Restricted ability to move the toes
⫸ A nurse is collecting data from a school-age child. The nurse should
identify which of the following findings as a manifestation of physical
abuse? Answer: Bruises at various stages of healing
⫸ A nurse is reinforcing teaching with an adolescent who has an inflamed
nonperforated appendix and is scheduled for a laparoscopic-assisted
appendectomy. Which of the following instructions should the nurse
include? Answer: "You will sit in your chair at least twice a day after
surgery."
⫸ A nurse at a pediatric clinic is assessing a 5-month-old infant during a well-
child visit. Which of the following findings should the nurse report to the
provider? Answer: Head lags when pulled from a lying to a sitting position
⫸ A nurse is planning to collect a specimen from a male infant using a urine
collection bag. Which of the following actions should the nurse take? Answer:
Wash and dry the infant's genitalia and perineum thoroughly.
⫸ A nurse in a pediatric clinic is caring for a 3-year-old child who has a blood
lead level of 3 mcg/dL. When teaching the toddler's parents about the
correlation of nutrition with lead poisoning, which of the following information
is appropriate for the nurse to include in the teaching? Answer: Ensure the
child's dietary intake of calcium and iron is adequate.
⫸ A nurse is planning care for a 10-month-old infant who has suspected failure
to thrive (FTT). Which of the following interventions should the nurse include
in the plan of care? (Select all that apply.). Answer: Observe the parents'
, actions when feeding the child.; Maintain a detailed record of food and fluid
intake.
⫸ A nurse is assessing a 7-year-old child's psychosocial development. Which of
the following findings should the nurse recognize as requiring further
evaluation? Answer: The child complains daily about going to school.
⫸ A nurse is providing education to the parent of a toddler who is about to
receive her first dose of the MMR (measles, mumps and rubella) immunization.
Which of the following statements by the parent indicates an understanding of
the teaching? Answer: "I can give my child acetaminophen for discomfort
associated with the immunization."
⫸ A nurse is providing teaching to the parents of a 4-year-old child about fine
motor development. Which of the following tasks should the nurse include in
the teaching as an expected finding for this age group? Answer: Copies a circle
⫸ A nurse is providing teaching to the parents of a 4-year-old child about fine
motor development. Which of the following toys is most appropriate for this
age group? Answer: Plastic stethoscope
⫸ A nurse in an emergency department is caring for an 8-year old who is up-
to-date with current immunization recommendations and has a deep puncture
injury. Which of the following should the nurse anticipate administering?
Answer: Adult tetanus booster (Td)
⫸ A nurse is providing teaching about promoting sleep with the parent of a 3-
year-old toddler. Which of the following information should the nurse include?
Answer: Follow a nightly routine and established bedtime.