1. A nurse is planning care for a newly admitted schole-age child who has generalized seizure disorder. Which of
the following interventions should the nurse plan to include?
Ensure the oxygen source is functioning in the childs room
the nurse should recognize that maintaining the childs airway is important during a seizure. the nurse should
ensure the oxygen source is functioning bc the child might require supplemental oxygen following a seizure
2. 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?
"You should offer your child high-protein meals and snacks throughout the day."
children who have cf require a higher percentage of the recommended dietary allowances of all nutrients to meet
their energy requirements. children who have good nutritional intake have improved lung function and decrease
risk of infection
3. A nurse is providing discharge teaching to the parents of a 6-month-old infant who is postoperative following
hypospadias repair with a stent placement. Which of the following instructions should the nurse include in the
teaching?
"Allow the stent to drain into your infants diaper."
this is to prevent kinking or twisting that can interfere with urine flow
4. A nurse is caring for a school-age child who has primary nephrotic syndrome and is taking prednisone. Following
1 week of treatment, which of the following manifestations indicates to the nurse that the medication is effective?
Decreased edema
a child who has nephrotic syndrome can experience edema d/t the increase glomerular permeability, which
increases protein loss. prednisone decreases glomerular permeability, which causes fluid to shift from the
extracellular spaces, resulting in decreased edema
, 5. A nurse is receiving change-of-shift report for four children. Which of the following children should the nurse
assess first?
A toddler who has a concussion and an episode of forceful vomiting.
when using urgent vs. nonurgent approach to pt care, the nurse should assess this child first. an episode of
forceful vomiting is an indication of increased ICP in a toddler who has a concussion
6. 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?
Restricted ability to move the toes.
this is an indication of neurovascular compromise and requires immediate notification of the provider. permanent
muscle and tissue damage can occur in just a few hours
7. A nurse in an emergency department is auscultating the lungs of an adolescent who is experiencing dyspnea.
The nurse should identify the sound as which of the following?
Wheezes
wheezes are high-pitched, musical or whistling-like sounds heard primarily on expiration as air passes through
and vibrate narrowed airways
8. A nurse is caring for a preschooler who has congestive heart failure. The nurse observes wide QRS complexes
and peaked T waves on the cardiac monitor. Which of the following prescriptions should the nurse clarify with the
provider?
Potassium Chloride
the nurse should identify that a child who has a chf can develop e imbalances such as hyper hypokalemia. the
nurse should identify that the child is exhibiting manifestations of hyperkalemia and contact the MD about the
admin of this which can increase the severity of hyperkalemia
9. A nurse is planning an educational program for school-age children and their parents about bicycle safety. Which
of the following information should the nurse plan to include?
The child should be able to stand on the balls of their feet when sitting on the bike.
to decrease the risk of injury, parents should ensure that the bike is the correct size for the child. when seated on
the bike, the child should be able to stand with the ball of each foot touching the ground and should be able to
stand with each foot flat on the ground when straddling the bikes center
the following interventions should the nurse plan to include?
Ensure the oxygen source is functioning in the childs room
the nurse should recognize that maintaining the childs airway is important during a seizure. the nurse should
ensure the oxygen source is functioning bc the child might require supplemental oxygen following a seizure
2. 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?
"You should offer your child high-protein meals and snacks throughout the day."
children who have cf require a higher percentage of the recommended dietary allowances of all nutrients to meet
their energy requirements. children who have good nutritional intake have improved lung function and decrease
risk of infection
3. A nurse is providing discharge teaching to the parents of a 6-month-old infant who is postoperative following
hypospadias repair with a stent placement. Which of the following instructions should the nurse include in the
teaching?
"Allow the stent to drain into your infants diaper."
this is to prevent kinking or twisting that can interfere with urine flow
4. A nurse is caring for a school-age child who has primary nephrotic syndrome and is taking prednisone. Following
1 week of treatment, which of the following manifestations indicates to the nurse that the medication is effective?
Decreased edema
a child who has nephrotic syndrome can experience edema d/t the increase glomerular permeability, which
increases protein loss. prednisone decreases glomerular permeability, which causes fluid to shift from the
extracellular spaces, resulting in decreased edema
, 5. A nurse is receiving change-of-shift report for four children. Which of the following children should the nurse
assess first?
A toddler who has a concussion and an episode of forceful vomiting.
when using urgent vs. nonurgent approach to pt care, the nurse should assess this child first. an episode of
forceful vomiting is an indication of increased ICP in a toddler who has a concussion
6. 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?
Restricted ability to move the toes.
this is an indication of neurovascular compromise and requires immediate notification of the provider. permanent
muscle and tissue damage can occur in just a few hours
7. A nurse in an emergency department is auscultating the lungs of an adolescent who is experiencing dyspnea.
The nurse should identify the sound as which of the following?
Wheezes
wheezes are high-pitched, musical or whistling-like sounds heard primarily on expiration as air passes through
and vibrate narrowed airways
8. A nurse is caring for a preschooler who has congestive heart failure. The nurse observes wide QRS complexes
and peaked T waves on the cardiac monitor. Which of the following prescriptions should the nurse clarify with the
provider?
Potassium Chloride
the nurse should identify that a child who has a chf can develop e imbalances such as hyper hypokalemia. the
nurse should identify that the child is exhibiting manifestations of hyperkalemia and contact the MD about the
admin of this which can increase the severity of hyperkalemia
9. A nurse is planning an educational program for school-age children and their parents about bicycle safety. Which
of the following information should the nurse plan to include?
The child should be able to stand on the balls of their feet when sitting on the bike.
to decrease the risk of injury, parents should ensure that the bike is the correct size for the child. when seated on
the bike, the child should be able to stand with the ball of each foot touching the ground and should be able to
stand with each foot flat on the ground when straddling the bikes center
