QUESTIONS WITH ACCURATE ANSWERS
◉ A nurse is auscultating the lungs of an adolescent who has
asthma. The nurse should identify the sound as which of the
following? Click the audio button to listen.
A- Biots respiration
B- Chaney Stokes respiration
C- tackypnea
D - Bradypnea Answer: c
◉ A nurse in an emergency department is caring for a school-age
child who is experiencing an anaphylactic reaction. Which of the
following is the priority action by the nurse?
A- Elevate the head of the child's bed
B- insert a large-bore IV catheter for the child
C- determine the allergen that caused the child's reaction
D- administer IM epinephrine to the child Answer: D
◉ The nurse is preparing to administer an immunization to a four-
year-old child. Which of the following actions should the nurse plan
to take?
A- Place the child in a prone position for the immunization
,B- request that the child's caregiver leave the room during the
immunization
C- administer the immunization using a 24 gauge needle
D- inject the immunization slowly after aspirating for 3 seconds
Answer: C
◉ A nurse is reviewing the laboratory report of an infant who is
receiving treatment for severe dehydration. The nurse should
identify which of the following laboratory values indicates
effectiveness of the current treatment?
A- Potassium 2.9 mEq/L
B- sodium 140
C- urine specific gravity 1.035
D- BUN 25 mg Answer: b
◉ The nurse is providing teaching about Social Development to the
parents of a preschooler. Which of the following play activities
should the nurse recommend for the child? A- Play pat-a-cake
B- using a push pull toy
C- creating a scrapbook
D- playing dress-up Answer: D
,◉ A nurse is teaching the parents of a newborn about ways to
prevent sudden infant death syndrome SIDS. Which of the following
instructions should the nurse include?
A- Place the infant in a prone position to sleep.
B- Allow the infant to sleep on a large pillow.
C- User soft mattress in the infant's crib.
D- Give the infant a pacifier at bedtime. Answer: d
◉ 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?
A- Nasal flaring
B- WBC 11,300
C- diarrhea
D- abdominal distension Answer: a
◉ A school nurse is assessing a school-age child blood pressure
while he is seated in a chair. The child starts to experience a tonic-
clonic seizure. Which of the following actions should the nurse take
first?
A- Clear the immediate area around the child of hazardous objects
B- loosen the child restrictive clothing
C- assist the child to a side-lying position on the floor
D- apply an oxygen mask to the child Answer: c
, ◉ A nurse is preparing to administer ibuprofen 5 mg per kg every 6
hours PRN for temperatures above 38.0 degrees Celsius or 100.5
degrees Fahrenheit to an infant who weighs 17.6 lb. The infant has a
temperature of 38.4 degrees Celsius or 100 + 1.2 degrees
Fahrenheit. Available is ibuprofen liquid 100mg/ 5 ml. how many
milliliters should the nurse administer to the infant per dose? Round
the answer to the nearest whole number. Use a leading zero if it
applies. Answer: 2 mL
◉ A nurse is receiving change-of-shift Report on for children. Which
of the following children should the nurse assess first?
A- A toddler who has a concussion and an episode of forceful
vomiting
B- an adolescent who has infective endocarditis and reports having a
headache
C- an adolescent who was placed into Halo traction 1 hour ago and
rates his pain at a 6 on a 0-10 scale
D- school-age child who has acute glomerulonephritis and brown
colored urine Answer: A
◉ A nurse in the emergency department is caring for an adolescent
who has severe abdominal pain due to appendicitis. Which of the
following locations should the nurse identify as Mcburney's point?
Answer: A