• A nurse is caring for a child during a tonic-clonic seizure. Which of the
following actions should the nurse take? SATA
• Clear the areas of hard objects
• Firmly hold the child’s arms to one side
• Place a pillow under the childs head
• Insert a tongue blade into the childs mouth
• Loosen tight clothing around the childs neck.
• A nurse is preparing to perform a venipuncture to collect a blood sample
from an infant. Which of the following restraints should the nurse plan to use for this
procedure?
• Elbow
• Mitten
• Jacket
• Mummy
• A nurse is teaching a parent of a preschool-age child about management of
sleep terrors. Which of the following instructors should the nurse include?
• Take the child to the parents bed to resume sleep
• Allow the child to fall asleep with the television on
• Remain uninvolved until the child awakens
• Schedule professional counseling for the child
• A nurse is assessing a toddler who is 8hr post operative following a cardiac
catherization procedure. Which of the following findings should the nurse report to the
provider?
• Weak pedal pulse distal to the site
• Bilateral cool extremities
• Serum glucose 90mg/dl
• BP 102/58
• A nurse is assessing a preschool-age child who is in the immediate
postoperative period following a tonsillectomy. Which of the following assessement
findings is the priority?
• The child swallows frequently
• The child refuses clear liquids
• The childs throat pain increases
• The child cries often
• A nurse is planning care for an 8 month old infant who has bronchiolitis.
Which of the following actions should the nurse include in the plan of care?
• Use a bulb syringe to suction the nares
• Place the infant in a room with negative pressure airflow
• Administer a meningococcal vaccine upon admission
• Initiate IV antibiotic therapy
• A nurse is preparing a parents education class about nutrition for toddlers.
The nurse should identify which of the following findings as an indication of protein
deficiency?
• Dry, Thinning Hair
• Muscle Twitching
• Dental Caries
, • Poor Skin Turgor
• A nurse is caring for a 10 month old who was brought to the emergency
dept by his parents following a head injury. Which of the following actions should the
nurse take first?
• Examine the scalp for lacereationss
• Inspect for fluid leaking from the ears
• Assess respiratory status
• Check pupil reactions
• A nurse is collecting data from a toddler who weighs 20kg and has a full
thickness burn to 10% of his body. Which of the following findings should the nurse
report to the provider?
• Bowel sounds 20/min
• Increased restlessness
• Respiratory rate 25/min
• Urinary output 35 ml/hr
• A nurse in an emergency department is caring for a preschool age child
who has acute acetylsalicylic acid poisoning. Which of the following should the nurse
expect?
• Jaundice
• Hyperpyrexia
• Polyuria
• Neck vein distention
• A nurse is assessing a preschool age child who has celiac disease. Which
of the following findings should the nurse expect?
• Obesity
• Polyphagia
• Steatorrhea
• Chronic Constipation
• A school nurse is assessing a 7 year old student. The nurse should identify
which of the following findings as a potential indicator of physical abuse?
• Bruising around the wrists
• Front deciduous teeth missing
• Abrasions on the knees
• Weight in the 45th percentile
• A nurse is planning care for a child who has osteomyelitis. Which of the
following interventions should the nurse include in the plan of care.
• Provide a high calorie low protein diet
• Encourage frequent physical activity to increase bone mass
• Initiate contact precautions for the child
• Maintain a patent intravenous catheter
• A nurse is reviewing the lab resultsl of the preschool age child who has
hematuria. Which of the following results should the nurse report to the provider?
• Platelet count 170,000/mm
• Hgb 12
• Hematocrit 36
• BUN 21
following actions should the nurse take? SATA
• Clear the areas of hard objects
• Firmly hold the child’s arms to one side
• Place a pillow under the childs head
• Insert a tongue blade into the childs mouth
• Loosen tight clothing around the childs neck.
• A nurse is preparing to perform a venipuncture to collect a blood sample
from an infant. Which of the following restraints should the nurse plan to use for this
procedure?
• Elbow
• Mitten
• Jacket
• Mummy
• A nurse is teaching a parent of a preschool-age child about management of
sleep terrors. Which of the following instructors should the nurse include?
• Take the child to the parents bed to resume sleep
• Allow the child to fall asleep with the television on
• Remain uninvolved until the child awakens
• Schedule professional counseling for the child
• A nurse is assessing a toddler who is 8hr post operative following a cardiac
catherization procedure. Which of the following findings should the nurse report to the
provider?
• Weak pedal pulse distal to the site
• Bilateral cool extremities
• Serum glucose 90mg/dl
• BP 102/58
• A nurse is assessing a preschool-age child who is in the immediate
postoperative period following a tonsillectomy. Which of the following assessement
findings is the priority?
• The child swallows frequently
• The child refuses clear liquids
• The childs throat pain increases
• The child cries often
• A nurse is planning care for an 8 month old infant who has bronchiolitis.
Which of the following actions should the nurse include in the plan of care?
• Use a bulb syringe to suction the nares
• Place the infant in a room with negative pressure airflow
• Administer a meningococcal vaccine upon admission
• Initiate IV antibiotic therapy
• A nurse is preparing a parents education class about nutrition for toddlers.
The nurse should identify which of the following findings as an indication of protein
deficiency?
• Dry, Thinning Hair
• Muscle Twitching
• Dental Caries
, • Poor Skin Turgor
• A nurse is caring for a 10 month old who was brought to the emergency
dept by his parents following a head injury. Which of the following actions should the
nurse take first?
• Examine the scalp for lacereationss
• Inspect for fluid leaking from the ears
• Assess respiratory status
• Check pupil reactions
• A nurse is collecting data from a toddler who weighs 20kg and has a full
thickness burn to 10% of his body. Which of the following findings should the nurse
report to the provider?
• Bowel sounds 20/min
• Increased restlessness
• Respiratory rate 25/min
• Urinary output 35 ml/hr
• A nurse in an emergency department is caring for a preschool age child
who has acute acetylsalicylic acid poisoning. Which of the following should the nurse
expect?
• Jaundice
• Hyperpyrexia
• Polyuria
• Neck vein distention
• A nurse is assessing a preschool age child who has celiac disease. Which
of the following findings should the nurse expect?
• Obesity
• Polyphagia
• Steatorrhea
• Chronic Constipation
• A school nurse is assessing a 7 year old student. The nurse should identify
which of the following findings as a potential indicator of physical abuse?
• Bruising around the wrists
• Front deciduous teeth missing
• Abrasions on the knees
• Weight in the 45th percentile
• A nurse is planning care for a child who has osteomyelitis. Which of the
following interventions should the nurse include in the plan of care.
• Provide a high calorie low protein diet
• Encourage frequent physical activity to increase bone mass
• Initiate contact precautions for the child
• Maintain a patent intravenous catheter
• A nurse is reviewing the lab resultsl of the preschool age child who has
hematuria. Which of the following results should the nurse report to the provider?
• Platelet count 170,000/mm
• Hgb 12
• Hematocrit 36
• BUN 21
