LATEST VERSION
AssessmentLAL-
ALnurseLisLcontributingLtoLtheLplanLofLcareLforLaLschool-
ageLchildLwhoLhasLacuteLpoststreptococcalLglomerulonephritisL(APSGN)LandLisLmildlyLhypertensive
.LWhichLofLtheLfollowingLactionsLshouldLtheLnurseLincludeLinLtheLplanLofLcare?
A. RestrictLtheLchild'sLsodiumLintake
B. WeighLtheLchildLeveryLotherLday
C. MonitorLtheLchild'sLbloodLpressureLeveryL12Lhour
D. PlaceLtheLchildLonLbedLrestL-LRestrictLtheLchild'sLsodiumLintake
ALnurseLisLcollectingLdataLfromLaLtoddlerLatLaLwell-
childLvisit.LWhichLofLtheLfollowingLfindingsLshouldLtheLnurseLidentifyLasLaLpossibleLindicationLofLchildL
maltreatment?
A. diaperLdermatitis
B. bruiseLonLtheLfrontLofLtheLlowerLleg
C. inflamedLunilateralLconjunctiva
D. lacerationLonLtheLsideLofLtheLtorsoL-LlacerationLonLtheLsideLofLtheLtorso
ALnurseLisLreinforcingLdischargeLteachingLwithLtheLparentLofLaLschool-
ageLchildLwhoLisLbeingLtreatedLforLnephroticLsyndrome.LTheLparentsLasksLtheLnurseLwhyLitLisLnecessar
yLtoLcheckLtheLchild'sLurineLforLprotein.LWhichLofLtheLfollowingLexplanationsLshouldLtheLnurseLoffer?
A. "ALdecreaseLinLurineLproteinLindicatesLthatLtreatmentLisLeffective."
B. "ProteinLinLtheLurineLindicatesLyourLchild'sLproteinLintakeLisLadequate."
C. "ProteinLinLtheLurineLindicatesLaLneedLtoLbeginLdialysis."
D. "AnLincreaseLinLurineLproteinLindicatesLyourLchildLhasLaLsecondaryLinfection."L-
L"ALdecreaseLinLurineLproteinLindicatesLthatLtreatmentLisLeffective."
ALnurseLisLreinforcingLhomeLsafetyLinstructionsLwithLtheLparentsLofLaLtoddler.LWhichLofLtheLfollowingL
parentLstatementsLindicatesLanLunderstandingLofLtheLteaching?
A. "WeLwillLkeepLourLchildLoutLofLtheLsunLbetweenL3Lp.m.LandL5Lp.m."
B. "WeLwillLtransitionLourLchildLtoLaLtoddlerLbedLwhenLheLisL2LfeetLtall."
C. "WeLwillLpurchaseLaLtoyLstorageLboxLwithLaLlightweightLlid."
D. "WeLwillLprovideLaLhealthyLsnackLofLpeanuts."L-
L"WeLwillLpurchaseLaLtoyLstorageLboxLwithLaLlightweightLlid."
ALnurseLisLcontributingLtoLtheLplanLofLcareLforLaLchildLwhoLhasLsickleLcellLanemiaLandLisLexperiencingLaL
vaso-
occlusiveLcrisis.LWhichLofLtheLfollowingLisLtheLpriorityLinterventionLforLtheLnurseLtoLrecommendLtoLinc
ludeLinLtheLplan?
,A. promoteLoxygenLutilization
,B. AdministerLantibiotics
C. encourageLfluidLintake
D. applyLaLwarmLcompressLtoLtheLjointsL-LpromoteLoxygenLutilization
ALnurseLisLreviewingLtheLmedicalLrecordLofLaLfemaleLadolescentLclientLwhoLhasLprimaryLamenorrhea.L
WhichLofLtheLfollowingLfindingsLshouldLtheLnurseLidentifyLasLaLriskLfactorLforLthisLdisorder?L(selectLallL
thatLapply)
A. hypothyroidism
B. obesity
C. cannabisLuse
D. oralLcontraceptiveLuse
E. emotionalLstressL-L1.Lhypothyroidism
2. cannabisLuse
3. oralLcontraceptiveLuse
4. emotionalLstress
ALnurseLisLreviewingLtheLlaboratoryLreportLofLaLpreschoolerLwhoLhasLWilms'LtumorLandLisLscheduledLt
oLbeginLtreatmentLwithLanLantineoplasticLmedicationLregimen.LWhichLofLtheLfollowingLlaboratoryLresu
ltsLshouldLtheLnurseLreportLtoLtheLprovider?
A. BUNL16Lmg/dL
B. WBCLcountL5,500/mm3
C. serumLglucoseL98Lmg/dL
D. PlateletLcountL70,000L-LPlateletLcountL70,000
ALnurseLisLcollectingLdataLfromLanLinfantLwhoLisLreceivingLIVLtherapyLforLfluidLreplacement.LWhichLo
fLtheLfollowingLfindingsLindicatesLtheLinfant'sLstatusLisLimproving?
A. WBCLcountL19,000/mm3
B. SodiumLlevelL145LmEq/L
C. CapillaryLrefillLgreaterLthanL3Lseconds
D. DryLmucousLmembranesL-LSodiumLlevelL145LmEq/L
ALnurseLisLcollectingLdataLfromLaL12LmonthLoldLinfantLduringLaLwell-
childLvisit.LTheLnurseLshouldLidentifyLwhichLofLtheLfollowingLfindingsLasLaLdeviationLfromLexpectedLgr
owthLandLdevelopment?
A. vocabularyLofLthreeLwords
B. negativeLBabinskiLreflex
C. birthLweightLdoubled
D. unableLtoLbuildLaLtwo-blockLtowerL-LbirthLweightLdoubled
ALnurseLisLassistingLtheLproviderLwithLaLdevelopmentalLassessmentLofLaLtoddler.LWhichLofLtheLfollowin
gLbehaviorsLshouldLtheLnurseLrecognizeLasLanLexpectedLfinding?
A. WalksLbackwardsLwithLheelLtoLtoe
, B. StandsLonLoneLfootLforLseveralLseconds
C. UsesLscissorsLtoLcutLoutLshapes
D. PrintsLlettersLwithLaLpencilL-LStandsLonLoneLfootLforLseveralLseconds
ALnurseLisLcaringLforLaLschool-
ageLchildLwhoLhasLbeenLadmittedLtoLtheLfacilityLinLsickleLcellLcrisis.LTheLnurseLisLmeasuringLtheLchild'sL
oralLintakeLforLtheLshift.LTheLchildLconsumedL4LozLofLjuiceLatLbreakfast.LForLlunch,LtheLchildLconsumedL
6LozLofLmilk,L6LzLofLgelatin,LandLdrankL7LozLofLwater.
WhatLisLtheLchild'sLoralLintakeLforLthisLshiftLinLmilliliters?L(roundLtoLtheLnearestLwholeLnumber)L-
L690Lml
#LofLozLxL30=mL
ALnurseLisLreinforcingLdietaryLteachingLaboutLaLlow-
sodiumLdietLwithLtheLparentsLofLaLchildLwhoLisLrecoveringLfromLacuteLglomerulonephritis.LWhichLofLth
eLfollowingLfoodLchoicesLbyLtheLparentsLindicatesLanLunderstandingLofLtheLteaching?
A. pretzels
B. apples
C. cannedLcorn
D. peanutLbutterL-Lapples
ALnurseLisLcollectingLdataLfromLanLinfantLwhoLhasLsevereLdehydration.LWhichLofLtheLfollowingLfinding
sLshouldLtheLnurseLexpect?
A. capillaryLrefillLofL2Lseconds
B. flushedLskin
C. weightLlossLofL10%
D. bulgingLanteriorLfonanelL-LweightLlossLofL10%
ALnurseLisLreinforcingLdischargeLteachingLwithLtheLguardianLofLaLchildLwhoLhasLjuvenileLidiopathicLa
rthritisL(JIA).LWhichLofLtheLfollowingLstatementsLbyLtheLguardianLindicatesLanLunderstandingLofLtheLt
eaching?
A. "ILwillLhaveLmyLchildLsleepLinLknee,Lwrist,LandLhandLsplints."
B. "ILwillLencourageLmyLchildLtoLtakeLanLafternoonLnap."
C. "ILwillLapplyLtopicalLhydrocortisoneLtoLmyLchild'sLjointsLasLneeded."
D. "ILwillLadministerLopioidsLtoLmyLchildLforLtheLnextLseveralLmonthsLtoLcontrolLtheLpain."L-
L"ILwillLhaveLmyLchildLsleepLinLknee,Lwrist,LandLhandLsplints."
ALnurseLisLcaringLforLaLpreschoolerLwhoLhasLaLnewLdiagnosisLofLasthma.LWhichLofLtheLfollowingLmedic
ationsLshouldLtheLnurseLinstructLtheLparentLtoLadministerLforLanLacuteLasthmaLattack?
A. Levalbuterol
B. Fluticasone
C. Omalizumab
D. MontelukastL-LLevalbuterol