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? - -
Page | 1 Ensure the oxygen source is functioning in the childs room
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."; well-balanced and
high in protein and calories. Children who have cystic fibrosis require a higher percentage
of the recommended dietary allowances of all nutrients to meet their energy requirements.
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."
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; experience
edema due to the increased glomerular permeability, which increases protein loss.
Prednisone decreases glomerular permeability, which causes fluid to shift from the
extracellular spaces, resulting in decreased edema.
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.; indication of increased intracranial pressure in a toddler who has a
concussion.
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.; restricted ability of the
toddler to move their toes 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.
Page | 2
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
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
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 for injury, parents should ensure that the bike is the correct size for the
child
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? - -
Great Toe
A nurse is an emergency department is caring for a school-age child who has epiglottitis.
Which of the following actions should the nurse take? - - Monitor the childs oxygen
saturation
A nurse in an emergency department is caring for a school-age child who has sustained a
minor superficial burn from fireworks on their forearm. Which of the following actions
should the nurse take? - - Apply an antimicrobial ointment to the affected area.