actions should the nurse plan first?
A. Use a tumbling E chart for the assessment
B. Position the child 4.6 meters (15 feet) from the chart
C. Asses both eyes together first, then each eye separately
D. Test the child without glasses before testing with glasses
2. A nurse is providing disc...
1. A nurse is preparing to assess a 4-year-old child’s visual acuity. Which of the
following actions should the nurse plan first?
A. Use a tumbling E chart for the assessment
B. Position the child 4.6 meters (15 feet) from the chart
C. Asses both eyes together first, then each eye separately
D. Test the child without glasses before testing with glasses
2. A nurse is providing discharge teaching to a parent of a child who has juvenile
idiopathic arthritis and a new prescription of prednisone/etanercept. Which of the
following statements should the nurse include in the teaching?
A. Monitor your child for indications of infection
B. Discontinue this medication if gastrointestinal upset occurs
C. Expect that this medication will stimulate growth spurt
D. Limit your child’s intake of potassium-rich foods
3. A nurse on a pediatric unit is caring for four children. The nurse should use
droplet precautions for which of the following children?
A. An adolescent who has hepatitis A
B. A toddler who has seasonal influenza
C. A preschool-age child who has pediculosis capitis
D. A school-age child who has viral conjunctivitis
4. A nurse is providing teaching to an adolescent who has vulvovaginitis. Which of
the following statements should the nurse include in the teaching?
A. Apply a warm, moist compress three times a day
B. Apply a scent baby powder to absorb residual moisture
C. Wear a feminine deodorant pad for vaginal drainage
D. Wear a nylon underwear at night
5. A nurse is creating a plan of care for a school-age child who has nephrotic
syndrome. Which of the following interventions should the nurse include? (SATA)
A. Provide a low sodium diet
B. Encourage increased fluid
intake C. Assess for protein in the
urine
D. Initiate contact precautions
E. Obtain a daily weight
, 6. A nurse in a pediatric unit is caring for a school-age child following a
cardiac catheterization. Which of the following interventions would the
nurse take?
A. Maintain NPO status for 24 hours following the procedure
B. Administer meperidine for pain every 4 hours
C. Perform a sterile dressing change 8 hours after the
procedure D. Keep the affected extremity straight for 6 hours.
7. A nurse is teaching a parent of a toddler about administering digoxin. Which of
the following statements by the parent indicates understanding of the teaching?
A. I should mix the medication with 4 ounces of child’s favorite
juice B. I should give me child water after giving the medication
C. I should give my child another dose if he vomits right after taking the medication
D. I should give the medication with foods that are high in fiber
8. A nurse is caring for a 9-year-old child who has major burns to her face and upper
torso. Which of the following actions should the nurse take first?
A. Administer a tetanus
vaccine B. Give pain medication
C. Begin enteral feedings
D. Initiate a crystalloid IV bolus
9. A nurse is planning care for a toddler who has developed oral ulcers in response to
chemotherapy. Which of the following should the nurse include in the plan of
care?
A. Schedule routine oral care every 8 hours
B. Administer oral viscous lidocaine
C. Moisten the mucous with lemon glycerin
swabs D. Cleanse the gums with saline soaked
gauze
10. A nurse in a community health clinic is assessing the needs of a single parent who has
three young children and works full time. Which of the following resources should
the nurse recommend?
A. 12-step support
group B. Respite child-
care
C. Child home health care
D. Counseling for depression
11. A nurse is caring for a child who has prescription for fluticasone and has developed
white patches and sores in his mouth. Which of the following is an appropriate action
2
, for the nurse to take?
3
, A. Encourage the use of a spacer
B. Withhold the medication until the lesions heal
C. Obtain a prescription for oral
prednisone D. Collect a culture from the
lesions
12. A nurse is providing teaching to the parents of a child who has impetigo. Which of
the following instructions should the nurse include in the teaching?
A. Seal soft toys in a plastic bag for 14
days B. Apply bacterial ointment for
lesions
C. Administer acyclovir PO two times per day
D. Soak hairbrushes in boiling water for 10 minutes
13. A nurse in an emergency department is caring for a child who is epiglottis. Which of
the following actions should the nurse take?
A. Provide nebulizer aerosol therapy
B. Administer IV antibiotics
C. Inspect the tonsils using a tongue depressor
D. Collect a throat culture
14. A nurse is planning care for a child who is placed in skin traction. Which of the
following is the priority action for the nurse to take?
A. Increase fluid intake
B. Maintain a proper body alignment
C. Use an alternate pressure mattress
D. Monitor pedal pulses
15. A nurse is preparing to administer ondansetron 0.15 mg/kg IV to a child who is
receiving chemotherapy and weighs 29.4 kg. available is ondansetron 4mg/2mL
solution. How many mL should the nurse administer? (Round the answer to the nearest
tenth. Use a leading zero if it applies. Do not use a trailing zero).
Answer: 2.2 mL
16. A nurse is performing a physical assessment of a school-age child who has
acute glomerulonephritis. Which of the following findings should the nurse
expect?
A. Hypotension
B. Increased urinary output
C. Flushed skin
D. Facial edema
4
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