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1. A nurse is assisting a child who has multiple closed B. Compartment
fractures of the lower extremities due to a motor-ve- syndrome
hicle crash. The nurse should monitor the child for
which of the following complications during the first
24 hr. after the injury occurred?
A. Osteomyelitis
B. Compartment syndrome
C. Volkmann ischemic contracture
D. Renal calculi
2. A nurse is teaching the parent of a toddler who has B. Avoid foods
phenylketonuria about meal planning. Which of the containing milk
following information should the nurse include in the products
teaching?
A. Use aspartame as sugar substitute
B. Avoid foods containing milk products
C. Increase the toddler's protein consumption
D. Limit foods high in iron
3. A nurse at an inpatient facility is planning care for C. Keep staff visits
a child who has autism spectrum disorder. Which of with the child brief
the following interventions should the nurse include
in the plan of care?
A. Vary daily routines when providing care for the
child
B. Keep the television on in the child's room for back-
ground noise
C. Keep staff visits with the child brief
D. Place the child in a semiprivate room
4. A nurse is assisting an infant who has severe dehy- C. Increase respi-
dration due to gastroenteritis. Which of the following ratory rate
findings should the nurse expect?
A. Increase urine output
B. Hypertension
C. Increase respiratory rate
D. Capillary refill of 2 seconds
5.
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A nurse is planning care for a child who has cystic D. Use a vest to
fibrosis. Which of the following interventions should perform high-fre-
the nurse plan to include? quency chest com-
A. Restrict the child's physical activity to promote rest pressions
B. Administer pancreatic enzymes by mouth 1 hr. prior
to each meal (Pancreatic enzymes should be taken
within 30 minutes of eating)
C. Provide the child with low sodium diet
D. Use a vest to perform high-frequency chest com-
pressions
6. A nurse is teaching the parent of a school age child B. Your child
about bicycle safety. Which of the following instruc- should walk the bi-
tions should the nurse include in the teaching? cycle through in-
A. Your child's feet should be 3 to 6 inches off the tersections
ground when seated on the bicycle
B. Your child should walk the bicycle through intersec-
tions
C. Your child should keep the bicycle at least 3 feet
from the curb while riding in the street
D. Your child should ride the bicycle against the flow
of traffic
7. A nurse is preparing a child for a lumbar puncture. In A. Lateral
which of the following positions should the child be
placed for the procedure?
A. Lateral
B. Prone
C. Semi-fowler
D. Supine
8. A nurse is reviewing the complete blood count results D. RBC count
for a child who is receiving treatment for acute lym- 5/mm
phoblastic leukemia. Which of the following findings
should indicate to the nurse that the treatment is hav-
ing a therapeutic effect?
A. WBC count 15.000/mm
B. Hemoglobin 6.8 g/dL
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C. Platelet count 98.0000/mm
D. RBC count 5/mm
9. A nurse is caring for a school age child who has A. Report the diag-
pertussis. Which of the following actions should the nosis to the public
nurse take? health department
A. Report the diagnosis to the public health depart-
ment
B. Place the child in a protected environment for 48hr
C. Administer the pertussis vaccine
D. Restrict oral fluids to 500mL per day
10. A nurse is assessing a week-old infant. The nurse C. Excessive suck-
should identify which of the following manifestations ing (Gastrointesti-
can indicate neonatal abstinence syndrome? nal: poor feed-
A. Frequent coughing ing, regurgitation
B. Constipation (projectile vomit-
C. Excessive sucking ing), diarrhea, and
D. Lethargy excessive, uncoor-
dinated, and con-
stant sucking)
11. A nurse is preparing to initiate IV antibiotic therapy A. Use a 22-gauge
for a newly admitted 12-month-old infant. Which of the catheter to the
following actions should the nurse plan to take? start the IV
A. Use a 22-gauge catheter to the start the IV
B. Start the IV in the infant's foot
C. Cover the insertion site with an opaque dressing
D. Change the IV site every 3 days
12. A nurse is assessing a toddler who is 8 hr. postop- C. bilateral cool ex-
erative following a cardiac catheterization procedure. tremities
Which of the following findings should the nurse re-
port to the provider?
A. Weak pedal pulse distal to the site
B. Blood pressure 102/58mm Hg
C. Bilateral cool extremities
D. Serum glucose 90mg/dL
13.
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