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2025/2026
A nurse is preparing to obtain an antistreptolysin O (ASO) titer from a child who has
acute glomerulonephritis. The child's parent asks the nurse to explain the purpose of the
test. Which of the following responses should the nurse provide?
A. "The test determines the level of antibiotics in your child's blood."
B. "The test tells us if your child ever had measles."
C. "The test verifies the amount of albumin in your child's blood."
D. "The test shows us if your child had a recent strep infection."
Correct Answer: D.
"The test shows us if your child had a recent strep infection."
An ASO titer indicates the child had a recent strep infection. When determining a
definitive diagnosis for acute glomerulonephritis, this must be documented because the
condition is usually the result of this type of infection.
Incorrect Answers:A. A therapeutic blood level indicates a medication (e.g. an
antibiotic) is effective.
B. A rubella titer indicates the presence of measles.
C. A serum albumin level is monitored in a child who has nephrotic syndrome.
A nurse is providing teaching to the parent of a 2-year-old toddler about nutrition. Which
of the following statements by the parent indicates an understanding of the teaching?
A. "My child should consume 1,000 calories per day."
B. "My child should have 4 oz of protein per day."
C. "I should give my child 32 oz (4 cups) of milk per day."
D. "I should feed my child 4 oz (1/2 cup) of vegetables per day."
Correct Answer: A.
"My child should consume 1,000 calories per day."
,Toddlers who are 2 years old should consume 1,000 calories daily.
Incorrect Answers:B. Toddlers who are 2 years old should have 2 oz of protein daily.
C. Toddlers who are 2 years old should have no more than 24 oz (3 cups) of milk per
day.
D. Toddlers who are 2 years old should consume 8 oz (1 cup) of vegetables per day.
A nurse is admitting a child who has acute lymphocytic leukemia. Which of the following
laboratory values should the nurse expect?
A. Platelets 500,000 mm^3
B. RBCs 2.5 million/uL
C. WBCs 4,000/mm^3
D. Hct 60%
Correct Answer: B.
RBCs 2.5 million/uL
An RBC count of 2.5 million/uL is below the expected reference range. A child who has
acute lymphocytic leukemia has a low RBC count.
Incorrect Answers:A. A platelet count of 500,000 mm^3 is above the expected
reference range. A child who has acute lymphocytic leukemia has a low platelet count.
C. A WBC count of 4,000/mm^3 is below the expected reference range. A child who has
acute lymphocytic leukemia has a very high WBC count.
D. An Hct level of 60% is above the expected reference range. A child who has acute
lymphocytic leukemia has a low Hct level.
A nurse is assessing a 9-month-old infant. Which of the following findings should the
nurse report to the provider as a possible developmental delay?
A. Grasping a small object with just the thumb and index finger
B. Dropping a cube when passing from 1 hand to the other
C. Falling from a standing position to sitting
D. Losing balance when leaning sideways while sitting
Correct Answer: B.
Dropping a cube when passing from 1 hand to the other
The ability to pass a cube from a hand to the other is a fine motor skill expected of a 7-
month-old infant. Therefore, the nurse should identify the 9-month-old infant's inability to
, perform this task as a possible developmental delay and should report this finding to the
provider.
Incorrect Answers:A. The pincer grasp is an expected fine motor skill for a 9-month-
old infant.
C. Falling down to a sitting position from a standing position is an expected gross motor
skill for a 9-month-old infant.
D. A 9-month-old infant should have the gross motor ability to maintain balance while
leaning forward in a sitting position; however, the infant does not yet have the ability to
maintain balance while leaning sideways.
A 9-month old infant should be able to bear weight on legs with support, sit with help,
babble (“mama”, “baba”, “dada”), play games involving back-and-forth play, respond to
own name, recognize familiar people, look where you point, and transfer toys from one
hand to the other.
A nurse is teaching the parents of a toddler who has enterobiasis about managing this
parasitic disease. Which of the following pieces of information should the nurse include
in the teaching?
A. "You should encourage your child to take a tub bath daily."
B. "You should keep your child's fingernails trimmed short."
C. "You should dress your child in a 2-piece outfit at bedtime."
D. "You should expect your child not to have a recurrence of the parasitic disease."
Correct Answer: B.
"You should keep your child's fingernails trimmed short."
The nurse should instruct the parents to keep their child's fingernails trimmed short to
minimize the collection of ova under the nails.
Incorrect Answers:A. The parents should encourage the toddler to take a shower
instead of a tub bath.
C. The parents should dress the child in a 1-piece sleeping outfit.
D. Recurrence is common, and the disease should be managed and treated as it was
previously.
A nurse is providing teaching about foods high in fiber to the guardian of a child who has
chronic constipation. Which of the following foods should the nurse recommend?
A. 1/2 cup whole milk