Questions and Answers
A nurse is reinforcing teaching with the parent of a school-age child who is undergoing
testing for acute lymphoid leukemia. The nurse should inform the parent that the child
will undergo which of the following tests to confirm the diagnosis? - answerBone Marrow
biopsy
A nurse is planning to reinforce teaching about head injuries with a group of parents of
school age children. The nurse should instruct the parents to monitor for and report
which of the following meanifestations? - answerIrritability
A nurse is obtaining a sputum sample form a school age child. Which of the following
actions should the nurse take? - answerask the child to cough deeply
A nurse is caring for an adolescent who reports manifestations of an STI. Which of the
following actions should the nurse take? - answerrequest that the adolescent sign a
consent for treatment form prior to performing STI screening
A nurse is reinforcing teaching with the parent of a child who is newly diagnosed with
diabetes mellitus. Which of the following guidelines should the nurse include? -
answerYour child's meal plan should include a snack before physical activity
A nurse is assisting with the care of a hospitalized toddler who has congenital heart
disease. The parent calls the nurse to the room to ask for fresh linens and states. "My
child never wets the bed at home. I am not sure why this is happening now." Which of
the following responses should the nurse make to the parent? - answerRegression is a
common reaction to stress when toddlers are hospitalized. This is temporary.
A nurse is assisting with care for an adolescent client who has asthma and a new
prescription for albuterol by meterd-dose inhaler. Which of the following statements by
the client indicates that they might be experiencing an adverse effect of albuterol? -
answerMy heart feels like it's fluttering after taking my medication
A nurse is preparing to obtain a blood pressure reading from a school age child. Which
of the following actions should the nurse take? - answerPosition the child's arm at the
level of the heart
A nurse is caring for a mth old toddler who has a prescription for a urinary catheter.
Which of the following urinary catheters should the nurse use - answer5 French
, A nurse is caring for a preschooler who has diabetes mellitus and pale, and irritable.
The child's blood glucose level is 52 mg/dL. Which of the following actions should the
nurse take first? - answerAdminister 1 tbsp of sugar to the child
A nurse is caring for a child who has pertussis. Which of the following precautions
should the nurse initiate? - answerDroplet
A nurse is assisting with providing care for an adolescent client who has neuropathic
pain. Which of the following medications should the nurse anticipate administering -
answerGabapentin
A nurse is assisting in preparing a preschooler for a diagnostic procedure. Which of the
following strategies should the nurse use? - answerReview the child's present
understanding. Prepare the child shortly before the procedure. Describe any expected
sensations experienced during the procedure.
A nurse is caring for a 4 yr old child who has pneumonia due to varicella zoster. The
parent asks the nurse what type of activites are available for the child. Which of the
following play activities should the nurse recommend? - answerPlaying an alphabet
flash card game with the parent
A nurse is collecting data from a toddler who has heart failure. Which of the findings
should the nurse expect? - answerdecreased urine output
A nurse is reinforcing teaching with the parent of a toddler about promoting effective
sleep patterns. Which of the following statements by the parent indicates an
understanding of the teaching? - answerI will allow my child to have a drink of water
each night prior to bedtime
A nurse is reinforcing car seat safety instructions with the parents of a 15 mth old
toddler. Which of the following statements by the parents indicates an understanding of
the teaching? - answerI should place my child in a rear facing car seat until age 2
A nurse is assisting with the care of a child following a tonsillectomy. Which of the
following actions is the nurse's priority? - answerMonitor the child for frequent
swallowing
A nurse is collecting data from a 5 mth old infant who is postoperative following
umbilical hernia repair. Which of the following measures should the nurse use to
evaluate the infant's pain level? - answerFLACC pain rating scale
A nurse is reinforcing teaching about introducing solid foods with the parents of a 6 mth
old infant who is bottle fed. Which of the following information should the nurse include?
- answerYou should introduce one new food to your baby every 5-7 days