Grade A | 100% Correct
a home health nurse is providing teaching about post-seizure management to the parents of a school-
age child who has epilepsy, what should be included ✔️- record the length and character of the child's
postictal period following a seizure
- call for emergency medical services if the size of the child's pupils are unequal after the seizure
a nurse is assessing a 3yr old preschooler at a well-child visit, what developmental tasks should be
expected uses ✔️primarily two-word phrases
a nurse is teaching the parents of a toddler about strategies to manage temper tantrums, what
instructions should the nurse include in the teaching to establish ✔️a structured daily routine for the
child
a nurse in a pediatric clinic is discussing the physiology of Reye syndrome with a newly licensed nurse,
what statements by the newly licensed nurse indicate an understanding of the disorder ✔️Reye's
syndrome causes fatty changes in the liver
a nurse is assessing a child who has received the first 50 mL of a blood transfusion, what findings
indicate the child may be experiencing an air embolism ✔️sharp pain in the middle of the chest
a school nurse is assessing the visual acuity of a school-age child, what finding indicates that the child
should be evaluated for strabismus ✔️movement of the uncovered eye during a cover test
a nurse is assessing a 6-month-old infant during a well-child visit, what findings should the nurse report
to the provider ✔️the infant does not roll over from his abdomen to his back
a nurse is instilling otic drops into a toddler's ears, what method is used ✔️pull the pinna down and back
a nurse is providing teaching to the parent of an infant about care seat safety, what statement by the
parent indicates an understanding of the teaching ✔️I should place the car seat rear facing until my child
is 2
a nurse is providing teaching to parents of a school-age child who has ADHD and a new prescription for
methylphenidate ER capsules, what responses by the parent indicate an understanding of the nurse's
instruction ✔️I will inform my child's teacher that he is taking this medication
a nurse in a pediatric clinic is performing a history and physical for a toddler who is going to receive an
MMR immunization, which indicates that it should be withheld ✔️receiving prednisone for nephrotic
syndrome
a nurse is providing teaching to a mother who plans to breastfeed her 3-day-old infant, what info should
the nurse include in the teaching ✔️your baby will need a follow-up evaluation by her provider within the
next 3 days
, a nurse is assessing a toddler who is toilet-trained and has a temperature of 38.5/101.3, what findings
should the nurse suspect ✔️a UTI incontinence
a nurse is caring for a school-age child who has hemophilia and reports increased bruising, what lab
values explain the finding ✔️plt count 120,000
a nurse is preparing a teaching plan for the parent of a school-age child who has asthma, the nurse
should include what manifestation as an "exacerbation" of asthma ✔️hacking, non-productive cough
a nurse is providing discharge teaching to the parents of a 6-month-old infant following a surgical
procedure to repair hypospadias, what instructions should the nurse include in the teaching ✔️avoid
giving the infant a tub bath until the stent is removed
a nurse is assessing an infant who has intussusception, what manifestation is expected ✔️gelatinous red
stool
a nurse is caring for a school-age child who has metastatic osteosarcoma, the child asks the nurse "am I
going to die?", what should the nurse respond ✔️"It sounds like you are worried. tell me what you have
been told"
a nurse is caring for an infant who has GERD, what action should the nurse take to avoid regurgitation
✔️thicken the pt's formula and avoid giving the pt citrus juices position the child with the head elevated
after meals
a nurse is providing teaching to an adolescent who has a new prescription for cefazolin, what adverse
effect should the nurse monitor for and report to the physician ✔️urticaria
a nurse is caring for a child who has cancer and is receiving chemo, the parent tells the nurse that she
wants to d/c treatment and take the child home, what responses should the nurse make ✔️tell me more
about your reasons for making this decision today
a charge nurse is assisting a newly licensed nurse with the preoperative assessment of a 2-year-old child
who has a Wilm's tumor, what actions by the newly licensed nurse require intervention from the charge
nurse ✔️palpating the child's abdomen
a nurse is assessing a child who has sickle cell anemia and is experiencing a Vaso occlusive crisis, what
manifestations should the nurse expect ✔️pain
a nurse is providing teaching to the parents of a school-age child who has pediculosis capitis, what
instruction should be included ✔️soak her brushes in boiling water for 10min
a nurse is caring for a child who has acute glomerulonephritis without edema, what action should the
nurse take to obtain ✔️daily weight
a nurse is reviewing the medical record of a 16 yr old brought in by his parents to receive a physical, the
record indicates he received his last immunization 10 years ago, what immunizations should the nurse
expect to administer to the adolescent ✔️Tdap