Questions And Correct Deta, Exams of Nursing
1. A nurse is planning care for a child who has severe diarrhea. Which of the
following actions is the nurse priority? Assess fluid balance
2. A nurse is caring for a toddler who's parent states that the child has a mass in
his abdominal area and his urine is a pink color. Which of the following actions is
the nurse's priority? Instruct the parent to avoid pressing on the abdominal area
3. A nurse is caring for a child who has acute glomerulonephritis. Which of the
following actions is the nurse's priority? Check the Childs weight daily
4. A nurse is caring for a child who has a suspected diagnosis of bacterial
meningitis. Which of the following is the nurse's priority? Administer antibiotics
when available
5. A nurse is collecting data from an adolescent. Which of the following represents
the greatest risk for suicide? Active psychiatric disorder (Mark, mental problems,
patients mind is unstable)
6. A nurse is collecting data from an infant who has otitis media (middle ear
infection). The nurse should expect which of the following findings? Tugging on
the affected ear lobe
7. A nurse is collecting data from a 2 year old toddler who has AIDS. The nurse
should inspect inside the toddler mouth for which of the following opportunistic
infections (fungus infections is usually opportunistic infections)? Candidiasis (also
called oral thrush)
8. A nurse is caring for a 6 month old child. The childs provider has ordered a
diphtheria, tetanus, and pertussis (DTAP) vaccine to be administered. Which of the
following should cause the nurse to question the administration of this vaccine?
Temp of 40.5 C (104.9F) after last DTAP
9. A nurse is caring for a 4 year old child who has dehydration. Which of the
following findings should the nurse identify as the priority? Potassium 2.5 mEq/L
, 10. A nurse is caring for a toddler who has a cast applied 2 hr ago due to multiple
fractures of the right hand of the following findings should the nurse report
immediately to the charge nurse? The fingers on the right hand have a capillary
refill of 4 seconds
11. A nurse is caring for a school age child who has acute glomerulonephritis. The
child has peripheral edema and is producing 35mL of urine per hour. Which of the
following diets should the nurse anticipate the provider will prescribe? Low
sodium, fluid restricted
12. A nurse is reinforcing teaching with a parent of a child who has eczema. Which
of th following instructions should the nurse include in the teaching? Apply a cool
wet compress to the affected area
13. A nurse is reinforcing teaching with the parents of a school-age child who has
cystic fibrosis. Which of the following statements should the nurse make? Engage
the child in daily aerobic exercise.
14. A nurse is caring for a 6-month-old infant who is postoperative following a
myringotomy. Which of the following pain assessment scales should the nurse use
to determine the infants pain level? FLACC
15. A nurse is reinforcing discharge instructions with a parent of a child who has
cystic fibrosis. Which of the following statements by the parent indicates an
understanding of the teaching? "I will make sure my child washes her hands
before eating"
16. A nurse is reinforcing teaching with the mother of a 2-month old infant whose
provider applied a Pavlik Harness 1 week earlier for the treatment of
developmental hip dysplasia. Which of the following statements by the mother
indicates an understanding of the teaching? I will check my baby's skin three
times each day.
17. A nurse is planning care for a child who has epiglottitis. Which of the following
actions should the nurse plan to take? Prepare the child for a neck radiograph