STYLE QUESTIONS AND MODEL RESPONSES
◉ A nurse is caring for a child who has an exacerbation of cystic
fibrosis. Which of the following laboratory findings should the nurse
report to the provider immediately? Answer: Oxygen saturation
85%
◉ A nurse is a pediatric clinic is caring for a 3-year-old child who has
a blood lead level of 3 mcg/dL. When teaching the toddler's parent
about the correlation of nutrition with lead poisoning, which of the
following pieces of information is appropriate for the nurse to
include? Answer: Ensure the child's dietary intake of calcium and
iron is adequate
◉ A nurse is caring for a child who has sickle cell anemia and is
experiencing a vaso-occlusive crisis. Which of the following actions
should the nurse take? Answer: Administer ibuprofen
◉ A nurse at a pediatric clinic is assessing a 5-month-old infant
during a well child visit. Which of the following findings should the
nurse report to the provider? Answer: Head lagging when the infant
is pulled from a lying to a sitting position
,◉ A nurse is providing teaching to the guardians of an infant who
has failure to thrive (FTT). Which of the following pieces of
information should the nurse include in the teaching? Answer: Add
fortified rice cereal to the infants formula
◉ A nurse is an emergency department is caring for a 4-year-old
child who has burns to the neck and face following a house fire.
Which of the following actions should the nurse take first? Answer:
Determine the child's breathing pattern
◉ A nurse is teaching to a group of parents of adolescents about
developmental needs. Which of the following statements by a parent
should the nurse investigate further? Answer: "My child spends 4
hours per day using online chat rooms."
◉ A nurse is providing discharge teaching to parents whose infant
had a ventriculoperitoneal shunt placement for the treatment of
hydrocephalus. Which of the following statements by the parents
indicates an understanding of the teaching? Answer: "We will notify
the doctor right away if he has a fever."
◉ A nurse is performing a nutritional screening for a 12-year-old
client who weighs 41 kg (90 lb) and has a height of 1.5 m (60 in).
Which of the following values is the client's body mass index (BMI)
Answer: 18.2 - to calculate the clients BMI, the nurse should divide
the clients weight in kilograms by the square of the clients height in
,meters. Therefore, 41 kg divided by the square of 1.5 m gives a
correct BMI of 18.2
◉ A nurse is teaching the parents of an infant about treatment
option for profound sensorineural hearing loss. The nurse should
include which of the following pieces of information about the
function of cochlear implants? Answer: The provide direct
stimulation of auditory nerve fiber
◉ A nurse is instructing a group of parents and guardians about
child development. Which of the following recommendations should
the nurse make to promote the developmental task of industry in
the school-age child? Answer: Assign the child several small chores
◉ A nurse is providing teaching to the guardian of an adolescent.
The guardian reports that the adolescent sleeps about 10 hour on
weekend nights. Which of the following responses should the nurse
provide? Answer: "Adolescents need more sleep due to rapid
growth."
◉ A nurse is caring for a child who is in skeletal traction. Which of
the following actions is the nurse's priority? Answer: Encourage the
child to use an incentive spirometer
, ◉ A nurse is assessing the gross motor skills of a 4-year-old
preschooler. The nurse should expect the preschooler to perform
which of the following activities? Answer: Hopping on 1 foot
◉ A nurse is caring for a school-aged child who begins to have a
tonic-clinic seizure when leaving the bathroom. Which of the
following actions should the nurse take first? Answer: Ease the child
to the floor in Sims' position
◉ A nurse is assessing a 4-year-old child. The nurse should expect
the child to be able to perform which of the following activities?
Answer: Fastening buttons on a shirt
◉ A nurse is reviewing the laboratory report of a 2-year-old child
who has diarrhea and has been vomiting for 24 hr. Which of the
following findings should the nurse report to the provider? Answer:
Potassium 2.5 mEq/L
◉ A nurse is evaluating the outcome of surgery for an infant who
had a bile duct obstruction which of the following findings should
indicate to the nurse that the surgery was successful? Answer: The
color of the infants stool is yellowish-brown
◉ A nurse is teaching an adolescent client who has type 1 diabetes
mellitus about managing hypoglycemia. Which of the following