When performing a physical examination on a neonate, the nurse notes low-set ears. What action should
the nurse perform next?
Your Answer:
• Assess the neonate to determine if other apparent abnormalities are present.
Correct Answer:
• Assess the neonate to determine if other apparent abnormalities are present.
Explanation:
Remediation:
Question 2 See full question
A nurse is teaching the mother of a 5-month-old infant diagnosed with bronchiolitis. Which statement by
the mother indicates that teaching has been effective?
Your Answer:
• "My baby has been sick. A machine will help him breathe."
Correct Answer:
• "I know that this disease is serious and can lead to asthma."
Explanation:
Remediation:
Question 3 See full question
A 15-month-old child is being discharged after treatment for severe otitis media and bacterial meningitis.
Which statement by the parents indicates effective discharge teaching?
Your Answer:
• "We're just so glad this is all behind us."
Correct Answer:
• "We'll go to the physician if our child pulls on the ears or won't lie down."
Explanation:
Remediation:
Question 4 See full question
A 2-year-old child is brought to the emergency department with suspected croup. Which assessment
finding reflects increasing respiratory distress?
Your Answer:
, • Flushed skin
Correct Answer:
• Intercostal retractions
Explanation:
Remediation:
Question 5 See full question
A 3-year-old child with Down syndrome is admitted to the pediatric unit with asthma. The child doesn't
enunciate words well and holds onto furniture when he walks. The nurse should ask the mother:
Your Answer:
• if the child always drools.
Correct Answer:
• how the child's condition today differs from his normal condition.
Explanation:
Remediation:
Question 6 See full question
A registered nurse (RN) has been "care-paired" with a licensed practical nurse (LPN) during the evening
shift. Whose care should the RN assign to the LPN?
Your Answer:
• A 12-month-old infant who has a white blood cell (WBC) count of 34/μl and a fever
Correct Answer:
• The 2-year-old child who has started eating soft, solid foods following a tonsillectomy
Explanation:
Question 7 See full question
Before performing an otoscopic examination on a child, where should the nurse palpate for tenderness?
Your Answer:
• Tragus, cochlea, and lobule
Correct Answer:
• Tragus, mastoid process, and helix
Explanation:
, Remediation:
Question 8 See full question
A child is diagnosed with Wilms' tumor. During assessment, the nurse expects to detect:
Your Answer:
• dysuria.
Correct Answer:
• an abdominal mass.
Explanation:
Remediation:
Question 9 See full question
A preschooler has vomiting, diarrhea, and a potassium level of 3 mEq/L (3 mmol/L). The physician orders
an I.V. infusion of 500 ml of dextrose 5% in water and half-normal saline solution with 20 mEq (20
mmol/L) of potassium chloride. The nurse knows that a child with vomiting and diarrhea needs fluids
and potassium chloride to:
Your Answer:
• avoid hyperglycemia.
Correct Answer:
• meet physiologic needs.
Explanation:
Remediation:
Question 10 See full question
When telling a 4-year-old child about an upcoming procedure, the nurse's most important considerationis
to:
Your Answer:
• speak loudly and clearly.
Correct Answer:
• use simple terms.
Explanation:
Remediation:
Question 11 See full question
, Encouraging fantasy play and participation by children in their own care is a useful developmental
approach for which pediatric age-group?
Your Answer:
• School age (5 to 10 years)
Correct Answer:
• Preschool age (3 to 5 years)
Explanation:
Remediation:
Question 12 See full question
The nurse is caring for a 3-year-old client being treated for severe status asthmaticus. After comparing
clinical manifestations with laboratory results (reported below), a nurse determines evidence that this
client has progressed to which condition?
Your Answer:
• Respiratory acidosis
Correct Answer:
• Respiratory acidosis
Explanation:
Remediation:
Question 13 See full question
A 6-year-old child has tested positive for West Nile virus infection. The nurse suspects the child has the
severe form of the disease when she recognizes which signs and symptoms?
Your Answer:
• Fever, muscle weakness, and change in mental status
Correct Answer:
• Fever, muscle weakness, and change in mental status
Explanation:
Remediation:
Question 14 See full question
A 15-year-old girl visits the neighborhood clinic seeking information on "how to keep from getting
pregnant." What should the nurse say in response to her request?
Your Answer:
the nurse perform next?
Your Answer:
• Assess the neonate to determine if other apparent abnormalities are present.
Correct Answer:
• Assess the neonate to determine if other apparent abnormalities are present.
Explanation:
Remediation:
Question 2 See full question
A nurse is teaching the mother of a 5-month-old infant diagnosed with bronchiolitis. Which statement by
the mother indicates that teaching has been effective?
Your Answer:
• "My baby has been sick. A machine will help him breathe."
Correct Answer:
• "I know that this disease is serious and can lead to asthma."
Explanation:
Remediation:
Question 3 See full question
A 15-month-old child is being discharged after treatment for severe otitis media and bacterial meningitis.
Which statement by the parents indicates effective discharge teaching?
Your Answer:
• "We're just so glad this is all behind us."
Correct Answer:
• "We'll go to the physician if our child pulls on the ears or won't lie down."
Explanation:
Remediation:
Question 4 See full question
A 2-year-old child is brought to the emergency department with suspected croup. Which assessment
finding reflects increasing respiratory distress?
Your Answer:
, • Flushed skin
Correct Answer:
• Intercostal retractions
Explanation:
Remediation:
Question 5 See full question
A 3-year-old child with Down syndrome is admitted to the pediatric unit with asthma. The child doesn't
enunciate words well and holds onto furniture when he walks. The nurse should ask the mother:
Your Answer:
• if the child always drools.
Correct Answer:
• how the child's condition today differs from his normal condition.
Explanation:
Remediation:
Question 6 See full question
A registered nurse (RN) has been "care-paired" with a licensed practical nurse (LPN) during the evening
shift. Whose care should the RN assign to the LPN?
Your Answer:
• A 12-month-old infant who has a white blood cell (WBC) count of 34/μl and a fever
Correct Answer:
• The 2-year-old child who has started eating soft, solid foods following a tonsillectomy
Explanation:
Question 7 See full question
Before performing an otoscopic examination on a child, where should the nurse palpate for tenderness?
Your Answer:
• Tragus, cochlea, and lobule
Correct Answer:
• Tragus, mastoid process, and helix
Explanation:
, Remediation:
Question 8 See full question
A child is diagnosed with Wilms' tumor. During assessment, the nurse expects to detect:
Your Answer:
• dysuria.
Correct Answer:
• an abdominal mass.
Explanation:
Remediation:
Question 9 See full question
A preschooler has vomiting, diarrhea, and a potassium level of 3 mEq/L (3 mmol/L). The physician orders
an I.V. infusion of 500 ml of dextrose 5% in water and half-normal saline solution with 20 mEq (20
mmol/L) of potassium chloride. The nurse knows that a child with vomiting and diarrhea needs fluids
and potassium chloride to:
Your Answer:
• avoid hyperglycemia.
Correct Answer:
• meet physiologic needs.
Explanation:
Remediation:
Question 10 See full question
When telling a 4-year-old child about an upcoming procedure, the nurse's most important considerationis
to:
Your Answer:
• speak loudly and clearly.
Correct Answer:
• use simple terms.
Explanation:
Remediation:
Question 11 See full question
, Encouraging fantasy play and participation by children in their own care is a useful developmental
approach for which pediatric age-group?
Your Answer:
• School age (5 to 10 years)
Correct Answer:
• Preschool age (3 to 5 years)
Explanation:
Remediation:
Question 12 See full question
The nurse is caring for a 3-year-old client being treated for severe status asthmaticus. After comparing
clinical manifestations with laboratory results (reported below), a nurse determines evidence that this
client has progressed to which condition?
Your Answer:
• Respiratory acidosis
Correct Answer:
• Respiratory acidosis
Explanation:
Remediation:
Question 13 See full question
A 6-year-old child has tested positive for West Nile virus infection. The nurse suspects the child has the
severe form of the disease when she recognizes which signs and symptoms?
Your Answer:
• Fever, muscle weakness, and change in mental status
Correct Answer:
• Fever, muscle weakness, and change in mental status
Explanation:
Remediation:
Question 14 See full question
A 15-year-old girl visits the neighborhood clinic seeking information on "how to keep from getting
pregnant." What should the nurse say in response to her request?
Your Answer:
