Correct Answers 2022
(69 QUESTIONS)
1. A nurse is helping a school-age child who has celiac disease select menu items for the next day's
meals and snacks. Which of the following foods should the nurse encourage the client to
choose? - A cheese omelet with orange juice.
2. A nurse is providing dietary teaching to a parent of a 10-month-old infant who has
phenylketonuria. Which of the following responses by the parent indicates an understanding of
the teaching? - "I will steam carrots and cut them into small pieces of her"
3. A nurse is reviewing the results of the newborn screening for a newborn who is 1 week old.
Results include total T4 0.8 mcg/dL, phenylalanine 0.7 mg/dL, and negative galactosemia. Which
of the following interventions should the nurse include in the plan of care? - Instruct the
newborn's parent about how to administer levothyroxine
4. A nurse is caring for a child who has epiglottitis due to an infection with Haemophilus influenzae
type B. Which of the following actions should the nurse take? (Select all that apply). - Begin
droplet precautions, Initiate IV access, Monitor oxygen saturation
5. A nurse is planning care for an 8-month-old infant who has bronchiolitis. Which of the following
actions should the nurse include in the plan of care? - Use a bulb syringe to suction the nares
6. A nurse is providing discharge teaching to the parents of a preschool aged child who has heart-
failure and a new prescription for digoxin oral solution. Which of the following instructions
should the nurse include? - "Rinse your child's mouth with water after giving the medication"
7. A nurse is assessing a 24-month-old toddler. Which of the following findings should the nurse
report to the provider? - Has a vocabulary of 30 words (increases to about 300)
8. A nurse is assessing a child who is 2 hr postoperative following cardiac catheterization and finds
the dressing is saturated with blood. Which of the following actions should the nurse take first? -
Apply pressure just above the insertion site
, 9. A nurse is planning to teach an adolescent who is lactose intolerant about dietary guidelines.
Which of the following instructions should the nurse include in the teaching? - "You can replace
milk with non-dairy sources of calcium"
10. A nurse is collecting data from a toddler who weighs 20 kg (44 lb) and has a full-thickness burn
to 10% of this body. Which of the following findings should the nurse report to the provider? -
Increased restlessness
11. A nurse is assessing a preschool-age child who is in the immediate postoperative period
following a tonsillectomy. Which of the following assessment findings is the priority? - The child
swallows frequently (indications of bleeding. ABCS compromised)
12. A nurse is providing teaching to a parent of an 11-month-old infant who has acute diarrhea and
dehydration. Which of the following fluids should the nurse instruct the parent to provide to the
infant? - Oral electrolyte solution
13. A nurse in an emergency department is caring for a child who experienced a submersion injury.
Which of the following is the priority action for the nurse to take? - Assist with intubation
14. A nurse is caring for a school-age child who is in 90 degree/90 degree skeletal traction. Which of
the following actions should the nurse take? - Place the child on alternating pressure mattress
15. A nurse is providing teaching to the parents of an infant who is to undergo pilocarpine
iontophoresis testing for cystic fibrosis. Which of the following statements should the nurse
include in the teaching? - "The test will measure the amount of chloride in your baby's sweat"
16. A nurse is assessing a preschool-age child who has celiac disease. Which of the following findings
should the nurse expect? Inflammation caused by gluten foods. - Steatorrhea
17. A nurse is caring for a toddler who is postoperative following cleft palate repair. Which of the
following actions should the nurse take? - Use a bulb syringe to suction oral secretions