A nurse is caring for a child who is receiving treatment for diabetic ketoacidosis and has current
blood glucose level of 250mg/dL. Which of the following actions should the nurse take?
- Administer D5NS by continuous IV infusion
A nurse is caring for a child who has epistaxis. Which of the following actions should the nurse
take? - Apply continuous pressure to the child's nose for at least 10 minutes
A nurse is teaching the parents of a 3-year-old who has persistent otitis media about prevention.
Which of the following statements by the parents indicates and understanding of the teaching?
- We should not smoke around our child
A nurse is assessing the pain level of a 3-year-old who is postoperative following abdominal
surgery. Which of the following pain scales should the nurse use?
- FACES pain rating scale
A nurse is caring for a child who has acute glomerulonephritis. Which of the following actions
should the nurse take?
- Check the child's blood pressure every 4 hours
A nurse on the pediatric unit is caring for a group of clients. Which of the following findings
should be the nurse's priority?
- A child who has sickle cell anemia and a urine specific gravity of 1.030
A nurse is caring for a preschool-age child who has mucosal ulceration after receiving
chemotherapy. Which of the following actions should the nurse take?
- Instruct the child to use a soft sponge toothbrush when brushing her teeth
A nurse is caring for a group of infants who have congenital heart defects. For which of the
following defects should the nurse expect to observe cyanosis?
- Transposition of great arteries
A nurse is teaching a school-age child who has a new diagnosis of T1DM. which of the
following statements should the nurse make?
- You can use a vial of insulin for up to 30 days
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?
- My child spends 4 hours per day in internet chat rooms
, A nurse is reviewing the medical record of a 2-month-old infant who has rotavirus. The nurse
notes a hemoglobin level of 12g/dL and a hematocrit of 51%. Which of the following statements
by the nurse indicates an understanding of the laboratory values?
- The infant might be dehydrated
A school nurse is assessing an adolescent child who returned to school following a case of
mononucleosis. The child has a note from his provider excusing him from gym class. Which of
the following findings should the nurse identify as the reason for this excusal?
- Potential for sustaining abdominal trauma
A nurse is teaching the parents of a 4-month-old infant who has gastroesophageal reflux. Which
of the following statements by the parent indicates an understanding of the teaching?
- I will add 1 teaspoon of rice cereal per ounce to my baby's formula
A nurse is caring for a child who has suspected nephrotic syndrome. Which of the following
laboratory values should the nurse expect?
- Serum cholesterol 700mg/dL
A nurse is preparing to administer acetaminophen 240mg PO daily to a child who has a
temperature of 38.9 C (102 F). The amount available is acetaminophen oral solution 160mg/5ml.
How many ml should the nurse administer per dose?
- 7.5 ml
A nurse is caring for a 6-month-old infant who has intussusception. Which of the following
actions should the nurse take?
- Prepare the child for a barium enema
A nurse is caring for a school-age child who has glomerulonephritis. The child has decreased
urinary output, a blood pressure of 160/78 mmHg, and is receiving hydralazine. Which of the
following lunch choices should the nurse recommend?
- 3 oz grilled chicken, 1 cup of pear slices, and 120 ml (4oz) of apple juice
A nurse is teaching the parents of a child who has rheumatic fever. Which of the following
statements by a parent indicates an understanding of the teaching?
- My child may take aspirin for his joint pain
A nurse at a clinic is preparing to administer immunizations to a 5-year-old child. Which of the
following immunizations should the nurse plan to give?
- Diphtheria, tetanus, and pertussis (DTaP)