ANSWERS ALL ARE 2021 LATEST SOLUTION
1. A nurse is providing education to the parent of a child who has cystic fibrosis and has a prolapsed
rectum. The nurse should teach that which of the following is a cause of this complication:
a. Bulky stools
b. Weakened rectal sphincter
c. Elevated pancreatic enzymes
d. Decreased intra-abdominal pressure
CORRECT ANSWERS: a
2. A preschooler is admitted to the emergency department with full thickness third degree burn over
45% of his body. Which of the following actions should the nurse take first:
a. Administer IV morphine
b. Administer IV antibiotics
c. Administer IV solutions
d. Administer total parenteral nutrition
CORRECT ANSWERS: c
3. A nurse is providing teaching to a parent of a preschooler who has Tinea Capitis. Which of the
following should the nurse include in the teaching:
a. Apply 1 to 20 burrow's solution compressed to the lesions
b. Apply hydrocortisone cream to the lesions twice daily
c. Seal and wash toys in plastic bag for two weeks
d. Leave the shampoo on the scalp for 5 to 10 minutes
CORRECT ANSWERS: d
4. A nurse is caring for a child who has sickle cell anemia. Which of the following signs of acute chest
syndrome should the nurse report to the primary care provide immediately:
a. Congestive cough
b. Dilute hearing
c. Hct of 10g/dl
d. Systolic murmur
CORRECT ANSWERS: a
5. A nurse is assessing a 3month old infant for suspected intussusception. Which of the following
findings should the nurse expect:
a. Jelly-like stool
b. Board-likeabdomen
c. Projectile vomiting
d. Oliguria
CORRECT ANSWERS: a
6. A nurse is planning a teaching session for parents regarding infant development. Which of the
following parent activities regarding play should the nurse include in the teaching:
a. Encourage the infant in one on one play
b. Promote play with other infants
, c. Provide visual stimulation with pastel colored toys
d. Give the infant a large piece of puzzle
CORRECT ANSWERS: d
7. A school-aged child with sickle cell anemia has been admitted in vaso- occlusive crisis. Which of
the following assessment findings should the nurse recognize as an emergency?
a. Slurred speech
b.Fever of 38.2 C ( 101 F)
c. Hematuria
d. Pain level of 7 on a faces scale
CORRECT ANSWERS: b
8. A nurse in an emergency department is assessing a child who was in a motor vehicle accident.
Which of the following assessment findings require immediate intervention:
a. Dilated and fixed pupils
b. Disorientation to person and place
c. Positive Babinski reflex
d. Restless and irritable
CORRECT ANSWERS: a
9. A nurse is assessing a child who has sustained a head injury. During the assessment, the nurse
observes clear drainage leaking from the child's nose. Which of the following actions should the nurse
take?
a. Perform naso-tracheal suctioning
b. Test the nasal secretions for glucose
c. Maintain direct lighting on the child
d. Lower the head of the bed
CORRECT ANSWERS: b
10. A nurse at a provider's office is preparing a newborn for a routine heel puncture. Which of the
following actions should the nurse take?
a. Administer tolectin (tolmetin) prior to the procedure
b. Apply EMLA cream to the heel after the procedure
c. Prepare concentrated sucrose for oral administration
d. Place the new born in an extended position
CORRECT ANSWERS: c
11. A nurse is caring for a child who has rheumatic fever. Which of the following is an indication that
the child has developed carditis?
a. Carotid bruit
b. Chest pain
c. Hypotension
d. Cyanosis
CORRECT ANSWERS: b
12. A parent calls the clinic asking for pinworm testing information, the nurse should advise the parent
to perform the test at which of the following times?
a. Immediately after child has a bowel movement
b. After being on a clear diet for 24hrs
c. Immediately after the child awakes in the morning