1)
A nurse is assessing a school aged child who has heart failure and is taking
furosemide. Which of the following findings should the nurse identify as an
indication that the medication is effective?
A. A increase in venous pressure
B. A decrease in peripheral edema
C. A decrease in cardiac output
D. An increase in potassium levels
B. A decrease in peripheral edema
A nurse is assessing an infant who has acute otitis media. Which of the following
findings should the nurse expect (SATA)
A. Increased appetite
B. Enlarged subclavian lymph nodes
C. Crying
D. Restlessness
E. Fever
C. Crying
D. Restlessness
E. Fever
A nurse is providing teaching to the parents of an infant who is to undergo
pilocarpine lontophoresis testing for cystic fibrosis. Which of the following
statements should the nurse include in the teaching?
A. We will measure the amount of protein in your baby's urine over a 24 hour
period.
B. The test will measure the amount of water in your baby's sweat.
C. A nurse will insert an IV prior to the test
D. Your baby will need to fast for 8 hours prior to the test
B. The test will measure the amount of water in your baby's sweat
A nurse in an urgent care clinic is prioritizing care for children. Which of the
following children should the nurse assess first?
A. A toddler who has nephrotic syndrome and facial edema
B. A preschool age child who has a muffled voice and no spontaneous cough
C. A preschool age child who has diabetes mellitus and a blood glucose of 200
mg/dL
D. An adolescent who has Crohn's disease and a recent weight loss of 5 kg mg
(11 lb)
B. A preschool age child who has a muffled voice and no spontaneous cough.
A nurse is providing teaching to the parents of a toddler who is to undergo a
sweat chloride test. Which of the following statements should the nurse include?
A. The purpose of the test is to determine if your child has Crohn's disease
B. The technician will use a device to produce an electrical current during the
, test.
C. During the test your child will be in a room that is cold
D. Your child's sweat will be collected over 24 hours
D. Your child's sweat will be collected over 24 hours
A nurse is providing teaching to the parents of a child who has impetigo. Which
of the following instructions should the nurse include in the teaching?
A. Apply bacterial ointment to lesions
B. Soak hair brushes in boiling water for 10 minutes
C. Administer acyclovir PO two times per day
D. Seal soft toys in a plastic bag for 14 days
A. Apply bacterial ointment to lesions.
A nurse in the emergency department is caring for an adolescent who is
requesting testing for an STI. Which of the following action is appropriate for the
nurse to take?
A. Request verbal consent from the social worker
B. Contact the patients parents to obtain phone consent
C. Postpone the testing until the patients parents are present.
D. Obtain written consent from the patient
D. Obtain written consent from the client
A nurse in the emergency department is assessing the toddler who has
hyperpyrexia severe dyspnea and drooling which of the following actions should
the nurse take first?
A. Obtain a blood culture from the toddler
B. Administering antibiotics to the toddler
C. Insert an IV catheter for the toddler
D. Prepare the toddler for nasotracheal intubation
D. Prepare the toddler for nasotracheal intubation
A nurse is providing teaching to a 10 year old child scheduled for an arterial
cardiac catheterization. Which of the following information should the nurse
include in the teaching?
A. You will have your dressing removed 12 hours after the procedure
B. You will need to keep your legs straight for 8 hours following the procedure
C. You will be on a clear liquid diet for 24 hours following the procedure
D. You will be on bed rest for 2 days after the procedure
B. You will need to keep your legs straight for 8 hours following the procedure
A nurse is caring for a preschooler who is post operative following a
tonsillectomy. The child is now ready to resume oral intake which of the following
dietary choices should the nurse offer the child?
A. Sugar free cherry gelatin
B. Vanilla ice cream