Questions with Answers Latest Update
A nurse is collecting data for an adolescent who has asthma and has received an
albuterol treatment. Which of the following findings indicates an improvement in the
adolescent's condition? - Correct Answer Respiratory rate 20/min
A nurse is collecting data from an 18-month-old toddler who has just resented to the
urgent care clinic. Which of the following data should the nurse investigate further? -
Correct Answer Blood pressure 120/80 mm Hg
A nurse is collecting data from a school-age child. The nurse should identify that
which of the following findings is a manifestation of physical abuse? - Correct
Answer Bruises at various stages of healing
A nurse is reinforcing teaching with the parents of a 7-year-old child about
behavioral expectations. Which of the following behaviors should the nurse include
in the teaching? - Correct Answer Spends a lot of time by themselves
A nurse is reinforcing teaching about liquid oral iron supplements with the guardian
of school-age child who has iron deficiency anemia. Which of the following
statements by the guardian indicates an understanding of the teaching? - Correct
Answer "I will give this medication to my child with a straw."
A nurse in a pediatric clinic is assisting in the care of an infant who has heart failure
and a prescription for digoxin. Which of the following statements by the parent
indicates the desired therapeutic effect of the medication? - Correct Answer "My
baby is breathing easier than they used to."
A nurse is preparing to administer ophthalmic drops to a child. Which of the following
actions should the nurse take? - Correct Answer Apply pressure to the lacrimal
uncut for 1 min following administration
A nurse is preparing to administer furosemide to a toddler who has a heart defect.
Which of the following actions should the nurse take to identify the toddler? -
Correct Answer Ask the guardian to verify the child's name
A nurse is assisting with the care of a child who is receiving a blood transfusion.
Which of the following findings indicates the child is having a hemolytic reaction? -
Correct Answer Chills and flank pain
, A nurse is assisting in the care of a school-age child who has been admitted to the
facility in sickle cell crisis. The nurse is measuring the child's oral intake for the shift.
The child consumed 4 oz. of juice at breakfast. For lunch, the child consumed 6 oz.
of milk, 6 oz. of gelatin, and drank 7 oz. of water. What is the child's oral intake for
this shift in milliliters? - Correct Answer 690 mL
A nurse in a provider's office is assisting in the care of a preschooler who has
findings of croup. Which of the following statements by the parent requires
immediate intervention by the nurse? - Correct Answer "My child has refused to
drink any fluids for the past 8 hours."
A nurse in a clinic is collecting data from an adolescent who has received all
recommended immunizations through the age of 6 years. Which of the following
immunizations should the nurse plan to administer? - Correct Answer Tetanus,
diphtheria toxoids, and cellular pertussis (Tap)
A nurse is assisting in the care of a preschooler who is suspected to have a Wilms
tumor. Which of the following findings should the nurse expect? - Correct Answer A
decreased Hob level
A nurse is assisting with the admission of a toddler who has bacterial meningitis
caused by Hemophilic influenza type B. Which of the following isolation guidelines
should the nurse plan to initiate? - Correct Answer Droplet precautions
A nurse is reinforcing teaching regarding the immunization schedule with the parent
of a 6-month-old infant during a well-child visit. Which of the following statements by
the parent indicates and understanding of the teaching? - Correct Answer "My baby
will receive their third Dap vaccine today."
A nurse is assisting in the care of a child who has type 1 diabetes mellitus and has
been receiving insulin via subcutaneous infusion pump. Which of the following
laboratory tests would verify the average blood glucose level over the past 2
months? - Correct Answer Glycosylated hemoglobin
A nurse is reinforcing teaching with the guardian of a child who has a new diagnosis
of enterobiasis. The nurse should advise the guardian to take which of the following
actions to prevent infection? - Correct Answer Trim the child's fingernails short
A nurse is collecting data from an adolescent who has manifestations of physical
abuse. Which of the following actions should the nurse take? - Correct Answer
Report the suspected abuse to the authorities
A nurse is reinforcing teaching about glucose monitoring with the parent of a child
who has type 1 diabetes mellitus. Which of the following instructions should the
nurse include in the teaching? - Correct Answer "Put your child's finger under
warm, running water prior to collecting blood."