115 Questions with 100% Verified Correct
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a newly-admitted infant. Which of the following findings is an early indication of
hypoxemia?
A. Nonproductive cough
B. Hypoventilation
C. Tachypnea
D. Nasal stuffiness - CORRECT ANSWER: C
A nurse caring for a child who is receiving oxygen therapy and is on a continuous
oxygen saturation monitor that is reading 89%. Which of the following actions should the
nurse take first?
A. Increase the oxygen flow rate.
B. Encourage the child to take deep breaths.
C. Ensure proper placement of the sensor probe.
D. Place the child in the Fowler's position. - CORRECT ANSWER: C
A nurse is admitting a child who has cystic fibrosis. Which of the following medications
should the nurse expect to include in the plan of care? (Select all that apply.)
A. Tobramycin
B. Loperamide
C. Fat-soluble vitamins
D. Albuterol
E. Dornasealfa - CORRECT ANSWER: A, C, D, E
A nurse is assessing a 12-month-old infant during a well-child visit. Which of the
following findings should the nurse report to the provider?
,A. Closed anterior fontanel
B. Eruption of six teeth
C. Birth weight doubled
D. Birth length increased by 50% - CORRECT ANSWER: C.
A nurse is assessing a 21⁄2-year-old toddler at a well-child visit. Which of the following
findings should the nurse report to the provider?
A. Height increased by 7.5 cm (3 in) in the past year.
B. Head circumference exceeds chest circumference.
C. Anterior and posterior fontanels are closed.
D. Current weight equals four times the birth weight. - CORRECT ANSWER: B
A nurse is assessing a 4-month-old infant who has meningitis. Which of the following
manifestations should the nurse expect?
A. Depressed anterior fontanel
B. Constipation
C. Presence of the rooting reflex
D. High-pitched cry - CORRECT ANSWER: D
A nurse is assessing a 6-month-old infant. Which of
the following reflexes should the infant exhibit?
A. Moro
B. Plantar grasp
C. Stepping
D. Tonic neck - CORRECT ANSWER: B
A nurse is assessing a child who has a concussion. Which of the following findings
should thenurse expect? (Select all that apply.)
,A. Amnesia
B. Systemic hypertension
C. Bradycardia
D. Respiratory depression
E. Confusion - CORRECT ANSWER: A, E
A nurse is assessing a child who has a rotavirus infection. Which of the following are
expected findings? (Select all that apply.)
A. Fever
B. Vomiting
C. Watery stools
D. Bloody stools
E. Confusion - CORRECT ANSWER: A, B, C
A nurse is assessing a child who has a urinary tract infection. Which of the following are
manifestations of a urinary tract infection? (Select all that apply.)
A. Night sweats
B. Swelling of the face
C. Pallor
D. Pale-colored urine
E. Fatigue - CORRECT ANSWER: B, C, E
A nurse is assessing a child who has asthma. Which of the following are indications of
deterioration in the child's respiratory status? (Select all that apply.)
A. Oxygen saturation 95%
B. Wheezing
C. Retraction of sternal muscles
D. Warm extremities
, E. Nasal flaring - CORRECT ANSWER: B, C, E
A nurse is assessing a child who has epiglottitis. Which of the following findings should
the nurse expect? (Select all that apply.)
A. Hoarseness and difficulty speaking
B. Difficulty swallowing
C. Low-grade fever
D. Drooling
E. Dry, barking cough
F. Stridor - CORRECT ANSWER: A, B, D, F
A nurse is assessing a child who has myopia. Which of the following findings should the
nurse expect? (Select all that apply.)
A. Headaches
B. Photophobia
C. Difficulty reading
D. Difficulty focusing on close objects
E. Poor school performance - CORRECT ANSWER: A, C, E
A nurse is assessing a child's ears. Which of the
following findings should the nurse expect?
A. Light reflex is located at the 2 o'clock position.
B. Tympanic membrane is red in color.
C. Bony landmarks are not visible.
D. Cerumen is present bilaterally. - CORRECT ANSWER: D
A nurse is assessing a toddler for possible hearing loss. Which of the following findings
are indications of a hearing impairment? (Select all that apply.)