Evoke-ATII Nurse Review Center 6.

A child who had been severely beaten was found

CGFNS Boot Camp wandering in the streets and was admitted to the hospital.
Nursing Care of Children The nursing diagnosis that will most profoundly influence
the planning of care for this child would be:
1. For a child with diagnosis of lead poisoning, initial care a. altered parenting
should focus on the nursing diagnosis of b. impaired skin integrity
a. constipation related to the excretion of lead c. post-trauma response
b. high risk for injury related to the ingestion of lead d. sensory/perceptual alteration: visual
c. altered growth and development related to parental
neglect
Jimmy Harkins, 6 years old, has an elevated temperature
d. altered nutrition, less than body requirements related and complains of generalized abdominal pain. The
to decreased iron intake physician suspects appendicitis, and Jimmy is
hospitalized for observation and possible appendectomy
2. Following a child’s treatment in the emergency room
for poisoning, the nurse notes many bruises on the child 7. Which of the following signs supports the diagnosis of
and asks the mother (who is there with her boyfriend) acute appendicitis?
how this happened. She replies that the child often falls a. Jimmy’s appetite is poor
down and hurts himself. The next action the nurse should
b. Jimmy cried when his parents left the room
take is to:
c. Jimmy lies on his side with his knees flexed
a. report this suspected child abuse case to the toward his abdomen
authorities
d. Jimmy wants to be out of bed
b. continue evaluating the circumstances
c. ask the psychiatrist to talk with the mother
Seven-year-old Martha Queen is admitted to a hospital
d. ask the mother to bring her boyfriend into with possible rheumatic fever. She appears to be acutely
the room for a conference ill
3. The nursing diagnosis with the highest priority for a 8. When obtaining the health history the nurse should
child with AIDS would be: recognize the signs and symptoms of rheumatic fever,
a. High risk for injury which include
b. High risk for infection a. decreased pulse rate, diarrhea
c. Alteration in growth and development b. aching in the legs and migrating joint
d. Alteration in nutrition: less than body tenderness
requirements c. lower than normal body temperature and
increased pulse rate
4. A nursing diagnosis that should have priority for an d. increased blood pressure and generalized
infant born with exstrophy of the bladder is erythema
a. urinary retention
b. fluid volume deficit 9. Martha is started on penicillin. The nurse checks
c. high risk for infection several references, which state that penicillin is given to
d. high risk for sexual dysfunction those with rheumatic fever to
a. eliminate any remaining probable causative
5. The best place to check the pulse of an infant is at the: microorganisms and prevent a reinfection
a. carotid artery b. decrease joint size and prevent joint
deformities
b. apex of the heart
c. reduce inflammation and prevent spread of
c. brachial artery
the disease to other joints
d. temporal artery
d. decrease pain and prevent renal damage

Paul Meyers, 8 years old, is admitted to a hospital in a

coma. The tentative diagnosis is diabetic coma due to
untreated insulin-dependent diabetes mellitus
10. The nurse should be prepared to assist with
establishing a diagnosis by testing Paul’s urine for the
presence of
a. Blood
b. Sucrose
c. Ammonia
d. Ketones
11. Paul has now been diagnosed as having diabetes
mellitus. The physician reviews Paul’s records and
decides to prescribe regular insulin. If breakfast is
normally served at 8:00 AM, regular insulin is given at:
a. 6:00 am
b. 7:30 am
c. 8:00 am
d. 9:00 am
Eight-year-old Tommy Hilfiger was trapped in his
bedroom during a fire. He is hospitalized for treatment of
extensive second- and third-degree burns on his face,
neck, anterior chest, and left arm
12. Which of the following isolation techniques should
the nurse plan to carry out for Tommy.
a. enteric isolation
b. protective isolation
c. respiratory isolation
d. drainage or secretion isolation
13. To develop a plan of care and be prepared for
emergencies, the nurse must be sure that which of the
following is kept in Tommy’s room?
a. a bed board and footboard
b. a tracheostomy set and endotracheal tube
c. equipment to administer pain medications
d. extra pillows and sheets
Four weeks after his accident, a diet high in protein is
ordered for Tommy
14. Of the following between-meal snacks that are likely
to appeal to Tommy, which two can be selected by the
nurse because they have the highest protein content?
a. custard or a milk shake
b. an apple or an orange
c. flavored gelatin or a bread and jelly
sandwich
d. candy or peanuts
15. Tommy’s condition improves and the nurse plans
diversional activities for him. The most appropriate
activity for an 8 year old is
a. reading the newspaper
b. coloring simple design
c. playing with his car collection
d. playing solitaire
Karen is a 10 year old who has juvenile rheumatoid
arthritis. She is being seen in a clinic specializing in joint
disorders in children
16. The physician has prescribed aspirin for Karen. To
explain the purpose of the drug to Karen’s parents, the
nurse should know that aspirin is primarily used to
a. reduce joint inflammation
b. prevent muscle spasms
c. reduce fever
d. increase the prothrombin time
Brian Krause, age 9 years, is brought to the emergency
room. He fell off his bicycle and struck his head on the
pavement. He is admitted to the hospital for observation
17. The nurse is assigned to observe Brian for any
change in his neurologic status. Which one of the
following is a sign of increased intracranial pressure?
a. A rapid response of the pupils to light
b. A decrease in body temperature
c. A rise in blood pressure
d. An increased in awareness of his
surroundings
JC Penny, 11 years old has a brain tumor and is admitted
to the hospital for treatment
18. The physician orders the osmotic diuretic mannitol
(Osmitrol) to relieve increased intracranial pressure due to
cerebral edema. To develop a care plan the nurse should
know that the this type of drug will cause
a. an increase in urinary output
b. an increase in cerebrospinal fluid pressure
c. a decrease in the pulse rate
d. varying levels of consciousness
19. Which of the following neuromuscular assessments
would the nurse expect to find in a healthy term infant?
a. absent stepping reflex
b. asymmetrical Moro reflex
c. Positive Babinski reflex
d. Unilateral grasp reflex
Ms. Nollie calls for a pediatric clinic appointment
because she has discovered amphetamine capsules in
the room of her 14-year-old son, Ben
20. The nurse should recognize that Ben is most likely
abusing amphetamines when Ms. Ben describes Ben as
having
a. watery eyes
b. drowsiness
c. excessive nasal discharge
d. marked nervousness
Sixteen-year-old Ann has learned that she has been
exposed to gonorrhea. She visits the clinic for diagnosis
and treatment
21. The nurse can best assist with a common diagnostic
measure when Ann learns of her exposure to gonorrhea by
a. collecting a blood specimen
b. testing the client’s urine for the presence of
pus
c. assisting with the collection of a specimen
of the client’s vaginal discharge
d. determining when the client had her last
menstrual period
22. The nurse also assists with testing Ann for Chlamydia
trachomatis, a sexually transmitted disease that
a. is found only in females with gonorrhea
b. may coexist with other sexually transmitted
diseases, primarily gonorrhea
c. is primarily found in teenagers
d. rarely causes symptoms
Seventeen year old Heather Wynn has herpes genitalis
(HSV type II)
23. The nurse assists the physician while Heather is
examined. Which one of the following can be entered on
the client’s record and best describes the appearance of
the initial lesions of genital herpes?
a. keloid formation
b. fissure
c. fever blister
d. ulcerated macule
24. Heather asks if she could get acquired
immunodeficiency syndrome (AIDS) even though she
knows her sexual partner, and he has no symptoms. The
best response to this question is
a. Symptoms of AIDS may appear months and
even years after the original infection
b. If your partner has no symptoms when you
need not worry
c. If I were you I’d stop being sexually active
d. The spread of AIDS can now be controlled
with antiviral drugs
Linda Croft, age 14 years has thoracic scoliosis.
Although this was brought to their attention by a
physician when she was younger, Linda’s parents did not
seek medical evaluation and treatment of her problem
until this past month
25. Treatment for Linda will consist of a spinal fusion
and insertion of Harrington rod. Which one of the
following should be included in Linda’s preoperative
preparation?
a. demonstrate coughing and deep breathing
exercises
b. show Linda a Harrington rod
c. Tell Linda she will have pain after surgery
d. Demonstrate how to adjust the brace that
will be applied during surgery
26. Kevin has acne vulgaris and tetracycline
hydrochloride is prescribed by the physician. The nurse
should teach Kevin that this drug
a. is taken with food
b. is taken on an empty stomach
c. interferes with absorption of vegetables and
meat
d. is taken with an antacid
27. Tom Dale is 14 years old. At birth he was diagnosed
as having Down syndrome. Which of the following signs
and symptoms will the nurse detect in a client with Down
syndrome?
a. large head and curved index finger
b. long fingers and protruding tongue
c. small head and upward slanting eyes
d. protruding eyes and simian crease on the
soles of the feet
28. Peggy Sue has acute lymphocytic leukemia (ALL)
and is in remission. The physician has decided to perform
bone marrow transplantation. When reinforcing the
physician’s explanation the nurse can tell Peggy’s parents
that the purpose of this procedure is to provide Peggy
with
a. a source of immunity to viral and bacterial
infections
b. antibodies to destroy leukemia cells
c. healthy bone marrow that can manufacture
normal blood cells
d. antileukemic bone marrow cells that will
place Peggy in remission
29. Donald Mayer is 16 years old and is involved in
school sports. He asks the nurse for suggestions in
relieving muscle cramps, which he experiences during
football practice. The nurse can advise them to
a. not warm up before an athletic activity
b. drink plenty of fluids during and after
athletic activities
c. wear heavy clothing on the upper part of his
body
d. not eat for 12 hours before an athletic
activity
30. David Chandler has cerebral palsy and wears braces
on his legs. The nursing assistant asks the nurse why Paul
needs braces. The nurse can explain that Paul’s braces
a. encourage him to use unaffected muscles
b. prevent foot drop and muscle spasticity
c. strengthen and support weakened muscles
d. prevent muscle atrophy in the upper
extremities
31. Lois Lane has a new brother who has been diagnosed
as having Phenylketonuria (PKU). She asks the nurse for
information on this disorder so she can help her mother
care for her brother. The nurse can tell Lois that people
with PKU must eat a diet that is low in phenylalanine, an
amino acid found in
a. vegetables
b. natural protein foods
c. whole grains
d. fruits
32. Larry Baxter is diagnosed as having pinworms. His
mother has many questions about this problem. To
answer questions correctly the nurse should know that
pinworms are most often spread by children who
a. share their bed with a pet
b. play in contaminated water
c. tend to eat nonfood substances
d. are careless about toilet hygiene
33. Mrs. Gray states that her 6 year old son occasionally
develops hiccups and asks what she can do to stop them.
The nurse can suggest Ms. Gray have him
a. rebreathe in and out of a paper bag
b. chew gum
c. eat dry crackers
d. drink a carbonated beverage
34. Glen Easton has hemophilia. A teaching program for
his parents should include explaining that they must avoid
giving Glen medications containing
a. aspirin
b. caffeine
c. barbiturates
d. antacids
35. The nurse is assigned to observe Jeffty Dowe for
signs of hypokalemia. Which of the following are signs
and symptoms of this electrolyte imbalance?
a. full bounding pulse, dyspnea and thirst
b. weak irregular pulse, muscle weakness, and
vomiting
c. hypertension, tetany and nausea
d. constipation, clammy skin and coma
36. The nurse is assigned to discuss cerebral palsy with
parents. Which one of the following statements is
correct?
a. Cerebral palsy is not a progressive disease
b. Brain surgery often can help or cure those
with cerebral palsy
c. Physical therapy is of little value for those
with this disorder
d. Injury to sensory areas of the brain causes
cerebral palsy
37. Paul Walker has Duchenne’s muscular dystrophy.
His parents have had a difficult time accepting the
diagnosis. Recognizing this, the nurse could
a. recommend Paul be placed in a long term
health care agency
b. refer them to a social welfare agency
c. put them in contact with parents of children
with muscular dystrophy
d. give them literature to read about the
disorder
38. Which one of the following is a main goal when
caring for a child with a heart defect?
a. reducing the workload of the heart
b. finding ways to amuse the child
c. giving morning care as early as possible
d. Allowing the parents to bring toys to the
hospitalized child
39. Cathy Bates, age 16 years, has been diagnosed as
having acute glomerulonephritis and is admitted to the
hospital. Which one of the following obtained during an
initial physical assessment would indicate Cathy has
hypertension?
a. a systolic pressure of 128 mm Hg
b. a diastolic pressure of 94 mm Hg
c. a pulse deficit of 6 per minute
d. an irregular pulse
40. Which one of the following suggestions to prevent
accidents could the nurse give to the parents of a toddler?
 a. Allow the child to explore the surroundings
without supervision.
b. point out the importance of having fun
without getting hurt
c. use gates on stairways
d. point out the importance of safe play
41. The night nurse admits a 6 month old with Acute
LTB. Which of the following assessment findings indicate
progression of this condition?
a. drooling, dysphagia, high fever
b. hoarseness, stridor, low-grade fever
c. restlessness, absent breath sounds, high fever
d. low grade fever, purulent nasal discharge, clear breath
sounds
42. A nurse working at a children’s summer camp
receives a notice from the camp physician that a child has
impetigo. Which one of the following measures should
be instituted for this child?
a. the child can play with others
b. contact with other children should be
avoided
c. medication is not necessary because the
infection is self limiting
d. continuous wet soaks will be necessary.
43. P.E. is 3 months old. Which one of the following
would the nurse consider abnormal for this age?
a. engages in diffuse and random physical
activity
b. holds rattle
c. attempts to roll over
d. unable to raise her head off of a flat surface
44. J.B. is 5 months old. Which one of the following
tasks would the nurse consider abnormal for this age?
a. rolls from abdomen to back
b. cannot reach for object
c. smiles
d. purposely turns from side to side
45. S.A. is 11 months old. Which one of the following
would the nurse consider abnormal for this age?
a. has been creeping for 2 months
b. cannot sit without support
c. pulls himself to stand
d. picks up small objects using thumb and
finger
46. B.G. is 18 months old. Which one of the following
would the nurse consider abnormal for this age?
a. has a vocabulary of approximately 6 words
b. uses a spoon
c. needs support to walk
d. shows signs of readiness for toilet training
47. Bb. Boy Philips was born with jaundice and
generalized edema. His mom is negative for the D
antigen. His condition is called
a. thalassemia
b. sickle cell disease
c. megaloblastic anemia
d. erythroblastosis fetalis
48. A direct Coomb’s test is ordered to confirm the
diagnosis of hemolytic disease. The nurse should be
prepared to assist with the collection of a blood specimen
taken from Baby Boy Philips’
a. fingertip
b. jugular vein
c. femoral vein
d. umbilical cord
J.C. is 1 day old and was born with spina bifida with a
myelomenigocoele high in the spinal column. J.C. is
scheduled to have immediate surgical repair of the spina
bifida and myelomeningocoele.
49. Which of the following nursing measures is most
important for the nurse to include in JC’s preoperative
care?
a. prevent skin breakdown by placing a sheep
skin under his head
b. position him so that there is no pressure on
the myelomeningocoele
c. keep his myelomeningocoele clean by
washing it with antiseptic soap
d. support his bottle of formula on a rolled
towel for ease in feeding him
Acutely ill, 21 month old H.D. is admitted to the hospital
with sickle cell crisis. He has a brother who is 6 years old
and also has sickle cell disease
50. During H.D’s admission the nurse should be prepared
to use nursing measures appropriate for the relief of
a. pain
b. diarrhea
c. hemorrhage
d. bradycardia
 51. A 10-year old boy is in the terminal stages of
Duchenne muscular dystrophy is being cared for at home.
When evaluating for major complications of this disease,
a nurse would give priority to assessing which of the
following body systems?
a. Integumentary
b. Neurological
c. Respiratory
d. Gastrointestinal
52. A nurse evaluates a 3-month-old developmentally delayed
infant for manifestations of cerebral palsy. Which of the
following findings would a nurse report?
a. Exaggerated arching of the back
b. Absence of the extrusion reflex when fed
from a spoon
c. Head circumference measurement less than
50th percentile
d. Slight head lag when pulled to a sitting
position
53. A nurse should expect a 6-month-old infant who has iron
deficiency anemia to have which of the following
findings?
a. Weight for length at the 25th percentile
b. Pale, chubby appearance
c. History of a fractured clavicle at birth
d. Delayed eruption of primary teeth
54. An eight-year-old child has cerebral palsy, a
tracheostomy, and is oxygen dependent. During an
initial visit to the home, the nurse would include which
of the following questions in an environmental safety
assessment
a. “Are there drafts or air leaks in the home?”
b. “ Are there other children in the home?”
c. “Does anyone smoke in the home?”
d. “Are there pets in the home?”
55. A group of new mothers is attending classes on
parenting. The nurse should stress that the most
important source of nutrition for infants during the first
year, aside from breast milk, is
a. homogenized whole milk
b. iron-fortified homogenized whole milk
c. commercial infant formula
d. commercial iron-fortified infant formula
56. Which of the following statements, if made by the
parent of an 18-month-old child who has experienced 2
episodes of febrile seizures is accurate?
a. My child will have to take anti-seizure
medicine
b. I made an appointment to see a genetic
counselor
c. My child will probably outgrow these
seizures
d. I made arrangements to have oxygen
equipment at home
57. Which of the following findings would lead a nurse to
suspect that the ventriculoperitoneal shunt of a 7 year
old child is obstructed?
a. Frequent complaints of tinnitus
b. Falling asleep daily in school for the past 5
days
c. Occasional complains of abdominal pain
d. The presence of fever for the past 3 days
58. A 15-month-old child who is postoperative after a cleft
palate repair has elbow restraints in place. Which of
the following instructions should the nurse include in
the patient’s plan of care?
a. place mittens on the child’s hands
b. remove the restraints briefly every two hours
c. tell the parents that they may remove the
restraints while they are in the child’s room
d. have the parents sign a release form before
applying the restraints
59. A newborn is suspected of having patent ductus
arteriosus. The nurse should recognize that the
newborn is at risk for the development of
a. mitral valve prolapse
b. inflammation of the pericardium
c. pulmonary edema
d. bacterial endocarditis
60. An order on a 3 kg critically ill neonate’s chart reads as
follows: Give digoxin (Lanoxin) 0.25 mg NG daily.
Which of the following nursing actions is appropriate in
relation to the prescribed order?
a. carry out the order as written
b. give the digoxin after checking the apical
pulse and potassium level
c. hold the drug until a serum digoxin level is
obtained
d. question the doctor about this order
61. In teaching a mother of an 18-month old about
prevention and safety in the home, the nurse should
include which of the following measures in response to
accidental ingestion?
a. induce vomiting with one dose of ipecac
syrup
b. call the local poison control center for
advice prior to treatment
 c. give the child several glasses of water to
flush the substance
d. have the child eat the inner portion of a
piece of bread
62. As a preschooler, the 4 year old’s response to
hospitalization is influenced by
a. fear of separation
b. fear of bodily harm
c. belief in death’s finality
d. belief in the supernatural
63. An infant is to receive thyroxine sodium, 0.35 mg qd po.
The medication is available in elixir form, 0.25 mg/ml.
The nurse should administer:
a. 0.6 ml
b. 0.8 ml
c. 1.0 ml
d. 1.4 ml
64. An 8 year old with juvenile rheumatoid arthritis is
receiving salicylate therapy. During the salicylate
therapy the nurse should observe the child for
a. nausea, dizziness, edema, headache
b. gastric distress, nausea., vomiting, tinnitus
c. constipation, deafness, nausea, headache
d. diarrhea, gastric distress, edema of the face
65. Aminophylline is to be given IV for 20 minutes every 8
hours to a 20 month old hospitalized with severe
asthma. Before administering the drug, the nurse should
a. take the infant’s pulse
b. monitor the infant’s BP
c. check the infant’s temperature
d. administer oxygen to the infant
66. A child with acute leukemia is started on chemotherapy,
including prednisone. A side effect of prednisone that
may be exhibited is
a. alopecia
b. anorexia
c. weight loss
d. mood changes
67. When administering a parenteral iron preparation to a
child, the nurse should
a. apply ice packs to the site after the injection
b. rotate injections among the four extremities
c. firmly massage the site after withdrawal of
the needle
d. change needles after drawing the drug into
the syringe
68. A toddler is found by her mother playing with an open
bottle of diuretic tablets. The nurse tells the mother to
give syrup of ipecac to the toddler. The effect of the
drug will be enhanced by:
a. stimulating the gag reflex
b. resting until vomiting occurs
c. drinking 2 to 3 glasses of water
d. actively playing until vomiting occurs
69. A 9 years old is about to have surgery. The physician
orders Meperidine (Demerol), 20 mg, IV
preoperatively. The container reads “50 mg/ml.” The
nurse should administer
a. 0.4 ml
b. 0.6 ml
c. 0.8 ml
d. 1.0 ml
70. A child with a high blood level of lead is started on a
regimen of chelation therapy that consists of
intramuscular injections of calcium disodium edetate
(EDTA) and dimercaprol (BAL) q4h for 5 days. The
nurse understands that this combination of drugs
a. removes lead from the bone marrow more
efficiently
b. eliminates lead from the body more rapidly
through the urine
c. has fewer side effects and removes lead
from the brain more effectively
d. removes lead from the blood more rapidly
and increases deposition in the bones
71. The primary task to be accomplished between 12 and 15
months of age is to learn to
a. walk erect
b. climb stairs
c. use a spoon
d. say simple words
72. When successfully learning autonomy and
independence, the toddler would be learning
a. superego control
b. trust and security
c. roles within society
d. to accept external limits
73. The nurse observes a 2 year old at play and notes that
this age toddler:
a. builds houses with blocks
 b. is extremely possessive of toys
c. attempts to stay within the lines when
coloring
d. amuses himself with a picture book for 15
minutes
74. When evaluating a 3 year old’s developmental progress,
the nurse should recognize that development is delayed
when the child is unable to
a. copy a square
b. hop on one foot
c. catch a ball reliably
d. use a spoon effectively
75. To teach the correct way to administer eardrops to a
small child, the nurse should instruct the parent
position the child on the side and instill the drops while
pulling the auricle
a. forward
b. up and back
c. straight back
d. down and back
76. When observing a toddler playing with other children in
the playroom, the nurse would expect the toddler to
engage in
a. parallel play
b. solitary play
c. competitive play
d. tumbling type play
77. Preschool children role-play. This is an important part
of socialization because it
a. encourages expression
b. helps children think about careers
c. teaches children about stereotypes
d. provides guidelines for adult behavior
78. When providing nursing care to a preschool-age child
the nurse should remember that the child’s fear is of
a. pain
b. death
c. isolation
d. intrusive procedures
79. The nurse plans to talk to a mother about toilet training a
toddler, knowing that the most important factor in the
process of toilet training is the
a. child’s desire to be dry
b. ability of the child to sit still
c. parent’s willingness to work at it
d. approach and attitude of the parent
80. The average 5 year old is incapable of
a. tying shoelaces
b. abstract thought
c. making decisions
d. hand-eye coordination
81. A 6-year-old child is admitted to the hospital with a
diagnosis of acute leukemia. When planning play
activities for this six-year-old child the nurse should
include
a. action toys such as a hula hoop
b. stuffed animals, large puzzles, and large
blocks
c. table games, checkers, simple card games
to and crayons
d. a record player, portable radio, and
children’s magazines
82. A 9 year old who is in bed convalescing becomes very
bored and irritable. The nurse plans activities that a
school age child would like and suggests the child
a. play chess
b. start a collection
c. do arithmetic puzzles
d. watch game shows on TV
83. A 17-year-old female, smelling of alcohol, arrives in the
emergency clinic with her 3-month-old son whom she
states stopped breathing for “a while.” The baby
continues to have difficulty breathing. The assessment
data obtained on this baby that should alert the nurse to
suspect shaken baby syndrome (SBS) would be
a. the baby was born at 28 weeks gestation
b. lack of stridor and adventitious breath
sounds
c. previous episodes of apnea lasting 10 to 15
seconds
d. retractions and use of accessory respiratory
muscles
84. A newborn is admitted to the intensive care nursery with
the diagnosis of choanal atresia. The nurse is aware
that choanal atresia is an anomaly located in the
a. anal area
b. nasopharynx
c. intestinal tract
d. pharynx and larynx
85. While feeding a newborn with the diagnosis of choanal
atresia, the nurse notices that the newborn
a. chokes on the feeding
b. lacks a swallowing reflex
c. does not appear to be hungry
d. takes only about half of the feeding
86. An infant is in pediatric intensive care after open-heart
surgery for the repair of a ventricular septal defect. A
nursing priority should be to
a. monitor the infant’s urinary output
b. ascertain the infant’s pulmonary status
c. determine the status of the operative site
d. check the patency of the intravenous
catheter
87. The most critical factor in the immediate care of an
infant after repair of a cleft lip would be the
a. prevention of vomiting
b. maintenance of a patent airway
c. administration of parenteral fluids
d. administration of drugs to reduce oral
secretions
88. When preparing for the admission of a child with acute
laryngitis (croup), the nurse on the pediatric unit should
first
a. arrange for a quiet, cool room
b. pad the side rails of the croup tent
c. set up a cot so that a parent can stay
d. obtain a tracheostomy set for the bedside
89. When caring for a child with croup, the priority nursing
action should be to
a. initiate measures to reduce fever
b. constantly assess respiratory status
c. provide support to reduce apprehension
d. ensure delivery of 40 % humidified oxygen
90. The primary purpose of chest physiotherapy (CPT) for
the child with cystic fibrosis is to
a. mobilize secretions
b. prevent barrel chest
c. dilate the bronchioles
d. provide humidification
91. The problem of cystic fibrosis is sometimes first noted
by the nurse in the newborn nursery because of the
infant’s
a. excessive crying
b. sternal retractions
c. increased HR
d. abdominal distention
92. When caring for the child with cystic fibrosis the nurse
should
a. prevent coughing
b. perform postural drainage
c. encourage active exercise
d. provide small, frequent feedings
93. The nurse provides clapping, percussion, and postural
drainage every 4 hours for a 3 month old infant with
cystic fibrosis. The nurse is aware that the best time for
scheduling this chest physiotherapy is
a. after every feeding
b. before every feeding
c. during every feeding
d. midway between every feeding
94. A father of 3 young children is diagnosed as having TB.
Members of this family who have a positive reaction to
the tuberculin test are candidates for treatment with
a. BCG vaccine
b. INH and PZA
c. Old tuberculin
d. Purified protein derivative of tuberculin
95. If a person has been exposed to TB but shows no signs
and symptoms except a positive tuberculin test,
prophylactic drug therapy is usually continued after the
last exposure for a period of
a. 3 weeks
b. 4 months
c. 9 months
d. 2 years
96. Selection of drugs of choice for the treatment of
pneumonia depends primarily on
a. tolerance of the client
b. selectivity of the organism
c. sensitivity of the organism
d. preference of the physician
97. Following a tonsillectomy, the nurse suspects
hemorrhage postoperatively when the child
a. snores noisily
b. becomes pale
c. complains of thirst
d. swallows frequently
 98. After circumcision of a 6-month-old infant, the most
essential nursing action during the initial postoperative
period is to assess the infant for
a. Infection
b. Hemorrhage
c. Shrill, piercing cry
d. Decreased urinary output

99. A child born with exstrophy of the bladder is admitted to

the hospital for urinary diversion surgery wherein the
ureters are transplanted to a section of the colon with
one end attached to the abdominal wall as an ileostomy.
The nurse is aware that this procedure is called
a. a cystostomy
b. an ileal conduit
c. an ureterosigmoidostomy
d. a cutaneous ureterostomy

100. The nurse should observe a

child with acute glomerulonephritis primarily for
a. polyuria, high fever
b. oliguria, hypotension
c. dehydration, hematuria
d. hypertension, circumocular edema
 ATII CGFNS Boot Camp 31. D 66. D
Nursing Care of Children 32. A 67. C
ANSWER KEY 33. A 68. A
34. B 69. C
1. B 35. A 70. A
1. B 36. C 71. D
2. B 37. C 72. B
3. C 38. B 73. D
4. C 39. C 74. D
5. C 40. C 75. A
6. C 41. B 76. A
7. B 42. D 77. D
8. A 43. B 78. DB
9. D 44. B 79. C
10. B 45. C 80. B
11. B 46. D 81. B
12. B 47. D 82. B
13. A 48. B 83. A
14. C 49. A 84. B
15. A 50. C 85. B
16. C 51. A 86. B
17. A 52. B 87. D
18. C 53. C 88. B
19. D 54. D 89. A
20. C 55. C 90. D
21. B 56. B 91. B
22. C 57. B 92. D
23. A 58. C 93. B
24. A 59. D 94. C
25. B 60. B 95. C
26. C 61. B 96. D
27. C 62. D 97. B
28. B 63. B 98. B
29. C 64. B 100.D
30. D 65. D