1 - The nurse cares for the infant diagnosed with Down syndrome.

The nurse discusses Down

Syndrome with the parents. The nurse thinks further instruction is required if the infant's mother
makes which statement?
Answer: "There is a greater risk of having a child with ds if the mother is under the age of 35."
2 - Nurse plans care for infants on the peds unit. The nurse understands that careful assessment
of infants... for which reason?
Answer: Infants have larger amounts of ECF than adults.
3 - The nurse in the peds clinic assess a child reporting chronic headaches. Which statement, if
made by the child to the nurse, requires immediate follow-up?
Answer: My headaches have started causing me to awaken at night.
4 - Nurse cares for the pre-adolescent admitted with RLQ abdominal pain, decreased bowel
sounds, and fever. The HCP suspects that the child has appendicitis. The nurse knows that the
child's appendix has ruptured if which finding is noted?
Answer: The pre-adolescent reports a sudden decrease in pain.
5 - The nurse in the peds clinic assess a 12-month-old infant. The infant fell to the floor from a
high chair. It is most important for the nurse to assess for which injury?
Answer: Head injury
6 - The nurse cares for the 4-year-old child with a suspected dx of cystic fibrosis. The
quantitative sweat chloride test is administered. The nurse knows that which result confirms the
dx of cystic fibrosis?
Answer: 69 mEq/L (> 60 in +3months; > 40 in -3months)
7 - School nurse discusses triggers that precipitate asthma with school-aged children. The nurse
determines that teaching is effective if a parent makes which statement?
Answer: Cold air can trigger my child's asthma attack
8 - Nurse cares for the infant diagnosed with gastroesophageal reflux. The infant presents with
anemia, forceful vomiting, and weight loss. The nurse should take which action?
Answer: Thicken formula w/ rice cereal
9 - Nurse cares for the child with dx of rule out aplastic anemia. To confirm the dx, the nurse
expects to use which test?
Answer: Bone marrow aspiration
10 - Nursing student presents at a conference about signs of CP (Cerebral Palsy). Which
statement will the nursing student include in the presentation?
Answer: Infant has poor head control after 3 months of age
11 - Nurse instructs the family of the child diagnosed with sickle cell disease on how to
minimize the vaso-occlusive. The nurse determines that further teaching is required if the family
makes which statement?
Answer: "If my child experiences pain, I will apply cold compresses."
12 - Nurse performs an assessment on a 15-month old. The infant's parents tells nurse that child
has started to walk, is eating with a spoon, and builds a two-block tower. During the visit, the
parent mentions that the toddler's right eye sometimes "glows" which response by nurse is best?
Answer:Is light shining in the toddler's eye when this happens? (Not sure)
13 - The pediatric nurse instructs families of children dx with diabetes about the differences
between hypoglycemia and hyperglycemia. Which info should the nurse include in the
presentation?
Answer: Hyperglycemia causes fruity breath odor
14 - The nurse cares for an infant admitted to the ER. The mother reports that the child fell off
the changing table. The nurse performs an assessment and identifies which symptom as an early
sign of increased intracranial pressure (ICP)?
Answer: Bulging fontanel
15 - The home care nurse cares for the child dx with a seizure disorder. The child's parents calls
to report that the child had a tonic-clonic seizure... most important for the nurse to follow up
which statement made by parent?
Answer: When the seizure first began, I tried to move my child to the bed
16 - The nurse cares for the child dx with Wilms tumor. Preoperatively, it is most important for
the nurse to include which action in the plan?
Answer: Measure the child's abdominal girth.
17 - The nursing student cares for clients in the pediatric clinic. The nursing student reports to
the nurse that a 12-year-old child has a bp of 150/... which response by the nurse is best?
Answer: Please show me the bp cuff that you used
18 - The nurse cares for a 7-year-old girl dx with central precocious puberty. It is most important
for the nurse to include which statement when counseling the child's mother?
Answer: Child should dress in age-appropriate clothing/central precocious puberty problem at
adolescent. Outgrow in puberty. Let child be themselves
19 - Nurse cares for the young child dx with HF. Nurse recognizes which findings is one of the
earliest indicators.
Answer: Tachycardia
20 - Parent of an infant brings child to ped clinic because of noticing the infant has edema of the
hands and feet. The nurse observes wide spaced nipples as low posterior hairline. Nurse knows
these findings are consistent with the dx of which genetic disorder?
Answer: Turner syndrome
21 - Nurse performs a nutritional assessment on the 3-month-old infant. Which question best
assists the nurse to obtain a dietary hx from parents?
Answer: How many oz of formula does your infant drink each day?/when did you start feeding
your baby solid foods? (I think answer is how many oz)
22 - Nurse cares for 5-year old dx with asthma. Nurse demonstrates to child's parents how to
measure the peak expiration... nurse asks child to forcefully exhale into meter, and the nurse
notes the results are in red zone. The nurse knows that the red zone presents which finding?
Answer: Severe airway narrowing may be occurring
23 - The nurse in the peds clinic counsels the mother of a 6-year old who has developed new-
onset constipation. Which is the most common reason new-onset constipation in a 6-year old?
Answer: Beginning school
24 - The nurse monitors a 13-month-old for speech and hearing development. To better
understand the child's speech dev., its most important for nurse to ask the parents which
question?
Answer: Does your child say da, na, yaya?
25 - Nurse cares for 18-month-old dx with stage IV neuroblastoma. During a discussion with the
child's parents, the parents shouts at the... "I have brought my child in for all checkups. The hcp
should have found this sooner." Which response by the nurse is most appropriate?
Answer: The answer is not “we are doing everything”. I think answer is “you seems angry”
26 - Nurse cares for the school-aged child reporting joint pain in the extremities. Parent state that
their child had a sore throat about 10 days ago that did not require tx. The nurse anticipates the
HCP will order which test?
Answer: Antistreptolysin O (ASO) titer
27 - The school nurse monitors the kindergarten-aged child dx with HIV. The school nurse
should intervene if which finding is observed?
Answer: The kindergarten teacher reports that the child bit another child
28 - The nurse provides instructions to the parents of a child being discharged after a
myringotomy with tympanostomy tubes inserted. It is most important for the nurse to respond to
which statement made by the parents?
Answer: Our child loves to jump off the dock into lake
29 - The nurse cares for the infant dx with type 1 spinal muscular atrophy (werding-hoffman).
nurse identifies which statement is true about this disease?
Answer: Type 1 is characterized by progressive weakness and wasting of skeletal muscles.
30 - The nurse instructs parents about car safety for infants. It is most important for the nurse to
include which piece of info in the presentation?
Answer: Infant should be in a rear-facing car seat
31 - The nurse cares for the child after tonsillectomy. The child vomits bright red blood. Which
action should the nurse take first?
Answer: Turn the child to the side
32 - Nurse cares for the child dx with cardiac dysrhythmia. Nurse knows which dysrhythmia is
not a common one found in children?
Answer: Supraventricular tachycardia. (I think the qts is which is most common, anyway SVT is
most common in childhood)
33 - Nurse cares for the child immediately after supratentorial craniotomy to remove a brain
tumor. The nurse notes that the child's apical pulse and bp is decreased. Which action should
nurse take?
Answer: Contact the HCP
34 - Nurse admits a child dx with hemophilia A. It is most important for the nurse to assess for
which symptom?
Answer: Joint pain
35 - Nurse presents a conference about GI dysfunction in children. Nurse discusses the
difference between ulcerative colitis and Crohn's. The nurse determines that further teaching is
required if an attendee makes which statement?
Answer: Bloody diarrhea is common in Crohn's
36 - Nurse cares for the infant dx with RSV receiving ribavirin. Nurse should intervene if which
action.
Answer: The pregnant nursing assistive personnel (NAP) gives the child a bath
37 - The nurse cares for the 7-year-old child dx with osteomyelitis of the right arm. Which
finding would the nurse expect to observe?
Answer: Child holds right arm in a semi-flexed position
38 - Student nurse prepares to discuss cardiac defects that cause increased pulmonary blood
flow. Student nurse identifies which cardiac defect affects pulmonary blood flow?
Answer: Atrial septal defect
39 - Nurse cares for the infant receiving O2 through an O2 hood. Which observation requires an
intervention by the nurse?
Answer: Infant's parent covers the infant with a brightly colored nylon blanket
40 - Nurse cares for a 10-month old admitted for surgical repair of coarctation of the aorta. The
nurse expects which finding?
Answer: Bounding pulses in the arms and weak femoral pulses
41 - Nurse identifies which statement as a true statement about otitis media?
Answer: Is caused by a dysfunction of the middle ear. (Not sure)
42 - Nurse observes 10 year old dx with ADHD. Nurse expects to observe
Answer: Child wanders the hallways
43 - The nurse cares the child dx with nephrotic syndrome. The nurse knows that which finding
is a common characteristic associated with nephrotic syndrome?
Answer: Weight gain
44 - Nurse prepares to discharge a new mother and the newborn. It is most important for the
nurse to include which discharge instruction about SIDS?
Answer: Place on back during sleep
45 - Nurse reviews the record of the child dx with acute glomerulonephritis. Nurse identifies
which finding is most commonly associated with this dx?
Answer: Impetigo 14 days ago (Frequent use of acetaminophen for fever acute glomerular
nephritis *diagnosis cause Oliguria, Proteinuria, HTN)
46 - The peds nurse cares for the 4-year old admitted with a dx of Hirschsprung disease. The
nurse expects to find which signs and symptoms?
Answer: Constipation, abdominal distension, ribbon-like stools
47 - Nurse plans care for the child dx with cystic fibrosis. nurse determines which action is most
important?
Answer: Instruct the family on how to perform chest physiotherapy
48 - Nurse instructs the mother of the young child dx with moderate dehydration due to diarrhea.
Nurse determines that teaching was successful if mother makes which statement?
Answer: Offer child ½ cup of oral rehydration after each diarrheal stool
49 - School nurse administers glucagon IM to a child dx with type 1 Diabetes. The child
immediately begins to vomit. What action should the nurse take first?
Answer: Place the child on the side
50 - The nurse admits the infant suspected of having pyloric stenosis. During the nursing history,
the nurse expects the parents to make which statement?
Answer: "My baby has frequent projectile vomiting."
51 - The nurse counsels the parents of a child diagnosed with iron deficiency anemia. The nurse
instructs the parents about how to administer the prescribed liquid iron supplement. Which
instruction is the most important for the nurse to include?
Answer: "Administer the liquid iron supplement through a straw."
52 - The nurse discusses dental hygiene with the parents of a 12-month-old infant. Which
statement, if made by the parents to the nurse, indicates the need of further instruction?
Answer: "We use toothpaste to polish the teeth."/"Good dental hygiene starts as soon as the first
tooth erupts." (I think 2nd answer is correct choice)
53 - The charge nurse of a newborn nursery instructs mothers on how to assess their infants'
hearing. Which statement, if made by the mother to the nurse, indicates that teaching is
successful?
Answer: "My baby may startle when I make a loud noise close to her head."
54 - A student nurse presents a conference on hematological disorders in children. The student
nurse identifies which information should be included.. presentation about immune
thrombocytopenia purpura (ITP)?
Answer: Immune thrombocytopenia purpura is caused by excessive destruction of platelets.
There is discoloration due to petechiae, and the bone marrow is normal.
55 - The nurse at the local high school is discussing hypercholesterolemia in health class. Which
statement, if made by a student to the nurse.. need for further teaching?
Answer: "There is no treatment for hypercholesterolemia."
56 - The nurse prepares to administer digoxin to an infant. Which finding would cause the nurse
to hold the infant's digoxin and contact the health care provider?
Answer: The parent reports the infant vomited four times during the night.
57 - The child is in the emergency room for a puncture wound contaminated with dirt. The nurse
knows that the health care provider will order which medications?
Answer: Tetanus immune globulin
58 - The nurse in the pediatric clinic performs a well child assessment on the 6-month-old infant.
As the infant is sitting quietly on the mother's lap, the nurse obtains an apical heart rate of 190
bpm. Which action by the nurse is most appropriate?
Answer: Ask the mother if the infant has been crying (Not sure)
59 - The nurse cares for a preterm infant diagnosed with patent ductus arteriosus (PDA)
receiving indomethacin 0.1 mg/kg intravenously (IV). The mother asks the nurse why her baby is
receiving the medication. Which response by the nurse is best?
Answer: "Indomethacin is given to close the patent ductus arteriosus."
60 - The nurse performs a well-baby assessment on the 10-month-old infant. The nurse should
intervene if the mother makes which statement?
Answer: "My baby drinks about 40 oz. of cow's milk each day."
61 - The nurse cares for the 2-week-old infant diagnosed with developmental dysplasia of the hip
(DDH). The nurse notes which finding is consistent diagnosis of DDH?
Answer: Asymmetry of the gluteal folds
62 - The nurse counsels the mother of a 4-year-old diagnosed with group A B-hemolytic
Streptococcus infection of the upper airway. Which statement made by the mother to the nurse,
indicates an understanding of the nurse's instructions?
Answer: "I will buy my child a new toothbrush tomorrow."
63 - The nurse admits the infant suspected of having intussusception. During the nursing
assessment, the nurse expects to obtain which information?
Answer: The parents state that the infant's stools look like currant jelly
64 - The nurse cares for a young child diagnosed with a respiratory infection. The nurse
understands that children are more prone to respiratory infection.. which reason?
Answer: The child's airway is a smaller diameter than is found in adults
65 - The nurse cares for the young child scheduled to receive the hepatitis B vaccine. The nurse
identifies which method is best administer the vaccine..?
Answer: Intramuscularly in the deltoid muscle
66 - The pediatric nurse performs an exam on the three-year-old. The nurse suspects the child
may have strabismus. Which observation, made by.. may indicate this type of visual impairment?
Answer: The nurse observes that the child closes one eye when looking around the room.
67 - The nurse performs discharge teaching for parents with a child in a hip spica cast. The nurse
determines further teaching is necessary if one of the.. make which statement?
Answer: "I will place my child in a supine position to eat."
68 - The nurse performs an assessment on the 5-year-old child suspected of having Duchenne
muscular dystrophy. Which assessment data obtained.. parent will assist the medical team with
this diagnosis?
Answer: "My child can't ride a bike."
69 - The nurse instructs the parents of the 4-year-old diagnosed with grade II vesicoureteral
reflux. It is most important for the nurse to.. in discharge teaching?
Answer: "Your child will be receiving a continuous low-dose antibacterial."
70 - The school nurse plans scoliosis screening for a class of fifth graders. Which is the correct
screening procedure for scoliosis?
Answer: Instruct the child to bend forward from the waist
71 - The nurse counsels the school-aged diagnosed with type 1 diabetes. The child tells the nurse
about sometimes going to the park after school with friends. It is most important for the nurse to
include which instruction?
Answer: "Eat extra food before going to the park to play with you friends."
72 - Cohorting
Answer: grouping kids with the same diagnoses
73 - Meningitis
Answer: make sure that the family is checked for bacterial meningitis, high pitched cry, bulging
fontanelle
74 - Adolescent Depression
Answer: the one with the question (I think it is do you feel empty, if it is about suicide then you
ask if they have a plan)
75 - Osteogenesis Imperfecta
Answer: support the child when moving