1) –---42) A nurse is assisting a child who has multiple closed fractures of the lower extremities due to a motorvehicle crash. The nurse should monitor the child for which of the following complications during the first 24 hr
after the injury occurred?
A. Renal calculi
B. osteomyelitis
C. compartment syndrome
D. Volkmann ischemic contracture
2) –44) A nurse is teaching the parent of a toddler who has phenylketonuria about meal planning. Which of the
following information should the nurse include in the teaching?
b. Avoid foods containing milk products
3)----36) A nurse at an inpatient facility is planning care for a child who has autism spectrum disorder. Which
of the following interventions should the nurse include in the plan of care?
c. Keep staff visits with the child brief
4) ---70) A nurse is assisting an infant who has severe dehydration due to gastroenteritis. Which of the following
findings should the nurse expect?
A. Capillary refill of 2 seconds
B. Hypertension
C. Increase respiratory rate
D. Increased urine output
5)---(3) A nurse is prioritizing care for four clients. Which of the following clients should the nurse assess first?
A. An adolescent who has sickle cell anemia and slurred speech
B. A toddler who has a partial thickness burn on his right hand and requires a dressing change
C. A toddler who has a new diagnosis of osteomyelitis and is to receive an IV bolus of nafcillin
D. An adolescent who is in skin traction and reports a pain level of 7 on a scale from 0 and 10
5) A nurse is planning care for a child who has cystic fibrosis. Which of the following interventions should the
nurse plan to include?
d. Use a vest to perform high-frequency chest compressions
6) A nurse is teaching the parent of a school age child about bicycle safety. Which of the following instructions
should the nurse include in the teaching?
A. Your child should walk the bicycle through intersections
B. Your child’s feet should be 3 to 6 inches off the ground when seated on the bicycle
C. Your child should keep the bicycle at least 3 feet from the curb while riding in the street
D. Your child should ride the bicycle against the flow of traffic
7) A nurse is preparing a child for a lumbar puncture. In which of the following positions should the child be
placed for the procedure?
a. Lateral
8)---49) A nurse is reviewing the complete blood count results for a child who is receiving treatment for acute
lymphoblastic leukemia. Which of the following findings should indicate to the nurse that the treatment is
having a therapeutic effect?
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