1) A nurse is assisting a child who has multiple closed fractures of the lower extremities due to a motor-vehicle crash. The nurse

should monitor the child for which of the following complications during the first 24 hr after the injury occurred?

c. Volkmann ischemic contracture

2) 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) 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) A nurse is assisting an infant who has severe dehydration due to gastroenteritis. Which of the following findings should the nurse

expect?

c. Increase respiratory rate

5) A nurse is prioritizing care for four clients. Which of the following clients should the nurse assess first?

An adolescent who has sickle cell anemia and slurred speech

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?

b. Your child should walk the bicycle through intersections

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) 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?

d. RBC count 5/mm

9) A nurse is caring for a school age child who has pertussis. Which of the following actions should the nurse take?

a. Report the diagnosis to the public health department - nationally notifiable disease

b. Place the child in a protected environment for 48hr

10) A nurse in an emergency department is caring for a preschool age child who has acute acetylsalicylic acid poisoning. Which of the

following should the nurse expect?

Hyperpyrexia

10) A nurse is assessing a week-old infant. The nurse should identify which of the following manifestations can indicate neonatal

abstinence syndrome?

d. Lethargy

11 )A nurse is preparing to initiate IV antibiotic therapy for a newly admitted 12 month-old infant. Which of the following actions

should the nurse plan to take?

c. Cover the insertion site with an opaque dressing

12) A nurse is assessing a toddler who is 8 hr. postoperative following a cardiac catheterization procedure. Which of the following

findings should the nurse report to the provider?

c. Bilateral cool extremities

13.) A nurse is planning to teach an adolescent who is lactose intolerant about dietary guidelines. Which of the following instructions

should the nurse include in the teaching?

b. You can replace milk with non-dairy sources of calcium

14.) A nurse is providing teaching to a parent of a child who has HIV. Which of the following statements by the parent indicates an

understanding of the teaching?

My child will need to repeat the childhood immunization once he’s in remission