1. A nurse is caring for a school-age child who is receiving cefazolin via intermittent IV
bolus. The child suddenly develops diffuse flushing of the skin and angioedema. After
discontinuing the medication infusion, which of the following medications should the
nurse administer first?
a. Prednisone
b. Epinephrine
c. Diphenhydramine
d. Albuterol
2. A nurse is teaching the parent of an infant about ways to prevent sudden infant death
syndrome (SIDS). Which of the following instructions should the nurse include?
a. “Give the infant a pacifier at bedtime.”
b. “Place the infant in a prone position to sleep.”
c. “Allow the infant to sleep on a large pillow.”
d. “Use a soft mattress in the infant’s crib.”
3. A nurse is caring for a toddler who has spastic (pyramidal) cerebral palsy. Which of the
following findings should the nurse expect? (Select all that apply.)
a. Negative Babinski reflex
b. Ankle clonus
c. Exaggerated stretch reflexes
d. Uncontrollable movements of her face
e. Contractures
4. The nurse is providing discharge teaching to the parent of a child who is 1 week
postoperative following a cleft palate repair. For which of the following members of the
inter professional team should the nurse initiate a referral?
a. Occupational therapist
b. Speech therapist
c. Respiratory therapist
d. Physical therapist
5. A nurse is creating a plan of care for an infant who has an epidural hematoma from a
head injury. Which of the following interventions should the nurse include in the plan?
a. Position the infant side-lying with their head at a 0 and 5 angle.
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