1. The nurse is caring for a 3-year old child who is 2 hours postop from a cardiac

catheterization via the right femoral artery. Which assessment finding is an indication of

arterial obstruction?

A. Blood pressure trend is downward and pulse is rapid and irregular.

B. Right foot is cool to the touch and appears pale and blanched.

C. Pulse distal to the femoral artery is weaker on the left foot than right foot.

D. The pressure dressing at right femoral area is moist and oozing blood.

2. Following a motor vehicle collision, a 3-year old girl has a spica cast applied. Which toy

is best for the nurse for this 3 year old child?

A. Duck that squeaks.

B. Fashion doll and clothes.

C. Set of cloth and hand puppets.

D. Hand held video game.

3. An infant with tetralogy of Fallot becomes acutely cyanotic and hyperpneic. Which

action should the nurse implement first?

A. Administer morphine sulphate.

B. Start IV fluids.

C. Place the infant in a knee-chest position.

D. Provide 100% oxygen by face mask.

4. A child admitted with diabetic ketoacidosis is demonstrating Kussmaul respirations. The

nurse determines that the increased respiratory rate is a compensatory mechanism for

which acid base alteration?

A. Metabolic alkalosis.

B. Respiratory acidosis.

C. Respiratory alkalosis.

D. Metabolic acidosis.

5. 7 years old is admitted to the hospital with persistent vomiting, and a nasogastric

tube attached to low intermittent suction is applied. Which finding is most important for

the nurse to report to the healthcare provider?

A. Gastric output of 100 mL in the last 8 hours.

B. Shift intake of 640 mL IV fluids plus 30 mL PO ice chips.

C. Serum potassium of 3.0 mg/dL.

D. Serum pH of 7.45.

6. The nurse is evaluating diet teaching for a client who has nontropical sprue (celiac

disease). Choosing which food indicates that the teaching has been effective?