1. A nurse is providing education to the parent of a child who has cystic fibrosis and has a prolapsed rectum. The nurse should teach that which of the following is a cause of this complication:

a. Bulky stools

b. Weakened rectal sphincter

c. Elevated pancreatic enzymes

d. Decreased intra abdominal pressure

2. A pre-schooler is admitted to the emergency department with full thickness third degree burn over 45% of his body. Which of the following actions should the nurse take first:

a. Administer IV morphine

b. Administer IV antibiotics

c. Administer IV solutions

d. Administer total parenteral nutrition

3. A nurse is providing teaching to a parent of a pre-schooler who has Tinea Capitis. Which of the following should the nurse include in the teaching:

a. Apply 1 to 20 burrow’s solution compressed to the lesions

b. Apply hydrocortisone cream to the lesions twice daily

c. Seal and wash toys in plastic bag for two weeks

d. Leave the shampoo on the scalp for 5 to 10 minutes

4. A nurse is caring for a child who has sickle cell anemia. Which of the following signs of acute chest syndrome should the nurse report to the primary care provide immediately:

a. Congestive cough

b. Dilute hearing

c. Hct of 10g/dl

d. Systolic murmur

5. A nurse is assessing a 3month old infant for suspected intussusception. Which of the following findings should the nurse expect:

a. Jelly-like stool

b. Board-like abdomen

c. Projectile vomiting

d. Oliguria

6. A nurse is planning a teaching session for parents regarding infant development. Which of the following parent activities regarding play should the nurse include in the teaching:

a. Encourage the infant in one on one play

b. Promote play with other infants

c. Provide visual stimulation with pastel colored toys

d. Give the infant a large piece puzzle

7. A school-aged child with sickle cell anemia has been admitted in vaso- occlusive crisis. Which of the following assessment findings should the nurse recognize as an emergency?

a. Slurred speech

b. Fever of 38.30 C (1010 F)