1. A nurse is caring for a school-age child who is receiving a blood

transfusion. Which of the following manifestations should alert the

nurse to a possible hemolytic transfusion reaction?

 Flank pain

2. 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?

 Epinephrine

3. A nurse is teaching the guardian of a 6-month—old infant about car

seat use. Which of the following statements by the guardian

indicates an understanding of the teaching?

 “I should secure the car seat using lower anchors and tethers

instead of the seat belt.”

4. A nurse is planning care for a toddler who has a serum lead level of

4 mcg/dL. Which of the following actions should the nurse plan to

take?

 Schedule the toddler for a yearly rescreening

5. 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.)

 Ankle clonus

 Exaggerated stretch reflexes

 Contractures

6. A nurse is assessing a school-age child immediately following a

perforated appendix repair. Which of the following findings should

the nurse expect?

 Absence of peristalsis

8.

9.

10.

11.A A nurse is assessing a 4 year old child at well-child visit. Which of

the following developmental milestones should the nurse expect to

observe?

 Cuts an outlined shape using scissors