1. A nurse is providing discharge teaching to the parent of an 18-month-old toddler

who has dehydration as a result of acute diarrhea. Which of the following

statements by the parent indicates an understanding of the teaching?

The nurse should teach the parent to closely monitor the child's number of wet

diapers. Monitoring the number of wet diapers per day is the best way for the

parent to monitor adequate output and hydration status.

2. A nurse is caring for a preschooler who has been receiving IV fluids via a

peripheral IV catheter. When preparing to discontinue the IV fluids and catheter,

which of the following actions should the nurse plan to take? (Move the steps into

the box on the right, placing them in the order of performance. Use all the steps.)

First, the nurse should turn off the IV pump. Next, the nurse should occlude the

IV tubing, and then remove the tape securing the catheter. Last, the nurse should

apply pressure over the catheter insertion site.

3. A nurse is preparing to collect a sample from a toddler for a sickle-turbidity test.

Which of the following actions should the nurse plan to take?

The nurse should perform a finger stick on a toddler as a component of the sickleturbidity test. If the test is positive, hemoglobin electrophoresis is required to

distinguish between children who have the genetic trait and children who have the

disease.

4. A nurse in an emergency department is performing a physical assessment on a 2-

week-old male infant. Which of the following manifestations is the priority for the

nurse to report to the provider?

When using the airway, breathing, circulation approach to client care, the nurse

should determine that the priority finding to report to the provider is substernal

retractions. This finding indicates the infant is experiencing acute respiratory

distress and increased respiratory effort, which could quickly progress to

respiratory failure.

5. A nurse is providing anticipatory guidance to the mother of a toddler. Which of

the following expected behavior characteristics of toddlers should the nurse

include in the teaching?

The nurse should teach the mother that her toddler will begin to express her likes

and dislikes. This is the time in life when a toddler is developing autonomy and

self-concept. She will try to assert herself and frequently refuse to comply. The

parent should allow the child to have some control but also set limits in order for

her to learn from her behavior and learn to control her actions.

6. A nurse in a provider's office is caring for a school-age child who has varicella.

The parent asks the nurse when her child will no longer be contagious. Which of

the following responses should the nurse make?

The nurse should inform the parent that the child is contagious 1 day prior to

lesion eruption and until the vesicles have crusted over, which usually takes about