1. A nurse is preparing to assess a 4-year old child's visual acuity. Which of the following actions should the nurse plan first? A. Use a tumbling E chart for the assessment B. Position the child 4.6 meters (15 feet) from the chart C. Assess both eyes together first, then each eye separately D. Test the child without glasses before testing with glasses * Answer-A. Use a tumbling E chart for the assessment 2. A nurse is providing discharge teaching to a parent of a child who has juvenile idiopathic arthritis and a new prescription of prednisone/etarnecept. Which of the following statement should the nurse include in the teaching? A. "Discontinue this medication if gastrointestinal upset occurs." B. "Expect that this medication will stimulate a growth spurt." C. "Limit your child' of potassium-rich foods." D. "Monitor your child for indications of infection." * Answer-D. "Monitor your child for indications of infection." A nurse on a pediatric unit is caring for four children. The nurse should use droplet precautions for which of the following children? A. An adolescent who has hepatitis A B. A toddler who has seasonal influenza C. A preschool-age child who has pediculosis capitis D. A school-age child who has viral conjunctivitis * Answer-B. A toddler who has seasonal influenza 4. A nurse is providing teaching to an adolescent who has vulvovaginitis. Which of the following statements should the nurse include in the teaching? A. "Apply a warm, moist compress three times per day." B. "Apply scented baby powder to absorb residual moisture." C. "Wear a feminine deodorant pad for vaginal drainage." D. "Wear nylon underwear at night." * Answer-C. "Wear a feminine deodorant pad for vaginal drainage." 5. A nurse is creating a plan of care for a school-age child who has nephrotic syndrome. Which of the following interventions should the nurse include? (Select all that apply) A. Provide a low-sodium diet B. Encourage increased fluid intake C. Assess for protein in the urine D. Initiate contact precautions E. Obtain a daily weight * Answer-A. Provide a low-sodium diet C. Assess for protein in the urine E. Obtain a daily weight 6. A nurse in a pediatric unit is caring for a school-age child following a cardiac catheterization. Which of the following interventions would the nurse take? A. Maintain NPO status for 24 hrs. following the procedure B. Administer meperidine for pain every 4 hrs. C. Perform a sterile dressing change 8 hrs. after the procedure D. Keep the affected extremity straight for 6 hrs. * Answer-D. Keep the affected extremity straight for 6 hrs. 7. A nurse is teaching a parent of a toddler about administering digoxin. Which of the following statements by the parent indicates understanding of the teaching? A."I should mix the medication with 4 ounces of my child's favorite juice." B. "I should give my child water after giving the medication." C. "I should give my child another dose if he vomits