1. A nurse is caring for a child who is admitted with suspected acute appendicitis. Which of

the following manifestations should indicate to the nurse that the child appendix is

perforated?

Low-grade fever

sudden decrease in abdominal pain

flaccid abdomen

absent Rovsing’s sign

2. A client with sickle cell anemia is admitted in a vaso-occlusive crisis. Which intervention

should the nurse expect to see ordered? Select all

Cold compresses to painful joints

high calorie high protein diet

meperidine ordered every four hours for pain

IV fluids started, and oral fluids encouraged

antibiotics ordered for any existing infection

3. While preparing to administer digoxin to an infant with heart failure, the infant begins

to vomit. Which action should the nurse take?

Withhold the digoxin and notify the healthcare provider

Administer an anti-emetic

reschedule the dose for later in the shift

withhold the digoxin until the client stops vomiting

4. A nurse is admitting a child with leukemia and a critically low platelet count. Which of

the following precautions should the nurse initiate?

Contact

neutropenic

droplet

bleeding

5. A nurse is teaching a parent of an infant who has heart failure about meeting the infants

nutritional needs. Which of the following statements by the parent indicates an

understanding of the teaching?

“I will feed my baby on a schedule every four hours”

“I will allow my baby to take as much time is needed to finish the bottle”

“I will add Polycose to each of my babies bottles”

“I will limit my babies crying to 15 minutes prior to each feeding”

6. A nurse is providing discharge instructions to the parent of a 10-year-old child following

a cardiac Cath. Which of the following instructions should the nurse include?