1. A nurse is educating an adolescent following the application of an arm cast. Which of the following statements by the client indicates an understanding of the teaching? a. “I should expect my fingers to be swollen for several days.” b. “I should elevate my broken arm on pillows at night.” c. “I should limit the use of the fingers of my broken arm.” d. “I will sprinkle baby powder into the cast if my arm itches.” 2. A nurse is caring for a toddler who has a short leg cast. Which of the following findings should the nurse report to the provider? a. Mobility of the distal extremity b. Positive pedal pulse in the distal extremity c. Pallor of the distal extremity d. --N/A 3. A nurse is caring for a school-age child who has diabetes mellitus. Which of the following findings should the nurse recognize as being consistent with hyperglycemia? a. Tremors b. Sweating c. Thirst d. Pallor 4. A nurse is developing a plan of care for a child who is dying. Which of the ff measures should the nurse include to support the child and his family? a. Maintain consistent nursing staff assignments b. Ask the parents to leave the room for procedures c. Select one family member to receive information d. Limit the number of visitors in the client’s room 5. A nurse in an urgent care clinic is prioritizing care for four children. Which of the ff children should the nurse assess first? a. A preschool-age child who has a muffled voice and no spontaneous cough b. An adolescent who has a Crohn’s disease and a recent weight loss of 5 kg (ll lb) c. A toddler who has nephrotic syndrome and facial edema d. A school-age child who has diabetes mellitus and blood glucose of 200 mg/dL 6. A nurse is caring for a 4-year-old child who has meningitis and is receiving gentamicin. Which of the ff laboratory values should the nurse report to the provider? lOMoARcPSD|12263423 Downloaded by Anna Maina (annamurugijoe@gmail.com) a. BUN 12 mg/dL b. BUN 6 mg/dL c. Creatinine 1.4 mg/dL d. Creatinine 0.3 mg/dL lOMoARcPSD|12263423 Downloaded by Anna Maina (annamurugijoe@gmail.com) 7. A nurse is preparing to assess a 4-year-old child’s visual acuity. Which of the ff actions should the nurse plan to take? a. Test the child without glasses before testing with glasses b. Use a tumbling E chart for the assessment c. Position the child 4.6 meters (15 feet) from the chart d. Assess both eyes together first, then each eye separately 8. A nurse is caring for a child who has prescription for fluticasone and has developed white patches and sores in his mouth. Which of the following is an appropriate action for the nurse to take? a. Withhold the medication until the lesions heal b. Encourage the use of a spacer c. Obtain a prescription for oral prednisone d. Collect a culture from the lesions 9. A nurse is admitting an infant who has GERD. which of the following is the priority assessment finding? a. Weight loss b. Regurgitation c. Excessive crying d. Wheezing 10. A nurse is caring an an infant who has hydrocephalus and ventriculoperitoneal shunt malfunction. Which of the following assessment findings indicates that the infant is experiencing increased intracranial pressure? a. Irritability b. Tachycardia c. Increased appetite d. Flat fontanel 11. A nurse is performing a physical assessment of a school-age child who has acute glomerulonephritis. Which of the following findings should the nurse expect? a. Facial edema b. Hypotension c. Increased urinary output d. Flushed skin 12. A nurse is assessing an infant who has iron deficiency anemia. Which of the following findings should the nurse expect? a. Pale conjunctiva b. Increased hemoglobin level c. Bradycardia d. Hyperactive muscle tone lOMoARcPSD|12263423 Downloaded by Anna Maina (annamurugijoe@gmail.com) 13. A nurse is caring for a preschool-age child who is a 2 hr postoperative following a tonsillectomy and adenoidectomy. Which of the following manifestations should the nurse report to the provider? a. Halitosis b. Tachycardia c. Dark brown emesis d. Blood-tinged mucus 14. A nurse is caring for an infant who has a patent ductus arteriosus. The nurse should identify that the defect is at which of the following locations of the heart? a. B - PDA: A condition in which the normal fetal circulation conduit between the pulmonary artery and the aorta fails to close and results in increased pulmonary blood flow (left-to-right shunt) (ATI Peds, 111) 15. A nurse is teaching a parent of a toddler about administering digoxin. Which of the following statements by the parent indicates an understanding of the teaching? a. “I should give the medication with foods that are high in fiber” b. “I should mix the medication with 4 ounces of my child’s favorite juice” c. “I should give my child another dose if he vomits right after taking the medication” d. “I should give my child water after giving the medication” 16. A nurse is assessing an adolescent who has Cushing’s syndrome. Which of the following findings should the nurse expect? a. Advanced bone age b. Blood glucose 320 mg/dL c. Potassium 4.2 mEq/L d. Cachectic appearance 17. A nurse is planning care for a school-age child who has autism spectrum disorder. Which of the following actions should the nurse include in the plan? a. Give the child three options when making choices b. Explain procedures in detail to the child c. Introduce the child to new situations slowly