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. Asses both eyes together first, then each eye separately D. Test the child without glasses before testing with glasses 2. A nurse is providing discharge teaching to a parent of a child who has juvenile idiopathic arthritis and a new prescription of prednisone/etanercept. Which of the following statements should the nurse include in the teaching? A. Monitor your child for indications of infection B. Discontinue this medication if gastrointestinal upset occurs C. Expect that this medication will stimulate growth spurt D. Limit your child’sintake of potassium-rich foods 3. 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 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 a day B. Apply a scent baby powder to absorb residual moisture C. Wear a feminine deodorant pad for vaginal drainage D. Wear a nylon underwear at night 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? (SATA) 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 2 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 hours following the procedure B. Administer meperidine for pain every 4 hours C. Perform a sterile dressing change 8 hours after the procedure D. Keep the affected extremity straight for 6 hours. 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 child’sfavorite juice B. I should give me child water after giving the medication C. I should give my child another dose if he vomits right after taking the medication D. I should give the medication with foods that are high in fiber 8. A nurse is caring for a 9-year-old child who has major burns to her face and upper torso. Which of the following actions should the nurse take first? A. Administer a tetanus vaccine B. Give pain medication C. Begin enteral feedings D. Initiate a crystalloid IV bolus 9. A nurse is planning care for a toddler who has developed oral ulcers in response to chemotherapy. Which of the following should the nurse include in the plan of care? A. Schedule routine oral care every 8 hours B. Administer oral viscouslidocaine C. Moisten the mucous with lemon glycerin swabs D. Cleanse the gums with saline soaked gauze 10. A nurse in a community health clinic is assessing the needs of a single parent who has three young children and works full time. Which of the following resources should the nurse recommend? A. 12-step support group B. Respite child-care C. Child home health care D. Counseling for depression 11. 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? 3 A. Encourage the use of a spacer B. Withhold the medication until the lesions heal C. Obtain a prescription for oral prednisone D. Collect a culture from the lesions 12. A nurse is providing teaching to the parents of a child who has impetigo. Which of the following instructions should the nurse include in the teaching? A. Seal soft toys in a plastic bag for 14 days B. Apply bacterial ointment for lesions C. Administer acyclovir PO two times per day D. Soak hairbrushes in boiling water for 10 minutes 13. A nurse in an emergency department is caring for a child who is epiglottis. Which of the following actions should the nurse take? A. Provide nebulizer aerosol therapy B. Administer IV antibiotics C. Inspect the tonsils using a tongue depressor D. Collect a throat culture 14. A nurse is planning care for a child who is placed in skin traction. Which of the following is the priority action for the nurse to take? A. Increase fluid intake B. Maintain a proper body alignment C. Use an alternate pressure mattress D. Monitor pedal pulses 15. A nurse is preparing to administer ondansetron 0.15 mg/kg IV to a child who is receiving chemotherapy and weighs 29.4 kg. available is ondansetron 4mg/2mL solution. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero). Answer: 2.2 mL 16. 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. Hypotension B. Increased urinary output C. Flushed skin D. Facial edema 4 17. A nurse in an emergency department is assessing an adolescent who reports inhalation of gasoline. Which of the following findings should the nurse expect? A. Hypothermia B. Pinpoint pupils C. Hyperactive reflexes D. Ataxia 18. A nurse in the emergency department is assessing a toddler who has hyperpyrexia, severe dyspnea, and is drooling. Which of the following actions should the nurse take first? A. Prepare the toddle for nasotracheal intubation B. Insert an IV catheter for the toddler C. Obtain a blood culture from the toddler D. Administer an antibiotic to the toddler 19. 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? (you will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your assessment) Answer: 20. A nurse is caring for 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. Increased appetite B. Irritability C. Flat fontanel D. Tachycardia 21. A nurse is assessing an infant who has iron deficiency anemia. Which of the following findings should the nurse expect? A. Increased hemoglobin level B. Hyperactive muscle tone C. Bradycardia D. Pale conjunctiva 22. A nurse is caring for a child who received partial thickness burns to over 50% of his body 10 days ago and has splints over his joints to prevent contractions. Which of the following actions should the nurse take? (SATA) A. Provide a high-calorie diet B. Administer analgesics IM