1. A mother brings her 8 mo. old baby boy to clinic because he has been vomiting and had

diarrhea for last 3 days. Which assessment is most important for nurse to make?

a. Assess infant abdomen for tenderness

b. Determine if the infant was exposed to a virus

c. Measure the infant’s pulse

d. Evaluate the infant’s cry

2. While obtaining the vital signs of a 10 year old who had a tonsillectomy this morning, the

nurse observes the child swallowing every 2-3 minutes. Which assessment should the

nurse implement?

a. Inspect the posterior oropharynx

b. Assess for teeth clenching or grinding

c. Touch the tonsillar pillars to stimulate the gag reflex

d. Ask the child to speak to evaluate change in voice tone

3. The parents of a 3-year old boy who has Duchenne muscular dystrophy ask, “How can

our son have this disease? We are wondering if we should have any more children.” What

information should the nurse provide to parents?

a. This is an inherited X-linked recessive disorder, which primarily affects male

children in the family

b. The striated muscle groups of males can be impacted by a lack of the protein

dystrophin in their mothers

c. The male infant had a viral infection that went unnoticed and untreated so muscle

damage was incurred

d. Birth trauma with a breech vaginal birth causes damage to the spinal cord, thus

weakening the muscles

4. A 2-week-old female infant is hospitalized for the surgical repair of an umbilical hernia.

After returning to the postoperative neonatal unit, her RR and HR have increased during

the last hour. Which intervention should the nurse implement?

a. Notify the HCP of these findings

b. Administer a PRN analgesic prescription

c. Record the findings in the child’s record

d. Wrap the infant tightly and rock in rocking chair

5. A 2-year-old girl is brought to the clinic by her 17 year old mother. When the nurse

observes that the child is drinking sweetened soda from her bottle, what information

should the nurse discuss with this mother?

a. A 2-year old should be speaking in 2 word phrases

b. Dental caries are associated with drinking soda

c. Drinking soda is related to childhood obesity

d. Toddlers should be sleeping 10 hours a night

e. Toddlers should be drinking from a cup by age 2