1. A nurse is assessing a six month old infant who has respiratory syncytial virus. The nurse

should immediately report which of the following findings to the provider?

a. Tachypnea

2. A nurse is reviewing the results of the newborn screening of a newborn who is one week

old. Results include total T4 0.8mcg/dl phenylalanine 0.7 and negative galactosemia.

Which of the following nursing include in the plan of care?

a. Instruct the newborns parent about how to administer levothyroxine

3. A nurse is caring for a newly admitted toddler who has acute diarrhea. Which of the

following actions should the nurse take first.

a. Initiate contact precautions

4. A nurse is caring for toddler who post operative following cleft palate repair. Which of the

following actions should the nurse take?

a. Administer opioids for mouth pain

5. A nurse is assessing a child who has measles. Which of the following areas should the nurse

inspect for koplik spots?

a. Inside the mouth

6. A nurse is assessing an infant who has acute otitis media which of the following findings

should the nurse expect? Select all that apply.

a. Crying

b. Fever

c. Restlessness

7. A nurse is assessing a child who has measles which of the fallowing areas should the nurse

expect for kolpik spots?

A. The picture that shows inside of the mouth

8. A nurse in the emergency department is assessing an adolescent who reports inhalation of

gasoline. Which of the fallowing should the nurse expect?

a. Ataxia

9. A nurse caring for a 4 year old child who has moderate dehydration. Which of the fallowing

should the nurse expect?

a. Orthostatic hypertension

10. A nurse is planning to teach an adolescent who is lactose intolerant about dietary

guidelines. Which of the fallowing instructions should the nurse include in the teaching?

a. You can replace milk with non dairy source of calcium

A nurse is caring for a school age child

11. A nurse is providing teaching to the parents of a school aged child who has ADHD. Which

of the following instructions should the nurse include?

a. Place the childs daily activities on an organizational chart

12. A nurse is caring for a child who has sickle cell anemia. Which of the following findings is

a priority for the nurse to report to the provider?

a. Facial twitching

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