• A nurse is caring for a child during a tonic-clonic seizure. Which of the following actions should the nurse take? SATA

• Clear the areas of hard objects

• Firmly hold the child’s arms to one side

• Place a pillow under the childs head

• Insert a tongue blade into the childs mouth

• Loosen tight clothing around the childs neck.

• A nurse is preparing to perform a venipuncture to collect a blood sample from an infant. Which of the following restraints should the nurse plan to use for this procedure?

• Elbow

• Mitten

• Jacket

• Mummy

• A nurse is teaching a parent of a preschool-age child about management of sleep terrors. Which of the following instructors should the nurse include?

• Take the child to the parents bed to resume sleep

• Allow the child to fall asleep with the television on

• Remain uninvolved until the child awakens

• Schedule professional counseling for the child

• A nurse is assessing a toddler who is 8hr post operative following a cardiac catherization procedure. Which of the following findings should the nurse report to the provider?

• Weak pedal pulse distal to the site

• Bilateral cool extremities

• Serum glucose 90mg/dl

• BP 102/58

• A nurse is assessing a preschool-age child who is in the immediate postoperative period following a tonsillectomy. Which of the following assessement findings is the priority?

• The child swallows frequently

• The child refuses clear liquids

• The childs throat pain increases

• The child cries often

• A nurse is planning care for an 8 month old infant who has bronchiolitis. Which of the following actions should the nurse include in the plan of care?

• Use a bulb syringe to suction the nares

• Place the infant in a room with negative pressure airflow

• Administer a meningococcal vaccine upon admission

• Initiate IV antibiotic therapy

• A nurse is preparing a parents education class about nutrition for toddlers. The nurse should identify which of the following findings as an indication of protein deficiency?

• Dry, Thinning Hair

• Muscle Twitching

• Dental Caries