The nurse is preparing to give a parenteral injection to a two-year-old child. Which of the following site is best for this injection?

The nurse is caring for a 13-year-old girl who has revealed to the nurse that she was sexually abused by a family member. The nurse must be sure to communicate which of the following to the child? Select all that apply.

A school nurse suspects a 12-year-old student is a victim of child abuse. The nurse contacts child protective services and then the police. Following the incident, the child’s parent approaches the nurse and says, “Why did you call child protective services? Now I’ll be suspended from my job!” Which response from the nurse is most appropriate?

The nurse is caring for a child and has suspicions of child abuse. Which of the following risk factors are commonly identified in child abuse? Select all that apply.

The nurse is organizing her priorities at the beginning of the shift. Which of the following would be the most appropriate way to organize nursing care to reduce stress for the child and family in the hospital setting?

A new nurse on the pediatric unit is discussing what age appropriate education topics to cover with a family who has a three-year-old. Which of the following statements indicate that the nurse has an accurate understanding of common childhood health problems. Select all that apply.

The nurse is ready to begin an exam on a 9-month-old infant sitting in the mother’s lap. What should the nurse do first?

A nurse is reviewing the policies for safety with a family whose one-year-old child has been admitted to the pediatric unit. Which information would the nurse most likely give to the parents about maintaining the child’s safety while she is a client in the pediatric unit?

It is 0700 and the nurse just received report on a 3-year-old client who will have a chest x-ray in the afternoon. The nurse knows that it is best to tell the client about the procedure at which time?

A 6-year-old child has been brought in for care and treatment after suffering from physical abuse by her father. The child is experiencing a post-traumatic fight-or-flight response. Which signs or symptoms would the nurse most likely expect to initially see in this client?

The nurse working on a pediatric ward knows that rectal temperatures are contraindicated in which of the following clients? Select all that apply.

The nurse is educating a new graduate nurse about blood pressure readings in pediatric clients. Which of the following statements would be most appropriate to include? Select all that apply.

The nurse is working in the emergency department and has received a 1-week-old who has been brought in for fussiness. The client’s airway, breathing, and circulation are stable and the medical assistant has obtained vital signs. What is the next thing that needs to be done on this client?

A two-week-old infant presents to the pediatrician’s office with nystagmus. What is appropriate for the nurse to tell the parents?

The nurse is obtaining vital signs on a newly admitted pediatric client. Which vital sign is the most concerning for a 3-year-old?

Which of the following pediatric client is in need of emergent intervention?

A nurse caring for a one-year-old knows that obtaining an accurate pulse includes which of the following actions?

Which best describes the appropriate use of patient-controlled analgesia (PCA) in a pediatric client?

A nurse is caring for a 10-year-old client in the pediatrics unit. The nurse must check an oxygen saturation on the client. Which of the following should the nurse consider when performing this test?

The nurse caring for a four-year-old knows that preschoolers sometimes have magical thinking. The nurse accurately adapts nursing care in which of the following ways? Choose the best answer.

A mother of a toddler is concerned about the child’s development. You tell the mother that a typical child of a toddler age will engage in what type of play?

A two-year-old child is admitted to the hospital for intussusception. The nurse needs to insert an IV and start fluids. Which of the following would be an appropriate method to use to reduce the child’s anxiety?

While educating the parents of a 14-month-old about healthy eating and how to prevent iron deficiency, the nurse includes which of the following information? Select all that apply.

Which age group would include activities such as building block towers that are 7-8 blocks high, playing with other children, and beginning toilet training?

The parents of a 3-year-old child are having him evaluated because of poor growth and development. After testing, the provider diagnoses the child with growth hormone deficiency. Which statement from the nurse is most appropriate when teaching this family?

A family who consists of two parents and their children, ages 2 and 4 years, would most likely perform which of the following developmental tasks?

At what age does a child develop gender identity?

A nurse is caring for an 18-month-old. The parent expresses worry because the child still seems a little clumsy and seems to fall a lot. Which of the following statements by the nurse is accurate regarding toddler development?

A nurse is caring for a family who has an 18-month-old child. The parents are concerned and tell the nurse that their child does not know how to run or kick a ball. Which of the following responses from the nurse is most appropriate?

The parent of a two-year-old asks questions about toilet training and when to start the process. The nurse begins to teach the parent about readiness signs and includes which of the following? Select all that apply.

Which age group would include a child who can skip on one foot, catch balls, tie their shoes, sing songs, repeat poems from memory, copy letters, and brush their teeth?

A 4-year-old child requires surgery for an injury to her hand. The surgeon is considering using regional anesthesia for the procedure instead of general anesthesia. Which of the following best describes a disadvantage of using regional anesthesia in this situation?

The nurse caring for a nine-year-old boy knows which of the following is consistent with his social development at this stage?

A seven-year-old client is being seen in the outpatient pediatric clinic because the child’s parents are concerned about continued bed wetting. The nurse accurately provides which of the following pieces of information to them?

When questioning a 15-year-old about potential causes of stress, the nurse knows which of the following to be true about adolescent development? Select all that apply.

The nurse caring for a 16-year-old male knows that which of the following is a warning sign of suicide? Select all that apply.

An 8-year-old child is in the hospital for a respiratory illness. The nurse recognizes that which of the following developmental tasks are associated with a child of this age? Select all that apply.

A 10-year-old child has been diagnosed with developmental coordination disorder. When educating the parents about this condition, the nurse should include which information?

The family of a 14-year-old boy is discussing their child’s physical changes of puberty with the nurse. The mother tells the nurse, “He dresses so outrageously. I do not know what to do!” Which response from the nurse is most appropriate?

A nurse is working with a 13-year-old girl who is going through puberty. The girl is upset because she is taller than everyone in her class at school and she asks the nurse if it will always be this way. Which response from the nurse is most appropriate?

Which of the following age groups include a child who can tie knots, begin growing permanent teeth and losing temporary ones, is more independent, and can begin to understand concepts like the future?

The nurse is educating an 11-year-old girl about puberty. Which of the following should be included in this education?

A nurse is providing education about skincare to the parents of a seven-year-old girl who has eczema. Which of the following statements are appropriate for the nurse to include? Select all that apply.

A 16-year-old client has just been prescribed immunomodulators for eczema. The client asks the nurse about the purpose of the new medication. Which of the following statements is an appropriate response by the nurse?

The nurse is caring for a client in the clinic who has contact dermatitis. Which of the following treatments would the nurse anticipate giving?

The nurse is caring for a 10-year-old with eczema. The nurse is talking with the child’s father about at-home management of symptoms. Which of the following statements by the father demonstrates that more teaching is required? Select all that apply.

A three-year-old has been admitted to the hospital with widespread eczema herpeticum. The nurse expects to administer which of the following medications to treat the infection?

A nurse documents the condition of a client’s skin as erythematous. Which color would you expect to see on their skin?

A nurse advises the parents of a five-year-old girl with eczema to try which of the following things to prevent infection?

A client requires long-term systemic corticosteroid therapy for the treatment of skin disease. Which of the following effects has been associated with the chronic use of corticosteroids?

The mother of a five-year-old boy is concerned about the side effects of topical steroids. Which of the following would be an appropriate response from the nurse?

The nurse caring for a three-year-old with Impetigo provides the parents with education about how to appropriately apply the topical antibiotic. The nurse correctly tells them which of the following statements?

The nurse caring for a four-year-old with leukemia notices a honey-colored crusty rash around the child’s nose. The nurse knows this rash is consistent with which of the following diagnoses?

The nurse is preparing to discharge a three-year-old child with topical antibiotics to treat a diagnosis of impetigo. When educating the parents about this diagnosis, which of the following information should be included? Select all that apply.

Which organism is considered the causative agent in impetigo?

A nurse working in the ER notices that a six-year-old, who has come in with an asthma exacerbation, has a rash on their hands with a honey-colored crust. The nurse knows to take which of the following infection control precautions with this client?

The nurse is caring for an eight-year-old boy that has presented to the emergency department with edema, high blood pressure and hematuria. The nurse asks the mother to describe his health up until now. Which of the following statements from the mother would the nurse identify as being most significant, in light of his current symptoms?

The school nurse is educating a group of parents about treating head lice. For optimal treatment, the nurse recommends they do which of the following?

A school nurse is educating parents on what to look for when inspecting the hair of their children. The nurse accurately tells parents which of the following facts about lice? Select all that apply.

A nurse is caring for an 8-year-old child who has an infection with pediculosis. Based on the nurse’s understanding of this condition, the nurse knows that:

To prevent the spread and recurrence of lice, a school nurse creates a leaflet to send home with school children. The nurse should include which of the following preventative measures in the document? Select all that apply.

The school nurse asks students to take their hats home to be washed because the nurse knows that Pediculosis Capitis is usually transmitted in which of the following manners?

The nurse speaking to parents about treating head lice advises that any children with allergies to which of the following should avoid using permethrin 1%?

The nurse is working in a pediatric intensive care unit with a 3-year-old client who has burn injuries over 75% of the body. The client was admitted 24 hours ago. The nurse recognizes that the client is at risk for which of the following complications? Select all that apply.

The nurse is caring for a child who was in a house fire. The nurse notes that the hairs on the child’s face are singed. Based on this assessment finding, the nurse monitors the client closely for which of the following complications that may occur following burn injuries?

An infant has been brought into the emergency room for burns to their feet after being placed in a bath that was too hot. Which method should the nurse use to determine the percent of area burned for this infant?

A nurse is providing fluid resuscitation to a child who weighs 19 kg with burns on 38% of his body. According to the Parkland Formula, how many total mL of Lactated Ringers will you administer to this client?

The nurse caring for a child with minor burns educates the parents with which of the following correct information for burn management at home? Select all that apply.

The nurse is caring for an eight-year-old with severe burns and is preparing to perform a dressing change. The nurse knows to do which of the following to reduce stress and anxiety for the child? Select all that apply.

A nurse is assessing a 9-year-old burn injury client in the emergency department. Which of the following assessment findings is the most concerning and therefore the priority?

A 7-year-old child was brought into the emergency department with 2nd and 3rd degree burns over 36% of his body. What is the priority during this initial emergency department phase in caring for this client?

A 7-year old suffered extensive burns over the upper body and is participating in out-patient physical therapy. What information should the nurse teach the parents about how to prevent contractures? Select all that apply.

A client with a burn injury is brought in to the urgent care clinic and the nurse begins an initial assessment. Which signs or symptoms from the client would the nurse attend to as highest priority? Select all that apply.

The nurse is caring for a client admitted for sickle cell crisis. What type of transfusion will the nurse expect to give if the client is anemic?

A 14-year-old client has just been prescribed hydroxyurea to help treat sickle cell anemia. The client asks the nurse about the purpose of this new medication. Which of the following explanations by the nurse is correct?

A client reports to the nurse that she is having a sickle cell crisis. The nurse knows that the client will have which abnormal lab?

The nurse is caring for a child with sickle cell anemia. The nurse is discussing with the biological parents of the child the chances of their future children having sickle cell anemia. Which of the following statements by the nurse is correct?

The nurse is caring for a client who requires treatment for sickle cell disease. Which of the following are treatments for this condition? Select all that apply.

The parents of a newborn want to speak with a nurse about the chances of their child developing sickle cell disease, since they both have family histories of the condition. Which information should the nurse provide to this family about testing?

Providing client education to the parents of a three-year-old with sickle cell anemia how to prevent an acute crisis includes which of the following in the teaching? Select all that apply.

A client has been diagnosed with sickle cell anemia, and the nurse is providing education on sickle cell crisis prevention. Which of the following is the best advice for the nurse to give the client?

The nurse is caring for a seven-year-old child with sickle cell anemia, admitted for IV fluids and pain management. During the night shift the child wakes up at three a.m. complaining of chest pain and difficulty breathing. The nurse’s primary concern is which of the following?

A nurse working in the ER is assessing a 15-year-old client with a history of sickle cell anemia. The client is complaining of extreme pain in the left knee. The nurse knows which of the following interventions should be the top priority?

A 27-year-old patient with hemophilia is seen at the care clinic with acute hemarthrosis. Which of the following best describes this condition?

The mother of a two-year-old boy who has been diagnosed with hemophilia is concerned because she is pregnant again. She says her husband is not a carrier of the gene and wants to know what the chances are that this baby will have hemophilia. The nurse accurately tells her which of the following?

The nurse caring for a seven-year-old with hemophilia knows that the most common recurring issue for this child will be which of the following?

A nurse is caring for a child with hemophilia who has developed hemarthrosis. Based on the nurse’s understanding of hemarthrosis, the nurse knows to assess for which of the following?

A nurse is caring for an eight-month-old who has recently been diagnosed with hemophilia A. The nurse instructs the parents that their child is missing which of the following clotting factors?

An 8-year-old child must have a transfusion of whole blood following an acute hemorrhage. As the nurse is preparing the child for the transfusion, which of the following actions is most appropriate to relieve the child’s fears about the blood?

A mother wants to donate her blood to her child who is having surgery, but discovers that she has a different blood type than her child. Which type of blood donation is the child most likely going to receive?

A child presents to the ER after falling down the stairs and getting a cut on the knee that won’t stop bleeding. The child states, “I always bleed a lot because I am missing a clotting factor.” Which of the following conditions does this client most likely have?

An experienced nurse is observing a new nurse assessing a 7-year-old child with nephroblastoma. The experienced nurse should intervene if the new nurse is observed doing which of the following?

The nurse is caring for a three-year-old client who has just been admitted with a possible diagnosis of nephroblastoma. During the assessment of this client the nurse notes which of the following as a possible clinical manifestation of this tumor?

The parents of a child who has just been diagnosed with a nephroblastoma demonstrate an accurate understanding of the treatment plan by stating which of the following?

The nurse caring for a child just diagnosed with Wilms Tumor explains to the parent that the tumor originates from which of the following type of cells?

The provider has ordered a nephrostomy tube for a client in the nurse’s care. How should the nurse explain the procedure for nephrostomy tube placement to the client?

The nurse is taking care of a one-year-old client who has just undergone surgery to have a nephroblastoma removed. The nurse knows it is important to include which of the following in the nursing care plan? Select all that apply.

When providing end-of-life care to a 4-year-old child who is dying of cancer, which of the following interventions would be utilized to ensure that the nurse is providing adequate pain control?

The nurse is precepting a student who is caring for a two-year-old client just admitted with a possible diagnosis of nephroblastoma. Prior to the student assessing the child, which of the following would be the most important things to discuss with the student?

A nurse is providing education to a set of new parents on what to watch for in their newborn. The parents ask about what qualifies as a fever. What is the most appropriate response by the nurse?

When educating parents on appropriate cooling measures to use when their child has a temperature, the nurse should include which of the following? Select all that apply.

The nurse caring for a six-week-old with a fever expects that which of the following diagnostic tests will be ordered? Select all that apply.

The nurse is caring for a child with a fever. What is the primary concern with this?

The parent of a six-year-old demonstrates understanding of when to contact a provider for a child’s fever. Which of the following statements shows correct understanding?

The nurse is caring for a four-year-old that has been admitted to hospital after having a febrile seizure. When educating the parents on this diagnosis, which of the following statements would be appropriate for the nurse to include? Select all that apply.

A nurse receives a client arriving by ambulance. The nurse suspects that this client has Kawasaki disease. Which of the following sign or symptom would suggest this?

A nurse is reviewing the notes on clinic waiting room clients. Which of the following clients should be seen first?

A nurse is caring for a client who is being hospitalized for dehydration. The nurse checks the client’s lab results and notes that the BUN is 20 mg/dL and the creatinine level is 0.5 mg/dL. What is the BUN-creatinine ratio?

A client is hospitalized for dehydration and is experiencing severe nausea and vomiting. Which of the following types of IV solutions would most likely be administered to correct this situation?

The nurse caring for a child with gastroenteritis who is receiving maintenance IV fluids knows to prioritize which of the following nursing interventions?

The nurse is caring for a client in the emergency department following prolonged exposure to sun and heat. The nurse notes that the client has a high pulse rate, poor skin turgor, and a BUN of 30 mg/dL. Which of the following interventions are appropriate for the client? Select all that apply.

A client is admitted with severe diarrhea and vomiting. The client is very fatigued and weak and hasn’t urinated since early in the morning. The bladder scan reads 134 ml. Which of the following should the nurse consider regarding this client’s condition?

A nurse is caring for an 89-year-old client in the long-term care facility and is worried that the client is becoming dehydrated. Which signs or symptoms would the nurse assess for that would indicate dehydration? Select all that apply.

The nurse is caring for a 2-day-old with only one wet diaper since birth. Which additional assessments will the nurse perform to assess for dehydration? Select all that apply.

An 86-year-old client is hospitalized after undergoing chemotherapy. The client is dehydrated due to persistent vomiting. Which of the following are risk factors for dehydration in an older adult? Select all that apply.

A 66-year-old client has become dehydrated after being outside in the sun for too long. The client complains of feeling dizzy and lightheaded. Which of the following potential side effects should the nurse monitor in this situation?

The nurse is caring for a child that is severely dehydrated. The nurse knows to expect an order for a fluid bolus. Which of the following formulas are used to calculate fluid boluses for children?

The nurse is caring for an infant who will undergo surgery for esophageal atresia. What is an appropriate preoperative treatment?

The nurse is caring for an infant who had surgery for pyloric stenosis. Which of the following is a priority nursing intervention?

The nurse caring for an infant with severe gastroesophageal reflux knows which of the following surgical procedures may be used to manage the reflux and stop complications like aspiration pneumonia?

The nurse is caring for a six-year-old who is very tired and experiencing frequent episodes of vomiting. The nurse knows that which of the following positions will reduce the risk of aspirating?

The nurse is caring for a preoperative infant who has pyloric stenosis. Which of the following is an appropriate action for the nurse to take?

The nurse is working in an emergency department. Which is the priority client to assess? 1) A 2-year-old with an anaphylactic allergic reaction 2) A 4-year-old with an asthma attack 3) A 3-year-old with nausea, vomiting, and diarrhea 4) A 2-day-old with jaundiced skin

A nurse is caring for a three-year-old who has presented with green, bilious vomiting. The nurse knows that this is suggestive of which of the following gastrointestinal problems?

The nurse caring for a child who is mildly dehydrated and has been vomiting for the past 48 hours is explaining to the mother how to provide oral rehydration. Which of the following statements should the nurse include in the teaching? Select all that apply.

The nurse is providing care for a two-month-old who has just been diagnosed with gastroesophageal reflux. While educating the parents about this diagnosis the nurse includes which of the following? Select all that apply.

The nurse caring for a 15-year-old with Crohn’s disease knows which of the following are clinical manifestations of this disease? Select all that apply.

The nursing is providing care to a five-year-old who is mildly dehydrated after 48 hours of acute diarrhea. The nurse knows which of the following to be true regarding therapeutic management?

The nurse is assessing a client and knows that which of the following findings are common with cholera infection? Select all that apply.

The nurse caring for a dehydrated six-year-old with diarrhea knows which of the following viruses is a common cause of childhood diarrhea?

A client has diarrhea. What should the nurse expect when auscultating the abdomen?

The nurse caring for a two-year-old diagnosed with celiac disease knows which of the following symptoms are associated with this diagnosis? Select all that apply.

The mother of an 18-month-old has described her child’s stools as being large, pale, oily and foul smelling. The nurse knows this is a common symptom for which of the following gastrointestinal disorders?

The nurse is caring for a child who has presented with weight loss and steatorrhea, which are common clinical manifestations of celiac disease. The nurse knows that this disease is often diagnosed using what test?

A nurse is working on the GI disorders unit of a hospital and has been assigned three clients. Client A has newly diagnosed celiac disease and requires teaching about a gluten free diet. Client B has abdominal adhesions and is rating his pain at a 6 out of 10. Client C had surgery yesterday, complains of increased abdominal pressure and has a small amount of blood in his mouth. Which client should the nurse see first?

A five-year-old has been admitted to the pediatric ward with possible celiac crisis. The nurse caring for this child knows that which of the following nursing interventions would be given top priority?

Management of celiac disease requires a multidisciplinary approach. The nurse caring for a two-year-old who was recently diagnosed knows which of the following health care professionals should be involved in this child’s care?

The nurse caring for a ten-year-old with appendicitis knows which of the following symptoms may be a sign of perforation?

A 17-year-old client needs to undergo a surgical appendectomy. What is the nurse’s role in obtaining informed consent? Select all that apply.

A nursing caring for an eight-year-old with appendicitis knows that the most intense area of pain may be at McBurney’s point, which is located where on the abdomen?

Which of the following would be appropriate nursing interventions for a child with appendicitis? Select all that apply.

The nurse is caring for a client that arrives to the Emergency Department complaining of a fever, abdominal pain in the right lower quadrant, nausea and vomiting, and anorexia. Which of the following conditions should the nurse suspect?

The nurse caring for a 14-year-old client who has just returned from surgery following a perforated appendix knows which of the following interventions should be given top priority?

An 8-year-old child is undergoing surgery for an appendectomy. Which of the following best explains informed assent when caring for this child?

The nurse is caring for a client who has been diagnosed with appendicitis and is scheduled for surgery later today. Which of the following assessment findings is the MOST concerning?

Which of the following are classified as reasons for performing a bronchoscopy? Select all that apply.

A client presents to the emergency department for RLQ pain. While the client is talking to the nurse, he sits up straight on the stretcher and says, “That’s weird, my stomach stopped hurting.” What is the number one concern right now?

A two-year-old is brought in by his parents with severe abdominal pain and bright red blood in his diaper. The nurse caring for this child knows that these care clinical manifestations of which of the following diagnosis?

The nurse is caring for a three-year-old with intussusception who is waiting for surgery. The nurse knows to notify the provider of which of the following clinical findings?

The nurse caring for a one-year-old with intussusception knows which of the following are signs of peritonitis? Select all that apply.

The parents of an 18-month-old who has just been diagnosed with intussusception and signs of peritonitis are concerned and want to know how this can be treated. The nurse accurately tells them which of the following? Select all that apply.

A nurse is caring for a baby who was born 72 hours ago. The nurse notes that the child has not had a bowel movement or has passed meconium stool on her shift. The nurse checks the records and notes that the child has not had any bowel movements documented since birth. Which action should the nurse perform next?

A newborn is diagnosed with Hirschsprung’s disease. The nurse is educating the parents on what the stool will look like when it finally passes. Which of the following descriptors should the nurse give the parents?

The nurse is caring for a client with abdominal pain. While reviewing the client’s medical history, the nurse notes Hirschsprung’s disease. What is the priority question for the client at this time?

The nurse is caring for a client with abdominal pain. While reviewing the client’s past medical history, which diagnosis would concern the nurse?

The nurse is caring for a five-year-old with constipation. This child has been prescribed the laxative polyethylene glycol 3350 to help manage the constipation. Which of the following should the nurse include when educating the parents about proper administration of this medication?

The nurse is educating a group of parents on the nutritional needs of toddlers. Which of the following foods should the nurse recommend to help prevent constipation? Select all that apply.

The nurse is caring for a client who suffers from chronic constipation. The nurse asks questions to evaluate whether the client uses laxatives to manage this condition. Which of the following best describes the rationale for this action?

The nurse is caring for an infant who has just undergone surgery for Hirschsprung’s disease. Which of the following statements would be appropriate to tell the infant’s parent?

The nurse caring for a three-year-old diagnosed with constipation knows which of the following statements accurately describes this diagnosis? Select all that apply.

A client comes into the clinic with an eye that is red and irritated. Discharge is present. The nurse can expect to give which of the following eye medications to this client? Select all that apply.

A client has an order to receive eye drops to be administered bilaterally. Which of the following steps is involved with administration of eye drops to a client? Select all that apply.

The nurse is educating parents on how to administer ointment for bacterial conjunctivitis. Which statement by the parents indicates that teaching has been effective?

The nurse is educating a family on how to prevent the spread of conjunctivitis. Which of the following should be included in the teaching? Select all that apply.

A nurse assesses several clients with the following symptoms. Which symptoms require the nurse to get an immediate referral to ophthalmologist? Select all that apply.

The nurse is teaching a client how to administer eye drops. The client tilts their head back and gently pulls the lower lid down to form a pocket. What next action by the client indicates correct understanding of this procedure?

The nurse is caring for a client diagnosed with conjunctivitis. Which of the following should be discussed prior to discharge?

The nurse is caring for a client with acute otitis media. Which of the following medications would the nurse expect to give? Select all that apply.

The nurse providing care to a client who has been experiencing otalgia and fever for 24 hours. Which of the following should be the top nursing priority?

A client has a chronic fungal infection of the ear. What are some nursing interventions to utilize in this situation? Select all that apply.

The nurse caring for a client with otitis media with effusion informs the parents of the importance of which of the following items?

The nurse is caring for a child who presents with fussiness and tugging at the left ear. The provider diagnoses the child with acute otitis media. Which of the following positions is appropriate for the child to rest?

A client’s mother is upset that after 24 hours no antibiotics have been prescribed for an earache and fever. Which explanation is the best for the nurse to provide?

The nurse knows which of the following indicates the potential need for a tympanostomy and adenoidectomy?

The nurse is caring for a child with acute otitis media. Which of the following are appropriate nursing interventions for this child? Select all that apply.

The nurse is educating the parents of an infant on ways to prevent the occurrence of acute otitis media. Which of the following should be included in the teaching? Select all that apply.

The nurse is caring for a client with otitis media. Nursing interventions to treat this condition include which of the following? Select all that apply.

The nurse caring for a client post tonsillectomy and adenoidectomy knows the top priorities are to assess for which of the following complications? Select all that apply.

The nurse caring for a client with an inflamed, sore throat knows which of the following diagnostic tests would be most helpful to determine a treatment plan?

A nurse is providing discharge teaching to a client who is going home after having a tonsillectomy. Which of the following signs and symptoms are concerning enough for the client to call the provider?

The nurse is caring for a client with bacterial tonsilitis. Which of the following is the most common cause of tonsillitis?

The nurse is discharging a client post tonsillectomy and adenoidectomy. Which of the following should be included in the discharge instructions? Select all that apply.

A nurse is caring for a 7-year-old child who just had a tonsillectomy. Which of the following instructions should the nurse give the parents about potential complications associated with this surgery?

The nurse caring for a client post-tonsillectomy and adenoidectomy surgery. Which of the following assessments is the highest priority?

The nurse caring for a 6-month-old diagnosed with bronchiolitis knows which of the following is most likely the cause?

As the nurse caring for a 9-month-old with bronchiolitis, which of the following do you expect to be a part of their care while in hospital? Select all that apply.

The nurse caring for a 4-month-old with bronchiolitis knows that which of the following complications commonly occurs with this respiratory illness?

An infant in the pediatrics unit has been diagnosed with respiratory syncytial virus (RSV). The nurse should include which of the following precautions in caring for this infant? Select all that apply.

A nurse is expecting an 18-month-old with bronchiolitis from the emergency department, Which of the following protective gear should be worn when entering the child’s room? Select all that apply.

A nurse has been assigned to float to the pediatrics unit for a shift. The nurse has been assigned three clients, including an infant with rotavirus, a child recovering from an appendectomy, and a baby with respiratory syncytial virus. Which practices should be implemented that would best protect the nurse from contracting an infectious disease? Select all that apply.

A three-month-old infant needs an IM injection of palivizumab for prevention of RSV. Which site is most appropriate for the nurse to administer this medication?

The nurse providing care to a 10-year-old that presented to the ER with an asthma exacerbation knows to be most concerned by which of the following assessment findings?

The nurse knows that which of the following medications is commonly used to help prevent Exercise-induced bronchospasm?

The nurse receives the following client assignment. Which client should the nurse see first? 1) A 50-year-old with chest pain 2) A 13-year-old with an asthma attack 3) A 2-month-old that is fussy 4) A 90-year-old with cyclical vomiting

The nurse caring for a client diagnosed with asthma knows that spirometry is not a reliable treatment option until a child reaches which of the following ages?

A community health nurse provides screening for a family whose child has a likelihood of developing cystic fibrosis because of their genetic background. Which of the following community health interventions does this describe?

The nurse caring for a client diagnosed with cystic fibrosis knows that which of the following is a clinical manifestation of long term respiratory problems? Select all that apply.

The nurse caring for a newborn who has just been diagnosed with cystic fibrosis knows that which of the following statements would best explain this diagnosis to the parents?

The nurse caring for a newborn knows that which of the following is often the earliest clinical manifestation of cystic fibrosis?

The nurse is caring for a client with cystic fibrosis. Which of the following is an appropriate nursing intervention? Select all that apply.

The nurse is caring for a pregnant client. After genetic testing, the fetus is found to have cystic fibrosis (CF). Which of the following is accurate information for the nurse to tell the client about the disorder?

A nurse is working as part of a multidisciplinary team to help a 16-year-old client with cystic fibrosis. In addition to physical care, which activity is most important for a client of this age with cystic fibrosis?

The nurse providing care for a client with cystic fibrosis receives orders for albuterol nebulizers as well as chest percussion and postural drainage every 4 hours. Which of the following is the correct order to administer albuterol?

The nurse is caring for a client with cystic fibrosis (CF). Which diagnosis is the most concerning for them?

The nurse admitting a client with cystic fibrosis that has a cough, fever, and is tachypneic knows that which of the following medication orders should you give top priority?

The nurse is assessing the heart rate on a 6-year-old admitted to the hospital for a syncopal episode. The nurse knows that which of the following heart rates would be considered tachycardia?

The nurse caring for a newborn diagnosed with transposition of the great arteries is speaking to the mother about the pregnancy. The nurse is aware that which of the following maternal infections increases the risk for the development of congenital heart defects?

The nurse caring for a newborn diagnosed with a ventricular septal defect knows that which of the following are common symptoms of heart failure in infants? Select all that apply

The nurse caring for a 6-month-old is assessing the child’s heart rate. The nurse knows that which of the following is the most accurate way to accomplish this?

A nurse is educating students about a diagnosis of atrial septal defect. The nurse knows that which of the following statements is the most accurate way to describe the normal physiology and hemodynamic function of the heart?

The nurse caring for a newborn knows that which of the following medications are teratogenic and can cause congenital heart defects to a fetus? Select all that apply.

The nurse administering digoxin to a 9-month-old knows to assess which of the following prior to administration?

The nurse working on a pediatric ward knows that which of the following diagnosis is associated with an increased risk for congenital heart defects?

A nurse is caring for a 3-year-old client who is recovering from heart surgery. Which of the following best describes deep hypothermic circulatory arrest (DHCA)?

A nurse is caring for a newborn infant who has just undergone open-heart surgery for a congenital heart condition. The nurse is assessing the infant’s pain in order to ensure his pain is controlled. Which signs or symptoms would the nurse look for that would indicate that the infant needs a dose of prn pain medication? Select all that apply.

The nurse caring for an infant who is prescribed digitalis knows to monitor which of the following electrolytes when administering this medication?

A baby is born at full term and is taken to the NICU for further observation for potential cardiac issues. After diagnostic testing, the provider determines that the infant has tetralogy of Fallot. The four components of this condition include a ventricular septal defect (VSD), overriding aorta, right ventricular hypertrophy, and which of the following?

A newborn is in the OR for surgery to correct a VSD. There is confusion about the extent of the defect on the echocardiogram, so the nurse calls a time out. Surgery can continue when which of the following happens? Select all that apply.

Upon performing an initial exam after the birth of an infant, the provider hears a murmur when auscultating the baby’s heart. The provider suspects that the baby has an atrial septal defect. Which of the following tests would be performed to diagnose this condition?

The nursing providing care to an infant with tricuspid atresia knows that which of the following nursing interventions would be appropriate to decrease cardiac demands? Select all that apply.

The nurse providing client education on tetralogy of fallot knows that which of the following statements provide the best explanation of what a “tet spell” is?

The nurse administering digoxin to a 1-year-old knows which of the following is a sign of toxicity?

The nurse caring for a newborn diagnosed with a heart defect knows that which of the following is the most common cyanotic lesion?

A 2-week-old infant was admitted with difficulty feeding and weight loss. During the assessment, the nurse assesses absent femoral pulses and knows this is a sign of which of the following congenital heart defects?

The nurse caring for an infant diagnosed with coarctation of the aorta knows to expect which of the following on assessment.

The nurse providing care to an infant diagnosed with aortic stenosis knows to expect which of the following symptoms? Select all that apply.

The parents of a 6-year-old are seeking treatment for the child’s cardiac condition. The child will need surgery to correct coarctation of the aorta. During the history and physical, the parents tell the nurse that the child was adopted from another country last year. The parents are planning to sign informed consent for the procedure. Which of the following responses from the nurse is most appropriate?

The nurse caring for a child diagnosed with coarctation of the aorta is demonstrating signs of respiratory distress. The nurse suspects this is a sign of which of the following?

The nurse caring for a newborn diagnosed with transposition of the great vessels knows that which of the following interventions is a priority?

A 3-month-old is awaiting surgery to repair a truncus arteriosus. The nurse educating the parents on managing symptoms at home includes which of the following in the teaching? Select all that apply.

The nurse caring for a client diagnosed with hypoplastic left heart syndrome. Which of the following are signs of the disease? Select all that apply.

The nurse caring for a 3-year-old diagnosed with nephrotic syndrome knows that which of the following is the most common complications for this diagnosis?

The nurse is educating the parents of a 5-year-old with nephrotic syndrome and informs them that which of the following can trigger relapse?

The nurse caring for a 4-year-old with symptoms of periorbital edema, decreased urine output and excessive proteinuria, knows that these symptoms are related to which of the following diagnosis?

The nurse caring for a child with nephrotic syndrome knows that which of the following medications are considered first line therapy for this diagnosis?

The nurse caring for a 7-year-old diagnosed with nephrotic syndrome has an order written for strict intake and output monitoring. The nurse knows that which of the following formulas should be used to calculate the minimum desired hourly urine output for this age?

A nurse is educating the parents of a 7-year-old, diagnosed with nocturnal enuresis, on the importance of involving children in the management. Which of the following statements by the nurse would be most appropriate to include in this teaching?

The nurse is caring fo a 7-year-old with nocturnal enuresis. Which of the following behavioral modifications should the nurse recommend to the parents? Select all that apply.

A nurse is caring for a 6-year-old who was toilet trained and achieved nighttime dryness, has recently started having nocturnal enuresis. The nurse knows that which of the following causes of enuresis is important to rule out?

The nurse caring for a 5-year-old experiencing bedwetting knows that children should be able to achieve nighttime dryness by which of the following ages?

The nurse caring for a client with nocturnal enuresis knows that which of the following medications is the preferred pharmacological treatment for this diagnosis?