A)Strong pedal pulses
B) Diminishing cartoid pulses
C) Normal femoral pulses
D) Bounding pulses in the arms
2. A nurse is caring for an infant that has recently been diagnosed with a congenital
heart defect. Which of the following clinical signs would most likely be present?
A: Slow pulse rate
B: Weight gain
C: Decreased systolic pressure
D: Irregular WBC lab values
3. When teaching the mother of an infant who has undergone surgical repair of a cleft
lip how to care for the suture line, the nurse demonstrates how to remove formula
and drainage. Which of the following solutions would the nurse use?
a) mouthwash
b) providone - iodine (betadine) solution
c) a mild antiseptic solution
d) half-strength hydrogen peroxide
4. Which of the following health teachings regarding sickle cell crisis should be
included by the nurse?
a) it results from altered metabolism and dehydration
b) tissue hypoxia and vascular occlusion cause the primary problems
c) increased bilirubin levels will cause hypertension
d) there are decreased clotting factors with an increase in white blood cells
5. A newborn’s failure to pass meconium within the first 24 hours after birth
may indicate which of the following?
a. Hirschsprung disease
b. Celiac disease
c. Intussusception
d. Abdominal wall defect
6. Which of the following would the nurse perform to help alleviate a child's joint pain
associated with rheumatic fever?
a) maintaining the joints in an extended position
b) applying gentle traction to the child's affected joints
c) supporting proper alignment with rolled pillows
d) using a bed cradle to avoid the weight of bed lines on the joints
7. Which of the following foods would the nurse encourage the mother to offer
to her child with iron-deficiency anemia?
a) rice cereal, whole milk, and yellow vegetables
b) potato, peas, and chicken
c) macaroni, cheese and ham
d) pudding, green vegetables and rice
8. Which of the following nursing diagnoses would be inappropriate for the infant with gastroesophageal reflux (GER)?
a. Fluid volume deficit
b. Risk for aspiration
c. Altered nutrition: less than body requirements
d. Altered oral mucous membranes
9. A 6-year-old boy is returned to his room following a tonsillectomy. He remains
sleepy from the anesthesia but is easily awakened. The nurse should place the child
in which of the following positions?
a. Sims’.
b. Side-lying.
c. Supine.
d. Prone.
10. A 13 year old girl is admitted to the ER with lower right abdominal discomfort. The
admitting nursing should take which the following measures first?
A: Administer Loritab to the patient for pain relief.
B: Place the patient in right sidelying position for pressure relief.
C: Start a Central Line.
D: Provide pain reduction techniques without administering medication.
11. A nurse aide is taking care of a 2 yearold child with Wilm's tumor. The nurse aide
asks the nurse why there is a sign above the bed that says DO NOT PALPATE THE
ABDOMEN? The best response by the nurse would be which of these statements?
A) "Touching the abdomen could cause cancer cells to spread."
B) "Examining the area would cause difficulty to the child."
C) "Pushing on the stomach might lead to the spread of infection."
D) "Placing any pressure on the abdomen may cause an abnormal experience."
12. An eighteen month-old has been brought to the emergency room with irritability,
lethargy over 2 days, dry skin and increased pulse. Based upon the evaluation of these
initial findings, the nurse would assess the child for additional findings of:
A)Septicemia
B) Dehydration
C) Hypokalemia
D) Hypercalcemia
13. Which of the actions suggested to the RN by the PN during a planning conference
for a 10 month-old infant admitted 2 hours ago with bacterial meningitis would be
acceptable to add to the plan of care?
A)Measure head circumference
B) Place in airborne isolation
C) Provide passive range of motion
D) Provide an over-the-crib protective top
14. The nurse is assessing a child for clinical manifestations of iron deficiency
anemia. Which factor would the nurse recognize as cause for the findings?
A)Decreased cardiac output
B) Tissue hypoxia
C) Cerebral edema
D) Reduced oxygen saturation
15. The nurse is preparing a 5 year-old for a scheduled tonsillectomy and adenoidectomy. The parents are anxious and concerned about the child's reaction to impending surgery. Which nursing intervention would be best to prepare the child?
A) Introduce the child to all staff the day before surgery
B) Explain the surgery 1 week prior to the procedure
C) Arrange a tour of the operating and recovery rooms
D) Encourage the child to bring a favorite toy to the hospital
16. Which nursing action is a priority as the plan of care is developed for a 7
year-old child hospitalized for acute glomerulonephritis?
A)Assess for generalized edema
B) Monitor for increased urinary output
C) Encourage rest during hyperactive periods
D) Note patterns of increased blood pressure
17. A mother wants to switch her 9 month-old infant from an iron-fortified formula to whole
milk because of the expense. Upon further assessment, the nurse finds that the baby eats
table foods well, but drinks less milk than before. What is the best advice by the nurse?
A)Change the baby to whole milk
B) Add chocolate syrup to the bottle
C) Continue with the present formula
D) Offer fruit juice frequently
18. During an examination of a 2 year-old child with a tentative diagnosis of Wilm's
tumor, the nurse would be most concerned about which statement by the mother?
A) My child has lost 3 pounds in the last month.
B) Urinary output seemed to be less over the past 2 days.
C) All the pants have become tight around the waist.
D) The child prefers some salty foods more than others.
19. A 2 year-old child has just been diagnosed with cystic fibrosis. The child's
father asks the nurse "What is our major concern now, and what will we have to deal
with in the future?" Which of the following is the best response?
A)"There is a probability of life-long complications."
B) "Cystic fibrosis results in nutritional concerns that can be dealt with."
C) "Thin, tenacious secretions from the lungs are a constant struggle in cystic fibrosis."
D) "You will work with a team of experts and also have access to a support group that the family can attend."
20. A client is admitted with the diagnosis of meningitis. Which finding would the nurse expect in assessing this client?
A)Hyperextension of the neck with passive shoulder flexion
B) Flexion of the hip and knees with passive flexion of the neck
C) Flexion of the legs with rebound tenderness
D) Hyperflexion of the neck with rebound flexion of the legs
21. Which of the following signs and symptoms would observe in a child diagnosed of laryngotracheobronchitis?
a) predominant stridor on inspiration
b) predominant expiratory wheeze
c) high fever
d) slow respiratory rate
Answer and Rational
Proudly powered by