Archive for June 2020

A parent asks the nurse about the "characteristics of a sleep terror." What response should the nurse give to the parent?

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A parent asks the nurse about the "characteristics of a sleep terror." What response should the nurse give to the parent?



a. The child screams during the sleep terror.
b. Return to sleep is delayed because of persistent fear.
c. The night terror occurs during the second half of night.
d. The child has no memory of the dream with a sleep terror.
e. The child is not aware of another's presence during a sleep terror.


Answer: A, D, E

A parent asks the nurse about the "characteristics of a nightmare." What response should the nurse give to the parent?

14:31 Add Comment

A parent asks the nurse about the "characteristics of a nightmare." What response should the nurse give to the parent?



a. Nightmares are scary dreams.
b. The child can describe the nightmare.
c. The child is reassured by your presence.
d. Nightmares occur usually 1 to 4 hours after falling asleep.
e. Nightmares take place during non-rapid eye movement sleep


Answer: A, B, C

The nurse is teaching parents of preschool-aged children strategies to prevent sexual abuse. What should the nurse include in the teaching session?

14:31 Add Comment

The nurse is teaching parents of preschool-aged children strategies to prevent sexual abuse. What should the nurse include in the teaching session?



a. Back up a child's right to say no.
b. Don't take what your child says too seriously.
c. Take a second look at signals of potential danger.
d. Don't be too detailed about examples of sexual assault.
e. Remind children that even "nice" people sometimes do mean things.


Answer: A, C, E

What can the nurse suggest to families to reduce blood lead levels?

14:31 Add Comment

What can the nurse suggest to families to reduce blood lead levels?



a. Do not store food in open cans.
b. Ensure the child eats regular meals.
c. Mix formula with hot water from the tap.
d. Vacuum hard-surfaced floors and window wells.
e. Wash and dry the child's hands and face frequently.


Answer: A, B, E

The nurse is administering activated charcoal to a preschool child with acetaminophen (Tylenol) poisoning. What potential complications from the use of activated charcoal should the nurse plan to assess for?

14:31 Add Comment

The nurse is administering activated charcoal to a preschool child with acetaminophen (Tylenol) poisoning. What potential complications from the use of activated charcoal should the nurse plan to assess for?



a. Diarrhea
b. Vomiting
c. Fluid retention
d. Intestinal obstruction


Answer: B, D

A child with acetylsalicylic acid (aspirin) poisoning is being admitted to the emergency department. What early clinical manifestation does the nurse expect to assess on this child?

14:30 Add Comment

A child with acetylsalicylic acid (aspirin) poisoning is being admitted to the emergency department. What early clinical manifestation does the nurse expect to assess on this child?



a. Hematemesis
b. Hematochezia
c. Hyperglycemia
d. Hyperventilation


Answer: D

A child with corrosive poisoning is being admitted to the emergency department. What clinical manifestation does the nurse expect to assess on this child?

14:30 Add Comment

A child with corrosive poisoning is being admitted to the emergency department. What clinical manifestation does the nurse expect to assess on this child?



a. Nausea and vomiting
b. Alterations in sensorium, such as lethargy
c. Severe burning pain in the mouth, throat, and stomach
d. Respiratory symptoms of acute pulmonary involvement


Answer: C

A child is admitted to the hospital with lesions on his abdomen that appear like cigarette burns. What should accurate documentation by the nurse include?

14:28 Add Comment

A child is admitted to the hospital with lesions on his abdomen that appear like cigarette burns. What should accurate documentation by the nurse include?



a. Two unhealed lesions are on the child's abdomen.
b. Two round 4-mm lesions are on the child's lower abdomen.
c. Two round symmetrical lesions are on the child's lower abdomen.
d. Two round lesions on the child's abdomen that appear to be cigarette burns.


Answer: B

The nurse is teaching parents of a preschool child strategies to implement when the child delays going to bed. What strategy should the nurse recommend?

14:28 Add Comment

The nurse is teaching parents of a preschool child strategies to implement when the child delays going to bed. What strategy should the nurse recommend?



a. Use consistent bedtime rituals.
b. Give in to attention-seeking behavior.
c. Take the child into the parent's bed for an hour.
d. Allow the child to stay up past the decided bedtime.


Answer: A

The nurse is caring for a child with suspected ingestion of some type of poison. What action should the nurse take next after initiating cardiopulmonary resuscitation (CPR)?

14:28 Add Comment

The nurse is caring for a child with suspected ingestion of some type of poison. What action should the nurse take next after initiating cardiopulmonary resuscitation (CPR)?



a. Empty the mouth of pills, plants, or other material.
b. Question the victim and witness.
c. Place the child in a side-lying position.
d. Call poison control.


Answer: A

What is probably the most important criterion on which to base the decision to report suspected child abuse?

14:28 Add Comment

What is probably the most important criterion on which to base the decision to report suspected child abuse?



a. Inappropriate response of child
b. Inappropriate parental concern for the degree of injury
c. Absence of parents for questioning about child's injuries
d. Incompatibility between the history and injury observed


Answer: D

What statement is correct about young children who report sexual abuse?

14:27 Add Comment

What statement is correct about young children who report sexual abuse?



a. They may exhibit various behavioral manifestations.
b. In more than half the cases, the child has fabricated the story.
c. Their stories should not be believed unless other evidence is apparent.
d. They should be able to retell the story the same way to another person.


Answer: A

A 3-month-old infant dies shortly after arrival to the emergency department. The infant has subdural and retinal hemorrhages but no external signs of trauma. What should the nurse suspect?

14:27 Add Comment

A 3-month-old infant dies shortly after arrival to the emergency department. The infant has subdural and retinal hemorrhages but no external signs of trauma. What should the nurse suspect?



a. Unintentional injury
b. Shaken baby syndrome
c. Congenital neurologic problem
d. Sudden infant death syndrome (SIDS)


Answer: B

The parents of a 7-year-old boy tell the nurse that lately he has been cruel to their family pets and actually caused physical harm. The nurse's recommendation should be based on remembering what?

14:27 Add Comment

The parents of a 7-year-old boy tell the nurse that lately he has been cruel to their family pets and actually caused physical harm. The nurse's recommendation should be based on remembering what?



a. This is an expected behavior at this age.
b. This is a warning sign of a serious problem.
c. This is harmless venting of anger and frustration.
d. This is common in children who are physically abused.


Answer: B

A child is admitted with a suspected diagnosis of Munchausen syndrome by proxy (MSBP). What is an important consideration in the care of this child?

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A child is admitted with a suspected diagnosis of Munchausen syndrome by proxy (MSBP). What is an important consideration in the care of this child?



a. Monitoring the parents whenever they are with the child
b. Reassuring the parents that the cause of the disorder will be found
c. Teaching the parents how to obtain necessary specimens
d. Supporting the parents as they cope with diagnosis of a chronic illness


Answer: A

An awake, alert 4-year-old child has just arrived at the emergency department after an ingestion of aspirin at home. The practitioner has ordered activated charcoal. The nurse administers charcoal in which manner?

14:26 Add Comment

An awake, alert 4-year-old child has just arrived at the emergency department after an ingestion of aspirin at home. The practitioner has ordered activated charcoal. The nurse administers charcoal in which manner?



a. Giving half of the solution and then repeating the other half in 1 hour
b. Mixing with a flavorful beverage in an opaque container with a straw
c. Serving it in a clear plastic cup so the child can see how much has been drunk
d. Administering it through a nasogastric tube because the child will not drink it because of the taste


Answer: B

A young boy is found squirting lighter fluid into his mouth. His father calls the emergency department. The nurse taking the call should know that the primary danger is what?

14:25 Add Comment

A young boy is found squirting lighter fluid into his mouth. His father calls the emergency department. The nurse taking the call should know that the primary danger is what?


a. Hepatic dysfunction
b. Dehydration secondary to vomiting
c. Esophageal stricture and shock
d. Bronchitis and chemical pneumonia


Answer: D

A father calls the clinic because he found his young daughter squirting Visine eyedrops into her mouth. What is the most appropriate nursing action?

14:25 Add Comment

A father calls the clinic because he found his young daughter squirting Visine eyedrops into her mouth. What is the most appropriate nursing action?


a. Reassure the father that Visine is harmless.
b. Direct him to seek immediate medical treatment.
c. Recommend inducing vomiting with ipecac.
d. Advise him to dilute Visine by giving his daughter several glasses of water to drink.


Answer: B

Parents of a child who will need hemodialysis ask the nurse, "What are the advantages of a fistula over a graft or external access device for hemodialysis?" What response should the nurse give?

14:22 Add Comment

Parents of a child who will need hemodialysis ask the nurse, "What are the advantages of a fistula over a graft or external access device for hemodialysis?" What response should the nurse give?


a.

It is ready to be used immediately.

b.

There are fewer complications with a fistula.

c.

There is less restriction of activity with a fistula.

d.

It produces dilation and thickening of the superficial vessels.

e.

The fistula does not require a needle insertion at each dialysis.


Answer: B, C, D

A child is hospitalized in acute renal failure and has a serum potassium greater than 7 mEq/L. What temporary measures that will produce a rapid but transient effect to reduce the potassium should the nurse expect to be prescribed?

14:21 Add Comment

A child is hospitalized in acute renal failure and has a serum potassium greater than 7 mEq/L. What temporary measures that will produce a rapid but transient effect to reduce the potassium should the nurse expect to be prescribed?


a.

Dialysis

b.

Calcium gluconate

c.

Sodium bicarbonate

d.

Glucose 50% and insulin

e.

Sodium polystyrene sulfonate (Kayexalate)


Answer: B, C, D

The nurse is caring for a child with a urinary tract infection who is on trimethoprim-sulfamethoxazole (Bactrim). What side effects of this medication should the nurse teach to the parents and the child?

14:20 Add Comment

The nurse is caring for a child with a urinary tract infection who is on trimethoprim-sulfamethoxazole (Bactrim). What side effects of this medication should the nurse teach to the parents and the child?


a.

Rash

b.

Urticaria

c.

Pneumonitis

d.

Renal toxicity

e.

Photosensitivity


Answer: A, B, E

The nurse is caring for a child with a urinary tract infection who is on intravenous gentamicin (Garamycin). What interventions should the nurse plan for this child with regard to this medication?

14:20 Add Comment

The nurse is caring for a child with a urinary tract infection who is on intravenous gentamicin (Garamycin). What interventions should the nurse plan for this child with regard to this medication?


a.

Encourage fluids.

b.

Monitor urinary output.

c.

Monitor sodium serum levels.

d.

Monitor potassium serum levels.

e.

Monitor serum peak and trough levels.


Answer: A, B, E

The nurse is preparing to admit a child to the hospital with a diagnosis of minimal change nephrotic syndrome. The nurse understands that the peak age at onset for this disease is what?

14:19 Add Comment

The nurse is preparing to admit a child to the hospital with a diagnosis of minimal change nephrotic syndrome. The nurse understands that the peak age at onset for this disease is what?


a.

2 to 3 years

b.

4 to 5 years

c.

6 to 7 years

d.

8 to 9 years


Answer: A

The nurse is preparing to admit a child to the hospital with a diagnosis of acute poststreptococcal glomerulonephritis. The nurse understands that the peak age at onset for this disease is what?

14:19 Add Comment

The nurse is preparing to admit a child to the hospital with a diagnosis of acute poststreptococcal glomerulonephritis. The nurse understands that the peak age at onset for this disease is what?


a.

2 to 4 years

b.

5 to 7 years

c.

8 to 10 years

d.

11 to 13 years


Answer: B

A child with acute glomerulonephritis is in the playroom and experiences blurred vision and a headache. What action should the nurse take?

14:19 Add Comment

A child with acute glomerulonephritis is in the playroom and experiences blurred vision and a headache. What action should the nurse take?


a.

Check the urine to see if hematuria has increased.

b.

Obtain the child's blood pressure and notify the health care provider.

c.

Obtain serum electrolytes and send urinalysis to the laboratory.

d.

Reassure the child and encourage bed rest until the headache improves.


Answer: B

A nurse is evaluating the effectiveness of teaching regarding care of a child with minimal change nephrotic syndrome (MCNS) that is in remission after administration of prednisone. The nurse realizes further teaching is required if the parents state what?

14:18 Add Comment

A nurse is evaluating the effectiveness of teaching regarding care of a child with minimal change nephrotic syndrome (MCNS) that is in remission after administration of prednisone. The nurse realizes further teaching is required if the parents state what?


a.

"We will keep our child away from anyone who is ill."

b.

"We will be sure to administer the prednisone as ordered."

c.

"We will encourage our child to eat a balanced diet, but we will watch his salt intake."

d.

"We understand our child will not be able to attend school, so we will arrange for home schooling."


Answer: D

What is an appropriate nursing intervention for a child with minimal change nephrotic syndrome (MCNS) who has scrotal edema?

14:17 Add Comment

What is an appropriate nursing intervention for a child with minimal change nephrotic syndrome (MCNS) who has scrotal edema?


a.

Place an ice pack on the scrotal area.

b.

Place the child in an upright sitting position.

c.

Elevate the scrotum with a rolled washcloth.

d.

Place a warm moist pack to the scrotal area.


Answer: C

Surgery is performed on a child to correct cryptorchidism. The parents understand the reason for the surgery if they tell the nurse this was done to do what?

14:17 Add Comment

Surgery is performed on a child to correct cryptorchidism. The parents understand the reason for the surgery if they tell the nurse this was done to do what?


a.

"Prevent damage to the undescended testicle."

b.

"Prevent urinary tract infections."

c.

"Prevent prostate cancer."

d.

"Prevent an inguinal hernia."


Answer: A

Parents of a newborn with ambiguous genitalia want to know how long they will have to wait to know whether they have a boy or a girl. The nurse answers the parents based on what knowledge?

14:17 Add Comment

Parents of a newborn with ambiguous genitalia want to know how long they will have to wait to know whether they have a boy or a girl. The nurse answers the parents based on what knowledge?


a.

Chromosome analysis will be complete in 7 days.

b.

A physical examination will be able to provide a definitive answer.

c.

Additional laboratory testing is necessary to assign the correct gender.

d.

Gender assignment involves collaboration between the parents and a multidisciplinary team.


Answer: D

The parents of a child born with ambiguous genitalia tell the nurse that family and friends are asking what caused the baby to be this way. Tests are being done to assist in gender assignment. What should the nurse's intervention include?

14:16 Add Comment

The parents of a child born with ambiguous genitalia tell the nurse that family and friends are asking what caused the baby to be this way. Tests are being done to assist in gender assignment. What should the nurse's intervention include?


a.

Explain the disorder so they can explain it to others.

b.

Help parents understand that this is a minor problem.

c.

Suggest that parents avoid family and friends until the gender is assigned.

d.

Encourage parents not to worry while the tests are being done.


Answer: A

The parents of a 2-year-old boy who had a repair of exstrophy of the bladder at birth ask when they can begin toilet training their son. The nurse replies based on what knowledge?

14:16 Add Comment

The parents of a 2-year-old boy who had a repair of exstrophy of the bladder at birth ask when they can begin toilet training their son. The nurse replies based on what knowledge?


a.

Most boys in the United States can be toilet trained at age 3 years.

b.

Training can begin when he has sufficient bladder capacity.

c.

Additional surgery may be necessary to achieve continence.

d.

They should begin now because he will require additional time.


Answer: C

Identification and treatment of cryptorchid testes should be done by age 2 years. What is an important consideration?

14:16 Add Comment

Identification and treatment of cryptorchid testes should be done by age 2 years. What is an important consideration?


a.

Medical therapy is not effective after this age.

b.

Treatment is necessary to maintain the ability to be fertile when older.

c.

The younger child can tolerate the extensive surgery needed.

d.

Sexual reassignment may be necessary if treatment is not successful.


Answer: B

The nurse is conducting discharge teaching with the parent of a 7-year-old child with minimal change nephrotic syndrome (MCNS). What statement by the parent indicates a correct understanding of the teaching?

14:15 Add Comment

The nurse is conducting discharge teaching with the parent of a 7-year-old child with minimal change nephrotic syndrome (MCNS). What statement by the parent indicates a correct understanding of the teaching?


a.

"My child needs to stay home from school for at least 1 more month."

b.

"I should not add additional salt to any of my child's meals."

c.

"My child will not be able to participate in contact sports while receiving corticosteroid therapy."

d.

"I should measure my child's urine after each void and report the 24-hour amount to the health care provider."


Answer: B

What statement is descriptive of renal transplantation in children?

14:15 Add Comment

What statement is descriptive of renal transplantation in children?


a.

It is an acceptable means of treatment after age 10 years.

b.

Children can receive kidneys only from other children.

c.

It is the preferred means of renal replacement therapy in children.

d.

The decision for transplantation is difficult because a relatively normal lifestyle is not possible.


Answer: C

The nurse is caring for an adolescent who has just started dialysis. The child always seems angry, hostile, or depressed. The nurse should recognize that this is most likely related to what underlying cause?

14:15 Add Comment

The nurse is caring for an adolescent who has just started dialysis. The child always seems angry, hostile, or depressed. The nurse should recognize that this is most likely related to what underlying cause?


a.

Physiologic manifestations of renal disease

b.

The fact that adolescents have few coping mechanisms

c.

Neurologic manifestations that occur with dialysis

d.

Resentment of the control and enforced dependence imposed by dialysis


Answer: D

What nursing consideration is most important when caring for a child with end-stage renal disease (ESRD)?

14:15 Add Comment

What nursing consideration is most important when caring for a child with end-stage renal disease (ESRD)?


a.

Children with ESRD usually adapt well to minor inconveniences of treatment.

b.

Children with ESRD require extensive support until they outgrow the condition.

c.

Multiple stresses are placed on children with ESRD and their families until the illness is cured.

d.

Multiple stresses are placed on children with ESRD and their families because children's lives are maintained by drugs and artificial means.


Answer: D

A child is admitted in acute renal failure (ARF). Therapeutic management to rapidly provoke a flow of urine includes the administration of what medication?

14:14 Add Comment

A child is admitted in acute renal failure (ARF). Therapeutic management to rapidly provoke a flow of urine includes the administration of what medication?


a.

Propranolol (Inderal)

b.

Calcium gluconate

c.

Mannitol (Osmitrol) or furosemide (Lasix) (or both)

d.

Sodium, chloride, and potassium


Answer: C

A 12-year-old child is injured in a bicycle accident. When considering the possibility of renal trauma, the nurse should consider what factor?

14:14 Add Comment

A 12-year-old child is injured in a bicycle accident. When considering the possibility of renal trauma, the nurse should consider what factor?


a. Flank pain rarely occurs in children with renal injuries.

b. Few nonpenetrating injuries cause renal trauma in children.

c. Kidneys are immobile, well protected, and rarely injured in children.

d. The amount of hematuria is not a reliable indicator of the seriousness of renal injury.


Answer: D

The nurse is teaching a child experiencing severe edema associated with minimal change nephrotic syndrome about his diet. The nurse should discuss what dietary need?

14:14 Add Comment

The nurse is teaching a child experiencing severe edema associated with minimal change nephrotic syndrome about his diet. The nurse should discuss what dietary need?


a. Consuming a regular diet

b. Increasing protein

c. Restricting fluids

d. Decreasing calories


Answer: C

A hospitalized child with minimal change nephrotic syndrome is receiving high doses of prednisone. What nursing goal is appropriate for this child?

14:13 Add Comment

A hospitalized child with minimal change nephrotic syndrome is receiving high doses of prednisone. What nursing goal is appropriate for this child?




a. Stimulate appetite.

b. Detect evidence of edema.

c. Minimize risk of infection.

d. Promote adherence to the antibiotic regimen.


Answer: C

The parent of a child hospitalized with acute glomerulonephritis asks the nurse why blood pressure readings are being taken so often. What knowledge should influence the nurse's reply?

14:13 Add Comment

The parent of a child hospitalized with acute glomerulonephritis asks the nurse why blood pressure readings are being taken so often. What knowledge should influence the nurse's reply?




a. The antibiotic therapy contributes to labile blood pressure values.

b. Hypotension leading to sudden shock can develop at any time.

c. Acute hypertension is a concern that requires monitoring.

d. Blood pressure fluctuations indicate that the condition has become chronic.


Answer: C

What pathologic process is believed to be responsible for the development of postinfectious glomerulonephritis?

14:13 Add Comment

What pathologic process is believed to be responsible for the development of postinfectious glomerulonephritis?


a. Infarction of renal vessels

b. Immune complex formation and glomerular deposition

c. Bacterial endotoxin deposition on and destruction of glomeruli

d. Embolization of glomeruli by bacteria and fibrin from endocardial vegetation


Answer: B

In teaching the parent of a newly diagnosed 2-year-old child with pyelonephritis related to vesicoureteral reflux (VUR), the nurse should include which information?

14:12 Add Comment

In teaching the parent of a newly diagnosed 2-year-old child with pyelonephritis related to vesicoureteral reflux (VUR), the nurse should include which information?


a. Limit fluids to reduce reflux.

b. Give cranberry juice twice a day.

c. Have siblings examined for VUR.

d. Surgery is indicated to reverse scarring.


Answer: C

A girl, age 5 1/2 years, has been sent to the school nurse for urinary incontinence three times in the past 2 days. The nurse should recommend to her parent that the first action is to have the child evaluated for what condition?

14:12 Add Comment

A girl, age 5 1/2 years, has been sent to the school nurse for urinary incontinence three times in the past 2 days. The nurse should recommend to her parent that the first action is to have the child evaluated for what condition?


a. School phobia
b. Glomerulonephritis
c. Urinary tract infection (UTI)
d. Attention deficit hyperactivity disorder (ADHD)


Answer: C

The assessment findings in a heavy ascariasis lumbricoides infection include anorexia, irritability, intestinal colic, and an enlarged abdomen. Anemia is seen in hookworm infections but not ascariasis.

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The assessment findings in a heavy ascariasis lumbricoides infection include anorexia, irritability, intestinal colic, and an enlarged abdomen. Anemia is seen in hookworm infections but not ascariasis.


Match the key immunization terms to their meanings.
a. Natural immunity
b. Acquired immunity
c. Active immunity
d. Passive immunity
e. Herd immunity


1. A state in which immune bodies are actively formed against specific antigens, either naturally by having had the disease or artificially

2. A majority of the population is vaccinated, and the spread of certain diseases is stopped

3. Innate immunity or resistance to infection or toxicity

4. Immunity from exposure to the invading agent, which is a bacteria, virus, or toxin

5. Temporary immunity from the mother to the fetus via the placenta


1. Answer: C
2. Answer: E
3. Answer: A
4. Answer: B
5. Answer: D

The nurse is preparing to admit a 2-year-old child with rubella (German measles). Which clinical manifestations of rubella should the nurse expect to observe?

14:08 Add Comment

The nurse is preparing to admit a 2-year-old child with rubella (German measles). Which clinical manifestations of rubella should the nurse expect to observe?



a. Sore throat
b. Conjunctivitis
c. Koplik spots
d. Lymphadenopathy
e. Discrete, pinkish red maculopapular exanthema


Answer: A, B, D, E

The nurse is preparing to admit a 5-year-old child who developed lesions of varicella (chickenpox) 3 days ago. Which clinical manifestations of varicella should the nurse expect to observe?

14:08 Add Comment

The nurse is preparing to admit a 5-year-old child who developed lesions of varicella (chickenpox) 3 days ago. Which clinical manifestations of varicella should the nurse expect to observe?



a. Nonpruritic rash
b. Elevated temperature
c. Discrete rose pink rash
d. Vesicles surrounded by an erythematous base
e. Centripetal rash in all three stages (papule, vesicle, and crust)


Answer: B, D, E

The nurse is planning to administer immunizations to a 6-month-old infant. Which interventions should the nurse implement to minimize local reactions from the vaccines?

14:07 Add Comment

The nurse is planning to administer immunizations to a 6-month-old infant. Which interventions should the nurse implement to minimize local reactions from the vaccines?



a. Select a needle length of 1 inch.
b. Administer in the deltoid muscle.
c. Inject the vaccine into the vastus lateralis.
d. Draw the vaccine up from a vial with a filter needle.
e. Change the needle on the syringe after drawing up the vaccine and before injecting.


Answer: A, C

The clinic nurse is reviewing the immunization guidelines for hepatitis B. Which are true of the guidelines for this vaccine?

14:07 Add Comment

The clinic nurse is reviewing the immunization guidelines for hepatitis B. Which are true of the guidelines for this vaccine?



a. The hepatitis B vaccination series should be begun at birth.
b. The adolescent not vaccinated at birth does not have a need to be vaccinated.
c. Any child not vaccinated at birth should receive two doses at least 4 months apart.
d. An unimmunized 10-year-old child should receive three doses administered 4 weeks apart.


Answer: A, D

The nurse is conducting discharge teaching to an adolescent with a methicillin-resistant staphylococcus aureus (MRSA) infection. What should the nurse include in the instructions?

14:07 Add Comment

The nurse is conducting discharge teaching to an adolescent with a methicillin-resistant staphylococcus aureus (MRSA) infection. What should the nurse include in the instructions?



a. Avoid sharing of towels and washcloths.
b. Launder clothes and bedding in cold water.
c. Use bleach when laundering towels and washcloths.
d. Take a daily bath or shower with an antibacterial soap.
e. Apply mupirocin (Bactroban) to the nares twice a day for 2 to 4 weeks.


Answer: A, D, E

The nurse is planning care for a child with chickenpox (varicella). Which prescribed supportive measures should the nurse plan to implement?

14:06 Add Comment

The nurse is planning care for a child with chickenpox (varicella). Which prescribed supportive measures should the nurse plan to implement? 



a. Administration of acyclovir (Zovirax)
b. Administration of azithromycin (Zithromax)
c. Administration of Vitamin A supplementation
d. Administration of acetaminophen (Tylenol) for fever
e. Administration of diphenhydramine (Benadryl) for itching



Answer: A, D, E

A child has been diagnosed with cat scratch disease. The nurse explains which characteristics about this disease?

14:06 Add Comment

A child has been diagnosed with cat scratch disease. The nurse explains which characteristics about this disease?



a. "The disease is usually a benign, self-limiting illness."
b. "The animal that transmitted the disease will also be ill."
c. "The disease is treated with a 5-day course of oral azithromycin."
d. "Symptoms include pruritus, especially at the site of inoculation."


Answer: A

A child has been diagnosed with scabies. Which statement by the parent indicates understanding of the nurse's teaching about scabies?

14:06 Add Comment

A child has been diagnosed with scabies. Which statement by the parent indicates understanding of the nurse's teaching about scabies?



a. "The itching will stop after the cream is applied."
b. "We will complete extensive aggressive housecleaning."
c. "We will apply the cream to only the affected areas as directed."
d. "Everyone who has been in close contact with my child will need to be treated."


Answer: D

The clinic nurse is instructing parents about caring for a toddler with ascariasis (common roundworm). Which statement made by the parents indicates a need for further teaching?

14:05 Add Comment

The clinic nurse is instructing parents about caring for a toddler with ascariasis (common roundworm). Which statement made by the parents indicates a need for further teaching?



a. "We will wash our hands often, especially after diaper changes."
b. "We know that roundworm can be transmitted from person to person."
c. "We will be sure to continue the nitazoxanide (Alinia) orally for 3 days."
d. "We will bring a stool sample to the clinic for examination in 2 weeks."


Answer: B

The nurse is preparing to administer a measles, mumps, rubella, and varicella (MMRV) vaccine. Which is a contraindication associated with administering this vaccine?

14:05 Add Comment

The nurse is preparing to administer a measles, mumps, rubella, and varicella (MMRV) vaccine. Which is a contraindication associated with administering this vaccine?



a. The child has recently been exposed to an infectious disease.
b. The child has symptoms of a cold but no fever.
c. The child is having intermittent episodes of diarrhea.
d. The child has a disorder that causes a deficient immune system.


Answer: D

The nurse is teaching a nursing student about standard precautions. Which statement made by the student indicates a need for further teaching?

14:04 Add Comment

The nurse is teaching a nursing student about standard precautions. Which statement made by the student indicates a need for further teaching?



a. "I will use precautions when I give an infant oral care."
b. "I will use precautions when I change an infant's diaper."
c. "I will use precautions when I come in contact with blood and body fluids."
d. "I will use precautions when administering oral medications to a school-age child."


Answer: D

The nurse should know what about Lyme disease?

14:04 Add Comment

The nurse should know what about Lyme disease?



a. Very difficult to prevent
b. Easily treated with oral antibiotics in stages 1, 2, and 3
c. Caused by a spirochete that enters the skin through a tick bite
d. Common in geographic areas where the soil contains the mycotic spores that cause the disease


Answer: C

The school reviewed the pediculosis capitis (head lice) policy and removed the "no nit" requirement. The nurse explains that now, when a child is found to have nits, the parents must do which before the child can return to school?

14:04 Add Comment

The school reviewed the pediculosis capitis (head lice) policy and removed the "no nit" requirement. The nurse explains that now, when a child is found to have nits, the parents must do which before the child can return to school?



a. No treatment is necessary with the policy change.
b. Shampoo and then trim the child's hair to prevent reinfestation.
c. The child can remain in school with treatment done at home.
d. Treat the child with a shampoo to treat lice and comb with a fine-tooth comb every day until nits are eliminated.


Answer: C

What should the nurse explain about ringworm?

14:03 Add Comment

What should the nurse explain about ringworm?



a. It is not contagious.
b. It is a sign of uncleanliness.
c. It is expected to resolve spontaneously.
d. It is spread by both direct and indirect contact.


Answer: D

A 4-month-old infant comes to the clinic for a well-infant checkup. Immunizations she should receive are DTaP (diphtheria, tetanus, acellular pertussis) and IPV (inactivated poliovirus vaccine). She is recovering from a cold but is otherwise healthy and afebrile. Her older sister has cancer and is receiving chemotherapy. Nursing considerations should include which?

14:01 Add Comment

A 4-month-old infant comes to the clinic for a well-infant checkup. Immunizations she should receive are DTaP (diphtheria, tetanus, acellular pertussis) and IPV (inactivated poliovirus vaccine). She is recovering from a cold but is otherwise healthy and afebrile. Her older sister has cancer and is receiving chemotherapy. Nursing considerations should include which?



a. DTaP and IPV can be safely given.
b. DTaP and IPV are contraindicated because she has a cold.
c. IPV is contraindicated because her sister is immunocompromised.
d. DTaP and IPV are contraindicated because her sister is immunocompromised.


Answer: A

A mother tells the nurse that she does not want her infant immunized because of the discomfort associated with injections. What should the nurse explain?

14:01 Add Comment

A mother tells the nurse that she does not want her infant immunized because of the discomfort associated with injections. What should the nurse explain?



a. This cannot be prevented.
b. Infants do not feel pain as adults do.
c. This is not a good reason for refusing immunizations.
d. A topical anesthetic can be applied before injections are given.


Answer: D

The clinic nurse is teaching parents about when to call the office immediately for a child with a fever. What should the nurse include in the teaching session?

13:58 Add Comment

The clinic nurse is teaching parents about when to call the office immediately for a child with a fever. What should the nurse include in the teaching session? 



a. The child has a stiff neck.
b. The fever is over 40.6° C (105° F).
c. The child is younger than 2 months.
d. The fever has lasted for more than 3 days.
e. The fever went away for more than 24 hours and then returned.

Answer: A, B, C

The nurse is caring for a 12-year-old child who is on fall precautions secondary to seizures. What interventions should be included in the child's care plan?

13:57 Add Comment

The nurse is caring for a 12-year-old child who is on fall precautions secondary to seizures. What interventions should be included in the child's care plan? 



a. Place a call light and desired items within reach.
b. Keep the bed in the highest position with the two side rails up.
c. Turn off the lights and television at night.
d. Keep personal belongings and clutter contained in one area of the floor.
e. Have the child wear an appropriate-size gown and nonskid footwear.


Answer: A, E

A 2-year-old child has to receive Rocephin IM injections every 12 hours. What nursing intervention should be implemented for the child?

13:57 Add Comment

A 2-year-old child has to receive Rocephin IM injections every 12 hours. What nursing intervention should be implemented for the child?



a. Hold the child while rocking in a chair after each injection.
b. Prepare the child several hours before the injection is given.
c. Allow the child to watch a younger child receive an injection.
d. Encourage the child to draw a picture of the pain experienced when an injection is given.


Answer: A

To facilitate the administration of an oral medication to a preschool-age child, what action should the nurse take?

13:57 Add Comment

To facilitate the administration of an oral medication to a preschool-age child, what action should the nurse take?



a. Dilute the medication in a large amount of favorite liquid and allow the child to hold the cup.
b. Set limits about the need to take medication and offer praise immediately after the task is accomplished.
c. Mix the medication in a moderate amount of the child's favorite food.
d. Explain the purpose of the medication and allow the child time to express resistance before giving the medication.


Answer: B

The nurse is preparing to administer a liquid medication by a nasogastric feeding tube. What is the first thing the nurse should do?

13:56 Add Comment

The nurse is preparing to administer a liquid medication by a nasogastric feeding tube. What is the first thing the nurse should do?



a. Check placement of the tube.
b. Check the pH of the gastric aspirate.
c. Flush the tube with a small amount of water.
d. Give the medication and then flush with a small amount of water.


Answer: B

The nurse needs to start an intravenous (IV) line on an 8-year-old child to begin administering intravenous antibiotics. The child starts to cry and tells the nurse, "Do it later, okay?" What action should the nurse take?

13:56 Add Comment

The nurse needs to start an intravenous (IV) line on an 8-year-old child to begin administering intravenous antibiotics. The child starts to cry and tells the nurse, "Do it later, okay?" What action should the nurse take?



a. Postpone starting the IV until the next shift.
b. Start the IV line and then allow for expression of feelings.
c. Change the route of the antibiotics to PO.
d. Postpone starting the IV line until the child is ready.


Answer: B

The nurse is administering an IM injection into a vastus lateralis muscle of a 6-month-old infant. What should the length of the needle and amount to be given be?

13:56 Add Comment

The nurse is administering an IM injection into a vastus lateralis muscle of a 6-month-old infant. What should the length of the needle and amount to be given be?



a. 5/8 to 1 inch; 0.5 to 1.0 ml
b. 1 inch to 1 1/2 inch; 1.0 to 2.0 ml
c. 1 inch to 1 1/2 inch; 0.5 to 1.0 ml
d. 5/8 to 1 inch; 0.75 to 2 ml


Answer: A

The nurse is preparing to give acetaminophen (Tylenol) to a child who has a fever. What nursing action is appropriate?

13:55 Add Comment

The nurse is preparing to give acetaminophen (Tylenol) to a child who has a fever. What nursing action is appropriate?



a. Retake the temperature in 15 minutes after giving the Tylenol.
b. Place a warm blanket on the child so chilling does not occur.
c. Check to be sure the Tylenol dose does not exceed 15 mg/kg.
d. Use cold compresses instead of Tylenol to control the fever.


Answer: C
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