1. A teen is asking the nurse what to expect post-tonsillectomy.Which of the following should the nurse discuss as normalexpectation? (Select all that apply)

– a.) Halitosis

– b.) Sleep apnea

– c.) Swollen tongue

– d.) White scabs in the back of thethroat

– e.) Bleeding for 5 to 10 days aftersurgery

  1. A nurse is planning IV antibiotic therapy for an infant. Whichof the following is not correct? (Select all that apply)

– a.) Always require dilutemedications with 100 ml sterile water

– b.) Medications are usually given inweight-based doses

– c.) Infants rarely have allergicreactions to medications so checking allergies is not important

– d.) An IV cannot be left in aninfant, so a new one needs to be started for eachadministration

– e.) IV medications should be givenusing a pump

  1. In caring for a child with pertussis, which nursing actionswould be supportive of airway management?

– Feeding small, frequent meals

– Placing the child to dropletprecautions

– Reducing fluid intake

– Encouraging family members to getvaccinated

  1. In caring for a child with varicella, which nursing actionswould be supportive of pruritus management?

– Encouraging food and fluids

– Monitoring lesions for secondarybacterial infection

– Administering an antipyretic

– Bathing the child in oatmeal orcornstarch

  1. A nurse is conducting a community-based class on Sudden InfantDeath Syndrome (SIDS). Which of the following home safety teachingsare recommended?

– Place the baby on their back tosleep

– Use padding in the crib to preventbabies from rolling over

– Remove pillows and stuffed animalsfrom cribs

– Have the baby sleep next to an adultto know if they stop breathing at night

-Avoid smoking near the infant

  1. A nurse is working in a dermatology office is preparing a flyerfor a daycare on reducing sun exposure in toddlers. Which of thefollowing statements is not correct?

– Use SPF 30 or higher on children

– Sunscreen is water-resistant anddoes not need to be reapplied after swimming

– Limit sun exposure during 11 am to 3pm

– Wear long-sleeves and a wide-brimmedhat for extended periods of sun exposure

  1. A nurse is working with a mother to develop a care plan for achild with night terrors. Which of the following interventionsshould be included?

– Reduce daytime activities to preventoverstimulation at night

– Wake the child up during nightterrors to reduce distress

– Provide large meals just before bedto encourage staying asleep

– Pick up all toys in the bedroombefore bedtime for safety

  1. A nurse is assessing a child that came back positive for leadduring a routine screening at 2 years of age. Which of thefollowing is a symptom of lead poisoning?

– The child says “No” in response toevery question

– The child has a limited vocabularyof 10 words

– The parent reports a limited diet offinger foods and fruit

– The child is able to state theirname

  1. A nurse is assessing a 5-month old infant at a regularcheck-up. Which of the following assessment findings requiresfollow-up evaluation?

– The infant smiles when the nursecomes into the room

– The infant responds to sounds bymaking their own sounds

– The infant does not visually trackobjects

– The infant rolls over in bothdirections

  1. In administering immunizations to a 2-month old infant, whichof the following pain management techniques is the most appropriatefor the nurse to use?

– Topical lidocaine applied 15 minutesprior to the procedure

– Providing a pacifier during andpost-procedure

– A one-time dose of oral morphineprior to the procedure

– Distracting the infant using a loud,colorful toy

  1. A 10-year-old child is being prepared for an influenza vaccine.The child asks the nurse if the injection will hurt. Which is thebest response?

– Change the subject and say “It’s abeautiful day outside, isn’t it?”

– Be honest and answer, “Yes, for alittle bit”

– Say “NO, because you’re a big kid.It wont hurt a bit”

– Smile broadly and ask, “What do youthink”?

  1. A school-nurse us supervising drop-off and pick-up at theelementary school. Which of the following behaviors by the childrencould indicate a need for community education?

– An older child is noticed to bewaiting for a younger child prior to walking home

– Bicycle helmets are inconsistentlyworn, and most are ill-fitting

– The parent pick-up car line begins15 minutes prior to school release

– Children going on the bus arriveearly and wait outside for the cafeteria to open

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