22. A child admitted with epiglottitis is not responding tohumidified oxygen. Which procedure does the nurse anticipate willbe ordered?
– Emergency tracheostomy
-Chest x-ray
– BiPAP
– Antibiotics
29. A nurse is assessing a school age child in the oncologyclinic. The child reports soreness in the mouth and refuses to eat.The inspection of the mouth revels a white, milky plaque that doesnot come off with rubbing. The nurse should suspect which of thefollowing conditions?
– Dematitis
– Stomatitis
– candidiasis
– Epiglottis
30. A nurse working in a school-based health clinic is preparingweekly report of Nationally Notifiable Diseases to send the StateHealth Department. Which of the following should be reported?
– Suspected Chlamydia cases
– Only confirmed Syphilis cases
– Possible pennatal exposures to HIV
– Suspected cases of Conjunctivitis
31. In treating sexually- transmitted diseases (STDs), which ofthe following strategies can be used to reduce the spread?
– Efficient contact tracing
– Prophytactic antibiotics to sexually-active teens
– Treating STDs as symptoms anse
– Abstaining from sex unless within monogamous relationships
33. A nurse is assessing a child with suspected otitis media.Which clinical finding supports this diagnosis?
– Intense itching in the ear canal
– External edema and difficulty visualizing tympanicmembrane
– Otorrhea
– Bulging tympanic membrane and nasal stuffiness
35. A mother of a child suspected of having Cystic Fibrosis asksthe nurse how testing for Cystic Fibrosis is done
Which would be the best response by the nurse?
– Testing for cystic fibrosis is done using a painless swab ofthe cheek
– Testing for cystic fibrosis is done by completing two sweatstimulation tests
– Testing for cystic fibrosis is done by testing stool for thepresence of fat
– Testing for cystic fibrosis is done through a standard bloodtest for chlorine.
37. A nurse is giving post-op discharge instructions to a parentfollowing their child’s tonsillectomy. Which of the followingstatements demonstrates the parent understand the teaching?
– “I will allow the child to choose whichever foods they wantfrom the pantry”
– “I will provide the child soft foods, like mashed potatoes andice cream”
– “I will encourage the child to use a straw with allbeverages”
– “I will provide the child to with a liquid diet for the nextweek”
38. A teen is asking the nurse what to expectpost-tonsillectomy. Which of the following should the nurse discussas normal expectation? (Select all that apply)
– a.) Halitosis
– b.) Sleep apnea
– c.) Swollen tongue
– d.) White scabs in the back of the throat
– e.) Bleeding for 5 to 10 days after surgery
39. A nurse is planning IV antibiotic therapy for an infant.Which of the following is not correct? (Select all that apply)
– a.) Always require dilute medications with 100 ml sterilewater
– b.) Medications are usually given in weight-based doses
– c.) Infants rarely have allergic reactions to medications sochecking allergies is not important
– d.) An IV cannot be left in an infant, so a new one needs tobe started for each administration
– e.) IV medications should be given using a pump
40. In caring for a child with pertussis, which nursing actionswould be supportive of airway management?
– Feeding small, frequent meals
– Placing the child to droplet precautions
– Reducing fluid intake
– Encouraging family members to get vaccinated
41. In caring for a child with varicella, which nursing actionswould be supportive of pruritus management?
– Encouraging food and fluids
– Monitoring lesions for secondary bacterial infection
– Administering an antipyretic
– Bathing the child in oatmeal or cornstarch
43. A nurse is conducting a community-based class on SuddenInfant Death Syndrome (SIDS). Which of the following home safetyteachings are recommended?
– Place the baby on their back to sleep
– Use padding in the crib to prevent babies from rollingover
– Remove pillows and stuffed animals from cribs
– Have the baby sleep next to an adult to know if they stopbreathing at night
-Avoid smoking near the infant
44. A nurse is working in a dermatology office is preparing aflyer for a daycare on reducing sun exposure in toddlers. Which ofthe following statements is not correct?
– Use SPF 30 or higher on children
– Sunscreen is water-resistant and does not need to be reappliedafter swimming
– Limit sun exposure during 11 am to 3 pm
– Wear long-sleeves and a wide-brimmed hat for extended periodsof sun exposure
45. A nurse is working with a mother to develop a care plan fora child with night terrors. Which of the following interventionsshould be included?
– Reduce daytime activities to prevent overstimulation atnight
– Wake the child up during night terrors to reduce distress
– Provide large meals just before bed to encourage stayingasleep
– Pick up all toys in the bedroom before bedtime for safety
46. A nurse is assessing a child that came back positive forlead during a routine screening at 2 years of age. Which of thefollowing is a symptom of lead poisoning?
– The child says “No” in response to every question
– The child has a limited vocabulary of 10 words
– The parent reports a limited diet of finger foods andfruit
– The child is able to state their name
47. 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 nurse comes into the room
– The infant responds to sounds by making their own sounds
– The infant does not visually track objects
– The infant rolls over in both directions
48. In administering immunizations to a 2-month old infant,which of the following pain management techniques is the mostappropriate for the nurse to use?
– Topical lidocaine applied 15 minutes prior to theprocedure
– Providing a pacifier during and post-procedure
– A one-time dose of oral morphine prior to the procedure
– Distracting the infant using a loud, colorful toy
49. A 10-year-old child is being prepared for an influenzavaccine. The child asks the nurse if the injection will hurt. Whichis the best response?
– Change the subject and say “It’s a beautiful day outside,isn’t it?”
– Be honest and answer, “Yes, for a little bit”
– Say “NO, because you’re a big kid. It wont hurt a bit”
– Smile broadly and ask, “What do you think”?
50. 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 be waiting for a younger childprior to walking home
– Bicycle helmets are inconsistently worn, and most areill-fitting
– The parent pick-up car line begins 15 minutes prior to schoolrelease
– Children going on the bus arrive early and wait outside forthe cafeteria to open
