Question 1

The community health nurse is planning an education program for adolescents about skin care for acne vulgaris.  Which of the following teaching points are appropriate to include?  Select all that apply.

Accepted Answer

A) A well-balanced diet can help support healthy skin 
B) Antibacterial soap is harsh and can worsen acne 
C) Scrub whiteheads vigorously when washing the face twice daily 
D) Squeezing or picking lesions may increase the risk for infection and scarring 
E) Use skincare products labeled as noncomedogenic to prevent clogging skin pores

Question 2

A 3-month-old infant has irritability, facial edema, a 1-day history of diarrhea with adequate oral intake, and seizure activity.  During assessment, the parents state that they have recently been diluting formula to save money.  Which is the most likely cause for the infant's symptoms?

Accepted Answer

A) Hypernatremia due to diarrhea 
B) Hypoglycemia due to dilute formula intake 
C) Hypokalemia due to excess gastrointestinal output 
D) Hyponatremia due to water intoxication

Question 3

The nurse teaching the parents of a child diagnosed with cystic fibrosis will advise the parents to choose foods that satisfy which recommended diet?

Accepted Answer

A) Gluten-free with added protein 
B) High calorie, high protein, high fat 
C) High protein, low fat, low phosphate 
D) High protein, low fat, low sodium

Question 4

The public health nurse conducts a teaching program for parents of infants.  Which statement by a participant indicates that teaching has been successful?

Accepted Answer

A) "After age 6 months, it is safe to use honey to sweeten my infant's formula." 
B) "I should wait until my infant is 1 year old to introduce egg products." 
C) "I will switch my 1-year-old to low-fat milk instead of commercial formula." 
D) "My infant should be able to pick up small finger foods by age 10 months."

Question 5

The nurse is reinforcing discharge teaching for the parents of a 1-year-old with a newly diagnosed cow's milk allergy.  Which nutrients normally provided by milk should be obtained from other sources?  Select all that apply.

Accepted Answer

A) Calcium 
B) Fiber 
C) Iron 
D) Vitamin D 
E) Vitamin K

Question 6

A nurse is discussing the fine motor abilities of a 10-month-old infant with the infant's parent.  Which are developmentally appropriate skills for an infant of this age?  Select all that apply.

Accepted Answer

A) Grasps a small doll by the arm 
B) Stacks 3 wooden blocks 
C) Transfers small objects from hand to hand 
D) Turns single pages in a book 
E) Uses a basic pincer grasp

Question 7

The nurse has assessed 4 children.  Which finding requires immediate follow-up with the health care provider?

Accepted Answer

A) Child who had a surgical repair of hypospadias earlier today with no urinary output in the past two hours 
B) Child who is awaiting a neurological consult for suspected absence seizures and is sleeping soundly 
C) Child who returned from a bronchoscopy an hour ago and coughed up a scant amount of blood-tinged sputum 
D) Child with gastroenteritis, serum sodium of 131 mEq/L (131 mmol/L), and temperature of 100 F (37.8 
C)

Question 8

An overweight toddler is diagnosed with iron deficiency anemia.  Which is the most likely explanation for the anemia?

Accepted Answer

A) Excessive intake of meat products 
B) Excessive intake of milk 
C) Gastrointestinal blood loss 
D) Impaired iron transfer from the mother

Question 9

The parents of a hospitalized preschooler are concerned because their toilet-trained child has started wetting the bed.  Which response by the nurse is most helpful?

Accepted Answer

A) "Discipline your child by taking away playroom privileges." 
B) "It is normal for your child to regress while hospitalized." 
C) "Restricting fluids at nighttime will solve this problem." 
D) "Your child is acting out due to the hospitalization."

Question 10

The most recent laboratory results for a 12-month-old who is HIV-positive show a CD4 lymphocyte count of 500/mm3 and a CD4 lymphocyte percentage of 10%.  The nurse anticipates administering which immunizations?  Select all that apply.

Accepted Answer

A) Haemophilus influenzae type b (Hib) 
B) Hepatitis A (Hep 
A)  
C) Measles, mumps, rubella (MMR) 
D) Pneumococcal conjugate vaccine (PCV) 
E) Varicella

Question 11

A 2-month-old infant has been admitted to the hospital with suspected shaken baby syndrome (abusive head trauma).  In reviewing the infant's chart, the nurse expects to encounter which of these clinical findings?

Accepted Answer

A) A reported history of recent trauma 
B) Abdominal bruising 
C) External signs of trauma 
D) Irritability and vomiting

Question 12

A nurse is teaching the parent of a 6-year-old with a urinary tract infection (UTI) how to avoid repeat infections.  Which statements by the parent indicate that the teaching has been effective?  Select all that apply.

Accepted Answer

A) "I just bought my child new nylon panties." 
B) "I will make sure my child does not hold urine." 
C) "I will not give my child any more bubble baths." 
D) "I will teach my child to wipe from the front to the back." 
E) "I will use antibacterial soap for bathing my child."

Question 13

A school nurse is educating the parent of a young client with pediculosis capitis.  Which statement by the parent indicates understanding of the teaching?

Accepted Answer

A) "I will launder recently worn clothing, sheets, and towels in hot water." 
B) "I will make sure all eating utensils are placed in the dishwasher." 
C) "I will spray the house with insecticide to control this problem." 
D) "I will throw away stuffed animals and toys that cannot be washed."

Question 14

The nurse is performing a well-child assessment on a sleeping 2-month-old client.  Organize the assessment in the correct order based on the developmental age of the client.  All options must be used.

Accepted Answer

A) Assess pupillary response 
B) Auscultate heart and lungs 
C) Elicit Moro reflex 
D) Observe skin color and respiratory pattern 
E) Palpate fontanelles and abdomen

Question 15

The nurse is reviewing the medical record of a 4-year-old client with failure to thrive.  Which of the following risk factors likely contribute to the client's condition?  Select all that apply.

Accepted Answer

A) Child is the youngest of four children in the home 
B) One parent is incarcerated for spousal abuse 
C) One parent was diagnosed with anorexia nervosa prior to having children 
D) One parent works a full-time job outside the home 
E) Parents are concerned about not having enough money to buy food

Question 16

A 2-year-old is suspected of having retinoblastoma.  The nurse recognizes which sign as being most characteristic of this disease?

Accepted Answer

A) Absence of red reflex 
B) Fixed and mid-dilated pupil 
C) Ptosis of the eye 
D) Purulent eye discharge

Question 17

A nurse is caring for a 2-year-old with a new diagnosis of strabismus.  Which intervention should the nurse anticipate?

Accepted Answer

A) Eye drops in the abnormal eye 
B) Measurement of intraocular pressure (IOP) 
C) Patching the stronger eye 
D) Correction with laser surgery

Question 18

Which assessment findings should the nurse anticipate in a child with suspected acute otitis media (AOM)?  Select all that apply.

Accepted Answer

A) Frequent pulling on the affected ear 
B) Refusal to eat 
C) Restlessness and irritability 
D) Retracted tympanic membranes 
E) Severe pain with pressure on the tragus

Question 19

A distraught parent informs the nurse of bleeding in a 1-day-old girl.  What is an appropriate response by the nurse after assessing a small amount of bloody mucus in the newborn's diaper?

Accepted Answer

A) "Laboratory work will need to be completed to determine your newborn's hormone levels." 
B) "The health care provider will prescribe a dose of medication to stop the bleeding." 
C) "We will continue to monitor the amount, color, and consistency of the drainage." 
D) "What visitors have been present since the baby was born?"

Question 20

The nurse is completing chemotherapy education with an adolescent client.  The client states "I would rather continue to have cancer than lose all of my hair."  How should the nurse respond?

Accepted Answer

A) "Here are some pictures of celebrities with shaved heads; it won't be so bad!" 
B) "How do you feel about meeting other teens who are receiving chemotherapy?" 
C) "Let me show you a magazine of trendy head scarves; we can find one just for you." 
D) "Try to focus on the future, when your hair will grow back after treatment."

Exam 2: Child Health

The community health nurse is planning an education program for adolescents about skin care for acne vulgaris. Which of the following teaching points are appropriate to include? Select all that apply.

A 3-month-old infant has irritability, facial edema, a 1-day history of diarrhea with adequate oral intake, and seizure activity. During assessment, the parents state that they have recently been diluting formula to save money. Which is the most likely cause for the infant's symptoms?

The nurse teaching the parents of a child diagnosed with cystic fibrosis will advise the parents to choose foods that satisfy which recommended diet?

The public health nurse conducts a teaching program for parents of infants. Which statement by a participant indicates that teaching has been successful?

The nurse is reinforcing discharge teaching for the parents of a 1-year-old with a newly diagnosed cow's milk allergy. Which nutrients normally provided by milk should be obtained from other sources? Select all that apply.

A nurse is discussing the fine motor abilities of a 10-month-old infant with the infant's parent. Which are developmentally appropriate skills for an infant of this age? Select all that apply.

The nurse has assessed 4 children. Which finding requires immediate follow-up with the health care provider?

An overweight toddler is diagnosed with iron deficiency anemia. Which is the most likely explanation for the anemia?

The parents of a hospitalized preschooler are concerned because their toilet-trained child has started wetting the bed. Which response by the nurse is most helpful?

The most recent laboratory results for a 12-month-old who is HIV-positive show a CD4 lymphocyte count of 500/mm³ and a CD4 lymphocyte percentage of 10%. The nurse anticipates administering which immunizations? Select all that apply.

A 2-month-old infant has been admitted to the hospital with suspected shaken baby syndrome (abusive head trauma) . In reviewing the infant's chart, the nurse expects to encounter which of these clinical findings?

A nurse is teaching the parent of a 6-year-old with a urinary tract infection (UTI) how to avoid repeat infections. Which statements by the parent indicate that the teaching has been effective? Select all that apply.

A school nurse is educating the parent of a young client with pediculosis capitis. Which statement by the parent indicates understanding of the teaching?

The nurse is performing a well-child assessment on a sleeping 2-month-old client. Organize the assessment in the correct order based on the developmental age of the client. All options must be used.

The nurse is reviewing the medical record of a 4-year-old client with failure to thrive. Which of the following risk factors likely contribute to the client's condition? Select all that apply.

A 2-year-old is suspected of having retinoblastoma. The nurse recognizes which sign as being most characteristic of this disease?

A nurse is caring for a 2-year-old with a new diagnosis of strabismus. Which intervention should the nurse anticipate?

Which assessment findings should the nurse anticipate in a child with suspected acute otitis media (AOM) ? Select all that apply.

A distraught parent informs the nurse of bleeding in a 1-day-old girl. What is an appropriate response by the nurse after assessing a small amount of bloody mucus in the newborn's diaper?

The nurse is completing chemotherapy education with an adolescent client. The client states "I would rather continue to have cancer than lose all of my hair." How should the nurse respond?