Question 1

The public health nurse has received a referral to make a follow-up home visit to a 1-year-old recently diagnosed with failure to thrive (FTT).  Which intervention is the priority nursing action for this child?

Accepted Answer

A) Assess overall parenting skills 
B) Complete a 24-hour dietary intake 
C) Measure the child's height, weight, and head circumference 
D) Observe the child feeding

Question 2

The nurse is discussing feeding and eating practices with the mother of a 1-year-old.  Which statement made by the mother indicates a need for further instruction?

Accepted Answer

A) "I give my child chopped fruit rather than juice." 
B) "I make sure my child drinks plenty of water between meals." 
C) "My child is fussy at bedtime so I put him to sleep with a bottle of milk." 
D) "When I give my child a new food, I wait a week before trying a second new food."

Question 3

The clinic nurse supervises a graduate nurse who is teaching the parents of a 2-year-old with acute diarrhea about home management.  The nurse would need to intervene when the graduate nurse provides which instruction?

Accepted Answer

A) "Do not administer antidiarrheal medications to your child." 
B) "Follow the bananas, rice, applesauce, and toast diet for the next few days." 
C) "Record the number of wet diapers and return to the clinic if you notice a decrease." 
D) "Use a skin barrier cream such as zinc oxide in the diaper area until diarrhea subsides."

Question 4

The nurse is planning care for a child being admitted with Kawasaki disease and should give priority to which nursing intervention?

Accepted Answer

A) Apply cool compresses to the skin of the hands and feet 
B) Monitor for a gallop heart rhythm and decreased urine output 
C) Prepare a quiet, non-stimulating, and restful environment 
D) Provide soft foods and liberal amounts of clear liquids

Question 5

A 2-year-old is diagnosed with atopic dermatitis (eczema).  Which instructions should the nurse teach the parents?  Select all that apply.

Accepted Answer

A) Apply emollient immediately after a bath 
B) Dress child in wool pajamas 
C) Give tepid baths with mild soap 
D) Keep child's nails well-trimmed 
E) Thoroughly rub the skin dry after baths

Question 6

A 2-year-old in the emergency department is suspected of having intussusception.  Which assessment finding should the nurse expect?

Accepted Answer

A) Black, sticky stools 
B) Greasy, foul-smelling stools 
C) Stools mixed with blood and mucus 
D) Thin, "ribbon-like" stools

Question 7

The nurse is caring for a 7-year-old client diagnosed with nephrotic syndrome who will be discharged soon.  Which statement by the parent indicates the need for further teaching?

Accepted Answer

A) "I'll provide a healthy diet without added salt for my child." 
B) "I'll organize playdates to keep my child's spirits up during relapses." 
C) "I'll restrict my child's fluids if I notice swelling or rapid weight gain." 
D) "I'll test for protein in my child's urine every day."

Question 8

The nurse plans care for a pediatric client who has just undergone a cleft palate repair.  Which of the following interventions should the nurse include in the plan of care?  Select all that apply.

Accepted Answer

A) Assist and encourage caregivers to hold and comfort the child 
B) Offer a pacifier in between feedings to promote the child's comfort 
C) Position the child supine with an elevated head of bed after feedings 
D) Remove elbow restraints per policy for skin and circulatory assessment 
E) Use tongue blade and penlight to assess surgical site every 4 hours

Question 9

A nurse is evaluating a client's understanding about infant formula preparation.  Which of the following client statements indicate proper understanding?  Select all that apply.

Accepted Answer

A) "I can add extra water to powdered formula if it seems that my baby wants to feed longer." 
B) "I can heat formula in the microwave for less than 1 minute." 
C) "I must wash the top of concentrated formula cans before opening." 
D) "Leftover milk in the bottle may be refrigerated and used at a later feeding." 
E) "Unused, prepared formula should be kept in the refrigerator and discarded after 48 hours."

Question 10

The nurse provides discharge teaching for the parents of a child newly diagnosed with hemophilia A.  Which statements by the parents indicate that teaching has been effective?  Select all that apply.

Accepted Answer

A) "A high-calorie, high-protein diet is best for our child." 
B) "It is extremely important that we do not allow our child to become dehydrated." 
C) "Our child should wear a medical alert bracelet at all times." 
D) "We should avoid giving our child over-the-counter medicine containing aspirin." 
E) "We should encourage a noncontact sport such as swimming."

Question 11

A nurse is caring for a child with acute glomerulonephritis.  Frequent monitoring of which of the following is a priority?

Accepted Answer

A) Blood pressure 
B) Hematuria 
C) Intake and output 
D) Peripheral edema

Question 12

A newborn had a bowel resection with temporary colostomy for Hirschsprung's disease.  The nurse should alert the health care provider (HCP) for which assessment finding postoperatively?

Accepted Answer

A) Moderate amount of blood-tinged mucus from the stoma on postoperative day 2 
B) Small amount of non-formed stool in the colostomy bag on postoperative day 6 
C) Stoma bleeds a small amount during colostomy bag change on postoperative day 3 
D) Stoma is gray-tinged at the edges but pink at the center on postoperative day 5

Question 13

The nurse receives new prescriptions for a 6-month-old client with bacterial meningitis.  Which action is the priority of care?

Accepted Answer

A) Administer 400 mg ceftriaxone IV every 12 hours 
B) Apply padding to the crib siderails 
C) Implement low-stimulation environment 
D) Monitor head circumference daily

Question 14

The school nurse is teaching a class of 10-year-old children about prevention of dental caries.  Which recommendations would be part of the nurse's teaching plan?  Select all that apply.

Accepted Answer

A) Chew sugar-free gum 
B) Drink fruit drinks/juices instead of sugary, carbonated beverages 
C) Include milk, yogurt, and cheese in dietary intake 
D) Minimize consumption of sweet, sticky foods 
E) Rinse mouth with water after meals when brushing is not possible

Question 15

The nurse is evaluating a parent's understanding of home care management for a 2-week-old client after initial cast placement for treatment of congenital clubfoot.  Which of the following statements by the parent indicate a correct understanding?  Select all that apply.

Accepted Answer

A) "Cradling my baby in my arms may cause stress and damage to the cast." 
B) "I will check my baby's toes several times a day to ensure that they are pink and warm." 
C) "My baby should alternate between sleeping on the stomach and back." 
D) "My baby will need to have a new cast applied weekly for 5-8 weeks." 
E) "When I bathe or diaper my baby, I will be sure to keep the cast dry."

Question 16

The nurse plans care for a child admitted with measles.  Which of the following interventions will the nurse include in the plan of care?  Select all that apply.

Accepted Answer

A) Advise measles vaccination for susceptible family members 
B) Apply calamine lotion to reduce itching 
C) Place a tracheostomy tray at the bedside 
D) Place the client in a negative-pressure isolation room 
E) Use a N95 respirator mask during client contact

Question 17

The nurse is reinforcing teaching to the parent of a child diagnosed with ringworm.  Which statement by the parent indicates a need for further teaching?

Accepted Answer

A) "Antifungal cream must be applied to all affected areas to eradicate ringworm from the body." 
B) "Hand washing is very important as ringworm can be spread among humans and pets." 
C) "My child has been infected by a worm and must be treated to rid it from the body." 
D) "My child will be uncomfortable due to itching, but this is not a dangerous condition."

Question 18

The parent of a 7-month-old reports that the child has been crying and vomiting with a distended belly for the past 4 hours.  The infant is now lying quietly in the parent's arms with a pulse of 200/min and respirations of 60/min.  Which of the following components of SBAR (situation, background, assessment, recommendation/read-back) communication is most important for the nurse to report to the health care provider?

Accepted Answer

A) Client has been ill for approximately 4 hours 
B) Client has improved from apparent earlier distress 
C) Client is now lethargic with abnormal vital signs 
D) Does the health care provider want to order a laxative?

Question 19

The clinic nurse is caring for several clients during well-child visits.  The nurse should recognize which client as being the most at risk for anemia?

Accepted Answer

A) 1-month-old infant born at term gestation who exclusively breastfeeds 
B) 2-month-old infant born at preterm gestation who exclusively receives iron-fortified formula 
C) 3-month-old infant born at preterm gestation who is exclusively bottle-fed with breastmilk 
D) 6-month-old infant born at term gestation who breastfeeds and eats iron-fortified infant cereal

Question 20

The nurse is reviewing anticipatory guidance with the parents of a 6-month-old infant with phenylketonuria.  Which statements by the nurse are appropriate?  Select all that apply.

Accepted Answer

A) "A low-phenylalanine diet is required." 
B) "Meat and dairy products should not be introduced into the diet." 
C) "Phenylketonuria is self-limiting and usually resolves by adulthood." 
D) "Special infant formula is required." 
E) "Tyrosine should be removed from the diet."

Exam 2: Child Health

The public health nurse has received a referral to make a follow-up home visit to a 1-year-old recently diagnosed with failure to thrive (FTT) . Which intervention is the priority nursing action for this child?

The nurse is discussing feeding and eating practices with the mother of a 1-year-old. Which statement made by the mother indicates a need for further instruction?

The clinic nurse supervises a graduate nurse who is teaching the parents of a 2-year-old with acute diarrhea about home management. The nurse would need to intervene when the graduate nurse provides which instruction?

The nurse is planning care for a child being admitted with Kawasaki disease and should give priority to which nursing intervention?

A 2-year-old is diagnosed with atopic dermatitis (eczema) . Which instructions should the nurse teach the parents? Select all that apply.

A 2-year-old in the emergency department is suspected of having intussusception. Which assessment finding should the nurse expect?

The nurse is caring for a 7-year-old client diagnosed with nephrotic syndrome who will be discharged soon. Which statement by the parent indicates the need for further teaching?

The nurse plans care for a pediatric client who has just undergone a cleft palate repair. Which of the following interventions should the nurse include in the plan of care? Select all that apply.

A nurse is evaluating a client's understanding about infant formula preparation. Which of the following client statements indicate proper understanding? Select all that apply.

The nurse provides discharge teaching for the parents of a child newly diagnosed with hemophilia A. Which statements by the parents indicate that teaching has been effective? Select all that apply.

A nurse is caring for a child with acute glomerulonephritis. Frequent monitoring of which of the following is a priority?

A newborn had a bowel resection with temporary colostomy for Hirschsprung's disease. The nurse should alert the health care provider (HCP) for which assessment finding postoperatively?

The nurse receives new prescriptions for a 6-month-old client with bacterial meningitis. Which action is the priority of care?

The school nurse is teaching a class of 10-year-old children about prevention of dental caries. Which recommendations would be part of the nurse's teaching plan? Select all that apply.

The nurse is evaluating a parent's understanding of home care management for a 2-week-old client after initial cast placement for treatment of congenital clubfoot. Which of the following statements by the parent indicate a correct understanding? Select all that apply.

The nurse plans care for a child admitted with measles. Which of the following interventions will the nurse include in the plan of care? Select all that apply.

The nurse is reinforcing teaching to the parent of a child diagnosed with ringworm. Which statement by the parent indicates a need for further teaching?

The clinic nurse is caring for several clients during well-child visits. The nurse should recognize which client as being the most at risk for anemia?

The nurse is reviewing anticipatory guidance with the parents of a 6-month-old infant with phenylketonuria. Which statements by the nurse are appropriate? Select all that apply.