The nurse is assessing a 3-year-old at a community health center. Which behavior suggests possible autism spectrum disorder (ASD)?
Answer Choices:
A Has a history of temper tantrums.
B Performs odd repetitive behaviors.
C Strokes the hair of a doll.
D Shows indifference to verbal stimulation.
Answer: D Shows indifference to verbal stimulation.
The nurse working in a pediatric clinic receives a call: infant has fever and difficulty breathing. Which finding should the nurse ask about first?
Answer Choices:
A The level of the temperature.
B Signs of a congested nose.
C Ability to tolerate fluids.
D Duration of breathing problem.
Answer: D Duration of breathing problem.
A school age child with asthma uses albuterol for difficulty breathing. Which is the best nurse response?
Answer Choices:
A Overuse may cause chronic bronchitis.
B It helps to reduce airway inflammation.
C Bring the child in for immediate evaluation.
D Assure the parent they are using it correctly.
Answer: D Assure the parent that they are using the medication correctly.
The nurse is preparing a 10-year-old child for suturing of a lacerated forehead. Both parents and a 12-year-old sibling are at the child’s bedside. Which instruction best supports this family?
Answer Choices:
A Please decide who will stay when the healthcare provider begins suturing.
B While waiting for the healthcare provider, only one visitor may stay with the child.
C All of you should leave while the healthcare provider sutures the child’s forehead.
D It is best if the sibling goes to the waiting room until the suturing is completed.
Answer: A Please decide who will stay when the healthcare provider begins suturing.
The nurse is caring for a one-month-old infant admitted for suspected congenital hypothyroidism. Which diagnostic test result should be reported?
Answer Choices:
A Thyroxine (T4).
B Follicle stimulating hormone (FSH) levels.
C Growth hormone (GH) levels.
D Luteinizing hormone (LH) levels.
Answer: A Thyroxine (T4).
The parents of a newborn infant with hypospadias are concerned about when surgery should occur. Which information should the nurse provide?
Answer Choices:
A Repair should be done before the child is potty trained.
B Repair after sexual maturity.
C Delay until school age to reduce castration fears.
D Surgery by one month to prevent bladder infections.
Answer: A Repair should be done before the child is potty trained.
While teaching a parenting class to new parents, which is the most important reason for discipline and limit setting?
Answer Choices:
A They provide the child with a sense of security.
B This age child fears loss of self control.
C Children need help in developing social skills.
D Children must learn to deal with authority.
Answer: A They provide the child with a sense of security.
The nurse is teaching the parents about dietary changes for a child newly diagnosed with celiac disease. Which food is allowed?
Answer Choices:
A Barley.
B Rice.
C Oats.
D Rye.
Answer: B Rice.
After administering a varicella vaccine to a school-aged child, which instruction should be provided to the parent?
Answer Choices:
A Give children’s aspirin.
B Report any fever right away.
C Keep child home from daycare for 2 days.
D Apply a cool pack to the injection site.
Answer: D Apply a cool pack to the injection site to reduce discomfort.
Which nursing problem has the highest priority when providing preoperative care for an infant born with bladder exstrophy?
Answer Choices:
A Altered urinary elimination related to exposure of bladder.
B Risk for impaired parenting related to appearance of infant.
C Risk for infection related to impaired skin integrity.
D Knowledge deficit related to caring for the infant.
Answer: C Risk for infection related to impaired skin integrity.
A school age child with nephrotic syndrome is receiving salt-poor human albumin IV. Which finding indicates therapeutic response?
Answer Choices:
A Weight gain of 0.5 kg/day.
B Decreased periorbital edema.
C Increased periods of rest.
D Decreased urinary output.
Answer: B Decreased periorbital edema.
An adolescent reports limp, knee pain worse at night, swelling, tenderness, imaging shows radial ossification. Which condition is probable?
Answer Choices:
A Rhabdomyolysis.
B Osteosarcoma.
C Growing pains.
D Hemosiderosis.
Answer: B Osteosarcoma.