Question: When is a child with chickenpox considered to be no longer contagious?
Answer Options: When fever has subsided When lesions are crusted 24 hours after lesions erupt 8 days after onset of illness
Answer: When lesions are crusted
Question: A continuous machinery-like murmur is associated with which congenital heart defect?
Answer Options: Kawasaki Disease Patent Ductus Arteriosus Congestive Heart Failure Coarctation of the Aorta
Answer: Patent Ductus Arteriosus
Question: During a funduscopic examination, the nurse notes a brilliant, uniform red reflex in both eyes. This is:
Answer Options: A normal finding An abnormal finding; the child needs referral to an ophthalmologist A sign of a possible visual defect; the child needs vision screening A sign of small hemorrhages, which usually resolve spontaneously
Answer: A normal finding
Question: What should a nurse advise the parents of a child with type 1 diabetes who is not eating due to a minor illness?
Answer Options: Give the child half his regular morning dose of insulin. Substitute simple carbohydrates or calorie-containing liquids for solid foods. Give the child plenty of unsweetened, clear liquids to prevent dehydration. Take the child directly to the emergency department.
Answer: Substitute simple carbohydrates or calorie-containing liquids for solid foods.
Question: Which sport should the nurse recommend for a school-age child with hemophilia?
Answer Options: Wrestling Swimming Basketball Football
Answer: Swimming
Question: When caring for an infant with an upper respiratory tract infection and elevated temperature, which appropriate nursing intervention should the nurse implement?
Answer Options: Give cold water baths to reduce fever. Encourage food intake to maintain caloric needs. Dress child in wear heavy clothing to prevent chilling. Give small amounts of favorite fluids frequently to prevent dehydration.
Answer: Give small amounts of favorite fluids frequently to prevent dehydration.
Question: Which statement about feeding an infant with heart failure is correct?
Answer Options: “Your pediatrician may order an increase in the caloric density of your infant’s formula.” “You will need to feed your baby every 1 1/2 to 2 hours.” “You may need to increase the amount of formula your infant eats at each feeding.” “You should place a nasal oxygen cannula on your infant during and after each feeding.”
Answer: “Your pediatrician may order an increase in the caloric density of your infant’s formula.”
Question: A school-age child is admitted in Vaso-occlusive sickle cell crisis. What should the child’s priority of care include?
Answer Options: Correction of acidosis, intubation, and admission to the PICU Adequate hydration, pain assessment and management Administer a dose of oral pain medications as ordered and discharge with follow-up appointment Administration of heparin and aspirin
Answer: Adequate hydration, pain assessment and management
Question: Which play situation exhibits the characteristics of parallel play?
Answer Options: Kimberly and Amanda sharing clay to each make things. Brian playing with his truck next to Kristina playing with her Barbie car. Adam playing a board game with Kyle, Steven, and Erich. Danielle playing with a music box on her mother’s lap.
Answer: Brian playing with his truck next to Kristina playing with her Barbie car.
Question: The nurse is meeting a 5-year-old child for the first time and would like the child to cooperate during a dressing change. The nurse decides to do a simple magic trick using gauze. This should be interpreted as:
Answer Options: Inappropriate, because of the child’s age. A good way to establish rapport. Too distracting, when cooperation is important. Unacceptable as it wastes the nurse’s valuable time.
Answer: A good way to establish rapport.
Question: What should the nurse stress in a teaching plan for the mother whose 11-year-old son was just diagnosed with ulcerative colitis?
Answer Options: Preventing the spread of illness to others Nutritional guidance and preventing constipation Teaching daily use of enemas Coping with stress and avoiding triggers
Answer: Nutritional guidance and preventing constipation
Question: Which test is essential in establishing the diagnosis of cystic fibrosis (CF) in a toddler?
Answer Options: Bronchoscopy Serum calcium Urine creatinine Sweat chloride test
Answer: Sweat chloride test
Question: A 4-year-old child who weighs 44 lbs has been prescribed PO Penicillin 40 mg/kg/day, administered twice a day in 2 equal doses for 10 days. The suspension is labeled as 400 mg/5 ml. Calculate one dose in ml.
Answer Options: 5 ml 10 ml 15 ml 2.5 ml
Answer: 5 ml