Question: The community health nurse has completed a teaching session with a group of parents concerning the growth and development of their toddlers. Which statement by the parents indicates the session was successful?

Answer Options: The tissue surrounding the bone is thinner than adults. Their bones are stronger than the ligaments and tendons. Injury to the growth plate is more concerning after the age of 15. It is more common for the bones to buckle than break in toddlers.

Answer: It is more common for the bones to buckle than break in toddlers.

Question: The nurse is caring for a newborn who has just undergone surgery for hydrocephalus. What action(s) will the nurse include in the plan of care? Select all that apply.

Answer Options: Use supine positioning. Place in a flat position initially. Monitor for signs of peritonitis. Measure abdominal circumference. Do not elevate the head of the bed more than 45 degrees.

Answer: Place in a flat position initially. Monitor for signs of peritonitis. Measure abdominal circumference. Do not elevate the head of the bed more than 45 degrees.

Question: An adolescent with bipolar disorder has been prescribed olanzapine 5 mg two times a day and lamotrigine 25 mg two times a day. Which adverse effect(s) should the nurse report to the health care provider immediately? Select all that apply.

Answer Options: Rash Nausea Sedation Hyperthermia Muscle rigidity

Answer: Rash Hyperthermia Muscle rigidity

Question: The nurse suspects that a newborn has an imperforate anus. Which assessment finding(s) support the nurse’s hypothesis?

Answer Options: Missing opening to the anus Failure to pass first stool within or after birth 48 hours of life Stool passes out of the vagina, base of penis, scrotum, or urethra a, b, c a & b only b & c only

Answer: Missing opening to the anus Failure to pass first stool within or after birth 48 hours of life Stool passes out of the vagina, base of penis, scrotum, or urethra

Question: The nurse is developing a nursing care plan for a child with sickle cell anemia. Which of the following goals will prevent sickle cell crisis? Select all that apply.

Answer Options: Client will stay warm Client will stay well hydrated Client will be free from infection Fluid restriction will be maintained Client will continue playing football to exercise the joints

Answer: Client will stay warm Client will stay well hydrated Client will be free from infection

Question: The nurse is teaching the parents of a child with cerebral palsy who has just had a gastrostomy tube inserted due to gastric reflux. The nurse will determine the session is successful when the parents point out which situation(s) to report to the health care provider? Select all that apply.

Answer Options: Nausea Diarrhea Clogged tube Redness at insertion site Decreased urine output

Answer: Nausea Diarrhea Clogged tube Redness at insertion site Decreased urine output

Question: The nurse is reviewing behavioral techniques for the parents to use with their 8-year-old child with attention deficit hyperactivity disorder (ADHD). Which technique(s) should the nurse include in the teaching? Select all that apply.

Answer Options: Set an alarm for administering the prescribed treatment. Adhere to a specific routine when the child needs to focus. Encourage free time at a time of day that the child chooses. Provide structured responsibilities during the child’s routine. Prepare items needed in the morning, such as clothing, the night before.

Answer: Set an alarm for administering the prescribed treatment. Adhere to a specific routine when the child needs to focus. Provide structured responsibilities during the child’s routine. Prepare items needed in the morning, such as clothing, the night before.

Question: The nurse is assessing a 12-month-old child with cleft palate who is awaiting surgical repair in 2 weeks. The nurse knows the child is at increased risk for otitis media due to which issue?

Answer Options: Midline ear congenital defects Dysfunction of eustachian tubes Eustachian tube plugging with food particles Lowered resistance to infection due to decreased nutritional intake

Answer: Dysfunction of eustachian tubes

Question: A preschooler child is brought to the emergency room for an item lodged in the left ear. The parents stated that it may be a mosquito. Which of the following nursing actions is best to dislodge mosquito?

Answer Options: Instillation of diluted alcohol Instillation of antibiotic ear drops Irrigation of the ear with warm water Instillation of corticosteroid ear drops

Answer: Instillation of diluted alcohol

Question: The nurse is assessing a child for signs of a blood transfusion reaction. Which finding indicates the child is having a transfusion reaction?

Answer Options: Polyuria Warm skin Diaphoresis Hypertension

Answer: Diaphoresis

Question: A nurse interviews the parent of a middle-school student who is exhibiting behavioral problems, including substance abuse, after a sibling’s suicide. The parent says, “I’m a single parent who has to work hard to support my family, and now I’ve lost a child, and my other child is acting out and making me crazy! I just can’t take all this stress!” Which issue is the priority?

Answer Options: The parent’s frustration The adolescent’s anger The potential suicidal thoughts and plans of both family members The parent’s ability to emotionally support the adolescent in this crisis

Answer: The potential suicidal thoughts and plans of both family members