Question: Blue Cross Plans were developed by the federal government to cover military families.
Answer Options:
True, False
Answer: False
Question: Which of the following has been one of the perpetual problems with the U.S. health care system?
Answer Options:
a. Low profitability for insurance companies, b. Poor training of physicians, c. Lack of technological development, d. Poor value
Answer: d. Poor value
Question: Why did many people who were already in the private health insurance market face higher costs under the Affordable Care Act (ACA)?
Answer Options:
a. The ACA mandated coverage for preexisting conditions, b. The ACA provided subsidies for low- and moderate-income individuals and families, c. The ACA mandated minimum benefit plans, d. The ACA eliminated lower quality, cheaper health insurance plans
Answer: d. The ACA eliminated lower quality, cheaper health insurance plans
Question: The Hill-Burton Act is Federal legislation passed before the ACA to make health insurance more affordable.
Answer Options:
True, False
Answer: False
Question: An independent physician association (IPA) is a type of healthcare provider organization composed of a group of independent practicing physicians who maintain their own offices and band together for the purpose of contracting their services to HMOs, Preferred Provider Organizations (PPO), and insurance companies. How is an IPA different from an HMO?
Answer Options:
a. Hires only primary care physicians, b. Relies on physicians assistants (PAs) and nurse practitioners (NPs) for staffing, c. Does not have a closed medical staff, d. None of the above
Answer: c. Does not have a closed medical staff
Question: One predictable result of the aging of the U.S. population is that:
Answer Options:
a. The sky will turn pink, b. Many insurance companies will enter the marketplace to compete with Medicare, c. Large HCOs will begin to offer private insurance, d. The overall cost of providing Medicare benefits will rise
Answer: d. The overall cost of providing Medicare benefits will rise
Question: What is the priority action by the nurse for the child that has been admitted with bacterial meningitis?
Answer Options:
a. Administering broad-spectrum antibiotics
b. Assessing and treating pain aggressively
c. Facilitating blood cultures and lumbar puncture
d. Maintaining a quiet environment
Answer: a. Administering broad-spectrum antibiotics
Question: A school-age female child has a urinary tract infection (UTI). The culture has come back positive for Escherichia coli. Which teaching measure is most important for the nurse to include in the teaching plan?
Answer Options:
a. Avoid bubble baths and nylon panties.
b. Offer the child fluids frequently.
c. Place the child on a voiding schedule.
d. Teach the child to wipe from front to back.
Answer: d. Teach the child to wipe from front to back.
Question: The nurse is assessing a child whose leg was placed in a cast about two hours ago. Which finding would raise suspicions of complications and require further assessment from the RN?
Answer Options:
a. The child can wiggle their toes in the casted leg
b. The casted leg appears pale compared to the unaffected leg
c. The casted leg feels cool to the touch after recent application of ice
d. The child reports pain level of 0/10 after receiving opioid analgesics
Answer: b. The casted leg appears pale compared to the unaffected leg
Question: An acutely ill child is admitted for a suspected severe urinary tract infection (UTI). Which is the priority action by the nurse?
Answer Options:
a. Administer broad-spectrum antibiotics as ordered.
b. Obtain a urine sample for culture and sensitivity.
c. Start an IV line for aggressive fluid resuscitation.
d. Teach the parents how to prevent future UTIs.
Answer: a. Administer broad-spectrum antibiotics as ordered.
Question: A burned patient had an escharotomy on the right anterior thigh. Which assessment finding indicates that this procedure has been effective?
Answer Options:
a. Absence of infection in the burn
b. Compartment pressure of 42 mm Hg
c. Decreased pain in the right leg
d. Pedal pulses 3+/4+ bilaterally
Answer: d. Pedal pulses 3+/4+ bilaterally
Question: A nurse is assessing a child diagnosed with Wilms’ tumor. Which action by the student causes the faculty member to intervene?
Answer Options:
a. Auscultates the posterior lung fields
b. Performs the pupillary assessment using a penlight
c. Assesses brachial pulses
d. Palpates the abdomen in all quadrants
Answer: d. Palpates the abdomen in all quadrants
Question: A nursing student is caring for a child diagnosed with anorexia nervosa. Which action by the student causes the faculty member to intervene?
Answer Options:
a. “We will need to throw out all our child’s clothing.”
b. “We will not require treatment if we remain symptomatic.”
c. “We will need to wash our belongings in the bathtub and allow them to air-dry.”
d. “We will not let our children share a bed until this is resolved.”
Answer: a. “We will need to throw out all our child’s clothing.”
Question: The nurse is caring for a hospitalized pediatric patient. Which factors would increase the child’s risk of falls? Select all that apply.
Answer Options:
a. The child is wearing non-skid footwear
b. The child is receiving opioid analgesics
c. The child fell while rollerblading last summer
d. The child recently started wearing glasses
e. The child is receiving IV maintenance fluids
Answer: b. The child is receiving opioid analgesics, d. The child recently started wearing glasses, e. The child is receiving IV maintenance fluids
Question: A child needs surgery to resect a tumor but is scheduled for several weeks of radiation therapy first. The parents are frustrated and want to know why the surgery that can cure the cancer is being delayed. Which response by the nurse is the most appropriate?
Answer Options:
a. “Children who have radiation first generally do better than others.”
b. “If the radiation destroys the tumor, surgery will not be needed.”
c. “Radiation will shrink the tumor, making it easier to get all of it out.”
d. “The surgeons must be worried that they cannot get the whole tumor.”
Answer: c. “Radiation will shrink the tumor, making it easier to get all of it out.”
Question: A nurse is assessing families in the community for child maltreatment. Which child would the nurse identify as being at highest risk?
Answer Options:
a. The child living with their single mother and grandparents
b. The child born 10 years after their older sibling
c. The child whose father suffers from substance abuse
d. The child whose middle-aged parents recently divorced
Answer: c. The child whose father suffers from substance abuse
Question: The nurse is providing education to parents of a child diagnosed with Fetal Alcohol Spectrum Disorder. Which findings correlate with this clinical diagnosis? Select all that apply.
Answer Options:
a. “Poor feeder.”
b. “Fetal macrosomia.”
c. “Underdeveloped jaw.”
d. “Smooth philtrum.”
e. “Enlarged or protruding tongue.”
Answer: a. “Poor feeder,” c. “Underdeveloped jaw,” d. “Smooth philtrum.”
Question: The nurse is caring for a child admitted for neurological observation. The nurse uses the pediatric Glasgow coma scale (GCS) during the initial assessment and observes the child’s eyes open spontaneously and display brisk pupillary responses. The child is currently oriented and able to follow commands. The nurse knows these findings are consistent with which score on the GCS?
Answer Options:
a. 1
b. 8
c. 12
d. 15
Answer: d. 15
Question: A toddler has a few vesicular lesions on their hands that rupture, producing a honey-colored, sticky exudate. Based on this assessment, which medication does the nurse teach the parents about?
Answer Options:
a. Azithromycin (Zithromax)
b. Amoxicillin/clavulanate (Augmentin)
c. Doxycycline (Vibramycin)
d. Mupirocin (Bactroban) ointment
Answer: d. Mupirocin (Bactroban) ointment
Question: A 1-year-old patient is brought to the emergency department after a bath water burn. Which diagnostic tool should the nurse use to assess the burn injury?
Answer Options:
a. Lund and Browder chart
b. Calculation of body surface area
c. Rule of Nines chart
d. Hand method
Answer: a. Lund and Browder chart
Question: A child presents to the emergency department with cutaneous manifestations of an allergic response. Which nursing diagnosis takes priority?
Answer Options:
a. Altered comfort related to itching lesions
b. Impaired tissue integrity related to lesions
c. Knowledge deficit related to unknown condition
d. Risk for impaired airway secondary to edema
Answer: d. Risk for impaired airway secondary to edema
Question: During assessment of an 8-year-old child with meningitis, the nurse places the child supine with their hips flexed. As the nurse attempts to straighten the child’s leg, the child reports severe pain and resists extension. How does the nurse document this assessment finding in the medical record?
Answer Options:
a. Positive Brudzinski’s sign
b. Negative Brudzinski’s sign
c. Positive Kernig’s sign
d. Negative Kernig’s sign
Answer: c. Positive Kernig’s sign
Question: A nurse is assessing families in the community for child maltreatment. Which child would the nurse identify as being at highest risk?
Answer Options:
a. The child living with their single mother and grandparents
b. The child born 10 years after their older sibling
c. The child whose father suffers from substance abuse
d. The child whose middle-aged parents recently divorced
Answer: c. The child whose father suffers from substance abuse
Question: The nurse is providing education to parents of a child diagnosed with Fetal Alcohol Spectrum Disorder. Which findings correlate with this clinical diagnosis? Select all that apply.
Answer Options:
a. “Poor feeder.”
b. “Fetal macrosomia.”
c. “Underdeveloped jaw.”
d. “Smooth philtrum.”
e. “Enlarged or protruding tongue.”
Answer: a. “Poor feeder,” c. “Underdeveloped jaw,” d. “Smooth philtrum.”
Question: The nurse is caring for a 10-year-old with Guillain-Barré Syndrome (GBS). On hourly rounds, the nurse assesses that the child’s lung sounds are diminished, respiratory rate is 6 breaths/min and shallow, and pulse oximeter is 86%. What action by the nurse takes priority?
Answer Options:
a. Administer high-flow oxygen by mask.
b. Call the rapid response team; prepare for intubation.
c. Encourage the patient to take slow, deep breaths.
d. Have the patient use the incentive spirometer.
Answer: b. Call the rapid response team; prepare for intubation.
Question: A child has cancer, is unresponsive, and is doing poorly. Which action by the nursing student causes the RN to intervene?
Answer Options:
a. Encourages family visitation and therapeutic touch
b. Places the child on NPO status
c. Administers a rectal suppository
d. Turns the child even if she moans
Answer: c. Administers a rectal suppository