Question: A child with systemic lupus erythematosus is receiving high-dose corticosteroid therapy over the long term. Which symptom will the nurse instruct the parents and child to report?

Answer Choices:

Rash
Joint pain
Visual changes
Difficulty urinating

Answer: Visual changes 2.

 

Question: During a routine health assessment, the nurse notes that a 12-year-old client with Turner syndrome does not yet exhibit any signs of puberty. Which intervention is appropriate for this client?

Answer Choices:

Refer the family to a genetic counselor for further assessment and evaluation
Discuss the possibility of hormone replacement with the health care provider
Review the client’s diet and lifestyle to encourage natural hormone production
Reassure the parents that the onset of puberty will likely occur within the next year

Answer: Discuss the possibility of hormone replacement with the health care provider 3.

 

Question: A 2-month-old infant with a new diagnosis of Sturge-Weber syndrome is admitted to the hospital. What is the nurse’s priority intervention?

Answer Choices:

Assess the child’s developmental progress and milestones
Assist with laser treatment to treat the facial nevus flammeus
Provide resources for support groups and counseling to the family
Monitor for seizure activities and ensure safety measures are in place

Answer: Monitor for seizure activities and ensure safety measures are in place 4.

 

Question: The nurse is administering intravenous immune globulin (IVIG). The nurse assesses vital signs for adverse reactions every 15 minutes for the first hour of administration. After the first hour, the nurse will continue to assess the child at which frequency?

Answer Choices:

Every 30 minutes
Every 45 minutes
Every 60 minutes
At the end of the transfusion

Answer: Every 60 minutes 5.

 

Question: The nurse is caring for a child who is experiencing a severe anaphylactic reaction. The nurse expects to administer which of the following medications?

Answer Choices:

Albuterol
Epinephrine
Corticosteroid
Diphenhydramine

Answer: Epinephrine 6.

 

Question: Which exercise will the nurse suggest as most helpful to maintain mobility in a child with juvenile idiopathic arthritis?

Answer Choices:

Swimming
Using a treadmill
Playing basketball
Jogging every other day

Answer: Swimming 7.

 

Question: A client is admitted for treatment of the syndrome of inappropriate antidiuretic hormone (SIADH). Which nursing intervention is appropriate?

Answer Choices:

Restricting fluids
Encouraging increased oral intake
Infusing intravenous (I.V.) fluids rapidly as ordered
Administering glucose-containing I.V. fluids as ordered

Answer: Restricting fluids 8.

 

Question: When performing a physical examination on a small child, the nurse observes approximately 8 to 10 light-brown spots concentrated primarily on the trunk and extremities, two small lumps on the posterior trunk, and axillary freckling. What condition do these findings suggest?

Answer Choices:

Neurofibromatosis
Fragile X syndrome
Klinefelter syndrome
Sturge-Weber syndrome

Answer: Neurofibromatosis 9.

 

Question: The nurse is caring for a 2-day-old newborn diagnosed with Down syndrome. Which intervention(s) will the nurse implement? Select all that apply.

Answer Choices:

Take daily weights
Auscultate for heart murmurs
Administer a low-fiber formula
Conduct complete vision screening
Conduct a complete hearing screening

Answer: Take daily weights; Auscultate for heart murmurs; Conduct a complete hearing screening 10.

 

Question: The nurse is assessing an infant and notes that the infant’s urine has a mousy or musty odor. The nurse suspects that the child was born with Phenylketonuria (PKU). Which of the following treatment goals will the nurse expect to apply for that child?

Answer Choices:

Manage excess weight
Manage blood pressure
Reduce phenylalanine diet
Give Lasix to clear out the urine’s smell

Answer: Reduce phenylalanine diet 11.

 

Question: The nurse is caring for a preschooler with type 1 diabetes mellitus who exhibits confusion, light-headedness, diaphoresis, palpitations, and aberrant behavior. The child is still conscious. The nurse should first administer:

Answer Choices:

I.V. bolus of dextrose 50%
10 units of fast-acting insulin
I.M. or subcutaneous glucagon
15 to 20 g of a fast-acting carbohydrate such as orange juice

Answer: 15 to 20 g of a fast-acting carbohydrate such as orange juice 12.

 

Question: The nurse is caring for a child who has undergone stem cell transplantation for severe combined immune deficiency. What finding does the nurse interpret as indicative of graft-versus-host disease?

Answer Choices:

Splenomegaly
Maculopapular rash
Presence of wheezing
Chronic or recurrent diarrhea

Answer: Maculopapular rash 13.