Question: An adolescent reports to the nurse that they have infectious mononucleosis. The nurse should assess the adolescent for which symptom(s)?

Answer Options: Malaise Sore throat Swollen lymph glands All the above answers

Answer: All the above answers

Question: When an infant resumes taking oral feedings after surgery to correct intussusception, the parents comment that the child seems to suck on the pacifier more since the surgery. The nurse explains that sucking on a pacifier:

Answer Options: Indicates intestinal motility. Indicates readiness to take solid foods. Provides an outlet for emotional tension. Is an attempt to get attention from the parents.

Answer: Provides an outlet for emotional tension.

Question: A 15-year-old client has been taking imipramine for depression for 2 days. The client’s sibling asks the nurse, “Why is my sibling still so depressed?” Which response by the nurse is most appropriate?

Answer Options: “Perhaps we need to change the medication.” “They are experiencing a very serious depression.” “It takes 2 to 4 weeks for the drug to reach its full effect.” “I will be sure to convey your concern to the health care provider (HCP).”

Answer: “It takes 2 to 4 weeks for the drug to reach its full effect.”

Question: A 10-month-old child has cold symptoms. The birth parent asks how they can clear the infant’s nose. What would be the nurse’s best recommendation?

Answer Options: Use a cool air vaporizer with plain water. Use saline nose drops and then a bulb syringe. Blow into the child’s mouth to clear the infant’s nose. Administer a nonprescription vasoconstrictive nose spray.

Answer: Use saline nose drops and then a bulb syringe.

Question: The nurse instructs the client in mixing and administering regular and NPH insulin. Which statement indicates that the client needs additional instruction?

Answer Options: “I store the insulin in a cool place.” “I draw up the regular insulin first.” “I insert the needle at a 90-degree angle.” “I shake the bottle of NPH insulin before drawing it up.”

Answer: “I shake the bottle of NPH insulin before drawing it up.”

Question: The nurse finds an unopened bag of intravenous (IV) 50% dextrose in a sink in the nursing unit. What should the nurse do with the IV bag?

Answer Options: File an incident report. Send it to the pharmacy. Discard it in a sharp’s container. Leave it where it was found and notify the charge nurse.

Answer: Send it to the pharmacy.

Question: The nurse is assessing an infant with suspected hemolytic uremic syndrome. Which set of assessment findings most likely led the nurse to this conclusion?

Answer Options: Hemolytic anemia, acute kidney injury, and hypotension Hemolytic anemia, thrombocytopenia, and acute kidney injury Thrombocytopenia, hemolytic anemia, and nocturia several times each night Dirty green-colored urine, elevated erythrocyte sedimentation, and depressed serum complement level

Answer: Hemolytic anemia, thrombocytopenia, and acute kidney injury

Question: A child with a tracheostomy tube coughs and dislodges the tracheostomy tube. What should the nurse do first?

Answer Options: Call for emergency assistance. Attempt reinsertion of tracheostomy tube. Insert the obturator into the stoma to reestablish the airway. Position the client in the semi-Fowler position with the neck hyperextended.

Answer: Attempt reinsertion of tracheostomy tube.

Question: The nurse teaches the parents of a school-age child with hemophilia about injury management. Which intervention(s) should the nurse teach the parents to use when the child develops bleeding into a joint? Select all that apply.

Answer Options: Have the child rest. Begin factor VIII therapy. Start physical therapy. Apply heat to the joint area. Apply a topical antifibrinolytic.

Answer: Have the child rest. Begin factor VIII therapy.

Question: A nurse is assessing a client diagnosed with a fractured arm that has a long arm cast in place. The nurse notes that the client’s fingers are cool and have a moderate amount of edema with a capillary refill of 3 to 4 seconds. Based on this information, the nurse suspects the client has developed what complication?

Answer Options: Infection Neuropathy Skin breakdown Compartment syndrome

Answer: Compartment syndrome

Question: A child presents to the Pediatric ER with intermittent abdominal pain and “currant jelly” stools, suggesting intussusception. What is the greatest risk for this child?

Answer Options: Fever Constipation Dehydration Bowel perforation

Answer: Bowel perforation

Question: The nurse is reviewing several concerns that the schoolteacher of an 8-year-old child has brought to the attention of the child’s parents. The child is undergoing treatment for attention deficit hyperactivity disorder (ADHD). Which of the following statement(s) indicates that the treatment is effective? Select all that apply.

Answer Options: Statement 1 Statement 2 Statement 3 Statement 4 Statement 5

Answer: Statement 2 Statement 5