5) A nurse is receiving change-of-shift report for four children. Which of
the following children should the nurse assess first?
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a. A toddler who has a concussion and an episode of
forceful vomiting
b. An adolescent who has infective endocarditis and reports
having a headache
c. An adolescent who was placed into halo traction 1 hr ago and
reports pain as 6 on a scale of 0 to 10
d. A school-age child who has acute glomerulonephritis and
brown-colored urine
6) A nurse is providing dietary teaching to the guardian of a school-age
child who has cystic fibrosis. Which of the following statements
should the nurse make?
a. “You should offer your child high-protein meals and
snacks throughout the day.”
b. “You should decrease your child’s dietary fat intake to less
than 10% of their caloric intake.”
c. “You should restrict your child’s calorie intake to 1,200 per
day.”
d. “You should give your child a multivitamin once weekly.”
7) A nurse is providing discharge teaching to the guardians of a toddler
who had lower leg cast applied 24 hr ago. The nurse should instruct
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the guardians to report which of the following finding to the
provider?
a. Capillary refill time less than 2 seconds
b. Restricted ability to move the toes
c. Swelling of the casted foot when the leg is dependent
d. Pedal pulse +3 bilateral
8) A nurse in an emergency department is auscultating the lungs of an
adolescent who is experiencing dyspnea. The nurse should identify
the sound as which of the following?
a. Wheezes
b. Crackles
c. Pleural friction rub
d. Rhonchi
9) A nurse is caring for a preschooler who has congestive heart failure. The
nurse observes wide QRS complexes and peaked T waves on the cardiac
monitor. Which of the following prescriptions should the nurse clarify
with the provider?
a. Furosemide
b. Captopril
c. Regular insulin
d. Potassium chloride