Rasmussen College Nurse Caring for Children and Adolescents Questions

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1

Nursing Care of Minors 2019
Student’s Name
Institutional Affiliation
Professor’s Name
Date

2

Question: 1 of 70
A nurse is providing teaching to the guardians of a school-age child who has a seizure
disorder. Which of the following factors should the nurse include as a common trigger that
increases the risk of seizures?
o Prolonged headache
o Lack of sleep
o Decreased temperature
o Exposure to secondhand smoke
Question: 2 of 70
A nurse is planning to teach an adolescent who is lactose intolerant about dietary
guidelines. Which of the the following instructions should the nurse include in the
teaching?
o “You can replace milk with nondairy sources of calcium”
o “You can drink milk on an empty stomach”
o “You should consume flavored yogurt instead of plain yogurt”
o “You might tolerate plain milk better than chocolate milk”
Question: 3 of 70
A nurse is caring for an infant who has rotavirus. Which of the following findings indicates
that the infant is moderately dehydrated?
o Respiratory rate 28/min
o Weight loss 7%

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o Capillary refill 1 second
o Bradycardia
Question: 4 of 70
A nurse is caring for an adolescent who is 1 hr. postoperative following an appendectomy.
Which of the following findings should the nurse report to the provider?
o Muscle rigidity
o Heart rate 63/min
o Temperature 36.4oC (97.5o F)
o Abdominal pain
Question: 5 of 70
A nurse is planning care for an 8-month old infant who has heart failure. Which of the
following actions should the nurse include in the plan of care?
o Place the infant in a prone position
o Provide less frequent, higher volume feedings
o Repeat a digoxin dosage if the infant vomits within I hour of administration
o Administer cool, humidified oxygen via nasal cannula
Question: 6 of 70
A nurse is caring for a preschooler who is postoperative following a tonsillectomy. The
child is now ready to resume oral intake. Which of the following dietary choices should the
nurse offer the child?

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o Chocolate milk
o Sugar-free cherry gelatin
o Vanilla ice cream
o Lime-flavored ice pop
Question: 7 of 70
A nurse is planning care for an adolescent who has sickle cell anemia. Which of the
following immunizations should the nurse include in the plan?
o Measles, mumps, and rubella (MMR)
o Pneumococcal conjugate (PCV13)
o Rotavirus
o Respiratory syncytial virus (RSV)
Question: 8 of 70
A nurse is reviewing the medical record of a school-age child who has cystic fibrosis. Which
of the following findings should the nurse report to the provider? (Click on the “Exhibit”
button for additional information about the client. There are three tabs that contain
separate categories of data)
o Heart rate
o WBC count
o Oxygen saturation
o HbA1c

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Question: 9 of 70
A charge nurse is planning care for an infant who has failure to thrive. Which of the
following actions should the nurse include in the plan of care?
o Use half-strength formula when feeding the infant
o Give the infant fruit juice between feedings
o Assign consistent nursing staff to care for the infant
o Keep the infant in a visually stimulating environment
Question: 10 of 70
A nurse is teaching the parent of a school-age child about bicycle safety. Which of th
following instructions should the nurse include in the teaching?
o “Your child should keep the bicycle at least 3 feet from the curb while riding in the
street”
o “Your child should walk the bicycle through intersections”
o “Your child feet should be 3 to 6 inches off the ground when seated on the bicycle”
o “Your child should ride the bicycle against the flow of traffic”
Question: 11 of 70
A nurse is providing discharge teaching to the parents of an infant who is at risk for
sudden infant death syndrome (SIDS). Which of the following statements by the parents
indicates an understanding of the teaching?
o “I will move my baby’s stuffed animal to the corner of her crib while she sleeps”
o “I will have my baby sleep next to me in bed during the night”

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o “I will dress my baby in lightweight clothing to sleep”
o “I will lay my baby on her side to sleep for naps”
Question: 12 of 70
A nurse in a PACU is caring for a school-age child immediately following a tonsillectomy.
Which of the following actions should the nurse take?
o Place the child in aside-lying position
o Instruct the child to drink fluids through a straw
o Offer the child ice cream when alert
o Encourage the child to deep breathe and cough
Question: 13 of 70
A nurse in the emergency department is caring for an adolescent who is requesting testing
for STIs. Which of the following actions is appropriate for the nurse to take?
o Contact the client’s parents to obtain phone consent
o Obtain written consent from the client
o Request verbal consent from the social worker
o Postpone the testing until the client’s parents are present
Question: 14 of 70
A nurse is prioritizing care for four clients. Which of the following clients should the nurse
assess first?
o A toddler who has a partial-thickness burn on his right hand and requires a dressing
change

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o A toddler who has a new diagnosis of osteomyelitis and is to receive an IV bolus of
nafcillin
o An adolescent who has sickle anemia and slurred speech
o An adolescent who is in skin traction and reports a pain level of 7 on a scale from 0 to 10
Question: 15 of 70
A nurse is assessing a 5-month-old infant. Which of the following findings should the nurse
report to the provider?
o Unable to hold a bottle
o Absent grasp reflex
o Exhibits head lag when pulled to a sitting position
o Unable to roll from back to abdomen
Question: 16 of 70
A nurse is caring for a 10-month-old child who was brought to the emergency department
by his parents following a head injury. Which of the following actions should the nurse
take first?
o Inspect for fluid leaking from the ears
o Assess respiratory status
o Check pupil reactions
o Examine the scalp for lacerations

8

Question: 17 of 70
A nurse is providing teaching to the parents of an infant who is to undergo pilocarpine
iontophoresis testing for cystic fibrosis. Which of the following statements should the nurse
include in the teaching?
o “A nurse will insert an IV prior to the test”
o “Your baby will need to fast for 8 hours prior to the test”
o “The test will measure the amount of chloride in your baby’s sweat”
o “We will measure the amount of protein in your baby’s urine over a 24 hour period”
Question: 18 of 70
A nurse is planning care for a 6-month old infant who has bacterial meningitis. Which of
the following interventions should the nurse include in the plan of care?
o Pad to side rails of the crib
o Provide frequent range of motion to the neck and shoulders
o Keep the television on in the room to provide background noise
o Place the infant in a semiprivate room
Question: 19 of 70
A nurse is preparing to administer immunizations to a 3-month old infant. Which of the
following is an appropriate action for the nurse to take to deliver atraumatic care?
o Provide a pacifier coated with an oral sucrose solution prior to the injections
o Use a 20-gauge needle for the injections

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o Apply eutectic mixture of local anesthetics (EMLA) cream immediately before the
injections
o Inject the immunization into the deltoid muscle
Question: 20 of 70
A nurse is caring for an infant who has a patent ductus arteriosus. The nurse should
identify that the defect is at which of the following locations of the heart? (You will find hot
spots to select in the artwork below. Select only the hot spot that corresponds to your
answer.)

Question: 21 of 70
A nurse is providing teaching to the parents of a 2-month –old infant who has
developmental dysplasia if the hip and has a prescription for a Pavlik harness. Which of
the following statements by the parents indicates an understanding of the teaching?
o “We will apply lotion to the skin under the straps”
o “We should adjust the straps daily”
o “We will place the diaper under the straps”
o “We should expect our baby to wear this harness for 2 weeks”

10

Question: 22 of 70
A nurse is reviewing the medical record of a 15-month-old child who is scheduled to receive
the measles, mumps, and rubella (MMR) vaccine. Which of the following findings should
the nurse identify as a contraindication for receiving this vaccine?
o Allergy to neomycin
o Family history of seizures
o Temperature of 37.2o C (99o F)
o Upper respiratory infection 2 days ago
Question: 23 of 70
A nurse is discussing coping mechanisms with a parent of a 3-month-old infant. Which of
the following therapeutic questions should the nurse ask the parent?
o “What do you do when your infant is fussy?”
o “Does parenting cause you stress?”
o “It is overwhelming when your infant is having a bad day?”
o “Are you willing to take new parenting classes?”
Question: 24 of 70
A nurse is performing a cranial nerve assessment on a school-age child. Which of the
following findings indicates proper functioning of the child’s trigeminal nerve?
o The child exhibits a gag reflex when stimulated with a tongue blade
o The child maintains balance when standing with eyes closed
o The child has symmetrical jaw length when biting down

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o The child correctly identifies specific scents
Question: 25 of 70
A nurse in an emergency department is caring for a preschool-age child who has acute
acetylsalicylic acid poisoning. Which of the following should the nurse expect?
o Polyuria
o Jaudice
o Hyperpyrexia
o Neck vein distention
Question: 26 of 70
A nurse is preparing a school-age child for an invasive procedure. Which of the following
actions should the nurse plan to take?
o Plan for a 30 min teaching session about the procedure
o Demonstrate deep-breathing and counting exercises
o Explain the procedure to the child when they are in the playroom
o Use vague language to describe the procedure
Question: 27 of 70
A nurse is providing teaching to a 10-year-old child who is scheduled for an arterial
cardiac catheterization. Which of the following information should the nurse include in the
teachings?
o “You will need to keep your leg straight for 8 hours following procedure”
o “You will be on bed rest for 2 days after the procedure”

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o “You will have your dressing removed 12 hours after the procedure”
o “You will be on a clear liquid diet for 24 hours following the procedure”
Question: 28 of 70
A nurse in a provider’s office is assessing the vital signs of a 2-year-old child at a well-child
visit. Which of the following findings should the nurse report to the provider?
o Pulse rate 98/min
o Respiratory rate 26/min
o Blood pressure 118/74 mmHg
o Temperature 37.2o C (99o F)
Question: 29 of 70
A nurse is reviewing the laboratory results of a child who was recently admitted for
suspected rheumatic fever. The nurse should identify that which of the following
laboratory tests can contribute to confirming this diagnosis? (Select all that apply)
o Partial thromboplastin time (PTT)
o C-reactive protein (CRP)
o Antistreptolysin O (ASO) tilter
o Erythrocyte sedimentation rate (ESR)
o Blood Urea Nitrogen (BUN)
Question: 31 of 70
A nurse is assessing an infant who has acute otitis media. Which of the following findings
should the nurse expect? (Select all that apply)

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o Increased appetite
o Enlarged subclavicular lymph node
o Crying
o Fever
o Restlessness
Question: 32 of 70
A nurse is planning care for a child who has osteomyelitis. Which of the following
interventions should the nurse include in the plan of care?
o Initiate contact precautions for the child
o Maintain a patient intravenous catheter
o Encourage frequent physical activity to increase bone mass
o Provide a high-calorie protein diet
Question: 33 of 70
A nurse is providing teaching about home care to the parent of a child who has scabies.
Which of the following instructions should the nurse include in the teaching?
o Wash the child’s hair with shampoo containing ketoconazole
o Treat everyone who came into close contact with the child
o Soak combs and brushes in boiling water for 10 min
o Apply petroleum jelly to the affected areas

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Question: 34 of 70
A nurse is providing teaching to the parent of a child who has impetigo. Which of the
following instructions should the nurse include in the teachings?
o Apply bactericidal ointment to lesions
o Administer acyclovir PO two times per day
o Soak hairbrushes in boiling water for 10 min
o Seal soft toys in a plastic bag for 14 days
Question: 35 of 70
Question: 36 of 70
A nurse in an emergency department is assessing an adolescent who reports inhalation of
gasoline. Which of the following findings should the nurse expect?
o Hypothermia
o Ataxia
o Hyperactive reflexes
o Pinpoint pupils
Question: 37 of 70
A nurse is planning care for a school-age...


Anonymous
Awesome! Perfect study aid.

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