A nurse is an urgent care clinic is assisting with the care of a toddler who ingested
30 tablets of aspirin. Which of the following substances should the nurse
administer to the toddler?
A. Activated charcoal (can work with toxin, poison. Given through ng tube
absorbs toxins)
B. Acetylcysteine (antidote for acetaminophen)
C. A chelating agent (usually used for iron)
D. Digoxin immune FAB
A nurse is caring for a 3 year old client who has persistent otitis media. To help
identify contributing factors, the nurse should ask the parents which of the
following questions?
A. Has your daughter been drinking 6 glasses of water a day
B. Does anyone smoke in the same house as your daughter? (smoking can
cause irritation, cause mucus in respiratory and causes otitis media?) (otitis
media is purulent color)
C. Does your daughter get water in her ears when you bathe her? (otitis
externa, bluish green color)
D. Has your daughter had a lot of earwax in her ears over the last month?
A nurse is collecting data from a 2 year old toddler who has AIDS. The nurse
should inspect inside the toddler mouth for which of the following opportunistic
infections (fungus infections is usually opportunistic infections)?
A. Candidiasis (also called oral thrush)
B. Gingivitis
C. Canker sores
D. Koplik spots (measles, rubella)
A nurse is caring for a 4 year old child who has dehydration. Which of the
following findings should the nurse identify as the priority?
A. Blood glucose 110 mg/dL
B. Potassium 2.5 mEq/L
C. Sodium 142 mEq/L
D. Urine specific gravity 1.025
A nurse is caring for a child who Is postoperative following the insertion of a
ventriculorperitoneal shunt. The nurse should place the child in which of the
following positions?
A. On the nonoperative side
B. A 45 deg head elevation
C. Prone
D. Supine
A nurse is caring for an infant who is dehydrated and requires IV therapy. The
nurse should monitor the infant response to therapy by performing which of the
following actions?
A. weighing the infants at the same time everyday
B. Taking the infants vital signs every 2 hr.
C. Measuring the infants head circumference twice per day
D. Counting the number of wet diapers every shift
A nurse is caring for a preschool age child who has croup. Which of the following
findings should the nurse report to the provider?
A. Barky cough
B. Paroxysmal attacks of laryngeal spasm at night
C. Hoarseness
D. Drooling (that could mean it can mean there’s an epiglottitis causes
obstruction of the airway)
A nurse is collecting data from an infant who has hypertrophic pyloric stenosis.
Which of the following findings should the nurse expect?
A. Projectile vomiting
B. Bile colored vomit
C. Absent bowel sounds
D. Fever
A school nurse is screening an 11-year-old child for idiopathic scoliosis. Which of
the following instructions should the nurse give the child for this examination?
A. Lie prone on the examination table
B. Touch your chin to your chest and then look up at the ceiling
C. Turn to the side and remain in a relaxed position
D. Bend forward from the waist with your head and arms downward
A nurse is collecting data from an infact. Which of the following sites is the most
reliable location to check the infats pulse ?
A. Carotid
B. Apical
C. Dorsalis pedis
D. Temporal
A nurse is reinforcing teaching with a parent of a child who has eczema. Which of
th following instructions should the nurse include in the teaching
A. Apply a cool wet compress to the affected area
B. Launder clothing with fabric softener
C. Give bubble baths every day
D. Use a wool gloves in the winter time
A nurse is caring for a child who has juvenile rheumatoid arthritis. Which of the
following actions should the nurse take?
A. Administer opioids on a schedule (Nsaids)
B. Encourage the child to take daytime naps
C. Apply cool compresses for 20 mins every hour
D. Maintain night splints to the affected joint
A nurse is reinforcing teaching with a parent of an 8-year-old child who has a
fracture of the epiphyseal plate. Which of the following statements should the
nurse include in the teaching.
A. Fractures in a child take longer to heal than fractures in an adult
B. Normal bone growth can be affected by the fracture
C. Bone marrow can be lost through the fracture
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