1. A nurse is teaching the mother of a child who has cystic fibrosis and has a prescription for
pancreatic enzymes three times per day. Which of the following statements indicatesthat
the mother understands the teaching?
• “My child will take the enzymes to improve her metabolism.”
• “My child will take the enzymes 2 hours before meals.”
• “My child will take the enzymes following meals.”
• “My child will take the enzymes to help digest the fat in foods.”
2. A nurse is teaching a parent of a child with hemophilia how to control a minor bleeding
episode. Which of the following statements by the parent indicates a need for further
teaching?
• “I will have my child rest.”
• “I will compress the site.”
• “I will apply heat.”
• “I will elevate the affected part.”
3. A nurse in an emergency department is caring for an infant who has a 2-day history of
vomiting and an elevated temperature. Which of the following should the nurse recognizeas
the most reliable indicator of fluid loss?
• Body weight
• Skin integrity
• Blood pressure
• Respiratory rate
4. Which of the following children should the nurse identify as a potential action of abuse?
• A child who has frequent visitors
• A child who uses the call light frequently
• A child who has a BMI indicating obesity
• A child whose parents answer questions for the child
5. A nurse is assessing a 3 month old. Which of the following findings should he report to
the provider?
• Unable to pick up an object with his fingers
• Unable to sit without support
• Unable to raise head when in prone position
• Unable to bring an object to mouth
6. A nurse is admitting a 6 month old infant who has dehydration. Which of the following
amounts of urinary output should indicate to the nurse that the treatment has confirmed
the fluid imbalance?
• 2 mL/kg/hr.
• 0.5 mL/kg/hr.
• 7.5 mL/kg/hr.
• 15 mL/kg/hr.
7. A nurse is planning care for an infant who has spina bifida and is to undergo surgical ?
Which of the following interventions should the nurse include in the plan of care?
• Maintain the infant in the supine position
• Provide a latex free environment
• Limit visitors to immediate family members
• Initiate contact precautions
8. A nurse is caring for a child who has just died. The parents ask to be left alone so that
they ? The nurse should:
• Discourage this because it will only prolong their grief
• Grant their request
• Kindly explain that they need to say good bye to their child now and leave
• Assess why they feel that this is necessary
9. A nurse is educating new parents on risk factors for sudden infant death syndrome
(SIDS). Which of the following statements by a parent would indicate a need for
additional teaching?
• “I will give my baby a pacifier during naps and at bedtime.”
• “Our baby will sleep in my bed because I am breastfeeding.”
• “My baby will be placed on her back when sleeping.”
• “We will remove blankets and toys from the crib.”
10. A nurse is caring for an adolescent who has spina bifida and is paralyzed from the waist
down. Which of the following statements by the client would indicate to the nurse a needfor
further teaching?
• “I only need to catheterize myself twice every day.”
• “I only use a suppository every night to have a bowel movement.”
• “I do wheelchair exercises while watching TV.”
• “I carry a water bottle with me because I drink a lot of water.
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