Q1. A nurse is assisting a postpartum client with initiating breastfeeding. Which of the following will encourage the newborn to open the mouth for feeding?

Q1. A nurse is assisting a postpartum client with initiating breastfeeding. Which of the following will encourage the newborn to open the mouth for feeding?

A. Tickling the lips with the nipple

B. Initiation of feeding with supplemental formula

C. Holding the infant in the en face position

D. Inserting a finger in the side of the newborn’s mouth

Q2. A nurse is teaching the guardian of a school-age child who has a new prescription for dextroamphetamine to treat ADHD. Which of the following information should the nurse include in the teaching? (select all that apply)

A. An adverse effect of this medication is central nervous system stimulation

B. You should administer the medication before bedtime

C. You should monitor the. child’s blood pressure while taking this medication

D. You should limit your child’s intake of caffeine-containing products

E. You should give the morning dose after breakfast

Q3. A nurse is caring for an adolescent who has a new diagnosis of Ewing’s sarcoma. Which of the following actions should the nurse take?

A. Measure total head circumference daily

B. Perform a detailed neurological assessment

C. Spend time with the adolescent to answer any questions

D. Use a snellen chart to test the adolescent’s visual acuity

Q4. A nurse is assisting with admitting a child who has HIV. The nurse should identify which of the following findings as indications that the child is in the moderately symptomatic category (B)? (select all that apply)

A. Herpes Zoster

B. Bronchitis

C. Oral candidiasis

D. Mycobacterial pneumonia

E. Tuberculosis

Q5. Which of the following is the most appropriate intervention by a nurse who is caring for a 2-year old client in the pediatric unit who experiences separation anxiety when the client’s parents return home?

A. Avoid phone and video calls when the parents have returned home

B. Allow the child to calm down alone in the room when upset

C. Distract the child with music and video activities when visibly upset

D. Encourage the parents to leave the child’s favorite toys and book with them

Q6. What is the most important intervention when admitting a child with autism spectrum disorder to an acute care unit?

A. Placement near the nurses’ station in a semi-private room

B. Placement with another child with autism spectrum disorder in a semi-private room

C. Placement in a private room down the corridor from the nurses’ station

D. Placement in a private room adjacent to the playroom

Q7. A nurse is caring for a client who has a skin graft that has developed cellulitis. Which of the following manifestations should the nurse suspect? (select all that apply)

A. Intense redness and itching

B. Inflammation of the skin

C. Honey-colored drainage

D. Streak-like rash

E. Sandpaper-like skin texture

Q8. A nurse is providing nutritional teaching to the guardian of a 2-year old toddler. Which of the following statements should the nurse include?

A. Your child should consume no more than 12 ounces of fruit juice each day.

B. A recommended serving size from each food group for your child is 1 tablespoon per year of age

C. Introduce healthy finger foods to your child, such as carrots and celery sticks

D. Your child should consume at least 5 cups of low-fat milk each day

Q9. A nurse is assessing a child in outpatient clinic with complaint of a nonproductive cough for two days. The child is active and alert, with pink skin and good capillary refill. During her initial assessment, the nurse notes the child has an oxygen saturation of 88% by continuous pulse oximetry. Which of the following is the most appropriate initial action?

A. Provide supplemental oxygen 2 L by nasal cannula

B. Verify the position of the pulse oximetry probe

C. Draw arterial blood gases

D. Auscultate the lungs

Q10. A nurse is caring for a 1-month old baby whose parent has taped the child’s umbilical hernia toward the lower abdomen. The parent said they heard this “would correct the profusion.” Which of the following nursing responses is correct?

A. A healthcare provider can surgically remove the hernia after a year

B. Taping the umbilical hernia should only be done by a nurse

C. Parents must use contact precautions when taping the hernia

D. Taping the hernia is not appropriate

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