Practice Mode Assessment

No.

1 :
A nurse is caring for a child who has a suspected diagnosis of cystic fibrosis. Which of the following diagnostic tests will confirm the diagnosis?

A stool fat content analysis

Sweat chloride test

Pulmonary function tests

A sputum culture

Hint : 💦This test checks for excessive salt loss through the skin.

Correct Answers:

No Correct Answers Available !

Rationale :

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2 :
A nurse is caring for a child who was admitted with suspected rheumatic fever. The provider prescribes an anti-streptolysin O (ASO) titer. The parent asks the nurse the purpose of the test. Which of the following responses should the nurse make?

"This test will indicate if your child has a therapeutic blood level of an aminoglycoside."

"This test will indicate if your child has rheumatic fever."

"This test will confirm if your child has immunity to streptococcal bacteria."

"This test will confirm if your child had a recent streptococcal infection."

Hint : 🧫This test checks for the immune response following a bacterial throat infection.

Correct Answers:

No Correct Answers Available !

Rationale :

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3 :
A nurse is assessing a newborn who has a coarctation of the aorta. Which of the following should the nurse recognize is a clinical manifestation of coarctation of the aorta?

Decreased blood pressure in the arms with increased blood pressure in the legs

Increased blood pressure in the arms with decreased blood pressure in the legs

Decreased blood pressure in both the arms and the legs

Increased blood pressure in both the arms and the legs

Hint : 🫂Blood flow is stronger before the narrowing and weaker after it.

Correct Answers:

No Correct Answers Available !

Rationale :

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4 :
A nurse and a newly licensed nurse are providing care for a client who has distributive shock related to an anaphylactic reaction. How should the nurse explain the pathophysiology of distributive shock to the newly licensed nurse?

"Distributive shock occurs due to systemic vasodilation."

"Distributive shock occurs due to increased systemic vascular resistance."

"Distributive shock occurs due to loss of blood volume."

"Distributive shock occurs due to loss of myocardial contractility."

Hint : 🌡️This type of shock involves loss of vessel tone rather than blood volume.

Correct Answers:

No Correct Answers Available !

Rationale :

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5 :
A nurse is caring for a client who just returned from a cardiac catheterization. Which of the following nursing interventions should the nurse include in the client's plan of care? (Select all that apply.)

Have the client remain in bed up to 6 hr.

Check peripheral pulses in the affected extremity.

Place the client in high-Fowler's position.

Keep the client's hip and leg extended.

Measure the client's vital signs every 4 hr.

Hint : 🦶After an arterial procedure, motion and circulation checks are a priority.

Correct Answers:

No Correct Answers Available !

Rationale :

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6 :
A nurse is providing care to an adolescent client who is hospitalized in an adult setting. Which of the following interventions by the nurse supports a client experiencing emotional and physical changes of puberty? (Select all that apply.)

Provide privacy during personal care and procedures.

Avoid discussing the changes related to puberty.

Treat the adolescent as if they are not competent to make decisions.

Disregard confidentiality to keep the parents informed of all aspects of care.

Show respect for the client's feelings and concerns.

Listen carefully to the client's thoughts and concerns regarding their hospitalization.

Hint : 💬Adolescents value privacy, respect, and being heard as they seek independence.

Correct Answers:

No Correct Answers Available !

Rationale :

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7 :
A nurse is caring for a client who has a new prescription for ferrous sulfate tablets twice daily for iron-deficiency anemia. The client asks the nurse why the provider instructed that she take the ferrous sulfate between meals. Which of the following responses should the nurse make?

"Taking the medication between meals will help you avoid becoming constipated."

"Taking the medication with food increases the risk of esophagitis."

"Taking the medication between meals will help you absorb the medication more efficiently."

"The medication can cause nausea if taken with food."

Hint : 🥤Timing this iron supplement correctly helps your body get the most benefit.

Correct Answers:

No Correct Answers Available !

Rationale :

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8 :
A nurse is providing discharge instructions to the parent of a 10-year-old child following a cardiac catheterization. Which of the following instructions should the nurse include?

Assist the child to take a tub bath for the first 3 days.

Keep the child home for 1 week.

Offer the child clear liquids for the first 24 hr.

Give the child acetaminophen for discomfort.

Hint : 💤Pain relief after a catheterization is important but should be gentle on the body.

Correct Answers:

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Rationale :

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9 :
Which of the following cognitive abilities are characteristic of a school-aged child in Piaget's concrete operational stage? (select all that apply)

Object permanence

Egocentric thinking

Ability to perform logical operations on concrete

Understanding the concept of conservation

Use of symbolic play

Hint : 🔍This stage focuses on hands-on thinking and understanding how quantity doesn’t change with appearance.

Correct Answers:

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Rationale :

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10 :
A nurse is preparing to administer a vaccine to a 4-year-old child. Which of the following vaccines should the nurse administer?

Meningococcal (MCV4)

Hepatitis B (HepB)

Varicella (VAR)

Haemophilus influenza type b (Hib)

Hint : 📌This vaccine is given again at age 4 to reinforce immunity from a common childhood virus.

Correct Answers:

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Rationale :

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11 :
A nurse is caring for a client who has a new prescription for ferrous sulfate tablets twice daily for iron-deficiency anemia. The client asks the nurse why the provider instructed that she take the ferrous sulfate between meals. Which of the following responses should the nurse make?

"Taking the medication between meals will help you avoid becoming constipated."

"Taking the medication with food increases the risk of esophagitis."

“Taking the medication between meals will help you absorb the medication more efficiently."

“The medication can cause nausea if taken with food."

Hint : ⏰This timing strategy enhances how much iron the body can take in.

Correct Answers:

No Correct Answers Available !

Rationale :

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12 :
A nurse is analyzing a client's electrocardiogram (ECG) strip and identifies the following information:
Heart rate: 92/min
Rhythm: Irregular
P wave: Unable to identify
PR interval: Unable to measure
QRS duration: 0.10 seconds
Based upon this information, the nurse should interpret the client's rhythm as indicating which of the following?

Supraventricular tachycardia

Atrial fibrillation

Sinus bradycardia

First-degree heart block

Hint : 📎Look for irregular rhythms that lack visible atrial activity.

Correct Answers:

No Correct Answers Available !

Rationale :

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13 :
A nurse is providing discharge teaching for a client who has a new prescription for warfarin. Which of the following instructions should the nurse include in the teaching?

If a dose of the medication is missed, double the dose at the next scheduled time.

Use an electric razor while on this medication.

Increase fiber intake to reduce the adverse effect of constipation.

Mild nosebleeds are common during initial treatment.

Hint : 🧷Preventing skin injury is essential when taking a blood thinner.

Correct Answers:

No Correct Answers Available !

Rationale :

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14 :
A nurse is preparing to administer digoxin to a pediatric client who has heart failure. Which of the following actions is appropriate?

Instructing the client to eat foods that are low in potassium.

Repeat the dose if the client spits it out.

Measuring apical pulse rate for 30 seconds before administration.

Evaluating the client for nausea, vomiting, and anorexia.

Hint : 🩹Watch closely for symptoms that may signal drug toxicity before administration.

Correct Answers:

No Correct Answers Available !

Rationale :

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15 :
A nurse is providing care for a group of hospitalized school-aged children. Which of the following clients should the nurse prioritize for further assessment and interventions?

A child who is visibly anxious and withdrawn while in the hospital

A child whose vital signs are stable whose parent expresses concerns about the disruption to the child's routine

A child who is experiencing stomach pain without an apparent cause

A child who is exhibiting aggressive behavior towards peers and healthcare providers

Hint : 🚨Physical complaints with no clear origin often require quick medical follow-up.

Correct Answers:

No Correct Answers Available !

Rationale :

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16 :
A nurse is caring for a child who is suspected of having pertussis. The nurse should recognize that the pathophysiology of pertussis includes which of the following?

The infection mainly affects the nostrils.

The infection is viral in nature.

The toxins released by the bacteria attack epithelial cell cilia.

The lungs and airway become inflamed.

Hint : 🔬This infection targets structures responsible for moving mucus out of the airway.

Correct Answers:

No Correct Answers Available !

Rationale :

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17 :
A nurse is providing care to a school-aged child who has uncontrolled asthma. The child's parent does not seem engaged in the child's treatment during the hospitalization and states that the child manages their care with little assistance from them. Which of the following nursing interventions is most appropriate?

Contact child protective services to intervene in the family since the child's parent does not seem adequately prepared to manage the client's illness at home.

Write out a detailed schedule of the child's medications and a list of their healthcare providers' addresses and phone numbers in case they should need it.

Empower the child's parent to help manage the asthma by offering comprehensive education on the condition, treatment plan, and managing potential complications at home.

Print out a copy of the asthma action plan and thoroughly review it with the child and the school nurse prior to discharge.

Hint : 🫂Supporting the caregiver’s understanding can improve the child’s health at home.

Correct Answers:

No Correct Answers Available !

Rationale :

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18 :
A nurse is teaching the parents of a child who is to start using a metered-dose inhaler (MDI) to treat asthma. Which of the following information should the nurse include in the teaching?

"The spacer increases the amount of medication delivered to the oropharynx."

"The spacer increases the amount of medication delivered to the lungs."

"Inhale rapidly using the spacer with the MDI."

"Cover exhalation slots of the spacer with lips when inhaling."

Hint : 🌬️This device makes sure more medication reaches the airways, not just the mouth.

Correct Answers:

No Correct Answers Available !

Rationale :

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19 :
A nurse in an emergency department is caring for a child who is experiencing an acute asthma attack. Which of the following medications should the nurse expect to administer first?

Montelukast

Budesonide

Albuterol

Fluticasone

Hint : ⏱️In emergencies, fast-acting medications that open the airway come first.

Correct Answers:

No Correct Answers Available !

Rationale :

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20 :
A nurse is caring for a child who is suspected of having pertussis. The nurse should recognize that the pathophysiology of pertussis includes which of the following? (Select All that Apply.)

The infection mainly affects the nostrils.

The infection is viral in nature.

The toxins released by the bacteria attack epithelial cell cilia.

The lungs and airway become inflamed.

Secretions are produced and are challenging to expel.

Hint : 🫁This bacterial infection damages mucus-clearing structures and fills the airway with secretions.

Correct Answers:

No Correct Answers Available !

Rationale :

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21 :
A nurse is planning a community health program for school-age children. According to Erikson's theory of psychosocial development, which activity would best support the developmental task of this age group?

Providing opportunities for solitary play

Focusing just on individual academic achievements

Encouraging children to participate in team sports

Promoting dependence on parents for decision-making

Hint : 🎯This activity builds both teamwork and confidence through shared goals.

Correct Answers:

No Correct Answers Available !

Rationale :

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22 :
A nurse is planning care for a child who has suspected epiglottitis. Which of the following actions should the nurse take?

Visualize the epiglottis with a tongue depressor.

Transport the child to radiology for a throat x-ray.

Obtain a throat culture.

Place the child in an upright position.

Hint : 🛑Airway protection is the priority, and positioning helps reduce the risk of complete obstruction.

Correct Answers:

No Correct Answers Available !

Rationale :

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23 :
A nurse is caring for a toddler who is experiencing an acute asthma attack. Which of the following findings indicates improvement?

Improved hydration

Barking cough

Decreased temperature

Decreased stridor

Hint : 🧏‍♂️Listen for quieter breathing as a sign that the airway is opening up.

Correct Answers:

No Correct Answers Available !

Rationale :

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24 :
Which of the following are common manifestations and potential consequences of an adolescent's feelings of invulnerability? (Select all that apply)

Increased risk-taking behaviors

Greater incidence of accidental injuries

Reduced mental health issues

Improved social relationships

Higher likelihood of substance abuse

Enhanced academic performance

Hint : 🚦A sense of being untouchable can lead teens toward reckless choices and dangerous consequences.

Correct Answers:

No Correct Answers Available !

Rationale :

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25 :
What is the priority nursing intervention for a newborn infant diagnosed with transposition of the great vessels?

Preparing the infant for immediate surgery

Initiating feeding through a nasogastric tube

Administering oxygen via nasal cannula

Administer prostaglandin E1 (PGE1) to maintain patency of the ductus arteriosus

Hint : 💊Medication to keep the duct open can temporarily save oxygen flow in this condition.

Correct Answers:

No Correct Answers Available !

Rationale :

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26 :
A nurse is teaching a caregiver of a school-age child about physical activity. Which of the following statements made by the caregiver demonstrates the teaching was effective? (Select All that Apply.)

"Physical activity can improve academic performance."

"My child should engage in physical activity four days a week."

"My child should engage in light activities such as walking."

"Climbing is a good way for my child to strengthen muscles."

"Exercise has been shown to reduce the risk of diabetes."

Hint : 🦴Think of physical activity as important for both learning and long-term health.

Correct Answers:

No Correct Answers Available !

Rationale :

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27 :
A nurse is promoting a healthy relationship with food among school-aged children. Which of the following interventions is effective in promoting a healthy relationship?

Using dessert as a reward for eating vegetables.

Providing a list of "good" and "bad" foods to help children make healthier choices.

Encouraging children to eat all the food on their plate even if they are not hungry.

Offering a variety of foods and allowing children to choose what they want to eat from the options provided.

Hint : 🥦Empowering kids with healthy choices builds lifelong eating habits.

Correct Answers:

No Correct Answers Available !

Rationale :

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28 :
A nurse is teaching a client who has asthma about how to use an albuterol inhaler. Which of the following actions by the client indicates an understanding of the teaching?

The client holds his breath for 10 seconds after inhaling the medication.

The client takes a quick inhalation while releasing the medication from the inhaler.

The client waits 10 min between inhalations.

The client exhales as the medication is released from the inhaler.

Hint : ⏱️Pausing briefly after inhaling helps the lungs absorb the medication more effectively.

Correct Answers:

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Rationale :

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29 :
A nurse is providing teaching for a parent of a preschool-aged child who had a myringotomy with a tympanoplasty tube insertion 4 days ago. Which of the following actions should the nurse identify as an indication that the teaching was effective?

The child's parent applies the prescribed medication as instructed.

The parent allows their child to attempt to lift their older sibling above the ground.

The child's parent enforces nose blowing only when necessary.

The child's parent states that they developed a plan to have their child use ear plugs in the shower.

The parent noticed purulent drainage from their child's ear and immediately reported it to the surgeon.

Hint : 🧴Good care after ear tube surgery includes protecting the ears and reporting changes early.

Correct Answers:

No Correct Answers Available !

Rationale :

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30 :
A nurse in the pediatric clinic is discussing Piaget's theory of cognitive development with a newly licensed nurse. The nurse should review which of the following types of thinking that occur during adolescent development?

Egocentric thinking

Preoperational Thinking

Concrete thinking

Abstract thinking

Hint : 💡This thinking skill allows teens to reason through "what if" scenarios and future goals.

Correct Answers:

No Correct Answers Available !

Rationale :

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31 :
A nurse is caring for a child who is 2 hr postoperative following a tonsillectomy. Which of the following fluid items should the nurse offer the child at this time?

Crushed ice

Cranberry juice

Orange juice

Vanilla milkshake

Hint : 👉Choose a cold, bland option that avoids irritation or triggering coughing.

Correct Answers:

No Correct Answers Available !

Rationale :

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32 :
A nurse is providing discharge teaching about nutrition to the parents of a child who has cystic fibrosis (CF). Which of the following responses by the parents indicates an understanding of the teaching?

"We will give our child pancreatic enzymes before snacks and meals."

"We will restrict the amount of salt in our child's food."

"I will prepare low-fat meals with limited protein for my child."

"I will limit my child's fluid intake."

Hint : 🥄This supplement is essential before meals to help with digestion.

Correct Answers:

No Correct Answers Available !

Rationale :

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33 :
A nurse is providing teaching to students about physical and psychosocial effects of stress to school-aged children. Which of the following levels of prevention does this demonstrate?

Secondary prevention

Suicide prevention

Primary prevention

Tertiary prevention

Hint : 📢This type of prevention happens before any signs of illness appear.

Correct Answers:

No Correct Answers Available !

Rationale :

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34 :
A nurse is planning care for an adolescent who is withdrawn and avoids social group activities. Which of the following interventions should the nurse plan to include?

Encourage the adolescent to spend more time alone to build self-confidence.

Assign the adolescent as the leader of a group project in a school activity.

Arrange one-on-one counseling sessions to explore the causes of social withdrawal.

Advise the adolescent to focus solely on academic achievements to boost self-esteem.

Hint : 🎧Private support helps uncover what’s behind emotional distance in teens.

Correct Answers:

No Correct Answers Available !

Rationale :

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35 :
A nurse is providing discharge teaching for parents of a child who has congestive heart failure and is about to start taking furosemide. Which of the following instructions should the nurse include?

Eat foods that contain plenty of potassium.

Take the medication at bedtime.

Take aspirin if headaches develop.

Expect some swelling in the hands and feet.

Hint : 🥑This mineral helps prevent muscle cramps and heart rhythm changes from diuretic use.

Correct Answers:

No Correct Answers Available !

Rationale :

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36 :
Which of the following are characteristics of conservation in school-aged children? (Select All that Apply.)

Thinking that cutting a sandwich into more pieces means there is more food

Believing that pouring water from a short, wide cup into a tall, narrow cup increases the amount of water

Understanding that the amount of a substance remains the same even if its appearance changes

Recognizing that a ball of clay can be flattened and rolled back into a ball without changing its amount

Believing that a taller, narrower glass contains more liquid than a shorter, wider glass

Hint : 👉This ability allows kids to understand that form doesn’t always change quantity.

Correct Answers:

No Correct Answers Available !

Rationale :

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37 :
What is the recommended time for a child with varicella to return to school?

After all the blisters have crusted over

After receiving the varicella vaccine

After completing one week of antiviral medication

As soon as the rash appears

Hint : 🛑Returning too early risks spreading fluid from lesions to others.

Correct Answers:

No Correct Answers Available !

Rationale :

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38 :
A nurse is providing teaching to a parent of a child who has acute group A B-hemolytic streptococci. Which of the following information should the nurse include in the teaching?

Replace the child's toothbrush after 24 hr on antibiotics.

Keep the child home from school for at least 1 week.

Avoid the use of warm compresses around the head or neck.

Intramuscular injections will be required monthly.

Hint : 🪥This helps prevent the bacteria from being reintroduced after treatment begins.

Correct Answers:

No Correct Answers Available !

Rationale :

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39 :
The nurse is providing anticipatory teaching to parents about pubescent changes in school-aged and young adolescent girls. Which of the following changes should the nurse include in the teaching?

Vocal changes

Decreased height

Breast development

Menarche

Increased axillary hair

Hint : 🌷These physical changes help mark the onset and progression of puberty in girls.

Correct Answers:

No Correct Answers Available !

Rationale :

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40 :
An infant is brought to the emergency department with suspected coarctation of the aorta. Which clinical symptoms would the nurse expect to find?

Cyanosis of the lips and tongue

Weak or absent femoral pulses

Bounding pulses in the upper extremities

High blood pressure in the lower extremities

Poor feeding and irritability

Hint : 👶Perfusion differences between the upper and lower body are the main clinical clue in this heart defect.

Correct Answers:

No Correct Answers Available !

Rationale :

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41 :
The nurse is caring for a nine-year-old client on the pediatric unit. What is the most effective way for the nurse to support this child in achieving Erikson's developmental task of industry versus inferiority?

Encourage the child to spend most of their time resting and avoiding physical activities.

Limit social interactions with other children to prevent potential conflicts.

Focus on providing constant supervision to ensure the child does not engage in any risky behavior.

Involve the child in making decisions about their care whenever possible, and provide tasks they can complete independently.

Hint : 🗳️This task helps children build self-worth by being part of decisions and completing responsibilities.

Correct Answers:

No Correct Answers Available !

Rationale :

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42 :
The nurse is caring for a child with cystic fibrosis. What is the rationale for the nurse performing chest physiotherapy for this child?

To monitor and assess the patient's lung function and oxygen saturation.

To provide pain relief and reduce inflammation in the lungs.

To improve lung function and remove mucus from the airways.

To administer medications directly into the lungs for targeted treatment.

Hint : 🫧This therapy helps the child breathe better by clearing out what’s clogging their airways.

Correct Answers:

No Correct Answers Available !

Rationale :

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43 :
A nurse is preparing to administer amoxicillin 320 mg PO every 12 hr to an infant. The amount available is amoxicillin suspension 400 mg/5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Hint : 📐Use ratio and proportion to figure out the correct liquid volume from the suspension.

Correct Answers:

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Rationale :

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44 :
A school nurse is planning a safety education program for adolescents. Which of the following should the nurse plan to include?

Provide a lecture encouraging adolescents on taking calculated risks.

Offer rewards for those who report witnessing a peer engaging in high-risk behavior.

Give several pamphlets about safety for the adolescents to read on their own.

Create a mock scene of a motor-vehicle crash to illustrate the consequences of high-risk behavior.

Hint : 🎬Making it real helps teens think twice before making impulsive decisions.

Correct Answers:

No Correct Answers Available !

Rationale :

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45 :
A child is admitted to the pediatric unit with a diagnosis of Kawasaki disease. Which nursing intervention is most appropriate during this initial phase?

Administering antibiotics

Monitoring for signs of coronary artery aneurysms

Providing comfort measures for peeling skin on the hand

Administering intravenous immunoglobulin (IVIG)

Hint : 🧪This powerful immune treatment is the first step to calm the body’s overreaction.

Correct Answers:

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Rationale :

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46 :
A nurse is teaching a newly hired nurse about motor skill development of school-age clients who are 6 to 12 years old. Which of the following statements by the newly hired nurse demonstrates effective teaching?

"By age 6, most children can dress and completely groom themselves."

"Children are expected to count backwards from 20 to 1 by age 7."

"Children engage in motor activities that require balance such as jumping rope by age 6."

"By age 6, most children can use tools such as a screwdriver or hammer."

Hint : 🪀Think of activities that challenge coordination but are common in early school years.

Correct Answers:

No Correct Answers Available !

Rationale :

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47 :
A nurse is assessing a toddler who has heart failure. Which of the following findings should the nurse expect?

Bradycardia

Weight loss

Orthopnea

Increased urine output

Hint : 🛌Breathing gets harder when lying flat due to fluid in the lungs.

Correct Answers:

No Correct Answers Available !

Rationale :

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48 :
A nurse is advising a 15-year-old boy on managing acne during puberty. Which of the following recommendations is most appropriate?

"Avoid all oily foods to prevent acne."

"Pop pimples to reduce their size."

"Use strong astringents to dry out your skin."

"Wash your face with a gentle cleanser twice a day."

Hint : 🧽The key is to clean gently and regularly without causing skin damage.

Correct Answers:

No Correct Answers Available !

Rationale :

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49 :
A nurse is teaching parents about safety issues to prevent injuries in school-age children. Which of the following statements by the parents indicates that they require additional teaching?

"We will use a booster seat until our child is tall enough for the seatbelt to fit properly."

"Once transitioned into a booster seat, we will allow our child to ride in the front seat of the car."

"We will ensure our child wears a helmet while riding a bicycle."

"We will teach our child to avoid running into the street without looking."

Hint : 🪑Safety experts advise kids stay in the back seat long after transitioning out of car seats.

Correct Answers:

No Correct Answers Available !

Rationale :

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50 :
A nurse is caring for a pre-school age child who has epiglottitis and presents with a high fever, drooling, and a muffled voice. Which of the following actions should the nurse take?

Use a tongue depressor to observe the epiglottis.

Initiate airborne precautions.

Monitor oxygen saturation.

Obtain a throat culture.

Hint : 🔍This noninvasive method helps track breathing status in high-risk airway conditions.

Correct Answers:

No Correct Answers Available !

Rationale :

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51 :
A nurse is admitting a child who has suspected epiglottitis. Which of the following actions should the nurse take first?

Administer 0.9% sodium chloride IV solution.

Place the child on droplet precautions.

Initiate IV antibiotics.

Assist with obtaining an x-ray of the child's neck.

Hint : 🧤Start with protective isolation to reduce spread before doing any invasive care.

Correct Answers:

No Correct Answers Available !

Rationale :

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52 :
A nurse is assessing a newborn for manifestations of a large patent ductus arteriosus. Which of the following findings should the nurse expect?

Weak pulses

Cyanosis with crying

Chronic hypoxemia

Systolic murmur

Hint : 🩻Listen for this sound created by extra flow between major heart vessels.

Correct Answers:

No Correct Answers Available !

Rationale :

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53 :
A nurse is providing education to a school-age child who has a new diagnosis of asthma. Which of the following statements should the nurse include in the teaching?

"Avoid triggers that cause an attack."

"Take the mast cell stabilizer cromolyn sodium at the first sign of breathing difficulty."

"Use the peak expiratory flow meter once per week."

"You should stop playing basketball, but you can swim instead."

Hint : 🚫Prevention starts with recognizing and avoiding what brings on symptoms.

Correct Answers:

No Correct Answers Available !

Rationale :

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54 :
A nurse is providing care to children on a general pediatric unit. Which of the following children should the nurse identify as a potential victim of abuse?

A child whose parents answer questions for the child

A child who has frequent visitors

A child who uses the call light frequently

A child who has a BMI indicating obesity

Hint : 🚫Watch for signs when children are not allowed to speak or act for themselves.

Correct Answers:

No Correct Answers Available !

Rationale :

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55 :
A nurse is caring for an infant who has a congenital heart defect. Which of the following defects is associated with increased pulmonary blood flow?

Tricuspid atresia

Patent ductus arteriosus

Coarctation of the aorta

Tetralogy of Fallot

Hint : 🔁This defect keeps the fetal connection open, leading to extra flow into the lungs.

Correct Answers:

No Correct Answers Available !

Rationale :

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56 :
A nurse is caring for a school-aged child who is hospitalized. Which of the following actions should the nurse take to promote the client's engagement and general well-being?

Enforce strict bed rest without allowing any physical activity.

Allow the child to decorate their hospital room with personal items.

Limit visits to reduce the child's emotional dependency.

Use medical terms to explain procedures.

Hint : 🎈Familiar things can help a child feel more in control and comfortable in the hospital.

Correct Answers:

No Correct Answers Available !

Rationale :

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57 :
A nurse is teaching a parent of an infant who has heart failure about meeting the infant's nutritional needs. Which of the following statements by the parent indicates an understanding of the teaching?

"I will feed my baby on a schedule every 4 hours."

"I will allow my baby to take as much time as needed to finish the bottle."

"I will add increased calorie supplement to each of my baby's bottles."

"I will limit my baby's crying to 15 minutes prior to each feeding."

Hint : 🥛Boosting calories without increasing feeding time helps meet energy needs in cardiac infants.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

58 :
A nurse is caring for a child who has had a lumbar puncture. The nurse should monitor the child for which of the following complications?

Double vision

Nuchal rigidity when standing

Pain in the posterior iliac crest

Headache

Hint : 🥸Watch for signs that worsen when the child is upright after the procedure.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

59 :
A nurse is caring for an 8-year-old child who was recently diagnosed with chronic renal failure. The child's parents ask for information on hemodialysis. Which of the following statements should the nurse make?

"Hemodialysis uses an electrolyte solution to clean your child's blood!'

"Hemodialysis uses an artificial membrane outside the body to clean your child's blood "

"Hemodialysis uses your child's abdominal cavity as a membrane to clean their blood."

"Hemodialysis slowly filtrates your child's blood continuously "

Hint : 💡The filtering system in this method operates outside the child’s body.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

Total Questions: 59

Choose Different Exam !

ATI Pediatrics unit 2 Exam

No.

1 : A nurse is caring for a child who has a suspected diagnosis of cystic fibrosis. Which of the following diagnostic tests will confirm the diagnosis?

2 : A nurse is caring for a child who was admitted with suspected rheumatic fever. The provider prescribes an anti-streptolysin O (ASO) titer. The parent asks the nurse the purpose of the test. Which of the following responses should the nurse make?

3 : A nurse is assessing a newborn who has a coarctation of the aorta. Which of the following should the nurse recognize is a clinical manifestation of coarctation of the aorta?

4 : A nurse and a newly licensed nurse are providing care for a client who has distributive shock related to an anaphylactic reaction. How should the nurse explain the pathophysiology of distributive shock to the newly licensed nurse?

5 : A nurse is caring for a client who just returned from a cardiac catheterization. Which of the following nursing interventions should the nurse include in the client's plan of care? (Select all that apply.)

6 : A nurse is providing care to an adolescent client who is hospitalized in an adult setting. Which of the following interventions by the nurse supports a client experiencing emotional and physical changes of puberty? (Select all that apply.)

7 : A nurse is caring for a client who has a new prescription for ferrous sulfate tablets twice daily for iron-deficiency anemia. The client asks the nurse why the provider instructed that she take the ferrous sulfate between meals. Which of the following responses should the nurse make?

8 : A nurse is providing discharge instructions to the parent of a 10-year-old child following a cardiac catheterization. Which of the following instructions should the nurse include?

9 : Which of the following cognitive abilities are characteristic of a school-aged child in Piaget's concrete operational stage? (select all that apply)

10 : A nurse is preparing to administer a vaccine to a 4-year-old child. Which of the following vaccines should the nurse administer?

11 : A nurse is caring for a client who has a new prescription for ferrous sulfate tablets twice daily for iron-deficiency anemia. The client asks the nurse why the provider instructed that she take the ferrous sulfate between meals. Which of the following responses should the nurse make?

13 : A nurse is providing discharge teaching for a client who has a new prescription for warfarin. Which of the following instructions should the nurse include in the teaching?

14 : A nurse is preparing to administer digoxin to a pediatric client who has heart failure. Which of the following actions is appropriate?

15 : A nurse is providing care for a group of hospitalized school-aged children. Which of the following clients should the nurse prioritize for further assessment and interventions?

16 : A nurse is caring for a child who is suspected of having pertussis. The nurse should recognize that the pathophysiology of pertussis includes which of the following?

18 : A nurse is teaching the parents of a child who is to start using a metered-dose inhaler (MDI) to treat asthma. Which of the following information should the nurse include in the teaching?

19 : A nurse in an emergency department is caring for a child who is experiencing an acute asthma attack. Which of the following medications should the nurse expect to administer first?

20 : A nurse is caring for a child who is suspected of having pertussis. The nurse should recognize that the pathophysiology of pertussis includes which of the following? (Select All that Apply.)

21 : A nurse is planning a community health program for school-age children. According to Erikson's theory of psychosocial development, which activity would best support the developmental task of this age group?

22 : A nurse is planning care for a child who has suspected epiglottitis. Which of the following actions should the nurse take?

23 : A nurse is caring for a toddler who is experiencing an acute asthma attack. Which of the following findings indicates improvement?

24 : Which of the following are common manifestations and potential consequences of an adolescent's feelings of invulnerability? (Select all that apply)

25 : What is the priority nursing intervention for a newborn infant diagnosed with transposition of the great vessels?

26 : A nurse is teaching a caregiver of a school-age child about physical activity. Which of the following statements made by the caregiver demonstrates the teaching was effective? (Select All that Apply.)

27 : A nurse is promoting a healthy relationship with food among school-aged children. Which of the following interventions is effective in promoting a healthy relationship?

28 : A nurse is teaching a client who has asthma about how to use an albuterol inhaler. Which of the following actions by the client indicates an understanding of the teaching?

29 : A nurse is providing teaching for a parent of a preschool-aged child who had a myringotomy with a tympanoplasty tube insertion 4 days ago. Which of the following actions should the nurse identify as an indication that the teaching was effective?

30 : A nurse in the pediatric clinic is discussing Piaget's theory of cognitive development with a newly licensed nurse. The nurse should review which of the following types of thinking that occur during adolescent development?

31 : A nurse is caring for a child who is 2 hr postoperative following a tonsillectomy. Which of the following fluid items should the nurse offer the child at this time?

32 : A nurse is providing discharge teaching about nutrition to the parents of a child who has cystic fibrosis (CF). Which of the following responses by the parents indicates an understanding of the teaching?

33 : A nurse is providing teaching to students about physical and psychosocial effects of stress to school-aged children. Which of the following levels of prevention does this demonstrate?

34 : A nurse is planning care for an adolescent who is withdrawn and avoids social group activities. Which of the following interventions should the nurse plan to include?

35 : A nurse is providing discharge teaching for parents of a child who has congestive heart failure and is about to start taking furosemide. Which of the following instructions should the nurse include?

36 : Which of the following are characteristics of conservation in school-aged children? (Select All that Apply.)

37 : What is the recommended time for a child with varicella to return to school?

38 : A nurse is providing teaching to a parent of a child who has acute group A B-hemolytic streptococci. Which of the following information should the nurse include in the teaching?

39 : The nurse is providing anticipatory teaching to parents about pubescent changes in school-aged and young adolescent girls. Which of the following changes should the nurse include in the teaching?

40 : An infant is brought to the emergency department with suspected coarctation of the aorta. Which clinical symptoms would the nurse expect to find?

41 : The nurse is caring for a nine-year-old client on the pediatric unit. What is the most effective way for the nurse to support this child in achieving Erikson's developmental task of industry versus inferiority?

42 : The nurse is caring for a child with cystic fibrosis. What is the rationale for the nurse performing chest physiotherapy for this child?

44 : A school nurse is planning a safety education program for adolescents. Which of the following should the nurse plan to include?

45 : A child is admitted to the pediatric unit with a diagnosis of Kawasaki disease. Which nursing intervention is most appropriate during this initial phase?

46 : A nurse is teaching a newly hired nurse about motor skill development of school-age clients who are 6 to 12 years old. Which of the following statements by the newly hired nurse demonstrates effective teaching?

47 : A nurse is assessing a toddler who has heart failure. Which of the following findings should the nurse expect?

48 : A nurse is advising a 15-year-old boy on managing acne during puberty. Which of the following recommendations is most appropriate?

49 : A nurse is teaching parents about safety issues to prevent injuries in school-age children. Which of the following statements by the parents indicates that they require additional teaching?

50 : A nurse is caring for a pre-school age child who has epiglottitis and presents with a high fever, drooling, and a muffled voice. Which of the following actions should the nurse take?

51 : A nurse is admitting a child who has suspected epiglottitis. Which of the following actions should the nurse take first?

52 : A nurse is assessing a newborn for manifestations of a large patent ductus arteriosus. Which of the following findings should the nurse expect?

53 : A nurse is providing education to a school-age child who has a new diagnosis of asthma. Which of the following statements should the nurse include in the teaching?

54 : A nurse is providing care to children on a general pediatric unit. Which of the following children should the nurse identify as a potential victim of abuse?

55 : A nurse is caring for an infant who has a congenital heart defect. Which of the following defects is associated with increased pulmonary blood flow?

56 : A nurse is caring for a school-aged child who is hospitalized. Which of the following actions should the nurse take to promote the client's engagement and general well-being?

57 : A nurse is teaching a parent of an infant who has heart failure about meeting the infant's nutritional needs. Which of the following statements by the parent indicates an understanding of the teaching?

58 : A nurse is caring for a child who has had a lumbar puncture. The nurse should monitor the child for which of the following complications?

59 : A nurse is caring for an 8-year-old child who was recently diagnosed with chronic renal failure. The child's parents ask for information on hemodialysis. Which of the following statements should the nurse make?

1 :
A nurse is caring for a child who has a suspected diagnosis of cystic fibrosis. Which of the following diagnostic tests will confirm the diagnosis?

2 :
A nurse is caring for a child who was admitted with suspected rheumatic fever. The provider prescribes an anti-streptolysin O (ASO) titer. The parent asks the nurse the purpose of the test. Which of the following responses should the nurse make?

3 :
A nurse is assessing a newborn who has a coarctation of the aorta. Which of the following should the nurse recognize is a clinical manifestation of coarctation of the aorta?

4 :
A nurse and a newly licensed nurse are providing care for a client who has distributive shock related to an anaphylactic reaction. How should the nurse explain the pathophysiology of distributive shock to the newly licensed nurse?

5 :
A nurse is caring for a client who just returned from a cardiac catheterization. Which of the following nursing interventions should the nurse include in the client's plan of care? (Select all that apply.)

6 :
A nurse is providing care to an adolescent client who is hospitalized in an adult setting. Which of the following interventions by the nurse supports a client experiencing emotional and physical changes of puberty? (Select all that apply.)

7 :
A nurse is caring for a client who has a new prescription for ferrous sulfate tablets twice daily for iron-deficiency anemia. The client asks the nurse why the provider instructed that she take the ferrous sulfate between meals. Which of the following responses should the nurse make?

8 :
A nurse is providing discharge instructions to the parent of a 10-year-old child following a cardiac catheterization. Which of the following instructions should the nurse include?

9 :
Which of the following cognitive abilities are characteristic of a school-aged child in Piaget's concrete operational stage? (select all that apply)

10 :
A nurse is preparing to administer a vaccine to a 4-year-old child. Which of the following vaccines should the nurse administer?

11 :
A nurse is caring for a client who has a new prescription for ferrous sulfate tablets twice daily for iron-deficiency anemia. The client asks the nurse why the provider instructed that she take the ferrous sulfate between meals. Which of the following responses should the nurse make?

13 :
A nurse is providing discharge teaching for a client who has a new prescription for warfarin. Which of the following instructions should the nurse include in the teaching?

14 :
A nurse is preparing to administer digoxin to a pediatric client who has heart failure. Which of the following actions is appropriate?

15 :
A nurse is providing care for a group of hospitalized school-aged children. Which of the following clients should the nurse prioritize for further assessment and interventions?

16 :
A nurse is caring for a child who is suspected of having pertussis. The nurse should recognize that the pathophysiology of pertussis includes which of the following?

18 :
A nurse is teaching the parents of a child who is to start using a metered-dose inhaler (MDI) to treat asthma. Which of the following information should the nurse include in the teaching?

19 :
A nurse in an emergency department is caring for a child who is experiencing an acute asthma attack. Which of the following medications should the nurse expect to administer first?

20 :
A nurse is caring for a child who is suspected of having pertussis. The nurse should recognize that the pathophysiology of pertussis includes which of the following? (Select All that Apply.)

21 :
A nurse is planning a community health program for school-age children. According to Erikson's theory of psychosocial development, which activity would best support the developmental task of this age group?

22 :
A nurse is planning care for a child who has suspected epiglottitis. Which of the following actions should the nurse take?

23 :
A nurse is caring for a toddler who is experiencing an acute asthma attack. Which of the following findings indicates improvement?

24 :
Which of the following are common manifestations and potential consequences of an adolescent's feelings of invulnerability? (Select all that apply)

25 :
What is the priority nursing intervention for a newborn infant diagnosed with transposition of the great vessels?

26 :
A nurse is teaching a caregiver of a school-age child about physical activity. Which of the following statements made by the caregiver demonstrates the teaching was effective? (Select All that Apply.)

27 :
A nurse is promoting a healthy relationship with food among school-aged children. Which of the following interventions is effective in promoting a healthy relationship?

28 :
A nurse is teaching a client who has asthma about how to use an albuterol inhaler. Which of the following actions by the client indicates an understanding of the teaching?

29 :
A nurse is providing teaching for a parent of a preschool-aged child who had a myringotomy with a tympanoplasty tube insertion 4 days ago. Which of the following actions should the nurse identify as an indication that the teaching was effective?

30 :
A nurse in the pediatric clinic is discussing Piaget's theory of cognitive development with a newly licensed nurse. The nurse should review which of the following types of thinking that occur during adolescent development?

31 :
A nurse is caring for a child who is 2 hr postoperative following a tonsillectomy. Which of the following fluid items should the nurse offer the child at this time?

32 :
A nurse is providing discharge teaching about nutrition to the parents of a child who has cystic fibrosis (CF). Which of the following responses by the parents indicates an understanding of the teaching?

33 :
A nurse is providing teaching to students about physical and psychosocial effects of stress to school-aged children. Which of the following levels of prevention does this demonstrate?

34 :
A nurse is planning care for an adolescent who is withdrawn and avoids social group activities. Which of the following interventions should the nurse plan to include?

35 :
A nurse is providing discharge teaching for parents of a child who has congestive heart failure and is about to start taking furosemide. Which of the following instructions should the nurse include?

36 :
Which of the following are characteristics of conservation in school-aged children? (Select All that Apply.)

37 :
What is the recommended time for a child with varicella to return to school?

38 :
A nurse is providing teaching to a parent of a child who has acute group A B-hemolytic streptococci. Which of the following information should the nurse include in the teaching?

39 :
The nurse is providing anticipatory teaching to parents about pubescent changes in school-aged and young adolescent girls. Which of the following changes should the nurse include in the teaching?

40 :
An infant is brought to the emergency department with suspected coarctation of the aorta. Which clinical symptoms would the nurse expect to find?

41 :
The nurse is caring for a nine-year-old client on the pediatric unit. What is the most effective way for the nurse to support this child in achieving Erikson's developmental task of industry versus inferiority?

42 :
The nurse is caring for a child with cystic fibrosis. What is the rationale for the nurse performing chest physiotherapy for this child?

44 :
A school nurse is planning a safety education program for adolescents. Which of the following should the nurse plan to include?

45 :
A child is admitted to the pediatric unit with a diagnosis of Kawasaki disease. Which nursing intervention is most appropriate during this initial phase?

46 :
A nurse is teaching a newly hired nurse about motor skill development of school-age clients who are 6 to 12 years old. Which of the following statements by the newly hired nurse demonstrates effective teaching?

47 :
A nurse is assessing a toddler who has heart failure. Which of the following findings should the nurse expect?

48 :
A nurse is advising a 15-year-old boy on managing acne during puberty. Which of the following recommendations is most appropriate?

49 :
A nurse is teaching parents about safety issues to prevent injuries in school-age children. Which of the following statements by the parents indicates that they require additional teaching?

50 :
A nurse is caring for a pre-school age child who has epiglottitis and presents with a high fever, drooling, and a muffled voice. Which of the following actions should the nurse take?

51 :
A nurse is admitting a child who has suspected epiglottitis. Which of the following actions should the nurse take first?

52 :
A nurse is assessing a newborn for manifestations of a large patent ductus arteriosus. Which of the following findings should the nurse expect?

53 :
A nurse is providing education to a school-age child who has a new diagnosis of asthma. Which of the following statements should the nurse include in the teaching?

54 :
A nurse is providing care to children on a general pediatric unit. Which of the following children should the nurse identify as a potential victim of abuse?

55 :
A nurse is caring for an infant who has a congenital heart defect. Which of the following defects is associated with increased pulmonary blood flow?

56 :
A nurse is caring for a school-aged child who is hospitalized. Which of the following actions should the nurse take to promote the client's engagement and general well-being?

57 :
A nurse is teaching a parent of an infant who has heart failure about meeting the infant's nutritional needs. Which of the following statements by the parent indicates an understanding of the teaching?

58 :
A nurse is caring for a child who has had a lumbar puncture. The nurse should monitor the child for which of the following complications?

59 :
A nurse is caring for an 8-year-old child who was recently diagnosed with chronic renal failure. The child's parents ask for information on hemodialysis. Which of the following statements should the nurse make?