1 >>Which of the following pediatric clients is at greatest risk for latex allergy? ?
- (A) The child with a myelomeningocele
- (B) The child with epispadias
- (C) The child with coxa plana
- (D) The child with rheumatic fever
2 >>The nurse is teaching the mother of a child with cystic fibrosis how to do chest percussion. The nurse should tell the mother to: ?
- (A) Use the heel of her hand during percussion
- (B) Change the child’s position every 20 minutes
- (C) Do percussion after the child eats and at bedtime
- (D) Use cupped hands during percussion
3 >>The nurse calculates the amount of an antibiotic for injection to be given to an infant. The amount of medication to be administered is 1.25mL. The nurse should: ?
- (A) Divide the amount into two injections and administer in each vastus lateralis muscle
- (B) Give the medication in one injection in the dorsogluteal muscle
- (C) Divide the amount in two injections and give one in the ventrogluteal muscle and one in the vastus lateralis muscle
- (D) Give the medication in one injection in the ventrogluteal muscle
4 >>A client with schizophrenia is receiving depot injections of Haldol Deconate (haloperidol decanoate). The client should be told to return for his next injection in: ?
- (A) 1 week
- (B) 2 weeks
- (C) 4 weeks
- (D) 6 weeks
5 >>A 3-year-old is immobilized in a hip spica cast. Which discharge instruction should be given to the parents? ?
- (A) Keep the bed flat, with a small pillow beneath the cast
- (B) Provide crayons and a coloring book for play activity
- (C) Increase her intake of high-calorie foods for healing
- (D) Tuck a disposable diaper beneath the cast at the perineal opening
6 >>The nurse is caring for a client following the reimplantation of the thumb and index finger. Which finding should be reported to the physician immediately? ?
- (A) Temperature of 100°F
- (B) Coolness and discoloration of the digits
- (C) Complaints of pain
- (D) Difficulty moving the digits
7 >>When assessing the urinary output of a client who has had extracorporeal lithotripsy, the nurse can expect to find: ?
- (A) Cherry-red urine that gradually becomes clearer
- (B) Orange-tinged urine containing particles of calculi
- (C) Dark red urine that becomes cloudy in appearance
- (D) Dark, smoky-colored urine with high specific gravity
8 >>The physician has prescribed Cognex (tacrine) for a client with dementia. The nurse should monitor the client for adverse reactions, which include: ?
- (A) Hypoglycemia
- (B) Jaundice
- (C) Urinary retention
- (D) Tinnitus
9 >>The physician has ordered a low-potassium diet for a child with acute glomerulonephritis. Which snack is suitable for the child with potassium restrictions? ?
- (A) Raisins
- (B) Oranges
- (C) Apricots
- (D) Bananas
10 >>The physician has ordered a blood test for H. pylori. The nurse should prepare the client by: ?
- (A) Withholding intake after midnight
- (B) Telling the client that no special preparation is needed
- (C) Explaining that a small dose of radioactive isotope will be used
- (D) Giving an oral suspension of glucose 1 hour before the test
11 >>The nurse is preparing to give an oral potassium supplement. The nurse should: ?
- (A) Give the medication without diluting it
- (B) Give the medication with 4oz. of juice
- (C) Give the medication with water only
- (D) Give the medication on an empty stomach
12 >>The physician has ordered cultures for cytomegalovirus (CMV). Which statement is true regarding collection of cultures for cytomegalovirus? ?
- (A) Stool cultures are preferred for definitive diagnosis.
- (B) Pregnant caregivers may obtain cultures.
- (C) Collection of one specimen is sufficient.
- (D) Accurate diagnosis depends on fresh specimens.
13 >>A pediatric client with burns to the hands and arms has dressing changes with Sulfamylon (mafenide acetate) cream. The nurse is aware that the medication: ?
- (A) Will cause dark staining of the surrounding skin
- (B) Produces a cooling sensation when applied
- (C) Can alter the function of the thyroid
- (D) Produces a burning sensation when applied
14 >>The physician has ordered Dilantin (phenytoin) for a client with generalized seizures. When planning the client’s care, the nurse should: ?
- (A) Maintain strict intake and output
- (B) Check the pulse before giving the medication
- (C) Administer the medication 30 minutes before meals
- (D) Provide oral hygiene and gum care every shift
15 >>A client receiving chemotherapy for breast cancer has an order for Zofran (ondansetron) 8mg PO to be given 30 minutes before induction of the chemotherapy. The purpose of the medication is to: ?
- (A) Prevent anemia
- (B) Promote relaxation
- (C) Prevent nausea
- (D) Increase neutrophil counts
16 >>The physician has ordered Cortisporin ear drops for a 2-year-old. To administer the ear drops, the nurse should: ?
- (A) Pull the ear down and back
- (B) Pull the ear straight out
- (C) Pull the ear up and back
- (D) Leave the ear undisturbed
17 >>A client with schizophrenia has been taking Thorazine (chlorpromazine) 200mg four times a day. Which finding should be reported to the doctor immediately? ?
- (A) The client complains of thirst
- (B) The client has gained 4 pounds in the past 2 months
- (C) The client complains of a sore throat
- (D) The client naps throughout the day
18 >>A client with iron-deficiency anemia is taking an oral iron supplement. The nurse should tell the client to take the medication with: ?
- (A) Orange juice
- (B) Water only
- (C) Milk
- (D) Apple juice
19 >>A client is admitted with burns of the right arm, chest, and head. According to the Rule of Nines, the percent of burn injury is: ?
- (A) 0.18
- (B) 0.27
- (C) 0.36
- (D) 0.45
20 >>A client who was admitted with chest pain and shortness of breath has a standing order for oxygen via mask. Standing orders for oxygen mean that the nurse can apply oxygen at: ?
- (A) 2L per minute
- (B) 6L per minute
- (C) 10L per minute
- (D) 12L per minute
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