1.

A mother arrives at the emergency department with her child, stating that she just found the child sitting on
the floor next to an empty bottle of aspirin. On assessment, the nurse notes that the child is drowsy but
conscious. The nurse anticipates that the physician will prescribe which of the following?
a) ipecac syrup
b) activated charcoal
c) magnesium citrate
d) magnesium sulfate
2. A preschooler with a history of cleft palate repair comes to the clinic for a routine wellchild chec! up. To
determine whether this child is experiencing a longterm effect of cleft palate, the nurse as!s the parent
which "uestion?
a) does the child play with an imaginary friend?
b) was the child recently treated for pneumonia?
c) is the child unresponsive when given directions?
d) has the child had any difficulty swallowing food?
3. A child is admitted to the orthopedic nursing unit after spinal rod insertion for the treatment of scoliosis.
#hich assessment is most important in the immediate postoperative period?
a) pain level
b) ability to flex and extend the feet
c) ability to turn using the logroll techni"ue
d) capillary refill, sensation, and motion in all extremities
4. A child has just returned from surgery and has a hip spica cast. A priority nursing action this time is to$
a) elevate the head of the bed
b) assess the child%s circulatory status
c) abduct the hips, using pillows
d) turn the child on the right side
5. An emergency department nurse prepares to treat a child with acetaminophen &tylenol) overdose. The
nurse reviews the physician%s orders, expecting that which of the following will be prescribed?
a) protamine sulfate
b) succimer &chemet)
c) acetylcysteine &mucomyst)
d) vitamin ' &a"ua()*+,TO-)
6. A nurse is closely monitoring a child with increased intracranial pressure who has been exhibiting decorticate
posturing. The nurse notes that the child suddenly exhibits decerebrate posturing and interprets that this change in
the child%s condition indicates which of the following?
a) an insignificant finding
b) an improvement in condition
c) decreasing intracranial pressure
d) deteriorating neurological function
7. A nurse caring for hospitali.ed infant is monitoring for increased intracranial pressure &/0*) and notes that the
anterior fontanel bulges when the infant cries. 1ased on this assessment finding, which action would the nurse ta!e?
a) document the findings
b) lower the ehad of the bed
c) place the infant on -*O status
d) notify the physician immediately
8. A nurse is assessing the vital signs of a 2year old child hospitali.ed with a diagnosis of croup and notes that the
respiratory rate is 34 breaths per minute. 1ased on this finding, which nursing action is appropriate?
a) administer oxygen
b) notify the physician
c) document the findings
d) reassess the respiratory rate in 56 minutes
9. 7ollowing the tonsillectomy, which of the following fluid or food items is appropriate to offer to the child?
a) 8eelO
b) cold ginger ale
c) vanilla pudding
d) cool cherry 'oolAid
10. A nurse is chec!ing postoperative orders and planning care for a 559pound child after spinal fusion. (orphine
sulfate, 4 mg subcutaneously every : hours prn for pain, is prescribed. The pediatric drug reference states that the
safe dose is 9.5 to 9.3 mg;!g;dose every 3 to : hours. 7rom this information, the nurse determines that$
a) the dose is too low
b) the dose is too high
c) the dose is within the safe dosage range
d) there is not enough information to determine the safe dose
11. A pediatric nurse specialist provides an educational session to the nursing students about childhood
communicable diseases. A nursing student as!s the pediatric nurse specialist to describe the signs and symptoms
associated with the most common complication of mumps. The pediatric nurse specialist responds, !nowing that
which symptoms is indicative of the most common complication of this communicable disease?
a) pain
b) deafness
c) nuchal rigidity
d) a red swollen testicle
12. A 6year old child is hospitali.ed with <oc!y (ountain spotted fever &<(=7). The nursing assessment reveals
that the child was bitten by a tic! 3 wee!s ago. The child presents with complaints of headache, fever, and anorexia,
and the nurse notes a rash on the palms of the hands and soles of the feet. The nurse reviews the physician%s orders
and anticipates that which of the following medications will be prescribed?
a) ganciclovir &cytovene)
b) doxycycline &vibramycin)
c) amantadine &symmetrel)
d) amphotericin 1 &fungi.one)
13. A nursing instructor assigns a student nurse to present a clinical conference to the student group about brain
tumors in children younger than 2 years of age. The nursing student prepares for the conference and includes which
of the following information in the presentation?
a) radiation is the treatment of choice
b) the most significant symptoms are headaches and vomiting
c) head shaving is not re"uired before removal of the brain tumor
d) surgery is not normally performed because of the ris! of functional deficits occurring as a result of surgery
14. A child is hospitali.ed with a diagnosis of lead poisoning and chelation therapy is prescribed. The nurse caring for
the child would prepare to administer which of the following medications?
a) ipecac syrup
b) activated charcoal
c) sodium bicarbonate
d) calcium disodium edetate &)>TA)
15. A nurse is teaching the parents of a child with celiac disease about dietary measures. /n the teaching plan, the
nurse will instruct the parents to$
a) restrict corn and rice in the diet
b) restrict fresh vegetables in the diet
c) substitute grain cereals with pasta products
d) read all label ingredients carefully to avoid hidden sources of gluten
16. A nurse is planning to give a tepid tub bath to a child who has hyperthermia. The nurse plans to$
a) obtain isopropyl alcohol to add to the bath water
b) have cool water available to add to the warm bath water
c) allow 6 minutes for the child to soa! in the bath water
d) warm the water to the same body temperature of the child
17. A nurse is assigned to care for a child who is 5 day postoperative following a surgical repair of a cleft lip. #hich
nursing intervention is appropriate when caring for this child%s surgical incision?
a) rinse the incision with sterile water after feeding
b) clean the incision only when serous exudate forms
c) rub the incision gently with a sterile cottontipped swab
d) replace the ?ogan bar carefully after cleaning the incision
18. A nurse is caring for an infant with spina bifida cystica &meningomyelocele type) who had the sac surgically
removed. The nurse plans which of the following in the postoperative period to maintain the infant%s safety?
a) covering the bac! dressing with a binder
b) placing the infant in a headdown position
c) strapping the infant in a baby seat sitting up
d) elevating the head with the infant in the prone position
19. A nurse is caring for a child with <eye%s syndrome. The nurse monitors for signs of which major problem
associated with this syndrome?
a) protein in the urine
b) symptoms of hyperglycemia
c) increased intracranial pressure
d) a history of staphylococcus infection
20. A child is admitted to the hospital with a suspected diagnosis of pneumococcal pneumonia. The nurse prepares to
implement which of the following?
a) start antibiotic therapy immediately
b) monitor the child%s respiratory rate and breath sounds
c) allow the child to go to the playroom to play with other children
d) have a chest radiograph done to determine how much consolidation in the lungs