Q1. A newborn with cephalohematoma is undergoing

Q1. A newborn with cephalohematoma is undergoing assessment. The parents complained about the condition of their newborn. Which of the following courses of action is appropriate for the nurses to take? A. Call the doctor immediately B. Position the newborn in upright position C. Administer hot and cold compresses to the affected area D. Provide reassurance Q2. Which of the following findings during an assessment of a child who is 30 months old requires further evaluation? A. The child’s current weight is 6x the weight at birth B. Primary dentition (20 teeth) is complete C. Chest circumference is greater than head circumference D. The child speaks in 3-word sentences Q3. A nurse is caring for a child who has Legg-Calve-Perthes disease. Which of the following manifestations should the nurse expect? (Select all that apply.) A. Swelling of the knee B. Hip stiffness C. Macular rash D. Limited range of motion E. Limp when walking Q4. The nurse is caring for a teenager with scars on her forearm. The nurse knows that self-mutilation is primarily: A. Just a phase and can be ignored B. An expression of anger C. A way to manipulate parents D. A strategy for getting what the teenager wants Q5. A nurse is caring for a neonate. What attributes would most likely be seen during the first period of reactivity of a newborn infant? A Quiet, restful, and sleeping B. Alert and exploring C. Gagging and choking D. Sweating and shaking Q6. A nurse is caring for a 12-month-old infant who is postoperative following cleft palate repair. Which of the following interventions should the nurse include in the infant’s plan of care? A. Feed the infant with a spoon for 72 hr. B. Apply and release elbow restraints every hour C. Keep the infant in a side-lying position D. Suction the mouth with an oral suction tube Q7. A nurse is instructing the parents of a child who has a new prescription for methylphenidate for the treatment of ADHD. Which of the following typical side effects should the nurse address when advising the parents? A. Restlessness and dermatitis B. Hypotension and weight gain C. Sleep difficulties and anorexia D. Motor tics and sedation Q8. A nurse in the PICU is assigned to care for a child with acute bacterial meningitis. Which of the following should the nurse prioritize while caring for this client? A. Offering clear fluids whenever the child is awake B. Checking the child’s level of consciousness hourly C. Administering the prescribed oral antibiotic medication D. Assessing the child’s blood pressure every four hours Q9. A nurse is teaching an adolescent who has diabetes mellitus about manifestations of hyperglycemia. Which of the following findings should the nurse include in the teaching? (select all that apply) A. Increased urination B. Hunger C. Dark yellow-colored urine D. Kussmaul respirations E. Sweating and pallor Q10. A pediatric nurse is giving instructions to a 12 year old client with sickle cell disease and his parents. To prevent a crisis, the nurse explains that the child should do which of the following (select all that apply) A. Stay away from sick children B. Increase fluids C. Restrict fluids D. Avoid exercise E. Be aware that high altitudes may lead to a crisis

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