c

c


c

c
1. The nurse is using drawing, puppetry and other forms of play therapy while treating a terminally ill school aged child. The
purpose of this technique is to help the child
a. internalize his feelings about death and dying
b. accept responsibility for his situation
c. express feelings that he cannot articulate
d. have a good time while he is in the hospital

2. The best term to use in describing recognizable patterns of malformation due to a single specific cause is:
a. association
b. syndrome
c. heredity
d. congenital

3. A deviation in chromosomes where one is absent from a pair:

a. Trisomy c. Klinefelter's
b. Monosomy d. Down's syndrome

4. You are the nurse in the NB nursery and you are informed that a NB with APGAR score of 1 and 4 will be brought to the
nursery. You quickly prepare for the arrival of the NB and you determine that the priority intervention is to:
a. connect the resuscitation bag to the oxygen
b. turn on the apnea and cardiorespiratory monitor
c. prepare for the insertion of an IV line with 5% dextrose in water
d. set up the radiant warmer and control temperature at 36.5 C (97.6F)

5. All of the ff is basic family function EXCEPT:

a. providing basic needs
b. child bearing and child rearing
c. providing communication and emotional support
d. enabling enculturation and socialization
e. preparing children to become citizens
f. preparing children to become professionals

6. Basic family structures are the ff EXCEPT:

a. reconstituted c. two ʹ career
b. same sex d. composite

7. The following are common reactions of a family to a child's illness or hospitalization EXCEPT:
a. loss of control
b. possible impaired coping
c. possible parental display of stress
d. loss of chance

8. This theory of Growth and Development says that at each stage, regions of the body assume prominent psychologic
significance as sources of pleasure:
a. psychosocial c. cognitive
b. psychosexual d. moral

9. Temperament involves the child's style of emotional and behavioral responses across situations. Types of temperament
include the ff EXCEPT:
a. easy c. slow to warm up
b. difficult d. sensitive to warm up

9. Which among the ff is the leading cause of mortality in toddlers?

a. congenital anomalies c. Homicide
b. accidents d. Suicide

10. Leading causes of morbidity in children are the ff EXCEPT:

a. acute conditions c. pediatric social illness
b. LBW, poverty, homelessness d. media influences

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11. A nurse is caring for a child with a ventricular septal defect and the parents ask the nurse about the treatment for this
disorder. You base your response on which of the ff:
a. surgical closure is done immediately
b. surgical closure is done at age 5 to 6
c. it is treated by meds alone
d. some defects may close spontaneously

12. A NB is diagnosed with Hirschprung's disease based on failure to pass meconium. You as the nurse observes that the parents
are hesitant to hold their baby. Based on this assessment, an important nursing consideration in working with the parents is to:
a. observe stools for color and characteristics
b. help the parents adjust to the congenital disorder
c. stabilize the NB's fluid and electrolyte balance
d. teach the parents how to administer a Ba enema to their NB

13. A NB infant is diagnosed with esophageal atresia and the mother of the NB asks the nurse to explain the diagnosis. The
nurse bases the response on which description of the disorder?
a. a portion of the stomach protrudes through the esophageal hiatus of the diaphragm.
b. abdominal contents herniated through an opening of the diaphragm
c. gastric content regurgitate back into the esophagus
d. the esophagus terminates before it reaches the stomach.

14. An adolescent is diagnosed with scoliosis. The nurse explains to the adolescent and the parents that treatment will correct
the:
a. excessive posterior curvature of the lumber spine
b. abnormal anterior curvature of the lumbar spine
c. abnormal lateral curvature of the spine
d. abnormal curvature of the spine due to the inflammation.

15. A male adolescent reports to the nurse that when performing TSE, he found a lump the size of a pea. The nurse makes
which response to the client?
a. that is important to report even though it might not be serious
b. that could be cancer, I'll ask the doctor
c. let me know if it gets bigger next week
d. lumps like that are normal, do not worry.

16. The nurse employed in a well baby clinic is providing nutrition instructions to a mother of a 9 mo old infant. Which
instruction is appropriate?
a. begin to offer rice cereal mixed with breast milk or formula
b. introduce strained fruits at one time
c. introduce stained vegetables at one time
d. begin to initiate self feeding.

17. An infant brought to the ER is unresponsive and in respiratory distress. The nurse opens the infant's airway by which
method?
a. hyperextension
b. jaw thrust
c. tongue-jaw lift
d. head tilt-chin lift

18. The doctor informs the nurse that a LGA baby with symptomatic polycythemia and hyperviscosity will undergo exchange
transfusion. The nurse prepares which fluid for use during the exchange transfusion?
a. 10% glucose
b. Lactated Ringers
c. pedialyte
d. 5% albumin

19. You are preparing to administer an immunization to an 11 y/o child. Which of the ff sites will the nurse select as the best
area to administer the IM injection?
a. post. Lateral aspect of the thigh
b. anterolateral aspect of the thigh
c. deltoid
d. ventral gluteal muscle

20. You are also going to give medication to a toddler intramuscularly and you are aware that thjs time, the best site should be:
a. deltoid

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b. vastus lateralis muscle
c. ventrogluteal muscle
d. dorsogluteal muscle

21. When administering liquid meds to an uncooperative toddler, the nurse would implement which strategy?
a. allow parents to remain in the room
b. remove the child to another room away from parents
c. restrain the child in a high chair
d. hold child down with the use of a blanket

22. The nurse is planning care for a child recently admitted to the hospital with meningitis. Which intervention provides a safe
environment for the child and the child's contacts?
a. maintain respiratory isolation for 24 hrs after therapy is started.
b. providing a quiet room away from the nurse's station and exit areas
c. permitting only hard washable toys in the child's room
d. maintaining complete bed rest until recovery.

23. During the initial maternal and child bonding period ff the delivery of the placenta, your primary responsibility is to:
a. make sure infant stays warm and is in no danger of slipping from parents' grasp
b. assist mother to begin breastfeeding the infant immediately
c. protect the infant from infection by maintaining isolation
d. make sure siblings are involved in the process of bonding.

24. To maintain a child's developmental skill while hospitalized, a nurse would encourage a one year old child who was born two
months earlier the estimated time of delivery to:
a. indicate wants by pointing or grunting
b. walk independently
c. sit independently
d. build a tower of three blocks

25. You as the nurse is informed by a mother of a toddler who has ALL that her child is having epistaxis. You should advise the
mother to immediately:
a. let the child lie down
b. keep child calm and quiet and place the child in an upright and leaning forward position
c. call local clinic
d. apply warm wash cloth to the bridge of the nose.

26. You are performing an assessment on a preschool child. In order to facilitate the cooperation of the child, you should:
a. have the child pretend to be a nurse
b. have the parents leave the room
c. offer information and answer questions
d. explain in detail each part of the exam before doing it.

27. You are assigned to care for a postpartum client and you plan to promote parent infant bonding by encouraging the mother
to:
a. use low pitched voice when speaking to infant
b. allow the nsg staff to assure infant care
c. hold and cuddle the infant closely
d. allow the infant to sleep in the parental bed in between the parents.

28. Erythromycin base (Ilotycin) ophthalmic ointment is prescribed for the NB immediately after delivery. You as the nurse
administers the ointment knowing that:
a. erythromycin base is more irritating to the NB's eyes than Silver Nitrate drops
b. it must be administered at room temperature to prevent side effects
c. it is straining to the infant's skin and must be wiped off immediately
d. it is used to protect the NB from Neisseria Gonorrhea and Chlamydia

29. A nurse provides instructions to a mother of a child who was hospitalized for heart surgery. The nurse tells the mother:
a. that the child may return to school one week after hospital discharge
b. that after bathing, to rub lotion and sprinckle powder on the incision
c. to allow the child to play outside for short periods of time
d. to notify the physician if the child develops fever.

30. A nurse is collecting data on a child suspected of Rheumatic fever. The nurse plans to obtain specific data regarding recent
illnesses in the child and asks the parents which questions?
a. has the child had a recent streptococcal infection in the throat?
b. has the child had a recent ear infection?

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c. has the child had a recent case of otitis media?
d. has the child had a recent case of pneumonia?

31. A 14 y/o female is having difficulty adjusting to the long confinement in the hospital in a Crutchfield traction. Which nursing
intervention is appropriate to assist the client?
a. let the client dye her hair blue to conform to what her peers are doing.
b. allow the client to play loud music in the hospital room.
c. let the client wear her own clothes when friends visit.
d. honor the clients' request to stay in a private, darkened room with no visitors.

32. You are assigned to care for the teenager who has been placed in a Crutchfield tongs to stabilize a fracture in the cervical
area. You start to plan the care of your client and you know that the ff is an incorrect intervention:
a. logroll the client when positioning
b. check the tongs every 24 hours for displacement
c. monitor the neurological status
d. perform pin care every shift.

33. A full term infant is admitted to the neonatal ICU with a diagnosis of possible sepsis. The nurse caring for the infant would
report which finding to the physician?
a. Oxygen partial tension of 94%
b. diastolic BP of 32mmHg
c. T = 98.2F
d. RR = 62bpm

34. A 10 month old infant is hospitalized for RSV. Using your knowledge of Growth and Development according to Erik Erikson
and Piaget, the nurse should do which of the ff to meet the infant's developmental needs?
a. wash hands and keep infant as quiet as possible
b. follow home feeding schedule and allow the infant to be held only when parents visit.
c. Restrain infant continuously to prevent tubes from being dislodged.
d. provide consistent routine as well as touching, rocking and cuddling throughout the hospitalization.

35. A toddler is admitted for fever of unknown origin. The mother's time at the hospital is limited to the hours that her other
children are in school. The nurse shows an understanding of a toddlers' psychosocial development by making which statement
to the mother?
a. it is better to leave without saying goodbye so your child will not be upset.
b. your child is too old to be having separation anxiety, crying is just a way for children to control parents.
c. your child is egocentric, which allows child to self comfort
d. games like peek a boo and hide and seek will help your child understand that you will return

36. A 3 y/o is admitted with a diagnosis of ALL. The nurse assigned is concerned because the child is crying and states "my knees
hurt". Which intervention would the nurse provide for the child?
a. administer 2.5 grains of Acetylsalycilic Acid (aspirin)
b. apply cold pack to knees
c. apply heat pack to knees
d. attempt to involve the child in diversional activities to forget discomfort.

37. Another child with ALL has come out of remission twice and you are discussing treatment for the disease with the parents.
You determine that the parents understand the treatment if the parents state which of the ff:
a. our child will be just fine in a few days, our child always was before.
b. we know that a bone marrow transplant may not work, however we will have to go ahead with the treatment because
chemotherapy has not helped.
c. there is no effective treatment for ALL now. We will have to look for alternative therapies.
d. fortunately, our child will not have to undergo any more treatments before the bone marrow transplant. We do not want to
see our child have any more radiation or medications.

38. The nurse is providing instructions to the mother of a preschool child with hemophilia. The nurse can promote a safe
environment while allowing for normalcy by instructing the mother to:
a. insist that the child wear a helmet and elbow pads during all waking hours.
b. prevent the child from playing in an outdoor playground
c. examine toys and the play area for sharp objects.
d. only allow the child to use play equipment when a parent or older sibling is present.

39. An adolescent female is admitted to the hospital for severe weight loss. During the assessment, the nurse notes that the
client is experiencing a disturbed body image, amenorrhea and appearance to be depressed. A primary goal is to improve her
nutritional status. Which intervention will the nurse implement initially?
a. establish a behavioral contract with the client in which she agrees to adhere to diet and a realistic exercise program
b. weigh client daily in her gown and without shoes, observing any hidden objects that could alter weight.

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c. observe client during and after meals to be sure proper foods are eaten and that the client does not discard food after
apparently consuming it.
d. involve the client and parents in family group sessions to work through psychological problems related to anorexia.

40. A client is providing home care instructions to the mother of a 3 y/o child with a diagnosis of vomiting and diarrhea due to
gastroenteritis. The nurse instructs the mother to give child which of the ff to maintain hydration status?
a. popsicles
b. soda pop
c. apple juice
d. pedialyte

41. A nurse is preparing to care for a child with AGE who is having diarrhea. The nurse avoids which of the ff in the care of the
child/
a. taking rectal temperature
b. monitoring I and O
c. weighing diaper after each bowel movement
d. sending stools to the lab for culture

42. A school nurse is performing health screening for scoliosis on children ages 9 through 15. To assess scoliosis, you should:
a. ask the child to lie flat and lift the legs straight up
b. Ask the child to stand and weight equally on both feet with the legs straight and arms hanging loosely at both sides
c. ask the child to walk 10 feet backward with arms held overhead at both sides
d. ask the child to lie on the right side then roll to the left side while the arms are held over head.

43. A nurse is caring for a child with suspected diagnosis of acute LTB. The nurse reviews the assessment data in the child's
record knowing that which of the ff is a characteristic of this disorder?
a. has a sudden onset that usually worsens during the day
b. is always bacterial in nature
c. causes swelling and inflammation of the vocal cords
d. causes an occasional dry cough

44. A nurse instructs an adolescent with an iron deficiency anemia about the administration of oral iron preparation. The nurse
tells the adolescent to take iron with:
a. water
b. milk
c. tomato juice
d. apple juice
45. A nurse provides dietary instructions to the parents of a child with a diagnosis of cystic fibrosis. The nurse tells the parents
that the diet should consist of:
a. high protein foods
b. low fat foods
c. low calorie foods
d. low sodium foods

46. A nurse is providing instructions regarding home care to the parents of a 3 y/o child hospitalized with hemophilia. Which
statement by a parent indicates a need for further instructions?
a. I need to watch my child closely
b. I should pad the table corners in my house
c. I need to keep unnecessary household items out of the way
d. my child should not receive dental hygiene care from a dentist.

47. A mother of a toddler who is hospitalized with mild dehydration must leave her child to go to work. Which behavior would
the nurse expect to observe in the toddler immediately after the mothers' departure
a. silently curled in bed with a blanket
b. loudly crying and kicking both legs
c. playing quietly with a favorite toy
d. sucking thumb and rocking back and forth

48. Growth and development in a child progresses in the following ways except:
a. From cognitive to psychosexual
b. From trunk to the tip of the extremities
c. From head to toe
d. From general to specific

49. As described by Erickson, the major psychosexual conflict of a toddler is

a. Autonomy vs. shame and doubt

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b. Industry vs. inferiority
c. Trust vs. mistrust
d. Initiation vs. guilt

50. To help parents cope with the behavior of young school age children, the nurse suggests that it would help if they
a. Avoid asking specific questions
b. Give the child a detailed list of expectations
c. Be consistent and firm about established rules
d. Allow the child to set up his or her own routines

51. The major depriving factor in long term hospitalization of which the nurse should be aware is usually the
a. Lack of play objects
b. Multisensory inputs
c. Care provided only by a mother substitute
d. Absence of interaction with a mother figure

52. The nurse explains to the mother of a 2-year old girl that the child͛s negativism is normal for her age and that it is helping
her to meet her need for
a. Trust
b. Attention
c. Discipline
d. Independence

53. When evaluating a 3-year old child͛s developmental progress, the nurse should recognize that development is delayed
when the child is unable to
a. Copy a square
b. Hop on one foot
c. Catch a ball reliably
d. Use a spoon effectively

54. The nurse observes that a 4-year old is having difficulty relating with the other children in the playroom. The nurse
understands that it is normal for a child at this age to
a. Engage in parallel or solitary play
b. Be almost totally dependent on parents
c. Exaggerate and boast to impress others
d. Have fierce temper tantrums and negativism

55. When providing nursing care to a preschool-aged child, the nurse should remember that the child͛s fear is of
a. Pain
b. Death
c. Isolation
d. Intrusive procedure

56. The nurse should attempt to involve a preschool-aged child in therapeutic play to give the child the opportunity to
a. Meet other children on the unit
b. Work out ways of coping with fears
c. Learn to forget the hospital situation
d. Forget the reality of the situation for a while

57. When a father asks if his 5-year old son should have the Metro Manila Developmental Test (MMDST), you answer
appropriately by considering
a. father͛s understanding of the test
b. father͛s sense of the IQ of the child
c. child͛s developmental level
d. child͛s previous test experience

58. Preschool children role play is an important part of the socialization, since it
a. encourages expression
b. helps children think about careers
c. teaches children about stereotype
d. provides guidelines for adult behavior

59. The social development of a 9-month old infant is best promoted by having her
a. Play with a large ball with a bell
b. Manipulate soft clay
c. Play peek-a-boo and bye-bye

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d. Pound on a peg board

60. A developmental assessment of a 9-month old infant would be expected to reveal

a. Closure of both posterior and anterior fontanel
b. A 2 to 3 word vocabulary
c. The ability to sit steadily without support
d. The ability to feed self with a spoon

61. The most therapeutic play activity for a 4-year old child would be
a. Using crayons to color in a coloring book
b. Fingerpainting on blank sheets of paper
c. Engaging in a checker game with his father
d. Solving a math puzzle

62. When administering an intramuscular injection to a neonate, which of the ff muscles would the nurse consider as the best
site?
a. deltoid
b. dorsogluteal
c. ventrogluteal
d. vastus lateralis

63. Before surgery, a neonate is to receive an intramuscular injection of an antibiotic. Which of the ff gauges and sizes of needle
would the nurse select?
a. 19 gauge, 1.5 inch needle
b. 20 gauge, 1 inch needle
c. 23 gauge, 2 inch needle
d. 25 gauge 5/8 inch needle
64. Aspiration is a common problem in infants. Which among the following is most dangerous for them to get hold of:
a. Hotdog
c. A square cube
b. Bendable teething ring
d. A fluffy teddy bear

65. A mother shows several toys to the nurse and asks, ͞Which one do you recommend for my infant to play with?͟
a. A soft teether that fits inside a toilet paper roll
b. A toy carrot with an inch diameter
c. A teddy bear with small attractive button eyes
d. A 1-piece pacifier with a large flange

66. When is it most dangerous for an infant to be around small objects?

a. 21 months
b. 6 months
c. 8 months
d. 10 months

67. At 10 months, baby Gay͛s mother decided to shift to cow͛s milk. What supplements should you recommend to be given to
baby Gay
a. Vitamin c and Iron
b. Vitamin B and Folate
c. Vitamin A and Iron
d. Vitamin E and Folate

68. Which of the following instructions would the nurse give to the parents of an 8-year old child with asthma who is being
switched form parenteral steroid therapy to a daily dose of oral prednisone?
a. Administer the dose before bedtime to minimize side effects
b. Give the medication according to the child's response
c. Have the child take the dose with meals to prevent gastric irritation
d. Make sure the pill is given intact to maintain the enteric coating

69. A 3-year-old child with cystic fibrosis is admitted to the hospital with bronchopneumonia. Which of the following signs and
symptoms would be the most helpful in providing supportive diagnostic data for this child's condition?
a. Weight loss and stringy stools
b. Cough and fever
c. Constipation and vomiting
d. Dysuria and rash

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70. When assessing a child with suspected mental retardation, which of the following behaviors would the nurse expect as least
characteristic of a delay in early development?
a. Lack of use of expressive language
b. Poor response to verbal commands
c. Onset of walking at age of 20 months
d. Sitting up ability at age of 6 months

71. A child with Down's syndrome has an intelligence quotient of about 40. The nurse would expect which of the following as
the type of environment and interdisciplinary program to most likely benefit this child?
a. Custodial
b. Institutional
c. Task analysis
d. Vocational training

72. When discussing plans for genetic counseling with the parents of a child with Down's syndrome, which of the following
would the nurse include as the primary role of the genetic team when working with a family?
a. Providing parents with information about the risks of birth defects
b. Reporting the findings of chromosome analysis of the amniotic cells
c. Preparing the parents psychosocially for the birth of a defective child
d. Prescribing birth control or abortion measures for the parents as needed

73. The major influence on eating habits of the early school age child is the
a. example of parents at mealtime
b. food preferences of the peer group
c. availability of foods selection
d. smell and appearance of food

74. A mother is concerned about her child͛s compulsion for collecting things. Your explanation should be based on the
understanding that this behavior is related to the cognitive ability to perform which of the following
a. concrete operations
b. formal operations
c. coordination of secondary schemata
d. tertiary circular reactions

75. An emergency room nurse is performing an assessment on a child who has a fever of 102F. Which finding would be of most
concern to the nurse?
a. malaise c. anorexia
b. stiff neck d. weakness

76. A nurse performs an assessment on a 9 mo old infant. Which finding indicates a physiologic problem?
a. head lag is noted when pulled to sitting position
b. inability to stand without support
c. creeping or crawling along the floor
d. absence of rooting reflex

77. A school nurse is about to perform routine assessment of all 11 year old children. During the health assessment, the nurse
would specifically screen for:
a. meningitis c. Phenylketonuria
b. congenital hip disorder d. scoliosis

78. An infant who has pyloric stenosis is admitted to the hospital. The nurse reviews the admission assessment data and would
expect to note which of the ff documented?
a. forceful and projectile vomiting
b. absent peristalsis on auscultation
c. biled stained emesis
d. hyponatremia

79. A nurse is caring for a child with celiac disease and develops a nursing diagnosis of Imbalanced Nutrition: less than body
requirement. Which assessment finding supports this diagnosis?
a. malodorous stools
b. muscle wasting in buttocks and extremities
c. irritability and fretfulness
d. severe abdominal distention

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80. Penicillin V (Pen-Vee K), 250 mg orally every 8 hours is prescribed for a child with a respiratory infection. The medication
label reads: Penicillin 125 mg per 5 ml. The nurse has determined that the dosage prescribed is a safe dose for the child and
prepares to administer. How many ml per dose will be given to the child?
a. 10 c. 20
b. 15 d. 5

81. A teenage girl is seen for the third time in 6 months for the treatment of vaginal candidiasis infection. The nurse is aware
that the additional tests may be necessary to identify an undiagnosed underlying chronic disease. Which test is most likely to be
prescribed?
a. Papanicolau smear c. Throat culture
b. blood culture d. blood glucose level

82. A nurse is conducting a developmental assessment on an infant who is in the clinic for his 6 month check ʹ up. Which
behavioral sign suggests possible cognitive impairment and the need for further developmental testing?
a. absence of head lag
b. repetitive performance of a new skill
c. motor skills present
d. diminished spontaneous play activity

83. You assess the language and communication development milestone of a 7 mo old infant. Which of the ff begins to occur in
the infant at this developmental age?
a. use of gestures
b. babbling sounds
c. cooing sounds
d. increased interest in sounds

84. The nurse assesses next the motor development of an 18 mo old child. Which of the ff is the highest level of development
that the nurse would expect to note in this child?
a. child builds a tower of 2 blocks
b. child builds a tower of 4-5 blocks
c. child snaps large snaps
d. child puts on simple clothes independently

85. A nurse is caring for a hospitalized school aged child. The nurse determines that an appropriate play activity for the child is
which of the ff?
a. playing with a push and pull toy
b. playing peek a boo
c. hand sewing a picture
d. listening to music

86. A nurse is reviewing the lab results of an infant suspected of having hypertrophic pyloric stenosis. Which result would you
most likely expect to note:
a. increased blood pH
b. decreased blood pH
c. increased Serum Potassium
d. increased serum Chloride

87. A nurse is preparing to administer an IM injection to a 10 year old child in the vastus lateralis muscle. Which of the ff
indicates the maximum volume of medication that can be safely administered?
a. 0.5ml c. 2ml
b. 1.5 ml d. 2.5 ml

88. The parents of a male NB who is not circumcised requests information on how to clean the NB͛s penis. You answer by
saying:
a. retract the foreskin and clean the glans when bathing the baby.
b. avoid retracting the foreskin when cleansing the penis because this may cause adhesions
c. retract the foreskin no further than it will easily go and replace it over the glans after cleaning the penis
d. retract the foreskin and cleanse the penis with every diaper change.

89. A nurse is assigned to a child with gastrointestinal disorder. The nurse reviews the child͛s health record and notes the lab
results indicated a Potassium level of 3.2mEq/L. Based on the lab finding, which clinical manifestation would the nurse expect to
note in the child?
a. muscle weakness c. Increased BP
b. increased bowel sounds d. nausea

90. The preschool child is in the pre operational phase of cognitive development and does not yet have a concept of time or
quantity. The nurse understands that if 5 ounces of juice is poured into a short glass and same amount is pored on a thin skinny

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glass, the child will think that there is more juice in the tall glass. The nurse knows that this child has not yet developed an
understanding of:
a. egocentrism c. artificialism
b. centering d. symbolic functioning

91. Which of the ff behaviors would indicate to the nurse that an adolescent had not successfully completed the age
appropriate developmental task accdg to Erikson͛s theory?
a. emotional maturity
b. talks about career choices
c. rebellious and regresses to child play behavior
d. makes appropriate decisions.

92. A 30 m0 old male child is brought to the clinic by his mother and she tells you that she is concerned because the child is
difficult to awaken, complains of ͞tummy ache͟ and is irritable. Which questions would the nurse ask the mother if lead
poisoning was suspected?
a. Has your child been breathing rapidly?
b. does your child͛s breath have a sweet, fruity odor?
c. do you live in a house more than 25 years old or very close to a freeway?
d. does your child chew on pencils or crayons while drawing?

93. The nurse has been asked to do a safety survey at children͛s day care center. All of the children the children belong to the
age of 1 ʹ 3. Of the ff safety hazards, which presents the greatest risk hazard to the toddlers at the center?
a. toys with small, loose parts in the playroom
b. swimming pool in the neighbor͛s gated yard
c. hot water heater set above 120F
d. toxic plants located in the front yard of the center.

94. A mother of a 2 year old is discussing dental care with the nurse. Which statement by the mother indicates that teaching is
needed?
a. aged cheese is a good snack instead of sweets for a young child
b. I took my child for his first dental examination right after his second birthday
c. it is not necessary to teach proper dental care to a toddler. Their baby teeth will fall out anyway
d. I had my child brush his teeth with clean water because he sometimes swallows the toothpaste

95. Accidents continue to be a real concern for preschoolers since their judgement is over ruled by their curiosity. The nurse
instructs the parents that their preschooler can be responsible to:
a. swim only when an adult is present
b. stay away from strange dogs
c. wear a helmet when bike riding
d. never play with matches or lighters

96. A nurse collects blood glucose sample every shift from a child with suspected diagnosis of Reye͛s syndrome. The result of
the 10:00 a.m blood glucose is 40mg/dl by glucometer reading. The nurse analyzes this report as:
a. normal c. higher than normal
b. lower than normal d. insignificant

97. A nurse is performing an assessment of a pre schooler who is diagnosed of conjunctivitis. Which of the ff symptoms prompt
the nurse to investigate allergy as the probable cause?
a. photophobia c. itching
b. purulent discharge d. ptosis

98. A nurse is caring for a toddler who sustained second degree burns. Which of the ff would the nurse assess in determining
the adequacy of fluid resuscitation in the child?
a. blood pressure c. apical heart rate
b. urinary output d. respiratory pattern

99. A nurse is conducting an assessment of a child suspected of having Reye͛s syndrome. Which of the ff data, as reported by
the mother, would the nurse interpret as being most associated with this syndrome?
a. my child had blood poisoning 6 mos ago
b. my child had influenza 2 wks ago
c. my child has food allergies
d. my child has a history of meningitis

100. A nurse is caring for an adolescent with sickle cell anemia hospitalized for the treatment of vaso occlusive crisis. The nurse
determines that which of these diagnoses should receive priority in the clients͛ plan of care?

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c
a. compromised family coping
b. impaired tissue perfusion
c. acute pain
d. impaired social interaction

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