1. The nurse is caring for a 2-week-old girl with a metabolic disorder. Which of the following activities would deviate from the characteristics of family-centered care?
Softening unpleasant information or prognoses
Evaluating and changing the
1. The nurse is teaching the mother of a 12-year-old boy about the risk factors associated
with drug and alcohol abuse. Which response by the mother indicates a need for further
A family history of alcoholism is a risk factor for substance ab
1. The nurse is caring for medically fragile children in a hospital setting. What nursing role
has the greatest impact on the child and family when caring for this population?
2. The nurse is teaching a g
1. A 3-year-old boy has been on chemotherapy for cancer. He complains about a sore
throat, is experiencing malaise, and has a temperature of 99.8F orally. His mother calls
the child's physician. What is the appropriate information for the nurse to tell hi
1. The nurse is teaching a pregnant woman with type 1 diabetes about her diet during pregnancy. Which client statement indicates that the nurse's teaching was successful?
I'll basically follow the same
diet that I was following before I became pregnant
1. The nurse is teaching a group of students about the differences between a full-term newborn and a preterm newborn. The nurse determines that the teaching is effective when
the students state that the preterm newborn has:
Fewer visible blood vessels
1. The nurse is administering Tylenol PRN to a 9-year-old child on the pediatric ward of
the hospital. Which of the following reflect nursing actions that follow the rules of the
"eight rights" of pediatric medication administration? Select all answers th
1. While talking with a pregnant woman who has undergone genetic testing, the woman informs the nurse that her baby will be born with Down syndrome. The nurse understands
that Down syndrome is an example of:
1. The nurse is examining a 10-month-old boy who was born 10 weeks early. Which of the
following findings is cause for concern?
The child has doubled his
The child exhibits plantar
The child's head circumference
1. When explaining how a newborn adapts to extrauterine life, the nurse would describe
which body systems as undergoing the most rapid changes?
Gastrointestinal and hepatic
Urinary and hematologic
Respiratory and cardiovascular
1. The nurse is assessing a 7-year-old boy with pharyngitis. The nurse would least likely
expect to assess which of the following?
Working hard to breathe
Rash on the abdomen
Sore throat and headache
2. The nurse hears wh
1. The nurse is developing a plan of care for a client who is receiving highly active antiretroviral therapy (HAART) for treatment of HIV. The goal of this therapy is to:
Promote the progression of
Intervene in late-stage AIDS
1. The nurse is performing a physical assessment of a 3-year-old girl. Which of the following would be a concern for the nurse?
The toddler gained 4 pounds in
weight since last year.
The toddler gained 3 inches in
height since last year.
1. A woman in her 40th week of pregnancy calls the nurse at the clinic and says she's not
sure whether she is in true or false labor. Which statement by the client would lead the
nurse to suspect that the woman is experiencing false labor?
1. After teaching a woman who has had an evacuation for a hydatidiform mole (molar
pregnancy) about her condition, which of the following statements indicates that the
nurse's teaching was successful?
I will be sure to avoid getting
pregnant for at lea
1. During a vaginal exam, the nurse notes that the cervix has a bluish color. The nurse documents this finding as:
2. The nurse teaches a primigravida client that lightening occurs
1. After discussing various methods of contraception with a client and her partner, the
nurse determines that the teaching was successful when they identify which contraceptive method as providing protection against sexually transmitted infections (STIs)?
1. The nurse teaches parents of adolescents that adolescents need the support of parents
and nurses to facilitate healthy lifestyles. Which of the following should be a priority focus of this guidance?
Reducing risk-taking behavior
1. After spontaneous rupture of membranes, the nurse notices a prolapsed cord. The nurse
immediately places the woman in which position?
2. A primigravida whose labor was initially progressing normally is no
1. The nurse is conducting a physical examination of a child with a ventricular septal defect. Which finding would the nurse expect to assess?
Right ventricular heave
Holosystolic harsh murmur
along the left sternal border
Fixed split-second hear
1. The nurse is performing a physical assessment of a 10-year-old boy. The nurse notes
that during last year's check-up the child weighed 80 pounds. According to average
growth for this age group, what would be his expected current weight?
1. The nurse is teaching the student nurse the physiology involved in pain transmission.
Which of the following statements accurately describes a physiologic event in the nervous system related to pain transmission? Select all answers that apply.
1. The nurse is teaching the mother of a toddler about burn prevention. Which response by
the mother indicates a need for further teaching?
We will leave fireworks displays to the professionals.
I will set our water heater at
1. The nurse is caring for a 6-year-old girl who was injured in a bicycle accident. Which
question would be most important for the nurse to ask during the health history?
Has she been diagnosed with
any chronic disorders?
Is your daughter currently
1. The nurse is developing the discharge plan for a woman who has had a left-sided modified radical mastectomy. The nurse is including instructions for ways to minimize lymphedema. Which suggestion would most likely increase the woman's symptoms?
1. The nurse is providing atraumatic care to children in a hospital setting. Which of the following are principles of this philosophy of care? Select all answers that apply.
Avoid or reduce painful procedures
Avoid or reduce physical distress
1. A newborn with severe meconium aspiration syndrome (MAS) is not responding to conventional treatment. Which of the following would the nurse anticipate as possibly necessary for this newborn?
Extracorporeal membrane oxygenation (ECMO)
1. The nurse is conducting a health history for a 9-year-old child with stomach pains.
Which of the following is a recommended guideline when approaching the child for information?
Wear a white examination coat
when conducting the interview.
1. When describing the menstrual cycle to a group of young women, the nurse explains
that estrogen levels are highest during which phase of the endometrial cycle?
2. After teaching a group of adoles
1. The nurse is teaching the mother of a 5-year-old boy with a myelomeningocele who has
developed a sensitivity to latex. Which of the following responses from his mother indicates a need for further teaching?
He needs to get a medical