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Worksheetstest 3
Total questions: 65
Worksheet time: 37mins
A nurse is providing teaching to the parent of a child newly diagnosed with amblyopia. Which statement by the parent indicates understanding of the treatment?
select all that apply
A. “My child may need eyeglasses if they have nearsightedness or farsightedness.”
B. “We will patch the weaker eye so the stronger eye has to work harder.”
C. “Daytime patching may be enough to strengthen the weaker eye.”
D. “Keeping the patch on all the time is always required.”
A nurse is teaching parents about febrile seizures in children. Which statement by the parent indicates correct understanding of the cause?
“They are caused by a rapid rise in temperature, usually above 38.8°C (102 °F).”
“They happen because of brain damage from the fever.”
“They occur when a fever stays high for several days.”
“They are always caused by an infection in the brain.”
The nurse is teaching a group of parents about bacterial meningitis in children. Which statement best describes the cause of the infection?
“Only one specific bacteria causes bacterial meningitis in all age groups.”
“In newborns, Group B streptococcus is the primary cause.”
“The organisms may reach the meninges through the bloodstream or nearby infections.”
“The infection can only spread directly from the ear.”
The nurse is teaching a client about cholesterol. Which statement correctly describes the difference between LDL and HDL?
“LDL carries cholesterol to the cells, while HDL carries cholesterol to the liver for excretion.”
“LDL contains more protein than HDL.”
“HDL contains little cholesterol and high levels of protein, while LDL has high cholesterol and some protein.”
“HDL carries cholesterol to the cells for steroid production.”
A nurse is reviewing risk factors for primary (essential) hypertension with a client. Which factors increase the risk?
Heredity
Obesity
Stress
Poor diet and lack of exercise
Presence of kidney disease
A pediatric nurse is explaining transitional objects to the parents of a hospitalized toddler. Which statement indicates understanding?
“A transitional object, like a blanket or favorite toy, can help my child feel secure.”
“A transitional object should only be used at bedtime.
“A transitional object prevents my child from forming attachments to people.”
“A transitional object increases my child’s anxiety in the hospital.”
A nurse is caring for a child who just had a tonsillectomy. Which foods or drinks would be appropriate to offer?
Small amounts of clear liquids
Red gelatin
Brown-colored soda
An ice pop
Soft foods once clear liquids are tolerated
The nurse is caring for an infant with respiratory syncytial virus (RSV). Which interventions are appropriate?
Assign the infant to personnel who are not caring for high-risk patients.
Use contact isolation precautions.
Wash hands frequently with liquid soap.
Place a bar of soap at the sink for staff to use.
Implement strict infection prevention and control measures.
The nurse is making room assignments for hospitalized clients. Which room assignment is most appropriate for an adolescent?
A semiprivate room with another adolescent
A private room away from other patients
A room next to a dying elderly patient in the adult unit
A room next to an infant in the pediatric unit
A nurse is caring for a child with a soft tissue injury. Which interventions are appropriate?
Apply a cold pack and elastic wrap in 30-minute intervals.
Elevate the injured extremity above the level of the heart.
Perform frequent neurovascular checks when using an elastic bandage.
Keep the cold pack in place continuously to maximize pain relief.
Encourage rest of the injured area.
A nurse is teaching a parent about retinoblastoma. Which statement is accurate?
“Retinoblastoma is a benign tumor of the retina.”
“It can occur as a hereditary or spontaneous form.”
“It only occurs in adults.”
“It affects the lens of the eye.”
A nurse is caring for a toddler whose parent has left the room. Which statement is appropriate when explaining when the parent will return?
“Your mom will be back in exactly 2 hours.”
“Your mom will be back when lunch is over.”
“I don’t know when your mom will be back, so just wait here.”
“Your mom might be back soon, maybe today or tomorrow.”
A nurse is teaching a parent about safe medication administration for a child. Which statements indicate correct understanding? (Select all that apply.)
“I can call the pills ‘candy’ to make my child take them more easily.”
“I should complete the entire prescribed course of treatment.”
“I can use a household teaspoon to measure the medication for my child.”
“I can let my toddler help by squirting the medication into their own mouth.”
“I should keep a written schedule and document each dose.”
A nurse arrives on the scene of a pediatric emergency. Which assessment should be the nurse’s first priority?
Checking the child’s airway for obstruction
Assessing the child’s heart rate and blood pressure
Determining the child’s level of pain
Asking the child about allergies
A nurse is assessing a child for otitis media (OM). Which manifestations may be present? (Select all that apply.)
Severe ear pain
Irritability and frequent ear rubbing in infants
Fever up to 40°C (104 °F)
Reddened and bulging tympanic membrane on otoscopic exam
Drainage from the ear if the eardrum ruptures
A nurse is teaching parents about the treatment options for an infant with hypoplastic left heart syndrome (HLHS). Which statements are accurate? (Select all that apply.)
Prostaglandin E1 is given to keep the ductus arteriosus open.
A three-stage surgical procedure may be performed if a heart transplant is not immediately available.
Heart transplant is no longer considered for infants with HLHS.
Immunosuppressive therapy is required after heart transplant to prevent organ rejection.
Therapeutic catheterization procedures can be alternatives to open-heart surgery in some cases.
A nurse is educating parents about expected weight gain in infants and children. Which statements are accurate? (Select all that apply.)
A full-term newborn typically weighs between 2.72 and 4.09 kg (6–9 lb).
Newborns usually regain their birth weight by 10–12 days of age.
Birth weight usually doubles by 5–6 months of age.
Birth weight usually triples by 1 year of age.
After the first year, weight gain slows to approximately 1.82–2.73 kg (4–6 lb) per year until puberty.
A nurse is teaching a parent about a fracture involving a child’s epiphyseal (growth) plate. Why is proper treatment essential?
Injury to the epiphysis can affect bone growth.
Children’s bones do not overgrow after trauma.
Rotational or angular forces can stress ligaments at the epiphyseal area.
Hyperemia from trauma may lead to bone overgrowth in children younger than 10 years.
A nurse is teaching parents why their infant may be prone to ear infections. Which statement is accurate?
“Infants have shorter, straighter, and wider eustachian tubes than older children.”
“Infants produce less earwax, which causes infections.”
“Infants have stronger immune systems than older children, making infections more likely.”
“The outer ear of infants is more prone to injury, causing ear infections.”
A school nurse is explaining dyslexia to a parent. Which statement best describes the condition?
“Dyslexia is a problem with intelligence that affects reading skills.”
“Dyslexia is a language-based learning disability affecting word decoding, recognition, and reading comprehension.”
“Dyslexia is caused by poor vision and hearing.”
“Dyslexia only affects children with low academic potential.”
A nurse is preparing a child for a procedure with conscious sedation. Which statement accurately describes this type of sedation?
“Conscious sedation renders the patient completely unconscious and unable to protect their airway.”
“Conscious sedation impairs consciousness but preserves protective reflexes and the ability to respond to stimuli.”
. “Conscious sedation is the same as general anesthesia.”
“Conscious sedation allows the patient to sleep without monitoring vital signs.”
A nurse is teaching a new parent about infant development. Which statement best describes cephalocaudal development?
“Muscular control develops from the feet upward to the head.”
“Muscular control develops from the head downward to the feet.”
“Muscular control develops simultaneously in all body parts.”
“Muscular control develops from the trunk outward to the extremities.”
A nurse is assessing an infant’s heart rate. Where is the correct location to auscultate the apical pulse?
At the 2nd intercostal space, right of the sternum
At the radial artery on the wrist
At the 4th intercostal space, just left of the midclavicular line
At the femoral artery in the groin
A nurse is assessing a child with allergic rhinitis. Which of the following manifestations may indicate an “allergic salute”? (Select all that apply.)
Rubbing the nose repeatedly in response to nasal discharge
Darkened circles under the eyes (allergic shiners)
A transverse crease across the bridge of the nose
Swelling of the hands and feet
Frequent sneezing
A nurse is caring for a child with meningitis. Which interventions are appropriate? (Select all that apply.)
Prepare a single room according to hospital protocol.
Perform frequent neurological checks.
Maintain accurate records of vital signs and intake and output.
Organize care to minimize disturbances to the child.
Encourage group activities to keep the child alert.
A nurse is teaching a group of parents about the impact of hearing impairment on children. Which statements are accurate? (Select all that apply.)
Hearing loss can affect speech and language development.
Hearing impairment may influence social and emotional development.
Academic achievement may be affected by hearing loss.
Hearing impairment only affects physical development, not communication.
Behavioral issues may arise in children with hearing loss.
A nurse is preparing a child for a procedure. Which statements accurately describe informed consent? (Select all that apply.)
The parent or legal guardian must understand the purpose and risks of the procedure.
Consent must be given voluntarily by the parent or guardian.
Only the health care provider needs to sign the consent.
A witness must sign the consent along with the parent and provider.
The nurse ensures the child receives age-appropriate information about the procedure.
A nurse is planning the discharge of a pediatric patient. What is the primary goal of discharge planning?
Encourage the family to manage care independently without guidance
Provide routine supportive care, encourage follow-up, and promote growth and development
Schedule unnecessary procedures to ensure frequent contact with the clinic
Focus only on giving medications to the child
A nurse is reviewing a child’s cardiac diagnosis of Tetralogy of Fallot. Which of the following defects are associated with this condition?
Pulmonary artery stenosis, right ventricular hypertrophy, dextroposition of the aorta, and ventricular septal defect (VSD)
Patent ductus arteriosus, left ventricular hypertrophy, atrial septal defect, and coarctation of the aorta
Pulmonary valve atresia, left ventricular hypertrophy, transposition of the great arteries, and VSD
Tricuspid atresia, right ventricular hypertrophy, patent foramen ovale, and aortic stenosis
A nurse is caring for a 6-month-old infant with Tetralogy of Fallot. Which assessment finding requires the highest priority intervention?
Mild swelling in the ankles
A cyanotic episode with irritability and rapid breathing (“tet spell”)
Slight low-grade fever
A heart murmur heard at the upper left sternal border
A nurse is assessing a child with suspected sinusitis. Which manifestations would the nurse expect?
Nasal congestion, facial pain, headache, and postnasal drip
Barrel-shaped chest, salty sweat, and meconium ileus
Rectal prolapse, pancreatic enzyme deficiency, and clubbing of fingers
Cyanosis, dyspnea, and chronic cough
A nurse is caring for a child suspected of being abused. Which therapeutic communication and interventions are appropriate?
Ask direct questions repeatedly about the abuse to get more details.
Approach the child quietly, explain treatments in advance, and limit the number of caretakers.
Speak negatively about the parents to encourage honesty.
Discourage play or drawing as a way for the child to express feelings.
A nurse is caring for a child after a tonsillectomy. Which finding would indicate a possible postoperative complication?
Sleeping quietly in a side-lying position
Frequent swallowing and vomiting bright red blood
Mild throat discomfort relieved by ice collar
Occasional clearing of the throat after eating soft foods
A nurse is teaching new parents how to reduce the risk of sudden infant death syndrome (SIDS). Which instruction is appropriate?
Place the infant on a soft mattress with loose blankets.
Avoid using a pacifier during sleep.
Home apnea monitors are proven to prevent SIDS in all infants.
Position the infant on their back on a firm mattress.
A nurse is educating parents about Reye’s syndrome. Which statement indicates correct understanding of this condition?
Reye’s syndrome is a bacterial infection that causes inflammation of the brain and liver.
Aspirin use during viral illnesses like chickenpox or the flu may increase the risk of Reye’s syndrome.
Reye’s syndrome only affects the kidneys and lungs.
Reye’s syndrome is not related to any medications or viral infections.
A nurse is assessing an infant for signs of increased intracranial pressure (ICP). Which of the following findings is most indicative of ICP?
Clear nasal discharge and mild cough
Bulging fontanelle, high-pitched cry, and vomiting
Slight fever and rash
Rapid weight gain and excessive urination
A nurse is preparing to give an intramuscular (IM) injection to a 2-year-old child. Which site is preferred for this age group?
Deltoid muscle of the upper arm
Gluteus maximus muscle
Vastus lateralis muscle of the anterolateral thigh
Abdomen
A nurse is caring for a child with a newly applied plaster cast. How should the cast be handled while it is still wet?
The cast can be washed and dried immediately.
The cast should be handled carefully with open palms and extended fingers to avoid pressure areas.
The child can lean on the cast to support weight.
The cast can be poked or pressed to shape it as needed.
A nurse is performing a neurovascular check on a child with a cast. Which assessment findings are included?
Peripheral pulse, color, capillary refill, warmth, movement, and sensation
Blood pressure, respiratory rate, temperature, and oxygen saturation
Heart sounds, lung sounds, and bowel sounds
Height, weight, and head circumference
A nurse is teaching parents about the safe use of an infant car seat. Which instruction is correct?
The infant’s car seat can be placed in the front seat if the airbag is turned off.
The infant’s chin should not rest on the chest, and the car seat should not be used as a prolonged sleeping arrangement.
Rear-facing car seats are only needed until 6 months of age.
The infant can be placed in any rear seat location as long as the seatbelt is secured.
A nurse observes clubbing of a child’s fingers and toes. What does this finding most likely indicate?
Acute viral infection
Chronic hypoxia, often seen in conditions such as cystic fibrosis
Low blood sugar
Dehydration
A nurse is teaching parents about Kawasaki disease. How does Kawasaki disease affect the child’s heart?
It causes inflammation of the vessels, which may weaken the walls and lead to aneurysms.
It directly infects the heart muscle causing viral myocarditis.
It causes only mild, temporary changes in heart rhythm with no structural effects.
It primarily affects the veins in the legs, with little impact on the heart.
A nurse is reviewing congenital heart defects with a parent. Which of the following defects increases pulmonary blood flow?
Tetralogy of Fallot
Coarctation of the aorta
Hypoplastic left heart syndrome
Atrial septal defect, ventricular septal defect, and patent ductus arteriosus
A nurse is teaching parents about a child diagnosed with a ventricular septal defect (VSD). How does this defect affect blood flow?
Blood flows from the right ventricle to the left ventricle (right-to-left shunt).
Blood bypasses the lungs entirely and enters systemic circulation.
Increased pressure in the left ventricle forces blood back into the right ventricle (left-to-right shunt).
Blood flow is obstructed from the aorta to the systemic circulation.
A nurse is teaching parents about “tet spells” in a child with tetralogy of Fallot. Which statement correctly describes the manifestations and immediate treatment?
Tet spells cause high fever and are treated with antipyretics.
Tet spells result in vomiting and diarrhea and are treated with oral rehydration.
Tet spells involve sudden cyanosis, respiratory distress, and weakness, and the child should be placed in a knee-chest position to relieve symptoms.
Tet spells cause mild cough and nasal congestion, and treatment involves humidified air.
A nurse is assessing a child with suspected coarctation of the aorta. Which manifestation is characteristic of this condition?
Equal blood pressure and pulses in all extremities
Cyanosis of the lips and nail beds only
Persistent cough and frequent respiratory infections
Marked difference in blood pressure and pulses between the upper and lower extremities
A nurse is assessing a child with a suspected congenital heart defect (CHD). Which of the following findings would most likely indicate a CHD?
Mild cough and seasonal allergies
Frequent urination and excessive thirst
Cyanosis, fatigue during feeding, clubbing of fingers, and tachypnea
Intermittent headaches and dizziness only
A nurse is teaching the parents of an infant with congestive heart failure (CHF) about feeding requirements. Which instruction is appropriate?
Feed the infant only when crying and allow long intervals between feedings.
Use a low-sodium formula exclusively to prevent fluid retention.
Provide large feedings to reduce the number of times the infant must eat.
Offer small, frequent feedings using a soft nipple with appropriately sized holes, and consider higher-calorie formulas if needed.
A nurse is teaching parents about rheumatic fever (RF) and its effects on the heart. Which statement is accurate?
Rheumatic fever primarily affects the aorta and causes hypertension.
Rheumatic fever affects only the electrical conduction system of the heart.
Rheumatic fever can cause scarring of the mitral valves and requires antibacterial therapy, rest, and management of cardiac symptoms.
Rheumatic fever only causes temporary swelling of the myocardium with no long-term consequences.
A nurse is preparing to administer medications that require a second nurse to verify the dose. Which of the following medications requires a second verifier?
Acetaminophen and ibuprofen
Amoxicillin and ceftriaxone
Loratadine and fexofenadine
Digoxin, heparin, insulin, and potassium
A nurse is assessing a toddler for signs of separation anxiety. At what age is separation anxiety most prevalent?
Around 18 months to 2 years (toddler age)
At birth to 3 months
At 4–5 years (preschool age)
During adolescence
A nurse is assessing a child for hydration status. Which finding indicates adequate hydration?
Good skin turgor, moist mucous membranes, and no weight loss
Dry lips, sunken eyes, and rapid weight loss
Poor skin elasticity, lethargy, and tachycardia
Increased capillary refill time, cool extremities, and irritability
A nurse is preparing a preschooler for an upcoming surgery. Which is the best approach for preparing the child?
Give only vague explanations to avoid frightening the child.
Avoid answering questions to prevent confusion.
Provide clear, truthful explanations, encourage questions, use role-playing, and allow the child to explore hospital-related materials.
Prepare the child on the day of surgery without any prior discussion.
A nurse is assessing a child for scoliosis. How do the two main types of scoliosis present?
Functional scoliosis involves vertebral rotation and fixed spinal curvature, while structural scoliosis is flexible and correctable with posture changes.
Functional scoliosis is usually flexible and correctable with posture, while structural scoliosis is fixed, often with vertebral rotation, and hips or shoulders may appear uneven.
Both functional and structural scoliosis are flexible and easily corrected by standing straight.
Both types involve only poor posture and have no vertebral changes.
A nurse is educating parents about the long-term use of Dilaudid (hydromorphone) for their child. Which statement is most important to include in the teaching?
The medication is safe to give in larger doses if the child seems in more pain.
There is no need to monitor for side effects once the child has been taking it for a few weeks.
The medication can be shared with other family members if needed.
Keep the medication locked, monitor for side effects such as constipation, drowsiness, and respiratory depression, have Narcan available, and follow prescribed tapering to prevent withdrawal.
A nurse is teaching parents about the goals of treatment for a child with cerebral palsy (CP). Which statement best describes the main goal of treatment?
To cure cerebral palsy completely within the first few years of life
To prevent the child from participating in regular activities to avoid injury
To help the child maximize abilities, become well-adjusted, and achieve realistic short- and long-term goals
To focus exclusively on physical therapy while ignoring emotional and social development
A school-aged child with asthma wants to participate in sports. How should the nurse guide the child and their caregivers?
The child should avoid all physical activity to prevent asthma attacks.
The child should be encouraged to participate in physical activity with pretreatment using a short-acting beta-agonist if needed, and school personnel should be educated about activities best tolerated by the child.
The child should only participate in activities indoors and never outdoors.
The child should self-manage without adult supervision during sports.
A nurse is teaching a school-aged child with scoliosis and their parents about treatment. Which statement is correct regarding management and patient education?
Curves between 20 and 40 degrees require a Milwaukee brace, which should be worn 16–23 hours daily over a T-shirt to protect the skin.
All scoliosis curves require immediate surgical intervention regardless of degree.
Curves under 20 degrees are treated surgically to prevent progression.
Exercise is not recommended at any stage of scoliosis.
A school nurse is screening children for spinal deformities. Which finding and type of spinal curvature is characteristic of scoliosis?
Increased roundness in the thoracic curve, commonly found in the elderly (kyphosis)
Excessive inward curvature of the lumbar spine, commonly seen during pregnancy (lordosis)
Abnormal side-to-side curvature of the spine, commonly found in adolescents (scoliosis)
Forward tilting of the pelvis without spinal curvature
A nurse observes a hospitalized child reverting to earlier behaviors, such as bedwetting or thumb-sucking. How should the nurse interpret this behavior?
The child is intentionally misbehaving and should be disciplined.
The child is demonstrating normal curiosity and exploration.
The child is demonstrating a permanent delay in development.
The child is experiencing regression, which is the loss of previously achieved developmental skills, often due to stress from hospitalization.
A nurse is educating parents about generalized tonic-clonic (grand mal) seizures in their child. Which correctly identifies the phases of the seizure and what occurs in each phase?
Tonic phase only, during which the child experiences a brief sensation of déjà vu
Aura (subjective sensation), tonic-clonic seizure, and postictal lethargy (short period of sleep after the seizure)
Postictal phase only, characterized by muscle rigidity and loss of consciousness
Clonic phase only, characterized by brief warning sensations and no loss of consciousness
A nurse is caring for a child suspected of having epiglottitis. Which action should the nurse avoid to prevent life-threatening complications?
Monitor respiratory rate, oxygen saturation, and work of breathing
Keep the child calm and in a comfortable upright position
Prepare for possible emergency intubation
Perform a throat inspection using a tongue blade to assess the epiglottis
A 3-year-old child is brought to the emergency department with a “barking” cough, hoarseness, and inspiratory stridor. The child insists on sitting upright and appears anxious. Which condition and initial nursing action are most appropriate?
Epiglottitis; perform a throat inspection with a tongue blade to confirm diagnosis
Bronchiolitis; administer antibiotics immediately
Croup; maintain a calm environment and provide humidified oxygen while monitoring respiratory status
Asthma exacerbation; place the child in a supine position and start chest physiotherapy
During a school screening for scoliosis, a nurse observes an adolescent bending forward. Which finding is most consistent with scoliosis?
Forward rounding of the thoracic spine without shoulder asymmetry
One shoulder higher than the other, a prominent scapula, unequal arm-to-body spaces, or a protruding hip
Excessive inward curvature of the lumbar spine with no lateral deviation
Even shoulder height with symmetric hips and scapula
A school nurse is educating teachers about seizure types in children. Which description correctly matches the seizure type with its typical manifestations?
Absence seizure – sudden fall with stiffening and jerking of the whole body, loss of bladder control, followed by sleepiness
Complex partial seizure – brief staring spell lasting only a few seconds, child unaware of surroundings but quickly returns to normal
Generalized tonic-clonic seizure – sudden cry or aura, fall, rigidity, muscle jerking, possible loss of bladder or bowel control, shallow irregular breathing, followed by postictal sleep and confusion
Simple partial seizure – brief jerking of both arms and legs with immediate loss of consciousness
