Which child is at highest risk for requiring hospitalization to treat respiratory syncytial virus (RSV)?
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Question 2 of 96
The nurse is concerned with the prevention of communicable disease. Primary prevention results from
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Question 3 of 96
What is the first-line treatment for a neonate with respiratory distress syndrome (RDS)?
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Question 4 of 96
A neonate born at 32 weeks of gestation is experiencing apnea. What is the most appropriate treatment?
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Question 5 of 96
One of the early signs of hypoxic respiratory failure is
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Question 6 of 96
Infant immunizations should begin at which age?
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Question 7 of 96
Toddlers have a negativistic and egoistic personality. They usually exhibit temper tantrums to gain control over their environment. Bona, a Community Health Nurse is making a newborn follow-up home visit. During the visit, Nicole a 2-year-old sibling has temper tantrums. Which of the following is the most appropriate nursing action?
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Question 8 of 96
A nurse is caring for a child with a traumatic brain injury (TBI). The nurse should be most concerned if the child displays which of the following signs?
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Question 9 of 96
Which of the following would the nurse need to keep in mind as a predisposing factor when formulating a teaching plan for a child with a urinary tract infection?
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Question 10 of 96
What is the most common cause of brain injury in neonates born at full-term?
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Question 11 of 96
A term neonate is to be released from hospital at 2 days of age. The nurse performs a physical examination before discharge. Which of the following findings requires further assessment?
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Question 12 of 96
In which position should the parents be instructed to place their newborn for sleep?
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Question 13 of 96
A 3-year child presents in emergency department with history of difficulty in breathing for 1 day. He is diagnosed as having asthma as he had similar episodes on and off relieved with nebulization with beta agonists. In emergency department he is given nebulization with beta agonists, injection methylprednisolone but did not respond. Which of following is the next best treatment option?
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Question 14 of 96
If the nurse suspects a pulmonary embolism in the patient who suddenly complains of chest pain, she or he should immediately
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Question 15 of 96
A nurse is caring for a child with a congenital heart defect. The nurse should prioritize which of the following interventions?
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Question 16 of 96
When Sarah was 4 months old and had already been diagnosed with cystic fibrosis, her parents were learning about interventions they needed to incorporate into her daily routine to promote her best help. One of the questions they had was when to begin Sarah's first chest physiotherapy (CPT) of each day. The nurse's best response would be:
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Question 17 of 96
The nurse is providing care to a patient 2 hours after a cesarean birth. In the hand-off report, the preceding nurse indicated that the patient's lochia was scant rubra. On initial assessment, the oncoming nurse notes the patient's peripad is saturated with lochia rubra immediately after breastfeeding her infant. What is the nurse's priority action with this finding?
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Question 18 of 96
A nurse is assessing a child with a history of hydrocephalus. Which of the following findings should the nurse be most concerned about?
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Question 19 of 96
A nurse has been assigned to take care of a pediatric patient suspected of having chicken pox (varicella). Which type of precaution is required?
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Question 20 of 96
Which are the benefits of therapeutic play for a hospitalized child?
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Question 21 of 96
When providing postoperative care for the child with a cleft palate, the nurse should position the child in which of the following positions?
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Question 22 of 96
What is the most appropriate test to confirm the diagnosis of neonatal sepsis?
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Question 23 of 96
Which of the following conditions is most commonly associated with persistent pulmonary hypertension (PPHN) in neonates?
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Question 24 of 96
A nurse is assessing a 3-year-old child with a history of frequent ear infections. The nurse should expect to see which of the following during a physical exam?
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Question 25 of 96
The mother tells the nurse that her other child, a 4-year-old boy, has developed some 'strange eating habits', including not finishing meals and eating the same foods for several days in a row. She would like to develop a plan to correct this situation. In developing such a plan, the nurse and mother should consider...
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Question 26 of 96
The nurse is explaining the risk of hypothermia in the newborn to a group of nursing students. Which statement best describes the manifestations of hypothermia in the newborn?
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Question 27 of 96
To assess fundal contraction 6 hours after cesarean birth, which technique should the nurse utilize?
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Question 28 of 96
Despite popular belief, there is a rare type of hemophilia that affects women of childbearing age. Von Willebrand disease is the most common of the hereditary bleeding disorders and can affect males and females alike. It results from a factor VIII deficiency and platelet dysfunction. Although factor VIII levels rise naturally during pregnancy, there is an increased risk for postpartum hemorrhage from birth until 4 weeks postpartum as levels of von Willebrand factor (vWf) and factor VIII fall. The treatment that should be considered first for the client with von Willebrand disease who experiences a postpartum hemorrhage is:
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Question 29 of 96
A pregnant woman has been diagnosed with pregestational diabetes. Which of the following risk factors should the therapist be aware at the time of delivery?
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Question 30 of 96
What is the priority nursing objective for the family of an infant with an ear infection?
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Question 31 of 96
Physical examination and an upright, posteroanterior chest radiograph with subsequent measurement of the angle of curvature (Cobb technique) remain the gold standard for assessment of scoliosis. Scoliosis is defined when curves exceed:
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Question 32 of 96
Which of the following is the most appropriate treatment for a neonate diagnosed with retinopathy of prematurity (ROP)?
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Question 33 of 96
Which of the following is the most common complication of preterm birth?
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Question 34 of 96
Kurt developed polycythemia. This can be understood as an adjustment evoked by his:
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Question 35 of 96
A nurse is assessing a child with an infection and elevated white blood cell count. Which of the following interventions should be implemented first?
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Question 36 of 96
A nurse is educating the parents of a child who has been diagnosed with attention deficit hyperactivity disorder (ADHD). The nurse should explain that ADHD
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Question 37 of 96
Conditions associated with increased intrathoracic pressure in children include all the following EXCEPT:
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Question 38 of 96
The Pco2 from a capillary sample is similar to that from arterial blood. The Pco2 in venous samples is approximately higher than arterial Pco2 by
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Question 39 of 96
Nursing measures that help prevent postpartum urinary tract infection include
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Question 40 of 96
What is the first-line intervention for a neonate with moderate dehydration?
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Question 41 of 96
What is the first-line treatment for a neonate with meconium aspiration syndrome (MAS)?
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Question 42 of 96
What is the recommended first-line treatment for a neonate diagnosed with hypoxic-ischemic encephalopathy (HIE)?
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Question 43 of 96
What is the primary purpose of a cardiac catheterization in pediatric patients?
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Question 44 of 96
Which of the following conditions is responsible for up to 40% of the preterm births in the United States?
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Question 45 of 96
The most appropriate comfort intervention for a child with severe itching related to chickenpox is
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Question 46 of 96
If the nurse suspects a complication of a low forceps birth labor, she should immediately
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Question 47 of 96
How many kilocalories per kilogram (kcal/kg) of body weight does a full-term formula-fed infant need each day?
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Question 48 of 96
The difference between nonphysiologic jaundice (pathologic jaundice) and physiologic jaundice is that nonphysiologic jaundice
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Question 49 of 96
What is the recommended first-line intervention for a neonate with severe hypothermia?
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Question 50 of 96
A nurse is providing care to a child with asthma who is using a peak flow meter. The nurse should explain that the green zone on the peak flow meter indicates that
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Question 51 of 96
In comparison with the term infant, the preterm infant has
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Question 52 of 96
Which information should the nurse teach to new parents regarding the use of a bulb syringe?
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Question 53 of 96
A nurse is caring for a child with a burn injury. Which of the following interventions should the nurse prioritize?
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Question 54 of 96
Which of the following is the most common cause of heart failure in neonates?
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Question 55 of 96
Homer's cleft lip predisposes him to infection primarily as a result of:
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Question 56 of 96
How should the therapist interpret a fetal biophysical profile score of 7?
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Question 57 of 96
Growth & Development is very crucial since, the health care provider has to identify if a child can follow the normal pattern. One should know the characteristics of growth and development to effectively assess it. Minchin is discussing the concepts of growth and development to a group of nursing students. She asked Cedric to summarize it. Which of the following responses needs further teaching?
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Question 58 of 96
Which statement best explains why a newborn with a congenital defect of the penis should not be circumcised?
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Question 59 of 96
Acyclovir (Zovirax) is given to children with chickenpox to
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Question 60 of 96
A postpartum patient would be at increased risk for postpartum hemorrhage if she delivered a(n)
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Question 61 of 96
What is the recommended intervention for a neonate with a patent ductus arteriosus (PDA) causing respiratory distress?
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Question 62 of 96
Which child is in the greatest need of emergency medical treatment?
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Question 63 of 96
The nurse prepares the second diphtheria, tetanus toxoid, and acellular pertussis (DTaP) and second inactivated polio vaccine (IPV) immunization injections for an infant who is 4 months old. The nurse may also give which of immunizations during the same well-child-care appointment?
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Question 64 of 96
Common manifestations of obstructive sleep apnea in children include all of the following EXCEPT
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Question 65 of 96
The main reason for surgical correction of pectus excavatum is generally to improve
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Question 66 of 96
A nurse is caring for a child with type 1 diabetes. The nurse should educate the child's parents about the importance of monitoring which of the following?
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Question 67 of 96
Immediately after birth, a newborn is dried before being placed in skin-to-skin contact with the mother. What type of heat loss does this intervention prevent?
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Question 68 of 96
What is the term for a small collection of blood that forms underneath the skull as a result of birth trauma?
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Question 69 of 96
If the patient's white blood cell (WBC) count is 25,000/mm³ on her second postpartum day, which action should the nurse take?
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Question 70 of 96
The mother tells the nurse that she is having problems toilet-training her 2-year-old child. The nurse would tell the mother that the number one reason that toilet training in toddlers fails is because...
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Question 71 of 96
Which of the following is an appropriate toy for an 18-month-old?
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Question 72 of 96
The best way to identify the anatomy of a child with choanal atresia is
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Question 73 of 96
Following the vaginal birth of a macrosomic infant, the nurse should evaluate the infant for
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Question 74 of 96
A neonate is diagnosed with respiratory distress syndrome (RDS). What is the first-line management for this condition?
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Question 75 of 96
By the end of which of the following would the nurse most commonly expect a child's birth weight to triple?
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Question 76 of 96
A two-month-old infant is brought to the clinic for the first immunization against DPT. The nurse should administer the vaccine via what route?
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Question 77 of 96
Which statement indicates the mother needs more education regarding her daughter’s pharyngitis?
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Question 78 of 96
Croup, or laryngotracheobronchitis, is the most common infection of the middle respiratory tract. Of the following, The MOST common cause of croup is
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Question 79 of 96
A therapist is called to the labor and delivery room to assist in the resuscitation of a term newborn. If necessary, what FiO2 should be used to start positive pressure ventilation?
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Question 80 of 96
Which physical finding is most concerning in an infant with respiratory distress?
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Question 81 of 96
What should the nurse explain to parents about the inheritance of cystic fibrosis?
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Question 82 of 96
The following may be effective treatments for common cold EXCEPT
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Question 83 of 96
The nurse explained to the mother that according to Erikson's framework of psychosocial development, play is a vehicle for development and can help the school-age child develop a sense of...
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Question 84 of 96
Infectious agents that commonly cause community-acquired pneumonia vary by age. Of the following, the MOST common pathogen in 3 months to 5 years age group is
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Question 85 of 96
Which technique should the nurse recommend to the postpartum patient in order to prevent nipple trauma?
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Question 86 of 96
What is the most appropriate intervention for a neonate who is not responding to positive pressure ventilation and has a heart rate below 60 beats per minute?
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Question 87 of 96
What is the best response to a parent concerned about the life expectancy of a child with cystic fibrosis (CF)?
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Question 88 of 96
What is the most appropriate intervention for a neonate with transient tachypnea of the newborn (TTN)?
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Question 89 of 96
Recurrent pneumonia is defined as:
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Question 90 of 96
Which of the following is a characteristic of apnea of prematurity?
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Question 91 of 96
What is the first-line treatment for a neonate diagnosed with jaundice?
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Question 92 of 96
The finding of the following pathogen on culture of the lower airways strongly suggests a diagnosis of cystic fibrosis:
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Question 93 of 96
After explaining the neonate's cranial molding, which of the following statements by the mother indicates a need for further instruction?
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Question 94 of 96
Which of the following skills is the most significant one learned during the school-age period?
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Question 95 of 96
Which of the following is the most common complication in preterm infants?
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Question 96 of 96
The lung bud emerges from which of the following structures?
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