gonorrhea immediately after delivery. When providing nursing care for her baby, an important goal is to:
A. Prevent the development of opthalmia neonatorum B. Lubricate the eyes C. Prevent the development of thrush D. Teach the danger of breast-feeding with gonorrhea 2. What nursing diagnosis would be the highest priority when caring for a preterm infant? A. Ineffective thermoregulation related to lack of subcutaneous fat B. Anticipatory grieving related to loss of perfect delivery C. Imbalanced nutrition related to immature digestive system D. Risk for injury related to thin epidermis 3. A 3 yr. old child has a fractured femur and is in Bryant traction. To evaluate the correct application of the traction, the nurse should note that: A. The child is being continuously and gradually pulled towards bottom of bed. B. The childs buttocks are raised slightly C. The childs leg is at 45 degree angle to the bed. D. The child can move unaffected leg freely 4. When child abuse is suspected, that nurse knows that abusive burns will: A. Have a number of scar B. Have identifiable shapes C. Display an erratic pattern D. Be on the side of the body 5. You have assessed 4 children of varying ages. Which one would require further evaluation? A. A 7-month old who is afraid of strangers B. A 4 year old who talks to an imaginary playmate C. A 9 year old with enuresis D. A 16 year old-male who has nocturnal emissions 6. Down syndrome is caused by: A. An autosomal recessive defect B. An extra chromosome C. A sex-linked defect D. A dominant gene 7. A 4 year old with Tetralogy of Fallot is seen in a squatting position near his bed. The nurse should: A. Administer oxygen B. Take no action if he looks comfortable, but continue to observe him C. Pick him up and place him in Trendelenburgsposition in bed D. Have him stand up and walk around the room 8. What developmental skill should the parents of a 6 month old expect to see their child achieving? A. Language development B. Sitting alone C. Social smile D. Pulling up to a standing position 9. A 10 year old child takes Aspirin qid for juvenile rheumatoid arthritis. What symptoms her mother observe that would be indicative of aspirin toxicity? A. Hypothermia B. Hypoventilation C. Decreased hearing acuity D. Increased urinary output 10. An autistic child will have a deficit in: A. Hearing B. Speech C. Vision D. Intelligence 11. A one-day-old infant is admitted of having esophageal atresia with tracheo- esophageal fistula. What symptoms would indicate this? A. Bile-stained vomitus and a weak cry B. Diarrhea and colicky abdominal pain C. Excessive drooling and immediate regurgitation of feedings D. Visible peristaltic waves and projectile vomiting 12. A 10 year old is being prepared for a bone marrow transplant. The nurse can assess how well he understands this treatment when he says: A. I will be much better after this blood goes to my bones. B. I wont feel too good until my body makes healthy cells. C. This will help all the medicine they give me to work better. D. You wont have to wear a mask and gown after my transplant. 13. A 10 month old child is brought to the clinic for the first time. During the interview, the mother states that her baby is allergic to eggs. This is important because the child will need testing before receiving: A. DPT B. IPV C. OPV D. MMR 14. A child undergoes an open reduction and application of a hip spica cast. The best way the nurse can keep a hip spica cast as free of urine and stool as possible is to: A. Use a Bradford frame B. Use a Denis Browne splint C. Catheterize the child prn D. Insert an indwelling catheter 15. An infant is fitted with a Pavlik harness. Home instruction for the parents would include all of the following except A. Turn the infant q 3 to 4 hours B. Keep her off the affected side C. Watch for signs of skin breakdown D. Give her sponge baths, not tub baths 16. To prevent skin irritation at the edges of hip spica cast, the nurse may do all of the following except: A. Give meticulous skin care. B. Petal the edges with moleskin C. Use baby powder around the edges D. Tuck plastic wrap under the edges 17. Children who survive physical abuse are least likely to become: A. Depressed B. Drug abuse C. Abusive parents D. Academic achievers 18. A nurse is performing a baseline neurological exam on a 6 year old child, who was brought to the hospital, unconscious after being hit by a car. The nurse will evaluate all of the following except: A. Motor function B. Visual acuity C. Vital sign D. Level of consciousness 19. The most helpful information for the nurse performing a neurological examination on the 6 year old child, unconscious, after being hit by a car, is the nurse knowledge of: A. Normal growth and development B. Childs usual behavior and status C. Childs past medical history D. Childs growth and developmental progress during infancy 20. A nurse explains that a child with at the toid cerebral palsy most probably will demonstrate: A. Exaggerated hyperactive reflexes B. Normal intelligence level C. Slow, wormlike, writing movements D. Unsteady gait and clumsy, uncoordinated upper extremity function 21. A 2 month old infant is suspected of having coartation of the aorta. The cardical sign of this defect is: A. Clubbing of the digits and circumoral cyanosis B. Pedal edema and portal congestion C. Systolic ejection murmur D. Upper extremity hypertension 22. A six month old infant has recently begun cereal feedings. Which of the following manifestations would support a nursing diagnosis of ineffective infant feeding pattern? A. Frequent loose stools B. Increased abdominal girth C. Persistent tongue thrusting D. Lengthened time between meals 23. Which of the following goals would be given priority in the care plan of a 2 year old child who has acute gastroenteritis? A. Promote hydration B. Reduce lethargy C. Preserve skin integrity D. Maintain comfort 24. Which of the following laboratory values would a nurse closely monitor in a 4 year old child who has acute gastroenteritis? A. Serum amylase B. Serum potassium C. Total bilirubin D. Hemoglobin level 25. A nurse should expect a 6 month old infant who has iron deficiency anemia to have which of the following findings? A. Weight for length at the 25th percentile B. Pale, chubby appearance C. History of fractured clavicle at birth D. Delayed eruption of primary teeth