CMA Review Flashcards
A nurse is preparing to assess a 4-year-old child’s visual acuity. Which of the following actions should the nurse plan first?
A. Use a tumbling E chart for the assessment
B. Position the child 4.6 meters (15 feet) from the chart
C. Asses both eyes together first, then each eye separately
D.Test the child without glasses before testing with glasses
A. Use a tumbling E chart for the assessment
A nurse is providing discharge teaching to a parent of a child who has juvenile idiopathic arthritis and a new prescription of prednisone/etanercept. Which of the following statements should the nurse include in the teaching?
A. Monitor your child for indications of infection
B. Discontinue this medication if gastrointestinal upset occurs
C. Expect that this medication will stimulate growth spurt
D. Limit your child’s intake of potassium-rich foods
A. Monitor your child for indications of infection
A nurse on a pediatric unit is caring for four children. The nurse should use droplet precautions for which of the following children?
A. An adolescent who has hepatitis A
B. A toddler who has seasonal influenza
C. A preschool-age child who has pediculosis capitis
D. A school-age child who has viral conjunctivitis
B. A toddler who has seasonal influenza
A nurse is providing teaching to an adolescent who has vulvovaginitis. Which of the following statements should the nurse include in the teaching?
A. Apply a warm, moist compress three times a day
B. Apply a scent baby powder to absorb residual moisture
C. Wear a feminine deodorant pad for vaginal drainage
D. Wear a nylon underwear at night
A. Apply a warm, moist compress three times a day
A nurse is caring a plan of care for a school-age child who has nephrotic syndrome. Which of the following interventions should the nurse include?
-provide a low sodium diet
-assess for protein in the urine
-obtain a daily weight
A nurse is providing postoperative care for a child following an arterial cardiac catheterization. Which of the following actions should the nurse take?
A. Remove the child’s pressure dressing after the first 4 hours.
B. Maintain the child’s NPO status for 4 to 6 hours.
C. Keep the affected extremity straight for at least 6 hours.
D. Monitor output using an indwelling urinary catheter for the first 24 hours.
C. Keep the affected extremity straight for at least 6 hours.
A nurse is teaching a parent of a toddler about administering digoxin. Which of the following statements by the parent indicates an understanding of the teaching?
A. I should give the medication with 4 ounces of my child’s favorite juice
B. I should give my child water after giving the medication
C. I should give the medication with foods that are high in fiber
D. I should give my child another dose if he vomits right after taking the medication
B. I should give my child water after giving the medication
A nurse is caring for a 9-year-old child who has a major burn to her face and upper torso. Which of the following actions should the nurse take first?
a.Administering a tetanus vaccine
b.Give pain medication
c.Begin enteral feeding
d.Initiate a crystalloid bolus
b.Give pain medication
A nurse is planning care for a toddler who has developed oral ulcers in response to chemotherapy. Which of the following actions should the nurse include in the plan of care?
A. Moisten the mucosa with lemon glycerin swabs.
B. Cleanse the gums with saline soaked gauze.
C. Administer oral viscous lidocaine.
D. Schedule routine oral care ever hr.
B. Cleanse the gums with saline soaked gauze.
A nurse in a community health clinic is assessing the needs of a single parent who has three young children and works full time. Which of the following resources should the nurse recommend?
A. 12-step support group
B. Respite child-care
C. Child home health care
D. Counseling for depression
B. Respite child-care
A nurse is caring for a child who has prescription for fluticasone and has developed white patches and sores in his mouth. Which of the following is an appropriate action for the nurse to take?
A. Encourage the use of a spacer
B. Withhold the medication until the lesions heal
C. Obtain a prescription for oral prednisone
D. Collect a culture from the lesions
D. Collect a culture from the lesions
A nurse is providing teaching to the parents of a child who has impetigo. Which of the following instructions should the nurse include in the teaching?
A. Seal soft toys in a plastic bag for 14 days
B. Apply bacterial ointment for lesions
C. Administer acyclovir PO two times per day
D. Soak hair brushes in boiling water for 10 minutes
B. Apply bacterial ointment for lesions
A nurse in an emergency department is caring for a child who is epiglottitis. Which of the following actions should the nurse take?
A. Provide nebulizer aerosol therapy
B. Administer IV antibiotics
C. Inspect the tonsils using a tongue depressor
D. Collect a throat culture
A. Provide nebulizer aerosol therapy
A nurse is planning care for a child who is placed in skin traction. Which of the following is the priority action for the nurse to take?
a. Maintain proper body alignment
b. Use an alternate pressure mattress
c. Monitor pedal pulses
d. Increase fluid intake
a. Maintain proper body alignment
A nurse is performing a physical assessment of a school-age child who has acute glomerulonephritis. Which of the following findings should the nurse expect?
A. Hypotension
B. Increased urinary output
C. Flushed skin
D. Facial edema
D. Facial edema
A nurse in an emergency department is assessing an adolescent who reports inhalation of gasoline.
Which of the following findings should the nurse expect?
A. Ataxia.
B. Hypothermia.
C. Hyperactive reflexes.
D. Pinpoint pupils.
A. Ataxia.
A nurse in the emergency department is assessing a toddler who has hyperpyrexia, severe dyspnea, and is drooling.
Which of the following actions should the nurse take first?
A. Administer an antibiotic to the toddler.
B. Obtain a blood culture from the toddler.
C. Insert an IV catheter for the toddler.
D. Prepare the toddler for nasotracheal intubation.
D. Prepare the toddler for nasotracheal intubation.
A nurse is caring for an infant who has hydrocephalus and ventriculoperitoneal shunt malfunction. Which of the following assessment findings indicates that the infant is experiencing increased intracranial pressure?
A. Increased appetite
B. Irritability
C. Flat fontanel
D. Tachycardia
B. Irritability
A nurse is assessing an infant who has iron deficiency anemia. Which of the following findings should the nurse expect?
a. Pale conjunctiva
b. Increased hemoglobin level
c. Bradycardia
d. Hyperactive muscle tone
a. Pale conjunctiva
A nurse is caring for a child who received partial-thickness burns to over 50% of his body 10 days ago and has splints over his joints to prevent contractures. Which of the following actions should the nurse take? (Select all that apply.)
A. Provide a high-calorie diet
B. Monitor intake and output.
C. Change dressings using aseptic technique
D. Remove splints during sleep
E. Administer analgesics IM
A. Provide a high-calorie diet
B. Monitor intake and output.
C. Change dressings using aseptic technique
A school nurse is assessing a 7-year-old student.
The nurse should identify which of the following findings as a potential indicator of physical abuse?
A. Weight in 45th percentile.
B. Abrasions on the knees.
C. Bruising around the wrists.
D. Front deciduous teeth missing.
C. Bruising around the wrists.
A nurse is assessing an 18-month-old child during a well-child visit. Which of the following findings should the nurse report to the provider?
A. The child crawls to navigate the room
B. The child has frequent temper tantrums
C. The child consistently throws items to the floor
D. The child scribbles on the wall with a crayon
A. The child crawls to navigate the room
A nurse is caring for an infant who has rotavirus.
Which of the following findings indicates that the infant is moderately dehydrated?
A.Respiratory rate 28/min.
B.Capillary refill 1 second.
C.Weight loss 7%.
D.Bradycardia.
C.Weight loss 7%.
A nurse is providing teaching about injury prevention to the parents of a toddler. Which of the following safety measures should the nurse include in the teaching?
A. Check clothing for loose buttons.
B. Adjust the water heater temperature to 54° C (129.2° F).
C. Place screens on all windows.
D. Provide balloons for play.
A. Check clothing for loose buttons.
A nurse is caring for a school-aged child who is in 90/90 skeletal traction. following actions should the nurse take?
A. Release the traction to allow the child to bathe
B. Place the child on an alternating pressure mattress
C. Adjust the weights to allow the child to turn
D. Ensure that the pulley mechanism is attached to the skin
B. Place the child on an alternating pressure mattress
A nurse is caring for a child who has increased intracranial pressure and is unconscious due to a closed head injury. Which of the following acons should the nurse take?
A. Maintain the child’s neck in an flexed position
B. Turn the child side to side every 2 hours
C. Initiate seizure precautions
D. Perform chest percussion as needed
C. Initiate seizure precautions
A nurse is providing teaching to the parents of a school-age child newly diagnosed with a seizure disorder. The nurse should teach the parents to take which of the following actions during a seizure?
A.Clear the area of hard objects.
B.Minimize movement of the limbs.
C.Insert a tongue blade between the teeth.
D.Place the child in a prone position.
A.Clear the area of hard objects.
A nurse is providing teaching to a parent of an infant who has diaper rash. Which of the following statements by the parent indicates an understanding of the teaching?
a. I will keep the area warm and moist.
b. I will use antibacterial soap to wash the rash with each diaper change.
c. I will use super absorbent disposable diapers
d. I will sprinkle talcum powder over the affected area twice daily.
c. I will use super absorbent disposable diapers
A nurse in a provider’s office is assessing the vital signs of a 1-year-old toddler. Which of the following findings should the nurse report to the provider?
a. blood pressure 88/42 mmHg
b. heart rate 110/min
c. respiratory rate 54/min
d. temperature 37.7 C (99.9 F)
c. respiratory rate 54/min
A nurse is teaching about growth and development to a parent of a 12-year-old child. The nurse should instruct the parent to expect the child to exhibit which of the following characteristics during early adolescence?
A.Increased self-esteem
B.Mood swings
C.Decelerating growth rate
D.Emotional separation from parents
B.Mood swings
A nurse is caring for a child who is 2 hours postoperative. Which of the following actions should the nurse take first?
a. recheck the child’s temperature
b. determine the child’s sedation level
c. assess the child’s pain level
d. compare the child’s pedal pulses
c. assess the child’s pain level
A nurse is assessing an adolescent who has Cushing’s syndrome. Which of the following findings should the nurse expect?
a. potassium 4.2 mEq/L
b. blood glucose 320 mg/dL
c. advanced bone age
d. cachectic appearance
b. blood glucose 320 mg/dL
A nurse is caring for a preschool-age child who is 2 hours postoperative following a tonsillectomy and adenoidectomy. Which of the following manifestations should the nurse report to the provider?
a. tachycardia
b. blood-tinged mucus
c. dark brown emesis
d. halitosis
b. blood-tinged mucus
A nurse is assessing a 6-month-old infant who has respiratory syncytial virus. The nurse should immediately report which of the findings to the provider?
a. coughing
b. tachypnea
c. pharyngitis
d. rhinorrhea
b. tachypnea
A nurse is admitting an infant who has GERD. Which of the following is the priority
assessment finding?
a. weight loss
b. excessive crying
c. wheezing
d. regurgitation
c. wheezing
A nurse is planning care for a child who is experiencing sickle cell crisis. Which of the following interventions should the nurse include in the plan of care?
a. administer meperidine as needed for pain
b. initiate bed rest
c. limit fluid intake
d. apply cold compresses to affected joints
b. initiate bed rest
A nurse is providing teaching to a parent of a child who has cystic fibrosis and a new prescription for dornase alfa. Which of the following instructions should the nurse include in the teaching?
a. Store the medication in the refrigerator
b. Use this medication
c. Administer Every four hours as needed for cough
D. Mix the medication with albuterol solution prior to administration
a. Store the medication in the refrigerator
A nurse is caring for a preschool-age-child who has a terminal illness. Which of the following findings should the nurse expect?
a. Believe the condition of the punishment
b. Expresses interest in the funeral arrangements
c. Accepts death is inevitable
d. Feels excessive anxiety about physical changes
a. Believe the condition of the punishment
A nurse is reviewing the laboratory values of a school-age child who has nephrotic syndrome. Which of the following laboratory results should the nurse expect?
a. serum sodium 144 mg/dL
b. serum protein 4.2 g/dL
c. Hgb 12 g/dL
d. BUN 15 mg/dL
b. serum protein 4.2 g/dL
A nurse is planning care for a school-age child who has autism spectrum disorder. Which
of the following actions should the nurse include in the plan?
a. Get the child three options when making choices
b. Stay with the child for long periods of time
c. Explain procedures in detail to the child
d. Introduce the child to new situations slowly
d. Introduce the child to new situations slowly
A nurse is providing teaching to a parent of an 11-month-old infant who has acute diarrhea and dehydration. Which of the following fluids should the nurse instruct the parent to provide to the infant?
a. Chicken broth
b. Oral electrolytes solution
c. Glucose water
d. Half-strength apple juice
b. Oral electrolytes solution
A nurse is providing teaching to a parent of a child who has HIV. Which of the following statements by the parent indicates an understanding of the teaching?
a. The risk of transmission decreases and my child is on zidovudine for 2 weeks
b. My child will need to repeat his childhood immunizations since he is in remission
c. My child will need to double his medication’s for the next six months
d. I will ensure that my child is tested for tuberculosis every year
b. My child will need to repeat his childhood immunizations since he is in remission
A nurse is caring for a school-age child who has diabetes mellitus. Which of the following findings should the nurse recognize as being consistent with hyperglycemia?
a. pallor
b. thirst
c. sweating
d. tremors
b. thirst
A nurse in an urgent care clinic is prioritizing care for four children. Which of the following children should the nurse assess first?
a. A preschool age child who has muffled voice and spontaneous cough
b. And adolescent who has Crohn’s disease and a recent weight loss of 5 kg (11 lbs)
c. A toddler who has nephrotic syndrome and facial edema
d. A school age child who has diabetes mellitus and a blood glucose of 200 mg/dL
a. A preschool age child who has muffled voice and spontaneous cough
A nurse is prioritizing care for four clients. Which of the following clients should the nurse assess first?
a. An adolescent who has sickle cell anemia and slurred speech
b. A toddler who has a new diagnosis of osteomyelitis and is to receive an IV bolus of nafcillin
c. And adolescent who is in traction and report a pain level seven on a scale from 0 to 10
d. A toddler who has a partial thickness burn on his right hand and requires a dressing change
a. An adolescent who has sickle cell anemia and slurred speech
A nurse is preparing to administer immunization to a 3-month-old infant. Which of the
following is an appropriate method to take to deliver atraumatic care?
a. Use a 20 gauge needle for the injection
b. Apply eutectic mixture of anesthetics (EMLA) immediately before the injections
c. Inject immunization into the deltoid muscle
d. Provide a pacifier coated with an oral sucrose prior to the injections
d. Provide a pacifier coated with an oral sucrose prior to the injections
A nurse is reviewing the laboratory results of a child who was recently admitted for suspected rheumatic fever. The nurse should expect that which of the following laboratory tests can contribute to confirming this diagnosis? (SATA)
a. Antistreptolysin O (ASO) titer
b. blood urea nitrogen (BUN)
c. partial thromboplastin (PTT)
d. Erythrocyte sedimentation rates (ESR)
e. C-reactive protein (CRP)
a. Antistreptolysin O (ASO) titer
d. Erythrocyte sedimentation rates (ESR)
e. C-reactive protein (CRP)
A nurse is reviewing the laboratory report of a school-age child who has bacterial pneumonia. Which of the following laboratory values should the nurse expect?
a. WBC 18,000/mm3
b. pH 7.40
c. Hgb 14 g/dL
d. Creatinine 0.5 mg/dL
a. WBC 18,000/mm3
A nurse is providing teaching about medication administration to the parents of a toddler who has a new prescription for liquid ferrous sulfate. Which of the following instructions should the nurse include in the teaching?
a. Report tarry, green stools to the provider
b. Administer the drops with milk
c. Dilute with water prior to the administration
d. Provide an antacid prior to administration
c. Dilute with water prior to the administration
A nurse in an emergency department is caring for a child following an overdose of acetylsalicylic acid. Which of the following medications should the nurse plan to administer?
a. flumazenil
b. phytonadione
c. midazolam
d. naloxone
b. phytonadione
A nurse is planning care for a newly admitted child who has rotavirus. Which of the following precautions should be implemented?
a. airborne
b. contact
c. protective
d. droplet
b. contact
A nurse is developing a plan of care for child who is dying. Which of the following measures should the nurse implement to the child and his family?
a. Maintain consistent nursing staff assignments
b. Ask the parents to leave the room for the procedures
c. Select one family member to receive information
d. Limit the number of visitors in the clients room
a. Maintain consistent nursing staff assignments
A nurse is planning to perform tracheostomy care for a toddler. Which of the following is an appropriate action for the nurse to take?
a. Have the child flex his head when securing the ties
b. Place the child in Trendelenburg position when performing care
c. Clean around the stoma with full strength hydrogen peroxide
d. Use clean technique to change the tracheostomy tube
a. Have the child flex his head when securing the ties
A nurse in the emergency department is caring for a child who has a temperature of 39.1 C (102.4 F) and a suspected diagnosis of bacterial meningitis. Which of the following actions should the nurse take first?
a. Prepare a child for a lumbar puncture
b. Administer an antipyretic to the child
c. Dim the lights in the child’s room
d. Implement droplet precautions for the child
d. Implement droplet precautions for the child
A nurse is caring for a toddler who has a shirt leg cast. Which of the following findings should the nurse report to the provider?
a. Positive pedal pulse in the distal extremity
b. Pallor of the distal extremity
c. Mobility of the distal extremity
d. Warm temperature of the distal extremity
b. Pallor of the distal extremity
A nurse is caring for a newly admitted toddler who has acute diarrhea. Which of the following actions should the nurse take first?
a. Initiate contact precautions
b. Administer an antibiotic
c. Obtain a stool specimen for culture
d. Give 0.9% sodium chloride bolus
a. Initiate contact precautions
A nurse is planning to teach an adolescent who is lactose intolerant about dietary guidelines. Which of the following instructions should the nurse include in the teaching?
a. You may tolerate plain milk better than chocolate milk
b. You can drink milk on an empty stomach
c. You can replace milk with nondairy sources of calcium
d. You should consume flavored yogurt instead of plain yogurt
c. You can replace milk with nondairy sources of calcium
A nurse is providing discharge teaching to the parents of a school-age child following placement of a ventriculoperitoneal shunt. The nurse should determine that the teaching was effective when the parents identify which of the following as an indication the shunt has been displaced?
a. Hyper active bowel sounds
b. Elevated temperature
c. Increased sleeping
d. Decreased urine output
b. Elevated temperature
A nurse is providing teaching to a parent of a 2-month-old infant about immunization schedules. Which of the following statements by the parent indicates an understanding
of the teaching?
a. My child needs to get the MMR immunization when she’s 12 months old
b. My child needs to get the varicella immunization when she’s 6 months old
c.
My child will receive the influenza immunization today
d. My child will receive the hepatitis A immunization today
a. My child needs to get the MMR immunization when she’s 12 months old
A nurse is performing a cranial nerve assessment on a school-age child. Which of the following findings indicates proper functioning of the child’s trigeminal nerve?
a. A child maintain balance when standing with eyes closed
b. The child has symmetrical jaw strength when biting down
c. A child exhibits a gag reflex when stimulated with a tongue blade
d. The child correctly identify specific exams
b. The child has symmetrical jaw strength when biting down
