Archer Review - Child Heath's
The nurse is assessing a 2 year old girl with following symptoms: excessive drooling, stridor, difficulty swallowing, and difficulty speaking. Which of the following conditions does the nurse suspect?
- Epiglottis
Which of the following does the nurse know are possible causes of constipation in the pediatric patient? Select all that apply
- Hirschsprung disease - Spina bifida - Iron supplements - psychosocial factors
The nurse is caring for a 16 year old patient with cystic fibrosis when they develop a temperature of 38.4 C. Which of the following medications does the nurse administer with top priority?
- IV antibiotic
The LPN is reviewing discharge education with the family of a 5 year old newly diagnosed with hemophilia B. She knows the family understands when they state that their child is missing which of the following clotting factors? Select all that apply.
- IX Rationale: can cause their blood to take much longer to clot than usual.
The nurse observes a parents swaddling their infant with an unrepaired omphalocele. Which of the following statements would be appropriate?
- May I help you? We will need to careful with their intestines and we don't want the swaddle to push them back inside
The nurse is working in the normal newborn nursery. When she observes which of the following signs, she would suspect cystic fibrosis and notify the healthcare provider for further testing?
- Meconium Ileus
While administering digoxin to an infant in HF, the nurse knows to monitor which of the following electrolytes?
- Potassium
The nurse is taking care of a client with encopresis. Which of the following statements correctly describe Encopresis?
- Voluntary or involuntary fecal incontinence in children over the age of 4 who were previously toilet trained.
Your client had an appendectomy 4-5 days ago. He is tolerating oral diet. Which of the following assessment finding(s) is/are a priority? Select all that apply.
- WBC count - temperature
The nurse is caring for a 5 year old patient whose family is of Orthodox Jewish faith. The mother expresses that she wishes for the patient to remain kosher while in the hospital. Which of the following actions would best respect that respect while assisting the child with his lunch?
- allowing the child and his mother to unwrap the eating utensils
The nurse is changing a diaper for a 7 month old patient suspected of having Celiac disease. She notes a large, pale, oily stool that is malodorous. The nurse knows this assessment finding is known as what?
- steatorrhea
You are reinforcing education to a group of parents after an outbreak of pediculosis capitis at the local elementary school. Which of the following points should you include? Select all that apply.
- teach your children not to share hats or combs to prevent the spread of lice - anyone can get lice. It's not indicative of a dirty house.
the nurse is assessing a patient in active labor. Her contractions are increasing in frequency and duration. Presenting 5 mins apart 60 secs each. With each contraction. The FHR beings to slow from 150 to 110 after the contraction starts. Which of the following are priority nursing actions for this situation? Select all that apply.
- administer 100% FiO2 via face mask - notify the healthcare provide
The nurse is caring for a 1 year old diagnosed with acute otitis media. He is experiencing otalgia, has been febrile for 24 hours and is pulling at his left ear. Which of the following interventions is the priority nursing action?
- administer acetaminophen as prescribed
When evaluating the HR of a 2 year old awake patient, the LPN documents which of the following HR as "tachycardia"? select all that apply
- 150 beats/min - 180 beats/min
while caring for an 8-month-old child admitted for dehydration. The nurse prepares to administer an IV fluid bolus. She knows that the appropriate amount of fluid is apply is based on the child's weight. and would be which of the following?
- 20 mL/kg
The school nurse is performing the corneal light reflex test on a child she suspects has strabismus. Which of the following does she know is a sign of this condition?
- Asymmetrical pin-point lights on the pupils
Which of the following interventions does the nurse anticipate when caring for a patient after repair of an anorectal malformation? Select all that apply.
- Colace administration - Initiation of a high-fiber diet
Which of the following members of the intradisciplinary team should be consulted for an infant suspected of having celiac disease?
- Dietician
The nurse is caring for a 1 day old newborn with jaundice. Which of the following statements is true regarding jaundice in newborns? Select all that apply.
- assessing a newborn for jaundice involves inspection of the skin, sclera, and mucous membranes - when treating a jaundiced infant w/phototherapy, important nursing consideration are to ensure their eyes and genitals are covered.
When assessing a 4 month old male infant, the LPN correctly evaluates his HR by performing which of the following actions?
- auscultates the 4th intercostal space at mid-clavicular line for 60 secs
while caring for a child who is six weeks old, the LPN checks their temperature and notes that it's 38.7 C. Which of the following diagnostic tests does she expect the provider will order? Select all that apply.
- blood culture - urine culture
Which of the following medications would the nurse expect to administer to her patient presenting with an intussusception? Select all that apply.
- cefazolin - Lactated Ringers
The nurse is reinforcing education with a student about how to bathe a newborn correctly. Which of the following statements by the student indicates a need for further instruction? Select all that apply.
- clean their eyes from the outer canthus to the inner canthus - start with the body and work your way up to the inner canthus
The LPN is taking VS on a pregnant client in active labor. When she inflates the BP cuff, she looks at the fetal monitor and notices that the FHR increases above baseline and then returns to baseline about 15 secs later. What is the priority nursing action>
- document and continue to monitor
You're reinforcing the education provided to your 8-year old patient diagnosed w/sickle cell anemia. He has had three crisis events this year. Which of the following points do you enforce with him and his parents to help prevent more sickle cell crises? Select all that apply.
- drink lots of water - avoid flying on airplanes - call the PCP if he becomes febrile
Which of the following are potential complications of cleft lip and cleft palate in the infant? Select all that apply.
- ear infections - feeding difficulties - speech delay
while assisting the intra-disciplinary team with interventions for a toddler who has just had a cleft palate repair. The nurse knows which of the following are appropriate? Select all that apply.
- elbow restraints - specialized bottle for feedings
which of the following medications may be prescribed to control hypertension associated with a nephroblastoma?
- enalapril
Which of the following observations are non-reassuring when assessing a FHR strip? Select all that apply.
- fetal bradycardia - variable decelerations - late decelerations
While working in the emergency department, the nurse is taking care of a client who has overdosed on Ativan. Which of the following medications does she expect the healthcare provider will order?
- flumazenil
Which of the following practices does the nurse recognize as typical in the Amish community? Select all that apply.
- health is viewed as a gift from god - they commonly use alternative healthcare
Which of the following vital sign abnormalities does the nurse know is a clinical manifestation of her patient's Wilms tumor
- hypertension
Which of the following statements regarding growth in the infant are true? Select all that apply.
- infant should triple their birth weight by 12 months of age - infant should double their birth weight by 6 months of age
Which of the following refers to the first stool passed by a newborn infant?
- meconium
Which of the following are correct statements about the proper administration of polyethylene glycol prescribed for constipation? Select all that apply
- mix the powder w/any beverages the patient enjoys - administer at the same time every day
The LPN is assigned to take care of a patient with hemophilia. When she reviewed the lab values, does she expect to find which of the following?
- normal PT level - abnormal PTT level - normal thrombin time
Which of the following medication does the OB nurse expect to be ordered for the patient who is experiencing hypotonic labor?
- oxytocin
While reinforcing education with a family who has a 1-year-old diagnosed with Phenylketonuria (PKU). the mother states, " I think we should just stick to formula. I am too scared to feed him other foods." The LPN should review which of the following foods for this family to avoid?" select all that apply.
- pork tenderloin - cheese omelets
the nurse is working with a 17 year old diagnosed with cystic fibrosis. She knows which of the following are most important for patients of this age with cystic fibrosis?
- promoting independence in decision making by including the patient in their care
Which of the following are appropriate nonpharmacological interventions for a 2 month old with a fever of 39.2 C? select all that apply.
- remove blankets and excess clothing - lower temperature of room - place cool washcloths on child's forehead - place a fan near child
Wilms tumor is cancer most common in children under the age of 5. Do these tumor cells originate from which of the following?
- renal cells
The LON is working on pediatric oncology floor and is assigned to care for an 8 year old boy with AML. His diagnosis is terminal and the health care provider expects he will only live for another 2-3 months. Does the nurse know that which of the following will be valid when dealing with this child's concept of death? Select all that apply.
- school age children don't understand mortality - school age children feel very vulnerable when dealing with an illness - each child is unique in how they process their diagnosis
which of the following foods should the LPN reinforce to avoid while patient is taking Coumadin? Select all that apply.
- spinach - kale
The nurse is setting up the room for a patient newly diagnosed w/Celiac Disease. She knows to place the patient on which of the following precautions?
- standard precautions
While working in the emergency department, the nurse takes 5 year old patient with a chief complaint of sore throat. The father states that the boy has been complaining of throat pain for 2 days, and when he looks in his throat it appears red with white patches. The nurse knows to expect which of the following diagnostic tests to be ordered?
- throat culture
which of the following educational points should the nurse reinforce with the parents of a toddler diagnosed with the imperforate anus? Select all that apply.
- toilet training will take longer for your child - normal bowel habits can be established for your toddler over time - "bowel irrigations may help your toddler achieve normal bowel function"
The nurse is caring for a 14-year-old who is scheduled to go to the OR for an appendectomy later in the day. What is her role in obtaining informed consent before surgery? select all that apply.
- validate that the parents are competent to provide consent for the patient - witness the a signature on the informed consent
You are reinforcing for two parents that are preparing for the birth of their first child. They decided to undergo genetic testing and find out that they are both carries of cell anemia. You tell them that their baby has what change of having sickle cell anemia?
25 %
While emptying the foley catheter bag for her patient, the nurse sees the following. Which urine specific gravity level does the nurse expect to see when she reviews his labs, based on this assessment of his urine?
Urine very dark = 1.060
Bronchitis
infection causes inflammation in the large airways. These include the trachea and bronchi, which are in the lower part of the respiratory tract.
