Final Quiz (no multiple choice)
A nurse is caring for an 8-year old child who has sickle cell anemia. Which of the following actions should the nurse take?
Give the child flavored popsicles
A nurse is teaching a parent of an infant who has a colostomy. Which of the following statements by the parent indicates an understanding of the teaching?
I need to apply paste to the back of the wafer on my child's appliance
A nurse is teaching parents of a 10 year old child who has iron-deficiency anemia. Which of the following statements by a parent indicates and understanding of the teaching?
I will administer the iron tablet with Orange juice
A nurse is teaching a school-age child who is to undergo a bone marrow aspiration. Which of the following statements should the nurse make?
I will place a pressure dressing over the area following the procedure
A nurse is caring for a child who has cystic fibrosis and pulmonary infection. which of the following findings is the nurse's priority?
Inability to clear secretions
A nurse is caring for a 4-year old child who has pneumonia. the child's mother left 2 hr ago and he is currently experiencing the separation anxiety stage of despair. Which of the following findings should the nurse expect?
Inactive and thumb sucking
A nurse is caring for a 2-day old infant who has a myelomeningocele. Which of the following actions should the nurse take?
Monitor the infant's head circumference
A nurse is teaching the parents of a child who has rheumatic fever. Which of the following statements by a parent indicates an understanding of the teaching?
My child may take aspirin for his joint pain
A nurse is teaching to a group of parents of adolescents about developmental needs. Which of the following statements by a parent should the nurse investigate further?
My child spends 4 hours per day in internet chat rooms
can you give a shot in the deltoid of an infant? At what age is it safe to use this as a site for IM injections and why?
NO; only after 18 months because their is greater distance of the radial and axillary nerves making it suitable
A school nurse is assessing a child who has been stung by a bee. The child's hand is swelling and the nurse notes that the child has allergies to insect stings. Which of the following findings should the nurse expect if the child develops anaphylaxis? (Select All)
Nausea, Urticaria, and Stridor
A Nurse is caring for a child who has a vesicular rash. The parents of the child asks the nurse what illness can cause this rash for 6 days? The nurse should expect that the child has which of the following conditions?
Varicella
A nurse is preparing to administer an intramuscular injection to a 2 month old infant. In which of the following sites should the nurse plan to administer the injection?
Vastus lateralis
A nurse is teaching the parents of a 3-year old child who has persistent otitis media about prevention. Which of the following statements by the parents indicates an understanding of the teaching?
We should not smoke around our child
Epiphora
excessive watering of the eyes (can be caused by glaucoma)
Blepharospasm
involuntary tight closure of the eyes (can be a sign of glaucoma)
peeling hands: Kawasaki or rheumatic fever?
kawasaki
What dz gives you Koplik spots and what are they?
measles transient cephalocaudal rash of maculopapular eruptions of the upper trunk and face
should toddlers eat out of ceramic bowls? why?
no because of the high lead content
What precautions should a child with rheumatic fever had for entering his room?
none standard precautions
What position should a child be placed in for bone marrow aspiration and why?
prone because specimen will be obtained from the iliac crest -put a pressure dressing over site afterwards
if a child has lockjaw and muscle rigidity what do they have?
tetanus
What will a child's WBC's be like if they have ALL?
very high but their platelets and red blood cells will be low
A nurse is assessing the pain level of a 3-year old child who is postoperative following abdominal surgery. Which of the following pain scales should the nurse use?
FACES pain rating scale
A nurse is providing postoperative teaching for the parent of a 3-month old infant who is recovering from an umbilical hernia repair. Which of the following statements by the parent indicates and understanding of the teaching?
I will fold my baby's diaper away from the incision
A school nurse is assessing an adolescent child who returned to school following a case of mononucleosis. The child has a note from his provider excusing him from gym class. Which of the following findings should the nurse identify as the reason for this excusal?
Potential for sustaining abdominal trauma
A nurse is caring for a 6-month-old infant who has intussusception. Which of the following actions should the nurse take?
Prepare the child for a barium enema
A nurse is caring for a 2-year old child who has frequent urinary tract infections. Which of the following instructions should the nurse include in the teaching?
Teach the child to wipe from front to back
A nurse is reviewing the medical record of a 2-month old infant who has rotavirus. The nurse notes a hemoglobin level of 12 g/dL and a hematocrit of 51%. Which of the following statements by the nurse indicates an understanding the laboratory values?
The infant might be dehydrated
what is magnesium hydroxide
a laxative
A nurse is caring for a 4-month-old child who has acute otitis media and a fever of 38.3C (101F). Which of the following medications should the nurse administer?
Amoxicillin
A nurse is teaching a group of parents of toddlers about growth and development. A parent asks, "Why does my child's abdomen stick out?" Which of the following statements should the nurse make?
Toddlers do not have well developed abdominal muscles
A nurse is teaching the parents of a 4-month old infant who has gastroesophageal reflux. Which of the following statements by the parent indicates an understanding of the teaching?
1 will add 1 teaspoon of rice cereal per ounce to my baby's formula.
A nurse is caring for a child who adheres to a vegetarian diet and has sustained superficial partial-thickness burns. The nurse should recommend which of the following food choices as having the highest protein content?
1/2 Cup of Peanut butter with apple slices
A nurse is preparing to administer diphenhydramine 5 mg/kg/day PO to divide equally every 8hr to a school age child who weighs 50lbs. Available is diphenhydramine oral solution 12.5 mg/5mL. How many mL should the nurse administer per dose? (round to nearest whole number)
15 mL
A nurse is caring for a school-age child who has glomerulonephritis. The child has decreased urinary output, a blood pressure of 160/78 mmHg, & is receiving hydrazine. Which of the following lunch choices should the nurse recommend?
3 oz grilled chicken, 1 cup of pear slices, and 120 mL of apple juice
A nurse is caring for a 10-year old child who should reduce his fat intake. Which of the following menu choices should the nurse suggest?
3oz of backed chicken on a whole wheat roll
when should a child receive DTaP immunization booster doses?
4-6
A nurse is preparing to administer acetaminophen 240mg PO daily to a child who has a temperature of 38.9C (102F). The amount available is acetaminophen oral solution 160 mg/5 mL. How many mL should the nurse administer per dose? (round to the nearest tenth)
7.5 mL
A nurse is caring for a child who has epistaxis. Which of the following actions should the nurse take?
Apply continuous pressure to the child's nose for at least 10min.
A nurse on the pediatric unit is caring for a group of clients. Which of the following findings should be the nurse's priority?
A child who has sickle cell anemia and a urine specific gravity of 1.030
Diptheria
A sheet of thick, gray matter covers the back of the throat, making breathing hard. Symptoms include sore throat, fever, swollen lymph nodes, and weakness.
A nurse is caring for a child who is in the emergency department after ingesting a bottle of acetaminophen. Which of the following medications should the nurse plan to administer?
Acetylcysteine
A nurse is caring for a child who is receiving treatment for diabetic ketoacidosis and has a current blood glucose level of250 mg/dL. Which of the following actions should the nurse take?
Administer 5% dextrose in 0.9% sodium chloride by continuous IV infusion.
A nurse is assessing an adolescent who has sustained a broken tibia. Following the application of a fiberglass cast, the adolescent reports pain and tingling feeling in the limb. Which of the following actions should the nurse take first?
Assess for manifestations of circulatory impairment
A nurse is caring for a group of infants who have congenital heart defects. For which of the following defects should the nurse expect to observe cyanosis?
Transposition of great arteries
A nurse is caring for a child who has been in Buck's traction for 2 days. which of the following actions should the nurse take to prevent complications?
Check for pulses in the affected leg every 4 hr
A nurse is caring for a child who has acute glomerulonephritis. Which of the following actions should the nurse take? maintain client on strict bed rest or check his BP every 4 hrs
Check the child's blood pressure every 4 hr.
Symptoms include: sore throat, fever, swollen lymph nodes, and weakness. a thick gray matter also covers back of throat. What illness is this?
Diptheria
A nurse at a clinic is preparing to administer immunizations to a 5-year old child. Which the following immunizations should the nurse plan to give?
Diptheria, tetanus, & pertussis (DTaP)
A nurse is planning care for a 6 year old child who is receiving chemotherapy. The child has a platelet count of 20,000/ mm3. Based on this laboratory value, which of the following interventions should the nurse include in the plan of care?
Encourage quiet play
A nurse is caring for a toddler who has asthma. The parents are concerned about the toddler's reaction to the hospitalization. Which of the following actions should the nurse take to decrease the child's Anxiety?
Encourage rooming-in
A nurse is planning care for a preschool-age child who has autism and is being admitted to the facility. Which of the following actions should the nurse plan to take?
Encourage te parents to bring in the child's stuffed animal
A nurse is caring for a preschool-age child who has mucosal ulceration after receiving chemotherapy. Which of the following actions should the nurse take?
Instruct the child to use a soft sponge toothbrush when brushing her teeth.
A nurse is caring for a child who has an exacerbation of cystic fibrosis. Which of the following laboratory findings should the nurse report to the provider immediately?
Oxygen Saturation 85%
A nurse is teaching about poisoning prevention to a group of parents who have toddlers. Which of the following statements should the nurse make?
Put all cleaning supplies n a locked cabinet
A nurse is admitting a child who has acute lymphocytic leukemia. Which of the following laboratory values should the nurse expect
RBC 2.5 million/uL
A nurse is caring for a child who has Tetralogy of ballot. Which of the following laboratory values should the nurse expect to find?
RBC 6.8 million/uL
Buck's traction: what kind of traction is this?
SKIN not skeletal
A nurse is preparing a school-age child for a tonsillectomy. Which of the following actions should the nurse take? Schedule the child for a preoperative visit to the facility. Tell them they will be put to sleep Read them a story about a cartoon getting this surgery
Schedule the child for a preoperative visit to the facility.
A nurse is caring for a child who has suspected nephrotic syndrome. Which of the following laboratory values should the nurse expect?
Serum Cholesterol 700 mg/dL (b/c of increase in plasma lipids); incorrect: Na will be low, platelets will be high b/c of hemoconcentration, Hgb will be normal
A nurse is caring for a 4 year old child who has superficial partial-thickness burns over 50% of his body. When planning for the nutritional needs of the child, which of the following actions should the nurse plan to take?
Supplement the child's feedings with enteral feedings
A Nurse is teaching a school-age child who has a new diagnosis of type 1 diabetes mellitus. Which of the following statements should the nurse make?
You can use a vial of insulin for up to 30 days
A nurse is teaching the parents of a child who has Cerebral Palsy. Which of the following statements should the nurse make?
Your child will need a botulinum toxin A injection to help with muscle spasticity
A nurse is teaching the parents of an infant who has congenital hypothyroidism. Which of the following statements should the nurse make?
Your child will need to take thyroid hormone replacement for her entire life