NCLEX pediatric youtube questions

when performing a physical examination on an infant, the nurse in charge notes abnormally low-set ears. this finding is associate with: - otogenous tetanus - tacheoesophageal fistula - congenital heart defect - renal anomalies

- renal anomonlies or mental retardation

to decrease the likelihood of bradyarrhythmias in children during endotracheal intubation, succinylcholine (relaxes muscles for tube insertion) is used with with other agent?

- atropine sulfate succinylcholine is an ultra-short acting depolarizing agent used in rapid sequence intubation --> bradycardia is EVERY LIKELY to occur in children so atrophine is the drug of choice in treating succinylcholine-induced bradycardia

when would you use interosseous drug administration? what age group?

- critically ill (emergency) - under age 3

nurse is teaching parents about otitis media (inflammation of middle ear). when discussing why children are predisposed to this disorder, the nurse should mention the significance of which anatomical feature? - eustachian tubes nasopharynx -tympanic membrane - external ear canal

- eustachian tubes rational: in child these tubes are short and horizontial = more likely to allow nasopharyngeal secretions into the tubes (increase likelihood of otitis media)

female child (6 years old) is being assessed for vision what should the nurse ask?

- how are you doing in school? rational: childs poor progress could do with bad vision

when developing a hospitalization plan of care, nurse Mica kjnows that children in which age group are most likely to view illlness as a punishment for misdeeds?

- preschool age

what is the most common assessment finding in a child with ulcerative colitis?

- profuse diarrhea

what should be the inital bolus of crystalloid fluid replacement for a pediatric patient in shock

- 20 ml/kg

would you give age approriate reading material to an adolencant? as a teaching mechanism

- NO, reading is the LEAST effective way to teach parenting skills to an adolescent (engaging more than one sense is better for effective teaching stragegies)

to best assess nutrional status of a four year old who is seen to be maybe abused?

- ask what did the child eat for breakfast (ITS OBJECTIVE)

parent asks: when should she start giving her infant solid food. which solid food should the nurse instruct her to introduce first? - apple sause - egg whites - rice cereal - yogurt

- rice cereal rational: its easy to digest and is associated with few allergies (after: child can move to pureed fruits THEN vegetable, egg YOLK, cheese, yogurt, FINALLY meat) - egg whites should not be given to child before 9 months of age because can trigger food allergy

what action should you expect a 3 year old to be able to perform? - ride a tricycle - tie the shoelaces - roller skates - jump rope

- ride a tricycle rational: at age 3 gross motor development and refinements in eye hand coordination enable a child to ride a tricycle - fine motor skills required by tie shoelaces and gross skills required for roller skates and jumping rope develop around age 5

how should the nurse prepare a suspension before administration?

- shake the suspension before administration to disperse drug particles evenly

what is the primary purpose of administering corticosteroids to a child with nephrotic (KIDNEY) syndrome? - increase BP - reduce inflammation - decrease proteinuria - prevent infection

- to decrease proteinuria (they do decrease inflammation however thats not the main reason to use them in child with nephritic syndrome, and they predispose a child to infection)

while examining a two year old, the nurse in charge sees that anterior frontanel is open. what should the nurse do?

notify the doctor - the anterior frontanel normally closes between age 12-18 months

negative nitrogen balance can be caused by? (what lab test would you do)

total protein

when administering an I.M. injection to an infant where should the site be?

vastus lateralis