PEDS CMS

A nurse is reinforcing teaching about baclofen with the guardian of a toddler who has cerebral palsy. Which of the following adverse affects should the nurse include?

muscle weakness

A nurse is contributing to a plan of care for a preschooler who was admitted for the treatment of measles. Which of the following activities should the nurse recommend for the child?

putting together a puzzle with large pieces

A nurse is caring for a toddler who has otitis media and a temperature of 39.1C (102.4F). Which of the following actions should the nurse take first?

administer an antipyretic to the child

A nurse is caring for the child who has sickle cell anemia and is experiencing vaso-occlusive crisis. Which of the following actions should the nurse take?

administer ibuprofen

A nurse is preparing to administer an oral liquid medication to a 6-month-old infant. Which of the following interventions should the nurse plan to perform?

administer medication into the side of the infants mouth

A nurse is assisting with the care of a child who has paralytic poliomyelitis. Which of the following actions should the nurse take?

administer oral analgesics prior to exercises

A nurse is preparing to administer an intramuscular injection to a 2-week-old infant. Which of the following interventions should the nurse plan to perform?

administer the medication into the vastus lateralis muscle

A nurse is reinforcing teaching with the guardian of an adolescent. The guardian reports that the adolescent sleeps for about 10 hours on weekend nights. Which of the following responses should the nurse make?

adolescents need more sleep due to rapid growth

A nurse is preparing a school-aged child for a tonsillectomy. Which of the following actions should the nurse take?

schedule the child for a preoperative visit to the facility

A nurse is caring for a child who has a ruptured appendix. Which of the following positions should the nurse encourage the child to maintain?

semi-fowler's

A nurse is a pediatric clinic is talking with the parent of a toddler who states that her child will not sit at the table and eat with the family. She asks the nurse for recommendations for the "finger foods" for her child. Which of the following foods should the nurse suggest?

slices of ripe banana

A nurse is reviewing the laboratory values for a 6-month-old infant who has acute renal failure. Which of the following findings should the nurse expect?

sodium 125 mEq/L

A nurse is caring for an 18-month-old infant who has chronic otitis media. The nurse should recognize that otitis media will affect which of the following?

speech patterns

A nurse is collecting data for a school-aged child who has cystic fibrosis. Which of the following manifestations should the nurse expect?

steatorrhea

A nurse is collecting data from a school-aged child who has celiac disease. Which of the following findings should the nurse expect?

steatorrhea

A nurse is admitting a child who has a history of tonic-clonic seizures. Which of the following items is the priority to have in the child's room?

suction equipment

A nurse is contributing to the plan of care for a child who has sickle cell anemia and is experiencing a vaso-occlusive crisis. Which of the following interventions is the priority for the nurse to recommend?

monitor the child's oxygen saturation level

A nurse is caring for a 2-day-old infant who has myelomeningocele. Which of the following actions should the nurse take?

monitor the infant's head circumference

A nurse is caring for an adolescent who has end-stage renal disease and is scheduled for peritoneal dialysis. Which of the following actions should the nurse take?

obtain the adolescent's weight prior to the procedure

A nurse is reinforcing teaching with a school-aged child who has a new diagnosis of acute lymphoblastic leukemia (ALL). Which of the following statements from the child indicates an understanding of the teaching?

"I have a good chance of surviving this cancer." explanation: most children who have ALL and receive chemotherapy are expected to survive, with up to 95% achieving remission

A nurse is reinforcing teaching with the parent of a 4-year-old child who has a tracheostomy. Which of the following parent statements indicates an understanding of the teaching?

"I should cover the tracheostomy tube with a thin cloth whenever we go outside"

A nurse is a provider's office is collecting data from the caregiver of a school-aged child who requires intermittent catheterization. Which of the following questions should the nurse ask the caregiver when monitoring the child for a UTI?

"have you noticed a change in the color of the child's urine during catheterization?"

A school nurse is providing home care instructions to the guardian of a school-aged child who has acute streptococcal pharyngitis. Which of the following statements should the nurse make?

"have your child gargle with warm saline several times each day"

A nurse is reinforcing teaching about home safety and poisoning prevention with the guardian of a toddler. Which of the following statements by the guardian indicates understanding?

"i should immediately call the poison control center if my toddler takes any of my medication"

A nurse is talking with the parent of a 4-month-old infant about growth and development. Which of the following statements indicates that the parent needs further instructions?

"my baby loves to play with the pillows in her crib"

A nurse is reinforcing teaching with the guarding of a child who has a severe iron-deficiency anemia and a new prescription for ferrous sulfate oral suspension. Which of the following statements by the guarding indicates an understanding of the teaching?

"my child's blood count will be monitored regularly for the next several weeks"

A nurse is caring for a school-aged child who has terminal cancer and is receiving palliative care. The child's family asks about possible interventions. Which of the following statements should the nurse include in the teaching?

"nonpharmacological interventions have a place in managing your child's palliative care"

A nurse is reinforcing teaching with an adolescent client who has scoliosis. When discussing how to wear the back brace, the client appears to be holding back tears. Which of the following responses should the nurse make?

"this is a lot of new information to absorb about back braces; can you tell me your thoughts on what we have discussed?"

A nurse is reinforcing teaching with the guardian of a toddler about preventing burn injuries. Which of the following pieces of information should the nurse include?

"when using an air vaporizer in the home, ensure it is a cool-mist vaporizer"

A nurse is reinforcing teaching with the parent of an infant who has a newly created colostomy. Which of the following instructions should the nurse reinforce about colostomy care?

"you can choose to use a diaper instead of a collection bag"

A nurse is reinforcing teaching about disease management strategies with a 9-year-old client who has cystic fibrosis. Which of the following statements should the nurse include?

"your mucus is thick because cystic fibrosis interferes with how your glands work"

A nurse is collecting data from a 24-month-old toddler at a local health department. The nurse should expect which of the following findings? (SATA)

- ability to build a tower of 6 blocks - slightly bowed or curved appearance of the legs

A nurse is reinforcing discharge teaching with a client who is postpartum and plans to breastfeed her infant. Which of the following pieces of information should the nurse reinforce with the client? (SATA)

- thaw frozen breast milk with warm water - massage breast milk onto the nipples after breastfeeding - frequent swallowing by the infant indicates adequate suckling

A nurse is providing teaching about foods high in fiber to the guardian of a child who has chronic constipation. Which of the following foods should the nurse recommend?

1/2 cup baked beans

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 due to the highest protein content?

1/2 cup of peanut butter with apple slices

A nurse is preparing to administer diphenhydramine 5mg/kg/day po divided equally every 8 hours to a school aged child who weighs 50lb. Diphenhydramine 12.5mg/5ml available. How many ml should the nurse administer per dose?

15

A nurse is assisting with a nutritional screening for a 12-year-old client who weighs 41 kg(90lbs) and has a height of 1.5m (60in). Which of the following values is the client's body mass index (BMI)?

18.2

A nurse is caring for 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 collecting data from a newborn at birth to assign Apgar scores. At 1 min of age, the newborn is crying vigorously with limbs flexed and a heart rate of 120/min. The newborn's trunk is pink, but his hands and feet are cyanotic, and he cries when the soles of his feet are stimulated. Which of the following Apgar scores should the nurse assign this infant?

9

A nurse is reinforcing teaching with the guardian of a 10-year-old child whos weight is in the 95th percentile on a growth chart. Which of the following instructions should the nurse include? A) Plan menu that provides the child with 1,200 calories each day B) set a goal with the child to lose weight C) choose an exercise plan for child based on abilities

A) Plan menu that provides the child with 1,200 calories each day

A nurse is collecting data from an adolescent who takes insulin for treatment of type 1 diabetes mellitus. The nurse should identify that which of the following findings indicates effective management of the clients diabetes mellitus? A) blood glucose value at bedtime 140mg/dL B) blood glucose 80 before meals C) hgbA1c 9% D) 24 hr urine 400mL

A) blood glucose value at bedtime 140mg/dL - blood glucose 80 before meals (low) - hgbA1c 9% (high) - 24 hr urine 400mL (high)

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? A) oxygen saturation of 85%- correct B) blood glucose 140mg- not correct (above reference range but not first priority) C) RBC 3.2 million/uL- not correct (below expected range but not first priority) D) serum sodium level 156 mEq- not correct (above reference range but not first priority)

A) oxygen saturation of 85% - blood glucose 140mg (above reference range but not first priority) - RBC 3.2 million/uL (below expected range but not first priority) - serum sodium level 156 mEq (above reference range but not first priority)

A nurse is collecting data from a 4-year-old child for growth and developmental milestones during a well child visit. Which of the following findings suggest a possible delay in development? A) speaking using 2- or 3-word sentences B) inability to tie shoes C) adding 3 parts to a stick figure D) inability to walk backward

A) speaking using 2- or 3-word sentences

A nurse is checking the gross motor development of a 3-year-old child. Which of the following skills should the nurse expect the child to be able to do? A) standing on 1 foot B) skipping around the room C) hopping on 1 foot D) throwing ball overhead

A) standing on 1 foot for several seconds

A nurse is collecting data from a 10-month-old infant at a well child check up. Which of the following assessment findings should the nurse report to the provider? A) the infant needs assistance to sit up B) the infants anterior fontanel is open C) the infants Moro reflex is absent D) the infant is unable to walk independently

A) the infant needs assistance to sit up

A nurse is reviewing laboratory findings of an adolescent who has acute renal failure. Which of the following findings should the nurse expect?

metabolic acidosis

A nurse is discussing the causes of chronic diarrhea with a client. Which of the following conditions is caused by malabsorption?

Celiac Disease

A nurse is evaluating teaching that was provided for an adolescent who has a new prescription for a brace for scoliosis. Which of the following statements indicates an understanding of the teaching?

I can only remove the brace for 1 hour each day

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 collecting data from an 18-month-old child who is postoperative. Which of the following pain scales should the nurse use?

FLACC

A school nurse is reinforcing teaching with an adolescent who has type 1 diabetes mellitus. Which of the following responses by the adolescent indicates an understanding of the teaching? (select all that apply)

I should eat extra food on busy days when I am more active I should increase my intake of sugar-free fluids when I am sick I should eat a snack 30 min before my baseball games start

A nurse is reinforcing teaching with the parent of a child who has ADHD and a new prescription for methylphenidate sustained-release tablets. Which of the following statements by the parent indicates and understanding of the teaching?

I should give this medication to my child half an hour before breakfast and weigh your child twice per week while taking this medication

A nurse is reinforcing teaching about injury prevention with the parent of an infant. Which of the following statements by the parent indicates an understanding of the teaching?

I should make sure my baby's clothing does not have buttons on it

A nurse is assisting a child who has been stung by a bee. The child's hand is swelling, and the nurse notes that the child is allergic to insect stings. Which of the following findings should the nurse expect if the child develops anaphylaxis? (select all that appy)

Nausea Urticaria Stridor

A nurse is reviewing the laboratory reports of a child with acute nephrotic syndrome who has been receiving prednisone by mouth for the past week. Which of the following findings should the nurse report to the provider?

WBC count 3000/mm^3

A nurse in a pediatric psychiatric unit is caring for an 8-year-old school aged child who has intermittent explosive disorder (IED). The child is currently having a temper tantrum. Which of the following communication techniques should the nurse use?

adopt a non threatening posture

A nurse is reviewing the risk factors for the development of congenital heart disease with a client who is planning to conceive. Which of the following conditions should the nurse include as a maternal risk factor?

alcohol consumption

A nurse is collecting data about the visual acuity of a group of school-aged children. Which of the following actions should the nurse take?

allow each child to wear his or her glasses during the exam

A nurse on a pediatric unit is assisting with the plan of care for a preschooler who will be having a surgical procedure in the morning. The child has been crying despite his parents' presence at his bedside. The nurse should recommend engaging the child in therapeutic play for the care plan due to which of the following benefits?

allowing the child to manipulate toy medical equipment

A nurse is reinforcing teaching about nutritional needs with the parents of a 2-year-old toddler. Which of the following pieces of information should the nurse include?

an appropriate serving size of solid foods is 2 tablespoons

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 10 minutes

A nurse is applying EMLA cream to a child's hand prior to the insertion of an intravenous catheter. Which of the following interventions should the nurse perform?

apply the EMLA cream 60 min prior to the procedure

A nurse is coordinating care for an adolescent who requires peritoneal dialysis (PD) to treat an acute kidney injury. Which of the following actions should the nurse take?

ask if the adolescent would like to record the amount of solution infused and drained

A nurse is preparing to obtain a blood sample from a 4-year-old child. Which of the following interventions should the nurse plan to take?

ask the child's guardian to restrain the child during the procedure

A nurse is called to stand by at a high-risk delivery. After several pushes, the mother delivers the infant. Which of the following steps should the nurse take first following the delivery of the newborn?

assess the infant's heartbeat and breathing

A nurse is assisting with the care of a school-aged child who had a tonsillectomy. Which of the following interventions should the nurse take?

avoid providing straws for use when drinking fluids

A nurse is reinforcing teaching about the introduction of solid foods with the parent of an infant. Which of the following instructions should the nurse provide?

begin after the extrusion reflex has diminished

A nurse is collecting data from a toddler who has AIDS. The nurse should identify which of the following findings as an indication of an opportunistic infection?

candidiasis

A nurse is collecting data from a preschooler who has HIV. Which of the following manifestations should the nurse expect?

chronic diarrhea

A nurse is caring for a toddler who reportedly ingested a poisonous substance. Which of the following interventions should the nurse perform first?

collect data on the child's vital signs

A nurse is assisting with the admission orders for a female adolescent who has anorexia nervosa. The nurse should identify that which of the following laboratory tests is the priority to obtain?

complete metabolic panel (CMP)

A nurse is collecting data from an infant who has untreated congenital hypothyroidism. Which of the following manifestations should the nurse expect?

constipation

A nurse is reinforcing teaching with the parent of a school-aged child who has celiac disease. Which of the following foods selected by the parent indicates an understanding of the teaching?

corn tortilla with black beans

A nurse is caring for a child who has electrical burns on her lower arms and hands. Which of the following findings indicates the child is experiencing a complication of the injury?

dark urine

A nurse is caring for a 6-year-old child who is experiencing encopresis. Which of the following actions should the nurse take?

determine if there are any recent stressors in the child's environment

A nurse is collecting data about a 4-year-old client's cognitive development during a well-child visit. Which of the following should the nurse expect the child to display?

development of superego

A nurse is preparing to collect data from an 11-month-old infant during a well-child examination. Which of the following actions should the nurse take?

examine the infant's throat at the end of the examination

A nurse is assisting with admission of a 12-year-old child who is blind and is scheduled to have open reduction internal fixation of the right arm. Which of the following actions should the nurse take?

explain the different sounds that can be heard at the child's bedside

A nurse is collecting data from an infant who is at risk for increased intracranial pressure (ICP). Which of the following findings should indicate to the nurse that this complication is developing?

high-pitched cry

A nurse is preparing to administer an enema to a 10-month-old infant. Which of the following actions should the nurse plan to take?

hold the infant's buttocks together after administration of the fluid

A nurse is collecting data from a 12-year-old child during a well-child check up. Which of the following physical findings should the nurse report to the provider?

hyperopia

A nurse is preparing to administer a vaccine to a 4-year-old child. Which of the following statements should the nurse include in the preparation for this procedure?

i am going to give you some medication that will go under your skin

A nurse is reinforcing teaching with a parent about pinworm testing. At which of the following times should the nurse advise the parent to perform the tape test?

immediately after the child wakes up in the morning

A nurse is contributing to the plan of care for a 6-month-old infant who has respiratory syncytial virus (RSV). Which of the following interventions should the nurse plan to include?

implement droplet and contact precautions

A nurse is collecting data from an infant who has diabetes insipidus (DI). Which of the following findings should the nurse expect?

increased urine output

A nurse is collecting data during a well-child assessment of a 7-year-old child who takes great pride in bringing school papers home. The behavior demonstrates which of the following of Erikson's stages of psychosocial development?

industry vs inferiority

A nurse is planning to reinforce teaching for a 9-year-old child who has a new diagnosis of diabetes mellitus. The nurse should identify that school-aged children are attempting to master which of the following developmental tasks?

industry vs inferiority

A nurse is planning care for a preschooler who is scheduled for a surgical procedure. The nurse should identify that the preschooler is in which of the following Erikson's psychological stages of development?

initiative vs guilt

A nurse is obtaining a temperature reading from an 18-month-old infant. Which of the following methods should the nurse use?

insert the lubricated tip of the thermometer 2.5 cm (1 in) into the toddler's rectum

A nurse is caring for a 1-week-old infant who has manifestations of neonatal abstinence syndrome (NAS). Which of the following actions should the nurse take?

keep the infant in a small isolation nursery

A nurse is caring for a premature infant with respiratory distress syndrome. Which of the following actions should the nurse take?

maintain oxygen saturation at 88% or above

A nurse is caring for a school-aged child who is hospitalized with acute poststreptococcal glomerular nephritis (APSGN). Which of the following interventions should the nurse perform?

measure the blood pressure every 4 hours

A nurse is assisting with the care of a school-aged child who has acute glomerulonephritis. Which of the following manifestations should the nurse expect?

periorbital edema

A nurse is caring for a 4-month-old infant who has tetralogy of Fallot and experiences a hypercyanotic spell. Which of the following actions should the nurse take?

place infant in knee chest position to help with blood flow back to the lungs

A nurse is caring for a preschool-aged child who presents with manifestations of epiglottitis. Which of the following actions is the nurse's priority to preform?

place resuscitation equipment at the child's bedside

A nurse is assisting with the care of a school aged child who is having tonic-clonic seizures. Which of the following actions should the nurse take first?

position child on his side and loosen any confining clothing

A nurse is assisting with the plan of care for a child who has hyperthermia. Which of the following actions should the nurse take?

position the child on a cooling blanket and cover her with a sheet

A nurse is reinforcing teaching about preventing poisoning with a group of parents who have toddlers. Which of the following statements should the nurse make?

put all cleaning supplies in a locked cabinet.

A nurse is reinforcing teaching about home safety with the parent of a 2-month-old infant. Which of the following information should the nurse include?

remove bibs before the infant goes to sleep

A nurse is caring for a 4-year-old child who has superficial partial-thickness burns over 50% of his body. To meet 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 caring for an infant who has neonatal abstinence syndrome (NAS). Which of the following interventions should the nurse perform?

swaddle the infant snugly with arms flexed

A nurse on a pediatric mental health unit is caring for a school aged child. Which of the following questions or statements should the nurse make to foster rapport and engage him in conversation?

tell me about your favorite video game

A nurse in a providers office receives a phone call from the guardian of an infant who just vomited after the administration of digoxin. Which of the following actions should the nurse take first?

tell the guardian that a repeat dose should not be given

A nurse is assessing a 3-year-old during a well-child assessment. Which of the following findings should the nurse report to the provider?

the child cannot walk on tiptoe

A nurse is reviewing the dynamics of a family in which abuse is suspected. Which of the following findings should the nurse report to the provider?

the child has several unexplained scars and bruises

A nurse is preparing to assist with the physical assessment of a 2-year-old toddler. Which of the following behaviors should the nurse expect during the examination?

the child prefers to sit on the parent's lap during the examination

A nurse in a pediatric clinic is collecting data from a preschooler during a well-child visit. Which of the following should the nurse report to the provider?

the child's blood pressure is 122/80 mmHg

A nurse is reviewing the medical record of a 2-month-old infant who has rotavirus. The nurse notes a hemoglobin of 12 g/dL and a hematocrit of 51%. Which of the following statements by the nurse indicates an understanding of these laboratory values?

the infant might be dehydrated

A nurse is reinforcing teaching with the guardians of an infant who has mild gastroesophageal reflux (GER). Which of the following instructions about feeding therapies should the nurse recommend?

thicken feedings with rice cereal

A nurse on a pediatric unit is assisting with the care of a preschooler who is prescribed an IV medication. Which of the following techniques should the nurse use to assist with preparing the child for the procedure?

use role-play activities with the child

A nurse is reinforcing education with the parent of a toddler who has phenylketonuria and is prescribed a restricted phenylalanine diet. Which of the following foods would be an appropriate choice for this child? A) french fries B) peanut butter C) scrambled eggs D) slice of cheese

A) french fries

A nurse is reinforcing teaching with a school-aged child who has asthma about how to use a metered-dose inhaler. In which order should the nurse instruct the child to perform the following steps and evaluate return demonstration? (move steps into the box on the right, placing them in correct order) hold the breath for 5-10 sec position the mouthpiece in the mouth shake the inhaler while holding it upright slowly inhale the medication

1. shake the inhaler while holding it upright 2. position the mouthpiece in the mouth 3. slowly inhale the medication 4. hold the breath for 5-10 sec

A nurse is assisting with the development of a health education program for the parents of school-aged females. Which of the following pieces of information regarding sexual maturation should the nurse include? A) higher body fat content is associated with earlier onset of menarche B) pubic hair is typically present prior to breast development C) ovulation begins after sexual maturation is complete D) menarche signals the beginning of puberty

A) higher body fat content is associated with earlier onset of menarche

A nurse is preparing a 3-month-old infant for a wellness visit with the physician. Which of the following observations should the nurse expect? A) the infant looks at his hands B) crude pincer grasp ( expected 8-9 months) C) infant has no head lag (slight head lag expected at 3 months) D) infant can independently roll from back to abdomen (expected at 6 months)

A) the infant looks at his hands- correct - crude pincer grasp (expected 8-9 months) - infant has no head lag (slight head lag expected at 3 months) - infant can independently roll from back to abdomen (expected at 6 months)

A nurse is reinforcing teaching with a parent of an infant who has developmental hip dysplasia and a new prescription for a Pavlik harness. Which of the following parent statements indicates understanding of the teaching?

I will apply the harness over a t-shirt and knee socks

A nurse is reinforcing post op teaching with a parent of a 3-month-old infant who is recovering from umbilical hernia repair. Which of the following statements by the parent indicates understanding of the teaching?

I will fold my baby's diaper away from the incision

A nurse is reinforcing teaching with a parent of a preschooler who has impetigo. Which of the following statements by the parent indicates understanding of the teaching?

I will wash my child's clothes in hot water

A nurse is reinforcing teaching with a parent of a child who has type 1 diabetes mellitus. The nurse is explaining how to manage the child's disorder during an illness such as a cold. Which of the following statements by the parent indicates an understanding of the teaching?

I'll check his blood glucose more often, every 3 hours

A nurse is reinforcing teaching with the parents of a child who has a cleft palate. The parents ask how long they should wait before the infant should have corrective surgery. The nurse explains that the parents should wait no longer than 6 to 12 months to avoid which of the following outcomes?

difficulty with language acquisition

A nurse is reinforcing discharge teaching with the guardian of an infant following a hypospadias repair. Which of the following instructions should the nurse include?

apply antibiotic ointment to penis once per day

A nurse is facilitating a group discussion with preschool teachers about child abuse. Which of the following items of data should the nurse share as a common example of a suggestive finding?

arm cast for a spiral fracture of the forearm

A nurse is caring for a preschooler who has acute leukemia and MRSA. The parents are not allowed to take the client to the hospital playroom, and the child appears bored. Which of the following actions should the nurse take?

ask the parents to bring toys from home for the preschooler

A nurse is assisting with the admission of a child who has a urinary tract infection and a history of myelomeningocele. After the child's admission history is complete, which of the following actions should the nurse recommend?

attach a latex allergy alert identification band

A nurse is assisting with the plan of care for a child who has meningococcal meningitis. Which of the following isolation precautions should the nurse plan to implement?

droplet precautions

A nurse is caring for a 7-year-old child who is in skeletal traction following complete fracture of the femur. Which of the following diversional activities should the nurse offer the child?

chapter books

A nurse is reinforcing teaching with at 17-year-old client about managing manifestations of polycystic ovary syndrome (PCOS). Which of the following client statements indicates understanding of the teaching?

eating more lean meats and veggies will help me lose weight

A nurse is caring for a toddler who has asthma. The parents are concerned about the toddlers 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 to use guided imagery for an early school-aged child who continues to have mild discomfort following the administration of an analgesic. Which of the following techniques should the nurse plan to use?

encourage the child to focus on a recent pleasurable experience

A nurse is caring of a newborn who has spina bifida. The newborns parents are upset by the diagnosis. Which of the following actions should the nurse take?

encourage the parents to touch and care for the newborn

A nurse is reinforcing teaching with the guardian of a preschooler. The guardian reports the preschooler has had an imaginary playmate for about 3 months. Which of the following pieces of information should the nurse reinforce with the guardian?

have the child take responsibility for actions if they try to blame the imaginary friend

A nurse is planning to perform chest physiotherapy (CPT) for an infant who has cystic fibrosis. Which of the following techniques should the nurse plan to include?

repeatedly strike the infants chest using a cupped hand

A newly licensed nurse in an urgent care center is caring for a child who has bruises that raise suspicion for child abuse. Which of the following actions should the nurse take?

report the suspected abuse to local authorities

A nurse is reinforcing teaching with a guardian of a 9-month-old infant who has a new prescription for an oral liquid medication. Which of the following points should the nurse include in the teaching?

use an oral syringe to measure your infant's medication accurately

A nurse is assisting with developmental plan of care for a 5-year-old child who has a new diagnosis of type 1 diabetes mellitus. Which of the following actions should the nurse include in the plan?

use short explanations immediately prior to collecting a blood glucose level to explain what will happen when the fingerstick occurs

A nurse is checking a meal tray of a school-aged child who has a new diagnosis of celiac disease. Which of the following foods should the nurse instruct the child to remove from the tray?

wheat roll (NO BROW) NO Barley, Rye, Oat, Wheat

A nurse on a pediatric oncology unit is helping the parents of a child who is terminally ill to prepare for the impending loss of their child. Which of the following statements should the nurse make?

would you like assistance in planning where your child will die?

A nurse is reinforcing teaching about exercise with an adolescent client who has type 1 diabetes. Which of the following points should the nurse reinforce?

you might need to decrease your routine insulin dose before exercise

A nurse is caring for a preschooler who has a terminal illness. The nurse should expect the preschooler to have which of the following perspectives about death?

believes that her own thoughts can cause death

A nurse is reviewing the morning laboratory results of an infant who is receiving digoxin and furosemide for the treatment of heart failure. Which of the following findings should the nurse report to the provider? A) Potassium 3.2 mEq/L- correct (4.1-5.3 norm) B) Sodium 140 mEq/L- incorrect (134-150 norm) C) Calcium 10.2 mg/dL- incorrect (8.8-10.8 norm) D) Chloride 100 mEq/L- incorrect (90-110 norm)

A) Potassium 3.2 mEq/L Potassium 3.2 mEq/L (4.1-5.3 normal range) - Low Sodium 140 mEq/L (134-150 normal range) - WNL Calcium 10.2 mg/dL (8.8-10.8 normal range) - WNL Chloride 100 mEq/L (90-110 normal range) - WNL

A nurse is caring for an infant who is 6 months old and has moderate dehydration. Which of the following findings should the nurse expect? A) dry mucous membranes- correct B) absent tears- incorrect (severe dehydration) C) weight loss of >10%- incorrect (severe dehydration) D) lethargy- incorrect (severe dehydration)

A) dry mucous membranes - absent tears (severe dehydration) - weight loss of >10% (severe dehydration) - lethargy (severe dehydration)

A nurse is reinforcing teaching with an adolescent client who has type 1 diabetes mellitus about managing hypoglycemia. Which of the following statements should the nurse include in the teaching?

you should drink 4 oz of orange juice if you experience hypoglycemia

A nurse is reinforcing teaching with the parents of a toddler who had an anaphylactic reaction to peanut butter about administering injectable epinephrine. Which of the following instructions should the nurse include?

you will need to increase the dose as your child gains weight

A nurse is reviewing recommended immunizations with the guardian of a 2-month-old infant. Which of the following statements should the nurse make?

your baby can start the pneumococcal vaccine now

A nurse is reinforcing teaching with the parent of a toddler who is hospitalized and has varicella. Which of the following points should the nurse reinforce?

your toddler will be unable to leave the room unless absolutely necessary

A nurse is caring for a school-aged child who had an arm cast applied 8 hours ago. Which of the following findings should alert the nurse to a complication related to the casting?

child reports tightness at the wrist

A nurse is contributing to the plan of care for a child who has aplastic anemia. Which of the following interventions should the nurse suggest?

initiate protective environment isolation for the child

A nurse is inspecting the eyes of a 5-day-old infant. Which of the following is the correct technique for the nurse to use?

lift the infants head while the infant is lying in a supine position

A charge nurse is reinforcing teaching about child maltreatment with a group of newly licensed nurses. Which of the following pieces of information should the charge nurse include in the teaching?

children who were born prematurely are more likely to be maltreated

A nurse is collecting data from a child who is post operative and received a unit of RBCs during a surgical procedure. Which of the following findings indicates that the child is experiencing a hemolytic transfusion reaction?

chills and flank pain

A nurse is collecting data on a 6-month-old infant. Which of the following findings should the nurse identify as unexpected and report to the provider?

head lag when pulled to sitting up position

A nurse is reinforcing teaching with an adolescent who was recently diagnosed with type 1 diabetes mellitus. Which of the following insulin injection sites should the nurse recommend that the client use during basketball competition?

hip

A nurse is reinforcing teaching with a family of a child about hospice care. Which of the following statements should the nurse include in teaching?

hospice staff members consider the family's needs to be just as important as those of the child

A nurse is reinforcing teaching with a group of parents of toddlers about measures to reduce the risk of choking. Which of the following foods should the nurse state increases the risk of choking in toddlers? (select all that apply)

hot dogs, grapes, bagels, marshmallows

A nurse is collecting data from a 12-year-old during a well-child check up. Which of the following physical findings should the nurse report to the provider?

hyperopia

A nurse is reinforcing teaching with a 12-year-old child who is recovering from an acute bleeding episode of hemophilia. Which of the following statement should the nurse make?

if you have a bleeding injury, you should immediately apply pressure and ice to the site

A nurse is caring for a child who has cystic fibrosis and a pulmonary infection. Which of the following findings is the nurse's priority?

inability to clear secretions

A nurse is reinforcing teaching with a guardian of a child about bicycle safety. Which of the following pieces of information should the nurse include?

instruct the child to walk their bike through intersections

The clinic nurse is collecting data from a 6-week-old infant who's guardian states "I'm concerned about my baby's hearing." Which of the following manifestations should the nurse report to the provider?

lack of startle reflex to a loud noise

A nurse is caring for a child who has gastroenteritis and is dehydrated. Which of the following characteristics places the infant at a higher risk for electrolyte imbalances compared to an adult client?

longer intestinal tract

A nurse is caring for a 7-year-old child who has Kawasaki disease. Which of the following interventions should the nurse perform?

monitor for signs of fluid retention

A nurse is reinforcing teaching with the guardian of a preschooler who has cystic fibrosis. Which of the following instructions should the nurse reinforce?

monitor the preschooler for a decrease activity level

A nurse is reinforcing teaching with the parent of a toddler who has bacterial conjunctivitis. Which of the following instructions should the nurse include?

notify the provider immediately if the sclera becomes inflamed

A nurse is contributing to the plan of care for an infant who has an unrepaired myelomeningocele. Which of the following actions should the nurse take?

palpate the abdomen for bladder distension

A nurse is caring for an infant receiving phototherapy for hyperbilirubinemia. Which of the following should the nurse recognize as an indication of increase bilirubin excretion?

passage of several loose green stools

A nurse is assisting with an informational session about otitis media for a group of parents. Which of the following should the nurse identify as a risk factor for this illness?

passive smoking

A nurse is collecting data for a developmental assessment on a 3-year old client. Which of the following commands should the nurse expect the child to successfully complete?

put on your shoes

A nurse is collecting data from a 1-week-old infant at a well baby visit. The nurse should notify the provider about which of the following assessment findings?

blue coloring of the sclera

A nurse is caring for a toddler in the immediate postoperative period following the placement of a ventriculoperitoneal (VP) shunt. Which of the following interventions should the nurse perform?

check for abdominal distention

A nurse is planning care for a 3-month-old infant who has an ileostomy. Which of the following interventions should the nurse include in the plan?

check the bag for stool every 4 hours

A nurse working on a maternal-newborn unit is assisting with planning an in-service-training session for staff about assisting new mothers with breastfeeding. Which of the following infant conditions should the nurse recommend including in the teaching as a contraindication for breastfeeding?

Galactosemia

A nurse is caring for an adolescent client who has a prescription for opioids. Which of the following findings should the nurse recognize as an adverse effect of opioids?

Pruritus

A nurse is caring for a child who has a tracheostomy. Which of the following techniques should the nurse use to suction the child's tracheostomy?

remove catheter while applying intermittent suction