PEDS CMS REVIEW
A nurse is caring for a 16yo who reports dysmenorrhea and asks about alternative therapies for treatment. Which statement should the nurse make?
"Herbal medication can be affective but should be monitored by your provider".
A nurse is teaching the parent of an infant about injury prevention. 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". **avoid clothes with buttons to reduce the risk of choking and aspiration.
What statement should the nurse include when providing teaching to the parent of a toddler who is undergoing insertion of tympanostomy tubes?
"The tubes should stay in place until they fall out on their own".
A nurse is providing teaching to a 12 yo client who is recovering from an acute episode of hemophilia A. which of the following statements should the nurse include in the teaching?
"You will be able to participate in physical exercises". **physical exercise is important for the maintenance of joint mobility and muscle strengthening.
A nurse is caring for a child who has an exacerbation of cystic fibrosis. Which of the following lab findings should the nurse report to the provider immediately?
**oxygen saturation of 85%.
What piece of information should the nurse include in the teaching to the guardians of an infant who has FTT?
Add fortified cereal to the infants formula. Helps promote weight gain (same w adding vegetable oil).
A nurse in the ED is admitting a child who has full-thickness burns over 45% of his body. Which of the following actions should the nurse take first ?
Administer IV fluid replacement. **bc the greatest risk to this child is an injury from hypovolemic shock so this should therefore be the first action made by the nurse.
An infant who is breastfed and is receiving amoxacillin for an URI. An assessment reveals that the mouth has whitish patches on the tongue that will not scrape off. Which of the following actions should the nurse take?
Administer an antifungal medication after feedings
A nurse is providing teaching to an adolescent client who has juvenile idiopathic arthritis. Which of the following instructions should the nurse include in the teaching?
Attend school regularly. **they should attend school even on days when joint pain or stiffness occurs.
A nurse is caring for an infant following the surgical repair of a cleft lip and palate. Which of the following actions should the nurse take?
Auction the infant gently with a bulb syringe PRN.
A nurse is providing teaching to the parent of a school-aged child who has pediculosis. Which of the following instructions should the nurse include ?
Dry clothing in a hot dryer for at least 20 minutes You seal non washable stuff in a bag for 14 days, NOT 7!
A nurse is caring for a child who has autism. Which of the following actions should the nurse take?
Ensure that staff visits with the child are kept short.
a nurse is preparing to assess an 11 month old infant. What should the nurse assess last ?
Examine the infants theoat at the end of the examination. Can cause them to cry which will make the remainder of rhe exam difficult.
A nurse is developing a plan of care for a school aged child who underwent a surgical procedure that resulted in a temporary loss of vision. Which intervention should the nurse include in the plan of care ?
Explain the sounds the child is hearing.
What immunizations should a 2 month old infant get?
Hib and IPV (Haemophilus influenzae type B and inactivated polio virus).
A nurse is caring for a 4 yo who has pneumonia. The child's mother left 2 hours ago, and he is currently experiencing the separation anxiety stage of despair. Which of the following findings should the nurse expect?
Inactivity and thumb sucking.
A 7yo is in what stage for eriksons stages of psychosocial development ?
Industry vs. inferiority
A nurse is providing teaching to a parent of a preschooler who has tinea capitus. Which of the following instructions should the nurse include in the teaching?
Leave the medicated shampoo on the scalp for 5-10 minutes.
A nurse is caring for an infant who is experiencing dehydration. Which of the following assessments is the nurses priority?
Measure the clients weight daily
A nurse is assessing 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 child who has tetralogy of fallot. Which of the following lab values should the nurse expect to find?
RBC 6.8milllion/uL *a child who has TOF experiences cyanosis; therefore the body responds by increasing RBC production (polycythemia) in an attempt to supply oxygen to all body parts.
A nurse is assessing the development of a 3 yo. Which of the following gross motor skills should the nurse expect the child to be able to perform?
Standing on 1 foot.
A nurse in the ED is assessing a school aged child who is experiencing an acute asthma exacerbation. Which of the following findings is the priority for the nurse to report to the provider?
Sudden decrease in wheezing. **this can indicate that the child is experiencing decreased air movement.
a nurse is assessing a 6 month old infant who was recently admitted with acute vomiting and diarrhea. Which of the following findings indicates moderate dehydration?
Tachypnea!
A nurse is assessing a preschooler who has influenza and reports he new onset of a sore throat and difficulty swallowing. Which of the following findings is the priority for the nurse to report to the provider ?
The child is drooling. ***it can indicate that the child might have developed epiglottitis.
A nurse is assessing a 30 month old toddler. Which of the following findings require further assessment by the nurse ?
The toddlers birth weight is tripled. Birth weight should be tripled by 12 months of age. By 30 months of age, the birth weight should be quadrupled.
A nurse is caring for a group of infants with congenital heart defects. For which of the following defects should the nurse expect to observe cyanosis?
Transposition of the great arteries.
A nurse is assessing a 2 month old who has a VSD. which of the following findings should the nurse report to the provider ?
Weight gain of 1.8 kg (4 lbs) **indicates increased fluid and worsening of the child's HF.
A nurse is assessing an adolescent who is receiving fentanyl via epidural. Which of the following assessments should the nurse identify as a priority?
oxygen saturation
How do you calculate BMI?
weight (kg) / height (m^2)
