Peds exam 1
A nurse is preparing to administer morphine oral solution 0.04 mg/kg to a newborn who weighs 2.5 kg. The amount available is morphine oral solution 0.4 mg/mL. How many mL should the nurse administer? (Fill in the blank with the numeric value only, round the answer to the nearest hundredth, and use a leading zero if applicable. Do not use a trailing zero.)
0.25 ML
A nurse is preparing to administer diphenhydramine 5mg/kg/day PO divided equally every 8 hr to a school-age child who weighs 50 lb. Diphenhydramine oral solution 12.5 mg/5 mL is available. How many mL should the nurse administer per dose?
15 ML
At what age is it concerning if a child cannot walk? 12 months 2 years 18 months 9 months
18 MONTHS
A nurse at a clinic is preparing to administer immunizations to a 5 year old child. Which of the following immunizations should the nurse plan to give? A. Diphtheria, tetanus and pertussis (DTaP) B. Pneumococcal (PCV) C. Haemophilus influenzae type B (Hib) D. Hepatitis B
A
A nurse is caring for an 18-year-old adolescent who is up-to-date on immunizations and is planning to attend college. The nurse should recommend which of the following immunizations prior to moving into a campus dormitory? A. Pneumococcal polysaccharide B. Meningococcal polysaccharide C. Rotavirus D. Herpes zoster
ANSWER: B
A nurse in a community health clinic is planning an in-service staff training session on nationally notifiable infectious conditions. Which of the following conditions should the nurse include in the teaching? A. Clostridioides difficile B. Varicella C. HIV exposure D. Influenza
B
A nurse is assessing a 6-year-old child who is immediately postoperative following a tonsillectomy. Which of the following findings should the nurse report to the provider? A. The child has a small amount of dark brown blood between the teeth B. The child is swallowing frequently c. The child has a heart rate of 118/min D. The child refuses the application of an ice collar
B
A nurse is assessing a 9-month-old infant. Which of the following findings should the nurse report to the provider as a delay in development? A. Using a pincer grasp topick up blocks B. Requiring support to sit for prolonged periods c. Turning the head toward the parent's voice D. Reaching for the mother and saying "mama"
B
A nurse is assessing a 24-month-old toddler who has a new diagnosis of autism spectrum disorder (ASD). Which of the following findings should the nurse expect? A. Wanting to be held frequently B. Ability to build a tower of 10 cubes C. Impaired language skills D. Ability to stand on 1 foot
C
A nurse is assessing a 4-year-old child for growth and developmental milestones during a well-child visit. Which of the following findings suggests a possible delay in development? A. Inability to tie shoes B. Adding 3 parts to a stick figure C. Speaking using 2- or 3-word sentences D. Inability to walk backward
C
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? A. Provide privacy B. Give the child a thorough explanation before providing care C. Encourage rooming-in D. Tell the child you will help fix her
C
A nurse is caring for a 2 year old child who has cystic fibrosis. The nurse is planning to take the child to the playroom. Which of the following activities would be appropriate for the child? A. Cutting fingers from colored paper B. drawing stick figures using crayons C. Riding a tricycle D. building towers with blocks
D
A nurse is teaching a parent of a 12-month-old infant about development during the toddler years. Which of the following statements should the nurse include? A. "Your child should be referring to himself using the appropriate pronoun by 18 months of age." B. "A toddler first shows interest in looking at pictures at 20 months of age." C. "A toddler should have daytime control of his bowel and bladder by 24 months of age." D. "Your child should be able to scribble spontaneously using a crayon at 15 months of age."
D
A nurse is teaching the parent of a 12-month-old infant about nutrition. Which of the following statements by the parent indicates a need for further teaching? A. "I can give my baby 4 oz of juice to drink each day." B. *I will offer my baby dry cereal and chilled banana slices as snacks." c. "I am introducing my baby to the same foods the family eats." D. "My infant drinks at least 2 qt of skim milk each day.
D
SATA which of the following is important for a child with cystic fibrosis? exercise high protein and high calorie diet medication adhearance fluid restriction
Exercise high protein and high calorie diet medication adherance
A 4 year-old child should be able to dress themselves independently True False
F
Tachycardia is a sign of increased intracranial pressure T OR F
F
children with cystic fibrosis need to take a multivitamin with each meal T OR F
F
Bradycardia is an early sign of increased intracranial pressure T OR F
F (its a LATE SIGN)
A nurse is caring for an infant who has pertussis. Which of the following actions should the nurse take? Assess for edema of the extremities Apply warm compresses to the neck area Initiate airborne precautions Maintain a cardiorespiratory monitor
Maintain a cardiorespiratory monitor
nurse in an emergency department is assessing an infant who has laryngotracheobronchitis. Which of the following findings should the nurse report as an indication of impending airway obstruction? Bradycardia Respiratory depression Nasal flaring Barking cough
NASAL FLARING
What type of play do you expect in children younger than 3 years old? Parallell Play Imaginitive Play Cooperative Play Antagonistic Play
Parallel play
A 12 month-old should be able to use a spoon and a cup True False
T
A cool mist humidifier is often adequte treatment for mild croup t or f
T
T OR F Febrile seizures are generally benign and do not cause long-lasting effects.
T
A preschool age child may think an illness or hospitalization is their fault, or a punishment? True False
TRUE
Every college student should have a meningicoccal vaccine booster? T OR F
TRUE
a child with strep throat should get a new toothbrush for infection control? t or f
TRUE
Which of the following follows good infection control guidelines for daycare centers? -Using a disposible paper covering on changing tables -Making sure handwashing stations are close to the diaper changing area -Disposing of diapers in covered receptacles -Children are encouraged to attend when febrile
Using a disposible paper covering on changing tables Making sure handwashing stations are close to the diaper changing area Disposing of diapers in covered receptacles
A nurse is caring for a child with a vesicular rash that has been present for 6 days. The nurse should expect that the child has which of the following conditions? Measles Fifth disease Tetanus Varicella
VARICELLA
Which of the following are important to do when a patient is having a seizure? Clear the area Turn them on the left side Place a big soft pillow under their head Loosten any clothing around their neck Time the seizure Give ordered medication to stop the seizure
all except place big soft pillow under their head
A nurse is caring for a 6-year-old child who is experiencing encopresis. Which of the following actions should the nurse take? A. Instruct the child's guardian to limit stool softener use to no more than twice per week B. Encourage the child to attempt to have a bowel movement 4 times per day C. Determine if there are any recent stressors in the child's environment D. Urge the child's guardian to provide negative consequences when the child has a bowel accident
c
What is the best indication that a child with CROUP is improving? Increased somulence decreased cough increased need for oxygen decrease stridor
decrease stridor
Acceptable lead level:
less than 10
A nurse is assessing the fine motor skills of a 3 year old preschooler. Which of the following findings should the nurse expect?
preschooler builds a tower of 9 cubes
A community health nurse at a family-planning clinic is developing a program about adolescent sexuality. Which of the following is a developmental task of adolescence according to Erikson's theory of psychosocial development? A. Adjusting to dramatic changes in body image B. Developing hypothetical reasoning skills C. Establishing the capacity for an intimate love relationship D. Learning to make good choices and avoid risk-taking behaviors
A
A nurse is assessing a 3-year-old preschooler. Which of the following developmental milestones should the nurse expect the preschooler to demonstrate? A. Stacking 10 blocks B. Printing 1 letter C. Tying shoelaces D. Using 7-word sentences
A
A nurse is performing a well-child assessment on a 4-year-old child. Which of the following findings should the nurse expect? A. The child is able to hop on 1 foot. B. The child is able to build a tower of up to 6 blocks. C. The child is able to name the days of the week. D. The child is able to identify left and right
A
A nurse is preparing to administer routine immunizations to a 6-year-old child. In addition to the diphtheria, tetanus, and pertussis (DTaP) vaccine; the measles, mumps, and rubella (MMR vaccine; and the varicella vaccine, which of the following immunizations should the nurse plan to administer? A. Inactivated poliovirus vaccine (IPV) B. Haemophilus influenza type B vaccine (Hib) C.Pneumococcal conjugate vaccine (PCV) D. Hepatitis B vaccine(HBV)
A
A nurse is providing teaching for new parents on safe sleeping recommendations to reduce the risk of sudden infant death syndrome (SIDS). Which of the following instructions should the nurse include? A. "Room sharing is recommended while the infant sleeps." B. "Bundle the infant snugly in 2 blankets at bedtime." c. "Only use bumper pads that can be securely attached to the crib rails." D. "The side-lying position is safest for infant sleeping."
A
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? A. Encourage the parents to bring the child's stuffed animal B. Give the child choices when planning daily activities C. Administer phenytoin3 times per day D. Provide a shared room with another child his age
A Encourage the parents to bring the child's stuffed animal
A nurse is performing a well-child assessment on a 7-year-old client who takes great pride in bringing school papers home. The nurse recognizes that this behavior demonstrates which of the following of Erikson's stages of psychosocial development? A. Initiative vs. guilt B. Industry vs. inferiority C. Identity vs. role confusion D. Autonomy vs. shame and doubt
B
A nurse is providing teaching about disease management to the parent of a preschooler who has a new diagnosis of asthma. Which of the following parent statements indicates an understanding of the teaching? A. "My child should not receive live virus vaccines." B. "I will encourage my child to participate in sports." C. "I will give my childaspirin when she has a fever." D. "My child will outgrow asthma by adulthood."
B
A nurse is reviewing recommended immunizations with the guardian of a 2-month-old infant. Which of the following statements should the nurse make? A. "Your baby can receive the varicella vaccine at 6 months of age. B. "Your baby can start the pneumococcal vaccine now." C. "Your baby should receive the flu vaccine before 6 months of age." D. "You baby can start the measles, mumps, and rubella vaccine now.
B
A nurse on a pediatric unit is planning 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 add engaging the child in therapeutic play to the care plan to offer which of the following benefits? A. Decrease the child's fear of the dark B. Allow the child to manipulate toy medical equipment C. Provide an opportunity to analyze the child's emotions D. Encourage parents to engage with their child
B
The nurse is teaching a client who is postpartum about the rubella vaccine. Which of the followings statements should the nurse include? A. "You must not take this immunization if you've had the chickenpox." .B. "You must not become pregnant for 28 days after receiving this immunization." C. 'You must not breastfeed because the virus is passed in breastmilk." D. "You must not receiveother vaccines at the same time as the rubella vaccine."
B
nurse is providing discharge teaching to the guardian of an adolescent who is postoperative following a tonsillectomy. Which or the following manifestations should the guardian report to the provider? A. Nasal secretions containing dark brown blood B. Constant clearing of the throat c. Unpleasant odor trom the oral cavity D. Temperature of 37.7°C (99.8°F) at 48 hr postoperative
B
A nurse is assessing a 9-month-old infant. Which of the following findings should the nurse report to the provider as a possible developmental delay? A. Grasping a small object with just the thumb and index finger B. Dropping a cube when passing from 1 hand to the other C. Falling from a standing position to sitting D. Losing balance when leaning sideways while sitting
B (dropping a cube when passing from 1 hand to the other)
nurse on the pediatric unit is caring for a group of clients. Which of the following findings should be the nurse's priority? A. A child who has asthma and a pulse oximetry. of 94% B. A child who has nephrotic syndrome and 1+ protein on urine dipstick C. A child who has sickle cell anemia and a urine specific gravity of 1.030 D. A child who has insulin-dependent diabetes mellitus and a fingerstick glucose reading of 110 mg/dL
C
A nurse is caring for a 5-year-old child who has a fever and begins to have a seizure. Which of the following actions should the nurse take? A.Give acetaminophen 240 mg PO immediately following the seizure B. Sponge the child's skin with a mixture of cold water and rubbing alcohol C. Administer rectal diazepam if the seizure lasts longer than 2 minutes D. Place the child in a side-lying position
D
A nurse in an emergency department is caring for an 8-year old who is up-to-date with current immunization recommendations and has a deep puncture injury. Which of the following should the nurse anticipate administering? A. Diphtheria, tetanus, and acellular pertussis (DTaP) vaccine B. Single injection of tetanus immune globulin (TIG) mixed with pediatric tetanus booster (DT) C. Tetanus, diphtheria, and acellular pertussis (Tap) vaccine D. Adult tetanus booster(Td)
D ADULT TETANUS
A nurse is planning preoperative teaching for a preschooler who is scheduled for a tonsillectomy. Which of the following interventions should the nurse plan to include? A. Encourage the preschooler to bring a favorite toy to the hospital B. Spend 30 minutes teaching the preschooler about what to expect C. Schedule the teaching session for the morning of the preschooler's procedure D. Reassure the preschooler that medicine will prevent pain after the procedure
A
A nurse is preparing to administer the varicella vaccine to a 12-month-old infant. The nurse asks the infant's guardian if the infant has any allergies. Which of the following allergies is a contraindication to the infant receiving the vaccine? A. Gelatin B. Milk C. Eggs D. Peanuts
A
A nurse is assessing the fine motor skill development of a 4-year-old child. The nurse should expect the child to be able to perform which of the following activities? A. Tying shoelaces into a bow B. Copying a square C. Drawing a person with at least 8 parts D. Printing the letters of her name
B
A nurse is preparing to administer recommended immunizations to a 2-month-old infant. Which of the following immunizàtions should the nurse plan to administer? A. Human papillomavirus (HPV) and hepatitis A B. Measles, mumps, and rubella (MMR) and tetanus, diphtheria, and acellular pertussis (TDaP) c. Haemophilus influenzae type B (Hib) and inactivated polio virus (IPV) D. Varicella (VAR) and live attenuated influenza vaccine (LAIV)
C
A nurse is providing education to the parent of a toddler who is about to receive an MMR (measles, mumps and rubella) immunization. Which of the following statements by the parent indicates an understanding of the teaching? A. "My child should not play with other children for 2 days." B. "I will need to return in 2 weeks for my child to receive the varicella immunization." C. "I will help my child to blow bubbles during the injection." D. "My child may have some drainage from the injection site."
C
A nurse is providing teaching to the family of a child who has autism spectrum disorder. Which of the following statements indicates that the family understands the teaching? A. "Donepezil might slow the progression of the disorder." B. "My child will prefer group therapy with other children." C. "We can help our child by structuring our daily routine." D. "Our child probably has this condition as a result of prematurity.
C
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 of Erikson's psychosocial stages of development? A. Industry vs. inferiority B. Trust vs. mistrus C. Initiative vs. guilt D. Identity vs. role confusion
C
A nurse on a pediatric unit has just received reports for 4 newly admitted clients. For which of the following children should the nurse plan to initiate droplet precautions? A child who has rocky mountain spotted fever A child who has roseola A child who has molluscum contagiosum A child who has pertussis
A child who has pertussis
A nurse is assessing the gross and fine motor behaviors of a toddler. Which of the following behaviors should the nurse identify as an expected achievement for a 3 year old child A. walking backward while moving heel to toe B. standing on 1 foot for several seconds C. using scissors to cut out shapes D. printing letters with a pencil
B
A nurse on a pediatric unit is caring for a child who has autism spectrum disorder. Which of the following actions should the nurse take? A. Provide activities to stimulate the child's interest in the environment B. Make frequent eye contact when talking to the child C. Offer the child choices when scheduling planned care D. Ensure that staff visits with the child are kept short
D
A school nurse is caring for a child who is experiencing an acute asthma attack. Which of the following medications should the nurse plan to administer to the child? A. Zafirlukast B. Budesonide c. Montelukast D. Albuterol
D
nurse in an emergency department 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? A. Excessively prolonged expiration B. Increased diaphoresis C. Increased production of frothy sputum D. Sudden decrease in wheezing
D
A nurse is providing teaching about immunizations to the parents of a severely immunocompromised child who has human immunodeficiency virus (HIV). Which of the following statements should the nurse include in the teaching? A. "Your child's immunizations today will be half-doses." B. "The pneumococcal and influenza vaccines are recommended for your child." C. "Immunizations will be delayed until your child tests HIV-negative. D. "Your child will need to restart the immunization schedule once your child's laboratory values are
B
