Peds Exam 3 ATI/Kahoot questions
A nurse is assessing an infant who has hypertrophic pyloric stenosis. Which of the following findings should the nurse expect? (Select al that apply) A. Projectile vomiting B. Dry mucus membranes C. Currant jelly stools D. Sausage- shaped abdominal mass E. Constant hunger
A, B, E
A nurse is providing teaching the parent of a child who has a neuroblastoma. Which of the following statements should the nurse include in the teaching? (Select all that apply) A. Half of the child who have neuroblastoma have metastatic disease B. Your child will need a bone marrow biopsy. C. Your child will be paralyzed because of this tumor D. Most children are diagnosed around age 12 E. Your child will need surgery for resection of this tumor
A, B, E
A nurse is caring for a child who has Hirschsprung's disease. Which of the following actions should the nurse take? A. Encourage a high-fiber, low-protein, low-calorie diet B. Prepare the family for surgery C. Place an NG tube for decompression D. Initiate bed rest
B
A nurse in an outpatient facility is caring for an infant who has manifestations of acute otitis media. Which of the following factors places the infant at risk for AOM? A. Breastfeeding without formula supplementation B. Attends day care 4 days per week C. Immunizations are up to date D. History of cleft palate repair E. Parents smoke cigarettes outside
B, D, E
A nurse is providing teaching for an adolescent client who has mononucleosis. The client has a fever, fatigue, swollen lymph nodes, sore throat, and a sore upper abdomen. Which of the following instructions should the nurse include in the teaching? (Select all that apply) A. Take antibiotics until the symptoms subside B. Drink plenty of fluids C. Avoid participating in strenuous activities D. Allow for periods of rest E. Take aspirin as needed for fever and discomfort F. Gargle with saltwater every 2 to 3 hours
A, B, C, D, F
A nurse is assessing a child who has rhabdomyosarcoma of the nasopharynx. Which of the following are manifestations of rhabdomyosarcoma? (Select all that apply) A. Enlarged neck lymph nodes B. Pain C. Vomiting D. Epistaxis E. Diplopia
A, B, D
A nurse is assessing an infant who has eczema. Which of the following findings should the nurse expect? (Select all that apply) A. Generalized distribution of lesions B. Papules C. Ecchymosis in flexural areas D. Crusting lesions E. Keratosis pilaris
A, B, D
A nurse is caring for a client who has major burns and suspected septic shock. Which of the following findings are consistent with septic shock? (Select all that apply) A. Increased body temperature B. Altered sensorium C. Decreased capillary refill D. Decreased urine output E. Increased bowel sounds
A, B, D
A nurse is teaching a parent of an infant about gastrointestinal reflux disease. Which of the following should the nurse include in the teaching? (Select all that apply) A. Offer frequent feedings B. Thicken formula with rice cereal C. Use a bottle with a one-way valve D. Position baby upright after feedings E. Use a wide-based nipple for feedings
A, B, D
A nurse is caring for a child who has Meckel's diverticulum. Which of the following manifestations should the nurse expect? (Select all that apply) A. Abdominal pain B. Fever C. Mucus, bloody stools D. Vomiting E. Rapid, shallow breathing
A, C
A nurse is providing teaching about epistaxis to the parent of a school-age child. Which of the following should the nurse include as an appropriate action to take when managing an episode of epistaxis? (Select all that apply) A. Press the nares together for at least 10 minutes B. Breathe through the nose until bleeding stops C. Pack cotton or tissue into the naris that is bleeding D. Apply a warm cloth across the bridge of the nose E. Insert petroleum into the naris after the bleeding stops
A, C
A nurse is admitting a child who has severely symptomatic HIV. Which of the following findings should the nurse expect? (Select all that apply) A. Kaposi's sarcoma B. Hepatitis C. Wasting syndrome D. Pulmonary candidiasis E. Cardiomyopathy
A, C, D
A nurse is caring for a child who is experiencing neuropathy due to chemotherapy. Which of the following are manifestations of neuropathy? (Select all that apply) A. Constipation B. Skin breakdown C. Foot drop D. Jaw pain E. Hemorrhage cystitis
A, C, D
A nurse is caring for a male infant who has epispadias. Which of the following findings should the nurse expect? (Select all that apply) A. Bladder exstrophy B. Inability to retract foreskin C. Widened pubic symphysis D. Broad, spade-like penis E. Pain
A, C, D
A nurse is teaching a group of parents about E. coli. Which of the following information should the nurse include in the teaching? (Select all that apply) A. Severe abdominal cramping occurs B. Watery diarrhea is present for more than 5 days C. It can lead to hemolytic uremic syndrome D. It is a food borne pathogen E. Antibiotics are given for treatment
A, C, D
A nurse is teaching a parent of a child who has HIV. Which of the following information should the nurse include? (Select all that apply). A. Obtain yearly influenza vaccination B. Monitor a fever for 24 hours before seeking medical care C. Avoid individuals who have colds D. Provide nutritional supplements E. Administer aspirin for pain
A, C, D
A nurse is assessing a child who has rhabdomyosarcoma of the upper arm. Which of the following findings should the nurse expect? (Select all that apply) A. Pain B. Discoloration of the skin C. Lymph node enlargement D. Easy bruising E. Palpable mass
A, C, E
A nurse is caring for a 10-year-old child who has acute glomerulonephritis. Which of the following findings should the nurse report to the provider? A. Serum BUN 8 mg/dL B. Serum creatinine 1.3 mg/dL C. Blood pressure 100/74 D. Urine output 550 mL in 24 hours
B
A nurse is caring for a child who has enuresis. Which of the following is a complication of enuresis? A. Urinary tract infections B. Emotional problems C. Urosepsis D. Progressive kidney disease
B
A nurse is caring for a child who has had watery diarrhea for the past 3 days. Which of the following is an appropriate action for the nurse to take? A. Offer chicken broth B. Initiate oral rehydration therapy C. Start hypertonic IV solution D. Keep NPO until the diarrhea subsides
B
A nurse is caring for a client who has a superficial partial-thickness burn. Which of the following actions should the nurse take? A. Administer IV infusion of 0.9% sodium chloride B. Apply cool, wet compresses to the affected area C. Clean the affected area using a soft-bristle brush D. Administer morphine sulfate
B
A nurse is caring for a toddler who has a Wilm's tumor. Which of the following actions should the nurse take? A. Palpate the child's abdomen to identify the size of the tumor B. Prepare the child for surgery C. Teach the parents about dialysis D. Obtain a 24-hour urine specimen from the child
B
A nurse is caring for a toddler who has rhinitis, cough, and diarrhea for 2 days. Upon assessment, it is noted that the tympanic membrane has an orange discoloration and decreased movement. Which of the following statements should the nurse make? A. Your child has an ear infection that requires antibiotics B. Your child could experience transient hearing loss C. Your child will need to be on a decongestant until this clears D. Your child will need to have a myringotomy
B
A nurse is assessing a child who has neuroblastoma of the adrenal gland. Which of the following are indications of metastasis from the primary site? (Select all that apply) A. Weight gain B. Bone pain C. Periorbital ecchymosis D. Proptosis E. Ill appearance
B, C, D, E
A nurse is assessing a child who has a urinary tract infection. Which of the following are manifestations of a urinary tract infection? (Select all that apply) A. Night sweats B. Swelling of the face C. Pallor D. Pale-colored urine E. Fatigue
B, C, E
A nurse is assessing a child who has nephrotic syndrome. Which of the following findings should the nurse expect? (Select all that apply) A. Dipstick protein of 1+ B. Edema in the ankles C. Hyperlipidemia D. Weight loss E. Anorexia
B, C, E
A nurse is assessing an infant. Which of the following findings are clinical manifestations of acute otitis media? (Select all that apply) A. Decreased pain in the supine position B. Rolling head side to side C. Loss of appetite D. Increased sensitivity to sound E. Crying
B, C, E
A nurse is caring for a child who sustained a fracture. Which of the following actions should the nurse take? (Select all that apply) A. Place a heat pack on the site of injury B. Elevate the effected limb C. Assess neuromuscular status frequently D. Encourage ROM of the affected limb E. Stabilize the injury
B, C, E
A nurse is assessing an infant who has scabies. Which of the following findings should the nurse expect? (Select all that apply) A. Presence of nits on the hair shaft B. Pencil-like marks on hands C. Blisters on the soles of the feet D. Small, red bumps on the scalp E. Pimples on the trunk
B, C, E A, D= pediculosis capitis
A nurse is planning care for an infant who has diaper dermatitis. Which of the following actions should the nurse include in the plan of care? (Select all that apply) A. Apply talcum powder with every diaper change B. Allow the buttocks to air dry C. Use commercial baby wipes to cleanse the area D. Use cloth diapers until the rash is gone E. Apply zinc oxide ointment to the affected area
B, E
A parent of a school age child who has GH deficiency asks the nurse how long the child will need to take injections for growth delay. Which of the following responses should the nurse make? A. Injections are usually continued until age 10 for girls and age 12 for boys B. Injections continue until your child reaches the 5th percentile on the growth chart. C. Injections should be continued until there is evidence of epiphyseal closure D. The injections will need to be administered throughout your child's entire life
C
A nurse is caring for child who has AIDS. Which of the following isolation precautions should the nurse implement? A. Contact B. Airborne C. Droplet D. Standard
D
A nurse is planning care of a child who has a urinary tract infection. Which of the following should the nurse include? A. Administer an antidiuretic B. Restrict fluids C. Evaluate the child's self-esteem D. Encourage frequent voiding
D
A nurse is providing teaching to the parent of a child who has a new prescription for liquid oral iron supplements. Which of the following statements by the parent indicates an understanding of the teaching? A. I should take my child to the ER if his stools become dark B. My child should avoid eating citrus fruits while taking the supplements C. I should give the iron with milk to prevent an upset stomach D. My child should take the supplement through a straw
D
A nurse is teaching a group of parents about communicable diseases. The nurse should include that which of the following is the best method to prevent a communicable disease? A. Hand washing B. Avoiding persons who have active disease C. Covering your cough D. Obtaining immunizations
D
A nurse is teaching a school-age child who has diabetes mellitus about insulin administration. which of the following should the nurse include in the teaching? A. You should inject the needle at a 30-degree angle B. You should combine your glargine and regular insulin in the same syringe C. You should aspirate for blood before injecting the insulin D. You should give four or five injections in one area before switching sites
D
A nurse is caring for a child who has thrombocytopenia. Which of the following actions should the nurse take? (Select all that apply) A. Monitor for signs of bleeding B. Administer routine immunizations C. Obtain rectal temperatures D.Avoid peripheral venipuncture E. Limit visitors
A, D
A 4-month-old female doesn't cry during IV insertion. HR 198, blood sugar 94, with a depressed fontanel. Treatment? a. IV bolus D10W b. IV bolus NS c. oral rehydration solution d. IV bolus D5
b. IV bolus NS
What is the plan of care for a 7-week-old scheduled in 24 hours for a pyloromyotomy? a. NPO, IVF as maintenance b. NPO, IVF as maintenance, place NGT to low suction c. obtain serum electrolytes, NPO, no NGT d. offer infant small feedings, NPO 6-8 hours prior to surgery
b. NPO, IVF as maintenance, place NGT to low suction
A "Do not palpate abdomen" sign should be placed over the bed of a child with what disorder? a. acute renal failure b. acute glomerulonephritis c. Wilms' tumor d. nephrotic syndrome
c. Wilms tumor
A nurse is caring for a child who has cerebral palsy. Which of the following medications should the nurse expect to administer to treat painful muscle spasms? (Select all that apply) A. Baclofen B. Diazepam C. Oxybutynin D. Methotrexate E. Prednisone
A, B
A nurse is planning care for a child who has tinea capitis. Which of the following actions should the nurse include in the plan of care? (Select all that apply) A. Treat infected house pets B. Use selenium sulfide shampoo C. Cleanse the area with Burrow solution D. Administer antiviral medication E. Use moist, warm compresses
A, B
A nurse is assessing a child who has a rotavirus infection. Which of the following are expected findings? (Select all that apply) A. Fever B. Vomiting C. Watery stools D. Bloody stools E. Confusion
A, B, C
A nurse is teaching the parent of an infant who has seborrheic dermatitis of the scalp. Which of the following instructions should the nurse include in the teaching? A. "You can use petrolatum to help soften and remove patches from your infant's scalp" B. "When patches are present, you should keep your infant away from others" C. "You should avoid washing your infant's hair while patches are present on the scalp" D. "When patches are present, it indicates that your infant has a systemic infection"
A
A nurse is assessing a client who has pertussis. Which of the following findings should the nurse expect? (Select all that apply) A. Runny nose B. Mild fever C. Cough with whooping sound D. Swollen salivary glands E. Red rash
A, B, C
A nurse is caring for a 10 year old child who has nephrotic syndrome. Which of the following findings should the nurse report to the provider? A. Serum protein 5.0 g/dL B. Hgb 14.5 g/dL C Hct 40% D. Platelet 200000 mm3
A
A nurse is caring for a child who has cellulitis on the hand. Which of the following actions should the nurse take? A. Administer oral antibiotics B. Cleanse area using Burrow solution C. Prepare for cyrotherapy D. Apply a topical anti fungal medication
A
A nurse is caring for a child who is suspected to have Enterobius vermicularis. Which of the following actions should the nurse take? A. Perform a tape test B. Collect stool specimen for culture C. Test the stool for occult blood D. Initiate IV fluids
A
A nurse is caring for a client who has a major burn and is experiencing severe pain. Which of the following actions should the nurse implement to manage this client's pain? A. Administer morphine sulfate IV via continuous infusion B. Administer meperidine IM as needed C. Administer acetaminophen PO every 4 hours D. Administer hydrocodone PO every 6 hours
A
A nurse is caring for an adolescent who has acne and a prescription for isotretinoin from the dermatologist. Which of the following laboratory findings should the nurse plan to monitor? A. Cholesterol and triglycerides B. BUN and creatinine C. Serum potassium D. Serum sodium
A
A nurse is providing teaching about the management of epistaxis to a child and his family. Which of the following positions should the nurse instruct the child to take when experiencing a nosebleed? A. Sit up and lean forward B. Sit up and tilt the head up C. Lie in a supine position D. Lie in a prone position
A
A nurse is assessing a child who has short stature. Which of the following findings would indicate a growth hormone deficiency? A. Proportional height to weight B. Height proportionally greater than weight C. Weight proportionally greater than height D. BMI greater than height/weight ratio
A
A nurse is reviewing sick-day management with a parent of a child who has type 1 diabetes mellitus. Which of the following should the nurse include in the teaching? (Select all that apply) A. Monitor blood glucose levels every 3 hours B. Discontinue taking insulin until feeling better C. Drink 8 oz of fruit juice every hour D. Test urine for ketones E. Call the provider if blood glucose is greater than 240 mg/dL
A, D, E
A nurse is caring for a child who has contact dermatitis due to poison ivy. Which of the following actions should the nurse take? (Select all that apply) A. Remove the clothing over the rash B. Initiate contact isolation precautions while the rash is present C. Expose the rash to a heat lamp for 15 minutes D. Cleanse the affected skin with hydrogen peroxide solution E. Apply calamine lotion to the skin
A, E
A nurse is caring for a school-age child who has juvenile idiopathic arthritis. Which of the following home care instructions should the nurse include in the teaching? (Select all that apply) A. Provide extra time for completion of ADLs B. Use cold compresses for joint pain C. Take ibuprofen on an empty stomach D. Remain home during periods of exacerbation E. Perform range-of-motion exercises
A, E
A nurse is assessing a preschool-age child for developmental dysplasia of the hip. Which of the following assessments should the nurse include? A. Barlow test B. Trendelenburg sign C. Manipulation of the foot and ankle D. Ortolani test
B
A nurse is teaching a group of parents about fractures. Which of the following information should the nurse include in the teaching? A. Children need a longer time to heal from a fracture than an adult B. Epiphyseal plate injuries can result in altered bone growth C. A greenstick fracture is a complete break in the bone D. Bones are unable to bend, so they break
B
A nurse is caring for a child who is in skeletal traction. Which of the following actions should the nurse take? (Select all that apply) A. Remove the weights to reposition the client B. Assess the child's position frequently C. Assess pin sites every 4 hours D. Ensure the weights are hanging freely E. Ensure the rope's knot is in contact with the pulley
B, C, D
A nurse is teaching a group of parents about complications of communicable diseases. Which of the following communicable diseases can lead to pneumonia? (Select all that apply) A. Rubella B. Rubeola C. Pertussis D. Varicella E. Mumps
B, C, D
A nurse is caring for a client who has a skin graft. Which of the following manifestations indicate infection? (Select all that apply) A. Pink color to subcutaneous fat B. Unstable body temperature C. Generation of granulation tissue D. Subeschar hemorrhage E. Change in skin color around the affected area
B, D, E
A nurse is teaching an adolescent who has diabetes mellitus about manifestations of hypoglycemia. Which of the following findings should the nurse include in the teaching? (Select all that apply) A. Increased urination B. Hunger C. Signs of dehydration D. Irritability E. Sweating and pallor F. Kussmaul respirations
B, D, E
A nurse is teaching a group parents about preventing insect bites. Which of the following information should the nurse include in the teaching? (Select all that apply) A. Wear perfumes when outside B. Avoid areas of tall grass C. Wear bright-colored clothing D. Wear insect repellent E. Check house pets frequently
B, D, E A, C= attracts insects
A nurse is caring for an infant who has obstructive uropathy. Which of the following findings should the nurse expect? (Select all that apply) A. Decreased urine flow B. Urinary tract infection C. Metabolic acidosis D. Concentrated urine E. Hydroephrosis
B, E
A nurse is caring for a 2-year-old who has had three ear infections in the past 5 months. Which of the following long-term complications is the child at risk for developing? A. Balance difficulties B. Prolonged hearing loss C. Speech delays D. Mastoiditis
C
A nurse is caring for a child following an above the knee left leg amputation. Which of the following actions should the nurse take? A. Avoid discussing the amputation B. Administer aspirin for phantom pain C. Prepare the child for a prosthesis fitting D. Maintain the affected limb in the dependent position
C
A nurse is caring for a child who is postoperative following surgical removal of a Wilm's tumor. Which of the following assessments is an indication to continue NPO status? A. Abdominal girth 1 cm larger than yesterday B. Report of pain at the operative site C. Absent bowel sounds D. Passing of flatus every 30 minutes
C
A nurse is caring for an adolescent who has a new diagnosis of osteosarcoma. Which of the following actions should the nurse take? A. Ensure that the adolescent has a referral for a psychiatrist visit B. Prepare a teaching plan to educate the adolescent in detail about his diagnosis and treatment C. Spend time with the adolescent to answer any questions he can have D. Perform a mental status examination to assess the adolescent's thought patterns
C
A nurse is completing preoperative teaching with an adolescent client who is scheduled to receive spinal instrumentation for scoliosis. Which of the following information should the nurse include in the teaching? A. You will go home the same day of surgery B. You will have minimal pain C. You will need to receive blood D. You will not be able to eat until the day after surgery
C
A nurse is planning care for an infant who is scheduled to have a lumbar puncture. Which of the following actions should the nurse include in the plan of care? A. Cleanse the thoracic area of the infant's back with an antiseptic solution B. Apply a eutectic mixture of local anesthetic cream just before the procedure begins C. Restrain the infant during the procedure to prevent movement D. Position the infant with his head extended and chin raised
C
A nurse is teaching a parent of a child who has pediculosis capitis. Which of the following instructions should the nurse include in the teaching? A. Apply mayonnaise to the affected area at night B. Treat all household pets C. Use an over-the-counter medication containing 1% permethrin D. Discard the child's stuffed animals
C
A nurse teaching a child who has type 1 diabetes mellitus about self-care. Which of the following statements by the child indicates understanding of the teaching? A. "I should skip breakfast when I am not hungry" B. "I should increase my insulin with exercise" C. "I should drink a glass of milk when I am feeling irritable" D. "I should draw up the NPH insulin into the syringe before the regular insulin
C
The nurse is caring for a client who has a moderate burn. Which of the following actions should the nurse take? A. Maintain immobilization of the affected area B. Expose affected area to the air C. Initiate a high-protein, high-calorie diet D. Implement contact isolation
C
A nurse is caring for child who has muscular dystrophy. For which of the following findings should the nurse assess? (Select all that apply) A. Purposeless, involuntary, abnormal movements B. Spinal defect and saclike protrusion. C. Muscular weakness in lower extremities D. Unsteady, wide-based or waddling gait E. Upward slant to the eyes
C, D
A nurse is admitting a child who has HIV. The nurse should identify which of the following findings as an indication that the child is in the mildly symptomatic category of HIV? (Select all that apply) A. Herpes zoster B. Anemia C. Dermatitis D. Hepatomegaly E. Lymphadenopathy
C, D, E
A nurse is caring for a child who has oral mucositis. Which of the following actions should the nurse take? (Select all that apply) A. Swab the mucosa with lemon glycerin swabs B. Apply viscous lidocaine C. Offer soft foods D. Use a soft, disposable toothbrush for oral care E. Encourage gargling with a warm saline mouthwash
C, D, E
A nurse is assessing a child who has chronic renal failure. Which of the following findings should the nurse expect? A. Flushed face B. Hyperactivity C. Weight gain D. Delayed growth
D
A nurse is caring for a child who is in a plaster spica cast. Which of the following actions should the nurse take? A. Use a heat lamp to facilitate drying B. Avoid turning the child until the cast is dry C. Assist the client with crutch walking after the cast is dry D. Apply moleskin to the edges of the cast
D
A nurse is caring for a child who is suspected of having Legg-Calve-Perthes disease. The nurse should prepare the child for which of the following diagnostic procedures? A. Bone biopsy B. Genetic testing C. MRI D. Radiographs
D
A nurse is caring for a toddler who has acute otitis media. Which of the following is the priority action for the nurse to take? A. Provide emotional support to the family B. Educate the family on the care of the child C. Prevent clinical complications D. Administer analgesics
D
A nurse is caring for a toddler who is diagnosed with hip dysplasia and has been placed in a hip spica cast. The child's mother asks the nurse why a Pavlik harness is not being used. Which of the following responses should the nurse make? A. The Pavlik harness is used for children with scoliosis, not hip dysplasia B. The Pavlik harness is used for school-age children C. The Pavlik harness cannot be used for your child because her condition is too severe D. The Pavlik harness is used for infants less than 6 months of age
D
A nurse is caring for an infant who has a myelomeningocele. Which of the following actions should the nurse include in the preoperative plan of care? A. Assist the mother with cuddling the infant B. Assess the infant's temperature rectally C. Place the infant in a supine position D. Apply a sterile, moist dressing on the sac
D
Name an initial treatment of glomerulonephritis (inflamed in the membrane) a. moderate sodium and possible fluid restriction b. hemodialysis c. corticosteroids d. peritoneal dialysis
a. Moderate sodium and possible fluid restriction
What side effect of repeated blood transfusions? a. hemosiderosis b. supraclavicular lymphadenopathy c. neutropenia d. hypercalcemia
a. hemosiderosis
What sx occur in nephrotic syndrome? a. hypoalbuminemia, hyperlipidemia, edema b. hirsutism, cataracts, hyperglycemia c. hyperalbuminemia, hypolipidemia, edema d. weight loss, constipation, jaundice
a. hypoalbuminemia, hyperlipidemia, edema
Name an iron chelation drug for hemosiderosis a. Granulocyte colony stimulating factor b. Desferolan c. Exjade d. Cyanobalamin
c. Exjade
Which disorder is diagnosed with the presence of reed-sternberg cells a. leukemia b. thalassemia c. hodgkins disease d. immune thrombocytopenia
c. Hodgkins disease
Ribbon-like, foul smelling, constipated stools are a manifestation of what disorder? a. inflammatory bowel disease b. Meckel diverticulum c. ascariasis d. Hirschsprung disease
d. Hirschsprung disease
This disorder will manifest with currant jelly-type stools a. celiac disease b. ulcerative colitis c. pinworms d. Meckel diverticulum
d. Meckel diverticulum
How is hemosiderosis treated? a. aluminum chelation therapy b. low iron diet c. radiation d. iron chelation therapy
d. iron chelation therapy
Which lab values are prevalent in leukemia? a. anemia, Na+, troponin b. albumin, nitrogen, thrombocytopenia c. anemia, neutropenia, thrombocytopenia d. anemia, nitrogen, troponin
(Remember "ANT") c. anemia, neutropenia, thrombocytopenia
A nurse is teaching the parent of a child who has a growth hormone deficiency. Which of the following are complications of untreated growth hormone deficiency? (Select all that apply) A. Delayed sexual development B. Premature aging C. Advanced bone age D. Short stature E. Increased epiphyseal closure
A, B, D
A nurse is caring for an infant who has ambiguous genitalia. Which of the following actions should the nurse take? (Select all that apply) A. Prepare the child for surgery B. Obtain a detailed family history C. Gather supplies for a circumcision D. Refer the family to genetic counseling E. Explain the need for a chromosomal analysis
A, B, D, E
A nurse is providing home care instructions to a parent of a child who is receiving chemotherapy. Which of the following instructions should the nurse include in the teaching? (Select all that apply) A. Manifestations of infection B. Bleeding precautions C. Hand hygiene D. Homeschooling E. Airborne precautions
A, B, C
A nurse is caring for child who has short stature. Which of the following diagnostic tests should be completed to confirm growth hormone deficiency? (Select all that apply) A. CT scan of the head B. Bone age scan C. GH stimulation test D. Serum IGF-1 E. DNA testing
A, B, C, D
A nurse is caring for a child who has a fracture. Which of the following are manifestations of a fracture? (Select all that apply) A. Crepitus B. Edema C. Pain D. Fever E. Ecchymosis
A, B, C, E
A nurse is teaching a group of parents about Salmonella. Which of the following information should the nurse include in the teaching? (Select all that apply) A. Incubation period is nonspecific B. It is a bacterial infection C. Bloody diarrhea is common D. Transmission can be from house pets E. Antibiotics are used for treatment
B, C, D
A nurse is teaching a parent of a child who has a urinary tract infection. Which of the following should the nurse include in the teaching? (Select all that apply) A. Wear nylon underpants B. Avoid bubble baths C. Empty bladder completely with each void D. Provide information about manifestations of infection E. Wipe perineal area back to front
B, C, D
A nurse is assessing a child who has leukemia. Which of the following are early manifestations of leukemia? (Select all that apply) A. Hematuria B. Anorexia C. Petechiae D. Ulcerations in the mouth E. Unsteady gait
B, C, E
A nurse is caring for a child who has poststreptococcal glomerulonephritis (APSGN). Which of the following manifestations should the nurse expect? (Select all that apply) A. Frothy urine B. Periorbital edema C. Ill appearance D. Decreased creatinine E. Hypertension
B, C, E
A nurse is assessing a child who has Legg-Calve-Perthes disease. Which of the following findings should the nurse expect? (Select all that apply) A. Longer affected leg B. Hip stiffness C. Intense pain D. Limited ROM E. Limp with walking
B, D, E
A nurse is assessing an infant who has a suspected urinary tract infection. Which of the following are anticipated findings? (Select all that apply) A. Increase in hunger B. Irritability C. Decrease in urination D. Vomiting E. Fever
B, D, E
A nurse is caring for a child who has type 1 diabetes. Which of the following are manifestations of diabetic ketoacidosis? (Select all that apply) A. Blood glucose 58 mg/dL B. Weight gain C. Dehydration D. Mental confusion E. Fruity breath
C, D, E
A nurse is teaching the parent of a child who has a Wilm's tumor. Which of the following statements should the nurse include in the teaching? (Select all that apply). A. Your child will need to have chemotherapy for 12 months B. Wilm's tumors are typically genetic in nature C. Surgery is done usually within 48 hours of diagnosis D. Palpating the tumor could cause spread of the cancer E. Further treatments will start immediately after the surgery
C, D, E
A nurse is caring for an infant who has a hydrocele. Which of the following actions should the nurse take? A. Prepare the child for surgery B. Explain to the parents that the issue will self-resolve C. Retract the foreskin and cleanse several times daily D. Refer the family for genetic counseling
B
A nurse is caring for an infant who is postoperative following cleft lip and palate repair. Which of the following actions should the nurse take? A. Remove the packing in the mouth B. Place the infant in an upright position C. Offer a pacifier with sucrose D. Assess the mouth with a tongue blade
B
A nurse is caring for an infant whose screening test reveals that he might have sickle cell disease. Which of the following tests should be performed to distinguish if the infant has the trait or the disease? A. Sickle solubility test B. Hemoglobin electrophoresis C. Complete blood count D. Transcranial doppler
B
A nurse is developing a plan for care for a toddler who has cerebral palsy. Which of the following actions should the nurse include? A. Structure interventions according to the toddlers' chronological age B. Evaluate the toddler's need for an evaluation of hearing ability C. Monitor the toddler's pain level routinely using a numeric rating scale D. Provide total care for daily hygiene activities
B
A nurse is preparing to administer iron dextran IM to a school-age child who has iron deficiency anemia. Which of the following actions by the nurse is appropriate? A. Administer the dose in the deltoid muscle B. Use the Z-track method when administering the dose C. Avoid injecting more than 2 mL with each dose D. Massage the injection site for 1 minute after administering the dose
B
A nurse is teaching a group of adolescents about HIV/AIDS. Which of the following statements should the nurse include in the teaching? A. You can contract HIV through casual kissing B. HIV is transmitted through IV substance use C. HIV is now curable if caught in the early stages D. Medications inhibit transmission of the HIV virus
B
