Peds Exam 3 (saunders)

The mother of an 18-month-old child tells the clinic nurse that the child has been having some mild diarrhea and describes the child's stools as "mushy." The mother tells the nurse that the child is tolerating fluids and solid foods. The most appropriate suggestion regarding the child's diet would be to give the child which items? 1.Applesauce, bananas, wheat toast 2.Mashed potatoes with baked chicken 3.Gelatin, strained cabbage, and custard 4.Fluids only until the "mushy" stools stop

2.Mashed potatoes with baked chicken

A child with a diagnosis of sickle cell disease is being admitted for the treatment of vaso-occlusive crisis. The nurse prepares for the admission anticipating which prescription for the child? 1.NPO status 2.Intravenous fluids 3.Meperidine for pain 4.Intubation to administer oxygen

2.Intravenous fluids

The nurse is caring for a 9-year-old child with leukemia who is hospitalized for the administration of chemotherapy. The nurse would monitor the child specifically for central nervous system involvement by checking which item? 1.Pupillary reaction 2.Level of consciousness 3.The presence of petechiae in the sclera 4.Color, motion, and sensation of the extremities

2.Level of consciousness

The nurse is reviewing the laboratory results for an infant with suspected hypertrophic pyloric stenosis. What should the nurse expect to note as the most likely finding in this infant? 1.Metabolic acidosis 2.Metabolic alkalosis 3.Respiratory acidosis 4.Respiratory alkalosis

2.Metabolic alkalosis

The nurse collects a urine specimen preoperatively from a child with epispadias who is scheduled for surgical repair. When analyzing the results of the urinalysis, which should the nurse most likely expect to note? 1.Hematuria 2.Proteinuria 3.Bacteriuria 4.Glucosuria

3.Bacteriuria

The nurse is reviewing the primary health care provider's documentation in the record of a child admitted with a diagnosis of intussusception. The nurse expects to note that the primary health care provider has documented which manifestation? 1.Scleral jaundice 2.Projectile vomiting 3.Currant jelly-like stools 4.Pale-colored and hard stools

3.Currant jelly-like stools

An infant has just returned to the nursing unit after surgical repair of a cleft lip on the right side. The nurse should place the infant in which bestposition at this time? 1.Prone position 2.On the stomach 3.Left lateral position 4.Right lateral position

3.Left lateral position

A 12-year-old girl is admitted to the hospital with suspected appendicitis. What nursing interventions should be implemented preoperatively? 1.Applying a heating pad for 5-minute intervals as prescribed 2.Administering acetaminophen as needed for pain, as prescribed 3.Placing the adolescent in a fetal position, side-lying with legs drawn up to chest 4.Inserting a nasogastric tube and attaching it to low intermittent suction; measuring drainage as prescribed

3.Placing the adolescent in a fetal position, side-lying with legs drawn up to chest

The nurse is caring for an infant after repair of an inguinal hernia. Which of these assessment findings indicates that the surgical repair was effective? 1.A clean, dry incision 2.Abdominal distension 3.An adequate flow of urine 4.Absence of inguinal swelling with crying

4.Absence of inguinal swelling with crying

After hydrostatic reduction for intussusception, the nurse should expect to observe which client response? 1.Abdominal distension 2.Currant jelly-like stools 3.Severe, colicky-type pain with vomiting 4.Passage of barium or water-soluble contrast with stools

4.Passage of barium or water-soluble contrast with stools

Laboratory studies are performed for a child suspected to have iron deficiency anemia. The nurse reviews the laboratory results, knowing that which result indicates this type of anemia? 1.Elevated hemoglobin level 2.Decreased reticulocyte count 3.Elevated red blood cell count 4.Red blood cells that are microcytic and hypochromic

4.Red blood cells that are microcytic and hypochromic

The nurse has been assigned to care for a neonate just delivered who has gastroschisis. Which concern should the nurse address in the client's plan of care? 1.Infection 2.Poor body image 3.Decreased urinary elimination 4.Cracking oral mucous membranes

1.Infection

Which is a priority problem for a child with severe edema caused from nephrotic syndrome? 1.Risk for constipation 2.Risk for skin breakdown 3.Inability to regulate body temperature 4.Consumption of more calories or nutrients than the body requires

2.Risk for skin breakdown

The nurse is providing instructions to the mother of a 3-year-old child with hemophilia regarding care of the child. Which statement by the mother indicates a need for further teaching? 1."I need to cancel the upcoming dental appointment that I made for my child." 2."If my child gets a cut, I should hold pressure on it until the bleeding stops." 3."I should check the house and remove any household items that can easily fall over." 4."I should move furniture with sharp corners out of the way and pad the corners of the furniture."

1."I need to cancel the upcoming dental appointment that I made for my child

The nurse instructs the parents of a child with leukemia regarding measures related to monitoring for infection. Which statement, if made by the parent, indicates a need for further instructions? 1."I will take a rectal temperature daily." 2."I will inspect the skin daily for redness." 3."I will inspect the mouth daily for lesions." 4."I will perform proper hand-washing techniques."

1."I will take a rectal temperature daily."

The mother of a 4-year-old child tells the pediatric nurse that the child's abdomen seems to be swollen. During further assessment, the mother tells the nurse that the child is eating well and that the activity level of the child is unchanged. The nurse, suspecting the possibility of Wilms' tumor, should avoid which during the physical assessment? 1.Palpating the abdomen for a mass 2.Assessing the urine for the presence of hematuria 3.Monitoring the temperature for the presence of fever 4.Monitoring the blood pressure for the presence of hypertension

1.Palpating the abdomen for a mass

The nurse is reviewing the primary health care provider's prescriptions for a child hospitalized with nephrotic syndrome. Which food should the nurse tell the assistive personnel to remove from the child's food tray? 1.Pickle 2.Wheat toast 3.Baked chicken 4.Steamed vegetables

1.Pickle

The nurse is assisting the pediatrician in performing an assessment on a newborn suspected of having imperforate anus. Which finding would be noted in this disorder? 1.Presence of an anal membrane 2.An elevated rectal temperature 3.Widening of the anal rectal canal 4.Meconium stool passing from the rectum

1.Presence of an anal membrane

The nurse is creating a plan of care for a 10-year-old child diagnosed with acute glomerulonephritis. What is the priority nursing intervention? 1.Promoting bed rest 2.Restricting oral fluids 3.Allowing the child to play 4.Encouraging visits from friends

1.Promoting bed rest

The clinic nurse is obtaining data about a child with a diagnosis of lactose intolerance. Which data should the nurse expect to obtain on assessment? 1.Reports of frothy stools and diarrhea 2.Reports of foul-smelling ribbon stools 3.Reports of profuse, watery diarrhea and vomiting 4.Reports of diffuse abdominal pain unrelated to meals or activity

1.Reports of frothy stools and diarrhea

The nurse is planning care for a child with hemolytic-uremic syndrome who has been anuric and will be receiving peritoneal dialysis treatment. The nurse should plan to implement which measure? 1.Restrict fluids as prescribed. 2.Care for the arteriovenous fistula. 3.Encourage foods high in potassium. 4.Administer analgesics as prescribed.

1.Restrict fluids as prescribed.

The nurse provides home care instructions to the parents of a child with celiac disease. The nurse should teach the parents to include which food item in the child's diet? 1.Rice 2.Oatmeal 3.Rye toast 4.Wheat bread

1.Rice

The clinic nurse is assessing jaundice in a child with hepatitis. Which anatomical area would provide the best data regarding the presence of jaundice? 1.The nail beds 2.The skin in the sacral area 3.The skin in the abdominal area 4.The membranes in the ear canal

1.The nail beds

A nurse is assessing the status of jaundice in a child with hepatitis. Which anatomical areas will provide the best data regarding the presence of jaundice? Select all that apply. 1.The sclera 2.The nail beds 3.The mucous membranes 4.The skin in the sacral area 5.The skin in the abdominal area

1.The sclera 2.The nail beds 3.The mucous membranes

The nurse is monitoring a 3-year-old child for signs and symptoms of increased intracranial pressure (ICP) after a craniotomy. The nurse plans to monitor for which early sign or symptom of increased ICP? 1.Vomiting 2.Bulging anterior fontanel 3.Increasing head circumference 4.Complaints of a frontal headache

1.Vomiting

The pediatric nurse specialist provides a teaching session to the nursing staff regarding osteosarcoma. Which statement by a member of the nursing staff indicates a need for information? 1."The femur is the most common site of this sarcoma." 2."The child does not experience pain at the primary tumor site." 3."Limping, if a weight-bearing limb is affected, is a clinical manifestation." 4."The symptoms of the disease in the early stage are almost always attributed to normal growing pains."

2."The child does not experience pain at the primary tumor site."

The nurse provides a teaching session to the nursing staff regarding osteosarcoma. Which statement by a member of the nursing staff indicates a need for information? 1."The femur is the most common site of this sarcoma." 2."The child does not experience pain at the primary tumor site." 3."Limping, if a weight-bearing limb is affected, is a clinical manifestation." 4."The symptoms of the disease in the early stage are almost always attributed to normal growing pains."

2."The child does not experience pain at the primary tumor site." 3

The nursing student is presenting a clinical conference and discusses the cause of β-thalassemia. The nursing student informs the group that a child at greatest risk of developing this disorder is which of these? 1.A child of Mexican descent 2.A child of Mediterranean descent 3.A child whose intake of iron is extremely poor 4.A breast-fed child of a mother with chronic anemia

2.A child of Mediterranean descent

An 11-year-old child is admitted to the hospital in vaso-occlusive sickle cell crisis. The nurse plans for which priority treatments in the care of the child? 1.Splenectomy, correction of acidosis 2.Adequate hydration, pain management 3.Frequent ambulation, oxygen administration 4.Passive range-of-motion exercises, adequate hydration

2.Adequate hydration, pain management

The nurse is instructing the parents of a child with iron deficiency anemia regarding the administration of a liquid oral iron supplement. Which instruction should the nurse tell the parents? 1.Administer the iron at mealtimes. 2.Administer the iron through a straw. 3.Mix the iron with cereal to administer. 4.Add the iron to formula for easy administration.

2.Administer the iron through a straw.

A child with sickle cell anemia who is in vaso-occlusive crisis is admitted to the hospital. Which primary health care provider prescription would assist in reversing the vaso-occlusive crisis? 1.Monitor pulse oximetry. 2.Begin intravenous fluids. 3.Administer oxygen by face mask. 4.Monitor vital signs and respiratory status.

2.Begin intravenous fluids.

The nursing student is assigned to care for a child with hemophilia. The nursing instructor reviews the plan of care with the student. Which intervention on the student written plan of care requires correction? 1.Measure circumference of injured joints. 2.Blood transfusion of packed red blood cells. 3.Monitor temperature with oral thermometers. 4.Intravenous administration of recombinant factor.

2.Blood transfusion of packed red blood cells.

A 4-year-old child is admitted to the hospital for abdominal pain. The mother reports that the child has been pale and excessively tired and is bruising easily. On physical examination, lymphadenopathy and hepatosplenomegaly are noted. Diagnostic studies are being performed because acute lymphocytic leukemia is suspected. The nurse determines that which laboratory result confirms the diagnosis? 1.Lumbar puncture showing no blast cells 2.Bone marrow biopsy showing blast cells 3.Platelet count of 350,000 mm3 (350 × 109/L) 4.White blood cell count 4500 mm3 (4.5 × 109/L)

2.Bone marrow biopsy showing blast cells

A 4-year-old child is admitted to the hospital for abdominal pain. The mother reports that the child has been pale and excessively tired and is bruising easily. On physical examination, lymphadenopathy and hepatosplenomegaly are noted. Diagnostic studies are being performed because acute lymphocytic leukemia is suspected. The nurse determines that which laboratory result confirms the diagnosis? 1.Lumbar puncture showing no blast cells 2.Bone marrow biopsy showing blast cells 3.Platelet count of 350,000 mm3 (350 × 109/L) 4.White blood cell count of 4,500 mm3 (4.5 × 109/L)

2.Bone marrow biopsy showing blast cells

The nurse reviews the record of a child who is suspected to have glomerulonephritis and expects to note which finding that is associated with this diagnosis? 1.Hypotension 2.Brown-colored urine 3.Low urinary specific gravity 4.Low blood urea nitrogen level

2.Brown-colored urine

A 2-year-old child with acute diarrhea has been diagnosed with mild dehydration. Which rehydration methods would the nurse expect the primary health care provider to prescribe? 1.Increase intake of water with a diet high in carbohydrates. 2.Consume oral rehydration fluid, advancing to a regular diet. 3.Begin fluid replacement immediately with intravenous fluids. 4.Begin a diet of bananas, rice, apples, pears, and toast with juice.

2.Consume oral rehydration fluid, advancing to a regular diet.

The nurse is caring for an infant with a diagnosis of bladder exstrophy. To protect the exposed bladder tissue, the nurse should plan which intervention? 1.Cover the bladder with petroleum jelly gauze. 2.Cover the bladder with a non-adhering plastic wrap. 3.Apply sterile distilled water dressings over the bladder mucosa. 4.Keep the bladder tissue dry by covering it with dry sterile gauze.

2.Cover the bladder with a non-adhering plastic wrap.

The nurse is caring for an infant with a diagnosis of bladder exstrophy. To protect the exposed bladder tissue, the nurse should plan which intervention? 1.Cover the bladder with petroleum jelly gauze. 2.Cover the bladder with a non-adhering plastic wrap. 3.Apply sterile distilled water dressings over the bladder mucosa. 4.Keep the bladder tissue dry by covering it with dry sterile gauze.

2.Cover the bladder with a nonadhering plastic wrap.

The nurse is caring for an infant with a diagnosis of bladder exstrophy. To protect the exposed bladder tissue, the nurse should plan which intervention? 1.Cover the bladder with petroleum jelly gauze. 2.Cover the bladder with a non-adhering plastic wrap. 3.Apply sterile distilled water dressings over the bladder mucosa. 4.Keep the bladder tissue dry by covering it with dry sterile gauze.

2.Cover the bladder with a nonadhering plastic wrap.

An infant born with an imperforate anus returns from surgery after requiring a colostomy. The nurse assesses the stoma and notes that it is red and edematous. Based on this finding, which action should the nurse take? 1.Elevate the buttocks. 2.Document the findings. 3.Apply ice immediately. 4.Call the primary health care provider.

2.Document the findings.

The nurse is writing out discharge instructions for the parents of a child diagnosed with celiac disease. The nurse should focus primarily on which aspect of care? 1.Restricting activity 2.Following a gluten-free diet 3.Following a lactose-free diet 4.Giving medication to manage the condition

2.Following a gluten-free diet

The nurse performing an admission assessment on a 2-year-old child who has been diagnosed with nephrotic syndrome notes that which mostcommon characteristic is associated with this syndrome? 1.Hypertension 2.Generalized edema 3.Increased urinary output 4.Frank, bright red blood in the urine

2.Generalized edema

The pediatric nursing instructor asks a nursing student to prioritize care for a child diagnosed with sickle cell disease. Which student response correctly identifies the priority of care? 1.Fatigue 2.Hypoxia 3.Delayed growth 4.Avascular necrosis

2.Hypoxia

The nurse is caring for a child who was brought to the clinic complaining of severe abdominal pain and is suspected of having acute appendicitis. The child is lying on the examining table with the knees pulled up toward the chest. What is the priority nursing action? 1.Collect urine sample for urinalysis. 2.Perform a pain assessment using the FACES scale. 3.Prepare the child for magnetic resonance imaging. 4.Notify primary health care provider of white blood cell count above 10,000 mm3 (10 × 109/L).

2.Perform a pain assessment using the FACES scale.

A child is brought to the emergency department after being accidentally struck in the lower back region with a baseball bat. When gathering assessment data, the nurse discovers that the child has hemophilia. The nurse should immediately assess for which data? 1.Slurred speech 2.Presence of hematuria 3.Complaints of headache 4.Change in respiratory rate

2.Presence of hematuria

The nurse admits a child to the hospital with a diagnosis of pyloric stenosis. On assessment, which data would the nurse expect to obtain when asking the parent about the child's symptoms? 1.Watery diarrhea 2.Projectile vomiting 3.Increased urine output 4.Vomiting large amounts of bile

2.Projectile vomiting

Which specific nursing interventions are implemented in the care of a child with leukemia who is at risk for infection? Select all that apply. 1.Maintain the child in a semiprivate room. 2.Reduce exposure to environmental organisms. 3.Use strict aseptic technique for all procedures. 4.Ensure that anyone entering the child's room wears a mask. 5.Apply firm pressure to a needle-stick area for at least 10 minutes.

2.Reduce exposure to environmental organisms. 3.Use strict aseptic technique for all procedures. 4.Ensure that anyone entering the child's room wears a mask.

Which specific nursing interventions are implemented in the care of a child with leukemia who is at risk for infection? Select all that apply. 1.Maintain the child in a semiprivate room. 2.Reduce exposure to environmental organisms. 3.Use strict aseptic technique for all procedures. 4.Ensure that anyone entering the child's room wears a mask. 5.Apply firm pressure to a needle-stick area for at least 10 minutes.

2.Reduce exposure to environmental organisms. 3.Use strict aseptic technique for all procedures. 4.Ensure that anyone entering the child's room wears a mask.

The nurse is reviewing the laboratory and diagnostic test results of a 5-year-old child scheduled to be seen in the clinic. The nurse notes that the primary health care provider documented that diagnostic studies revealed the presence of Reed-Sternberg cells. The nurse prepares to assist the primary health care provider to discuss which initial procedure with the parents? 1.Chemotherapy 2.Surgical biopsy 3.High-dose radiation 4.Intravenous antibiotics

2.Surgical biopsy

The nurse is providing instructions to the parents of a child with a hernia regarding measures that will promote reducing the hernia. The nurse determines that the parents understand care for their child if they make which statement? 1."We will encourage our child to cough every few hours on a daily basis." 2."We will make sure that our child participates in physical activity every day." 3."We will provide comfort measures to reduce any crying periods by our child." 4."We will be sure to give our child a Fleet enema every day to prevent constipation."

3."We will provide comfort measures to reduce any crying periods by our child."

The nurse is monitoring for bleeding in a child following surgery for removal of a brain tumor. The nurse checks the head dressing and notes the presence of dried blood on the back of the dressing. The child is alert and oriented, and the vital signs and neurological signs are stable. Which nursing action is most appropriateinitially? 1.Prepare to change the dressing. 2.Recheck the dressing in 1 hour. 3.Check the operative record to determine whether a drain is in place. 4.Document the findings and notify the primary health care provider immediately.

3.Check the operative record to determine whether a drain is in place.

A nursing student is assigned to care for a child with sickle cell disease (SCD). The nursing instructor asks the student to describe the causative factors related to this disease. Which statement by the student indicates a need for further research? 1.SCD is an autosomal recessive disease. 2.Children with the HbS (sickle cell hemoglobin) trait are not symptomatic. 3.If each parent carries the trait, the child will carry the trait, and the probability of the child having the disease is 75%. 4.If one parent has the HbS trait and the other parent is normal, there is a 50% chance that each offspring will inherit the trait.

3.If each parent carries the trait, the child will carry the trait, and the probability of the child having the disease is 75%.

A 10-year-old child with hemophilia A has slipped on the ice and bumped his knee. The nurse should prepare to administer which prescription? 1.Injection of factor X 2.Intravenous infusion of iron 3.Intravenous infusion of factor VIII 4.Intramuscular injection of iron using the Z-track method

3.Intravenous infusion of factor VIII

The pediatric nurse assists the primary health care provider in performing a lumbar puncture on a 3-year-old child with leukemia and suspected central nervous system metastasis. The nurse should place the child in which position for this procedure? 1.Lithotomy position 2.Modified Sims' position 3.Lateral recumbent, knees flexed to the abdomen and the head bent, chin down 4.Prone, with the knees flexed to the abdomen and the head bent, the chin resting on the chest

3.Lateral recumbent, knees flexed to the abdomen and the head bent, chin down

The nurse is reviewing the laboratory results of a child with aplastic anemia and notes that the white blood cell count is 2000 mm3 (2 × 109/L) and that the platelet count is 150,000 mm3 (150 × 109/L). Which intervention should the nurse incorporate into the plan of care? 1.Avoid unnecessary injections. 2.Encourage quiet play activities. 3.Maintain strict neutropenic precautions. 4.Encourage the child to use a soft toothbrush.

3.Maintain strict neutropenic precautions.

A child is hospitalized because of persistent vomiting. The nurse should monitor the child closely for which problem? 1.Diarrhea 2.Metabolic acidosis 3.Metabolic alkalosis 4.Hyperactive bowel sounds

3.Metabolic alkalosis

The nurse has provided dietary instructions to the mother of a child with celiac disease. The nurse determines that further instruction is neededif the mother states that she will include which food item in the child's nutritional plan? 1.Corn 2.Chicken 3.Oatmeal 4.Vitamin supplements

3.Oatmeal

The nurse is caring for an infant with cryptorchidism. The nurse anticipates that the most likely diagnostic study to be prescribed would be the one that assesses which item? 1.Babinski reflex 2.DNA synthesis 3.Urinary function 4.Chromosomal analysis

3.Urinary function

Which question should the nurse ask the parents of a child suspected of having glomerulonephritis? 1."Did your child fall off a bike onto the handlebars?" 2."Has the child had persistent nausea and vomiting?" 3."Has the child been itching or had a rash anytime in the last week?" 4."Has the child had a sore throat or a throat infection in the last few weeks?"

4."Has the child had a sore throat or a throat infection in the last few weeks?"

The nurse provided discharge instructions to the parents of a 2-year-old child who had an orchiopexy to correct cryptorchidism. Which statement by the parents indicates the need for further instruction? 1."I'll check his temperature." 2."I'll give him medication so he'll be comfortable." 3."I'll check his voiding to be sure there's no problem." 4."I'll let him decide when to return to his play activities."

4."I'll let him decide when to return to his play activities."

The nurse is caring for a child with hemophilia and is reviewing the results that were sent from the laboratory. Which result should the nurse expect in this child? 1.Shortened prothrombin time (PT) 2.Prolonged PT 3.Shortened partial thromboplastin time (PTT) 4.Prolonged PTT

4.Prolonged PTT

A child in whom sickle cell anemia is suspected is seen in a clinic, and laboratory studies are performed. The nurse checks the laboratory results, knowing that which value would be increased in this disease? 1.Platelet count 2.Hematocrit level 3.Hemoglobin level 4.Reticulocyte count

4.Reticulocyte count

When collecting the history about a child who presents with signs of glomerulonephritis, the nurse should report which most important finding to the primary health care provider? 1.Child fell off a bike onto the handlebars 2.Nausea and vomiting for the last 24 hours 3.Urticaria and itching for 1 week before diagnosis 4.Streptococcal throat infection 2 weeks before diagnosis

4.Streptococcal throat infection 2 weeks before diagnosis

The nurse on the pediatric unit is caring for a child with hemophilia who has been in a motor vehicle crash. Which assessment finding, if noted in the child, indicates the need for follow-up? 1.The child maintains affected joints in an immobilized position and denies pain at this time. 2.The child's urine is noted to be clear and light yellow and is negative for red blood cells. 3.The child maintains bruised joints in an elevated position; the bruises noted are beginning to turn yellow. 4.The child is drowsy and difficult to arouse; previously the child was able to respond to questions effectively.

4.The child is drowsy and difficult to arouse; previously the child was able to respond to questions effectively.

The nurse is assigned to care for a child following surgery to correct cryptorchidism. Which priorityaction should the nurse include in the plan of care following this type of surgery? 1.Prevent tension on the suture. 2.Monitor urine for glucose and acetone. 3.Force oral fluids, and monitor intake and output. 4.Encourage coughing and deep breathing every hour.

1.Prevent tension on the suture.

The nurse is developing a plan of care for an infant after surgical intervention for imperforate anus. The nurse should include in the plan that which position is the most appropriate one for the infant in the postoperative period? 1.Prone position 2.Supine with no head elevation 3.Side-lying with the legs extended 4.Supine with the head elevated 45 degrees

1.Prone position

The nurse has reviewed the primary health care provider's prescriptions for a child suspected of a diagnosis of neuroblastoma and is preparing to implement diagnostic procedures that will confirm the diagnosis. What should the nurse expect to do next to assist in confirming the diagnosis? 1.Collect a 24-hour urine sample. 2.Perform a neurological assessment. 3.Assist with a bone marrow aspiration. 4.Send to the radiology department for a chest x-ray.

1.Collect a 24-hour urine sample.

A child is diagnosed with Hirschsprung's disease. The nurse is teaching the parents about the cause of the disease. Which statement, if made by the parent, supports that teaching was successful? 1."Special cells are not present in the rectum, which caused the disease." 2."The protein part of wheat, barley, rye, and oats is not being digested fully." 3."The disease occurs from increased bowel motility that leads to spasm and pain." 4."The disease occurs because of inability to tolerate sugar found in dairy products.

1."Special cells are not present in the rectum, which caused the disease."

The nurse has provided dietary instructions to the mother of a child with celiac disease. The nurse determines that the mother understands the instructions when the mother states to include which food in the child's diet? 1.Corn 2.Wheat cereal 3.Rye crackers 4.Oatmeal biscuits

1.Corn

The nurse is performing an assessment on a 10-year-old child suspected to have Hodgkin's disease. Which assessment findings are specifically characteristic of this disease? Select all that apply. 1.Abdominal pain 2.Fever and malaise 3.Anorexia and weight loss 4.Painful, enlarged inguinal lymph nodes 5.Painless, firm, and movable adenopathy in the cervical area

1.Abdominal pain 5.Painless, firm, and movable adenopathy in the cervical area

The nurse is performing an assessment on a 10-year-old child suspected to have Hodgkin's disease. Which assessment findings are specifically characteristic of this disease? Select all that apply. 1.Abdominal pain 2.Fever and malaise 3.Anorexia and weight loss 4.Painful, enlarged inguinal lymph nodes 5.Painless, firm, and movable adenopathy in the cervical area

1.Abdominal pain 5.Painless, firm, and movable adenopathy in the cervical area

The nurse is caring for a 3-year-old boy with a diagnosis of acute lymphocytic leukemia. The child is crying and complaining that his knees hurt. Which nursing intervention is most appropriate? 1.Administer acetaminophen to the child. 2.Involve the child in a diversional activity. 3.Ask the child if he would like a "baby aspirin." 4.Apply heat to the child's knees and elevate the knees on a pillow.

1.Administer acetaminophen to the child.

Oral iron is prescribed for a child with iron deficiency anemia. The nurse provides instructions to the mother regarding the administration of the iron. The nurse should instruct the mother to administer the medication in which way? 1.Between meals 2.Just before a meal 3.Just after the meal 4.With a fruit low in vitamin C

1.Between meals

A child is brought to the emergency department after falling from a high swing and landing on the back. The nurse notes that the client also has hemophilia. Based on the client's history and the nature of the injury, which should the nurse assess for first? 1.Blood in the urine 2.Oxygen saturation 3.Presence of headache 4.Presence of slurred speech

1.Blood in the urine

The nurse is reviewing the laboratory test results for an infant suspected of having hypertrophic pyloric stenosis. The nurse should expect to note which value as the most likely laboratory finding in this infant? 1.Blood pH of 7.50 2.Blood pH of 7.35 3.Blood bicarbonate of 22 mEq/L (22 mmol/L) 4.Blood bicarbonate of 27 mEq/L (27 mmol/L)

1.Blood pH of 7.50

The nurse is conducting staff in-service training on von Willebrand's disease. Which should the nurse include as characteristics of von Willebrand's disease? Select all that apply. 1.Easy bruising occurs. 2.Gum bleeding occurs. 3.It is a hereditary bleeding disorder. 4.Treatment and care are similar to that for hemophilia. 5.It is characterized by extremely high creatinine levels. 6.The disorder causes platelets to adhere to damaged endothelium.

1.Easy bruising occurs. 2.Gum bleeding occurs. 3.It is a hereditary bleeding disorder. 4.Treatment and care are similar to that for hemophilia. 6.The disorder causes platelets to adhere to damaged endothelium.

The home care nurse is providing safety instructions to the mother of a child with hemophilia. Which instruction should the nurse include to promote a safe environment for the child? 1.Eliminate any toys with sharp edges from the child's play area. 2.Allow the child to use play equipment only when a parent is present. 3.Allow the child to play indoors only, and avoid any outdoor play or playgrounds. 4.Place a helmet and elbow pads on the child every day as soon as the child awakens.

1.Eliminate any toys with sharp edges from the child's play area.

The nurse is developing a plan of care for a 6-year-old child diagnosed with acute glomerulonephritis. The nurse should include which priority intervention in the plan of care? 1.Encourage limited activity and provide safety measures. 2.Catheterize the child to monitor intake and output strictly. 3.Encourage the child to talk about feelings related to illness. 4.Encourage classmates to visit and to keep the child informed of school events.

1.Encourage limited activity and provide safety measures.

The nurse is developing a plan of care for a 5-week-old infant being admitted with hypertrophic pyloric stenosis who is scheduled for pyloromyotomy. In the preoperative period, the nurse should place the infant in which bestposition? 1.In an infant seat placed in the crib 2.Prone with the head of the bed elevated 3.Supine with the head at a 90-degree angle 4.Supine with the head of the bed at a 15-degree angle

1.In an infant seat placed in the crib

The nurse is assigned to care for a child who is scheduled for an appendectomy. Select the prescriptions that the nurse anticipates will be prescribed. Select all that apply. 1.Initiate an IV line. 2.Maintain an NPO status. 3.Administer a Fleet enema. 4.Administer intravenous antibiotics. 5.Administer preoperative medications. 6.Place a heating pad on the abdomen to decrease pain.

1.Initiate an IV line. 2.Maintain an NPO status. 4.Administer intravenous antibiotics. 5.Administer preoperative medications.

The nurse analyzes the laboratory values of a child with leukemia who is receiving chemotherapy. The nurse notes that the platelet count is 19,500 mm3 (19.5 × 109/L). On the basis of this laboratory result, which intervention should the nurse include in the plan of care? 1.Initiate bleeding precautions. 2.Monitor closely for signs of infection. 3.Monitor the temperature every 4 hours. 4.Initiate protective isolation precautions.

1.Initiate bleeding precautions.

A 14-year-old child is admitted to the hospital with a diagnosis of acute lymphocytic leukemia. She is receiving a combination chemotherapeutic regimen that includes cyclophosphamide. The nurse plans care understanding that which are associated with this medication? Select all that apply. 1.It is platelet sparing. 2.It causes constipation. 3.It causes hemorrhagic cystitis. 4.It causes bone marrow depression. 5.Increased fluid intake is necessary.

1.It is platelet sparing 3.It causes hemorrhagic cystitis. 4.It causes bone marrow depression. 5.Increased fluid intake is necessary.

A 2-year-old boy with a diagnosis of hemophilia is admitted to the hospital with bleeding into the joint of the right knee. Which intervention should the nurse plan to implement with this child? 1.Measure the injured knee joint every shift. 2.Take the temperature by rectal method only. 3.Administer acetylsalicylic acid for pain control. 4.Immobilize the joint and apply moist heat to the joint.

1.Measure the injured knee joint every shift.

The nurse is monitoring a child for bleeding after surgery for removal of a brain tumor. The nurse checks the head dressing for the presence of blood and notes a colorless drainage on the back of the dressing. Which action should the nurse perform immediately? 1.Notify the surgeon. 2.Reinforce the dressing. 3.Document the findings and continue to monitor. 4.Circle the area of drainage and continue to monitor.

1.Notify the surgeon.

A 3-year-old child is seen in the health care clinic, and a diagnosis of encopresis is made. The nurse expects to provide teaching about which client problem? 1.Odor 2.Nausea 3.Malaise 4.Diarrhea

1.Odor

The nurse is performing an assessment on a child admitted to the hospital with a probable diagnosis of nephrotic syndrome. Which assessment findings should the nurse expect to observe? Select all that apply. 1.Pallor 2.Edema 3.Anorexia 4.Proteinuria 5.Weight loss 6.Decreased serum lipids

1.Pallor 2.Edema 3.Anorexia 4.Proteinuria

The nurse is performing an assessment on a child admitted to the hospital with a probable diagnosis of nephrotic syndrome. Which assessment findings should the nurse expect to observe? Select all that apply. 1.Pallor 2.Edema 3.Anorexia 4.Proteinuria 5.Weight loss 6.Decreased serum lipids

1.Pallor 2.Edema 3.Anorexia 4.Proteinuria

The mother of a 4-year-old child tells the pediatric nurse that the child's abdomen seems to be swollen. During further assessment of subjective data, the mother tells the nurse that the child is eating well and that the activity level of the child is unchanged. The nurse, suspecting the possibility of Wilms' tumor, should avoid which during the physical assessment? 1.Palpating the abdomen for a mass 2.Assessing the urine for the presence of hematuria 3.Monitoring the temperature for the presence of fever 4.Monitoring the blood pressure for the presence of hypertension

1.Palpating the abdomen for a mass

The mother of a 4-year-old child tells the pediatric nurse that the child's abdomen seems to be swollen. During further assessment, the mother tells the nurse that the child is eating well and that the activity level of the child is unchanged. The nurse, suspecting the possibility of Wilms' tumor, should avoid which during the physical assessment? 1.Palpating the abdomen for a mass 2.Assessing the urine for the presence of hematuria 3.Monitoring the temperature for the presence of fever 4.Monitoring the blood pressure for the presence of hypertension

1.Palpating the abdomen for a mass

Which interventions should the nurse include when creating a care plan for a child with hepatitis? Select all that apply. 1.Providing a low-fat, well-balanced diet. 2.Teaching the child effective hand-washing techniques. 3.Scheduling playtime in the playroom with other children. 4.Notifying the primary health care provider (PHCP) if jaundice is present. 5.Instructing the parents to avoid administering medications unless prescribed. 6.Arranging for indefinite home schooling because the child will not be able to return to school.

1.Providing a low-fat, well-balanced diet. 2.Teaching the child effective hand-washing techniques. 5.Instructing the parents to avoid administering medications unless prescribed.

The nurse is reviewing a primary health care provider's prescriptions for a child with sickle cell anemia who was admitted to the hospital for the treatment of vaso-occlusive crisis. Which prescriptions documented in the child's record should the nurse question? Select all that apply. 1.Restrict fluid intake. 2.Position for comfort. 3.Avoid strain on painful joints. 4.Apply nasal oxygen at 2 L/minute. 5.Provide a high-calorie, high-protein diet. 6.Give meperidine, 25 mg intravenously, every 4 hours for pain.

1.Restrict fluid intake. 6.Give meperidine, 25 mg intravenously, every 4 hours for pain.

The nurse is planning care for a child with hemolytic-uremic syndrome who has been anuric and will be receiving peritoneal dialysis treatment. The nurse should plan to implement which measure? 1.Restrict fluids as prescribed. 2.Care for the arteriovenous fistula. 3.Encourage foods high in potassium. 4.Administer analgesics as prescribed.

1.Restrict fluids as prescribed.

The nurse is caring for a 1-year-old child after cleft palate repair. On completion of feeding, the nurse should plan for which appropriate nursing action? 1.Rinsing the mouth with water 2.Cleaning the mouth with diluted hydrogen peroxide 3.Using a soft lemon and glycerin swab to clean the mouth 4.Using cotton swabs saturated with half-strength povidone-iodine to clean the mouth

1.Rinsing the mouth with water

A child is suspected of suffering from intussusception. The nurse should be alert to which clinical manifestation of this condition? 1.Tender, distended abdomen 2.Presence of fecal incontinence 3.Incomplete development of the anus 4.Infrequent and difficult passage of dry stools

1.Tender, distended abdomen

The nurse is monitoring a 3-year-old child for signs and symptoms of increased intracranial pressure (ICP) after a craniotomy. The nurse plans to monitor for which early sign or symptom of increased ICP? 1.Vomiting 2.Bulging anterior fontanel 3.Increasing head circumference 4.Complaints of a frontal headache

1.Vomiting

The nurse is planning discharge instructions for the mother of a child following orchiopexy, which was performed on an outpatient basis. Which is a priority in the plan of care? 1.Wound care 2.Pain control measures 3.Measurement of intake 4.Cold and heat applications

1.Wound care

The nurse reviews the record of a child who is suspected to have glomerulonephritis. Which statement by the child's parent should the nurse expect that is associated with this diagnosis? 1."I'm so glad they didn't find any protein in his urine." 2."I noticed his urine was the color of coca-cola lately." 3."His primary health care provider said his kidneys are working well." 4."The nurse who admitted my child said his blood pressure was low."

2."I noticed his urine was the color of coca-cola lately."

After performing an assessment of an infant with bladder exstrophy, the nurse prepares a plan of care. The nurse identifies which problem as the priority for the infant? 1.Urinary incontinence 2.Impaired tissue integrity 3.Inability to suck and swallow 4.Lack of knowledge about the disease (parents)

2.Impaired tissue integrity

A 9-year-old child with leukemia is in remission and has returned to school. The school nurse calls the mother of the child and tells the mother that a classmate has just been diagnosed with chickenpox. The mother immediately calls the clinic nurse because the leukemic child has never had chickenpox. Which is an appropriate response by the clinic nurse to the mother? 1."There is no need to be concerned." 2."Bring the child into the clinic for a vaccine." 3."Keep the child out of school for a 2-week period." 4."Monitor the child for an elevated temperature, and call the clinic if this happens."

2."Bring the child into the clinic for a vaccine."

The nurse in the hospital is giving at-home feeding instructions to a family whose child is being discharged after being born with a cleft lip. Which statement by the mother would indicate that further teaching is indicated? 1."I am so glad that I am able to breast-feed my baby." 2."I must always feed my baby with a syringe and not use a nipple." 3."I will feed my baby while sitting in a chair and holding her more upright." 4."I will burp my baby very frequently so that she does not swallow a lot of air."

2."I must always feed my baby with a syringe and not use a nipple."

The nurse provides home care instructions to the mother of a child who had a cleft palate repair 4 days ago. Which statement by the mother indicates the need for further instruction? 1."I will use a short nipple on the bottle." 2."I need to buy some straws for drinking." 3."I can give my child the pacifier in 2 weeks." 4."I may give my baby food mixed with water."

2."I need to buy some straws for drinking."

The nurse is providing home care instructions to the mother of a child receiving radiation therapy. Which statement by the mother indicates a need for further teaching? 1."I should dress my child in loose-fitting clothing." 2."I won't need to limit the amount of sun that my child gets." 3."My child may experience fatigue and need more rest periods." 4."I need to try to provide food and fluids to prevent dehydration."

2."I won't need to limit the amount of sun that my child gets."

The nurse provides a teaching session to the nursing staff regarding osteosarcoma. Which statement by a member of the nursing staff indicates a need for information? 1."The femur is the most common site of this sarcoma." 2."The child does not experience pain at the primary tumor site." 3."Limping, if a weight-bearing limb is affected, is a clinical manifestation." 4."The symptoms of the disease in the early stage are almost always attributed to normal growing pains."

2."The child does not experience pain at the primary tumor site."

A 13-year-old child is diagnosed with Ewing's sarcoma of the femur. After a course of radiation and chemotherapy, it was decided that leg amputation is necessary. After the amputation, the child becomes very frightened because of aching and cramping felt in the missing limb. Which nursing statement is most appropriate to assist in alleviating the child's fear? 1."The pain medication that I give you will take these feelings away." 2."This aching and cramping is normal and temporary and will subside." 3."This pain is not real pain, and relaxation exercises will help it go away." 4."This normally occurs after the surgery, and we will teach you ways to deal with it."

2."This aching and cramping is normal and temporary and will subside."

The nurse is providing discharge instructions to the mother of a child who had a cleft palate repair. Which statement should the nurse make to the mother? 1."You should use a plastic spoon to feed the child." 2."You need to use an orthodontic nipple on the child's bottle." 3."You can allow the child to use a pacifier but only for 30 minutes at a time." 4."You need to monitor the child's temperature for signs of infection using an oral thermometer."

2."You need to use an orthodontic nipple on the child's bottle."

Parents bring their child to the emergency department and tell the nurse that the child has been complaining of colicky abdominal pain located in the lower right quadrant of the abdomen. The nurse suspects that the child has which disorder? 1.Peritonitis 2.Appendicitis 3.Intussusception 4.Hirschsprung's disease

2.Appendicitis

The nurse is reviewing the plan of care for a child with a diagnosis of suspected appendicitis. The nurse would question which intervention if noted in the plan of care? 1.Taking the child's temperature with an oral thermometer 2.Applying a heating pad to abdomen to promote pain relief 3.Palpating between the right anterior superior iliac crest and umbilicus 4.Obtaining blood for complete blood count while starting an intravenous line

2.Applying a heating pad to abdomen to promote pain relief

A nursing student caring for a 6-month-old infant is asked to collect a sample for urinalysis from the infant. How should the student collect the specimen? 1.Catheterizing the infant using the smallest available Foley catheter 2.Attaching a urinary collection device to the infant's perineum for collection 3.Obtaining the specimen from the diaper by squeezing the diaper after the infant voids 4.Noting the time of the next expected voiding and then preparing a specimen cup for the urine

2.Attaching a urinary collection device to the infant's perineum for collection

An 18-month-old child is being discharged after surgical repair of hypospadias. Which postoperative nursing care measure should the nurse stress to the parents as they prepare to take their child home? 1.Leave the diapers off to allow the site to heal. 2.Avoid tub baths until the stent has been removed. 3.Encourage toilet training to ensure that flow of urine is normal. 4.Restrict fluid intake to reduce urinary output for the first few days.

2.Avoid tub baths until the stent has been removed.

The nurse should plan to place a child who had a medulloblastoma brain tumor (infratentorial) removed in which position postoperatively? 1.Trendelenburg's 2.Flat, on either side 3.With the head of the bed elevated above heart level 4.With the head of the bed elevated in low-Fowler's position

2.Flat, on either side

The nurse performing an admission assessment on a 2-year-old child who has been diagnosed with nephrotic syndrome notes that which mostcommon characteristic is associated with this syndrome? 1.Hypertension 2.Generalized edema 3.Increased urinary output 4.Frank, bright red blood in the urine

2.Generalized edema

The nurse is monitoring a child for bleeding after surgery for removal of a brain tumor. The nurse checks the head dressing for the presence of blood and notes a colorless drainage on the back of the dressing. Which intervention should the nurse perform immediately? 1.Reinforce the dressing. 2.Notify the primary health care provider (PHCP). 3.Document the findings and continue to monitor. 4.Circle the area of drainage and continue to monitor.

2.Notify the primary health care provider (PHCP).

The nurse is providing home care instructions to the mother of an infant who has just been found to have hemophilia. The nurse should tell the mother that care of the infant should include which appropriate measure? 1.Use aspirin for pain relief. 2.Pad crib rails and table corners. 3.Use a soft toothbrush for dental hygiene. 4.Use a generous amount of lubricant when taking a temperature rectally.

2.Pad crib rails and table corners

The nurse is caring for a newborn infant after surgical intervention for imperforate anus. The nurse should place the infant in which position in the postoperative period? 1.Supine with no head elevation 2.Side-lying with the legs flexed 3.Side-lying with the legs extended 4.Supine with the head elevated 30 degrees

2.Side-lying with the legs flexed

Nursing care of the child with myelosuppression from leukemia or chemotherapeutic agents should include which intervention? 1.Restrict oral fluids. 2.Use good hand-washing technique. 3.Give immunizations appropriate for age. 4.Institute strict isolation with no visitors allowed.

2.Use good hand-washing technique.

The nurse is reviewing the record of a child diagnosed with nephrotic syndrome. The nurse should expect to note which finding documented in the child's record? 1.Polyuria 2.Weight gain 3.Hypotension 4.Grossly bloody urine

2.Weight gain

The nurse is providing home care instructions to the parents of a 10-year-old child with hemophilia. Which sport activity should the nurse suggest for this child? 1.Soccer 2.Basketball 3.Swimming 4.Field hockey

3.Swimming

The nurse is providing home care instructions to the parents of a 10-year-old child with hemophilia. Which sport activity should the nurse suggest for this child? 1.Soccer 2.Basketball 3.Swimming 4.Field hockey

3.Swimming

The nurse is collecting data on a 12-month-old child with iron deficiency anemia. Which finding should the nurse expect to note in this child? 1.Cyanosis 2.Bronze skin 3.Tachycardia 4.Hyperactivity

3.Tachycardia

The nurse is collecting data on a child recently diagnosed with glomerulonephritis. Which question to the mother should elicit data associated with the cause of this disease? 1."Has your child had any nausea or diarrhea?" 2."Have you noticed any rashes on your child?" 3."Did your child recently complain of a sore throat?" 4."Did your child sustain any injuries to the kidney area?"

3."Did your child recently complain of a sore throat?"

The nurse is collecting data on a 9-year-old child suspected of having a brain tumor. Which question should the nurse ask to elicit data related to the classic symptoms of a brain tumor? 1."Do you have trouble seeing?" 2."Do you feel tired all the time?" 3."Do you throw up in the morning?" 4."Do you have headaches late in the day?"

3."Do you throw up in the morning?"

A mother brings her 5-week-old infant to the health care clinic and tells the nurse that the child has been vomiting after meals. The mother reports that the vomiting is becoming more frequent and forceful. The nurse suspects pyloric stenosis and asks the mother which assessment question to elicit data specific to this condition? 1."Are the stools ribbon-like, and is the infant eating poorly?" 2."Does the infant suddenly become pale, begin to cry, and draw the legs up to the chest?" 3."Does the vomit contain sour, undigested food without bile, and is the infant constipated?" 4."Does the infant cry loudly and continuously during the evening hours but nurses or takes formula well?"

3."Does the vomit contain sour, undigested food without bile, and is the infant constipated?"

A preschooler with a history of cleft palate repair comes to the clinic for a routine well-child checkup. To determine if this child is experiencing a long-term effect of cleft palate, which question should the nurse ask? 1."Was the child recently treated for pneumonia?" 2."Does the child play with an imaginary friend?" 3."Is the child unresponsive when given directions?" 4."Has the child had any difficulty swallowing food?"

3."Is the child unresponsive when given directions?"

A 6-year-old child has just been diagnosed with localized Hodgkin's disease, and chemotherapy is planned to begin immediately. The mother of the child asks the nurse why radiation therapy was not prescribed as a part of the treatment. What is the nurse's best response? 1."It's very costly, and chemotherapy works just as well." 2."I'm not sure. I'll discuss it with the primary health care provider." 3."Sometimes age has to do with the decision for radiation therapy." 4."The primary health care provider would prefer that you discuss treatment options with the oncologist."

3."Sometimes age has to do with the decision for radiation therapy."

A 6-year-old child has just been diagnosed with localized Hodgkin's disease, and chemotherapy is planned to begin immediately. The mother of the child asks the nurse why radiation therapy was not prescribed as a part of the treatment. What is the nurse's best response? 1."It's very costly, and chemotherapy works just as well." 2."I'm not sure. I'll discuss it with the primary health care provider." 3."Sometimes age has to do with the decision for radiation therapy." 4."The primary health care provider would prefer that you discuss treatment options with the oncologist."

3."Sometimes age has to do with the decision for radiation therapy."

A 6-year-old child with leukemia is hospitalized and is receiving combination chemotherapy. Laboratory results indicate that the child is neutropenic, and protective isolation procedures are initiated. The grandmother of the child visits and brings a fresh bouquet of flowers picked from her garden and asks the nurse for a vase for the flowers. Which response should the nurse provide to the grandmother? 1."I have a vase in the utility room, and I will get it for you." 2."I will get the vase and wash it well before you put the flowers in it." 3."The flowers from your garden are beautiful but should not be placed in the child's room at this time." 4."When you bring the flowers into the room, place them on the bedside stand as far away from the child as possible."

3."The flowers from your garden are beautiful but should not be placed in the child's room at this time."

A 6-year-old child with leukemia is hospitalized and is receiving combination chemotherapy. Laboratory results indicate that the child is neutropenic, and protective isolation procedures are initiated. The grandmother of the child visits and brings a fresh bouquet of flowers picked from her garden and asks the nurse for a vase for the flowers. Which response should the nurse provide to the grandmother? 1."I have a vase in the utility room, and I will get it for you." 2."I will get the vase and wash it well before you put the flowers in it." 3."The flowers from your garden are beautiful, but should not be placed in the child's room at this time." 4."When you bring the flowers into the room, place them on the bedside stand as far away from the child as possible."

3."The flowers from your garden are beautiful, but should not be placed in the child's room at this time."

The mother of a child with hepatitis A tells the home care nurse that she is concerned because the child's jaundice seems worse. What is the nurse's best response? 1."You need to change the child's diet." 2."The child probably is infectious again." 3."The jaundice may worsen before it resolves." 4."You need to call the primary health care provider."

3."The jaundice may worsen before it resolves."

The nurse provides instructions regarding home care to the parents of a 3-year-old child hospitalized with hemophilia. Which statement, if made by the parent, indicates a need for further instructions? 1."We will supervise our child closely." 2."We will pad corners of the furniture." 3."We will avoid having our child receive immunizations." 4."We will remove household items that can easily fall over."

3."We will avoid having our child receive immunizations."

The nurse reviews the record of a newborn infant and notes that a diagnosis of esophageal atresia with tracheoesophageal fistula is suspected. The nurse expects to note which most likely sign of this condition documented in the record? 1.Incessant crying 2.Coughing at nighttime 3.Choking with feedings 4.Severe projectile vomiting

3.Choking with feedings

The parents of a newborn with a cleft lip are concerned and ask the nurse when the lip will be repaired. With which statement should the nurse respond? 1.Cleft lip cannot be repaired. 2.Cleft-lip repair is usually performed by 6 months of age. 3.Cleft-lip repair is usually performed during the first months of life. 4.Cleft-lip repair is usually performed between 6 months and 2 years.

3.Cleft-lip repair is usually performed during the first months of life.

The mother of a child with an umbilical hernia calls the clinic and reports to the nurse that the child has been vomiting and is complaining of pain in the abdominal area. Which instruction to the mother is most appropriate? 1.Administer acetaminophen. 2.Keep the child on clear liquids. 3.Contact the primary health care provider. 4.Apply an ice pack to the abdomen.

3.Contact the primary health care provider.

A 4-year-old child with acute glomerulonephritis is admitted to the hospital. The nurse identifies which client problem in the plan of care as the priority? 1.Infection related to hypertension 2.Injury related to loss of blood in urine 3.Excessive fluid volume related to decreased plasma filtration 4.Retarded growth and development related to a chronic disease

3.Excessive fluid volume related to decreased plasma filtration

The nurse is caring for a newborn with a suspected diagnosis of imperforate anus. The nurse monitors the infant, knowing that which is a clinical manifestation associated with this disorder? 1.Bile-stained fecal emesis 2.The passage of currant jelly-like stools 3.Failure to pass meconium stool in the first 24 hours after birth 4.Sausage-shaped mass palpated in the upper right abdominal quadrant

3.Failure to pass meconium stool in the first 24 hours after birth

The nurse is caring for a 7-year-old child with glomerulonephritis and is preparing to discuss the plan of care with the parents. In anticipating this encounter, the nurse recognizes that which is a common reaction of parents to the diagnosis of glomerulonephritis? 1.Fear of the complicated treatment regimen 2.Anger at the child for requiring hospitalization 3.Guilt that they did not seek treatment more quickly 4.Depression that the child may not be able to play sports

3.Guilt that they did not seek treatment more quickly

The nurse is monitoring a child with a brain tumor for complications associated with increased intracranial pressure. Which finding, if noted by the nurse, would indicate the presence of diabetes insipidus? 1.Weight gain 2.Hypertension 3.High urine output 4.Urine specific gravity greater than 1.030

3.High urine output

The nurse is preparing a plan of care for an infant who will be returning from the recovery room following the surgical repair of a cleft lip located on the right side of the lip. On return from the recovery room, the nurse should plan to place the infant in which position? 1.Prone and flat 2.Supine and flat 3.On the left side 4.On the right side

3.On the left side

The pediatric nurse clinician is discussing the pathophysiology related to childhood leukemia with a class of nursing students. Which statement made by a nursing student indicates a need for further teaching of the pathophysiology of this disease? 1.The platelet count is decreased. 2.Red blood cell production is affected. 3.Reed-Sternberg cells are found on biopsy. 4.Normal bone marrow is replaced by blast cells.

3.Reed-Sternberg cells are found on biopsy.

In caring for a child diagnosed with Hodgkin's disease, which oncologic emergency should the nurse be most concerned about? 1.Hyperleukocytosis 2.Spinal cord compression 3.Superior vena cava syndrome 4.Disseminated intavascular coagulation

3.Superior vena cava syndrome

The nurse provided discharge instructions to the parents of a 2-year-old child who had an orchiopexy to correct cryptorchidism. Which statement by the parents indicates the need for further instruction? 1."I'll check his temperature." 2."I'll give him medication so he'll be comfortable." 3."I'll check his voiding to be sure there's no problem." 4."I'll let him decide when to return to his play activities."

4."I'll let him decide when to return to his play activities."

The pediatric nurse educator is providing a teaching session to nursing staff about hemophilia. Which statement should the nurse educator include? 1."Acetylsalicylic acid is given for pain control." 2."Hemarthrosis is the result of synovial cavity aspiration." 3."Total joint rest along with ice pack application continues for 72 hours after factor VIII is administered." 4."Affected prepubescent girls should be counseled concerning menorrhagia, which may be life-threatening."

4."Affected prepubescent girls should be counseled concerning menorrhagia, which may be life-threatening."

An emergency department nurse is performing an assessment on a child with a suspected diagnosis of intussusception. Which assessment question for the parents will elicit the most specific data related to this disorder? 1."Does the child have any food allergies?" 2."What do the bowel movements look like?" 3."Has the child eaten any food in the last 24 hours?" 4."Can you describe the type of pain that the child is experiencing?"

4."Can you describe the type of pain that the child is experiencing?"

The mother of a newborn infant with hypospadias asks the nurse why circumcision cannot be performed. Which is the most appropriateresponse by the nurse? 1."Circumcision will cause an infection." 2."Circumcision is not performed in a newborn." 3."Circumcision will cause difficulty with urination." 4."Circumcision has been delayed to save tissue for surgical repair."

4."Circumcision has been delayed to save tissue for surgical repair."

The nurse is reviewing a treatment plan with the parents of a newborn with hypospadias. Which statement by the parents indicates their understanding of the plan? 1."Caution should be used when straddling my infant on a hip." 2."Vital signs should be taken daily to check for bladder infection." 3."Catheterization will be necessary when my infant does not void." 4."Circumcision has been delayed to save tissue for surgical repair."

4."Circumcision has been delayed to save tissue for surgical repair."

The nurse is reviewing a treatment plan with the parents of a newborn with hypospadias. Which statement by the parents indicates their understanding of the plan? 1."Caution should be used when straddling the infant on a hip." 2."Vital signs should be taken daily to check for bladder infection." 3."Catheterization will be necessary when the infant does not void." 4."Circumcision has been delayed to save tissue for surgical repair."

4."Circumcision has been delayed to save tissue for surgical repair."

The nurse is collecting data on an infant with a diagnosis of suspected Hirschsprung's disease. Which question to the mother will mostspecifically elicit information regarding this disorder? 1."Does your infant have diarrhea?" 2."Is your infant constantly vomiting?" 3."Does your infant constantly spit up feedings?" 4."Does your infant have foul-smelling, ribbon-like stools?"

4."Does your infant have foul-smelling, ribbon-like stools?"

The nurse provides instructions to the mother of a child with sickle cell disease. Which statement by the mother indicates a need for further teaching? 1."I will take my child's temperature and watch for a fever." 2."I need to be sure that my child has adequate rest periods." 3."I need to encourage my child to drink large amounts of fluids." 4."I know my child must spend as much time as possible in the sun."

4."I know my child must spend as much time as possible in the sun."

The nurse is providing discharge instructions to the mother of a child with herpetic gingivostomatitis. Which response by the mother indicates the need for further teaching? 1."I will offer my child soft, bland foods." 2."I will encourage my child to drink plenty of fluids." 3."I will give my child frozen ice pops to assist with fluid intake." 4."I will not give my child anything to eat for 2 days to allow healing."

4."I will not give my child anything to eat for 2 days to allow healing."

The nurse provided discharge instructions to the parents of a 2-year-old child who had an orchiopexy to correct cryptorchidism. Which statement by the parents indicates that further teaching is necessary? 1."I'll check his temperature." 2."I'll give him medication so he'll be comfortable." 3."I'll check his voiding to be sure there's no problem." 4."I'll let him decide when to return to his play activities."

4."I'll let him decide when to return to his play activities."

A 1-year-old child is diagnosed with intussusception, and the mother of the child asks the student nurse to describe the disorder. Which statement by the student nurse indicates correct understanding of this disorder? 1."It is an acute bowel obstruction." 2."It is a condition that causes an acute inflammatory process in the bowel." 3."It is a condition in which a distal segment of the bowel prolapses into a proximal segment of the bowel." 4."It is a condition in which a proximal segment of the bowel prolapses into a distal segment of the bowel."

4."It is a condition in which a proximal segment of the bowel prolapses into a distal segment of the bowel."

The parents of a newborn have been told that their child was born with bladder exstrophy, and the parents ask the nurse about this condition. Which explanation, given by the parents, indicates understanding of this condition? 1."It's a hereditary disorder that occurs in every other generation." 2."It is caused by the use of medications taken by the mother during pregnancy." 3."It is a condition in which the urinary bladder is abnormally located in the pelvic cavity." 4."It's an extrusion of the urinary bladder to the outside of the body through a defect in the lower abdominal wall."

4."It's an extrusion of the urinary bladder to the outside of the body through a defect in the lower abdominal wall."

A 7-year-old child is seen in a clinic, and the primary health care provider documents a diagnosis of primary nocturnal enuresis. Which statement made by the parents indicates understanding of this condition? 1."Primary nocturnal enuresis does not respond to treatment." 2."Primary nocturnal enuresis is caused by a psychiatric problem." 3."Primary nocturnal enuresis requires surgical intervention to improve the problem." 4."Most children outgrow the bed-wetting problem without therapeutic intervention."

4."Most children outgrow the bed-wetting problem without therapeutic intervention."

The nurse is providing discharge instructions to the parents of an infant who underwent surgical repair of bladder exstrophy. The parents ask if the infant will be able to control their bladder as they get older. How should the nurse respond? 1."Your child will need catheterization until bladder control is gained." 2."Your child will be able to control their bladder like other children are." 3."You should potty train your child starting at the same time you normally would." 4."Your child will not have a sphincter mechanism for the first 3 to 5 years, so urine will drain freely."

4."Your child will not have a sphincter mechanism for the first 3 to 5 years, so urine will drain freely."

The nurse is monitoring the laboratory values of a child with leukemia who is receiving chemotherapy. The nurse prepares to implement bleeding precautions if the child becomes thrombocytopenic and the platelet count is less than how many cells/mm3? 1.200,000 mm3 (200 × 109/L) 2.180,000 mm3 (180 × 109/L) 3.160,000 mm3 (160× 109/L) 4.150,000 mm3 (150 × 109/L)

4.150,000 mm3 (150 × 109/L)

An infant is seen in the primary health care provider's office for complaints of frequent vomiting and spitting up after feedings. Findings indicate that the infant is not gaining weight, and gastroesophageal reflux is suspected. Which would the nurse anticipate being prescribed initially in the care of this child? 1.Administer omeprazole before feeding. 2.Place infant in prone position after each feeding. 3.Instruct parents to keep a log of feedings and any reflux present. 4.Administer predigested formula and feed small, frequent feedings.

4.Administer predigested formula and feed small, frequent feedings.

The nurse is caring for a child with a diagnosis of hemophilia, and hemarthrosis is suspected because the child is complaining of pain in the joints. Which measure should the nurse expect to be prescribed for the child? 1.Range-of-motion exercises to the affected joint 2.Application of a heating pad to the affected joint 3.Nonsteroidal anti-inflammatory drugs for the pain 4.Application of a bivalved cast for joint immobilization

4.Application of a bivalved cast for joint immobilization

A child arrives at the emergency department with a nosebleed. On assessment, the nurse is told by the mother that the nosebleed began suddenly and for no apparent reason. What is the initialnursing action? 1.Insert nasal packing. 2.Prepare a nasal balloon for insertion. 3.Place the child in a semi-Fowler's position, and apply ice packs to the nose. 4.Ask the child to sit down and lean forward, and apply pressure to the nose.

4.Ask the child to sit down and lean forward, and apply pressure to the nose.

The nurse is preparing to care for an infant who has esophageal atresia with tracheoesophageal fistula. Surgery is scheduled to be performed in 1 hour. Intravenous fluids have been initiated, and a nasogastric (NG) tube has been inserted by the primary health care provider. The nurse plans care, knowing that which intervention is of highest priority during this preoperative period? 1.Monitor the temperature. 2.Monitor the blood pressure. 3.Reposition the infant frequently. 4.Aspirate the NG tube every 5 to 10 minutes.

4.Aspirate the NG tube every 5 to 10 minutes.

A child is seen in the health care clinic for complaints of fever. On data collection, the nurse notes that the child is pale, tachycardic, and has petechiae. Aplastic anemia is suspected. The nurse should prepare the child to obtain which specimen that will confirm the diagnosis? 1.Platelet count 2.Granulocyte count 3.Red blood cell count 4.Bone marrow biopsy

4.Bone marrow biopsy

The nurse is preparing to care for a child with a diagnosis of intussusception. The nurse reviews the child's record and expects to note which sign of this disorder documented? 1.Watery diarrhea 2.Ribbon-like stools 3.Profuse projectile vomiting 4.Bright red blood and mucus in the stools

4.Bright red blood and mucus in the stools

A home care nurse instructs the mother of a 5-year-old child with lactose intolerance about dietary measures for her child. The nurse should tell the mother that it is necessary to provide which dietary supplement in the child's diet? 1.Fats 2.Zinc 3.Protein 4.Calcium

4.Calcium

The nurse is preparing an infant for surgery to treat Hirschsprung's disease. Which assessment finding is priority to identify and treat? 1.Vomiting and irritability 2.Malnourishment and lethargy 3.Abdominal distension and tenderness 4.Decreased blood pressure and tachycardia

4.Decreased blood pressure and tachycardia

A child with β-thalassemia is receiving long-term blood transfusion therapy for the treatment of the disorder. Chelation therapy is prescribed as a result of too much iron from the transfusions. Which medication should the nurse anticipate being prescribed? 1.Fragmin 2.Meropenem 3.Metoprolol 4.Deferoxamine

4.Deferoxamine

A 12-year-old child with newly diagnosed thalassemia is brought to the clinic exhibiting delayed sexual maturation, fatigue, anorexia, pallor, and complaints of headache. The child seems listless and small for age and has frontal bossing. What should the nurse expect to note on review of the results of the laboratory tests? 1.Macrocytosis and hyperchromia 2.Excessive red blood cell production 3.Excessive mature erythrocyte proliferation 4.Deficient production of functional hemoglobin

4.Deficient production of functional hemoglobin

A diagnostic workup is being performed on a 1-year-old child with suspected neuroblastoma. The nurse reviews the results of the diagnostic tests and understands that which finding is mostspecifically related to this type of tumor? 1.Positive Babinski's sign 2.Presence of blast cells in the bone marrow 3.Projectile vomiting, usually in the morning 4.Elevated vanillylmandelic acid urinary levels

4.Elevated vanillylmandelic acid urinary levels

The clinic nurse instructs parents of a child with sickle cell anemia about the precipitating factors related to sickle cell crisis. Which, if identified by the parents as a precipitating factor, indicates the need for further instruction? 1.Stress 2.Trauma 3.Infection 4.Fluid overload

4.Fluid overload

The clinic nurse reviews the record of an infant and notes that the primary health care provider (PHCP) has documented a diagnosis of suspected Hirschsprung's disease. The nurse reviews the assessment findings documented in the record, knowing that which sign most likely led the mother to seek health care for the infant? 1.Diarrhea 2.Projectile vomiting 3.Regurgitation of feedings 4.Foul-smelling ribbon-like stools

4.Foul-smelling ribbon-like stools

The pediatric nurse educator provides a teaching session to the nursing staff regarding hemophilia. Which statement regarding this disorder should the nurse plan to include in the discussion? 1.Males inherit hemophilia from their fathers. 2.Hemophilia is a Y-linked hereditary disorder. 3.Females inherit hemophilia from their mothers. 4.Hemophilia A results from deficiency of factor VIII.

4.Hemophilia A results from deficiency of factor VIII.

The nurse is asked to prepare for the admission of a child to the pediatric unit with a diagnosis of Wilms' tumor. The nurse is creating a plan of care for the child and should include which intervention in the plan? 1.Monitor the temperature for hypothermia. 2.Monitor the blood pressure for hypotension. 3.Palpate the abdomen for an increase in the size of the tumor. 4.Inspect the urine for the presence of hematuria at each voiding.

4.Inspect the urine for the presence of hematuria at each voiding.

A mother brings her child to the well-child clinic and expresses concern to the nurse because the child has been playing with another child diagnosed with hepatitis. The nurse prepares to perform an assessment on the child, knowing that which finding would be of least concern for hepatitis? 1.Jaundice 2.Hepatomegaly 3.Dark-colored, frothy urine 4.Left upper abdominal quadrant pain

4.Left upper abdominal quadrant pain

The nurse recognizes that clinical manifestations of nephrotic syndrome include which findings? 1.Hematuria, bacteriuria, weight gain 2.Gross hematuria, albuminuria, fever 3.Hypertension, weight loss, proteinuria 4.Massive proteinuria, hypoalbuminemia, edema

4.Massive proteinuria, hypoalbuminemia, edema

A child admitted to the hospital with a diagnosis of gastroenteritis and dehydration weighs 17 lb 2 oz (7.8 kg). The parents state that his preadmission weight was 18 lb 4 oz (8.3 kg). Based on weight alone, what type of dehydration does the nurse expect? 1.Mild dehydration 2.Acute dehydration 3.Severe dehydration 4.Moderate dehydration

4.Moderate dehydration

A child with a diagnosis of sickle cell anemia and vaso-occlusive crisis is complaining of severe pain, selecting number 8 on the 1 to 10 pain scale. Which medication would the nurse expect to be prescribed for pain control? 1.Ibuprofen 2.Meperidine 3.Acetaminophen 4.Morphine sulfate

4.Morphine sulfate

A 7-year-old child is seen in a clinic, and the pediatrician documents a diagnosis of nighttime (nocturnal) enuresis. The nurse should provide which information to the parents? 1.Nighttime (nocturnal) enuresis does not respond to treatment. 2.Nighttime (nocturnal) enuresis is caused by a psychiatric problem. 3.Nighttime (nocturnal) enuresis requires surgical intervention to improve the problem. 4.Nighttime (nocturnal) enuresis is usually outgrown without therapeutic intervention.

4.Nighttime (nocturnal) enuresis is usually outgrown without therapeutic intervention.

A child is scheduled for allogeneic bone marrow transplantation (BMT). The parent of the child asks the nurse about the procedure. The nurse should provide which description about the BMT? 1.Aspiration of bone marrow from the child 2.Obtaining bone marrow from the child's twin 3.Obtaining bovine (cow) bone marrow and administering it to the child 4.Obtaining bone marrow from a donor who matches the child's tissue type

4.Obtaining bone marrow from a donor who matches the child's tissue type

Oral iron supplements are prescribed for a 6-year-old child with iron deficiency anemia. Which beverage is the best option to recommend with iron administration? 1.Milk 2.Water 3.Apple juice 4.Orange juice

4.Orange juice

The nurse is reviewing the record of a 10-year-old child suspected of having Hodgkin's disease. Which characteristic manifestation should the nurse anticipate to be documented in the assessment notes? 1.Fever 2.Malaise 3.Painful lymph nodes in the supraclavicular area 4.Painless and movable lymph nodes in the cervical area

4.Painless and movable lymph nodes in the cervical area

The nurse analyzes the laboratory results of a child with hemophilia. The nurse understands that which result will most likely be abnormal in this child? 1.Platelet count 2.Hematocrit level 3.Hemoglobin level 4.Partial thromboplastin time

4.Partial thromboplastin time

The nurse analyzes the laboratory results of a child with hemophilia. The nurse understands that which result will most likely be abnormal in this child? 1.Platelet count 2.Hematocrit level 3.Hemoglobin level 4.Partial thromboplastin time

4.Partial thromboplastin time

The nurse is initiating nasogastric tube feedings in a child. What is the nurse's best action? 1.Microwave the formula. 2.Place the child in a prone position. 3.Encourage the child to point the head downward. 4.Position the child with the head slightly hyperflexed.

4.Position the child with the head slightly hyperflexed.

An infant is seen in the primary health care provider's office for complaints of projectile vomiting after feeding. Findings indicate that the child is fussy and is gaining weight but seems never to get enough to eat. Pyloric stenosis is suspected. Which prescription would the nurse anticipate having the highest priority in the care of this child? 1.Monitor intake and output. 2.Administer predigested formula. 3.Administer omeprazole before feeding. 4.Prepare the family for surgery for the child.

4.Prepare the family for surgery for the child.

A 7-year-old child is seen in a clinic, and the primary health care provider documents a diagnosis of primary nocturnal enuresis. The nurse should provide which information to the parents? 1.Primary nocturnal enuresis does not respond to treatment. 2.Primary nocturnal enuresis is caused by a psychiatric problem. 3.Primary nocturnal enuresis requires surgical intervention to improve the problem. 4.Primary nocturnal enuresis is usually outgrown without therapeutic intervention.

4.Primary nocturnal enuresis is usually outgrown without therapeutic intervention.

The nurse is preparing to care for a newborn infant following creation of a colostomy for the treatment of imperforate anus. In the immediate postoperative period, the nurse plans to inspect the stoma and expects to note which finding in the colostomy? 1.Bleeding 2.Gray in color 3.Dark blue in color 4.Red and edematous

4.Red and edematous

The parents of a child with a cleft palate are concerned and ask the nurse when the palate will be repaired. The nurse should plan to base the response on which information about cleft palate repair? 1.A cleft palate cannot be repaired in children. 2.Repair usually is performed by age 8 weeks. 3.Repair usually is performed by 2 months of age. 4.Repair usually is performed between 6 months and 2 years.

4.Repair usually is performed between 6 months and 2 years.

A diagnosis of Hodgkin's disease is suspected in a 12-year-old child. Several diagnostic studies are performed to determine the presence of this disease. Which diagnostic test result will confirm the diagnosis of Hodgkin's disease? 1.Elevated vanillylmandelic acid urinary levels 2.The presence of blast cells in the bone marrow 3.The presence of Epstein-Barr virus in the blood 4.The presence of Reed-Sternberg cells in the lymph nodes

4.The presence of Reed-Sternberg cells in the lymph nodes

The nurse provides feeding instructions to a parent of an infant diagnosed with gastroesophageal reflux disease. Which instruction should the nurse give to the parent to assist in reducing the episodes of emesis? 1.Provide less frequent, larger feedings. 2.Burp the infant less frequently during feedings. 3.Thin the feedings by adding water to the formula. 4.Thicken the feedings by adding rice cereal to the formula.

4.Thicken the feedings by adding rice cereal to the formula.