PEDS module 2 practice questions

The nurse is teaching the parent of a child with cystic fibrosis about nutrition requirements for the child. What should be included in this teaching?

"Give your child high-calorie foods and snacks." "Feed your child foods that are high in protein." "Give pancreatic enzymes with meals."

The nurse is caring for a 3 year old admitted to the emergency room with a fever and difficulty swallowing. The child looks ill and is restless and insists on sitting upright and leaning forward. What is the nurse's priority?

Administer humidified oxygen via venti mask

The nurse is caring for an 8-year-old boy who has chronic epilepsy. What would be most important to address when teaching the child and parents about living with this condition?

Support for maintaining self-esteem because of his altered lifestyle

the nurse is assessing a young child with suspected croup. based on knowledge of this condition what does the nurse anticipate?

the child most likely will be discharged and cared for at home

A parent with a child who has cystic fibrosis asks the nurse how to determine if the child is receiving an adequate amount of pancreatic enzymes. How should the nurse respond? Select all that apply.

"The dose is adequate when your child is only having 1 to 2 stools per day." "The dose is adequate when your child's weight is improving." "When your child starts to eat more quantities of food you will need to adjust the amount of enzyme pills."

a child is brought to the emergency center after sustaining a seizure at home. when taking the childs history, which questions would the nurse ask the parents? select all

"What time did the seizure occur?" "Can you describe to me the movements your child experienced?" "How long did the seizure last?" "Did your child lose bladder or bowel control?" "Did your child stop breathing during the seizure?"

A toddler requires the placement of pressure-equalizing (PE) tubes due to recurrent ear infections. Which information should the nurse include in teaching the parent about the PE tubes and surgical insertion? Select all that apply.

"Your child will have the procedure as an outpatient." "One purpose of the PE tubes is to help speech development." "The tubes will fall out on their own." "The tubes allow infected fluid to drain."

A nurse is caring for an infant diagnosed with bronchiolitis due to respiratory syncytial virus (RSV) infection. The infant is scheduled to be discharged home and the nurse is preparing discharge instructions for the parents. What information should the nurse include in the instructions? Select all that apply.

Be aware that your infant may continue to cough for up to 2 weeks. It is important for all family members to wash their hands frequently. Contact the health care provider if you notice signs of worsening disease

The nurse is caring for a child who was injured in a bike accident. The nurse determines that a child is experiencing late signs of increased intracranial pressure based on which assessment findings? Select all that apply.

Bradycardia Fixed dilated pupils Irregular respirations

The nurse has assessed a 6-year-old child as having respiratory distress due to swelling of the epiglottis and surrounding structures. Which signs and symptoms would support this assessment?

The child is in tripod position.

The nurse is assisting in the development of a plan of care for a child with asthma. In planning care, many goals would be appropriate for this child and/or family caregiver. Which two goals would be the highest priority for this child or family?

The child will maintain a clear airway. The child will have adequate fluid intake.

The nurse is preparing a room for a child being transferred out of the intensive care unit. The child has a tracheostomy. What item(s) are essential for the nurse to have available at the bedside in case of emergency? Select all that apply.

a new tracheostomy tube of the same size a new tracheostomy tube of a smaller size a bag valve mask

A child is in the emergency department with an asthma exacerbation. Upon auscultation, the nurse is unable to hear air movement in the lungs. What action should the nurse take first?

administer a beta-2 adrenergic agonist

A nurse is preparing a presentation for a group of expectant parents about neural tube defects and prevention. Which would the nurse emphasize?

folic acid supplementation

the nurse is caring for an 8 month old admitted with pertussis. based on this diagnosis, which past medical history information would the nurse make sure to include?

immunization status of infant

The nurse is caring for a hospitalized infant at risk for developing increased intracranial pressure. Which assessment finding(s) would the nurse communicate to the health care provider for further intervention? Select all that apply.

increased head circumference pulse rate of 60 beats/min and regular vomiting parent states, "My infant does not act right."

The nurse is caring for a 10-year-old girl with allergic rhinitis. Which intervention helps prevent secondary bacterial infection?

using normal saline nasal washes

The nurse is collecting data from the caregivers of a child admitted with seizures. Which statement indicates the child most likely had an absence seizure?

"He was just staring into space and was totally unaware."

The nurse is caring for a child with nasopharyngitis which home management would the nurse recommend?

antihistamine

the nurse is assessing a premature infant during a well check up. if it is november, which medication would the nurse anticipate administering prophylactically?

pneumococcal vaccine

The nurse is interviewing the caregivers of a child brought to the emergency unit. The caregiver states, "She has a history of seizures but this time it lasted more than 30 minutes and she just keeps having them." The most accurate description of this child's condition would be:

The child is in status epilepticus.

The nurse is caring for a 3-year-old child who experienced a febrile seizure for the first time. What statements by the parents of the child should the nurse address further? Select all that apply.

"I am afraid that our 10-year-old will start having febrile seizures." "It is so scary to think that our child will likely develop epilepsy now."

a couple has one child with CF. the mother has just given birth to a second child. what assessment will be the priority for the nurse to complete on the newborn?

Assess for the passage of meconium stool.

A 13-year-old adolescent is being released from the hospital following examination for a concussion. The parent has agreed to monitor the adolescent at home for the next 24 hours. Which instruction(s) should the nurse provide? Select all that apply.

Assess the adolescent's level of consciousness every 1 to 2 hours while awake. Wake the adolescent once during the night to assess consciousness. Ask the adolescent to name a familiar object. Ask the adolescent to state where he or she lives.

Upon assessment of an infant the nurse suspects the child has positional plagiocephaly. What questions should the nurse ask the parents to help confirm if this is correct?

How much tummy time do you plan each day for your infant?" "Besides transporting your infant in the car, how much time do you place your infant in the car seat every day?" "Do you follow the recommended guidelines of placing your infant on the back to sleep rather than the abdomen?"

The nurse is caring for a 6-year-old child who has a history of febrile seizures and is admitted with a temperature of 102.2°F (39°C). What is the nurse's highest priority?

Institute safety precautions.

a 4 yr old child is brought to the ED experiencing severe respiratory distress. the health care provider has diagnosed epiglottis. what nursing interventions should the nurse include in this childs plan of care?

Keep the child quiet. Administer prescribed nebulizer treatments. Have intubation equipment readily available.

the nurse is caring for an older school aged child with CF. which therapy would the nurse question if ordered by the health care provider?

administration of water soluble vitamins

The parents of a 10-month-old child bring the infant to the emergency department after finding the infant face down in the bathtub. The parent states, "I just left the bathroom to answer the phone." Which assessments are priority for the nurse to complete? Select all that apply.

airway respiratory status circulation