Peds Practice Test 1

A nurse is assessing a female child in an area struck by an earthquake. The child, who is crying, walks well, can state her first name, and repeatedly says "all done" and "go bye-bye now" during the assessment. The child has 24 deciduous teeth and her anterior fontanel is closed. Based on these observations, the nurse should estimate that the child is how many months old?

30 The nurse should estimate that the child is at least 30 months in age because the child has completed her primary dentition which occurs by 30 months (2 1/2 years) of age. In addition the nurse should recognize that the child is at least 18 months of age because the anterior fontanel is closed and should suspect that the child is at least 24 months (2 years) of age because the child speaks in two- and three word phrases

A nurse is providing health promotion teaching to the parents of an infant. Which of the following conditions should the nurse identify as the leading cause of death among this age group

Cognenital anomalies

A parent of a toddler asks a nurse at a well-child visit how the child's frequent temper tantrums can best be handled. Which of the following actions should the nurse suggest to the parent

Ignore the temper tantrums

A nurse is planning care for a child who has mumps. Which of the following instructions should the nurse include in the plan?

Initiate droplet precautions

A nurse is caring for a 12-month-old toddler who is hospitalized and confined to a room with contact precautions in place. Which of the following toys should the nurse recommend in order to meet the development needs of the client

Large building blocks. Large building blocks are age appropriate toys for a 12-month-old toddler

A nurse is collecting data from an infant at a well-child visit. The nurse should understand that birth weight typically doubles by what age

6 months

A nurse is caring for a group of adolescents. Which of the following findings should be reported to the provider immediately

A client's blood pressure changes from 112/60 mm Hg to 90/54 mm Hg when standing

A nurse is assessing a toddler at a well-child visit. At what point in the physical examination should the nurse examine the child's tympanic membrane

At the end When examining a toddler the nurse should follow a modified head-to-toe approach, starting at the head but deferring anything that the toddler is likely to view as invasive and traumatic to the very end. The toddler is likely to resist not having the ears examined, but also anything that follows.

A nurse is assessing a 6-month-old infant at a well-child visit. Which of the following findings should the nurse expect

Closed posterior fontanel The infants posterior fontanel should close by about 8 weeks of age

A nurse is developing a health program for the parents of school-age boys. Which of the following information about pubescent changes should the nurse include in the program?

Growth spurts in height occur toward the end of midpuberty Growth spurts in height occur toward the end of midpuberty. Boys grow an average of 10-30 cm during this period

A nurse is caring for a 3-year-old child whose parents report that she has an intense fear of painful procedures, such as injections. Which of the following strategies should the nurse add to the child's plan of care

Have a parent stay with the chid during procedures Perform the procedure as quickly as possible Allow the child to keep a toy from home with her

A nurse is caring for a toddler. Which of the following statements should the nurse use when preparing to obtain the child's vital signs?

I am going to listen to your heart

A nurse is providing anticipatory guidance about child development to the parents of a preschooler. Which of the following developmental tasks should the nurse include as being expected of a preschooler?

Participates in imaginary play

A nurse is teaching the parents of toddler about temper tantrums. Which of the following statements should the nurse include in the teaching

Temper tantrums are the toddlers attempt to gain control of a situation

A nurse is obtaining the length and weight of a 6-month-old infant. Which of the following actions should the nurse take

-place a disposable covering not he scale-measure the infant from crown of head to heels of toes-balance the scale to 0 prior to us

A nurse is preparing to administer the first measles, mumps, and rubella immunization to a 15-month-old toddler. Which of the following findings is a contraindication for this immunization

The child has a congenital immunodeficiency A diagnosis of a congenital immunodeficiency is contraindication to receiving the MMR immunization

A nurse reports an incident of suspected child abuse. One of the parents of the child becomes upset and demands to know the reason for the nurses action. Which of the following responses by the nurse is appropriate

As a nurse I am required by law to report suspected child abuse

A nurse is teaching a parent of a 2-year-old child about safe food choices. Which of the following foods should the nurse recommend?

Bananas Bananas are a safe choice for a 2-year-old child because they are easy to chew and swallow

A nurse is providing health promotion teaching to the parents of a toddler. Which of the following information should the nurse include in the teaching

Management of tantrums Dental care

A nurse is preparing to administer vaccines to a 1-year-old child. Which of the following vaccines should the nurse give

Measles, mumps, rubella (MMR) and Varicella (RV)

A nurse is assessing a preschooler who has a calcium level of 8.0 mg/dL. Which of the following findings should the nurse expect

Muscle tremors

A nurse is providing anticipatory guidance about child development to the parents of a toddler. Which of the following development tasks should the nurse include as expected of a toddler?

Separates easily from primary care giver for short periods of time

A nurse is assisting with the admission of a child who has measles. Which of the following isolation precautions should the nurse initiate?

Airborne The nurse should initiate airborne precautions for a child who has measles, which is transmitted via droplet nuclei smaller than 5 microns. The nurse should place the child in a negative-pressure airflow room and wear a mask when providing client care.

A nurse is administering vaccines at a country health immunization clinic. Which of the following clients should the nurse plan to administer the meningococcal conjugate vaccine

An 11 year old school age child

A nurse is caring for an 18-month-old toddler who has been hospitalized for 10 days. After the toddler's mother leaves the room, the nurse observes the toddler sitting quietly in the corner of the crib, sucking her thumb. When the nurse approaches the crib, the toddler turns away from the nurse. The nurse should understand that these behaviors indicate which of the following developmental reactions

An anxiety reaction Hospitalization is stressful, regardless of the age of the client. However, for a 18-month-old toddler, separation from parents adds to that stress. The toddlers behavior indicates an anxiety reaction to the stress of hospitalization. Separation anxiety initially causes demonstrations of protect. Remaining sad and quietly when a parent leaves indicates the second response to separation anxiety. Which is despair.

The parent of a 4-year-old child tells a nurse that the child believes there are monsters hiding in the closet at bedtime. Which one of the following statements should the nurse make?

Keep a night light on in your child's room Fears of the dark and monsters are common in preschool-age children who are imaginative thinkers and have difficulty distinguishing between real and make-believe. After the parent reassures the child that there are no monsters the night light providers enough illumination for the child to see that there is nothing hiding in the closet

A nurse is performing a pre-college physical assessment on an adolescent. Which of the following immunizations should the nurse anticipate administering

Meningococcal polysaccharide vaccine Recent studies have shown that college students, especially freshman living in dormitories, are at an increased risk for meningococcal meningitis. The Centers for Disease Control and Prevention and the American Academy of Pediatrics now recommend that college students and parents be educated about meningococcal disease and consider vaccination

A nurse is assessing the psychosocial development of a toddler. The nurse should recognize that this stage is characterized by which of the following

Negative behaviors characterized by the need of autonomy

A nurse is preparing to collaborate with interdisciplinary team about the child's care. After reviewing the child's information, which of the following potential provider's prescriptions should the nurse identify as anticipated, nonessential, or contraindicated? For each potential provider's prescription, click to specify if the potential prescription is anticipated, nonessential, or contraindicated for the child.

Oral steroids is anticipated: steroids are indicated in the treatment of ALL. Cranial radiation is contraindicated: cranial radiation is only indicated for those patients with high risk ALL. Fluid restriction is contraindicated: Children with ALL require aggressive IV hydration to prevent tumor lysis syndrome Viscous lidocaine oral rinse is contraindicated: viscous Lidocaine may increase the risk of aspiration in children Varicella vaccine is contraindicated: children with any cancer diagnosis should not receive any live vaccines during treatment Ondansetron is anticipated: Ondansetron is commonly administered to assist in the prevention of chemotherapy-induced nausea and vomiting during cancer treatments

A nurse in a clinic is assessing a 9-month-old infant. Which of the following findings requires further intervention

Positive Moro Reflex

A nurse is assessing a 3 year old child at a routine wellness checkup. Which of the following findings should the nurse expect?

Stands on one foot for a few seconds The nurse should expect a 3 year-old child to be able to stand on one foot for a few seconds, ascend stairs on alternate feet and jump off of the bottom step

A nurse is assessing a 10-month-old infant. Which of the following findings should the nurse report to the provider

The infants does not sit steadily without support

A nurse is assessing a 15-month-old toddler. Which of the following findings should the nurse report to the provider

The toddler cannot stand upright without support The nurse should expect a 15-month-old toddler to be able to stand upright without support. The nurse should report this finding to the provider as this can indicate a developmental delay.

A nurse is caring for a 2-year-old child who is hospitalized and throws a tantrum when his parent leaves. Which of the following toys should the nurse provide to alleviate the child's stress?

Toy hammer and pounding board

A nurse has accepted a position on a pediatric unit and is learning about psychosocial development. Place Erikson's stages of psychosocial development in order from birth to adolescence.

Trust vs. mistrust Autonomy vs shame and doubt Initiative vs. gult industry vs. inferiority idenifiy vs role confusion

A nurse is educating a parent of an infant that has failed to reach specific development milestone. Which statement should the nurse include?

Usually a diagnosis of global developmental delay can be made when a child does not meet milestones. Then when the child is older more testing can be done

A nurse is preparing to administer a vaccine to a 4 year old child. Which of the following vaccines should the nurse administer

Varicella

A nurse is teaching a class about expected developmental milestones in 2-year old toddlers. The nurse should include which of the following milestones?

Walks independently Drinks from a cup Feeds themselves with a spoon

A nurse is caring for a child who has pertussis. The child's parents ask the nurse the common name for this disease. The nurse should respond with which of the following common names?

Whooping cough

A nurse is providing teaching to the parents of a newborn. Which of the following information should the nurse include

Your baby will receive a hepatitis B vaccine prior to discharge

A nurse is providing health promotion teaching to an adolescent. Which of the following information should the nurse include in the teaching

Your need for sleep will increase during periods of growth