Peds Q3

A nurse is collecting data from an infant who has gastroesophageal reflux. Which of the following findings shoudl the nurse expect?

- Weight Loss - Wheezing - Vomiting

A nurse is preparing for the admission of an infant with a diagnosis of bronchiolitis caused by the RSV. Choose the interventions that would be included in the plan of care

- Place the infant in private room - Place infant in a room near the nurses station

A nurse is developing a plan of care for a child who is at risk for seizures. Which intervention apply if the child has a seizure?

- Stay with the child - Time the seizure - Move furniture away from the child

A nurse is assisting with the care of group of pediatric clients. Which of the following actions should take first?

Deliver a breakfast tray to a child who has been administered regular insulin

A nurse is monitoring for sings of dehydration in a 1 year old child who has been hospitalized for diarrhea and prepares to take the childs temperature. Whihc method of temperature measurement should be avoided?

Rectal

A nurse collects a urine specimen preoperatively from a child with epispadias who is scheduled for surgical repair. The nurse reviews the child's record for the laboratory results of the urine test and would most likely expect to note which of the following?

Bacteriuria

A nurse is caring for a child with a diagnosis of intussusception. Which of the following symptoms would the nurse expect to note in this child?

Blood and mucus in the stools

A nurse on the pediatric unit is receiving report from an assistive personnel (AP). Which of the following clients should the nurse plan to visit first?

A 7 year old child who has diabetes insipidus and a urine specific gravity of 1.002

A nurse is instructing the mother of a child with cystic fibrosis (CF) about the appropriate dietary measures. Which of the following meals best illustrates the most appropriate diet for a client with cystic fibrosis?

A piece of fried chicken and a loaded baked potato

A nurse is collecting data from a 1 year old child who has Wilms' tumor. Which of the following findings should hte nurse expect?

Abdominal mass

A nursing instructor asks a nursing student about phenylketonuria (PKU). Which statement, if made by the student, indicates and understanding of this disorder?

All 50 states require routine screening of all newborns for PKU

A nurse is working with several clients on an acute care pediatric unit. Which of the following clients requires the nurse's immediate attention?

An 8 year old client who has a tonsillectomy and is swallowing frequently

The parents of a newborn have been old that their child was born with bladder exstrophy, and the parents ask the nurse about this condition. The nurse bases the response on knowledge that this condition is:

An extrusion of the urinary bladder to the outside of the body through the defect in the lower abdominal wall

A nurse on a pediatric unit has received change of shit report. Which of the following clients should the nurse plan to see first?

An infant who has pertussis and is receiving oxygen via nasal cannula

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 this child home?

Avoid tub baths until the stent has been removed

A nurse reinforces instructions to the mother about dietary measures for a 5 year old child with lactose intolerance. The nurse tells the mother that which of the following supplements will be required as a result of the need to avoid lactose in the diet?

Calcium

A day care nurse is observing a 2 year old child and suspects that the child has strabismus. Which of the following observations may be indicative of the condition?

The child consistently tilts his/her head to see

A nurse who is working in the ED is caring for a child who has been diagnosed with epiglottitis. Idications that the child may be experiencing airway obstruction include which of the following?

The child thrust the chin forward and opens the mouth

A child with a diagnosis of a hernia has been scheduled for a surgical repair in 2 weeks. The nurse reinforces instructions to the parents about the signs of possible hernial strangulation. The nurse tells the parents that which of the following signs would require health care provider notification by the parents?

Vomiting

A nurse is reinforcing discharge teaching with the parents of an infant who has a prescription for home oxygen and pulse oximetry monitoring. Which of the following statements by the parents indicates a need for further teaching?

We will rotate the probe of the pulse oximeter every 24 hours

A nurse is reinforcing discharge instursctions for a clinet who has asthma and is about to start using beclomethasone MDI. For which of the following findings shoudl the nurse instruct the client to monitor and report to the provider as an adverse effect of the medication?

White coating in the mouth

A nurse is attempting to obtain information from a child who is hearing impaired. Which of the following action should the nurse take?

Speak slowly while facing the child

A nurse is assigned to care for a child who is scheduled for an appendectomy. Which prescription does the nurse anticipate will be prescribed?

- Administer preoperative meds - Maintain NPO - Initiate an IV line - Administer IV antibiotics

Smoke inhalation injury:

- Inhibit surfactant secretion - Can cause carbon monoxide poisoning - Can lead to atelectasis - Can lead to acute respiratory disease syndrome

A child admitted to the hospital with a probable diagnosis of nephrotic syndrome. Which findings would the nurse expect to observe?

- Pallor - Edema - Anorexia - Proteinuria

A mother calls a neighborhood nurse and tells the nurse that her 3 year old child has just ingested liquid furniture polish. The nurse would direct the mother to immediately:

Call the poison control center

A nurse reviews the record of an infant who is seen in the clinic. The nurse notes that a diagnosis of esophageal atresia with tracheoesophageal Fistula (TEF) is suspected. The nurse expects to note which most likely clinical manifestation of this condition in the medical record?

Choking with feedings

A nurse is assisting with the admission of a 2 year old who has acute gastroenteritis. Which of the following actions should the nurse make first?

Determine if the toddler is voiding

A nurse is collecting data from a child who has spina bifida occulta. Which of the following should the nurse expect?

Dimple in sacral area

A nurse is assigned to care for a child after a myringotomy with the insertion of tympanostomy tubes. The nurse notes a small amount of reddish drainage from the childs ear after the surgery. On the basis of the finding, the nurse takes which action?

Document the findings

A nurse reviews the record of a 3 week old infant and notes that the health care provider has documented a diagnosis of suspected Hirschsprung's disease. The nurse understands that which of the following symptoms led the mother to seek health care for the infant?

Foul smelling, ribbon-like stools

A nurse is planning to speak to a group of adolescents about toxic shock syndrome (TSS). The nurse include that TSS is commonly associated with which of the following?

High absorbency tampons

A nurse reinforces instructions to the mother of a child with croup about the measures to take if an acute spasmodic episode occurs. Which statement by the mother indicates the need for further instruction?

I will place a steam vaporizer in the child's room

A nurse is caring for the toddler who has laryngotracheobronchitis. For which of the following findings should the nurse monitor to detect airway obstruction?

Increased Heart rate

An infant returns to the nursing unit after the surgical repair of a cleft lip located on the right side of the lip. The best position in which to place this infant at this time is:

On his or her left side

A child has been diagnosed with Reye's syndrome. The nurse understands that a major symptoms associated with Reye's syndrome is:

Persistent vomiting

A nurse is reinforcing teaching with an adolescent who has a new prescription for sulfamethoxazole-trimethoprim. Which of the following adverse effects should the nurse include in the teaching?

Photosensitivity

A nurse is reviewing the record of a child with diagnosis of pyloric stenosis. which data would the nurse expect to note as been documented in the child's record?

Projectile vomiting

A nurse reinforces home care instructions to the parents of a child with celiac disease. Which of the following food items would the nurse advise the parents to include in the child's diet?

Rice

The appropriate child position after a tonsillectomy is which of the following?

Side-lying position

A nurse is collecting data from a newborn who has respiratory distress syndrome and is experiencing respiratory acidosis. Which of the following risk factors predisposes the newborn to respiratory difficulties?

Small for gestational age

A child has been diagnosed with meningococcal meningitis of the following isolation techniques is appropriate?

Isolation precautions for atleast 24 hours after the initiation of antibiotics

A nurse has provided instructuion to the mother of a child who has been diagnosed with bacterial conjunctivitis. Which of the following, stated by the mother, would indicate the need for further instructions?

It is ok to share towels and washcloths.

A nurse is collecting data about a child who has been admitted to the hospital with a diagnosis of seizures. The nurse checks for causes of the seizures activity by:

Obtaining a history regarding factors that may occur before the seizure activity