PEDS QTI QUIZES
FACES Pain Scale
The nurse should identify that the FACES pain scale is used for children aged 3 years and older. The scale is composed of 6 cartoon faces that range from smiling to crying with tears.
PIPP Pain Scale
The nurse should identify that the Premature Infant Pain Profile (PIPP) is used for preterm newborns
Iron is given to a child who has anemia.
A platelet count of 20,000/mm^3 is not an indication of an anemic condition.
A nurse is teaching the parent of a preschool-aged child about the treatment for pinworms. Which of the following statements by the parent indicates an understanding of the teaching? A. "I will give my child a dose of albendazole today and again in 2 weeks." B. "I will collect specimens immediately after my child has a bowel movement." C. "I will give my child a tub bath twice each day." D. "I will place my child's bed linens in a sealed plastic bag for 7 days."
A. "I will give my child a dose of albendazole today and again in 2 weeks." The nurse should instruct the parent to repeat the dose of albendazole in 2 weeks to eradicate the parasite and prevent reinfection.
A nurse is assessing an infant who is at risk for increased intracranial pressure (ICP). Which of the following findings should indicate to the nurse that this complication is developing? A. High-pitched cry B. Sunken fontanel C. Tachycardia D. Increased awake time
A. High-pitched cry The nurse should identify that an infant's high-pitched cry is an indication of increased ICP. Other indications include a bulging fontanel, a high-pitched cry, and increased sleeping.
A nurse is assessing a 12-year-old child during a well-child checkup. Which of the following physical findings should the nurse report to the provider? A. 5 cm (2 in) of growth in the past year B. Hyperopia C. Presence of pubic hair D. Weight gain of 3 kg (6.6 lb) in the last year
B. Hyperopia The nurse should report hyperopia in a 12-year-old child to the provider. Hyperopia, or farsightedness, is an unexpected finding after the age of 7.
A nurse is assessing a school-age child who has celiac disease. Which of the following findings should the nurse expect? A. Elevated sweat chloride B. Steatorrhea C. Clubbing of the fingers D. Jaundice
B. Steatorrhea Foul, fatty, frothy stools known as steatorrhea are a manifestation of celiac disease, which is a malabsorption syndrome.
A nurse in the emergency department is caring for a 12-year-old child who has ingested bleach. Which of the following statements by the nurse indicates an understanding of this ingestion? A. "The absence of oral burns excludes the possibility of esophageal burns." B. "Treatment focuses on neutralization of the chemical." C. "Injury by a corrosive liquid is more extensive than by a corrosive solid." D. "Immediate administration of activated charcoal is warranted."
C. "Injury by a corrosive liquid is more extensive than by a corrosive solid." The coating action of liquids permits larger areas of contact with tissues and results in more extensive injury.
A nurse is assessing an 18-month-old infant who is postoperative. Which of the following pain scales should the nurse use? A. FACES B. CRIES C. FLACC D. PIPP
C. FLACC The nurse should use the FLACC pain scale to monitor the infant for pain. The FLACC scale monitors facial expression, leg movement, activity, cry, and consolability in children 2 months to 7 years of age.
A nurse is reviewing the laboratory reports of a child with acute nephrotic syndrome who has been receiving prednisone by mouth for the past week. Which of the following findings should the nurse report to the provider? A. Serum sodium 142 mEq/L B. Serum potassium 4 mEq/L C. WBC count 3,000/mm^3 D. Platelet count 298,000/mm^3
C. WBC count 3,000/mm^3 The nurse should understand that the use of corticosteroids suppresses the child's immune system and increases the risk of infection. The nurse should identify that a WBC count of 3,000/mm^3 is below the expected reference range for a child and should report this finding to the provider.
A nurse is planning care for a 6-year-old child who is receiving chemotherapy. The child has a highlight platelet count of 20,000/mm^3. Based on this laboratory value, which of the following interventions should the nurse include in the plan of care? A. Provide foods high in iron B. Avoid people who have infections C. Administer PRN oxygen D. Encourage quiet play
D. Encourage quiet play A platelet count of 20,000/mm^3 will predispose the client to excessive bleeding. Quiet play will lessen the client's risk of injury, thereby reducing the chance of hemorrhage.
Neutralization can result in heat injury to tissues due to
an exothermic reaction. This might cause both chemical and thermal burns of tissues.
A. Five centimeters of growth per year is
an expected finding for school-age children
A weight gain of 2 to 3 kg (4.4 to 6.6 lb) per year is
an expected finding for school-age children.
The nurse cannot assume inadequate nutrition or poor eating habits without
assessing the child's usual intake and overall diet.
The development of secondary sex characteristics, including the presence of pubic hair
can be an expected finding for a 12-year-old child.
RBCs are the blood component responsible for
carrying oxygen to body tissues.
Platelets are the blood component associated with
clotting
Children who have cardiovascular disorders develop
clubbing of the fingers and toes due to chronic hypoxemia of the tissues.
Children with cystic fibrosis have an
elevated sweat chloride.
This weight gain does not indicate a serious problem. It could be a problem if the child had
gained twice that amount, for example, or if a previously average-weight child had lost weight.
To prevent reinfection, the child should be
given a shower rather than a tub bath.
The rate of weight gain typically slows during the preschool years, but
height growth continues at a steady rate.
Jaundice results from
liver dysfunction, not celiac disease.
Pinworm specimens are collected in
the morning as soon as the child wakes up and before the child bathes or has a bowel movement.
A 5-year-old preschooler should be able
to skip on alternate feet. to roller skate. to jump rope.
The nurse should identify that a platelet count of 2980,000/mm^3 is
within the expected reference range for a child. Therefore, it is not necessary for the nurse to report this finding to the provider.
The nurse should identify that a serum potassium of 4 mEq/L is
within the expected reference range for a child. Therefore, it is not necessary for the nurse to report this finding to the provider.
A nurse is assessing the gross motor skills of a 4-year-old preschooler. The nurse should expect the preschooler to perform which of the following activities? A. Hopping on 1 foot B. Skipping on alternate feet C. Jumping rope D. Roller skating
A. Hopping on 1 foot The nurse should expect a 4-year-old preschooler to hop on 1 foot.
The nurse should identify increased sleep time as an indication
of increased ICP
The nurse should identify that a firm and bulging fontanel is an indication
of increased ICP
The child's bed linens and clothing should be washed in hot water because
pinworms can survive on surfaces for an extended period of time.
A nurse is performing an annual physical assessment of a preschooler. The parent expresses concern about the child's 1.8 kg (4 lb) weight gain over the past year. Which of the following responses should the nurse make? A. "This amount of weight gain could likely indicate a serious problem." B. "This weight change seems to be the result of poor eating habits." C. "Your child should have gained double this amount in a year." D. "Your child's weight change is expected for this age group."
D. "Your child's weight change is expected for this age group." A preschooler should gain about 2 to 3 kg (4.4 to 6.6 lb) each year. Therefore, the nurse should reassure the parent that this child's weight gain is an expected finding for the age group.
The nurse should identify that a serum sodium level of 142 mEq/L is
within the expected reference range for a child. Therefore, it is not necessary for the nurse to report this finding to the provider.
The nurse should identify bradycardia as an indication
of increased ICP
Activated charcoal is not administered to an adolescent who has ingested a corrosive substance because
it can infiltrate any tissue that is burned.
The absence of oral or pharyngeal burns does not eliminate the possibility of esophageal burns.
The existence and extent of burns depend on the substance and the length of time it has been in contact with tissues. A burn may be present in the esophagus but not in the mouth.
CRIES Pain Scale
The nurse should identify that the CRIES pain scale is used for preterm newborns. CRIES is an acronym for crying, requires increased oxygen, increased vital signs, expression, and sleeplessness.
