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A nurse is creating a plan of care for a preschooler who has Wilms' tumor and is scheduled for surgery. Which of the following interventions should the nurse include?

Avoid palpating the abdomen when bathing the child before surgery.

A nurse is providing dietary teaching to the parent of a school age child who has celiac disease. The nurse should recommend that the parent offer which of the following foods to the child?

White rice

A nurse is reviewing the lumbar puncture results of a school age child who is suspected of having bacterial meningitis. Which of the following findings should the nurse identify as an indication of bacterial meningitis?

increased protein concentration

A nurse is assessing a school age child who has an acute spinal cord injury following a sports injury 1 week ago. Identify the area the nurse should tap to elicit the biceps reflex.

A

A nurse in an emergency department is caring for a school age child who has appendicitis and rates their abdominal pain as 7 on a scale of 0 to 10. which of the following actions should the nurse take?

give morphine 0.05 mg/kg IV

A nurse is caring for a toddler who is experiencing acute diarrhea and has moderate dehydration. which of the following nutritional items should the nurse offer to the toddler?

oral rehydration solution

A nurse is assessing an adolescent who received a sodium polystyrene sulfonate enema. Which of the following findings indicates effectiveness of the medication?

Serum potassium level 4.1 mEq/L

A nurse is monitoring the oxygen saturation level of an infant using pulse oximetry. The nurse should secure the sensor to which of the following areas on the infant?

Great Toe

The nurse is reviewing the information in the child's electronic medical record. For each EMR finding, click to specify if the finding is consistent with nephrotic syndrome, acute poststreptococcal glomerulonephritis, or hemolytic uremic syndrome. Each finding may support more than one disease process.

Temp- APG and HUS BUN- APG and HUS Platelet- HUS BP- NS, APG, and HUS Cholesterol- NS

A school nurse is caring for a child following tonic-clonic seizure. Which of the following actions should the nurse take first?

Check the childs respiratory rate.

A nurse is caring for a preschooler whose father is going home for few hours while another relative stays with the child. which of the following statements should the nurse make to explain to the child when their father will return?

You daddy will be back after you eat.

A nurse is caring for an infant who has respiratory syncytial virus (RSV). Which of the following actions should the nurse implement for infection control?

have a designated stethoscope in the infants room.

A nurse is auscultating the lungs of an adolescent who has asthma. The nurse should identify the sound as which of the following?

tachypnea

A nurse is planning n educational program to teach parents about protecting their children from sunburns. Which of the following instructions should the nurse plan to include?

"Choose a waterproof sunscreen with a minimum SPF of 15."

A nurse is creating a plan of care for a child who has varicella. Which of the following interventions should the nurse include?

Initiate airborne precautions for the child.

A nurse is providing discharge teaching to the parent of an 18-month-old toddler who has dehydration due to acute diarrhea. Which of the following statements by the parent indicates an understanding of the teaching?

"I will monitor my childs number of wet diapers."

Which of the following potential provider prescriptions should the nurse identify as anticipated or contraindicated?

administer factor VIII: anticipated Apply ice: anticipated Morphine: anticipated ROM: contraindicated Elevate: anticipated

A nurse is preparing to administer an immunization to a 4 year old child. Which of the following actions should the nurse plan to take?

administer the immunization using a 24 gauge needle

A nurse is caring for a school-age child who is receiving cefazolin via intermittent I.V bolus. The child suddenly develops diffuse flushing of the skin and angioedema. After discontinuing the medication infusion, which of the following medications should the nurse administer first?

epinephrine

A nurse is caring for a school-age child who is receiving a blood transfusion. Which of the following manifestations should alert the nurse to a possible hemolytic transfusion reaction?

flank pain

A nurse is assessing a school age child who has meningitis. Which of the following findings is the priority for the nurse to report to the provider?

petechiae on the lower extremities

A nurse is caring for a school age child who has experienced a tonic clonic seizure. Which of the following actions should the nurse take during the immediate postictal period?

place the child in a side lying position

A nurse is providing teaching about play activities for social development to the parents of a preschooler. Which of the following play activities should the nurse recommend for the child?

playing dress-up

A nurse is caring for a school age child who is receiving chemotherapy and is severely immunocompromised. Which of the following actions should the nurse take?

screen the child's visitors for indications of infection

A nurse is caring for an adolescent who received a kidney transplant. which of the following findings should the nurse identify as an indication the adolescent is rejecting the kidney?

serum creatinine 3.0 mg/dl

A nurse is caring for a school-age child who has peripheral edema. The nurse should identify that which of the following assessments should be performed to confirm peripheral edema?

Palpate the dorsum of the childs feet

A nurse is providing discharge teaching to the guardians of a toddler who had lower leg cast applied 24 hr ago. The nurse should instruct the guardians to report which of the following finding to the provider?

Restricted ability to move the toes.

A nurse is teaching the guardian of a 6-month-old infant about car seat use. Which of the following statements by the guardian indicates an understanding of the teaching?

" I should secure the car seat using the lower anchors and tethers instead of the seat belt."

A school nurse is assessing an adolescent who has scoliosis. which of the following findings should the nurse expect?

A unilateral rib hump.

A nurse in an emergency department is caring for a school-age child who is experiencing an anaphylactic reaction. which of the following is the priority action by the nurse?

Administer epinephrine IM to the child

A nurse is caring for a toddler who has a spastic (pyramidal) cerebral palsy. Which of the following findings should the nurse expect?

Ankle clonus Exaggerated stretch reflexes Contractures

Select 6 statements by the parent that indicate an understanding of the discharge teaching.

Apply moisturizer to scar tissue Measure spoon or med cup to give hydroxyzine Give hydroxyzine every 6 hours as needed Puppet play can be helpful Assess for any redness or open skin Use compression garment to decrease blood supply

After reviewing the information in the childs medical record, which of the following findings should the nurse address first?

Oxygen saturation Pain

A nurse is caring for a newly admitted school-age child who has hypopituitarism. Which of the following medications should the nurse expect the provider to prescribe?

Recombinant growth hormone

A nurse is providing teaching to the parent of a school-aged child who has a new prescription for oral nystatin for the treatment of oral candidiasis. which of the following instructions should the nurse include?

Shake the medication prior to administration

A nurse is reviewing the laboratory report of an infant who is receiving treatment for severe dehydration. the nurse should identify that which of the following laboratory values indicates effectiveness of the current treatment?

Sodium 140 mEq/L

A nurse is planning an educational program for school-age children and their parents about bicycle safety. Which of the following information should the nurse plan to include?

The child should be able to stand on the balls of their feet when sitting on the bike.

A nurse is caring for a preschooler who has been receiving IV fluids via a peripheral IV catheter. When preparing to discontinue the IV fluids and catheter, which of the following actions should the nurse plan to take?

Turn off Occlude Remove tape Apply pressure

A nurse is planning care for a school-age child who has tunneled central venous access device. Which of the following interventions should the nurse include in the plan?

Use a semipermeable transparent dressing to cover the site.

Which of the following statements by a guardian indicate that the discharge teaching was effective?

We should apply a skin emollient immediately after bathing our child We should keep our child's fingernails trimmed short. We should use a mild detergent for our laundry.

A nurse is caring for a school age child who is in bucks traction following a leg fracture 24 hr ago. which of the following actions should the nurse take?

assess peripheral pulses once every 4 hour

A nurse in an emergency department is caring for a toddler who has partial thickness burns on their right arm. Which of the following actions should the nurse take?

cleanse the affected area with mild soap and water

A nurse is assessing a 4-year-old child at a well-child visit. which of the following developmental milestones should the nurse expect to observe?

cuts an outlined shape using scissors

A school nurse is assessing an adolescent who has multiple burns in various stages of healing. Which of the following behaviors should the nurse identify as a possible indication of physical abuse?

denies discomfort during assessment of injuries

A nurse is reviewing the laboratory report of a 7 year old child who is receiving chemotherapy. Which of the following laboratory values should the nurse report to the provider?

hgb 8.5 g/dl

A nurse is creating a plan of care for an infant who has an epidural hematoma from a head injury. Which of the following interventions should the nurse include in the plan?

implement seizure precautions for infant

A nurse is assessing a 3 year old toddler at a well child visit. Which of the following manifestations should the nurse report to the provider?

respiratory rate 45/min

A nurse is discussion organ donation with the parents of a school-age child who has sustained brain death due to a bicycle crash. Which of the following actions should the nurse take first?

Explore the parents feelings and wishes regarding organ donation.

Upon evaluation of the infant's status at 0630, the nurse should identify which of the following as signs of improvement?

Infant sleeping in parents arms SpO2 is 96 with 100 cool mist oxygen Breath sounds are present and equal bilaterally Infant voided 34mL

A nurse is caring for an infant who is receiving IV fluids for the treatment of Tetralogy of Fallot and begins to have hypercyanotic spell. Which of the following actions should the nurse take?

Place the infant in a knee-chest position

After reviewing the information in the medical record, the nurse should identify that the child is at risk for developing which of the following conditions?

Splenomegaly Positive mononucleosis

A nurse is creating a plan of care for a newly admitted adolescent who has bacterial meningitis. How long should the nurse plan to maintain the adolescent in droplet precautions?

For 24 hr following initiation of antimicrobial therapy

A nurse is planning care to address nutritional needs for a preschooler who has cystic fibrosis. Which of the following interventions should the nurse include in the plan?

Increase fat content in the childs diet to 40% of total calories.

The nurse should identify that which of the following findings require immediate follow-up? Find 3.

Partial and full thickness burns to the left upper anterior chest and anterior neck SaO2 89% on room air Heart rate 150/min

A nurse is receiving change of shift report for four children. which of the following children should the nurse see first?

a school age child who has sickle cell anemia and reports decreased vision in the left eye

A nurse is caring for a 1-month-old infant who is breastfeeding and requires a heel stick. Which of the following actions should the nurse take to minimize the infants pain?

Allow the mother to breastfeed while the sample is being obtained.

A nurse is performing hearing screenings for children at a community health fair. Which of the following children should the nurse refer to a provider for a more extensive hearing evaluation?

An 8-month-old who is not yet making babbling sounds.

After reviewing the information in the childs medical record, which of the following findings should the nurse report to the provider?

Arterial blood gases WBC Oxygen saturation Respiratory assessment

A nurse is admitting a 4 month old infant who has heart failure. Which of the following findings is the nurse's priority?

episodes of vomiting

A nurse in an emergency department is assessing a 3-month-old infant who has rotavirus and is experiencing acute vomiting and diarrhea. Which of the following manifestations should the nurse identify as an indication that the infant has moderate to severe dehydration?

Sunken anterior fontanel

A nurse is preparing to administer ibuprofen 5 mg/kg every 6 hr PRN for a temperatures above 38.0 C (100.5 F) to an infant who weighs 17.6 lb. Available is ibuprofen oral suspension 100mg/5mL. How many mL should the nurse administer to the infant per dose?

2

A nurse in an emergency department is caring for an adolescent who has severe abdominal pain due to appendicitis. which of the following locations should the nurse identify as McBurney's point?

A

A nurse is receiving change-of-shift report for four children. Which of the following children should the nurse assess first?

A toddler who has a concussion and an episode of forceful vomiting.

A nurse is assessing an 8-year-old child who has early indications of shock. After establishing an airway and stabilizing the childs respirations, which of the following actions should the nurse take next?

Initiate IV access.

A nurse is teaching a school-age child and their parent about postoperative care following cardiac catheterization. Which of the following instructions should the nurse include?

"Wait 3 days before taking a tub bath."

A nurse is providing dietary teaching to the guardian of a school-age child who has cystic fibrosis. Which of the following statements should the nurse make?

"You should offer your child high-protein meals and snacks throughout the day."

A nurse is teaching the guardian of a 6-month-old infant about teething. Which of the following statements should the nurse make?

"Your baby might pull at their ears when they are teething."

A nurse is caring for a 15 year old client who is married and is scheduled for a surgical procedure. The client ask, " who should sign my surgical consent?" which of the following responses should the nurse make?

"you can sign the consent form because you are married."

Which of the following potential provider prescriptions should the nurse identify as anticipated or contraindicated?

Apply sterile gauze-contraindicated Indwelling catheter-anticipated 100% oxygen via face mask-anticipated Weigh the child-anticipated

Based on the information in the adolescent's medical record, which of the following actions should the nurse plan to take?

Apply supplemental oxygen Chest tube insertion

After reviewing the information in the child's medical record, which of the following findings should the nurse report to the provider? Select 4.

Arterial blood gases WBC count Oxygen saturation Respiratory assessment

A nurse is planning care for a newly admitted schole-age child who has generalized seizure disorder. Which of the following interventions should the nurse plan to include?

Ensure the oxygen source is functioning in the childs room

A nurse is providing anticipatory guidance to the parent of a toddler. Which of the following expected behavior characteristics of toddlers should the nurse include?

Expressed likes and dislikes

A nurse is assessing the pain level of a 3-year-old toddler. Which of the following pain assessment scales should the nurse use?

FACES

A nurse is teaching the parent of an infant about ways to prevent SIDS. Which of the following instructions should the nurse include?

Give the infant a pacifier at bedtime.

A nurse is providing discharge teaching to the parents of a child who is 1 week postoperative following a cleft palate repair. For which of the following members of the inter professional team should the nurse initiate a referral?

speech therapist

After reviewing the information in the medical record, the nurse should identify that the child is at risk for developing which of the following conditions?

splenomegaly positive mononucleosis rapid test

A nurse in an emergency department is performing a physical assessment on a 2 week old male newborn. Which of the following findings is the priority for the nurse to report to the provider?

substernal retractions

A nurse is assessing the vital signs of a 10 year old child following a burn injury. The nurse should identify that which of the following findings is an indication of early septic shock?

temperature 39.1 (102.4 F)

The nurse is caring for the child 14 days after admission. The child has returned to the unit following the procedure. which of the following actions should the nurse take?

monitor sao2 every 2 hr 100% oxygen via face mask check neck and chest for bleeding place warm blanket keep childs head in neutral position

The nurse is caring for the child 4 days after admission. After reviewing the child's assessment, which of the following findings should the nurse address first?

temperature first pain second

A nurse is admitting a school-age child who has pertussis. Which of the following actions should the nurse take?

Initiate droplet precautions for the child

After reviewing the information in the childs medical record, which of the following findings should the nurse identify as a potential compication? 3 things.

WBC count Abdomen assessment Temperature

A nurse in a health department is caring for an emancipated adolescent who has an STI and is unaccompanied by a guardian. Which of the following actions should the nurse take?

Have the adolescent sign a consent form for treatment.

A nurse in a providers office is preparing to administer immunizations to a toddler during a well child visit. which of the following actions should the nurse plan to take?

withhold MMR vaccine

A nurse is providing teaching to the parent of an infant who has diaper dermatitis. The nurse should instruct the parents to apply which of the following to the affected area?

zinc oxide

A nurse is reviewing the dietary choices of an adolescent who has iron deficiency anemia. The nurse should identify that which of the following menu items has the highest amount of nonheme iron?

½ cup raisins

A nurse is teaching a school age child who has a new diagnosis of type 1 diabetes mellitus. Which of the following statements by the child indicates an understanding of the teaching?

" I will give myself a shot of regular insulin 30 minutes before I eat breakfast"

A nurse is teaching the parent of an infant who has a pavlik harness for the treatment of developmental dysplasia of the hip. The nurse should identify that which of the following statements by the parents indicates an understanding of the teaching?

" I will place my infant's diapers under the harness straps."

A hospice nurse is caring for a preschooler who has a terminal illness. One of the preschoolers parents tells the nurse that they cannot cope anymore and are thinking about moving out of the house. Which of the following statements should the nurse make?

" lets talk about some of the ways you have handled previous stressors in your life"

A nurse is providing discharge teaching to the parents of a 6-month-old infant who is postoperative following hypospadias repair with a stent placement. Which of the following instructions should the nurse include in the teaching?

"Allow the stent to drain into your infants diaper."

A nurse is providing discharge teaching to the parents of a 3-month old infant following a cheiloplasty. Which of the following instructions should the nurse include?

"Apply a thin layer of antibiotic ointment on the your babys suture line daily for the next 3 days."

A nurse is teaching the parents of a toddler who has cognitive impairment about toilet training. Which of the following instructions should the nurse include in the teaching?

"Award your child with a sticker when they sit on the potty chair."

A nurse is providing teaching to the parents of a preschooler who has heart failure and a new prescription for digoxin twice daily. Which of the following instructions should the nurse include in the teaching?

"Brush the childs teeth after giving the medication."

A nurse is caring for a school-age child who has primary nephrotic syndrome and is taking prednisone. Following 1 week of treatment, which of the following manifestations indicates to the nurse that the medication is effective?

Decreased edema

A nurse assessing a school-age child who has an infratentorial brain tumor. Which of the following findings should the nurse identify as a manifestation of increased intracranial pressure?

Difficulty concentrating

A charge nurse is preparing to make a room assignment for a newly admitted school-age child. Which of the following considerations is the nurses priority?

Disease process

A nurse is caring for a preschooler who has congestive heart failure. The nurse observes wide QRS complexes and peaked T waves on the cardiac monitor. Which of the following prescriptions should the nurse clarify with the provider?

Potassium Chloride

A nurse is assessing a 6-month-old infant during a well-child visit. Which of the following findings should the nurse report to the provider?

Presence of strabismus

A nurse is creating a plan of care for a school-age child who has heart disease and has developed heart failure. Which of the following interventions should the nurse include in the plan?

Provide small, frequent meals for the child.

A nurse is planning developmental activities for a newly admitted 10-year-old child who has neutropenia. Which of the following actions should the nurse plan to take?

Provide the child with a book about adventure.

The nurse is caring for the child 4 days after admission. After examining the child during hydrotherapy, the provider enters prescriptions into the childs medical record. For each potential providers prescription, click to specify if the potential prescription is anticipated or contraindicated for the child.

PCA pump-anticipated Wound culture-anticipated Pressure reduction mattress-anticipated Limit protein intake-contraindicated

A nurse is planning care for a toddler who has a serum lead level of 4 mcg/dL. Which of the following actions should the nurse plan to take?

Schedule the toddler for a yearly rescreening.

A nurse is caring for a school-age child who has diabetes mellitus and was admitted with a diagnosis of diabetic ketoacidosis. When performing the respiratory assessment, which of the following findings should the nurse expect?

Deep respirations of 32/min

A nurse in an emergency department is assessing a toddler who has Kawasaki disease. Which of the following findings should the nurse expect? (Select all that apply.)

-Increased temperature -Xerophthalmia -Cervical lymphadenopathy

A nurse is admitting an infant who has intussusception. Which of the following findings should the nurse expect? (Select all that apply.)

-Vomiting -Lethargy

A nurse is teaching a group of parents about infectious mononucleosis. Which of the following statements by parent indicates an understanding the teaching?

"Mononucleosis is caused by an infection with the Epstein-Barr virus."

A school nurse is preparing to administer atomoxetine 1.2 mg/kg/day PO to a school-age child who weighs 75 lb. Available is atomoxetine 40 mg/capsule. How many capsules should the nurse administer per day?

1 capsule

A nurse is reviewing the laboratory report of school-age child who is experiencing fatigue. Which of the following findings should the nurse recognize as an indication of anemia?

Hematocrit 28% (it's below 35%)

A nurse is caring for a 10-year-old child following a head injury. Which of the following findings should the nurse identify as an indication that the child is developing diabetes insipidus?

Sodium 155 mEq/L

A school nurse is providing an in-service for faculty about improving education for students who have ADHD. Which of the following statements by a faculty member indicates an understanding of the teaching?

"I will teach challenging academic subjects to students who have ADHD in the morning."

A community health nurse is assessing an 18-month-old toddler in a community day care. Which of the following findings should the nurse identify as a potential indication of physical neglect?

Poor personal hygiene

A nurse is planning care for a school-age child who is in the oliguric phase of acute kidney injury (AKI) and has a sodium level of 129 mEq/L. Which of the following interventions should the nurse include in the plan?

initiate seizure precautions

A nurse in an emergency department is auscultating the lungs of an adolescent who is experiencing dyspnea. The nurse should identify the sound as which of the following?

Wheezes

Which of the following statements by a guardian indicates that the discharge teaching was effective?

We should apply skin emollient after bathing We should keep nails trimmed short We should use mild detergent for laundry.

A nurse is an emergency department is caring for a school-age child who has epiglottitis. Which of the following actions should the nurse take?

Monitor the childs oxygen saturation

A nurse is preparing to collect a sample from a toddler for a sickle-turbidity test. which of the following actions should the nurse plan to take?

Perform a finger stick

A charge nurse in an emergency department is preparing an inservice for a group of newly licensed nurses about the manifestation of child maltreatment. Which of the following manifestations should the charge nurse include as a potential indication of physical abuse?

symmetric burns of the lower extremities

A nurse is assessing a toddler who has gastroenteritis and is exhibiting manifestations of dehydration. Which of the following findings is the nurses priority?

tachypnea

A nurse is interviewing the parent of an 18 month old toddler during a well child visit. The nurse should identify that which of the following findings indicates a need to assess the toddler for hearing loss?

the toddler received tobramycin during a hospitalization 2 weeks ago.