RN pediatric nursing online practice 2023A
a nurse is reviewing the laboratory report of a school age child who is experiencing fatigue. which of the following findings should the nurse identify as an indication of anemia?
a low hematocrit level
a nurse is receiving change of shift report for 4 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 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 your baby's suture line daily for the next 3 days.
based on the information in the adolescent's medical record, which of the following actions should the nurse plan to take?
apply supplemental oxygen prepare for chest tube insertion
a nurse is preparing an adolescent for a lumbar puncture. which of the following actions should the nurse take?
apply topical analgesic cream to the site 1 hr prior to the procedure
a nurse is caring for school age child who is in Buck's traction following a leg fracture 24 hr ago. which of the following actions should the take ?
assess peripheral pulses once every 4 hr
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 caring for a preschooler who has neutropenia. which of the following statements should the nurse make to the child's guardians?
avoid using your child's daycare center
a charge nurse is preparing to make a room assignment for a newly admitted school age child. which of the following considerations is the nurse's priority?
disease process
a nurse in the outpatient pediatric clinic is caring for a 2 year old child.
drag words the child is at risk for developing intellectual deficits and decreased kidney function
a nurse in an urgent care clinic is assessing an adolescent who has an upper respiratory tract infection. which of the following findings should the nurse identify as a manifestation of pertussis?
dry, hacking cough
a nurse is caring for a preschooler who was recently admitted to a pediatric unit.
eleate temp= acute poststreptococcal glomerulonephritis, hemolytic uremic syndrome elevate BUN= acute poststreptococcal glomerulonephritis, hemolytic uremic syndrome decrease platelet= hemolytic uremic syndrome elevated BP= nephrotic syndrome, acute poststreptococcal glomerulonephritis, hemolytic uremic syndrome elevate cholesterol= nephrotic syndrome
a nurse is providing teaching to the family of a school age child who has juvenile idiopathic arthritis. which of the following instructions should the nurse include in the teaching?
encourage the child to perform independent self-care
a nurse is admitting a 4 month olf infant who has heart failure. which of the following findings is the nurse's priority?
episodes of vomiting
a nurse is discussing organ donation with the parents of a school age child who has sustained brain death to bicycle crash. which of the following actions should the nurse take first?
explore the parents' feelings and wishes regarding organ donation
a nurse is providing anticipatory guidance to the guardian of a toddler. which of the following expected behavior characteristics of toddlers should the nurse include?
expresses likes and dislikes
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 is assessing a school age child who has an acute spinal cord injury following a sport injury 1 week ago . identify the area the nurse should tap to elicit the biceps reflex.
hot spot=A
a nurse is assessing a 6 year old child immediately following surgery for a perforated appendix. which of the following findings should the nurse expect?
hypoactive bowel sounds
a nurse is teaching the parent of a preschooler about ways to prevent acute asthma attacks. which of the following statements by the parent indicates an understanding of the teaching?
i should keep my child indoors when i mow the yard
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 the infant
a nurse is reviewing the medical record of a school age child who is 2 days postoperative following an open repair and casting of a fracture in the right arm. which of the following findings should the nurse identify as an indication of a potential postoperative compication?
increase erythrocyte sedimentation rate
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?
increase sodium level
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?
increased creatinine level
a nurse is providing teaching about play activities for social development to the guardians 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 client who has been receiving IV fluids via a peripheral iv catheter. when preparing to discontinue the IV fluids and cather. which of the following actions should the nurse plan to take?
1 turn off the IV pump 2 occlude the IV tubing 3 remove the tape securing the catheter 4 apply pressure over the catheter insertion site
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?
1/2 cup raisins
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 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 as understanding of the teaching?
I will monitor my child's number of wet diapers
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?
click A= right lower abdomen
a nurse is caring for a preschooler who is scheduled for hydrotherapy treatment for wound debridement following a burn injury. which of the following actions should the nurse take prior to the procedure?
administer an analgesic to the child
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 1 month old infant who is breastfeeding and requires a heel stick. which of the following actions should the nurse take to minimize the infant's pain?
allow the mother to breastfeed while the sample is being obtained
which of the following potential provider prescriptions should the nurse identify as anticipated or contraindicated?
anticipated= administer factor VIII, apply ice packs to the affected joints, administer morphine prn pain, elevate the affected joints contraction= perform passive range of motion exercises during the first 12 hr following injury
the nurse has reviewed the child's nurses notes, assessment, vs, providers prescriptions and laboratory results for the 0800 1 month ago visit.
anticipated=succimer,ferrous sulfate, consult for dietitian and social services contraindication= limit intake of calcium rich foods, restrict oral fluids, check blood lead level in 1 week
a nurse is assessing an adolescent who received a sodium polystryrene sulfonate enema. which of the following findings indicates the effectiveness of the medication?
blood potassium level 4.1 mEq/L
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 child's teeth after giving the medication
a nurse in the outpatient pediatric clinic is caring for a 2 year old child.
click to highlight the finding that require follow-up. pale pink mucous membranes, living in an older urban house that is being renovated, parents report that the toddler seems less active and gets tired more quickly
a nurse is caring for an 8 month old infant.
click to highlight the statement in the nurses' notes that indicate the infant is improving. infant is sleeping in parent's arms, SpO2 is 96% with 100 % cool mist oxygen via blow-dry. breath sounds are present and equal bilaterally in the bases.
the nurse has reviewed the child's nurses notes, assessment, vs, providers prescriptions and laboratory results for the 0800 1 month ago visit.
completer the following sentence by using the list of options. the nurse should first address the child's blood level followed by the child's hemoglobin
a nurse is assessing a 4 year old child at a well child visit. which of the following developmental milestones should the expect to observe?
cuts an outline shape using scissors
a nurse is assessing an 8 year old child who has early indications of shock. after establishing an airway and stabilizing the child's resp, which of the following actions the nurse take next?
initiate IV access
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
a nurse is caring for a 15 year old adolescent following a head injury. which of the following findings should the nurse identify as an indication that the adolescent is developing syndrome of inappropriate antidiuretic hormone secretion (siadh)?
mental confusion
a nurse in an emergency department is caring for a school age child who has epiglottis. which of the following should the nurse take?
monitor the child's oxygen saturation
a nurse is teaching a group of parents about infectious mononucleosis. which of the following statements by a parent indicates an understanding the teaching?
mononucleosis is caused by an infection with the epstein barr virus
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 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 indication of infection
a nurse is planning care for a 12 month old toddler who is being hospitalized. which of the following actions should the nurse plan to take?
secure the safety harness when the toddlers is sitting in a high chair
a nurse is caring for a school age child following an appendectomy.
select 3 finding from the child's medical record that the nurse should identify as indications of a potential complications wbc, abdomen assessment, temperature
a nurse is providing teaching to the parent of a school age 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 charge nurse in an emergency department is preparing an inservice for a group of newly licensed nurses about the manifestations should the charge nurse include as a potential indication of physical abuse?
symmetric burns of the lower extremities
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 the their feet when sitting on the bike.
the nurse has reviewed the provider prescriptions for the 0900, 1 month ago visit
the nurse is providing discharge teaching to the parent. which of the following information should the nurse include? open the succimer capsule and sprinkle on 1 tsp of applesauce . a wet cloth should be used to dust. give ferrous sulfate elixir using a straw to prevent staining of the teeth. offering orange juice or a drink containing high levels of ascorbic acid when administering ferrous sulfate elixir using a straw to prevent staining of teeth. monitor the number or wet diapers. prevent child from playing in soil near the house
a nurse on a pediatric unit is caring for a school age child. O2 is 95%, pain is 8
the nurse should first address the child oxygen saturation following by the child's pain
the nurse has reviewed the child's nurses notes, assessment, vs, providers prescriptions and lab results for today's visit
which of the following conditions are improving since the child's visit 1 month ago? nutritional status, exposure to lead, lead level, kidney function
a nurse in a provider's office is preparing to administer immunization to a toddler during a well child visit. which of the following actions should the nurse plan to take?
withhold the mmr vaccine
a nurse is caring for a preschooler whose guardian is going home for a 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 guardian will return?
your guardian will be back after you eat
a nurse is providing teaching to the parent of an infant who has diaper dermatitis. the nurse should instruct the parent to apply which of the following to the affected area?
zinc oxide
