Test One

A good choice for finger food for a toddler would be:

B. Hot dog slices D. Peanuts E. Cheerios

A three-year-old with cystic fibrosis has been discharged from the hospital following a two-week stay due to a respiratory infection. The child has a post discharge office visit the next day. During the office visit, The mother mentions that the child was toilet trained before hospitalization, but an accident happen. Which response by the nurse would be the most appropriate:

"Children often regress after hospitalization. Be patient and remind him to go to the bathroom frequently"

The instructor asks a nursing student to describe Piaget's cognitive developmental theory:

"In the concrete operational stage, the child learns the concept of conservation"

The Nurse is evaluating the patient's understanding of the care of their child after a tonslictomy. Teaching has been understanding.

"We will offer our child drinks frequently to avoid dehydration"

In order to reduce the number of missed immunizations, health care providers?

A. give the vaccine even when a prior dose cause a local reaction. B. second parents reminders when the child's immunizations are due. D. use combination vaccines.

The nurse is performing a respiratory assessment on the pediatric patient. Identify the area where the nurse would process for substernal retractions:

A

The triage nurse in the emergency room must prioritize the children waiting to be seen. Which of the following children in the greatest need of emergency medical treatment:

A 6-year-old with a fever of 104 F, a muffled voice, no spontaneous cough, and drooling.

A 10-year-old child has just received his first immunization of influenza vaccine. His lips begin to swell, and he states, "it feels like my throat is closing shut, and my chest is tight when I breathe" The nurse recognizes these signs as?

A life-threatening reaction to the influenza vaccine.

The nurse is assessing a pediatric client, would use which of the following to determine oxygenation:

A.Mucous membrane B.Skin C.Nail Beds

Which vaccines should the nurse prepare to administer to a 6-month-old infant during a scheduled child visit:

A. Dtap vaccine C. Hib vaccine D. Pcv13 vaccine

The nurse is assessing a 6-month-old infant during a scheduled well-baby check-up. Which are expected findings:

A. Holds a bottle. B. No head lag when pulled for sitting. E. Doubles birth weight.

A 6-year-old has had a tonsillectomy at an outpatient center. The mother asks the nurse, "What do I need to do for my child at home?" The discharge instructions provided to the mother should include:

A. Symptoms of complications. B. When the child can return to school C. Nutrition and fluids D. Medications

A child is admitted to the hospital with a diagnosis of laryngotracheitis. The nurse should be prepared to:

Administer dexamethasone.

The mother of an infant who has recurrent respiratory infections asks the nurse why infants are at increased risk for infections. What information should the nurse include when formulating a response?

Airway are narrower and more easily obstructed.

The nurse teaches parents that absolute contraindications for pediatric immunizations include:

Anaphylactic reaction to previous immunization.

The nurse is encountering a 4 year old during a well visit. Which of the following would the most appropriate for the nurse to discuss with the parents in regards to the child's stage of development:

At this age, the child will take the initiative in activities and will question everything.

Which of the following teenagers is demonstrating appropriate behaviors for achieving the developmental task associated with Erickson's stage of adolescence:

B. A 16-year-old single mother who lives with her parents and must work after school. D. The 17-year-old that spends most of his or her free time alone playing video games.

The nurse is caring for an infant with respiratory syncytial virus (RSV). While caring for this infant, which action should the nurse include:

B. Administer antipyretic as prescribed C. Using a bulb syringe to clear the nares D. Providing oral/IV hydration

When preparing to assess a school-age child, the nurse should do which of the following:

B. explain what you are doing and why during the assessment C. use the assessment period to provide teaching about the body E. Perform the child's assessment from head to toe

The parent is voicing Concerned about the continued high cost of Infant formula.She ask If her 5-month year old Begin drinking cows milk. The nurse explains that:

Breast milk or formula should be used for the first year.

Poisoning is a common cause of injury to a child. When the mother of a 2-year-old. When the mother of a 2-year-old calls the office for advice after her child ate some of a poinsettia plant, the nurse should advise the mother:

Call the local poison control center.

The nurse may anticipate endotracheal intubation as the care management for the child diagnosed with:

Epiglottitis

The nurse is caring for a one-year-old in the post-operative period. Which of the following is the most appropriate

FLACC pain scale

The nurse is caring for a newborn would identify which of the following assessment data for respiratory:

Meconium ileus

While analyzing the development of an 9-month-old infant. The nurse asks the mother about the child's sight. The nurse determining if the infant has developed?

Object permanence.

Two toddlers are playing in the hospital playroom together. One is working on a puzzle while the other one is talking blocks. This shows what type of play:

Parallel play

The nurse is caring for an infant. According to Freud's theory of psychosexual development, which of the following:

Pleasure is derived largely from the mouth.

Which parental action indicates an accurate understanding of information presented by the nurse:

Positioning the baby with head slightly elevated.

The emergency department nurse is talking about the death of the child's take into consideration when formulating the client's plan of care:

Preschool are children often believe the death as their fault.

A father brings his 1-year-old to the clinic and states that when he kisses the child's cheek, it tastes salty. Which diagnostic test does the nurse educate the father on based on the father's statement?

Quantitative sweat chloride test.

The nurse would include which of the following in a teaching session for the mother of a 6 month-old client who is concerned about her child:

Recommend the mother perform back blows and chest thrusts.

The nurse while assessing a school-age child, notes that the heart rate increases on inspiration and decrease appropriate are based on these data?

Record the finding as normal.

an adolescent was diagnosed with cystic fibrosis as an infant. At this time, the nurse anticipates that the adolescent will need additional teaching related to which following:

Reproductive ability.

The nurse is assessing respirations on an infant in the pediatric unit. The nurse knows which of the following

Respirations are counted by observing the movement of the abdomen.

A 14-year-old with cystic fibrosis suddenly becomes non-compliant with the medication regimen. The interventions to improve compliance would be to:

Set up a meeting with some older teens with cystic fibrosis who have been managing their disease effectiveness.

A school nurse is conducting pediculosis capitis (head lice) checks. Which finding should indicate a positive results:

Sliver / white sacs attached to the hair shaft.

A nurse is observing a 1-year-old. Which of the following development milestones would

Stand independently

In addition to separation anxiety, infants between six and 18 months of age also might display:

Stranger anxiety

The emergency department nurse is caring for a child diagnosed with epiglottis to assessing the child may be experiencing airway obstruction:

The child is leaning forward, with the head and neck extened.

The nurse is performing a home health nurse visit of a 10-month-old child. Which observation will the nurse document

The mother leaves the filled mop bucket on the floor while in another room.

A nurse assesses the height and weight measurements on an infant and documents these movements 2 months ago were at 25th percentile. How should the nurse interrupt, they do:

The results for this infant indicate over nutrition.

The nurse is teaching the parents of a 4 month old infant about good feeding habits. Which rationale when it comes to the baby bottle:

To decrease the risk for dental caries.

The nurse is preparing to conduct a health history on an infant. When should the nurse collect:

When the history of present illness might relative to birth history.