a peds B
A nurse is caring for an infant who has a prescription for digoxin 25 mcg PO. The infant has an apical heart rate of 124/min, Which of the following actions should the nurse take?
Administer 25 mcg as prescribed
A nurse is caring for a preschooler who has mucositis. Which of the following is an appropriate action for the nurse to take?
Administer normal saline oral rinses
Where to tap to elicit the triceps reflex
Backside of the arm right above the elbow
A nurse is teaching the parent of a child who has celiac disease. Which of the following grains can be included in the child's diet?
Corn
A nurse is interacting with the family of a terminally ill child. Which of the following is the nurse's highest priority in facilitating the parent's decision-making?
Explore the family's wishes
A nurse is caring for a 14-month old client newly diagnosed with spastic cerebral palsy. Which of the following assessment findings should the nurse anticipate?
Fine and gross motor skill challenges
A nurse is evaluating the oxygen saturation level of an infant. The nurse should apply the sensor to which of the following?
Great toe
A nurse is providing teaching to the parent of a child with hypopituitarism. Which of the following should the nurse instruct the parent to give?
Growth hormone injections
A nurse is caring for a toddler being seen for a well-child visit. Based on the information in the chart, which of the following would be an appropriate action by the nurse? (Key: egg allergy)
Hold the flu vaccine and contact the provider
A nurse is teaching an adolescent client who is newly diagnosed with type 1 diabetes mellitus. Which of the following client indicates an understanding of the teaching?
I will check my urine for ketones when I'm sick
A nurse is reviewing the lab values for an infant who is receiving treatment for severe dehydration. Which of the following lab values indicates the effectiveness of the treatment?
Serum sodium 140 mEq/L
A nurse in a clinical setting is performing a physical examination on a 3-month-old male infant. Which of the following findings should the nurse report to the provider immediately?
Substernal retractions
A nurse is providing discharge teaching about dietary and medication management for an adolescent who has nephrotic syndrome. Which of the following statements should the nurse include in the teaching?
The medication will make you more susceptible to infection
A nurse is caring for a family who is grieving following the death of their child. Which of the following is an appropriate statement for the nurse to make?
This must be very difficult for you
A nurse is preparing to suction a child with a tracheostomy. Which of the following actions should the nurse take?
Suction for 5 seconds or less
A nurse is performing a screening test for sickle cell anemia on a toddler. Which of the following actions should the nurse take when performing the sickle-turbidity test?
perform a finger-stick
A nurse is caring for an infant who has heart failure. Which of the following is an appropriate action for the nurse to take?
perform daily weights
A nurse is caring for a school-age child who is immunocompromised. Which of the following actions by the nurse is appropriate>
place the child in a private room
A nurse is admitting a child who has pertussis. Which of the following actions should the nurse take?
place the client on droplet precautions
A nurse in a provider's office is assessing a child who has a fever and is experiencing fatigue. Which of the following findings is a manifestation of erythema infectiosum (Fifth disease)?
red rash on face
A nurse is reviewing dietary choices for an adolescent who has iron deficiency anemia. Which of the following food choices has the highest amount of iron?
1/2 cup raisins
A nurse is preparing to administer IV potassium to a school-age child admitted with DKA. Which of the following functions should the nurse assess prior to administration?
renal
A nurse is assessing a client diagnosed with celiac disease. Which of the following is an expected finding?
steatorrhea
A nurse is auscultating the lungs of an adolescent who has asthma. The nurse should identify the sound as?
tachypnea
The nurse is planning care for a newborn who is schedule for a myelomeningocele repair. Preop care should include which of the following?
** not Avoid tactile stimulaiton to prevent rupture of the sac not dry sterile dressing not sidelying maintain the newborn's legs in abduction?
A nurse is caring for a child who has suspected rotavirus and is schedule to undergo a stool culture specimen collection. Which of the following nursing interventions should the nurse implement to maintain standard precautions?
-Wear gloves and a gown during collection -collect the child's stool specimen by using a potty hat -place the specimen in a biohazard bag
A nurse is preparing to administer ranitidine 2.5 mg/kg PO to an infant who weighs 11 lb. Available is 15mg/ml. How many ml should the nurse administer? (round to the nearest 10th)
0.8
A nurse is caring for a preschooler who has partial thickness burns and is scheduled for hydrotherapy. Which of the following should be the nursing priority prior to hydrotherapy?
Assessing the need for pain medication
A nurse is taking a child's blood pressure while he is sitting in a chair. The child starts to experience a tonic-clonic seizure. Which of the following actions should the nurse take first?
Assist the child to a lying position
A nurse is reviewing the preop care plan for a preschooler diagnosed with Wilm's tumor. Which of the following interventions is appropriate for the nurse to include?
Avoid abdominal pressure when bathing the child
A nurse is caring for a school-age child who was admitted to the burn unit with partial thickness burns of the trunk and face. Which of the following nursing interventions should the nurse use to help increase the child's self esteem?
Encourage the child to be an active participant in self-care
A nurse is caring for a toddler who has gastroenteritis and a stool culture that is positive for rotavirus. Which of the following assessment findings should the nurse address first?
tachypnea
A nurse is caring for a child who is experiencing an anaphylactic reaction. Which of the following is the priority action by the nurse?
Initiate 100% oxygen via face mask
A nurse is assessing an 8-year-old who has early signs and symptoms of shock. After establishing an airway and maintaining respirations, which of the following actions should the nurse take next?
Initiate IV access
A nurse is preparing to administer a morning dose of insulin to a child who has diabetes mellitus. Which of the following medications would the nurse expect to peak in 2 to 4 hours?
Insulin regular
A nurse is admitting an adolescent who has meningococcal meningitis. Which of the following should the nurse include in the plan of care?
Isolate the client for 24 hours after starting antibiotics
A nurse is caring for a child with a suspected anaphylactic reaction to a medication. Which of the following is an early sign?
Itching
A nurse is caring for a child who is experiencing respiratory depression after an administration of morphine. Which of the following medications should the nurse plan to administer for this child?
Naloxone
A nurse is providing anticipatory guidance to the parent of a 2-month-old infant. Which of the following instructions should the nurse include?
Offer iron fortified cereal at 4 to 6 months
A nurse providing discharge teaching for the parents of a school-age child following a cardiac catheterization. Which of the following statements should the nurse include in the teaching?
Your child should take showers, instead of tub baths, for 1 week
A nurse is caring for a preschooler in the hospital. The nurse should recognize that an appropriate way to explain to the child when her parent will return is to state,
Your mommy will be back after you eat
A nurse is caring for a child who was just admitted from the ED with a head injury. The child had two episodes of vomiting while in the ED, responds to name, but easily falls back asleep. Which of the following are appropriate interventions?
apply oxygen at 2 L/min via nasal cannula administer 0.45 sodium chloride IV at 50 ml/hr maintain NPO status
A parent presents to the clinic with a 9-month-old infant for a well-child checkup. Which of the following developmental behaviors should the nurse expect to see in the infant?
bangs two toys together
A nurse is preparing an adolescent client for a lumbar puncture. Which of the following instructions should the nurse provide to the adolescent?
cream will be applied to decrease discomfort prior to the procedure
A nurse is caring for a child who is receiving a blood transfusion. Which of the following should alert the nurse to a hemolytic reaction?
flank pain
A nurse is assessing an infant with a ventricular septal defect. Which of the following assessment findings should the nurse expect?
loud harsh murmur
A parent expresses concern to the nurse that her 18 month old may have autism. Which of the following characteristics described by the parent should the nurse report to the primary care provider?
Dislikes being held
A school nurse is providing an in-service to faculty about improving education for students who have ADHD. Which of the following statements by faculty members indicates a need for further teaching?
I will plan to teach challenging academic subjects to students who have ADHD in the afternoon
A child has just returned to the unit following a cardiac catheterization. When assessing the insertion site, the nurse notes that the dressing is saturated with blood. Which of the following actions should the nurse take first?
Apply direct pressure 1 inch above the site
A nurse is caring for a school-age child following a burn injury. Which of the following interventions should the nurse use to maximize nutritional intake?
Allow the child to choose from a menu of high-calorie/protein foods
A nurse is planning care for an infant who is postop following a cleft lip repair. Which of the following is an appropriate action for the nurse to take?
Apply petroleum jelly to the operative site
A nurse is teaching the parent of a child who has asthma. Which of the following should be included in the teaching>
Check peak expiratory flow rate at the same time each day
A school nurse is caring for a child with no history of seizure disorder who just experienced a tonic-clonic seizure. Which of the following is the priority assessment by the nurse?
Checking the child's respiratory rate
A nurse is caring for a preschool-age child after a tonsillectomy. Which of the following assessment findings requires immediate interventions?
Continuous swallowing
A nurse is providing teaching for the parent of a preschooler who is experiencing diarrhea. Which of the following statements by the parent indicates an understanding of the nurse's teaching regarding management of diarrhea?
I will limit how much fruit juice my child drinks
A nurse is providing education about administering a newly prescribed oral medication to the parent of an infant. Which of the following statements by the parent indicates an understanding of the teaching?
I will mix the medication with 1 tsp of flavored syrup
A nurse is planning care for a child who has just returned to the unit following surgical revision of a ventriculoperitoneal shunt. Which of the following is an appropriate action for the nurse to take?
Position the child flat
The mother of a toddler who was admitted to a pediatric unit must leave the facility to meet her other children at the school bus stop. Which of the following actions should the nurse suggest to the mother to make the transition easier for the toddler?
Provide a security item before leaving
A nurse is providing discharge teaching to the parent of a school-age child who has cystic fibrosis. Which of the following should the nurse include in the teaching?
Provide high protein and high caloric snacks
A nurse is planning the care of a school-age child who has neutropenia following chemotherapy. Which of the following activities will meet the developmental needs of this child?
Providing the child with a book of riddles
