Maternal Nursing care of the Child ATI
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 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 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."
A nurse is caring for a preschool-age child who is dying. Which of the following findings is an age-appropriate reaction to death by the child? (Select all that apply.)
The child views death as similar to sleep. The child is interested in what happens to his body after death. The child thinks death is a punishment.
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 assessing an adolescent who received a sodium polystyrene sulfonate enema. Which of the following findings indicates effectiveness of the medication?
serum potassium level 4.1mEq/L
A nurse is reinforcing dietary teaching with the parent of a 2-year-old toddler. Which of the following should the nurse include in the teaching?
"An appropriate serving size is 1 tablespoon of food per year of age."
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 infant who is not yet making babbling sounds
A nurse in an emergency department is caring for a school-age child who has sustained a minor superficial burn from fireworks on their forearm. Which of the following actions should the nurse take?
Apply an antimicrobial ointment to the affected area
A nurse is collecting data from an infant during a well-child visit. Which of the following sites should the nurse use when obtaining the infant's heart rate?
apical
A nurse is providing teaching to the parents of a 4-year-old child about fine motor development. Which of the following tasks should the nurse include in the teaching as an expected finding for this age group?
copies a circle
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 child's feet
A nurse is caring for an infant who is receiving IV fluids for the treatment of Tetralogy of Fallot and begins to have hypercryanotic spell. Which of the following actions should the nurse take?
place the infant in a knee-chest position
A nurse is providing teaching to the parents of a 4-year-old child about fine motor development. Which of the following tasks should the nurse include in the teaching as an expected finding for this age group?
plastic stethoscope
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 nurse is assisting a provider during a femoral venipuncture on a toddler. The nurse should place the child in which of the following positions?
supine
A nurse is collecting date from a child during a well-child visit. The nurse should recognize that which of the following findings places the child at a higher risk for abuse?
the child is born at 30 weeks gestation
A nurse is assessing a 3-year-old child who is 1 day postoperative following a tonsillectomy. Which of the following methods should the nurse use to determine if the child is experiencing pain?
use the FACES scale
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 in a pediatric clinic is assessing a toddler at a well-child visit. Which of the following actions should the nurse take?
Minimize physical contact with the child initially.
During a well-child visit, the parent of a toddler expresses concern to the nurse that the toddler takes several hours to fall asleep at night. Which of the following recommendations should the nurse make?
Provide the toddler with a favorite toy at bedtime
A nurse is planning to implement relaxation strategies with a young child prior to a painful procedure. Which of the following actions should the nurse take?
Rock the child in long rhythmic movements.
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 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 nurse is reviewing the laboratory results of a school-age child who is 1 week postoperative following an open fracture repair. Which of the following findings should the nurse identify as an indication of a potential complication?
Erythrocyte sedimentation rate 18 mm/hr
A nurse is preparing to administer a liquid medication to an infant. Which of the following actions should the nurse take?
Give the medication at the side of the infant's mouth.
A nurse is reviewing the laboratory values of a school-age child who has iron deficiency anemia. Which of the following findings should the nurse expect?
Hgb 9.0
A nurse is assessing a 6-year-old child at a well-child visit. Which of the following findings requires further assessment by the nurse?
Presence of sparse, fine pubic hair
a nurse in the ER is caring for a 2 year old who was found by his parents crying and holding a toilet bowl cleaner. the child's lips are edematous and inflamed and he is drooling. Which of the following is the priority action by the nurse?
check the child's respiratory status
A nurse is providing teaching to an adolescent about how to manage tinea pedis. Which of the following statements by the adolescent indicates an understanding of the teaching?
i should wear sandals as much as possible
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 performing a physical assessment on a 6-month-old infant. Which of the following reflexes should the nurse expect to find?
Babinski
A nurse is assisting with the care for a 7-month-old infant who has a cleft palate. Which of the following actions should the nurse take to decrease the infant's risk for aspiration?
Burp the infant frequently during feedings.
A nurse is providing education to the parent of a toddler who is about to receive her first dose of the MMR (measles, mumps and rubella) immunization. Which of the following statements by the parent indicates an understanding of the teaching?
"I can give my child acetaminophen for discomfort associated with the immunization."
A nurse is teaching the parent of a toddler about home safety. Which of the following statements by the parent indicates an understanding of the teaching?
"I lock my medications in the medicine cabinet."
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 child's number of wet diapers."
A nurse is teaching the parent of an infant about food allergens. Which of the following foods should the nurse include as being the most common food allergy in children?
Cow's milk
A nurse is caring for a toddler who has acute otitis media and a temperature of 40 C (104 F). After administering acetaminophen, which of the following actions should the nurse plan to take to reduce the toddler's temperature?
Dress the toddler in minimal clothing.
A nurse is planning care for a newly admitted school-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 child's room
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.
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 providing teaching about promoting sleep with the parent of a 3-year-old toddler. Which of the following information should the nurse include?
Follow a nightly routine and established bedtime.
A nurse is preparing to administer recommended immunizations to a 2-month-old infant. Which of the following immunizations should the nurse plan to administer?
Haemophilus influenzae type B (Hib) and inactivated polio virus (IPV)
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 at a pediatric clinic is assessing a 5-month-old infant during a well-child visit. Which of the following findings should the nurse report to the provider?
Head lags when pulled from a lying to a sitting position
A nurse is assessing a 12-month-old male infant's vital signs during a well-child visit. The infant is in the 90th percentile of height. Which of the following findings should the nurse report to the provider?
Heart rate 175/min
A nurse is planning care for a 10-month-old infant who has suspected failure to thrive (FTT). Which of the following interventions should the nurse include in the plan of care? (Select all that apply.)
Observe the parents' actions when feeding the child. Maintain a detailed record of food and fluid intake.
a nurse is teaching the parents of a toddler who has cognitive impairment about toileting 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.
A school nurse is caring for a child following tonic-clonic seizure. Which of the following actions should the nurse take first?
check child's respiratory rate
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?
expresses likes and dislikes
A charge nurse is preparing to make a room assignment for a newly admitted schoolage child. Which of the following considerations is the nurses priority
disease process
A nurse in a pediatric clinic is caring for a 3-year-old child who has a blood lead level of 3 mcg/dL. When teaching the toddler's parents about the correlation of nutrition with lead poisoning, which of the following information is appropriate for the nurse to include in the teaching?
Ensure the child's dietary intake of calcium and iron is adequate.
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 per min
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 nurse is admitting a 4-month-old infant who has heart failure. Which of the following findings is the nurses priority?
episodes of vomiting
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 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 observing a mother who is playing peek-a-boo with her 8-month-old child. The mother asks if this game has any developmental significance. The nurse should inform the mother that peek-a-boo helps develop which of the following concepts in the child
object permanence
A nurse in a pediatric clinic is talking on the telephone with the parent of a 6-month-old infant who has a urinary tract infection and started taking an oral antibiotic the day before. Listen to the audio clip and determine which of the following responses the nurse should make. (Audio says. "every time I try to give a dose of this medicine to my baby, she either refuses it or takes it and then spits it out. Is there anything I can try that might get her to take it?"
"Mix the medicine with 1 teaspoon of applesauce before giving it to your baby."
A nurse is teaching a group of parents about infectious mononucleosis. which of the following statements by a parent should the nurse identify as understanding the teaching?
"Mononucleosis is caused by an infection with the Epstein-Barr virus."
A nurse in a pediatric clinic is caring for an infant who has heart failure and a prescription for digoxin. Which of the following statements by the parent indicates the desired therapeutic effect of the medication?
"My baby is breathing easier than she used to."
A nurse in a provider's office is caring for a preschooler who has findings of croup. Which of the following statements by the parent requires immediate intervention by the nurse?
"My child has refused to drink any fluids for the past 8 hours."
A nurse is reinforcing teaching with the guardian of a child who has a new prescription for levalbuterol solution for use in a nebulizer. Which of the following statements by the guardian indicates an understanding of the teaching?
"My child might experience palpitations after taking this medication."
A nurse is reinforcing teaching about vital signs with the guardian of a 1-year-old toddler. Which of the following statements by the guardian indicates an understanding of the teaching?
"My child's pulse could increase to 150 beats a minute with activity."
A nurse is teaching the parent of a 12-month-old infant about nutrition. Which of the following statements by the parent indicates a need for further teaching?
"My infant drinks at least 2 quarts of skim milk each day."
A nurse is caring for a toddler who has terminal cancer and is receiving hospice care. The child's parent tells the nurse. "I'm a bad parent, and I can't deal with this." Which of the following responses should the nurse make?
"Tell me more about what you are feeling.
A nurse is reviewing the laboratory report of a 6-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 reinforcing dietary teaching with an adolescent who is a lacto-vegetarian and had iron deficiency anemia. The nurse should recommend which of the following as the best source of iron?
1 cup (8 oz) shredded wheat cereal
A nurse is caring for a child who has type 1 diabetes mellitus and has been receiving insulin via subcutaneous infusion pump. Which of the following laboratory tests would verify the average blood glucose level over the past 2 months?
Glycosylated hemoglobin
A nurse is preparing to obtain a peak expiration flow rate from an adolescent. Which of the following actions should the nurse take?
Have the client stand during the procedure.
a nurse is providing discharge teaching to the parent of a school age child who has undergone a tonsillectomy. which of the following statements by the parent should the nurse identify as an understanding of the teaching?
I will notify the doctor if i notice my child is swallowing frequently.
A nurse is administering an injection of epinephrine to a child who is experiencing manifestations of anaphylaxis. The nurse should monitor for which of the following adverse effects?
Increased systolic blood pressure
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 reinforcing teaching with the guardian of a school age-age child who has acute bacterial conjunctivitis and a new prescription for sulfacetamide. Which of the following instructions should the nurse include?
Instill medication immediately after cleansing the eye.
A nurse is contributing to the pan of care for a child who is in Buck's traction. Which of the following interventions should the nurse include in the plan?
Maintain the leg in an extended position.
A nurse is preparing to assist a provider with a lumbar puncture for a school-age child. Which of the following actions is the nurse's priority?
Maintaining the child's position
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 lateral position.
A nurse is caring for an infant who is receiving IV fluids for the treatment of Tetralogy of Fallot and begins to have a hypercyanotic spell. Which of the following actions should the nurse take?
Place the infant in a knee-chest position.
A nurse is contributing to the plan of care for a 10-month-old infant who is postoperative following cleft palate repair. Which of the following actions should the nurse include in the plan of care?
Place the infant in side-lying position
A nurse is caring for a 1-month-old infant who has a nasogastric tube in place for intermittent feedings. Which of the following actions should the nurse take?
Position the head of the crib at a 30° angle between feedings.
A nurse is an emergency department suspects that a toddler has epiglottis. Which of the following actions should the nurse take?
Prepare the toddler for nasotracheal intubation
A nurse is reinforcing teaching with the parents of a 2-year-old toddler at a well-child visit. Which of the following should the nurse recommend as an age-appropriate activity for the toddler?
Putting together a large-piece puzzle
A nurse is reinforcing teaching with the parents of preschoolers regarding the use of booster seats in a motor vehicle. Which of the following instructions should the nurse include in the teaching?
Secure the child in the booster seat using the motor vehicle's shoulder-lap seat belt
A nurse is collecting data from a 10-month-old infant. Which of the following findings should the nurse report to the provider?
Sits with support by leaning on hands
A nurse is preparing to suction an infant who has a tracheostomy. Which of the following actions should the nurse take?
Suction for 5 seconds of less
nurse is reviewing the plan of care for a child who has cystic fibrosis. Which of the following is the priority goal for this child?
The child will maintain an effective breathing pattern
A nurse is collecting physical data from a 4-year-old child who has diarrhea and has been vomiting for 24 hr. which of the following sites should the nurse grasp to determine the child's skin turgor?
The child's abdomen
A nurse is collecting data from a 12-month-old infant during a well-child visit. At birth, the infant's weight was 3.6 kg (8 lb.) and his length was 50.8 cm (20 in). Based on this data, whichof the following findings should the nurse expect?
The infant is 76.2 cm (30 in) long
A nurse is assisting with the development of a health promotion program for the guardians of adolescents. Which of the following information about adolescents should the nurse recommend to include in the program?
The leading cause of death in adolescents is physical injury
A nurse is collecting data from an 18-month-old toddler. Which of the following is a deviation from expected growth and development that the nurse should report to the provider?
The toddler is unable to recognize familiar objects by name.
A nurse in an emergency department is caring for a school-age child who has sustained a superficial minor burn from fireworks on his forearm. Which or the following actions should the nurse take?
Use an antimicrobial ointment on the affected area.
A nurse is reinforcing discharge teaching with the guardians of a 6-month-old infant following a surgical procedure to repair a hypospadias. Which of the following instructions should the nurse include?
Wait 1 week before giving the infant a tub bath.
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 is reinforcing anticipatory guidance to the parents of an adolescent. Which of the following recommendations should the nurse include?
be open to the adolescent's point of view
A nurse is caring for a school-age child who is receiving a cefazolin via intermittent IV 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 school nurse is assessing a school-age child who has erythema infectious (fifth disease). Which of the following findings should the nurse expect?
facial rash
A nurse is preparing to leave the room after performing nasal suctioning for an infant who has respiratory syncytial virus (RSV). Identify the sequence in which the nurse should remove the following personal protective equipment (PPE). (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)
gloves goggles gown mask
a nurse is monitoring the O2 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
A nurse is reviewing the lumbar puncture results of a school-age child suspected of having bacterial meningitis. Which of the following results should the nurse identify as a finding associated with bacterial meningitis?
increased protein concentration
A nurse is assessing an infant who has a ventricular septal defect. Which of the following findings should nurse expect?
loud harsh murmur
A nurse is preparing to administer levalbuterol via nebulizer to a child with asthma. Which of the following data should the nurse collect prior to administering the medication?
lung sounds
A nurse is caring for a school-age who has acute rheumatic fever. Which of the following actions should the nurse take?
maintain child on bed rest
A nurse is reinforcing teaching regarding the immunization schedule with the parent of a six month old infant during a well baby visit. which of the following statements by the parent indicate an understanding of the teaching?
my baby will receive his 3rd DTaP vaccine today
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 a toddler who has gastroenteritis and is exhibiting manifestations of dehydration. Which of the following findings should the nurse address first?
tachypnea
A nurse is assessing a toddler who has leukemia and is receiving his first round of chemotherapy. Which of the following findings is the priority for the nurse to report to the provider?
urticaria
A nurse is preparing to administer a hepatitis B vaccine to a 1-month-old infant. The nurse should plan to inject the medication at which of the following locations?
vastus lateralis
A nurse is reinforcing with the parent of a school-age child who has lactose intolerance. Which of the following supplements should the nurse instruct the parent to include in the child's diet?
vitamin D
A nurse is admitting an infant who has intussusception. Which of the following findings should the nurse expect?
vomiting lethargy
A nurse is reinforcing teaching with the family of an adolescent client who was recently diagnosed with celiac disease. Which of the following foods should the nurse recommend?
yellow corn
a nurse is providing anticipatory guidance to the parents of an 8 month old infant during a well child visit. Which of the following statements should the nurse make?
your baby should be able to sit unsupported
A nurse is providing teaching to the parent of an infant who has diaper dermatitis. The nurse should teach the parent to apply which of the following to the affected area?
zinc oxide
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 on a pediatric unit is reviewing the health record of a client who is demonstrating increasing levels of stress after admission. The nurse should identify which of the following findings as a risk factor for a stress-related reaction to hospitalization?
male gender
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 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 in an emergency department is caring for an 8-year old who is up-to-date with current immunization recommendations and has a deep puncture injury. Which of the following should the nurse anticipate administering?
Adult tetanus booster (Td)
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 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 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 assessing a 6-month-old infant at a well-child visit. Which of the following findings indicates the need for further assessment?
Legs remain crossed and extended when supine
A nurse is caring for an 18-year-old adolescent who is up-to-date on immunizations and is planning to attend college. The nurse should inform the client that he should receive which of the following immunizations prior to moving into a campus dormitory?
Meningococcal polysaccharide
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 child's oxygen saturation.
A nurse is planning to collect a specimen from a male infant using a urine collection bag. Which of the following actions should the nurse take?
Wash and dry the infant's genitalia and perineum thoroughly.
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
A nurse in a providers office is caring for a school-age child who has varicella. The parents asks the nurse when their child will no longer be contagious. Which of the following responses should the nurse make?
"When your child's lesions are crusted, usually 6 days after they appear."
a nurse is teaching a parent of a 12 month old child about development during the toddler stage. which of the following should the nurse include.
"Your child should be able to scribble spontaneously using a crayon at the age of 15 months."
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 of raisins
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 bicep reflect
A
A nurse is assessing a 9-month-old infant during a well-child visit. Which of the following findings indicates that the infant has a developmental delay?
Inability to vocalize vowel sounds
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 child's diet to 40% of total calories
A nurse is teaching the parent of an infant about home safety. Which of the following information should the nurse include?
Position the car seat so it is rear-facing. Secure a safety gate at the top and bottom of the stairs. Maintain the water heater temperature at 49° C (120° F)
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 caring for an adolescent who is receiving pain medication via a PCA pump. When the nurse assess the client's pain at 0800, the client describes the pain as a 3 on a scale of 1 to 10. At 100, the client describes the pain as a 5. The nurse discovers the client has not pushed the button to deliver medication in the past 2 hr. Which of the following actions should the nurse take?
Reinforce teaching with the client about how to push the button to deliver the med.
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 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 assessing a 7-year-old child's psychosocial development. Which of the following findings should the nurse recognize as requiring further evaluation?
The child complains daily about going to school.
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 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
A nurse is preparing a toddler for suturing of a minor facial laceration. The nurse should place the toddler in which of the following restraints?
mummy restraint
A nurse is reinforcing teaching with the guardian of a child who has a new diagnosis of rheumatic fever. Which of the following statements by the guardian indicates an understanding of the teaching?
my child might have a period of irregular movement of the extremities
a nurse is accessing a infant who has pneumonia. which of the following is a finding that is priority for the nurse to report?
nasal flaring
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 indicated an understanding of this ingestion?
"Injury by a corrosive liquid is more extensive than by a corrosive solid."
A nurse is providing discharge teaching to the parent of a school-age child who has moderate persistant asthma. Which of the following instructions should the nurse include?
"Pulmonary function tests will be performed every 12 to 24 months to evaluate how your child is responding to therapy.
A nurse is caring for a child who has a bacterial endocarditis. The child is scheduled to receive moderate term antibiotic therapy and requires a peripherally inserted central catheter (PICC). Which of the following statements should the nurse include when teaching the child's parent?
"The PICC line will last several weeks with proper care."
A nurse is developing a plan of care for a school-age child who underwent a surgical procedure that resulted in temporary loss of vision. Which of the following interventions should the nurse include in the plan of care?
Explain sounds the child is hearing.
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
A nurse is teaching school aged child and 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 caring for a 15-month-old toddler who requires droplet precautions. Which of the following actions should the nurse take?
Wear a mask when assisting the toddler with meals.
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 hospice nurse is caring for a preschooler who has a terminal illness. The father tells the nurse that he cannot cope anymore and has decided to move out of the house. Which of the following statements should the nurse make?
"Let's talk about some of the ways you have handled previous stressors in your life."
A nurse in an emergency department is caring for a school-age child who has appendicitis and rates his abdominal pain t 7 on a 0 to 10 scale. Which of the following actions should the nurse take?
Give morphine 0.05mg/kg IV.
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 directly into your infant's diaper."
A nurse is reinforcing teaching with the parent of an infant who has a new diagnosis of human immunodeficiency virus (HIV). Which of the following statements made by the parent indicates an understanding of the teaching?
"I should bring my child in for immunizations on schedule."
nurse is reinforcing teaching about interventions for mild hypoglycemia with the parent of a child who has diabetes mellitus. Which of the following statements by the parent indicates that the teaching has been effective?
"I should give my child 4 ounces of orange juice followed by cheese and crackers."
A nurse is providing teaching to the parent of a preschooler about ways to prevent acute asthma attacks. Which of the following statements by the parent should the nurse identify as understanding the teaching?
"I should keep my child indoors when I mow the yard."
A nurse is teaching a school-age child who has a new diagnosis of type 1 diabetes millets. The nurse should identify which of the following statements by the child as understanding the teaching?
"I will give myself a shot of regular insulin 30 minutes before I eat breakfast."
A nurse is reinforcing teaching about liquid oral iron supplements with the guardian of a school-age child who has iron deficiency anemia. Which of the following statements by the guardian indicates an understanding of the teaching?
"I will give this medication to my child with a straw."
A nurse is reinforcing teaching about home care with the guardian of a 14-month-old toddler who has spastic cerebral palsy. Which of the following statements by the guardian indicates an understanding of the teaching?
"I will perform daily stretching exercises to my toddler's affected muscles."
A nurse is teaching the parent of an infant who has a Pack harness to treat developmental dysplasia of the hip. The nurse should identify that which of the following statements by the parents indicates an understandings of the teaching?
"I will place my infant's diapers under the harness straps."
A nurse is caring for a toddler who has otitis media and a temperature of 39.1° C (102.4° F). Which of the following actions should the nurse take first?
Administer an antipyretic.
A nurse is caring for a 2-week-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?
Administer sucrose to the infant prior to the procedure.
A nurse is preparing to administer furosemide to a toddler who has a heart defect. Which of the following should the nurse take to identify the toddler?
Ask the guardian to verify the child's name.
A nurse is preparing to administer an intramuscular injection to an 11-month-old infant. In which of the following areas should the nurse administer the injection?
B
A nurse is collecting data from an 18-month-old toddler who has just presented to the urgent care clinic. Which of the following data should the nurse investigate further?
Blood pressure 120/80 mm Hg
A nurse is reinforcing teaching with the parent of a 4-month-old infant who has a new prescription for nystatin to treat oral candidiasis and is breastfeeding. Which of the following instructions should the nurse include in the teaching?
Continue nystatin for 2 weeks after the symptoms disappear.
A nurse is caring for a toddler following a tonsillectomy. Which of the following is the priority finding that the nurse should report to the provider?
Continuous swallowing
A nurse is providing anticipatory guidance to the parents of a 2-week-old infant about risk factors for sudden infant death syndrome (SIDS). Which of the following risk factors should the nurse include in the teaching?
Covering the sleeping infant with a blanket
A nurse is assisting with the care of plan of a 4-year-old child who is prescribed an IV medication preoperatively. Which of the following techniques should the nurse use to assist the child to cope with this procedure? (Select all that apply)
Discuss benefits of the procedure. Give the child needleless IV supplies to play with. Allow the child to perform the procedure with a doll.
A nurse is reviewing laboratory results of a school-age child who is 1 week postoperative following an open fracture repair. Which of the following values should the nurse identify as an indication of a potential complication?
Erythrocyte sedimentation rate 18 mm/hr
A nurse is assessing a school-age child who has appendicitis with possible perforation. The nurse should identify which of the following as a manifestation of peritonitis?
abdominal distention
a nurse is caring for a 3 year old female child who is prescribed an indwelling catheter. which of the following actions should the nurse take when performing this procedure?
apply 2% lidocaine lubricant into the urethral meatus
a nurse is reinforcing teaching with the guardians of a school aged child who has frequent nosebleeds. Which of the following instructions should the nurse include
apply pressure on the child's nose
A nurse is reinforcing teaching with the parent of a child who is being treated with diphenhydramine for allergic rhinitis. The nurse should tell the parent to monitor the child for which of the following?
drowsiness
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 a shape using a scissors
A nurse is 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
decreased attention span
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 is caring for an adolescent who has acne and anew prescription for isotretinoin. For which of the following adverse effects should the nurse monitor?
depression
A nurse is assisting with the admission of a toddler who has bacterial meningitis caused by Haemophilus influenza type B. which of the following isolation guidelines should the nurse plan to initiate?
droplet precautions
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 providing teaching to the family of a school-age child who has juvenile idiopathic arthritis. Which if the following instructions should the nurse include in the teaching?
"Encourage the child to perform independent self-care."
A nurse is providing discharge teaching to the guardian of a school-age child who has undergone a tonsillectomy. Which of the following statements by the guardian indicates an understanding the teaching?
"I will notify the doctor if I notice that my child is swallowing frequently."
