NU 350 Final PEDS

The Heimlich maneuver is recommended for airway obstruction in children older than ___ years.

1

Generally, the earliest age at which puberty begins is ____ yrs in girls, _____ in boys

10; 12

The nurse is performing a Glasgow Coma Scale on a school-age child with a head injury. The child opens eyes spontaneously, obeys commands, and is oriented to person, time, and place. Which is the score the nurse should record?

15

Parents of a 12 yr old child ask the clinic nurse, "How many hours of sleep should our child get?" The nurse should respond that 12 yr old children need how many hours of sleep at night?

9

A 14 year old boy is being admitted to the hospital for an appendectomy. Which roommate should the nurse assign with this patient?

A 15 year old boy admitted with a vas-occlusive sickle cell crisis

An 8 yr old girl tells the nurse that she has cancer b/c God is punishing her for "being bad". She shares her concern that if she dies, she will go to hell. The nurse should interpret this as:

A belief common at this age

A nurse is admitting an infant with asthma. The nurse understands that asthma in infants is usually triggered by:

A viral infection

The nurse is admitting a young child to the hospital b/c bacterial meningitis is suspected. What is the major priority of nursing care?

Administer antibiotic therapy as soon as it is ordered

A nurse in the ED is assessing a 5 year old child with symptoms of pneumonia and a fever of 102. Which intervention can the nurse implement to promote a sense of control for the child?

Allow the child to hold the digital thermometer while taking the Childs BP

A young child's parents call the nurse after their child was bitten by a raccoon in the woods. The nurse's recommendation should be based on which statement?

Antirabies prophylaxis must be initiated

Samantha, age 5 years, tells the nurse that she "needs a Band-Aid" where she had an injection. Which is the best nursing action?

Apply a band-aid

The allen test is performed as a precautionary measure before which procedure?

Arterial puncture

Kimberly, age 3 years, is being admitted for about 1 week of hospitalization. Her parents tell the nurse that they are going to buy her a lot of new toys, b/c she will be in the hospital. The nurses reply should be based on an understanding of which concept?

At this age, children often need the comfort and reassurance of familiar toys from home

What nursing intervention is used to prevent ICP in an unconscious child?

Avoid activities that cause pain or crying

Decongestants nose drops are recommended for a 10 mo old infant with an URTI. Instructions for nose drops should include which action?

Avoid using for more than 3 days

A child with CF receives aerosolized bronchodilator med. When should this med be administered?

Before CPT

The nurse is teaching nursing students about childhood fractures. Which describes a compound skull fracture?

Bone is exposed thru the skin

Teasing can be common during the school-age yrs. The nurse should recognize that which applies to teasing?

Can have a lasting effect on children

CPR is begun on a toddler. Which pulse is usually palpated b/c it is most central and accessible?

Carotid

A group of boys 9 - 10 yrs have formed a "boys-only" club that is open to neighborhood and school friends who have skateboards. This should be interpreted as:

Characteristic of social development at this age

The home health nurse outlines short and long term goals for a 10 year old child with many complex health problems. Who should agree on these goals?

Child, family, and all professionals involved.

A nurse is preparing a teaching session for parents on prevention of childhood hearing loss. The nurse should include that the most common cause of hearing impairment in children is

Chronic otitis media

The nurse is assessing a child with acute epiglottis. Examining the childs throat by using a tongue depressor might precipitate which symptom or condition?

Complete obstruction

When caring for a newborn with down syndrome, the nurse should be aware that the most common congenital anomaly associated with down syndrome

Congenital heart disease

A school-age child has been admitted with an acute asthma episode. The child is receiving oxygen by nasal prongs at 2 liters. How often should the nurse plan to monitor the child's pulse oximetry status?

Continuous

The most appropriate nursing intervention when caring for a child experiencing a seizure is to

Described and document the seizure activity observed

In providing nourishment for a child with CF, which factor should the nurse keep in mind?

Diet should be high in carbohydrates and protein

B-adrenergic agonists and methylxanthines are often prescribed for a child with an asthma attack. Which describes their action?

Dilate the bronchioles

A newborn was admitted to the nursery with a complete bilateral cleft lip and palate. The physician explained the plan of therapy and its expected good results. However, the mother refuses to see or hold her baby. Initial therapeutic approach to the mother should be:

Encouraging her to express her feelings

Which type of croup is always considered a medical emergency?

Epiglottis

Latasha, age 8 years, is being admitted to the hospital from the ED with an injury from falling off her bicycle. Which will help her most in her adjustment to the hospital?

Explain hospital schedules to her, such as mealtimes

A 3 year old child has a fever associated with a viral illness. Her mother calls the nurse, reporting a fever of 102 even though she had acetaminophen 2 hrs go. The nurses action should be based on which statement?

Fevers such as this are common with viral illnesses

During the first 4 days of hospitalization, Eric, age 18 mo, cried inconsolably when his parents left him, and he refused the staffs attention. Now the nurse observes that Eric appears to be "settled in" and unconcerned about seeing his parents. The nurse should interpret this as which statement?

He may be experiencing detachment, which is the 3rd stage of separation anxiety

The most common clinical manifestation of brain tumors in children is:

Headaches and vomiting

What is one of the major physical characteristics of the child with down syndrome?

Hypotonic musculature

The nurse is talking to the parent of a 13 mo old child. The mother states, "my child does not make noises like 'da' or 'na' like my sisters baby, who is only 9 mo." Which statement by the nurse would be most appropriate to make?

I am going to request a referral to a hearing specialist

The school nurse is conducting a class on bicycle safety. Which statement made by a participant indicates a need for further teaching?

I can ride double w/ a friend if the bicycle has an extra large seat

A 5 year old girl sustained a concussion when she felt out of a tree. In preparation for discharge, the nurse is discussing home care with her mother. Which statement made by the mother indicates a correct understanding of the teaching?

I should expect my child to have some behavioral changes after the accident

The nurse is teaching a group of 10-12 yr old children about physical development during the school-age yrs. Which statement made by a participant, indicates the correct understanding of the teaching?

I will grow an average of 2 in per yr from this point on

Parents of a child with CF ask the nurse about genetic implications of the disorder. Which statement, made by the nurse, expresses accurately the genetic implications?

If it is present in a child, both parents are carriers of this defective gene

A child has an evulsed (knocked-out) tooth. Which medium should the nurse instruct the parents to place the tooth in for transport to the dentist?

In cold milk

The mother of a toddler yells to the nurse, "Help! He is choking to death on his food." The nurse determines that lifesaving measures are necessary based on which symptom?

Inability to speak

A school nurse observes school-age children playing at recess. Which is descriptive of the play the nurse expects to observe?

Knowing the rules of a game gives an important sense of belonging

The home care nurse has been visiting an adolescent with recently acquired quadriplegia. The teens mother tells the nurse, Im sick of providing all the care while my husband does whatever he wants to, whenever he wants to do it. Which should be the initial action of the nurse?

Listen and reflect mothers feelingsListen and reflect mothers feelings

The best chance of survival for a child with cirrhosis is:

Liver transportation

A child with ASD is admitted to the hospital with pneumonia. The nurse should plan which priority intervention when caring for the child?

Maintain a structured routine and keep stimulation to a minimum

A child has been seizure-free for 2 years. A father asks the nurse how much longer the child will need to take the anti seizure meds. The nurse includes which intervention in the response?

Meds can be discontinued at this time

A young child has an IQ of 45. The nurse should document this findings as:

Moderate cognitive impairment but trainable

The nurse is caring for a child with carbon monoxide poisoning associated with smoke inhalation. Which is essential in this child's care?

Monitor arterial blood gases

The vector reservoir for agents causing viral encephalitis in the United States is:

Mosquitos

Which statement best describes fear in the school-age child?

Most of the new fears that trouble them are related to school and family

The nurse is instructing a group of parents about head injuries in children. The nurse should explain that infants are particularly vulnerable to acceleration-deceleration head injuries because the

Musculoskeletal support of head is insufficient

The nurse is preforming a neurologic assessment of a 2 mo old infant after a car accident. Moro, tonic neck, and withdrawal reflexes are present. The nurse should recognize that these reflexes suggest

Neurological health

A child is admitted to the hospital with asthma. Which assessment findings support this diagnosis?

Nonproductive cough, wheezing

The nurse is taking care of a child who is alert but showing signs of increased intracranial pressure. Which test is contraindicated in this case?

Oculovestibular response

Which statement best characterizes hepatitis A?

Onset is usually rapid and acute

A nurse is preparing to complete an admission assessment on a 2 year old child. The child is sitting on the parents lap . which technique should the nurse implement to complete the physical exam?

Perform the exam while the child is on the parents lap

The nurse is caring for a child with severe head trauma after a car accident. Which is an ominous sign that often precedes death?

Periodic and irregular breathing

Home care is being considered for a young child who is ventilator-dependent. Which factor is most important in deciding whether home care is appropriate?

Preparation and training of family

When finding the carotid artery, you are looking to check for victims

Pulse

When a preschool child is hospitalized without adequate preparation, the nurse should recognize that the child may likely see hospitalization as:

Punishment

Which is an important nursing consideration in the care of a child with celiac disease?

Refer to a nutritionist for detailed dietary instructions and education

a previously "potty-trained' 30 mo old child has reverted to wearing diapers while hospitalized. The nurse should reassure the parents that this is normal b/c of which reason?

Regression is seen during hospitalization

The nurse is teaching nursing students about normal physiologic changes in the respiratory system of toddlers. Which best describes why toddlers have fewer RTI as they grow older?

Repeated exposure to organisms causes increased immunity

A 6 year old child is hospitalized for IV antibiotic therapy. He eats little on his "regular diet" trays. He tells the nurse that all he wants to eat is pizza, tacos, and ice cream. Which is the best nursing action?

Request these favorite foods for him

The nurse is caring for a comatose child with multiple injuries. The nurse should recognize that pain

Requires astute nursing assessment and management

When communicating with other professionals, it is important for home care nurses to:

Restrict communication to clinically relevant info

A priority intervention the home-care nurse should teach parents to do to maintain infection control is:

Reuse equipment to decrease costs

Which age group should the pediatric nurse recognizes as being vulnerable to events that lessens their feeling of control and power?

Schoo-Age children

Parents ask the nurse whether it is common for their school-age child to spend a lot of time with peers. The nurse should respond, explaining that the role of the peer group in the life of school-age children provides:

Security as they gain independence from their parents

A nurse is caring for 4 patients; 3 are toddlers and one is a preschooler. Which represents the major stressor of hospitalization for these 4 patients?

Separation anxiety

The school nurse has been asked to begin teaching sex education in the 5th grade. The nurse should recognize that:

Sex can be presented as a normal part of growth and development

what is clinical manifestation of ICP in infants?

Shrill, high pitched cry

A 9 yr old girl often comes to the school nurse complaining of stomach pains. Her teacher says she is completing her school work satisfactorily but lately has been somewhat aggressive and stubborn in the classroom. The school nurse should recognize this as:

Signs of stress

It is now recommended that children with asthma who are taking long-term inhaled steroids should be assessed frequently because which disease or assessment findings may develop?

Slowed growth

A young child is having a seizure that has lasted 35 minutes. There is a loss of consciousness. Based on the nurses knowledge of seizures, the nurse recognizes this as

Status epilepticus

A 10 year old child, without a history of previous seizures, experiences a tonic-clonic seizure at school. Breathing is not impaired, but some postictal confusion occurs. The most appropriate initial action by the school nurse is to:

Stay with child and have some call EMS

Which of the following phrases describes a characteristic of most neonatal seizures?

Subtle and barely discernible seizure

which therapeutic management treatment is implemented for children with hirschsprung disease?

Surgical removal of affected section of bowel

CF is suspected in a toddler. Which test is essential in establishing this diagnosis?

Sweat chloride test

A child is being admitted to the hospital to be tested for CF. which tests should the nurse expect?

Sweat chloride test, stool for fat, chest radiograph films

Parents of 2 school-age children with asthma ask the nurse, "what sports can our children participate in?" the nurse should recommend which sport?

Swimming

When teaching injury prevention during the school-age yrs, what should the nurse include?

Teach basic rules of water safety

A child is admitted to the ped ICU for a submersion injury. The child's parents express guilt over the submersion injury to the nurse. The most appropriate response by the nurse is

Tell me more about your feelings

The nurse encourages the mother of a toddler with acute LTB to stay at the bedside as much as possible. The nurse's rationale for this action is described primarily in which statement?

The mothers presence will reduce anxiety and ease child's respiratory efforts

A 3 year old child is hospitalized after a submersion injury. The child's mother complains to the nurse, "Being at the hospital seems unnecessary when he is perfectly fine." The nurse's best reply should be:

The reason for this is that complications could still occur

A child is brought to the ED after experiencing a seizure at school. There is no previous history of seizures. The father tells the nurse that he cannot believe the child has epilepsy. The nurse's best response is:

The seizure may or may not mean that the child has epilepsy

Which explains why cool-mist vaporizers rather than steam vaporizers are recommended in home treatment of childhood RTI?

They are safer

Which describes moral development in younger school-age children?

They know the rules and behaviors expected of them but do not understand the reasons behind them

Which is characteristic of dishonest behavior in children ages 8- 10 yrs?

They may lie to meet expectations set by others that they have been unable to attain

A 4 mo old infant has GER but is thriving without other complications. Which should the nurse suggest to minimize reflux?

Thicken formula with rice cereal

a 10 year old girl needs to have another IV line started. She keeps telling the nurse, "wait a minute" and "im not ready" the nurse should recognize this as which description

This is normal behavior for a school-age child

When giving chest compressions to a child, it is important to wait for the chest to return to its original position b/w compressions

True

A nurse is conducting an in-service on GI disorders. The nurse includes that melena, the passage of black, tarry stools, suggests bleeding from which area?

UGI tract

A 5 year old boy is being prepared for surgery to remove a brain tumor. nursing actions should be based on which statement?

Usually the post-op dressing covers the entire scalp

A child with CF is receiving recombinant human DNase. Which is an adverse effect of this medication?

Voice alters

A nurse is teaching parents of kindergarten children general guidelines to assist their children in school. Which statement by the parents indicates they understanding the teaching?

We will plan a trip to the library as often as possible

A nurse is admitting a child with Chrons disease. Parents ask the nurse, "How is this disease different from ulcerative colitis?" which statement should the nurse make when answering this question?

With chrons the inflammatory process involves the whole GI tract

The child with down syndrome should be evaluated for which condition before participating in some sports?

atlantoaxial instability