PEDI Final

A nurse is teaching a group of parents about preventing insect bites. Which of the following information should the nurse include in the teaching? (Select all that apply) A. Wear perfume when outside. B. Avoid areas of tall grass C. Wear bright-colored clothing. D. Wear insect repellent. E. Check house pets frequently

B. Avoid areas of tall grass D. Wear insect repellent. E. Check house pets frequently

A nurse is assessing an infant who has scabies. Which of the following findings should the nurse expect? (Select all that apply) A. Presence of nits on the hair shaft. B. Pencil-like marks one the hands. C. Blisters on the soles of the feet. D. Small red bumps on the scalp. E. Pimples on the trunk.

B. Pencil-like marks one the hands. C. Blisters on the soles of the feet. E. Pimples on the trunk

The nurse is reviewing the health record of an infant with a diagnosis of gastroesophageal reflux. Which signs/symptoms of this disorder should the nurse expect to note documented in the record? A.Excessive oral secretions B.Bowel sounds heard over the chest C. Hiccuping and spitting up after a meal D.Coughing, wheezing, and short periods of apnea

C. Hiccuping and spitting up after a meal

The nurse reviews the record of an infant who is seen in the clinic. The nurse notes that a diagnosis of esophageal atresia with tracheoesophageal fistula (TEF) is suspected. The nurse expects to note which most likely manifestation of this condition in the medical record? A.Incessant crying B.Coughing at nighttime C.Choking with feedings D.Severe projectile vomiting

C.Choking with feedings

During teaching, the nurse should advise the family of a child newly-diagnosed with Graves' disease to: A. Encourage outdoor activities B. Limit bathing to prevent skin irritation C. Promote interaction with one friend instead of a group D. Set the thermostat higher than normal for comfort

C. Promote interaction with one friend instead of a group

A child with hemophilia A fell and injured a knee while playing outside. The knee is swollen and painful. Which of the following measures should be taken to stop the bleeding? Select all that apply. 1. The extremity should be immobilized. 2. The extremity should be elevated. 3. Warm moist compresses should be applied to decrease pain. 4. Passive range-of-motion exercises should be administered to the extremity. 5. Factor VIII should be administered.

1. The extremity should be immobilized. 2. The extremity should be elevated. 5. Factor VIII should be administered.

A 2-year-old client with cystic fibrosis is confined to bed and is not allowed to go to the playroom. Which of the following is an appropriate toy would the nurse select for the child: A) Pounding board and hammer B) Arranging stickers in the album C) Musical automobile D) Puzzle

A) Pounding board and hammer

The mother of a toddler asks a nurse when it is safe to place the car safety seat in a face-forward position. The best nursing response is which of the following? A) When the toddler weighs 20 lbs B) The seat should not be placed in a face-forward position unless there are safety locks in the car C) The seat should never be place in a face-forward position because the risk of the child unbuckling the harness D) When the weight of the toddler is greater than 40 lbs

A) When the toddler weighs 20 lbs

When administering pancrelipase to child with cystic fibrosis, nurse Faith knows they should be given: A) With meals and snacks B) After each bowel movement and after postural drainage C) On awakening, following meals, and at bedtime D) Every three hours while awake

A) With meals and snacks

The nurse is caring for an infant with respiratory syncytial virus​ (RSV) in the hospital. The parents ask if their child will need to be on oxygen. Which response by the nurse is​ accurate? A. "If oxygen levels fall below​ 90%, we will start​ oxygen." B. "We will keep your​ child's oxygen levels at​ 100%." C. "Many children​ don't require oxygen unless their levels get below​ 75%." D. "As long as your​ child's oxygen levels are above​ 50%, we will not​ worry."

A. "If oxygen levels fall below​ 90%, we will start​ oxygen."

How many erupted teeth would the nurse expect a healthy 8-month-old infant to have? A. 2 B. 4 C. 6 D. 8

A. 2

Distinctive phases of a grand mal epileptic seizure include ( Select all that apply) A. Aura B. agitation C. Tonic/ clonic movements D. Postictal lethargy

A. Aura C. Tonic/ clonic movements D. Postictal lethargy

What is the most accurate diagnostic tool in diagnosing suspected osteomyelitis in the pediatric patient? A. Bone scan B. RBC count C. X-ray D. Serum albumin level

A. Bone scan

During a home​ visit, the nurse assesses a​ 2-year-old child. Which factor should the nurse identify as putting the child at risk for contracting respiratory syncytial virus​ (RSV)? (Select all that​ apply.) A. Both parents are unemployed. B. Both parents smoke cigarettes. C. The toddler shares a drinking cup with older brother. D. There is an absence of soap at the kitchen sink. E. The toddler wears clean but rumpled pants and shirt.

A. Both parents are unemployed. B. Both parents smoke cigarettes. C. The toddler shares a drinking cup with older brother. D. There is an absence of soap at the kitchen sink.

A teenager who had a cast applied after tibia fracture complains that his pain medication is not working and his pain is still a 9 or a 10. The nurse notices some edema of the toes and capillary refill of 6 seconds. The priority action of the nurse would be to: A. Call the health care provider immediately B. find out if there is an order for a stronger pain medication C. try nonpharmacological techniques of pain relief D. explain to the teen that a new fracture is expected to be painful the first day.

A. Call the health care provider immediately

Which are signs/symptoms of epiglottitis? (Select all that apply.) A. Child insists on sitting up B. Drooling because of difficulty in swallowing C. Anxious with croaking on respiration D. Edematous tongue and swollen lips E. Child leans forward with the mouth open

A. Child insists on sitting up B. Drooling because of difficulty in swallowing C. Anxious with croaking on respiration E. Child leans forward with the mouth open

A nurse is caring for a child who has a fracture. Which of the following findings should the nurse expect? ( Select all that Apply) A. Crepitus B. Edema C. Pain D. Fever E. Ecchymosis

A. Crepitus B. Edema C. Pain E. Ecchymosis

Which is the most useful diagnostic procedure in diagnosing a seizure disorder? A. Electroencephalography B. Lumbar puncture C. Brain scan D. Skull radiography

A. Electroencephalography

Which sign/symptom should the nurse expect to assess in the client diagnosed with hemophilia A? A. Epistaxis. B. Petechiae. C. Subcutaneous emphysema. D. Intermittent claudication.

A. Epistaxis.

he nurse is caring for a child after a tonsillectomy. The nurse monitors the child, knowing that which finding indicates the child is bleeding? A. Frequent swallowing B. A decreased pulse rate C. Complaints of discomfort D. An elevation in blood pressure

A. Frequent swallowing

One nursing diagnosis for juvenile idiopathic arthritis (JIA) is impaired physical mobility. Select all that apply. A. Give pain medication prior to ambulation. B. Assist with range-of-motion activities. C. Encourage the child to eat a high-fat diet. D. Provide oxygen as necessary. E. Use nonpharmacological methods, such as heat.

A. Give pain medication prior to ambulation. B. Assist with range-of-motion activities. E. Use nonpharmacological methods, such as heat.

Which signs/symptoms are characteristics of brain tumors in children? (Select all that apply.) A. Headache upon awakening B. Projectile vomiting C. Seizure activity D. Decreased blood pressure

A. Headache upon awakening B. Projectile vomiting C. Seizure activity

A nurse collecting data from a child who has myopia. Which of the following findings should the nurse expect? ( Select all that apply) A. Headaches B. photophobia C. Difficulty reading D. Difficulty focusing on close objects E. Poor school performance

A. Headaches C. Difficulty reading E. Poor school performance

To detect allergies when feeding new foods: A. Introduce single-ingredient foods B. mix the food with one the infant likes C. mix the food with formula D. offer two new foods at the time

A. Introduce single-ingredient foods

What guideline should parents of a toddler follow when feeding solid food? A. One tablespoon of food per year of age B. Allow toddler to eat until full C. Set a timer for a predetermined amount of time D. One tablespoon of protein and vegetables at each meal

A. One tablespoon of food per year of age

The nurse is teaching the parents of a​ 9-month-old client with respiratory syncytial virus​ (RSV) about ways to help the child recover quickly from the disorder. Which information should the nurse​ include? (Select all that​ apply.) A. Provide​ frequent, small meals throughout the day. B. Use a bulb syringe to clear the nose before giving a bottle. C. Help the child to blow the nose to clear the airway. D. Wash hands thoroughly after caring for the child. E. Permit the child to rest and nap throughout the day.

A. Provide​ frequent, small meals throughout the day. B. Use a bulb syringe to clear the nose before giving a bottle. E. Permit the child to rest and nap throughout the day.

A "neurovascular check" for tissue perfusion includes which of the following observations ( Select all that apply) A. Pulse B. Color and capillary refill C. Movement and sensation D. Equal pupil size of eyes

A. Pulse B. Color and capillary refill C. Movement and sensation

The nurse is teaching an adolescent girl with scoliosis about a Milwaukee brace that her health care provider has prescribed. Which instruction should the nurse provide to this client? A. Remove the brace 1 hour each day for bathing only. B. Remove the brace only for back range-of-motion exercises. C. Wear the brace against the bare skin to ensure a good fit. D. Wearing the brace will cure the spinal curvature.

A. Remove the brace 1 hour each day for bathing only.

Which characteristics are present in a well-nourished child? (Select all that apply.) A. Shiny hair B. Regular elimination C. Pale mucous membranes D. Protruding abdomen E. Erect posture

A. Shiny hair B. Regular elimination E. Erect posture

As the nurse assumes care for the client with a compound fracture, which actions are most important for the nurse take? (Select all that apply.) A. Stabilize the injury. B. Perform range of motion (ROM) exercises to the affected limb. C. Assess neurovascular status every hour. D. Place an ice pack over the injury. E. Elevate the affected extremity.

A. Stabilize the injury. C. Assess neurovascular status every hour. D. Place an ice pack over the injury. E. Elevate the affected extremity.

Which of the following is a developmental red flag for a 3-month-old infant that the nurse should record and report? ( Select all that apply) A. The infant does not attempt to raise her head when placed on her abdomen B. The infant cannot sit without support C. The infant exhibits stranger anxiety D. The infant does not smile responsively

A. The infant does not attempt to raise her head when placed on her abdomen D. The infant does not smile responsively

A nursing responsibility when a child has a seizure includes: (Select all that apply) A. Time the seizure B. Place the child in the prone position C. Move furniture away from the child D. Observe and record behavior immediately following the seizure E. Call 911

A. Time the seizure C. Move furniture away from the child D. Observe and record behavior immediately following the seizure

What are appropriate interventions when caring for a child in traction? (Select all that apply.) A. Use of trapeze for positioning B. Neurovascular checks performed regularly C. Upright for 30 minutes a day D. Skin integrity monitored regularly E. Other extremities must be immobilized F. Liquid diet to prevent constipation

A. Use of trapeze for positioning B. Neurovascular checks performed regularly D. Skin integrity monitored regularly

A nurse is collecting screening data from a toddler for possible hearing loss. Which of the following findings are indications of hearing impairment? ( Select all that apply) A. Uses monotone speech B. Speaks loudly C. Repeats sentences D. Appears shy E. Is overly attentive to the surroundings

A. Uses monotone speech B. Speaks loudly D. Appears shy

Which diagnosis is related to the development of Reye's syndrome in conjunction with aspirin administration in the pediatric patient? A. Varicella B. Meningitis C. Encephalitis D. Strep throat

A. Varicella

What is considered a manifestation of retinoblastoma? A. Yellowish-white reflex seen in the pupil B. Red-eye reflex seen behind the retina C. Cloudy appearing cornea D. Increase in tear production

A. Yellowish-white reflex seen in the pupil

A child is diagnosed with lactose intolerance. The child's mother asks the nurse about the disease. Which statement is the appropriate nursing response? A."It is the inability to tolerate sugar found in dairy products." B."It results from the absence of ganglion cells in the rectum." C."It results from increased bowel motility that leads to spasm and pain." D."It is the inability to fully digest the protein part of wheat, barley, rye, and oats."

A."It is the inability to tolerate sugar found in dairy products."

The nurse is caring for a child who is scheduled for an appendectomy. When the nurse reviews the primary health care provider's preoperative prescriptions, which should be questioned? A.Administer a Fleet enema. B.Maintain nothing per mouth (NPO) status. C.Maintain intravenous (IV) fluids as prescribed. D.Administer preoperative medication on call to the operating room

A.Administer a Fleet enema.

A child is admitted to the hospital with a probable diagnosis of nephrotic syndrome. Which findings should the nurse expect to observe? Select all that apply. A.Ascites B.Anorexia C.Weight loss D.Proteinuria E.Decreased serum lipids F. Periorbital and facial edema

A.Ascites B.Anorexia D.Proteinuria F.Periorbital and facial edema

The nurse is admitting a child with a diagnosis of lactose intolerance. Which finding does the nurse expect to note? A.Frothy stools B.Foul-smelling ribbon stools C.Profuse, watery diarrhea and vomiting D.Diffuse abdominal pain unrelated to meals or activity

A.Frothy stools

The parents of a child just diagnosed with juvenile idiopathic arthritis (JIA) tell the nurse that the diagnosis frightens them because they know nothing about the prognosis. What should the nurse include when teaching the parents about the disease? A.Half of affected children recover without joint deformity. B.Many affected children go into long remissions but have severe deformities. C.The disease usually progresses to crippling rheumatoid arthritis. D.Most affected children recover completely within a few years.

A.Half of affected children recover without joint deformity.

The nurse is assigned to care for a child who is suspected of having glomerulonephritis. The nurse reviews the child's record and notes that which findings are associated with the diagnosis of glomerulonephritis? Select all that apply. A.Headache B.Hypotension C.Red-brown urine D. Periorbital edema E.Increased urine output F.A low blood urea nitrogen (BUN) level

A.Headache C.Red-brown urine D. Periorbital edema

A child with a diagnosis of a hernia has been scheduled for a surgical repair in 2 weeks. The nurse reinforces instructions to the parents about the signs of possible incarcerated hernia. The nurse tells the parents that which manifestation requires primary health care provider (PHCP) notification by the parents? A.Pain B.Diarrhea C.Constipation D.Increased flatus

A.Pain

The nurse is assisting in developing a plan of care for a 10-year-old child diagnosed with acute glomerulonephritis. Following review of the plan of care, the nurse determines that which intervention is the priority for the child? A.Promoting bed rest B.Restricting oral fluids C.Encouraging visits from friends D.Allowing the child to play with the other children in the playroom

A.Promoting bed rest

The nurse is assigned to care for a child with hypertrophic pyloric stenosis scheduled for a pyloromyotomy. In which position should the nurse place the child during the preoperative period? A.Prone with the head of the bed elevated B.Supine with the head of the bed at a 30-degree angle C.Supine with the head of the bed at a 45-degree angle D.Prone with the head of the bed lowered to promote drainage

A.Prone with the head of the bed elevated

The nurse is reviewing the record of a child admitted to the hospital with nephrotic syndrome. Which finding should the nurse expect to note documented in the record? A.Proteinuria B.Weight loss C.Increased appetite D.Hyperalbuminemia

A.Proteinuria

The nurse is planning care for a child with hemolytic-uremic syndrome (HUS). The child has been anuric and will be receiving peritoneal dialysis treatment. The nurse should plan to include which interventions in the care of the child? Select all that apply. A.Provide adequate nutrition. B.Restrict fluids, as prescribed. C.Institute measures to prevent infection. D.Monitor the arteriovenous (AV) fistula. E.Administer blood products to treat severe anemia. F.Anticipate the child will have central nervous system involvement.

A.Provide adequate nutrition. B.Restrict fluids, as prescribed. C.Institute measures to prevent infection. E.Administer blood products to treat severe anemia. F.Anticipate the child will have central nervous system involvement.

Which interventions should the nurse include when preparing a plan of care for a child with hepatitis? Select all that apply. A.Providing a low-fat, well-balanced diet B.Teaching the child effective hand-washing techniques C.Notifying the primary health care provider if jaundice is present D.Scheduling play time in the playroom with other children E.Instructing the parents about the risks associated with taking medications F.Arranging for indefinite home schooling because the child will not be able to return to school

A.Providing a low-fat, well-balanced diet B.Teaching the child effective hand-washing techniques E.Instructing the parents about the risks associated with taking medications

A nurse is evaluating the developmental level of a 2-year-old. Which of the following does the nurse expect to observe in this child? A) Uses a fork to eat B) Uses a cup to drink C) Uses a knife for cutting food D) Pours own milk into a cup

B) Uses a cup to drink

A group of children are observed playing house. Each child is assigned a specific role as mommy, daddy, or child. At what age does this type of play typically begin? A. Between 1 and 2 years old B. Between 3 and 5 years old C. Between 7 and 10 years old D. Between 10 and 13 years old

B. Between 3 and 5 years old

The nurse is reviewing the record of a child scheduled for a primary health care provider's visit. Before data collection, the nurse notes documentation that the child has enuresis. Based on this diagnosis, the nurse plans to focus on which factor when collecting data? A. Bowel function B. Bladder function C. Motor development D. Nutritional status and weight gain

B. Bladder function

What feature identifies Madison's fracture as an open compound fracture? A. Depressed area over the fracture site. B. Bone fragments protruding through the skin. C. A partially bent appearance on x-ray. D. Multiple bone fragments visible on x-ray

B. Bone fragments protruding through the skin.

A nurse is caring for a child who is in skeletal traction. Which of the following actions should the nurse take? ( Select all that Apply) A. Remove the weights to reposition the client B. Check the child's position frequently C. Monitor Pin sites every 4 hrs D. Ensure the weights are hanging freely E. Ensure the rope's knot is in the contact with the pulley

B. Check the child's position frequently C. Monitor Pin sites every 4 hrs D. Ensure the weights are hanging freely

What type of isolation precaution is recommended for infants infected with respiratory syncytial virus (RSV)? A.Airborne B. Contact C. Standard D. Depends on if the child has a cough

B. Contact

During the first week of life, the newborn's weight: A. Increases about 5% to 10% B. Decreases about 5% to 10% C. stabilizes D. Fluctuates widely

B. Decreases about 5% to 10%

Which characteristics are displayed when a child experiences separation anxiety? (Select all that apply.) A.Frustration B. Protest C. Despair D. Attachment E. Detachment F. Forgiveness

B. Protest C. Despair E. Detachment

The nurse is reviewing the laboratory results for a child scheduled for tonsillectomy. The nurse determines that which laboratory value is most significant to review? A. Creatinine level B. Prothrombin time C. Sedimentation rate D. Blood urea nitrogen level

B. Prothrombin time

The priority Nursing intervention when administering Dilantin (phenytoin) to a patient diagnosed with epilepsy is: A. Recording blood pressure B. Providing detailed oral hygiene C. encouraging bed rest D. administering the drug with milk

B. Providing detailed oral hygiene

What will the nurse include when performing cranial or neurological assessments? (Select all that apply.) A. Lung sounds B. Pupil assessment C. Vital signs D. Motor activity E. Level of consciousness

B. Pupil assessment C. Vital signs D. Motor activity E. Level of consciousness

A nurse is caring for a preschooler. Which of the following is an expected behavior of a preschool-age child? A. Describing manifestations of illness B. Relating fears to magical thinking C. Understanding cause of illness D. Awareness of body functioning

B. Relating fears to magical thinking

What are the best foods for the nurse to recommend for a 2-year-old child diagnosed with mild constipation? A. Wheat crackers and apples B. Shredded wheat and cooked prunes C. Bananas and bran muffins D. Rice and black beans

B. Shredded wheat and cooked prunes

The nurse is preparing to care for a child after a tonsillectomy. The nurse documents on the plan of care to place the child in which position? A. Supine B. Side-lying C. High Fowler's D. Trendelenburg's

B. Side-lying

After a tonsillectomy, the nurse reviews the health care provider's (HCP's) postoperative prescriptions. Which prescription should the nurse question? A. Monitor for bleeding. B. Suction every 2 hours. C. Give no milk or milk products. D. Give clear, cool liquids when awake and alert.

B. Suction every 2 hours.

Why are chemotherapeutic agents such as methotrexate (Trexall) and cyclophosphamide (Cytoxan) sometimes used to treat juvenile idiopathic arthritis (JIA)? A. Are effective against cancer-like JIA. B. Suppress the immune system. C. Are similar to NSAIDs. D. Are absorbed into the synovial fluid.

B. Suppress the immune system.

A type of fracture in a young child that may be indicative of child abuse is: A. greenstick fracture of the tibia B. spiral fracture of the femur C. pathological fracture of the fibula D. aligned fracture of the wrist

B. spiral fracture of the femur

A 1-year-old child with hypospadias is scheduled for surgery to correct this condition. The nurse is asked to assist in preparing a plan of care for this child. During this developmental time period, which factor should the nurse take into account? A.Sibling rivalry will cause regression to occur. B.Fears of separation and mutilation are present. C.Embarrassment of voiding irregularities is common. D.Concern over size and function of the penis is present.

B.Fears of separation and mutilation are present.

A nurse is reinforcing teaching with a group of caregivers about possible manifestations of Down syndrome.Which of the following findings should the nurse include? ( Select all that apply) A. A large head with bulging fontanels B. Larger ears that are set back C. Protruding abdomen D. Broad, short feet and hands E. Hypotonia

C. Protruding abdomen D. Broad, short feet and hands E. Hypotonia

The nurse is discussing home safety with the mother of a 4-month-old infant. Which of the following is a priority topic? A. Placing locks on cabinet doors that contain cleaning supplies B. Covering electrical outlets C. Raising and securing crib side rails D. Encouraging reading and talking to the infant

C. Raising and securing crib side rails

A parent tells the nurse​ "When my older child had RSV years​ ago, the doctor prescribed a bronchodilator. Why has my child not been prescribed one this​ time?" When describing why bronchodilators are no longer routinely​ prescribed, which side effect of bronchodilators should the nurse​ describe? A. Muscle cramps B. Dehydration C. Tachycardia D. Increases blood pressure

C. Tachycardia

While caring for a 9-year-old female in Buck's traction, which of the following actions by the nurse is correct? A. The nurse encourages the child's 3 year-old sibling to sit on the bed and visit with the child. B. The nurse helps the child learn how to raise and lower the head of her bed so she can complete her homework. C. The nurse checks the capillary refill on the child's extremities every 4 hours. D. The nurse teaches the child's mother to place the weights on the bedside table before the child uses the bedpan.

C. The nurse checks the capillary refill on the child's extremities every 4 hours.

The nurse is working with a mother and discussing the process of keeping the airway clear for a child diagnosed with respiratory syncytial virus​ (RSV). Which should the nurse teach the parent to do at​ home? A. Use a catheter to suction the airway B. Perform chest percussion C. Use a bulb syringe to suction the nose D. Auscultate lung sounds

C. Use a bulb syringe to suction the nose

To meet the needs ( as described by Erickson) of school-age child diagnosed with diabetes, the nurse should: A. explain carefully to the mother the need to adhere rigidly to dietary modifications B. allow the child to eat whatever he or she wants C. allow the child to perform his own blood glucose checks and administer his own insulin. D. perform blood glucose checks four times a day and at bedtime,

C. allow the child to perform his own blood glucose checks and administer his own insulin

The nurse is collecting data on a child recently diagnosed with glomerulonephritis. Which question to the mother should elicit information about the cause of this disease? A."Has your child had any diarrhea?" B"Have you noticed any rashes on your child?" C."Did your child recently complain of a sore throat?" D"Did your child sustain any injuries to the kidney area?"

C."Did your child recently complain of a sore throat?"

A parent with a 6-year-old child diagnosed with enuresis discusses with the nurse the measures that are being taken to help her child. Which statement by the parent indicates a need for further teaching? A."I make sure that my child goes potty before going to bed." B."I have my child help with changing the wet sheets in the morning." C."I take away privileges such as TV time when the bed is wet in the morning." D."I make sure that my child does not have anything to drink 2 hours before bedtime."

C."I take away privileges such as TV time when the bed is wet in the morning."

A 16-year-old is admitted to the hospital for acute appendicitis, and an appendectomy is performed. Which of the following nursing interventions is most appropriate to facilitate normal growth and development? A) Allow the family to bring in the child's favorite computer games B) Encourage the parents to room-in with the child C) Encourage the child to rest and read D) Allow the child to participate in activities with other individuals in the same age group when the condition permits

D) Allow the child to participate in activities with other individuals in the same age group when the condition permits

A nurse is reinforcing teaching with a group of caregivers about separation anxiety. Which of the following information should the nurse include? A. It is often observed in the school- age child B. Detachment is the stage exhibited in the hospital C. It results in prolonged issues of adaptability D) Kicking a stranger is an example

D) Kicking a stranger is an example

Cystic fibrosis is diagnosed by: A) Echocardiogram B) Chest X-ray C) Complete blood panel D) Sweat test

D) Sweat test

The nurse is teaching the mother of a child with cystic fibrosis how to do postural drainage. The nurse should tell the mother to: A) Use the heel of her hand during percussion B) Change the child's position every 20 minutes C) Do percussion after the child eats and at bedtime D) Use cupped hands during percussion

D) Use cupped hands during percussion

A nurse reinforcing teaching with a guardian about parallel play in children. Which of the following statements should the nurse include? A. " Children sit and observe others playing" B. " Children exhibit organized play when in a group" C. " The child plays alone" D. " The child plays independently when in a group"

D. " The child plays independently when in a group"

The nurse is reinforcing dietary instructions to the mother of a child with celiac disease. Which statement by the mother indicates a need for further teaching? A."I can give my child rice." B."My child loves corn. I will be sure to include corn in the diet." C."I will be sure to give my child vitamin supplements every day." D."I am so pleased that I won't have to eliminate oatmeal from my child's diet."

D. "I am so pleased that I won't have to eliminate oatmeal from my child's diet."

The nurse is working with a group of new nurses and discussing the importance of maintaining fluid balance in an infant with respiratory syncytial virus​ (RSV). Which statement demonstrates an understanding of maintaining fluid balance in​ infants? A. "We should encourage the parents to monitor​ sleeping." B. "We should encourage the parents to add proteins into the​ diet." C. "We should encourage the parents to force​ fluids." D. "We should encourage the parents to count​ diapers."

D. "We should encourage the parents to count​ diapers."

A nurse is caring for a child who is in a plaster spica cast. Which of the following actions should the nurse take? A. Use a heat lamp to facilitate drying B. Avoid turning the child until the cast is dry C. Assist the client with crutch walking after the cast is dry D. Apply moleskin to the edges of the cast

D. Apply moleskin to the edges of the cast

What terminology applies when there is an intentional omission of verbal or behavioral actions that are necessary for development of a healthy self-esteem, including social or emotional isolation of a child? A. Physical neglect B. Emotional abuse C. Physical abuse D. Emotional neglect

D. Emotional neglect

A nursing student is preparing to conduct a clinical conference, and the topic is hepatitis in children. The nursing instructor advises the student to further research the topic if the student plans to include which information in the discussion? A.The child's stools will be pale and clay-colored. B.Cases of hepatitis should be promptly reported to health care officials. C.Vaccines are available to prevent hepatitis A (HAV) and hepatitis B (HBV). D.Enteric precautions are necessary for hepatitis B (HBV) but not for hepatitis A (HAV).

D. Enteric precautions are necessary for hepatitis B (HBV) but not for hepatitis A (HAV).

A nurse is assisting with performing a peripheral vision test on a child. Which of the following actions should the nurse take? A. Place the child 10 feet away from the Snellen chart B. Show a set of cards to the child one at a time C. Cover the child's eye while performing the test on the other eye D. Have the child focus on an object while performing the test

D. Have the child focus on an object while performing the test

The parents of a newborn have been told that their child was born with bladder exstrophy and the parents ask the nurse about this condition. Which response should the nurse give to the parents about bladder exstrophy? A."It is a hereditary disorder that occurs in every other generation." B."It is caused by the use of medications taken by the mother during pregnancy." C."It is a condition in which the urinary bladder is abnormally located in the pelvic cavity." D."It is an extrusion of the urinary bladder to the outside of the body through a defect in the lower abdominal wall."

D."It is an extrusion of the urinary bladder to the outside of the body through a defect in the lower abdominal wall."

A nursing instructor is observing a nursing student caring for an infant with a diagnosis of bladder exstrophy. The nursing student provides appropriate care to the infant by performing which action? A.Covering the bladder with a dry sterile dressing B.Covering the bladder with a wet-to-dry dressing C.Applying sterile water soaks to the bladder mucosa D.Covering the bladder with a non-adhering plastic wrap

D.Covering the bladder with a non-adhering plastic wrap

The nurse is assisting with preparing a plan of care for a 4-year-old child hospitalized with nephrotic syndrome. Which intervention is most appropriate for this child? A.Provide a high-salt diet. B.Provide a high-protein diet. C.Discourage visitors at mealtimes. D.Encourage the child to eat in the playroom.

D.Encourage the child to eat in the playroom.

3-year-old child is seen in the health care clinic, and a diagnosis of encopresis is made. The nurse reviews the record, expecting to note which sign as evidence of this disorder? A.Diarrhea B.Malaise anorexia C.Nausea and vomiting D.Evidence of soiled clothing

D.Evidence of soiled clothing

A child is diagnosed with intussusception. The nurse collects data on the child, knowing that which is a characteristic of this disorder? A.The presence of fecal incontinence B.Incomplete development of the anus C.The infrequent and difficult passage of dry stools D.Invagination of a section of the intestine into the distal bowel

D.Invagination of a section of the intestine into the distal bowel

The father of a preschool-age child with a tentative diagnosis of juvenile idiopathic arthritis (JIA) asks about a test to definitively diagnose JIA. The nurse's response is based on knowledge of which of the following? A.The latex fixation test is diagnostic. B.An increased erythrocyte sedimentation rate is diagnostic. C.A positive synovial fluid culture is diagnostic. D.No specific laboratory test is diagnostic.

D.No specific laboratory test is diagnostic.

The nurse has reinforced dietary instructions to the mother of a child with celiac disease. The nurse determines that the mother understands the dietary instructions if she indicates eliminating which products? Select all that apply. A.Rice B.Corn C.Millet D. Oatmeal E.Rye crackers F.Wheat bread

D.Oatmeal E.Rye crackers F.Wheat bread

The nurse is assisting a primary health care provider with an assessment of a child with a diagnosis of suspected appendicitis. In assessing the intensity and progression of the pain, the primary health care provider palpates the child at McBurney's point. What response does the nurse expect the child to have during the examination? A.Pain in the upper right side B.Pain when extending the leg C.Pain when the right thigh is drawn up D.Pain in the lower right side between the umbilicus and the iliac crest

D.Pain in the lower right side between the umbilicus and the iliac crest

The nurse is assigned to care for a 2-year-old child who has been admitted to the hospital for surgical correction of cryptorchidism. What is the highest priority in the postoperative plan of care for this child? A.Force oral fluids. B.Encourage coughing. C.Test the urine for glucose. D.Prevent tension on the suture.

D.Prevent tension on the suture.

A child is seen in the clinic, and the primary health care provider documents a diagnosis of primary nocturnal enuresis. The mother asks the nurse about the diagnosis. Which should the nurse relay to the mother about primary nocturnal enuresis? A.Primary nocturnal enuresis does not respond to treatment. B.Primary nocturnal enuresis is caused by a psychiatric problem. C.Primary nocturnal enuresis requires surgical intervention to improve the problem. D.Primary nocturnal enuresis is common, and most children will outgrow bed-wetting without therapeutic intervention

D.Primary nocturnal enuresis is common, and most children will outgrow bed-wetting without therapeutic intervention

The nurse reviews the record of a 1-year-old child seen in the clinic and notes that the primary health care provider has documented a diagnosis of celiac crisis. Which symptom should the nurse expect to note in this condition? A.Anorexia B.Joint pain C.Constipation D.Profuse, watery diarrhea

D.Profuse, watery diarrhea

When a client is diagnosed with aplastic anemia, the nurse monitors for changes in which of the following physiological functions? a. Bleeding tendencies b. Intake and output c. Peripheral sensation d. Bowel function

a. Bleeding tendencies

How would the nurse caring for an infant with congestive heart failure (CHF) modify feeding techniques to adapt for the child's weakness and fatigue? Select all that apply. a. Feeding more frequently with smaller feedings b. Using a soft nipple with enlarged holes c. Holding and cuddling the child during feeding d. Substituting glucose water for formula e. Offering high-caloric formula

a. Feeding more frequently with smaller feedings b. Using a soft nipple with enlarged holes c. Holding and cuddling the child during feeding e. Offering high-caloric formula

The nurse uses a diagram to illustrate what four structural heart anomalies that comprise tetralogy of Fallot? Select the four that apply. a. Hypertrophied right ventricle b. Patent ductus arteriosus c. Ventral septal defect d. Narrowing of pulmonary artery e. Dextroposition of aorta

a. Hypertrophied right ventricle b. Patent ductus arteriosus d. Narrowing of pulmonary artery e. Dextroposition of aorta

The nurse cautions that children who have unmet hunger needs will likely display which characteristic(s)? Select all that apply. a. Irritability b. Ineffective feeding patterns c. No predictable sleep-wake cycle d. Distrust e. Effective parent bonding

a. Irritability b. Ineffective feeding patterns c. No predictable sleep-wake cycle d. Distrust

What should the teaching plan include about infant fall precautions? Select all that apply. a. Remove all unsteady furniture. b. Keep crib rails up and in locked position. c. Steady infant with hand when on changing table. d. Use tray attachment on high chair as restraint. e. Keep infant seat on the floor.

a. Remove all unsteady furniture. b. Keep crib rails up and in locked position. c. Steady infant with hand when on changing table e. Keep infant seat on the floor.

In terms of gross motor development, what would the nurse expect a 5-month-old infant to do? Choose all that apply. a. Roll from abdomen to back b. Put feet in mouth when supine c. Roll from back to abdomen d. Sit erect without support e. Move from prone to sitting position f. Adjust posture to reach an object

a. Roll from abdomen to back b. Put feet in mouth when supine

In terms of gross motor development, what would the nurse expect a 5-month-old infant to do? a. Roll from abdomen to back. b. Roll from back to abdomen. c. Sit erect without support. d. Move from prone to sitting position

a. Roll from abdomen to back.

A parent of an 18-month-old boy tells the nurse that he says "no" to everything and has rapid mood swings. If he is scolded, he shows anger and then immediately wants to be held. The nurse's best interpretation of this behavior is that: a. This is normal behavior for his age. b. This is unusual behavior for his age. c. He is not effectively coping with stress. d. He is showing he needs more attention

a. This is normal behavior for his age.

In terms of fine motor development, the infant of 7 months should be able to: a. Transfer objects from one hand to the other. b. Use thumb and index finger in crude pincer grasp. c. Hold crayon and make a mark on paper. d. Release cubes into a cup.

a. Transfer objects from one hand to the other.

In terms of cognitive development the 5-year-old child would be expected to: a. Use magical thinking. b. Think abstractly. c. Understand conservation of matter. d. Be unable to comprehend another person's perspective.

a. Use magical thinking.

The assessment that would lead the nurse to suspect that a newborn infant has a ventricular septal defect is: a. a loud, harsh murmur with a systolic tremor. b. cyanosis when crying. c. blood pressure higher in the arms than in the legs. d. a machinery-like murmur.

a. a loud, harsh murmur with a systolic tremor.

The nurse explains that a ventricular septal defect will allow: a. blood to shunt left to right, causing increased pulmonary flow and no cyanosis. b. blood to shunt right to left, causing decreased pulmonary flow and cyanosis. c. no shunting because of high pressure in the left ventricle. d. increased pressure in the left atrium, impeding circulation of oxygenated blood in the circulating volume.

a. blood to shunt left to right, causing increased pulmonary flow and no cyanosis.

The nurse explained how to position an infant with tetralogy of Fallot if the infant suddenly becomes cyanotic. The nurse can determine the father understood the instructions when he states "If the baby turns blue, I will: a. hold him against my shoulder with his knees bent up toward his chest." b. lay him down on a firm surface with his head lower than the rest of his body." c. immediately put the baby upright in an infant seat." d. put the baby in supine position with his head elevated."

a. hold him against my shoulder with his knees bent up toward his chest."

When a father asks why his child with tetralogy of Fallot seems to favor a squatting position, the nurse would explain that squatting: a. increases the return of venous blood back to the heart. b. decreases arterial blood flow away from the heart. c. is a common resting position when a child is tachycardic. d. increases the workload of the heart.

a. increases the return of venous blood back to the heart.

The nurse is caring for a child with a diagnosis of Kawasaki disease. The child's parent asks the nurse, "How does Kawasaki disease affect my child's heart and blood vessels?" The nurse's response is based on the understanding that: a. inflammation weakens blood vessels, leading to aneurysm. b. increased lipid levels lead to the development of atherosclerosis. c. untreated disease causes mitral valve stenosis. d. altered blood flow increases cardiac workload with resulting heart failure.

a. inflammation weakens blood vessels, leading to aneurysm.

The nurse is especially concerned to assess for adequate respiratory function in which of the following disease processes? Select all that apply: a) Spina bifida occulta b) Duchene muscular dystrophy c) Spinal Muscular Atrophy d) Brachial plexus injury e) Cerebral Palsy

b) Duchene muscular dystrophy c) Spinal Muscular Atrophy e) Cerebral Palsy

The nurse discusses child-proofing the home for safety with the mother of a 9-month-old. The statement made by the mother that indicates an unsafe behavior is: a. "I put covers on all of the electrical outlets." b. "In the car, she rides in a front-facing car seat." c. "There are locks on all of the cabinets in the house." d. "I have a gate at the top and bottom of the stairs."

b. "In the car, she rides in a front-facing car seat."

The nurse knows that an infant's birth weight should be tripled by: a. 9 months. b. 1 year. c. 18 months. d. 2 years.

b. 1 year.

A parent brings a 6-month-old infant to the pediatric clinic for her well-baby examination. Her birth weight was 8 pounds, 2 ounces. The nurse weighing the infant today would expect her weight to be at least _____ pounds. a. 12 b. 16 c. 20 d. 24

b. 16

Which statement accurately describes physical development during the school-age years? a. The child's weight almost triples. b. A child grows an average of 2 inches per year. c. Few physical differences are apparent among children at the end of middle childhood. d. Fat gradually increases, which contributes to the child's heavier appearance.

b. A child grows an average of 2 inches per year.

A client is beginning a regimen of ferrous sulfate or iron. As you prepare to administer the medication, it is important for you to advise the client that a. Her urine will turn a dark orange b. Her bowel movements will be dark and tarry c. Her appetite will be diminished d. Her vision will become slightly blurred

b. Her bowel movements will be dark and tarry

The nurse is caring for a pediatric client with a fractured fibula. Which assessment prompts immediate action by the nurse? a. Reported pain of 4 on a scale of 0 to 10 b. Numbness and tingling in the extremity c. Swollen extremity where the injury occurred d. Reports of being cold in bed

b. Numbness and tingling in the extremity Rationale: Patient is exhibiting early signs of compartment syndrome.

A child develops carditis from rheumatic fever. The nurse knows that the areas of the heart affected by carditis are the: a. coronary arteries. b. heart muscle and the mitral valve. c. aortic and pulmonic valves. d. contractility of the ventricle

b. heart muscle and the mitral valve.

Tommy is a young child who is started walking early in life and usually is very active and happy. His mother tells you of a slow change that has happened to her son, and that he is less active than he has been. He now seems tired a lot and has difficulty doing things he used to do, such as running and playing. Which of the following would the nurse want to assess first? a) Check the child's back for dimpling or a tuft of hair at the base of the spine b) Assess the child's pain level and level of consciousness c) The child's ability to stand up and walk d) The presence of infantile reflexes

c) The child's ability to stand up and walk rationale: This child is presenting signs that most line up with a form of progressive muscular dystrophy

Which of the following definitions best describe the etiology of sudden infant death syndrome (SIDS)? a) Cardiac arrhythmias b) Apnea of prematurity c) Unexplained death of an infant d) Apparent life-threatening event

c) Unexplained death of an infant

Generally the earliest age at which puberty begins is: a. 13 years in girls, 13 years in boys b. 11 years in girls, 11 years in boys c. 10 years in girls; 12 years in boys d. 12 years in girls, 10 years in boys

c. 10 years in girls; 12 years in boys

The nurse clarifies to the parents of a 4-year-old child recovering from rheumatic fever that the child will need to receive monthly injections of penicillin G for a minimum of _____ year(s). a. 1 b. 2 c. 5 d. 10

c. 5

Most infants begin to fear strangers at age: a. 2 months b. 4 months c. 6 months d. 12 months

c. 6 months

The nurse is aware that the earliest age at which an infant is able to sit steadily alone is _____ months. a. 4 b. 5 c. 8 d. 15

c. 8

Which type of play is most typical of the preschool period? a. Solitary b. Parallel c. Associative d. Team

c. Associative

The nurse is caring for a client who develops compartment syndrome from a severely fractured arm. The client asks the nurse how this can happen. The nurse's response is based on the understanding that: a. A bone fragment has injured the nerve supply in the area b. An injured artery causes impaired arterial perfusion through the compartment c. Bleeding and swelling cause increased pressure in an area that cannot expand d. The fascia expands with injury, causing pressure on underlying nerves and muscles

c. Bleeding and swelling cause increased pressure in an area that cannot expand

The clinic nurse instructs the mother of a child with sickle cell disease about the precipitating factors related to pain crisis. Which of the following, if identified by the mother as a precipitating factor, indicates the need for further instructions? a. Infection b. Trauma c. Fluid overload d. Stress

c. Fluid overload Rationale: Pain crisis may be precipitated by infection, dehydration, hypoxia, trauma, or physical or emotional stress.

A child suspected of having sickle cell disease is seen in a clinic, and laboratory studies are performed. A nurse checks the lab results, knowing that which of the following would be increased in this disease? a. Platelet count b. Hematocrit level c. Reticulocyte count d. Hemoglobin level

c. Reticulocyte count

Although a 14-month-old girl received a shock from an electrical outlet recently, her parents find her about to place a paper clip in another outlet. The best interpretation of this behavior is: a. Her cognitive development is delayed. b. This is typical behavior because toddlers are not very developed. c. This is typical behavior because of inability to transfer knowledge to new situations. d. This is not typical behavior because toddlers should know better than to repeat an act that caused pain.

c. This is typical behavior because of inability to transfer knowledge to new situations

A patient who is having a sickle cell crisis asks the nurse why the sickling causes such pain. The nurse explains that the pain of sickling is caused by a. Spasms of the blood cells as they change shape b. Deposition of sickled red cells in the bone marrow c. Tissue hypoxia caused by small blood vessel occlusion d. Infectious processes in organs affected by the sickling

c. Tissue hypoxia caused by small blood vessel occlusion

When assessing development in a 9-month-old infant, the nurse would expect to observe the infant: a. speaking in 2-word sentences. b. grasping objects with palmar grasp. c. creeping along the floor. d. beginning to use a spoon rather sloppily

c. creeping along the floor.

The abnormal finding in an evaluation of growth and development for a 6-month-old infant would be: a. weight gain of 4 to 7 ounces per week. b. length increase of 1 inch in 2 months. c. head lag present. d. can sit alone for a few seconds.

c. head lag present.

The statement made by a parent that indicates correct understanding of infant feeding is: a. "I've been mixing rice cereal and formula in the baby's bottle." b. "I switched the baby to low-fat milk at 9 months." c. "The baby really likes little pieces of chocolate." d. "I give the baby any new foods before he takes his bottle."

d. "I give the baby any new foods before he takes his bottle."

A preschool-age child undergoing chemotherapy experiences nausea and vomiting. Which of the following would be the best intervention to include in the child's plan of care? a. Administer tube feedings. b. Offer small, frequent meals. c. Offer fluids only between meals. d. Allow the child to choose what to eat for meals.

d. Allow the child to choose what to eat for meals.

What would the nurse expect of a healthy 3-year-old child? a. Jump rope b. Ride a two-wheel bicycle c. Skip on alternate feet d. Balance on one foot for a few seconds

d. Balance on one foot for a few seconds

What describes a toddler's cognitive development at age 20 months? a. Searches for an object only if he or she sees it being hidden b. Realizes that "out of sight" is not out of reach c. Puts objects into a container but cannot take them out d. Understands the passage of time such as "just a minute" and "in an hour"

d. Understands the passage of time such as "just a minute" and "in an hour"

Which characteristic best describes the gross motor skills of a 24-month-old child? a. Skips b. Rides tricycle c. Broad jumps d. Walks up and down stairs

d. Walks up and down stairs

The nurse would advise a parent when introducing solid foods to: a. begin with one tablespoon of food. b. mix foods together. c. eliminate a refused food from the diet. d. introduce each new food 4 to 7 days apart.

d. introduce each new food 4 to 7 days apart.

When discussing appropriate food choices with a patient who has iron-deficiency anemia and follows a low-cholesterol diet, the nurse will encourage the patient to increase the dietary intake of a. eggs and muscle meats. b. nuts and cornmeal. c. milk and milk products. d. legumes and dried fruits

d. legumes and dried fruits

A mother asks the nurse if her child's iron deficiency anemia is related to the child's frequent infections. The nurse responds based on the understanding of which of the following? a. Little is known about iron-deficiency anemia and its relationship to infection in children. b.Children with iron deficiency anemia are more susceptible to infection than are other children. c.Children with iron-deficiency anemia are less susceptible to infection than are other children. d.Children with iron-deficient anemia are equally as susceptible to infection as are other children.

d.Children with iron-deficient anemia are equally as susceptible to infection as are other children.

The nurse obtains a health history from a mother of a 15-month-old child before administering a measles, mumps, and rubella (MMR) vaccine. Which is essential information to obtain before the administration of this vaccine? A.A recent cold B.Allergy to eggs C.The presence of diarrhea D.Any recent ear infections

B.Allergy to eggs

The nurse assigned to care for a child with mumps is monitoring the child for the signs and symptoms associated with the common complication of mumps. The nurse monitors for which sign/symptom that is indicative of this common complication? A.Pain B.Deafness C.Nuchal rigidity D.A red, swollen testicle

C.Nuchal rigidity

An infant is suspected to be human immunodeficiency virus (HIV) positive, and the nurse provides information to the parents about the care of their infant. Which indicates to the nurse that the parents need further teaching about the care of their HIV-positive infant? A.The parents ask about a prescription for an antiretroviral medication. B.The parents are able to verbalize signs and symptoms of failure to thrive. C.The parents plan to use rice cereal to help with watery stools when they occur. D.The parents state they will not allow anyone with a cold to hold and kiss the baby.

C.The parents plan to use rice cereal to help with watery stools when they occur.

The nurse caring for a child who sustained a burn injury plans care based on which pediatric considerations associated with this injury? Select all that apply. A. Scarring is less severe in a child than in an adult. B. A delay in growth may occur after a burn injury. C. An immature immune system presents an increased risk of infection for infants and young children. D. The lower proportion of body fluid to mass in a child increases the risk of cardiovascular problems. E. Fluid resuscitation is unnecessary unless the burned area is more than 25% of the total body surface area. F. Infants and young children are at increased risk for protein and calorie deficiency because they have smaller muscle mass and less body fat than adults.

B. A delay in growth may occur after a burn injury C. An immature immune system presents an increased risk of infection for infants and young children. F. Infants and young children are at increased risk for protein and calorie deficiency because they have smaller muscle mass and less body fat than adults.

A student with type I diabetes mellitus complains of feeling lightheaded. Her blood sugar is 60 mg/dL. Using the 15/15 rule, the nurse should: A. give 15 mL of juice, and repeat does in 15 minutes B. give 15 grams of carbohydrates and retest blood sugar in 15 minutes C. Give 15 grams of carbohydrates and 15 g of protein D. Give 15 ounces of juice and retest blood sugar in 15 minutes

B. give 15 grams of carbohydrates and retest blood sugar in 15 minutes

The nurse reinforces home-care instructions to the parents of a child with hepatitis regarding the care of the child and the prevention of the transmission of the virus. Which statement by a parent indicates a need for further teaching? A."Frequent hand washing is important." B."I need to provide a well-balanced, high-fat diet to my child." C."I need to clean contaminated household surfaces with bleach." D."Diapers should not be changed near any surfaces that are used to prepare food."

B."I need to provide a well-balanced, high-fat diet to my child."

A mother brings her child to the health care clinic because the child has developed lesions located around the mouth and nose, and mild impetigo is diagnosed. The nurse reinforces instructions to the mother regarding care of the child. Which statement by the mother indicates the need for further teaching? A."The impetigo is extremely contagious." B."My child will need to be treated with oral antibiotics." C."The crusts on the lesions need to be soaked and carefully removed." D."The lesions should be washed gently three times a day with a warm, soapy washcloth."

B."My child will need to be treated with oral antibiotics."

The nurse reinforces instructions regarding the use of permethrin 1% to the parents of a child who has been diagnosed with pediculosis capitis. Which statements by the parents indicate they understand the instructions? Select all that apply. A."We will need to apply another application in 48 hours." B."The hair should not be shampooed for 24 hours after treatment." C."The medication can be obtained over the counter in a local pharmacy." D."The medication is applied to the hair after shampooing and left on for 24 hours." E."The medication is applied to the hair after shampooing, left on for 5 to 10 minutes, and then rinsed out."

B."The hair should not be shampooed for 24 hours after treatment." C."The medication can be obtained over the counter in a local pharmacy." E."The medication is applied to the hair after shampooing, left on for 5 to 10 minutes, and then rinsed out."

A 4-year-old child is hospitalized for severe gastroenteritis. The child is crying and clinging to the mother. The mother becomes very upset and is afraid to leave the child. Which nursing intervention would be most appropriate to alleviate the child's fears and the mother's anxiety? A.Reassure the mother that the child will be fine after she leaves. B.Ask the mother if she would like to stay overnight with the child. C.Give the mother the telephone number of the pediatric unit, and tell the mother to call at any time. D.Tell the mother to bring the child's favorite toys the next time she comes to the hospital to visi

B.Ask the mother if she would like to stay overnight with the child.

Which criterion should the nurse determine are characteristics of scabies? Select all that apply. A.It is caused by a fungal infection. B.It appears as burrows or fine, grayish-red lines. C.It is transmitted by close personal contact with an infected person. D.It is endemic among schoolchildren and institutionalized populations. E.Meticulous skin care and the application of antifungal cream are components of treatment. F.Household members and contacts of the infected child need to be treated at the same time that the child is being treated.

B.It appears as burrows or fine, grayish-red lines. C.It is transmitted by close personal contact with an infected person. D.It is endemic among schoolchildren and institutionalized populations. F.Household members and contacts of the infected child need to be treated at the same time that the child is being treated.

A mother of an infant diagnosed with Hirschsprung's disease asks the nurse about the disorder. The nurse plans to base the response on which information? A.It is a complete small intestinal obstruction. B.It is a congenital aganglionosis or megacolon. C.It is a severe inflammation of the gastrointestinal tract. D.It is a condition that causes the pyloric valve to remain open.

B.It is a congenital aganglionosis or megacolon.

The nurse is monitoring a child with burns during treatment for burn shock. The nurse understands that which assessment provides the most accurate guide to determine the adequacy of fluid resuscitation? A.Skin turgor B.Neurological assessment C.Level of edema at burn site D.Quality of peripheral pulses

B.Neurological assessment

A mother brings her child in the office for a follow-up appointment and voices concern that her child has started urinating more than normal and is constantly thirsty & hungry. As the nurse, you suspect?* A. Hypoglyemia B. Phenylkentonuria C. Diabetes Mellitus D. Tret's syndrome

C. Diabetes Mellitus

A 1-year-old child has been treated for 2 weeks for an electrical burn of the mouth sustained from biting into an electrical cord. The child's mother calls the nurse reporting concern because her child's burn continues to bleed at times throughout the day. What education should the nurse provide to the patient's mother? A. Take the child to the emergency department immediately. B. Medicate with acetaminophen every 4 hours. C. Electrical burns of the mouth may bleed for several weeks. D. Have the child rinse and spit with salt water.

C. Electrical burns of the mouth may bleed for several weeks.

The nurse is preparing to administer a measles, mumps, rubella (MMR) vaccine to a 15-month-old child. Before administering the vaccine, which question should the nurse ask the mother of the child? A."Has the child had any sore throats?" B."Has the child been eating properly?" C."Is the child allergic to any antibiotics?" D."Has the child been exposed to any infections?"

C."Is the child allergic to any antibiotics?"

Several children have contracted measles (rubeola) in a local school, and the nurse provides information to the mothers of the children about this communicable disease. Which statement by a mother indicates a need for further teaching? A."The disease is caused by a virus." B."We will watch for the complication of otitis media." C."The symptoms increase in severity after the rash appears." D."Small, irregular red spots with a minute, bluish white center are seen on buccal mucosa before the rash appears."

C."The symptoms increase in severity after the rash appears."

The nurse reinforces home care instructions to the parents of a child hospitalized with pertussis. The child is in the convalescent stage and is being prepared for discharge. Which statement by the parents indicates a need for further teaching? A."We need to encourage adequate fluid intake." B."Coughing spells may be triggered by dust or smoke." C."We need to maintain respiratory precautions and a quiet environment for at least 2 weeks." D."Good hand-washing techniques need to be instituted to prevent spreading the disease to others."

C."We need to maintain respiratory precautions and a quiet environment for at least 2 weeks."

The nurse is reinforcing instructions to the parents of a child with a hernia regarding measures that will promote reducing the hernia. The nurse determines that the parents understand these measures if they make which statement? A."We will encourage our child to cough every few hours on a daily basis." B."We will make sure that our child participates in physical activity every day." C."We will provide comfort measures to reduce any crying periods by our child." D."We will be sure to give our child a Fleet enema every day to prevent constipation."

C."We will provide comfort measures to reduce any crying periods by our child."

A 6-month-old infant receives a diphtheria, tetanus, and acellular pertussis (DTaP) immunization at the well-baby clinic. The parent returns home and calls the clinic to report that the infant has developed swelling and redness at the site of injection. Which instruction by the nurse is appropriate? A.Monitor the infant for a fever. B.Bring the infant back to the clinic. C.Apply an ice pack to the injection site. D.Leave the injection site alone, because this always occurs.

C.Apply an ice pack to the injection site.

A child is hospitalized with Rocky Mountain spotted fever (RMSF). The health record reveals documentation that the child was bitten by a tick 2 weeks ago. The child presents with complaints of headache, fever, and anorexia, and the nurse notes a rash on the palms of the hands and soles of the feet. The nurse reviews the primary health care provider's prescriptions and anticipates that which medication should be prescribed? A.Ganciclovir B.Amantadine C.Doxycycline D.Amphotericin B

C.Doxycycline

The nurse is reviewing the postoperative primary health care provider's (PHCP'S) prescriptions for a 3-week-old infant with Hirschsprung's disease admitted to the hospital for surgery. Which prescriptions documented in the child's record should the nurse question? Select all that apply. A.Measure abdominal girth daily. B.Monitor strict intake and output. C.Take temperature measurements rectally. D.Start clear liquid diet after 8 hours postoperative. E.Maintain IV fluids until the child tolerates oral intake. F.Monitor the surgical site for redness, swelling, and drainage

C.Take temperature measurements rectally. D.Start clear liquid diet after 8 hours postoperative.

A topical corticosteroid is prescribed by a health care provider for a child with atopic dermatitis (eczema). Which instruction should the nurse give the parent about applying the cream? A.Apply the cream over the entire body. B.Apply a thick layer of cream to affected areas only. C.Avoid cleansing the area before application of the cream. D.Apply a thin layer of cream and rub it into the area thoroughly.

D.Apply a thin layer of cream and rub it into the area thoroughly.

You are going over insulin administration education with a patient's mother. Which statement by her raises concern? A. "When she is sick I will hold her insulin." B."I always carry sugary items in case she has a hypoglemic attack." C. "I will bring her in every 3 months for a glycosylate hemoglobin blood drawn." D. "I ordered her a Medic-Alert bracelet yesterday."

A. "When she is sick I will hold her insulin."

A nurse is caring for a child who has cellulitis on the hand. Which of the following actions should the nurse take? A. Administer oral antibiotics B. Cleanse area using Burrow solution C. Prepare for cryotherapy D. Apply a topical anti fungal medication

A. Administer oral antibiotics

What statement by the mother of a 1-year-old with intertrigo suggests that she needs more education about treatment for this diagnosis? A. "I should let him run around without a diaper to help him get better." Incorrect B. "I should make sure his diaper is changed frequently." C. "I should wash my hands before and after changing his diaper." D. "I should keep him away from other kids until this is healed."

D. "I should keep him away from other kids until this is healed."

Which is a characteristic of tinea capitis? A. Lesions located between the toes B. An oval, scaly inflamed ring with a clear center C. A raised, scaly rash in the groin area D. Patches of alopecia

D. Patches of alopecia

The school nurse notes that the child has a rash and suspects that it is caused by erythema infectiosum (fifth disease). The nurse bases this determination on the observation that the rash results in which appearance? A.Rose-pink maculopapules B.Pruritic macule-to-papules C.Pinkish red maculopapules D.A "slapped-face" appearance

D.A "slapped-face" appearance

When instructing a new mom on providing skin care to her newborn, which of the following should NOT be included in the teaching? a) "Change diapers frequently." b) "Give the newborn sponge baths until the umbilical cord falls off." c) "Use talc powders to prevent diaper rash." d) "Daily tub baths are not necessary."

c) "Use talc powders to prevent diaper rash."

A child with rubeola (measles) is being admitted to the hospital. When preparing for the admission of the child, which precautions should be implemented? Select all that apply. A.Enteric B.Contact C.Airborne D.Protective E.Neutropenic

B.Contact C.Airborne

The mother of a 3-year-old child arrives at a clinic and tells the nurse that the child has been scratching the skin continuously and has developed a rash. The nurse assesses the child and suspects the presence of scabies. The nurse bases this suspicion on which finding noted on assessment of the child's skin? A.Fine grayish red lines B.Purple-colored lesions C.Thick, honey-colored crusts D.Clusters of fluid-filled vesicles

A.Fine grayish red lines

A patient with a history is diabetes is exhibiting sweating and slurred speech. What do you suspect is the cause? A. hyponaterima B. hypernaterima C.hyperglycemia D. hypoglycemia

D. hypoglycemia

The nurse provides instructions to the mother of a child with impetigo regarding the application of antibiotic ointment. The mother asks the nurse when the child can return to school. Which response by the nurse is appropriate? A.Ten days after using the antibiotic ointment B.One week after using the antibiotic ointment C.As soon as the antibiotic ointment is started D.Forty-eight hours after using the antibiotic ointment

D.Forty-eight hours after using the antibiotic ointment

A child is diagnosed with infectious mononucleosis. The nurse reinforces homecare instructions to the parents about the care of the child. Which instruction should the nurse provide to the parents? A.Maintain the child on bed rest for 2 weeks. B.Maintain respiratory precautions for 1 week. C.Notify the pediatrician if the child develops a fever. D.Notify the pediatrician if the child develops abdominal or left shoulder pain.

D.Notify the pediatrician if the child develops abdominal or left shoulder pain.

A two-year-old has been admitted with a diagnosis of Kawasaki disease. Which of the following would be a priority on the plan of care for this child? A. vital signs every 6 hours B. Hourly intake and output records C. Skin care D. Passive range-of-motion exercises

B. Hourly intake and output records

The mother of a toddler with mumps asks the nurse what she needs to watch for in her child with this disease. The nurse bases the response on the understanding that mumps is which type of communicable disease? A.Skin rash caused by a virus B.Skin rash caused by a bacteria C.Respiratory disease caused by virus involving the lymph nodes D.Respiratory disease caused by a virus involving the parotid gland

D.Respiratory disease caused by a virus involving the parotid gland

The nurse provides feeding instructions to a mother of an infant diagnosed with gastroesophageal reflux (GER). To assist in reducing the episodes of emesis, which instruction should the nurse provide the mother A.Provide less frequent, larger feedings. B.Burp less frequently during feedings. C.Thin the feedings by adding water to the formula. D.Thicken the feedings by adding rice cereal to the formula.

D.Thicken the feedings by adding rice cereal to the formula

A mother of a child with a diagnosis of intussusception calls the nurse into the hospital room because the child is screaming in pain. Which manifestations of perforation should the nurse report immediately? Select all that apply. A.Fever B.Ribbon-like stools C.Increased heart rate D.Hypoactive bowel sounds E.Profuse projectile vomiting F.Change in the level of consciousness

A.Fever C.Increased heart rate F.Change in the level of consciousness

The nurse of a well-baby clinic prepares to administer an immunization to a child. The mother of the child tells the nurse that the child has had a fever and is taking antibiotics. The nurse takes the child's temperature and notes that it is 101.5° F rectally. The nurse plans to take which action? A.Delay the immunization. B.Administer the immunization. C.Administer one of the three scheduled immunizations. D.Administer one half of the prescribed dose of each scheduled immunization.

A.Delay the immunization.

An infant returns to the nursing unit following surgery for an esophageal atresia with tracheoesophageal fistula (TEF). The infant is receiving intravenous (IV) fluids, and a gastrostomy tube is in place. The nurse assisting in caring for the infant should ensure that which action is done to the gastrostomy tube? A.Elevated B.Placed to gravity C.Attached to low suction D.Taped to the bed linens

A.Elevated

A preschool child who was admitted to the hospital for a minor surgery develops a rash on the second day after hospitalization and is diagnosed with chicken pox (varicella). The nurse should take which action to provide safety for all children on the unit? A.Place only the infected child in isolation. B.Keep siblings from visiting the infected child. C.Place the child and any other children who were exposed in isolation. D.Place the infected child and any immunocompromised children in isolation.

D.Place the infected child and any immunocompromised children in isolation.

A 2-year-old child is diagnosed with constipation due to encopresis. Which description is a characteristic of this disorder? A.Anorexia in the evening B.Incomplete development of the anus C.The infrequent and difficult passage of dry stools D.Invagination of a section of the intestine into the distal bowel

C.The infrequent and difficult passage of dry stools

The nurse reinforces home care instructions to the parents of an infant following surgical intervention for imperforate anus and tells the parents about the procedure for anal dilation. Which statement by the parents indicates the need for further teaching? A."I need to use a water-soluble lubricant." B."I will insert a glycerin suppository before the dilation." C."I will insert the dilator no more than 1 to 2 cm into the anus." D."I need to use only dilators supplied by the primary health care provider."

B."I will insert a glycerin suppository before the dilation."

The nurse is reviewing the record of a child with a diagnosis of pyloric stenosis. Which data should the nurse expect to note as having been documented in the child's record? A.Watery diarrhea B.Projectile vomiting C.Increased urine output D.Vomiting large amounts of bile

B.Projectile vomiting

The nurse is monitoring for signs of dehydration in a 1-year-old child who has been hospitalized for diarrhea and prepares to take the child's temperature. Which method of temperature measurement should be avoided? A.Rectal B.Axillary C.Electronic D.Tympanic

A.Rectal

A nurse is assessing an infant who has eczema. Which of the following findings should the nurse expect? (Select all that apply) A. Generalized distribution of lesions B. Papules C. Ecchymosis in flexural areas D. Crusting lesions E. Keratosis pillars

A. Generalized distribution of lesions B. Papules E. Keratosis pillars

When planning care for a child with contact dermatitis, which concern is the highest priority for the child? A.Pain B.Infection C.Skin breaks D.Parental knowledge about care

A.Pain

As the nurse, taking care of the patient who has been hospitalized for 3 days with dehydration, what abnormal finding would you report to the MD? A. Weight change of 100 lbs to 92 lbs and urinary output of less than 1 ml/kg/hr B. 1-3 second skin turgor C. Weight change of 90 lbs to 93 lbs and dry mucous membranes D. Options A & C

A. Weight change of 100 lbs to 92 lbs and urinary output of less than 1 ml/kg/hr

A nurse is teaching the parent of an infant who has seborrheic dermatitis of the scalp. Which of the following instructions should the nurse include in the teaching? A. You can use petrolatum to help soften and remove patches from your infants scalp. B. When patches are present, you should keep your infant away from others. C. You should avoid washing your infant's hair while patches are present on the scalp. D. When patches are present, it indicates that your infant has a systemic infection

A. You can use petrolatum to help soften and remove patches from your infants scalp.

The nurse knows that diabetic teaching has been effective when parents of a newly diagnosed child state they will, during an illness, provide the child with: A. more insulin B. more calories C. less insulin D. less protein

A. more insulin

A nurse is caring for a child who has contact dermatitis due to poison ivy. Which of the following actions should the nurse take? (Select all that apply) A. Remove the clothing over the rash. B. Initiate contact isolation precautions while the rash is present. C. Expose the rash to a heat lamp for 15 minutes. D. Cleanse the affected skin with hydrogen peroxide solution. E. Apply calamine lotion to the skin

A. Remove the clothing over the rash. E. Apply calamine lotion to the skin

A child is brought to a clinic after developing a rash on the trunk and on the scalp. The parents report that the child has had a low-grade fever, has not felt like eating, and has been generally tired. The child is diagnosed with chickenpox. Which statement by the nurse is accurate regarding chickenpox? A.The communicable period is unknown. B.The communicable period ranges from 2 weeks or less up to several months. C.The communicable period is 10 days before the onset of symptoms to 15 days after the rash appears. D.The communicable period is 1 to 2 days before the onset of the rash to 6 days after the onset and crusting of lesions.

D.The communicable period is 1 to 2 days before the onset of the rash to 6 days after the onset and crusting of lesions.

The school nurse is conducting pediculosis capitis (head lice) assessments. Which finding indicates a child has a "positive" head check? A.Maculopapular lesions behind the ears B.Lesions in the scalp that extend to the hairline or neck C.White flaky particles throughout the entire scalp region D.White sacs attached to the hair shafts in the occipital area

D.White sacs attached to the hair shafts in the occipital area

A child is diagnosed with chicken pox. The nurse collects data regarding the child. Which finding is characteristic of chicken pox? A.Macular rash on the trunk and scalp B.Pseudomembrane formation in the throat C.Maculopapular or petechial rash on the extremities D.Small, red spots with a bluish-white center and red base

A.Macular rash on the trunk and scalp

The nurse reviews the home care instructions with a parent of a 3-year-old with pertussis. Which statement by the parent indicates a need for further teaching? A."I know that my child will make a loud whooping sound." B."I understand this whooping cough is viral and I have to let it run its course." C."I understand that I need to watch for respiratory distress signs with pertussis." D."I can reduce the environmental factors that can trigger coughing, like dust and smoke."

B."I understand this whooping cough is viral and I have to let it run its course."

A mother brings her 4-month-old infant to the well-baby clinic for immunizations. Which immunizations should be administered to this infant? A.Diphtheria, tetanus, acellular pertussis (DTaP), Measles, mumps, rubella (MMR), inactivated poliovirus vaccine (IPV) B.Varicella and hepatitis B vaccines C.MMR, Hib, DTaP D.DTaP, Hib, IPV, pneumococcal vaccine (PCV)

D.DTaP, Hib, IPV, pneumococcal vaccine (PCV)

The nurse is caring for a 1-year-old child following a cleft palate repair. Which solution should the nurse use after feedings to cleanse the child's mouth? A.Sterile water B.Diluted hydrogen peroxide C.A soft lemon glycerin swab D.Half-strength povidone-iodine solution

A.Sterile water

The nurse is caring for a 4-month-old infant with respiratory syncytial virus (RSV). Several clients are being admitted to the unit and assignments are being made. The nurse should question being assigned which newly admitted clients? Select all that apply. A.The 6-month old with bronchopulmonary dysplasia B.The 11-month-old client with diarrhea C.The 16-year-old client taking antibiotics D.The 1-year-old client taking corticosteroids E.The 15-year-old with bone marrow suppression

A.The 6-month old with bronchopulmonary dysplasia D.The 1-year-old client taking corticosteroids

The clinic nurse is reviewing the health care provider's prescription for a child who has been diagnosed with scabies. Lindane has been prescribed for the child. The nurse questions the prescription if which is noted in the child's record? A.The child is 18 months old. B.The child is being bottle-fed. C.A sibling is using lindane for the treatment of scabies. D.The child has a history of frequent respiratory infections.

A.The child is 18 months old.

The nurse is checking the status of jaundice in a child with hepatitis. Which location should the nurse check to ascertain if the child is jaundiced? A.The mucous membranes B.The skin in the sacral area C.The skin in the abdominal area D.The membranes in the ear canal

A.The mucous membranes

A mother of a child brings the child to a clinic and reports that the child has a fever and has developed a rash on the neck and trunk. Roseola is diagnosed, and the mother is concerned that her other children will contract the disease. Which instruction should the nurse reinforce to the mother to prevent the transmission of the disease? A."Disease transmission is unknown." B."The disease is transmitted through the urine and feces, so the other children should use a separate bathroom." C."The disease is transmitted through the respiratory tract, so the child should be isolated from the other children as much as possible." D."The disease is transmitted by contact with body fluids, so any items contaminated with body fluids need to discarded in a separate receptacle."

A."Disease transmission is unknown."

The nurse is reinforcing home-care instructions to the parents of a 3-year-old child with scabies. Which statement by a parent indicates the need for further teaching? A."I understand that I need to leave the scabicide on for 4 hours before washing it off." B."I will need to seal up all my child's nonwashable toys in a plastic bag for at least 4 days." C."I realize that everyone who has come in contact with my child will need to be treated for scabies." D. "I know I need to wash all the clothing and bedding in hot water with detergent and dry in a hot dryer."

A."I understand that I need to leave the scabicide on for 4 hours before washing it off."

The nurse is caring for an infant with a diagnosis of Hirschsprung's disease. The nurse should check for which clinical findings that are consistent with Hirschsprung's disease? Select all that apply. A.Fever B.Constipation C.Failure to thrive D.Intolerance to wheat E.Abdominal distention F.Explosive, watery diarrhea

A.Fever B.Constipation C.Failure to thrive E.Abdominal distention F.Explosive, watery diarrhea

A child is diagnosed with scarlet fever. The nurse collects data regarding the child. Which is characteristic of scarlet fever? A.Pastia's sign B.Abdominal pain and flaccid paralysis C.Dense pseudoformation membrane in the throat D.Foul-smelling and mucopurulent nasal drainage

A.Pastia's sign

The nurse assists with providing an instructional session to parents regarding impetigo. Which statement by a parent indicates the need for further teaching? A."It is extremely contagious." B."It is most common during humid weather." C."Lesions are most often located on the arms and chest." D."It begins in an area of broken skin, such as an insect bite."

C."Lesions are most often located on the arms and chest."

The nurse prepares to administer a pancreatic enzyme powder to the child with cystic fibrosis (CF). Which food item should the nurse mix with the medication? A.Tapioca B.Applesauce C.Hot oatmeal D.Mashed potatoes

B.Applesauce

The nurse is reinforcing instructions regarding the prevention of Lyme disease to a group of teenagers going on a hike in a wooded area. Which points should the nurse include in the session? Select all that apply. A.Tuck pant legs into socks. B.Wear closed shoes when hiking. C.Apply insect repellent containing DEET. D.Cover the ground with a blanket when sitting. E.Remove attached ticks by grasping with thumb and forefinger. F.Wear long sleeves and long pants in dark colors when in high-risk areas.

A.Tuck pant legs into socks. B.Wear closed shoes when hiking. C.Apply insect repellent containing DEET. D.Cover the ground with a blanket when sitting.

A nurse is teaching a parent of a child who has pediculosis capitis (head lice). Which of the following instructions should the nurse include in the teaching? A. Apply mayonnaise to the affected area at night. B. Treat all household pets. C. Use an over the counter medication containing 1% permethrin. D. Discard the childs stuffed animals

C. Use an over the counter medication containing 1% permethrin

Which types of skin grafts are considered permanent? (Select all that apply.) A. Homografts B. Autografts C. Isografts D. Xenografts E. Heterografts

B. Autografts C. Isografts

An adolescent with Addison's disease may need an increased dosage of glucocorticoids to which of the following situations? A. completing spring semester of school B. Gaining 7 pounds C. Death of a family member D. Undergoing a root canal

D. Undergoing a root canal

A mother reports that her child is not eating since being diagnosed with respiratory syncytial virus​ (RSV) a week ago. Which manifestation should the nurse assess for next​? A. Insomnia B. Rapid breathing C. Nausea D. Hyperactive bowel sounds

B. Rapid breathing

After a tonsillectomy, a child begins to vomit bright red blood. The nurse should take which initial action? A. Maintain NPO status. B. Turn the child to the side. C. Administer the prescribed antiemetic. D. Notify the health care provider (HCP)

B. Turn the child to the side.

Which diagnostic exam does the nurse know will best aid in the diagnosis of Duchenne muscular dystrophy? 1) EEG 2) CT Scan 3) MRI 4) EMG

4) EMG

What is the cause of most childhood deaths? A. Sudden infant death syndrome B. Accidents C. Leukemia D. Influenza

B. Accidents

Cystic fibrosis is a _______________ system disease. A. respiratory B. endocrine C. gastrointestinal D. multi

D. multi

Which reading of a newborn's pulse may indicate an abnormality in the function of the cardiovascular system? A) 150bpm B) 100bpm C) 165bpm D) 170bpm

B) 100bpm

Cystic fibrosis is caused by: A) A defective gene that causes abnormalities in the brain B) A defective gene that leads to the making of an abnormal protein C) It is not known what the cause is D) Someone who eats too much salt

B) A defective gene that leads to the making of an abnormal protein

The recommended diet for someone with cystic fibrosis is: A) High fat diet B) High calorie and high protein diet C) Low fat diet D) High calorie diet

B) High calorie and high protein diet

The nurse is assisting with gathering admission assessment data on a 2-year-old child who has been diagnosed with nephrotic syndrome. The nurse collects data knowing that which is a common characteristic associated with nephrotic syndrome? A.Hypotension B.Generalized edema C.Increased urinary output D.Frank, bright red blood in the urine

B.Generalized edema

A nursing student is asked to discuss human immunodeficiency virus (HIV) during a clinical conference. The nursing student should include which correct item in the discussion? A.HIV primarily attacks the hematological system. B.HIV virus attacks the immune system by destroying T lymphocytes. C.Most newborns of HIV-positive women test positive for HIV virus. D.In HIV, the B cells are depleted and cannot signal T4 cells to form protective antibodies.

B.HIV virus attacks the immune system by destroying T lymphocytes.

For how many weeks will the infant experience passive immunity from his or her mother? A. 4 B. 8 C. 12 D. 24

C. 12

At what age do toddlers usually recognize sexual differences? A. 12 months B. 18 months C. 24 months D. 36 months

C. 24 months

A yellow bruise is approximately: A. 2 days old B. 5 to 7 days old C. 7 to 10 days old D. 10 to 14 days old

C. 7 to 10 days old

It is most appropriate to first introduce competitive games at age: A. 3 to 5 years B. 5 to 6 years C. 7 to 9 years D. 12 to 15 years

C. 7 to 9 years

The nurse explains that which congenital cardiac defect(s) cause(s) increased pulmonary blood flow? Select all that apply. a. Atrial septal defects (ASDs) b. Tetralogy of Fallot c. Dextroposition of aorta d. Patent ductus arteriosus e. Ventricular septal defects (VSDs)

a. Atrial septal defects (ASDs) d. Patent ductus arteriosus e. Ventricular septal defects (VSDs)

The nurse is caring for a child who is receiving a transfusion of PRBCs. The nurse is aware that if the child has a hemolytic reaction to the blood, the signs and symptoms would include which of the following? Select all that apply. 1. Fever. 2. Rash. 3. Oliguria. 4. Hypotension. 5. Chills.

1. Fever. 3. Oliguria. 4. Hypotension.

Which of the following is a reason to perform a lumbar puncture on a child with a diagnosis of leukemia? Select all that apply. 1. Rule out meningitis. 2. Assess the central nervous system for infiltration. 3. Give intrathecal chemotherapy. 4. Determine increased intracranial pressure. 5. Stage the leukemia.

2. Assess the central nervous system for infiltration. 3. Give intrathecal chemotherapy.

Which stage of development is most unstable and challenging regarding development of personal identity? A) Adolescence B) Toddler hood C) Childhood D) Infancy

A) Adolescence

A maternity nurse is providing instruction to a new mother regarding the psychosocial development of the newborn infant. Using Erikson's psychosocial development theory, the nurse would instruct the mother to A) Allow the newborn infant to signal a need B) Anticipate all of the needs of the newborn infant C) Avoid the newborn infant during the first 10 minutes of crying D) Attend to the newborn infant immediately when crying

A) Allow the newborn infant to signal a need

An 8-year-old client with cystic fibrosis is admitted to the hospital and will undergo a chest physiotherapy treatment. The therapy should be properly coordinated by the nurse with the respiratory therapy department so that treatments occur during: A) Between meals B) After meals C) After medication D) Around the child's play schedule

A) Between meals

One of the most important pulmonary treatments in cystic fibrosis is: A) Chest physiotherapy. B) Inhaled beta agonists. C) Oral enzymes. D) Inhaled corticosteroids.

A) Chest physiotherapy

Which of the following could the nurse do to assess for hypotonia of the 4 month-old infant? ( Select all that apply): A) Pick up the child and see if the child feels like it is slipping out of the nurse's grasp B) Assess to see if the child can momentarily support his own weight when placed in a standing position C) Hold the child up and ask them to walk forward for a few steps D) Move the infant from the supine position to the sitting position and see if the child can hold up his own neck E) Move the infants muscles and note any muscle spasms not associated with the muscle movement

A) Pick up the child and see if the child feels like it is slipping out of the nurse's grasp B) Assess to see if the child can momentarily support his own weight when placed in a standing position D) Move the infant from the supine position to the sitting position and see if the child can hold up his own neck

What is the most important nursing intervention to promote a positive hospital experience for a 1-month-old infant? A. Provision of consistent caregivers B. Provision of consistent sensorimotor stimulation C. Maintenance of a rigid schedule D. Encouraging parents to bring in familiar toys from home

A. Provision of consistent caregivers

A nurse caring for a 2-month-old febrile infant is asked to collect a urine specimen for a culture and sensitivity. The nurse collects the specimen by performing which action? A.Catheterizing the infant using the smallest available straight catheter B.Attaching a urinary collection device to the infant's perineum for collection C.Place cotton balls in the diaper and then after the infant voids aspirating the urine with a syringe D.Noting the time of the next expected voiding and preparing to collect the specimen into a cup when the infant voids

A.Catheterizing the infant using the smallest available straight catheter

The nurse is assisting in developing a plan of care for a child diagnosed with acute glomerulonephritis. The nurse should include which intervention in the plan of care? A.Encourage limited activity and provide safety measures. B.Force intake of oral fluids to prevent hypovolemic shock. C.Catheterize the child to strictly monitor intake and output. D.Encourage classmates to visit and to keep the child informed of school events.

A.Encourage limited activity and provide safety measures.

The nurse is assisting in planning discharge instructions to the mother of a child following orchiopexy, which was performed on an outpatient basis. Which is the priority in the plan of care? A.Wound care B.Pain control measures C.Measurement of intake D.Cold and heat applications

A.Wound care

A nurse is reinforcing teaching with a group of caregivers about fractures. Which of the following information should the nurse include? A. "Children need a longer time to heal from a fracture than an adult" B. " Epiphyseal plate injuries can result in altered bone growth" C. " A greenstick fracture is a complete break in the bone" D. " Bones are unable to bend, so they break"

B. " Epiphyseal plate injuries can result in altered bone growth"

A nurse is reinforcing teaching with the guardian of an infant who has down syndrome. Which of the following statements by the guardian indicates the understanding of the teaching? A. " I should expect him to have frequent diarrhea" B. " I should place a cool mist humidifier in his room" C. " I should avoid the use of lotion on his skin" D) " I should expect him to grow faster in length than other infants"

B. " I should place a cool mist humidifier in his room"

What is the primary symptom in croup? A. Dysphagia B. "Barking" cough C. High fever D. Pain

B. "Barking" cough

The mother of a 3-year-old tells the nurse she is concerned about her child's bow-legged appearance. What is the best response from the nurse? A. "A referral to a pediatric orthopedic physician is indicated immediately." B. "Is your child having any pain or difficulty walking?" C. "Do not worry about it; this is normal." D. "I would be concerned if I were you."

B. "Is your child having any pain or difficulty walking?"

The nurse should encourage the parent to introduce tooth brushing to the child by age: A. 6 months B. 1 year C. 3 years D. 7 years

B. 1 year

Nonsteroidal anti-inflammatory drugs are the first choice in treating a child with juvenile idiopathic arthritis. Which adverse effects should the nurse include in the teaching plan for the parents? (Select all that apply.) A. Weight gain. B. Abdominal pain. C. Blood in the stool. D. Folic acid deficiency. E. Reduced blood clotting ability.

B. Abdominal pain. C. Blood in the stool. E. Reduced blood clotting ability

The client with hemophilia A is experiencing hemarthrosis. Which intervention should the nurse recommend to the client? A. Alternate aspirin and acetaminophen to help with the pain. B. Apply cold packs for 24 to 48 hours to the affected area. C. Perform active range-of-motion exercise on the extremity. D. Put the affected extremity in the dependent position.

B. Apply cold packs for 24 to 48 hours to the affected area.

A nurse is caring for a child who sustained a fracture. Which of the following actions should the nurse take? (Select all that Apply) A. Place a heat pack on the site of the injury B. Elevate the affected limb C. Check neurovascular status frequently D. Encourage ROM of the affected limb E. Stabilize the injury

B. Elevate the affected limb C. Check neurovascular status frequently E. Stabilize the injury

A nurse on a pediatric unit is caring for a toddler. Which of the following behaviors is an effect of hospitalization? ( Select all that apply) A. Believes that experience is a punishment B. Experiences separation anxiety C. Displays intense emotions D. Exhibits regressive behaviors E. Manifests disturbance in body image.

B. Experiences separation anxiety C. Displays intense emotions D. Exhibits regressive behaviors

Which symptoms are manifested with chronic respiratory distress? (Select all that apply.) A. Productive cough B. Failure to thrive C. Irritability D. Pupil constriction E. Retractions

B. Failure to thrive C. Irritability E. Retractions

The nurse reinforces home care instructions for parents of a child who has had an above-the-knee cast applied. Which of the following does she teach? ( Select all that apply) A. Use fingertips to lift the cast until it is fully dry B. Keep small toys out of the child's reach C. Place heating pad on the toes if they feel cold D. Elevate the leg on pillows E. Contact he health care provider if the child complains of numbness.

B. Keep small toys out of the child's reach D. Elevate the leg on pillows E. Contact he health care provider if the child complains of numbness.

Which of the following clinical manifestations of developmental dysplasia of the hip would be seen in the newborn? A. Lordosis B. Ortolani sign C. Trendelenburg sign D. Telescoping of the affected limb

B. Ortolani sign

The nurse provides instructions to the mother of an infant with cleft palate regarding feeding. Which statement by the mother indicates a need for further teaching? A."I need to allow my infant time to swallow." B."I need to use a nipple with a small hole to prevent choking." C."I need to stimulate sucking by rubbing the nipple on the lower lip." D."I need to allow my infant to rest frequently to provide time for swallowing what has been placed in the mouth."

B."I need to use a nipple with a small hole to prevent choking."

The nurse is preparing a 2-year-old child with suspected nephrotic syndrome for a renal biopsy to confirm the diagnosis. The mother asks the nurse, "Will my child ever look thin again?" The nurse should respond by giving which statement? A."Do you feel guilty about your child's weight gain?" B."In most cases, medication and diet will control fluid retention." C."Wearing loose-fitting clothing should help conceal the extra weight." D."When children are little, it's expected that they'll look a little chubby."

B."In most cases, medication and diet will control fluid retention."

An infant, weighing 12 kg, is receiving diuretic therapy, and the nurse is closely monitoring the intake and output. Which is the amount of hourly urine output should the nurse expect as adequate? A.5 to 11 mL/hour B.12 to 24 mL/hour C.25 to 30 mL/hour D.32 to 40 mL/hour

B.12 to 24 mL/hour

A urinalysis has been prescribed for an infant and the nurse plans to collect the specimen. The nurse implements which appropriate method to collect the specimen? A.Catheterizes the infant, using a No. 5 French Foley B.Attaches a urinary collection device to the infant's perineum C.Obtains the specimen from the diaper, using a syringe, after the infant voids D.Monitors the urinary patterns and prepares to collect the specimen into a cup when the infant voids

B.Attaches a urinary collection device to the infant's perineum

An 18-month-old child is being discharged after surgical repair of hypospadias. Which postoperative nursing care measure should the nurse stress to the parents as they prepare to take this child home? A.Leave diapers off to allow the site to heal. B.Avoid tub baths until the stent has been removed. C.Encourage toilet training to ensure that the flow of urine is normal. D.Restrict the fluid intake to reduce urinary output for the first few days.

B.Avoid tub baths until the stent has been removed.

The nurse collects a urine specimen preoperatively from a child with epispadias who is scheduled for surgical repair. The nurse reviews the child's record for the laboratory results of the urine test and would most likely expect to note which finding? A.Hematuria B.Bacteriuria C. Glucosuria D.Proteinuria

B.Bacteriuria

The nurse caring for a child with nephrotic syndrome reviews the medication record. The nurse notes that prazosin hydrochloride is prescribed for the child. The nurse determines that this medication has been prescribed to achieve which result? A.Reduce proteinuria. B.Control hypertension. C.Decrease inflammation. D.Suppress the autoimmune response.

B.Control hypertension.

The nurse is assigned to care for a child who is scheduled for an appendectomy. Which prescriptions should the nurse anticipate to be prescribed? Select all that apply. A.Administer a Fleet enema. B.Initiate an intravenous line. C.Maintain nothing-by-mouth status. D.Administer intravenous antibiotics. E.Administer preoperative medications. F.Place a heating pad on the abdomen to decrease pain.

B.Initiate an intravenous line. C.Maintain nothing-by-mouth status. D.Administer intravenous antibiotics. F.Administer preoperative medications.

The nurse is reviewing the laboratory results of an infant suspected of having hypertrophic pyloric stenosis. Which acid-base disorder would the nurse expect to note in the infant? A.Metabolic acidosis B.Metabolic alkalosis C.Respiratory acidosis D.Respiratory alkalosis

B.Metabolic alkalosis

A mother brings her 5-month-old daughter into the pediatrician's office with complaints that the child has been vomiting during feedings. The mother also states that the child is sometimes very fussy. Which should be the nurse's initial action? A.Assess the child's growth status. B.Obtain a complete history of the child's feeding habits. C.Assess whether any other children in the family have had the same problem. D.Explain to the mother that the primary health care provider will prescribe a barium swallow and upper gastrointestinal (GI) series.

B.Obtain a complete history of the child's feeding habits.

A male child who had surgery to correct hypospadias is seen in a primary health care provider's office for a well-baby checkup. The nurse provides instructions to the mother, knowing that which long-term complication is associated with hypospadias? A.Infertility B.Renal anomalies C.Erectile dysfunction D.Decreased urinary output

B.Renal anomalies

The nurse is assisting in admitting to the hospital a 4-month-old infant with a diagnosis of vomiting and dehydration. The nurse assists in developing a plan of care for the infant and suggests which position for the infant? A.Prone position B.Side-lying position C.Modified Trendelenburg's position D.Infant car seat with the head of the seat in a flat position

B.Side-lying position

A mother of a 3-year-old tells a clinic nurse that the child is rebelling constantly and having temper tantrums. The nurse most appropriately tells the mother to: A) Punish the child every time the child says "no", to change the behavior B) Allow the behavior because this is normal at this age period C) Set limits on the child's behavior D) Ignore the child when this behavior occurs

C) Set limits on the child's behavior

The nurse is speaking with a parent who is sharing that her child has not been eating well at home since being sick with respiratory syncytial virus​ (RSV). Which should be the reason for consulting with a dietitian to work with this​ family? (Select all that​ apply.) A. Provide healthy snacks. B. Place a nasogastric tube. C. Assess fluid intake. D. Discuss the importance of​ frequent, small meals. E. Assess the caloric intake.

C. Assess fluid intake. D. Discuss the importance of​ frequent, small meals. E. Assess the caloric intake.

Which would the nurse teach an adolescent is a complication of corticosteroids used in the treatment of juvenile idiopathic arthritis (JIA)? A. Fat loss. B. Adrenal stimulation. C. Immune suppression. D. Hypoglycemia.

C. Immune suppression.

The nurse is caring for a 15-year-old boy after left lower extremity amputation surgery after a diagnosis of osteosarcoma. The patient reports that his "left foot is in severe pain." What should the nurse do first? A. Remind him that he no longer has a left foot. B. Provide emotional support. C. Medicate for pain as ordered D. Reposition for comfort.

C. Medicate for pain as ordered

A nurse is caring for a 7-year-old patient immediately after a tonsillectomy. What is the best position for this patient? A. High Fowler's B.Partly on the back and partly on the side C. Partly on the side and partly on the abdomen D. Supine

C. Partly on the side and partly on the abdomen

The nurse is reinforcing discharge instructions to the parent of a 2-year-old child who has had an orchiopexy to correct cryptorchidism. Which statement by the parent indicates a need for further teaching? A."I'll check his temperature." B."I'll give him medication so he'll be comfortable." C."I'll let him decide when to return to his play activities." D."I'll check his voiding to be sure there are no problems."

C."I'll let him decide when to return to his play activities."

The nurse is providing information to the mother of a child with nephrotic syndrome regarding the edematous appearance of the child. Which statement should the nurse make to the mother? A."Children always look a little bit fat, so don't be concerned." B."Dress the child in loose-fitting clothing to hide the extra weight." C."The fluid retention should be controlled by medication and diet." D."The child will always have this appearance, and preparing the child for the body image change is important."

C."The fluid retention should be controlled by medication and diet."

A 1-year-old child is diagnosed with intussusception. The mother of the child asks the nurse to describe the disorder. The nurse should base the response on which description of this disorder? A.An acute bowel obstruction B.A condition that causes an acute inflammatory process in the bowel C.A condition in which a proximal segment of the bowel prolapses into a distal segment of the bowel D.A condition in which a distal segment of the bowel prolapses into a proximal segment of the bowel

C.A condition in which a proximal segment of the bowel prolapses into a distal segment of the bowel

The nurse reinforces instructions to the mother about dietary measures for a 5-year-old child with lactose intolerance. The nurse should tell the mother that which supplement will be required as a result of the need to avoid lactose in the diet? A.Fats and vitamin A B.Zinc and vitamin C C.Calcium and vitamin D D.Thiamine and vitamin B

C.Calcium and vitamin D

A 2-year-old child is admitted to the hospital with a diagnosis of nephrotic syndrome. In planning care for this child, which nursing intervention should be of highest priority? A.Weigh morning and afternoon. B.Maintain a strict intake and output. C.Dipstick the urine for protein every 4 hours. D.Take vital signs with blood pressure every 2 hours.

C.Dipstick the urine for protein every 4 hours

The nurse is assigned to assist in caring for a newborn with a colostomy that was created during surgical intervention for imperforate anus. When the newborn returns from surgery, the nurse checks the stoma and notes that it is red and edematous. Which is the appropriate nursing intervention? A.Elevate the buttocks. B.Apply ice immediately. C.Document the findings. D.Notify the registered nurse immediately.

C.Document the findings.

The nurse is administering medications to a 6-year-old child with nephrotic syndrome. To reduce proteinuria, the nurse would expect which medication to be prescribed? A. Enalapril B.Prednisone C.Furosemide D.Cyclophosphamide

C.Furosemide

An infant returns to the nursing unit after the surgical repair of a cleft lip located on the right side of the lip. Which is the best position to place this infant at this time? A.A flat position B.A prone position C.On his or her left side D.On his or her right side

C.On his or her left side

The child with cryptorchidism is being discharged after orchiopexy, which was performed on an outpatient basis. The nurse should reinforce instructions to the parents about which priority care measure? A.Measuring intake and output B.Administering anticholinergics C.Preventing infection at the surgical site D.Applying cold, wet compresses to the surgical site

C.Preventing infection at the surgical site

The nurse is reviewing the health record of a child with a diagnosis of celiac disease. Which clinical manifestation should the nurse expect to note documented in the health record? A.Frothy diarrhea B.Foul-smelling ribbon stools C.Profuse watery diarrhea and vomiting D.Diffuse abdominal pain unrelated to meals or activity

C.Profuse watery diarrhea and vomiting

The nurse assists in preparing a plan of care for the infant with bladder exstrophy. The nurse identifies which immediate problem as the priority for the infant? A.Infection B.Elimination C.Skin disruption D.Lack of parental understanding

C.Skin disruption

According to Erikson, what is the correct stage of development for the toddler? A. Initiative versus guilt B. Trust versus mistrust C. Industry versus inferiority D Autonomy versus shame and doubt

D Autonomy versus shame and doubt

The nurse is teaching the parent of a child newly diagnosed with juvenile idiopathic arthritis (JIA). The nurse would evaluate the teaching as successful when the parent is able to say that the disorder is caused by the: A. Breakdown of osteoclasts in the joint space causing bone loss. B. Loss of cartilage in the joints. C. Buildup of calcium crystals in joint spaces. D. Immune-stimulated inflammatory response in the joint.

D. Immune-stimulated inflammatory response in the joint.

What is the most important nursing intervention to identify and minimize compartment syndrome? A. Apply BP cuff above the cast. B. Treat pain with minimum amount needed to control it. C. Elevate arm at least 30 minute/hr. D. Perform frequent neurovascular checks.

D. Perform frequent neurovascular checks.

Parents of a 2-year-old child verbalize frustration over their child's behavior. They report that he is inconsistent and frequently says no to their requests. What education should the nurse provide at this time? A. The child must be getting ill. B. The physician should be notified immediately. C. Behavioral therapy is indicated. D. This is called negativism and is normal behavior.

D. This is called negativism and is normal behavior.

Which should be the reasoning behind prescribing antibiotics to a child with respiratory syncytial virus​ (RSV)? A. To thin secretions B. To treat a concurrent virus C. To break up congestion D. To treat a concurrent bacterial infection

D. To treat a concurrent bacterial infection

A 14-year-old girl has been diagnosed with scoliosis with a curve of 30 degrees. What medical intervention will treatment include for this patient? A. Transcutaneous electrical muscle stimulation (TENS) B. Only exercise to increase muscle tone and posture C. Surgery with insertion of a Harrington rod D. Use of a Milwaukee brace

D. Use of a Milwaukee brace

The presence of blood in the anterior chamber of the eye is called A. varicella. B. encephalitis. C. orbital cellulitis. D. hyphema.

D. hyphema.

Which type of play is typical during the initial toddler years? A. pretend play B. cooperative play C. sharing D. parallel play

D. parallel play

An abnormal S shaped curvature of the spine seen in school-age children is: A. Sclerosis B. Sciatica C. Scabies D. scoliosis

D. scoliosis

The nurse is collecting data on an infant with a diagnosis of suspected Hirschsprung's disease. Which question to the mother will most specifically elicit information regarding this disorder? A."Does your infant have diarrhea?" B."Is your infant constantly vomiting?" C."Does your infant constantly spit up feedings?" D."Does your infant have foul-smelling, ribbon-like stools?"

D."Does your infant have foul-smelling, ribbon-like stools?"

The nurse is assigned to care for an infant with cryptorchidism. One testis cannot be palpated. The nurse anticipates that which diagnostic study will be prescribed to determine where the undescended testis is located in the body? A. Cystocopy B.Abdominal x-ray C.Urodynamic study D.Computed tomography scan

D.Computed tomography scan

Which of the following children has an increased risk of sudden infant death syndrome (SIDS) a) Premature infant with low birth weight b) A healthy 2-year-old c) Infant hospitalized for fever d) Firstborn child.

a) Premature infant with low birth weight

Which of the following symptoms would the nurse expect to possibly see in the child with Duchenne muscular dystrophy? Select all that apply a) Protuberant belly b) Diminished intelligence c) Walking on the toes or balls of feet d) Gower's sign e) Spinal curvatures

a) Protuberant belly c) Walking on the toes or balls of feet d) Gower's sign e) Spinal curvatures

The nurse is teaching a family with a newborn about infant safety during sleep. What information is the most important for the family to understand? a) The infant should be placed on his back to sleep b) Small pillows should be used to support the infant c) The infant should be covered loosely with a blanket d) A stuffed animal may be placed in the crib for comfort

a) The infant should be placed on his back to sleep

The nurse is aware that the age at which the posterior fontanelle closes is _____ months. a. 2 to 3 b. 3 to 6 c. 6 to 9 d. 9 to 12

a. 2 to 3

The parent of a 3-month-old infant asks the nurse, "At what age do infants usually begin drinking from a cup?" The nurse would reply: a. 5 months. b. 9 months. c. 1 year. d. 2 years.

a. 5 months.

You are the awesome nursing teacher with a huge class of 80 students. Yikes. Anyway, in pediatric clinical, you ask the students to differentiate omphalocele and gastroschisis. Which statement, if made by a student, indicates that they were smart and knew the right answer? A) The contents of the omphacele contain organs such as the bladder and uterus while gastroschisis contains pieces of the digestive tract B) With omphacele, the organs are covered with a protective sheath while with gastroschisis the organs protruding from the abdomen are exposed completely. C) In gastroschisis, parts of the intestines protrude through in a sac from the umbilicus while in omphacele, they can protrude from anywhere in the abdominal wall. D) Both disorders consist of portions of the digestive tract protruding out of a dysfunctional abdominal wall, gastroschisis also contains portions of the biliary tract

B) With omphacele, the organs are covered with a protective sheath while with gastroschisis the organs protruding from the abdomen are exposed completely.

A 5 year old a has temperature of 103.6 'F and is brought into the emergency room by his mother. Which statement by the mother causes concern? A. "I've tried to encourage fluid intake every hour." B. "I administered Aspirin to help with the fever a few hours ago." C. "I re-took his temperature 30 minutes after I gave the medication and it was still high." D. "I gave him a sponge bath to help with the fever."

B. "I administered Aspirin to help with the fever a few hours ago."

The nurse reviews measures to prevent tick bites with a parent of a child with Rocky Mountain spotted fever. Which statement by the parent indicates a need for further teaching? A."I will have my child wear long sleeves and long pants to keep covered up." B."I will have my child stay on well-worn paths and not stray into tall grass." C."I will check my child for ticks after being exposed to a high-risk tick-infected area." D."I will have my child wear dark colored clothing so the tick will not be attracted to the colors."

D."I will have my child wear dark colored clothing so the tick will not be attracted to the colors."

The nurse is reviewing instructions to a parent of a 6-year-old on how to prevent influenza. Which statement by the parent indicates a need for further teaching? A."I will get a flu shot and I will have my child get a flu shot too." B."I will avoid having my child come into contact with sick children." C."I will have my child wash her hands frequently during the flu season." D."I will not let my child play with other children who have the flu unless they are taking acetaminophen

D."I will not let my child play with other children who have the flu unless they are taking acetaminophen

Several children have contracted rubeola (measles) in a local school, and the school nurse conducts a teaching session for the parents of the school children. Which statement, if made by a parent, indicates a need for further teaching regarding this communicable disease? A."Small blue-white spots with a red base may appear in the mouth." B."The rash usually begins centrally and spreads downward to the limbs." C."Respiratory symptoms such as a very runny nose, cough, and fever occur before the development of a rash." D."The communicable period ranges from 10 days before the onset of symptoms to 15 days after the rash appears."

D."The communicable period ranges from 10 days before the onset of symptoms to 15 days after the rash appears."

Permethrin (Elimite) is prescribed for a child with a diagnosis of scabies. The nurse should give which instruction to the parents regarding the use of this treatment? A.Apply the lotion to areas of the rash only. B.Apply the lotion and leave it on for 6 hours. C.Avoid putting clothes on the child over the lotion. D.Apply the lotion to cool, dry skin at least 30 minutes after bathing.

D.Apply the lotion to cool, dry skin at least 30 minutes after bathing.

The nurse prepares to administer a measles, mumps, and rubella (MMR) vaccine to a 5-year-old child. How should the nurse plan to administer the vaccine? A.Intramuscularly in the deltoid muscle B.Subcutaneously in the gluteal muscle C.Subcutaneously in the outer aspect of the upper arm D.Intramuscularly in the anterolateral aspect of the thigh

C.Subcutaneously in the outer aspect of the upper arm

The nurse is monitoring for fluid volume deficit in an infant who is vomiting and having diarrhea. The nurse weighs the infant's diaper after each voiding and stool and carefully calculates fluid volume based on which knowledge? A.Each gram of diaper weight is equivalent to 0.5 mL of urine. B.Each gram of diaper weight is equivalent to 1 mL of urine. C.Each gram of diaper weight is equivalent to 2 mL of urine. D.Each gram of diaper weight is equivalent to 2.5 mL of urine.

B.Each gram of diaper weight is equivalent to 1 mL of urine.

The nurse provides instructions to the parents of an infant with gastroesophageal reflux (GER) regarding proper positioning to manage reflux. The nurse should tell the parents that the infant should be maintained in which position? A.A 30-degree angle when supine B.A 60-degree angle when prone C.A 60-degree angle when supine D.A 20-degree angle when side-lying

C.A 60-degree angle when supine

Which interventions can be used to prevent diaper dermatitis? (Select all that apply.) A. Expose diaper area to air and light. B. Use non-alcohol baby wipes for cleansing. C. Apply ointments with vitamins A and D and lanolin. D. Cleanse with mild soap and water. E. Apply corticosteroid ointment.

A. Expose diaper area to air and light. B. Use non-alcohol baby wipes for cleansing. C. Apply ointments with vitamins A and D and lanolin. D. Cleanse with mild soap and water.

A child is being treated for frostbite of the right hand. How will the nurse know that this condition is improving? A. Hand appears pale and is pain free. B. Hand is deep purple associated with severe pain. C. Radial pulse is palpable. D. Hand blanches with pressure applied.

B. Hand is deep purple associated with severe pain.

A 15 year old, who is type 1 diabetic, reports that she almost "passes out" during gym class. What information would you assess from the teenager?* A. None of the options are correct. B. What type of form she needs to have filled out so she can be excused from gym class. C. How she takes her blood glucose after exercise. D. Her eating habits prior to gym class.

D. Her eating habits prior to gym class.

A nurse is planning care for a child who has tinea capitis(ringworm of the scalp). Which of the following actions should the nurse include in the plan of care. (Select all that apply) A. Treat infected house pets. B. Use selenium sulfide shampoo C. Cleanse area with Burrow solution. D. Administer antiviral medication E. Use moist, warm compresses

A. Treat infected house pets. B. Use selenium sulfide shampoo

A newborn infant is diagnosed with gastroesophageal reflux (GER). The mother of the infant asks the nurse to explain the diagnosis. The nurse plans to base the response on which description of this disorder? A.Gastric contents regurgitate back into the esophagus. B.The esophagus terminates before it reaches the stomach. C.Abdominal contents herniate through an opening of the diaphragm. D.A portion of the stomach protrudes through the esophageal hiatus of the diaphragm.

A.Gastric contents regurgitate back into the esophagus.

The nurse is preparing to feed a 1-year-old hospitalized child. The nurse prepares the amount of formula to be given to this child, knowing that generally a 1-year-old consumes approximately which amount? A.90 mL per feeding B.100 mL per feeding C.175 mL per feeding D.380 mL per feeding

C.175 mL per feeding

The nurse is monitoring a newborn with a suspected diagnosis of imperforate anus. Which assessment finding is unassociated with this diagnosis? A.The presence of stool in the urine B.Failure to pass a rectal thermometer C.The passage of currant jelly-like stool D.Failure to pass meconium in the first 24 hours after birth

C.The passage of currant jelly-like stool

The nurse is caring for a hospitalized child with a diagnosis of rubella (German measles). The nurse reviews the primary health care provider's progress notes and reads that the child has developed Forchheimer sign. Based on this documentation, which should the nurse expect to note in the child? A.Swelling of the parotid gland B.Petechiae spots located on the palate C.A fiery red edematous rash on the cheeks D.Small blue-white spots noted on the buccal mucosa

B.Petechiae spots located on the palate

A mother and 7 month old infant present to the pediatric clinic. The infant appears developmentally appropriate and healthy, but the mother tells you that she is exacerbated. She says yesterday her infant had been incessantly crying with vomiting and jelly-like stool. But now, the infant appears fine. Which of the following GI disorders does the nurse suspect? A) Hypertrophic pyloric stenosis B) Celiac's disease C) Intussusception D) Encopresis

C) Intussusception

A child seen in the clinic is found to have rubeola (measles) and the mother asks the nurse how to care for the child. Which instruction should the nurse provide to the mother? A.Keep the child in a room with dim lights. B.Give the child warm baths to help prevent itching. C.Allow the child to play outdoors because sunlight will help the rash. D.Take the child's temperature every 4 hours and administer 1 baby aspirin for fever.

A.Keep the child in a room with dim lights.

The school nurse prepares a list of home care instructions for the parents of school children who have been diagnosed with pediculosis capitis (head lice). Which should be included in the list? Select all that apply. A.Siblings may also need treatment. B.Use antilice sprays on all bedding and furniture. C.Use a pediculicide shampoo and repeat treatment in 14 days. D.Grooming items such as combs and brushes should not be shared. E.Launder all the bedding and clothing in hot water and dry on high heat. F.Vacuum floors, play areas, and furniture to remove any hairs that may carry live nits.

A.Siblings may also need treatment. D.Grooming items such as combs and brushes should not be shared. E.Launder all the bedding and clothing in hot water and dry on high heat. F.Vacuum floors, play areas, and furniture to remove any hairs that may carry live nits.

Which of the following assessment findings would the nurse most expect to find in the child who has been diagnosed with having hypertrophic pyloric stenosis? A) Currant jelly stools and a palpable, hard mass in the right upper quadrant B) Projectile vomiting and hunger soon afterwards C) Weight loss and bloody diarrhea D) Severe, crampy abdominal pain and lethargy

B) Projectile vomiting and hunger soon afterwards

A mother and 7 month old infant present to the pediatric clinic. The infant appears developmentally appropriate and healthy, but the mother tells you that she is exacerbated. She says yesterday her infant had been incessantly crying with vomiting and jelly-like stool. But now is fine. What is the nurse's first action? A) Determine prenatal status of the mother and child B) Prepare the child for immediate surgery C) Palpate the stomach for a mass D) Administer barium enema

C) Palpate the stomach for a mass

A parent calls the clinic nurse to schedule an appointment for her child's diphtheria, tetanus, and pertussis vaccination. The parent tells the nurse that her child had a swelling at the injection site and low-grade fever after the last diphtheria, tetanus, and pertussis (DTaP) vaccination. Which instructions should the nurse give to the parent to lessen this type of reaction to the upcoming vaccination? A.To give the child a sugary juice drink before coming to the clinic appointment B. To request that the injection be given with a shorter needle than the one used before C.To administer an appropriate dose of Tylenol 45 minutes before the appointment D.To bring a dose of Tylenol to the appointment and administer it before leaving the clinic

C.To administer an appropriate dose of Tylenol 45 minutes before the appointment

A child is ordered by the doctor for ketone and glucose urine testing. The patient is to collect it at home. How would you instruct the patient to collect the specimen?* A. Cleanse the area with betadine. B. Encourage the patient to consume at least 24 oz of water prior to the specimen collection. C. Demonstrate a clean catch techinque. D. Use the second voided urine for most accurate results.

D. Use the second voided urine for most accurate results

An adolescent is seen in the health care clinic with complaints of chronic fatigue. On physical examination, the nurse notes that the adolescent has swollen lymph nodes. A laboratory test is performed, and the results indicate the presence of Epstein-Barr virus (mononucleosis). The nurse calls the mother of the adolescent to inform the mother of the test results and reinforces instructions regarding the care of the adolescent. Which statement by the mother indicates an understanding of the care measures? A."I need to keep my child on bed rest for 3 weeks." B."I will call the primary health care provider if my child is still feeling tired in 1 week." C."I need to isolate my child so that the respiratory infection is not spread to others." D."I need to call the primary health care provider if my child complains of abdominal pain or left shoulder pain."

D."I need to call the primary health care provider if my child complains of abdominal pain or left shoulder pain."