pedi quiz pt.c

A school nurse is screening an 11-year-old child for idiopathic scoliosis. Which of the following instructions should the nurse give the child for this examination?

"Bend forward from the waist with your head and arms downward."

A nurse is caring for a school-age child who has seasonal allergies and has been taking diphenhydramine. The provider recommends fexofenadine for the child. The child's parent asks the nurse about the advantage of taking fexofenadine. Which of the following responses should the nurse make?

"Fexofenadine is less sedating."

A nurse is reinforcing teaching about cast care to a school-age child following application of a fiberglass cast for a radius fracture. Which of the following statements by the child indicates an understanding of the teaching?

"I can put an ice pack on the areas of my cast that itch."

A nurse is collecting data from a child who is descending stairs by placing both feet on each step and holding on to the railing. This behavior is developmentally appropriate at which of the following ages?

3 years

A nurse is assisting with the care of a child who has spina bifida. Which of the following precaution should the nurse take while caring for this child?

Latex precautions

A nurse enters a school age child's room to administer morning medications and finds the client sitting in a chair having a seizure. After lowering the client to the floor, which of the following actions should the nurse take first?

Turn the client to a lateral position.

A nurse is reinforcing teaching with a group of parents about malignant renal and intra-abdominal cancers of childhood. The nurse should include that which of the following cancers is the most common malignant renal and intra-abdominal tumor of childhood?

Wilms' tumor

A nurse is administering analgesia to a 6-month-old male following inguinal hernia repair. Which of the following findings should the nurse identify as effective pain relief?

closed mouth

A nurse is teaching the parents of a child who has diabetes mellitus about the manifestations of hypoglycemia. Which of the following manifestations should the nurse include in the teaching?

diaphoresis

A nurse is collecting data from a child who has spina bifida occulta. Which of the following findings should the nurse expect?

dimple in a scrap area

A nurse is collecting data from 15-year-old adolescent client who has a new diagnosis of diabetes mellitus in order to assist with reinforcing teaching about self-management skills. The nurse should expect the client to be in which of the following phases of cognitive development?

formal operations phase

A nurse is reinforcing teaching about manifestations of hypoglycemia with an adolescent who has type 1 diabetes mellitus. Which of the following manifestations should the nurse include in the teaching?

headache

A nurse is preparing to administer immunizations to a child who has an allergy to eggs. The nurse should know that an allergy to eggs is a contraindication for which of the following immunizations?

influenza tiv

A nurse on a pediatric unit is caring for a client who has a brain tumor. To help ensure the client's safety, which of the following actions should the nurse take?

inmate seizure precautions for the child

A nurse is collecting data from an infant who hit her head when she fell off of a dressing table. The nurse should identify which of the following findings as indicating increased intracranial pressure?

irritability

A nurse is caring for a 4-year-old child who is 2 days postoperative following the insertion of a ventriculoperitoneal shunt. Which of the following findings should the nurse identify as the priority?

lethargy

A nurse is caring for a child who is having a seizure. Which of the following actions should the nurse take? (Select all that apply.)

loosen restrictive clothing clear the area of hard objects

A nurse is reviewing the medical record of an adolescent and notes a calcium level of 11.4 mEq/L. Which of the following findings should the nurse expect?

muscle hypotonicity

A nurse is reinforcing discharge teaching with the parent of a child who has a new diagnosis of diabetes mellitus. Which of the following statements by the parent requires a clarification of the teaching?

my son might have nausea and vomiting with hypoglycemia

A nurse is caring for an adolescent following the application of a plaster cast for a fractured right tibia. Which of the following actions should the nurse take?

perform a neurovasular check of the lower extremities

A nurse is caring for a child who is experiencing a seizure. Which of the following actions should the nurse take?

place the child in a side lying position

A nurse in a family health clinic is collecting data as part of a routine physical examination of a client who is about to enter high school. The nurse observes an abnormal lateral curvature of the spine. The nurse should expect the provider to document which of the following disorders?

scoliosis

A nurse is reinforcing teaching with a school-age child who has type 1 diabetes mellitus and his parent about illness management. Which of the following instructions should the nurse include?

test the urine for ketones

A nurse is reinforcing teaching about methylphenidate with the parents of a school-age child who has ADHD. Which of the following instructions should the nurse include?

you should give your Childs last daily dose of the medications before 6 o clock in the evening

A nurse is collecting data from an infant who has developmental dysplasia of the hip (DDH). Which of the following findings should the nurse expect?

​Asymmetric thigh folds

A nurse is caring for a 3-year-old child who weighs 33 lb and has had 160 mL of urine output during the past 8 hr. Which of the following actions should the nurse take?

​Continue to monitor the client.

A nurse is caring for a toddler whose parent states that the child has a mass in his abdominal area and his urine is a pink color. Which of the following actions is the nurse's priority?

​Instruct the parent to avoid pressing on the abdominal area.

A nurse is reinforcing teaching with an adolescent who has type 1 diabetes mellitus. Which of the following instructions should the nurse include in the teaching?

​Obtain an influenza vaccine annually.

A nurse is reinforcing teaching with a 4-year-old child who is on airborne precautions about activities he can do while in the hospital. Which of the following activities should the nurse include in the teaching?

Putting a puzzle together

A nurse in a pediatric clinic is collecting data from a preschool-age child who has suspected impetigo contagiosa. Which of the following manifestations should the nurse expect to find with this skin infection?

Red macule with honey-colored crusts

A nurse is planning meals for a 2-year-old child who has a fractured jaw and is having difficulty swallowing. The surgeon has prescribed a pureed diet. Which of the following food selections should the nurse make?

Scrambled eggs

A nurse is collecting data from a preschool age child during a routine wellness checkup. Which of the following findings indicates the need for further evaluation?

The child has a blood pressure 122/80 mm Hg.

A nurse is caring for a toddler who had a cast applied 2 hr ago due to multiple fractures of the right hand. Which of the following findings should the nurse report immediately to the charge nurse?

The fingers on the right hand have a capillary refill of 4 seconds.

A nurse is providing teaching to a school-age child who has a new diagnosed of type 1 diabetes mellitus. Which of the following statements by the child indicates a need for additional teaching?

"I should not take my regular insulin when I am sick."

A nurse is reinforcing teaching about self-administration of insulin with a parent of a school-age child who has a new diagnosis of diabetes mellitus. Which of the following statements by the parent indicates a need for further teaching?

"I will be sure my child aspirates before injecting the insulin."

A nurse is caring for a 7-year-old client who an upper respiratory infection and a history of type 1 diabetes mellitus. Which of the following statements by the mother indicates a need for further instruction?

"I will continue to check his blood sugar two times every day."

A nurse is caring for a child who reports being physically abused by a family member. Which of the following statements should the nurse make?

"It is not your fault that this happened."

A nurse is talking with a 13-year-old female client who is having her annual health-screening visit. Which of the following comments by the client should concern the nurse?

"None of the kids at my school like me, and I don't like them either."

A nurse is reinforcing teaching with a parent of an 8-year-old child who has a fracture of the epiphyseal plate. Which of the following statements should the nurse include in the teaching?

"Normal bone growth can be affected by the fracture."

A nurse administers subcutaneous NPH insulin at 0700 to a child who has diabetes. At which of the following times should the nurse observe for hypoglycemia caused by the onset of the medication?

0900

A nurse is contributing to the plan of care of an unconscious adolescent who ingested a non-corrosive substance that has no recommended antidote. The nurse should recommend to perform gastric lavage with which of the following substances?

Activated charcoal

A nurse is caring for a child who is to receive percussion, vibration, and postural drainage. Which of the following actions should the nurse take first?

Administer albuterol by nebulizer.

A nurse is caring for a school-age child who has a new plaster cast on her right arm. Which of the following actions should the nurse take?

Administer diphenhydramine to relieve itching.

A nurse is contributing to the plan of care for a school-age child who has moderate partial-thickness burns on both lower extremities. Which of the following interventions should the nurse include?

Administer pain medication 30 min before physical therapy.

A nurse is caring for a child who has Legg-Calve-Perthes disease and is in Buck's traction. Which of the following actions should the nurse take?

Ensure the rope knots are away from the pulleys.

A nurse is caring for an adolescent client who is receiving carbamazepine for partial seizure disorder. Which of the following statements by the adolescent's parent is the priority for the nurse to address?

He seems to be getting a lot more bumps and bruises lately."

A nurse is caring for a child who is having a tonic-clonic seizure and vomiting. Which of the following actions is the nurse's priority?

Move the child into a side-lying position.

A nurse is collecting data from a child and notes the presence of bruises on her arms and legs. Which of the following actions should the nurse take first?

Obtain a detailed history.

A nurse is caring for a child following an open reduction and internal fixation of a fractured femur and application of a cast. The cast has a window cut in it for viewing of the incision. Which of the following actions should the nurse take first?

Perform neurovascular checks of the affected extremity.

A nurse is caring for a toddler who is scheduled to have a lumbar puncture. Which of the following actions should the nurse take?

Place the toddler in a side-lying, knee-chest position.

A nurse is receiving hand-off report for a toddler who has a fractured right femur and is in 90°/90° traction. The nurse should expect to observe which of the following?

a skeletal pin in the distal end of the femur

A nurse is collecting data from an adolescent. Which of the following represents the greatest risk for suicide

active psychiatric disorder

A nurse is collecting data from a child who has acute lead poisoning. Which of the following findings should the nurse expect?

anorexia

A nurse is collecting data from a school age child who is undergoing a neurological assessment following a head injury. The nurse should document gross incoordination when walking as which of the following findings?

ataxia

A nurse in an urgent care clinic is collecting data from an adolescent who experienced a blunt trauma to the abdomen. Which of the following findings should the nurse report to the provider?

bp 92/50mm hg

A nurse is collecting data from an 8-month-old infant who has increased intracranial pressure (ICP). Which of the following manifestations should the nurse expect?

bulging fontanel