pediatrics final review questions

The nurse at a playground witnesses a child fall off a swing. The nurse rushes to the child and suspects that the child has a broken right leg. The nurse should take which priority action? A. Immobilize the leg B. Remove the child's shoes C. Tell the child that everything will be fine D. Transport the child to the emergency department

A

The nurse receives a telephone call from a neighbor who reports that her child just swallowed furniture polish. The nurse should instruct the mother to immediately perform which action? A. Call the poison control center. B. Call the child's primary health care provider. C. Give the child oral fluids to induce vomiting. D. Call an ambulance to take the child to the emergency department.

A

The nurse is caring for a child who sustained a head injury from a fall. The nurse should perform which actions in the care of the child? Select all that apply A. Restrict oral fluid intake. B. Elevate the head of the bed. C. Perform neurological assessments. D. Encourage coughing and deep breathing. E. Place the child in a flat position during sleep.

A, B, C

The nurse is teaching home care management to a parent of a 6-year-old child with asthma. Which statement by the parent indicates a need for further teaching? A. "I will have a written asthma action plan for my child." B. "I will have my child use the peak flow meter once a week." C. "I will call the primary health care provider if my child is not responding to medications." D. "If the daily control medications are not working, I will start the prescribed inhaled medications."

B

When developing a plan care for a hospitalized child, nurse Mica knows that children in which age group are most likely to view illness as a punishment for misdeeds? A. Infancy B. Preschool age C. School age D. Adolescence

B

A child with hemophilia is brought into the emergency department after being hit on the neck with a baseball. The nurse should immediately check the child for which finding? A. Headache B. Slurred speech C. Airway obstruction D. Spontaneous hematuria

C

An adolescent who has just been found to have type 1 diabetes asks a nurse about exercise. What is the best response by the nurse? A. "Exercise should be restricted." B. "Exercise will increase blood glucose." C. "Extra snacks are needed before exercise." D. "Extra insulin is required during exercise."

C

Nurse Sunshine suspects that a child, age 4, is being neglected physically. To best assess the child's nutritional status, the nurse should ask the parents which question? A. "Has your child always been so thin?" B. Is your child a picky eater? C. "What did your child eat for breakfast? D. "Do you think your child eats enough?"

C

The nurse is evaluating laboratory results for a 6-month-old infant receiving furosemide and digoxin to treat heart failure. Which laboratory result requires action by the nurse? A. Calcium level of 9 mg/dL (2.25 mmol/L) B. Sodium level of 142 mEq/L (142 mmol/L) C. Potassium level of 3 mEq/L (3 mmol/L) D. Creatinine level of 0.65 mg/dL (22 mcmol/L)

C

The nurse provides home care instructions to the parents of a toddler newly diagnosed with hemophilia. Which statement by the parents indicates a need for further instruction? A. "We need to pad crib rails and table corners." B. "We need to obtain a medical identification bracelet for our child." C. "We need to administer aspirin to our child if any signs of discomfort are noted." D. "We need to have our child use a soft-bristled, small toothbrush for dental hygiene."

C

The nurse is caring for a 5-year-old client 3 hours after a tonsillectomy. Which drink should the nurse offer the child to encourage fluid intake? A. Milk B. Orange juice C. Cherry Gatorade D. Diluted apple juice

D

What assessment finding in a newborn is suggestive of cystic fibrosis? A. Rapid heart rate B. Excessive crying C. Sternal retractions D. Abdominal distention

D

When administering an I.M. injection to an infant, the nurse in charge should use which site? A. Deltoid B. Dorsogluteal C. Ventrogluteal D. Vastus lateralis

D

Wrist restraints are applied to a child after a cleft lip repair. The nurse should implement which priority intervention regarding use of the restraints? A. Remove the restraints periodically. B. Apply lotion to the skin under the restraints. C. Provide range-of-motion exercises to each wrist. D. Check the color, sensation, and pulses distal to the restraints.

D