PEDS ATI (SET 1)

A nurse is caring for a child who has a possible intussusception. The parents of the child ask the nurse how the diagnosis is made. Which of the following responses should the nurse make? A. An abdominal ultrasound will confirm the pocket in the intestine B. Genotyping will be done to identify this condition C. A biopsy will be done on a small amount of tissue from the colon D. An upper GI series should identify the area involved

A. An abdominal ultrasound will confirm the pocket in the intestine

a nurse is caring for a preschooler who was brought to an outpatient clinic with a 2 day history of a vesicular, honey-colored region around the nose and mouth. if the provider determines the lesions to be impetigo contagiosa, what should the nurse anticipate teaching the child's parent about the illness? A. Apply a topical antibacterial ointment to the lesions B. Wash the child's bed linens daily with hot water C. Administer acyclovir oral suspension to prevent recurrence D. Allow the crust covering the infected lesions to remain intact E. Wash hands before and after contact with the affected area

A. Apply a topical antibacterial ointment to the lesions B. Wash the child's bed linens daily with hot water E. Wash hands before and after contact with the affected area

A nurse is assessing a child who has bilateral pheochromocytoma. What should the nurse expect? A. Hypertension B. Abdominal obesity C. Bradycardia D. Loose stools

A. Hypertension

A nurse is caring for a female adolescent who is being treated for frequent urinary tract infections (UTIs). Which of the following statement by the adolescent indicates a possible cause of the UTIs? A. I have bowel movements every 4 to 5 days B. My mom taught me to wipe from front to back after going to the bathroom C. I urinate every 2 to 3 hours during the day D. I don't wear nylon underwear

A. I have bowel movements every 4 to 5 days

A nurse is creating a plan of care for a child who has aplastic anemia. Which of the following interventions should the nurse include? A. Initiate protective-environment isolation for the child B. Apply pressure for 1-2 min at the puncture site following blood specimen collection C. Mix the child's ferrous sulfate elixir twice per day into a glass of milk for administration D. Check the child's blood glucose level every 4 hr

A. Initiate protective-environment isolation for the child

A school nurse is assessing an adolescent child who returned to school following a case of mononucleosis. The child has a note from his provider excusing him from gym class. Which of the following findings should the nurse identify as the reason for this excusal? A. Potential for sustaining abdominal trauma B. Deficient dietary intake C. Exposing peers to the illness D. Straining sore joints

A. Potential for sustaining abdominal trauma

A nurse is talking with the parent of an infant during well-child visit. The parent states, "My 6-year-old child started wetting the bed after we brought her baby sister home, she hasn't done that in over a year." This behavior by the sibling is an indication of which of the following defense mechanisms? A. Regression B. Repression C. Rationalization D. Identification

A. Regression

A nurse is caring for a toddler who is postoperative following a cleft palate repair. Which of the following actions should the nurse take? A. Restrain the toddler's arms at the elbows B. Feed the toddler with a spoon C. Monitor the toddler's oral temperature D. Weigh the toddler every 48 hours

A. Restrain the toddler's arms at the elbows

A nurse is preparing a school-age child for a tonsillectomy. Which of the following actions should the nurse take? A. Schedule the child for a preoperative visit to the facility B. Inform the child he will be put to sleep for the procedure C. Read the child a story about a cartoon character having a similar operation D. Tell the child the appointment is to have his throat checked

A. Schedule the child for a preoperative visit to the facility

A nurse is caring or a child who has bacterial endocarditis. The child is scheduled to receive moderate-term antibiotic therapy and requires a peripherally inserted central catheter (PICC). Which of the following statements should the nurse include when teaching the child's parent? A. The PICC line will last for several weeks with proper care B. The public health nurse will rotate the insertion site every 3 days C. You will need to ensure the arm board is in place at all times D. Your child will go to the operating room to have the line placed

A. The PICC line will last for several weeks with proper care

A nurse is performing a well-child assessment on a 4-year-old child. which of the following findings should the nurse expect? A. The child is able to hop on 1 foot B. The child is able to build a tower of up to 6 blocks C. The child is able to name the days of the week D. The child is able to identify left and right

A. The child is able to hop on 1 foot

A nurse is caring for a group of infants with congenital heart defects. For which of the following defects should the nurse expect to observe cyanosis? A. Transposition of the great arteries B. Ventricular septal defect C. Coarctation of the aorta D. Patent ductus arteriosus

A. Transposition of the great arteries

A nurse in the emergency department is caring for an unaccompanied infant following a motor vehicle crash. During the assessment, the nurse notes that the infants anterior fontanel is almost closed. She has 6 teeth, is able to sit unsupported, and can drink from a cup. The child cries whenever anyone new to her enters the room, says a few words, and is asking for "mama" and "dada." The nurse should make which of the following age assessments for this child? A. 6 months B. 12 months C. 18 months D. 24 months

B. 12 months

A nurse is reviewing the laboratory report of a toddler who is receiving chemotherapy for leukemia. Which of the following laboratory values should the nurse report to the provider? A. Platelets 150,000/mm^3 B. Hgb 6 g/dL C. WBC 6,000/mm^3 D. Potassium 4.5 mEq/L

B. Hgb 6 g/dL

A school nurse is assessing a child who has been stung by a bee. The child's hand is swelling and the nurse notes that the child is allergic to insect stings. Which of the following findings should the nurse expect if the child develops anaphylaxis? A. Bradycardia B. Nausea C. Hypertension D. Urticaria E. Stridor

B. Nausea D. Urticaria E. Stridor

A nurse is caring for a child who has an exacerbation of cystic fibrosis. Which of the following laboratory findings should the nurse report to the provider immediately? A. Blood glucose 140 mg/dL B. Oxygen saturation 85% C. RBC 3.2 million/uL D. Serum sodium 156 meQ/L

B. Oxygen saturation 85%

A nurse is caring for an infant who has a tracheoesophageal fistula. Which of the following actions should the nurse take? A. Place the infant in a lateral position B. Perform oropharyngeal suctioning C. Administer ranitidine orally D. Thicken the infant's formula

B. Perform oropharyngeal suctioning

A nurse is assessing a school-age child who has celiac disease. Which of the following findings should the nurse expect? A. Elevated sweat chloride B. Steatorrhea C. Clubbing of the fingers D. Jaundice

B. Steatorrhea

A nurse in a provider's office enters an examination room to assess an 8-month-old infant for the first time. Which of the following reactions by the infant should the nurse expect? A. The infant gives the nurse a social smile. B. The infant turns away when the nurse approaches. C. The infant reaches out to the nurse to be held. D. The infant is responsive and alert as the nurse comes closer.

B. The infant turns away when the nurse approaches.

A nurse in a providers office is observing children playing in the waiting room. The nurse should expect to identify parallel behavior in which of the following age groups? A. Infants B. Toddlers C. Preschoolers D. School-age children

B. Toddlers

The nurse is preparing to administer an oral medication to an 8-month-old infant. Which if the following actions should the nurse take? A. Mix the medication with 1tsp of honey to sweeten the toast for the infant B. Use an oral syringe to place the medication alongside the infants tongue C. Add the medication to the infants bottle of formula D. Place the infant in a supine position to administer the medication

B. Use an oral syringe to place the medication alongside the infants tongue

A nurse is assessing an infant who was born at 32 weeks gestation and is now 8 months old. Which of the following developmental ages should the nurse expect the infant to demonstrate? A. 2 months B. 4 months C. 6 months D. 8 months

C. 6 months

A charge nurse is reviewing the expected growth and development of school-age children with a group of staff nurses. Which of the following statements should the nurse include? A. A 7 year-old child prefers to play with children of a different gender B. A 6-year old child should understand the concept of cause and effect C. A 6-year old child should be able to count to 13 coins D. An 8-year old child should be able to wash his or her own hair independently.

C. A 6-year old child should be able to count to 13 coins

A charge nurse on a pediatric unit receives the laboratory results for several clients. Which of the following results should the nurse report to the provider? A. A client who has bacterial pneumonia and a WBC count of 15,800/mm^3 B. A client who has chronic kidney disease and a calcium level of 8.7 mg/dL C. A client who has diabetic ketoacidosis and a blood glucose of 375 mg/dL D. A client who has leukemia and a hematocrit of 32%

C. A client who has diabetic ketoacidosis and a blood glucose of 375 mg/dL

A nurse is teaching about clinical manifestations of tracheomalacia to a parent of an infant who had tracheoesophageal fistula repair as a newborn. Which findings should the nurse include in the teaching? A. Absence of bowel sounds B. Neck contortions C. Barking cough D. Projectile vomiting

C. Barking cough

A nurse is providing dietary teaching to the parent of a toddler who has phenylketonuria. Which of the following foods should the nurse recommend? A. Whole milk B. Ground beef C. Cooked carrots D. Eggs

C. Cooked carrots

A nurse is caring for a toddler who has asthma. The parents care concerned about the toddler's reaction to the hospitalization. Which of the following actions should the nurse take to decrease the child's anxiety? A. Provide privacy B. Give the child a thorough explanation before providing care C. Encourage rooming-in D. Tell the child you will help fix her

C. Encourage rooming-in

A nurse is preparing to assess an 11-month-old infant during a well-child examination. Which of the following actions should the nurse take? A. Pull the infant's pinna up and back when examining the ears B. Palpate and count the infant's radial pulse for 15 seconds C. Examine the infant's throat at the end of the examination D. Check the infant's blood pressure in both arms

C. Examine the infant's throat at the end of the examination

A nurse is teaching the parent of an infant about injury prevention. Which of the following statements by the parent indicates an understanding of the teaching? A. I should likely shake talcum powder on my baby's skin after each diaper change B. I should use a drop-side crib after my baby is 6 months old C. I should make sure by baby's clothing does not have buttons D. I should ensure the crib slats are no more than 3 inches apart

C. I should make sure by baby's clothing does not have buttons

A nurse is assessing a 30-month-old toddler during a well-child visit. Which of the following findings requires further assessment by the nurse? A. Primary dentition is complete B. The toddler is unable to hop on 1 foot C. The toddler's birth weight is tripled D. The toddler is able to state her first and last name

C. The toddler's birth weight is tripled

A nurse is caring for a toddler. Which of the following objects should the nurse select from the playroom for this child during hospitalization? A. Small plastic doll with clothes and accessories B. Alphabet flash cards C. Handheld video game D. 10-piece wooden puzzle

D. 10-piece wooden puzzle

A nurse in the emergency department is assessing a preschooler for indications of child maltreatment. The nurse should identify that which of the following findings is a manifestation of physical abuse? A. Multiple dental caries B. Malnutrition C. Frequent urinary tract infections D. Bruises at various stages of healing

D. Bruises at various stages of healing

A nurse is caring for a 2-year-old child who has cystic fibrosis. the nurse is planning to take the child to the playroom. which of the following activities would be appropriate for the child? A. Cutting figures from the colored paper B. Drawing stick figures using crayons C. Riding a tricycle D. Building towers with blocks

D. Building towers with blocks

A nurse is caring for a 12-month-old infant following the surgical repair of a cleft palate. The nurse should plan to feed the infant using which of the following instruments? A. Spoon B. Straw C. Firm nipple D. Cup

D. Cup

A nurse is planning preoperative teaching for a 5-year-old child. Which of the following interventions should the nurse include? A. Explain the long-term benefits of the procedure. B. Provide diagrams and pictures while explaining the procedure. C. Use correct medical terminology during the teaching session. D. Explain the procedure in terms of what the child will feel, see, hear, and taste.

D. Explain the procedure in terms of what the child will feel, see, hear, and taste.

A nurse is caring for a school-age child who has skeletal traction applied to repair a pelvic fracture. Which of the following actions should the nurse take? A. Rest the child's traction weights on the floor for 8 hr during the night B. Ensure the child's meal tray contains no high-fiber foods C. Perform passive range-of-motion exercises on the child's involved joints every 4 hr D. Place the child on a pressure-reduction mattress

D. Place the child on a pressure-reduction mattress

A nurse is caring for a child who has tetralogy of Fallot. Which of the following laboratory values should the nurse expect to find? A. Platelet count of 20,000/mm^3 B. WBC 4,000/mm^3 C. Thyroid stimulating hormone 7.0 microunits/mL D. RBC 6.8 million/uL

D. RBC 6.8 million/uL

A nurse is planning to implement relaxation strategies with a young child prior to a painful procedure. Which of the following actions should the nurse take? A. Ask the child to hold a breath and blow it out slowly B. Ask the child to describe a pleasurable event C. Bounce the child gently while holding him upright D. Rock the child using long, rhythmic movements

D. Rock the child using long, rhythmic movements

A nurse is assessing the fine motor skills of a 3-year-old preschooler. Which of the following findings should the nurse expect? A. The preschooler can draw a stick figure that has 7 parts B. The preschooler can print her first name C. The preschooler can cut out a picture using scissors D. The preschooler builds a tower of 9 cubes

D. The preschooler builds a tower of 9 cubes

A nurse is assessing a 6-month-old infant during a well-child visit. Which of the following motor activities should the nurse expect the infant to have achieved? A. Sitting alone B. Attempting to stack objects C. Picking up small objects with a crude pincer grasp D. Turning from back to stomach

D. Turning from back to stomach

A nurse is caring for a child who is receiving treatment for diabetic ketoacidosis and has current blood glucose level of 250mg/dL. Which of the following actions should the nurse take? A. Administer 5% dextrose in 0.9% sodium chloride by continuous IV infusion B. Give potassium as a rapid IV bolus C. Administer 3 units of ultralente insulin subcutaneously D. Obtain an HbA1c level stat

A. Administer 5% dextrose in 0.9% sodium chloride by continuous IV infusion

A nurse is assessing an infant who has untreated congenital hypothyroidism. Which of the following manifestations should the nurse expect? A. Constipation B. Hyperreflexia C. Oily skin D. Hyperthermia

A. Constipation

A nurse is teaching the parent of a school-age child who has celiac disease. Which of the following foods selected by the parent indicates an understanding of the teaching? A. Corn tortilla with black beans B. Pizza C. Canned soup D. Hot dogs

A. Corn tortilla with black beans

A nurse working on a maternal-newborn unit is teaching a group of newly licensed nurses about assisting new mothers with breastfeeding. The nurse should include which of the following infant conditions as a contraindication for breastfeeding? A. Galactosemia B. Hyperbilirubinemia C. Glycogen storage disease D. Hypothyroidism

A. Galactosemia

A nurse at a pediatric clinic is assessing a 5-month-old infant during a well child visit. Which of the following findings should the nurse report to the provider? A. Head lagging when the infant is pulled from a lying to a sitting position B. Absence of startle and crawl reflexes C. Inability to pick up a rattle after dropping it D. Rolling from back to side

A. Head lagging when the infant is pulled from a lying to a sitting position

A nurse is assessing a 12-month-old male infant's vital signs during a well child visit. The infant is in the 90th percentile for height. Which of the following findings should the nurse report to the provider? A. Heart rate 175/min B. Respiratory rate 26/min C. BP 88/40 mmHg D. Temperature 37.6 C (99.7 F)

A. Heart rate 175/min

A nurse is assessing a toddler who has measles (rubeola). Which of the following findings should the nurse expect? A. Koplik spots B. Parotitis C. Strawberry tongue D. Paroxysmal coughing

A. Koplik spots

A nurse is assessing an infant w ho has acute gastroenteritis. Which of the following findings should the nurse identify as the priority? A. Decreased skin turgor B. Capillary refill 5 seconds C. Heart rate 150/min D. Dry mucous membranes

B. Capillary refill 5 seconds

A nurse is developing a plan of care for a school-age child who underwent a surgical procedure that resulted in a temporary loss of vision. Which of the following interventions should the nurse include in the plan of care? A. Assign an assistive personnel to feed the child B. Explain the sounds the child is hearing C. Have the child use a cane when ambulating D. Rotate nurses caring for the child

B. Explain the sounds the child is hearing

A nurse is assessing a 12-year-old child during a well-child checkup. which of the following physical findings should the nurse report to the provider? A. 5 cm (2 in) of growth in the past year B. Hyperopia C. Presence of pubic hair D. Weight gain of 3 kg (6.6 lb) in the last year

B. Hyperopia

A nurse is planning to teach a 9-year-old child who has a new diagnosis of diabetes mellitus. The nurse should identify that school-age children are attempting to master which of the following developmental tasks? A. Initiative vs. guilt B. Industry vs. inferiority C. Trust vs. mistrust D. Identity vs. role confusion

B. Industry vs. inferiority

A nurse is caring for an infant following a surgical repair of a cleft lip and palate. Which action should the nurse take? A. Keep the infant's mouth open by using a tongue blade for 4 hr following surgery B. Suction the infant gently with a bulb syringe PRN C. Place the infant in a prone position D. Clean the infant's incision with chlorhexidine

B. Suction the infant gently with a bulb syringe PRN

A nurse is providing education to the parent of a toddler who is about to receive an MMR immunization. Which of the following statements by the parent indicates an understanding of the teaching? A. My child should not play with other children for 2 days B. I will need to return in 2 weeks for my child to receive the varicella immunization C. I will help my child blow bubbles during the injection D. My child may have some drainage from the injection site

C. I will help my child blow bubbles during the injection

A nurse is providing teaching for a parent about pinworm testing. At which of the following times should the nurse advise the parent to perform the tape test? A. Immediately after the child has a bowel movement. B. After being on a clear liquid diet for 24 hours. C. Immediately after the child wakes up in the morning. D. After soaking for 20 minutes in a warm bath.

C. Immediately after the child wakes up in the morning.

A nurse is caring for an 18-month-old infant who has chronic otitis media. The nurse should recognize that chronic otitis media will affect which of the following? A. Olfaction B. Visual acuity C. Speech patterns D. Hand-eye coordination

C. Speech patterns

A nurse is assessing a 7-year-old child's psychosocial development. Which of the following findings should the nurse recognize as an indicator for further evaluation? A. The child prefers playmates of the same sex B. The child is competitive when playing board games C. The child complains daily about going to school D. The child enjoys spending time alone

C. The child complains daily about going to school

A nurse is providing teaching to the parent of a toddler who is undergoing insertion of tympanostomy tubes. Which of the following statements should the nurse include? A. The doctor will replace the tubes routinely about every 2 years B. If your child gets water in her eats will not cause any further problems C. The tubes should stay in place until they fall out on their own D. Now that the tubes are in place, she should not have any further problems with hearing

C. The tubes should stay in place until they fall out on their own

A nurse in the emergency department is assessing an infant who recently started taking digoxin to treat a supraventricular arrhythmia. Which of the following findings should the nurse identify as an indication of digoxin toxicity? A. Irritability B. Diaphoresis C. Vomiting D. Tachycardia

C. Vomiting

A nurse is providing teaching to the family of a child who has autism spectrum disorder. Which of the following statements indicates that the family understands the teaching? A. Donepezil might slow the progression of the disorder B. My child will prefer group therapy with other children C. We can help our child by structuring our daily routine D. Our child probably has this condition as a result of prematurity

C. We can help our child by structuring our daily routine

A nurse is caring for a child who has glomerulonephritis. Which of the following actions should the nurse take? A. Monitor the child's blood pressure twice per day B. Maintain the child on bed rest for 3 days C. Weigh the child once each day D. Increase the child's daily intake of sodium

C. Weigh the child once each day

A nurse is teaching the parents of a child who has cerebral palsy. Which of the following statements should the nurse make? A. Your child is unable to eat by mouth B. Your child will be unable to participate in recreational activities C. Your child will need a botulinum toxin A injection to reduce muscle spasticity D. Your child will need to throw rugs placed over non-carpeted areas

C. Your child will need a botulinum toxin A injection to reduce muscle spasticity

A clinic nurse is providing teaching to the parent of a 1-month-old infant who has gastroesophageal reflux. Which of the following statements by the parent indicates an understanding of the teaching? A. "I will give lansoprazole 30 min after my baby's feedings." B. "I will lay my baby on her side after feedings." C. "I will give my baby a bottle just before bedtime." D. "I will add rice cereal to my baby's feedings."

D. "I will add rice cereal to my baby's feedings."

A nurse is preparing to administer an enema to a 10-month old infant. Which of the following actions should the nurse plan to take? A. Administer the enema using room-temperature tap water B. Insert the tubing 7.5cm (3 in) into the rectum C. Position the infant sitting upright on a bedpan while administering the enema D. Hold the infant's buttocks together after administering the fluid

D. Hold the infant's buttocks together after administering the fluid

A nurse is providing teaching to the parent of a child who has ADHD and a new prescription for methylphenidate sustained-release tablets. Which of the following statements by the parent indicates an understanding of the teaching? A. I should expect my child to gain weight while taking this medication B. I should expect this medication to decrease my child's heart rate C. I should crush the medication and put it in my child's food D. I should give this medication to my child half an hour before breakfast

D. I should give this medication to my child half an hour before breakfast

A nurse is teaching a school-age child who is to undergo a bone marrow aspiration. Which of the following statements should the nurse make? A. I will give you an antibiotic before your procedure B. I will place you on your side during the procedure C. You might have a headache following the procedure D. I will place a pressure dressing over the area following the procedure

D. I will place a pressure dressing over the area following the procedure

A nurse is providing teaching to a parent of a preschooler who has tinea capitis. Which of the following instructions should the nurse include in the teaching? A. Apply aluminum acetate solution compresses to the lesions B. apply hydrocortisone cream to the lesions twice daily C. Seal nonwashable toys in a plastic bag for 2 weeks D. Leave the medicated shampoo on the scalp for 5 to 10 minutes

D. Leave the medicated shampoo on the scalp for 5 to 10 minutes

A nurse is providing teaching about home care to the parents of an infant who has diaper dermatitis. Which of the following instructions should the nurse include? A. Dry the affected area with a hair dryer on the low setting twice per day B. Use cloth diapers washed in a low-residue detergent C. Wash the genital area vigorously with each diaper change D. Leave the zinc oxide ointment intact and reapply as necessary during diaper changes

D. Leave the zinc oxide ointment intact and reapply as necessary during diaper changes

A nurse is providing teaching to a 12-year-old client who is recovering from an acute episode of hemophilia a. Which of the following statements should the nurse include in the teaching? A. Have your parents stretch and move your legs for you B. Apply heat to joints that become painful, stiff, and swollen C. Take aspirin at the first sign of a headache D. You will be able to participate in physical exercises

D. You will be able to participate in physical exercises

A nurse is providing education for the family of a 6-month-old infant about ways to stimulate language development. which of the following instructions should the nurse include? A. Explain what you are doing to the infant while providing care B. Promote fine-motor development of the tongue by offering a pacifier several times each day C. Exercise jaw muscles with foods that require chewing, such as hot dogs and carrots D. Leave a television playing in the child's room during nap time

A. Explain what you are doing to the infant while providing care

A nurse is assessing a 4-year-old child. The nurse should expect the child to be able to perform which of the following activities? A. Fastening buttons on a shirt B. Tying shoelaces C. Parting and combing hair D. Cutting the meat at dinner

A. Fastening buttons on a shirt

A nurse is caring for the family of a preschooler who has a terminal illness. The nurse should teach the family to expect the preschooler to have which of the following concepts of death? A. People can come back to life after they die B. Death eventually occurs for all people C. Death is a scary monster that causes people to die D. People are unable to be anything but alive

A. People can come back to life after they die

A nurse is reviewing the medical record of a 2-month-old infant who has rotavirus. The nurse notes a hemoglobin level of 12g/dL and a hematocrit of 51%. Which of the following statements by the nurse indicates an understanding of the laboratory values? A. The infant might be dehydrated B. The infant might be anemic C. The infant might have received too much fluid D. The infant might have leukemia

A. The infant might be dehydrated

An 18-month-old infant has pneumocystis carinii pneumonia. Results of enzyme-linked immunosorbent assay (ELISA) testing indicate that she is HIV positive. When planning care, the nurse should consider which of the following factors? A. The infant's mother is likely HIV positive B. The infant's ELISA test result is probably a false positive for HIV C. Antiretroviral medications are inappropriate for infants and children who have HIV D. HIV-positive status is a contraindication for measles, mumps, and rubella immunizations

A. The infant's mother is likely HIV positive

A nurse is caring for an infant who has biliary atresia. Which of the following manifestations should the nurse expect? (Select all that apply.) A. Yellow sclerae B. Rapid weight gain C. Tar-colored stools D. Abdominal distention E. Dark urine

A. Yellow sclerae D. Abdominal distention E. Dark urine

A nurse is observing the behavior of a 2-year-old child. Which of the following actions should the nurse expect to observe when the child is in an activity room with other toddlers? A. Playing a simple game with another child B. Engaging in play near other children C. Sharing crayons with another toddler D. Jumping on 1 foot without help

B. Engaging in play near other children

A nurse is providing education for a group of parents about toddler language development during a well child visit. Which of the following findings should the parent expect in an 18 month old toddler? A. Ability to refer to self by name B. Vocabulary of 10 or more words C. Following simple directional commands D. Naming a single color

B. Vocabulary of 10 or more words

A nurse is teaching the parents of a toddler who has enterobiasis about managing tis parasitic disease. Which of the following pieces of information should the nurse include in the teaching? A. You should encourage your child to take a tub bath daily B. You should keep your child's fingernails trimmed short C. You should dress your child in a 2-piece outfit at bedtime D. You should expect your child not to have a recurrence of the parasitic disease

B. You should keep your child's fingernails trimmed short

A nurse is teaching a group of parents of toddlers about growth and development. A parent asks, "Why does my child's abdomen stick out?" Which of the following statements should the nurse make? A. You should give your child a stool softener daily B. Toddlers gain weight at a rapid pace C. You should have your child assessed for a spinal deformity D. Toddlers do not have well-developed abdominal muscles

D. Toddlers do not have well-developed abdominal muscles

A nurse is teaching a school-age child and his parents how to self-administer insulin. Which of the following actions should the nurse take first? A. Allow a parent to administer an injection to the nurse B. Have the child teach the injection technique to the parents C. Have a parent administer the insulin injection to the child D. Demonstrate the injection technique on an orange

D. Demonstrate the injection technique on an orange

A nurse is assessing pain in a 3-year-old child following a tonsillectomy. Which of the following rating scales should the nurse use to determine the child's pain level? A. Word-Graphic Rating Scale B. Color Tool C. Poker Chip Tool D. FACES Rating Scale

D. FACES Rating Scale

A nurse is caring for an infant who has pertussis. Which of the following actions should the nurse take? A. Assess for edema of the extremities B. Apply warm compresses to the neck area C. Initiate airborne precautions D. Maintain a cardiorespiratory monitor

D. Maintain a cardiorespiratory monitor

A nurse is assessing a child who is receiving IV chemotherapy. Assessment findings include extravasation of the tissues surrounding the IV insertion site. In which order should the nurse take the following actions? Remove the IV line, Elevate the extremity, Stop the infusion, Notify the provider

1. Stop the infusion 2. Elevate the extremity 3. Notify the provider 4. Remove the IV line

A nurse is planning to assess an 8-year-old child who was brought to the clinic by a parent. The parent reports the child has missed school for 3 weeks and refuses to go back due to "not feeling well". Which of the following actions should the nurse perform during the initial interview with the child? A. Ask the child to describe what things were like right before not wanting to go to school B. Use a direct question and ask the child why going to school is no longer fun C. Tell the child it is okay not to like school, but she has to go back D. Reassure the child that things might not be going well right now, but they will soon improve

A. Ask the child to describe what things were like right before not wanting to go to school

A nurse is caring for a child who has electrical burns on the lower arms and hands. Which of the following findings indicate the child is experiencing a complication of the injury? A. Dark urine B. 2+ radial pulses C. Respiratory rate of 20/min D. Minimal pain

A. Dark urine

A nurse is teaching the parent of a toddler about home safety. Which of the following statements by the parent indicates an understanding of the teaching? A. I will lock my medications in the medicine cabinet B. I will keep my child's crib mattress at the highest level C. I will turn pot handles to the side of my stove while cooking D. I will give my child syrup of ipecac if she swallows something poisonous

A. I will lock my medications in the medicine cabinet

A nurse is providing teaching to the parents of a school-aged child who has type 1 diabetes mellitus about managing hypoglycemia. Which of the following responses by a parents indicates an understanding of the teaching? A. I will make sure my child drinks 240 mL (8 oz) of milk ASAP B. I will give my child 2 units of regular insulin C. I will insist that my child lie down to rest for 30 min D. I will check my child's urine for glucose twice daily

A. I will make sure my child drinks 240 mL (8 oz) of milk ASAP

A nurse is providing dietary teaching to the parent of a child who has cystic fibrosis. Which of the following dietary recommendations should the nurse make? A. Increase the child's protein intake B. Decrease the child's calorie intake C. Increase the child's fiber intake D. Decrease the child's salt intake

A. Increase the child's protein intake

A nurse is assessing the visual acuity of a group of school-aged children. Which of the following actions should the nurse take? A. Position each child with their heels at a line that is 6 m (20 ft) away from the Snellen chart B. Allow each child to wear his or her glasses during the exam C. Start the screening by covering each child's right eye D. Begin by having each child read the largest line of letters at the top of the Snellen chart

B. Allow each child to wear his or her glasses during the exam

A nurse on a pediatric unit is planning care for a preschooler who will be having a surgical procedure in the morning. The child has been crying despite his parent's presence at his bedside. The nurse should add engaging the child in therapeutic play to the care plan because it offers which of the following benefits? A. Decrease the child's fear of the dark B. Allow the child to manipulate toy medical equipment C. Provide an opportunity to analyze the child's emotions D. Encourage parents to engage with their child

B. Allow the child to manipulate toy medical equipment

A school nurse is providing care to a child who has a nosebleed. Which of the following actions should the nurse perform? A. Place the child in a supine position B. Apply pressure to the child's nose using the thumb and forefinger C. Have the child tilt his head back D. Apply a warm cloth to the bridge of the child's nose E. Keep the child calm

B. Apply pressure to the child's nose using the thumb and forefinger E. Keep the child calm

A nurse is assessing the fine motor skills development of a 4-year-old child. The nurse should expect the child to be able to perform which of the following activities? A. Tying shoelaces into a bow B. Copying a square C. Drawing a person with at least 8 parts D. Printing the letters of her name

B. Copying a square

A nurse is providing teaching to the parent of a school-aged child who has pediculosis. Which of the following instructions should the nurse include? A. Machine-wash clothing in cold water B. Dry clothing in a hot dryer for at least 20 min C. Soak combs and brushes for 5 min in boiling water D. Seal nonwashable items in a bag for 7 days

B. Dry clothing in a hot dryer for at least 20 min

A nurse is providing immediate postoperative care for a preschooler who had a tonsillectomy. Which of the following actions should the nurse take? A. Offer ice cream or pudding when the child is fully awake B. Eliminate the use of a straw when offering fluids C. Apply a heating pad to the neck area D. Instruct the child to blow his nose to clear bloody secretions

B. Eliminate the use of a straw when offering fluids

A nurse is teaching an adolescent about managing asthma and using a peak expiratory flow meter. Which of the following statements by the client demonstrates an understanding of the teaching? A. I will use my peak flow meter whenever I feel short of breath B. I will continue to take my medication when my peak flow rate is in the green zone C. I need to use the average of 3 readings when I measure my flow rate D. My asthma is being controlled if my flow rate is in the the yellow zone

B. I will continue to take my medication when my peak flow rate is in the green zone

A nurse is teaching the parents of an infant who has acute otitis media about how to administer antibiotic ear drops. which of the following instructions should the nurse include? A. Chill the medication prior to administration B. Massage the anterior area of the infant's ear following administration C. Hyperextend the infant's neck during administration D. Pull the auricle up and back during medication administration

B. Massage the anterior area of the infant's ear following administration

A nurse is caring for a child who has a tracheostomy. Which of the following techniques should the nurse use the suction the child's tracheostomy? A. Insert the catheter to 2 cm beyond the end of the tracheostomy tube B. Remove the catheter while applying intermittent suction C. Instill 0.9% sodium chloride irrigation to loosen secretions while suctioning D. Continue suctioning until the secretions are removed

B. Remove the catheter while applying intermittent suction

A nurse is assessing the gross and fine motor behaviors of a toddler. Which of the following behaviors should he nurse identify as an expected achievement for a 3-year-old child? A. Walking backward while moving heel to toe B. Standing on 1 foot for several seconds C. Using scissors to cut out shapes D. Printing letters with a pencil

B. Standing on 1 foot for several seconds

A nurse is assessing a 6-year-old child who is immediately postoperative following a tonsillectomy. Which of the following findings should the nurse report to the provider? A. The child has a small amount of dark brown blood between the teeth B. The child is swallowing frequently C. The child has a heart rate of 118/min D. The child refuses the application of an ice collar

B. The child is swallowing frequently

A nurse is providing teaching about disease-management strategies to a 9-year-old client who has cystic fibrosis. Which of the following statements should the nurse include? A. Thorough and effective pulmonary clearance can help prevent the need for a lung transplant when you get older B. You should eat these kinds of foods because they will help you grow big and strong C. Your mucus is thick because cystic fibrosis interferes with how your glands work D. Your medication follows a certain schedule to help you sleep better

C. Your mucus is thick because cystic fibrosis interferes with how your glands work

A nurse is teaching a parent of a 12-month-old infant about development during the toddler years. Which of the following statements should the nurse include? A. Your child should be referring to himself using the appropriate pronoun by 18 months of age B. A toddler first shows interest in looking at pictures at 20 months of age C. A toddler should have daytime control of his bowel and bladder by 24 months of age D. Your child should be able to scribble spontaneously using a crayon at 15 months of age

D. Your child should be able to scribble spontaneously using a crayon at 15 months of age