Peds exam 2- text bank (possible questions)

As a result of seizure activity, a computed tomography (CT) scan was performed and showed that an 18-month-old child has intracranial arteriovenous malformation. When developing the child's plan of care, what would the nurse expect to implement actions to prevent? A)Drug interactions B)Developmental disabilities C)Hemorrhagic stroke D)Respiratory paralysis

Hemorrhagic stroke

The nurse is conducting a physical examination of a child with a ventricular septal defect. Which finding would the nurse expect to assess? A)Right ventricular heave B)Holosystolic harsh murmur along the left sternal border C)Fixed split-second heart sound D)Systolic ejection murmur

Holosystolic harsh murmur along the left sternal border

When providing care to a newborn infant who was born at 29 weeks' gestation, the nurse integrates knowledge of potential complications, being alert for signs and symptoms of what condition? A)Neonatal conjunctivitis B)Facial deformities C)Intracranial hemorrhage D)Incomplete myelinization

IC hemorrhage

A nurse is preparing a teaching program for a parenting group about preventing foreign body aspiration. What information would the nurse include? A)Avoid giving popcorn to children younger than the age of 2 years. B)Withhold peanuts from children until they are at least 5 years of age. C)If an object fits through a standard toilet paper roll, the child can aspirate it. D)Keep pennies and dimes out of the child's reach; quarters do not pose a problem.

If an object fits through a standard toilet paper roll, the child can aspirate it.

A nurse is preparing a teaching plan for the family of a child with allergic rhinitis. When describing the immune reaction that occurs, the nurse would identify the role of which immunoglobulin? A)IgA B)IgE C)IgG D)IgM

IgE

The nurse is developing a plan of care for a 5- year-old child with a severe hearing impairment focusing on psychosocial interventions based on assessment findings. Which behavior would the nurse have mostlikely assessed? A)Immature emotional behavior B)Self-stimulatory actions C)Inattention and vacant stare D)Head tilt or forward thrust

Immature emotional behavior

The nurse is caring for a child hospitalized with Reye syndrome who is in the acute stage of the illness. The nurse would assess the child most carefully for what finding? A)Indications of increased intracranial pressure B)An increase in the blood glucose level C)A decrease in the liver enzymes D)A presence of protein in the urine

Indications of increased intracranial pressure

A newborn is diagnosed with patent ductus arteriosus. The nurse anticipates that the physician will most likely order which medication? A)Alprostadil B)Heparin C)Indomethacin D)Spironolactone

Indomethacin

The nurse is discussing discharge instructions with the parents of a 6-year-old who had a tonsillectomy. What is the most important thing to stress? A)Administer analgesics. B)Encourage the child to drink liquids. C)Inspect the throat for bleeding. D)Apply an ice collar.

Inspect the throat for bleeding.

A child is brought to the emergency department by his parents because he suddenly developed a barking cough. Further assessment leads the nurse to suspect that the child is experiencing croup. What would the nurse have most likely assessed? A)High fever B)Dysphagia C)Toxic appearance D)Inspiratory stridor

Inspiratory stridor

The nurse is examining a 3-year-old boy with acute otitis media who has a mild earache and a temperature of 38.5°C. Which action will be taken? A)Obtain a culture of the middle ear fluid. B)Instruct the parents to watch for worsening symptoms. C)Administer antibiotics. D)Administer antivirals.

Instruct the parents to watch for worsening symptoms.

A nurse is examining a child who has sustained blunt trauma to the eye area. The nurse suspects a simple contusion based on what finding? A)Pain in the eye B)Impaired visual acuity C)Blurred vision D)Intact extraocular movements

Intact extraocular movements

The nurse is educating the parents of a 7-year- old boy with asthma about the medications that have been prescribed. Which drug would the nurse identify as an adjunct to a b2- adrenergic agonist for treatment of bronchospasm? A)Ipratropium B)Montelukast C)Cromolyn D)Theophylline

Ipratropium

During class, a student states, "I didn't think children could have strokes. I thought this only occurred in older adults." When responding to the student, what would bemost important for the instructor to integrate into the response? A)Strokes in children often have an identifiable cause. B)The signs and symptoms in children are different from an adult. C)Research has identified specific treatments for children. D)Ischemic strokes are more common than hemorrhagic strokes.

Ischemic strokes are more common than hemorrhagic strokes.

A nursing instructor is preparing a class on chronic lung disease. What information would the instructor include when describing this disorder? A)It is a result of cystic fibrosis. B)It is seen most commonly in premature infants. C)It typically affects females more often than males. D)It is characterized by bradypnea.

It is seen most commonly in premature infants.

A nursing instructor is preparing a class on chronic lung disease. Which information would the instructor include when describing this disorder? A)It is a result of cystic fibrosis. B)It is seen most commonly in premature infants. C)It typically affects females more often than males. D)It is characterized by bradypnea.

It is seen most commonly in premature infants.

After teaching a group of students about acute rheumatic fever, the instructor determines that the teaching was successful when the students identify which assessment finding? A)Janeway lesions B)Jerky movements of the face and upper extremities C)Black lines D)Osler nodes

Jerky movements of the face and upper extremities

A group of students are reviewing information about head injuries in children. The students demonstrate understanding of this information when they identify what as the most common type of skull fracture in children? A)Linear B)Depressed C)Diastatic D)Basilar

Linear

A nurse is reviewing the medical record of a child and finds that the child has a grade III murmur. After auscultating the child's heart sounds, how would the nurse document this murmur? A)Loud without a thrill B)Loud with a precordial thrill C)Soft and easily heard D)Loud, audible with a stethoscope

Loud without a thrill

Hydrocephalus is suspected in a 4-month-old infant. Which would the nurse expect to assess? A)Sunken fontanels B)Diminished reflexes C)Lower extremity spasticity D)Skull symmetry

Lower extremity spasticity

A nurse is reviewing the medical record of a child with hearing loss and notes that the child's hearing loss is in the range 40 to 60 decibels (dB). The nurse interprets this as indicating what level of hearing loss? A)Mild loss B)Moderate loss C)Severe loss D)Profound loss

Moderate loss

The physician has ordered rectal diazepam for a 2-year-old boy with status epilepticus. Which instruction is essential for the nurse to teach the parents? A)Monitor their child's level of sedation. B)Watch for fever indicating infection. C)Gradually reduce the dosage as seizures stop. D)Monitor for an allergic reaction to the medication.

Monitor their child's level of sedation.

A group of nursing students are reviewing information related to seizures that occur in infants and children. The students demonstrate a need for additional review when they identify which type as common in neonates? A)Tonic B)Focal clonic C)Multifocal clonic D)Myoclonic

Myoclonic

The nurse assesses a child's level of consciousness, noting that the child falls asleep unless he is stimulated. The nurse documents this finding as: A)Confusion B)Obtunded C)Stupor D)Coma

Obtunded

A nurse is preparing a school-aged child for a lumbar puncture. The nurse would expect to position the child in which manner? A)On her side with the head flexed forward and knees flexed to the abdomen B)Sitting upright with the head flexed forward to the chest C)Supine with arms and legs pronated and extended D)Prone with the arms flexed under the chest

On her side with the head flexed forward and knees flexed to the abdomen

A child with increased intracranial pressure is being treated with hyperventilation. The nurse understands the need for this treatment is based on what? A)PaCO2 levels decrease, causing vasoconstriction. B)Drainage of cerebrospinal fluid occurs. C)Activity is controlled via a stimulator. D)Hyperexcitability of the nerves is reduced.

PaCO2 levels decrease, causing vasoconstriction.

A nurse is examining a 7-year-old boy with hordeolum. Which would the nurse expect to find? A)Redness B)Scaling C)Pain D)Edema

Pain

The nurse is examining a 7-year-old boy with blepharitis. What would the nurse least likely expect to assess? A)Redness B)Scaling C)Pain D)Edema

Pain

The nurse is assessing a 7-year-old boy with pharyngitis. What assessment finding would suggest the child has developed a peritonsillar abscess? A)Palatal edema B)Difficulty swallowing C)Rash on the abdomen D)Sore throat and headache

Palatal edema

The nurse is preparing to perform a physical examination of a child with asthma. Which technique would the nurse be least likely to perform? A)Inspection B)Palpation C)Percussion D)Auscultation

Palpation

nurse is teaching the parents of a child diagnosed with cystic fibrosis about medication therapy. Which would the nurse instruct the parents to administer orally? A)Recombinant human DNase B)Bronchodilators C)Anti-inflammatory agents D)Pancreatic enzymes

Pancreatic enzymes

Assessment of a child leads the nurse to suspect viral conjunctivitis based on what finding? A)Mild pain B)Photophobia C)Itching D)Watery discharge

Photophobia

The nurse is preparing to provide tracheostomy care to an infant. After gathering the necessary equipment, which action would the nurse take next? A)Position the infant supine with a towel roll under the neck B)Cut the new tracheostomy ties to the appropriate length C)Cut the tracheostomy ties from around the tracheostomy tube D)Cleanse around the site of the tracheostomy with the prescribed solution

Position the infant supine with a towel roll under the neck

The nurse is preparing to provide tracheostomy care to an infant. After gathering the necessary equipment, what would the nurse do next? A)Position the infant supine with a towel roll under the neck. B)Cut the new tracheostomy ties to the appropriate length. C)Cut the tracheostomy ties from around the tracheostomy tube. D)Cleanse around the site of the tracheostomy with the prescribed solution.

Position the infant supine with a towel roll under the neck.

The nurse is caring for a 19-month-old boy who has been admitted to the emergency department with a skull fracture. The parents state that the child fell down when running through the house and hit his head on the floor. Based on normal characteristics of skull fractures, what should be the initial focus of the assessment? A)Possible physical abuse B)Possible bone cancer C)Possible chronic neurological disease D)Possible developmental delay

Possible physical abuse

What finding would lead the nurse to suspect that a child is beginning to develop increased intracranial pressure? A)Bradycardia B)Cheyne-Stokes respirations C)Fixed, dilated pupils D)Projectile vomiting

Projectile Vomiting

The nurse is caring for a 3-year-old boy with amblyopia. Which intervention would bemost appropriate to include in the child's plan of care? A)Rinsing the eye with cool water B)Educating the family about the disease C)Encouraging frequent hand washing D)Promoting eye safety

Promoting eye safety

A 4-year-old boy has a febrile seizure during a well-child visit. What action would be apriority? A)Hyperextending the child's head while placing him on his side B)Using a tongue blade to pry open the child's jaw C)Loosening the child's clothing to ensure a patent airway D)Protecting the child from harm during the seizure

Protecting the child from harm during the seizure

The nurse is examining an 8-year-old boy with tachycardia and tachypnea. The nurse anticipates which test as most helpful in determining the extent of the child's hypoxia? A)Pulmonary function test B)Pulse oximetry C)Peak expiratory flow D)Chest radiograph

Pulse ox

The parents of a 5-year-old bring their son to the emergency department because of significant eyelid edema. The mother states, "He scratched himself near his eye a couple of days ago while playing outside in the yard." The nurse suspects periorbital cellulitis based on which finding? A)Evidence of discharge B)Reddened conjunctiva C)Purplish discoloration of eyelid D)Altered visual acuity

Purplish discoloration of eyelid

The nurse is examining a 5-year-old boy. Which sign or symptom is a reliable firstindication of respiratory illness in children? A)Slow, irregular breathing B)A bluish tinge to the lips C)Increasing lethargy D)Rapid, shallow breathing

Rapid, shallow breathing

After teaching a group of students about visual disorders, the instructor determines that the teaching was successful when the students identify what as the most common cause of visual difficulties in children? A)Astigmatism B)Strabismus C)Refractive errors D)Nystagmus

Refractive Errors

The nurse is assessing a child with suspected infective endocarditis. Which assessment finding would the nurse interpret as a sign of extracardiac emboli? A)Pruritus B)Roth spots C)Delayed capillary refill D)Erythema marginatum

Roth spots

The nurse is conducting a physical examination of a child with a suspected cardiovascular disorder. Which finding would the nurse most likely expect to assess if the child had transposition of the great vessels? A)Significant cyanosis without presence of a murmur B)Abrupt cessation of chest output with an increase in heart rate/filling pressure C)Soft systolic ejection D)Holosystolic murmur

Significant cyanosis without presence of a murmur

A child requires supplemental oxygen therapy at 8 liters per minute. Which delivery device would the nurse most likely expect to be used? A)Simple mask B)Venturi mask C)Nasal cannula D)Oxygen hood

Simple mask

The nurse has developed a teaching plan for the family of a 2-year-old boy who holds his breath when he gets frustrated. What will bemost important to include in this plan? A)Provide cuddle time whenever the child begins to act out. B)Explain the child's behavior to the parents. C)Encourage the parents to interact more with the child. D)Stay close to prevent injury when he gets frustrated.

Stay close to prevent injury when he gets frustrated.

When conducting a physical examination of a child with suspected Kawasaki disease, which finding would the nurse expect to assess? A)Hirsutism or striae B)Strawberry tongue C)Malar rash D)Café au lait spots

Strawberry tongue

A nurse is preparing a presentation for a local health fair about meningitis and has developed a display that lists the following causes: Streptococcus group BHaemophilus influenzae type BStreptococcus pneumoniaeNeisseria meningitidisWhat would the nurse highlight as the mostcommon cause of meningitis in newborns? A)Streptococcus group B B)Haemophilus influenzae type B C)Streptococcus pneumoniae D)Neisseria meningitides

Streptococcus group B

The nurse is caring for a 3-year-old girl with a respiratory disorder. The nurse anticipates the need for providing supplemental oxygen to the child when performing which action? A)Suctioning a tracheostomy tube B)Administering drugs with a nebulizer C)Providing tracheostomy care D)Suctioning with a bulb syringe

Suctioning a tracheostomy tube

A 16-year-old boy reports to the school nurse of headaches and a stiff neck. Which sign or symptom would alert the nurse that the child may have bacterial meningitis? A)Fixed and dilated pupils B)Frequent urination C)Sunset eyes D)Sunlight is "too bright"

Sunlight is "too bright"

The nurse inspects the eyes of a child and observes that the sclera is showing over the top of the iris. The nurse documents this finding as: A)Decorticate posturing B)Nystagmus C)Doll's eye D)Sunsetting

Sunsetting

The nurse is caring for an 8-year-old boy who has chronic epilepsy. What would be mostimportant to address when teaching the child and parents about living with this condition? A)Multiple corrective surgeries to slowly remove diseased parts of his brain B)Physical, occupational, and speech therapy to maximize his potential C)Support for maintaining self-esteem because of his altered lifestyle D)Hyperventilation therapy to counteract the periods of decreased oxygenation

Support for maintaining self-esteem because of his altered lifestyle

Bacterial pneumonia is suspected in a 4-year- old boy with fever, headache, and chest pain. Which assessment finding would most likely indicate the need for this child to be hospitalized? A)Fever B)Oxygen saturation level of 96% C)Tachypnea with retractions D)Pale skin color

Tachypnea with retractions

The nurse is caring for a 3-month-old with nasolacrimal duct obstruction. Which intervention would be most appropriate for the nurse to implement? A)Being careful to prevent spread of infection B)Teaching the parents how to gently massage the duct C)Applying hot, moist compresses to the affected eye D)Referring the child to an ophthalmologist

Teaching the parents how to gently massage the duct

A group of students are reviewing information about the differences in the hearing and vision capabilities of a child when compared to an adult. The students demonstrate a need for additional study when they identify what as one of the differences? A)Hearing is completely developed at the time of birth. B)Visual acuity develops from birth throughout childhood. C)Binocular vision is usually achieved by 2 months of age. D)The ability to discriminate colors is completed by birth.

The ability to discriminate colors is completed by birth.

A 10-year-old boy is seen in the emergency department after falling down a flight of stairs and hitting his head. The child will be monitored overnight for complications. Which occurrence in the coming hours will warrant further assessment? A)The child reports a backache. B)The child is increasingly irritable with his mother and caregivers. C)The child refuses offers of snacks. D)The child reports his stomach is upset

The child is increasingly irritable with his mother and caregivers.

The nurse is instructing a 7-year-old child and his parents about using his prescribed corrective lenses. What would the nurse include in these instructions? A)"Make sure to take your glasses off from time to time to allow your eyes to rest." B)"Remove your glasses with both hands and lay them with the lens upright on the surface." C)"Clean the glasses every day with a mild soap and water or commercial cleaning agent." D)"Use paper towels or tissues to dry and periodically clean the lenses.

"Clean the glasses every day with a mild soap and water or commercial cleaning agent."

A 9-year-old child has undergone a cardiac catheterization and is being prepared for discharge. The nurse is instructing the parents and child about postprocedure care. Which statement by the parents indicates that the teaching was successful? A)"This pressure dressing needs to stay on for 5 days from now." B)"He can't eat but he can drink fluids for the next 24 hours." C)"He should avoid taking a bath for about 3 days but he can shower." D)"It's normal if he says he feels like his heart skipped a beat."

"He should avoid taking a bath for about 3 days but he can shower."

A child with persistent otitis media with effusion is to undergo insertion of pressure- equalizing tubes via a myringotomy. The child is to be discharged later that day. After teaching the parents about caring for their child after discharge, which statement indicates that the teaching was successful? A)"The tubes will stay in place for about a month and then fall out on their own." B)"His chances for ear infections now have dramatically decreased." C)"He should wear earplugs when swimming in a pool or a lake." D)"We should keep the ears protected with cotton balls for the first 24 hours."

"He should wear earplugs when swimming in a pool or a lake."

A nurse is providing teaching to the parents of a child who has had a shunt inserted as treatment for hydrocephalus. The parents demonstrate understanding of the teaching when they make what statement? A)"Having the shunt put in decreases his risk for developmental problems." B)"If he doesn't get an infection in the first week, the risk is greatly reduced." C)"He will need more surgeries to replace the shunt as he grows." D)"The shunt will help to prevent any further complications from his disease."

"He will need more surgeries to replace the shunt as he grows."

The nurse is caring for a 2-month-old infant who has been diagnosed with acute heart failure. The nurse is providing teaching about nutrition. Which statement by the mother indicates a need for further teaching? A)"The baby may need as much as 150 calories/ kg/day." B)"Small, frequent feedings are best if tolerated." C)"I need to feed him every hour to make sure he eats enough." D)"Gavage feedings may be required for now."

"I need to feed him every hour to make sure he eats enough."

The parents of a 10-year-old girl with a refractive error ask the nurse about the possibility of laser surgery to correct the vision. Which statement by the nurse would be most appropriate? A)"As she gets older, her vision will begin to correct itself." B)"Laser surgery typically is not done until she's 18 years old." C)"She looks so cute in her glasses; why put her through surgery?" D)"She can use contact lenses soon, so surgery isn't necessary."

"Laser surgery typically is not done until she's 18 years old."

A child is diagnosed with bacterial conjunctivitis and is prescribed topical antibiotic therapy. The child's mother asks when he can return to school. Which response by the nurse would be most appropriate? A)"You need to wait until you finish the entire prescription of antibiotic." B)"Once the drainage is gone, he can go back to school." C)"You can send him to school this afternoon after his first dose of antibiotic." D)"He needs to be symptom-free for at least 72 hours."

"Once the drainage is gone, he can go back to school."

A parent asks the nurse about immunizing her 7-month-old daughter against the flu. Which response by the nurse would be mostappropriate? A)"She really doesn't need the vaccine until she reaches 1 year of age." B)"She will probably receive it the next time she is to get her routine shots." C)"Since your daughter is older than 6 months, she should get the vaccine every year." D)"The vaccine has many side effects, so she wouldn't get it until she's ready to go to school."

"Since your daughter is older than 6 months, she should get the vaccine every year."

The nurse is caring for an infant girl with a suspected cardiovascular disorder. Which statement by the mother would warrant further investigation? A)"My baby does not make any grunting noises." B)"The baby seems more comfortable over my shoulder." C)"The baby usually drinks all of her bottle." D)"I don't notice any rapid breathing patterns."

"The baby seems more comfortable over my shoulder."

A child is brought to the emergency department after sustaining a concussion. The child is to be discharged home with his parents. What would the nurse include in the child's discharge instructions? A)"Expect his headache to get worse initially and then disappear." B)"Wake him every 2 hours to check his movement and responses." C)"Call your medical provider if he vomits more than five times." D)"Any watery fluid draining from his ears is normal."

"Wake him every 2 hours to check his movement and responses."

After teaching a group of new parents about their newborns' eyes and vision, which statement by the group indicates effective teaching? A)"Our newborn can see at distances of about 1 to 2 feet." B)"We won't know the baby's eye color until he's at least 6 months old." C)"A baby can easily distinguish colors, but they must be bright colors." D)"A newborn can focus with both eyes at the same time shortly after birth."

"We won't know the baby's eye color until he's at least 6 months old."

A 10-month-old is brought to the emergency department by her parents after they found her face down in the bathtub. The mother said, "I just left the bathroom to answer the phone. When I came back, I found her." Which assessment would be the priority? A)Airway, breathing, and circulation B)Level of consciousness C)Vital signs D)Pupillary response

ABCs

An infant is diagnosed with a congenital cataract. What would the nurse expect to assess? A)Absent red reflex B)Rapid irregular eye movement C)Misalignment of the eyes D)Enlarged eye appearance

Absent red reflex

The nurse is administering digoxin as ordered and the child vomits the dose. What should the nurse do next? A)Contact the physician. B)Offer a snack and administer another dose. C)Immediately administer another dose. D)Administer next dose as ordered in 12 hours.

Administer next dose as ordered in 12 hours.

A group of nursing students are reviewing the medications used to treat asthma. The students demonstrate understanding of the information when they identify which agent as appropriate for an acute episode of bronchospasm? A)Salmeterol B)Albuterol C)Ipratropium D)Cromolyn

Albuterol

A nurse develops a plan of care for a child that includes patching the eye. This plan of care would be most appropriate for which condition? A)Astigmatism B)Hyperopia C)Myopia D)Amblyopia

Amblyopia

The nurse is providing care to several children who have been brought to the clinic by the parents reporting cold-like symptoms. The nurse would most likely suspect sinusitis in which child? A)A 2-year-old with thin watery nasal discharge B)A 3-year-old with sneezing and coughing C)A 5-year-old with nasal congestion and sore throat D)A 7-year-old with halitosis and thick, yellow nasal discharge

A 7-year-old with halitosis and thick, yellow nasal discharge

A nurse is developing a plan of care for a child who is admitted to the hospital for surgery. The child is visually impaired. What would be most appropriate for the nurse to include in the child's plan of care? Select all that apply. A)Explaining instructions using simple and specific terms the child understands B)Allowing the child to explore the postoperative equipment with his hands C)Touching the child on his shoulder before letting the child know someone is there D)Using the child's body parts to refer to the area where he may have postoperative pain E)Speaking to the child in a voice that is slightly louder than the usual tone of voice

A, B, D

A 15-year-old adolescent is brought to the emergency department by his parents. The adolescent is febrile with chills that started suddenly. He states, "I had a sinus infection and sore throat a couple of days ago." The nurse suspects bacterial meningitis based on which findings? Select all that apply. A)Complaints of stiff neck B)Photophobia C)Absent headache D)Negative Brudzinski sign E)Vomiting

A, B, E

After assessing a child's blood pressure, the nurse determines the pulse pressure and finds that it is narrowed. What would the nurse identify as associated with this finding? A)Aortic stenosis B)Patent ductus arteriosus C)Aortic insufficiency D)Complete heart block

Aortic stenosis

The mother of a school-age child brings the child to the clinic for evaluation because he is having difficulty reading. His last visual screening was normal. He also reports headaches and dizziness. What would the nurse suspect? A)Astigmatism B)Myopia C)Hyperopia D)Nystagmus

Astigmatism

The nurse is caring for a 10-year-old with allergic conjunctivitis. The nurse would be alert to the child's increased risk for what issue? A)Atopic dermatitis B)Insect bite sensitivity C)Acute otitis media D)Frequent sore throats

Atopic dermatitis

A child with a pneumothorax has a chest tube attached to a water seal system. When assessing the child, the nurse notices that the chest tube has become disconnected from the drainage system. What would the nurse dofirst? A)Notify the physician. B)Apply an occlusive dressing. C)Clamp the chest tube. D)Perform a respiratory assessment.

Clamp the chest tube

The community health nurse has just completed a presentation to a group of parents regarding drowning prevention. Which statements by the parents indicate understanding of the teaching? Select all that apply. A)"I am so glad our 6-year-old child had swim lessons. We really can't afford a fence around our pool." B)"Since we have a 16-year-old I am really concerned about supervision when our child is swimming in the ocean." C)"We always make sure our babysitter keeps her CPR training up to date." D)"It is scary to think that we have a pool and drowning is the second leading cause of accidental death in children." E)"We make sure to keep our bathroom door closed when our 10-month-old is walking around the house since the door handle is too high to reach."

B, C, D< E

A mother brings her child to the health care clinic because she thinks that the child has conjunctivitis. Which assessment findings would lead the nurse to suspect bacterial conjunctivitis? Select all that apply. A)Itching of the eyes B)Inflamed conjunctiva C)Stringy discharge D)Photophobia E)Mild pain F)Tearing

B, E

The nurse is taking a health history for a 9- year-old girl. Which finding would alert the nurse to a possible risk factor specifically associated with visual impairment? A)Being born at 39 weeks' gestation B)Having several hours of homework daily C)Being of African American heritage D)Being active in sports

Being of African American heritage

The nurse is instructing the parents of a school-age child with an eye disorder how to care for her eye. Which condition would the nurse explain as resolving by itself without the use of antibiotics? A)Blepharitis B)Hordeolum C)Corneal abrasion D)Chalazion

Chalazion

A group of nursing students are reviewing information about the variations in respiratory anatomy and physiology in children in comparison to adults. The students demonstrate understanding of the information when they identify which finding? A)Children's demand for oxygen is lower than that of adults. B)Children develop hypoxemia more rapidly than adults do. C)An increase in oxygen saturation leads to a much larger decrease in pO2 D)Children's bronchi are wider in diameter than those of an adult.

Children develop hypoxemia more rapidly than adults do.

When performing the physical examination of a child with cystic fibrosis, what would the nurse expect to assess? A)Dullness over the lung fields B)Increased diaphragmatic excursion C)Decreased tactile fremitus D)Hyperresonance over the liver

Decreased tactile fremitus

A nurse is talking with the parents of a child who has had a febrile seizure. The nurse would integrate an understanding of what information into the discussion? A)The child's risk for cognitive problems is greatly increased. B)Structural damage occurs with febrile seizure. C)The child's risk for epilepsy is now increased. D)Febrile seizures are benign in nature.

Febrile seizures are benign in nature.

The nurse hears wheezing when auscultating a 4-year-old. Which condition would the nurse most likely rule out based on the assessment findings? A)Bronchiolitis B)Asthma C)Influenza D)Cystic fibrosis

Flu

A nurse is preparing a presentation for an expectant parent group about neural tube defects and prevention. Which would the nurse emphasize? A)Smoking cessation B)Aerobic exercise C)Increased calcium intake D)Folic acid supplementation

Folic acid supplementation

A 4-year-old boy has a history of seizures and has been started on a ketogenic diet. Which food selection would be most appropriate for his lunch? A)Fried eggs, bacon, and iced tea B)A hamburger on a bun, French fries, and milk C)Spaghetti with meatballs, garlic bread, and a cola drink D)A grilled cheese sandwich, potato chips, and a milkshake

Fried eggs, bacon, and iced tea

An infant is diagnosed with infantile glaucoma. When developing the plan of care for the infant, for what would the nurse expect to prepare the infant and family? A)Goniotomy B)Antibiotic therapy C)Contact lenses D)Patching of affected eye

Goniotomy

Auscultation of a child's heart reveals a loud murmur with a precordial thrill. The nurse documents this as which grade? A)Grade II B)Grade III C)Grade IV D)Grade V

Grave IV

The nurse is caring for an infant with suspected patent ductus arteriosus. Which assessment finding would the nurse identify as helping to confirm this suspicion? A)Thrill at the base of the heart B)Harsh, continuous, machine-like murmur under the left clavicle C)Faint pulses D)Systolic murmur best heard along the left sternal border

Harsh, continuous, machine-like murmur under the left clavicle

A nurse is administering 100% oxygen to a child with a pneumothorax based on the understanding that this treatment is used primarily for which reason? A)Improve gas exchange B)Bypass the obstruction C)Hasten air reabsorption D)Prevent hypoxemia

Hasten air reabsorption

The nurse knows that children have larger heads in relation to the body and a higher center of gravity. When developing a teaching plan for parents, the nurse includes information about an increased risk for which problem? A)Febrile seizures B)Head trauma C)Caput succedaneum D)Posterior plagiocephaly

Head trauma

After teaching a group of parents about ear infections in children, which statement indicates that the teaching was successful? A)Infants with congenital deformities have an increased risk for ear infections. B)Ear infections typically increase as the child gets older. C)The shorter and wider eustachian tubes of an infant increase the risk. D)Adenoids shrink as the child grows, allowing more bacteria to enter.

The shorter and wider eustachian tubes of an infant increase the risk.

During a well-child visit, the nurse assesses an infant's ability to suck on a pacifier. The nurse is assessing which cranial nerve? A)Olfactory B)Trigeminal C)Facial D)Accessory

Trigeminal

The nurse is caring for a 6-year-old visually impaired boy and is about to begin the physical examination. Which intervention would be most appropriate to promote effective communication with the child? A)Show him the stethoscope. B)Describe the examination room. C)Use his name before touching him. D)Allow him to explore the exam room.

Use his name before touching him.

The nurse is caring for a newborn and knows that his vision, unlike his hearing, is not fully developed. Which aspect of the child's vision would the nurse expect to be similar to his father's vision? A)Adequate color detection B)Visual acuity of 20/100 C)Nearsightedness D)Monocular vision

Visual acuity of 20/100

The nurse is assessing a 5-year-old girl who is anxious, has a high fever, speaks in a whisper, and sits up with her neck thrust forward. Based on these findings, what would be least appropriate for the nurse to perform? A)Providing 100% oxygen B)Visualizing the throat C)Having the child sit forward D)Auscultating for lung sounds

Visualizing the throat

What would the nurse include when teaching parents how to prevent otitis externa? A)Daily ear cleaning with cotton swabs B)Wearing ear plugs when swimming C)Using a hair dryer on high to dry the ear canals D)Using hydrogen peroxide to dry the canal skin

Wearing ear plugs when swimming