PEDS Exam #5

It is safe to purchase a car seat from a garage sale True False

False

The role of first responders arriving on scene is to evacuate victims and tend to the wounded. true false

False

Characteristics of bullying include: a. Unintentional harm inflicted upon another person that is part of the socialization process in childhood b. The infliction of repetitive physical, verbal, or emotional abuse upon another person with intent to harm c. An attempt to gain acceptance and be liked by same-sex peers d. An early sign of a severely disturbed personality disorder escalates in adulthood

b. The infliction of repetitive physical, verbal, or emotional abuse upon another person with intent to harm

How often should you change your smoke alarm batteries? a. every 6 months b. every year c. every 5 years d. only when it starts making the annoying chirping noise

b. every year

Which of the following interventions lowers the risk of sudden infant death syndrome (SIDS)? A. Smoking near the infant B. Having the infant sleep in the supine position C. Having the infant sleep with the parents instead of alone in a crib D. Making certain the infant is kept very warm while sleeping

B. Having the infant sleep in the supine position

Which of the following is the most frequent source of symptomatic lead poisoning in children? A. Folk remedies B. Lead-based paint C. Unglazed pottery D. Cigarette butts and ashes

B. Lead-based paint Lead-based paint in houses built before 1978 is the most frequent source of lead poisoning. Some folk remedies and unglazed pottery may contain lead, but they are not the most frequent source. Cigarette butts and ashes do not contain lead.

Distortion of sound and problems in discrimination are characteristic of what type of hearing loss? A. Conductive B. Sensorineural C. Central auditory imperceptive D. Mixed conductive-sensorineural

B. Sensorineural

Which of the following items are designed to keep your child from drowning? a. Air-filled water wings b. Life jacket c. pool noodle d. all of the above

B. life jacket

A young child who has an intelligence quotient (IQ) of 45 would be described as which of the following? A. Mildly cognitively impaired but educable b. Moderately cognitively impaired but trainable C. Within the lower limits of the range of normal intelligence D. Severely cognitively impaired and completely dependent on others for care

b. Moderately cognitively impaired but trainable

What is the reversal medication for opioids? a. Activated charcoal b. Narcan c. Protamine sulfate d. Flumazenil

b. Narcan

What is the biggest flaw of current lockdown drills in schools? a. Younger students can't be quiet enough b. Once the shooter gets in the door, students huddled in the corner are easy targets c. schools can't get into lockdown mode fast enough d. Law enforcement usually arrives in time to stop the shooter from killing or injuring anyone

b. Once the shooter gets in the door, students huddled in the corner are easy targets

An infant with a diagnosis of hydrocephalus is scheduled for surgery. Which is the priority nursing intervention in the pre-operative period? a. Test the urine for protein b. Reposition the infant frequently c. Provide a stimulating environment d. Assess a blood pressure every 15 minutes

b. Reposition the infant frequently

A mother of 9 month old baby boy infant is at the clinic asking questions about car seat safety. The mother asks at what age is it appropriate for her baby to switch for a front-facing car seat. The nurse's best response is what? a. Now is fine as long as the baby is big enough b. The baby must be 2 years old c. the baby must be cleared by the pediatrician or NP before you may switch car seats d. the baby must be at least 1 year old and weigh at least 20 lbs.

b. The baby must be 2 years old

A parent has a 2-year-old child in the clinic for a well-child checkup. Which of the following statements by the parent would indicate to the nurse that the parent needs more instruction regarding accident prevention? a. "We locked all the medicines in the bathroom cabinet." b. "We turned the thermostat down on our hot water heater." c. "We placed gates at the top and bottom of the basement steps." d. "We stopped using the car seat now that our child is older."

d. "We stopped using the car seat now that our child is older."

You are caring for a child with hydrocephalus who is post-op from a shunt revision. Which assessment finding is your priority for increased ICP? a. Nausea and refusal to eat Post-op b. Complaint of headache c. Irritability and wanting to sleep d. Decreased in heart rate over the last hour

d. Decreased in heart rate over the last hour

The nurse is planning care for a child with acute bacterial meningitis. Based on the mode of transmission of this infection, which precautionary intervention should be included in the plan of care? a. Maintain enteric precautions b. Maintain neutropenic precautions c. No precautions are required as long as antibiotics have been started d. Maintain respiratory isolation precautions for at 24 hours after the invitation of antibiotics

d. Maintain respiratory isolation precautions for at 24 hours after the invitation of antibiotics

How can a parent know if a car seat is installed tight enough a. when shaken, it comes 6 inches b. when shaken, it moves less than 1 inch c. when shaken, it moves more than 1 inch d. when shaken, it does not move at all

d. when shaken, it does not move at all

Bullying prevention is important to implement in schools. What activities listed can students benefit from? a. Library research b. role play presentations c. playing soccer d. creative writing e. A,B,D f. none of the above

e. A,B,D

In which bullying scenario is it appropriate to call the police? a. When there are weapons involved b. When there is serious bodily harm inflicted c. when there are accusations of illegal activity d. when there are threats in inflict serious physical injury e. all of the above

e. all of the above

What the types of bullying? a. Physical b. social c. verbal d. cyber e. all of the above

e. all of the above

A mother of a child with Down syndrome is overwhelmed with the future and asks many questions. Which of the following facts should the nurse be aware of? (SATA) a. 80% of infants with Down syndrome are born to women under 35 years because younger women have higher fertility rates b. When feeding infants and young children, use a small, straight-handled spoon to push food to the side and back of the mouth. Feeding difficulties occur due to a protruding tongue and hypotonia. c. Parents generally believe the experience of having this special child makes them stronger and more accepting of others d. Although some placement in the regular classroom has occurred more recently, this has been found to be detrimental to the child with Down syndrome due to lack of one-on-one teaching e. The child's lack of clinging or molding is a physical characteristic, not a sign of detachment or rejection f. Development may be 3 or 4 years beyond the mental age, especially during early childhood.

a. 80% of infants with Down syndrome are born to women under 35 years because younger women have higher fertility rates b. When feeding infants and young children, use a small, straight-handled spoon to push food to the side and back of the mouth. Feeding difficulties occur due to a protruding tongue and hypotonia. c. Parents generally believe the experience of having this special child makes them stronger and more accepting of others e. The child's lack of clinging or molding is a physical characteristic, not a sign of detachment or rejection

When interacting with a parent at there child's well visit which statement by the mother would be an indication for a speech referral? (SATA) a. Failure to speak any meaningful words spontaneously in a 2 year old child b. Using different words or nicknames for certain people c. Failure to use sentences of three or more words in a 3 year old d. Stuttering or any type of disfluency e. Omission of word endings (e.g. plurals, tenses of verbs) in a year old f. Frequent omission of final consonants in a 3 year old

a. Failure to speak any meaningful words spontaneously in a 2 year old child c. Failure to use sentences of three or more words in a 3 year old d. Stuttering or any type of disfluency f. Frequent omission of final consonants in a 3 year old

Layers for protection against drowning include which of the following? (SATA) a. Fence in your pool or pond on your property b. Place child locks on bathroom doors and toilet covers c. Make sure your pool is no deeper than 3 ft d. prevent your child from going outside unnoticed

a. Fence in your pool or pond on your property b. Place child locks on bathroom doors and toilet covers d. prevent your child from going outside unnoticed

You are working with the family of a 4 year old patient and have concerns about possible exposure to lead poisoning. Which information will determine if follow-up is needed? (SATA) a. The child goes daily to the older home of a babysitter b. One of the child's playmates in the neighborhood has lead poisoning c. Although living in a newer neighborhood, one of the child's playmates' homes is being renovated d. The child is out of the danger age range for screening (Ages 1-2 years), so screening is not needed e. Past BLL was 12, so no follow-up is needed at the time

a. The child goes daily to the older home of a babysitter b. One of the child's playmates in the neighborhood has lead poisoning

When a child with mild cognitive impairment reaches the end of adolescence, which of the following characteristics would be expected? A. Achieves a mental age of 5 to 6 years B. Achieves a mental age of 8 to 12 years C. Is unable to progress in functional reading or mathematics D. Acquires practical skills and useful reading and mathematics to an eighth-grade level

b. Achieves a mental age of 8 to 12 years

Moms of what age frame are at risk for genetically of having a child with Down syndrome? a. 18-24 years old b. 25-35 years old c. 35-50 years old d. 30-40 years old

c. 35-50 years old

The nurse enters a client's and finds that the wastebasket is on fire. The nurse immediately assists the client out of the room. What is the next nursing action? a. Call for help b. Extinguish the fire c. Activate the fire alarm d. confine the fire by closing the room door.

c. Activate the fire alarm R - rescue clients A - alarm C - confine the fire by closing all doors E - extinguish or evacuate

Where is the safest place for a newborn car seat in a car? a. front passenger seat so you can keep an eye on them b. Anywhere in the car that has a seatbelt, facing forward c. Back, middle, rear facing d. Back, middle, forward facing

c. Back, middle, rear facing

The nurse is assessing a 6-month-old infant who has head lag. The nurse should recognize which of the following? a. This is normal. b. The child is probably cognitively impaired. c. Developmental-neurologic evaluation is needed. d. The parent needs to work with the infant to stop head lag.

c. Developmental-neurologic evaluation is needed. Most infants have only slight head lag when pulled from a lying to a sitting position at 4 months of age. By 6 months, head control should be well established. Developmental-neurologic evaluation is indicated to determine why the child is not achieving an expected milestone. The head lag is suggestive of a developmental delay. It does not provide information about cognitive status. As part of normal development, interventions cannot be done until a cause is identified.

The most common complication that should be anticipated and observed for in an infant with myelomeningocele after surgical repair of the defect is: a. Urinary stress b. Chiari malformation c. Hydrocephalus d. Latex allergy

c. Hydrocephalus

A mother arrives at the ED with her 5 yr old child and states that the child fell off a bunk bed. A head injury is suspected. The nurse check's the child's airway status and assess the child for early and late signs of increased ICP. What is a late sign of increased ICP? a. Nausea b. Irritability c. Headache d. Bradycardia

d. Bradycardia

Which of the following does NOT describe how to safely wear a helmet? a. Always wear a helmet b. Helmet should sit at top of head in a level position c. Helmet should not rock back and forth or side to side d. Chin strap is optional

d. Chin strap is optional

What are common house hold cleaners that need to be kept out of reach? a. Bleach b. Toliet bowel cleaner c. Windex d. All of the above

d. all of the above

Which car safety should be used for a child who is 8 years old and 4 feet tall? a. Seat belt b. Booster seat c. Rear-facing convertible seat d. Front-facing convertible seat

b. Booster seat

What is the priority action to take when a bully threatens to inflict serious physical injury? a. Seek immediate medical attention b. Call the police for help c. Assess the bully' intentions d. Seek out an adult to help intervene

b. Call the police for help

A mother calls a neighbor who is a nurse and tells the nurse that her 3 year old child has just ingested liquid furniture polish. The nurse would direct the mother immediately to: 1. Induce vomiting 2.Call an ambulance 3. call the poison control center 4. Bring the child to the emergency room

3. call the poison control center

A new parent expresses concern to the nurse regarding sudden infant death syndrome (SIDS). She asks the nurse how to position her new infant for sleep. In which position should the nurse tell the parent to place the infant? 1. Side or prone 2. Back or prone 3. Stomach with the face turned 4. Back rather than on the stomach

4. Back rather than on the stomach

Preschoolers' fears can best be dealt with by which of the following interventions? A. Actively involving them in finding practical methods to deal with the frightening experience B. Forcing them to confront the frightening object or experience in the presence of their parents C. Using logical persuasion to explain away their fears and help them recognize how unrealistic the fears are D. Ridiculing their fears so that they understand that there is no need to be afraid

A. Actively involving them in finding practical methods to deal with the frightening experience

When should children with cognitive impairment be referred for stimulation and educational programs? A. As young as possible B. As soon as they have the ability to communicate in some way C. At age 3 years, when schools are required to provide services D. At age 5 or 6 years, when schools are required to provide services

A. As young as possible

A nurse would suspect possible visual impairment in a child who displays which of the following? A. Excessive rubbing of the eyes B. Delay in speech development C.Rapid lateral movement of the eyes D. Lack of interest in casual conversation with peers

A. Excessive rubbing of the eyes

Which of the following is a clinical manifestation of increased intracranial pressure (ICP) in infants? A.Irritability B. Photophobia C. Vomiting and diarrhea D. Pulsating anterior fontanel

A. Irritability Irritability is one of the changes that may indicate increased ICP. Photophobia is not indicative of increased ICP in infants. A pulsing anterior fontanel is normal. Vomiting is one of the signs of increased ICP in children, but when present with diarrhea, it is indicative of a gastrointestinal disturbance.

The nurse is doing a neurologic assessment on a child whose level of consciousness has been variable since sustaining a cervical neck injury 12 hours ago. Which of the following is the most essential in this assessment? A. Reactivity of pupils B. Doll's head maneuver C. Oculovestibular response D. Funduscopic examination to identify papilledema

A. Reactivity of pupils Pupil reactivity is an important indication of neurologic health. The pupils should be assessed for no reaction, unilateral reaction, and rate of reactivity. The doll's head maneuver should not be performed if there is a cervical spine injury. The oculovestibular response is a painful test that should not be done on a child who is having variable levels of consciousness. Papilledema does not develop until 24 to 48 hours into the course of unconsciousness.

Children can drown in as little as: a. One inch of water b. 3 inches of water c. 6 inches of water d. all of the above

A. one inch of water

Who do you call first about a possible overdose? a. Poison control b. Parent c. 911 Emergency d. Drug & food association

A. poison control

Which of the following is NOT a cause of injury related to violations in traffic laws? a. Riding a bicycle while facing traffic b. not yielding the right of way c. turning violations d. riding a bicycle in the same direction of traffic

d. riding a bicycle in the same direction of traffic

The nurse should make a referral for communication impairment in which of the following situations? A. Dysfluency occurring at any age B. First words not uttered before age 2 years C. Speech largely unintelligible at 18 months D. Substitution of easily produced sounds for more difficult ones by age 3 years

B. First words not uttered before age 2 years

The nurse is caring for a 2-year-old girl who is unconscious but stable after a car accident. Her parents are staying at the bedside most of the time. Which of the following is an appropriate nursing intervention? A. Suggest that the parents go home until she is alert enough to know they are present. B. Encourage the parents to hold, talk, and sing to her as they usually would. C. Use ointment on her lips but do not attempt to cleanse her teeth until swallowing returns. D. Position her with proper body alignment and the head of the bed lowered 15 degrees.

B. Encourage the parents to hold, talk, and sing to her as they usually would.

What is the first step in the emergency treatment of poisoning in a child? A. Locate the poison. B. Assess the child. C. Prevent absorption of the poison. D. Terminate exposure to the toxic substance.

B. Assess the child. The initial step in treating a poisoning is to assess the child. Then treat immediate life-threatening conditions and initiate cardiopulmonary resuscitation if indicated. Locating the poison, preventing absorption of the poison, and terminating exposure to the toxic substance are important but none of these is the first step.

Parents of a child with cognitive impairment ask the nurse for guidance in toilet training. They have older children who were successfully toilet trained but do not know how to do this with the impaired child. The nurse's recommendation should include which of the following? A. Accidents cannot be ignored if toilet training is to be successful. B. Determine the child's readiness to begin toilet training. C. Toilet training should not be initiated until the child has sufficient speech. D. A more punitive approach is needed because of the child's cognitive impairment.

B. Determine the child's readiness to begin toilet training.

The nurse is admitting a young child to the hospital because bacterial meningitis is suspected. Which of the following is a priority of nursing care? A. Initiate isolation precautions as soon as diagnosis is confirmed. B. Provide environmental stimulation to keep the child awake. C. Administer antibiotic therapy as soon as it is available. D. Administer sedatives and analgesics on a preventive schedule to manage pain.

C. Administer antibiotic therapy as soon as it is available. Administering antibiotic therapy is the priority action. Antibiotics are begun as soon as possible to avoid resultant disabilities and to prevent death. Isolation should be instituted as soon as diagnosis is anticipated. It is important to decrease the external stimuli. The nurse should keep the room as quiet as possible. Antibiotics are the priority function; pain should be managed if it occurs.

A child with Down syndrome may be screened for which of the following before participating in some sports? A. Hyperflexibility B. Cutis marmorata C. Atlantoaxial instability D. Speckling of the iris (Brushfield spots)

C. Atlantoaxial instability

A 7-year-old child has ingested a toxic dose of iron. The parent reports that the child vomited and had gastric pain an hour ago but "feels fine" now. The parent is not sure when the child ingested the iron tablets. The nurse should recommend which of the following? A. Administer activated charcoal. B. Observe the child closely for 2 more hours. C. Bring the child to the hospital immediately. D. Administer ipecac to induce vomiting if the child does not vomit again within 1 hour.

C. Bring the child to the hospital immediately. The critical period for observation after the ingestion of iron is 30 minutes to 6 hours. The child has had gastric pain, which may be symptomatic of toxicity, and needs to be monitored and possibly receive medical intervention. Although activated charcoal may be necessary, evaluation is indicated first. The child needs to be evaluated immediately. Ipecac is not recommended after the ingestion of toxic substances.

Which of the following is a common clinical manifestation of autism? A. Deafness B. Tendency to overeat C. Early abnormal eye contact D. Intense desire to be held and cuddled

C. Early abnormal eye contact

What is one of the major physical characteristics of a child with Down syndrome? A. Excessive height B. Spots on the palms C. Hypotonic musculature D. Inflexibility of the joints

C. Hypotonic musculature

The nurse should recommend medical attention if a child with a slight head injury experiences which of the following? A. Vomiting B. Sleepiness C. Headache, even if slight D. Confusion or abnormal behavior

D. Confusion or abnormal behavior Altered mental status is a clinical manifestation that the damage from the head injury is progressing. Medical evaluation is necessary. Vomiting may occur after a minor head injury. Observation is required for changes in behavior or vital signs that indicate progression. Sleepiness may occur after a minor head injury. Observation is required to ensure that the child is arousable. Headache is common after a head injury and does not require medical evaluation unless accompanied by other signs of progression.

What statement by the parent would cause the nurse to intervene and reeducate? a. "I will buy a bike that my child can grow into" b. "I will make sure my child wears a helmet" c. "My child should wear a brightly colored helmet to improve visibility" d. "I will supervise my child riding his/her bicycle"

a. "I will buy a bike that my child can grow into"

A shower of rain can produce enough water to children to drown True False

True

Does bullying exist in the workplace, for example - nurses working in a hospital setting? True False

True

A 2 year old child is treated in the ED for a burn to the chest and abdomen. The child sustained the burn by grabbing a cup of hot coffee that was left ton the kitchen counter. The nurse reviews safety principles with the parents before discharge. Which statement by the parents indicates an understanding of measures to provide safety in the home? a. "We will be sure not to leave hot liquids unattended" b. "I guess our children need to understand what the word hot means" c. " We will be sure that the children stay in their rooms when we work in the kitchen" d. "We will install a safety gate as soon as we get home so the children cannot get into the kitchen"

a. "We will be sure not to leave hot liquids unattended"

If your child complains of pain, at what age can you give an aspirin? a. Age 12 b. Age 3 c. Age 16 d. Can always give aspirin

a. Age 12

A mother comments to a nurse working on the pediatric unit, "My second child just does not seem to be acting like or responding the same way as my first child." Nursing interventions to respond to this inquiry should include which of the following? (SATA) a. Assessment for dysmorphic syndromes (e.g. multiple congenital anomalies, microcephaly) b. Inquiring about temperament: irritability or lethargy c. Explaining that all children are different and that it can be detrimental to compare them d. nothing language development appropriate for the child's age e. Meeting the siblings to assess similarities that may be familial rather than problematic

a. Assessment for dysmorphic syndromes (e.g. multiple congenital anomalies, microcephaly) b. Inquiring about temperament: irritability or lethargy d. nothing language development appropriate for the child's age

What would indicate that a child's bicycle is the right size for them? (SATA) a. Balls of both feet on the group when seated on bicycle b. Able to place both feet flat on the group when straddling the center bar c. Able to grasp the brake lever comfortably d. The handlebars are the same level high with their shoulders.

a. Balls of both feet on the group when seated on bicycle b. Able to place both feet flat on the group when straddling the center bar c. Able to grasp the brake lever comfortably

What are reasons for bicycle injuries to school-aged children? SATA a. Child's developmentally limited range of vision b. Child's inability to process perceptions of road situations quickly c. Children try to impress friends and do tricks d. They were never taught how to ride

a. Child's developmentally limited range of vision b. Child's inability to process perceptions of road situations quickly

The nurse is guiding parents in selecting a daycare facility for their child. Which of the following is especially important to consider when making the selection? a. Health practices of the facility b. Structured learning environment c. Socioeconomic status of the children d. Cultural similarities of the children

a. Health practices of the facility

What should students and teachers do once law enforcement arrives? a. Keep your hands visible at all times b. help them hunt down the shooter c. yell for them to help the injured nearby d. start CPR

a. Keep your hands visible at all times

Child and family live in a home build before 1970. Child complains of N/V, irritability and slow growth. What could they have? a. Lead poisioning b. Carbon monoxide poisoning c. Tylenol overdose d. Asbestos

a. Lead poisoning

The nurse notes documentation that a child is exhibiting an inability to flex the leg when the thigh is flexed anteriorly at the hip. Which condition does the nurse suspect? a. Meningitis b. Spinal cord injury c. Intracranial bleeding d. Decreased cerebral blood flow

a. Meningitis

A new nurse is educating a family on the prevention methods for SIDS. What would the nurse not tell the family? a. the infant can sleep with a pacifier to reduce the risk b. smoking has no effect on the infant c. SIDS has been found to be lower in breastfed infants d. Positioning of the infant vital to prevent SIDS

a. the infant can sleep with a pacifier to reduce the risk

Bullying can be common during the school-age years. The nurse should recognize that bullying: a. can have a lasting effect on children. b. is not a significant threat to self-concept. c. is rarely based on anything that is concrete. d. is usually ignored by the child who is being teased.

a. can have a lasting effect on children. Bullying in this age-group is common and can have a long-lasting effect. Increasing awareness of differences, especially when accompanied by unkind comments and taunts from others, may make a child feel inferior and undesirable. Physical impairments such as hearing or visual defects, ears that "stick out," or birth marks assume great importance.

A female infant is brought to the ED and pronounced dead with the preliminary finding of SIDS. The nurse asks how the infant looked when they found her. How would this infant present? (SATA) a. frothy blood-tinged fluid in the mouth b. breathing, colorful, crying c. huddled in the corner of the crib, with blankets over the head d. dry and clean diaper

a. frothy blood-tinged fluid in the mouth c. huddled in the corner of the crib, with blankets over the head

The difference between meningocele and myelomeningocele is the following: a. myelomeningocele contains nerves too b. there is no difference c. myelomeningocele will have no possible nerve damage d. meningocele contains nerves too

a. myelomeningocele contains nerves too

Where should smoke alarms be placed? a. on every level of your home, inside bedrooms, and outside sleeping areas b. just one somewhere on every floor c. just one by your cooking area

a. on every level of your home, inside bedrooms, and outside sleeping areas

School-age children are prone to accidental injury primarily because of: a. peer pressure and risk-taking behaviors b. Physical awkwardness and clumsiness c. Parent's lack of supervision d. Attempts to impress members of the opposite sex

a. peer pressure and risk-taking behaviors

A common cause of accidental death in children aged 1 - 19 years involves MVC. Evidence from test crashes indicates that the safest action to prevent accidental deaths in toddlers includes: a. placing the child in a rear-facing weight-appropriate car restraint until age 24 months b. allowing the child to ride in the front seat with a lap shoulder seat restraint to avoid emotional outbursts c. allowing the child to ride in a forward-facing booster restraint seat after 12 months of age d. Placing the child in the regular seat using the lap-shoulder belt as long as the child weighs as least 45 lbs

a. placing the child in a rear-facing weight-appropriate car restraint until age 24 months

Which of the following children has an increased risk of SIDS? a. premature male infant with a LBW b. a healthy 2 year old female c. infant hospitalized for fever d. a firstborn child

a. premature male infant with a LBW

What are the risk factors related to SIDS? (SATA) a. prone positioning b. immunizations c. co-sleeping d. exposure to tobacco smoke after birth e. use of soft-bedding

a. prone positioning c. co-sleeping d. exposure to tobacco smoke after birth e. use of soft-bedding

The ED nurse receives a telephone call and is informed that tornado has hit a local residential area and that numerous casualties have occurred. The victims will be brought to the ED. The nurse should take which initial action? a. Prepare the triage rooms b. Activate the emergency response plan c. Obtain additional supplies form the central supply department d. Obtain additional nursing staff to assist in treating the casualties

b. Activate the emergency response plan

What is the first thing students and teachers should do when an active shooter comes into the school? a. hide under a desk b. Evacuate the area and call 911 c. Attack the active shooter d. Tend to the wounded

b. Evacuate the area and call 911

What are the safest actions to take when hiding from an active shooter? (SATA) a. Make as much noise as possible so rescuers can find you b. Hide behind large objects c. Remain quiet and silence your phones d. send someone to quietly follow the active shooter e. Look and blockade the doors f. Evacuate the building if the fire alarms go off

b. Hide behind large objects c. Remain quiet and silence your phones e. Look and blockade the doors

Sara, age 4 months, was born at 35 weeks of gestation. She seems to be developing normally, but her parents are concerned because she is a "more difficult" baby than their other child, who was full term. The nurse should explain that: a. infants tend to become more difficult over time. b. infants become less difficult if they are kept on scheduled feedings and structured routines. c. Sara's behavior is suggestive of failure to completely bond with her parents. d. Sara's difficult temperament is the result of painful experiences in the neonatal period.

b. infants become less difficult if they are kept on scheduled feedings and structured routines. Children perceived as difficult may respond better to scheduled feedings and structured caregiving routines than to demand feedings and frequent changes in routines. Infant temperament has a strong biologic component. Together with interactions with the environment, primarily the family, the biologic component contributes to the infant's unique temperament. Sara's temperament has been created by both biologic and environmental factors. The nurse should provide guidance in parenting techniques that are best suited to Sara's temperament.

The clinic is loaning a federally approved car seat to a 10-lb (4.5-kg) infant's family. The nurse should explain that the safest place to put the car seat is in the: a. back seat facing forward. b. middle of the back seat facing rearward. c. front seat with airbags on passenger side. d. front seat if there is no air bag on the passenger side.

b. middle of the back seat facing rearward. Correct

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

b. the infant should be placed on his back to sleep

What age group has the highest drowning risk? a. infants b. toddlers c. school aged d. teenagers

b. toddlers

One of the primary reasons for monitoring the toddler's activities and intervening to prevent accidental injury is that: a. toddlers have oppositional behavior and negativism b. toddlers do not understand the concept of "cause and effect", so explaining the certain actions will result in serious injury is useless c. Toddlers will often listen to reasoning about why an activity should be avoided d. Toddlers enjoy making their parents worry about their safety and like to see the parent's reactions to the behavior.

b. toddlers do not understand the concept of "cause and effect", so explaining the certain actions will result in serious injury is useless

A group of boys ages 9 and 10 have formed a "boys only" club that is open to neighborhood and school friends who have skateboards. This should be interpreted as which of the following? a. Behavior that encourages bullying and sexism b. Behavior that reinforces poor peer relationships c. Characteristic of social development of this age d. Characteristic of children who are later at risk for membership in gangs

c. Characteristic of social development of this age One of the outstanding characteristics of middle childhood is the creation of formalized groups or clubs. Peer-group identification and association are essential to a child's socialization. Poor relationships with peers and a lack of group identification can contribute to bullying. Forming a boys-only club at this age does not have a direct correlation with later gang activity.

A lumbar junction is performed on a child suspected to have bacterial meningitis, and cerebrospinal fluid (CSF) is obtained for analysis. The nurse reviews the results of the CSF analysis and determines that which results would verify the diagnosis? a. clear CSF, decreased pressure, and elevated protein level b. Clear CSF, elevated protein, and decreased glucose levels c. Cloudy CSF, elevated protein, and decreased glucose levels d. Cloudy CSF, decreased protein and decreased glucose levels

c. Cloudy CSF, elevated protein, and decreased glucose levels

Which of the following should the nurse include when giving parents guidelines about helping their children in school? A. Punish children who fail to perform adequately. B. Help children as much as possible with their homework. c. Communicate with teachers if there appears to be a problem. d. Accept responsibility for children's successes and failures.

c. Communicate with teachers if there appears to be a problem. Communication between the parent and teachers is essential. It demonstrates that parents consider school important and that education is a shared responsibility. Excessive pressure or lack of encouragement from parents can inhibit the development of the child's maximum potential. Children need to be responsible for their schoolwork. By being responsible, children learn to meet deadlines and be successful.

What's one thing you should practice during your home first escape plan? a. everyone should know a good hiding place in your home if they get scared during a fire b. Everyone should identify their top 10 things to grab before exiting a home during a fire c. Everyone in your household should know two ways to escape from each room in your home during a fire d. Grab a hose & attempt to put the fire out yourself.

c. Everyone in your household should know two ways to escape from each room in your home during a fire

At an appointment at the pediatrician's office, a patient's mother states, "My son gets rough with some of the neighborhood kids. I am worried that he is becoming a bully." Which statements by the mother need more teaching? (SATA) a. When my son becomes aggressive, I feel he needs to be punished. b. I think it is good for him to bond with his dad, so they often watch TV together c. I am trying to get him to learn to say what he is upset about in words. d. Boys will be boys, so I think this can be considered a normal stage in development e. I am thinking that a time-out would be a better strategy than spanking when my son shows this behavior

c. I am trying to get him to learn to say what he is upset about in words. e. I am thinking that a time-out would be a better strategy than spanking when my son shows this behavior

The nurse reviewing the record of a child with increased ICP and notes that the child has exhibited signs of decerebrate posturing . On assessment of the child, the nurse expects to note which characteristic of this type of posturing? a. flaccid paralysis of all extremities b. Adduction of the arms at the shoulders c. Rigid extension extension and pronation of the arms and legs d. Abnormal flexion of the upper extremities and extension and adduction of the lower extremities

c. Rigid extension extension and pronation of the arms and legs

S/S of kids with increased ICP will present with all except: a. High pitched cry b. Vomiting c. Sunken fontanel d. Irritability

c. Sunken fontanel

The Glasgow Coma Scale consists of an assessment of: A. pupil reactivity and motor response. b. level of consciousness and verbal response. c. eye opening and verbal and motor response. d. Intracranial pressure and level of consciousness.

c. eye opening and verbal and motor response.

Pre-Op care for a patient with spina bifida, the nurse should include of the following except: a. keep skin clean and dry b. keep pressure off prominences c. reposition patient every 8 hours d. assess skin integrity of sac every 2 hours

c. reposition patient every 8 hours

As the nurse assigned to a child diagnosed with bacterial meningitis, you know that: a. the child will not need to be placed in isolation because antibiotics have been started b. Enteric precautions will remain in place for up to 48 hours c. respiratory isolation will remain in place for 24 hours after antibiotics are started d. Due to headache, the child will want the HOB elevated with 2 pillows

c. respiratory isolation will remain in place for 24 hours after antibiotics are started

The parent of a 10-week-old infant tells the nurse, "She cries sometimes when nothing is wrong—for example, when she is dry and has recently been fed." The most appropriate nursing intervention is which of the following? a. Reassure the parent that nothing is wrong. b. Explain how to better interpret infant cues. c. Evaluate for failure of the parent to bond with the infant. d. Reassure the parent that periods of "unexplained fussiness" are normal.

d. Reassure the parent that periods of "unexplained fussiness" are normal. A crying infant can be a source of great distress for parents. There is great variability in the amount of crying that can be expected from an infant. Parents should be reassured that some crying without apparent cause is normal. Persistent and inconsolable crying may need further attention. Reassuring the parent that nothing is wrong negates the parent's concern about the child. The parent is responding to cues from the infant by feeding and changing diapers. There is no evidence that an attachment issue exists. The parent is seeking information about how to care for the infant.

Which factors are considered protective factors for sudden infant death syndrome (SIDS)? a. side sleeping position, breastfeeding, updated childhood immunization status b. supine sleeping position, breastfeeding, soft bedding c. prone sleeping position, exposure to maternal tobacco use, updated childhood immunization status d. Supine sleeping position, breastfeeding, updated childhood immunization status

d. Supine sleeping position, breastfeeding, updated childhood immunization status

A child is brought to the ED by his parents after noted to be "acting funny" a few hours ago while he was being cared for by his grandmother. When she went to take her evening medication, the grandmother noted that her pill container had been opened and some pills were missing. The parents state that the grandmother has a heart condition. Anticipating the emergency care for this child will recieve, you know: a. the majority of medication shave a specific antidote b. In this case gastric lavage may be used c. Activated charcoal will most likely be sued, and it can be mixed with another drink (milk or juice) to make it more palatable. d. The main concerns are for vital sign assessment, assessment of mental status, and giving cardiac and respiratory support as needed.

d. The main concerns are for vital sign assessment, assessment of mental status, and giving cardiac and respiratory support as needed.

What type of follow up testing will kids w/neuro disorders need d/t residual problems? a. hearing b. vision c. nose, throat d. all of the above

d. all of the above

Children 13 years old and younger should ride in the backseat wearing a seatbelt. true false

true