Peds Module Quizzes Exam 1

The nurse is assessing a school age child who has a suspected UTI. Which of the following are anticipated findings? Select all A. Night sweats B. Swelling of the face C. Pallor D. Pale colored urine E. Fatigue

A. Night sweats B. Swelling of the face C. Pallor D. Pale colored urine E. Fatigue

The nurse is caring for an infant with gastochisis who was just delivered. Which action is most appropriate in the immediate post-delivery phase? A. Place an NS-soaked gauze over the deformity B. Swaddle the infant to regulate temperature C. Feed the infant to maintain blood glucose D. Allow skin-to-skin contact with the infant's mother

A. Place an NS-soaked gauze over the deformity

Which would the nurse identify as a risk factor for Sudden Infant Death Syndrome (SIDS)? A. Preterm birth B. Female gender C. Sleeping on the back D. Breast feeding

A. Preterm birth

A nurse is caring for a client who has a major burn and is experiencing severe pain. Which of the following is an appropriate nursing intervention to manage this client's pain? A. Administer morphine sulfate IV via continuous infusion B. Administer merperidone (Demerol) IM as needed C. Administer acetaminophen (Tylenol) PO every 4 hours D. Administer hydrocodone (Vicodin) PO every 6 hours

A. Administer morphine sulfate IV via continuous infusion

The nurse must assess a 10 month old infant who is sitting on his father's lap. The child appears to be afraid of the nurse. Which would the nurse do first? A. Allow the child to observe while first talking to the parent. B. Ask father to place the infant on the exam table. C. Talk softly to the infant while taking him from his father. D. Leave the infant on his father's lap, but undress him to begin the assessment.

A. Allow the child to observe while first talking to the parent.

Which child characteristic is associated with a risk for vulnerability when admitted to the hospital? A. Below average intelligence B. Female gender C. Ages 6-11 years D. Strong parental bond

A. Below average intelligence

An infant is admitted for pyloric stenosis. Which symptoms should a nurse expect to find? Select all A. Billious emesis B. Small, infrequent stools C. Projectile vomiting D. Poor weight gain E. Olive-shaped mass in RUQ of abdomen

A. Billious emesis B. Small, infrequent stools C. Projectile vomiting D. Poor weight gain E. Olive-shaped mass in RUQ of abdomen

A nurse is caring for a child. Which of the following are clinical manifestations of post streptococcal glomerulonephritis? Select all A. Frothy urine B. Periorbital edema C. Ill appearance D. Decreased creatinine E. Hypertension

A. Frothy urine B. Periorbital edema C. Ill appearance D. Decreased creatinine E. Hypertension

In preparing a toddler for an invasive procedure, which is the best strategy for the nurse to use? A. Give one direction at a time. B. Hide all equipment from the child. C. Prepare the child a day in advance. D. Expect the child to sit and cooperate.

A. Give one direction at a time.

The nurse is assessing an infant who has a suspected urinary tract infection. Which of the following are anticipated findings? Select all A. Increase in hunger B. Irritability C. Decrease in urination D. Vomiting E. Fever

A. Increase in hunger B. Irritability C. Decrease in urination D. Vomiting E. Fever

A nurse is caring for a 10 year old child who has nephrotic syndrome. Which of the following finding should the nurse report to the provider? A. Serum protein 5.0 g/dL B. Hgb 14.5 g/dL C. Hct 40% D. Platelet 200,000 mm3

A. Serum protein 5.0 g/dL

The nurse is teaching the parent of a child diagnosed with a UTI. Which of the following should the nurse include? Select all A. Wear nylon underpants B. Avoid bubble baths C. Empty bladder completely D. Provide information about clinical manifestations of infection D. Wipe perineal are back to front

A. Wear nylon underpants B. Avoid bubble baths C. Empty bladder completely D. Provide information about clinical manifestations of infection D. Wipe perineal are back to front

A nurse is caring for a client who has a superficial partial thickness burn. Which of the following is an appropriate action for the nurse to take? A. Administer an IV infusion of 0.9% sodium chloride B. Apply cool, wet compresses to affected area C. Clean the affected area using a soft-bristled brush D. Administer morphine sulfate.

B. Apply cool, wet compresses to affected area

When providing education for the child with colic, which statement would the nurse include? A. Proton pump inhibitor (PPI) medications are key to treating colic. B. Colicky babies cry more than 3 hr/day for 3 or more days a week for 3 weeks C. Your child will outgrow this about 1-2 years of age. D. Fussiness will be worst in the morning.

B. Colicky babies cry more than 3 hr/day for 3 or more days a week for 3 weeks

A nurse is caring for an infant who has hydrocele. Which of the following is an appropriate action for the nurse to take? A. Prepare for immediate surgery B. Explain to the parents that this will self resolve C. Retract foreskin and cleanse properly D. Refer the family for counseling

B. Explain to the parents that this will self resolve

The nurse is providing teaching to a 4 month old. Which statement would indicate teaching was effective? A. My child should be able to sit without any assistance B. I can begin feeding my child pureed foods C. I should be weaning my child off of taking any formula or breastmilk by 6 months of age D. My child will be pulling to a stand and cruising furniture by 6 months of age

B. I can begin feeding my child pureed foods

A nurse is caring for a child who has had watery diarrhea for the past three days. Which of the following is an appropriate action for the nurse to take? A. Offer chicken broth B. Initiation of oral rehydration therapy C. Start hypertonic IV solution D. Keep NPO until the diarrhea subsides

B. Initiation of oral rehydration therapy

A nurse is caring for an infant who is post op following a cleft lip and palate repair. Which of the following is an appropriate action for the nurse to take? A. Remove the packing in the mouth B. Place the infant prone C. Offer a pacifier with sucrose D. Assess mouth with tongue blade

B. Place the infant prone

A nurse is caring for a child who has Hirschsprung disease. Which of the following is an appropriate action for the nurse to take? A. Encourage a high fiber, low protein, low calorie diet B. Prepare the family for surgery C. Place an NG for decompression D. Initiate bedrest

B. Prepare the family for surgery

A nurse is caring for a 10 year old child who has acute glomerulonephritis. Which of the following findings should the nurse report to the provider? A. Serum BUN 8mg/dL B. Serum creatinine 1.3 mg/dL C. Blood pressure 100/74 mmHg D. Urine output 550ml over 24 hours

B. Serum creatinine 1.3 mg/dL

The parent of a 6 month old infant state "When I feed my baby rice cereal on a spoon, she seems to push most of it out with her tongue." Which response by the nurse is best? A. Your baby is too young to eat that. Wait a few more months and try again. B. That is common until the extrusion reflex disappears. You can spoon it off her face and refeed it to her. C. Use a bit of honey to help sweeten the cereal and make it taste better. D. We will need to check your baby for abnormal muscle tone.

B. That is common until the extrusion reflex disappears. You can spoon it off her face and refeed it to her.

A nurse reviews the record of an infant and notes a suspected diagnosis of esophageal atresia with tracheoesophageal fistula. Which clinical manifestation is likely? A. Incessant crying B. Night coughing C. Choking with feeding D. Projectile vomiting

C. Choking with feeding

Which assessment is done first? A. Pupil B. Skin C. Patent Airway D. Cardiovascular

C. Patent Airway

Which game would help to develop object permanence? A. Reading books B. Stacking blocks C. Peek a boo D. Going for a walk

C. Peek a boo

The nurse is reviewing strategies to improve compliance in the family of a 6 year old with a recent orthopedic surgery with prescribed antibiotic therapy. Which of the following interventions is an example of a treatment strategy? A. Using an automated pill dispenser. B. Increasing frequency of appointments. C. Providing a liquid form of the medication. D. Reducing the cost of prescriptions.

C. Providing a liquid form of the medication.

What age group sees death as the devil or "boogie man"? A. Infants B. Toddlers C. School-agers D. Preschoolers

C. School-agers

Which of the following is NOT an appropriate non-pharmacological intervention for pain in a 3 month old? A. Swaddling B. Oral sucrose C. Unattended bouncy seat D. Pacifiers

C. Unattended bouncy seat

A parent calls the clinic, and describes a rash in the diaper area that is bright red with small pustules. It is in the skin folds. Which treatment would be recommended? A. This condition will resolve without any intervention B. Topical steroids to help speed healing. C. Use of a hair dryer to gently warm the skin and keep it dry. D. Application of an anti fungal ointment and a barrier paste.

D. Application of an anti fungal ointment and a barrier paste.

An ER nurse is assessing a 12 month old female. Which statement accurately describes the best method for assessing this child? A. Assess the child on the exam table. B. Assess the child in a head-to-toe sequence. C. Have the mother assist in holding her down. D. Assess the child while she is in her mother's lap.

D. Assess the child while she is in her mother's lap.

The nurse notes that an infant has dry red scaly patches on the cheeks and back of the knees. The mother states, "His older siblings has those too, but hers are mostly in the bend of her arm. They seem itchy and get worse in the winter." What condition would you suspect? A. Craniosynostosis B. Candida albicans C. Seborrheic dermatitis D. Atopic dermatitis

D. Atopic dermatitis

Which of the following is not a method to assess temperature? A. Axillary B. Rectal C. Tympanic D. Capillary

D. Capillary

The nurse is caring for a 14 year old with celiac disease. The nurse knows that the patient understands the diet instructions by ordering which of the following meals? A. Eggs, bacon, rye toast, and lactose free milk. B. Pancakes, OJ, and sausage links C. Oat cereal, breakfast pastry, and nonfat skim milk D. Cheese, banana slices, rice cakes, and whole milk.

D. Cheese, banana slices, rice cakes, and whole milk.

A baby is admitted with a diagnoses of intussusception. Which of the following signs or symptoms would the nurse expect to see? A. Acute constipation B. Explosive flatus C. Projectile vomiting D. Currant jelly stools

D. Currant jelly stools

The nurse is reviewing the medical record of a 3 week old infant and notes the provider documented a diagnosis of suspected Hirschsprung disease. Which symptom led the infant's mother to seek health care? A. Diarrhea B. Vomiting C. Regurgitation D. Foul smelling, ribbon-like stool

D. Foul smelling, ribbon-like stool

The following are manifestations of acute appendicitis except? A. Abdominal pain B. Vomiting C. Fever D. Hyperactivity

D. Hyperactivity

A 10 year old is being evaluated for possible appendicitis and complains of nausea and sharp abdominal pain in the RLQ. An abdominal ultrasound is scheduled, and a blood count has been obtained. The child vomits, finds the pain relieved, and calls the nurse. Which should be the nurse's next action? A. Cancel the US, and obtain an order for oral Zofran B. Cancel the US, and prepare to administer an IV bolus C. Prepare for the probable discharge of the patient D. Immediately notify the physician of the child's status

D. Immediately notify the physician of the child's status

The nurse is evaluating education provided to the parents of a 6 month old. Which statement would indicate teaching was effective? A. I will start whole milk in my child's bottle. B. All children crawl before walking. I need to focus on that skill for my child. C. I can dip my child's pacifier in honey to help her wait for mealtime. D. Iron fortified cereals like rice cereal are a good first food.

D. Iron fortified cereals like rice cereal are a good first food.

An infant is being seen for a 6 month well child check. The parents state, "She is so tiny! She's always been in the 25th percentile. Should we be concerned?" Which response by the nurse is best? A. If she was at the 15th percentile, we would diagnose her as failure to thrive. B. As long as she moves up to the 50th percentile by 1 year of age, we are not concerned. C. We don't diagnose problems with growth in infants. D. She is growing well. She has doubled her birth weight and stayed on her growth chart.

D. She is growing well. She has doubled her birth weight and stayed on her growth chart.

The nurse is assessing an 11 year old with an inguinal hernia. Which statement accurately describes how the nurse should approach him for his physical exam? A. The nurse should as the parents to remain in the room during the physical exam. B. The nurse should auscultate the child's heart, lungs, and abdomen first. C. The nurse should explain to the child that the physical exam will not hurt. D. The nurse should explain to the child what the nurse will be doing in basic understandable terms.

D. The nurse should explain to the child what the nurse will be doing in basic understandable terms.

The safest way to calculate pediatric medication dosing is by using weight based calculations. (T/F)

Ture