Peds passpoint questions test 2

Which urine output indicates at a five month old wing 15 pounds 6.8 kg and being treated for dehydration have a normal urine output? 10 to 12 mg/kg per hour 1 to 2 mg/kg per hour 6 to 8 3 to 5

1 to 2

And initial bolus of crystalloid fluid replacement for a child in shock is 20 mL per kilogram; the nurse is preparing to administer how many milliliters of fluid for a child weighing 30 g?

600 mL

A child underwent a tonsillectomy 4 hours ago. Which assessment finding should make the nurse suspect postoperative hemorrhage? Vomiting of dark brown emesis, refusal to drink clear fluids, decreased heart rate, frequent swallowing

Frequent swallowing

The nurse is caring for a client who has just been immunized. When teaching the clients caregivers about potential adverse effects, the nurse should instruct the caregivers to immediately report: Pain at the injection site, generalized urticaria, mild temperature elevation, local swelling at the injection site

Generalized urticaria

When assessing a family suspected of abusing its four-year-old child, which behavior is the most important criterion that would suggest abuse? Incompatibility between the history and the injury, responsibility taken by the child for the act, attempt by the child to defend or verify what the parent states, a complaint other than the one associated with the signs of abuse

Incompatability between history and injury

When teaching the mother of a toddler diagnosed with lead poisoning, what should the nurse include as the most serious complication if the condition goes untreated? Neurologic deficit, stunted growth rate, cirrhosis of the liver, heart failure

Neurologic defects

The toddler is admitted to the facility for treatment of a severe respiratory infection. The child's recent history includes fatty stools and failure to gain weight steadily. The physician diagnosis cystic fibrosis. By the time of the child's discharge, the child's parents must be able to perform which task independently? Performing postural drainage, maintaining the trail on the fat-free diet, maintaining the child in oxygen tent, allergy proofing the home

Performing postural drainage

When caring for a toddler with epiglottitis, the nurse should first: Examine the clients throat, administer IV fluids, place a tracheotomy tray at the bedside, administer antibiotics

Place trach tray at bedside

A 2 1/2-year-old child and his two month old sibling are brought to the clinic by their father, who explains that the older child says no whenever asked to do something. The nurse should explain that negativism demonstrated by toddlers is frequently an expression of which characteristic? Sibling rivalry, need to expand excess energy, pursuit of anatomy, separation anxiety

Pursuit of anotomy

The toddler is brought to the ED after ingesting an undetermined amount of drain cleaner. The nurse should expect to assist with which intervention first? Performing gastric lavage, inserting an indwelling urinary catheter, administering an emetic, securing the airway

Securing airway

What should be a priority for six-year-old child admitted with third-degree burns?

Start iv line

Parents bring their infant to the clinic, seeking treatment for vomiting and diarrhea that has lasted for two days. On assessment, the nurse detects dry mucous membranes and lethargy. What other findings suggest a fluid volume deficit? Sunken fontanelle, low urine specific gravity, decreased pulse rate, increased blood pressure

Sunken fontanel

An infant wing 10 kg is receiving IV fluid replacement. The nurses suspect that the infant is receiving too little IV fluid replacement when the child exhibits which clinical manifestation? Urine output of 26 mL for the past hour, increasing irritability, and increasing blood pressure over the past three hours, urine specific gravity of 1.033

Urine specific gravity

And adolescent presents with a large round ring with a swollen border on the left arm. The adolescent often plays ball games in a field behind the school. Which condition does the nurse suspect? Impetigo, cellulitis, Lyme disease, actinic keratosis

Lyme disease

When teaching a caregiver of a 17-month-old about toilet training, which instruction would initially be most appropriate? Remove the diaper and use training pants to begin the process, placed a toddler on the potty chair every two hours for 10 minutes, offer a reward every time the toddler has a bowel movement in the potty chair, be sure the toddler is ready before starting to toilet train.

Be sure toddler is ready to start

ED nurse is caring for a child diagnosed with moderately severe croup. The nebulizer treatment of choice for a child with moderate to severe croup is: FNF friend, albuterol, budosenide, ipratropium bromide

Epinephrine.

The nurse advises a mother with a two-year-old child to avoid encouraging excess milk conception by the toddler because excess milk consumption can lead to which problem? Biotene deficiency, vitamin C deficiency, iron deficiency, folate deficiency

Iron deficiency

A parent ask the nurse if the lesions around her child's mouth could be impetigo. What manifestations would verify the parents suspicion? Honey colored crust, vesicles, and reddish maculate on the skin Increased warmth, intense redness, swelling, and firmness of the skin Erythema and formation of pus around hair follicles Macular erythema with sandpaper like texture of the skin

Honey colored crusts, etc

A nurse is helping a pregnant caregiver to pose a plan to help her two-year-old child adjust to the birth of her second child. Which statement by the client indicates more instruction is needed?

I'll tell child that baby is a playmate...NO!!

A client in the emergency department was diagnosed with a communicable disease. When complications of the disease are discovered, the client is admitted to the hospital and placed in respiratory isolation. Which infection warrants airborne isolation? Cholera, measles, impedigo, mumps

Measles

A six month old infant is brought to the clinic. Mother reports the infant has been lethargic and not eating well. The infants anterior fontanelle is sunken. Which additional information is a priority for the nurse to assess? Skin color and cap Refill, number of hours infant has slept in the last 24 hours, number feeds in the last 24 hours, number of wet diapers in the last 24 hours

Number of wet diapers

A nurse discussing injury prevention with a group of workers at a daycare center is focusing on toddlers. When discussing this age group, the nurse should stress that: Toddlers will always chase a ball that rolls into the street, accidents are the leading cause of death among toddlers, the risk for homicide is highest among toddlers, toddlers can distinguish right from wrong

Accidents leading cause of death