Peds Practice A & B
A nurse is caring for a preschooler who has neutropenia. Which of the following statements should the nurse make to the child's guardians?
"Avoid using your child's daycare center."
A nurse is teaching a group of parents about infectious mononucleosis. Which of the following statements by a parent indicates an understanding of the teaching?
"Mono is caused by an infection with the Epstein-Barr virus."
A nurse is teaching the guardian of a 6-month-old infant about teething. Which of the following statements should the nurse make?
"Your baby might pull at their ears when they are teething."
A nurse is caring for a school-age child who has DM and was admitted with a diagnosis of DKA. When performing the respiratory assessment, which of the following findings should the nurse expect?
Deep respirations of 32/min
A nurse is assessing a school-age child who has peritonitis. Which of the following findings should the nurse expect?
Abdominal distention
A nurse is caring for a school-age child who is in Buck's traction following a leg fracture 24hrs ago. Which of the following actions should the nurse take?
Assess peripheral pulses once every 4 hrs
A nurse is providing anticipatory guidance to the guardian of a toddler. Which of the following expected behavior characteristics of toddlers should the nurse include?
Expresses likes and dislikes
A nurse is caring for a school-age child who is receiving a blood transfusion. Which of the following manifestations should alert the nurse to a possible hemolytic transfusion reaction?
Flank pain
A nurse is creating a plan of care for a newly admitted adolescent who has bacterial meningitis. How long should the nurse plan to maintain the adolescent in droplet precautions?
For 24hrs following initiation of antimicrobial therapy
A nurse in an ER is caring for a school-age child who has appendicitis and rates their abdominal pain as 7. Which of the following actions should the nurse take?
Give morphine 0.05mg/kg IV
A nurse is monitoring the oxygen saturation level of an infant using pulse oximetry. The nurse should secure the sensors to which of the following areas on the infant?
Great toe
A school nurse is caring for a child following a tonic-clonic seizure. Which of the following actions should the nurse take first?
Check the child's RR
A nurse is assessing a 4-year-old child at a well-child visit. Which of the following developmental milestones should the nurse expect to observe?
Cuts an outlined shape using scissors
A nurse is assessing a 6-year old child immediately following surgery for a perforated appendix. Which of the following findings should the nurse expect?
Hypoactive bowel sounds
A nurse is planning care to address nutritional needs for a preschooler who has cystic fibrosis. Which of the following interventions should the nurse include in the plan?
Increase fat content in the child's diet to 40% of total calories
A nurse in an ER is caring for a school-age child who has epiglottitis. Which of the following actions should the nurse take?
Monitor the child's oxygen saturation
A nurse is reviewing the lab report of a 7-year-old child who is receiving chemo. Which of the following lab tests should the nurse review to evaluate for anemia?
Hgb
A nurse is providing discharge teaching to the guardian of a child who is 1 week postoperative following a cleft palate repair. For which of the following members of the inter professional team should the nurse initiate a referral?
Speech therapist
A nurse is planning an educational program to teach caregivers about protecting their children from sunburns. Which of the following instructions should the nurse plan to include?
"Choose a waterproof sunscreen with a minimum SPF of 15."
A nurse is teaching the parent of an infant about ways to prevent sudden unexplained infant death syndrome (SIDS). Which of the following instructions should the nurse include?
"Give the infant a pacifier at bedtime."
A nurse in a provider's office is caring for a school-age child who has varicella. The parent asks the nurse when their child will no longer be contagious. Which of the following responses should the nurse make?
"When your child's lesions are crusted, usually 6 days after they appear."
A nurse is receiving change-of-shift report for four children. Which of the following children should the nurse assess first?
A toddler who has a concussion and is experiencing an episode of forceful vomiting
A school nurse is assessing an adolescent who has scoliosis. Which of the following findings should the nurse expect?
A unilateral rib hump
A nurse is caring for a 1-month-old infant who is breastfeeding and requires a heel stick. Which of the following actions should the nurse take to minimize the infant's pain?
Allow the mother to breast feed while the sample is being obtained
A school nurse is assessing an adolescent who has multiple burns in various stages of healing. Which of the following behaviors should the nurse identify as a possible indication of physical abuse?
Denies discomfort during assessment of injuries
A charge nurse is preparing to make a room assignment for a newly admitted school-age child. Which of the following considerations is the nurse's priority?
Disease process
A nurse is caring for a toddler who has acute otitis media and a temp of 40ºC (104ºF). After administering acetaminophen, which of the following actions should the nurse plan to take to reduce the toddler's temp?
Dress the toddler in minimal clothing
A nurse is assessing a 3 year old toddler at a well-visit. Which of the following manifestations should the nurse report to the provider?
RR of 45/min
A nurse is caring for a school-age child who is receiving chemo and is severely immunocompromised. Which of the following actions should the nurse take?
Screen the child's visitors for indications of infections
A nurse is planning care for a 12-month-old toddler who is being hospitalized. Which of the following actions should the nurse plan to take?
Secure the safety harness when the toddler is sitting in a high chair.
A nurse is providing teaching to the parents of a preschooler who has heart failure and a new prescription for digoxin twice daily. Which of the following instructions should the nurse include in the teaching?
"brush the child's teeth after giving the medication."
A nurse is caring for a preschooler whose guardian is going home for a few hours while another relative stays with the child. Which of the following statements should the nurse make to explain to the child when their guardian will return?
"Your guardian will be back after you eat."
A nurse is receiving change-of-shift report for four children. Which of the following children should the nurse see first?
A school-age child who has sickle cell anemia and reports decreased vision in the left eye.
A nurse is caring for a 10-year-old child following a head injury. Which of the following findings should the nurse identify as an indication that the child is developing diabetes insipidus?
Increased sodium level
A nurse is assessing an 8-year-old child who has early indications of shock. After establishing an airway and stabilizing the child's respirations, which of the following actions should the nurse take next?
Initiate IV access
A nurse is caring for an infant who is receiving IV fluids for the treatment of tetralogy of Fallot and begins to have a hypercyanotic spell. Which of the following actions should the nurse take?
Place the infant in a knee-chest position
A nurse is providing teaching about play activities for social development to the guardians of a preschooler. Which of the following play activities should the nurse recommend for the child?
Playing dress-up
A nurse is providing teaching to the family of a school-age child who has juvenile idiopathic arthritis. Which of the following instructions should the nurse include in the teaching?
"Encourage the child to perform independent self-care."
A nurse is caring for a preschooler who is scheduled for hydrotherapy treatment for wound debridement following a burn injury. Which of the following actions should the nurse take prior to the procedure?
Administer an analgesic to the child
A nurse is assessing a school-age child who has meningitis. Which of the following findings is the priority for the nurse to report to the provider?
Petechiae on the lower extremities
A nurse is caring for a school-age child who has experienced a tonic-clonic seizure. Which of the following actions should the nurse take during the immediate postictal period?
Place the child in a side-lying position
A nurse is assessing a 6-month old infant during a well-child visit. Which of the following findings should the nurse report to the provider?
Presence of strabismus
A school nurse is providing an in-service for faculty about improving education for students with ADHD. Which of the following statements by a faculty member indicates an understanding of the teaching?
"I will teach challenging academic subjects to students who have ADHD in the morning."
A nurse is creating a plan of care for a school-age child who has heart disease and has developed heart failure. Which of the following interventions should the nurse include in the plan?
Provide small, frequent meals for the child
A nurse in an emergency department is performing a physical assessment on a 2-week old newborn. Which of the following findings is the priority for the nurse to report to the provider?
Substernal retractions
A nurse is reviewing the medical record of a school-age child who is 2 days postoperative following an open repair and casting of a fracture in the right arm. Which of the following findings should the nurse identify as an indication of a potential postoperative complication?
Increased erythrocyte sedimentation rate
A nurse is preparing to collect a sample from a toddler for a sickle-turbidity test. Which of the following actions should the nurse plan to take?
Perform a finger stick
A nurse in an ER is caring for a school-age child who is experiencing an anaphylactic reaction. Which of the following is the priority action by the nurse?
Administer Epinephrine IM
A nurse is creating a plan of care for an infant who has an epidural hematoma from a head injury. Which of the following interventions should the nurse include in the plan?
Implement seizure precautions
A nurse is creating a plan of care for a preschooler who has Wilms' tumor and is scheduled for surgery. Which of the following interventions should the nurse include?
Avoid palpating the abdomen when bathing the child before surgery
A nurse is assessing an adolescent who received a sodium polystyrene sulfonate enema. Which of the following findings indicates effectiveness of the medication?
Blood potassium level 4.1mEq/L
A nurse is reviewing the lumbar puncture results of a school-age child who is suspected of having bacterial meningitis. Which of the following findings should the nurse identify as an indication of bacterial meningitis?
Increased protein concentration
A nurse is providing discharge teaching to the parents of a 3-month old infant following a cheiloplasty. Which of the following instructions should the nurse include?
"Apply a thin layer of antibiotic ointment on your baby's suture line daily for the next 3 days."
A nurse is caring for a toddler who is experiencing acute diarrhea and has moderate dehydration. Which of the following nutritional items should the nurse offer to the toddler?
Oral rehydration solution
A nurse is providing teaching to the parent of an infant who has diaper dermatitis. The nurse should instruct the parent to apply which of the following to the affected area?
Zinc Oxide
A nurse is reviewing the dietary choices of an adolescent who has iron deficiency anemia. The nurse should identify that which of the following menu items has the highest amount of nonheme iron?
1/2 cup of raisins
A nurse is preparing to administer an immunization to a 4-year-old child. Which of the following actions should the nurse plan to take?
Administer the immunization using a 24-gauge needle
A nurse in an ER is caring for a toddler who has partial-thickness burns on the right arm. Which of the following actions should the nurse take?
Cleanse the affected area with mild soap and water
A nurse is providing dietary teaching to the parent of a school-age child who has celiac disease. The nurse should recommend that the parent offer which of the following foods to the child?
White rice
A nurse is providing teaching to the parent of a school-age child who has a new prescription for oral nystatin for the treatment of oral candidiasis. Which of the following instructions should the nurse include?
"Shake the medication prior to administration."
A nurse is preparing an adolescent for a lumbar puncture. Which of the following actions should the nurse take?
Apply topical analgesic cream to the site 1 hour before the procedure
A nurse is assessing an infant who has pneumonia. Which of the following findings is the priority for the nurse to report to the provider?
Nasal flaring
A community health nurse is assessing an 18-month old toddler in a community day care. Which of the following findings should the nurse identify as a potential indication of physical neglect?
Poor personal hygiene
A nurse is teaching the parent of a preschooler about ways to prevent acute asthma attacks. Which of the following statements by the parent indicates an understanding of the teaching?
"I should keep my child indoors when I mow the yard."
A nurse in an urgent care clinic is assessing an adolescent who has an upper respiratory tract infection. Which of the following findings should the nurse identify as a manifestation of pertussis?
Dry, hacking cough
A nurse is caring for a school-age child who is receiving cefazolin via intermittent IV blows. The child suddenly develops diffuse flushing of the skin and angioedema. After discontinuing the medication infusion, which of the following medications should the nurse administer first?
Epinephrine
A nurse is assessing an infant who has a ventricular septal defect. Which of the following findings should the nurse expect?
Loud, harsh murmur
A nurse is admitting a school-age child who has pertussis. Which of the following actions should the nurse take?
Initiate droplet precautions
A nurse is caring for a 15-year old adolescent following a head injury. Which of the following findings should the nurse identify as an indication that the adolescent is developing syndrome of inappropriate antidiuretic hormone secretion? (SIADH)?
Mental confusion
A nurse is planning developmental activities for a newly admitted 10 year old child who has neutropenia. Which of the following actions should the nurse plan to take?
Provide the child with a book about adventure
A nurse is caring for an infant who has respiratory syncytial virus (RSV). Which of the following should the nurse implement for infection control?
Have a designated stethoscope in the infant's room
A nurse is caring for a school-age child who has peripheral edema. The nurse should identify that which of the following assessments should be performed to confirm peripheral edema?
Palpate the dorm of the child's feet
A nurse is teaching the guardian of a 6-month-old infant about car seat use. Which of the following statements by the guardian indicates an understanding of the teaching?
"I should secure the car seat using lower anchors and tethers instead of the seat belt."
A nurse is teaching a school-age child who has a new diagnosis of type 1 DM. Which of the following statements by the child indicates an understanding of the teaching?
"I will give myself a shot of regular insulin 30 minutes before I eat breakfast."
A nurse is providing discharge teaching to the parent of an 18-month-old who has dehydration due to acute diarrhea. Which of the following statements by the parent indicates an understanding of the teaching?
"I will monitor my child's number of wet diapers."
A hospice nurse is caring for a preschooler who has a terminal illness. One of the preschoolers parents tells the nurse that they cannot cope anymore and are thinking about moving out of the house. Which of the following statements should the nurse make?
"Let's talk about some of the ways you have handled previous stressors in your life."
A nurse is caring for an infant who is receiving treatment for severe dehydration. The nurse should identify which of the following findings as indicators that the treatment is effective?
Capillary refill less than 2 seconds
A charge nurse in an emergency department is preparing an in-service for a group of newly licensed nurses about the manifestations of child maltreatment. Which of the following manifestations should the charge nurse include as a potential indication of physical abuse?
Symmetric burns of the lower extremities
A nurse is reviewing the lab report of a school-age child who is experiencing fatigue. Which of the following findings should the nurse identify as an indication of anemia?
A low hematocrit level
A nurse is assessing a school-age who has an infratentorial brain tumor. Which of the following findings should the nurse identify as a manifestation of increased intracranial pressure?
Difficulty concentrating
A nurse is caring for an adolescent who received a kidney transplant. Which of the following findings should the nurse identify as an indication the adolescent is rejecting the kidney?
Increased creatinine level
A nurse is planning care for a school-age child who has a tunneled central venous access device. Which of the following interventions should the nurse include in the plan?
Use a semipermeable transparent dressing to cover the site
A nurse is providing discharge teaching to the parent of a school-age child who has moderate persistent asthma. Which of the following instructions should the nurse include?
"Pulmonary function tests will be performed every 12-24 months to evaluate how your child is responding to therapy."
A nurse is admitting a 4 month old infant who has heart failure. Which of the following is the nurse's priority?
Episodes of vomiting (Digoxin toxicity)
A nurse is discussing organ donation with the parents of a school-age child who has sustained brain death due to a bicycle crash. Which of the following actions should the nurse take first?
Explore the parents' feelings and wishes regarding organ donation
A nurse in a health department is caring for an emancipated adolescent who has an STI and is unaccompanied by a guardian. Which of the following actions should the nurse take?
Have the adolescent sign a consent form for treatment
A nurse is planning care for a school-age child who is in the oliguric phase of acute kidney injury and has a sodium level of 129mEq/L. Which of the following interventions should the nurse include in the plan?
Initiate seizure precautions
A nurse is caring for a preschooler who has congestive heart failure. The nurse observes wide QRS complexes and peaked T waves on the cardiac monitor. Which of the following prescriptions should the nurse clarify with the provider?
Potassium chloride
A nurse is planning an education program for school-age children and their parents about bicycle safety. Which of the following information should the nurse plan to include?
The child should be able to stand on the balls of their feet when sitting on the bike.
A nurse is providing discharge teaching to the guardians of a toddler who had a lower leg cast applied 24 hours ago. The nurse should instruct the guardians to report which of the following findings to the provider?
Restricted ability to move the toes
