Peds proctored

A nurse teaching the parent of a three-year-old toddler about promoting sleep. Which of the following pieces of information should the nurse include? A. Follow nightly routine and establish bedtime B. Encourage active play prior to bedtime C. Let the child remain awake until tired enough to go to sleep D. Reward the child with a food treat just before sleep if the child goes to bed on time

A: Consistent approach to bedtime is more likely to be pleasant for everyone

The nurse is teaching a parent of a four-year-old child who starters. Which of the following statements by the parent indicates an understanding of the teaching? A. I should ignore the stuttering and not interrupt her B. I should finish my child sentence if she's stuck on a word C. I should reward my child when she doesn't stutter D. I should tell my child to slow down when she start stuttering

A: Parents should be instructed not to focus on the stuttering so the behavior is not reinforced and does not become prolonged

A nurse is assessing a six-year-old client at a well child visit. Which of the following findings requires further assessment by the nurse? A. Presence of sparse and fine pubic hair B. Decreased head circumference compared to full height C. Increase the length in relation to height D. Presence of a loose central incisor

A: The development of sexual characteristics prior to nine years in boys and eight years and girls is an indication of precocious puberty

The nurse is assessing a two-month-old infant who has a ventricular septal defect. Which of the following findings should the nurse report to the provider? A. Weight gain of 1.8 kg or 4 pounds B. Heart rate of 125 per minute C. Soft flat fontanel D. Systemic murmur

A: Weight gain indicates increased fluid and worsening of the child's heart failure

The nurse is assessing a child who has bilateral do you chromocytoma. Which of the following findings should the nurse expect? A. Hypertension B. Abdominal obesity C. Bradycardia D. Loose stools

A: hypertension due to the increase production of catecholamines

An 18 month old infant has a new Pneumocitis Carini pneumonia. Results of enzyme linked immuno sorbent assay indicates that she is HIV positive. When planning care, the nurse should consider which of the following factors? A. The infants mother is likely HIV positive B. The infants ELISA test result is probably a false positive C. Anti-retroviral medications are inappropriate for infants and children who have HIV D. HIV positive status is a contraindication for measles mumps and rubella immunizations

A: mother to child transmission accounts for a majority of HIV cases in infants

A nurse is caring for a toddler whose postoperative following a cleft palette repair. Which of the following actions should the nurse take? A. Restrain the toddlers arms out the elbows B. Feed the toddler with a spoon C. Monitor the toddlers oral temperature D. Where is a toddler for 48 hours

A: prevents the child from disrupting the sutures

The nurse is performing a developmental assessment on a three year old child. Which of the following commands should the nurse expect the child to complete successfully? A. Put your shoes on B. Name the days of the week C. Cut out a picture with scissors D. Balance on one foot with your eyes closed

A: today children should be able to put on their shoes and they are three years old. They can usually tie their shoes by age 5.

A school nurse is providing care to a child who has a nosebleed. Which of the following actions should the nurse perform? Select all that apply A. Place the child in supine B. Apply pressure using the thumb and forefinger C. Have the child tilt his head back D. Apply a warm cloth to the bridge of the child's nose E. Keep the child calm

B and E: thumb and forefinger help to control the bleeding, cold compress rather than heat helps to reduce bleeding

A nurse is assessing a child who sustained a head injury. During the assessment the nurse observes clear drainage leaking from the child knows. Which of the following actions should the nurse take? A. Perform nasotracheal suctioning B. Test the nasal secretions for glucose C. Maintain direct lighting on the child D. What were the head of the bed

B: The nurse should test the nasal secretions for glucose as it will tell us if there is a leakage of cerebrospinal fluid which can occur due to a skull fracture

A home health nurse is developing a plan of care for a toddler who has hemophilia. Which of the following instructions for the parents should the nurse include in the plan? A. Administer low-dose aspirin for pain B. Inspect the toddler's toys for sharp edges C. Perform a passive range of motion of the effective joint during a bleeding episode D. Avoid contact with people who have respiratory infections

B: decreases the risk of injury and bleeding to the toddler as hemophilia can cause excess bleeding

A nurse is teaching the parents of a toddler who has Enterobiasis about managing this parasitic disease. Which of the following pieces of information should the nurse include in the teaching? A. You should encourage your child to take a tub bath daily B. You should keep your child's finger nails trimmed short C. You should dress your child in a two piece outfit at bedtime D. You should expect your child not to have a recurrence of the parasitic disease

B: fingernails should be trimmed short to minimize the collection of ova under the nails which can cause the disease to spread

A nurse is providing dietary teaching to the parent of a toddler who has phenylketonuria. Which of the following foods should the nurse recommend? A. Whole milk B. Ground beef C. Cooked carrots D. Eggs

C cooked carrots: offer low protein foods due to high protein in the urine

A nurse is teaching a parent of an infant about home safety. Which of the following pieces of information should the nurse include? Select all that apply A. Use a wheeled infant walker B. Play soft pillows around the edge of the infant crib C. Position in the car seat so it is rear facing D. Secure a safety gate at the top and bottom of the stairs E. Maintain the water heater temperature at 49°C

C, D, E: car seat should remain rear facing until the age of two years, gates should be placed to reduce fall risk, water temperature should not exceed 49°C to avoid a burn injury

A nurse in the emergency department is caring for a 12-year-old child who has ingested bleach. Which of the following statements by the nurse indicates an understanding of this ingestion? A. The absence of oral burns excludes the possibility of esophageal burns B. Treatment focuses on neutralization of the chemical C. Injury by a corrosive liquid is more extensive than by a corrosive solid D. Immediate administration of activated charcoal is warranted

C: Coding action of liquids permits larger areas of contact with tissues and results in more extensive injury

Nurse is caring for an 18-month-old infant who has chronic otitis media. The nurse should recognize that chronic otitis media will affect which of the following? A. Olfaction B. Visual acuity C. Speech patterns D. Hand-eye coordination

C: hearing loss from otitis media can affect speech development

A nurse is planning care for a school aged child who has juvenile idiopathic arthritis. Which of the following actions should the nurse include in the plan? A. Encourage the child to sleep for one hour each afternoon B. Apply cold compresses to the child's affected joints each morning C. Encourage the child to participate in physical activities D. Limit the child's intake of foods that are high in uric acid

C: remaining physically active promotes mobility and joint function

A nurse is planning care for a child who has meningococcal meningitis. Which of the following isolation precautions of the nurse plan to implement? A. Airborne B. Contact C. Protective environment D. Droplet

D: The child should remain in droplet precautions for 24 to 72 hours after the initiation of anabiotic's. Meningitis transmits through droplets in body fluids

The nurse in the emergency department is caring for a child who has bruises that support a suspicion of child abuse. Which of the following actions should the nurse take? A. As the child of his parents are responsible for the abuse B. Notify the facilities risk manager C. Interview the child with his parents D. Report the suspected abuse to local authorities

D: The nurse should initiate the process of removing the child from the abusive environment by following the facilities protocol for reporting the situation

A nurse is teaching the parents of an infant who has a congenital hypothyroidism. Which of the following direction should the nurse provide? A. Your child will need to take an estrogen daily when she reaches puberty B. Your child will need monthly blood coagulation studies C. Your child will need surgery to remove the disease thyroid D. Your child will need to take thyroid hormone replacement for her entire life

D: my phone treatment supports normal growth and development as the child does not manufacture an adequate amount of thyroid hormone

An infant has pertussis. Which of the following actions should the nurse take? A. Assess for edema of the extremities B. Apply warm compress to the neck C. Initiate airborne precautions D. Maintain a cardio respiratory monitor

D: pertussis requires droplet precautions, it causes apnea and mucus plugs