Peds quizzes

Considering Piaget's developmental stages, the nurse should expect a 6-year-old with Type 1 DM to struggle the most with mastering which of the following skills? Checking blood sugar 3x/daily ac; random spot check x1 during the day Carbohydrate counting with adult assistance Finger stick with lancet Reporting blood sugar reading to adult to have it recorded into a log book

Checking blood sugar 3x/daily ac; random spot check x1 during the day

Which of these clinical findings would be most important for the nurse to report for a client who is taking Methylprednisolone? report of a new skin rash and pruritus irritability increase in appetite increase in serum glucose

report of a new skin rash and pruritus

The nurse should teach parents of a child with cystic fibrosis to adjust enzyme dosage according to which indicator? Weight Stool formation Vomiting Urine output

stool formation

Which child in the waiting room of a pediatrician's office does the nurse recognize as being behind developmental expectations? -11 yo diagnosed with cystic fibrosis for 10 yrs and the nurse sees the parent putting the albuterol inhaler in child's mouth and telling them how to breathe it in -17 yo filling out their "teen health questionnaire" across the room from their parent and asking the receptionist if the information is private -12 yo working on their math homework while waiting for their appointment, tells their dad that they "don't need any help" -14 yo asking their mom how long this appointment will take because they want to get back to school in time for lunch to see their friends

11 yo diagnosed with cystic fibrosis for 10 yrs and the nurse sees the parent putting the albuterol inhaler in child's mouth and telling them how to breathe it in

Your patient weighs 20 lbs, 8 ounces. What ordered hourly rate do you expect for maintenance IV fluids? 39 931 210 9

39

For which client would position change to reshunt blood flow be the initial priority intervention? 4 year old with PDA, HR 110, RR 42, O2 sat 88% 9 month old with ToF, HR 70, RR 14, O2 sat 50% 5 month old with CoA, HR 50, RR 10, 02 sat 60% 3 week old with VSD, HR 100, RR 40, O2 sat 76%

9 month old with ToF, HR 70, RR 14, O2 sat 50%

Before giving a dose of digoxin (Lanoxin), the nurse checked an infant's apical heart rate and it was 114 bpm. What should the nurse do next? Administer the dose as ordered Notify the provider about the infant's heart rate Hold the medication until the next dose Wait and recheck the apical heart rate in 30 minutes

Administer the dose as ordered (needs to be at least 100)

In recognizing Hemolytic Uremic Syndrome (HUS), which lab value does the nurse expect to see? Platelet count of 240,000 Serum creatinine 0.7 BUN 35 Urine ketones +3 (large)

BUN 35

A baby with myelomeningocele is admitted to the neonatal intensive care unit. Which of the following signs/symptoms would the nurse expect to see? Bilateral lower limb paralysis Ptosis Marked respiratory distress Hyperreflexia

Bilateral lower limb paralysis

Select All That Apply. A child has been diagnosed with acute lymphoblastic leukemia (ALL). With which of thefollowing signs/symptoms did the child likely present to the primary health care provider? Bruising Lethargy Leukopenia Rash Jaundice Erythema

Bruising Lethargy

You are preparing to administer a vaccine to a 3 yo child. What is the best approach? -Hide syringe behind your back, point to the cartoon character on the television and ask "who is that?", then give the injection -Tell the child, "I have to give you a vaccine. It protects you from the flu so you won't get really sick this winter. Hold still and we will be done very soon." -Consider a "practice" vaccine on the child's teddy bear. Tell child they can scream or cry if they need to and that Mom is going to help them be still and brave. Give a bandaid and a "bravery prize" afterward -Tell the child that their older 8 yo brother has gotten shots before and that they made him healthy. Tell about using a "count to 3" before the injection and give injection when you get to "1"

Consider a "practice" vaccine on the child's teddy bear. Tell child they can scream or cry if they need to and that Mom is going to help them be still and brave. Give a bandaid and a "bravery prize" afterward

The nurse is teaching about congenital clubfoot in infants. The nurse evaluates the teaching as successful when the parent states that clubfoot is best treated when? Immediately after diagnosis After walking (age 15 to 18 months) Prior to walking (age 9 to 12 months) At age 4 to 6 months

Immediately after diagnosis

Which is appropriate information for a nurse to provide the parent of a toddler on how to prevent constipation from recurring? Include a glass of water at every meal in her daily diet Give a laxative every morning for a week when you suspect problems Every time she has encopresis, make her take a time out Include foods like white rice, eggs and cooked carrots in her daily diet

Include a glass of water at every meal in her daily diet

Which of the following should be done to protect the central nervous system from the invasion of malignant cells in a child newly diagnosed with leukemia? High dose intravenous chemotherapy Cranial and spinal radiation Intravenous steroid therapy Intrathecal chemotherapy

Intrathecal chemotherapy

The lesion on a child's face has been diagnosed as impetigo. Which of the following information should the nurse educate the parents in relation to this problem? Safe dosage of diphenhydramine should be administered at bedtime until the lesions resolve Child should refrain from bathing until the lesions are completely healed Meticulous handwashing must be maintained to prevent transmission to others in the family Child must be on antibiotics for at least twenty four hours before returning to school Crusts should be removed several times each day using contact precautions

Meticulous handwashing must be maintained to prevent transmission to others in the family Child must be on antibiotics for at least twenty four hours before returning to school Crusts should be removed several times each day using contact precautions

A child weighs 8.2kg and is receiving 8g Kayexalate po q 6 hrs. Which of the following orders should the nurse question for this patient? Obtain BMP daily to monitor sodium and calcium levels Continuous cardiac monitoring Mix medication with potassium-containing fruit juice prior to administration Obtain serum potassium levels BID

Mix medication with potassium-containing fruit juice prior to administration

The nurse is taking a health history from an adolescent with hemophilia. The nurse should ask the client whether he is experiencing any signs and symptoms of which of the following illnesses? Diabetes mellitus Osteoarthritis Asthma Hypothyrodism

Osteoarthritis

Select All That Apply. A 12 year old boy with a history of sickle cell anemia and a diagnosis of vaso-occlusive crisis is being assessed by the admitting nurse in the ED. Which of the following signs/symptoms would the nurse expect to see? Elevated liver enzymes Hematuria Hematocrit 39% Pain level 2/10 Priapism

Priapism Elevated liver enzymes Hematuria

The nurse is caring for patients on a pediatric neurology unit. Which patient should the nurse assess first? The patient with a head injury after falling off of a bicycle, reporting nausea and abdominal cramping The patient diagnosed with a seizure disorder with the parent reporting the child has significant loss of appetitie The patient admitted with meningitis, with a recently recorded temperature of 101.2 F The patient diagnosed with a brain mass reporting a sudden loss of vision

The patient diagnosed with a brain mass reporting a sudden loss of vision

The clinic nurse is educating the parents of a 10 year old child with scabies regarding medication administration. Which of the following information should the nurse include in the teaching? The child should have been bathed at least 24 hours prior to the administration of the medication The oral medication must be administered on an empty stomach The topical medication must remain on the skin for 8 full hours The parent should readminister the medication in one week if the child continues to complain of itching

The topical medication must remain on the skin for 8 full hours

A baby that was born 5 minutes earlier is tachypneic, tachycardic, and markedly cyanotic. A STAT echocardiogram confirms the presence of a cyanotic congenital cardiac defect. Which of the following defects would be consistent with the assessment findings? Ventricular septal defect Transposition of the Great Vessels Atrial septal defect Patent ductus arteriosus

Transposition of the Great Vessels

Which of the following should the nurse expect to administer to a child with ITP and a platelet count of 5,000? Platelets IVIG WBCs Packed RBCs

IVIG

The parent of a school-age child diagnosed with a UTI 2 days ago, calls the nurse help line for advice because the child is still complaining of dysuria and urgency. What question is most important for the nurse to ask? " Have you started giving her antibiotic yet?" " Is her urine brown or orange?" " How often have you been giving her ibuprofen?" " Do you want to bring her in for another appointment tomorrow?"

" Have you started giving her antibiotic yet?"

A nurse is obtaining a health history from a child who has suspected acute rheumatic fever. Which of the following questions should the nurse ask? Has your son had a sore throat recently?" "Was your son born with this cardiac defect?" "Have you given your child aspirin in the past 2 weeks?" "Has your child had any injuries recently?"

"Has your son had a sore throat recently?"

The parent of a child recently diagnosed with Celiac Disease is discussing the disease with the clinic nurse. Which parent statement represents a good understanding of the disease or treatment needs? "This is a hard disease to cope with because it will cause so many respiratory issues." "We will need to change many of the food products we use, including our breads and pastas, to manage this disease as effectively as possible." "Managing and understanding my child's bowel patterns is really the most important thing I need to focus on; there are not other major symptoms to worry about." "I am surprised she has Celiac Disease; it is usually diagnosed with frequent constipation and projectile vomiting."

"We will need to change many of the food products we use, including our breads and pastas, to manage this disease as effectively as possible."

A nurse is caring for a 7 year-old who underwent an exploratory abdominal surgery less than 12 hours ago, after being shot with a pellet gun. In addition to the use of comfort and distraction techniques, what is the best practice for the nurse in reducing pain for the patient? -The nurse can provide additional play therapy to distract the patient from experiencing pain related to the surgical procedure -PRN Tylenol until she can tolerate PO pain medication is the standard of care following invasive pediatric surgery -Opioid pain medication is an expected treatment in the first shifts following abdominal surgery in children -A NCA device is the most appropriate means of managing this patient's pain since it will allow her to feel more control

Opioid pain medication is an expected treatment in the first shifts following abdominal surgery in children

An 11 month old child is receiving chemotherapy for a diagnosis of acute lymphoblastic leukemia (ALL). Which of the following vaccinations is safe for the nurse to administer to the child? Varicella PCV MMR Influenza

PCV

During a child's admission assessment, who has a Wilms' tumor, which of these nursing actions by the floor nurse would require immediate intervention from the charge nurse? Auscultating the lungs Palpating the abdomen Measuring blood pressure Palpating for lymphadenopathy

Palpating the abdomen

A 9 year old is in a spica cast and complains of pain 1 hour after receiving intravenous opioid analgesia. What should the nurse do first? Tell the child to wait another hour for the medication to work Give more pain medication Perform a neuromuscular assessment Call the surgeon for orders

Perform a neuromuscular assessment

Which child in the oncology unit would be placed on both neutropenic and thrombocytopenic precautions based on their current labs? Plt count 20,000; WBC 2100; Hgb 8.7; Bands 12%; Polys 12% Plt count 42,000; WBC 300; Hgb 7.8; Bands 9%; Polys 7% Plt count 60,000; WBC 1200; Hgb 8.8; Bands 9%; Polys 9% Plt count 55,000; WBC 2800; Hgb 7.7; Bands 6%; Polys 6%

Plt count 42,000; WBC 300; Hgb 7.8; Bands 9%; Polys 7%

Of the following, which child does the nurse recognize as needing to be placed on thrombocytopenic precautions? Plt count 152,000; Hgb 12.8; oozing Broviac site Plt count 50,000; Hgb 11.7; light green/yellow drainage from NG tube Plt count 47,000; Hgb 10.3; moist mucus membranes Plt count 49,000; WBC 17,000; report of hematuria

Plt count 49,000; WBC 17,000; report of hematuria

Which factors does the nurse recognize as interventions to advise parent of in helping develop healthy eating habits for a preschooler? Prepare meals for the family that include lean protein, whole grains, and vegetables Fix separate food for the child if the parents are eating high fat food items Encourage drinking water or no-calorie flavored beverages as main drinks throughout the day Assign child small tasks to help in preparing meals, such as stirring in a bowl or tearing up lettuce Give caffeinated, regular soda no more than once per day Allow child to choose from full menu when at a fast food restaurant

Prepare meals for the family that include lean protein, whole grains, and vegetables Encourage drinking water or no-calorie flavored beverages as main drinks throughout the day Assign child small tasks to help in preparing meals, such as stirring in a bowl or tearing up lettuce

A child is diagnosed with impetigo. Which is an important teaching point? Prevention of future re-infections requires good hand hygiene and avoidance of contact with others who are infected The child cannot return to school until he has had medication for 1 day All children should in this child's class should be treated for impetigo The ticks that spread this infection are mostly found in woods and tall grass areas

Prevention of future re-infections requires good hand hygiene and avoidance of contact with others who are infected

A child is diagnosed with early stage hydrocephalus. What actions should the nurse perform? SATA Provide orientation to the room, call light and personnel Place the child on seizure precautions Administer ondanestron for vomiting Consult dietician for dietary supplement recommendations Teach parent to expect high pitched crying

Provide orientation to the room, call light and personnel Place the child on seizure precautions Administer ondanestron for vomiting Consult dietician for dietary supplement recommendations

A client with the diagnosis of Hemolytic Uremic Syndrome (HUS) is receiving epoetin (Epogen) as ordered. Which lab value trend indicates a desired outcome from this medication? before medication: serum creatinine 0.9mg/dL after medication: serum creatinine 1.9mg/dL before medication: BUN 26mg/dL after medication: BUN 26mg/dL before medication: Hemoglobin 6g/dL after medication: Hemoglobin 9g/dL before medication: Hematocrit 36% after medication: Hematocrit 33%

before medication: Hemoglobin 6g/dL after medication: Hemoglobin 9g/dL

Which play activity should the nurse implement to enhance deep breathing exercises for a toddler? Keeping a chart of deep breathing Using a spirometer Blowing up a balloon Blowing bubbles

blowing bubbles

Of the following conditions, which can occur due to a stressful life event to a previously healthy pediatric patient? Intussusception Celiac Disease Cystic Fibrosis Constipation

constipation

Which of the following laboratory tests will be ordered to determine the presence of the HIV antigen in an infant whose parent is HIV positive? IgG levels Western blot CD4 cell count p24 antigen assay

p24 antigen assay

A child with type 1 diabetes mellitus has been diagnosed with ketoacidosis. Which of the following laboratory findings is consistent with the diagnosis? Hemoglobin A1C: 5.5% Serum pH: 7.24 Potassium level: 3.9mEq/L Fasting blood glucose: 124mg/dL

Serum pH: 7.24

The infant with Down syndrome is closely monitored during the first year of life for what serious condition? Thyroid complications Cardiac abnormalities Dental malformations Orthopedic malformations

Cardiac abnormalities

A nurse is caring for an infant who has been diagnosed with intussusception, has a hard, rigid abdomen and the following vital signs: T 101.8, HR 181, BP 68/36. Which of the following is an appropriate action by the nurse? Notify provider of potential development of perforation or peritonitis Prepare to accompany infant to CT scan to confirm diagnosis Prepare to accompany infant to Radiology for a reducing enema Prepare to start an IV, administer fluids and antibiotics

Notify provider of potential development of perforation or peritonitis

An 8 year old child is admitted to the emergency department with burns over 30% of the body. Which of the following orders is highest priority for the nurse to perform? Application of silvadene ointment Injection of tetanus booster Administration of IV fluids Debridement of the burns

Administration of IV fluid

A 7-month-old had an aortic resection for Coarctation of Aorta earlier today. She now has an irregular HR of 100, BP of 70/40, O2 saturation of 81%, and appears mottled. What should be the nurse's initial action? Prepare dopamine drip for administration Apply oxygen via face mask Prepare a 20cc/kg fluid bolus Call the provider for orders

Apply oxygen via face mask

A school age child with Chronic Renal Failure has suffered extreme brain and heart damage from a hypoxic episode while in the ICU for severe peritonitis. The parents have signed a DNR. Which statement to the parent is most appropriate when asked what they should tell their 16-year-old child about this decision? "I don't think he is going to handle this very well. You probably want to wait until after his sister has passed away to tell him what you decided." "This child should not be informed of the decision. You should not confuse him with having to think about such a sad choice." " It is appropriate to share this information with him. I want to call the Child Life specialist to come talk to you about how to do this so that he can better cope with this difficult decision." " He is very mature for his age. I think he will be able to handle it well, he understands how sick his sister has been."

" It is appropriate to share this information with him. I want to call the Child Life specialist to come talk to you about how to do this so that he can better cope with this difficult decision."

A child with asthma comes to the ER for shortness of breath and audible wheezing. The mother reports giving Flovent (fluticasone) approximately 10 minutes ago. What is the best response by the nurse? "Flovent is a good medicine for daily use to prevent an asthma attack. However, in this situation, we will administer albuterol for his acute episode." "Since you gave your child Flovent, why did you bring him to the ER?" "Good thinking! Flovent is a good medicine for an acute episode. On the other hand, your child should take albuterol daily at home, in order to prevent an asthma attack." "Giving Flovent should help your child breathe better soon."

"Flovent is a good medicine for daily use to prevent an asthma attack. However, in this situation, we will administer albuterol for his acute episode."

A child diagnosed with leukemia is receiving allopurinol as part of the treatment plan. The parents ask why their child is receiving this medication. What information about the medication should the nurse provide? "Helps decrease pain in the bone marrow." "Used to make chemotherapy work better." "Helps reduce the uric acid level caused by cell destruction." "Given to reduce the nausea and vomiting associated with chemotherapy."

"Helps reduce the uric acid level caused by cell destruction."

An adolescent is being discharged from the ED following a mild concussion with a 5 second loss of consciousness. Which statement by the parent indicates an inappropriate understanding of the care and monitoring they will need to provide "I need to keep him awake tonight so I can be aware of any mental status changes and to prevent complications from the concussion." "If he has a mild headache anytime in the next couple of days, I know this is expected after having a concussion." "If he begins to vomit excessively or begins to complain of severe headaches, I should bring him back to the ER." "I should check his breathing and his mental status for changes a couple times tonight and also check these if he vomits."

"I need to keep him awake tonight so I can be aware of any mental status changes and to prevent complications from the concussion."

A child has been diagnosed with febrile seizures. Which of the following information should the nurse include in the parent teaching session? "Make sure to give your child high dosages of acetaminophen whenever his temperature goes above 104F." "Whenever your child develops a fever, place him in a warm bath and pour the water over his arms and legs." "It should be comforting to know that most children outgrow the febrile seizures by the time they reach 6 years of age." "It is very important that your child have no more seizures to prevent him from experiencing permanent injury to his brain."

"It should be comforting to know that most children outgrow the febrile seizures by the time they reach 6 years of age."

A mother telephones the nurse at her child's primary health care provider and states, "My child spilled my coffee on her arm. About one-half of the forearm is red, and there are 2 or 3 blisters that have developed. What should I do?" Which of the following is the best response for the nurse to give? "Proceed to the emergency department for a complete assessment." "Apply ice to the blisters for ten minutes on and ten minutes off." "Run cool water over the burned area and then call me back." "Cover the burned area with petroleum jelly and sterile bandages."

"Run cool water over the burned area and then call me back."

A 12 week gestation African American woman asks her OB/GYN nurse whether her baby could be born with sickle cell disease. Which of the following replies is appropriate for the nurse to give? "It is possible because 1 out of every 500 African Americans is diagnosed with sickle cell disease." "The baby could only have sickle cell anemia if both you and the baby's father carry a sickle cell gene." "If the child is a boy, he could have sickle cell anemia, but if the child is a girl, she will definitely be healthy." "If either you or the baby's father has sickle cell anemia, your child may be born with the disease."

"The baby could only have sickle cell anemia if both you and the baby's father carry a sickle cell gene."

A client with a seizure disorder is exhibiting flexion and extension of the body, indicating a possible generalized tonic-clonic seizure. Whch of the following would be the most appropriate action by the nurse? Insert tongue depressor into patient's mouth to keep airway open Assess whether client is experiencing any visual hallucinations Administer oxygen via Ambu bag Assess the patient for a prolonged staring or pausing episode and time the episode

Administer oxygen via Ambu bag

For a sickle cell patient experiencing a vaso-occulsive crisis, which of the following is the priority nursing intervention ? Administering IV Opioids Applying cold compresses to painful areas Administering PO NSAIDs Administering multiple fluid boluses

Administering IV Opioids

The parent of a 3 week old states that the infant was recasted this morning for clubfoot and has been crying for the past hour. Which intervention should the nurse suggest the parent do first? Check the neuro status and circulation of the foot Reposition the infant in the crib Give pain medication Use a cool blow dryer to blow into the cast to control itching

Check the neuro status and circulation of the foot

Which should the nurse stress to the parents of an infant in a Pavlik harness for treatment of developmental displasia of the hip (DDH)? Put socks on over the foot pieces of the harness to help stabilize the harness Check under the straps at least two to three times daily for red areas Use lotions of powder on the skin to prevent rubbing of straps Remove harness during diaper changes for ease of cleaning diaper area

Check under the straps at least two to three times daily for red areas

A nurse is caring for a 3-year-old child weighing 13kg, who has been diagnosed with Nephrotic Syndrome. When completing orders for this client, which of the following should the nurse question? 25% Albumin 3g IV x 1 Methylprednisolone 6mg IV BID D51/2NS at maintenance rate of 60cc/hr Furosemide 4mg IV q6h

D51/2NS at maintenance rate of 60cc/hr

Your patient is 16 months old. She is allergic to eggs and peanuts and is currently in the middle of a set of chemotherapy treatments for a neuroblastoma. Her vaccine history: 2 Hep B, 3 DTaP, 4 PCV, 2 IPV, 1 Hep A, 3 Rota Select ALL appropriate and needed vaccines to catch up and maintain recommended scheduled immunizations that would be appropriate to administer at this time. DTaP MMR Hep B Hep A Varicella IPV

DTaP Hep B IPV

A 2 mo child has not received any immunizations. Which immunizations should the nurse give? DTaP, Hib, HepB, PCV, HepA DTaP, Hib, HepB, PCV, Rota DTaP, Hib, HepB, HPV, IPV, Rota DTaP, Hib, HepB, MCV, varicella

DTaP, Hib, HepB, PCV, Rota

The nurse knows that teaching was successful when a parent states which of the following are early signs of muscular dystrophy? Respiratory infections and obesity High fevers and tiredness Difficulty climbing stairs Increased muscle strength

Difficulty climbing stairs

A 15-month-old is in the clinic with a Hemoglobin of 9.1. Vital signs: HR 120 RR 26 Sat 98% on room air. She lives with her mom and grandmother, who both report she is a picky eater. Which is most likely to be part of an ineffective treatment plan? Encourage child to drink at least 4 cups of milk daily; scheduled hemoglobin checks monthly x 3-5 months Administer IV erythropoietin x 1; recheck hemoglobin in 24 hours to determine if hemoglobin level has increased Administer po iron daily; scheduled hemoglobin checks monthly x 3-5 months Encourage child to eat iron-fortified cereal puffs during snacktime; scheduled hemoglobin months until returned to baseline

Encourage child to drink at least 4 cups of milk daily; scheduled hemoglobin checks monthly x 3-5 months

What action is contraindicated when a child with Down syndrome is hospitalized? Encourage parents to leave the child alone for extended periods of time Have meals served at the child's usual meal times Assess the child's hearing and visual capabilities Determine the child's vocabulary for specific body functions

Encourage parents to leave the child alone for extended periods of time

An adolescent is seen in clinic for a possible diagnosis of Hodgkin disease. The nurse is aware that which of the following symptoms should make the provider suspect Hodgkin disease? Fever, fatigue and pain in the joints Anorexia with weight loss Enlarged, painless, and movable lymph nodes in the cervical areas Enlarged liver with jaundice

Enlarged, painless, and movable lymph nodes in the cervical areas

A recently hospitalized 10 year old is repeatedly refusing treatments and yelling at his parents saying, "I don't want to do this! I'm scared! No!" The parents want him to have the treatments as prescribed. Which action by the nurses would be most appropriate? Inform child about procedures 5 minutes beforehand; Tell them to be quiet so procedure will go quicker Tell child about each procedure about 30 minutes prior; bargain or bribe child to participate Explain the process of the treatment using a favorite toy or game prior to the treatment Begin procedures when child is asleep or distracted; do not give child any warning before procedures

Explain the process of the treatment using a favorite toy or game prior to the treatment

A parent of a child with generalized seizures is asking questions about possible prevention. Which of these would you include in priority teaching about triggers? Fatigue Diet high in carbohydrates Watching a movie at a movie theater Exercise

Fatigue

The nurse is providing home care instructions to the parents of an infant being discharged after repair of a bilateral cleft lip. Which instructions should the nurse include? Feed your infant in an upright position Burp your child frequently during feedings Apply antibiotic ointment to the lip as prescribed Place your infant prone for a period of time each day Acetaminophen (Tylenol) should not be given to your infant

Feed your infant in an upright position Burp your child frequently during feedings Apply antibiotic ointment to the lip as prescribed

Which would be the most appropriate meal to offer a child who has had diarrhea for 3 days? Dry toast, bananas, rice Canned chicken noodle soup, applesauce and fruit Grilled chicken strips, plain potatoes, green beans Oatmeal, whole grain cereal, pancakes

Grilled chicken strips, plain potatoes, green beans

Of the following, which indicates the most severe dehydration in a 4-year-old? -HR 104, RR 50, capillary refill 3 seconds, begins whimpering when nurse enters room -HR 110, RR 30, urine specific gravity 1.020, crying with IV initiation -HR 136, RR 32, pale, no urine x 5 hours, capillary refill 3 seconds -HR 140, RR 42, no urine x 7 hours, does not look at parent when name is called

HR 140, RR 42, no urine x 7 hours, does not look at parent when name is called

Which of the following indicates the potential for pending herniation in an unconscious 5-year-old who has been in a motor vehicle collision ? HR 78, BP 152/96, O2 Sat 89% HR 62, BP 79/52, O2 Sat 91% HR 154, BP 119/76, O2 Sat 86% HR 134, BP 80/54, O2 Sat 87%

HR 78, BP 152/96, O2 Sat 89%

A toddler has been diagnosed with iron-deficiency anemia. Which of the following information should the nurse educate the parents regarding medication administration? Administer the medicine directly before meals Crush the tablets and mix the medicine with his applesauce Have the child drink orange juice right after taking the medicine Add iron elixir to morning bottle

Have the child drink orange juice right after taking the medicine

After receiving the morning report, which client should the nurse assess first? Toddler with asthma who received a scheduled fluticasone treatment 40 minutes ago Infant with croup, with inspiratory stridor during nursing care Infant with RSV who received PRN suctioning 10 minutes ago Toddler with crackles bilaterally, on 1L O2 via nasal cannula since midnight

Infant with RSV who received PRN suctioning 10 minutes ago

Several children are being ev Several children are being evaluated in the pediatric ED. Which client needs the most immediate attention by the nurse? aluated in the pediatric ED. Which client needs the most immediate attention by the nurse? Infant with a temperature of 101, barking cough, and occasional inspiratory stridor Toddler with frequent coughing and whooping sounds, 02 saturation of 98%, and RR 26 Infant with bilateral rhonchi, productive cough, copious nasal secretions and RR 40, 02 saturation of 93% room air Infant with a harsh cough, RR 60, and mild intercostal retractions

Infant with a harsh cough, RR 60, and mild intercostal retractions

A nurse is caring for a child who has acute glomerulonephritis. Which of the following actions is the nurse's priority? Check the child's daily weight Maintain a saline lock on the peripheral IV Educate the parents about potential complications Place the child on a no salt added diet

Maintain a saline lock on the peripheral IV

A 20 month old is measuring at the 10th percentile for weight based on age. What assessment information indicates a need for further investigation? Closed anterior and posterior fontanels Measurements in the 10th percentile at 15 months, 3rd percentile at 12 months Report that he started walking at 11 months old Measurements in the 15th percentile at 12 months, 50th percentile at 8 months

Measurements in the 15th percentile at 12 months, 50th percentile at 8 months

A newborn is extremely cyanotic and has a loud harsh murmur. An echocardiogram reveals Transposition of the Great Vessels. What is the nurse's highest priority? Teach the parents how to reposition to shunt the baby's blood flow Administer a dose of Indomethacin if HR is above 100 Arrange for transport to nearest children's hospital, 6 hours away Prepare a dose of Prostaglandin E

Prepare a dose of Prostaglandin E

A 9-year-old client arrives in the ER. Which findings would require urgent notification of the provider? Croupy cough, inspiratory stridor when crying, O2 sat 98% O2 sat 97%, rhonchi on auscultation, episodes of crying HR 100, RR 22, grabbing ears repeatedly RR 58, drooling and sitting leaning forward

RR 58, drooling and sitting leaning forward

A nurse is caring for a 4-week-old admitted for (NEC) Necrotizing Enterocolitis and subsequent bowel resection. The parents have questions regarding this new diagnosis and the pain their child may experience. Which response by the nurse would demonstrate proper knowledge of pain management? -Scheduled IV medication should be given on a regular schedule to prevent pain in order to properly address the level of pain this infant may be experiencing in early post-operative period -Due to potential adverse effects, such as respiratory depression, it is too risky to give a patient this age opioid pain medication -PRN IV medication should be given on a regular schedule to prevent pain this infant may be experiencing in this early post-operative period because a small infant's pain cannot be reliably scored or rated -Comfort measures, such as pacifiers and swaddling, are adequate measures for a child this age

Scheduled IV medication should be given on a regular schedule to prevent pain in order to properly address the level of pain this infant may be experiencing in early post-operative period

A 4 year old is admitted with hypovolemic shock. Initial vital signs: T 99.2 HR 130 RR 31 BP 100/60. The nurse returns to take a 2nd set of vital signs an hour later. Which set of vital signs would be most concerning to the nurse? T 99.7, HR 118, RR 24, BP 108/64 T 97.8, HR 62, RR 15, BP 90/54 T 99.0, HR 148, RR 29, BP 98/64

T 97.8, HR 62, RR 15, BP 90/54

A twelve-year-old child's spina bifida lesion affects the upper lumbar vertebrae. The nurse evaluates that the child is meeting therapeutic goals when the child demonstrates which behaviors? (SATA) The child participates in exercise activities daily The child has successful attempts at bladder emptying The child chooses to play alone at school during recess The child walks without using leg braces prescribed The child bathes, dresses and puts on shoes without help

The child participates in exercise activities daily The child has successful attempts at bladder emptying The child bathes, dresses and puts on shoes without help