Peds Quizzes test 3

While assessing a 4-month-old infant, the nurse notes that the baby experiences a hypercyanotic spell. What is the priority nursing action?

Place the infant in a knee-to-chest position.

A nurse is preparing a presentation for a group of new parents and is planning to discuss nutrition during the first year. As part of the presentation, the nurse is planning to address foods that should be avoided to reduce the risk of possible food allergies. Which foods would the nurse most likely include? Select all that apply.

eggs shrimp peanuts

The nurse is teaching an in-service program to a group of nurses on the topic of children diagnosed with rheumatic fever. The nurses in the group make the following statements. Which statement is most accurate regarding the diagnosis of rheumatic fever?

"Children who have this diagnosis may have had strep throat."

A nurse is preparing to administer a prescribed dose of digoxin to an 6-month-old infant. After assessing the infant's apical pulse, the nurse decides to withhold the dose and notify the health care provider. The nurse bases this decision on which apical pulse rate?

80 bpm

The nurse is caring for a 6-year-old with juvenile idiopathic arthritis. The mother states that she has trouble getting her daughter out of bed in the morning and believes the girl's behavior is due to a desire to avoid going to school. What is the best advice by the nurse?

Administer a warm bath every morning before school.

The nurse is caring for a child who is beginning to show signs and symptoms of anaphylaxis. Which intervention would be the priority?

assessing patency of the airway

Which medication is used for symptomatic bradycardia unresponsive to ventilation and oxygenation?

atropine

The nurse cares for an infant with myelomeningocele before surgical intervention. What action will the nurse take?

Cover the sac with a saline-moistened dressing

The nurse is caring for a 14-year-old girl with atrial fibrillation. Which medication would the nurse expect to be prescribed?

Digoxin

The nurse is caring for a 6-month-old infant with Wiskott-Aldrich syndrome. Which teaching does the nurse provide the parent?

Do not insert anything in the rectum."

The nurse is monitoring the labs of a child admitted for an exacerbation of juvenile pauciarticular arthritis. Which lab result does the nurse expect to be elevated?

ESR

A preschooler presents to the emergency department with a history of vomiting, diarrhea, and fever over the past few days. She is receiving 100% oxygen via a nonrebreather mask. Vital signs are temperature 104.5°F, pulse 144 bpm, respiratory rate 22 breaths per minute, and BP 70/50 mm Hg. She is listless and difficult to arouse and has weak peripheral pulses and prolonged capillary refill. What nursing intervention takes priority?

Giving an IV bolus of normal saline 20 mL/kg

The nurse performs a cardiac assessment and notes a loud heart murmur with a precordial thrill. This murmur would be classified as a:

Grade IV

The type of fracture often seen in young children is one in which there is not complete ossification of the bone, and the bone bends and just partially breaks. What type of fracture is this?

Greenstick

A child is diagnosed with rheumatic fever. For which medication will the nurse educate the caregivers?

NSAIDS, penicillins and corticosteroids

The parents of a preschool child are distraught as they carry their limp child into the emergency room. The parents report the child fell approximately 10 feet from a large slide and hit his head "hard enough to knock him out." What is the nurse's next action?

Perform a jaw-thrust technique to assess the patency of the airway.

An unresponsive toddler is brought to the emergency department. Assessment reveals mottled skin color, respiratory rate of 10 breaths per minute, and a brachial pulse of 52 bpm. What is the priority nursing action?

Provide 100% oxygen with a bag-valve-mask and start chest compressions.

The nurse is explaining patterns of incidence and transmission of HIV to a group of adolescent girls. She explains that the risks for this population are much higher because of the possibility of both vertical and horizontal transmission. Horizontal transmission refers to transmission of the disease during:

Sexual contact

The nurse has completed teaching a CPR course for a local day care. Which statement by a participant is correct?

The correct hand placement for an infant is two fingers placed one fingerbreadth below the nipple line.

A mother is asking for more information about her infant's patent ductus arteriosus (PDA). What would be included in the education?

This is caused by an opening that usually closes by 1 week of age.

A 14-year-old with systemic lupus erythematosus wants to know how to care for her skin. What should the nurse teach this adolescent?

Use sunscreen daily to avoid rashes.

A group of students is reviewing information about bone healing in children. The students demonstrate understanding of this information when they state:

a child's bones heal more quickly than those of an adult.

A 2-day-old infant was just diagnosed with aortic stenosis. What is the most likely nursing assessment finding?

heart murmur heard along the left sternal border

The nurse is caring for a 5-year-old child with a congenital heart anomaly causing chronic cyanosis. When performing the history and physical examination, what is the nurse least likely to assess?

obesity from overeating

A nurse is caring for a child with Kawasaki disease. Which assessment finding would the nurse expect to see?

peeling hands and feet; fever

A boy with Duchenne muscular dystrophy is admitted to the pediatric unit. He has an ineffective cough. Lung auscultation reveals diminished breath sounds. What is the priority nursing intervention?

position for adequate airway clearance

Sam, age 11, has a diagnosis of rheumatic fever and has missed school for a week. What is the most likely cause of this problem?

previous streptococcal throat infection

A nurse is preparing a plan of care for an infant who has undergone surgery to repair a myelomeningocele. The nurse would include placing the infant in which positions postoperatively? Select all that apply.

prone right side lying left side lying

Assessment of a 12-year-old who crashed his bicycle without a helmet reveals the following: temperature 99.2°F, pulse 100 bpm, respiratory rate 24 breaths per minute with easy work of breathing, and BP 102/70 mm Hg. What is the priority action by the nurse?

Assess neurologic status while observing for obvious injuries.

An 18-month-old child is brought to the emergency department via ambulance after an accidental ingestion. What is the priority nursing action?

take the child's vital signs

The nurse is caring for orthopedic children who are in the postoperative period following spinal fusion. What is the most appropriate activity to delegate to unlicensed assistive personnel?

Assist with log-rolling the children every 2 hours.