PN Pediatric Nursing Practice 2023 A
A nurse is assisting in the care of a child who has type 1 diabetes mellitus and has been receiving insulin via subcutaneous infusion pump. Which of the following laboratory tests would verify the average blood glucose level over the past 2 months?
Glycosylated hemoglobin
A nurse is assisting with the care of a child who is receiving a blood transfusion. Which of the following findings indicates the child is having a hemolytic reaction?
Chills and flank pain
A nurse is assisting in the care of an adolescent who has acne and a new prescription for isotretinoin. For which of the following adverse effects should the nurse monitor?
Depression
A nurse is assisting with the care of a 4-year-old child who is prescribed an IV medication preoperatively. Which of the following techniques should the nurse use to assist the child to cope with this procedure? (select all that apply)
Discussing the benefits of the procedure Giving the child needless IV supplies to play with Allowing the child to perform the procedure with a doll
A nurse has reviewed the Nurses' Notes and Vital Signs at 0100 and Provider Prescriptions at 0105. Complete the following sentence by using the lists of options
Ensure resuscitation equipment is readily available Administering humidified oxygen
A nurse in a pediatric clinic is observing for an anaphylactic reaction after administering an IM antibiotic to a child 5 min ago. Which of the following manifestations should the nurse expect to observe first?
Hives
The nurse is reinforcing teaching with the toddler's parents. Which of the following statements should the nurse include when reinforcing teaching. (Select all that apply)
"The members of your household may require treatment with antibiotics." "Your child will need to have blood work drawn to make sure their vancomycin levels are in a safe range." "Your child will need to take oral antibiotics after completing their IV antibiotics."
A nurse is reinforcing teaching with an adolescent female client who has acne vulgarism and a new prescription for isotretinoin. Which of the following information should the nurse include?
"You will need to have two negative pregnancy tests prior to starting this medication."
A nurse is assisting in providing care to parents immediately following their child's unexpected death. Which of the following actions should the nurse take?
Offer the parent the opportunity to bathe and dress the child's body
A nurse is assisting with the3 care of a school-age child. Complete the following sentence by using the list of options
Oxygen saturation Pain
A nurse is assisting with the administration of a nasogastric enteral feeding for an infant. Which of the following actions should the nurse take?
Place the infant in semi-Fowler's position for 1 hr after the feeding
A nurse is reinforcing dietary teaching with the parent of a 2-year-old toddler. Which of the following should the nurse include in the teaching?
"An appropriate serving size is 1 tablespoon of food per year of age."
A nurse in a provider's office is assisting in the care of a preschooler who has findings of croup. Which of the following statements by the parent requires immediate intervention by the nurse?
"My child has refused to drink any fluids for the past 8 hours."
The Nurse is assisting in planning care for the toddler as part of the inter professional team. Select 2 interventions the nurse should recommend including in the toddler's care plan
Maintain the toddler on continuous pulse oximetry Instruct visitors to wear a surgical mask in the toddler's room
A nurse on the pediatric unit is assisting with the care of a preschooler. Complete the following sentence by using the lists of options
Splenomegaly Positive mononucleosis spot test
Which of the following statements by the guardians indicates that the discharge teaching was effective?
"We should use a mild detergent for our laundry" "We should keep our child's fingernails trimmed short" "We should apply skin emollient immediately after bathing our child"
A nurse in a pediatric clinic is assisting in the care of an infant who has heart failure and a prescription for digoxin. Which of the following statements by the parent indicates the desired therapeutic effect of the medication?
"My baby is breathing easier than they used to."
A nurse is reinforcing teaching regarding the immunization schedule with the parent of a 6-month-old infant during a well-child visit. Which of the following statements by the parent indicates and understanding of the teaching?
"My baby will receive their third DTaP vaccine today."
A nurse is reinforcing teaching about glucose monitoring with the parent of a child who has type 1 diabetes mellitus. Which of the following instructions should the nurse include in the teaching?
"Put your child's finger under warm, running water prior to collecting blood."
A nurse is caring for a school-age child who has hypocalcemia. Which of the following manifestations should the nurse expect?
Hypotension
A nurse is assisting with the care of an 8-month-old infant. Click to highlight the information in the Nurses' Notes that indicate the infant's condition is improving.
Infant is sleeping in parent's arms Oxygen saturation is 96% on 100% cool mist oxygen via blow-by tubing Breath sounds are present and equal bilaterally in the lung bases Infant voided 34 mL
A nurse in an emergency department is assisting in the care of a toddler. Click to highlight the findings that require follow-up.
Parent reports the child's voice sounds muffled when they speak Toddler's chin is trust forward with tongue protruding, excessive drooling present Inspiratory stridor auscultated, mild suprasternal retractions visible Temperature 39.3° C (102.8°F) Heart rate 142/min Respiratory rate 34/min Oxygen saturation 91% on room air
Click to highlight the findings that indicate the toddler's condition is worsening and should be reported immediately.
Respiratory rate 45/min Oxygen saturation 90% on humidified oxygen Breathing is shallow Lips and nail beds have blue grey pigmentation
A nurse is reinforcing teaching with the parents of a 7-year-old child about behavioral expectations. Which of the following behaviors should the nurse include in the teaching?
Spends a lot of time by themselves
A nurse is assisting in the care of a preschooler who is suspected to have a Wilms tumor. Which of the following findings should the nurse expect?
A decreased Hgb level
A nurse is assisting in the care of an adolescent who has sickle cell anemia. Which of the following laboratory findings should the nurse expect?
A decreased hemoglobin level
A nurse is assisting with the care of a school-age child who has congestive heart failure and is receiving digoxin. Which of the following manifestations should the nurse report to the provider?
2+ edema in lower extremities
A nurse is assisting in the care of a school-age child who has been admitted to the facility in sickle cell crisis. The nurse is measuring the child's oral intake for the shift. The child consumed 4 oz of juice at breakfast. For lunch, the child consumed 6 oz of milk, 6 oz of gelatin, and drank 7 oz of water. What is the child's oral intake for this shift in milliliters?
690 mL
A nurse in an emergency department is assisting in the care of a toddler. For each toddler finding, click to specify if the finding is consistent with Acute Epiglottitis, Acute Laryngotracheobronchititis, or Acute Spasmodic Laryngitis
Acute Epiglottitis: Age, Lung sounds, Parent report of voice characteristics, Temperature Acute laryngothracheobronchitis: Age, Lung sounds Acute Spasmodic Laryngitis: Age, Lung sounds
A nurse is assisting with a sterile dressing change for an adolescent who has a partial thickness burn on the right hip. Which of the following actions should the nurse take first?
Administer pain medication to the client
A nurse is reinforcing teaching with the parents of a child who has cystic fibrosis and is taking pancrelipase as a pancreatic enzyme replacement. The nurse should plan to inform the child's parents that the therapeutic effects of this medication can be evaluated by which of the following?
Amount and consistency of stools
A nurse is assisting with the development of a health promotion program for the guardians of adolescents. Which of the following information about adolescents should the nurse recommend to include in the program?
The leading cause of death in adolescents is physical injury
A nurse is preparing to administer ophthalmic drops to a child. Which of the following actions should the nurse take?
Apply pressure to the lacrimal punctum for 1 min following administration
A nurse is assisting with scoliosis screenings for a group of school-aged children. The nurse should place the students in which of the following positions during the screening?
Bending forward with back parallel to the floor
A nurse is collecting data from an 18-month-old toddler who has just resented to the urgent care clinic. Which of the following data should the nurse investigate further?
Blood pressure 120/80 mm Hg
A nurse is collecting data from a school-age child. The nurse should identify that which of the following findings is a manifestation of physical abuse?
Bruises at various stages of healing
A nurse is assisting in the care of a school-aged child who has hemophilia A. Which of the following should the nurse recognize as a manifestation of this disorder?
Joint pain and stiffness
A nurse is collecting data from a toddler at a well-child visit. Which of the following findings should the nurse identify as a possible indication of child maltreatment?
Laceration on the side of the torso
A nurse in a care provider's office is preparing to administer scheduled vaccines to an infant. The infant's parent refuses to allow the nurse to administer the vaccines. Which of the following actions should the nurse take?
Provide the parent with a vaccine information sheet (VIS)
During a well-child visit, the parent of a toddler expresses concern to the nurse that the toddler takes several hours to fall asleep at night. Which of the following recommendations should the nurse make?
Provide the toddler with a favorite toy at bedtime
A nurse is collecting data from an adolescent who has manifestations of physical abuse. Which of the following actions should the nurse take?
Report the suspected abuse to the authorities
A nurse on a pediatric unit is assisting with the care of a school-age child. Select the 4 findings that the nurse should report to the provider
Respiratory assessment Oxygen saturation WBC count ABGs
A nurse is collecting data for an adolescent who has asthma and has received an albuterol treatment. Which of the following findings indicates an improvement in the adolescent's condition?
Respiratory rate 20/min
A nurse in a clinic is collecting data from an adolescent who has received all recommended immunizations through the age of 6 years. Which of the following immunizations should the nurse plan to administer?
Tetanus, diphtheria toxoids, and acellular pertussis (Tdap)
A nurse is collecting data about the dietary habits of an adolescent female client. The nurse should identify that which of the following findings puts the client at risk for nutritional deficits?
The client fasts twice a week to manage dietary intake
A nurse is reinforcing teaching with the guardian of a child who has a new diagnosis of enterobiasis. The nurse should advise the guardian to take which of the following actions to prevent infection?
Trim the child's fingernails short
A nurse is reinforcing teaching with the parent of a school-age child who has lactose intolerance. Which of the following supplements should the nurse instruct the parent to include in the child's diet?
Vitamin D
A nurse is reinforcing teaching with the family of an adolescent who was recently diagnosed with celiac disease. Which of the following foods should the nurse recommend?
Yellow corn
A nurse is reinforcing teaching about liquid oral iron supplements with the guardian of school-age child who has iron deficiency anemia. Which of the following statements by the guardian indicates an understanding of the teaching?
"I will give this medication to my child with a straw."
A nurse is reinforcing discharge teaching with the guardian of a school-age child who has a new prescription for home oxygen therapy. Which of the following statements by the guardian indicates an understanding of the teaching?
"I will make sure that electrical devices in the house are grounded."
A nurse is reinforcing teaching about home care with the guardian of a 14-month-old toddler who has a spastic cerebral palsy. Which of the following statements by the guardian indicates an understanding of the teaching?
"I will perform daily stretching exercises to my toddler's affected muscles."
A nurse is reinforcing discharge teaching with the guardian of a school-age child who has acute lymphocytic leukemia and an absolute neutrophil count of 450/mm3 (2,500 to 8,000/mm3). Which of the following instructions should the nurse include?
"Keep your child away from crowded areas"
A nurse is preparing to administer furosemide to a toddler who has a heart defect. Which of the following actions should the nurse take to identify the toddler?
Ask the guardian to verify the child's name
A nurse is assisting with the admission of a toddler who has bacterial meningitis caused by Haemophilus influenza type B. Which of the following isolation guidelines should the nurse plan to initiate?
Droplet precautions
A nurse is contributing to the plan of care for a child who has type 1 diabetes mellitus and is experiencing an acute illness. Which of the following actions should the nurse include in the plan of care?
Encourage an increased fluid intake
A nurse is reinforcing teaching to the guardian of a toddler who is receiving chemotherapy and has developed stomatitis. Which of the following instructions should the nurse include in the teaching?
Frequently rinse the mouth with chlorhexidine mouthwash
A nurse is preparing to leave the room after performing nasal suctioning for an infant who has (RSV). Identify the sequence in which the nurse should remove the following (PPE)
Gloves Goggles Gown Mask
A nurse is reinforcing discharge teaching with the guardian of a child who has juvenile idiopathic arthritis (JIA). Which of the following statements by the guardian indicates an understanding of the teaching?
"I will have my child sleep in knee, wrist, and hand splints."
A nurse is assisting in the care of a toddler following a tonsillectomy. Which of the following is the priority finding that the nurse should report to the provider?
Continuous swallowing
A nurse is assisting with the care of a school-age child following an appendectomy. Select the 3 findings that the nurse should identify as indications of potential complication
Temperature Abdominal assessment WBC count
