PNU 135 PassPoint PrepU Toddler

A registered nurse (RN) has been "care-paired" with a licensed practical nurse (LPN) during the evening shift. Whose care should the RN assign to the LPN?

the 2-year-old child who has started eating soft, solid foods following a tonsillectomy

A toddler is diagnosed with iron deficiency anemia. When teaching the parents about using supplemental iron elixir, the nurse should provide which instruction?

"Give the elixir with water or juice."

Which statement by the mother of a toddler with nephrotic syndrome indicates that the nurse's discharge teaching was effective?

"I've been checking the urine for protein so I'll be able to do it at home."

A 15-month-old child is being discharged after treatment for severe otitis media and bacterial meningitis. Which statement by the parents indicates effective discharge teaching?

"We'll go to the physician if our child pulls on his ears or won't lie down."

A toddler is ordered 350 mg of amoxicillin and clavulanate by mouth four times per day. The pharmacy sends a bottle with a concentration of 250 mg/5 ml. How many milliliters should the nurse administer per dose? Record your answer using a whole number.

7

A 2-year-old is brought to the emergency department with suspected croup. The child appears frightened and cries as the nurse approaches. The nurse needs to auscultate the child's breath sounds. What is the most appropriate way for the nurse to approach the child?

Allow the child to handle the stethoscope before listening to the lungs.

When assisting in developing a plan of care for a toddler with a seizure disorder, which of the following would be inappropriate?

Arm restraints while asleep

A pediatric nurse preceptor working on an oncology floor goes to see if the new graduate nurse caring for a 3-year-old terminally ill child requires assistance. The preceptor finds the new nurse in the lounge crying. What is the preceptor's best action?

Ask the graduate what has caused the crying.

When caring for a toddler, the nurse should understand that a child in this age-group works to achieve which developmental task?

Autonomy

For a child with a circumferential chest burn, what is the most important factor for the nurse to monitor?

Breathing pattern

An 18-month-old Hispanic toddler admitted to the hospital with bronchitis has red marks on his upper chest over both sides of his body. The mother states that she has been treating him at home. Which treatment has the mother most likely been administering to her toddler?

Coin rubbing

The nurse caring for an 18-month-old child just admitted to the unit, and notices that the child clings to the parents. Which is the most appropriate action by the nurse?

Document as normal behavior for an 18-month old.

The nurse is teaching parents about otitis media. When discussing why children are predisposed to this disorder, the nurse should mention the significance of which anatomical feature?

Eustachian tubes

The nurse is preparing to insert an intravenous (IV) catheter into an anxious toddler. In what order, from first to last, should the nurse perform the listed actions? All options must be used.

Have the Child Life Specialist prepare the child. Apply a topical anesthetic to the selected site. Determine if the parent wishes to be in the room. Move the child to the treatment room Insert the IV catheter and secure it appropriately.

The nurse is caring for a toddler who is visually impaired. What is the most important action for the nurse to take to ensure the safety of the child?

Maintain a tidy environment around the child.

Which nursing diagnosis takes highest priority for a child in the early stages of burn recovery?

Risk for infection

Which of the following objects poses the most serious safety threat to a 2-year-old child in the hospital?

Side rails in the halfway position

A 2-year-old child is brought to the emergency department in respiratory distress. The child is drooling, sitting upright, and leaning forward with the chin thrust out, mouth open, and tongue protruding. Which nursing action is most appropriate?

Support the child in an upright position on the parent's lap.

A nurse is reinforcing education with parents on providing adequate nutrition for their toddler who has cerebral palsy. Which observation by the nurse indicates that the education has been effective?

The child eats finger foods independently.

A nurse on the pediatric floor is caring for a toddler. What characteristics of toddlers should the nurse keep in mind when interacting with the child? Select all that apply.

They express negativism.

Parents tell the nurse that they want to begin toilet training their 22-month-old child. What is the most important factor regarding toilet training that the nurse should stress to the parents?

developmental readiness of the child

When gathering data on the heart, where would the nurse expect to find the point of maximal impulse on a 2-year-old child?

fourth intercostal space, left midclavicular line

A 3-year-old child is receiving ampicillin for acute epiglottitis. Which sign would lead the nurse to suspect that the child is experiencing a common adverse effect of this drug?

generalized rash

The nurse has performed as assessment on a 2-year-old client. Which assessment finding(s) does the nurse associate with possible abuse? Select all that apply.

mixture of multiple old and new bruises scar on the forehead several small, circular burn marks on the torso

A nurse is observing a 2½-year-old child playing with another child of the same age in the playroom on the pediatric unit. What type of play should the nurse expect the children to engage in?

parallel play

An emergency department nurse suspects neglect in a 3-year-old child admitted for failure to thrive. What behavior in the child should the nurse look for that might indicate signs of neglect?

poor hygiene and weight loss

The nurse is caring for a toddler admitted to the hospital with nephrotic syndrome. The nurse carefully monitors the toddler's fluid intake and output and checks urine specimens regularly with a reagent strip. Which finding is the nurse most likely to report?

proteinuria

A 2-year-old child with bronchopulmonary dysplasia is placed on furosemide once per day. The nurse is reinforcement educating the parents on foods that are rich in potassium. Which food should the nurse recommend?

raisins

The nurse is gathering data regarding the physical development of a 33-month-old who is playing. Which activity does the nurse anticipate the toddler being able to complete with minimal assistance? Select all that apply.

washing and drying hands removing his or her jacket using a spoon for eating

The nurse is gathering data regarding the physical development of a 33-month-old who is playing. Which of the following activities would the nurse anticipate the toddler being able to complete with minimal assistance? Select all that apply.

washing and drying hands removing his or her jacket using a spoon for eating

A 2-year-old child has been diagnosed with asthma. The parents ask about the most common asthma triggers. What is the nurse's response?

weather

The nurse has auscultated the first heart sound. When does the nurse determine this sound is occurring?

with closure of the mitral and tricuspid valves

The parent of a toddler is concerned that the child is not eating enough because the child says "no" to every food offered. What education can the nurse best give this parent?

Place healthy snacks where the child can reach them.

A nurse discussing injury prevention with a group of workers at a daycare center is focusing on toddlers. When discussing this age-group, the nurse should stress that

accidents are the leading cause of death among toddlers.

The nurse is caring for a child in the early stages of burn recovery. Which nursing diagnosis does the nurse prioritize?

impaired skin integrity

A child, age 2, with a history of recurrent ear infections is brought to the clinic with a fever and irritability. To elicit the most pertinent information about the child's ear problems, the nurse should ask the parent:

"Does your child tug at either ear?"

The nurse in the pediatrician's office is teaching the mother of a 3-year-old about car seat safety. The mother questions the nurse as to why her son requires a car seat when he weighs 35 lb (15.9 kgs). Which response by the nurse is best?

"He should ride in the car seat until he's at least 40 pounds (18 kgs) and 4 years old."

A 3-year-old child has had surgery to remove a Wilms tumor. Which action should the nurse take first when the parent asks for pain medication for the child?

Assess the child's pain using a smiley face pain scale.

A 2-year-old child is being treated with rifampin for tuberculosis. Which expected finding does the nurse anticipate?

orange body secretions

A 2-year-old child comes to the emergency department with inspiratory stridor and a barking cough. What is the highest priority action by the nurse?

Establish and maintain the airway.

A client's caregivers state that they childproofed their home for their 2-year-old. During a home visit, the nurse discovers some situations that show the caregivers don't fully understand the developmental abilities of their toddler. Which situation displays misunderstanding by the caregivers?

toy chest in front of a second-story, locked window

A physician is administering a medication by intraosseous infusion to a child. Intraosseous drug administration is typically used for a child who is:

younger than age 3 in an emergency situation when I.V. access isn't available.

When teaching the mother of a 17-month-old child about toilet training, which instruction would initially be most appropriate?

Be sure the child is ready before starting to toilet train.

The nurse is caring for a toddler hospitalized with a diagnosis of croup (laryngotracheobronchitis). The health care provider prescribes treatment with a mist tent. As the parent attempts to put the toddler in the crib, the toddler cries and clings to the parent. What would be the best approach for the nurse to take to gain the child's cooperation with the treatment?

Encourage the parent to stand next to the crib and stay with the child.

After the nurse explains dietary restrictions to the parents of a child with celiac disease, which statement by the parents indicates effective teaching?

"Our child must maintain these dietary restrictions for life."

The nurse is caring for a 3-year-old client being treated for severe status asthmaticus. After comparing clinical manifestations with laboratory results (reported as shown), a nurse determines that this client has progressed to which condition?

respiratory acidosis