RN Learning System: Nursing Care of Children Practice Quiz 1 & 2
A nurse is teaching the parent of a toddler about home safety. Which of the following statements by the parent indicates an understanding of the teaching?
"I lock my medications in the medicine cabinet."
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?
"Injury by a corrosive liquid is more extensive than by a corrosive solid."
A nurse is teaching the parent of a 12-month-old infant about nutrition. Which of the following statements by the parent indicates a need for further teaching?
"My infant drinks at least 2 quarts of skim milk each day."
A nurse is caring for a child who has bacterial endocarditis. The child is scheduled to receive moderate term antibiotic therapy and requires a peripherally inserted central catheter (PICC). Which of the following statements should the nurse include when teaching the child's parent?
"The PICC line will last several weeks with proper care."
A nurse is teaching a parent of a 12-month old child about development during the toddler years. Which of the following statements should the nurse include?
"Your child should be able to scribble spontaneously using a crayon at the age of 15 months."
A nurse is reviewing the laboratory results of a child who has experienced diarrhea for the past 24 hr. Which of the following values for urine specific gravity should the nurse expect?
1.035
A nurse is caring for a toddler and is preparing to administer 0.9% sodium chloride 100 mL IV to infuse over 4 hr. The drop factor of the manual IV tubing is 60 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min?
25 gtt/min
A nurse is assessing a 6-month-old infant following a cardiac catheterization. Which of the following findings should the nurse report to the provider?
BP 86/40 mm Hg; other findings in 6 month old include apical pulse 140 or temp 99.5, and RR 32.
A nurse is performing a physical assessment on a 6-month-old infant. Which of the following reflexes should the nurse expect to find?
Babinski
A nurse is teaching about clinical manifestations of tracheomalacia to a parent of an infant who had tracheoesphageal fistula repair as a newborn. Which of the following findings should the nurse include in the teaching?
Barking cough
A nurse is assessing a 30-month-old toddler during a well-child visit. Which of the following findings requires further assessment by the nurse?
Birth weight is tripled
A nurse is caring for a 2-year-old child who has cystic fibrosis. The nurse is planning to take the child to the playroom. Which of the following activities would be appropriate for the child?
Building towers of blocks
A nurse is providing anticipatory guidance about accidental ingestion of a toxic substance to the parents of a toddler. The nurse should instruct the parents to take which of the following actions first if the child ingests a hazardous substance?
Call the poison control center.
A nurse in the emergency department is caring for a 2-year-old child who was found by his parents crying and holding a container of toilet bowl cleaner. The child's lips are edematous and inflamed, and he is drooling. Which of the following is the priority action by the nurse?
Check the child's respiratory status
A nurse is providing teaching to the parents of a 4-year-old child about fine motor development. Which of the following tasks should the nurse include in the teaching as an expected finding for this age group?
Copies a circle
A nurse is teaching the parent of an infant about food allergens. Which of the following foods should the nurse include as being the most common food allergy in children?
Cow's milk
A nurse is caring for a 12-month-old infant following surgical repair of a cleft palate. The nurse should plan to feed the infant using which of the following instruments?
Cup
A nurse is teaching a school-age child and his parents how to self-administer insulin. Which of the following actions should the nurse take first?
Demonstrate the injection technique on an orange
A nurse in an emergency department is caring for a 4-year-old child who has burns to the neck and face following a house fire. Which of the following actions should the nurse take first?
Determine the child's breathing pattern. ABC's.
A nurse in an emergency department is caring for a toddler who is in acute respiratory distress. Which of the following findings should alert the nurse to the possibility of epiglottitis?
Drooling
A nurse is caring for a child who is in skeletal traction. Which of the following actions is the nurse's priority?
Encourage the child to use an incentive spirometer
A nurse in a pediatric clinic is caring for a 3 year old child who has a blood lead level of 3 mcg/dL. When teaching the toddler's parent about the correlation of nutrition with lead poisoning, which of the following info is appropriate for the nurse to include in the teaching?
Ensure the child's dietary intake of calcium and iron is adequate.
A nurse is developing a plan of care for a school-age child who underwent a surgical procedure that resulted in a temporary loss of vision. Which of the following interventions should the nurse include in the plan of care?
Explain sounds the child is hearing
A nurse is assessing pain in a 2-year-old child following a tonsillectomy. Which of the following rating scales should the nurse use to determine the child's pain level?
FACES Rating Scale
A nurse providing teaching about promoting sleep with the parent of a 3-year-old toddler. Which of the following information should the nurse include?
Follow a nightly routine and established bedtime.
A nurse on a pediatric unit is reviewing the health record of a client who is demonstrating increasing levels of stress after admission. The nurse should identify which of the following findings as a risk factor for a stress-related reaction to hospitalization?
Frequent hospitalizations
A nurse is caring for a child who is postoperative following a tonsillectomy. Which of the following findings is the nurse's priority?
Frequent swallowing
A nurse is preparing to administer liquid medication to an infant. Which of the following actions should the nurse take?
Give the medication at the side of the infant's mouth
A nurse is preparing to administer recommended immunizations to a 2-month-old infant. Which of the following immunizations should the nurse plan to administer?
Haemophilus influenzae type B (Hib) and inactivated polio virus (IPV)
A nurse at a pediatric clinic is assessing a 5-month-old infant during a well-child visit. Which of the following findings should the nurse report to the provider?
Head lags when pulled from a lying to a sitting position
A nurse is assessing a 12-month-old male infant's vital signs during a well-child visit. The infant is in the 90th percentile of height. Which of the following findings should the nurse report to the provider?
Heart rate 175/min
A nurse is reviewing the laboratory report of a toddler who is receiving chemotherapy for leukemia. Which of the following laboratory values should the nurse report to the provider?
Hgb 6 g/dL
A nurse is teaching a newly hited nurse about the care of an infant who is postoperative following myelomeningocele repair. The nurse should teach the newly hired nurse to monitor the infant for which of the following complications?
Hydrocephalus
A nurse is providing teaching to an adolescent who has scoliosis and a new prescription for a Boston brace. Which of the following responses by the adolescent indicates an understanding of the teaching?
I can take my brace off for about an hour daily to shower
A clinic nurse is providing teaching to the parent of a 1-month-old infant who has gastroesophageal reflux. Which of the following statements by the parent indicates an understanding of the teaching?
I will add rice cereal to my baby's feedings
A nurse is teaching the parent of a preschool-age child about the treatment for pinworms. Which of the following statements by the parent indicates an understanding of the teaching?
I will give my child a dose of albendazole today and again in 2 weeks
A nurse is providing education to the parent of a toddler who is about to receive her first dose of the MMR (measles, mumps and rubella) immunization. Which of the following statements by the parent indicates an understanding of the teaching?
I will help my child to blow bubbles during the injection
A nurse is providing discharge teaching to the parent of a school-age child who has leukemia and is receiving chemotherapy. Which of the following statements by the parent indicates an understanding of the teaching?
I will inspect my child's mouth every day for sores
A nurse is providing teaching to the parents of a school-age child how has type 1 diabetes mellitus about management of hypoglycemia. Which of the following responses by the parents indicates an understanding of the teaching?
I will make sure my child drinks 240 mL (8 oz) of milk as soon as possible
A nurse is teaching an adolescent who has asthma about how to use a peak expiratory flow meter (PEFM). Which of the following responses by the adolescent indicates an understanding of the teaching?
I will record the highest reading of three attempts. it establishes a personal best for the client to use to gauge where they are in the future.
A nurse is assessing a 9-month old infant during a well-child visit. Which of the following findings indicates that the infant has a developmental delay?
Inability to vocalize vowel sounds
A nurse is providing dietary teaching to the parent of a child who has cystic fibrosis. Which of the following dietary recommendations should the nurse make?
Increase the child's protein intake
A nurse is teaching the parent of an infant about home safety. Which of the following information should the nurse include? (Select all that apply.)
Position the car seat so it is rear-facing. Secure a safety gate at the top and bottom of the stairs. Maintain the water heater temperature at 49° C (120° F)
A nurse is reviewing the laboratory report of a 2-year-old child who has diarrhea and has been vomiting for 24 hr. Which of the following findings should the nurse report to the provider?
Potassium 2.5 mEq/L
A nurse is assessing a 6-year-old child at a well-child visit. Which of the following findings requires further assessment by the nurse?
Presence of sparse, fine pubic hair
A nurse is admitting a child who has Wilms' tumor. Which of the following actions should the nurse take?
Put a "no abdominal palpation" sign over the child's bed
A nurse is caring for an adolescent who is receiving pain medication via a PCA pump. When the nurse assesses the client's pain at 0800, the client describes the pain as a 3 on a scale of 1 to 10. At 1000, the client describes the pain as a 5. The nurse discovers the client has not pushed the button to deliver medication in the past 2 hr. Which of the following actions should the nurse take?
Reinforce teaching with the client about how to push the button to deliver the medication.
A nurse is planning to implement relaxation strategies with a young child prior to a painful procedure. Which of the following actions should the nurse take?
Rock the child in long rhythmic movements
A nurse is providing nutritional teaching to an adolescent client who has celiac disease. Which of the following breakfast foods should the nurse recommend?
Scrambled eggs
A nurse is caring for a 6-week-old infant following a pyloromyotomy. Which of the following forms of feeding should the the nurse anticipate for the infant 6 hr after the procedure?
Small, frequent bottle feedings of electrolyte solution
A nurse is caring for an infant following surgical repair of a cleft lip and palate. Which of the following actions should the nurse take?
Suction the infant gently with a bulb syringe PRN
A nurse in an emergency department is assessing a school-age child who is experiencing an acute asthma exacerbation. Which of the following findings is the priority for the nurse to report to the provider?
Sudden decrease in wheezing
A nurse is assisting a provider during a femoral venipuncture on a toddler. The nurse should place the child in which of the following positions?
Supine
A nurse is assessing a 6-month-old infant who was recently admitted with acute vomiting and diarrhea. Which of the following findings indicates the infant has moderate dehydration?
Tachypnea
A nurse in a pediatric clinic is assessing a toddler at a well-child visit. Which of the following actions should the nurse take?
Minimize physical contact with the child initially
A nurse is creating a plan of care for a child who has leukopenia secondary to chemotherapy. Which of the following interventions should the nurse include in the plan?
Monitor the child for increased temperature
A nurse is assessing a child who has a ventricular septal defect. Which of the following finding should the nurse expect?
Murmur at the left sternal border- a systolic murmur can best be heard at the lower left sternal border
A nurse is providing teaching to the parent of a 2-year-old toddler about nutrition. Which of the following statements by the parent indicates an understanding of the teaching?
My child should consume 1,000 calories per day, 2 oz of protein at 2 y/o, no more than 3 cups or 24 oz per day of milk, 8 oz or 1 cup of vegetables a day
A nurse is observing a mother who is playing peek-a-boo with her 8-month-old child. The mother asks if this game has any developmental significance. The nurse should inform the mother that peek-a-boo helps develop which of the following concepts in the child?
Object permanence
A nurse is planning care for a 10-month-old infant who has suspected failure to thrive (FTT). Which of the following interventions should the nurse include in the plan of care? (Select all that apply.)
Observe the parents' actions when feeding the child. Maintain a detailed record of food and fluid intake.
A nurse is caring for an 8-year-old child who has acute glomerulonephritis. Which of the following findings should the nurse expect?
Periorbital edema
A nurse is providing teaching to an adolescent who has a fiberglass are cast. Which of the following instructions should the nurse include in the teaching?
Place a plastic bag over the cast when showering
A nurse on a pediatric unit is admitting a 4-year-old child. Which of the following toys should the nurse plan to provide for the child to engage in independent play?
Plastic stethoscope
A nurse in an emergency department is caring for an 8-year old who is up-to-date with current immunization recommendations and has a deep puncture injury. Which of the following should the nurse anticipate administering?
Adult tetanus booster (Td)
A nurse is caring for a child who has a possible intussusception. The parents of the child ask the nurse how the diagnosis is made. Which of the following responses should the nurse make?
An abdominal ultrasound will confirm the pocket in the intestine
A home health nurse is developing a plan of care for the parents of a toddler who has hemophilia. Which of the following instructions should the nurse include in the plan?
Inspect the toddler's toys for sharp edges
A nurse is providing discharge teaching to the parents of a child who has nephrotic syndrome. Which of the following instructions should the nurse include in the teaching?
Keep the child away from people who have an infection, weigh daily, do not need to restrict protein but maybe sodium. acute glomernephritis you restrict protein not nephrotic syndrome, corticosteroids first line treatment.
A nurse is assessing a toddler who has measles (rubeola). Which of the following findings should the nurse expect?
Koplik spots
A nurse is assessing a 6-month-old infant at a well-child visit. Which of the following findings indicates the need for further assessment?
Legs remain crossed and extended when supine
A nurse is planning care for an adolescent who has sickle cell anemia and is experiencing a vasoocclusive crisis. Which of the following interventions should the nurse include in the plan?
Maintain the child on bed rest
A nurse is providing teaching to the parents of an infant who has acute otitis media about how to administer antibiotic eardrops. Which of the following instructions should the nurse include?
Massage the anterior area of the infant's ear following administration. pull ear up and back for children older than 3 years old and then down and straight back for children younger than 3.
A nurse is caring for an 18-year-old adolescent who is up-to-date on immunizations and is planning to attend college. The nurse should inform the client that he should receive which of the following immunizations prior to moving into a campus dormitory?
Meningococcal polysaccharide
A nurse is assessing a 7-year-old child's psychosocial development. Which of the following findings should the nurse recognize as requiring further evaluation?
The child complains daily about going to school.
A nurse is caring for a preschool-age child who is dying. Which of the following findings is an age-appropriate reaction to death by the child? (Select all that apply.)
The child views death as similar to sleep The child believes his thoughts can cause death The child thinks death is a punishment
A nurse is providing teaching about immunizations to the parents of a severely immunocompromised child who has HIV. Which of the following statements should the nurse include in the teaching?
The pneumococcal and influenza vaccines are recommended for your child
A nurse is preparing to abotain an antistreptolysin O (ASO) titer from a child who has acute glomerulonephritis. The child's parent asks the nurse to explain the purpose of the test. Which of the following responses should the nurse make?
The test shows us if your child had a recent strep infection
A nurse is assessing a 3-year-old child who is 1 day postoperative following a tonsillectomy. Which of the following methods should the nurse use to determine if the child is experiencing pain?
Use the FACES scale
A nurse is planning to collect a specimen from a male infant using a urine collection bag. Which of the following actions should the nurse take?
Wash and dry the infant's genitalia and perineum thoroughly.
A nurse is caring for a 15-month-old toddler who requires droplet precautions. Which of the following actions should the nurse take?
Wear a mask when assisting the toddler with meals.
A nurse is assessing a 2-month-old infant who has a ventricular septal defect. Which of the following findings should the nurse report to the provider?
Weight gain of 1.8 kg (4lb)