Test 1: Module 1&2 Peds Prep-U

The nurse is preparing to teach a 15-year-old adolescent about recently diagnosed diabetes. What question(s) asked by the nurse will be of assistance in determining the adolescent's needs for learning? Select all that apply.

"How has your diabetes impacted your family?" "Prior to seeing the health care provider for your condition, what did you do to manage it?" "What do you know about the diets recommended for a person with diabetes?" "Who do you think should receive teaching about your diabetes?"

The nurse is caring for a 3-year-old child who experienced a febrile seizure for the first time. What statements by the parents of the child should the nurse address further? Select all that apply.

"I am afraid that our 10-year-old will start having febrile seizures." "It is so scary to think that our child will likely develop epilepsy now."

The nurse is assessing an adult female client with phenylketonuria (PKU) who expresses interest in having children. Which statement(s) made by the nurse are correct? Select all that apply.

"If your partner has PKU, each child would also have the condition." "You will need to stick to a low-phenylalanine diet 3 months before conception."

Which statement by the parent lets the nurse know that teaching about antibiotics prescribed 3 times a day for the child with strep throat has been effective?

"It is important to give my child the full course of antibiotics."

The parents of a child receiving total parenteral nutrition ask the nurse why their child must have his blood glucose monitored so frequently since the child does not have diabetes. What is the best response by the nurse?

"It is important to monitor the blood glucose level because the solution has a high concentration of carbohydrates that convert to glucose."

The nurse is providing anticipatory guidance to a 12-year-old client and parent regarding psychosocial, cognitive and moral development. Which statement by the parent demonstrates the need for further teaching?

"My child will tend to think of oneself as invincible and increase risky behaviors."

The community health nurse has just completed a presentation to a group of parents regarding drowning prevention. Which statements by the parents indicate understanding of the teaching? Select all that apply.

"Since we have a 16-year-old I am really concerned about supervision when our child is swimming in the ocean." "We always make sure our babysitter keeps her CPR training up to date." "It is scary to think that we have a pool and drowning is the second leading cause of accidental death in children." "We make sure to keep our bathroom door closed when our 10-month-old is walking around the house since the door handle is too high to reach."

A parent asks the nurse about immunizing her 7-month-old daughter against the flu. Which response by the nurse would be most appropriate?

"Since your daughter is older than 6 months, she should get the vaccine every year."

A parent with a child who has cystic fibrosis asks the nurse how to determine if the child is receiving an adequate amount of pancreatic enzymes. How should the nurse respond? Select all that apply.

"The dose is adequate when your child is only having 1 to 2 stools per day." "The dose is adequate when your child's weight is improving." "When your child starts to eat more quantities of food you will need to adjust the amount of enzyme pills."

The nurse is assessing the abdomen of a preschooler admitted for lower right quadrant pain. Which assessment questions provide helpful data? Select all that apply.

"Touch the spot on your tummy where it hurts." "Choose the face that shows how you feel now." (FACES pain rating scale)

The nurse is obtaining a child's health history. Place the information listed in the order in which the nurse would complete the history.

1. Biographical data 2. Chief Complaint 3. History or Presence of illness 4. Past medical history 5. Family Medical history 6. Social and Environmental History

Place in order the steps the nurse would implement when gathering the following physical data for an infant?

1. Count Respirations 2. Count Apical Pulse 3. Examine Genitalia 4. Measure chest and head circumference 5. Obtain axillary temperature 6. Look into the ears and mouth

A child weighs 18 pounds. The nurse is making sure the intravenous (IV) infusion is flowing at the correct rate. After determining fluid requirements for this child for a 24-hour period, the nurse should be sure that the IV is infusing at how many milliliters per hour?

34

A 10-month-old child with acute otitis media is prescribed amoxicillin suspension 80 mg/kg/day to be administered in two divided doses. The child weighs 8480 g (18 lb 11 oz). The amoxicillin suspension is available as 250 mg/5 ml. What volume of amoxicillin suspension should the parents be instructed to administer for each dose? Provide the answer in milliliters, rounded to the nearest whole number.

7

The school nurse is providing school health screenings to 7- to 11-year-olds exhibiting behaviors in Piaget's stage of concrete operational thoughts. What behaviors are anticipated in normal development? Select all that apply.

Ability to assimilate and coordinate information about the world from different dimensions Ability to see things from another person's point of view and think through an action Ability to use stored memories of past experiences to evaluate and interpret present situations Ability to understand the principle of conservation—that matter does not change when its form changes

The nurse is administering digoxin as prescribed and the child vomits the dose. What should the nurse do?

Administer next dose as prescribed in 12 hours.

A nurse develops a plan of care for a child that includes patching the eye. This plan of care would be most appropriate for which condition?

Amblyopia

A 3-year-old client requires a peripheral blood draw and the parents wish to use topical lidocaine and prilocaine cream for the blood draw. What will the nurse recommend for the use of topical lidocaine and prilocaine cream to this family? Select all that apply.

Cover the cream with an occlusive dressing once applied. Apply the cream 1 hour before the blood draw occurs.

The student nurse is working on a project about promoting growth and development in children with special needs who are hospitalized. What information should the student include? Select all that apply.

Encourage the family to stay with the infant as much as possible. Use developmentally appropriate limit setting and discipline. Offer a toddler simple choices to encourage a sense of control. Encourage developmentally appropriate skills.

Nursing students are reviewing information about preschooler growth and development. The students demonstrate understanding of the information when they identify which of the following as a common fear during this period? Select all that apply.

Fear of the dark Fear of mutilation Fear of separation Fear of abandonment

The nurse is caring for a 1-day-old newborn with patent ductus arteriosus with the following vital signs: pulse rate 160 bpm, respiratory rate 80 breaths/min, oxygen saturation 92%, retractions, and crackles noted in bilateral lungs. Which nursing action(s) is appropriate at this time? Select all that apply.

Initiate intravenous access. Apply oxygen. Begin indomethacin infusion.

The nurse is discussing discharge instructions with the parents of a 6-year-old who had a tonsillectomy. What is the most important thing to stress?

Inspect the throat for bleeding

The nurse is caring for a toddler on a pediatric unit and plans to initiate safety precautions according to the child's developmental level. What safety measure(s) will the nurse add to the child's care plan? Select all that apply.

Keep crib side rails up with overhead crib protection intact when the toddler is in the crib. Leave the toddler in the appropriately sized bed only when an adult is present in the room at all times. Avoid leaving small objects that can be swallowed in the toddler's reach.

A 4-year-old child is brought to the emergency department experiencing severe respiratory distress. The health care provider has diagnosed epiglottitis. What nursing intervention(s) should the nurse include in this child's plan of care? Select all that apply.

Keep the child quiet. Administer prescribed nebulizer treatments. Have intubation equipment readily available.

The nurse is caring for a toddler who is in Piaget's sensorimotor stage of cognitive development. Which task would the nurse expect the toddler to be able to perform?

Knowing which are his or her toys

A pediatric nurse is participating in a local health fair and focusing on measures to prevent accidents in children. When describing the major causes of death from accidents in toddlers, which cause(s) will the nurse identify? Select all that apply.

MVA, drowning, poisoning, falls, burns

The nurse is assessing a newborn. Which assessment finding(s) warrants further action? Select all that apply.

Measurement shows a slightly larger head size. Inspection discloses several café au lait spots on the trunk. Assessment reveals abnormal curvature of the spine.

The mother of a 3-year-old is considering the following purchases as a birthday present. Which toy would the nurse suggest as the most age appropriate choice?

Pounding bench

A nurse is developing the plan of care for a 7-year-old child diagnosed with congenital heart disease and a history of hypercyanotic spells. Which interventions would the nurse include in the child's plan of care to address these spells? Select all that apply.

Provide supplemental oxygen., Give parenteral morphine sulfate.

A group of nursing students are completing a clinical day at a preschool. Which behaviors would they identify as common in this preschool group? Select all that apply.

Regression Telling tall tales imaginary friends sibling rivalry difficulty with sharing

What is the best explanation of Erikson's theory of psychosocial development during adolescence?

The adolescent faces many different decisions during the teen years concerning the future and the adult world.

What would be the priority goal of family-centered care for a medically fragile child?

The child's developmental potential will be maximized.

The nurse is ordered to apply restraints to a toddler who keeps pulling at the tubes in his arm. Which criteria must occur to ensure proper use of these restraints? Select all that apply.

Use a clove-hitch type of knot to secure the restraints with ties. Remove the restraint every 2 hours to allow for range of motion and repositioning. Encourage parent participation, providing continuous explanations about the reasons and time frame for restraints.

The nurse is caring for a 3-month-old infant with history of congenital heart disease. The infant is brought to the emergency department with nausea and vomiting for 3 days. Admission laboratory results confirm dehydration. The nurse realizes that the dehydrated infant is at risk for:

a cerebrovascular accident (stroke).

The nurse is teaching a 7-year-old girl about her upcoming tonsillectomy. Which techniques would be appropriate for this child? Select all that apply.

allowing the child to do as much self care as possible offering choices of drinks and gelatin after the procedure explaining that anesthesia is a lot like falling asleep

A nurse is preparing to conduct a physical exam on a 7-month-old infant. Which area(s) will the nurse likely examine first? Select all that apply.

chest, back

The nurse is conducting a community screening program for hyperlipidemia in children. Which child(ren) would the nurse identify as being a candidate for screening? Select all that apply.

child whose mother has a cholesterol level of 250 mg/dl (6.47 mmol/l) child with one sibling diagnosed with peripheral vascular disease

What physiological changes would the nurse expect to address in a 10-year-old child? Select all that apply.

eruption of permanent teeth pulse rate 70 to 80 bpm 20/20 vision

Which nurse best fosters a school-aged child's adaptation to hospitalization? The nurse who:

explains procedures and shows the child equipment that will be used on them.

The nurse is conducting a well-child checkup for a 4-year-old child. At the child's 3-year-old checkup, the child weighed weighs 34 lb (15.4 kg), was 35 in. (0.89 m) tall, had 20 teeth and was developmentally on target. What would be the expected findings for this visit? Select all that apply.

height of 38 in. (0.96 m) able to climb steps with alternating feet

Which assessment findings if noted in a 4-month-old infant would the nurse recognize as normal growth and development?

holds head up when prone, bears partial weight on legs, reflexes are fading

The nurse is reviewing the medical record of an infant who is being seen for the 12-month well-child visit. Which finding(s) is normal for this infant? Select all that apply.

infant walks independently heart rate 101 beats/min respiratory rate 28 breaths/min

The 5-year-old client is hospitalized for a femur fracture and awaiting open reduction and internal fixation (ORIF) surgical repair (above). What medication should the nurse administer based on this client's assessment?

naloxone (narcan)

A family has a 3-year-old child with recurrent ear infections. What health promotion measure(s) will the nurse recommend to reduce the chance of future infections? Select all that apply.

not smoking in home, washing hands

The nurse is assisting a 15-year-old who has been diagnosed with anemia in making menu selections. Which selections for the upcoming day's meals indicate an understanding of what foods are high in iron? Select all that apply.

peanut butter, liver, kale,

Which child(ren) will the nurse avoid immunizing with a live-virus vaccine? Select all that apply.

preschool-age child receiving radiation therapy toddler with a severe acute illness

A 6-month-old infant is admitted with a diagnosis of bacterial meningitis. Which room is appropriate for this infant?

private room near the nurses' station

The nurse conducts a physical assessment on a healthy 6-month-old child (above). What finding will the nurse note as abnormal for this stage of development and age?

rolling front to back

The nurse is caring for a pediatric client diagnosed with Turner syndrome. Which assessment finding(s) will the nurse expect? Select all that apply.

webbed neck, swollen hands, narrow fingernails, short

A nurse is reviewing the laboratory test results of a child suspected of having Kawasaki disease. Which test result(s) does the nurse expect to find with this condition? Select all that apply.

white blood cell count: 18.5 × 103/mm3 (18.5 × 109/l) platelet count: 75 × 103/mm3 (75 × 109/l) erythrocyte sedimentation rate: 35 mm/hr