test taking strategies peds

Parents ask the nurse about a sport for their school-age child with exercise-induced bronchospasm (EIB). Which sport would the nurse recommend? 1Soccer 2Baseball 3Basketball 4Distance running

2Baseball

A child has been evaluated in the clinic and found to have a foreign body in the left ear. The nurse is preparing to implement the prescription for ear irrigation. Which statement by the child's parent would cause the nurse to question the ear irrigation prescription? 1"The kids were putting dried beans in their ears." 2"The nurse practitioner said it might just be earwax." 3"They were playing with beads, and they put one in their ear." 4"We think it might be an eye from one of their stuffed animals."

"The kids were putting dried beans in their ears."2

Which intervention is the priority for the nurse to implement for a child diagnosed with Wiskott-Aldrich syndrome (WAS)? 1Administer platelet infusions. 2Perform frequent eye exams. 3Apply topical cream for eczema. 4Administer intramuscular (IM) analgesics.

1Administer platelet infusions.

The nurse is planning care for a pediatric client with the diagnosis of acute respiratory distress syndrome (ARDS) and subsequent development of pulmonary edema (PE). Which interventions would the nurse expect to be prescribed? Select all that apply. 1Administering furosemide 2Administering oxygen therapy 3Positioning the child flat, on the right side 4Providing parenteral and enteral nutritional support 5Administering antibiotics if a bacterial infection is present

1Administering furosemide 2Administering oxygen therapy 4Providing parenteral and enteral nutritional support 5Administering antibiotics if a bacterial infection is present

A parent brings their child to the emergency department because the child said that dirt flew into their eye during softball practice. The nurse would plan to assist with which action first? 1Assess vision. 2Remove the dirt. 3Place ice on the eye. 4Irrigate the eye with sterile saline.

1Assess vision.

The nurse is educating the parents of an infant diagnosed with gastroesophageal reflux (GER). Which statement by the parents indicates an understanding of appropriate care for this infant while sleeping? 1"I can place my infant on the back." 2"I will position my infant flat on the side." 3"I will feed my infant and then will place my infant face down." 4"I will place my infant's favorite stuffed animal in the crib."

1"I can place my infant on the back."

The nurse is teaching the family of an adolescent newly diagnosed with type 2 diabetes mellitus about the disorder. The parents verbalize understanding of the teaching if which statement is made? 1"I should begin to look for an exercise program for my child." 2"I'll give my child insulin as soon as I notice that they get irritable and sweaty." 3"This condition was caused by the inability of the pancreas to produce insulin. "4"If I administer insulin as prescribed, my child will not suffer any long-term complications."

1"I should begin to look for an exercise program for my child."

The nurse provides home care instructions to the parents of a 6-year-old child who has asymptomatic tuberculosis (TB) and is receiving pharmacotherapy. Which statement by the parents indicates a need for further teaching? 1"We will arrange for home schooling for the next 6 months." 2"We will be sure to have our child receive the influenza vaccination." 3"We will be careful to administer medications as prescribed to our child." 4"We will be sure to make the required follow-up appointments as scheduled."

1"We will arrange for home schooling for the next 6 months."

The nurse is teaching the parents of a child with a recently repaired atrial septal defect about home administration of digoxin. Which statement by the parents indicates a need for further teaching? 1"We will mix the medication with some bananas." 2"If our child vomits, we will not give a second dose." 3"If we miss a dose, we will stay on the same schedule." 4"We plan on giving the medication at the same time each day."

1"We will mix the medication with some bananas."

The nurse is teaching parents of an infant with a tetralogy of Fallot about interventions for hypercyanotic episodes. Which statement by the parents indicates a need for further teaching? 1"We will strictly limit our infant's activities." 2"We recognize crying may trigger an episode." 3"It is important to stay calm during an episode." 4"If an episode occurs, we will place our infant in a knee-chest position."

1"We will strictly limit our infant's activities."

The nurse at a playground witnesses a child fall off a swing. The nurse rushes to the child and suspects that the child has a broken right leg. The nurse would take which priority action? 1. Immobilize the leg 2. Remove the child's shoes 3Tell the child that everything will be fine 4Transport the child to the emergency department.

1. Immobilize the leg

A school-aged child wants to return to school after being hospitalized with leukemia. The nurse reviews the child's laboratory results and calculates the absolute neutrophil count (ANC). What is the child's ANC? Fill in the blank.

140 cells/mm3

The nurse is assigned to care for an infant diagnosed with pyloric stenosis who is receiving stomach decompression and is awaiting surgery. What is the nurse's priority of care for this child? 1Assessing for signs of metabolic alkalosis 2Restoring fluid loss with oral electrolyte replacement 3Auscultating the lungs for signs of respiratory acidosis 4Educating the parents on potential postoperative complications

1Assessing for signs of metabolic alkalosis

The nurse is reviewing the prescribed medications for a 10-year-old child with chronic asthma. Which medication would the nurse expect to be prescribed as first-line therapy? 1Budesonide 2Epinephrine 3Theophylline 4Methylprednisolone

1Budesonide

The nurse receives a telephone call from a parent who reports that their child just swallowed furniture polish. The nurse would instruct the parent to immediately perform which action? 1Call the poison control center. 2Call the child's physician. 3Give the child oral fluids to induce vomiting. 4Call an ambulance to take the child to the emergency department.

1Call the poison control center.

The nurse is admitting a 6-month-old infant with respiratory syncytial virus (RSV) bronchiolitis. Which type of precautions would the nurse implement? 1Contact and droplet 2Contact and airborne 3Droplet and airborne 4Standard precautions only

1Contact and droplet

A child is diagnosed with sickle cell disease. The nurse plans care for the child based on which characteristics of the disease? Select all that apply. 1It is a genetic condition and is present at birth. 2The child usually has no signs of the disease. 3Hemoglobin is abnormal, which causes red blood cells to become hard and sticky. 4It is inherited when the child receives two genes, one from each parent, that code for abnormal hemoglobin.5It is inherited when the child receives a hemoglobin "S" gene from one parent and a normal gene from the other parent.

1It is a genetic condition and is present at birth. 3Hemoglobin is abnormal, which causes red blood cells to become hard and sticky. 4It is inherited when the child receives two genes, one from each parent, that code for abnormal hemoglobin.5It is inherited when the child receives a hemoglobin "S" gene from one parent and a normal gene from the other parent.

The nurse is caring for a client with external otitis. Which prescriptions would the nurse anticipate implementing as treatment for this condition? Select all that apply. 1Oral analgesics 2Application of heat 3Systemic antibiotics 4Application of ice pack 5Topical steroid ear drops

1Oral analgesics 2Application of heat 5Topical steroid ear drops

The teaching plan for a child at risk for tinea corporis (ringworm) would include which measure? 1Perform frequent skin checks. 2Apply antifungal ointment to the skin every other day. 3Take an oral antifungal medication during warm weather to prevent the infection. 4Shower at least four times a day—in the morning, after lunch, after dinner, and at bedtime.

1Perform frequent skin checks.

The nurse would take which actions when caring for a child experiencing a seizure? Select all that apply. 1Place the child on their side. 2Restrain the child to prevent head trauma. 3Ease the child who is sitting in a wheelchair onto the floor. 4Pull the teeth apart and place an oral airway into the child's mouth .5Offer the child a sip of water to elicit the swallowing reflex and prevent aspiration.

1Place the child on their side. 3Ease the child who is sitting in a wheelchair onto the floor.

The nurse would incorporate which interventions when caring for a child in this type of traction? Refer to the figure. 1Provide pin care at prescribed intervals. 2Be sure that weights are hanging freely at all times. 3Remove the traction for brief intervals only during the day and while sleeping. 4Withhold opioid analgesics during the first 48 hours after traction application.

1Provide pin care at prescribed intervals.

The nurse is providing care to parents whose child has died of sudden infant death syndrome (SIDS). Which is the most appropriate intervention for the nurse to implement? 1Provide the parents the opportunity to say goodbye to their child. 2Explain that autopsies are not recommended in the incidence of SIDS. 3Give a detailed explanation of what may have caused the incident of SIDS. 4Wait to provide any information about follow-up care until the parents have had an opportunity to adjust.

1Provide the parents the opportunity to say goodbye to their child.

The nurse is caring for a 10-year-old client who is hospitalized with acute asthma exacerbation. Which finding requires action by the nurse? 1Pulse oximetry reading of 88% 2Pulse rate of 100 beats per minute 3Respiratory rate of 22 breaths per minute 4Bilateral wheezing noted when auscultating breath sounds

1Pulse oximetry reading of 88%

Which assessment finding would the nurse expect to note in a child with hypovolemic shock? 1Reduced urinary output 2Brisk capillary refill time 3Elevated blood pressure 4Elevated central venous pressure (CVP)

1Reduced urinary output

The nurse is caring for a child who sustained a head injury from a fall. The nurse would perform which actions in the care of the child? Select all that apply. 1Restrict oral fluid intake. 2Elevate the head of the bed. 3Perform neurologic assessments. 4Encourage coughing and deep breathing.5Place the child in a flat position during sleep.

1Restrict oral fluid intake. 2Elevate the head of the bed. 3Perform neurologic assessments.

A school-aged child has contracted head lice at school. The nurse would provide which instruction to the child and parent about treatment for head lice? 1Seal nonwashable items in plastic bags for 14 days. 2Use a soft-bristled hairbrush to rid the scalp of nits. 3Re-treatment is unnecessary and can cause scalp irritation. 4There is no need to wash bed linens until after the first 48 hours of treatment.

1Seal nonwashable items in plastic bags for 14 days.

What teaching point would the nurse include in the care plan of a child with juvenile idiopathic arthritis (JIA) taking nonsteroidal anti-inflammatory medications? 1Take the medication with food. 2Aspirin is preferred if stomach upset occurs. 3A tapering of doses is necessary when discontinuing this medication .4Nonsteroidal anti-inflammatory medications are helpful in reducing bruising associated with JIA.

1Take the medication with food.

The nurse has just administered ondansetron to a child about to receive chemotherapy. The nurse determines that the medication has been effective based on which outcome? 1The child denies nausea and vomiting. 2The child reports having a regular bowel movement. 3The child has gained 1 pound since the last clinic visit. 4The child's apical pulse is between 80 and 110 beats/min.

1The child denies nausea and vomiting.

The nurse would include which measures in the plan of care for an infant after cleft lip (CL) and palate repair? Select all that apply 1Use elbow immobilizers. 2Encourage use of a straw for liquids. 3Apply petroleum jelly as prescribed to the operative site. 4Offer a pacifier to decrease crying and strain on the sutures. 5Assess oral temperatures frequently to detect signs of infection.6Withhold opioid pain medications to ensure the infant has a strong suck.

1Use elbow immobilizers. 3Apply petroleum jelly as prescribed to the operative site.

Which teaching point is a priority to include in the daily care plan for the parents of a toddler with leukemia? 1Wash hands frequently 2Provide healthy food choices 3Provide daily exercise and play time 4Keep all physician appointments.

1Wash hands frequently

The nurse is preparing to care for a pediatric client with an intravenous solution infusing. The nurse would ensure that which item is in place to prevent fluid overload in this client? 1 Arm board 2Infusion pump 3Macrodrip infusion set 4Large-bore intravenous catheter

2 infusion pump

The nurse is teaching home care management to a parent of a 6-year-old child with asthma. Which statement by the parent indicates a need for further teaching? "I will have a written asthma action plan for my child." 2"I will have my child use the peak flow meter once a week." 3"I will call the doctor if my child is not responding to medications." 4"If the daily control medications are not working, I will start the prescribed inhaled medications."

2"I will have my child use the peak flow meter once a week."

An infant diagnosed with eczema has lesions on the face, arms, and legs. Which statement by the parent indicates an understanding of how to meet the infant's developmental needs while treating the lesions? 1"I'll keep siblings away from my baby this week." 2"I'll set aside time each day to play and read stories to my baby." 3"I will keep my baby out of day care this entire week until the skin is healed." 4"I will ask the babysitter to play more video games with my baby, so my baby isn't moving around as much."

2"I'll set aside time each day to play and read stories to my baby."

A child arrives at the emergency department and the parent reports that the child has persistent epistaxis. The child and parent are both extremely anxious. Which instruction would the triage nurse provide to the child? 1"Lie down on the stretcher and try to relax." 2"Sit up and lean forward while I hold pressure on your nose." 3"Try to stay calm while breathing through your mouth, and I'll put this warm compress over your nose." 4"Raise your legs up on this pillo

2"Sit up and lean forward while I hold pressure on your nose."

A child newly diagnosed with type 1 diabetes mellitus who is receiving insulin suddenly experiences signs of a hypoglycemic reaction. Which item would the nurse give to the child immediately? 1) 1 cup of diet cola 2) 8 oz of skim milk 3) ½ teaspoon of sugar 4) ½ teaspoon of honey

2) 8 oz of skim milk

A school-age child admitted with cellulitis is prescribed cefazolin 500 mg intravenous (IV) to be administered over 30 minutes. The cefazolin has been premixed in a 100-mL bag of normal saline. At what rate (in milliliters per hour) would the nurse set the IV infusion pump? Fill in the blank.

200ml/HR

Which surgical client is at increased risk for a wide temperature variation during surgery? A 19-year-old client scheduled for arthroscopy 2A 3-month-old infant scheduled for hernia repair 3A 62-year-old client scheduled for hip replacement 4A 54-year-old client scheduled for total abdominal hysterectomy

2A 3-month-old infant scheduled for hernia repair

The nurse is caring for a 6-year-old child with asthma. Which assessment finding requires immediate action by the nurse? 1Prolonged expiration 2Absent breath sounds (silent chest) 3Wheezes throughout the lung fields 4Hacking, paroxysmal, irritative, and nonproductive cough

2Absent breath sounds (silent chest)

The nurse is caring for a child with supraventricular tachycardia (SVT) that has not resolved with vagal stimulation. Which medication prescription by the physician would the nurse assist to administer first? 1Digoxin 2Adenosine 3Propranolol 4Metoprolol

2Adenosine

The nurse is planning care for a child with Kawasaki's disease. Which interventions would the nurse plan to implement? Select all that apply. 1Restricting fluids 2Administering aspirin as prescribed 3Avoiding the use of bright overhead lights 4Administering penicillin G benzathine as prescribed 5Administering intravenous immune globulin (IVIG) as prescribed

2Administering aspirin as prescribed 3Avoiding the use of bright overhead lights 5Administering intravenous immune globulin (IVIG) as prescribed

A child develops a severe anaphylactic reaction to penicillin. Which prescribed action would the nurse prepare to implement first? 1Initiation of intravenous fluid 2Administration of epinephrine 3Administration of a vasopressor 4Administration of diphenhydramine

2Administration of epinephrine

The nurse is planning care for a child with rheumatic fever (RF). Which interventions would the nurse plan to implement? Select all that apply. 1Strict bed rest 2Administration of salicylates as prescribed 3Maintenance of contact isolation precautions 4Home care teaching about taking prophylactic antibiotics 5Administration of penicillin G benzathine as prescribed

2Administration of salicylates as prescribed 4Home care teaching about taking prophylactic antibiotics 5Administration of penicillin G benzathine as prescribed

The nurse is caring for a toddler diagnosed with intussusception. The nurse would most appropriately prepare the toddler and parents for which of the following? 1Colostomy care 2Air or contrast enema 3Need for midline abdominal incision and wound care 4Strict visitation due to the serious nature of this condition

2Air or contrast enema

The nurse is assessing a child who has just returned from surgery in a hip spica cast. Which outcome is the priority? 1The hips are adducted. 2Circulation is adequate .3The child is on the right side. 4The head of the bed is elevated.

2Circulation is adequate

The nurse is teaching parents about safe use of oxygen at home for their infant with bronchopulmonary dysplasia (BPD). Which safety guidelines would be included in the teaching session? Select all that apply. 1Place the oxygen tank on its side in a horizontal position. 2Ensure that no one smokes in the room or in the area of the oxygen tank. 3Keep the oxygen tank at least 5 feet (1.5 meters) from heat or electrical sources. 4Use a petroleum-based lip balm to relieve dryness around your child's mouth. 5Turn off both the volume regulator and the flow regulator when oxygen is not in use.

2Ensure that no one smokes in the room or in the area of the oxygen tank. 3Keep the oxygen tank at least 5 feet (1.5 meters) from heat or electrical sources. 5Turn off both the volume regulator and the flow regulator when oxygen is not in use.

The nurse is caring for a hospitalized child with pharyngitis. The child had been responding well to interventions but has now developed restlessness, stridor, and decreased oxygen saturation. The nurse recognizes this as an emergency situation most likely attributed to what development? 1Sinusitis 2Epiglottitis 3Pneumonia 4Rheumatic fever

2Epiglottitis

The nurse is reviewing the results of a sweat chloride test on a 3-year-old child admitted to the hospital to rule out cystic fibrosis (CF). Which finding of sweat chloride is indicative of CF? 1Less than 20 mEq/L (20 mmol/L) 2Greater than 60 mEq/L (60 mmol/L) 3Between 20 mEq/L and 30 mEq/L (20 mmol/L and 30 mmol/L) 4Between 30 mEq/L and 45 mEq/L (30 mmol/L and 45 mmol/L)

2Greater than 60 mEq/L (60 mmol/L)

The nurse working in the emergency department is caring for a child suspected of having an acute asthma attack. The nurse auscultates the child's lungs and hears this sound:What sound has the nurse heard on auscultation of the lungs 1Stridor 2High-pitched wheezes 3Bronchial breath sounds 4Bronchovesicular breath sounds

2High-pitched wheezes

The nurse is caring for a child who experienced significant blood loss from surgery. What is the nurse's priority action when caring for this child? 1Monitor the child's temperature and white blood cell (WBC) count. 2Monitor the child's intake and output (I & O) along with blood pressure. 3Review the child's most recent urinalysis and basic metabolic panel results. 4Encourage the child's parents and siblings to stay with the child as much as possible.

2Monitor the child's intake and output (I & O) along with blood pressure.

The nurse is caring for a child with sickle cell disease who has been admitted to the hospital with vaso-occlusive crisis. What is the priority in the plan of care for this child? 1High-dose oxygen therapy throughout duration of hospital stay 2Monitoring for adverse effects of intravenous (IV) morphine administration 3Administration of pneumococcal and meningococcal vaccines before discharge 4Client home care teaching about the methods of preventing a future vaso-occlusive crisis

2Monitoring for adverse effects of intravenous (IV) morphine administration

The charge nurse is instructing a licensed practical nurse (LPN) about strategies to care for a 2-year-old child admitted to the hospital in heart failure. Which instruction would the nurse provide to the LPN? 1Count the number of wet diapers. 2Organize care activities to promote rest periods .3Provide extended time in the playroom for the child to participate in activities. 4If the child was weighed in the morning yesterday, hold obtaining a weight until this evening.

2Organize care activities to promote rest periods

A child presents to the emergency department with complaints of fever, a petechial rash, nausea, vomiting, headache, and nuchal rigidity. What is the triage nurse's priority action? 1Administer acetaminophen for fever. 2Place the child on isolation precautions. 3Administer the meningococcal conjugate vaccination. 4Draw blood for a prescribed white blood cell (WBC) count.

2Place the child on isolation precautions.

The nurse is administering oral medication to a child with cerebral palsy who has compromised jaw control. Which method would the nurse use to facilitate administration of the liquid medication? 1Use a syringe to inject the medication into the back of the oropharynx. 2Place the fingers under the chin and the thumb on the cheek to open the jaw. 3Mix the medication with high fructose syrup and administer through a straw. 4Ask the child to pronounce the letter "o" while inserting the medication into the mouth.

2Place the fingers under the chin and the thumb on the cheek to open the jaw.

A 12-year-old with diabetes mellitus enters the emergency department complaining of extreme thirst and weakness with a respiratory rate of 32 breaths/min. The child's skin is warm and dry, and the parent states the child has been urinating very frequently. What is the nurse's priority action? 1Apply a cooling blanket. 2Start a peripheral intravenous (IV) line. 3Instruct the child to breathe into a paper bag .4Encourage the child to drink the prescribed electrolyte and glucose solution.

2Start a peripheral intravenous (IV) line.

The nurse is reviewing the assessment findings and laboratory results of a child diagnosed with new-onset glomerulonephritis. Which finding would the nurse most likely expect to note? 1Hypotension 2Tea-colored urine 3Low serum potassium 4Elevated creatinine levels

2Tea-colored urine

The parents of a newborn diagnosed with esophageal atresia ask the nurse to explain the diagnosis. What would the nurse plan to tell the parents regarding this condition? 1Gastric contents regurgitate back into the esophagus. 2The esophagus terminates before it reaches the stomach. 3A portion of the stomach protrudes through part of the diaphragm. 4Abdominal contents herniate through an opening of the diaphragm.

2The esophagus terminates before it reaches the stomach.

The nurse is reviewing the record of an infant admitted to the newborn nursery. The nurse notes that the primary health care provider has documented bladder exstrophy. On data collection, the nurse expects to note which finding? 1Undescended or hidden testes 2Urinary bladder on the outside of the body 3Opening of the urethral meatus on the ventral side of the glans penis 4Opening of the urethral meatus below the normal placement on the glans penis

2Urinary bladder on the outside of the body

The nurse is planning to take vital signs on a pediatric client. What are some of the issues the nurse needs to be aware of when obtaining these measurements? Select all that apply. 1The radial artery is the best site to assess the heart rate in a child less than 2 years of age. 2With children who cry or become restless, the temperature needs to be taken as the last vital sign. 3Critically ill children sometimes have cool skin but a high core temperature because of poor skin perfusion. 4Infants and young children lose more heat to the environment because of increased ratio of body surface area to volume .5Axillary temperatures can be used for screening purposes but cannot be relied on to detect fever in infants and young children.

2With children who cry or become restless, the temperature needs to be taken as the last vital sign. 3Critically ill children sometimes have cool skin but a high core temperature because of poor skin perfusion. 4Infants and young children lose more heat to the environment because of increased ratio of body surface area to volume. 5Axillary temperatures can be used for screening purposes but cannot be relied on to detect fever in infants and young children.

The nurse is repositioning a child with unilateral left-sided pneumonia. Which is the best position the nurse would assist the child to assume? 1Modified Trendelenburg's 2Supine with the bed position flat 3Left side with head slightly elevated 4Right side with head slightly elevated

3Left side with head slightly elevated

The parent of a child with tympanostomy tubes asks the nurse if it's safe to travel by airplane with the tubes in place. What is the nurse's best response? 1"Instill antibiotic drops into the ears 30 minutes before takeoff." 2"It's advised to travel by car while tympanostomy tubes are in place." 3"Flying with tympanostomy tubes is safe as long as the tubes are patent." 4"Ask the surgeon to remove the tubes and have them replaced after your trip."

3"Flying with tympanostomy tubes is safe as long as the tubes are patent."

The clinic nurse is teaching an adolescent with prehypertension blood pressure (BP) readings about hypertensive risk factors. Which statement by the adolescent indicates a need for further teaching? 1"I plan to watch my salt intake." 2"I am enrolling in a yoga class to help with stress." 3"I am glad I can continue to take my birth control pills." 4"I will maintain my weight recommended for my height."

3"I am glad I can continue to take my birth control pills."

The nurse is teaching an adolescent with cystic fibrosis (CF) about taking pancreatic enzymes. Which statement by the adolescent indicates a need for further teaching? 1"I would swallow the capsules whole." 2"I will take the enzymes with meals and snacks." 3"I can take the capsules within 2 hours of eating." 4"I will take more capsules with meals and fewer with snacks."

3"I can take the capsules within 2 hours of eating."

The nurse provides home care instructions to the parents of a toddler newly diagnosed with hemophilia. Which statement by the parents indicates a need for further instruction? 1. "We need to pad crib rails and table corners." 2"We need to obtain a medical identification bracelet for our child." 3"We need to administer aspirin to our child if any signs of discomfort are noted." 4"We need to have our child use a small, soft-bristled toothbrush for dental hygiene."

3"We need to administer aspirin to our child if any signs of discomfort are noted."

A 4-year-old child is admitted to the hospital for surgery. The nurse would ask the parents which priority question to identify the adequacy of support for the child's psychosocial needs? 1"What are your child's favorite toys?" 2"What signs and symptoms has your child been having?" 3"Will a family member be able to stay with the child most of the time?" 4"How much do you know about the surgery and its expected outcome?"

3"Will a family member be able to stay with the child most of the time?"

Which child would be placed in a private room when admitted to the hospital? 1A child with conjunctivitis 2A child diagnosed with scabies 3A child diagnosed with chicken pox (varicella) 4A child admitted with methicillin-resistant Staphylococcus aureus(MRSA)

3A child diagnosed with chicken pox (varicella)

The nurse educator is teaching a group of nursing students about conditions that require a child to receive prophylactic antibiotic therapy before a dental procedure. Which child would the nurse include in the category of needing prophylactic antibiotic therapy before a dental procedure? 1A child with a previous history of rheumatic fever 2A child with a previous history of Kawasaki's disease 3A child with a previous episode of infective endocarditis 4A child with a history of a patent ductus arteriosus (PDA) repair at birth

3A child with a previous episode of infective endocarditis

A child with hemophilia is brought into the emergency department after being hit on the neck with a baseball. The nurse would immediately check the child for which finding? 1Headache 2Slurred speech 3Airway obstruction 4Spontaneous hematuria

3Airway obstruction

A child is seen in the emergency department (ED) with a diagnosis of otitis media. Which face would indicate that the child rates pain as hurts "a little more"? Refer to the figure.View Figure 1A 2B 3C 4D 5E 6F

3C

The nurse prepares to educate parents of which preventable injury associated with the developmental stage of a crawling infant? 1Burns 2Poisoning 3Choking on objects 4Collisions with objects

3Choking on objects

A child is brought into the emergency department with a diagnosis of early chicken pox (varicella). Of all of the equipment needed, which one is most important for the nurse to have ready at the bedside? 1Gown 2Gloves 3Face masks 4Hand sanitizer

3Face masks

The nurse is assisting a school-age child with cystic fibrosis (CF) to make dietary meal choices. Which type of dietary choices would the nurse suggest? 1Low fat, low protein 2High fat, high calorie 3High protein, high calorie 4High carbohydrate, high protein

3High protein, high calorie

What information would the nurse plan to include in dietary teaching for the parents of a child with leukemia who has been prescribed vincristine? 1Decrease fat intake. 2Encourage a liquid diet. 3Increase intake of whole wheat, cereals, and fruits .4Triple the total amount of calories the child usually ingests.

3Increase intake of whole wheat, cereals, and fruits

The nurse is caring for a child diagnosed with syndrome of inappropriate secretion of antidiuretic hormone (SIADH). The nurse would question which physician prescription? 1Regular diet 2Seizure precautions 3Increased oral fluid intake 4Promethazine as prescribed prn for nausea

3Increased oral fluid intake

A 6-year-old child limps into the school nurse's office and tells the school nurse that they have abdominal pain. They tell the nurse that it started around the belly button and now is localized in the right lower quadrant. Positive rebound tenderness is present. What action would the nurse take next? 1Ask about recent fat intake. 2Ask about the last menstrual period. 3Keep the child from drinking or eating. 4Administer acetaminophen per protocol.

3Keep the child from drinking or eating.

A parent brings their 4-year-old child to the emergency department with complaints of hematuria and easy bruising. The child is recovering from an upper respiratory infection as well. The nurse reviews the child's laboratory results and would alert the physician immediately about which finding? 1Potassium level 2Hemoglobin level 3Platelet count 4WBC count

3Platelet count

Which finding noted in the child with rheumatic fever (RF) is most important for the nurse to report to the physician? 1Nontender subcutaneous nodes 2Red swollen, hot, painful joints 3Prolonged PR interval on the electrocardiogram monitor 4Erythematous macules with a clear center and well-demarcated borders

3Prolonged PR interval on the electrocardiogram monitor

The nurse is reviewing the medical record of a child with exotropia. Which clinical manifestation would the nurse expect when examining the child? 1The eye is turned inward 2The eye is turned upward 3The eye is turned outward 4The eye is turned downward

3The eye is turned outward

The nurse is teaching the parent of an 18-month-old child about administering ear drops to the child. During return demonstration, which action by the parent indicates an understanding of the instructions? 1The parent pulls the pinna of the ear forward .2The parent pulls the pinna of the ear up and back. 3The parent pulls the pinna of the ear down and back. 4The parent administers the drops without touching the ear.

3The parent pulls the pinna of the ear down and back.

A parent tells the clinic nurse that they do not want their child to receive any immunizations because they have heard that they cause serious illnesses. The nurse would make which appropriate statement to the parent? 1 "Are you afraid your child is going to die from the injection?" 2"Why are you afraid? Children are immunized every day without a problem." 3"There will be a slight discomfort at the time of the injection, but that is all that will happen." 4"I can see you are very concerned about your child. What do you think might happen after an immunization is given?"

4"I can see you are very concerned about your child. What do you think might happen after an immunization is given?"

The clinic nurse has provided instructions to the parent of a child with a urinary tract infection. Which statements by the parent indicate a need for further instruction? Select all that apply. 1"I need to increase my child's fluid intake." 2"I need to not use bubble baths with my child." 3"I need to wipe my child from front to back after urination or a bowel movement." 4"I should encourage my child to hold the urine and to urinate only four times each day." 5"I need to administer the antibiotics to my child until urinary tract infection symptoms disappear."

4"I should encourage my child to hold the urine and to urinate only four times each day." 5"I need to administer the antibiotics to my child until urinary tract infection symptoms disappear."

An adolescent client who underwent emergency surgery for a ruptured appendix refuses to allow the nurse to change the abdominal dressing, saying, "Go away. There is nothing wrong with this dressing." Which nursing response would be best? 1"Please do not be upset with me. I am just doing my job." 2"I promise to do this really quickly, and then I will leave you alone." 3"You can refuse the dressing change at this time, but your friends cannot visit you until it is done." 4"I will draw the curtain and expose just the area on your abdomen that is needed. Can I go ahead with that?"

4"I will draw the curtain and expose just the area on your abdomen that is needed. Can I go ahead with that?"

The nurse notes that a child with Hirschsprung's disease who is scheduled for surgery has inadequate fluid volume. The nurse would plan to implement which intervention to stabilize the child's hydration status before surgery? 1Monitor daily weight. 2Monitor intake and output. 3Administer tap water enemas. 4Administer intravenous fluids and electrolytes.

4Administer intravenous fluids and electrolytes.

Which procedure would the nurse use when instilling prescribed eye drops and ointment to a child? 1Apply the drops directly to the eyeball for faster absorption. 2Position the child prone with the head tilted toward the unaffected eye. 3Pull the pinna up and back before instilling drops or applying ointment. 4Administer the drops first, wait 3 minutes, then apply the prescribed ointment.

4Administer the drops first, wait 3 minutes, then apply the prescribed ointment.

The nurse is responding to an emergency involving a child who has no pulse and is in ventricular tachycardia (VT). While waiting for help to arrive, which intervention would the nurse implement first? 1Defibrillation 2Synchronized cardioversion 3Administration of lidocaine 4Cardiopulmonary resuscitation (CPR)

4Cardiopulmonary resuscitation (CPR)

Wrist restraints are applied to a child after a cleft lip repair. The nurse would implement which priority intervention regarding use of the restraints? 1Remove the restraints periodically. 2Apply lotion to the skin under the restraints. 3Provide range-of-motion exercises to each wrist. 4Check the color, sensation, and pulses distal to the restraints.

4Check the color, sensation, and pulses distal to the restraints.

The nurse would suspect which condition in an infant exhibiting these signs? Refer to the figure. 1Delayed growth 2Overuse syndrome 3Necrosis of the femoral head 4Developmental dysplasia of the hip (DDH)

4Developmental dysplasia of the hip (DDH)

The nurse is caring for a 5-year-old client 3 hours after a tonsillectomy. Which drink would the nurse offer the child to encourage fluid intake? 1Milk 2Orange juice 3Cherry Gatorade 4Diluted apple juice

4Diluted apple juice

The preoperative nurse is reviewing an infant's history and physical before repair of a coarctation of the aorta. Which assessment finding would the nurse expect to be documented? 1Severe cyanosis 2High hemoglobin and hematocrit levels 3Bilateral lung sounds with wheezing and rhonchi 4High blood pressure in the arms and low blood pressure in the legs

4High blood pressure in the arms and low blood pressure in the legs

The nurse is monitoring a child with increased intracranial pressure who has been exhibiting decorticate posturing. On data collection, the nurse notes extension of the upper and lower extremities with internal rotation of the upper arms, wrists, knees, and feet. How would the nurse interpret the child's condition? 1Is unchanged 2Has improved 3Indicates decreased intracranial pressure 4Indicates a deterioration in neurologic function

4Indicates a deterioration in neurologic function

The nurse is interpreting the results of a tuberculin skin test (TST) on a child taking immunosuppressive doses of corticosteroids. Which interpretation indicates a positive result? 1Induration of 0 millimeters (mm) 2Induration of 1 mm 3Induration of 3 mm 4Induration of 6 mm

4Induration of 6 mm

The emergency department nurse assists a physician in applying a cast to a child. The nurse documents that the child had which type of cast applied? Refer to the figure. 1Bootie cast 2Cylinder cast 3Hip spica cast 4Long arm cast

4Long arm cast

After an open appendectomy procedure, a school-aged child complains of nausea. What is the nurse's priority action? 1Remove the nasogastric (NG) tube. 2Provide meticulous skin care when changing the abdominal dressing. 3Insert a second intravenous (IV) line for the administration of antiemetics. 4Maintain the child's nothing by mouth (NPO) status and administer prescribed IV fluids.

4Maintain the child's nothing by mouth (NPO) status and administer prescribed IV fluids.

The teaching plan for a child diagnosed with human immunodeficiency virus (HIV) infection would include which instruction? 1Limit all outdoor activities. 2Immunizations are contraindicated. 3Antiretroviral therapy can be discontinued in adulthood 4Notify the primary health care provider (PHCP) for chest congestion and cough.

4Notify the primary health care provider (PHCP) for chest congestion and cough.

The nurse is monitoring a newborn of a birthing parent with diabetes mellitus. The nurse recognizes that the newborn is at risk for which complication? 1Hypercalcemia 2Hyperglycemia 3Hypobilirubinemia 4Respiratory distress syndrome

4Respiratory distress syndrome

The nurse is providing a yearly summer educational session to parents in a local community. The topic of the session is preventive and treatment measures for poison ivy. Which instruction would the nurse provide to the parents if the child comes into contact with poison ivy? 1Immediately report to the emergency department. 2Avoid becoming concerned if a rash is not noted on the skin. 3Apply calamine lotion immediately to the exposed skin areas. 4Shower the child immediately, lathering and rinsing the child several times.

4Shower the child immediately, lathering and rinsing the child several times.

A newborn with a diagnosis of subdural hematoma is admitted to the newborn nursery. The nurse would perform which action to check for the major symptom associated with subdural hematoma? 1. Monitor the urine for blood. 2Monitor the urinary output pattern. 3Test for contractures of the extremities. 4Test for equality of extremities when stimulating reflexes.

4Test for equality of extremities when stimulating reflexes.

The nurse is assessing a child who is on 2 liters of oxygen because of hypoxemia due to heart failure. Which finding indicates the treatment with oxygen is effective? 1The child's color is pale. 2Respiratory rate is increasing. 3Pulse oximetry reading is 89%. 4The child is tolerating activities.

4The child is tolerating activities.

Which assessment finding of a child with recurrent acute otitis media (AOM) suggests that the school nurse would refer the child to the primary health care provider (PHCP)? 1The child's clothes smell of tobacco smoke. 2The child just started another round of antibiotics and complains of ear pain. 3The child's parent sends medication to school with the child to be taken for 10 days. 4The child's teacher states that the child is suddenly no longer participative in class discussions.

4The child's teacher states that the child is suddenly no longer participative in class discussions.

A child is diagnosed with Graves' disease. Which is an assessment finding in this health problem? 1Dry skin 2Excessive sleepiness 3Delayed linear growth 4Weight loss despite excellent appetite

4Weight loss despite excellent appetite

The nurse is conducting a staff education session on congenital heart defects. Which figure of congenital heart defects best depicts a cyanotic or a right-to-left shunting of blood? Refer to the figure. A B C D

D