6500 Midterm Practice Q
Atraumatic care employs interventions that minimize physical and _______________ stress to the child and family.
Psychological
Evidence-based practice can increase _______________ and standardize care
Quality
Conversions
1 tsp =5mLs 1 tbsp = 15 mLs 3 tsp = 1 tbsp 2.2 lbs. = 1 kg
When performing a PEFR (peak expiratory flow rate) with a peak flow meter, put the following steps in correct order. A. Stand up straight. B. Blow out hard and fast C. Slide the arrow down to "zero." D. Take a deep breath and close the lips tightly around the mouthpiece. E. Note the number the arrow moves to. 1. C, A, D, B, E 2. C, B, A, E, D 3. A, C, D, B, E 4. A, B, E, D, C
1. C, A, D, B, E
A 2 year old should have a time out that lasts 2 minutes and a 3 year old should have a time out that lasts ____ minutes.
3
The nurse is caring for a child with acute otitis media. The child weighs 22 lb. The medication order reads: amoxicillin 160 mg PO every 8 hours. Amoxicillin is supplied as 200 mg/5 mL. How many milliliters will the nurse administer with each dose? Round to the nearest whole number.
4
Head lag is normal in an infant until approximately how many months of age?
4 months
At how many months of age do infants roll over?
5-6 months
A toddler has moderate resp. distress, is midly cyanotic & has increased work of breathing w/ respiratory rate of 40. What is the priority nurse intervention A. Airway maintaince & 100% oxygen by mask B. 100% oxygen & pulse oximetry monitoring C. Airway maintainnece & continued reassessment D. 100% oxygen & provision of comfort
A
A parent notes that a child with autism has has an acute change in behavior. What condition should the healthcare provider consider as a possible cause (Select al lthat apply) A. GI issues B. Seizure C. Pain D. Aggressive personality typical of all autistic children
A,B,C
Parents state their child is always saying "no". Based on Erickson's theory of development, what would be an appropriate intervention for the toddler's negativism? A. Discourage solitary play, encourage playing with children B. Encourage toddler to pick out his own toys C. Use time outs when the toddler says "no" D. Encourage the toddler to take turns playing games
B. Encourage toddler to pick out his own toys
The school nurse is planning a screening program. What items should be included to address issues related to the "new morbidity"? A. Academic difficulties, violence, and other mental health issues B. The number of children with chronic illness at the school C. Statistics related to health insurance coverage of the children D. HIV infection, asthma, and respiratory allergy testing
A. Academic difficulties, violence, and other mental health issues
A nurse is conducting a comprehensive pediatric history of Rosie, an 8-year-old girl. Which of the following would the nurse most likely include? Select all that apply. A. Age, name, and date of birth B. Developmental milestones C. Number of playmates D. Allergies to food or medications E. Foods she likes to eat
A. Age, name, and date of birth B. Developmental milestones D. Allergies to food or medications E. Foods she likes to eat
A toddler has moderate respiratory distress, is mildly cyanotic, and has increased work of breathing, with a respiratory rate of 40. What is the priority nursing intervention? A. Airway maintenance & 100% oxygen mask B. Pulse oximetry monitoring C. Airway maintenance and continued reassessment. D. 100% oxygen and provision of comfort.
A. Airway maintenance & 100% oxygen mask
The nurse is preparing to conduct a physical examination on an adolescent. Which of the following would be most important for the nurse to do? Select all that apply. A. Allow the adolescent to undress in private. B. Maintain silence throughout the exam. C. Question the adolescent about any sexual changes. D. Have the parent be nearby during the exam. E. Tell the adolescent to keep still for the exam.
A. Allow the adolescent to undress in private. C. Question the adolescent about any sexual changes.
The nurse is caring for a 12-year-old child with cerebral palsy who is unable to communicate verbally. When assessing this child's pain, which assessment tool would the nurse most likely use? A. Pain diary B. Face, legs, activity, cry, and consolability (FLACC. descriptors) C. Adolescent Pediatric Pain Tool (APPT) D. Numeric rating scale
B. Face, legs, activity, cry, and consolability (FLACC. descriptors)
The nurse is caring for a 7-year-old child who is displaying signs of separation anxiety when the parents need to leave for meals and showers. Which of the following nursing interventions will be the most helpful for this patient? A. Ask the family to bring in photos and cards from friends at school. B. Ask the parents not to leave the room. c. Tell the patient to be a big kid and not get upset when the parent leaves. D. Tell the patient that the parent will return after the cartoon is over.
A. Ask the family to bring in photos and cards from friends at school.
After teaching a group of parents about ensuring safety for their children, the nurse determines that the teaching was successful when the parents identify which of the following as appropriate? Select all that apply. A. Avoid honey in children < 1 year old B. Using a backward-facing car seat C. Applying sunscreen before the child goes out to play D. Offering healthy snacks including raw carrots to toddlers E. Making sure all pan handles are turned to the back of the stove
A. Avoid honey in children < 1 year old B. Using a backward-facing car seat C. Applying sunscreen before the child goes out to play E. Making sure all pan handles are turned to the back of the stove
The nurse is examining a child's skin for lesions and rashes. When documenting the findings, which of the following would the nurse include? Select all that apply. A. Color B. Location C. Size D. Distribution E. Jaundice
A. Color B. Location C. Size D. Distribution
A nurse is assessing a 3-month-old at a well-child visit. Which of the following assessments would the nurse document as a normal finding? Select all that apply. A. Drooling noted B. Posterior fontanel closed C. Babbling speech D. Sitting E. Grasps rattle
A. Drooling noted B. Posterior fontanel closed
An adolescent is being seen for non specific abdominal pain and asks if information will be shared with parent. Choose the best response. A. Everything remains confidential unless you tell me you are going to hurt someone, someone is going to hurt you, or you are going to hurt yourself. B. There are some things that I may need to share with your parents. C. I was you to trust use. We will maintain confidentiality. D. What is it that you would like to tell me?
A. Everything remains confidential unless you tell me you are going to hurt someone, someone is going to hurt you, or you are going to hurt yourself.
A parent notes that the child with autism has an acute change in behavior. What condition should the healthcare provider consider as a possible cause (select all that apply) A. GI issues B. Seizure C. Pain D. Aggressive personality typical of all autistic children
A. GI issues B. Seizure C. Pain
The nurse is caring for a 6 year old child who has a history of febrile seizure and is admitted with a temperature of 102.2 F. What is the nurse's highest priority? A. Institute safety precautions B. Offer age-appropriate activities. C. Provide gamily teaching related to the child's history D. Encourage the child to do his or her own self - care
A. Institute safety precautions
Which of the following are warning signs of autism? Select all that apply. A. Not babbling by 12 months B. Not pointing or using gestures by 12 months C. No single words by 16 months D. No two-word utterances by 12 months E. Losing language or social skills at any age
A. Not babbling by 12 months B. Not pointing or using gestures by 12 months C. No single words by 16 months E. Losing language or social skills at any age
When planning education for a child and parents, what is the first step the nurse should take? A. Decide which procedures and medications the child will be discharged on. B. Determine the child's and family's learning needs and styles. C. Ask the family if they have ever performed this type of procedure. D. Tell the child and family what the goals of the teaching session are.
B. Determine the child's and family's learning needs and styles.
A whistling noise on inspiration association w/ croup is known as: A. Stridor B. Wheeze C. Croup D. Asthma
A. Stridor
The nurse is conducting an assessment of a 5-year-old boy. During the assessment, the nurse notes that the child does not maintain eye contract or speak. The nurse suspects an autism spectrum disorder. Which additional finding would help support the nurse's suspicion? A. The child constantly opens and closes his hands. B. The child is highly active and inattentive. C. The child has a slight decrease in head circumference. D. The child has a long face and prominent jaw.
A. The child constantly opens and closes his hands.
The nurse is teaching a group of students about the possible effects of immigration on the health status of children. Which response by the group would indicate the need for additional teaching? A. The children of immigrants have better access to preventive care. B. The children of immigrants have limited involvement in activities due to the language barrier C. The children of immigrants lack adequate support systems. D. The children of immigrants face increased stressors due to relocation.
A. The children of immigrants have better access to preventive care.
When compared with adults, why are infants and children at an increased risk of head trauma? A. The head of the infant and young child is large in proportion to the body and the neck muscles are not well developed. B. The development of the nervous system is complete at birth but remains immature. C. The spine is very immobile in infants and young children. D. The skull is more flexible due to the presence of sutures and fontanels.
A. The head of the infant and young child is large in proportion to the body and the neck muscles are not well developed.
A nurse is preparing to examine the ear of a 2-year-old. The nurse would pull the pinna in which direction? A. Up B. Down and back C. Up and back D. Forward
B. Down and back
Which of the following is a late sign of respiratory distress and impending respiratory failure? A. slow irregular breathing B. retractions C. restlessness D. nasal flaring
A. slow irregular breathing
Jasmine is a 15yr. old admitted to the in-patient unit w/ pneumonia (strep pneumo). Her PMH is significant for premature birth at 31 weeks & history of seizure disorder. What assessment data will the nurse collect? What is priority care?
Antibiotics Respiratory assessment Maintenance of airway & breathing
A child is diagnosed with bacterial meningitis. When reviewing the results of the cerebrospinal fluid evaluation, which of the following would the nurse expect to find? Select all that apply. A. Decreased leukocytes in CSF B. Elevated CSF pressure C. Cloudy appearance D. Decreased protein in CSF E. Elevated glucose in CSF
B. Elevated CSF pressure C. Cloudy appearance
The father of a 2-month-old girl is expressing concern that his infant may be getting spoiled. The nurse's best response is: A. "She just needs love and attention. Don't worry; she's too young to spoil." B. "Consistently meeting the infant's needs helps promote a sense of trust." C. "Infants need to be fed and cleaned; if you're sure those needs are met, just let her cry." D. "Consistency in meeting needs is important, but you're right, holding her too much will spoil her."
B. "Consistently meeting the infant's needs helps promote a sense of trust."
The nurse is preparing to use biobehavioral interventions to control a child's pain. Which statement by the nurse would be most appropriate? A. "How about we read a book now so we won't have to use any pain medications?" B. "Does your child have a favorite movie? We can play it in the room so he can focus on something other than the pain." C. "Why don't we turn on the television so you won't focus so much on your child's pain?" D. "Why aren't you trying to distract your child by reading a book together?"
B. "Does your child have a favorite movie? We can play it in the room so he can focus on something other than the pain."
The nurse is caring for an adolescent who says, "I'm sick of this. I wish I weren't alive anymore." What is the best response by the nurse? A. "I often feel sad and sick of things" B. "Have you thought about hurting yourself? C. "Are you trying to escape your problems?" D. "Do your parents know about this feeling?"
B. "Have you thought about hurting yourself?
The nurse is caring for a 2-year-old in the hospital, and the mother expresses concern that the toddler will be scared. Which response by the nurse would be most appropriate? A. "Don't worry; we practice family-centered and atraumatic care here." B. "We will do our best to minimize the stress that your child experiences." C. "It will probably be upsetting for you as well, so you should stay home." D. "Our practice of atraumatic care will eliminate all pain and stress for your child."
B. "We will do our best to minimize the stress that your child experiences."
Which methods is helpful for communiting with a child autism. Select all the apply: A. Only talk w. the parent B. Repeat your instructions many times C. Use visuals D. Wait at least 11 second for child response
C,D
The nurse caring for a 28-week preterm infant prepares to obtain a capillary blood specimen for a routine bilirubin test via heel stick. The parents are at the bedside and ask the nurse if their infant will feel pain when he is stuck. Which response by the nurse would be most appropriate? A. "Your son will not feel any pain because his neurologic system is immature." B. "Your son will experience pain for a brief moment when his heel is stuck." C. "You shouldn't be concerned about a small routine procedure like a heel stick." D. "Your son will feel pain, but he will never remember it."
B. "Your son will experience pain for a brief moment when his heel is stuck."
A child is 22lbs. Amoxicillin is ordered 40mg/kg/dose. Amoxicillin susp. concentration available is 200mg/5mL. How much will be given per dose. A. 1 tsp B. 2 tsp C. 3 tsp D. 1/2 tsp
B. 2 tsp
A nurse is providing care for a child who will be undergoing a painful procedure. When developing the child's plan of care, which of the following be most appropriate? Select all that apply. Group of answer choices A. Ensure that procedures are performed in the child's room. B. Allow the child to participate when possible. C. Reinforce actions that the child should not do. D. Emphasize that pain is not a punishment E. .Tell the child if pain is anticipated with a procedure.
B. Allow the child to participate when possible. D. Emphasize that pain is not a punishment E. .Tell the child if pain is anticipated with a procedure.
When working with children and families, which is a critical strategy for promoting therapeutic communication? A. Detailed explanations B. Attentive listening C. Comforting touch D. Closed-ended questions
B. Attentive listening
Included in the nursing care of a child w/ autism: A. Assign multiple staff to care for child B. Communicate w/ child and his/her their developmental level C. B. Communicate w/ child and his/her their level of stated age D. Provide a wide variety of foods for the child to try
B. Communicate w/ child and his/her their developmental level
The nurse is discussing with a parent the difference between a breath-holding spell and a seizure. Which of the following would the nurse include as characteristic of a seizure? Select all that apply. A. Cyanosis occurs at the onset of the seizure. B. Convulsive activity occurs. C. The patient is bradycardic. D. The EEG is normal. E. Crying is not typically noted.
B. Convulsive activity occurs. E. Crying is not typically noted.
A 9-month-old infant's mother is questioning why cow's milk is not recommended in the first year of life as it is much cheaper than formula. What rationale does the nurse include in her response? A. It is permissible to substitute cow's milk for formula at this age as he is so close to 1 year old. B. Cow's milk is poor in iron and does not provide the proper balance of nutrients for the infant. C. As long as the mother provides whole milk, rather than skim, she can start cow's milk in infancy. D. If the mother cannot afford the infant formula, she should dilute it to make it last longer.
B. Cow's milk is poor in iron and does not provide the proper balance of nutrients for the infant.
Family-centered care refers to caregivers working in _____________ with the family to determine goals and plans for the child's health care.
Partnership
A parent of a toddler asks a nurse at a well-child visit how the child's frequent temper tantrums can best be handled. Which of the following actions should the nurse suggest to the parent? A. Restrain the child physically. B. Ignore the temper tantrums. C. Tell the child that temper tantrums are not acceptable. D. Distract the child by offering to play a game
B. Ignore the temper tantrums.
Which medication would be used by child w/ persistant asthma to reduce inflammation? A. Short-acting beta agonist (Alberterol) B. Inhaled corticosteroid beclomethasone (QVAR) C. Long-acting beta-agonist (Serevent) D. Oral corticosteroid (Prednisone)
B. Inhaled corticosteroid beclomethasone (QVAR)
A 6-month-old infant is admitted to the hospital with suspected bacterial meningitis. She is crying, irritable, and lying in the opisthotonic position. The priority nursing intervention would be: A. Educate the family on ways to prevent bacterial meningitis. B. Initiate appropriate isolation precautions and begin intravenous antibiotics. C. Assess the infant's fontanels. D. Encourage the mother to hold the infant and feed her.
B. Initiate appropriate isolation precautions and begin intravenous antibiotics.
A nurse is obtaining the history from a parent of a child who experiences absence seizures. Which of the following would the nurse expect the mother to describe? A. Brief, sudden onset with muscles that become tense B. Loss of motor activity accompanied by a blank stare C. Sudden, brief jerking motions of a muscle group D. Loss of muscle tone and loss of consciousness
B. Loss of motor activity accompanied by a blank stare
For infants w/ upper resp. infections, important nursing interventions include: A. Larger feedings spaced further apart B. Nasal saline, bulb syringe, & hydration C. Lay flat for safety D. Sleep w/ parent in recliner chair
B. Nasal saline, bulb syringe, & hydration
Which of the following behaviors is suggestive of the possibility of autism in an 18-month old A. 100-word vocab B. Not responding to name C. Not walking D. Pointing at an object & sharing enjoyment
B. Not responding to name
What is a primary goal in caring for the child with cognitive impairment? A. Developing vocational skills B. Promoting optimal development C. Finding appropriate out-of-home care D. Helping child/family adjust to future care
B. Promoting optimal development
Nurse is examining an 8-year-old w/tachycardia & tachypnea. The nurse anticipates which test is the most helpful in determining the extent of the child's hypoxia A. Pulmonary function testing B. Pulse oximetry C. Peak expiratory flow D. Chest radiograph (XRAY)
B. Pulse oximetry
John is not holding his arm still for the HCP to start an IV. The TC is on. Several people try to help. Everyone is talking at the same time. A. Say "quiet everyone" B. Say "one voice please" C. Turn off TV D. Call security to help
B. Say "one voice please"
A nurse is assessing the heart sounds of a 4-year-old child and notes a murmur. Which of the following characteristics would the nurse interpret as indicating an innocent heart murmur? Select all that apply. A. Harsh sound B. Short duration C. Occurring during systole D. Radiating E. Medium pitch
B. Short duration C. Occurring during systole E. Medium pitch
The parents of an 11-year-old ask the nurse for suggestions about activities that they can encourage to help their child to be physically fit. Which of the following would be an appropriate suggestion? Select all that apply. A. Competitive weight lifting B. Strength training C. Team sport D. Biking E. Brisk walking
B. Strength training C. Team sport D. Biking E. Brisk walking
When caring for children, how does the nurse best incorporate the concept of family-centered care? A. Encourages the family to allow the physician to make health care decisions for the child B. Uses the concepts of respect, family strengths, diversity, and collaboration with the family C. Advises the family to choose a pediatric provider who is on the child's health care plan D. Recognizes that families undergoing stress related to the child's illness cannot make good decisions
B. Uses the concepts of respect, family strengths, diversity, and collaboration with the family
Which of the following would be included in the therapeutic management of a child with autism? A. Administer medications to cure the disorder B. Write a goal that the child will reach optimal functioning possible C. Individualize care D. Keep a highly structured environment E. Allow the use of music therapy and sensory integration techniques
B. Write a goal that the child will reach optimal functioning possible C. Individualize care D. Keep a highly structured environment E. Allow the use of music therapy and sensory integration techniques
The nurse is providing anticipatory guidance to the mother of a 6-month-old infant. What is the best instruction by the nurse in relation to the infant's oral health? A. "Start brushing her teeth after all the baby teeth come in." B. "Use a washcloth with toothpaste to clean her mouth." C. "Clean your baby's gums, then new teeth, with a washcloth." D. "Rinse your baby's mouth with water after every feeding."
C. "Clean your baby's gums, then new teeth, with a washcloth."
In an effort to control healthcare costs, what is the best recommendation by the nurse? A. "Shop around to find the most inexpensive health insurance plan." B. "Find a job that provides family health insurance at a minimal cost." C. "Stress primary prevention, using the healthcare system for check-ups." D. "Avoid seeing a physician until your child becomes ill."
C. "Stress primary prevention, using the healthcare system for check-ups."
The nurse is caring for a 15-year-old patient who was involved in a motor vehicle accident (MVA.. The patient is receiving patient-controlled analgesia via an epidural route for pain in the extremities caused by bilateral compound leg fractures. When teaching the adolescent about pain control, which statement by the nurse would be most appropriate? A. "Press the red button when you experience high levels of pain." B. "Tell your parents they need to press the button for you if you fall asleep." C. "You may notice decreased sensation and ability to move your legs with this type of pain control." D. "The best thing about this type of pain control is that you won't likely have any drug side effects."
C. "You may notice decreased sensation and ability to move your legs with this type of pain control."
At a well-child visit, hydrocephalus may be suspected in an infant if upon assessment the nurse finds: A. Narrow sutures B. Sunken fontanels C. A rapid increase in head circumference D. Increase in weight since last visit
C. A rapid increase in head circumference
The nurse is assessing a 2-month-old for signs and symptoms of increased intracranial pressure. Which of the following would the nurse expect to assess? Select all that apply. A. Decreased blood pressure B. Increased appetite C. Bulging fontanel D. Resistance to being held
C. Bulging fontanel D. Resistance to being held
A single mother asks the nurse for suggestions on disciplining her 2-year-old son. Which suggestion would be most appropriate? A. Encourage the mother to emphasize the inappropriate behavior B. Wait an hour or so before enforcing the discipline C. Have the child spend 2 minutes in time-out. D. Withhold a privilege from the toddler for a week.
C. Have the child spend 2 minutes in time-out.
The nurse is preparing a toddler for a lumbar puncture. For this procedure, the nurse should place the child in which position? A. Lying prone, with neck flexed B. Sitting up, with the back straight C. Lying on one side, with the back curved D. Lying prone, with the feet high than the head
C. Lying on one side, with the back curved
The nurse is developing a community outreach program to help reduce childhood mortality. What topic below would be essential to include? A. Human immunodeficiency virus B. Congenital anomalies C. Motor vehicle accidents D. Low birth weight
C. Motor vehicle accidents
The moro (startle) reflex is not able to be elicited on an awake newborn. Choose the best action. A. Recheck the infant in one month B. Reassure the caregiver C. Notify the provider D. Instruct the caregiver to do more brain development
C. Notify the provider
Parents of an 8-month-old girl express concern that she cries when left with the babysitter. How does the nurse best explain this behavior? A. Crying when left with the sitter may indicate difficulty with building trust. B. Stranger anxiety should not occur until toddlerhood; this concern should be investigated. C. Separation anxiety is normal at this age; the infant recognizes parents as separate beings. D. Perhaps the sitter doesn't meet the infant's needs;you may want to consider choosing a differentsitter.
C. Separation anxiety is normal at this age; the infant recognizes parents as separate beings.
A 5-month-old infant with RSV bronchiolitis is in respiratory distress. The baby has copious secretions, increased work of breathing, cyanosis, and a respiratory rate of 78. What is the most appropriate initial nursing intervention? A. Attempt to calm the infant by placing him in his mother's lap and offering him a bottle. B. Alert the physician or nurse practitioner to the situation and ask for an order for a stat chest radiograph. C. Suction secretions, provide 100% oxygen via mask, and anticipate respiratory failure. D. Bring the emergency equipment to the room and begin bag-valve-mask ventilation.
C. Suction secretions, provide 100% oxygen via mask, and anticipate respiratory failure.
An infant is born at 32 weeks. At the 12-month visit which finding is cause for concern? A. The infant has tripled their birth weight B. The heart rate is 100 bpm C. The posterior fontanel is still opened D. Child is not able to walk yet
C. The posterior fontanel is still opened
The nurse is providing care to an infant experiencing pain. Which of the following would be most appropriate for the nurse to implement? A. Applying cutaneous stimulation over the painful area B. Using acupressure to a specified site C. Tightly wrapping in a blanket with extremities flexed and hands uncovered D. Coating a pacifier with an oral sucrose solution for sucking E. Using rhythmic, continuous horizontal motions while holding
C. Tightly wrapping in a blanket with extremities flexed and hands uncovered D. Coating a pacifier with an oral sucrose solution for sucking E. Using rhythmic, continuous horizontal motions while holding
John enters the exam room and goes under the table and will not out. What should you do? A. Tell him & his parents that he needs to sit on the exam table and not under it B. Wait for him to come out from under the table C. Try the compliance directive cycle technique D. Call security
C. Try the compliance directive cycle technique
A nurse is assessing a 15-month-old and his abilities. Which of the following would the nurse expect to assess? Select all that apply. A. Hop B. Mostly understandable speech C. Uses index finger to point D. Copies a circle E. Feeds self
C. Uses index finger to point E. Feeds self
What is the difference in signs between newborns and children diagnosed with ICP?
Children have a closed fontanel so it would NOT be bulging. Newborns with ICP will have bulging fontanel & increased head circumference.
The parent of an infant who has recurrent respiratory infections asks the nurse why infants are at increased risk for complications. What information should the nurse use when formulating a response? A. Airway structures are larger allowing for entry of large numbers of organisms B. Respiratory rate is slower than in adults C. Parents are unable to accurately assess respiratory problems D. Airways are narrower and more easily obstructed
D
A 14-year-old boy and his mother are in the office for an annual visit and his mother jokes openly in front of the nurse about the changes in his voice and the hair under his armpits. While he is changing in another room, the nurse addresses the mother's statement. Which response by the nurse would be most appropriate when talking with the mother? A. "Has he gone through the big change, smelly armpits and hair all over his body?" B. "I remember that time in my life; it was so awkward and uncomfortable." C. "Discuss with Evan your trials with puberty and the changes you experienced." D. "Remember that he may be modest and self-conscious and become embarrassed with the teasing."
D. "Remember that he may be modest and self-conscious and become embarrassed with the teasing."
The nurse is assessing the vital signs of a child who is being evaluated in an urgent care center. The child is to be seen by the PNP. The mother asks, "Why is my child seeing the PNP and not the doctor?" What is the best response by the nurse? A. "The PNP functions similar to the physician's assistant, so you should be perfectly at ease." B. "The child may be seen by the physician instead if you'd like." C. "Seeing the PNP is just one more step in having your child evaluated in this setting." D. "The PNP is an experienced RN with advanced education in the diagnosis and treatment of children."
D. "The PNP is an experienced RN with advanced education in the diagnosis and treatment of children."
The nurse is caring for a child with cystic fibrosis who receives pancreatic enzymes. Which statement by the child's mother indicates an understanding of how to administer the supplemental enzymes? A. "I will stop the enzymes if my child is receiving antibiotics." B. "I will decrease the dose by half if my child is having frequent, bulky stools." C. "Between meals is the best time for me to give the enzymes." D. "The enzymes should be given at the beginning of each meal and snack."
D. "The enzymes should be given at the beginning of each meal and snack."
The mother of a 3-month-old boy asks the nurse about starting solid foods. What is the most appropriate response by the nurse? A. "It's okay to start puréed solids at this age if fed via the bottle." B. "Infants don't require solid food until 12 months of age." C. "Solid foods should be delayed until age 6 months, when the infant can handle a spoon on his own." D. "The tongue extrusion reflex disappears at age 4 to 6 months, making it a good time to start solid foods."
D. "The tongue extrusion reflex disappears at age 4 to 6 months, making it a good time to start solid foods."
A nurse has an order to administer acetaminophen 2 tsp 3x a day. How many mLs per day will the nurse give? A. 6mLs B. 10mLs C. 20mLs D. 30mLs
D. 30mLs
An RN is caring for a 6 yr old who is a post-op day 1, after having major surgery. The child states his pain is severe, but is sitting up in bed reading a book. Choose the best RN response A. Ask mother if the child seems to be in pain B. Ask the child why they are reading a book and observe for pain C. Provide Child Life Services to offer toys to the child D. Administer pain medication
D. Administer pain medication
When providing atraumatic care to a child, which action would be the most appropriate? A. Applying restraints for any procedure that would be uncomfortable B. Keeping the lights on in the child's room throughout the day and night C. Limiting the use of topical anesthetics for painful injections D. Allowing parents and children an informed choice about being together
D. Allowing parents and children an informed choice about being together
A 6-month-old boy weighs 14.7 lbs. during a scheduled check-up. His birth weight was 8 lbs. What is the priority nursing intervention? A. Talk about solids foods B. Discourage daily juice intake C. Increase the number of breastfeedings D. Discuss the child's feeding pattern
D. Discuss the child's feeding pattern
A 10-year-old child is admitted to the hospital due to history of seizure activity. As his nurse, you are called into the room by his mother, who states he is having a seizure. What would be the priority nursing intervention? A. Prevention of injury by removing the child from his bed B. Prevention of injury by placing a tongue blade in the child's mouth C. Prevention of injury by restraining the child D. Prevention of injury by placing the child on his side and opening his airway
D. Prevention of injury by placing the child on his side and opening his airway
The nurse is assessing a 9-month-old's respirations. The nurse would assess this while the infant is doing which of the following? A. Playing in the playroom B. Crying C. Laughing D. Quiet in his mother's lap
D. Quiet in his mother's lap
Cardinal signs of respiratory distress are: A. Restlessness, lethargy, fever B. Restlessness, tachypnea, bradycardia C. Restlessness, bradycardia, diaphoresis D. Restlessness, tachypnea, tachycardia, diaphoresis
D. Restlessness, tachypnea, tachycardia, diaphoresis
When caring for an adolescent, in which case must the nurse share information with the parents no matter which state the care is provided in? A. Pregnancy counseling B. Depression C. Contraception D. Tuberculosis
D. Tuberculosis
The nurse is caring for a 2-year-old child who has had surgery. When assessing this child's pain, which of the following development characteristics would the nurse need to keep in mind? A. Uses delays to put off treatment B. Understands time C. Fears bodily mutilation or injury D. Uses words for pain such as owie, boo-boo, or hurt
D. Uses words for pain such as owie, boo-boo, or hurt
Which is the most appropriate treatment for epistaxis? A. With the child lying down and breathing through the mouth, apply pressure to the bridge of the nose. B. With the child lying down and breathing through the mouth, pinch the lower third of the nose closed. C. With the child sitting up and leaning forward, apply pressure to the bridge of the nose. D. With the child sitting up and leaning forward, pinch the lower third of the nose closed.
D. With the child sitting up and leaning forward, pinch the lower third of the nose closed.
Which of the following is a sign of Down's syndrome? A.hypertonic B. tall stature C. large head D. oblique palpebral fissures
D. oblique palpebral fissures
A 4-year old complains of extreme pain when the tragus is touched. Though not diagnostic, this sign is most indicative of which disorder? A. acute otitis media B. acute tympanic effusion C. otitis interna D. otitis externa
D. otitis externa
What are the result of a spinal tap positive for bacterial meningitis
Decreased glucose (bacteria eats glucose) Cloudy Increased WBC + gram stains
Improvement of pain management and shortened recovery times are benefits of ____________________.
Family-centered care
Patient teaching for seizures
How to take their meds When to call for help
Family-centered care leads to better _____________ as well as a higher level of consumer satisfaction.
Outcome
What is the purpose of FLACC scale?
To interpret pain by Facial expression, Legs, Activity, Crying, Consolability for ages 2 mos -7 years
Childhood fears are a normal part of development. True False
True
The nurse is caring for a child with acute asthma. The child weight 37.5 lbs. The medication order reads: methylpredinisone 20 mg IV twice a day. The Pediatric Dosage handbook provide a recommended dose for acute asthma of 1 to 2 mg/kg/day in two divided doses. Is the order dose safe?
Unsafe Weight: 37.5 lbs. / 2.2 = 17 kg Low dose 1mg/kg/day = 17mg/day or 8.5mg BID High dose 2mg/kg/day = 34mg/day or 17mg BID Order: 20mg BID = 40mg/day *Order dosage is too high
A pediatric acute care unit is implementing strategies to enhance family centered care. Which should all be included? (Select all that apply) 1 Establish specific times for visiting hours for parents/caregivers 2. Establish family support groups 3. Establish a sibling hospital visiting policy 4. Use parent questionaires to better understand family needs 5. Incorporate the family into interdisciplinary conferences •A. 2,3,4,5 •B. All •C. 1,2,4,5 •D. 2,4,5
•A. 2,3,4,5 * Caregivers can come at any time
