ATI peds
A nurse is admitting a child who has a urinary tract of myelmeningocele. After completing the admission history, which of the following actions should the nurse plan to take? A) Attach a latex allergy alert identification band B) initiate contact precautions C) post signs in the clients bathroom to strain the clients urine D) Administer folic acid with meals
Attach a latex allergy alert identification band
A nurse is caring for a 4 year old child who has superficial partial thickness burns over 50% of his body. To meet the nutritional needs of the child, which of the following actions should the nurse plan to take? A) administer pancrelipase to the child prior to each meal B) supplementation child feedings enteral feedings C) provide the child with a low protein meal D) perform dressing changes 10 min prior to the child meals
Supplement the childs feedings with enteral feedings
A nurse is caring for a toddler. Which of the following objects should the nurse select from the playroom for this cild during hospitalization? A) small plastic doll with clothes and accessories B) alphabet flash cards C) handheld video game D) 10 piece wooden puzzle
10 piece wooden puzzle
A nurse on the pediatric unit is caring for a group of clients. Which of the following findings should be the nurses priority? A) A child who has asthma and a pulse oximetry of 94% B) A child who has nephrotic syndrome and 1+ protein on urine dipstick C) A child who has sickle cell anemia and a urine specific gravity of 1.030 D) a child who has insulin dependent diabetes mellitus and a fingerstick glucose reading of 110 mg/dl
A child who has sickle cell anemia and a urine specific gravity of 1.030
A nurse is providing teaching to the guardians of an infant who has failure to thrive. Which of the following pieces of information should the nurse include in the teaching? A) add fortified rice cereal to the infants formula B) alternate feedings between several family membranes C) offer the infant juice between feedings D) provide feedings on demand rather than on a schedule
Add fortified rice cereal to the infants formula
A nurse is caring for a child who is receiving treatment for DKA and has a current blood glucose of 250. Which of the following actions should the nurse take? A) Administer D5NS by continuous IV B) give potassium as a rapid IV bolus C) Administer 3 units of ultralente insulin D) obtain a HbA1c level
Administer D5NS by continuous IV
A nurse is providing anticipatory nutritional guidance for the caregivers of a 5 month old infant. Which of the following points should the nurse include in the teaching? A) Switch the infant from formula to low fat cows milk at 6 months of age B) Heat fruit juice before offering it to the infant C) Introduce a new food every other day D) Allow the infant to try finger foods, such as crackers, after 6 months of age
Allow the infant to try finger foods, such as crackers, after 6 months of age
A nurse is caring for a 4 month old child who has acute otitis media and a fever of 38.3. Which of the following medications should the nurse administer
Amoxicillin
A nurse is caring for a preschooler who has a terminal illness. The nurse should expect the preschooler to have which of the following perspectives about death? A) believes that her own thoughts can cause death B) has an understanding of the finality of death C) exhibits curiosity about what happens to the body after death D) views funeral services as unnecessary
Believes that her own thoughts can cause death
A nurse in the ED is caring for a 2 year old child who was found by his parents crying and holding a container of toilet cleaner. The childs lips are edematous and inflamed and he is drooling. Which of the following actions is the priority? A) remove contaminated clothing B) check the respiratory status C) Administer antidote to the child D) establish IV access for the child
Check the respiratory status
A nurse is caring for a 3 year old child on a pediatric unit. The nurse should identify which of the following as an appropriate toy for the child A) jump rope B) coloring book and crayons C) checkers game D) jack in the box
Coloring book and crayons
A nurse is assessing a 6 month old infant who has a cardiac catheterization with right femoral entry to diagnosis a possible congenital heart defect. Which of the following findings should the nurse report to the provider? A) cool toes on the right foot B) weak pedal pulses on both feet C) positive babinski reflex on both feet D) erythema on the right foot
Cool toes on the right foot
A nurse is providing teaching about home care to the guardian of an adolescent who has hemophilia. Which of the following pieces of information should the nurse provide? A) encourage the adolescent to participate in non contact sports B) provide the adolescent with a firm bristled toothbrush C) administer aspirin to the adolescent for episodes of pain D) provide disposable razors to the adolescent for shaving
Encourage the adolescent to participate in non contact sports
A nurse is planning care for a school aged child who has juvenile idiopathic arthritis. Which of the following actions should the nurse include in the plan? A) encourage the child to sleep for 1 hr each afternoon B) Apply a cold compress to the joints every morning C) encourage the child to participate in physical activities D) limit the childs intake of foods high in uric acid
Encourage the child to participate in physical activities
A nurse is assessing the pain of a 3 year old child who is postoperative following abdominal surgery. which of the following pain scales should the nurse use? A) word graphic rating scale B) color tool C) FACES D) numeric
FACES
A nurse is teaching the guardian of an 18 month old toddler about otic medication administration. Which of the following statements should the nurse make? A) administer the drops immediately after removing the mediation from the refrigerator B) place the child in a seated position with the head tilted to the side for administration C) Gently pull the ear cartilage down and back when administering the medication D) position the medication bottle so the drops do not touch the side of the ear canal
Gently pull the ear cartilage down and back when administering the medication
A nurse is teaching the guardian of a preschooler. the preschooler has had an imaginary playmate for about 3 months. Which of the following pieces of information should the nurse give the guardian? A) children commonly begin having imaginary friends when they reach school age B) notify your provider if the imaginary friend persists longer than 6 months C) have your child take responsibility for actions if he tries to blame the imaginary friend D) set limits by no allowing your child to have the imaginary friend present during meals
Have your child take responsibility for actions if he tries to blame the imaginary friend
A nurse is caring for a female adolescent who is being treated for frequent UTIs. which of the following statements made by the client indicates a possible cause of UTI? A) I have a bowel movement every 4 to 5 days B) my mom taught me to wipe from front to back C) I urinate 2 to 3 hr during the day D) I dont wear nylon underwear
I have a bowel movement every 4 to 5 days
A nurse is teaching the parent of an infant about injury prevention. Which of the following statements by the parent indicates an understanding of the teacher? A) I should lightly shake talcum powder on my babys skin after each diaper change B) I should use a drop side crib after my baby is 6 months old C) I should make sure my babys clothing does not have buttons D) I should ensure the crib slats are no more than 3 inches apart
I should make sure my babys clothing does not have buttons
A nurse is providing teaching to the guardian of a child about bike safety. which of the following pieces of information should the nurse include? A) Instruct the child to ride against the flow of traffic B) Instruct the child to walk the bike through intersections C) Provide a larger bike that the child will be able to grow into D) ensure the childs helmet covers the ears
Instruct the child to walk the bike through intersections
A nurse is caring for an infant who has gastroenteritis and is dehydrated. Which of the following characteristics places the infant at a higher risk of electrolyte imbalances compared to an adult client? A) Less extracellular fluid B) reduced body surface area C) Longer intestinal tract D) decreased rate of metabolism
Longer intestinal tract
a nurse is discussing play activities with a group of parents of toddlers. which of the following activities should the nurse recommend for this age group? A) Jumping rope B) pushing a toy lawn mower C) sorting colored marbles D) Playing a board game
Pushing a toy lawn mower
A nurse in a peds clinic is assessing a toddler at a well child visit. Which of the following actions should the nurse take? A) perform the assessment in a head to toe sequence B) minimize physical contact with the child C) explain the procedures using medical terminology D) Stop the assessment if the child becomes uncooperative
Minimize physical contact with the child initially
A nurse is assessing a 6 month old infant. The guardian reports the infant does not appear interested in the brightly colored mobile hanging above the crib at home. which of the following techniques should the nurse use to check the infants visual acuity? A) shine a penlight briefly into the left eye and then the right eye B) Move a brightly colored toy from side to side in front of the infants face C) Ask the guardian to sit in front of the infant and nod his head up and down D) Observe the infants ability to grasp the fee and pull them to the mouth
Move a brightly colored toy from side to side in front of the infants face
A nurse is caring for an adolescent who has end stage renal disease and is scheduled for peritoneal dialysis. which of the following actions should the nurse take? A) position the adolescent supine during the procedure B) Have the adolescent drink 240 ml of fluid prior to the procedure C) Obtain the adolescent weight prior to the procedure D) monitor the adolescents vital signs every 4 hours during the procedure
Obtain the adolescents weight prior to the procedure
A nurse is caring for a school age child who has skeletal tractions applied to repair a pelvic fracture. Which of the following actions should the nurse take? A) Rest the childs traction weights on the floor for 8 hr during the night B) ensure the childs meal tray contains no high fiber foods C) perform passive range of motion exercises on the child involved joints every 4 hr D) place the child on a pressure reductions mattress
Place the child on a pressure reduction mattress
A nurse on a pediatric unit is admitting a 4 year old child to engage in independent play? A) brightly colored mobile B) plastic stethoscope C) small piece jigsaw puzzle D) book of short stories
Plastic stethoscope
A nurse is caring for a child who has a tracheostomy. Which of the following techniques should the nurse use to suction the childs tracheostomy? A) Insert the catheter to 2 cm beyond the end of the tracheostomy tube B) Remove the catheter while applying intermittent suction C) Instill NS irrigation to loosen secretions while suctioning D) Continue suctioning until the secretions are removed
Remove the catheter while applying intermittent suction
A nurse is assessing an adolescent who has appendicitis. Which of the following manifestations should the nurse expect? A) Upper right quadrant abdominal pain B) rigid abdomen C) hyperactive bowel souns D) Bradycardia
Rigid abdomen
A nurse is planning to implement relaxation strategies with a young child prior to a painful procedure. which of the following actions should the nurse take? A) Ask the child to hold a breath and blow it out slowly B) Ask the child to describe a pleasurable event C) Bounce the child gently while holding him upright D) Rock the child using long rhythmic movements
Rock the child using long rhythmic movements
A nurse is caring for a 6 week old infant following a pyloromotomy. Which of the following forms of feeding should the nurse anticipate for the infant 6 hr after the procedure? A) Bottle formula with added protein B) Small frequent bottle feedings of electrolyte solution C) Continuous nasoduodenal tube feedings D) Bolus feedings via gastrostomy tube
Small frequent bottle feedings of electrolyte solution
A nurse is caring for a 6 week old infant following forms of feeding should the nurse anticipate for the infant 6hr after the procedure? A) Bottle formula with added protein B) small, frequent bottle feedings of electrolyte solution C) Continuous nasoduodenal tube feedings D) Bolus feedings via gastrostomy tube
Small frequent feedings of electrolyte solution
A nurse is assessing a preschooler who has influenza and reports the new onset of a sore throat and difficulty swallowing findings is the priority for the nurse to report to the provider? A) The childs temp is 39 B) the childs skin is sallow C) The child is drooling D) The childs voice is hoarse
The child is drooling
A nurse is preparing to assess a 2 year old toddler. Which of the following behaviors should the nurse expect? A) the child prefers to sit on the parents lap during the exam B) the child is interested in how the exam works C) the child asks specific questions about body functions D) the child questions how her development compares to other children at the same age
The child prefers to sit on the parens lap during the exam
A nurse is performing a physical assessment on a 12 month old infant. Which of the following findings should the nurse report to the provider? A) the infants current weight is double his birth weight B) the infants posterior fontanel is closed C) the infant is unable to walk without support D) A total of 6 teeth are present
The infants current weight is double his birth weight
A nurse is teaching the parents of an infant about treatment options for profound sensorineural hearing loss. The nurse should include which of the following pieces of information about the functions of cochlear implants? A) they provide direct stimulation of auditory nerve fiber B) They conduct sound waves through the mastoid bone to the cochlea C) They process digital sound to amplify several sound frequencies D) they convert Vibrations in the ears structures to electrical signals
They provide direct stimulation of auditory nerve fiber
A nurse is providing teaching about oxycodone to an adolescent who is experiencing a vaso-occlusive crisis. Which of the following pieces of info should the nurse include? A) this medication can cause diarrhea B) this medication can increase blood pressure C) this medication might cause nausea D) This medication can increase salivation
This medication might cause nausea
A nurse is preparing to administer an intramuscular injection to a 2 month old infant. I which of the following sites should the nurse plan to administer the injection? A) vastus lateralis B) dorsogluteal C) deltoid D) abdomen 5 cm from the umbilicus
Vastus lateralis
A nurse is reviewing the lab report of a child with acute nephrotic syndrome who has been receiving prednisone PO for the past week. which of the following findings should the nurse report to the provider? A) sodium 142 B) potassium 4 C) WBC 3000 D) platelet 298000
WBC 3000
A nurse is caring for a child who has acute glomerulonephritis. which of the following actions should the nurse take? A) maintain the child on strict bed rest B) check the blood pressure Q4hr C) administer albumin Q8hr D) provide a low carb diet
check the blood pressure Q4hr
A nurse is assessing a child who has stage 1 hodgkins disease. Which of the following findings should the nurse expect? A) generalized petechiae B) enlarged lymph nodes C) chronic vomiting D) dependent edema
enlarged lymph nodes
A nurse is caring for an infant who has pertussis. Which of the following actions should the nurse take? A) assess for edema of the extremities B) apply warm compresses to the neck area C) initiate airborne precautions D) maintain cardiorespiratory monitoring
maintain cardiorespiratory monitoring
A nurse is caring for an infant who is postoperative following a myelomeningocele repair. Which of the following is the priority action the nurse should take? A) measure the infants intake and output B) measure the infants head circumference C) check the infants lower extremity function D) monitor the infants blood pressure
measure the infants head circumference
A nurse is teaching the parent of a 12 month old infant about nutrition. Which of the following statements by the parent indicates a need for further teaching? A) I can give my baby 4 oz of juice to drink each day B) I will offer my baby dry cereal and chilled banana slices as snack C) I am introducing my baby to the same foods the family eats D) My infant drinks at least 2 qt of skim milk each day
my infant drinks at least 2 qt of skim milk each day
A nurse is caring for a toddler who has a fever, a high pitched cry, irritability, and vomiting. Which of the following actions should the nurse take? A) administer 81 mg of aspirin B) give a cold bath C) place in a supine position D) pad the rails of the bed
pad the rails of the bed
A nurse is caring for a 5 year old child who has a fever and begins to have a seizure. Which of the following actions should the nurse take? A) give acetaminophen 240 mg immediately after the seizure B) sponge the childs skin with a mix of cold water and alcohol C) Administer rectal diazepam if the seizure lasts longer than 2 minutes D) place the child in a side lying position
place the child in a side lying position
A nurse is caring for an infant who has tetralogy of fallot and is experiencing a hyper cyanotic episode. which of the following actions should the nurse take? A) place the infant in a knee to chest position B) initiate a fluid restriction C) Provide oxygen by nasal cannula D) Administer acetaminophen
place the infant in a knee to chest position
A nurse is caring for a school aged child who is having a tonic clonic seizure. Which of the following actions should the nurse perform first? A) position the child on his side B) measure the Childs vital signs C) loosen any restrictive clothing D) check the child for head injuries
position the child on his side
A nurse is caring for an infant who is breastfed and is receiving amoxicillin for an upper respiratory infection. An assessment of the mouth reveals whitish patches on the tongue that will not scrape off. which of the following actions should the nurse take? A) offer the infant water before feedings B) Discontinue amoxicillin C) Administer an anti fungal medication after feedings D) Give the infant formula instead of breast milk
Administer an antifungal medication after feedings
A nurse is reviewing the risk factors for the development of congenital heart disease with a client who is planning to conceive. Which of the following conditions should the nurse include as a maternal risk factor? A) Preeclampsia B) Alcohol consumption C) Placenta previa D) late prenatal care
Alcohol consumption
A nurse is admitting a child who has a UTI and a history of myelomeningocele. After completing the admission history, which of the following actions should the nurse plan to take? A) attach a latex allergy alert ID band B) initiate contact precautions C) post signs in the clients bathroom to strain the clients urine D) administer folic acid with meals
Attach a latex allergy alert ID band
A nurse is providing discharge teaching to the parent of a school aged child who has leukemia and is receiving chemo. Which of the following statements by the parent indicates an understanding of the teaching? A) i will take may childs rectal temp daily B) I will make sure my child gets MMR vaccine this week C) I will inspect my childs mouth every day for sores D) I will allow my child to ride his bike tomorrow
I will inspect my childs mouth everyday for sores
A nurse is providing teaching to an adolescent who was recently diagnosed with type 1 diabetes mellitus. Which of the following insulin injection sites should the nurse recommend that the client use during basketball competitions? A) Hip B) Upper arm C) thigh D) lower leg
Hip
A nurse is teaching an adolescent who has asthma about how to use a peak expiratory flow meter. Which of the following responses by the adolescent indicates an understanding of the teaching? A) I will breathe in through the mouthpiece, hold my breath for 5 sec and then exhale B) if I get a reading in the green zone I will tell my parents immediately so they can call the doctor C) I will slowly exhale through the mouthpiece over a 10 sec interval D) I will record the highest reading of three attempts
I will record the highest reading three attempts
A nurse is caring for a child who has suspected nephrotic syndrome. Which of the following laboratory values should the nurse expect? A) platelets 120,000mm B) Serum sodium 160meq C) Hgb 9 g/dl D) serum cholesterol 700 mg/dl
Serum cholesterol 700 mg/dl
A nurse is assessing a 3 year old preschooler. Which of the following developmental milestones should the nurse expect the preschooler to demonstrate? A) stacking 10 blocks B) printing 1 letter C) tying shoelaces D) using 7 word sentences
Stacking 10 blocks
A nurse is assessing a 6 year old child at a well clinic visit. Which of the following findings requires further assessment by the nurse? A) presence of sparse fine pubic hair B) Decreased head circumference compared to full height C) increased leg length in relations to height D) Presence of a loose central incisor
presence of sparse fine pubic hair
A nurse is planning care for a 4 year old chid who has nephrotic syndrome. which of the following actions should the nurse take? A) provide thorough skin care B) test for blood type and cross match C) allow ample hydrating fluids D) maintain a low carb diet
provide a thorough skin assessment
A nurse at a community health department is discussing the nutritional needs of children with a group of parents and guardians. Which of the following pieces of info should the nurse include? A) infants should be transitioned to low calorie milk 12 months B) preschoolers need 10-12 g of protein per day C) toddlers can be given up to 120-180 ml of juice per day D) school age children should be encouraged to avoid afternoon snacks
Toddlers can be given up to 120-180 ml of juice per day
A nurse in a peds clinic is caring for a 2 year old child who has a blood lead level of 3 mcg/dl. when teaching the toddlers parent about the correlation of nutrition with lead poisoning, Which of the following pieces of information is appropriate for the nurse to include? A) decrease the childs vitamin C intake until the blood lead level decreases to zero B) administer a folic acid supplement to the child each day C) give pancreatic enzymes to the child with meals and snacks D) ensure the childs dietary intake of calcium and iron is adequate
Ensure the childs dietary intake fo calcium and iron is adequate
A nurse is providing teaching to the parent of a 1 month old who has GERD. which of the following statements by the parents indicates an understanding of the teaching? A) I will give lansoprazole 30 min after my babys feedings B) I will lay my baby on her side after feedings C) I will give my baby a bottle just before bedtime D) I will add rice cereal to my babys feedings
I will add rice cereal to my babys feedings
A nurse in the ED is assessing and infant who has laryngotracheobronchitis. Which of the following findings should the nurse report as an indication of impending airway obstruction? A) bradycardia B) respiratory depression C) nasal flaring D) barking cough
Nasal flaring
A school nurse is assessing a child who has been stung by a bee. The childs hand is swelling, and the nurse notes that the child is allergic to insect stings. Which of the following findings should the nurse expect if the child develops anaphylaxis SATA A) bradycardia B) nausea C) urticaria D) hypertension E) stridor
Nausea urticaria stridor
A nurse is observing a mother who is playing peek a boo with her 8 month old child. The mother asks if this game has any developmental significance. the nurse should reply that a peek a boo helps develop which of the following concepts in the child? A) hand-eye coordination B) Sense of trust C) Object permanence D) Egocentrism
Object permanence
A nurse is assessing a 4 year old child for growth and developmental milestones during a well child visit. Which of the following findings suggests a possible delay in development A) inability to tie shoes B) Adding 3 parts to a stick figure C) Speaking using 2 or 3 word sentences D) inability to walk backward
Speaking using 2 or 3 word sentences
A nurse is assessing a 1 week old infant at a well child visit. The nurse should notify the provider about which of the following assessment findings? A) A flat, dark pink area between the eyes that blanches B) an area of deep blue pigmentation over the buttock C) a blue coloring of the sclera D) A patchy, red rash with raised centers
a blue coloring of the sclera
A nurse is observing the behavior of a 2 year old child. Which of the following actions should the nurse expect to observe when the child is in an activity room with other toddlers? A) Playing a simple game with another child B) engaging in a play near other children C) Sharing crayons with another toddler D) jumping on 1 foot without help
Engaging in a play near other children
A nurse is providing teaching to the parent of a child who has ADHD and a new prescription for methylphenidate sustained release tablets. Which of the following statements by the parent indicates an understanding of the teaching? A) I should expect my child to gain weight while taking this medication B) I should expect this medication to decrease my childs heart rate C) I should crush the medication and put it in my childs food D) I should give this medication to my child half an hour breakfast
I should give this medication to my child half an hour before breakfast
A nurse in the ED is assisting a 4 year old who ingested toilet bowl cleaner and has hemoptysis. the child is crying and says it burns. Which of the following actions should the nurse take? A)Identify how much cleaner was in the bottle B) Administer activated charcoal C) perform immediate gastric lavage D) apply a pulse oximeter E) insert an IV for morphine administration
Identify how much cleaner was in the bottle insert an iv for morphine administration apply a pulse oximeter
A nurse is providing teaching for a parent about pinworm testing. At which of the following times should the nurse advise the parent to perform the tape test A) Immediately after the child has a bowel movement B) After being on a clear liquid diet for 24 hours C) immediately after the child wakes up in the morning D) After soaking for 20 minutes in a warm bath
Immediately after the child wakes up in the morning
A nurse is providing education to the paren of a toddler who is about to receive an MMR immunization. Which of the following statements by the parents indicates an understanding of the teaching? A) my child should not play with other children for 2 days B) I will need to return in 2 weeks for my child to receive the varicella immunization C) I will help my child to blow bubbles during the injection D) My child may have some drainage from the injections site
I will help my child blow bubbles during the injection
A nurse is talking with the parent of preschool aged child who tells the nurse my child has suddenly become disinterested in certain foods. Which of the following statements should the nurse make? A) during this phase feed your child anything that she will eat B) increase the amount of calories and water your child consumes C) Keep a diary of the foods your child eats each day D) Provide a large variety of fruit juices for your child
Keep a diary of the foods your child eats each day
A nurse is assessing an adolescent who has a new diagnosis of anorexia. which of the following findings should the nurse expect? A) Increased blood pressure B) lanugo over the back C) oily skin with acne D) elevated body temperature
Lanugo over the back
A nurse is planning care for an adolescent who has sickle cell anemia and is eperienceing a vaso-occlusive crisis. Which of the following interventions should the nurse include in the plan? A) Apply cold compresses to the childs extremities B) Administer meperidine every 4 hr until the crisis has resolved C) Maintain the child on bed rest D) Decrease the childs fluid intake for 8 ht
Maintain the child on bed rest
A nurse is assessing a 6 month old infant. The guardian reports that the infant does not appear interested in the brightly colored mobile hanging above the crib at home. Which of the following techniques should the nurse use to check the infants visual acuity? A) Shine a penlight briefly into the left eye and then the right eye B) Move a brightly colored toy from side to side in the front of the infants face C) Ask the guardian to sit in front of the infant and nod his head up and down D) Observe the infants ability to grasp the feet and pull them to the mouth
Move a brightly colored toy from side to side in the front of the infants face
A nurse is teaching the parent of a child who has ADHD and a new prescription for methylphenidate sustained released tablets. which of the following pieces of information should the nurse include in the teaching? A) Crush the medication and mix it in your childs food B) Administer the medication 1 hr before bedtime C) Expect your child to have cloudy urine while he is taking this medication D) weigh your child twice per week while he is taking this medication
weigh your child twice per week while he is taking this medication
A nurse is teaching the parents of a toddler who has enterobiasis about managing this parasitic disease. Which of the following pieces of information should the nurse include in the teaching? A) you should encourage your child to take a tub bath daily B) you should keep your child fingernails short C) you should dress your child in a 2 piece outfit at bedtime D) you should expect your child not to have a recurrence of the parasitic disease
you should keep your childs fingernails short
A nurse is teaching the parents of an infant who has congenital hypothyroidism. Which of the following directions should the nurse provide? A) your child will need to take estrogen daily when she reaches puberty B) Your child will need monthly blood coagulations studies C) your child will need surgery to remove the diseased thyroid D) your child will need to take thyroid hormone replacement for her entire life
your child will need to take thyroid hormone replacement for her entire life
A nurse in a providers office enters an examination room to assess an 8 month old infant for the first time.. Which of the following reactions by the infant should the nurse expect? A) the infant gives the nurse a social smile B) the infant turns away when the nurse approaches C) the infant reaches out to the nurse to be held D) the infant is responsive and alert as the nurse comes closer
the infant turns away when the nurse approaches
A nurse is providing education for a group of parents about toddler language development during a well child visit. Which of the following findings should the parent expect in an 18 month old toddler? A) ability to refer to self by name B) Vocabulary of 10 or more words C) Following simple directional commands D) naming a single color
vocabulary of 10 or more words
A nurse in the ED is admitting a child who has full thickness burns over 45% of his body. Which of the following actions should the nurse take first? A) Administer IV morphine B) administering topical antimicrobials C) Administer IV fluid replacement D) Administer tetanus prophylaxis
Administer topical antimicrobials
A nurse is providing teaching to the guardian of a 9 month old infant who has a new prescription for an oral liquid medication. Which of the following points should the nurse include in the teaching? A) mix the medication into a small amount of your infants formula to disguise the taste B) use an oral syringe to measure your infants medicine accurately C) position your infant supine when administering the medications D) assist your infant with drinking the medicine from a small paper cup
Use an oral syringe to measure your infants medicine accurately
A nurse is teaching the parents of a 3 year old child who has persistent otitis media about prevention. Which of the following statements by the parents indicates an understanding of the teaching? A) my child should not play around others who have ear infections B) we should not smoke around our child C) my child should not swim this summer D) i will encourage my child to blow his nose forcefully when he has a cold
We should not smoke around our child
A nurse is teaching the guardian of a school aged child who has diabetes mellitus how to recognize DKA. Which of the following findings should the nurse identify as a manifestation of this complication? A) Slow heart rate B) Protruding eyeballs C) Deep, rapid respirations D) Decreased urinary output
Deep, rapid respirations
A nurse is teaching school aged child and his parents how to self administer insulin.Which of the following actions should the nurse take first? A) Allow the parent to administer an injection to the nurse B) have the child teach the injection technique to the parents C) have a parent administer the insulin injection to the child D) demonstrate the injection technique on an orange
Demonstrate the injection technique on an orange
A nurse is providing teaching to the guardian of an adolescent. the guardian reports that the adolescent sleeps about 10 hr on weekend nights. Which of the following responses should the nurse provide? A) your child should have a blood test to check for anemia B) adolescents need more sleep due to rapid growth C) your child should not be staying up so late at night D) if your child eats properly, this should not happen
adolescents need more sleep due to rapid growth
A nurse is planning care for a child who has hyperthermia. Which of the following actions should the nurse take? A) administer antipyretics to the child every 4 to 6 hr B) position the child on a cooling blanket and cover her with a sheet C) place the child in a tub filled with water cooled to 26 to 29 degrees D) Assess the childs temperature every 2 hr during the cooling process
position the child on a cooling blanket and cover her with a sheet
A nurse is reviewing the lab results of an infant who is receiving digoxin and furosemide for the treatment of heart failure. Which of the following findings should the nurse report to the provider? A) sodium 140 meq/l B) calcium 10.2 mg/dl C) Chloride 100 meq/l D) potassium 3.2 meq/l
potassium 3.2 meq/l
A nurse is caring for a 2 year old child who has frequent urinary tract infections. When educating the parents about the preventions of urinary tract infections, Which of the following instructions should the nurse include? A) teach the child to wipe from front to back B) give the child frequent bubble baths C) Urge the child to urinate Q6 hr D) Administer oxybutynin daily
teach the child to wipe from front to back
A nurse is assessing a child who sustained a head injury. During the assessment, The nurse observes clear drainage leaking from the child nose. Which of the following actions should the nurse take? A) perform nasotracheal suctioning B) test and nasal secretions for glucose C) maintain direct lightening on the child D) Lower the head of the bed
test the nasal secretions for glucose
A nurse is performing an annual physical assessment of a preschooler. The parent expresses concern about the child 1.8kg weight gain over the past year. Which of the following responses should the nurse make? A) this amount of weight gain could likely indicate a serious problem B) this weight change seems to be the result off poor eating habits C) your child should have gained double tis amount in a year D) your childs weigh change is expected for this group
your childs weight change is expected for this age group
A nurse is assessing a 2 month old infant who has a ventricular septal defect. Which of the following findings should the nurse report to the provider? A) weight gain of 1.8kg B) Heart rate of 125/min C) Soft, flat fontanel D) Systemic murmur
Weight gain of 1.8 kg
A nurse is assessing the dynamics of a family in which child maltreatment is suspected. Which of the following findings should the nurse report to the provider? A) the parents provide emotional support to the child during the assessment process B) the child has several unexplained scars and bruises C) the child cries and appears afraid of the health care provider D) the parents offer consistent detailed stories about the childs injuries
the child has several unexplained scars and bruises
A nurse is evaluating the outcome of surgery for an infant who had a bile duct obstruction. Which of the following findings should indicate to the nurse that the surgery was successful? A) the infants stool becomes fatty B) the color of the infants stool is yellowish brown C) the infants direct bilirubin level has increased D) A palpable mass is noted in the infants right upper quadrant
The color of the infants stool is yellowish brown
A nurse is providing teaching about immunizations to the parents of a severely immunocompromised child who has HIV. Which of the following statements should the nurse include in her teaching? A) your childs immunizations today will be half doses B) the pneumococcal and influenza vaccines are recommended for your child C) immunizations will be delayed until your child tests HIV negative D) your child will need to restart the immunizations schedule once your childs lab values are within the reference range
The pneumococcal and influenza vaccines are recommended for your child
A nurse is providing teaching to the parent of a toddler who is undergoing insertion of tympanostomy tubes. Which of the following statements should the nurse include? A) the dr will replace the tubes routinely about every 2 years B) if your child gets water i the her ears will not cause any further problems C) the tubes should stay in place until they fall out on their own D) now that the tubes are in place, she should not have any further problems with hearing
The tubes should stay in place until they fall out on their own
During a well child visit the guardian of a toddler reports that the toddler takes several hours to fall asleep at night. Which of the following recommendation should the nurse make? A) Vary the time the toddler goes to bed each night B) allow the toddler to watch television before bedtime C) provide the toddler with favorite stuffed animal at bedtime D) Increase the toddlers activity prior to bedtime
provide the toddler with a favorite stuffed animal at bedtime
A nurse is talking with the parent of an infant. the parent states my 6 year old child started wetting the bed after we brought her baby sister home, she hasn't done that in over a year. This behavior is an indication of which of the following defense mechanisms? A) regression B) repression C) rationalization D) identification
regression
A nurse in the ED is caring for a child who has bruises that support a suspicion of child abuse. Which of the following actions. should the nurse take? A) Ask the child if his parent are responsible for the abuse B) notify the facility risk manager C) interview the child with his parents present D) report the suspected abuse to local authorities
report the suspected abuse to the local authorities
A nurse is assessing a 6 month old infant who recently was admitted with acute vomiting and diarrhea. Which of the following findings indicates the infant has moderate dehydration? A) Bulging anterior fontanel B) bradycardia C) tachypnea D) polyuria
tachypnea
