Learning System RN 3.0 Nursing Care of Children
A nurse is caring for a toddler. Which of the following objects should the nurse select from the playroom for this child during hospitalization?
10-piece wooden puzzle
A nurse is teaching the parents of a 4-month-old infant who has gastroesophageal reflux. Which of the following statements by a parent indicates an understanding of the teaching?
A. I will add 1 teaspoon of rice cereal per ounce to my baby's formula
A nurse in the ED is caring for a child who accidentally ingested an overdose of acetaminophen. Which of the following medications should the nuse expect to administer?
Acetylcysteine
A nurse is performing a well-child assessment on a 7-year-old client who takes great pride in bringing school papers home. The nurse recognizes this behavior demonstrates which of the following of Erikson's stages of psychosocial development?
B. industry vs inferiority
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 bowl cleaner. The childs lips are edematous and inflamed, and he is drooling. Which of the following is the priority action by the nurse?
Check the childs respiratory status
A nurse is assessing a child who is postop and received a unit of packed RBCs during a surgical procedure. Which of the following findings indicates the child is experiencing a hemolytic transfusion reaction?
Chills and flank pain
A nurse is creating a plan of care for a 6-month-old infant who requires continuous pulse oximetry monitoring. Which of the following interventions should the nurse include?
Cover the oximetry sensor with clothing
A nurse is teaching the parent of an infant about food allergens. Which of the following is the most common food allergy in children?
Cow's milk
A nurse is teaching the guardian of a school age child who diabetes mellitus how to recognize DKA. Which of the following findings should the nurse identify as a manifestation of this complication?
Deep, rapid respirations
A nurse is developing a health education program for parents of school aged females. Which of the following pieces of information regarding sexual maturation should the nurse include?
Higher body fat content is associated with earlier onset of menarche
A nurse is providing teaching to a 13-year-old client who has type 1 diabetes. Which of the following client statements indicates an understanding of diabetes management?
I should check my blood glucose levels more often when I am sick
A nurse is providing discharge teaching for the parent of a newborn who is prescribed a Pavlik harness for developmental dysplasia of the hip. Which of the following responses indicates an understanding of the teaching?
I should lightly massage my baby underneath the straps once a day
A nurse is caring for a child who has an exacerbation of cystic fibrosis. Which of the following lab findings should the nurse report to the provider immediately?
Oxygen saturation 85%
A nurse is assessing a 3-year-old child who is 1 day postoperative following a tonsillectomy. Which of the following methods should the nurse use to determine if the child is experiencing pain?
Use the FACES scale
A charge nurse on a pediatric unit receives the lab results for several clients. Which of the following results should the nurse report to the provider?
A client who has DKA and a blood glucose of 375 mg/dL
A nurse is caring for a preschooler who was brought to an outpatient clinic with a 2-day history of a vesicular, honey-colored crusty region around the nose and mouth. If the provider determines the lesions to be impetigo contagiosa, what should the nurse anticipate teaching the childs parent about the illness? (SATA)
Apply a topical antibacterial ointment to the lesions Wash the childs bed linens daily with hot water Wash hands before and after contact with the affected area
A nurse is performing a physical assess on a 6-month-old infant. Which of the following reflexes should the nurse expect to find?
B. Babinski
A nurse is providing teaching to an adolescent client who has juvenile idiopathic arthritis. Which of the following instructions should the nurse include in the teaching?
Attend school regularly
A nurse is planning care for an infant who has heart failure. Which of the following interventions should the nurse include in the plan to meet the nutritional needs of the infant? (SATA)
B C D E (all EXCEPT offer feeding every 2 hr)
A nurse is providing education about the introduction of solid foods for the parent of an infant. Which of the following instruction should the nurse include?
Begin after the extrusion reflex has diminished
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?
Believes that her own thoughts can cause death
A nurse is caring for a 2-year-old child who has cystic fibrosis. The nurse is planning to take the child to the playroom. Which of the following activities would be appropriate for the child?
Building towers with blocks
A nurse is performing a nutritional screening for a 12-year-old client who weighs 41 kg and has a height of 1.5 m. Which of the following values is the clients body mass index?
C. 18.2
A nurse is caring for a 6-year-old child who is experiencing encopresis. Which of the following actions should the nurse take?
C. Determine if there are any recent stressors in the child's environment
A nurse is teaching the guardian of a preschooler. The guardian states that the preschooler has had an imaginary playmate for about 3 months. Which of the following pieces of information should the nurse give the guardian?
C. Have your child take responsibility for actions if he tries to blame the imaginary friend
A nurse is caring for a 15-mont-old client who requires droplet precautions. Which of the following actions should the nurse take?
C. Wear a mask when assisting the toddler with meals
A nurse is teaching a school-age child who has a new diagnosis of type 1 diabetes mellitus. Which of the following statements should the nurse make?
C. You can use a vial of insulin for up to 30 days
A nurse is teaching the parents of a child who has cerebral palsy. Which of the following statements should the nurse make?
C. Your child will need a botulinum toxin A injection to reduce muscle spasticity
A nurse is assessing a child who has stage 1 Hodgkin disease. Which of the following findings should the nurse expect?
Enlarged lymph nodes
A nurse is preparing to admin recommended immunizations to a 2-month-old infant. Which of the following immunizations should the nurse plan to administer?
Haemophilus influenzae type B (Hib) and inactivated polio virus (IPV)
A nurse in the ED is caring for a 12-year-old child who has ingested bleach. Which of the following statements by the nurse indicates an understanding of this ingestion?
Injury by a corrosive liquid is more extensive than by a corrosive solid
A nurse is reviewing lab findings of an adolescent who has acute renal failure. Which of the following findings should the nurse expect?
Metabolic acidosis
A nurse is creating a plan of care for a child who has leukopenia secondary to chemotherapy. Which of the following interventions should the nurse include in the plan?
Monitor the child for increased temperature
A nurse is talking with the parents of a 4-month-old infant about growth and development. Which of the following statements indicates that the parent needs further teaching?
My baby loves to play with the pillows in her crib
A nurse is performing a neurological examination on a 15-month-old toddler. Which of the following findings should the nurse expect?
Negative Babinski reflex
A school nurse is assessing an adolescent who returned to school following a case of mononucleosis. The child has a note from his provider excusing him from gym class. Which of the following findings should the nurse identify as the reason for this excusal?
Potential for sustaining abdominal trauma
A nurse is assessing a 6-year-old client at a well-child visit. Which of the following findings requires further assessments by the nurse?
Presence of sparse, fine pubic hair
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?
Pushing a toy lawn mower
A nurse is assessing a child who is postoperative. Which of the following findings should the nurse identify as an indication that naloxone should be administered?
Respiratory depression
A nurse is preparing to assess a 2-year-old toddler. Which of the following behaviors should the nurse expect during the examination?
The child prefers to sit on the parents lap during the examination
A nurse is preparing to admin an intramuscular injection to a 2-month-old infant. In which of the following sites should the nurse plan to admin the injection?
Vastus lateralis
A nurse is caring for a 3-year-old child who has a cyanotic cardiac defect. The child cries when her parents leave the room, worsening her cyanosis and dyspnea. Into which of the following positions should the nurse place the child to improve these manifestations?
Knee-chest
A nurse is assessing a 30-month-old toddler during a well-child visit. Which of the following findings requires further assessment by the nurse?
The toddlers birth weight is tripled
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?
The tubes should stay in place until they fall out on their own
A nurse is caring for a group of infants with congenital heart defects. For which of the following defects should the nurse expect to observe cyanosis?
Transposition of great arteries
A nurse on a peds unit is planning care for a preschooler who will be having a surgical procedure in the morning. The child has been crying despite his parents presence at his bedside. The nurse should add engaging the child in therapeutic play to the care plan to offer which of the following benefits?
Allow the child to manipulate toy medical equipment
A nurse is providing teaching to the guardians of a 4-month-old infant on how to play with the infant. Which of the following play activities should the nurse suggest for this infant?
Allow the infant to splash in the bathtub
A nurse on a pediatric oncology unit is helping the parents of a child who is terminally ill to prepare for the impending loss of their child. Which of the following statements should the nurse make?
C. Would you like assistance in planning where your child will die?
A nurse is assessing a 24-month-old toddler who has a new diagnosis of autism spectrum disorder. Which of the following findings should the nurse expect?
Impaired language skills
A nurse is providing teaching about home care to the parents of an infant who has diaper dermatitis. Which of the following instructions should the nurse include?
D. Leave the zinc oxide ointment intact and reapply as necessary during diaper changes
A nurse is caring for an adolescent who has sickle cell anemia. Which of the following manifestations is/are the result of chronic vaso-occlusive phenomena? (SATA0
Enlarged heart Enuresis Leg ulcers Retinal detachment
A nurse is developing a plan of care for a school age child who underwent a surgical procedure that resulted in a temporary loss of vision. Which of the following interventions should the nurse include in the plan of care?
Explain the sounds the child is hearing
A school nurse is providing dietary teaching for an adolescent who has type 1 diabetes mellitus. Which of the following responses by the adolescent indicates an understanding of the teaching? (SATA)
I should eat extra food on busy days when I am more active I should increase my intake of sugar-free fluids when I am sick I should eat a snack 30 min before my baseball games start
A charge nurse is reviewing the expected growth and development of school-aged children with a group of staff nurses. Which of the following statements should the nurse include?
A 6-year old child should be able to count 13 coins
A nurse is performing a developmental assessment on a 3-year-old child. Which of the following commands should the nurse expect the child to complete successfully?
A. Put your shoes on
A nurse is providing teaching to the parents of an infant who is breastfeeding. When should the nurse instruct the parents to introduce solid foods in the infant's diet?
D. At 4 to 6 months of age
A nurse at a clinic is preparing to admin immunizations to a 5-year-old child. Which of the following immunizations should the nurse plan to give?
Diphtheria, tetanus, and pertussis (DTaP)
A nurse is providing teaching to the parents of a school-aged child who has type 1 diabetes mellitus about managing hypoglycemia. Which of the following responses by a parent indicates an understanding of the teaching?
I will make sure my child drinks 240 mL of milk as soon as possible
A nurse is providing teaching about home care to the guardian of a school-aged child who has seizures. Which of the following statements by the guardian indicates an understanding of the teaching?
I will turn my child on her side when a seizure begins
A nurse is teaching the parent of a child who has type 1diabetes how to manage the child's disorder during an illness such as a cold. Which of the following indicates an understanding of the teaching?
I'll check his blood glucose more often
A nurse is assessing a 9-month-old infant during a well-child visit. Which of the following findings indicates that the infant has a developmental delay?
Inability to vocalize vowel sounds
A nurse is caring for a preschool age child who has mucosal ulceration after receiving chemotherapy. Which of the following actions should the nurse take?
Instruct the child to use a soft-sponge toothbrush when brushing her teeth
A nurse is providing discharge teaching to the parents of a child who has nephrotic syndrome. Which of the following instructions should the nurse include in the teaching?
Keep the child away from people who have an infection
A nurse is assessing a child who sustained a head injury. During the assessment, the nurse observes clear drainage leaking from the childs nose. Which of the following actions should the nurse take?
Perform nasotracheal suctioning
A nurse is caring for an 8-year-old client who has acute glomerulonephritis. Which of the following findings should the nurse expect?
Periorbital edema
A nurse is caring for a 4-month-old client who is hospitalized. Which of the following toys should the nurse provide for the child?
Plastic mirror
A nurse is teaching the parent of an infant about home safety. Which of the following pieces of information should the nurse include? (SATA)
Position the car so its rear-facing Secure a safety gate at the top and bottom of the stairs Maintain the water heater temperature at 49C (120F)
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?
Position the child on his side
A nurse is caring for a school-aged child who has sickle cell anemia and was admitted for a vaso-occlusive crisis. Which of the following findings should the nurse report to the provider immediately?
Slurred speech
A nurse in a provider's office receives a phone call from the guardian of an infant who just vomited after the administration of digoxin. Which of the following actions should the nurse take?
Tell the guardian that a repeat dose of medication should not be given
An 18-month-old infant has Pneumocystis carinii enzyme-linked immunosorbent asses (ELISA) testing indicate that she is HIV positive. When planning care, the nurse should consider which of the following factors?
The infants mother is likely HIV positive
A nurse is providing education to the parent of a toddler who is about to receive an MMR immunization. Which of the following statements by the parent indicates an understanding of the teaching?
I will help my child to blow bubbles during the injection
A nurse is 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?
C. Longer intestinal tract
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?
C. Immediately after the child wakes up in the morning
