Learning System RN 3.0 Nursing Care of Children Final Quiz
A nurse is caring for a child who has a vesicular rash. The parents of the child ask the nurse what illness can cause this rash for 6 days. The nurse should expect that the child has which of the following conditions?
Varicella
A nurse is preparing to administer an intramuscular injection to a 2-month-old infant. In which of the following sties should the nurse plan to administer the injection?
Vastus lateralis
A nurse is caring for a child who is receiving treatment for diabetic ketoacidosis and has current blood glucose level of 250mg/dL. Which of the following actions should the nurse take?
Administer D5NS by continuous IV infusion
A nurse is caring for a 4-month old child who has acute otitis media and a fever of 38.3 C (101 F). Which of the following medications should the nurse administer?
Amoxicillin
A school nurse is assessing a child who has been stung by a bee. The child's hand is swelling and the nurse notes that the child has allergies to insect stings. Which of the following findings should the nurse expect if the child develops anaphylaxis? Select all that apply?
Nausea, urticaria, stridor
A nurse is planning care for a preschool-age child who has autism and is being admitted to the facility. Which of the following actions should the nurse plan to take?
Encourage the parents to bring in the child's stuffed animal
A nurse is teaching parents of a 10-year-old child who has iron-deficiency anemia. Which of the following statements by a parent indicates an understanding of the teaching?
I will administer the iron tablet with orange juice
A nurse is providing postoperative teaching for the parent of a 3-month-old infant who is recovering from an umbilical hernia repair. Which of the following statements by the parent indicates an understanding of the teaching?
I will fold my baby's diaper away from the incision
A nurse is caring for a 2-day-old infant who has a myelomeningocele. Which of the following actions should the nurse take?
Monitor the infant's head circumference
A nurse is teaching the parents of a child who has rheumatic fever. Which of the following statements by a parent indicates an understanding of the teaching?
My child may take aspirin for his joint pain
A nurse is teaching to a group of parents of adolescents about developmental needs. Which of the following statements by a parent should the nurse investigate further?
My child spends 4 hours per day in internet chat rooms
A nurse is caring for a child who has an exacerbation of cystic fibrosis. Which of the following laboratory findings should the nurse report to the provider immediately?
Oxygen saturation 85%
A school nurse is assessing an adolescent child 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 teaching about poisoning prevention to a group of parents who have toddlers. Which of the following statements should the nurse make?
Put all cleaning supplies in a locked cabinet
A nurse is admitting a child who has a cute lymphocyte leukemia. Which of the following laboratory values should the nurse expect?
RBC 2.5 million/uL
A nurse is caring for a child who has Tetralogy of Fallot. Which of the following laboratory values should the nurse expect to find?
RBC 6.8 million/uL
A nurse is preparing a school-age child for a tonsillectomy. Which of the following actions should the nurse take?
Schedule the child for a preoperative visit to the facility
A nurse is caring for a school-age child who has glomerulonephritis. The child has decreased urinary output, a blood pressure of 160/78 mmHg, and is receiving hydralazine. Which of the following lunch choices should the nurse recommend?
3 oz grilled chicken, 1 cup of pear slices, and 120 ml (4oz) of apple juice
A nurse is caring for a 10-year-old child who should reduce his fat intake. Which of the following menu choices should the nurse suggest?
3 oz of baked chicken on a whole wheat roll
A nurse on the pediatric unit is caring for a group of clients. Which of the following findings should be the nurse's priority?
A child who has sickle cell anemia and a urine specific gravity of 1.030
A nurse is caring for a child who has been in Buck's traction for 2 days. Which of the following actions should the nurse take to prevent complications?
Check for pulses in the affected leg every 4 hours
A nurse is caring for a child who has acute glomerulonephritis. Which of the following actions should the nurse take?
Check the child's blood pressure every 4 hours
A nurse is planning care for a 6-year-old child who is receiving chemotherapy. The child has a highlight platelet count of 20,000/mm3. Based on this laboratory value, which of the following interventions should the nurse include in the plan of care?
Encourage quiet play
A nurse is caring for a toddler who has asthma. The parents care concerned about the toddler's reaction to the hospitalization. Which of the following actions should the nurse take to decrease the child's anxiety?
Encourage rooming-in
A nurse is assessing the pain level of a 3-year-old who is postoperative following abdominal surgery. Which of the following pain scales should the nurse use?
FACES pain rating scale
A nurse is caring for an 8-year-old child who has sickle cell anemia. Which of the following actions should the nurse take first?
Give the child flavored popsicles
A nurse is teaching a parent of an infant who has a colostomy. Which of the following statements by the parent indicates an understanding of the teaching?
I need to apply paste to the back of the wafer of my child's appliance
A nurse is teaching the parents of a 4-month-old infant who has gastroesophageal reflux. Which of the following statements by the parent indicates an understanding of the teaching?
I will add 1 teaspoon of rice cereal per ounce to my baby's formula
A nurse is caring for a child who has cystic fibrosis and a pulmonary infection. Which of the following finding sis the nurse's priority?
Inability to clear secretions
A nurse is caring for a 4-year-old child who has pneumonia. The child's mother left 2 hours ago, and he is currently experiencing the separation anxiety stage of despair. Which of the following findings should the nurse expect?
Inactive and thumb sucking
A nurse is caring for a child who has suspected nephrotic syndrome. Which of the following laboratory values should the nurse expect?
Serum cholesterol 700mg/dL
A nurse is caring for a 4-year-old child who has superficial partial-thickness burns over 50% of his body. When planning for the nutritional needs of the child, which of the following actions should the nurse plan to take?
Supplement the child's feedings with enteral feedings
A nurse is caring for a 2-year old child who has frequent highlight urinary tract infections. When educating the parents about the prevention of urinary tract infections, which of the following instructions should the nurse include in the teaching?
Teach the child to wipe from front to back
A nurse is reviewing the medical record of a 2-month-old infant who has rotavirus. The nurse notes a hemoglobin level of 12g/dL and a hematocrit of 51%. Which of the following statements by the nurse indicates an understanding of the laboratory values?
The infant might be dehydrated
A nurse is teaching a group of parents of toddlers about growth and development. A parent asks, "Why does my child's abdomen stick out?" Which of the following statements should the nurse make?
Toddlers don't have well developed abdominal muscles
A nurse is caring for a group of infants who have congenital heart defects. For which of the following defects should the nurse expect to observe cyanosis?
Transposition of great arteries
A nurse is teaching a school-age child who has a new diagnosis of T1DM. which of the following statements should the nurse make?
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?
Your child will need a botulinum toxin A injection to help with muscle spasticity
A nurse is teaching the parents of an infant who has congenital hypothyroidism. Which of the following statements should the nurse make?
Your child will need to take thyroid hormone replacement for her entire life
A nurse is caring for a child who has epistaxis. Which of the following actions should the nurse take?
Apply continuous pressure to the child's nose for at least 10 minutes
A nurse is assessing an adolescent who has sustained a broken tibia. Following the application of a fiberglass cast, the adolescent reports pain and a tingling feeling in the limb. Which of the following actions should the nurse take first?
Assess for manifestations of circulatory impairment
A nurse is caring for a child who is in the emergency department after ingestion a bottle of acetaminophen. Which of the following medications should the nurse plan to administer?
Acetylcysteine
A nurse at a clinic is preparing to administer 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 teaching a school-age child who is to undergo a bone marrow aspiration. Which of the following statements should the nurse make?
I will place a pressure dressing over the area following the procedure
A nurse is caring for a 6-month-old infant who has intussusception. Which of the following actions should the nurse take?
Prepare the child for a barium enema
A nurse is caring for a child who adheres to a vegetarian diet and has sustained superficial partial-thickness burns. The nurse should recommend which of the following food choices as having the highest protein content?
½ cup of peanut butter with apple slices
A nurse is teaching the parents of a 3-year-old who has persistent otitis media about prevention. Which of the following statements by the parents indicates and understanding of the teaching?
We should not smoke around our child
A nurse is preparing to administer diphenhydramine 5mg/kg/day PO to divide equally every 8 hours to a school-age child who weighs 50 lb. Available is diphenhydramine oral solution 12.5mg/5ml. How many ml should the nurse administer per dose?
15 ml
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 preparing to administer acetaminophen 240mg PO daily to a child who has a temperature of 38.9 C (102 F). The amount available is acetaminophen oral solution 160mg/5ml. How many ml should the nurse administer per dose?
7.5 ml