Nursing Care of Children-B
Q: A charge nurse is preparing to make a room assignment for a newly admitted school age child. Which of the following considerations is the nurse's priority when making a room assignment?
A: Disease process.
Q: A nurse is caring for a toddler who has acute otitis media and a temp of 40 C (104 F). After administering acetaminophen, which of the following actions should the nurse plan to take to reduce the toddler/s temp?
A: Dress the toddler in minimal clothing.
Q: A nurse is caring for a school-age child who is receiving cefazolin via intermittent IV bolus. The child suddenly develops diffuse flushing of the skin and angioedema. After discontinuing the medication infusion, which of the following medications should the nurse administer first?
A: Epinephrine.
Q: A nurse is admitting a 4 month old infant who has heart failure. Which of the following findings is the nurse's priority?
A: Episodes of vomiting.
Q: A school nurse is assessing a school age child who has erythema infectiosum (fifth disease). Which of the following findings should the nurse expect?
A: Facial rash.
Q: A nurse is caring for a school age child who is receiving a blood transfusion. Which of the following manifestations should alert the nurse to a possible hemolytic transfusion reaction?
A: Flank pain.
Q: A nurse in an ED is caring for a school age child who has appendicitis and rates his abdominal pain at 7/10. Which of the following actions should the nurse take?
A: Give morphine 0.05 mg/kg IV.
Q: A nurse is monitoring the oxygen saturation level of an infant using pulse oximetry. The nurse should secure the sensor to which of the following areas on the infant?
A: Great toe.
Q: A nurse is providing teaching to the parent of a preschooler about ways to prevent acute asthma attacks. Which of the following statement by the parent should the nurse identify as understanding the teaching?
A: I should keep my child indoors when I mow the yard.
Q: A nurse is providing discharge teaching to the parent of a school age child who has undergone a tonsillectomy. Which of the following statements by the parent should the nurse identify as understanding the teaching?
A: I will notify the Dr if I notice that my child is swallowing frequently.
Q: A nurse is teaching the parent of an infant who has a Pavlik harness to treat developmental dysplasia of the hip. The nurse should identify that which of the following statements by the parent indicates an understanding of the teaching?
A: I will place my infant's diapers under the harness straps.
Q: A nurse is planning care for a preschooler who has cystic fibrosis. Which of the following interventions should the nurse include in the plan?
A: Increase fat content in the child's diet to 40% of total calories.
Q: A nurse in the ED is assessing a toddler who has Kawasaki disease. Which of the following findings should the nurse expect? (Select All)
A: Increased temp Xerophthalmia Cervical lymphadenopathy.
Q: A nurse is assessing an 8 year old child who has early indications of shock. After establishing an airway and stabilizing the child's respirations, which of the following actions should the nurse take next?
A: Initiate IV access.
Q: A nurse is admitting a school-age child who has pertussis. Which of the following actions should the nurse take?
A: Initiate droplet precautions for the child.
Q: A nurse is planning care for a school age child who is in the oliguric phase of acute kidney injury (AKI) and has a sodium level of 129 mEq/L. Which of the following interventions should the nurse include in the plan?
A: Initiate seizure precautions for the child.
Q: A hospice nurse is caring for a preschooler who has a terminal illness. The father tells the nurse that he cannot cope anymore and has decided to move out of the house. Which of the following statements should the nurse make?
A: Let's talk about some of the ways you have handled previous stressors in your life.
Q: A nurse is teaching a group of parents about infectious mononucleosis. Which of the following statements by a parent should the nurse identify as understanding the teaching?
A: Mono is caused by an infection with the Epstein-Barr virus.
Q: A nurse is caring for a toddler who is experiencing acute diarrhea and has moderate dehydration. Which of the following nutritional items should the nurse offer to the toddler?
A: Oral re-hydration solution.
Q: A nurse is caring for an infant who is receiving IV fluids for the treatment of tetralogy of allot and begins to have a hypercyanotic spell. Which of the following actions should the nurse take?
A: Place the infant in a knee-chest position.
Q: A nurse in an ED suspects that a toddler has epiglottis. Which of the following actions should the nurse take?
A: Prepare the toddler for nasotracheal intubation.
Q: A nurse is assessing a 6 month old infant at a well infant visit. Which of the following findings should the nurse report to the provider?
A: Presence of strabismus.
Q: A nurse is providing discharge teaching to the parents of a Caucasian toddler who had a lower leg cast applied 24 hr ago. The nurse should instruct the parents to report which of the following findings to the provider?
A: Restricted ability to move the toes.
Q: A nurse is caring for a school age child who is receiving chem and is severely immunocompromised. Which of the following actions should the nurse take?
A: Screen the child's visitors for indication of infection.
Q: A nurse is caring for an adolescent who received a kidney transplant. Which of the following findings should the nurse identify as an indication the adolescent is rejecting the kidney?
A: Serum creatinine 3.0 mg/dl.
Q: A nurse is assessing a toddler who has gastroenteritis and is exhibiting manifestations of dehydration. Which of the following findings should the nurse address first?
A: Tachypnea.
Q: A nurse is planning an educational program for school age children and their parents about bicycle safety. Which of the following information should the nurse plan to include?
A: The child should be able to stand on the balls of her feet when sitting on the bike.
Q: A nurse is interviewing the parent of an 18 month old toddler during a well child visit. The nurse should identify that which of the following findings indicates a need to assess the toddler for hearing loss?
A: The toddler received tobramycin during a hospitalization 2 weeks ago.
Q: A nurse is assessing a toddler who has leukemia and is receiving his first round of chemo. Which of the following findings is the priority for the nurse to report to the provider?
A: Urticaria.
Q: A nurse is planning care for a school age child who has a tunneled central venous access device. Which of the following interventions should the nurse include in the plan?
A: Use a semipermeable transparent dressing to cover the site.
Q: A nurse in an ED is caring for a school-age child who has sustained a superficial minor burn from fireworks on his forearm. Which of the following actions should the nurse take?
A: Use an antimicrobial ointment on the affected area.
Q: A nurse is admitting an infant who has intussusception. Which of the following finding should the nurse expect? Select all that apply.
A: Vomiting, Lethargy.
Q: A nurse in an ED is auscultating the lungs of an adolescent who is experiencing dyspnea. The nurse should identify the sound as which of the following?
A: Wheezes.
Q: A nurse is teaching the mother of a 6 month old infant about teething. Which of the following statements should the nurse make?
A: Your baby may pull at her ears when she is teething.
Q: A nurse is caring for a school-age child who has diabetes mellitus and was admitted with a diagnosis of diabetic ketoacidosis. When performing the respiratory assessment, which of the following findings should the nurse expect?
A: Deep respirations of 32/min.
Q: A nurse is reviewing lab results of a school age child who is 1 week postoperative following an open fracture repair. Which of the following values should the nurse identify as an indication of a potential complication?
A: Erythrocyte sedimentation rate 18 mm/hr.
Q: A nurse is discussing organ donation with the parents of a school age child who has sustained brain death due to a bicycling accident. Which of the following actions should the nurse take first?
A: Explore the parents' feelings and wishes regarding organ donation.
Q: A nurse is reviewing the lab report of a 6 year old child who is receiving chemotherapy. Which of the following laboratory values should the nurse report to the provider?
A: Hgb 8.5g/dL.
Q: A nurse is teaching a school age child who has anew diagnosis of type 1 diabetes mellitus. The nurse should identify which of the following statements by the child as understanding the teaching?
A: I will give myself a shot of regular insulin 30 minutes before I eat breakfast.
Q: A nurse is reviewing the lumbar puncture results of a school age child suspected of having bacterial meningitis. which of the following results should the nurse identify as a finding associated with bacterial meningitis?
A: Increased protein concentration.
Q: A nurse is caring for a school age child who has acute rheumatic fever. Which of the following actions should the nurse take?
A: Maintain the child on bed rest.
Q: A nurse is teaching a school age child and his parent about postoperative care following cardiac catheterization. Which of the following instructions should the nurse include?
A: Wait 3 days before taking a tub bath.
Q: A nurse is providing anticipatory guidance to the parents of an 8 month old infant during a well-child visit. Which of the following statements should the nurse make?
A: Your baby should be able to sit unsupported.
Q: A nurse is providing teaching to the parent of an infant who has diaper dermatitis. The nurse should teach the parent to apply which of the following to the affected area?
A: Zinc Oxide.
Q: A school nurse is preparing to administer atomoxetine 1.2 mg/kg/day PO to a school aged child who weights 75 lbs. Available is atomoxetine 40 mg/capsule. How many capsules should the nurse administer per day?
A: 1 capsule.
Q: A school nurse is assessing an adolescent who has scoliosis. Which of the following findings should the nurse expect?
A: A unilateral rib hump.
Q: A nurse is assessing a school age child who has appendicitis with possible perforation. The nurse should identify which of the following as a manifestation of peritonitis?
A: Abdominal distention.
Q: A nurse is caring for a 2 week old infant who is breastfeeding and requires a heel stick. Which of the following actions should the nurse take to minimize the infant's pain?
A: Administer sucrose to the infant prior to the procedure.
Q: A nurse is providing discharge teaching to the parents of a 6 month old infant who is postoperative following hypospadias repair with a stent placement. Which of the following instruction should the nurse include in the teaching?
A: Allow the stent to drain directly into your infants diaper.
Q: A nurse is preparing to administer a hep B vaccine to a 1 month of infant. The nurse should plan to inject the medication at which of the following locations?
A: C vastus lateralis.
Q: A nurse is providing anticipatory guidance to the parents of a 2 week old infant about risk factors for sudden infant death syndrome (SIDS). Which of the following risk factors should the nurse include in the teaching?
A: Covering the sleeping infant with a blanket.
Q: A nurse is assessing a 4 year old child at a well child visit. Which of the following developmental milestones should the nurse expect to observe?
A: Cuts a shape using scissors.
Q: A nurse is assessing a school age child who has an infratentorial brain tumor. Which of the following findings should the nurse identify as a manifestation of increased intracranial pressure?
A: Decreased attention span.
Q: A nurse is assessing an infant who has a ventricular septal defect. Which of the following findings should the nurse expect?
A: Loud, harsh murmur.
Q: A nurse is caring for a school age child who has experience a tonic clonic seizure. Which of the following actions should the nurse take during the immediate postictal period?
A: Place the child in a lateral position.
Q: A community health nurse is assessing an 18 month old toddler in a community day care. Which of the following findings should the nurse identify as a potential indication of physical neglect?
A: Poor personal hygiene.
Q: A nurse is creating a plan of care for a school age child who has heart disease and has developed heart failure. Which of they following interventions should the nurse include in the plan?
A: Provide small, frequent meals to the child.
Q: A nurse is caring for a newly admitted school age child who has hypopituitarism. Which of the following medications should the nurse expect the provider to recommend to the parents for treating the child's condition?
A: Recombinant growth hormone.
Q: A nurse is preparing to suction an infant who has a tracheostomy. Which of the following actions should the nurse take?
A: Suction for 5 seconds or less.
Q: A nurse is teaching a school age child who has a severe allergy to bee venom and his parent about epinephrine. Which of the following
A: Use a second dose if the first does of epi does not completely reverse the symptoms.
