Nursing Care of Children Dynamic Quizzes CMS Practice

A nurse is caring for a 10-year-old child who should reduce his fate intake. Which of the following menu choices should the nurse suggest?

3oz of baked chicken on a whole-wheat roll A baked chicken sandwich on a whole wheat bun has the lowest fat content at 6.2g

A nurse at clinic is preparing to administer immunizations to a 5-year-old child. Which of the following imunizations should the nurse plan to give?

Children should recieve booster doses of the DTaP immunization between the ages of 4 and 6. Around this age, blood titers drop due to decreasing antibodies

A nurse is conducting a health assessment for a 24-month-old toddler at the local health department. The nurse should expect which of the following findings?

Ability to build a tower of 6 blocks, Slightly bowed or curved leg appearance The nurse should expect a 24-month-old toddler to be able to stack a short tower of 6-7 blocks. 24-month-old will also have a pot-bellied" appearance, the legs should be slightly bowed to support the weight of the comparatively large trunk

After the patient ingests a full bottle of acetaminphen, which of the following medications should the nurse plan to administer?

Acetylcysteine is the antidote for acetaminophen overdose/poisoning.

A school nurse is caring for a child who is experiencing an acute asthma attack. Which of the following medications should the nurse plan to administer to the child?

Albuterol The nurse should plan to administer albuterol to a child who is experiencing an acute exacerbation of asthma. This is considered a rescue medication due to its rapid onset of action.

A nurse is assessing the fine motor skills of a 4-year-old child. The nurse should expect the chuld to be able to perform which of the following activities?

Copying a square The nurse should expect a 4-year-old to be able to copy a square.

A nurse is caring for a client who has a cleft palate. The parents ask the nurse how long they should wait before the child can have corrective surgery. The nurse should explain that the parents should wait no longer than 6-12 months for surgery to prevent which of the following outcomes?

Difficulty with language acquisition. Clients who have a cleft palat can have difficulty acquiring language because they need to use the palate for vocalizing sounds.

A nurse is planning care for a 6-year-old child who is recieving chemotherapy. The child has a highlight platelet count of 20,000/mm^3. Based on this lab value, which of the following interventions should the nurse include in the plan of care?

Encourage quiet play A platelet count of 20,000/mm^3 will predispose the client to excessive bleeding. Quiet play will lessen the client's risk of injury, thereby reducing the change of hemorrhage.

A nurse on a pediatric unit is caring for a child who has autism spectrum disorder. Which of the following actions should the nurse take?

Ensure that staff visits with the child are kept short Children who have autism disorders have difficulty adjusting to new situations. The staff members should keep interactions with the child as brief as possible.

A nurse is planning care for a 4-year-old child who has nephrotic syndrome. Which of the following actions should the nurse take?

Provide thorough skin care The nurse should provide thorough skin care for this child who has nephrotic syndrome. Skin care is especially important due to edema and risk of infection.

A nurse is assessing the gross and fine motor behaviors of a toddler. Which of the following behaviors should the nurse identify as an expected achievement for a 3-year-old child?

Standing on 1 foot for several seconds is expected of a toddler

A nurse is assisting a provider during a femoral venipuncture on a toddler. The nurse should place the child in which of the following positions?

Supine The client should be placed in the supine position, with the legs in a frog position.

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?

The knee-chest psotion, similar to squatting, facilitates the oxygenation of the lungs.

In a child with bilateral pheochromocytoma what would you expect to find?

The nurse should expect the child to exhibit hypertension due to increased production oof catecholamines. (Sweating, weight loss, and polyuria.)

Which activity would the nurse teach the gaurdians of a 4-month-old infant on how to play with the infant?

The nurse should suggest allowing this 4-month-old infant to splash in the bathtub as a play activity. Emphasize and teach bathtub safety.

A nurse is assessing the fine motor skills of a 3-year-old preschooler. Which of the following findings should the nurse expect?

The preschooler builds a tower of 9 cubes. The nurse should expect a 3-year-old preschooler to have the fine motors skills needed to build a tower of 9-10 blocks.

A nurse is assessing a 6-month-old infant during a well-child visit. Which of the following motor activities should the nurse expect the infant to have achieved?

Turning from back to stomach

A nurse is creating a plan of care for a child who has sickle cell anemia and is experiencing a vaso-occlusive crisis. Which of the following interventions is priority for the nurse to include?

When using the ABC approach to client care, the priority intervention is to monitor the child's oxygen saturation level. Promoting oxygen utilization prevents further sickling of the child's red blood cells and allows adequate oxygenation of the surrounding tissue.