PassPoint comprehensive

A toddler is diagnosed with iron deficiency anemia. When teaching the parents about using supplemental iron elixir, the nurse should provide which instruction?

"Give the elixir with water or juice."

The nurse is reinforcing education with the parents of a 3-year-old child diagnosed with rubella. The mother has just given birth to a second child. Which statement by the parent best indicates an understanding of the implications of rubella?

"I'll call my neighbor who's 2 months pregnant and tell her not to have contact with my son."

During a well-child visit, the nurse is reinforcing education with the parents of a 2-year-old child. What is the best recommendation a nurse can give to the parents regarding frequent temper tantrums?

Ignore the behavior when it happens.

A toddler-aged client with a history of hydrocephalus is admitted with an infected ventriculoperitoneal shunt. Which assessment takes priority in this toddler?

Monitor for signs of increased intracranial pressure.

A nurse on the pediatric unit who's assigned to the performance improvement committee identifies that admission assessments aren't being completed within the timeframe designated in their standards. Which action should she take first?

Notify the nurse-manager so she can identify contributing factors and devise an action plan.

Parents tell the nurse that they want to begin toilet training their 22-month-old child. What is the most important factor regarding toilet training that the nurse should stress to the parents?

developmental readiness of the child

When auscultating heart sounds on a 2-year-old child, where would the nurse place the stethoscope to hear the first heart sound best?

fifth intercostal space, left midclavicular line

The nurse is caring for a child in the early stages of burn recovery. Which nursing diagnosis does the nurse prioritize?

impaired skin integrity

A 2-year-old child is being treated with rifampin for tuberculosis. Which expected finding does the nurse anticipate?

orange body secretions

The parents of a 4-year-old report that their child has been scratching the rectum recently. About which infestation or condition will the nurse reinforce education?

pinworms

The nurse is caring for a toddler admitted to the hospital with nephrotic syndrome. The nurse carefully monitors the toddler's fluid intake and output and checks urine specimens regularly with a reagent strip. Which finding is the nurse most likely to report?

proteinuria

A nurse working in the emergency department is caring for a 2-year-old child with a skull fracture. The parent states that the child rolled off the sofa, but the injuries do not match the story that the parents tell. Which of the following is the most appropriate action by the nurse?

reporting suspected child abuse to appropriate agencies

A client with bacterial meningitis is admitted to the inpatient unit. Which infection control measure should the nurse be prepared to use?

respirarory isolation

A 2-year-old child with status asthmaticus is admitted to the pediatric unit and begins to receive continuous treatment with albuterol, given by nebulizer. The nurse should observe for which adverse reaction?

tachycardia

A client's caregivers state that they childproofed their home for their 2-year-old. During a home visit, the nurse discovers some situations that show the caregivers don't fully understand the developmental abilities of their toddler. Which situation displays misunderstanding by the caregivers?

toy chest in front of a second-story, locked window

The parents of a 2-year-old scheduled for surgical repair of an inguinal hernia are fearful and their fears are affecting their child. A play therapist is consulted to help with the child's care. The nurse should explain to the parents that the play therapist will:

use puppets to gain insight into how the child feels about his hospitalization and fears.

The nurse is gathering data regarding the physical development of a 33-month-old who is playing. Which activity does the nurse anticipate the toddler being able to complete with minimal assistance? Select all that apply.

washing and drying hands, removing his or her jacket, using a spoon for eating

A 2-year-old child has been diagnosed with asthma. The parents ask about the most common asthma triggers. What is the nurse's response?

weather

A nurse observes a parent in a class performing chest compressions on a simulated 2-year-old child. The nurse knows the parent is doing compression correctly when the nurse observes the compressions being administered approximately how many inches in depth?

2 in (5 cm)

A toddler is having a tonic-clonic seizure. What should the nurse do first?

Remove objects from the child's surroundings.

The charge nurse overhears a nurse complaining that she has been assigned to a toddler diagnosed with tetralogy of Fallot for the past 3 days and the mother is very demanding. Which response by the charge nurse is best?

"It's important for the child to have someone assigned to him who's familiar with his care."

The nurse is reinforcing education about injury prevention to the parents of a toddler. Which instruction is appropriate for the nurse to tell the parents?

"Place locks on cabinets containing toxic substances."

An 18-month-old child is admitted to the hospital with full-thickness burns to the anterior chest. The parent asks how the burns will heal. Which statement would the nurse incorporate in the response?

"Surgical closure and grafting are usually needed."

When reinforcing teaching the parents of a toddler with congenital heart disease, the nurse should explain all medical treatments and emphasize which instruction?

"Try to maintain your child's usual lifestyle to promote normal development."

A 15-month-old child is being discharged after treatment for severe otitis media and bacterial meningitis. Which statement by the parents indicates effective discharge teaching?

"We'll go to the physician if our child pulls on his ears or won't lie down."

When assisting in developing a plan of care for a toddler with a seizure disorder, which of the following would be inappropriate?

Arm restraints while asleep

A 3-year-old child has had surgery to remove a Wilms tumor. Which action should the nurse take first when the parent asks for pain medication for the child?

Assess the child's pain using a smiley face pain scale.

When teaching the mother of a 17-month-old child about toilet training, which instruction would initially be most appropriate?

Be sure the child is ready before starting to toilet train.

An 18-month-old Hispanic toddler admitted to the hospital with bronchitis has red marks on his upper chest over both sides of his body. The mother states that she has been treating him at home. Which treatment has the mother most likely been administering to her toddler?

Coin rubbing

A nurse is reinforcing education with parents on providing adequate nutrition for their toddler who has cerebral palsy. Which observation by the nurse indicates that the education has been effective?

The child eats finger foods independently.

The physician prescribes 300,000 U of penicillin G I.M., for an 18-month-old child. What is the best site for the nurse to administer this injection?

Thigh (vastus lateralis muscle)

The parents of a 2-year-old child with chronic otitis media are concerned that the disorder has affected their child's hearing. Which behavior suggests that the child has a hearing impairment?

Using gestures to express desires

A toddler is brought to the emergency department with sudden onset of abdominal pain, vomiting, and stools that look like red currant jelly. To confirm intussusception, the suspected cause of these findings, the nurse expects the physician to order:

a barium enema.

A 2-year-old child is brought to the emergency department with a history of upper airway infection that has worsened over the last 2 days. The nurse suspects the child has croup. Signs of croup include a hoarse voice, inspiratory stridor, and:

a barking cough.

The nurse is caring for an 18-month-old child admitted to the pediatric unit with a diagnosis of celiac disease. Which finding would the nurse expect to observe in this child?

a protuberant abdomen

The nurse is preparing to administer morning care to a 24-month-old admitted with respiratory syncytial virus bronchiolitis. Keeping in mind the extent to which a child in this age-group can help to meet his own hygiene needs, the nurse can expect to:

allow the toddler to bathe as much of himself as he can with supervision.