Ped nursing

Which of the following would be inappropriate when administering chemotherapy to a child? A. Monitoring the child for both general and specific adverse effects B. Observing the child for 10 minutes to note for signs of anaphylaxis C. Administering medication through a free-flowing intravenous line D. Assessing for signs of infusion infiltration and iritation

B. Observing the child for 10 minutes to note for signs of anaphylaxis

When developing a plan care for a hospitalized child, nurse Mica knows that children in which age group is most likely to view illness as a punishment for misdeeds?

B. Preschool age

Nurse Sunshine suspects that a child, age 4, is being neglected physically. To best assess the child's nutritional status, the nurse should ask the parents which question? A. "Has your child always been so thin?" B. "Is your child a picky eater?" C. "What did your child eat for breakfast?" D. "Do you think your child eats enough?"

C. "What did your child eat for breakfast?"

Molly, with suspected rheumatic fever, is admitted to the pediatric unit. When obtaining the child's history, the nurse considers which information to be most important? A. A fever that started 3 days ago B. Lack of interest in food C. A recent episode of pharyngitis D. Vomiting for 2 days

C. A recent episode of pharyngitis Rationale: A recent episode of pharyngitis is the most important factor in establishing the diagnosis of rheumatic fever. Although the child may have a history of fever or vomiting or lack interest in food, these findings are not specific to rheumatic fever.

To decrease the likelihood of bradyarrhythmias in children during endotracheal intubation, succinylcholine (Anectine) used with which of the following agents?

C. Atropine sulfate

A female child, age 2, is brought to the emergency department after ingesting an unknown number of aspirin tablets about 30 minutes earlier. On entering the examination room, the child is crying and clinging to the mother. Which data should the nurse obtain first? A. Heart rate, respiratory rate, and blood pressure B. Recent exposure to communicable diseases C. Number of immunizations received D. Height and weight

A. Heart rate, respiratory rate, and blood pressure

The nurse is evaluating a female child with acute post streptococcal glomerulonephritis for signs of improvement. Which finding typically is the earliest sign of improvement? A. Increased urine output B. Increased appetite C. Increased energy level D. Decreased diarrhea

A. Increased urine output

Which of the following is most likely associated with a cerebrovascular accident (CVA) resulting from congenital heart disease? A. Polycythemia B. Cardiomyopathy C. Endocarditis D. Low blood pressure

A. Polycythemia

Nurse Walter should expect a 3-year-old child to be able to perform which action? A. Ride a tricycle B. Tle the shoelaces C. Roller-skates D. Jump rope

A. Ride a tricycle

At the community center, the nurse leads an adolescent health information group, which often expands into other areas of discussion. She knows that these youths are trying to find out "who they are," and discussion often focuses on which directions they want to take in school and life, as well as peer relationships. According to Erikson, this stage is known as: A. identity vs. role confusion. B. adolescent rebellion. C. career experimentation. D. relationship testing

A. identity vs. role confusion.

Which of the following situations increase the risk of lead poisoning in children? A. playing in the park with heavy traffic and with many vehicles passing by B. playing sand in the park C. playing plastic balls with other children D. playing with stuffed toys at home

A. playing in the park with heavy traffic and with many vehicles passing by

Kim is using bronchodilators for asthma. The side effects of these drugs that you need to monitor this patient for include: A. tachycardia, nausea, vomiting, heart palpitations, inability to sleep, restlessness, and seizures. B. tachycardia, headache, dyspnea, temp. 101 F, and wheezing. C. blurred vision, tachycardia, hypertension, headache, insomnia, and oliguria.

A. tachycardia, nausea, vomiting, heart palpitations, inability to sleep, restlessness, and seizures.

Sudden infant death syndrome (SIDS) is one of the most common causes of death in infants. At what age is the diagnosis of SIDS most likely? A. 1 to 2 years of age B. At I week to 1 year of age, peaking at 2 to 4 months C. At months to 1 year of age, peaking at 10 months D. At 6 to 8 weeks of age

B. At I week to 1 year of age, peaking at 2 to 4 months

When developing a plan of care for a male adolescent, the nurse considers the child's psychosocial needs. During adolescence, psychosocial development focuses on: A. Becoming industrious B. Establishing an identity C. Achieving intimacy D. Developing initiative

B. Establishing an identity

During a well-baby visit, Liza asks the nurse when she instruct her to introduce which solid food first? A. Applesauce B. Egg whites C. Rice cereal D. Yogurt

C. Rice cereal

Sunshine, age 13, has had a lumbar puncture to examine the CSF to determine if bacterial infection exists. The best position to keep her in after the procedure is: A. Prone for two hours to prevent aspiration, should she vomit. B. Semi-Fowler's so she can watch TV for five hours and be entertained. C. Supine for several hours, to prevent a headache. D. On her right sides to encourage return of CSF

C. Supine for several hours, to prevent a headache.

Which of the The nurse is assessing a 9-month-old boy for a well-baby check up following observations would be of most concern? A .The baby cannot say "mama" when he wants his mother. B. The mother has not given him finger foods. C. The child does not sit unsupported. D. The baby cries whenever the mother goes out.

C. The child does not sit unsupported.

Dr. Jones prescribes corticosteroids for a child with nephritic syndrome. What is the primary purpose of administering corticosteroids to this child? A. To increase blood pressure B. To reduce inflammation C. To decrease proteinuria D. To prevent infection

C. To decrease proteinuria

A child with a poor nutritional status and weight loss is at risk for a negative nitrogen balance. To help diagnose this problem, the nurse in charge anticipates that the doctor will order which laboratory test? A. Total iron-binding capacity B. Hemoglobin C. Total protein D. Serum transferrin

C. Total protein

A child is diagnosed with Wilms' the nurse in charge expects to detect: tumor. During assessment, A. Gross hematuria B. Dysurla C. Nausea and vomiting D. An abdominal mass

D. An abdominal mass

Which of the following is the best method for performing a physical examination on a toddler A. From head to toe B. Distally to proximally C. From abdomen to toes, the to head D. From least to most intrusive

D. From least to most intrusive

When administering an I.M. injection to an infant, the nurse in charge should use which site? A. Deltoid B. Dorsogluteal C. Ventrogluteal D. Vastus lateralis

D. Vastus lateralis

The nurse is assessing a newborn who had undergone vaginal delivery. Which of the following findings is least likely to be observed in a normal newborn? A. uneven head shape B. respirations are irregular, abdominal, 30-60 bpm C. (+) Moro reflex D. heart rate is 80 bpm

D. heart rate is 80 bpm

The adolescent patient has symptoms of meningitis: nuchal rigidity, fever, vomiting, and lethargy. The nurse knows to prepare for the following test: A. blood culture. B. throat and ear culture. C. CAT scan. D. lumbar puncture.

D. lumbar puncture.

Cherry, the mother of an 11-month-old girl, Elizabeth, is in the clinic for her daughter's immunizations. She expresses concern to the nurse that Elizabeth cannot yet walk. The nurse correctly replies that, according to the Denver Developmental Screen, the median age for walking is: A. 12 months. B. 15 months. C. 10 months. D. 14 months.

A. 12 months.

Parents bring their infant to the clinic, seeking treatment for vomiting and diarrhea that has lasted for 2 days. On assessment, the nurse in charge detects dry mucous membranes and lethargy. What other findings suggests a fluid volume deficit? A. A sunken fontanel B. Decreased pulse rate C. Increased blood pressure D. Low urine specific gravity

A. A sunken fontanel

A 1-year-and 2-month-old child weighing 26 Ib (11.8 kg) is admitted traction to treat congenital hip dislocation. When preparing the patient's room, the nurse anticipates using which traction system? A. Bryant's traction B. Buck's extension traction C. Overhead suspension traction D. 90-90 traction

A. Bryant's traction

What should be the initial bolus of crystalloid fluid replacement for a pediatric patient in shock? A 20 ml/kg B. 10 ml/kg C. 30 ml/kg D. 15 ml/kg

A 20 ml/kg

Mandy, age 12, is brought to the clinic for evaluation for a suspected eating disorder. To best assess the effects of role and relationship patterns on the child's nutritional intake, the nurse should ask: A. "What activities do you engage in during the day? B. "Do you have any allergies to foods? C. "Do you like yourself physically?" D. "What kinds of food do you like to eat?"

C. "Do you like yourself physically?"

How should the nurse prepare a suspension before administration? A. By diluting it with normal saline solution B. By diluting it with 5% dextrose solution C. By shaking it so that all the drug particles are dispersed uniformly D. By crushing remaining particles with a mortar and pestle

C. By shaking it so that all the drug particles are dispersed uniformly

Which of the following blood study results would the nurse expect as most likely when caring for the child with iron deficiency anemia? A. Increased hemoglobin B. Normal hematocrit C. Decreased mean corpuscular volume (MCV) D. Normal total iron-binding capacity (TIBC)

C. Decreased mean corpuscular volume (MCV)

Which of the following organisms is responsible for the development of rheumatic fever? A. Streptococcal pneumonia B. Haemophilus influenza C. Group A B-hemolytic streptococcus D. Staphylococcus aureus

C. Group A B-hemolytic streptococcus

Hannah, age 12, is 7 months pregnant. When teaching parenting skills to an adolescent, the nurse knows that which teaching strategy is least effective? A. Providing a one-on-one demonstration and requesting a return demonstration, using a live infant model B. Initiating a teenage parent support group with first - and - second-time mothers C. Using audiovisual aids that show discussions of feelings and skills D. Providing age-appropriate reading materials

D. Providing age-appropriate reading materials

When performing a physical examination on an infant, the nurse in charge notes abnormally low-set ears. This finding is associated with: A. Otogenous tetanus B. Tracheoesophageal fistula C. Congenital heart defects D. Renal anomalies

D. Renal anomalies

How does the nurse appropriately administer Mycostatin suspension in an infant? A. Have the infant drink water, and then administer myostatin in a syringe B. Place Mycostatin on the nipple of the feeding bottle and have the infant suck it C. Mix Mycostatin with formula D. Swab Mycostatin on the affected areas

D. Swab Mycostatin on the affected areas

A mother asks the nurse how to handle her 5-year-old child, who recently started wetting the pants after being completely toilet trained. The child just started attending nursery school 2 days a week. Which principle should guide the nurse's response? A. The child forgets previously learned skills B. The child experiences growth while regressing, regrouping, and then progressing C. The parents may refer less mature behaviors D. The child returns to a level of behavior that increases the sense of security.

D. The child returns to a level of behavior that increases the sense of security.

The nurse answers a call bell and finds a frightened mother whose child, the patient, is having a seizure. Which of these actions should the nurse take? A. The nurse should insert a padded tongue blade in the patient's mouth to prevent the child from swallowing or choking on his tongue. B. The nurse should help the mother restrain the child to prevent him from injuring himself. C. The nurse should call the operator to page for seizure assistance. D. The nurse should clear the area and position the client safely.

D. The nurse should clear the area and position the client safely.

Lily, age 5, with an intelligence quotient of 65 is admitted to the hospital for evaluation. When planning care, the nurse should keep in mind that this child is: A. Within the lower range of normal intelligence B. Mildly retarded but educable C. Moderately retarded but trainable D. Completely dependent on others for care

B. Mildly retarded but educable

Nurse Kim is teaching a group of parents about otitis media. When discussing why children are predisposed to this disorder, the nurse should mention the significance of which anatomical feature? A. Eustachian tubes B. Nasopharynx C. Tympanic membrane D. External ear canal

A. Eustachian tubes

An inborn error of metabolism that causes a premature destruction of RBC? A. G6PD B. Homocystinuria C. Phenylketonuria D. Celiac Disease

A. G6PD

What should the her 2-year old child does not finish his meals A mother tells the nurse that she is very worried because nurse advise the mother? A. make the child seat with the family in the dining room until he finishes his meal B. provide quiet environment for the child before meals C. do not give snacks to the child before meals D. put the child on a chair and feed him

C. do not give snacks to the child before meals

Buck's traction with a 10 Ib. weight is securing a patient's leg while she is waiting for surgery to repair a hip fracture. It is important to check circulation- sensation-movement: A. every shift. B. every day C. every 4 hours. D. every 15 minutes.

C. every 4 hours.

The nurse is drawing blood from the diabetic patient for a glycosylated hemoglobin test. She explains to the woman that the test is used to determine: A. the highest glucose level in the past week. B. her insulin level. C. glucose levels over the past several months. D. her usual fasting glucose level.

C. glucose levels over the past several months.

The twelve-year-old boy has fractured his arm because of a fall from his bike. After the injury has been casted, the nurse knows it is most important to perform all of the following assessments on the area distal to the injury except: A. capillary refill. B. radial and ulnar pulse. C. finger movement D. skin integrity

D. skin integrity

A female child, age 6, is brought to the health clinic for a routine checkup. To assess the child's vision, the nurse should ask: A. "Do you have any problems seeing different colors?" B. "Do you have trouble seeing at night?" C. "Do you have problems with glare?" D. "How are you doing in school?"

D. "How are you doing in school?"

When evaluating a severely knows that one indicator of a high risk for suicide is depressed adolescent, the nurse A Depression B. Excessive sleepiness C.A history of cocaine use D. A preoccupation with death

D. A preoccupation with death