Pediatric Nursing Role and Growth/Development Quiz

What assessment finding in a newborn is suggestive of cystic fibrosis? Abdominal distention Rapid heart rate Excessive crying Sternal retractions

Abdominal distention

A nurse manager is providing a class on cystic fibrosis for the pediatric staff nurses. Physiologic adaptations to cystic fibrosis are a result of which problem? Pathology of mucus-secreting glands Dysfunction of sweat glands Inactivity of respiratory tract cilia Overproduction of endocrine gland activity

Pathology of mucus-secreting glands

Which nursing actions are developmentally appropriate when caring for a hospitalized preschool-age child? Select all that apply. Using toys for distraction during a painful procedure Providing brochures regarding home care options Offering medical equipment to play with prior to a procedure Providing clear instructions about details of a procedure that will occur near discharge

Using toys for distraction during a painful procedure, Offering medical equipment to play with prior to a procedure

The nurse educates the parents of a toddler-age client regarding play and toys appropriate for this stage of development. Which parental responses indicate correct understanding of the information presented? Select all that apply. "We should expect our child to participate in parallel play." "We should provide our child with finger paints to foster creativity." "We should allow our child to watch as much television as she wants." "We should provide our child with toys that foster her imagination, such as a doll." "We should provide our child with toys so that we are able to finish household chores."

"We should expect our child to participate in parallel play." "We should provide our child with finger paints to foster creativity." "We should provide our child with toys that foster her imagination, such as a doll."

A nurse in the pediatric clinic is assessing an 8-year-old child who has had asthma since infancy. What clinical finding requires immediate intervention? Audible wheezing barrel chest heart rate of 105 beats/min respiratory rate of 30 breaths/min

Audible wheezing

The nurse, talking with the parents of a toddler who is struggling with toilet training, reassures them that their child is demonstrating a typical developmental stage. According to Erikson, which developmental stage will the nurse document in the medical record for this toddler? Autonomy versus shame and doubt Trust versus mistrust Initiative versus guilt Industry versus inferiority

Autonomy versus shame and doubt

A 2-year-old child is admitted with multiple fractures and bruises, and abuse is suspected. Which nursing assessment findings support this suspicion? Select all that apply. Difficulty consoling Underdevelopment for age Thumb-sucking Bedwetting Demands for physical closeness

Difficulty consoling Underdevelopment for age

Which pain scale should a nurse use to measure the intensity of pain in toddlers? FACES scale Visual analogue scale Numerical rating scale Verbal descriptor scale

FACES scale

An infant with bronchiolitis caused by respiratory syncytial virus (RSV) is admitted to the pediatric unit. What does the nurse expect the prescribed treatment to include? Humidified cool air and adequate hydration Postural drainage and oxygen by hood Bronchodilators and cough suppressants Corticosteroids and broad-spectrum antibiotics

Humidified cool air and adequate hydration

The parents of an 8-year-old state that their son seems very interested in trying new activities. When the parents ask for suggested activities for this age child, the nurse recommends scouts as an activity that will foster growth and development. In which stage of Erikson's "psychosocial stages of development" is this child Industry versus inferiority Trust versus mistrust Initiative versus guilt Identity versus role confusion

Industry versus inferiority

An infant is admitted to the pediatric unit with bronchiolitis caused by respiratory syncytial virus (RSV). What interventions are appropriate nursing care for the infant? Select all that apply. Instilling saline nose drops Limiting fluid intake Maintaining contact precautions Administering warm humidified oxygen Suctioning mucus with a bulb syringe

Instilling saline nose drops, Maintaining contact precautions, Suctioning mucus with a bulb syringe

A 6-month-old infant is brought to the emergency department in severe respiratory distress. A diagnosis of respiratory syncytial virus (RSV) infection is made, and the infant is admitted to the pediatric unit. What should be included in the nursing plan of care? Maintain standard and contact precautions. Place in a warm, dry environment. Administer prescribed antibiotic immediately. Allow parents and siblings to room in with the infant.

Maintain standard and contact precautions.

Several hours after admission of a child to the pediatric unit with laryngotracheobronchitis (viral croup), the nurse determines that tachypnea and tachycardia, accompanied by intercostal and substernal retractions and increased restlessness, have developed. What is the priority nursing action? Reporting the respiratory status to the practitioner Suctioning secretions from the trachea Dislodging mucus by striking the back Increasing the concentration of oxygen being delivered

Reporting the respiratory status to the practitioner

Which assessment findings should the nurse expect when caring for a child with cystic fibrosis? (Select all that apply.) Steatorrhea Obesity Foul-smelling stools Delayed growth Pulmonary congestion

Steatorrhea, Foul-smelling stools, Delayed growth, Pulmonary congestion

A nurse is performing a respiratory assessment of an 8-month-old child with the diagnosis of viral pneumonia. The nurse identifies bronchial breath sounds over areas of consolidation, mild substernal retractions, profuse mucus production, pallor, and a temperature of 102° F (38.9° C). What is the priority nursing action? Suctioning the nasopharynx so a patent airway can be maintained Starting an intravenous infusion to provide necessary fluids and electrolytes Calling the respiratory therapist to start preparations for oxygen administration Notifying the practitioner of the fever so a prescription for an antipyretic can be issued

Suctioning the nasopharynx so a patent airway can be maintained

The nurse instructs parents to avoid placing their infant in a prone position while sleeping. Which risk does the nurse seek to prevent with this instruction? Sudden infant death syndrome Otitis media of the ear Conjunctivitis of the eye Infantile colic or baby colic

Sudden infant death syndrome

A 6-year-old child with a leg fracture of suspicious origin is brought into the emergency department by the mother and the mother's boyfriend. It is the child's first visit to this hospital. After assessing the child, a nurse anticipates that the healthcare provider will order a skeletal survey. Why is a skeletal survey the preferred diagnostic tool? The skeletal history of the current fracture and any previous healing or healed fractures are identified. It is the first step toward a complete assessment before computed tomography and magnetic resonance imaging are done. Three separate x-ray films of the leg and hip should be ordered, making it more cost-effective. The exact location and extent of the fracture will be pinpointed.

The skeletal history of the current fracture and any previous healing or healed fractures are identified.

Which major gross motor development skills would the nurse expect to see demonstrated during a teaching session with parents of a 12-month old client who is entering the toddler stage of development? Walking alone Drawing a stick figure person Showing interest in cooperative play Beginning to develop object permanence

Walking alone

The nurse is providing care to an infant who is diagnosed with bronchiolitis. Which breath sounds indicate the infant is experiencing respiratory distress? Select all that apply. Wheezing Grunting Retractions Tachypnea

Wheezing, grunting

An adolescent is accompanied by the mother for an annual physical examination. The nurse is aware of privacy issues related to the adolescent. While the mother is in the room, the nurse should avoid which questions? Select all that apply. sexual activity cigarette smoking school performance use of alcohol car seatbelt use

sexual activity, cigarette smoking, use of alcohol