Peds 3 part 1

The parents of a 3-year-old child who has recurrent attacks of acute spasmodic laryngitis (spasmodic croup), asks the nurse why this happens to their child. The best rationale for the nurse to convey why this is a disorder of young children is that they? A. Have small airways B. Are mouth breathers C. Have immature immune systems D. Are prone to upper respiratory infections

A. Have small airways

What can you NOT give simultaneously with an iron supplement? A. Milk B. Fruit juice C. Multivitamin D. Poultry

A. Milk

A 3-month-old infant dies shortly after arrival to the emergency department. The infant has subdural and retinal hemorrhages but no signs of external trauma. Which of the following should the nurse suspect? A. Unintentional injury B. Shaken-baby syndrome C. Sudden infant death syndrome (SIDS) D. Congenital neurologic problem

B. Shaken-baby syndrome

A 9 year old with asthma wants to exercise. Which of the following activities should the nurse suggest? A. Soccer b. B. Swimming C. Tennis D. Gymnastics

B. Swimming

The nurse is assessing a child with acute epiglottitis. Examining the child's throat with a tongue depressor might cause what symptom or condition? A. Inspiratory stridor B. Sore throat C. Complete obstruction D. Respiratory tract infection

C. Complete obstruction

A 4 month old girl is brought to the clinic by her mother because she has had a cold for 2 to 3 days and woke up this morning with a hacking cough and difficulty breathing. Which additional assessment finding should alert the nurse that the infant is in acute respiratory distress? A. Bilateral bronchial breath sounds B. Diaphragmatic breathing C. Nasal flaring D. A resting respiratory rate of 36

C. Nasal flaring

The nurse is caring for a 5 year old who is scheduled for a tonsillectomy. Which action should the nurse take in the child's postoperative plan? A. Apply a heat collar for pain relief B. Allow the child to have coffee afterwards since it is clear liquids C. Notify the surgeon if patient swallows frequently D. Offer cold fluids through a straw

C. Notify the surgeon if patient swallows frequently

A nurse is teaching a school age child how to use a peak expiratory flow meter, the child has a good understanding when what statement is made ? A. I will record the average of the readings B. I should be sitting comfortably when I perform the peak flow C. I record the reading at the same time everyday D. I will repeat the routine 3 times and take the highest reading

D. I will repeat the routine 3 times and take the highest reading

A young child is brought to the emergency department with severe dehydration secondary to acute diarrhea and vomiting. What should therapeutic management of this child begin with?A. Antidiarrheals B. Administration of ORS C. Administration of clear liquids D. IV therapy

D. IV therapy

A child is diagnosed with influenza. Management includes which recommendation? A. Clear liquid diet for hydration B. Aspirin for fever C. Antibiotics to prevent bacterial infection D. Tamiflu if given within first 48 hours of symptom onset

D. Tamiflu if given within first 48 hours of symptom onset

Which medication do you NOT use for enuresis ? A. desmopressin B. imipramine C. omeprazole D. oxybutynin

C. omeprazole

A nurse is discussing the need for genetic counseling with a male teenager who has a sibling with cystic fibrosis (CF). Which test, identified by the teenager as necessary for him to undergo, indicates that he understands the genetic counseling? A. Chest x-ray B. Sputum culture C. Sweat chloride D. Chromosomal studies

D. Chromosomal studies

A 2 year old is admitted to the emergency department with drooling, difficulty swallowing, sore throat, high fever and hoarse voice. Which of the following actions should the nurse take? A. Obtain a culture from the toddler's throat B. Administer Haemophilus influenza Type B (Hib) vaccine C. Visually inspect the epiglottis using a tongue depressor D. Prepare for endotracheal intubation

D. Prepare for endotracheal intubation

child is brought to the emergency department by his parents after noted to be "acting funny" a few hours ago while he was being cared for by his grandmother. When she went to take her evening medication, the grandmother noted that her pill container had been opened and some pills were missing. The parents state that the grandmother has a heart condition. Anticipating the emergency care this child will receive, you know? A. The majority of medications have a specific antidote. B. In this case gastric lavage may be used. C. Activated charcoal will most likely be used, and it can be mixed with another drink (milk or juice) to make it more palatable. D. The main concerns are for vital sign assessment, assessment of mental status, and giving cardiac and respiratory support as needed.

D. The main concerns are for vital sign assessment, assessment of mental status, and giving cardiac and respiratory support as needed.

Which of the following can be given in the case of aspirin overdose when there is excessive bleeding ? A. Vitamin C B. Vitamin D C. Vitamin E D. Vitamin K

D. Vitamin K

A 15 year old female student with a history of asthma controlled with both an oral antihistamine and an albuterol inhaler. Lately her cough has prevented sleep at night, she feels shaky and her heart feels like it is beating a mile per minute. Which information is most important for the nurse to obtain? A. When she took her last antihistamine B. When her last asthma attack occurred C. duration of most asthma attacks D. how often the MDI is used daily

D. how often the MDI is used daily

The nurse is teaching the parents of a child recently diagnosed with ADHD who has been prescribed methylphenidate (Ritalin). Which should the nurse include in teaching about the side effects of methylphenidate? Select all that apply? A. "Your child may experience an increase in weight." B. "You may see a decrease in your child's appetite." C. "Your child may experience daytime sleepiness." D."You may see an elevation in your child's blood pressure."

B. "You may see a decrease in your child's appetite." C. "Your child may experience daytime sleepiness." D."You may see an elevation in your child's blood pressure."

Which finding on a newborn assessment should the nurse recognize as suggestive of a clavicle fracture ? A. Negative scarf sign B. Asymmetric Moro reflex C. Swelling of the fingers of the affected side D. Paralysis of extremes and muscles

B. Asymmetric Moro reflex

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? A. Barrel chest B. Audible wheezing C. Heart rate of 105 beats per minute D. Respiratory rate of 25 breaths per minute

B. Audible wheezing

The mother of a 4-year-old health clinic patient asks the nurse about night terrors. Which statement by the mother reveals she has understood teaching? Select all that apply. A. He will grow out of this stage when he is a little older. B. Getting into a specific routine is helpful and can be calming to my son. C. Watching TV with an adult is helpful so that he understands what is real. D. I can help my child with sleep by giving him his favorite stuffed animal or using a night-light C. Our family often sleeps together, and this seems to help.

B. Getting into a specific routine is helpful and can be calming to my son. D. I can help my child with sleep by giving him his favorite stuffed animal or using a night-light

When assessing a child's injury in the emergency department, a nurse suspects physical abuse.Based on this suspicion, the nurse's primary legal responsibility is to? A. Assist the family in identifying resources for support B. Report the case in which the abuse is suspected to the local authorities C. Document the child's physical assessment findings accurately and thoroughly D. Refer the family to the hospital support group

B. Report the case in which the abuse is suspected to the local authorities

A 9 month old child with cystic fibrosis does not like taking pancreatic enzymes with meals and snacks. The mother does not like to force the child to take it. What education can the nurse provide to the mother? A. The child will become dehydrated if the supplement is not taken B. The child needs them to help the digestive system absorb fats, carbohydrates and proteins C. The child needs them to aid in liquefying mucus to keep the lungs clear D. The child will experience diarrhea is the supplement is not taken as prescribed

B. The child needs them to help the digestive system absorb fats, carbohydrates and proteins

A 6 year old who has asthma is demonstrating a prolonged expiratory phase and wheezing and has 35% of personal best peak expiratory flow rate. Her RR is 33 and she is using her accessory muscles to breathe. Based on these findings, which actions should the nurse take first? A. Encourage the child to cough and deep breathe B. Report the assessment findings to the physician C. Administer a prescribed bronchodilator D. Determine which triggers precipitated this attack

C. Administer a prescribed bronchodilator

After teaching the parents of a preschooler who has undergone tonsillectomy and adenoidectomy about appropriate foods to give the child after discharge, which of the following if stated by the parents indicates successful teaching? A. Meatloaf and uncooked carrots B. Pork and noodle casserole C. Cream of chicken soup and orange sherbet D. Hot dog and potato chips

C. Cream of chicken soup and orange sherbet

Beta adrenergic agonist are often prescribed for a child with asthma. Which describes their action? A. Liquefy secretions B. Reduce inflammation in lungs C. Dilate the bronchioles D. Reduce infection

C. Dilate the bronchioles

The nurse receives a call from a parent of a 10 month old child that she has vomited three times in the last 8 hours. The mom describes the baby as being playful and wanting to drink. The parent asks the nurse what to give the child. What is the nurse's best response? A. Replace the next feed with water and see if it is better tolerated. B. Do not give your baby anything to eat or drink for 24 hours to allow the stomach to rest. C. Give your child a small amount of Pedialyte (ORS) and gradually increase the amount. D. Do not allow your baby to eat any solids. Give half of a normal formula feeding.

C. Give your child a small amount of Pedialyte (ORS) and gradually increase the amount.

An 11 year old is admitted for treatment of an asthma exacerbation. Which of the following indicates immediate intervention is needed? A. Thin, copious secretions B. Productive cough C. Intercostal retractions D. Respiratory rate of 24 breaths a minute

C. Intercostal retractions

After returning from surgery an infant suddenly becomes cyanotic. What is the nurse's priority intervention? A. Check vital signs B. Administer oxygen C. Suction the nasopharynx D. Place in the side-lying position

C. Suction the nasopharynx

When caring for a child with probable appendicitis, the nurse should be alert to recognize that which condition or symptom is a sign of perforation? A. Bradycardia B. Decreased abdominal distention C. Sudden relief of pain D. Anorexia

C. Sudden relief of pain

A toddler is admitted to the emergency department with a diagnosis of acute spasmodic laryngitis (spasmotic croup). After the spasms subside the child is ready to be discharged.What should the nurse teach the parents to do at home to help prevent another croup episode? A. Perform postural drainage B. Discourage before bedtime snacks C. Use a cool mist vaporizer in the child's room D. Demonstrate to the child how to expel air after inspiration

C. Use a cool mist vaporizer in the child's room

A 2 year old child has viral pharyngitis. The nurse should advise the parents to do which of the following? Select all that apply? A. Use cool mist vaporizer B. Use a warm mist vaporizer C. Offer salt water gargles D. Administer amoxicillin E. Administer acetaminophen for fever

A. Use cool mist vaporizer C. Offer salt water gargles E. Administer acetaminophen for fever

A nurse in the pediatric intensive care unit is assessing a 6-month-old infant with bronchiolitis. What physiological responses to this lower respiratory tract infection does the nurse expect? Select all that apply.a. A. Wheezing B. Bradycardia C. Sternal retractions D. Increased breath sounds E. Prolonged expiratory phase

A. Wheezing C. Sternal retractions E. Prolonged expiratory phase

Effective 2 person CPR on a 5 year old should include which of the following? A. 2 breaths and 15 compression B. 2 breaths and 30 compression

A. 2 breaths and 15 compression

Which of the following children may need fluid restriction to prevent overload? Select all that apply? A. A patient with increased cerebrospinal fluid. B. A patient with heart failure. C. A patient with vomiting and diarrhea. D. A patient with a fever of unknown origin

A. A patient with increased cerebrospinal fluid. B. A patient with heart failure.

An 8-year-old child with a history of asthma is brought to the emergency department because of respiratory distress. The nurse immediately places the child in a bed with the head of the bed elevated and administers oxygen via a facemask. The practitioner performs a physical assessment, writes the following orders below, and admits the child to the pediatric unit. Which order should the nurse carry out first? A. Administer the nebulizer treatment to facilitate breathing B. Obtain a blood specimen to send to the laboratory for tests C. Notify the respiratory therapist to perform chest physiotherapy D. Send a requisition to central supply for an incentive spirometer

A. Administer the nebulizer treatment to facilitate breathing

An inlauls parents asks about preventing OM. What should be the nurse's best response? A. Avoid tobacco smoke B. Use nasal decongestant C. Avoid other children with OM D. Bottle feed or breastfeed in supine position

A. Avoid tobacco smoke

Parental guidelines for relieving colic include which of the following? SATA A. Changing positions B. Omeprazole C. Simethicone D. Zofran

A. Changing positions C. Simethicone

After insertion of bilateral tympanostomy tubes in a toddler, which of the following instructions should the nurse include in the child's discharge plan for the parents? A. Insert ear plugs in the canals when the child bathes B. Blow the nose forcibly during a cold C. Administer the prescribed antibiotic while tubes are in place D. Disregard any drainage from the ear after 1 week

A. Insert ear plugs in the canals when the child bathes

A nurse performs cupping, percussion, and postural drainage every 4 hours for a 6-month-old infant with cystic fibrosis. When is the best time for scheduling chest physiotherapy? A. Just before feedings B. During each feeding C. Midway between feedings D. Immediately after every feeding

A. Just before feedings

A newborn that has severe jaundice are at risk of developing which of the following? A. Kernicterus B. Respiratory distress C. Blood incompatibility D. Impetigo

A. Kernicterus

The nurse is teaching a patient about his diagnosis of mononucleosis. Which of the following statéments indicates a need for further teaching? A. Mononucleosis is a bacterial infection that is treated with 10 days of Amoxicillin. B. Mononucleosis is diagnosed with a blood test called the mono spot. C. In Mononucleosis that causes spleen enlargement, patients have to avoid sports for 3 months. D. Mononucleosis is transmitted through saliva

A. Mononucleosis is a bacterial infection that is treated with 10 days of Amoxicillin.

After teaching the parents of a toddler about commonly aspirated foods which of the following foods if identified by the parents as easily aspirated would indicate successful teaching? Select all that apply. A. Popcorn B. Round candy C. Hot dogs D. Gerber toddler snacks

A. Popcorn B. Round candy C. Hot dogs