PEDS CARDIAC
A nurse is preparing to administer acetaminophen 10/mg/kg/dose to a child who weighs 28 lb. The amount available is acetaminophen 120 mg/5ml. How many ml should the nurse administer? (Round the answer to the nearest tenth.)
5.3 ml
A nurse is preparing an in-service for an annual skills fair at a community medical faciity about fire saftey. Place the steps in the order in which they should be performed in the case of a fire emergency. A. Pull the fire alarm B. Confine the fire C. Extinguish the fire D. Rescue the clients.
D, A, B, C
A nurse is teaching about safety recommendations for car seats with parents of a 24-month-old toddler who is in the 50th percentile for height and weight. Which of the following instructions should the nurse include in the teaching? a. Position the toddler rear- facing in the middle of the back seat. b. Position a booster seat forward-facing in the middle of the back seat. c. Position a convertible seat rear-facing in the front passenger side. d. Position a convertible seat forward-facing in the front passenger side and inactivate the airbag.
a
A nurse is caring for an infant who has a tracheoesophageal fistula. Which of the following findings should the nurse expect? (Select all that apply.) a. Coughing b. Apnea c. Sunken abdomen d. Cyanosis e. Frothy saliva
a, b, d, e
A nurse is caring for a 2-year-old child who is hospitalized and throws a tantrum when hos parent leaves. Which of the following toys should the nurse provide to alleviate the child'd stress? a. Set of building blocks b. toy hammer and pounding board c. Picture book about hospitals d. Stuffed animals
b
A nurse is teaching the parents of a toddler about temper tantrums. Which of the following statements should the nurse include in the teaching? a. "You should leave the room while the tantrum is happening." b. "Temper tantrums are the toddler's attempt to gain control of a situation." c. "You should get a psychological consult for the temper tantrums.' d. "Temper tantrums are a type of learning disability."
b
A parent of a toddler asks a nurse at a well-child visit how the child's frequent temper tantrums can best be handled. Which of the following actions should the nurse suggest to the parent? a. Restrain the child physically b. Ignore the temper tantrums c. Tell the child that temper tantrums are not acceptable d. Distract the child by offering to play a game.
b
A nurse in an ED is assessing a 3-year-old who has a high fever, sever dydpnea, and is drooling. Which of the following actions is the nurse's priority? a. Insert an IV acatheter b. Obtain blood culture specimens. c. Administer an antipyretic d. Prepare for nasotracheal intubation
d
A nurse is caring for a child who has been physically abused by a family member. Which of the following statement should the nurse say to the child? a. "I promise I won't tell anyone about this." b. "Let's discuss what happened with your family." c. "Your family is bad for doing this to you." d. "It is not your fault that this happened."
d
A nurse is collecting data from an adolescent. Which of the following should the nurse identify as the greatest risk for suicide? a. Availability of firearms b. Family conflict c. Homosexuality d. Active psychiatric disorder
d
A nurse has accepted a position on a pediatric unit and is learning about psychosocial development. Place Erikson's stages of psychosocial development in order from birth to adolescence. a. Autonomy vs. Shame and Doubt b. Industry vs. Inferiority c. Identity vs. Role confusion d. Initiative vs. guilt e. Trust vs. mistrust
e, a, d, b, c
A nurse is caring for an 8-year-old child who has acute rheumatic fever. Which of the following assessments is the nurse's priority immediately after admission? a. Ascultating the rate and characteristics of the child's heart sound. b. Using a pain-rating tool to determine the severity of the joint pain. c. Identifying the degree of parental anxiety related to the diagnosis d. Assessing the client's erythematous rash
a
A nurse is collecting data from a child who is descending stairs by placing both feet on each step and holding on to the railing. The nurse should understand that these actions are developmentally appropriate at which of the following ages? a. 3 yrs b. 4 yrs c. 5 yrs d. 6 yrs
a
A nurse is obtaing a health history from a child who has suspected acute rheumatic fever. Which of the following should the nurse ask? a. "Has your son had a sore throat recently?" b. "Was your son born with this cardiac defect?" c. "has your child had any injuries recently?" d. "have you given your child aspirin in the past 2 weeks?"
a
A nurse is planning care for a 10-year-old child who will be hospitalized for an extended period of time. Which of the following actions should the nurse include in the plan of care to meet the client's psychological needs according to Erikson? a. Encourage the client to complete school work. b. Vary the child'd schedule each day. c. Discourage visits from the client's friends. d. Provide a daily session with a play therapist
a
A nurse is preparing to begin chest compression on an infant. The nurse should perform compressions using which of the following techniques? a. Deliver compressions at 1/3 the depth of the chest. b. Deliver compression with the heel of one hand. c. Deliver compressions just above the nipple line. d. Deliver compressions at a depth of 5 cm (2 in).
a
A nurse is reviewing information about the health Insurance Portability and Accountability Act (HIPAA) with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates a need for further teaching? a. "Information about a client can be disclosed to family members at any time." b. "HIPAA established regulations of individually identifiable health information in verbal, electronic, or written form." c. "A client's address would be an example of personally identifiable information." d. "HIPPA is federal law, not a state law."
a
A nurse is speaking with the mother of a 6-year-old child. Which of the following statements by the mother should concern the nurse? a. "The teacher says my child has to squint to see the board." b. "My child has recently lost both front top teeth." c. " My child often cheats when we play board games." d. "Sometimes my child acts bossy with his friends."
a
A nurse is teaching a parent of a 6-month-old infant about car seat safety. Which of the following statements by the parent indicates an understanding of the teaching? a. "Our car seat is an infant model and is anchored in the car." b. "Our car seat is front-facing in the back seat." c. "I can fit my hand between the baby and the car seat harness." d. "The car seat is rear-facing in the front passenger seat."
a
A nurse reports an incident of suspected child abuse. One of the parents of the child becomes upset and demands to know the reason for the nurse's action. Which of the following responses by the nurses is appropriate? a. "As a nurse, I am required by law to report suspected child abuse." b. "I am unable to discuss this, but I can contact my supercisor to speak with you. c. "The provider will be coming to explain the situation." d. "I reported the incident to my supervisor who decided to contact the authorities."
a
a nurse is assessing a 6-month-old infant at a well-child visit. Which of the following findings should the nurse expect? a. Closed posterior fontanel b. Uses thumb and index fingers in a pincer grasp c. Lateral incisors d. Sitting steadily without support.
a
A nurse is caring for a child who has red marks across his cheeks. Which of the following actions should the nurse take? a. Assess the rest of the child's body for a rash b. Refer the family to child protective services. c. Question the parents about how the marks occurred in the child's cheeks. d. Obtain the child's temperature
a Rational: Fith disease presents with erthema on the face, which resembles slap marks. Assess rest of the body and extremities.
A nurse is providing health promotion teaching to the parents of an infant. Which of the following conditions should the nurse identify as the leading cause of death among this age group? a. Congenital anomalies b. respiratory distress c. Low birth weight d. SIDS
a Rational: In the U.S. 1st - Congenital anomalities 2nd- low bith wt 3rd- SIDS 8th- Respiratory distress
A nurse is assessing a toddler at a well-child visit. At what point in the physical examination should the nurse examine the child's tympanic membrane? a. At the end b. At the beginning c. before examining the head and neck d. Before ascultating the chest and abdomen
a Rational: Save invasive procedure for last- part of modified Head-to-toe approach
A nurse is caring for a 3-year-old child whose parents report that she has an intense fear of painful procedures, such as injections. Which of the following strategies should the nurse add to the child's plan of care? (Select all that apply.) a. Have a parent stay with the child during procedure b. Cluster invasive procedures whenever possible c, Perform the procedure as quickly as possible d. Allow the child to keep a toy from home with her. e. use mummy restrains during painful procedures.
a, c, d
A nurse is providing health promotion teaching to the parents of a toddler. Which of the following information should the nurse include in the teaching? (Select all that apply.) a. Management of tantrums b. How to establish trust c. How to encourage cooperative play d. Dental care e. Need for increased caloric intake
a, d
A nurse is preparing to perform an abdominal assessment on a child. Indentity the sequence the nurse should follow. a. Inspect b. Superficial palpation c. Deep palpation d. Auscultation
a, d, b, c
A nurse is assessing a 3-year-old child who has aortic stenosis. Which of the following findinds should the nurse expect? (Select all that apply) a. Hypotension b. Bradycardia c. Clubbing of the nail beds d. weak pulse e. murmur
a, d, e Rational: -Hypotension and weak pulse with aortic stenosis is due to decreased CO. Murmur is due to the narrowing of the aortic valve.
A nurse in a clinic is assessing a 9-month-old infant. Which of the following findings requires futher intervention? a. Positive Babinski reflex b. Positive Moro reflex c. Negative Doll's eye reflex d. Negative Crawl reflex
b
A nurse in an ED is caring for an adolescent following a suicide attempt. After reviewing the client's Hx, the nurse should determine that which of the following is the priority risk factor for suicide completion? a. Active psychiatric disorder b. previous suicide attempt c. Loss of a parent d. hx of substance abuse
b
A nurse is admitting a child who has suspected epiglottis. Which of the following actions should the nurse take first? a. Administer 0.9% NaCl IV soloution. b. Place the child on droplet precaution. c. Initiate IV antibiotics d. Assist with obtaining an x-ray of the child's neck.
b
A nurse is caring for a client who is dying. The client says, "My mother died in the hospital, but I did not get there before she died." Which of the following statements should the nurse make? a. "We will call your family in time for them to get here." b. "I wonder if you are fearful of dying alone." c. "I will make sure a staff member is in your room at all times." d. " I will tell your family of your concern so that they can be here."
b
A nurse is caring for an infant who has a congenital heart defect. Which of the following defects is associated with increased pulmonary blood flow? a. Coarctation of the aorta b. patent ductus arteriosus c. tetralogy of Fallot d. Tricuspid atresia
b
A nurse is collecting data from an infant at a well-child visit. The nurse should understand that the birth weight typically doubles by what age? a. 3 months b. 6 months c. 9 months d. 12 months
b
A nurse is monitoring an infant who is 3 months old and has sneezing, coughing, nasal congestion, intermittent fever, and apneic spells. The nurse should recognize these findings are associated with which of the following diagnoses? a. influenza b. Bronchiolitis c. Croup d. Epiglottitis
b
A nurse is preparing to measure an infant's vital signs. The nurse should use which of the following sites to assess a heart rate? a. Carotid artery b. Apex of the heart c. Brachial artery d. Radial artery
b
A nurse is preparing to perform hand hygiene. Which of the following actions should the nurse take? a. Adjust the water temperature to feel hot. b. Apply 4 to 5 ml of liquid soap t the hands. c. Hold the hand higher than the elbows. d. Rub hands and arms to dry.
b
A nurse is providing teaching about lice to the parents of a school-age child at a well-child visit. Which of the following information should the nurse include in the teaching? a. "Lice can jump from one child to another." b. "Encourage your child to avoid sharing hats with other children." c. "Live lice can survive for 2 weeks away from the host." d. "Washing your child's hair daily will prevent lice."
b
A nurse is teaching a parent of a 2-year-old child about safe food choices. Which of the following foods should the nurse recommend? a. Grapes b. Bananas C. Celery d. Raw carrots
b
A nurse is teaching a parent of an infant who has HF about meeting the infant's nutritional needs. Which of the following statements by the parent indicates an understanding of the teaching? a. "I will feed my baby on a schedule every 4 hrs.' b. "I will add Polycose to each of my baby's bottles." c. "I will allow my baby to take as much time as needed to finish the bottle." d. "I will limit my babies crying to 15 minutes prior to each feeding."
b
the parent of a 4-year-old child tells a nurse that the child believes there are monsters hiding in the closet at bedtime. Which one of the following statements should the nurse make? a. "Let your child sleep in your bed with you." b. "keep a night light on in your child's room." c. "Tell your child that monsters are not real." d. "Stay with your child until the child is asleep."
b
A nurse is caring for a toddler who has acute laryngotracheobronchitis and has been placed in a cool mist tent. Which of the following findings indicates that the treatment has been effective? a. Barking cough b. Improved hydration c. Decreased stridor d. Decreased temperature
c
A nurse is providing health promotion teaching to an adolescent. Which of the following information should the nurse include in the teaching? a. "Share piercing needles only with close friends you trust." b. "Limit your caloric intake to avoid becoming overweight." c. "Your need to sleep will increase during periods of growth." d. "Tanning beds are much safer then lying in the sun."
c
A nurse is providing teaching to a parent of a child who has acute group A Beta- hemolytic streptococci. Which of the following information should the nurse include in the teaching? a. Avoid the use of warm compresses around the head or neck. b. IM injections will be required monthly. c. Replace the child'd toothbrush after 24 hrs on antibiotics. d. Keep the child home from school for at least 1 week.
c
A nurse is providing discharge instructions to the parent of a 10-year-old child following a cardiac catheterization. Which of the following instructions should the nurse include? a. Keep the child home for 1 week. b. Give the child acetaminophen for discomfort c. Offer the child clear liquids for the first 12 hr d. Assist the child to take a tub bath for the first 3 days
c rational: The child might have minor discomfort at the puncture site. The parent should offer either acetaminophen or ibuprofen due to the risk of Reye syndrome associated with taking aspirin. - the child should being fluid intake with sips of clear liquids but can resume her regular diet as soon as she desires. - child should keep the site clean and dry and therefore avoid tub baths for at least 3 days. - should avoid strenous acitivity but can attend school
A nurse is caring for a client who has HF and a prescription for digoxin 125 mcg PO daily. Available is digoxin PO 0.25 mg/tablet. How many tablets should the nurse administer per dose? (Round the answer to the nearest tenth)
0.5 tablet
A nurse is caring for an 18-month-old toddler who has been hospitalized for 10 days. After the toddler's mother leaves the room, the nurse observes the toddle sitting quitely in the corner of the crib, cucking her thumb. When the nurse approaches the crib, the toddler turns away from the nurse. The nurse should understand that these behaviors indicate which of the following developmntal reactions? a. An anxiety reaction b. Regression c. Resentment toward the mother d. Developing autonomy
a
A nurse is admitting a client who has active TB to a room on a medical-surgical unit. Which of the following room assignments should the nurse make for the client? a. A room with air exhaust directly to the outdoor environment. b. A room with another nonsurgical client c. A room in the ICU d. A room that is within view of the nurses' station
a
A nurse is caring for a 12-month-old toddler who is hospitalized and confined to a room with contact precautions in place. Which of the following toys should the nurse recommend in order to meet the developmental needs of the client? a. Large building blocks d. Hanging crib toys c. Modeling clay d. Crayons and a coloring book
a
A nurse is caring for a child who has kawasaki disease. Which of the following systems should the nurse monitor in response to this diagnosis? a. Cardiovascular b. Gastrointestinal c. Integumentary d. Respiratory
a
A nurse is preparing to discharge a child who has a new prescription for an oral antibiotic. Which of the following information should the nurse include in the discharge instructions? (Select all that apply.) a. The reason why the child is taking the medication b. Written information about the medication c. Stopping the medication when the child feels better d. The adverse effects of the medication e. Using a kitchen spoon to administer the medication
a, b, d
A nurse is teaching the parents of a 10-year-old infant about home safety. Which of the following information should the nurse include in the teaching? (Select all that apply.) a. Serve food in smaill, non-circular pieces. b. Tie plastic bags in knots before discarding them c. Install accordion style gates. d. Set the water heater at 65.6 degree Celcius (!50 degree F). e. Fit the mattress so that it is snug against the sides of the crib.
a, b, e
A nurse is caring for a school-age child who has mild persistent asthma. Which of the following is an expected finding? (Select all that apply.) a. Symptoms are continuous throughout the day. b. Daytime symptoms occur more than twice a week. c. Nightime symptoms occur approximately twice a month. d. Minor limitations occur with normal activity. e. Peak expiratory flow (PEF) is greater than or equal to 80% of the predicted value.
b, d, e
A nurse is assessing a preschooler. Which of the following findings should indicate to the nurse a need for speech therapy? (Select all that apply) a. The preschooler stutters when speaking b. The preschooler mispronounces words. c. The preschooler speaks in three-word sentences. d. The preschooler talks to himself when reading. e. The preschooler speaks in a nasal tone
b, e
A nurse in a special education program is planning care for a child who has autism spectrum disorder. Which of the following interventions should the nurse include in the plan of care? a. Allow for adjustment of rules to correlate with the child's behavior b. Provide a flexible schedule that adjusts to the child's interest. c. Allow for imaginative play with peers without supervision. d. Establish a reward system for positive behavior.
d
A nurse is assessing a toddler who has heart failure. Which of the following findings should the nurse expect? a. Weight loss b. Increased urine output c. Bradycardia d. Orthopnea
d
A nurse is assessing the psychosocial development of a toddler. The nurse should recognize that this stage is characterized by which of the following? a. Imaginary playmates b. Erikson's stage of initiative vs. guilt c. Demonstrations of sexual curiosity d. Negative behaviors characterized by the need for autonomy
d
A nurse is providing teaching to the parents of a child who has streptococcal pharyngitis about ways to prevent disease transmission. Which of the following responses by the parents indicatess an understanding of the teaching? a. "We'll continue to encourage him to drink lots of fluids." b. "We'll take his temperature every 4 hrs." c. "We'll give him tylenol for the pain." d. We'll discard his toothbrush and buy another."
d
A nurse is teaching an assistive personnel to measure a newborn's respiratory rate. Which of the following statements indicates an understanding of why the respiratory rate should be counted for a complete minute? a. "Newborns are abdominal breathers." b. "Newborns do not expand their lungs fully with each respiration." c. "Activity with increase the respiratory rate." d. "The rate and rhythm of breath are irregular in newborns."
d
A nurse in a clinic is assessing a 7 month-old infant. Which of the following indicates a need for further evaluation? a. Uses a unidextrous grasp b. Has a fear of stranger c. Shows preferences towards foods d. Babbles one-syllable sounds
d Rational: 7 month old should babble in chained syllables such as mama, baba (4 sistinct vowel sounds)