Peds Custom Unit 2 Exam Prep
A nurse is caring for a 2 month old infant who is post operative following surgical repair of a cleft lip. Which of the following. Which of the following actions should the nurse take?
Encourage the parents to rock the infant.
A nurse is caring for a 6 month old infant who is postoperative following a myringotomy. Which of the following pain scales should the nurse use to determine the infant's pain level?
FLACC
A school nurse is assessing of a child for pediculosis capitis. Which of the following manifestations should the nurse recognize as an indication of this condition?
Firmly attached white particles on the hair
A nurse is monitoring a child for manifestations of hemorrhage following a tonsillectomy. Which of the following findings is a manifestation of this post operative complication?
Frequent swallowing
A nurse is caring for for a 6 month old infant. Which of the following findings indicates to the nurse that the infant may be experiencing pain?
Furrowed brow
A nurse is providing discharge instructions to the parent of a 10-year-old child following cardiac catheterization. Which of the following instructions should the nurse include?
Give the child acetaminophen for discomfort.
A nurse is caring for a child who is admitted with suspected acute appendicitis. Which of the following manifestations should indicate to the nurse that the child's appendix is perforated?
Sudden decrease in abdominal pain
A nurse is caring for a child who has otitis media with effusion. the nurse should identify that which of the following manifestations indicates a tympanic membrane rupture?
Sudden pain relief
A school nurse identifies a child with pediculosis capitis and educates the child's parents about the condition. Which of the following statements by the parents indicates an understanding of the teaching?
"All recently used clothing, bedding, and towels must be washed in hot water."
A parent calls a clinic and reports to a nurse that his 2 month old infant is hungry more than usual but is projectile vomiting immediately after eating. Which of the following responses should the nurse make?
"Bring your baby in to the clinic today."
A nurse is obtaining a health history from a child who has suspected rheumatic fever. Which of the following questions should the nurse ask?
"Has your son had a sore throat recently?"
A nurse is teaching the mother of a 5-year-old child who has cystic fibrosis about pancreatic enzymes. The nurse should understand that further teaching is necessary when the mother states which of the following?
"I will give my son the enzymes between meals."
A nurse is caring for a child who has suspected appendicitis. Which of the following provider prescriptions should the nurse clarify?
Administer sodium biphosphate/sodium phosphate.
A nurse is caring for a newborn whose mother voices concerns about sudden infant death syndrome (SIDS). The nurse should include which of the following statements in a discussion with the mother?
"Placing your child on her back when sleeping will decrease the risk of SIDS."
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?
"The teacher says my child has to squint to see the board."
A nurse is providing discharge teaching about nutrition to the parents of a child who has cystic fibrosis (CF). Which of the following responses by the parents indicates an understanding of the teaching?
"We will give our child pancreatic enzymes with snacks and meals."
A nurse is caring for an infant who has congenital heart disease. Which of the following actions should the nurse take? For each nursing action, click to specify if the action is indicated or contraindicated for the client.
-Prepare to assist with the insertion of a chest tube. Contraindicated -Perform nasopharyngeal suctioning for a maximum of 5 seconds. Contraindicated -Request a prescription for a diuretic. Contraindicated -Place the infant in a knee-chest position. Indicated -Provide 100% oxygen by face mask. Indicated -Administer morphine via IV bolus. Indicated
A nurse is admitting an infant who has severe dehydration from acute gastroenteritis?
13% weight loss
A nurse is reviewing data for four children. Which of the following children should the nurse assess first?
A 10-year-old child who has sickle cell anemia who reports severe chest pain
A nurse on a pediatric unit is assessing a 1-month-old infant. Cyanosis noted on oral mucus membranes, nailbeds, and around the mouth. A gallop rhythm is present that does not improve with positional changes. Pedal pulses difficult to palpate. Skin is cool to palpation on arms and legs. Capillary refill greater than 3 seconds on all extremities.
Administer Prostaglandin E1, prepare infant for an arterial switch operation (ASO) Transposition of the great vessels Urine output and daily weight
A nurse is caring for an infant. Which of the following actions should the nurse plan to take?
Administer antipyretics. Indicated Perform nasal suctioning with aspirator. Indicated Perform routine chest percussion. Non-essential Encourage oral fluids. Contraindicated Administer a bronchodilator. Nonessential Initiate IV fluids. Indicated Administer oxygen. Nonessential
a nurse is assisting with the admission of a child who has measles. Which of the following isolations precautions should the nurse initiate?
Airborne
A nurse is planning care for a 10 month infant who is following a cleft palate repair. which of the following interventions should the nurse include in the infants plan of care?
Apply and release elbow restraints every hour.
A nurse is caring for a child who has red marks across his cheeks. Which of the following actions should the nurse take?
Assess the rest of the child's body for a rash.
A nurse is caring for an 8-year-old child with rheumatic fever. Which of the following assessments is the nurse's priority immediately after admission?
Auscultating the rate and characteristics of the child's heart sounds
A nurse is caring for an adolescent who presents to the emergency department. The nurse reassesses the adolescent at 1930. For each assessment finding, click to specify if the finding indicates that the adolescent's condition has improved or has not changed.
Blood pressure, Improved Lung sounds, Not changed Heart rate, Improved Respiratory rate, Improved Oral intake, Improved Dyspnea, Not changed Oxygen saturation, Improved
A nurse in the emergency department is caring for an infant who has a 2 day history of vomiting and an elevated temperature. Which of the following should the nurse recognize as the most reliable indicator of fluid loss?
Body weight
A nurse is monitoring an infant who is 3 months old and has sneezing, coughing, nasal congestion, intermittent fever, and apneic spells. These nurse should recognize these findings are associated with which of the following diagnoses?
Bronchiolitis
A nurse is assessing an 11 month infant. Which of the following manifestations is associated with a CNS infection?
Bulging fontanel
A nurse is caring for a child who has Kawasaki's disease. Which of the following systems should the nurse monitor in response to the diagnosis?
Cardiovascular
A nurse is caring for an infant who has a tracheoesophageal fistula. Which of the following findings should the nurse expect?
Coughing Apnea Cyanosis Frothy saliva
A nurse is caring for a child who is 2 hours postoperative following a tonsillectomy. Which of the following fluid items should the nurse offer the child at this time?
Crushed ice
A nurse is caring for an infant with inadequate motility of a part of the intestine, which results in mechanical obstruction. The nurse should identify this finding as a manifestation of which of the following disorders?
Hirschsprung's disease
A nurse is planning care for a 5-year-old infant who is scheduled for a lumbar puncture to rule out meningitis. Which of the following actions should the nurse include in the plan of care?
Hold the infant's chin to his chest and knees to his abdomen during the procedure.
A nurse is assessing an infant following a motor vehicle crash. Which of the following findings should the nurse monitor to identify increased intracranial pressure?
Increased sleeping
A nurse in the emergency department (ED) is caring for a 13-year-old client who presented with right lower quadrant abdominal pain, nausea, and fever.
Initiate IV antibiotics Obtain abdominal ultrasound Maintain NPO status Administer acetaminophen 800 mg
A nurse is planning care for a child who has mumps. Which of the following instructions should the nurse include in the plan
Initiate droplet precautions.
A nurse is caring for a toddler in an acute care facility. Which of the following actions should the nurse plan to take based on the most recent assessment findings?
Instruct the guardians to not provide food or fluids to the toddler Administer nebulized racemic epinephrine Provide blow-by oxygen with cool mist Ensure intubation equipment is accessible Encourage the guardians to hold the toddler
A nurse is planning care for a 6 year old child who has bacterial meningitis. Which of the following is unnecessary in the client's plan of care?
Measure head circumference every shift.
A nurse is caring for an 18-month-old infant. The nurse has completed the child's admission assessment. Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
NPO Status: prepare for an air enema Intussusception Abdominal Pain, Stool Pattern
A nurse is caring for a 6-month-old infant who has a prescription for clear liquids by mouth after an intussusception repair. Which of the following fluids should the nurse select for the infant?
Oral electrolyte solution
A nurse is assessing a toddler who has heart failure. Which of the following findings should the nurse except?
Orthopnea
A nurse is caring for an infant who has a congenital heart defect. Which of the following defects is associated with increased pulmonary flow?
Patent ductus arteriosus
A nurse is caring for a preschooler who was admitted for complications related to cystic fibrosis. A nurse is discussing the treatment plan of a client who has cystic fibrosis with the provider.
Percussion and postural drainage TID following meals. Contraindicated High-calorie and high-protein diet with unrestricted fats. Anticipated Quantitative sweat chloride test. Nonessential Contact isolation. Anticipated Oxygen at 8 L/min via simple facemask. contraindicated High-frequency chest compression BID. Anticipated
A nurse is caring for a child who has a suspected diagnosis of bacterial meningitis. Which of the following actions is the nurse's priority?
Place the child in isolation.
A nurse is admitting a child who has suspected epiglottis. Which of the following actions should the nurse take first?
Place the child on droplet precautions.
A nurse is caring for an infant who has gastroesophageal reflux. The nurse should place the infant in which of the following positions following feedings
Place the infant in an infant seat.
A nurse is providing teaching to a parent of a child who has acute group Ab-hemolytic streptococci. Which of the following information should the nurse include in the teaching
Replace the child's toothbrush after 24 hours on antibiotics.
A nurse is caring for an adolescent in an emergency department. Which of the following should the nurse anticipate the provider will prescribe?
Restrict dental hygiene. Contraindicated Perform strenuous exercise regimen twice daily. Contraindicated Obtain an echocardiogram. Anticipated Obtain blood cultures x 3. Anticipated Administer antibiotic therapy. Anticipated
A nurse is providing teaching to a parent of a child who has celiac disease. The nurse should include which of the following food choices for this child?
Rice
A nurse is preparing to discharge a child who has a new prescription for an oral antibiotic. Which of following information should the nurse include in the discharge instructions? (Select all that apply.)
The reason why the child is taking the medication Written information about the medication The adverse effects of the medication
A nurse is caring for a child who has otitis media. Which of the following assessment findings should the nurse expect?
Tugging on the affected ear lobe
A nurse is caring for a child who has acute appendicitis. Which results should the nurse anticipate when reviewing this client's laboratory values?
WBC 17,000/mm3
A nurse is assessing a 3-year-old child who has aortic stenosis. Which of the following findings should the nurse expect? (Select all that apply.)
Weak pulses Murmur Hypotension
A nurse in a PACU is admitting a client who is postoperative following a tonsillectomy. Which of the following actions should the nurse plan to take to prevent aspiration?
Withhold fluids until the client demonstrates a gag reflex.
