PEDS EXAM 2

A nurse is planning care for a child who has tinea capitis. Which of the following actions should the nurse include in the plan of care? Select all that apply. A) Inform parents to treat infected house pets. B) Use selenium sulfide shampoo. C) Cleanse area with Burrow solution. D) Use moist, warm compresses. E) Administer antiviral medication

A B

BILIOUS VOMITING FAILURE TO PASS MECONIUM AFTER 48 HRS FOUL SMELLING RIBBION LIKE STOOLS a structural anomaly of the GI tract caused by lack of ganglionic cells in segments of the colon resulting in decreased motility and mechanical obstruction.

HIRSCHPUNGS DISEASE

OLIVE SHAPED MASS IN RUQ PROJECTIVE VOMITING CONSTANT HUNGER

HYPERTROPHIC PYLORIC STENOSIS

RED CURRANT JELLY LIKE STOOLS SUDDEN EPISODES OF ABDOMINAL PAIN SAUSAGE SHAPPED ABDOMINAL MASS Proximal segment of the bowel telescopes into a more distal segment, resulting in lymphatic and venous obstruction causing edema in the area. With progression, ischemia and increased mucus into the intestine will occur.

INTUSSUSCEPTION

A nurse is caring for a child who has cellulitis of the right hand. Which of the following actions should the nurse take? A) Administer oral antibiotics. B) Cleanse area using Burrow solution. C) Prepare for cryotherapy. D) Apply a topical antifungal medication.

A) Administer oral antibiotics.

A nurse is preparing a toddler for an intravenous catheter insertion using atraumatic care. Which of the following actions should the nurse take? Select all that apply. A) Explain the procedure using the child's favorite toy. B) Ask the parents to leave during the procedure. C) Perform the procedure with the child in his bed. D) Allow the child to make one choice regarding the procedure. E) Apply lidocaine and prilocaine cream to three potential insertion sites.

A) Explain the procedure using the child's favorite toy. D) Allow the child to make one choice regarding the procedure. E) Apply lidocaine and prilocaine cream to three potential insertion sites.

A nurse is planning care for an infant who is experiencing pain. Which of the following nonpharmacological interventions should the nurse include the plan of care? Select all that apply. A) Offer a pacifier. B) Use guided imagery. C) Use swaddling. D) Initiate a behavioral contract. E) Encourage kangaroo care.

A) Offer a pacifier. B) Use guided imagery. C) Use swaddling.

A nurse is teaching a group of family members about complications of communicable diseases. Which of the following communicable diseases should the nurse include in the teaching as a disease that can lead to pneumonia? Select all that apply. A) Rubella (German measles)​​​​​​​ B) Rubeola (measles) C) Pertussis (whooping cough) D) Varicella (chickenpox) E) Mumps

B C D

A nurse is assessing a child who has pertussis. Which of the following findings should the nurse expect? Select all that apply. A) Runny nose​​​​​​​ B) Mild fever C) Cough with whooping sound D) Swollen salivary glands E) Red rash

ABC

A nurse is caring for a school-age child who has acute glomerulonephritis. Which of the following findings should the nurse report to the provider? A. BUN 8 mg/dL B. Blood creatinine 1.3 mg/dL C. Blood pressure 100/74 mm Hg D. Urine output of 500 mL in 24 hr

B. Blood creatinine 1.3 mg/dL

A nurse is caring for an infant who has a hydrocele. Which of the following actions should the nurse take? A. Prepare the infant for surgery. B. Explain to the parents that condition generally self-resolves. C. Retract the foreskin of the penis and cleanse several times daily. D. Refer the parents for genetic counseling.

B. Explain to the parents that condition generally self-resolves.

A nurse admitting a child who has hemolytic uremic syndrome (HUS). Which of the following laboratory result findings should the nurse report to the provider? A. BUN 15 mg/dL B. Hbg 8 g/dL C. Hct 32% D. Platelet 300,000/mm3

B. Hbg 8 g/dL

A nurse is teaching a group of parents about preventing insect bites. Which of the following information should the nurse include in the teaching? Select all that apply. A) Wear perfumes/colognes when outside. B) Avoid areas of tall grass. C) Wear bright-colored clothing. D) Wear insect repellent. E) Check house pets frequently.

BDE

A nurse is caring for a toddler who is on a pediatric unit. Which of the following behaviors should the nurse identify as an effect of hospitalization? Select all that apply. A) Believes the experience is a punishment B) Experiences separation anxiety C) Displays intense emotions D) Exhibits regressive behaviors E) Manifests disturbance in body image

C B D

A nurse is teaching a group of parents about possible manifestations of Down syndrome. Which of the following findings should the nurse include in the teaching? Select all that apply. A) A large head with bulging fontanels B) Larger ears that are set back C) Protruding abdomen D) Broad, short feet and hands E) Hypotonia

C D E

A nurse is caring for a child who is dying. Which of the following should the nurse identify as manifestations of impending death? Select all that apply. A) Heightened sense of hearing B) Tachycardia C) Difficulty swallowing D) Sensation of being cold E) Cheyne-Stokes respirations

C E

A nurse is providing teaching with the parents of a child who has enuresis about behavioral therapy management. Which of the following statement by a parent indicates understanding? A) "We should avoid waking our child up during the night to use the bathroom." B) "With behavioral therapy, we should scold our child when they have unexpected events." C) "We can reward our child when they have dry nights." D) "With behavioral therapy, we can purchase urine sensor alarms for our child."

C) "We can reward our child when they have dry nights."

A nurse is caring for child who has enuresis and has a prescription for desmopressin. Which of the following actions should the nurse take? A)Administer in the morning. B) Administer nasally. C) Monitor electrolytes. D) Encourage fluids after meals.

C) Monitor electrolytes.

A nurse is teaching a group of family members about communicable diseases. The nurse should include that which of the following is the best method to prevent a communicable disease? A) Hand washing B) Avoiding persons who have active disease C) Covering your cough D) Obtaining immunizations

D Obtaining immunizations

A nurse is caring for a toddler who has acute otitis media. Which of the following is the priority action for the nurse to take? A) Provide emotional support to the family.​​​​​​​ B) Educate the family on care of the child. C) Provide a diversional activity. D) Administer analgesics.

D) Administer analgesics.

A nurse is caring for a child who has an acute kidney injury. Which of the following actions should the nurse plan to take? A. Encourage fluid intake B. Obtain weight every other day C. Monitoring for hypokalemia D. Administer antihypertensive

D. Administer antihypertensive

A nurse is assessing a child who has chronic kidney disease. Which of the following findings should the nurse expect? A. Flushed face B. Hyperactivity C. Weight gain D. Delayed growth

D. Delayed growth

A nurse is caring for an infant who has obstructive uropathy. Which of the following findings should the nurse expect? Select all that apply. A. Urethral meatus located on dorsum of the shaft of the genitalia B. Urine culture positive for UTI C. History of maternal oligohydramnios D. Hematuria diaper changes E. Kidney ultrasound that shows hydronephrosis

b c d e

A nurse is planning care for an infant who has ambiguous genitalia. Which of the following actions should the nurse take? Select all that apply. A. Prepare the infant for immediate surgery. B. Obtain adrenal function laboratory testing. C. Cover the infant's genitals with a sterile dressing. D. Refer the parents for genetic counseling. E. Teach the importance of chromosomal analysis with the infant's parents.

b d e

A nurse is completing a pain assessment on a 4-month-old infant. Which of the following pain scales should the nurse use? A) FACES B) FLACC C) Oucher D) Non-communicating children's pain checklist

B) FLACC

A nurse is caring for a child who has had watery diarrhea for the past 3 days. Which of the following actions should the nurse take? A) Offer chicken broth. B) Initiate oral rehydration therapy. C) Start hypertonic IV solution. D) Keep NPO until the diarrhea subsides.

B) Initiate oral rehydration therapy.

A nurse is assessing a child who has nephrotic syndrome. Which of the following findings should the nurse expect? Select all that apply. A. Urine dipstick +2 protein B. Edema in the ankles C. Hyperlipidemia D. Polyuria E. Anorexia

a b c e

A nurse is assessing an infant who has otitis media for pain. Which of the following should the nurse identify as findings of pain in an infant? Select all that apply. A) Pursed lips B) Loud cry C) Lowered eyebrows D) Rigid body E) Pushes away stimulus

B) Loud cry C) Lowered eyebrows D) Rigid body

nurse is assessing a child who has a rotavirus infection. Which of the following findings should the nurse expect? Select all that apply. A) Fever B) Vomiting C) Watery stools D) Bloody stools​​​​​​​ E) Confusion

A B C

A nurse in a pediatric clinic is providing discharge instructions to the caregiver of a child who has chickenpox (varicella). Which of the following instructions should the nurse include in the teaching? ​​​​​​ Select all that apply. A) The child is contagious until all vesicles have crusted. B) Calamine lotion may be applied to decrease itching. C) Fingernails should be kept short while lesions are present. D) Bed linens should be changed every other day. E) Bathe the child in tepid water.

A B C E

A nurse is assessing a toddler for possible hearing loss. Which of the following findings are indications of a hearing impairment? Select all that apply. A) Uses monotone speech B) Speaks loudly. C) Repeats sentences D) Appears shy E) Is overly attentive to the surroundings

A B D

A nurse is teaching a parent of an infant who has gastrointestinal reflux disease. Which of the following should the nurse include in the teaching? Select all that apply. A) Offer frequent feedings. B) Thicken formula with rice cereal. C) Use a bottle with a one-way valve. D) Position infant upright after feedings E) Use a wide-based nipple for feedings.

A B D

A nurse is caring for a child who has Meckel's diverticulum. Which of the following manifestations should the nurse expect? Select all that apply. A) Abdominal pain B) Fever C) Mucus and blood in stools D) Vomiting E) Rapid, shallow breathing

A C

A nurse is caring for a child who has rubeola. The nurse should monitor for which of the following complications? Select all that apply. A) Otitis media​​​​​​​ B) Constipation C) Laryngitis D) Arthralgia​​​​​​​ E) Syncope

A C

A nurse is teaching a group of caregivers about E. coli. Which of the following information should the nurse include in the teaching? Select all that apply. A) Severe abdominal cramping occurs. B) Watery diarrhea is present for more than 5 days. C) It can lead to hemolytic uremic syndrome. D) It is a foodborne pathogen. E) Antibiotics are given for treatment.

A C D

A nurse is assessing a child who has myopia. Which of the following findings should the nurse expect? Select all that apply. A) Headaches B) Photophobia C) Difficulty reading D) Difficulty focusing on close objects E) Poor school performance

A C E

A nurse is teaching a group of parents about Salmonella. Which of the following information should the nurse include in the teaching? Select all that apply. A) Incubation period is nonspecific. B) It is a bacterial infection. C) Bloody diarrhea is common. D) Transmission can be from house pets. E) Antibiotics are used for treatment.

B C D

A nurse is providing teaching with the guardian of a child who has a urinary tract infection. Which of the following instructions should the nurse include? Select all that apply. A) Wear nylon underpants. B) Avoid bubble baths. C) Empty bladder completely with each void. D) Watch for manifestations of infection. E) Increase fiber intake.

B C D E

A nurse is assessing an infant who has presented for a well-baby check-up. Which of the following findings should the nurse identify as clinical manifestations of acute otitis media? Select all that apply. A) Decreased pain in the supine position​​​​​​​ B) Rolling head side to side C) Loss of appetite D) Increased sensitivity to sound E) Crying

B C E

A nurse is assessing an infant who has scabies. Which of the following findings should the nurse expect? Select all that apply. A) Presence of nits on the hair shaft B) Pencil-like marks on hands C) Blisters on the soles of the feet D) Small, red bumps on the scalp E) Pimples on the trunk

B C E

A nurse is assessing an infant who has manifestations of acute otitis media (AOM). Which of the following assessment data should the nurse identify as risk factors for otitis media? Select all that apply. A) Breastfeeds without formula supplementation.​​​​​​​ B) Attends day care 4 days per week. C) Immunizations are up to date. D) History of a cleft palate repair.​​​​​​​ E) Parents smoke cigarettes outside.

B D E

A nurse is teaching the parent of an infant who has Down syndrome. Which of the following statements by the parent indicates an understanding of the teaching? A) "I should expect him to have frequent diarrhea." B) "I should place a cool mist humidifier in his room." C) "I should avoid the use of lotion on his skin." D) "I should expect him to grow faster in length than other infants."

B) "I should place a cool mist humidifier in his room."

A nurse is teaching a guardian of an infant about administration of oral medications. Which of the following should the nurse include in the teaching? Select all that apply. A) Use a universal dropper for medication administration. B) Ask the pharmacy to add flavoring to the medication. C) Add the medication to a formula bottle before feeding. D) Use the nipple of a bottle to administer the medication. E) Hold the infant in a semi-reclining position.

B) Ask the pharmacy to add flavoring to the medication. D) Use the nipple of a bottle to administer the medication. E) Hold the infant in a semi-reclining position.

nurse is caring for an infant who has just returned from the PACU following cleft lip and palate repair. Which of the following actions should the nurse take? A) Remove the packing in the mouth. B) Place the infant in a side-lying position. C) Offer a pacifier with sucrose. D) Assess the mouth with a tongue blade.

B) Place the infant in a side-lying position.

A nurse is caring for a child who has Hirschsprung's disease. Which of the following actions should the nurse take? A ) Encourage a high-fiber, low-protein, low-calorie diet. B) Prepare the family for surgery C)Place an NG tube for decompression. D) Initiate bed rest.

B) Prepare the family for surgery

A nurse is teaching the caregiver of a preschool child about factors that affect the child's perception of death. Which of the following factors should the nurse include in the teaching? A) Preschool children have no concept of death. B) Preschool children perceive death as temporary. C) Preschool children often regress to an earlier stage of behavior. D) Preschool children experience fear related to the disease process.

B) Preschool children perceive death as temporary.

A nurse is teaching the caregiver of a preschool child about factors that affect the child's perception of death. Which of the following factors should the nurse include in the teaching? A) Preschool children have no concept of death. B) Preschool children perceive death as temporary. C)Preschool children often regress to an earlier stage of behavior. D) Preschool children experience fear related to the disease process.

B) Preschool children perceive death as temporary.

A nurse is caring for an infant who needs otic medication. Which of the following actions should the nurse to take? A) Hold the infant in an upright position. B) Pull the pinna downward and straight back. C) Hyperextend the infant's neck. D) Ensure that the medication is cool.

B) Pull the pinna downward and straight back.

A nurse is caring for a preschooler who is in an acute care facility. Which of the following should the nurse identify as an expected behavior of a preschool-age child? A) Describing manifestations of illness B) Relating fears to magical thinking C) Understanding cause of illness D) Awareness of body functioning

B) Relating fears to magical thinking

nurse is caring for a toddler who has had rhinitis, cough, and diarrhea for 2 days. Upon assessment, it is noted that the tympanic membrane has an orange discoloration and decreased movement. Which of the following statements should the nurse make to the caregiver? A "Your child has an ear infection that requires antibiotics."​​​​​​​ B "Your child may have transient hearing loss." C "Your child will need a decongestant until this condition clears." D "Your child will need to have a myringotomy."

B)"Your child may have transient hearing loss."

A nurse is preparing to administer medication to a pre-school aged child. Which of the following actions should the nurse plan to take? Select all that apply. A) Ask the caregiver to state the child's name. B) Allow the caregiver to administer the medication. C) Calculate the safe dosage of the medication. D) Let the child pick a toy to hold during administration of the medication. E) Offer juice after the medication is administered.

C) Calculate the safe dosage of the medication. D) Let the child pick a toy to hold during administration of the medication. E) Offer juice after the medication is administered.

A nurse is providing teaching to a guardian about complicated grief. Which of the following statements should the nurse make? A) "Complicated grief occurs when little time is spent thinking about the loss." B) "Personal activities are rarely affected when experiencing complicated grief." C) "Guardians will experience complicated grief together." D) "Counseling can be helpful in resolving complicated grief."

D) "Counseling can be helpful in resolving complicated grief."

A nurse is reviewing palliative care with an assistive personnel (AP) who is assisting with the care of a child who has a terminal illness. Which of the following statements by the AP indicates an understanding of palliative care? A) "I'm sure the family is hopeful that the new medication will stop the illness." B) "I'll miss working with this client now that only nurses will be caring for the child." C) "I will get all the client's personal objects out of the room." D) "I will listen and respond as the family talks about their child's life."

D) "I will listen and respond as the family talks about their child's life."

A nurse is teaching a parent of a toddler about parallel play in children. Which of the following statements should the nurse include in the teaching? A) "Children sit and observe others playing." B) "Children exhibit organized play when in a group." C) "The child plays alone." D) "The child plays independently when in a group."

D) "The child plays independently when in a group."

A nurse is planning care for a 12-year-old child following a surgical procedure. Which of the following actions should the nurse include in the plan of care? A) Administer NSAIDs for pain greater than 7 on a scale of 0 to 10. B) Administer intranasal analgesics PRN. C) Administer IM analgesics for pain. D) Administer IV analgesics on a schedule.

D) Administer IV analgesics on a schedule.

A nurse is planning care for a child who has a urinary tract infection. Which of the following interventions should the nurse take? A) Administer an antidiuretic. B) Restrict fluids. ​​​​​​​ C)Evaluate the child's self-esteem. D) Encourage the child to void frequently.

D) Encourage the child to void frequently.

A nurse is planning to perform a peripheral vision test on a child. Which of the following actions should the nurse take? A) Place the child 10 feet away from a Snellen chart. B) Show a set of cards to the child one at a time. C) Cover the child's eye while performing the test on the other eye. D) Have the child focus on an object while performing the test.

D) Have the child focus on an object while performing the test.

A nurse is teaching a group of caregivers about separation anxiety. Which of the following information should the nurse include in the teaching? A) It is often observed in the school-age child. B) Detachment is the stage exhibited in the hospital. C) It results in prolonged issues of adaptability. D) Kicking a stranger is an example.

D) Kicking a stranger is an example.

A nurse is caring for a child who is suspected to have Enterobius vermicularis. Which of the following actions should the nurse take?

Perform a tape test.

A nurse is assessing a male infant who has bladder exstrophy. Which of the following findings should the nurse expect?​​​​​​​ Select all that apply. A. Epispadias B. Hypospadias C. Undescended testes D. Widened pubic symptoms E. Enlarged scrotal sac

a c d

nurse assessing a preschooler who is suspected of having a urinary tract infection. Which of the following findings should the nurse expect? Select all that apply. A) Chills B) Diarrhea C) Vomiting D) Fever E) Pale-colored urine

a c d