PEDS Exam 2 practice
A nurse is preparing to feed an infant who has cleft lip and palate. Which of the following actions should the nurse plan to take?
Burp the infant at least 2 to 3 times during the feeding
A nurse is caring for a child who is postoperative following tonsillectomy. Which of the following findings is the nurse's priority?
Frequent swallowing
A nurse is preparing to administer recommended immunizations to a 2-month-old infant. Which of the following immunizations should the nurse plan to administer?
Haemophilus influenzae type B (HiB) and inactivated polio virus (IPV)
A nurse is assessing a child who has bilateral pheochromocytoma. Which of the following findings should the nurse expect?
Hypertension
A nurse is caring for a 5-year-old child who has a fever and begins to have a seizure. Which of the following actions should the nurse take?
Place the child in a side-lying position.
A nurse is caring for a 4-month-old infant who has TOF and experiences a hypercyanotic spell. Which of the following actions should the nurse take?
Place the infant in knee-chest position
A nurse is reviewing the laboratory report of a 2-year-old child who as diarrhea and has been vomiting for 24 hr. Which of the following findings should the nurse report to the provider?
Potassium 2.5 mEq/L
A nurse is providing education to the parent of a toddler who is about to receive her first dose of the measles, mumps, rubella (MMR) immunization. Which of the following statements by the parent indicates an understanding of the teaching?
"I can give my child acetaminophen for discomfort associated with the immunization."
A nurse is caring for a female adolescent who is being treated for frequent urinary tract infections (UTIs). Which of the following statements by the adolescent indicates a possible cause of the UTIs?
"I have bowel movements every 4 to 5 days."
A nurse is teaching a parent of an infant who has a colostomy. Which of the following statements by a parent indicates an understanding of the teaching?
"I need to apply paste to the back of the wafer on my child's appliance."
A nurse is providing teaching to the parents of a school-aged child who has type 1 diabetes mellitus about managing hypoglycemia. Which of the following responses by a parents indicates an understanding of the teaching?
"I will make sure my child drinks 240mL (8oz) of milk as soon as possible."
A nurse is teaching the parents of a child who has rheumatic fever. Which of the following statements by a parent indicates an understanding of the teaching?
"My child may take aspirin for his joint pain."
A nurse is teaching the parents of a toddler who has enterobiasis about managing this parasitic disease. Which of the following pieces of information should the nurse include in the teaching?
"You should keep your child's fingernails trimmed short."
A nurse is providing teaching to the guardian of a child who has Kawasaki disease. Which of the following statements by the guardian indicates an understanding of the teaching? (Select all that apply.)
-"My child will likely be irritable for the next few weeks." -"I will ensure my child does not receive any live vaccines for at least 18 months." -"I will keep a record of my child's temperature until she has no fever for several days."
A nurse is planning care for an infant who has heart failure. Which of the following interventions should the nurse include in the plan to meet nutritional needs of the infant? (Select all that apply.)
-Allow 30 min to complete each feeding. -Gradually increase the caloric density of the formula. -Position the infant semi-upright during feedings. -Provide gavage feeding if respiratory rate exceeds 80/min
A nurse is caring for an infant who as biliary atresia. Which of the following manifestations should the nurse expect? (Select al that apply.)
-Yellow sclerae -Abdominal distention -Dark urine
A nurse is reviewing the laboratory results of a child who has experienced diarrhea for the past 24 hr. Which of the following values for urine specific gravity should the nurse expect?
1.035
A nurse reviewing the risk factors for the development of congenital heart disease with a client who is planning to conceive. Which of the following conditions should the nurse include as a maternal risk factor?
Alcohol consumption.
A nurse in the emergency department is reviewing laboratory results for several children who have manifestations of influenza. Which of the following children should the nurse report to the provider?
An infant with a WBC count of 24,000/mm3
A nurse is caring for a child who has epistaxis. Which of the following actions should the nurse take?
Apply continuous pressure to the lower part of the child's nose.
A nurse is caring for a child who has acute glomerulonephritis. Which of the following actions should the nurse take?
Check the child's blood pressure every 4 hr
A nurse at a clinic is preparing to administer immunizations to a 5-year-old child. Which of the following immunizations should the nurse plan to give?
Diphtheria, tetanus, and pertussis (DTaP)
A nurse is planning care for a child who has meningococcal meningitis. Which of the following isolation precautions should the nurse plan to implement?
Droplet precautions
A nurse is providing teaching to the parent of a school-aged child who has pediculosis. Which of the following instructions should the nurse include?
Dry clothing in a hot dryer for at least 20 minutes.
A nurse is providing teaching about home care to the guardian of an adolescent who has hemophilia. Which of the following pieces of information should the nurse provide?
Encourage the adolescent to participate in non-contact sports
A nurse is planning preoperative teaching for a preschooler who is scheduled for a tonsillectomy. Which of the following interventions should the nurse plan to include?
Encourage the preschooler to bring a favorite toy to the hospital.
A nurse is assessing an 18-month-old infant who is postoperative. Which of the following pain scales should the nurse use?
FLACC
A nurse is caring for a preschool-age child who has mucosal ulceration after receiving chemotherapy. Which of the following actions should the nurse take?
Instruct the child to use a soft-sponge toothbrush when brushing her teeth.
A nurse is caring for a 3-year-old child who has a cyanotic heart defect. The child cries when her parents leave the room, worsening her cyanosis and dyspnea. Into which of the following positions should the nurse place the child to improve these manifestations?
Knee-chest
A nurse is providing teaching to a parent of a preschooler who has tinea capitis. Which of the following instructions should the nurse include in the teaching?
Leave the medicated shampoo on the scalp for 5 to 10 minutes
A nurse is caring for an infant who has gastroenteritis and is dehydrated. Which of the following characteristics places the infant at a higher risk of electrolyte imbalances compared to an adult client?
Longer intestinal tract.
A nurse is creating a plan of care for a child ho has sickle cell anemia ad is experiencing a vaso-occlusive crisis. Which of the following interventions is the priority for the nurse to include?
Monitor the child's oxygen saturation
A nurse is reviewing the morning laboratory results of an infant who is receiving digoxin and furosemide for the treatment of heart failure. Which of the following findings should the nurse report to the provider?
Potassium 3.2 mEq/L
A nurse is providing dietary teaching to the parent of a toddler who has cystic fibrosis. Which of the following instructions should the nurse include?
Provide a high-fat diet for the toddler.
A nurse is admitting a child who has Wilms' tumor. Which of the following actins should the nurse take?
Put a "no abdominal palpation" sign over the child's bed.
A nurse is caring for a child who has TOF. Which of the following laboratory values should the nurse expect to find?
RBC 6.8 million/uL
A nurse is admitting a child who has acute lymphocytic leukemia. Which of the following laboratory values should the nurse expect?
RBCs 2.5million/uL
A nurse is assessing an adolescent who has appendicitis. Which of the following manifestations should the nurse expect?
Rigid abdomen
A nurse is caring for a school-aged child who has sickle cell anemia and was admitted for vaso-occlusive crisis. Which of the following findings should the nurse report to the provider immediately?
Slurred speech
A nurse is caring for a 6-week-old infant following pyloromyotomy. which of the following forms of feeding should the nurse anticipate for the infant 6 hours after the procedure?
Small, frequent bottle feedings of electrolyte solution.
A nurse is assisting a provider during femoral venipuncture on a toddler. The nurse should place the child in which of the following positions?
Supine.
A nurse is assessing a 6-month-old infant who was recently admitted with acute vomiting and diarrhea. Which of the following findings indicates the infant has moderate dehydration?
Tachypnea
A nurse is assessing a school-aged child who is 30 minutes postoperative following a cardiac catherization using the left femoral artery. Which of the following findings should the nurse identify as the priority to report to the provider?
The pulse strength of the child's left popliteal artery site is decreased
A nurse is teaching the parents of an infant about treatment options for profound sensorineural hearing loss. The nurse should include which of the following pieces of information about the function of cochlear implants?
They provide direct stimulation of the auditory nerve fiber.
A nurse is caring for a school-aged child who has hemophilia and fell on the playground. The child reports a pain level of 4 on a scale of 0 to 10. Which of the following actions should the nurse take?
Apply an ice pack to the joint
A nurse is assessing a 6-month-old infant following a cardiac catherization. Which of the following findings should the nurse report to the provider?
BP 86/40 mmHg
A nurse is providing teaching for a parent about pinworm testing. At which of the following times should the nurse advise the parent to perform the tape test?
Immediately after the child wakes up in the morning
A nurse in the emergency department is assessing an infant who recently started taking digoxin to treat a supraventricular arrhythmia. Which of the following findings should the nurse identify as an indication of digoxin toxicity?
Vomiting.
A nurse is reviewing the laboratory reports of a child with acute nephrotic syndrome who has been receiving prednisone by mouth for the past week. Which of the following findings should the nurse report to the provider?
WBC count 3,000/mm^3
A nurse is planning to collect specimen from a male infant using a urine collection bag. Which of the following actions should the nurse take?
Wash and dry the infant's genitalia and perineum thoroughly.
A nurse is providing teaching about disease-management strategies for a 9-year-old client who has cystic fibrosis. Which of the following statement should the nurse include?
"Your mucus is thick because cystic fibrosis interferes with how your glands work."
A nurse on the pediatric unit is caring for a group of clients. Which of the following findings should be the nurse's priority?
A child who has sickle cell anemia and a urine specific gravity of 1.030.
A nurse is caring for a 2-day-old infant who has myelomeningocele. Which of the following actions should the nurse take?
Monitor the infant's head circumference.
A nurse in an emergency department is assessing an infant who has laryngotracheobronchitis. Which of the following findings should the nurse report as an indication of impending airway obstruction?
Nasal flaring
A nurse is teaching a group of parents and guardians about otitis media. Which of the following should the nurse identify as risk factor for this illness?
Passive smoking.
A nurse is caring for an 8-year-old child who has acute glomerulonephritis. Which of the following findings should the nurse expect?
Periorbital edema
A nurse is assessing a preschooler who has influenza and reports the new onset of a sore throat and difficulty swallowing. Which of the following findings is the priority for the nurse to report to the provider?
The child is drooling.
A nurse is assessing a 6-year-old child who is immediately postoperative following a tonsillectomy. Which of the following findings should the nurse report to the provider?
The child is swallowing frequently
