PEDS exam unit 9
6. A nurse is caring for a young adult client who says he is experiencing increasing anxiety and the inability to concentrate. Which of the following is an appropriate response by the nurse?
"It sounds like you're having a difficult time."
A nurse is teaching the parents of a toddler about temper tantrums. Which of the following statements should the nurse include in the teaching?
"Temper tantrums are the toddler's attempt to gain control of a situation."
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.)
-Daytime symptoms occur more than twice a week. -Minor limitations occur with normal activity. -Peak expiratory flow (PEF) is greater than or equal to 80% of the predicted value
A nurse is teaching the parents of a 10-month-old infant about home safety. Which of the following information should the nurse include in the teaching? (Select all that apply.)
-Serve food in small, non-circular pieces. - Tie plastic bags in knots before discarding them - . Fit the mattress so that it is snug against the sides of the crib.
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)
-The preschooler mispronounces words. -The preschooler speaks in a nasal tone
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.
-Trust vs. mistrust -Autonomy vs. Shame and Doubt -Initiative vs. guilt -Industry vs. Inferiority -Identity vs. Role confusion
A ER nurse is assessing a femaie child in an earthquake area. The child, who is crying, walks well, can state her first name, and repeatedly says "all done" and "bye-bye now" during the assessment. On physical exam, the anterior fontanel is closed, and the child has 24 deciduous teeth. Based on these observations, what is the child's age?
30 months or 2 and a half years
A nurse is preparing to administer acetaminophen (Tylenol) to a child for fever. The order states to administer 10 mg/kg/dose. The child weighs 28 pounds. The label on the bottle reads 120 mg/5 mL. How many milliliters should the nurse administer? (Round to the nearest tenth.)
5.3 mL
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?
6 months
A nurse is talking to a parent who is concerned about her hospitalized 5-year-old child's behavior and asks the nurse if it is "normal." The nurse explains that regression is common in hospitalized children and may manifest by which of the following?
Bedwetting several times a day
A nurse is talking to the parents of an 8-month-old who will be hospitalized for surgery. Which of the following actions should the nurse explain to the parents will help prepare the infant for the hospital?
Bring the infant's favorite blanket to the hospital
A nurse is providing teaching about iron deficiency anemia to the parents of a toddler. Which of the following should the nurse recommend as a method of preventing iron deficiency anemia
A. Avoid a diet that consists primarily of milk.
A nurse is admitting a client who has experienced a weight loss of 25 lb (11 kg) in the past 3 months. The client weighs 88 lb (40 kg) and believes she is fat. Which of the following aspects of care should the nurse consider the first priority for this client?
A. Identify the client's nutritional status.
A nurse is assessing a 3-month-old infant. Which of the following findings should the nurse report to the provider?
A. Inability to raise head when in prone position
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?
An anxiety reaction
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?
Apex of the heart
A nurse is collecting data on a child who is descending stairs by placing both feet on each step while holding on to the railing. This is developmentally appropriate at which of the following ages?
At age 3, children can typically go up stairs using alternating feet, but still descend by placing both feet on each step
A nurse is collecting data from a 7-month-old infant. Which of the following would indicate the need for further evaluation?
Babbles one-syllable sounds
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?
Bananas
A nurse is caring for a hospitalized 14-month-old child. Which of the following lunch choices is appropriate
Chicken nuggets and green beans
a nurse is assessing a 6-month-old infant at a well-child visit. Which of the following findings should the nurse expect?
Closed posterior fontanel
A nurse is caring for a toddler who is experiencing separation anxiety. Which of the following is an appropriate action for the nurse to take?
Tell the parents about the reaction of the toddler while they were gone
The nurse is caring for a hospitalized adolescent. The nurse understands that which major developmental task is important during adolescence?
Defining a sense of self
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?
Encourage the client to complete school work
A nurse in a pediatric clinic is talking with the mother of a preschool child. The mother tells the nurse that her son is a "picky eater." Which of the following is an appropriate response by the nurse?
Food consumption may not be significantly decreased
During a routine well child check-up, a nurse is reinforcing teaching to a parent who reports having difficulty getting a preschool-age child to go to bed. Which of the following statements indicates to the nurse that the parent understands how to foster a consistent bedtime for the preschooler?
I will encourage my child to fall sleep with his favorite toy.
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?
Ignore the temper tantrums
A nurse is reviewing serum laboratory results for four children. Which of the following values should the nurse report to the provider?
Iron 38mcg/dL
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?
Large building blocks
A parent expresses concern to the nurse about his 5-year-old child's stuttering. Which of the following statements is an appropriate nursing response?
Look directly at your son when he is speaking.
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.)
Management of tantrums Dental care
A nurse is assessing the psychosocial development of a toddler. The nurse should recognize that this stage is characterized by which of the following?
Negative behaviors characterized by the need for autonomy
A school nurse is talking with a 13-year-old female at her annual health screening visit. Which of the following client comments should concern the nurse?
None of the kids at this school like me, and I don't like them either.
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?
Our car seat is an infant model and is anchored in the car."
A nurse is completing an admission assessment on an adolescent client who is a vegetarian. He eats milk products but does not like beans. Which of the following items should the nurse suggest the client order for lunch to provide the nutrients most likely to be lacking in his diet?
Peanut butter and jelly sandwich
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?
Position the toddler rear- facing in the middle of the back seat.
A nurse is collecting data from a 9-month-old infant. Which of the following findings would require further intervention?
Positive Moro reflex
A nurse is reinforcing teaching to an assistive personnel to count respiration rate on a newborn. Which of the following statements indicate understanding of why the respiratory rate should be counted for a complete minute?
The rate and rhythm are irregular in newborns
A nurse is collecting data about a 6-year-old client. Which statement by the client's parent should concern the nurse?
The teacher says my child has to squint to see the board.
A nurse is caring for a hospitalized 2-year-old child who has a tantrum when the parent leaves. To help the child adjust to the stress of the situation, which of the following therapeutic toys is most appropriate for the nurse to provide?
Toy hammer with a pounding board
A nurse is providing health promotion teaching to an adolescent. Which of the following information should the nurse include in the teaching?
Your need to sleep will increase during periods of growth."
A nurse is reinforcing health promotion teaching to the parents of a toddler. Which of the following is the leading cause of death among this age group?
congenital anomalies
A nurse is collecting data from an infant. Which of the following developmental skills is a 1-month-old infant able to do?
follow movements with eyes
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?
patent ductus arteriosus
A nurse is planning care for a hospitalized 4-year-old child. The nurse should include providing a
plastic stethoscope.
A nurse is selecting a toy for hospitalized 6-month-old. Which of the following toys is developmentally appropriate for the infant
soft toy that squeaks or crackles when squeezed
A nurse is reinforcing teaching about nutrition to a parent of a toddler. Which of the following should be included in the teaching?
toddlers have a decrease nutritional need
