Peds quiz questions

The phrase for a place in which it is difficult to buy affordable or good-quality fresh food is which:

Food desert

A nurse is planning care of an infant with severe dehydration. Which of the following would be the most appropriate intervention? Start administering pedialyte (electrolyte fluid) immediately Feeding concentrated formula with more than the needed water Feeding water 3 ounces every 3 hours without formula Start IV therapy immediately

Start IV therapy immediately due to severe dehydration

An infant has been admitted with failure to thrive (FTT). The nurse knows that more education is needed when one of the parents makes what statement? "I can double the amount of water in the formula to save money." "I need to hold her head up a little higher than her stomach when I feed her." "I need to burp the baby when the feeding is done to get rid of swallowed air." "I need to make sure that the formula is in the nipple so she doesn't swallow so much air."

"I can double the amount of water in the formula to save money"

A worried parent informs the nurse, "My 6-year-old is otherwise healthy but still wets the bed at night." The nurse is teaching the parent necessary steps to manage the child's nocturnal enuresis. Which statement made by the parent indicates effective learning? Select all that apply. "I should wake my child at the same time every night to use the bathroom." "I should avoid giving my child fruit juice after 4:00 pm." "I should make my child wear diapers during day hours while at school." "I should encourage my child to drink lots of water during the day." "I should give my child diet soda instead of regular soda in the evening."

"I should wake my child at the same time every night to use the bathroom." "I should avoid giving my child fruit juice after 4:00 pm." "I should encourage my child to drink lots of water during the day."

A 7-year-old child with cystic fibrosis is receiving an intravenous antibiotic. The medication is supplied in a 125-mL bag of 0.45% sodium chloride. It is to be infused over 30 minutes. At what rate should the infusion pump be set to deliver the medication in the prescribed time? Express your answer as a whole number. ______ mL/hr

250 mL/hr

An infant recovering from dehydration is ordered maintenance IV fluid. He weighs 30.8 lb. What is the required IV flow rate in mL/hr to maintain proper fluid levels? Please answer in whole number. ________ml/hr

50

The nurse is giving a patient Benadryl before a chemotherapy infusion. The order states: Benadryl 17mg by mouth every 6 hours as needed for itching. You have the liquid form available (12.5mg/5ml). How many ml's will you give per dose? Please round to the tenths place. ________ml

6.8

Which of a family's responses about nutrition would prompt a nurse to provide more education? A) "I will make sure to use the Food Pyramid to plan my child's meals." B) "I will bring my child for well visits according to the recommended schedule." C) "I will limit the amount of saturated fat in my child's diet." D) "What we eat as a family matters, and I will be a good role model for my child."

A

After a 5-year-old child's tonsillectomy, the nurse notes that the child swallows frequently. What should the nurse conclude about the child's behavior? A) The child is bleeding from the surgical site. B) This is a reaction from the general anesthesia. C) This is a sign of respiratory distress. D) The child is experiencing throat pain.

A, bleeding from surgical site

A 5-year-old is newly diagnosed with an astrocytoma brain tumor. His symptoms include headache, nausea and seizures. Based on this information, which nursing diagnosis would be most appropriate for him? A) High risk for injury B) Impaired physical motility C) High risk for infection D) Anticipated grief

A, high risk for injury

A student nurse is describing palliative care to a client's family. Which statement made by the student nurse indicates a need for correction by the registered nurse? A) "Palliative care is the same as hospice care." B) "Palliative care focuses on the care of the client." C) "Palliative care includes symptom management in the client." D) "Palliative care is an interprofessional approach to the delivery of care."

A, palliative care is the same as hospice care

A child being treated with chemotherapy is admitted to the hospital for fever and possible sepsis. Which of the following should we expect as admission orders? Select all that apply. Obtain blood cultures Administer packed red blood cells Obtain complete blood cell count (CBC) Administer antibiotics Administer acetaminophen Administer oral rinse

Administer acetaminophen, Obtain CBC, Obtain blood cultures, Administer antibiotics

Which of the following lab results would the nurse expect to see in a patient suffering from Tumor Lysis Syndrome? Check all that apply. Hypocalcemia Hyperkalemia Hypomagnesemia Hyperuricemia Hyperphosphatemia

All except hypomagnesemia

An infant with pyloric stenosis is admitted to the pediatric unit. What does the nurse expect to find when palpating the infant's abdomen? Rhythmic peristaltic waves in the lower abdomen A distended colon An olive-sized mass in the right upper quadrant Marked tenderness around the umbilicus

An olive-sized mass in the right upper quadrant

A 3-month-old infant has been hospitalized with respiratory syncytial virus (RSV). Her respiratory rate is >80 breaths per minute. What is the priority intervention? A) Administering an antiviral agent B) Clustering care to conserve energy C) Providing an antitussive agent whenever necessary D) Offering oral fluids to promote hydration

B, clustering care

15-year-old Teddy, who has a BMI in the obese category, arrives for his annual well visit at the PCP office. The nurse notices Teddy is limping and unable to place his weight on his left leg. What is the most common cause for this symptom in overweight or obese patients? A) Shin splints B) Slipped capital femoral epiphysis C) Sprained ankle D) Laziness

B, slipped capital femoral epiphysis

A client with type 1 diabetes complains of hunger, thirst, tiredness, and frequent urination. Based on these findings, the nurse should take what action? A) Notify the physician immediately about the client's symptoms. B) Determine the client's blood glucose level. C) Administer the client's prescribed insulin. D) Give the client a peanut butter and graham cracker snack.

B, take blood glucose

While caring for a client with asthma, the nurse auscultates a bilateral high-pitched, continuous whistling sound in the anterior lung fields. What finding does the nurse document in the medical record? A) Rhonchi B) Wheezes C) Crackles D) Stridor

B, wheezes

After a cleft lip repair a nurse places elbow restraints on the infant. The parents ask the nurse, "Why does our child have to have restraints?" How should the nurse respond? "The staff can't be with your baby continuously to prevent touching of the mouth." "Legally we're required to put them on infants after lip surgery." "Because we're keeping the arms straight, your baby won't be able to touch the mouth." "They're used routinely on infants who have had lip surgery."

Because keeping both arms straight baby cannot touch the mouth. Want to prevent infection

A nurse provides instructions to a group of adolescents about ways to prevent obesity. Which statements made by an adolescent indicates a need for further learning? Select all that apply. A) "I should avoid trans fats." B) "I should limit portion sizes." C) "I should consume a high-fat diet." D) "I should take highly refined starch food." E) "I should watch television for four hours only."

C, D, E

The nurse is caring for a child being treated for ALL. Laboratory results indicate that the child has a white blood cell count of 5000/mm3 with 5% segs and 3% bands. Which of the following analyses is most appropriate? A) The absolute neutrophil count is 800/mm3, and the child is neutropenic B) The absolute neutrophil count is 4000/mm3, and the child is not neutropenic C) The absolute neutrophil count is 400/mm3, and the child is neutropenic D) The absolute neutrophil count is 5800/mm3, and the child is not neutropenic

C, absolute neutrophil count is 400 and child is neutropenic

A 9 year-old child is hospitalized. Which of the following is most appropriate for the nurse to include in the plan of care? A) Allow the child to choose when medications are taken B) Discuss nutrition and meal selections with the parents only C) Encourage the child to continue school work while hospitalized D) Taking the health history and performing examinations without parents present

C, encourage the child to continue school work while hospitalized

Infants are prone to disturbances in fluid and electrolytes because they have: A) A decreased amount of surface area B) An increased ability to handle renal solute load C) An increased amount of extracellular fluid D) A decreased energy expenditure

C, increased amount of extracellular fluid

A nurse is teaching the parents of an 8-year-old child with recently diagnosed type 1 diabetes about their child's care. What significant complication associated with type 1 diabetes should the nurse include in the teaching plan? A) Obesity B) Resistance to treatment C) Ketoacidosis D) Hypersensitivity to other drugs

C, ketoacidosis

Separation anxiety in teenagers typically includes: A) Refusing to eat B) Clinging to their parents C) Trying to appear strong D) Screaming

C, trying to appear strong

A nurse sees that a child has missed several well child visits. The parent states that she doesn't see the importance of coming to the pediatrician's office when her child isn't sick. Which of the following would the nurse NOT use as a reason for well visits: A) Immunizations B) Tracking growth and development C) A chance to raise concerns D) Not bringing them in regularly means a parent doesn't care about their child

D

A 9-month-old with iron deficiency anemia is crawling around on the floor. Which would demonstrate the child is tolerating the activity? A) Muscle weakness B) Decreased alertness C) Heart rate 168 D) Respiratory rate <50

D, Respiratory rate under 50

A child is seen in the pediatrician's office for complaints of bone and joint pain. Which other assessment finding may suggest leukemia? A) Abdominal pain B) Increased activity level C) Increased appetite D) Petechiae

D, petechiae

To take the vitals of a 4-year-old, which order will give the nurse the most accurate results? A) Heart rate, rectal temperature, and respiratory rate B) Rectal temperature, heart rate, and respiratory rate C) Rectal temperature, respiratory rate, and heart rate D) Respiratory rate, heart rate, and rectal temperature

D, rectal temp last

The parents of an 18-month-old toddler are anxious to know why their child has experienced several episodes of acute otitis media. What should the nurse explain to the parents about why toddlers are prone to middle ear infections? A) Immunologic differences between adults and young children B) Circumference differences between middle ear cavity size of adults and young children C) Functional differences between eustachian tubes of younger and older children D) Structural differences between eustachian tubes of younger and older children

D, structural differences

The nurse walks into a patient's room to find the 12-year-old female patient refusing to allow a Medical Student to listen to their heart. Upon further questioning you find that the Med Student is trying to do a cardiac assessment and has asked the patient to remove her hospital gown. The nurse's best response in this situation is to: A) Tell the Med Student the assessment will be complete by the nurse B) Ask the Med Student to leave the room because they have upset the patient. C) Suggest to the Med Student that they have the patient slide the gown down to their waist. D) Have the Med Student slide their stethoscope under their gown to listen to the heart.

D, under the gown

An 11-year-old female child is experiencing a vaso-occulsive sickle cell crisis. She is on is receiving IV fluids, supplemental oxygen and analgesics. Which finding in this child most indicates that the treatment plan of care is effective? A) An increased hemoglobin level B) A decreased erythrocyte sedimentation rate (ESR) C) A balanced intake and output D) Verbalization of a decrease in complaints of pain

D, verbalization of a decrease in complaints of pain

The nurse educates an obese adolescent about healthy dietary habits and risk associated with obesity. Which statement by the adolescent indicates the need for further counseling? A) "I should play more outdoor games." B) "I should exercise." C) "I should modify my diet and have lots of vegetables and water." D) "I should watch more TV to reduce the stress."

D, watch more tv to reduce stress

Select all the signs and symptoms that can present in a child with epiglottitis? Exudate on Tonsils Drooling Stridor High Fever Difficulty swallowing Barking cough Crackles Slow onset of symptoms

Drooling, stridor, high fever, difficulty swallowing

When discussing the nursing care of Children, often the phrase "Children are little adults." Is this true or false?

False

Which medications does the nurse expect to be prescribed for a preschooler with newly diagnosed cystic fibrosis? Select all that apply. Fat-soluble vitamins Steroids Antibiotics Antihistamines Pancreatic enzymes

Fat soluble vitamins, antibiotics, pancreatic enzymes

10-year-old Gordon is seeing the Pediatrician for his annual well-child check-up. After obtaining Gordon's weight and height, his BMI is determined to be at the 87th percentile. This BMI is interpreted as: A) Normal BMI for age. B) Overweight and at risk for obesity. C) Obesity present. D) Underweight

Overweight and at risk for obesity

The nurse is administering medication to a child with gastroesophageal reflux (GERD). Which of the following would be documented as given? lansoprazole (Prevacid) glycopyrrolate (Robinul) Furosemide (Lasix) Prednisone

Prevacid

A 6-week-old infant has just been found to have gastroesophageal reflux. What teaching is most important to discuss with the parents at this time? Feeding cereal with a spoon Providing formula thickened with cereal Explaining changes in care after surgical repair of the esophageal defect Placing the infant on its back immediately after feedings

Providing formula thickened with cereal

A 1-month-old infant is admitted to the pediatric unit with a tentative diagnosis of Hirschsprung disease. What procedure does the nurse expect to be used to confirm the diagnosis? Rectal biopsy Multiple saline enemas Colonoscopy Fiberoptic nasoenteric tube

Rectal biopsy

The nurse is caring for a 12-month-old infant with a diagnosis of failure to thrive. The infant's weight is below the third percentile, and development is delayed. Which behaviors of the child suggest to the nurse the possibility of parental neglect? Select all that apply. Stiff Withdrawn Easily satisfied Minimal smiling Responsive to touch Little interest in the environment

Stiff, withdrawn, minimal smiling, little interest in the environment

T/F: Central to the concept of family-centered care is recognizing that the family is the constant in the child's life, and they should be included in decision-making and the child's care.

TRUE

A 17-year-old boy with hemophilia A is admitted to the hospital for surgery. His preoperative preparation should include which treatment? Transfusion of clotting factor IV analgesics Hydration at 50% above the normal fluid level Bed rest

Transfusion of clotting factor

The nurse is providing care to a 6-week-old infant who is hospitalized for poor growth. The infant is currently being breastfed and is diagnosed with failure to thrive (FTT). Which is the priority nursing assessment for this infant? Family financial difficulties Uncoordinated suck and swallow Neglect and abuse by the parents Knowledge deficit related to nutritional intake

Uncoordinated suck and swallow

An ER nurse is assessing if a pre-school age child could have a urinary tract infection. Which of the following assessment findings would be consistent with this? Severe flank pain, nausea, headache Proteinuria, frothy urine, fever Urgency, dysuria, fever Headache, hematuria, vertigo

Urgency, dysuria, fever

A 10-year-old child with asthma performs a peak flow test and scores 78% of her personal best. In which range would she considered? Yellow Zone Red Zone Green Zone

Yellow zone