Peds Quizes

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

- Antibiotics - Fat-soluble vitamins - Pancreatic enzymes

What psychosocial clues should be explored to confirm substance abuse in an adolescent? Select all that apply. - Changes in interpersonal relationships - Overly polite behavior - Increased school absenteeism - Wearing light clothes despite cold weather

- Changes in interpersonal relationships - Increased school absenteeism

The nurse is teaching the parents of a child with Kawasaki disease. Which statement should the nurse include in her teaching about this disorder? - It's an acute systemic vasculitis of unknown cause - You can stop administering the aspirin as soon as discharged - It occurs mostly in adolescents - Diagnosis can be made with laboratory testing

It's an acute systemic vasculitis of unknown cause

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

Respiratory rate <50

A 10-year-old child with asthma performs a peak flow test and scores 212. Her personal best (predicted) is 310. In which range would she considered? - Green Zone - Yellow Zone - Red Zone

Yellow Zone

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? - "They're used routinely on infants who have had lip surgery." - "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." - "The staff can't be with your baby continuously to prevent touching of the mouth."

"Because we're keeping the arms straight, your baby won't be able to touch the mouth."

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? - "Palliative care focuses on the care of the client." - "Palliative care is an interprofessional approach to the delivery of care." - "Palliative care includes symptom management in the client." - "Palliative care is the same as hospice care."

"Palliative care is the same as hospice care."

A nursing instructor asks a nursing student about the warning signs that may be seen in an adolescent one month before suicide is attempted. What statement indicates a need for further education? - "A suicidal adolescent may sleep for long hours." - "A suicidal adolescent may have an increased appetite." - "A suicidal adolescent may lose interest in daily activities." - "A suicidal adolescent may avoid speaking about suicidal thoughts."

- "A suicidal adolescent may have an increased appetite." - "A suicidal adolescent may avoid speaking about suicidal thoughts."

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 avoid giving my child fruit juice after 6:00 pm." - "I should encourage my child to drink lots of water during the day." - "I should make my child wear diapers during day hours while at school." - "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 6:00 pm." - "I should encourage my child to drink lots of water during the day." - "I should wake my child at the same time every night to use the bathroom."

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. - Administer acetaminophen - Obtain complete blood cell count (CBC) - Administer oral rinse - Administer packed red blood cells - Obtain blood cultures - Administer antibiotics

- Administer acetaminophen - Obtain complete blood cell count (CBC) - Obtain blood cultures - Administer antibiotics

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

- Difficulty swallowing - Stridor - Drooling

After an assessment, a nurse suspects that an adolescent has anorexia nervosa. Which characteristics may have been observed in the adolescent? Select all that apply. - Seeking intimacy - Being extroverted - Dismissing food - Maintaining rigid body control - Denying illness

- Dismissing food - Maintaining rigid body control - Denying illness

A nurse is assessing a newborn with suspected retention of a fetal structure that will result in a congenital heart defect. Which fetal structures should undergo change after birth? Select all that apply. - Mitral valve - Ductus arteriosus - Pulmonary arteries - Pulmonary veins - Foramen ovale

- Ductus arteriosus - Foramen ovale

Type I Diabetes early onset symptoms usually include which of the following: - Frequent urination - Extreme hunger - Increased thirst - Unexplained weight gain

- Frequent urination - Extreme hunger - Increased thirst

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

- Hyperuricemia - Hyperkalemia - Hyperphosphatemia - Hypocalcemia

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

A child who weighs 20 kg is being immunosupressed by doses of tacrolimus to prevent heart transplant rejection given twice a day. The dose per day is 0.6mg/kg each day. How many milligrams should the nurse plan to administer per each dose? Record your answer in a whole number. _______mg

6

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 nursing intervention will help the toddler-age client diagnosed with a chronic illness develop autonomy? - Providing a choice between a book or movie prior to bedtime - Allowing the child to dress independently - Bringing finger paints to the child's room - Encouraging play dates with other children of the same age

Allowing the child to dress independently

Infants are prone to disturbances in fluid and electrolytes because they have: - a decreased amount of surface area - a decreased energy expenditure - an increased ability to handle renal solute load - an increased amount of extracellular fluid

An increased amount of extracellular fluid

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

An olive-sized mass in the right upper quadrant

A client's chest tube has accidentally dislodged. What is the nursing action of highest priority? - Place the client in a left side-lying position. - Apply a petroleum gauze dressing over the site. - Prepare to reinsert a new chest tube. - Apply oxygen via nonrebreather mask.

Apply a petroleum gauze dressing over the site.

Which following data, documented by the nurse, is consistent with Coarctation of the Aorta? - Arm blood pressure 60/30, leg blood pressure 105/85, weak pedal pulses. - Arm blood pressure 105/85, leg blood pressure 105/85, strong pedal pulses. - Arm blood pressure 105/85, leg blood pressure 60/30, strong radial pulses. - Arm blood pressure 105/85, leg blood pressure 105/85, weak radial pulses.

Arm blood pressure 105/85, leg blood pressure 60/30, strong radial pulses.

A client with Down syndrome (Trisomy 21) comes to the pediatric clinic for a well visit. Which cardiac anomaly would this child be at highest risk for considering his health history? - Cardiomyopathy - Atrioventricular septal defect (AVSD) - Tetralogy of Fallot - Pulmonary Stenosis

Atrioventricular septal defect (AVSD)

After several episodes of abdominal pain and vomiting, a 5-month-old infant is admitted with a tentative diagnosis of intussusception. What assessment should the nurse document that will support this diagnosis? - Frequency of crying - Amount of oral intake - Characteristics of stools - Absence of bowel sounds

Characteristics of stools

A cardiac catheterization is performed on an infant. After the procedure, the leg used for the catheter insertion site becomes mottled, or discolored. What is the first action the nurse should take? - Checking the pulse in the extremity - Notifying the primary healthcare provider - Elevating the leg - Cover the leg with a blanket

Checking the pulse in the extremity

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? - Administering an antiviral agent - Clustering care to conserve energy - Providing an antitussive agent whenever necessary - Offering oral fluids to promote hydration

Clustering care to conserve energy

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

Determine the client's blood glucose level.

Prior to preparing a child for a procedure, the nurse should assess all of the following. Which would receive priority? - gross motor skills - developmental level - chronological age - attachment behaviors

Developmental level

A 9 year-old child is hospitalized. Which of the following is most appropriate for the nurse to include in the plan of care? - discuss nutrition and meal selections with the parents only - encourage the child to continue school work while hospitalized - allow the child to choose when medications are taken - taking the health history and performing examinations without parents present

Encourage the child to continue school work while hospitalized

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

False

The phrase for a place in which it is difficult to buy affordable or good-quality fresh food is which: - impoverished area - food desert - vegetable wasteland - food flood

Food desert

Hypothyroidism treatment involves all of the following EXCEPT - Synthroid - Growth hormone injections - Monitoring for complications - Monitoring thyroid labs

Growth hormone injections

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: - ask the med student to leave the room because they have upset the patient - have the med student slide the stethoscope under their gown to listen to the heart - tell the med student the assessment will be completed by the nurse - suggest to the med student that they have the patient slide the gown down to their waist

Have the Med Student slide their stethoscope under their gown to listen to the heart.

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? - High risk for injury - Anticipated grief - Impaired physical motility - High risk for infection

High risk for injury

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? - Ketoacidosis - Obesity - Hypersensitivity to other drugs - Resistance to treatment

Ketoacidosis

A client with cystic fibrosis asks why the percussion procedure is being performed. The nurse explains that the primary purpose of percussion is to do what? - Expel carbon dioxide from the lungs - Relieve bronchial spasms - Increase depth of respirations - Loosen pulmonary secretions

Loosen pulmonary secretions

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 chance to raise concerns - immunizations - not bringing them in regularly means a parent doesn't care about their child - tracking growth and development

Not bringing them in regularly means a parent doesn't care about their child

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

Petechiae

A 3-month-old infant with tetralogy of Fallot is admitted for a diagnostic workup in preparation for corrective surgery. The morning after cardiac catheterization the infant suddenly becomes cyanotic and begins breathing rapidly. Which is the nursing action of highest priority? - Place the infant in knee-chest position - Apply oxygen - Administer IV adenosine - Administer IV morphine

Place the infant in knee-chest position

Which is the priority nursing action to facilitate growth and development when providing care to a pediatric client who is diagnosed with a chronic illness? - Planning activities to promote progression from one stage of development to the next - Teaching the client and family how the illness affects physical growth - Monitoring growth patterns and plotting on the growth chart - Assessing stage of development frequently and documenting it in the medical record

Planning activities to promote progression from one stage of development to the next

A nurse is reviewing the laboratory values of a school-aged child with rheumatic heart disease. Which finding does the nurse conclude is related to this condition? - Low erythrocyte sedimentation rate - Negative C-reactive protein - Increased reticulocyte count - Positive antistreptolysin titer

Positive antistreptolysin titer

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? - Providing formula thickened with cereal - Feeding cereal with a spoon - Placing the infant on its back immediately after feedings - Explaining changes in care after surgical repair of the esophageal defect

Providing formula thickened with cereal

A nurse is caring for an adolescent with the diagnosis of anorexia nervosa. The plan of care should include helping the client do what? - Understand that more food must be eaten. - Change attitudes about nutrition. - Recognize how the need to control influences behavior. - Plan nutritious meals.

Recognize how the need to control influences behavior.

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? - Multiple saline enemas - Colonoscopy = Rectal biopsy - Fiberoptic nasoenteric tube

Rectal biopsy

To take the vitals of a 4-year-old, which order will give the nurse the most accurate results? - respiratory rate, heart rate, and rectal temperature - rectal temperature, heart rate, and respiratory rate - heart rate, rectal temperature, and respiratory rate - rectal temperature, respiratory rate, and heart rate

Respiratory rate, heart rate, and rectal temperature

A nurse is planning care of an infant with severe dehydration. Which of the following interventions would the nurse anticipate as part of the plan of care? - Feeding water 3 ounces every 3 hours without formula - Start IV therapy immediately - Start administering pedialyte (electrolyte fluid) immediately - Feeding concentrated formula with more than the needed water

Start IV therapy immediately

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? - Functional differences between eustachian tubes of younger and older children - Immunologic differences between adults and young children - Structural differences between eustachian tubes of younger and older children - Circumference differences between middle ear cavity size of adults and young children

Structural differences between eustachian tubes of younger and older children

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? - The absolute neutrophil count is 5800/mm3, and the child is not neutropenic - The absolute neutrophil count is 400/mm3, and the child is neutropenic - The absolute neutrophil count is 4000/mm3, and the child is not neutropenic - The absolute neutrophil count is 800/mm3, and the child is neutropenic

The absolute neutrophil count is 400/mm3, and the child is neutropenic

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

The child is bleeding from the surgical site.

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

Transfusion of clotting factor

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 or False?

True

Separation anxiety in teenagers typically includes: - screaming - clinging to their parents - refusing to eat - trying to appear strong

Trying to appear strong

Which clinical findings indicate to the nurse that a 6-year-old child has nephrotic syndrome rather than acute glomerulonephritis? Select all that apply. - Recent strep infection - Unchanged blood pressure - Gross hematuria

Unchanged blood pressure

An infant is experiencing supraventricular tachycardia (SVT). Which intervention should be attempted first? - Synchronized cardioversion - Vagal maneuver, such as ice to the face - Administration of digoxin - Administration of adenosine

Vagal maneuver, such as ice to the face

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? - Verbalization of a decrease in complaints of pain - A decreased erythrocyte sedimentation rate (ESR) - A balanced intake and output - An increased hemoglobin level

Verbalization of a decrease in complaints of pain

Sydney, an 18-month old, comes into the PCP with a 1 day history of ear pain. She does not have a fever and her FLACC score for pain is a 3. Her nurse practitioner decides on which course of action for Sydney's treatment: - Wait 72 hours to prescribe antibiotics, but encourage pain control with Tylenol and Motrin - Prescribe Amoxicillin and encourage Tylenol and Motrin - Schedule Sydney for permanent ear tube insertion - Prescribe Augmentin and encourage Tylenol and Motrin

Wait 72 hours to prescribe antibiotics, but encourage pain control with Tylenol and Motrin

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? - Crackles - Coarse - Rhonchi - Wheezes

Wheezes

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

lansoprazole (Prevacid)