peds quizzes
The mother of a 10-year-old questions the nurse regarding the method of chemotherapy administration and is concerned the child will require frequent IV insertions. With which statement should the nurse respond? -"Eventually, the child will get accustomed to the frequent injections." -"A central venous catheter (CVC) or implanted port may be implanted for long-term chemotherapy administration." -The peripheral IV will remain in place for up to 3 months." -"The injections will not hurt."
"A central venous catheter (CVC) or implanted port may be implanted for long-term chemotherapy administration."
After a cleft lip repair a nurse places elbow immobilizers on the infant. The parents ask the nurse, "Why does our child have to have restraints?" What is the best way for the nurse to respond? -"Legally we're required to put them on infants after lip surgery." -"The staff can't be with your baby continuously to prevent touching of the mouth." -"They're used routinely on infants who have had lip surgery." -"Because we're keeping the arms straight, your baby won't be able to touch the mouth, which protects the incision."
"Because we're keeping the arms straight, your baby won't be able to touch the mouth, which protects the incision."
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 need to hold her head up a little higher than her stomach when I feed her." -"I can double the amount of water in the formula to save money." -"I need to make sure that the formula is in the nipple so she doesn't swallow so much air." -"I need to burp the baby when the feeding is done to get rid of swallowed 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 make my child wear diapers during day hours while at school." -"I should encourage my child to drink plenty of water earlier in the day." -"I should wake my child at the same time every night to use the bathroom." -"I should reprimand my child for the bad behavior." -"I should give my child diet soda instead of regular soda in the evening."
"I should encourage my child to drink plenty of water earlier in the day.", "I should wake my child at the same time every night to use the bathroom."
The nurse has completed parent education related to treatment for an infant with congenital clubfoot. The nurse knows that parents need further teaching when they state which of the following? -"We're getting a special car seat to accommodate the casts." -"We'll protect the cast from getting wet." -"My child will undergo one cast or splint and that will conclude his treatment."." -"We'll watch for any swelling of the feet while the casts are on."
"My child will undergo one cast or splint and that will conclude his treatment."."
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 is the same as hospice care." -"Palliative care is an interprofessional approach to the delivery of care." -"Palliative care includes symptom management in the client." -"Palliative care focuses on the care of the client."
"Palliative care is the same as hospice care."
Which statement made by the parents of a child with hip dysplasia indicates a need for further teaching? -"The Pavlik harness will help to stabilize the child's hips" -"We can remove the Pavlik harness while the child sleeps" -"We will assess for skin breakdown under the harness" -"We should still provide opportunities for developmental stimulation"
"We can remove the Pavlik harness while the child sleeps"
Which response would the nurse use when a parent of a 13-year-old adolescent with recently diagnosed Hodgkin disease says, 'I don't want my child to know about the diagnosis'? -'Let's talk about how you're feeling about your child's diagnosis.' -'It's best for your child to know the diagnosis.' -'Is there a reason you want to lie to your child?' -'Did you know that the cure rate for Hodgkin disease is high?'
'Let's talk about how you're feeling about your child's diagnosis.'
Grady is a 14 month old who has epilepsy. He weighs 24 lbs and is takes Keppra (Levetiracetam) at a dose of 15mg/kg/dose. How many mg is each dose for Grady? Round to the tenths place.
163.6
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. Place these nursing actions of in order of priority, with 1 being the first action. -Apply oxygen -Place child in knee-chest position -Administer morphine
1: place child in knee-chest position, 2: apply oxygen, 3: administer morphine
A 2-year-old child is being placed on IV fluids while NPO before a surgery. The order is for 1/2 maintanence fluid, so as to avoid fluid overload. The child weighs 12.5kg. What is the hourly fluid rate that is appropriate for this child? Round to the hundredths place. ______ ml/hr
23.44
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
An infant recovering from dehydration is ordered maintenance IV fluid. He weighs 14 kg. 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
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 -Administer antibiotics -Obtain blood cultures -Administer chemotherapy
Administer acetaminophen, Administer antibiotics, Obtain blood cultures
Which following data, documented by the nurse, is consistent with Coarctation of the Aorta? -Arm blood pressure 105/85, leg blood pressure 105/85, weak radial 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 60/30, leg blood pressure 105/85, weak pedal pulses.
Arm blood pressure 105/85, leg blood pressure 60/30, strong radial pulses.
Select all of the actions the nurse would take when providing care for an infant with suspected bacterial meningitis. (Select all that apply) -Assist with lumbar puncture -Monitor for signs of increased intracranial pressure (ICP) -Administer antibiotics -Obtain IV access -Prepare the child for emergency surgery
Assist with lumbar puncture, Monitor for signs of increased intracranial pressure (ICP), Administer antibiotics, Obtain IV access
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? -Atrioventricular septal defect (AVSD) -Tetralogy of Fallot -Cardiomyopathy -Pulmonary Stenosis
Atrioventricular septal defect (AVSD)
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 -Cover the leg with a blanket -Elevating the leg -Notifying the primary healthcare provider
Checking the pulse in the extremity
A young child is admitted to the pediatric unit with a diagnosis of Wilms tumor. Considering the unique needs of a child with this diagnosis, what statement should be on a sign placed by the nurse at the child's bedside? -Keep NPO -Do not palpate the abdomen -No IV medications -BP only on left arm
Do not palpate the abdomen
A nurse is assessing a newborn with suspected retention of a fetal structure that will result in a congenital heart defect. Which fetal structures are expected to undergo change after birth? Select all that apply. -Pulmonary arteries -Ductus arteriosus -Foramen ovale -Mitral valve -Pulmonary veins
Ductus arteriosus, Foramen ovale
Which manifestation would the nurse include when the parents of a child who has just been diagnosed with hemophilia ask what symptoms of bleeding should they look for in the future? Select all that apply. One, some, or all responses may be correct. -Frequent fevers -Easy bruising -Painful and swollen joints -Fast clotting of injuries -Nosebleeds -Blood in urine
Frequent fevers, Easy bruising, Nosebleeds, Blood in urine
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? -Impaired physical motility -High risk for infection -Anticipated grief -High risk for injury
High risk for injury
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 -Hyperuricemia -Hyperphosphatemia -Hyperkalemia -Hypomagnesemia
Hypocalcemia, Hyperuricemia, Hyperphosphatemia, Hyperkalemia
The nurse is teaching the parents of a child with Kawasaki disease. Which statement should the nurse include in her teaching about this disorder? -You can stop administering the aspirin as soon as discharged -It occurs mostly in adolescents -It's an acute systemic vasculitis of unknown cause -Diagnosis can be made with laboratory testing
It's an acute systemic vasculitis of unknown cause
Which postoperative nursing intervention is specifically related to spinal fusion performed in an adolescent with scoliosis? -Log-rolling every 2 hours -Checking dressing frequently -Supervising deep breathing exercises -Maintaining the patient in supine position for 3 days
Log-rolling every 2 hours
A 3-year-old patient is diagnosed with hydrocephalus. A ventricular shunt was placed to relieve the pressure. What is the nursing care priority for a patient who had a ventricular shunt put into place? -Monitoring for fluid leaking from the incision -Monitoring for headaches when the patient sits up -Assessing neurologic status every two hours -Assessing for proper bowel movements
Monitoring for fluid leaking from the incision
The nurse is working with a new graduate in developing a plan of care for a newborn infant with spina bifida (myelomeningocele) and hydrocephalus. The nurse reminds the graduate to monitor for increased intracranial pressure (ICP). Which assessment technique should be performed to detect the presence of an increase in ICP? -Measure urine specific gravity -Monitor blood pressure for signs of hypotension -Observe anterior fontanel for bulging -Assess for increased muscle tone
Observe anterior fontanel for bulging
A child is seen in the pediatrician's office for complaints of bone and joint pain. Which other assessment finding may suggest leukemia? -Increased appetite -Abdominal pain -Increased activity level -Petechiae
Petechiae
A nurse is planning care of a 12-year-old boy with Duchenne Muscular Dystrophy. Which of the following would always be included in his plan of care? -Physical therapy to prevent contractures. -Daily, intense weight training with weights to increase muscle tone. -Strict bed rest to decrease strain on muscles. -Encourage running to increase coordination.
Physical therapy to prevent contractures.
When providing education to parents of a child with a new diagnosis of epilepsy, which of the following would the nurse NOT include about seizure care? -Do not restrain the child -Staying with the child during a seizure -Removing any items that could cause the child harm -Placing a spoon in the child's mouth to prevent the tongue from blocking the airway
Placing a spoon in the child's mouth to prevent the tongue from blocking the airway
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? -Positive antistreptolysin titer -Low erythrocyte sedimentation rate -Negative C-reactive protein -Increased reticulocyte count
Positive antistreptolysin titer
A 9-month-old with iron deficiency anemia is crawling around on the floor. Which would demonstrate the child is tolerating the activity? -Muscle weakness -Heart rate 188 -Decreased alertness -Respiratory rate 42
Respiratory rate 42
Which of the following disorders leads to cyanosis from deoxygenated blood entering the systemic arterial circulation? -Coarctation of the aorta -Tetralogy of Fallot -Patent Ductus Arteriosis -Aortic stenosis
Tetralogy of Fallot
The nurse is caring for a child being treated for Acute lymphocytic leukemia (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 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 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 400/mm3, and the child is neutropenic
A child must wear a brace for correction of scoliosis. Which of the following should be included when educating the child and family about the brace? -The brace is being used due to the scoliosis curve of 8 degrees. -The brace should be worn 8 hours a day. -The brace can be disguised with clothes. -The brace should not interfere with body image
The brace can be disguised with clothes.
What is the most important rationale for monitoring nutritional intake in a child with heart failure (HF)? -To determine if patient has pain associated with heart failure, as increased pain will result in decreased dietary intake. -To determine if child is obtaining enough nutrients to support increased energy demands of the heart. -To determine extent and sidedness of heart failure. Right-sided failure will not alter feeding habits. Left-sided failure results in decreased appetite and subsequent weight loss. -To determine if child is expending enough energy. The more child eats, the more energy they can expend.
To determine if child is obtaining enough nutrients to support increased energy demands of the heart.
Nursing care of the child who is immunosuppressed due to chemotherapy administration should always include which of the following? -Use good hand washing -Institute strict isolation -Restrict oral fluids -Give immunization appropriate for age
Use good hand washing
An infant is experiencing supraventricular tachycardia (SVT). The infant doesn't appear to be in distress, and vitals are close to baseline. Which intervention should be attempted first? -Administration of adenosine -Synchronized cardioversion -Vagal maneuver, such as ice to the face -Administration of digoxin
Vagal maneuver, such as ice to the face
An 11-year-old female child is experiencing a vaso-occulsive sickle cell crisis. She is receiving IV fluids, supplemental oxygen and analgesics. Which finding in this child most indicates that the treatment plan of care is effective? -A decreased erythrocyte sedimentation rate (ESR) -A balanced intake and output -An increased hemoglobin level -Verbalization of a decrease in complaints of pain
Verbalization of a decrease in complaints of pain
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 -Marked tenderness around the umbilicus -A distended colon -An olive-sized mass in the right upper quadrant
an olive-sized mass in the right upper quadrant
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 aid confirmation of the diagnosis? -Amount of oral intake -Characteristics of stools -Hyperactive bowel sounds -Elevated temperature
characteristics of stools
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 -Offering oral fluids to promote hydration -Providing an antitussive agent whenever necessary
clustering care to conserve energy
Prior to preparing a child for a procedure, the nurse should assess all of the following. Which would receive priority? -Developmental level -Gross motor skills -Attachment behaviors -Chronological age
developmental level
Select all the signs and symptoms that typically present in a child with epiglottitis. -Slow onset of symptoms -Difficulty swallowing -Drooling -Exudate on Tonsils -Crackles
difficulty swallowing, drooling
A 9 year-old child is hospitalized. Which of the following is most appropriate for the nurse to include in the plan of care? -Allow the child to choose if medications should be taken -Encourage the child to continue school work while hospitalized and keep normal routine -Discuss nutrition and meal selections with the parents only -Taking the health history and performing examinations without parents present
encourage the child to continue school work while hospitalized and keep normal routine
A child with a diagnosis of appendicitis will always undergo emergency surgery immediately after diagnosis. -True -False
false
A child with a febrile seizure typically has an underlying central nervous system disorder. -True -False
false
A pediatric patient's Code Status is always either a Full Code or Allow Natural Death (AND). -True -False
false
An apneic episode is cessation of breathing for 10 seconds. -True -False
false
Bowel obstruction is NOT a major concern for patients with abdominal wall defects. -True -False
false
When a child has been seizure-free for one year, anticonvulsant medications will be terminated. -True -False
false
When discussing the nursing care of Children, often the phrase "Children are little adults." Is this true or false? -true -false
false
Obesity in children is an ever-increasing problem. What should a nurse consider before confronting the problem with individual children? -Enjoyment of specific foods is inherited. -Children with obese parents and siblings are destined for obesity. -Familial and cultural influences are deciding factors in eating habits. -Childhood obesity is not usually a predictor of adult obesity.
familial and cultural influences are deciding factors in eating habits
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: -Suggest to the Med Student that they have the patient slide the gown down to their waist. -Ask the Med Student to leave the room because they have upset the patient. -Tell the Med Student the assessment will be complete by the nurse -Have the Med Student slide their stethoscope under their gown to listen to the heart.
have the med student slide their stethoscope under their gown to listen to the heart
A nurse keeps track of the immunization schedules for a childbearing family. Which type of nursing intervention is executed in this situation? -Restorative care -Health promotion -Home care -Acute care
health promotion
A 6-month-old is sleeping in the parent's arms. The mother reports the infant has been "breathing fast," coughing repeatedly, and crying more often than usual. Which component of the respiratory assessment should the nurse perform first? -Inspection -Palpation -Percussion -Auscultation
insepection
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: -Immunizations -Not bringing them in regularly means a parent doesn't care about their child -A chance to raise concerns -Tracking growth and development
not bringing them in regularly means a parent doesn't care about their child
A nurse notes blue sclera during a newborn assessment. The infant should be checked for which of the following? -Osteogenesis imperfecta -Muscular dystrophy -Legg-Calve Perthes Disease -Slipped Capital Femoral Epiphysis
osteogenesis imperfecta
Which of these medications does the nurse expect to be prescribed for a preschooler with newly diagnosed cystic fibrosis? Select all that apply. -Antihistamines -Pancreatic enzymes -Fat-soluble vitamins -Cough syrup
pancreatic enzymes, fat-soluble vitamins
The nurse is admitting a child with nephrotic syndrome. Which type of edema should the nurse be on the lookout for with this child? -Cerebral edema -Peripheral edema -Ascites -Pulmonary edema
peripheral edema
A 6-week-old infant has just been found to have gastroesophageal reflux. Practitioner has ordered the conservative treatment. What teaching is most important to discuss with the parents at this time? -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 -Feeding cereal with a spoon
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? -Fiberoptic nasoenteric tube -Multiple saline enemas -Rectal biopsy -Colonoscopy
rectal biopsy
Which is the priority topic when teaching the parents of a toddler-age client regarding the selection of toys? -Cost -Gender specificity -Creativity -Safety
safety
A nurse is planning care of an infant with severe dehydration. Which of the following would be the most appropriate intervention? -Feeding concentrated formula with more than the needed water -Start IV therapy immediately -Start administering pedialyte (electrolyte fluid) immediately -Feeding water 3 ounces every 3 hours without formula
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? -Immunologic differences between adults and young children -Structural differences between eustachian tubes of younger and older children -Functional 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
An infant is admitted to the pediatric unit with bronchiolitis caused by respiratory syncytial virus (RSV). What interventions are appropriate nursing care for the infant? Select all that apply. -Prevent the parents from holding the child -Suctioning mucus with a bulb syringe or suction catheter -Administering humidified oxygen -Keeping the infant in the prone position
suctioning mucus with a bulb syringe or suction catheter, administering humidified oxygen
After a 5-year-old child's tonsillectomy, the nurse notes that the child swallows very frequently. What should the nurse suspect about the child's behavior? -This is a sign of respiratory distress. -The child is experiencing throat pain. -The child is bleeding from the surgical site. -This is a reaction from the general anesthesia.
the child is bleeding from the surgical site
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 -false
true
Growth charts give information on the what percentage a child falls in, and can assess general health. -true -false
true
Pediatric patients at the end of life with often have feelings of guilt. -True -False
true
Separation anxiety in teenagers typically includes: -Refusing to eat -Trying to appear strong -Screaming -Clinging to their parents
trying to appear strong
A toddler is admitted to the emergency department with a diagnosis of croup. After the spasms subside, the child is ready to be discharged. What should the nurse teach the parents to do at home to help prevent another croup coughing episode? -Perform postural drainage. -Use a mist vaporizer in the child's room. -Discourage before-bedtime snacks. -Demonstrate to the child how to expel air after inspiration.
use a mist vaporizer in the child's room
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 2. Her nurse practitioner decides on which course of action for Sydney's treatment: -Prescribe Amoxicillin and encourage Tylenol and Motrin -Prescribe Augmentin and encourage Tylenol and Motrin -Wait 72 hours to prescribe antibiotics, but encourage pain control with Tylenol and Motrin -Schedule Sydney for permanent ear tube insertion
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 -Wheezes -Rhonchi -Coarse
wheezes
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 be considered? -Red Zone -Yellow Zone -Green Zone
yellow zone
