PEDs TB 2
A child weighing 44 pounds is experiencing bradycardia and receives a prescription for atropine sulfate 0.01 mg/KG intravenously stat. The medication is applied as 0.1 mg/ML how many mg should the nurse administer? (enter numeric value only if rounding is required round to the nearest 10th.)
0.2
During a well child visit for their child one of the parents who has an autosomal dominant disorder tells the nurse "we don't plan on having any more children since the next baby is likely to inherit this disorder" how should the nurse respond? A. Explain that each individual future child has a 50% chance of inheriting the disorder. B. Confirm that the risk of inheriting the disorder decreases by 50% with each child that the couple has. C. Encouraged a couple to reconsider their decision since the inheritance pattern may be sex linked D. Acknowledge that the next child will inherit the disorder since the first child did not.
A. Explain that each individual future child has a 50% chance of inheriting the disorder.
Which nutritional information should the nurse plan to provide the mother of a six month old regarding introduction of solid foods? A. Food should be introduced into a child's diet one at a time at 4 to 7 days interval. B. Begin introducing solid foods into the child's day after the child reaches one year of age. C. Foods are best introduced by mixing them with formula and feeding them to the infant with a feeder bottle D. Introduced fruits and vegetables simultaneously into diet.
A. Food should be introduced into child's diet one at a time at 4 to 7 day intervals.
A child is admitted to the hospital with diarrhea. The nurse can expect this child to exhibit which finding? A. Metabolic acidosis. B. Hypercalcemia. C. Metabolic alkalosis. D. Hyper kalemia.
A. Metabolic acidosis.
A school age child newly diagnosed with celiac disease is ordering food tray which foods should the nurse list as acceptable options for the child's diet? (select all that apply) A. Milk B. Mashed potatoes. C. Gravy. D. Chicken. E. Wheat bread. F. Corn.
A. Milk B. Mashed potatoes D. Chicken F. Corn
The nurse is caring for a school-age child with asthma, who is exhibiting decreased breath, sounds nasal flaring and respiratory rate of 40 breaths/minute. Which actions should the nurse take ? (select all that apply.) A. Monitor pulse oximetry B. Start intravenous infusion access. C. Perform oral suctioning. D. Provide humidified oxygen. E. Deliver short, acting beta agonist. F. Lower the head of the bed.
A. Monitor pulse oximetry. B. Start intravenous infusion access. D. Provide humidified oxygen. E. Deliver short, acting beta agonist.
A hospitalize child stiffens and start to seize as a nurse enters the room which action should the nurse take (select all that apply) A. Pad side rails with available pillows and blankets. B. Notify the emergency response team. C. Monitor duration in progress of the seizure. D. Turn client to the side if possible. E. Instruct the parents to leave the room.
A. Pad, side rails with available pillows and blankets. C. Monitor duration in progress of the seizure. D. Turn client to the side if possible.
The nurse is assessing a school-age child, visual equity using a Snellen chart. The child cannot identify several letters and numbers on the chart at a distance greater than 20 feet. which action should the nurse implement ? A. Report the finding to the healthcare provider. B. Listen to the child articulation of common words. C. Use artificial tears in the child's eyes and repeat the test. D. Extra child about the ability to read where is clearly.
A. Report the phone into the healthcare provider.
The nurse is caring for a toddler with a large unrepaired, ventricle septal defect and heart failure which assessment findings should the nurse expect? A. Tachycardia. B. Hypotension. C. Pulse oximetry reading within defined limits. D. Blood pressure variance across extremities.
A. Tachycardia.
The nurses are assessing a toddler who was admitted it was suspected and intussusception and presence with vomiting, lethargic, and blood and mucus present in the stool. which action should the nurse implement first ? A. Insert a nasogastric tube to low intermittent suction B. Maintain NPO status and initiate IV fluid hydration. C. Prepare for a radiographic studies to determine treatment options. D. Use a faces pain scale to medicate for pain as prescribed.
B. Maintain NPO status in initiate IV fluid hydration.
Several children at a day camp return from playing in a tick infested field which action should the nurse take first? A. Encourage children to lay down and rest quietly. B. Observe the children's skin for a test ticks C. Assess the children for the presence of a bull's-eye rash. D. Ask the children if they were using tick repellent.
B. Observe the children skin for attach ticks
A child with possible Duchenne muscular dystrophy ( MD) undergoes an electromyogram (EMG). Following the procedure, the child's parents tell the nurse that the child is complaining of sore muscle. How should the nurse respond? A. Explain that muscle aches and pain are commonly experienced by children with this form of muscular dystrophy B. Offer reassurance that muscle soreness following this procedure is temporary and does not indicate a problem. C. Encourage the parents tomorrow her the child's body temperature for the next 24 hours Airport a rise above 101°F. D. Advised the parents that children with chronic disease may seek attention by reporting pain or Other unpleasant symptoms.
B. Offer a reassurance that muscle soreness following this procedure is temporary and does not indicate a problem.
The nurse is examining an infant for possible cryptorchidism. Which exam technique should be used. A. Place the infant in side, lying position to facilitate the exam B. Place the infant in a warm room and use a calm approach. C. Cleanse the penis with a anti-septic soaked pad. D. Hold the penis and retract the foreskin gently.
B. Place the infant in warm room and use a calm approach
A mother brings her two month old to a well baby clinic. She states that when she kisses her baby, the infants, skin taste salty. The nurse should prepare the mother for what standard diagnostic test to screen for cystic fibrosis (CF) ? A. Fecal fat test B. Sweat chloride test C. pulmonary function test D. Potassium chloride test.
B. Sweat chloride test
The pediatric unit is extremely busy when the admission office notifies the charge nurse that a child who has acute lymphocytic leukemia(ALL) needs to be admitted to the unit. The parents brought prescriptions from the healthcare provider for the child to have a chest, x-ray and blood work drawn on admission what action should the charge nurse take? A. Ask the radiology department to complete the chest x-ray before admitting the child to the unit. B. Tell the admission clerk to bring the child immediately to the unit and place a child in a private room. C. Ask her family to wait in the visiting area until a nurse can assist them to the admission process. D. Have hospital transportation take the child to the central laboratory for blood work before I mission.
B. Tell the admission clerk to bring the child immediately to the unit and place a child in a private room.
The nurse is teaching a group of adolescents about the risk factors of hepatitis. Which risk factor is most important to the nurse to include on the teaching plan? A. Family lifestyle. B. Unprotected sexual intercourse. C. Peer pressure. D. Pubescences
B. Unprotected sexual intercourse.
The nurse is caring for a child with chronic kidney disease who is experiencing renal osteodystrophy. Which outcome should the nurse explain to the parents about the sequels for their child's with renal osteodystrophy ? A. Hypervitaminosis D B. Weight gain. C. Low blood pressure. D. Arrested growth
B. Weight gain.
A mother of a one month old infant, calls the clinic to report that the back of her infants head is flat. How should the nurse respond? A. Place a small pillow under the infants head while laying on the back. B. Prop the infant, and a sitting position with a cushion we're not sleeping. C. Position the infant on the stomach occasionally one awake and active. D. Turned if it on the left side braced against the curb when sleeping.
C. Position if it on the stomach occasionally went awake and active.
Parents bring the 8 month old daughter to the clinic because they are concerned that she is not developing asked her older brother did. which developmental characteristic should the nurse expect an eight month old to exhibit? A. Pulls self to sitting position. B. Can feed finger food. C. Sits alone unsupported. D. Takes a first step alone
C. Sits alone unsupported.
The parents of a 4 week old infant fall the pediatric clinic to report that their infant eats well, but vomits after each feeding. To differentiate between the normal regurgitation and pyloric stenosis, which information is most important for the nurse to obtain? A. Level of the infants distress after vomiting B. Older and texture associated with emesis. C. Position of the infant when vomiting occurs. D. Degree of forcefulness of vomiting episodes.
D. Degree of forcefulness of vomiting episodes.
The nurse is discharging a school age child with iron deficiency, anemia. Which instructions regarding liquid or iron supplement should the nurse provide the parents.? A. Makes the iron supplements into a cup of Yogurt B. Give the iron supplement with a large meal. C. Keep the iron supplement in the refrigerator. D. Give the iron supplement through a straw.
D. Give that are supplement through a straw.
A 9 year old boy is diagnosed with diabetes mellitus type 1. which stage of Ericksons theory of psychosocial development is the nurse, addressing when teaching this client about insulin injections? A. Identity B. Autonomy. C. Initiative D. Industry.
D. Industry.
A child admitted with diabetic ketoacidosis is demonstrating Kussmaul's respirations. The nurse determines that the increased respiratory rate is a compensatory mechanism for which acid base alteration? A. Metabolic alkalosis. B. Respiratory acidosis. C. Respiratory alkalosis. D. Metabolic acidosis
D. Metabolic acidosis
The nurse is assessing a preschool age child who presents with flank pain dyspuria and low-grade fever. Which additional information should the nurse gather from the parent to determine a possible urinary tract infection? A. Pale urine B increase fluid intake C. voiding every 4 hours. D. New onset bedwetting
D. New onset bedwetting
When inspecting the spine of a 10-year-old child, a nurse notes curvature at the back of the neck. how should this finding be classified? A. Indicated of skeletal immaturity. B. Abnormal. C. Minor deviation. D. Normal.
D. Normal
The mother of a four year old boy, who has been hospitalized multiple times asks the nurse how can she help her other children who are asking about their brother. To help the siblings cope with their brothers illness which suggestion is best for the nurse to provide his mother? A. Provide opportunities for the grandparents to visit the children at home. B. Tell the children stories using a scrapbook with pictures of their brother. C. Encourage children to make a small gift and mementos for their brother. D. Prepare the children for any changes in their brother before visiting in the hospital.
D. Prepare the children for any changes in their brother before visiting the hospital.
The nurse is caring for an infant with ambiguous genitalis and congenital adrenal hyperplasia which intervention should the nurse prioritize ? A. Assessed for urinary tract infection. B. Check for hypothermia C. Monitor serum electrolytes. D. Record daily weights
D. Record daily weights.
A nurse is caring for adolescent with a BMI above the 95th percentile who has been experiencing increased urination which diagnostic test should the nurse anticipate? A. Kidney ureters and bladder.(KUB) x ray B. Blood sodium level. C. Urine human chorionic gonadotropin (hCG) D. Serum hemoglobin A1C
D. Serum hemoglobin A1C
The parents of a child who is diagnosed with Wilms tumor ask the nurse why surgery is necessary for a biopsy is performed. Which information should the nurse provide? A. Biopsy may rupture, the encapsulated tumor and caused the cancer cells to spread. B. The surgery provides a visualization of other pathology and this function of the kidney. C. Metal clips are surgically applied at the tumor site for exact marking for radiation. D. Surgery is necessary to stay as a tumor and determine metastasis to other sites
D. Surgery is necessary to stage the tumor and determine the metastasis to the other sites
The nurse is providing discharge instructions to the parents of a 10 month old infant who is post hypospadias repair. Which information should the nurse include in the teaching? A. irrigate the urethral stent after giving the infant a bath B. Give acetaminophen every eight hours to prevent bladder spasms. C. Apply a gauze to the surgical site after each voiding. D. Take care during diaper changes to prevent dislodging the catheter stent.
D. Take care during diaper changes to prevent dislodgeging the catheter stent
A six-year-old child is diagnosed with rheumatic fever and demonstrates associated chorea (sudden aimless movements of the arms and legs) which information should the nurse provide to the parents? A. Premature lifestyle changes need to be made to promote safety in the home. B. Muscle tension is decrease was fine motor skill projects so these activities should be encouraged. C. Consistent discipline is needed to help the child controlled movements. D. The chorea or movements are temporary and will eventually disappear.
D. The chorea or movements are temporary and will eventually disappear.
A child receives a prescription for clarithromycin 215 MG by mouth four times a day with food. The drug is available as an oral suspension label 125 mg/ 5 ml " how many Mls per dose should the nurse administer? (enter the numeric values only if rounding is required round to the nearest 10th)
8.6
The teacher notify the school nurse at a child's nose is bleeding for no apparent reason which action should the nurse implement first ? A. Insert a sterile cotton ball in the nearest that is bleeding. B. Apply and ice compress to the child's nose right away. C. Pinched in those using thumb and finger for 10 minutes. D. Tip the child's head back to avoid swelling blood.
C. Pinched in those using thumb and finger for 10 minutes.
A preschool age child diagnosed with a new onset, grade 2 heart murmur is experiencing fatigue and arrives to the clinic with parents for continued diagnostic evaluation. Which planned test should the nurse discuss first with the parents? A. Echocardiogram. B. Holter monitor. C. Radiography of chest. D. Complete blood count.
A. Echocardiogram.
The nurse administers digoxin to a 9 month old infant with an apical heart rate of 160 bpm which apical pulse rate indicates that the therapeutic effect of the medication has been achieved? A. 120 beats per minute B. 60 beats per minute C. 80 beats per minute D. 180 beats per minute
A. 120 beats per minute
The nurse is assessing an adolescent who arrive at the clinic for physical examination before high school starts the atlas and reports trouble hearing, and a constant ringing in the ears which action should the nurse implement first? A. Ask about frequent use of earbuds to listen to music. B. View the oropharynx and obtain an oral temperature. C. Evaluate lying and standing blood pressures. D. Perform an otoscopic your examination.
A. Ask about frequent use of earbuds to listen to music.
During a follow up clinic visit, a mother tells the nurse that her 5 month old son, who had a surgical correction for tetralogy of Fallot (TOF) has rapid breathing often takes a long time to eat and requires frequent rest periods. The infant is not crying while being held and his growth is in the expected range. which intervention should the nurse implement.? A. Auscultate heart and lungs, while infant is held B. Obtain a 12 lead electrocardiogram. C. Stimulate the infant to cry to produce cyanosis. D. Evaluate infant for failure to thrive. (FTT)
A. Auscultate, heart and lungs well if it is held.
A 3 month old with meningococcal and atonic bladder is catheterized every four hours to prevent urinary retention. The home health nurse notes that the child has developed episodes of sneezing, urticaria , watery eyes and a rash in the diaper area. What action is most important for the nurse to take? A. Change to latex free gloves when handling infant. B. Auscultate the lungs for respiratory pneumonia. C. Apply zinc oxide to perineum with each diaper change. D. Draw blood to analyze for streptococcal infection.
A. Change to latex free gloves when handling infant.
A 12-year-old child is admitted to the hospital with possible encephalitis and a lumbar puncture is scheduled. Which information should the nurse provide this child concerning the procedure? A. Describe the side-lying knees to the chess position that must be assumed doing the procedure. B. Explain the fluids cannot be taken for 8 hours before the procedure in four hours at the procedure. C. Tell the child to expect loud clicking noises during the procedure that may be slightly annoying. D. Reassure the child that there will be no restrictions on activities after the procedure is completed
A. Describe the side-lying knees to the chest position that must be assumed during the procedure.
The nurse is planning care for a newborn infant scheduled for a cardiac catheterization, which occurrence poses the greatest risk for this child ? A. Loss of pulses, proximal to the entry side of the cardiac catheter. B. A cute hemorrhage from the entry site of the catheter after the C. Allergic response to the plastics in the catheter used for the catheterization. D. Fever associated with nausea and vomiting after the procedure.
B. Acute hemorrhage from the entry side of the catheter after the procedure.
The nurse is caring for a school-age child, diagnosed with bacterial meningitis, who is experiencing fever, irritability, nuchal rigidity. Which action should the nurse prioritize? A. Give prescribe pain medication. B. Administer antibiotic therapy. C. Provide ice packs and antipyretic. D. Limit environmental stimuli.
B. Administer prescribe an antibiotic therapy.
An adolescent with pelvic inflammatory disease is admitted to the hospital after 14 days of taking Lovafioxacin 500mg orally once daily and matroidazole 500mg twice daily she asks the nurse "why do I have to be in the hospital? Why can't I get my treatment at home" which purpose should the nurse provide of for an effective outcome? A. Collection of cereal, anaerobic cultures of vaginal discharge. B. Administration of a supervised Parenteral antibiotic protocol. C. Implementation of contact precautions to prevent spread of infection. D. Detection of early symptoms of Jarisch-Herxhelmer reaction
B. Administration of a supervised parenteral antibiotic protocol
The clinic nurse receives a call from a mother of a 10 year old who reports the her son just returned from summer camp and has developed .... circular red rash on his arm. The mother asked what over the counter is safe to use. How should the nurse respond? A. Instruct the mother to apply an antihistamine ointment for one week B. Explain the need for the child to have an immediate medical evaluation C. Offer reassurance that OTC corticosteroid creams are safe and effective D. Encourage the mother to come to the clinic if the child develops a fever
B. Explain the need for the child to have an immediate medical evaluation
A 1-year-old child with respiratory initial virus (RSV) is admitted to the pediatric unit. The nurse observes the child presents with a fever, rhinorrhea, frequent coughing and sneezing. Which additional finding should alert the nurse that the child is in acute respiratory distress? A. A resting respiratory rate of 35 breaths/min B. Flaring of the nares C. Bilateral bronchial breath sounds. D. Diaphragmatic respirations.
B. Flaring of the nares
The nurse is evaluating a young child with atopic dermatitis which question should the nurse asked a parent while updating the child's history? A. Does a child have any nausea or vomiting? B. Has a child display any symptoms of asthma or hayfever? C. Can any particular stress be associated with onset of the rash? D. What time of day does the rash appear on the body?
B. Has a child display any symptoms of asthma or hayfever?
A mother brings her 10-year-old boy who is holding his abdomen to the clinic because of fever, vomiting and abdominal pain for the past 12 hours. which assessment data is most important for the nurse to obtain ? A. His typical pattern and type of bowel movements. B. His description of the quantity and the nature of the pain. C. Activity history 24 hours prior to the onset of pain. D. A Complete blood count, including differential count.
B. His description of the quantity and the nature of the pain.
When advising a new mother, and caring for a child with croup. Which symptom should be a priority concern to the telephone triage nurse? A. Difficulty swallowing secretions B. Fever 101.0°F (38.3°C.) C. Barking cough worse at night. D. Cries often when the nursing.
C. Barking cough worse at night.
Following admission for a cardiac catheterization, the nurse is providing discharge teaching to the parents of a 2 year old toddler with tetralogy of fallot. which instruction should the nurse give the parents if their child becomes pale, cool, and lethargic? A. Encourage oral electrolyte solution intake. B. Assist the child to a recumbent position. C. Contact their healthcare provider immediately. D. Provide a quiet Time by holding or rocking the toddler.
C. Contact their health provider immediately.
The nurse is preparing a school age child for potential painful procedure. Which statements should the nurse make to best prepare the child for the procedure? A. Except that they will be pain B. Try not to worry about it C. Expect to feel pinching D. Determined to be brave.
C. Expect to feel pinching.
An adolescent's mother calls a primary healthcare providers office to inquire about the results of her daughters serum test calls that were drawn last week since it is the teenagers 18th birthday. How should the nurse respond to the mother's inquiry? A. Tell the mother to have the teenager call the clinic. B. Since the serum samples were drawn last week, provide the mother with the findings. C. Explain that the information cannot be released without the 18-year-old's permission. D. Ask when the adolescent was last seen in the clinic
C. Explain that the information cannot be released without the 18 year olds permission.
In assessing a 17-year-old newly diagnosed with osteomyelitis which information is most important for the nurse to obtain? A. Occurrence of increase fluid intake. B. Cultural, heritage and beliefs. C. Family history of bone disorders. D. Recent occurrence of infection.
C. Family history of bone disorders.
The nurse is discharging an adolescent client with sickle cell disease, which client response indicate a need for further teaching about preventing and managing sickle cell crisis? A. Avoid certain kinds of strenuous exercise. B. Take prescribe pain medication when early symptoms of a crisis begin. C. Limit how much fluid to drink to avoid dependence swelling in the feet D. Dress warmly wanna go outside in cold weather.
C. Limit how much fluid to drink to avoid dependent swelling in the feet
The nurse is administering an oral medication to a reluctant preschool age boy which intervention should the nurse implement? A. Offer to bring the medicine back later in the day. B. Use a straightforward approach with the child. C. Mix the medication with the child's favorite breakfast cereal D. Advise the parents that they will need to give the medication.
C. Mix the medication in with the child's favorite breakfast cereal
The nurse is admitting a child with a diagnosis of untreated, hypothyroidism, which finding indicated of hypocalcemia should the nurse report to the healthcare provider? A. Positive.Goombs test B. Rapid weight gain. C. Muscular weakness. D. Positive Chovostek sign
C. Muscular weakness.