PN Nursing Care of Children Online Practice 2020 B with NGN

During a well-child visit, the parent of a toddler expresses concern to the nurse that the toddler takes several hours to fall asleep at night. Which of the following recommendations should the nurse make?

Provide the toddler with a favorite toy at bedtime.

A nurse is reinforcing teaching with the parents of a 2-year-old toddler at a well-child visit. Which of the following should the nurse recommend an age-appropriate activity for the toddler?

Putting together a large puzzle

A nurse is reinforcing discharge teaching with the guardians of a 6-month-old infant following a surgical procedure to repair a hypospadias. Which of the following instructions should the nurse include?

Wait 1 week before giving the infant a tub bath

A nurse is reinforcing teaching about home care with the guardian of a 14-month-old toddler who has spastic cerebral palsy. Which of the following statements by the guardian indicates an understanding of the teaching?

"I will perform daily stretching exercises to my toddler's affected muscles."

A nurse in a pediatric clinic is caring for an infant who has heart failure and a prescription for digoxin. Which of the following statements by the parent indicates the desired therapeutic effect of the medication?

"My baby is breathing easier than she used to."

A nurse is caring for a 3-year-old female child who is prescribed an indwelling urinary catheter. Which of the following actions should the nurse take when performing this procedure?

Apply 2% lidocaine lubricant into the urethral meatus

A nurse is reinforcing teaching with the parent of a school-age child who has lactose intolerance. Which of the following supplements should the nurse instruct the parent to include in the child's diet?

Vitamin D

The nurse is reinforcing teaching about the adverse effects of chemotherapy with the toddler's parents. Which of the following statements by a parent indicates an understanding of the teaching?

"I should not pressure my child to eat while they have oral ulcers."

A nurse is reinforcing teaching about sudden infant death syndrome (SIDS) with the parent of a 1-month-old infant. Which of the following statements by the parent indicates an understanding of the teaching?

"I will allow my baby to have a pacifier while sleeping."

A nurse in a provider's office is caring for a preschooler who has findings of croup. Which of the following statements by the parent requires immediate intervention by the nurse?

"My child has refused to drink any fluids for the past 8 hours." An inadequate fluid intake indicates the child is at greatest risk for dehydration and electrolyte imbalance. Therefore, this statement by the parent requires immediate intervention by the nurse.

A nurse is reinforcing teaching with the guardian of a child who has a new diagnosis of rheumatic fever. Which of the following statements by the guardian indicates an understanding of the teaching?

"My child might have a period of irregular movement of the extremities."

A nurse is caring for a toddler who has terminal cancer and is receiving hospice care. The child's parent tells the nurse, "I'm a bad parent, and I can't deal with this." Which of the following responses should the nurse make?

"Tell me more about what you are feeling."

A nurse is contributing to the plan of care for a child who has type 1 diabetes mellitus and is experiencing an acute illness. Which of the following actions should the nurse include in the plan of care?

- Encourage an increased fluid intake to flush out ketones and prevent dehydration; this can lead to DKA The nurse should encourage an increased fluid intake to flush out ketones and prevent dehydration. Children who have diabetes mellitus and an acute illness are more likely to experience ketonuria and hyperglycemia. Dehydration increases the risk of the child developing diabetic ketoacidosis.

A nurse is assisting with the care of a 4-year-old child who is prescribed an IV medication preoperatively. Which of the following techniques should the nurse use to assist the child to cope with this procedure? (Select all that apply.)

1) Discuss the benefits of the proceedure 2) Provide the child with a detailed explanitaion of the procedure 3) Give the child needles IV supplies to play with 4) allow the child to preform the procedure with a doll

0945: Assessment findings: Toddler alert and irritable during examination. Abdominal pain is 6 on the FLACC scale. Oral mucosa is moist with a light-red tint. Tonsils without redness. Chest rounded. Respirations even and non-labored. Lungs clear anterior and posterior bilaterally. Heart rate regular without múrmurs, gallops, or rubs. Radial and pedal pulse + 3 bilaterally. Capillary refill less than 2 seconds. Abdomen round and distended. Bowel sounds hyperactive in all four quadrants. Tenderness noted with light palpation in left lower quadrant. Extremities hot and moist with pallor noted. No edema. Turgor without tenting.

1) temperature 2) abdominal pain

A nurse is collecting data for an adolescent who has asthma and has received an albuterol nebulizer treatment. Which of the following findings indicates an improvement in the adolescent's condition?

Answer: Respiratory rate 20/min The nurse should recognize that a respiratory rate of 20/min is within the expected reference range and indicates and improvement in the adolescent's condition.

A nurse is preparing to administer phenobarbital to a toddler who has a seizure disorder and weighs 10 kg (22 b). The prescription reads phenobarbital sodium 2.5 mg/kg PO BID. Available is phenobarbital 20 mg/5 mL. How many mL should the nurse administer with each dose? (Round to the answer to nearest hundredth. Use a leading zero if it applies. Do not use a trailing zero.)

6.25

A nurse is screening a group of school age children for abuse. The nurse should identify that which of the following conditions places a child at risk for physical abuse?

A child who has ADHD due to the increased emotional and physical demands the conditon can place of the child's parents

A nurse is caring for a group of children in an acute care setting. The nurse should identify that which of the following children is at risk for impaired elimination?

A child who has hyperglycemia

A nurse is caring for an adolescent who has acne and a new prescription for isotretinoin. For which of the following adverse effects should the nurse expect?

Depression

A nurse is collecting data from an infant during a well-child visit. Which of the following sites should the nurse use when obtaining the infant's heart rate?

Apical The nurse should use the apical pulse to obtain the infant's heart rate and count it for a full minute, because it gives a reliable rate and rhythm and provides accurate baseline assessment data. In an infant, the apical heart rate is auscultated at the fourth intercostal space lateral to the midclavicular line.

A nurse is preparing to administer furosemide to a toddler who has a heart defect, Which of the following actions should the nurse take to identity the toddler?

Ask the guardian to verify the child'smame.

A nurse is reinforcing dietary teaching with the parent of a child who has phenylketonuria. Which of the following foods should the nurse include as the best recommendation for a low phenylalanine diet?

Bananna

A nurse is collecting data from an 18-month-old toddler who has just presented to the urgent care clinic. Which of the following data should the nurse investigate further?

Blood pressure 120/80 mm Hg

A nurse is collecting data from a school-age child. The nurse should identify that which of the following findings is a manifestation of physical abuse?

Bruises at various stages of healing

A nurse is assisting with the care of a child who is receiving a blood transfusion. Which of the following findings indicates the child is having a hemolytic reaction?

Chills and flank pain. R: Chills and flank pain are findings that indicate incompatibility of the transfused blood product with the client's blood. The nurse should identify this finding as an indication that the child is having a hemolytic reaction.

A nurse is caring for a toddler following a tonsillectomy. Which of the following is the priority finding that the nurse should report to the provider?

Continuous swallowing

A nurse is assisting with the admission of a toddler who has bacterial meningitis caused by Haemophilus influenza type B. Which of the following isolation guidelines should the nurse plan to initiate?

Droplet precautions

A nurse is preparing to leave the room after performing nasal suctioning for an infant who has respiratory syncytial virus (RSV). Identify the sequence in which the nurse should remove the following personal protective equipment (PPE). (Move the PPE components into the box on the right, placing them in the order of removal. Use all the PPE components.)

Gloves Goggles Gown Mask

A nurse is preparing to obtain a peak expiratory flow rate from an adolescent. Which of the following actions should the nurse take?

Have the client stand during the procedure.

A nurse is reviewing the laboratory values of a school-age child who has iron deficiency anemia. Which of the following findings should the nurse expect?

Hgb 9.0 g/dL

A nurse is contributing to the plan of care for a child who is in Buck's traction. Which of the following interventions should the nurse include in the plan?

Maintain the leg in an extended position.

A nurse is providing care to parents immediately following their child's unexpected death. Which of the following actions should the nurse take?

Offer the parents the opportunity to bathe and dress the child's body -this can facilitate the grieing process and allow them to provide care for their child one last time

A nurse is contributing to the plan of care for a 10-month-old infant who is postoperative following a cleft palate repair. Which of the following actions should the nurse include in the plan of care?

Place the infant in side-lying position

A nurse is reviewing the laboratory findings of a school-age child who reports feeling tired and being easily bruised. Which of the following laboratory values should the nurse report to the provider?

Platelets 85,000/mm3 This value is below the expected reference range for a school-age child and should be reported to the provider.

A nurse is caring for a 1-month-old infant who has a nasogastric tube in place for intermittent feedings. Which of the following actions should the nurse take?

Position the head of the crib at a 30° angle between feedings.

A nurse is assisting with planning dietary needs for a toddler. Which of the following interventions should the nurse include in the plan of care?

Provide 1 Tbsp (15 g) of solid food for each year of age. The nurse should ensure the toddler receives food serving sizes of 1 Tbsp (15 g) of solid food for each year of age of the toddler.

A nurse in a care provider's office is preparing to administer scheduled vaccines to an infant. The infant's parent refuses to allow the nurse to administer the vaccines. Which of the following actions should the nurse take?

Provide the parent with a vaccine information sheet (VIS). The nurse should provide the parent with a copy of the VIS for each of the vaccines to be administered to ensure the parent has the most current information regarding the benefits and risks of the vaccines.

A nurse is reinforcing teaching with the parents of preschoolers regarding the use of booster seats in a motor vehicle. Which of the following instructions should the nurse include in the teaching?

Secure the child in the booster seat using the motor vehicle's shoulder-lap seat belt.

A nurse is collecting data from a 10-month-old infant. Which of the following findings should the nurse report to the provider?

Sits with support by leaning on hands

A nurse is contributing to the plan of care for an infant who has bronchiolitis and is tachypneic. Which of the following actions should the nurse include in the plan of care?

Suction nasal passages with a bulb syringe. The nurse should suction the infant's nasal passages using a bulb syringe to clear the nasal passages and decrease respiratory effort.

A nurse is collecting physical data from a 4-year-old child who has diarrhea and has been vomiting for 24 hr. Which of the following sites should the nurse grasp to determine the child's skin turgor?

The child's abdomen.

A nurse is assisting with the development of a health promotion program for the guardians of adolescents. Which of the following information about adolescents should the nurse recommend to include in the program?

The leading cause of death in adolescents is physical injury.

A nurse is collecting data from an 18-month-old toddler. Which of the following is a deviation from expected growth and development that the nurse should report to the provider?

The toddler is unable to recognize familiar objects by name.

A nurse is reinforcing teaching with the family of an adolescent who was recently diagnosed with celiac disease. Which of the following foods should the nurse recommend?

Yellow corn. R: A client who has celiac disease is unable to process gluten, a protein found in wheat, barley, rye, and oats. The nurse should instruct the family that the client's diet is restricted to foods that are free of gluten such as corn, rice, millet.

A nurse is assisting with the care of an adolescent following a cardiac catherization. Which of the following is the priority finding the nurse should report to the provider?

bleeding noted on the dressing Bleeding noted on the dressing is an indication that the client is at greatest risk for hemorrhage at the catherization site; therefore, the nurse should identify bleeding on the dressing as the priority finding. The nurse should apply continuous pressure 2.5 cm (1 in) above the site and notify the provider.

A nurse is caring for a child who has type 1 diabetes mellitus and has been receiving insulin via subcutaneous infusion pump. Which of the following laboratory tests would verify the average blood glucose level over the past 2 months?

glycosylated hemoglobin

A nurse is caring for a school-age child who has hypocalcemia. Which of the following manifestations should the nurse expect?

hypotension

A nurse is preparing a toddler for suturing of a minor facial laceration. The nurse should place the toddler in which of the following restraints?

mummy restraint The nurse should use a mummy wrap when a short-term restraint is needed for treatment of the toddler that involves the head and neck. The nurse should always use the least amount of restraint necessary.

A nurse is assisting in the care of a male child who has acute post-streptococcal glomerulonephritis (APSGN). For which of the following manifestations should the nurse monitor?

oliguria