Quiz 1

A nurse is teaching a parent of a 6-month-old infant about car seat safety. Which of the following statements by the parent indicates an understanding of the teaching?

"Our car seat is an infant model and is anchored in the car" rationale: demonstrates correct use.

A nurse is preparing to administer acetaminophen 10mg/kg/dose to a child who weighs 28 lbs. The amount available is acetaminophen 120mg/5ml. How many ml should the nurse administer?

5.3ml

A nurse is educating new parents about risk factors for SIDS. Which of the following statements should indicate to the nurse the need for ADDITIONAL teaching? A. "Our baby will sleep in our bed because I am breastfeeding" B. "We will give our baby a pacifier during naps and at bedtime" C. We will place our baby on her back when she's sleeping D. "We will remove blankets and toys from the crib"

A. "Our baby will sleep in our bed because I am breastfeeding Rationale: Allowing an infant to sleep in the same bed as an adult can lead to suffocation and falls. The parent should place the infant back in her crib after breastfeeding

A nurse is providing anticipatory guidance about child development to the parents of a preschool . Which of the following developmental tasks should the nurse include as expected of a preschooler ?

Participated in imaginary play

The parent of a four old tells you that the child believes that there are monsters hiding monsters hidings in the closet at bedtime. What is appropriate? a. "Let your child sleep with you" b. "Keep a night light on in your child's room." c. "Tell your child the monsters are not real." d. "Stay with your child until the child falls asleep."

b keep a night light on in your child's room. rationale- Preschoolers are magical thinkers and the night light will assure them that there aren't monsters in the closet. They have difficulty distinguishing between real and make believe.

The nurse is preparing to administer a vaccine to a four-year-old child. Which of the following vaccine should the nurse administer? A. (HIB) B. (Hep B) C. (Var) D. (MCV4)

C. (Var) Rationale: between the ages of 4 to 6 years children receive the mmr, varicella and Dtap vaccines.

A nurse is assessing a 6-month-old infant at a well-child visit. Which of the following findings should the nurse expect

Closed posterior fontanel Rationale- should by closed by eight weeks.

The nurse is assessing a 3-year-old child at a routine wellness checkup. Which of the following findings should the nurse expect? A.) Skips and hops on one foot b.) Has a vocabulary of 1,500 words c) Walks backward heel to toe d) Stands on one foot for a few seconds

D stands on one foot for a few seconds

A nurse is planning care for a 5-month-old infant who is scheduled for a lumbar puncture to rule out meningitis. Which of the following actions should the nurse include in the plan of care? A. Keep the infant NPO for 6 hr prior the procedure. B. Apply a eutectic mixture of lidocaine and prilocaine cream topically 15 min prior to the procedure .C. Place the infant in an infant seat for 2 hr following the procedure. D. Hold the infant's chin to his chest and knees to his abdomen during the procedure.

D. Hold the infant's chin to his chest and knees to his abdomen during the procedure. Rationale: This position opens up the subarachnoid space.

A nurse is caring for a 10 year old child who will need to be hospitalized for an extended period of time. Which of the following actions should the nurse include in the nursing plan to meet the client's psychosocial needs according to Erikson?

Encourage the client to complete school work Rationale: industry vs inferiority. The child keeping up with their school work will help them with not failing inferior to their classmates because they're unable to keep up with school work and lessons.

A nurse is assisting with the admission of a child who has measles. Which of the following isolation precautions should the nurse initiate?

Airborne Rationale- measles spread via droplet nuclei. Child needs to be placed in a negative pressure room and wear a mask when providing care.

A nurse is assessing a toddler in a well-child clinic. At what point in the physical examination should the nurse examine the tympanic membrane?

A. At the end. Rationale :The toddler might become upset when someone messes with their ear, so it is best to wait until the end.

A nurse is preparing to assist with applying a cast to a preschooler's arm. Which of the following actions should the nurse take? A. Wrap the arm of the child's doll or toy prior to the procedure B. Tell the child, "This will make your arm feel better" C. Place a heated fan at the bedside to facilitate drying D. Support the casted arm with a firm grasp

A. Wrap the arm of the child's doll or toy prior to the procedure Rationale: This action shows the child that it does not hurt the doll or stuffed animal, and, in turn, will not hurt the child

A nurse is caring for a 12-month-old toddler who is hospitalized and confined to a room with contact precautions in place. Which of the following toys should the nurse recommend in order to meet the developmental needs for the kid? A. Large building blocks B. Hanging crib toys C. Modeling clay D. Crayons and a coloring book

A. large building blocks rationale: this is an age appropriate toy.

A nurse is caring for an 18-month-old toddler who has been hopitalized for 10 days. After the toddler's mother leaves the room, the nurse observes the toddler sitting quietly in the corner of the crib, sucking her thumb. When the nurse approaches the crib, the toddler turns away form the nurse. The nurse should understand that these behaviors indicate which of the following developmental reactions? A. Anxiety reaction B. Regression C. Resentment toward the mother D. Developing autonomy

Anxiety Reaction rationale : separation anxiety is an added stress along with the stress of hospitalization the toddler maybe demonstrate emotions of despair by remaining sad and quiet.

A nurse is caring for a hospitalized 2-year-old child who throws a tantrum when his parent leaves. Which of thefollowing toys should the nurse provide to help alleviate the child's stress?A. Set of building blocks B. Toy hammer and pounding board C. Picture book about hospitals D. Stuffed animal

B. Toy hammer and pounding board Rationale: the toddler is letting out emotions of anger and frustration as a result of the parents leaving.

A nurse in a clinic is assessing a 7 month old infant. Which of the following indicates a need for further evaluation?

Babbles one syllable

A nurse is caring for a 6-month0old infant. Which of the following findings indicate to the nurse that the infant may be experiencing pain?A. Dry palms and feet B. Decreased muscle tone C. Furrowed brow D. Eyes wide open

C. Furrowed brow rationale : A furrowed brow may indicate that the infant is in pain or distress Pain indicators include diaphoresis, increased muscle tone, and shut eyes with open mouth

A nurse is assessing a 15-month-old toddler. Which of the following findings should the nurse report to the provider? A. The toddler cannot build a tower of six-to seven cubes B. The toddler cannot stand upright without support C. The toddler cannot jump with both feet D. The toddler cannot turn a doorknob

C. The toddler cannot stand upright with support. Rationale this is to be expected by 15 months if not achieved it can be indicative of a developmental delay.

A nurse is caring For a four-year-old child who has croup and wet the bed overnight. When the parents visit the next day the nurse explained the situation and one of the parents says she never wants the bed at home I am so embarrassed. Which of the following responses should the nurse make

It is expected for children who are hospitalized to regress. The toileting skills will return when your child is feeling better. Rationale- regression is an expected behavior due to hospital stress a skill like being potty trained can be easily forgotten.