Quiz 1 Dynamic Quizzes Covered Topics
A nurse is reinforcing teaching about home care with the guardian of a school aged child who has seizures. Which of the following statements by the guardian indicated an understanding of the teaching?
"I will turn my child onto his side when a seizure begins."
A nurse on a ped unit is caring for a child who is not eating well. What suggestion should the nurse reinforce with the parents to promote child's intake?
"Let the child eat with others when possible."
What are tonic-clonic seizure nursing interventions?
-Loosen restrictive clothing -Prepare to suction the client's airway
A 1-day old infant who has suspected Hirschsprung disease is admitted. What should the nurse anticipate on assessment of this?
-No passage of meconium -Ab distention
Around what age in months do babies start babbling words?
6-9 months
When is Hep B given to babies?
At birth, 1-2 months, & 6-18 months
A nurse is caring for a child with acute laryngotracheobronchitis. What manifestations should the nurse expect?
Barking cough
A nurse is reinforcing teaching about post-seizure care with the parent of a school aged child who has a seizure disorder. What should the nurse include?
Check the child's oral cavity for injuries.
What age and stage of Piaget's Cognitive Development is "only 1 way to do something" from?
Concrete Operational: 7-11 years
A nurse is assisting with POC for a child who has meningococcal meningitis. What isolation precaution should the nurse plan to implement?
Droplet precautions
A nurse is assisting with admission of a toddler who has bacterial meningitis caused by Haemophilus influenzae type B. What following isolation guidelines should the nurse plan to initiate?
Droplet precautions
What is considered successful achievement example of Erikson's theory for a 3 year old toddler?
Encouraging the child to assist in removing the dressing on his leg
A 6 month old infant is scheduled for a lumbar puncture. Which actions should the nurse take?
Hold the infant's chin to his chest & knees to his abdomen during the procedure.
A 6 year old child who has bacterial meningitis was admitted. What are the nursing interventions?
Implement seizure precautions
During the lumbar puncture procedure, what actions should the nurse take?
Instruct the parents to keep the toddler in a flat position for 30 minutes to an hour after the procedure.
A 4 year old who has epiglottis was admitted to the hospital. What action should the nurse take?
Monitor oxygen sat.
A nurse is caring for a 2 day old infant who has myelomeningocele. What action should the nurse take?
Monitor the infant's head circumference.
A nurse is performing a neuro exam on a 15 month toddler. What finding should the nurse expect?
Negative Babinski reflex
A nurse is assisting with the care of a school age child. The nurse should plan to first address the child's _____ followed by the child's _____ .
Ox sat & Pain.
A nurse is collecting data for an adolescent who presents with manifestations of appendicitis. Which of the following manifestations should the nurse expect?
Rigid abdomen
An infant client was born 3 days ago. Which finding should the nurse report to the primary care provider?
The infant's anterior fontanel is bulging.
A nurse is assisting with the care of a child who has epilepsy and just experienced a tonic-clonic seizure. What action should the nurse take first?
Turn & maintain the child in a side-lying position
A nurse on a pediatric unit is assisting with the care of a preschooler who is prescribed an IV medication. Which of the following techniques should the nurse use to assist with preparing the child for the procedure?
Use role-play activities with the child
A nurse is caring for a child who has a vesicular rash for 6 days. The parents of the child ask the nurse what illness caused this rash. The nurse should explain the child has which of the following conditions?
Varicella
The nurse is reinforcing teaching for the parent of a 4 year old child who stutters. What statement by the parent indicates an understanding of the teaching?
"I should ignore the stuttering & not interrupt her."
A nurse is talking with the parent of a 4 month old infant about growth & development. What statement indicates that the parent needs further instructions?
"My baby loves to play with the pillows in her crib."
A nurse is reinforcing teaching regarding the immunization schedule with the parent of a 6 month old infant during a well-child visit. What statement by the parent indicates an understanding of the teaching?
"My baby will receive his 3rd DTaP vax today."
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."
A nurse is reinforcing teaching with a group of parents of adolescents about developmental needs. What statement by a parent should the nurse investigate further?
"My child spends 4 hours per day in internet chat rooms."
A nurse on a pediatric mental health unit is caring for a school aged child. What question or statement should the nurse make to foster rapport & engage him in conversation?
"Tell me about your favorite video game."
A nurse is reviewing the medical record of a 2 month old infant who has rotavirus. The nurse notes a hemoglobin level of 12 g/dL and a hematocrit of 51%. Which of the following statements by the nurse indicates an understanding of these lab values?
"The infant might be dehydrated."
A nurse is reinforcing teaching with the guardians of an infant who has mild GERD. Which of the following instructions about feeding therapies should the nurse recommend?
"Thicken feedings with rice cereal."
A nurse is reinforcing teaching with a 12 year old who is recovering from an acute episode of hemophilia A. What statement should the nurse include in the teaching?
"You will be able to participate in physical exercises."
A nurse is reinforcing teaching with a group of parents about child development. What recommendations should the nurse make to promote developmental task of industry in a school age child?
Assign the child several small chores
A nurse is caring for a 3 year old toddler who has Haemophilus influenzae type b meningitis. Which of the following actions should the nurse take?
Avoid using a pillow when supine
A nurse is collecting data about a 4 year old client's cognitive development during a well-child visit. What should the nurse expect the child to display?
Development of the superego
A nurse is reinforcing preoperative teaching for a 5 year old child. What intervention should the nurse include?
Explain the procedure in terms of what the child will feel, see, hear, and taste.
A nurse is collecting developmental data from a 4 year old child. The nurse should expect the child to be able to perform what?
Fasten buttons on a shirt.
A nurse is assisting with the care of a child who has tonic-clonic seizures. What action should the nurse take?
Have a suction canister & tubing available in the room
A nurse is discussing disciplinary techniques with the guardian of a preschooler. What actions indicate to the nurse that the guardian is using an age-appropriate disciplinary technique?
The guardian places the child in time-out after misbehaving
A nurse is preparing a 3 month old infant for a wellness visit with the physician. Which of the following observations should the nurse expect?
The infant looks at his hands.
A nurse is collecting data from a 12 month old infant during a wellness check up. What finding should the nurse report to the provider?
The infant's current weight is double his birth weight.
A nurse is collecting data from an 18 month old toddler. What deviation from expected growth & development that the nurse should report to the provider?
The toddler is unable to recognize familiar objects by name.
A nurse is assessing an 18 month old toddler during a well-child exam. What findings should the nurse report to the provider?
The toddler is unable to remove his shoes.
A nurse in a provider's office is observing children playing in the waiting room. The nurse should expect to identify parallel behavior in which of the following age groups?
Toddlers
Which age group experiences the stage of autonomy vs shame & doubt?
Toddlers
A nurse at a community health department is discussing the nutritional needs of children with a group of parents & guardians. What piece of info should the nurse include?
Toddlers can be given up to 120-180 mL of juice per day.
A nurse is preparing to administer IM injection to a 2 month old infant. What site should the nurse plan to administer the injection?
Vastus Lateralis
A nurse is reinforcing education with a group of parents about toddler language development during a well-child visit. What finding should the parent expect in an 18 month old toddler?
Vocab of 10 or more words.
A nurse in provider's office is collecting data from an infant who was born at 32 weeks of gestation & is now 8 months old. What developmental age should the nurse expect the infant to demonstrate?
6 months
A nurse is contributing to the POC for a hospitalized school aged child who has measles. Which of the following activities should the nurse recommend?
Drawing a picture with colored pencils
A nurse is checking the motor development of a 9 month old infant. What findings should the nurse report to the provider as a possible developmental delay?
Dropping a cube when passing it between the hands.
A nurse in a pediatric clinic is collecting data from an infant who was recently exposed to pertussis. The nurse should recognize which of the following as a manifestation to pertussis?
Dry cough
A nurse is caring for a school aged child who begins to have a tonic-clonic seiaure when leaving the bathroom. What action should the nurse take 1st?
Ease the child to the floor in Sim's position.
The nurse is continuing to assist with the care of the toddler. The nurse should anticipate a provider's prescription for _____ due to _____.
Establishing IV access & the need to administer fluids/meds.
A nurse is preparing to administer routine immunizations to a 6 year old child. In addition to the DTap vax; the MMR vax, and the Varicella vax, what immunization should the nurse plan to administer?
Inactivated Poliovirus Vaccine (IPV)
A nurse is caring for a child who has a head injury following a MVC. What should the nurse recognize as an early manifestation of increased intracranial pressure?
Increased irritability
A nurse is collecting data during a well-child assessment of a 7 year old child who takes great pride in bringing school papers home. This behavior demonstrates which of the following of Erickson's stages of psychosocial development?
Industry vs. Inferiority
A nurse is an urgent care center is reviewing lab results for several clients who have manifestations of influenza. Which of the following clients should the nurse report to the provider immediately?
Infant with WBC count of 24,000 mm^3
A nurse is reinforcing teaching about immunization schedules with the parents of a NB who is 1 week old. What piece of info should the nurse include in the teaching?
Initial vaccines should be administered between birth & 2 weeks of age.
A nurse is planning care for a preschooler who is scheduled for a surgical procedure. The nurse should identify that the preschooler is in which of the following of Erikson's psychosocial stages of development?
Initiative vs. Guilt
A nurse is caring for a school aged child who has epilepsy & is experiencing a tonic-clonic seizure. What actions should the nurse take?
Loosen confining clothing
A nurse is assisting with the care of an infant who has pertussis. What actions should the nurse take?
Maintain a cardio-respiratory monitor
A nurse is caring for a 5 year old child who has a fever and begins to seize. What actions should the nurse take?
Place the child in a side-lying position
A nurse is collecting data for a developmental assessment on a 3 year old client. Which of the following commands should the nurse expect the child to successfully complete?
"Put on your shoes."
A nurse is reviewing recommended immunizations with the guardian of a 2 month old infant. What statement should the nurse make?
"Your baby can start the pneumococcal vaccine now."
A nurse is reinforcing teaching with the parent of a toddler who is hospitalized and has varicella. What point should the nurse reinforce?
"Your toddler will be unable to leave the room unless absolutely necessary."
A nurse on a pediatric unit is assisting with the care of a school age child. Select 4 findings that the nurse should report to the HCP.
-ABGs -WBC -Ox Sat -Resp assessment
A nurse is collecting data from a 24 month old toddler at the local health department. The nurse should expect what findings?
-Ability to build a tower of 6 blocks -Slightly bowed or curved appearance of the legs
The nurse is preparing to administer epinephrine. Name 4 actions the nurse should plan to take when administering it.
1. Massage the injection site after administration. 2. Verify the dosage w/ another nurse 3. Plan to rotate the injection site if additional doses are required. 4. Administer medication in the anterolateral thigh
For a client who is at risk for seizures, what should the nurse ensure?
A patent IV
Which client should the nurse assess first?
A school age child who has acute epiglottis, drooling, and an absence of spontaneous cough
A 6 month old infant is scheduled for routine immunizations. She presents with a fever of 103 degrees. What is the nurse's best response?
Advise the parent to have the child seen by the pediatrician but the immunizations will need to be postponed until the baby is well.
A nurse at a clinic is preparing to administer highlight immunizations to a 5 year old child. Which of the following immunizations should the nurse plan to give.
Diphtheria, tetanus & pertussis (DTaP)
A nurse is observing the behavior of a 2 year old. What actions should the nurse expect to observe when the child is in an activity room with other toddlers?
Engaging in play near other children
A nurse is caring for a toddler who has a fever, high-pitched cry, irritability, and vomiting. What action should the nurse take?
Pad the rails of the toddler's bed.
A nurse is contributing to the POC for an infant who has an unrepaired myelomeningocele. What action should the nurse take?
Palpate the abdomen for bladder distension
What is the allergy/adverse effect of Hep B?
Prior anaphylactic reaction to yeast.
A nurse is collecting data from a 10 month old infant. What finding should the nurse report to the provider?
Sits with support by leaning on hands.
A nurse is collecting data from a 4 year old child for growth & developmental milestones during a well-child visit. Which of the following findings suggest a possible delay in development?
Speaking using 2 or 3 word sentences.
A nurse is reinforcing teaching with the parents of a 7 year old about behavioral expectations. What behavior should the nurse include in the teaching?
Spends a lot of time by herself
A nurse is collecting data from a 3 year old preschooler. Which of the following developmental milestones should the nurse expect the preschooler to demonstrate?
Stacking 10 blocks.
A nurse is admitting a child who has a history of tonic-clonic seizures. What items is the priority to have in the child's room?
Suction equipment
A nurse is caring for a school aged child who has appendicitis. What finding should the nurse report to the physician?
Sudden decrease in pain level
A nurse is preparing to assist with the physical assessment of a 2 year old toddler. What behaviors should the nurse expect during the exam?
The child prefers to sit on parent's lap during exam
A nurse in a ped clinic is collecting data from a preschooler during a well-child visit. What finding should the nurse report to the provider?
The child's BP is 122/80
A nurse is assisting with the care of a newly admitted 2 year old. The nurse should first address the child's ____ followed by the child's ______ .
Temperature & abdominal pain.
A nurse is collecting data from a child who sustained a head injury. During the assessment, the nurse observes clear drainage leaking from the child's nose. What actions should the nurse take?
Test the nasal secretions for glucose.
A nurse in a clinic is collecting data from an adolescent who has received all recommended immunizations through the age of 6 years. What immunization should the nurse plan to administer?
Tetanus, diphtheria toxoids, & acellular pertussis (Tdap)
A nurse in the outpatient setting is planning to administer the varicella vaccine to a toddler. What finding is a contraindication to the child receiving this vax?
The child is receiving chemotherapy
The nurse is reinforcing teaching about the epinephrine auto-injector prior to discharge. What statements by the child's fam indicates an understanding of the teaching?
-"I can administer this shot through clothing." -"I need to press the auto-injector firmly against the skin" -"I should take my child to the hospital after using an auto-injector, even if they feel better"
A nurse is reinforcing teaching with the guardian of a child who has Kawasaki disease. Which of the following statements by the guardian indicate an understanding of the teaching?
-"My child will likely be irritable for the next few weeks." -"I will make sure my child does not receive any live vaccines for at least 18 months." -"I will keep a record of my child's temperature until she has no fever for several days."
A nurse is preparing to administer an intramuscular injection to a 2 week old infant. What intervention should the nurse plan to perform?
Administer med into the vastus lateralis muscle
A nurse in a pediatric clinic is preparing to administer an IM vaccine to a preschooler. Which of the following actions should the nurse take?
Allow the preschooler to hold a needleless syringe during the vaccine.
Which of the following children would be classified as being in the concrete operational stage, as defined by Piaget?
An 8 year old 3rd grade student
A nurse is collecting data from an infant who is at risk for ICP. What finding should indicate to the nurse that this complication is developing?
High-pitched cry
What are early signs of ICP?
Irritability, fatigue, vomiting, & headache.
A nurse is caring for a child who has a ruptured appendix. What position should the nurse encourage the child to maintain?
Semi-Fowler's
A charge nurse is reviewing the expected growth & development of school-aged children with a group of staff nurses. What statement should the nurse include?
"A 6 year old child should be able to count 13 coins."
A nurse is reinforcing teaching with a family of a 6 month old infant about ways to stimulate language development. What instruction should the nurse include?
"Explain what you are doing to the infant while providing care."
A nurse is reinforcing teaching with the guardian of a preschooler. The guardian reports the preschooler has had an imaginary playmate for about 3 months. What piece of info should the nurse reinforce with the guardian?
"Have your child take responsibility for actions if they try to blame the imaginary friend."
A nurse is preparing to administer a vaccine to a 4 year old child. Which of the following statements should the nurse include in the preparation for this procedure?
"I am going to give you some medication that will go under your skin."
A nurse is reinforcing teaching with the parents of a 4 month old infant who has GERD. What statement by the parent indicates an understanding of the teaching?
"I will add 1 tsp of rice cereal per ounce to my baby's formula."
A nurse is assisting with the care of a newly admitted 2-year-old toddler. Select 4 findings that the nurse should report to the provider.
-Hgb: 8.8 g/dL -Abdominal findings: small knot -Urine RBC casts 4 (less than or equal to 2) -BP: 110/68
A nurse is reinforcing teaching with a group of parents of toddlers about measures to reduce the risk of choking. Which of the following foods should increase the risk of choking in toddlers?
-Hot dogs -Grapes -Bagels -Marshmallows
*A nurse is assisting with the care of an 8 moth old infant. Highlight the info in the Nurse's notes that indicates the infant's condition is improving.
-Infant is sleeping in parent's arms -Ox sat is 96% on 100% cool mist oxygen via blow-by tubing. -Breath sounds are present & equal bilaterally in the lung bases. -Infant voided 34 mL
A nurse is assisting with the care of a school age child following an appendectomy. Select 3 findings that the nurse identify as indications of a potential complication.
-WBC count: 24,000/mm3 (5,000 to 10,000 mm3) -Ab assessment: rigid and distended -Temperature: 38.6° C (101.5° F)
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. What action should the nurse take?
Provide the parent with a vaccine info sheet (VIS).
A nurse is caring for a preschooler who has an intussusception of the bowel. What finding should the nurse report to the physician?
Passage of a formed brown stool
A nurse is caring for a preschool aged child who presents with manifestations of epiglottitis. Which of the following actions is the nurse's priority to perform?
Place resuscitation equipment at the child's bedside.
A nurse is assisting with the care of a school-aged child who is having a tonic-clonic seizure. What actions should the nurse take first?
Position the child on his side
A nurse is caring for a preschooler who experienced a febrile seizure. What action should the nurse take?
Prepare the child for a lumbar puncture
A nurse is contributing to the POC for a preschooler who was admitted for the treatment of measles. Which of the following activities should the nurse recommend for the child?
Putting together a puzzle with large pieces.
A nurse is collecting data from a 9 month old infant. Which of the following findings should the nurse report to the provider as a delay in development?
Requiring support to sit for prolonged periods.
A nurse is reinforcing teaching with the parents of preschoolers regarding the use of booster seats in a motor vehicle. What instructions should the nurse include in the teaching?
Secure the child in the booster seat using the motor vehicle's shoulder-lap seat belt.