quiz 2

A nurse is preparing to administer acetaminophen 10/mg/kg PO to a preschool child for fever. The child weighs 22 lb. Available is acetaminophen liquid 160 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

3.1

A nurse on a pediatric unit is receiving report from an assistive personnel (AP). Which of the following clients should the nurse plan to visit first?

7yr old

A nurse is reinforcing teaching with a parent of a toddler about dealing with temper tantrums. Which of the following statements by the parent indicates an understanding of the teaching?

I should ignore the tantrum behavior

A nurse is reinforcing teaching with an assistive personnel (AP) about counting the respiratory rate for a 1-month-old infant. Which of the following statements by the AP indicates an understanding of the teaching?

I will count the babys res

A nurse is selecting a toy for a 7-month-old infant. Which of the following toys should the nurse choose?

a soft toy that speaks or crackles

A nurse is contributing to the plan of care of an unconscious adolescent who ingested a non-corrosive substance that has no recommended antidote. The nurse should recommend to perform gastric lavage with which of the following substances?

activated charcoal

A nurse is caring for a child who is to receive percussion, vibration, and postural drainage. Which of the following actions should the nurse take first?

administer albuterol by nebulizer

A nurse is contributing to the plan of care for a school-age child who has moderate partial-thickness burns on both lower extremities. Which of the following interventions should the nurse include?

administer pain meda 30 min before

A nurse is preparing to administer an IM injection to a preschool-age child. Which of the following actions should the nurse take?

allow the child to hold a fav toy

A nurse on a medical-surgical unit is caring for a group of children. Which of the following findings should alert the nurse that one of the children is a potential victim of abuse?

an adolescent who asks to stay in the hospital

A nurse is collecting data from an infant. Which of the following sites is the most reliable location to check the infant's pulse?

apical

A nurse is preparing a 9-year-old child for an IV catheter insertion. Which of the following actions should the nurse take first?

ask the child what he knows about the

A nurse is collecting data from a school age child who is undergoing a neurological assessment following a head injury. The nurse should document gross incoordination when walking as which of the following findings?

ataxia

A nurse is caring for a 4-year-old child who had an incident of bedwetting during hospitalization. The child's parents expresses concern about the incident. Which of the following responses should the nurse make?

child who are hospitalized

A nurse is administering analgesia to a 6-month-old male following inguinal hernia repair. Which of the following findings should the nurse identify as effective pain relief?

closed mouth

A nurse is caring for a 3-year-old child who weighs 33 lb and has had 160 mL of urine output during the past 8 hr. Which of the following actions should the nurse take?

continue to monitor the client

A nurse is preparing to begin cardiopulmonary resuscitation on an infant. Which of the following actions should the nurse take?

deliver compressions at a depth

A mother expresses concern about her preschool-age daughter to a nurse. The mother states, "She was talking to an imaginary person yesterday." Which of the following questions should the nurse ask in response to the mother's statement?

did the imaginary person have a name

A nurse is collecting data from a child who has spina bifida occulta. Which of the following findings should the nurse expect?

dimple in sacral area

A nurse is caring for a child who reports being physically abused by a family member. Which of the following statements should the nurse make?

its not your fault

A parent expresses concern to a nurse about his 5-year-old child's stuttering. Which of the following statements should the nurse make?

look directly at your son when he is speaking

A nurse is reinforcing teaching with the mother of a 14-month-old child about safe food choices. Which of the following food choices should the nurse recommend?

mashed pata

A nurse is caring for a preschooler. Which of the following actions by the preschooler indicates a need for speech therapy? (Select all that apply.)

mispronouncing seeing letters speaking in a nasally tone

A nurse is planning care for a 4-year-old child who has been admitted to the hospital. Which of the following toys should the nurse plan to provide the child?

modeling clay

A nurse is reviewing the medical record of an adolescent and notes a calcium level of 11.4 mEq/L. Which of the following findings should the nurse expect?

muscle hypotonicity

A nurse is reinforcing teaching about nutritional considerations with a parent of a toddler. Which of the following statements by the parent indicates understanding of the teaching?

my child should one-fourth

A nurse is caring for a 17-year-old client who has a terminal illness and refuses treatment. The client's mother wants to proceed with treatment. Which of the following actions should the nurse take?

notify the charge nurse of the situation

A nurse is collecting data from a child and notes the presence of bruises on her arms and legs. Which of the following actions should the nurse take first?

obtain a detailed history

A nurse is obtaining the length and weight of a 6-month-old infant. Which of the following actions should the nurse take? (Select all that apply.)

place a measure ensure

A nurse is preparing to administer an oral elixir to a 3-month-old infant using an oral medication syringe. Which of the following actions should the nurse plan to take?

position the syringe

A nurse is caring for a 4-year-old child who has dehydration. Which of the following findings should the nurse identify as the priority?

potassium 2.5

A nurse in a pediatric clinic is talking with the mother of a preschool-age child. The mother tells the nurse that her son is a "picky eater." Which of the following responses should the nurse make?

preschool age children ear slight

A nurse is caring for a 3-year-old client whose parents report that she has an intense fear of painful procedures, such as injections. Which of the following strategies should the nurse recommend including in the child's plan of care? (Select all that apply.)

provide a distraction for the child allow the child to keep limit the number of visitors

A nurse is reinforcing teaching with a 4-year-old child who is on airborne precautions about activities he can do while in the hospital. Which of the following activities should the nurse include in the teaching?

putting a puzzle together

A nurse is reviewing the stages of sexual developmental with a 12-year-old male. The nurse should identify that which of the following pubertal changes occurs first?

reddening of scrotal skin

A nurse in a family health clinic is collecting data as part of a routine physical examination of a client who is about to enter high school. The nurse observes an abnormal lateral curvature of the spine. The nurse should expect the provider to document which of the following disorders?

scoliosis

A nurse is planning meals for a 2-year-old child who has a fractured jaw and is having difficulty swallowing. The surgeon has prescribed a pureed diet. Which of the following food selections should the nurse make?

scrambled eggs

A nurse is attempting to obtain information from a child who is hearing impaired. Which of the following actions should the nurse take?

speak slowly while facing the child

A nurse is collecting data from a 6-year-old child at a well-child visit. Which of the following statements by the child's parent should the nurse report to the provider?

the teacher says my child has to squirt to see

While administering ear drops to a toddler, a nurse by pulls the auricle down and back. The mother asks, "Why are you pulling the ear that way?" Which of the following responses should the nurse make?

this opens the ear canal

A nurse is collecting data from an infant who has otitis media. The nurse should expect which of the following findings?

tugging on the affected ear lobe

A nurse is reinforcing teaching with the mother of an infant who has oral candidiasis and is breastfeeding. Which of the following instructions should the nurse include in the teaching?

wash hands proper to

A nurse is reinforcing discharge teaching with the parents of an infant who has a prescription for home oxygen and pulse oximetry monitoring. Which of the following statements by the parents indicates a need for further teaching?

we will rotate the probe oximeter

A nurse is caring for an infant who is dehydrated and requires IV therapy. The nurse should monitor the infant's response to therapy by performing which of the following actions?

weight the infant

A nurse is caring for an 8-month-old child who starts to cry when his parents leave. The nurse should make which of the following statements to the parents?

you should expect your child to be

A nurse is calculating the output of an infant admitted who has dehydration. When weighing the diaper, the nurse should equate 1 g of wet diaper weight to which of the following amounts of urine?

1ml

A nurse is caring for a hospitalized 2-year-old child who has a tantrum when a parent leaves. Which of the following actions should the nurse take?

give the child a stuffed animal

A nurse is collecting data from a 4-year-old child. Which of the following findings should the nurse expect?

heart rate 110

A nurse is working with several clients on an acute care pediatric unit. Which of the following clients requires the nurse's immediate attention?

8 year old client

A nurse is preparing to apply a eutectic mixture of local anesthetics (EMLA) cream prior to inserting an intravenous catheter on a preschool-age child. Which of the following actions should the nurse plan to take? (Select all that apply).

cover the treated area apply the meds use a facial pain rating

A nurse in a clinic is teaching a group of parents about scoliosis screening. Which of the following statements by a parent indicates an understanding of the teaching?

during the screening the child is asked to stand and bend

A nurse is assisting with the care of a 3-month-old infant following a surgical procedure. Which of the following pain scales should the nurse use to determine the infant's pain level?

flacc

A nurse is reinforcing instructions with the parent of a toddler about foods that are included on a clear liquid diet. Which of the following foods suggested by the parent indicates understanding of the instructions?

gelatin

A nurse is reinforcing teaching with the parents of an adolescent about expected development. Which of the following developmental tasks should the nurse instruct the parents to expect the adolescent to achieve?

identity

A nurse is caring for a 4-year-old child who refuses to take his medication because of the bad taste. Which of the following strategies should the nurse use to elicit the child's cooperation?

offer the child an ice pop prior to

A nurse is reinforcing teaching to parents of a toddler about temper tantrums. Which of the following statements should the nurse include in the teaching?

temper tantrums are the toddlers attempt