Quiz 3 & 4 review
Refer to charge nurse
A nurse is caring for a 17 year old. The mother wants to continue with treatment, but the child does not. What actions should the nurse take?
Have the child blow cotton balls across the table
A nurse is caring for a 4 year old who is postop following abdominal surgery. Which of the following statements should the nurse make to encourage the child to take deep breaths?
popscicle
A nurse is caring for a child post op tonsillectomy. Which snack would be appropriate after surgery?
Increased heart rate
A nurse is caring for a toddler who has laryngobrochitis which of the following findings should the nurse monitor
Offer popsicle prior to to giving medicine
A nurse is caring for a 4 year old who refuses to take medicine because it has a bad taste. What should the nurse do?
have the child sit with her head tilted foward and hold pressure on her nose for 10 min
A nurse is caring for a child who has a nosebleed. Which of the following actions should the nurse take ?
- increased heart rate
A nurse is caring for a toddler who has laryngotracheobronchitis. for which of the following findings should the nurse monitor to detect airway obstruction?
No one at school likes me, and I don't like them either.
A nurse is talking with a 13 year old child who is having her annual health screening. Which of the following statements by the client should the nurse be concerned with.
cardiovascular
A nurse is caring for a child who has kawasaki disease. which of the following systems is primarily affected by this disease?
place the child in a side-lying position
A nurse is caring for a child who is experiencing a seizure. Which of the following actions should the nurse take?
They want to show control
Nurse is reinforcing teaching to the parent of a toddler throwing a temper tantrum. WHich of the following statements should the nurse include in the teaching?
A
Pancrealipase capsules used for cystic fibrosis patients. What would be the part of teaching for this Med use? A. Administer the medication with meals and snacks B. Tell your child to chew the capsules thoroughly C. Discontinue the medication when the symptoms resolve D. Observe for signs of bleeding
A push pull toy
A nurse asks a nurse asks another nurse about the toys to provide a 10 month old. Which of the following toys would be appropriate to provide for that child?
A nightlight
A 4 year old tells a nurse that the nurse is reluctant to go to bed at night. What should the nurse recommend?
B
A child has rheumatic fever. When obtaining the clients medical history from the parent, the nurse should recognize which of the following findings as significant? A. A classmate has fifth disease B. A sibling had a sore throat 3 weeks ago C. The father had gastritis 2 weeks ago D. A neighbors child has chicken pox
Lie the infant on his or her back
A nurse is carrying for a two week old infant who's mother request additional information about sudden infant death syndrome? Which of the following statements should the nurse make?
He wanted to do well in school
A nurse is collecting data from a 10 year old during a well child visit. Which of the following statements indicates he is meeting the psychosocial developments of a school aged child?
Apical
A nurse is collecting data from an infant. Which is the most reliable location to check the infants pulse?
turn the child to the side
After a tonsillectomy. the child begins to vomit bright red blood. which is the inital nursing action?
You should expect them to be upset when you leave (separation anxiety)
An 8 month old infant starts to cry when the parents leave. The nurse should make what comment to the parents?
Tugging of the ear
An infant who has otitis media, what should we expect from the child?
A rupture; it is an emergency
Appendectomy, and the patient suddenly does not experience pain. What does this indicate
Let them fall asleep with their favorite stuffed animal
During a well child visit a nurse is reinforcing teaching with a parent of a preschool age child who is having difficulty getting to sleep. Which of the following statements by the parents indicates an understanding of the teaching?
Identifying a sense of self
I nurse is caring for an adolescent. The nurse should expect the adolescent to be working on which of the following tasks?
NO
If a child swallows a corrosive substance will the child receive charcoal to endure vomiting?
Knee to chest
If an infant is suffering from Tetralogy of fallot and is experiencing a cyanosis episode, what. Position is best to place the infant in?
Acyanotic
If the defect doesn't affect the oxygen in the body. it is called
Cyanotic
If the defect lowers the amount of oxygen in the body it is called ________.
Good hand hygiene
Know number 1 way to prevent the spread of infection?
Finish the course
Know what is especially important about educating parents in regards to antibiotics?
Cystic fibrosis
Know what prevents carboxyhemoglobin from forming? What specifically?
Tracheostomy set/oxygen
Know what you need to keep at the bedside for patient that has just had epiglottitis?
A post tonsillectomy that is continuously swallowing
My nurse is working with several clients on an acute pediatric unit . Which of the following clients requires the nurses immediate attention?
D
School age child who has a fracture to the right femur. Which of the following findings is the nurses priority? A. A 2+ right pedal pulse B. Respiratory rate 24/min C. Capillary refill less than 2 seconds D. Tingling in the right foot
10-14 with school exams
Scoliosis screening in done at what age?
D
Teaching with the patients of a school aged child who has cystic fibrosis. Which of the following statements should the nurse make? A. Administer a bronchodilator to the child after chest percussion therapy B. A pigeon shaped chest might become evident as the disease progresses C. Bradycardia is an early indicator of a pneumothorax D. Engage the child in daily aerobic exercise
Ignore it. The infant is trying to gain control with his/her behavior
The father with a toddler at a well visit what to do when the child kicks and screams with a temper tantrum. What should the nurse respond with?
Pull the ear down and back before instilling the eardrops
The nurse assists in preparing a teaching plan regarding the administration of ear drops for the parents of a 2 yr old child Which should be included in the plan?
The patient should be playing with push pole toys in
The nurse in a pediatric office is reinforcing teaching with a parent of a 24 month old toddler. Which of the following activities should the nurse recommend?
Responses due to the need for autonomy
The nurse is assassing the psychosocial development of an 18-old toddler. The nurse should recognize that at this stage is characterized by which of the following behaviors.
Plan to move the infant to a room with another child with RSV
The nurse is caring for a hospitalized infant with bronchiolitis. diagnostic tests have confirmed respiratory syncytal virus (RSV) on the basis of this finding which should be the appropriate nursing action?
Perform neurovascular checks
The nurse is caring for an adolescent with a cast on the right tibia. WHich of the following actions should the nurse take first.
Chicken tender and a baked potato with butter
The nurse is instructing the mother of a child with cystic fibrosis(CF) about the appropriate dietary measures. which meal best illustrates the most appropraite diet for a client with cystic fibrosis?
I will give my child cough syrup if a cough develops
The nurse reinforces instructions to the mother of a child who has been hospitalized with croup, Which statement made by the mother would indicate the need for further teaching?
Cystic fibrosis
Thick secretions and salty sweat. What is this condition?
Poison control
WHo is the best person to call first if there is an injections of a bottle of acetaminophen?
Cardiovascular system
What body system develops in 3rd and 8th week of gestation? Considered the first functional system of fetal life.
A, B, C, D
What checks are administered before administering medication? Select all that apply A. Check meds with another licensed healthcare provider B. Check with another nurse C. Obtain a weight D. Use bras low tape if unable to obtain weight
Kawasaki disease
What is a pediatric disease that aspirin could be prescribed for?
sweat chloride test
What is the diagnostic test for cystic fibrosis?
spinal tap(lumbar puncture)
What is the primary diagnostic tool for meningitis?
Protect the child from injury
What should we do if a child is having a seizure?
rhematic fever
a systemic disease involving the joints, heart, central nerve system (CNS), skin and subcutaneous tissue. RF is particularly detrimental to the heart, causing scarring of the mitral valves
D
A child with croup. Which of the following findings should the nurse report to the provider? A. Barking cough B. Paroxysmal attacks of laryngeal attacks at night C. Hoarseness D. Drooling
call the health care clinic to report that the tubes have fallen out
A nurse if preparing a 4 yr old child for discharge following a bilateral myringgotomy tube placement. The mother asks what to do if the tubes fall out. The nurse should give the parent which of the following instructions?
scoliosis
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.
offer the medication through a straw
A nurse in a pediatric clinic is caring for a child who has iron....
Ignore them
A nurse is assisting with a parenting class and is to approached by a parent of a two-year-old toddler who asked what to do if the child is throwing a tantrum. What should be the nurses response
upright
A nurse is assisting with the care of a school- age child who has respiratory failure due to pneumonia which of the following positions should the nurse encourage allow maximal lung expansions?
encourage the child to increase his fluid intake
A nurse is assisting with the discharge of a child who has sickle cell anemia and is recovering from an acute sickle cell crisis. Which of the following instructions should the nurse reinforce with the childs parents?
latex precautions
A nurse is assiting with the care of a child who has spina bifida. Which of the following precaution should the nurse take while caring for this child
speak slowly while facing the child
A nurse is attempting to obtain information from a child who is hearing impaired. which of the following actions should the nurse take ?
He seems to be getting a lot more bumps and bruises lately
A nurse is caring for an adolescent client who is recieving carbamazepine for partial seizure disorder. Which of the following statements by the adolescents parent is the priority for the nurse to address?
patent ductus arteriosus
A nurse is caring for an infant who has a congenital heart defect. which of the following defects is associated with increased pulmonary blood flow?
Apply antibiotic ointment to the suture
A nurse is caring for an infant who is post op cleft lip. What should we do?
Unable to lift head when in a prone position
A nurse is collecting data from a 3 month old, which of the following findings should the nurse communicate to the provider?
The teacher says my child has to squint to see the board
A nurse is collecting data from a 6 year old at a well child visit. Which of the following statements by the child's parents should the nurse report to the provider?
pain
A nurse is collecting data from a child who has sickle cell disease and is experiencing a vasoocclusive crisi. which of the following findings should the nurse expect?
pulmonary edema
A nurse is collecting data from an infant who has coarctation of the aorta which of the following manifestations should the nurse expect?
asymmetric thigh folds
A nurse is collecting data from an infant who has development dysplasia of the hip (DDH) which of the following findings should the nurse expect?
irritability
A nurse is collecting data from an infant who hit her head when she fell off of a dressing table. The nurse should identify which of the following findings as indicating increased intracranial pressure?
promote hydration with IV and oral fluids.
A nurse is contributing to the plan of care for a child who has sickle cell crisis. Which of the following actions should the nurse recommend to include?
modeling clay
A nurse is planning care of a 4 year old who will be admitted to the hospital. Which of the following toys should the nurse provide to the child as an appropriate toy?
Gelatin
A nurse is reinforcing instructions with parent of a toddler on foods included on a clear liquid diet. Which foods should they get?
Child should be able to stand while holding onto furniture
A nurse is reinforcing teaching with a mother of a 10 month old about expected development milestones of that age. Which of the following statement should the nurse make
Repeat back to me what you would do if you child is experiencing an asthma attack?
A nurse is reinforcing teaching with the he parents of a school aged child who has asthma. Which of the following statements should the nurse make?
Mashed potatoes
A nurse is reinforcing teaching with the mother of a 14 month old about safe food choices. Which of the following food choices is the safest to recommend
No Aspirin, give acetaminophen
A pediatric hotline nurse, mom calls and wants to know how much aspirin to give. WHat should be the appropriate response?
Sitting up right or leaning forward
A school-age child who has respiratory failure due to pneumonia. Which of the following positions should the nurse encouraged to allow maximum lung expansion?
Hirshsprung's Disease
bowel can't peristalse due to abnormal nerve function, swelling/accumulation due to lack of pumping; necrosis can occur; surgery is required to remove damaged portion and child will have temporary colostomy
Tetralogy of fallot
congenital heart condition involving four abnormalities occurring together, including a defective septum between the ventricles and narrowing of the pulmonary artery, and accompanied by cyanosis. Patent ductus Arteriosus saheart defeet caused by preblemsinthe hesrt development
neurovascular checks
A nurse is caring for a child after an open reduction fixture of a femur. The cast has a window in it for viewing incision. Which of the following actions should the nurse take?
Your baby will receive a hep B vaccination before discharge
A nurse is reinforcing teaching about immunizations with the parents of a newborn. Which of the following statements are the nurse make?
Take the favorite blanket to the hospital
A nurse is reinforcing teaching with the parents of an 8 month old that has been admitted for surgery. Which of following instructions should be included in the teaching?
Identity
A nurse is reinforcing teaching with the parents of an adolescent him about expected development. Which of the following developmental task should the nurse expect the adolescent to go through.
Plush toy with squeezing sounds
A nurse is selecting a toy for seven-month-old. Which of the following toys should the nurse chooses?
Does anyone smoke in the same house as your daughter?
A nurse is caring for a 3 yr old client who has persistent otitis media, to help identify contributing factors, the nurse should ask the parents which of the following questions?
Regression, it will return back to normal once the child returns home
A nurse is caring for a 4 year old who has had an incident of bed wetting during hospitalization. The child's parents express concern about the incident. Which of the following statements from the nurse is the most appropriate?
Lethargy
A nurse is caring for a 4-yr old child who is 2-days postoperative following the insertion of a ventriculoperitoneal shunt. Which of the following findings should the nurse identify as the priority?
Child's of 104 after last Tdap
A nurse is caring for a 6 month old. The child's provider has ordered the Tdap to be administered. WHich of the following should call the nurse to question the order?
Provide a stuffed animal
A nurse is caring for a Two-year-old hospitalized child who has a temper tantrum when the parents leave. Which of the following action should the nurse take?
Administer antibiotics when available
A nurse is caring for a child who has a suspected diagnosis of bacterial meningitis. Which of the following actions is the nurse priority?
Apply humidified oxygen via a mask
A nurse is caring for a preschooler who has epiglotitis from a streptococcal infection. Which of the following actions should the nurse take ?
inadequate oxygenation for supporting energy metabolism
A nurse is caring for an infant who has tetralogy of fallot and notes that the infant is easily fatigued when eating. the nurse should recognize that the infants fatigue is caused by which of the following?
Let them hold their favorite toy
A nurse is preparing to administer an IM injection for a preschooler. Which of the following actions should the nurse make?
i will make sure my child washes her hands before eating
A nurse is reinforcing discharge instructions with a parent of a child with cystic fibrosis. Which of the following statements by the parent indicates an understanding of the teaching?
I will apply warm compress over the site
A nurse is reinforcing teaching about controlling a bleeding episode with a parent of a child who has hemophillia. Which of the following statements by the parent indicates a need for further teaching ?
Ask them what they know about it
The nurse is preparing a 9 year old for an IV insertion, which of the following actions should the nurse take first?
I will check the skin 3 times a day
The nurse is reinforcing teaching with a mother of a 2 month old who's provider supplied a harness for hip displasia. Which of the following statements by the mother shows an understanding of the teaching?
C
The nurse is teaching about nutrition with a parent of an infant. Which of the following statements by the parent indicates an understanding of the teaching. A. I should start solid foods when my baby is 3 months old B. I should introduce cow's milk when my baby is 9 months old C. I should wait to give my baby fruit juice until 6 months of age
