RN Pediatric Nursing Online practice 2023A

Select the three findings from the child's medical record that the nurse should identify as a potential complication?

WBC count Abdomen assessment temperature

A nurse in an emergency department is caring for a school age child who is experiencing an anaphylactic reaction. Which of the following is the priority action by the nurse?

Administer epinephrine IM to the child

A nurse is caring for an adolescent who received a kidney transplant. Which of the following findings should the nurse identify as an indication the adolescent is rejecting the kidney?

Serum creatinine 3.0 mg/dL

A nurse in a pediatric emergency department is planning care for an adolescent. Based on the information in the adolescence medical record, which of the following actions should the nurse plan to take? SATA (had a car accident; think about Tanners)

apply supplemental oxygen prepare for chest tube insertion

A nurse in an urgent care clinic is assessing an adolescent who has an upper respiratory tract infection. Which of the following findings should the nurse identify as a manifestation of pertussis?

dry, hacking cough

A nurse is reviewing the laboratory report of a school-age child who is experiencing fatigue. Which of the following findings should the nurse recognize as an indication of anemia?

hematocrit 28 / low hematocrit levels

Nurse is reviewing lab results of a school age child 1 week postop following an open fracture repair. Which findings should nurse ID as indication of potential complication?

increased ERS rate / Erythrocyte sedimentation rate 18 mm/hr

A nurse is providing teaching about play activities for social development to the parents of a preschooler. Which of the following play activities should the nurse recommend for the child?

playing dress up

Community health nurse assesses 18 month old toddler in community day care. Which findings should the nurse ID as potential indication of physical neglect?

poor personal hygiene

Nurse gives discharge teaching to parents of 3 month old infant following cheiloplasty. Which instructions should the nurse include?

"Apply a thin layer of antibiotic ointment on your baby's suture line daily for the next 3 days.":

Nurse teaches family of school age child with juvenile idiotpathic arthritis. Which instructions should the nurse include in teaching?

"Encourage the child to perform independent self-care.":

A nurse is teaching the parent of a preschooler about ways to prevent acute asthma attacks. Which of the following statements by the parent indicates an understanding of the teaching?

"I house keep my child indoors when I mow the yard."

A nurse is caring for a preschooler who is scheduled for hydrotherapy treatment for wound debridement following a burn injury. Which of the following actions should the nurse take prior to the procedure?

Administer an analgesic to the child

Nurse reviews dietary choices of adolescent with iron deficiency anemia. Nurse should ID which menu items has highest amount of nonheme iron?

1/2 cup raisins

A nurse is receiving change-of-shift report on four children. Which of the following children should the nurse assess first?

A school age child who has sickle cell anemia and reports decreased vision in the left eye

A nurse is caring for a school-age child who is in Buck's traction following a leg fracture 24 hours ago. Which of the following actions should the nurse take?

Assess peripheral pulses once every 4 hours (this is after the 24 hour window)

A nurse is assessing a school-age child immediately following a perforated appendix repair. Which of the following findings should the nurse expect?

Absence of peristalsis / hypoactive bowel sounds

A nurse on a pediatric unit is caring for a toddler. Which of the following potential provider prescriptions should the nurse identify as anticipated or contraindicated?

Administer factor VIII (8)-anticipated Apply ice packs to the affected joints-anticipated administer morphine PRN pain- anticipated to perform passive range of motion exercises during the first 12 hours following injury- contraindicated elevate the affected joint- anticipated

Nurse caring for 1 month old infant who's breastfeeding and requires heel stick. Which actions should the nurse take to minimize infant's pain?

Allow the mother to breastfeed while the sample is being obtained

A nurse is preparing an adolescent for a lumbar puncture. Which of the following actions should the nurse take?

Apply a topical analgesic cream to the site 1 hr prior to the procedure.

Nurse creating POC (plan of care) for preschooler with Wilms' tumor and scheduled for surgery. Which interventions should the nurse include?

Avoid palpating the abdomen when bathing the child before surgery

On nurses caring for a preschooler who has neutropenia. Which of the following statements should the nurse make to the child's guardians?

Avoid using your child's daycare center

The nurse has reviewed the child's nurses notes, assessment, vital signs, providers prescriptions and laboratory results from the 0800 one month ago visit. The nurse is planning care for the child. For each potential provider prescription Click to specify if the prescription is anticipated or contraindicated for the client.

Consult social services-anticipated limit intake of calcium rich foods-contra succimer capsule 100 milligram PO every eight hours for five days-anticipated consult the dietician-anticipated check blood lead level in one week-contra ferrous sulfate elixer34 milligrams PO three times per day-anticipated Restrict oral fluids-contra

A nurse is assessing a 4-year-old child at a well-child visit. Which of the following developmental milestones should the nurse expect to observe?

Cuts an outlined shape using scissors

A nurses admitting a 4 month old infant who has heart failure which of the following findings is the nurse's priority? (Click on the exhibit button for additional information about the client. There are three tabs that contain separate categories of data.)

Episodes of vomiting

Nurse discussing organ donation with parents of school age child who has sustained brain death due to bicycle crash. Which actions should the nurse take first?

Explore the parents' feelings and wishes regarding organ donation:

The nurse has reviewed the childs nurses notes, assessment, vital signs, providers prescriptions and laboratory results for todays visit. Which of the following conditions are improving since the childs visit 1 month ago? Select 4 of the following conditions

Exposure to lead Lead level Nutritional status Kidney function

Nurse in health department is caring for emancipated adolescent with STI and unaccompanied by guardian. Which actions should the nurse take?

Have the adolescent sign a consent form for treatment

A nurse is providing discharge teaching to the parent of an 18-month-old toddler who has dehydration as a result of acute diarrhea. Which of the following statements by the parent indicates an understanding of the teaching?

I will monitor my child's number of wet diapers

A nurse is creating a plan of care for an infant who has an epidural hematoma from a head injury. Which of the following interventions should the nurse include in the plan?

Implement seizure precautions for the infant

Upon evaluation of the infant status at 0630, the nurse should identify which of the following as signs of improvement question? Click to highlight the statements in the nurses notes that indicate the infant is improving.

Infant is sleeping in parents arms is correct SP O2 is 96% with 100% cool mist oxygen is correct breath sounds are present and equal bilaterally in the basis is correct infant voided 34 ML is correct

Nurse assesses 8 y/o child with early indications of shock. After establishing airway and stabilizing child's resp, which actions should the nurse take next?

Initiate IV access

A nurse is admitting a school-age child who has pertussis. Which of the following actions should the nurse take?

Initiate droplet precautions for the child

Nurse teaching group of parents about infectious mononucleosis. Which statements by parent indicates understanding of teaching?

Mononucleosis is caused by an infection with the Epstein-Barr virus

The nurse has reviewed the provider prescriptions for the 0900, 1 month ago visit. The nurse is providing discharge teaching to the parent. Which of the following information should the nurse include? Select all that apply.

Open succimer capsule Wet cloth Use a straw Offer orange juice Monitor wet diapers Prevent child from playing in soil

Nurse assesses 6 month old during well-child visit. Which findings should the nurse report to HCP?

Presence of strabismus:

A nurse is creating a plan of care for a school-age child who has heart disease and has developed heart failure. Which of the following interventions should the nurse include in the plan?

Provide small, frequent meals for the child.

McBurney's point "hot spot" is located:

Right lower quadrant (think appendix area)

A nurse is planning care for a toddler who has a serum lead level of 4 mcg/dL. Which of the following actions should the nurse plan to take?

Schedule the toddler for a yearly rescreening

A nurse is caring for a school-age child who is receiving chemotherapy and is severely immunocompromised. Which of the following actions should the nurse take?

Screen the child's visitors for indications of infection

A charge nurse in an emergency department is preparing an in-service for a group of newly licensed nurses on the clinical manifestations of child maltreatment. Which of the following clinical manifestations should the charge nurse include as suggestive of potential physical abuse?

Symmetric burns of the lower extremities

A nurse is caring for a preschooler who was recently admitted to pediatric unit. The nurse is reviewing the information in the child's electronic medical record(EMR). For each EMR finding, click to specify if the finding is consistent with nephrotic syndrome, post streptococcal glomerulonephritis, or hemolytic uremic syndrome. Each finding may support more than one disease process.

Temperature is consistent with APG and HUS bun level is consistent with APG and HUS platelet count is consistent with HUS blood pressure is consistent with NS, APG, and HUS cholesterol level is consistent with NS

Nurse is planning educational program for school age children and parents about bicycle safety. Which info should the nurse plan to include?

The child should be able to stand on the balls of their feet when sitting on the bike

After reviewing the information in the child's medical record, which of the following findings should the nurse address first? Complete the following sentence by using the list of options.

The nurse should first address the child's oxygen saturation followed by the child pain

A nurse is caring for a client who is receiving IV fluids via a peripheral IV catheter. When preparing to discontinue the IV fluids and catheter, which of the following actions should the nurse plan to take? Put steps in order.

Turn off the IV pump Occlude the IV tubing Remove the tape securing the catheter apply pressure over the catheter insertion site

a nurse is teaching to the parents of a preschooler who has heart failure and a new prescription for digoxin twice daily. which of the instructions should the nurse include?

brush the child's teeth after giving the medication

A nurse in the outpatient pediatric clinic is caring for a 2 year old child. Click to highlight the findings that require follow up.

click to select: Pale pink mucus membranes, living in an older urban house that is being renovated, parents report that the toddler seems less active and gets tired more quickly

Charge nurse prepares to make room assignment for newly admitted school age child. Which considerations is the nurse's priority?

disease process

A nurse in the outpatient pediatric clinic is caring for a 2 year old child. Drag words from the choices below to fill in each blank in the following sentence

intellectual deficits and decreased kidney function

A nurse is caring for a 15-year-old client following a head injury. Which of the following findings should the nurse identify as an indication that the child is developing syndrome of inappropriate antidiuretic hormone secretion (SIADH)?

mental confusion

a nurse is caring for a school-age child who has epiglottitis. Which of the following actions should the nurse take?

monitor the child's oxygen saturation

And there's his assessing the school age child who has an acute spinal cord injury following a sports injury one week ago. Identify the area the nurse should tap to illicit the bicep reflex

outer elbow

A nurse is assessing an adolescent who received a sodium polystyrene sulfonate enema. Which of the following findings indicates effectiveness of the medication?

serum potassium level is 4.1 mEq/L

A nurse is providing teaching to the parent of a school-age child who has a new prescription for oral nystatin for the treatment of oral candidiasis. Which of the following instructions should the nurse include?

shake prior to admin

a nurse is caring for a 10 year old child following a head injury. Which of the following findings should the nurse identify as an indication that the child is developing diabetes insipidus

sodium 155 / elevated sodium levels

The nurse has reviewed the child's nurses notes, assessment, vital signs, providers prescriptions and laboratory results from the 0800 one month ago visit. Complete the following sentence by using the list of options

the nurse should first address the child's blood lead levels, followed by the child's anemia (hemoglobin)

A nurse in a providers office is preparing to administer immunizations to a toddler during a well child visit. Which of the following actions should the nurse plan to take? (Click on the exhibit button for additional information about the client. There are three tabs that contain separate categories of data)

withhold the measles, mumps, and rubella(MMR) vaccine

A nurse is caring for a preschooler whose father is going home for a few hours while another relative stays with the child. Which of the following statements should the nurse make to explain to the child when their father will return?

your guardian will be back after you eat."

A nurse is providing teaching to the parent of an infant who has diaper dermatitis. The nurse should instruct the parent to apply which of the following to the affected area.

zinc oxide