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The nurse has provided medication instructions to the parents of an infant who has gastroesophageal reflux disease (GERD) and has been prescribed lansoprazole. Which statement made by the patient indicates the need for additional teaching? A. "Our baby may not need to take this medication forever" B. "This medication will help decrease the acid in our baby's stomach" C. "We will administer the medication when our baby has an empty stomach" D. "We will administer the medication prior to each bottle feeding"

A. "Our baby may not need to take this medication forever"

The nurse is reviewing a treatment plan with the parents of a newborn who has hypospadias. Which of the following statements by the parents indicates a correct understanding of the plan? A. "We must be very cautious during diaper changes to prevent infection" B. "We will need to use a catheter if the baby goes more than 24 hours w/o voiding" C. "We should soak the penile wrap before the dressing is removed" D. "We should give our baby a tub bath every other day

A. "We must be very cautious during diaper changes to prevent infection"

The nurse has provided discharge instructions to the parents of a 3-year-old who had a cardiac catheterization. Which of the following statements by the parents indicates a correct understanding of the teaching? A. "We will not allow our child to engage in strenuous activity for the next several days" B. "We will remove the adhesive bandage strip when we get home" C. "Our child will need to follow a low-sodium diet for the next week" D. "Our child can take a tub bath beginning tomorrow"

A. "We will not allow our child to engage in strenuous activity for the next several days"

The nurse working in the pediatric cardiac unit is reviewing the telemetry monitors for assigned clients. The nurse should initially plan to assist the client who is a A. 14-year-old adolescent and is resting in bed watching television and has a pulse of 110. B. 2-year-old toddler and is sleeping and has a pulse of 125. C. 5-year-old child and is playing with other children in the playroom and has a pulse of 110 D. 3-month-old infant and has a fever and a pulse of 148.

A. 14-year-old adolescent and is resting in bed watching television and has a pulse of 110.

The nurse is working in an emergency triage are where a parent brings in a child and states "I think she got into my mother's medicine". After determining the medication, the child ingested, which of the following actions should the nurse preform next? A. Contact poison control B. Notify authorities of child neglect C. Induce vomiting D. Determine medication allergies

A. Contact poison control

The nurse preceptor is teaching a newly hired nurse about tracheoesophageal fistula. Which of the following should the newly hired nurse identify as a common manifestation? A. Excessive salivation and choking B. Excessive coughing and diarrhea C. Excessive fatigue and edema D. Excessive lethargy and constipation

A. Excessive salivation and choking

The nurse is assessing an infant with coarctation of the aorta. Which of the following findings should the nurse anticipate the infant will have? A. Increased BP in the arms and decreased BP in the legs B. Bounding carotid and pedal pulses C. Bounding femoral pulses and weak radial pulses D. Thready, weak brachial pulses and a widened pulse pressure

A. Increased BP in the arms and decreased BP in the legs

The nurse is assessing a pediatric client who has tachycardia, dyspnea, crackles, orthopnea, and edema. The nurse should plan interventions to treat which possible condition? A. Left sided heart failure B. Bilateral pneumonia C. Kawasaki disease D. Rheumatic fever

A. Left sided heart failure

The school nurse is on the playground with student and observes a child watching a small group of children playing tag. The nurse recognizes this type of play as A. Onlooker B. Parallel C. Associative D. Assistive

A. Onlooker

The nurse is assessing a child who is suspected of having acute glomerulonephritis. Which of the following is an expected finding? A. Periorbital edema B. Hypotension C. Enuresis D. Hypokalemia

A. Periorbital edema

The nurse is caring for a child who had a tonsillectomy 4 hours ago. Which of the following actions observed by the nurse requires immediate interventions? A. The child is eating ice cream with a spoon B. The child is eating a green popsicle C. The child is drinking water through a straw D. The child is drinking diluted apple juice

A. The child is eating ice cream with a spoon

The nurse is preparing to administer digoxin to an infant. Upon assessment, the nurse notes that the apical pulse is 88. Based on this finding, which of the following nursing actions is appropriate? A. Administer the digoxin B. Hold the medication C. Have another nurse verify the apical pulse D. Give half of the dose of digoxin

B. Hold the medication

The nurse is educating a family of a child who is about to return to school after being hospitalized for rheumatic fever with carditis. Which statement, if made by the family, indicates the need for follow-up instruction? A. "My child should begin to regain appetite and should have adequate nutrition" B. "I need to encourage my child to get back to the normal sports practice schedule" C. "I need to tell the teacher that my child may be extra clumsy, but it will pass" D. "My child needs to finish all the prescribed medication"

B. "I need to encourage my child to get back to the normal sports practice schedule"

.) The nurse is caring for a 12-year old female child who has been diagnosed with an Escherichia Coli positive urinary tract infection (UTI). The nurse is teaching the child ways to reduce the chance of a future UTI. Which of the following statements by the child requires follow up teaching? A. "I should avoid hot bubble baths" B. "I should wash my tight leggings daily" C. "I should wipe from front to back" D. "I should drink plenty of water throughout the day"

B. "I should wash my tight leggings daily"

The nurse is educating new parents about immunizations and immunity. It indicates the need for additional teaching if a parent states A. "Passive immunity is what my child gets from me and is short term protection" B. "My child will be protected for life from many diseases with passive immunity" C. "My child will develop active immunity by producing antibodies to specific organisms" D. "Through active immunity, my child will develop long-term protection against organisms."

B. "My child will be protected for life from many diseases with passive immunity"

The nurse is teaching the parent of an infant who has just been diagnosed with Hirschsprung's disease. Which of the following statements by the parent indicates teaching about treatment has been effective? A. "My infant will follow a high-fiber diet" B. "My infant will have surgical removal of the affected bowel" C. "My infant will have a colostomy placed permanently" D. "My infant will have diarrhea for a few days"

B. "My infant will have surgical removal of the affected bowel"

The nurse had attended a conference on immunizations. Which of the following statements by the nurse indicates that teaching has been effective? A. "Children who begin a series of vaccinations but fail to complete them need to begin the series again" B. "Preterm infants should receive their primary vaccinations when they reach full-term birth age" C. "The recommended age to begin immunizations is 1 month" D. "Oral polio vaccine is preferred over inactive poliovirus vaccine"

B. "Preterm infants should receive their primary vaccinations when they reach full-term birth age"

2.) The nurse is preforming an assessment on an adolescent client. Which behavior suggests appropriate psychosocial development in this client? A. Gets along with others at home B. Conformity with the peer group increases C. Navigates away from peers and enjoy spending time with family members D. Validation for socially acceptable behavior from older adults

B. Conformity with the peer group increases

The nurse is caring for a child who was admitted to the pediatric unit with nephrotic syndrome. Which of the following laboratory results should the nurse expect to see? A. Thrombocytopenia B. Elevated cholesterol C. Low specific gravity D. Gross hematuria

B. Elevated cholesterol

The nurse is monitoring an infant who has RSV bronchiolitis. Which of the following should the nurse recognize as a characteristic finding associated with respiratory distress in a child with this diagnosis? A. Friction rub B. Intercostal retractions C. Barking cough D. Huffing

B. Intercostal retractions

The nurse is caring for a 3-yreal old child admitted with acute diarrhea and dehydration. The child is alert and awake. Which of the following interventions should the nurse implement for this client? A. 0.9% sodium chloride B. Oral rehydration sodium (ORS) C. BRAT (bananas, rice, applesauce, toast) diet D. Gelatin and popsicles

B. Oral rehydration sodium (ORS)

The nurse is administering pancreatic enzymes to a client who has cystic fibrosis (CF). Which of the following should the nurse include in the client education concerning the administration of these enzymes? ( question 22 chapter 40) A. Decrease dose of pancreatic enzymes if having frequent, bulky stools. B. Pancreatic enzymes can be swallowed whole of sprinkled on a small amount of food before eating C. Do not take pancreatic enzymes if receiving antibiotics D. Take pancreatic enzymes between meals if possible.

B. Pancreatic enzymes can be swallowed whole of sprinkled on a small amount of food before eating

The nurse is educating a student nurse on Tetralogy of Fallot. Which of the following responses by the student nurse indicates an understanding of the education? "The structural defects would include (Test Bank question chapter 42 question 5) A. Aortic stenosis, ventricular septal defect, overriding aorta, right ventricular hypertrophy" B. Pulmonic stenosis, ventricular septal defect, overriding aorta, right ventricular hypertrophy" C. Aortic stenosis, atrial septal defect, overriding aorta, left ventricular hypertrophy' D. Pulmonic stenosis, ventricular septal defect, aortic hypertrophy, left ventricular hypertrophy"

B. Pulmonic stenosis, ventricular septal defect, overriding aorta, right ventricular hypertrophy"

The nurse is preforming a nutritional assessment on an adolescent client. Which of the following client statement best indicates the client's diet is healthy? A. "We use cheese in some of our meals." B. "My parents make sure my 7-year-old sibling and I eat the same amount." C. "I make sure to drink 16oz of milk per day" D. "I make sure to eat 2 meals daily."

C. "I make sure to drink 16oz of milk per day"

The nurse has attended a continuing education conference on enuresis. Which of the following statements by the nurse indicates a correct understanding of the conference? A. "Children who have phenylketonuria (PKU) typically demonstrate enuresis by age 3 years." B. "The medication most frequently prescribed to treat enuresis in haloperidol" C. "The primary treatment for nocturnal enuresis is restricting fluid 30 minutes before the evening meal." D. "Children who are diagnosed with enuresis have inappropriate voiding of urine at least twice a week for at least 3 months."

C. "The primary treatment for nocturnal enuresis is restricting fluid 30 minutes before the evening meal."

The triage nurse in the emergency department (ED) must prioritize the children waiting to be seen. Which child is in the greatest need of emergency medical treatment? A. 13-year-old with a fever of 104F, chills and a cough with thick yellow secretions B. 6-year-old with a fever of 104F, a muffled voice, no spontaneous cough and drooling C. 4-year-old with fever of 101F, a hoarse cough, inspiratory stridor, and restlessness D. 3-year-old with a fever of 100F, a barky cough, and mild intercostal retractions

C. 4-year-old with fever of 101F, a hoarse cough, inspiratory stridor, and restlessness

The nurse is assessing a client who has intussusception. Which of the following is an expected finding? A. Watery diarrhea B. Ribbon like stools C. Abdominal distension D. Profuse projectile vomiting

C. Abdominal distension

The nurse is discussing Erikson's stages of development with the parents of a 2 year old child who wets the bed at night. The nurse teaches the parents to avoid punishing the child for these accidents. Which stage of Erikson does the nurse recognize the child is attempting to master? A. Identity vs role confusion ( 12-18) B. Initiative vs guilt (3-5) C. Autonomy vs shame and doubt (1-3) D. Industry vs inferiority

C. Autonomy vs shame and doubt (1-3)

The nurse is caring for a child with probable intussusception. Which of the following is the most appropriate nursing action when the child has a normal, brown stool? A. Auscultate for bowel sounds B. Take vital signs, including BP C. Notify the PCP D. Measure the child's abdominal girth

C. Notify the PCP

The nurse is caring for a child in the pediatric unit. The nurse has a licensed practical/vocational nurse (LPN/VN) and an unlicensed assistant professional (UAP) as a part of the care team. Which of the following assignments is appropriate to delegate to a member of the care team? A. LPN to administer IV immunoglobulin (IVIG) via a central venous access device (CVAD) B. UAP to insert an indwelling urinary catheter C. UAP to transport client for a computed tomography (CAT) scan D. LPN to educate about current disease proves

C. UAP to transport client for a computed tomography (CAT) scan

The nurse is assessing a child who is suspected of having celiac disease. Which of the following findings should the nurse expect the parents to report? A. Excessive hunger B. Chronic constipation C. Weight loss D. Black and tarry stools

C. Weight loss

The nurse has provided post op education to parents of a newborn who had a cleft lip repair. Which of the following statements by the parents indicates a need for further teaching? A. "Pain medication well be prescribed and should be given as ordered" B. "Petroleum jelly can be applied to the incision" C. "My child should be placed in an upright position for feedings" The nurse has provided post op education to parents of a newborn who had a cleft lip repair. Which of the following statements by the parents indicates a need for further teaching? A. "Pain medication well be prescribed and should be given as ordered" B. "Petroleum jelly can be applied to the incision" C. "My child should be placed in an upright position for feedings" D. "I can provide a pacifier to my child as a comfort measure"

D. "I can provide a pacifier to my child as a comfort measure"

The nurse is caring for a 10-year-old child who is scheduled for cardiac surgery. Using Erikson's theory of psychosocial development, which statement about the surgery is appropriate for the nurse to make to the child? A. "Let me show you this doll and demonstrate what will happen before, during and after surgery" B. "You will leave your room, go to sleep, and not remember anything" C. "Children rarely have much pain following this type of surgery" D. "Only one of your parents may stay with you during the operation"

D. "Only one of your parents may stay with you during the operation"

The nurse is developing a plan of care for a child with croup. Which of the following should the nurse include in the care plan? A. Increase intake of dairy liquids B. Apply menthol rub to the chest C. Place in contact isolation D. Assess for inspiratory stridor

D. Assess for inspiratory stridor

The nurse is assessing a toddler who is suspected of having epiglottitis. It is necessary for the nurse to immediately notify the PCP if the child A. Develops a barking cough, has a temperature of 101.7F, and a RR of 25 B. Has vesicular breath sounds in the peripheral lung fields C. Is leaning backwards and supporting self with the hands and arms D. Becomes agitated, is leaning forward with the mouth wide open, and is drooling

D. Becomes agitated, is leaning forward with the mouth wide open, and is drooling

A nurse is caring for an adolescent who is newly diagnosed with asthma. Which of the following should the nurse include in the discharge plan of care? A. Encourage the child to keep an epinephrine auto injector pen with them at all times B. Encourage the family to keep one peak expiratory flow meter at home and one at school C. Encourage the child to play endurance sports rather than those requiring short burst of energy D. Educate the child on how to avoid triggers at home and school

D. Educate the child on how to avoid triggers at home and school

The new nurse and preceptor are discussing assessment findings for a child with a congenital heart anomaly resulting in chronic cyanosis. It requires follow up by the nurse preceptor if the new nurse states which of the following as an assessment finding in this child? A. Squatting during play activities B. Exercise intolerance C. Clubbing of the nail beds D. Inadequate rest

D. Inadequate rest

The nurse is caring for a child with celiac disease. The mother of the child has been learning correct food choices for her child in preparation for discharge. Which of the following food choices by the mother indicates a need for further teaching? A. Corn tortilla tacos and tapioca pudding B. Chicken breast and spinach C. Wild rice and apple slices D. Oatmeal and banana

D. Oatmeal and banana

The nurse is developing a plan of care for a child who has (RSV). Which of the following interventions should the nurse include in the infant's plan of care? A. Place the child in a negative pressure room B. Administer ABX C. Wear a mask when in contact with the child's siblings D. Use contact isolation precaution

D. Use contact isolation precaution

The nurse is teaching the parents of a child who is newly diagnosed with Kawasaki disease. Which of the following statements, if made by a parent, indicates a correct understanding of this disease? A. "My child well need IV ABX therapy for at least 6 weeks" B. "My child will need IV gamma globulin for treatment" C. "I should notify my PCP immediately if my child develops peeling of the skin on the hands and feet" D. "I should avoid giving my child aspirin to help prevent the development of this disease"

My child will need IV gamma globulin for treatment"