Child Health Exam 1 Practice Questions

10. Where should the nurse give a 6-month-old an IM injection? A. Deltoid B. Ventrogluteal C. Vastus lateralis D. Rectus femoris

(see slide 38) C is correct. Deltoid is for ages 3-18 for IM injections B and D not used for immunizations

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 add to the child's plan of care? Select All that Apply a. Have a parent stay with the child during procedures b. Cluster invasive procedures whenever possible c. Perform the procedure as quickly as possible d. Allow the child to keep a toy from home with her e. Use mummy restraints during painful procedures

A, C, & D.

The pediatric clinic nurse is administering immunizations to a 2 month old infant. Which instructions should the nurse discuss with the mother? (select all) a. Tell the mother slight redness at the injection site is expected b. Instruct the mother to give the infant a baby aspirin for comfort c. Inform the mother to notify the HCP of a temp greater than 101 degress d. Explain the importance of keeping a record of her immunizations e. Discuss that the Haemophilus influenzae B vaccine will cause your baby to get the mid flu

A, C, D.

Which is NOT an example of child neglect A. Closely supervising kids as they play B. Withholding food C. Lack of love or affection D. Not administering meds to your kids as prescribed

A. Closely supervising kids as they play

A nurse in the emergency department is assessing a newly-admitted infant. Which of the following findings is an early indication of hypoxemia? A. Nonproductive cough B. Hypoventilation C. Cyanosis D. Nasal stuffiness

A. Nonproductive cough is a manifestation of a respiratory infection. B. Hypoventilation is a manifestation of oxygen toxicity. C. CORRECT: Cyanosis is an early indication of hypoxemia in an infant. D. Nasal stuffiness is a manifestation of a respiratory infection.

What is the treatment for Cystic Fibrosis? A. Pancreatic supplements, Mucolytics, Bronchodilators. B. Aspirin, tissue plasminogen activator. C. Bisphosphonates. D. Water.

A. Pancreatic supplements, Mucolytics, Bronchodilators

A nurse often cares children who are dying. Which of the following is an appropriate action for a nurse to take to maintain their effectiveness? (Select all that apply.) A. Remain in contact with the family after their loss. B. Develop a professional support system. C. Take time off from work. D. Suggest that a hospital representative attend the funeral. E. Demonstrate feelings of sympathy toward the family.

A. Remain in contact with the family after their loss. - Maintaining contact with the family after their loss is an act of support for the family. B. Develop a professional support system. - Developing professional support systems is a strategy the nurse can use to maintain effectiveness when working with the client who is dying and their family. C. Take time off from work. - Taking time off from work is a strategy the nurse can use to maintain effectiveness when working with the client who is dying and their family.

At 1 year of age, which vaccines should a child have received? A. Hep B, DTaP, HPV, Hib B. Hep B, DTaP, Hib, MMR C. DTaP, MMR, HPV, PCV D. Tdap, MMR, Hep B, PCV

B is correct. NO HPV or Tdap until late school age, early adolescence

A 3 month old infant arrives at the clinic today. They have had 2 Hep B's and 1 Dtap. What immunizations MUST they receive in order to be Compliant? (choose ALL that apply) A. DTaP B. RV C. HIB D. IPV E. Hep B F. PCV

B, C, D, F Not A or E -they are UTD on DTaP and HEPB

A nurse is teaching a course about safety during the school-age years to a group of parents. Which of the following information should the nurse include in the course? (Select all that apply.) A. Gating stairs at the top and bottom B. Wearing helmets when riding bicycles or skateboarding C. Riding safely in bed of pickup trucks D. Implementing firearm safety E. Wearing seat belts

B, D, E B. The nurse should include information about wearing helmets when riding bicycles or skateboarding when teaching about safety in the school-age years. D. The nurse should include information about implementing firearm safety when teaching about safety in the school-age years. E. The nurse should include information about wearing seat belts when teaching about safety in the school-age years.

Which term best describes a group of people sharing values, beliefs, and practices? A. Race B. Culture C. Ethnicity D. Social Group

B. Culture

A nurse is planning care for an infant. Which if the following would be the most appropriate site to assess a pulse? a. Carotid artery b. Apex of the heart c. Brachial artery d. Temporal artery

B. The most effective way to asses an infant's heart rate is by auscultating the apex of the heart.

A nurse is caring for a nine-year old client who needs to have an IV inserted. In the teaching plan, the nurse will first a. provide an opportunity for the client to see and touch IV tubing and supplies b. ask the client what the client knows about the IV and why it is necessary c. describe the insertion procedure to the client d. explain to the client's parents what they can expect during and after IV insertion

B. This helps determine readiness.

A nurse is assessing a child and noted many bruises. Which of the following is an appropriate action for the nurse to take? a. Report the suspected abuse to authorities b. Obtain a detailed history c. Ask the psychiatrist to talk with the parents d. Separate the child from the parents

B. This is the first step.

A nurse is providing teaching about age-appropriate activities to the parent of a 2-year-old. Which of the following statements by the parent indicates a need for further teaching? A. "I send my child's favorite stuffed animal when she will be napping away from home." B. "Putting large-piece puzzles together is one of my child's favorite activities." C. "The soccer team my child will be playing on starts practicing next week." D. "My child likes to ride a straddle truck in the dining room while I am cooking."

C. "The soccer team my child will be playing on starts practicing next week." This statement by the parent indicates a need for further teaching. Toddlers continue to develop gross motor skills, and prefer parallel play, where they play alongside of instead of with other children. This will make the concept of team soccer challenging for the toddler.

By what age does birth length usually double? A. 1 year B. 2 years C. 4 years D. 6 years

C. 4 years

A nurse is providing health promotion teaching to the parents of a toddler. a. Congenital anomalies b. Heart disease c. Accidents d. Cancer

C. Accidents are the leading cause of death among toddlers.

Most pediatric asthma is _________ asthma. 20sec A. Exercise induced B. Triggered with colds and viruses C. Allergic D. Cold air induced

C. Allergic

A nurse is caring for a preschool-age child who says she needs to leave the hospital because her doll is scared to be at home alone. Which of the following characteristics of preoperational thought is the child exhibiting? A. Egocentrism B. Centration C. Animism D. Magical thinking

C. Animism occurs when the child gives living qualities to inanimate objects, such as a doll feeling scared.

A nurse is preparing to administer the varicella vaccine to an adolescent. Which of the following questions should the nurse ask to determine whether there is a contraindication to administering the vaccine? A. Do you have an allergy to eggs? B. Have you ever had encephalopathy following immunizations? C. Are you currently taking corticosteroid medication? D. Have you ever had an anaphylactic reaction to yeast?

C. Are you currently taking corticosteroid medication?

A nurse is assessing a 12-month-old infant at a well-child visit. Which of the following findings should the nurse report to the provider? A. Closed anterior fontanelle B. Eruption of six teeth C. Birth weight doubled D. Birth length increased by 50%

C. Birth weight doubled By the age of 12 months, the infant's birthweight should have tripled. Therefore, the nurse should report this finding to the provide

Which statement best describes the infant's physical development? A. Anterior fontanel closes by age 6-10 months B. Binocularity is well established by age 8 months C. Birth weight doubles by 6 months and triples by 1 year D. Maternal iron stores persist during the first 12 months

C. Birth weight doubles by 6 months and triples by 1 year

A nurse is preparing to administer medication to a toddler. Which of the following actions should the nurse take? (Select all that apply) A. ID the toddler by asking the parent. B. Tell the parent to administer the med. C. Calculate the safe dosage. D. Ask the toddler what toy he wants to hold during administration. E. Offer juice after the medication.

C. Calculate the safe dosage D. Ask the toddler what toy he wants to hold during administration E. Offer juice after medication.

A nurse is caring for a child. Which of the following are physical manifestations of impending death?(Select all that apply.) A. Heightened sense of hearing B. Tachycardia C. Difficulty swallowing D. Sensation of being cold E. Cheyne-Stokes respirations

C. Difficulty swallowing E. Cheyne-Stokes respirations C. Difficulty swallowing is a physical finding of approaching death. E. Cheyne-Stokes respirations are an abnormal breathing pattern with periods of apnea that is a physical finding of impending death.

A 4 year old child is restraint to taking medication. which of the following strategies should the nurse use to elicit the child's cooperation? a. Offer the child a choice of crushed pills or elixir b. Tell the child it is candy c. Hide the medication in ice cream or juice d. Tell the child he will have to have a shot instead

C. Gives a preschooler a sense of control over a stressful situation and adds to the child's ability to cope.

Epiglottitis is caused by: A. H1N1 Flu Virus B. Rubella C. Haemophilus influenzae type B D. Hepatitis B

C. Haemophilus influenzae type B

A nurse is caring for toddler who is experiencing separating anxiety. Which is an appropriate action? a. Explain to the toddler that her parents will return in one hour b. Assist the parents to sneak out of the toddler's room c. Tell the parents about the reaction of the toddler while they were gone d. Leave the toddler alone for five minutes

C. This may help ease the stress of separation.

A nurse is teaching a parent about complicated grief. Which of the following statements by the nurse is appropriate? A. "Complicated grief occurs when little time is spent thinking about the loss." B. "Personal activities are affected when experiencing complicated grief." C. "Parents will experience complicated grief together." D. "Counseling can be helpful in resolving complicated grief."

D. "Counseling can be helpful in resolving complicated grief."

A nurse is providing teaching about methods to promote sleep to the parent of a preschool-age child. Which of the following statements by the parent indicates an understanding of the teaching? A. "I will sleep in the bed with my child if she wakes up during the night." B. "I will let my child stay up an additional two hours on weekend nights." C. "I will let my child watch television for 30 minutes just before bedtime each night." D. "I will keep a dim lamp on in my child's room during the night."

D. "I will keep a dim lamp on in my child's room during the night." D. Leaving a light on in the child's room is an appropriate method to promote sleep for a preschool-age child. This statement by the parent indicates an understanding of the teaching.

A ER nurse is assessing a femaie child in an earthquake area. The child, who is crying, walks well, can state her first name, and repeatedly says "all done" and "bye-bye now" during the assessment. On physical exam, the anterior fontanel is closed, and the child has 24 deciduous teeth. Based on these observations, what is the child's age? a. 12 b. 18 c. 24 d. 30

D. 2 and a half years.

Which of the following are the symptoms of asthma? A. Shortness Of Breath B. Wheezing C. Chest tightness D. All Of The Above

D. All Of The Above

Which of the following increases the risk for a respiratory infection in a pediatric patient? A. Breastfeeding instead of bottle feeding B. Diameter of the airway is larger than that of an adult C. Eustachian tube is long and vertical D. Undeveloped supporting cartilage

D. Undeveloped supporting cartilage

A nurse is completing a pain assessment of an infant. Which of the following pain scales should the nurse use?

FLACC

Bacterial pneumonia is most common in children True False

False

Is Cystic Fibrosis genetic Yes No

Yes

The 3-year-old child is seen in clinic for croup. The child's parent asks the nurse what to do for the child at home to alleviate symptoms. Which suggestion by the nurse is most appropriate? a) "Encourage rest and call us if your child gets worse." b) "Administer antibiotics as ordered." c) "Provide warm mist through a vaporizer." d) "Allow her to drink plenty of cold liquids"

a) Correct b) Antibiotics are not used to treat croup c) COOL mist is appropriate d) Room temperature liquids are best

Albuterol and Advair by metered dose inhaler are ordered for a patient recently diagnosed with asthma. The patient asks the nurse, "Why do I have to be concerned about which medication I take first and waiting in between medication?" Which is the best response by the nurse? a) "That is how your physician wrote the order." b) "You do not have to be concerned. You can take them in whatever way works best for you as long as you take them both." c) "That is the standard way these medications are administered." d) "The Albuteroll will open up the airway so the Advair can be better absorbed. You wait to allow the Proventil to have its full effect."

a) Dismissive response b) Not True c) Patient is asking for MORE information d) Correct. Appropriate teaching points

A 4-year-old child is brought to the emergency department with a diagnosis of acute epiglottitis. Which assessment finding is most significant related to this diagnosis? a) Increased fever b) Drooling of saliva c) Increased cough and dyspnea d) Increased heart rate

a) False b) Correct-hallmark sign of epiglottitis c) No cough is noted in epiglotittis d) Increased heart rate

The nurse performs teaching for a patient diagnosed with tuberculosis. The nurse explains that TB is caused by which? a) A virus b) Poor sanitation c) Poor nutrition d) A bacterium

a) False b) No bearing but higher incidence in lower income c) False d) Correct

The mother of a 2 year old diagnosed with pertussis or whooping cough, who is in the convalescent stage tells the nurse her child is still coughing at night. Which statement is the nurse's best response? a. "I will make an appointment for your child to see the doctor today." b. "You should give your child an over the counter cough suppressant." c. "Your child may have a cough for several months after having pertussis." d. "Take your child into the bathroom and turn on the hot shower."

c. Episodes of coughing, whooping, and vomiting may decrease in frequency and severity, but may persist for several months. The shower would be appropriate during an acute asthma attack or croup.

A nurse is teaching an adolescent to self-administer a corticosteroid medication using a metered-dose inhaler (MDI). Which of the following instructions should the nurse include? (Select all that apply.) A. Shake the device prior to use. B. Rinse and expectorate after administration. C. Inhale slowly with medication administration. D. Exhale quickly after medication administration. E. Wait 30 seconds between puffs.

A. A DPI is a powder medication and should not be shaken prior to administration. B. CORRECT: Corticosteroids can cause an oral fungal infection. The client should rinse and expectorate following medication administration. C. CORRECT: The client should breathe in slowly (about 3 to 5 seconds) to administer the medication into the lungs. D. After inhalation of the medication, the client should hold his breath for 5 to 10 seconds. E. The client should wait 1 min between puffs.

A nurse is caring for a 15-month child in a clinic. Which of the following actions should the nurse take? - 100.1 F Temp - Sore Throat - Family Hx of Seizures A. Administer DTaP B. Administer rotavirus C. Hold immunizations until fever subsides D. Administer Hepatitis A Vaccine

A. Administer DTaP

A nurse is preparing to assess a preschool age child. Which of the following is an appropriate action by the nurse to prepare the child? A. Allow the child to role play using miniature equipment. B. Use medical terminology to describe what will happen C. Separate the child from the caregiver during the exam. D. Keep medical equipment visible to the child

A. Allow the child to role play using miniature equipment. ATI page 13

A nurse is teaching a group of parents about influenza. Which of the following information should the nurse include in the teaching? A. "Amantadine will prevent the illness." B. "Rimantadine is administered intramuscularly." C. "Zanamivir can be given to children 1 year and older." D. "Oseltamivir should be given within 48 hours of onset of symptoms."

A. Amantadine can shorten the length of the illness. B. Rimantadine is administered orally two times per day for 7 days. C. Zanamivir is approved for children over the age of 5 years. D. CORRECT: Oseltamivir decrease flu manifestations in clients who have findings for less than 48 hr.

A nurse is collecting data on a child who is descending stairs by placing both beet on each step while holding on to the railing. this is developmentally appropriate at which of the following ages? a. 3 years b. 4 years c. 5 years d. 6 years

A. At age 3, children can typically go up stairs using alternating feet, but still descend by placing both feet on each step.

A nurse is assessing a toddler in a well-child clinic. At what point in the physical examination should the nurse examine the tympanic membrane? a. At the end b. At the beginning c. Before the head and neck are examined d. Before the chest and abdomen are auscultated

A. At the end. The toddler might become upset when someone messes with their ear, so it is best to wait until the end.

A nurse is caring for a 2-year-old child who has had three ear infections in the past 5 months. Which of the following long-term complications is the child at risk for developing? A. Balance difficulties B. Prolonged hearing loss C. Speech delays D. Mastoiditis

A. Balance difficulties can be present with otitis media. However, it is not a long-term complication. B. Prolonged hearing loss can be present with otitis media. However, it is not a long-term complication. C. CORRECT: Speech delay is a common complication of otitis media. D. Mastoiditis can be a result of otitis media. However, it is not a long-term complication.

A nurse is caring for a child in the postoperative period following a tonsillectomy. Which of the actions should the nurse take? A. Encourage the child to blow her nose gently. B. Administer analgesics on a schedule. C. Offer orange juice. D. Position the child supine.

A. Blowing the nose causes pressure and could increase the risk of bleeding. B. CORRECT: Analgesics should be administered on a scheduled basis to provide pain relief. C. Citrus juices such as orange juice can cause discomfort and should be avoided postoperatively. D. The client should be positioned on the abdomen or side-lying following a tonsillectomy.

A nurse is providing anticipatory guidance to the parent of a 13 year old adolescent. Which of the following screenings should the nurse recommend for the adolescent? Select all that apply. A. Body mass index B. Blood lead level C. 24 hour dietary recall D. Weight E. Scoliosis

A. Body mass index D. Weight E. Scoliosis

A nurse in an outpatient facility is caring for an infant who has manifestations of acute otitis media (AOM). Which of the following factors places the infant at risk for otitis media? (Select all that apply.) A. Breastfeeding without formula supplementation. B. Attends day care 4 days per week. C. Immunizations are up to date. D. History of a cleft palate repair. E. Parents smoke cigarettes outside.

A. Breastfeeding helps to protect against AOM because breast milk contains secretory immunoglobulin A. B. CORRECT: Infants who attend day care have an increased risk of OM because of the exposure to multiple people. C. The pneumococcal conjugate vaccine decreases the incidence of OM. D. CORRECT: Infants born with cleft palate are more prone to AOM because micro-organisms can easily enter the Eustachian tubes. E. CORRECT: Exposure to secondhand smoke increases an infant's risk for AOM.

A nurse is caring for a 4 year old client who just had abdominal surgery. Which of the following techniques should the nurse use to get the client to take deep breaths? a. "Let's play a game of blowing cotton balls." b. "You can't go to the playroom until you finish doing your deep breathing." c. "I'll leave your blow bottle here on your table, so that you can use it yourself like a big boy." d. "I will give you a sticker each time you take a deep breathe."

A. By engaging the child in a form of play, the nurse may effectively distract him from the discomfort associated with deep breathing following abdominal surgery.

A nurse is reviewing the diagnostic findings for a preschool age child who is suspected of having cystic fibrosis. Which of the following findings should the nurse identify as an indication of cystic fibrosis? A. Sweat chloride content 85 mEq/L B. Increased serum levels of fat-soluble vitamins C. 72 hr stool analysis sample indicating hard, packed stools D. Chest x-ray negative for atelectasis

A. CORRECT: Children who have cystic fibrosis excrete an excessive amount of sodium and chloride in their sweat. A sweat chloride content of 85 mEq/L is above the expected reference range and is an indication of cystic fibrosis. B. Children who have cystic fibrosis are expected to have decreased serum levels of fat-soluble vitamins. C. Children who have cystic fibrosis are expected to have large, bulky, frothy, greasy, foul-smelling stools (steatorrhea). D. Children who have cystic fibrosis are expected to have obstructive emphysema and atelectasis on chest x-ray.

A nurse is admitting a child who has cystic fibrosis. Which of the following medications should the nurse anticipate including in the plan of care? (Select all that apply.) A. Tobramycin B. Loperamide C. Fat-soluble vitamins D. Albuterol E. Dornase alfa

A. CORRECT: Children who have cystic fibrosis have pulmonary infections. Administering antibiotics is an expected part of the plan of care. B. Children who have cystic fibrosis have constipation and are expected to have a laxative or stool softener as part of the plan of care. Loperamide is an antidiarrheal medication. C. CORRECT: Children who have cystic fibrosis have difficulty absorbing fat. Supplementation of the fat-soluble vitamins is an expected part of the plan of care. D. CORRECT: Children who have cystic fibrosis have mucus plugs. Administering a bronchodilator is an expected part of the plan of care. E. CORRECT: Children who have cystic fibrosis have mucus plugs. Administering dornase alfa, which decreases the viscosity of the mucus, is an expected part of the plan of care.

A nurse is assessing a child who has epiglottitis. Which of the following findings should the nurse expect? (Select all that apply.) A. Hoarseness and difficulty speaking B. Difficulty swallowing C. Low-grade fever D. Drooling E. Dry, barking cough F. Stridor

A. CORRECT: Hoarseness and difficulty speaking is a manifestation of epiglottitis. B. CORRECT: Difficulty swallowing is a manifestation of epiglottitis. C. A high fever is a manifestation of epiglottitis. D. CORRECT: Drooling is a manifestation of epiglottitis. E. Dry, barking cough is a manifestation of croup. F. CORRECT: Stridor is a manifestation of epiglottitis.

A nurse is performing an admission assessment for a child who has cystic fibrosis. Which of the following findings should the nurse expect? (Select all that apply.) A. Wheezing B. Clubbing of fingers and toes C. Barrel-shaped chest D. Thin, watery mucus E. Rapid growth spurts

A. CORRECT: Wheezing is an expected finding of cystic fibrosis. B. CORRECT: Clubbing is an expected finding of cystic fibrosis. C. CORRECT: A barrel-shaped chest is an expected finding of cystic fibrosis. D. Thick, viscous mucus is an expected finding of cystic fibrosis. E. Delayed growth is an expected finding of cystic fibrosis.

A nurse is providing discharge teaching for a child who has cystic fibrosis. Which of the following instructions should the nurse include? A. Provide a low-calorie, low-protein diet. B. Administer pancreatic enzymes with meals and snacks. C. Implement a fluid restriction during times of infection. D. Restrict physical activity.

A. Children who have cystic fibrosis should eat a high-calorie, high-protein diet to allow for proper growth. B. CORRECT: Children who have cystic fibrosis have pancreatic insufficiency. The nurse should provide instruction about administering pancreatic enzymes within 30 min of a meal or snack. C. Children who have cystic fibrosis should increase fluids to assist in thinning thick mucus. D. Children who have cystic fibrosis should engage in daily aerobic activity to assist with lung expansion and to stimulate mucus expectoration.

A nurses performing a neurological assessment on an adolescent. Which of the following is an appropriate reaction by the adolescent when the nurse checks the trigeminal nerve? A. Clenching teeth together tightly B. Recognizing sour tastes on the back of the tongue C. Identifying smells through each nostril D. Detecting facial touches with eyes closed. E. Looking down and in with the eyes

A. Clenching teeth together tightly D. Detecting facial touches with eyes closed. ATI page 13

A nurse is caring for a child who has bronchiolitis. Which of the following actions should the nurse take? (Select all that apply.) A. Administer oral prednisone. B. Initiate chest percussion and postural drainage. C. Administer humidified oxygen. D. Suction the nasopharynx as needed. E. Administer oral penicillin.

A. Corticosteroids are not indicated for a client who has bronchiolitis. B. Chest percussion and postural drainage are not indicated for a client who has bronchiolitis. C. CORRECT: Humidified oxygen provides moisture to the airway and is an appropriate action for the nurse to take. D. CORRECT: Suctioning the nasopharynx will assist the client to clear secretions and is an appropriate action for the nurse to take. E. Antibiotics are not indicated for a client who has bronchiolitis.

A nurse is assessing the family of a child brought in for severe injuries. Which of the following behaviors by the parents is concerning for child abuse? A. Delay in seeking treatment for the child's injuries. B. Detailed description of the events prior to the injuries. C. Anxious, concerned attitude D. Encouraging the child to explain the injuries.

A. Delay in seeking treatment, vague description of events, relaxed attitude, inconsistent stories between caregivers and child and adult speaking FOR the child are all concerning signs of abuse.

A nurse is providing anticipatory guidance to the parents of a toddler. Which of the following should the nurse include? (Select all that apply.) A. Develop food habits that will prevent dental caries. B. Meeting caloric needs results in an increased appetite. C. Expression of bedtime fears is common. D. Behaviors associated with negativism and ritualism. E. Importance of annual screenings for phenylketonuria.

A. Develop food habits that will prevent dental caries. C. Expression of bedtime fears is common. D. Behaviors associated with negativism and ritualism. Because the toddler is developing taste preferences, the development of food habits that will prevent dental caries, expression of bedtime fears is common for toddlers and should be included in the anticipatory guidance, and negativism and ritualism are exhibited by toddlers as they seek autonomy, and associated behaviors should be included in the anticipatory guidance

A nurse is conducting a well-child visit with a child who is scheduled to receive the recommended immunizations for 4- to 6-year-olds. Which of the following immunizations should the nurse administer?(Select all that apply.) A. Diphtheria, tetanus, pertussis (DTaP) B. Inactivated poliovirus (IPV) C. Measles, mumps, rubella (MMR) D. Pneumococcal (PCV) E. Haemophilus influenzae type b (Hib)

A. Diphtheria, tetanus, pertussis (DTaP) B. Inactivated poliovirus (IPV) C. Measles, mumps, rubella (MMR) A. DTaP is a recommended immunization for 4- to 6-year-olds, and should be administered by the nurse. B. IPV is a recommended immunization for 4- to 6-year-olds, and should be administered by the nurse. C. MMR is a recommended immunization for 4- to 6-year-olds, and should be administered by the nurse.

Five-year-old Henry is hospitalized following a hot water burn. Although he has not been febrile, his mother frequently asks the nurse to take his temperature. The nurse knows that a 'family centered' response would be: A. We will take Henry's temperature with his scheduled vital signs. B. Ask mom why she is obsessed with taking Henry's temperature. C. Tell me more about your concerns about his temperature. D. Henry has already received Tylenol for pain—that will help any fever he might have.

A. Dismissive B. RUDE, belittling C. Supportive. Recognizes mom as the expert regarding her child. D. Dismissive

A nurse is preparing a toddler for an intravenous catheter insertion using atraumatic care. Which of the following actions should the nurse take? (Select all that apply) A. Explain procedure using childs favorite play toy B. Ask parents to leave during procedure C. Perform the procedure with the child in his bed. D. Allow the child to make one choice regarding the procedure. E. Apply the lidocaine and prilocaine cream to three potential insertion sites.

A. Explain procedure D. Allow child to make one choice. E. Apply lidocaine and prilocaine cream

A verbal, four year old patient is awake, alert and is in the hospital with a spiral fracture of his humerus. The nurse knows that which of the following tools would be most appropriate for a pain assessment for this child? A. FLACC B. FACES C. CHEOPS D. NUMBERS

A. FLACC is for nonverbal patients B. CORRECT (awake verbal and age 3-8) C. CHEOPS-not post surgical D. Typically used for kids over age 8. Must know simple math.

Which is the nurse's best response to a mother of a 2 month old infant who is receiving a series of immunizations that include an IPV and tells the nurse that the older brother is immunocompromised? A. Your baby should not be immunized today. B. Your baby will receive an OPV instead of IPV then today. C. You should keep you baby and your son separated for 2 weeks. D. Your baby can be immunized with IPV, he will not be contagious.

A. False. IPV is INACTIVATED Polio. It is NOT a live vaccine. Safe to administer regardless of brothers immunocompromised status. B. False. OPV in activated, pt will NOT receive C. False. Inactivated polio virus-no need to seperate them. D. True. Correct Answer

A nurse is discussing risk factors for asthma with a group of newly licensed nurses. Which of the following conditions should the nurse include in the teaching? Select All that Apply A. Family history of asthma B. Family history of allergies C. Exposure to smoke D. Low birth weight E. being underweight

A. Family history of asthma B. Family history of allergies C. Exposure to smoke D. Low birth weight - being overweight is a risk factor

A nurse is caring for a child that has red marks across his cheeks. Which of the following is an appropriate action for the nurse to take? a. Assess the child's body for a rash b. Call CPS c. Ask the parents how the marks appeared d. Obtain the child's temperature

A. Fifths Disease presents with erythema on the face, resembling slap marks. Further assessment on the child's body and extremities should be done to determine if the child has fifths disease.

A nurse is providing teaching about expected changes during puberty to a group of parents of early adolescent girls. Which of the following statements by one of the parents indicates an understanding of the teaching? A. Girls usually stop growing about 2 years after menarche B. Girls are expected to gain about 65 pounds during puberty C. Girls experiencing menstruation prior to breast development D. Girls typically grow more than 10 inches during puberty

A. Girls usually stop growing about 2 years after menarche

A nurse is performing a developmental screening on a 10-month-old infant. Which of the following fine motor skills should the infant be able to perform? (Select all that apply.) A. Grasp a rattle by the handle B. Try building a two-block tower C. Use a crude pincer grasp D. Place objects into a container E. Move objects from hand to hand

A. Grasp a rattle by the handle C. Use a crude pincer grasp E. Move objects from hand to hand The infant should be able to grasp a rattle by the handle at the age of 10 months, able to use a crude pincer grasp at the age of 9 months, and able to move objects from hand to hand at the age of 7 months.

A nurse is caring for a child who is in the postoperative period following a tonsillectomy. Which of the following is a clinical finding of postoperative bleeding? A. Hgb 11.6 and Hct 37% B. Inflamed and reddened throat C. Frequent swallowing and clearing of the throat D. Blood-tinged mucus

A. Hgb 11.6 and Hct 37% are within the expected reference range. B. Inflamed and reddened throat is an expected finding following a tonsillectomy. C. CORRECT: Frequent swallowing and clearing of the throat indicates that there is an increased amount of fluid in the back of the throat, which is a clinical finding in the client who is experiencing postoperative bleeding. D. Blood-tinged mucus is an expected finding following a tonsillectomy.

A nurse is planning to administer recommended immunizations to a 4-year-old child. Which of the following vaccines should the nurse plan to give? (Select all that apply) A. Inactivated poliovirus (IPV) B. Haemophilus influenzae type b (Hib) C. MMR D. Varicella E. HepB F. DTaP

A. Inactivated poliovirus (IPV) C. MMR D. Varicella F. DTaP

A nurse is caring for a child who is receiving oxygen. Which of the following findings indicates oxygen toxicity? A. Increased blood pressure B. Hyperventilation C. Decreased PaCO2 D. Unconsciousness

A. Increased blood pressure is not a manifestation of oxygen toxicity. B. Hypoventilation is a manifestation of oxygen toxicity. C. An increased PaCO2 is a manifestation of oxygen toxicity. D. CORRECT: Children who exhibit oxygen toxicity progress into an unconscious state rapidly.

A nurse caring for a child who is receiving oxygen therapy and is on a continuous oxygen saturation monitor that is reading 89%. Which of the following actions should the nurse take first? A. Increase the oxygen flow rate. B. Encourage the child to take deep breaths. C. Ensure proper placement of the sensor probe. D. Place the child in the Fowler's position.

A. Increasing the oxygen flow rate for a child who has an oxygen saturation of 89% is important, but there is another action the nurse should take first. B. Encouraging the child to take deep breaths to increase oxygenation is important, but there is another action the nurse should take first. C. CORRECT: The first action the nurse should take using the nursing process approach is to assess. Ensuring the sensor probe is properly placed is the nurse's priority action. D. Placing the child in Fowler's position to increase oxygenation is important, but there is another action the nurse should take first.

A nurse is caring for a 10 year old child who will need to be hospitalized for an extended period of time. Which of the following actions should the nurse include in the nursing plan to meet the client's psychosocial needs according to Erikson? a. Arrange for the hospital teacher to do lesson plans b. Allow the client to select his own food off the menu c. Encourage visits from the client's friends d. Provide a daily session with a play therapist

A. Industry vs. Inferiority. By keep up with school works helps the child fell inferior to their classmates.

A nurse is assessing an infant. Which of the following findings are clinical manifestations of acute otitis media? (Select all that apply.) A. Decreased pain in the supine position B. Rolling head side to side C. Loss of appetite D. Increased sensitivity to sound E. Crying

A. Infants who have acute otitis media will have an increase in pain in the supine position from the fluid and pressure in the ear. B. CORRECT: Infants who have acute otitis media will roll their head side to side because of the pain and pressure in the ear. C. CORRECT: Infants who have acute otitis media will exhibit a loss of appetite due to the pain and pressure in the ear. D. Infants who have acute otitis media have a decreased sensitivity to sound from the fluid and pressure in the ear. E. CORRECT: Infants who have acute otitis media will exhibit crying and irritability from the pain.

A nurse is providing education about age-appropriate activities for the parents of a 6-year-old child. Which of the following activities should the nurse include in teaching? A. Jumping rope B. Playing card games C. Solving jigsaw puzzles D. Joining competitive sports

A. Jumping rope The nurse should recommend activities such as playing hop scotch, jumping rope, riding bicycles, and joining organized sports.

A nurse is caring for a 12 mo toddler who is hospitalized and confised to a room with contact precautions in place. Which of the following toys should the nurse suggest in order to meet the developmental needs of the client? a. Large building blocks b. Hanging crib toys c. Modeling clay d. Crayons and a coloring book

A. Large building blocks for a 12 mo year old.

A nurse is performing family assessment. Which of the following should the nurse include? (Select all that apply.) A. Medical history B. Parents' education level C. Child's physical growth D. Support systems E. Stressors

A. Medical history B. Parents' education level D. Support systems E. Stressors

A nurse is caring for a child who is receiving a bronchodilator medication by nebulized aerosol therapy. Which of the following actions should the nurse take? (Select all that apply.) A. Instruct the child that the treatment will last 30 min. B. Obtain vital signs prior to the procedure. C. Tell the child to take slow deep breaths. D. Determine if the child should use a mask. E. Attach the device to an air source.

A. Nebulized medications take approximately 10 to 15 min to deliver. B. CORRECT: Baseline vital signs should be obtain prior to a nebulized medication for purposes of comparison with how the client tolerates the medication. C. CORRECT: The client should take slow, deep breaths to inhale the medication deeply into the respiratory tract. D. CORRECT: Nebulized medications can be delivered by mask, mouthpiece, or blow-by. The nurse should determine the best method of delivery. E. CORRECT: Nebulized medications need to have an air source to break the medication into small particles for inhalation.

A nurse is caring for a toddler who has acute otitis media. Which of the following is the priority action for the nurse to take? A. Provide emotional support to the family. B. Educate the family on care of the child. C. Prevent clinical complications. D. Administer analgesics.

A. Providing emotional support to the family for psychological well-being is an important action for the nurse to take. However, it is not the priority action. B. Educating the family on the care of the child to promote recovery from illness is an important action for the nurse to take. However, it is not the priority action. C. Preventing clinical complications by administering antibiotics and monitoring the child's status is an important action for the nurse to take. However, it is not the priority action. D. CORRECT: The priority action the nurse should take when using Maslow's hierarchy of needs is to meet the toddler's physiological need first. Administering analgesics to alleviate or decrease physical pain is the priority action for the nurse to take.

A nurse is caring for a toddler who has rhinitis, cough, and diarrhea for 2 days. Upon assessment, it is noted that the tympanic membrane has an orange discoloration and decreased movement. Which of the following statements should the nurse to make? A. "Your child has an ear infection that requires antibiotics." B. "Your child could experience transient hearing loss." C."Your child will need to be on a decongestant until this clears." D."Your child will need to have a myringotomy."

A. Rhinitis, cough, diarrhea, and an orange discoloration of the tympanic membrane are findings of otitis media with effusion (OME). Therefore, antibiotics are not recommended. B. CORRECT: Rhinitis, cough, diarrhea, and an orange discoloration of the tympanic membrane are findings of OME. Transient hearing loss is a complication of OME. C. Rhinitis, cough, diarrhea, and an orange discoloration of the tympanic membrane are findings of OME. Therefore, decongestants are not recommended. D. Myringotomy is recommended for clients who have chronic OME.

A nurse is performing a developmental screening on a 3-year-old child. Which of the following skills should the child be able to perform? A. Ride a tricycle B. Hop on one foot C. Jump rope D. Throw a ball overhead

A. Ride a tricycle A. A 3-year-old child should be able to ride a tricycle.

Which of the following is not a symptom of cystic fibrosis? A. Seizures B. Abnormal stools C. Frequent pneumonia D. Difficulty gaining weight

A. Seizures

Morphine sulfate IVP is ordered for a child who is in pain. The nurse is preparing to administer the medication to the client realizes that the client appears small for her age. Which of the following actions should the nurse take? a. Weight the child and calculate the dosage range b. Give the child one-half the ordered dose. c. Give the dose as prescribed by the provider d. Call the provider to ask to change the route to oral

A. The nurse may believe that the child appears small, but weighing the child and calculating the dosage will tell the nurse if the medication is within the safe dosage range.

A nurse is assessing a child who has asthma. Which of the following are indications of deterioration in the child's respiratory status? (Select all that apply.) A. Oxygen saturation 95% B. Wheezing C. Retraction of sternal muscles D. Warm extremities E. Nasal flaring

A. The nurse should expect a child experiencing respiratory difficulty to have an oxygen saturation below the expected reference range. B. CORRECT: Bronchoconstriction causes wheezing, which is an indicator of deterioration in a child's respiratory status. C. CORRECT: Increased work of breathing causes retraction of the sternal muscles, which is an indicator of deterioration in a child's respiratory status. D. The nurse should expect a child experiencing respiratory difficulty to exhibit restlessness and irritability. E. CORRECT: Increased work of breathing causes nasal flaring, which is an indicator of deterioration in a child's respiratory status.

A nurse is teaching an adolescent about the appropriate use of his asthma medications. Which of the following medications should the nurse instruct the client to use as needed before exercise? A. Fluticasone/salmeterol B. Montelukast C. Prednisone D. Albuterol

A. The nurse should instruct the adolescent that fluticasone/ salmeterol is a combination of LABA and corticosteroid medications, and to use it for maintenance control of asthma. B. The nurse should instruct the adolescent that Montelukast affects the immune response to prevent medication, and to use it for maintenance control of asthma. C. The nurse should instruct the adolescent that prednisone is an anti- inflammatory medication used short-term for exacerbations of asthma. D. CORRECT: Albuterol is a beta2-agonist used for bronchodilation. The nurse should instruct the adolescent the medicine is quick-acting, should be administered prior to exercise, and is used to provide immediate relief of bronchoconstriction.

A nurse is planning care for a child who has asthma. Which of the following interventions should the nurse include in the plan of care? (Select all that apply.) A. Perform chest percussion. B. Place the child in an upright position. C. Monitor oxygen saturation. D. Administer bronchodilators. E. Administer dornase alfa daily.

A. The nurse should use chest percussion to promote movement of mucus plugs for a child who has cystic fibrosis. B. CORRECT: Children who are experiencing an asthma exacerbation have decreased oxygenation. The nurse should place the child an upright position to promote ventilation. C. CORRECT: Children who are experiencing an asthma exacerbation have decreased oxygenation. The nurse should monitoring oxygen saturation to detect changes in the child's condition. D. CORRECT: Children who are experiencing an asthma exacerbation experience bronchoconstriction. The nurse should administer bronchodilators to promote ventilation. E. The nurse should administer dornase alfa to a child who has cystic fibrosis to help with removal of respiratory secretions.

A nurse in a well-child clinic is assessing a 6 month old infant. Which of the following assessments should the nurse expect to make? a. Posterior fontanel is closed b. Infant's birth weight is tripled c. Upper and lower central incisors are present d. Infants sits well without support

A. The posterior fontanel should be closed by 8 weeks of age.

A nurse is speaking with the mother of a 6-year-old child. Which of the following statements by the mother should concern the nurse? a. "The teacher says my child has to squint to see the board." b. "My child has recently lost both front top teeth." c. "My child often cheats when we play board games." d. "Sometimes my child acts bossy with his friends."

A. This can indicate a vision problem.

The nurse is caring for children on a pediatric unit. Which child should the nurse assess first? a. 1 mo old exhibiting substernal retractions and nasal flaring b. 3 mo old child exhibiting substernal retractions and nasal flaring c. The 6 mo old with a RR of 42 breaths per minute d. The 8 month old child who has a whopping throaty cough

A. This child is in respiratory distress.

A charge nurse, following hospital policy, reports an incident of suspected child abuse. The parent of the child becomes upset and demands to know the reason for the nurse's action. The appropriate nurse response to the parent should be which of the following? a."As a nurse, I am required by law to report incidents of suspected child abuse." b. "I am unable to discuss this, but you can talk to my supervisor." c. "Perhaps you should have your lawyer contact my lawyer." d. "I reported the incident to my supervisor who decided to contact the authorities."

A. This is correct.

A nurse is caring for an 8-month old infant in the hospital. When the parent leaves the room, the child begins to scream. The parent begins to cry and says "I don't understand why my child is so upset. I've never seen my child act this way around others before." The nurse should respond with which of the following? a. "This is a normal, expected reaction for a child of this age." b. "This is a response to an overstimulating environment." c. "This is a common reaction to an overexposure to caregivers

A. This is normal for a child of this age.

A nurse is caring for an 18-month old toddler whose mother leaves after the child has been hospitalized. The nurse observes that the toddler sits quietly in the corner of the crib, sucking a thumb. When the nurse approaches the crib, the toddler shyly turns away from the nurse. The nurse should know that these behaviors indicate: a. anxiety reaction to the stress of hospitalization b. regression c. resentment toward the mother d. developing autonomy

A. This occurs in toddlers and separation anxiety

A nurse is assisting a group of parents of adolescents to develop skills that will improve communication within the family. The nurse hears one parent state, "My son knows he better do what I say." Which of the following parenting styles is the parent exhibiting? A. Authoritarian B. Permissive C. Authoritative D. Passive

A. This parent is exhibiting an authoritarian parenting style. Using this style, the parent controls the adolescent's

A nurse is conducting a well-child visit with a child who is scheduled to receive the recommended immunizations for 11- to 12-year-olds. Which of the following immunizations should the nurse administer?(Select all that apply.) A. Trivalent inactivated influenza (TIV) B. Pneumococcal (PCV) C. Meningococcal (MCV4) D. Tetanus and diphtheria toxoids and pertussis (Tdap) E. Rotavirus (RV)

A. Trivalent inactivated influenza (TIV) C. Meningococcal (MCV4) D. Tetanus and diphtheria toxoids A. TIV is a recommended immunization for 11- to 12-year-olds, and should be administeredby the nurse. C. MCV4 is a recommended immunization for 11- to 12-year-olds, and should beadministered by the nurse. D. Tdap is a recommended immunization for 11- to 12-year-olds, and should beadministered by the nurse.

An 8 year old asthmatic is brought to the emergency room exhibiting the following symptoms: wheezing, tachypnea, diaphoresis, and looks frightened. The nurse should prepare to administer: A. IV methylprednisolone B. Inhaled steroids C. Albuterol inhaled D. A long acting bronchodilator inhaled

A. Yes, eventually but not right away B. Yes, eventually.. C. Correct-first and foremost. Albuterol inhaled. The rest will follow D. Yes, eventually A long acting bronchodilator inhaled.

A nurse is teaching a child who has asthma how to use a peak flow meter. Which of the following information should the nurse include in the teaching? (Select All that Apply) A. Zero the meter before each use B. Record the average of the attempts C. Perform three attempts D. Deliver a long, slow breath into the meter. E. Sit in a chair with feet on the floor.

A. Zero the meter before each use C. Perform three attempts - record the highest number reading - breathe hard and fast - stand straight up

The best play activity to provide tactile stimulation for a 6 month old infant is to: A. allow to splash in bath B. give various colored blocks C. play music box, tapes, or CDs D. Use infant swing or stroller

A. allow to splash in bath

Which is an important nursing consideration when caring for an infant with failure to thrive? A. establish a structured routine and follow it consistently B. maintain a nondistracting environment C. place baby in car seat during feedings to avoid stimulation D. limit sensory stimulation and play activities

A. establish a structured routine and follow it consistently

Which is an important nursing consideration when caring for an infant with failure to thrive? A. establish a structured routine and follow it consistently B. maintain a nondistracting environment C. place baby in carseat during feedings to avoid stimulation D. limit sensory stimulation and play activities

A. establish a structured routine and follow it consistently

The pediatric nurse understands that nonpharmacologic strategies for pain management: A. may reduce pain perception B. make pharmacologic strategies unnecessary C. usually take too long to implement D. trick children into believing they do not have pain

A. may reduce pain perception

A nurse is planning care for an infant who is experiencing pain. Which of the following interventions should the nurse include in the plan of care? (Select all that apply) A. Offer a pacifier B. Use guided imagery C. Use swaddling D. Initiate a behavioral contract E. Encourage kangaroo care

A. offer pacifier C. use swaddling E. encourage kangaroo care

Strep throat is spread by... A. person to person contact B. the air C. incorrectly cooked food D. all of the above

A. person to person contact

An appropriate play activity for an 8 month old infant to encourage visual stimulation is: A. playing peek a boo B. playing pat a cake C. imitating animal sounds D. showing how to clap hands

A. playing peek a boo

When a preschool child is hospitalized without adequate preparation, child feels the stay is: A. punishment B. threat to child's self image C. an opportunity for regression D. loss of companionship with friends

A. punishment

Strep throat is caused by... A. streptococcus bacteria B. streptobacillus bacteria C. influenza virus D. staphylococcus bacteria

A. streptococcus bacteria

Symptoms of epiglottitis include A. tri-pod position and drooling B. seal-like barking cough C. pulmonary edema D. muscle weakness

A. tri-pod position and drooling

symptoms of epiglottitis include A. tri-pod position and drooling B. seal-like barking cough C. pulmonary edema D. muscle weakness

A. tri-pod position and drooling

A nurse is planning to administer recommended immunizations to a 2-month-old infant. Which of the following vaccines should the nurse plan to give? (select all that apply) A. Rotavirus B. DTaP C. Haemophilus influenzae type b (Hib) D. Hep A E. Pneumococcal conjugate (PCV13) F. Inactivated poliovirus (IPV)

ALL A. Rotavirus B. DTaP C. Haemophilus influenzae type b (Hib) D. Hep A E. Pneumococcal conjugate (PCV13) F. Inactivated poliovirus (IPV)

A nurse is providing teaching about dental care and teething to the parent of a 9-month-old infant. Which of the following statements by the parent indicates an understanding of the teaching? A. "I can give my baby a frozen, fluid-filled teething ring to relieve discomfort." B. "I should clean my baby's teeth with a cool, wet washcloth." C. "I can give Advil for up to 5 days while my baby is teething." D. "I should dilute juice with water in a bottle my baby drinks while falling asleep."

B. "I should clean my baby's teeth with a cool, wet washcloth." It is appropriate to use a cool, wet washcloth for cleaning the infant's teeth.

At what age should the nurse expect an infant to begin smiling in response to A. 1 month B. 2 months C. 3 months D. 4 months

B. 2 months

Croup typically affects children... 20sec A. 3 years or older B. 3 years or younger C. Infants only D. Adults

B. 3 years or younger

When is the best age for solid food to be introduced into the infant's diet? A. 2-3 months B. 4-6 months C. When birth weight has tripled D. when tooth eruption has started

B. 4-6 months

What is the first-line antibiotic choice for pneumonia? A. Azithromycin B. Amoxicillin C. Doxycycline D. Ciprofloxacin

B. Amoxicillin

A nurse is teaching a parent of an infant about administration of oral medications. Which of the following should the nurse include in the teaching? (Select all that apply) A. Use the universal dropper for medication administration B. Ask the pharmacy to add flavoring to medication. C. Add the medication to a formula bottle before feeding. D. Use the nipple of a bottle to administer the medication. E. Hold the infant in a semireclining position.

B. Ask the pharmacy to add flavoring to med. D. Use the nipple of a bottle to administer the med. E. Hold infant in a semireclining position

A nurse is preparing an education program about nutrition for preschool-age children for a group of parents. Which of the following should the nurse include? A. Saturated fats should equal 20% of total caloric intake. B. Average daily intake should be 1,800 calories. C. Finicky eating habits develop around 5 years of age. D. Healthy diets include 8 g of protein each day.

B. Average daily intake should be 1,800 calories. B. Average daily intake should be 1,800 calories.

Nurse observes children playing. Which situation exhibits parallel play? A. 2 kids sharing clay to each make things B. Brian playing with truck next to Kris playing with truck C. Adam playing board game with Kyle,Steven, and Erick D. Danielle playing with a music box on her mother's lap

B. Brian playing with truck next to Kris playing with truck

A nurse on a pediatric unit is caring for a toddler. Which of the following behaviors is an effect of hospitalization? (Select all that apply) A. Believes the experience is a punishment B. Experiences separation anxiety C. Displays intense emotions. D. Exhibits regressive behavior E. Manifests Disturbance of body image.

B. Experiences separation anxiety C. Intense emotions D. Exhibits behavior regression

A nurse is assessing a 2.5-year-old toddler at a well-child visit. Which of the following findings should the nurse report to the provider? A. Height increased by 7.5 cm (3 in) in the past year. B. Head circumference exceeds chest circumference. C. Anterior and posterior fontanels closed. D. Current weight equals four times the birth weight.

B. Head circumference exceeds chest circumference. The head and chest circumference should be equal by 1-2 years of age, with the chest circumference continuing to increase in size until it exceeds the head circumference. Therefore, the nurses should report this finding to the provider.

A nurse is providing education about introducing new foods to the parents of a 4-month-old. To best supply needed nutrients, the nurse should recommend that the parents introduce which of the following foods first? A. Strained yellow vegetables B. Iron-fortified cereals C. Pureed fruits D. Whole milk

B. Iron-fortified cereals Iron-fortified cereals are the first solid food introduced due to the high iron content. The order of introducing solid foods after this is variable.

A nurse is assessing an infant. Which of the following are manifestations of pain in an infant? (Select all that apply). A. Pursed Lips B. Loud cry C. Lowered Eyebrows D. Rigid body E. Pushes away stimulus

B. Loud cry C. Lowered Eyebrows D. Rigid body

How does the onset of the pubertal growth spurt compare in girls and boys? A. Occurs earlier in boys B. Occurs earlier in girls C. About the same in both boys and girls D. In both boys and girls, it depends on growth during infancy

B. Occurs earlier in girls

A nurse is assessing a 6 month old infant. Which of the following reflexes should the infant exhibit? A. Moro B. Plantar grasp C. Stepping D. Tonic neck

B. Plantar grasp is exhibited until about 8 months ATI page 13

A nurse is conducting a well-baby visit with a 4-month-old infant. Which of the following immunizations should the nurse administer to the infant? (Select all that apply.) A. Measles, mumps, rubella (MMR) B. Polio (IPV) C. Pneumococcal Vaccine (PCV) D. Varicella E. Rotavirus vaccine (RV)

B. Polio (IPV) C. Pneumococcal Vaccine (PCV) E. Rotavirus vaccine (RV) The nurse should administer an IPV vaccine, a PCV vaccine, and a RV vaccine to a 4-month-old infant.

A nurse is teaching a parent of a preschool child about factors that affect the child's perception of death. Which of the following should be included in the teaching? A. Preschool children have no concept of death. B. Preschool children perceive death as temporary. C. Preschool children often regress to an earlier stage of behavior. D. Preschool children experience fear related to the disease process

B. Preschool children perceive death as temporary. - Preschool children perceive death as temporary because they have no concept of time.

The parent of a four old tells you that the child believes that there are monsters hiding monsters hidings in the closet at bedtime. What is appropriate? a. "Let your child sleep with you" b. "Keep a night light on in your child's room." c. "Tell your child the monsters are not real." d. "Stay with your child until the child falls asleep."

B. Preschoolers are magical thinkers and the night light will assure them that there aren't monsters in the closet.

A nurse is caring for an infant who needs otic medication. Which of the following is an appropriate action for the nurse? A. Hold the infant in an upright position B. Pull the pinna downward and straight back. C. Hyperextend the neck D. Ensure the med is cool.

B. Pull the pinna downward and straight back.

A nurse is caring for an adolescent whose mother expresses concerns about her child sleeping such long hours. Which of the following conditions should the nurse inform the mother as requiring additional sleep during adolescence? A. Sleep terrors B. Rapid growth C. Elevated zinc levels D. Slowed metabolism

B. Rapid growth

A nurse is caring for a preschooler. Which of the following is expected behavior of a preschool-age child? A. Describing manifestations of illness. B. Relating fears to magical thinking C. Understanding cause of illness D. Awareness of body function.

B. Relating fears to magical thinking

Which are Symptoms of Allergic Rhinitis? A. Chronic Nasal Pain B. Rhinorrhea & Nasal Congestion / Obstruction C. Epistaxis (Nosebleed) D. Extreme Facial Edema

B. Rhinorrhea & Nasal Congestion / Obstruction

What is SIDS? A. A type of candy you give a child B. The death of a child under the age of one with no real cause C. The death of a adult under the age of one with no real cause D. A type of baby monitor

B. The death of a child under the age of one with no real cause

The parent of a toddler asks a nurse a well-child clinic how the child's frequent temper tantrums can be best handled. Which of the following actions should the nurse suggest to the parent? a. Restrain the child physically b. Ignore the temper tantrums c. Tell the child that temper tantrums are not acceptable d. Distract the child by offering to play a game

B. This is the recommended approach, since it does not provide positive reinforcement for the unacceptable behavior. Ignoring a negative behavior is a basic concept in behavior modification.

A nurse is performing a development screening on an 18 month-old. Which of the following skills should the toddler be able to perform? (Select all that apply.) A. Build a tower with six blocks B. Throw a ball overhand C. Walk up and down stairs D. Draw circles E. Use a spoon without rotation

B. Throw a ball E. Use a spoon without rotation An 18-month-old should be able to throw a ball overhand and be able to use a spoon without rotation.

A nurse is teaching a parent of a toddler about nutrition. Which of the following should be included in the teaching? a. Toddlers have increased appetite b. Toddlers have decrease nutritional need c. Offer foods that mixed together d. Fill the plate with multiple food choices

B. Toddlers have a decrease nutritional need and will tend to eat less.

RSV (respiratory synctial virus) is most commonly diagnosed in A. during the summer months B. children under the age of two years C. children over the age of four years D. children who receive synagis

B. children under the age of two years

An appropriate nursing intervention to minimize separation anxiety in a toddler is to: A. provide for privacy B. encourage parents to remain in the room C. explain procedures and routines D. encourage contact with children the same age

B. encourage parents to remain in the room

A nurse is discussing prepubescence and preadolescence with a group of parents of school-age children. Which of the following information should the nurse include in the discussion? A. Initial physiologic changes appear during early childhood. B. Changes in height and weight occur slowly during this period. C. Growth differences between boys and girls become evident. D. Signs of sexual maturation become highly visible in boys.

C. Growth differences between boys and girls become evident.

A nurse is planning care for child that is admitting with mumps. Which of the following is an appropriate action for the nurse to take? a. Initiate standard precautions b. Initiate airborne precautions c. Initiate droplet precautions d. Initiate contact precautions

C. Mumps is transferred via droplet precautions.

How is Cystic Fibrosis identified? A. Bone Marrow Aspiration. B. Blood test C. Newborn screening and sweat tests. D. Stool analysis

C. Newborn screening and sweat tests.

A nurse is checking the vital signs of a 3 year old child during a well child visit. Which of the following findings should the nurse report to the provider? A. Temperature 37.2 C (99.0 F) B. Heart Rate 106/min C. Respirations 30/min D. Blood Pressure 88/54 mmHg

C. Respirations 30/min ATI page 13

A nurse is checking the vital signs of a 3-year-old child during a well-child visit. Which of the following findings should the nurse report to the provider? A. Temperature 37.2 degrees Celsius (99.0 degrees Fahrenheit) B. Pulse 106/minute C. Respirations 30/minute D. Blood pressure 88/54 mm Hg

C. Respirations 30/minute Respirations of 30/min is above the expected range for a 3-year-old child and should not be reported to the provider.

Most common source of bronchiolitis? A. Prolonged exposure to tobacco B. Foreign body obstruction C. Respiratory syncytial virus D. Bacterial upper respiratory infections

C. Respiratory syncytial virus

Croup is characterized by? A. Leaking sinuses B. Snoring respirations C. Seal bark cough D. Wheezing

C. Seal bark cough

A nurse teaching a class about puberty in boys. Which of the following should the nurse include as the first manifestation of sexual maturation? A. Pubic hair growth B. Vocal changes C. Testicular enlargement D. Caricature hair growth

C. Testicular enlargement

What is the single most important factor to consider when communicating with children? A. The child's physical condition B. The presence or absence of the child's parent C. The child's developmental level D. The child's nonverbal behaviors

C. The child's developmental level

The nurse is caring for a 3 month old with FTT (failure to thrive). Which of the following feeding techniques should be taught? A. Feed baby in a common room of the house. B. Let the baby demand feed C. Develop a structured feeding routine D. Do not make eye contact with the baby while feeding.

C. is correct. Feed baby in a QUIET room, on a routine, make eye contact with baby during feed. All are steps in good feeding technique in FTT

A nurse is caring for a child who has a terminal illness and reviews palliative care with an assistive personnel (AP). Which of the following statements by the AP indicates understanding of this review? A. "I'm sure the family is hopeful that the new medication will stop the illness." B. "I'll miss working with this client, now that only nurses will be caring for him." C. "I will get all the client's personal objects out of his room." D. "I will listen and respond as the family talks about their child's life."

D. "I will listen and respond as the family talks about their child's life." - Palliative care focuses on the process of dying and grieving, which includes usingtherapeutic communication.

A nurse is planning care for a child following a surgical procedure. Which of the following interventions should the nurse include in the plan of care? A. Administer NSAIDs for pain greater than 7 on a scale of 0-10. B. Administer intranasal analgesics PRN. C. Administer IM analgesics for pain D. Administer IV analgesic on a schedule

D. Administer IV analgesic on schedule.

Bullying is... A. Physical B. Verbal C. Social D. All of the above

D. All of the above

What is Bullying? A. Seeking to harm someone B. Seeking to coerce someone C. Seeking to intimidate someone D. All of the above

D. All of the above

Who reports child abuse or neglect? A. Principal B. Social Worker C. Nurse D. All of the above

D. All of the above

A nurse is assessing the psychosocial development of a toddler. The nurse is aware that this stage is characterized by which of the following? a. Imaginary playmates b. Erikson's stage of initiative versus guilt c. Demonstrations of sexual curiosity d. Negative behaviors characterized by the need for autonomy.

D. Assertion of autonomy is seen in toddlers as they begin their language and social development.

A nurse is assessing a Childs ears. Which of the following is an expected finding? A. Light reflex is located at the 2 o'clock position B. Tympanic Membrane is red in color C. Bony landmarks are not visible D. Cerumen is present bilaterally

D. Cerumen is present bilaterally ATI page 13

Which of the following is NOT a principle of pediatric care? A. Prevent/minimize separation from family B. Promote a sense of control C. Prevent/minimize bodily injury and pain D. Prevent stress by spreading out care

D. Cluster Care is a principal of pediatric care. D. Describes the opposite of cluster care.

A nurse is preparing to administer an IM injection to a child. Which of the following muscle groups is contraindicated? A. Deltoid B. Ventrogluteal C. Vastus Lateralis D. Dorsogluteal

D. Dorsogluteal

A nurse in a pediatric clinic is talking with the mother of a preschool child. The mother tells the nurse that her son is a "picky eater." Which of the following is an appropriate response by the nurse? a. Have the child remain at the table to increase food intake b. Add extra fruit juice to increase vitamin intake c. The quantity is more important than the quality of food d. Food consumption may not be significantly decreased

D. Food consumption varies and most preschool age children consume an adequate quantity of food despite their fads and preferences.

A parent is concerned that her five-year old may be exhibiting regression behaviors. The nurse knows the behavior that indicates regression is a. Cuddling a threadbare blanket at bedtime b. Crying when mother leaves c. Eating only food from home d. Bedwetting several times a day

D. Incontinence a frequent sign a regression in preschool aged children.

A nurse is reviewing lab results in four child. Which of the following values should the nurse report? a. WBC 10,000 b. Lead 2 mcg/dl c. RBC 4.9 d. Iron 38

D. Iron is below the expected range for children.

How does a pediatric nursing care plan differ from an adult care plan? A. It is based on the nursing process. B. It does not use established nursing diagnoses. C. It focuses on the therapy rather than the patient. D. It includes growth and developmental processes

D. It includes growth and developmental processes.

A nurse is teaching a group of parents about separation anxiety. Which of the following info should the nurse include in the teaching? A. It is often observed in the school-age child. B. Detachment is the stage exhibited in the hospital C. It results in prolonged issues of adaptability D. Kicking a stranger is an example.

D. Kicking a stranger is an example.

A nurse is planning to administer an influenza vaccine to a toddler. Which of the following actions should the nurse take? A. Administer SubQ in the abdomen. B. Use a 20 gauge needle. C. Divide the medication into two injections D. Place the child in supine position.

D. Place the child in supine position.

A nurse is preparing to administer immunizations to a 4 month old infant. Which of the following actions should the nurse take to provide atraumatic care? A. Administer 81 mg of aspirin B. Use the Z-track method when injecting C. Ask the parents to leave the room during the injection D. Provide sucrose solution on the pacifier

D. Provide sucrose solution on the pacifier

In what order should the following routine assessments be performed in a 9 month old child who is in the hospital? A. Temperature, Respiratory Rate, Weight, Heart Rate B. Weight, Respiratory Rate, Heart Rate, Temperature C. Heart Rate, Respiratory Rate, Temperature, Weight D. Respiratory Rate, Heart Rate, Temperature, Weight

D. Respiratory Rate, Heart Rate, Temperature, Weight least invasive to most invasive

A nurse manager on a pediatric floor is preparing an education program on working with families for a group of newly hired nurses. Which of the following should the nurse include when discussing the developmental theory? A. Describes that stress is inevitable B. Emphasizes that change with one member affects the entire family C. Provides guidance to assist families adapting to stress D. Defines consistencies in how families change

D. The nurse should include that the developmental theory defines consistencies in how families change.

A nurse is caring for a child who has been physically abused by a family member. Which of the following is an appropriate statement for the nurse to say to the child? a. "I promise I won't tell anyone about this." b. "Let's discuss what happened together, with your family." c. "Your family is bad for doing this to you." d. "It is not your fault that this happened."

D. This is the correct response.

A nurse is teaching an adolescent about medication therapy with oral acetylcysteine (Mucomyst). Which of the following is included in the teaching? a. You should avoid eggs in your diet. b. Your mouth will become dry c. It is necessary to monitoring your serum electrolyte levels. d. This medication has a very unusual color.

D. This medication has an odor similar to rotten eggs due to the presence of disulfide linkages.

Failure to thrive is diagnosed by: A. Length of age and sex greater than the 5th percentile B. Length for age and sex less than the 5th percentile C. Weight for age and sex greater than the 5th percentile D. Weight for age and sex less than the 5th percentile

D. Weight for age and sex less than the 5th percentile

Failure to thrive can be caused by... A. neglect B. abuse C. stress D. all of the above

D. all of the above

The children playing a board game would be an example of: A. solitary play B. parallel play C. associative play D. cooperative play

D. cooperative play

The most common cause of death in the adolescent age group involves: A. drownings B. firearms C. drug overdoses D. motor vehicles

D. motor vehicles

Asthma is a _________ A. non-reversible restrictive lung disease B. reversible restrictive lung disease C. non-reversible obstructive lung disease D. reversible obstructive lung disease

D. reversible obstructive lung disease

A nurse is teaching a parent about parallel play in children. Which of the following statements should the nurse include in the teaching? A. "Children sit and observe others playing" B. Children exhibit organized play in a group" C. "The child plays alone" D. "The child plays independently in a group"

D. the child plays independently in a group

A parent of a baby who has recurrent URI's asks the nurse why babies are at increased risk for complications from URI's. The best response from the nurse is: a) airway structures are larger allowing for entry of a larger number of organisms. b) a slower respiratory rate for children than adults is the cause. c) parents have difficulty assessing the respiratory status of children. d) airways are narrower and more easily obstructed.

a) False. Airway structures are SMALLER b) False. Children have a FASTER RR c) False d) Correct

The nurse would select which of the following as the most appropriate nursing diagnosis for the family of a toddler hospitalized with acute laryngotracheobronchitis? a) Anticipatory grieving related to loss of airway. b) Impaired growth and development related to acute onset of illness c) Impaired social interaction related to confinement in hospital. d) Fear/anxiety related to noisy breathing.

a) False. Too dire. b) False. Croup is very common c) True. Pt will be on isolation and confining a toddler is very difficult d) Barking cough is the hallmark of croup, not "noisy breathing"

Which of the following is an appropriate nursing intervention for a child with cystic fibrosis? a) Administer fat-soluble forms of vitamins A, D, E, and K b) Administer pancreatic enzymes with meals only. c) Reduce the child's fat intake. d) Increase fluids and electrolytes during increased periods of activity.

a) False. Water miscible vitamins are administered in CF b) Meals AND all snacks c) Fale. The opposite is true. High Fat, High sodium d) Correct

The nurse is teaching home tracheostomy care to the parents of a toddler. What information would be essential for the nurse to include? a) The importance of changing the tracheostomy every day b). How to recognize signs of infection and obstruction. c) How to remove the tracheostomy so the child can talk. d) Teaching the child to keep large objects away from the tube.

a) Not appropriate (change once weekly or as needed) b) Correct c) Do not remove the tracheostomy d) Teach the child to keep SMALL objects away

The nurse is caring for a child with a common cold. The primary goal of nursing care is directed toward: a) Preventing injury b) Promoting nutrition c) Relieving symptoms d) Administering antibiotics

a) Not the primary goal b) Not the PRIMARY goal c) Correct d) False. Nor warranted for a cold. A URI is a virus