Exam 1
A new mother shows the nurse that her baby grasps her finger when she touches the baby's palm. How might the nurse respond to this information?
"This is a primitive reflex known as the plantar grasp" Correct! "This is a primitive reflex known as the palmar grasp" "This is a protective reflex known as rooting" "This is a protective reflex known as the Moro reflex"
A nurse is teaching parents of a toddler about temper tantrums. Which of the following is important to include in this teaching?
"You should seek psychological help for a child having temper tantrums" "Give the child anything they want to stop or prevent temper tantrums" "Temper tantrums are a demonstration of a learning disability" Correct! "Temper tantrums are a toddler's attempt to control situations"
A nurse is providing teaching about immunizations on infants. Which of the following statements is appropriate?
"Your baby should have 2 Pneumococcal vaccines before turning a year old" Correct! "Your baby will have a Hepatitis B vaccine prior to going home from the hospital" "Your baby must have Measles, Mumps and Rubella (MMR) vaccine at age 6-months" "Your baby will receive their Diphtheria, Tetanus and Pertussis (DTaP) vaccine in one month"
A group of nursing students are reviewing information about humoral and cellular immunity. The students demonstrate understanding of this material when they identify what as being involved in cellular immunity? B cells Antigens T cells Antibodies
C
A nurse is caring for a child that is admitted to the hospital with the diagnosis of croup (laryngotracheobronchitis). They should be prepared to: Swab throat for culture Administer antibiotics and assist with possible intubation Administer oral or IM steroid medications (Dexamethasone)
C
The 8 year old child who becomes upset with playmates because they are not "following the rules" is operating at which of Piaget's level of cognition?
Sensorimotor Preoperational Correct! Concrete Operational Formal Operational
The nurse is assessing a 24 month old child. Which of the following would be considered an abnormal physical finding for a toddler?
Swayback and pot belly Anterior fontanel closed Correct! Secondary sexual characteristics begin to appear Head size more proportional to body
The mother of a 12 year old describes her daughter's symptoms to the RN in the Emergency Room. She states that the daughter has had a "really bad sore throat for over a week and a fever." She further states that "she never developed nasal congestion." The nurse suspects that the patient has: Bacterial pharyngitis (strep throat) Bronchitis Tonsillitis
A
The nurse is providing care to several children who have been brought to the clinic by the parents reporting cold-like symptoms. The nurse would mostlikely suspect sinusitis in which child? A 7 year old with bad breath and thick, yellow nasal discharge A 5 year old with nasal congestion and sore throat A 2 year old with thin, watery nasal discharge A 3 year old with a 2 day history of sneezing and cough
A
The nurse is talking to the parents of a child who has been diagnosed with sever combined immune deficiency (SCID). Which statement by the parents best indicates that they understand their child's condition? "He'll need to receive IVIG routinely, until he gets a stem cell transplant" "We'll make sure that he has his EpiPen with him at all times" "We'll need to prepare ourselves for a bone marrow transplant" "He'll need to receive several different types of antiviral medications"
A
The nurse is teaching a group of infants' mothers about the benefits of immunizations. The nurse will explain that the life-threatening diseases, such as epiglottitis, can be prevented by immunizing against: Correct! Haemophilus influenzae type B (Hib) Measles, Mumps and Rubella (MMR) Polio
A
When reviewing the history of a child with suspected primary immunodeficiency, what would the nurse least likely to find? Weight appropriate for height Ten episodes of otitis media in the last year Antibiotic therapy for the past 2 months without effect Three bouts of sinusitis within the last year
A
A hospitalized child suddenly begins reporting "my chest hurts," is tachypneic, and has tachycardia. The nurse auscultates the lung sounds and finds absent breath sounds on one side. After notifying the health care provider, what intervention should the nurse anticipate? Prepare for mechanical ventilation Placement of chest tube insertion Administer oxygen
B
During a 4 month old infant's well child checkup, the nurse discusses introduction of solid foods into the infant's diet and concerns for foods commonly associated with food allergies. Therefore, the parents are instructed to delay until after 1 year of age introduction of: Green beans, pork, and yams Cow's milk, tree nuts, and eggs Squash, pork, and tomatoes Carrots, chicken, and squash
B
The nurse is performing a physical examination on a 9 year old boy who has experienced a tick bite on his lower leg and is suspected of having Lyme disease. Which assessment finding would the nurse expect to find? Hypersalivation Ring-like rash (erythema migrans) on lower leg Swelling in the neck
B
A nurse is teaching the parents of a child diagnosed with cystic fibrosis about medication therapy. Which would the nurse instruct the parents to administer orally? Anti-inflammatory agents Bronchodilators Pancreatic enzymes Recombinant human DNas
C
The nurse is caring for a child who is having an allergic reaction with wheezing and bronchospasm only. The nurse would expect to administer what medication? Benadryl Epinephrine Albuterol
C
The nurse is providing education in response to questions from new parents concerned about keeping their child safe from infections. Which phrase would be most appropriate for the nurse to include in the teaching plan? "The child must be kept away from everyone but parents until the child has a fully functional immune system" "The baby's immune system is fully developed at birth" "Breastfeeding provides passive immunity to the infants that formulas cannot provide" "The baby has specialized cell
C
What would the nurse expect to find in a male infant with Wiskott-Aldrich syndrome? Pneumonia Lymphadenopathy Eczema
C
When teaching a group of new parents about newborn care and development, which immunoglobulin would the nurse explain as being primarily responsible for the passive immunity exhibited by newborns? IgE IgM IgG
C
The nurse is assessing the temperature of several children. The nurse documents that the child with which temperature reading has a fever? 100.3 F (37.9 C) 100 F (37.8 C) 98.2 F (36.8 C) 100.8 F (38.2 C)
D
The nurse is developing a teaching plan for the mother of a 4 year old girl with a common cold and fever. What would the nurse include in this teaching plan? Calling the doctor if the child's fever lasts more than 24 hours Observing for changes in alertness resulting from brain damage Keeping the child covered in thick clothes and blankets Ensuring adequate fluid intake to prevent dehydration
D
The nurse caring for children with HIV infection knows which laboratory test is the preferred test to determine HIV infections in infants. Platelet count CD4 Enzyme-linked immunosorbent assay (ELISA) Polymerase chain reaction (PCR)
D
A child requires supplemental oxygen therapy at 8 L/min. Which delivery device would the nurse mostlikely expect to be used?
Oxygen hood Correct! Simple mask Nasal cannula
Bacterial pneumonia is suspected in a 4 year old boy with fever, headache, and chest pain. Which assessment finding would most likely indicate the need for this child to be hospitalized?
Oxygen saturation of 96% Fever Correct! Tachypnea with retractions Pale skin color
A nurse is caring for a 4 year old child who has asthma. In order to provide quick relief for this child who is coughing, wheezing, and having difficulty breathing, the nurse administers which of the ordered medications first?
Prednisone Singulair (Montelukast) Flovent (Fluticasone) Correct! Albuterol
A nurse is examining an 8 year old boy with tachycardia and tachypnea. The nurse anticipates which test as most helpful in determining the extent of the child's hypoxia?
Pulmonary function test Peak expiratory flow Chest radiograph Correct! Pulse oximetry
The nurse is assessing a 5 year old child for signs of developmental delay. Which of the following would alert the nurse to a potential problem?
The child separates from parent easily The child engages in fantasy play The child can build a tower of six blocks Correct! The child does not play with other children
The nurse is teaching a new mother about the development of sensory skills in her newborn. What would alert the mother to a sensory deficit in her child?
The newborn becomes more alert with stroking when drowsy The newborn's eyes focus on near objects Correct! The newborn does not respond to a loud noise The newborn's eyes wander and occasionally are crossed
A nurse is assessing a 1-year old child who weighed 7 pounds, 8 ounces at birth. Today's weight is 23 pounds. What conclusion can the nurse make about the child's weight? The child is at an expected weight The child is seriously underweight The child is over expected weight The child is seriously overweight
A
A nurse is planning care for a child with Human Immunodeficiency Virus (HIV). The highest priority nursing diagnosis for this child is: Risk for infection Ineffective Tissue Perfusion Risk for Fluid Volume Deficit
A
After teaching a mother how to remove a tick from her 6 year old boy's arm, the nurse determines that additional teaching is needed when the mother makes which statement? "I will grasp the tick and twist or jerk it from the skin." "I need to grasp the tick as close to the skin as possible." "I should save the tick for identification just in case he gets sick." "I'll protect my fingers with gloves or a paper towe
A
A child is brought to the Emergency Department by his parents because he suddenly developed a barking cough. Further assessment leads the nurse to suspect that the child is experiencing croup. What would the nurse have most likely assessed? Inspiratory stridor High fever Toxic appearance Dysphagia
A
A nurse in the clinic is assessing an infant. The assessment that might indicate the infant's respiratory status is worsening is: Grunting respirations with nasal flaring and retractions An arterial CO2 of 40 Periorbital edema
A
Which of the following children is using the defense mechanism of regression to deal with a situation?
A child who communicates only with an imaginary friend The child who broke a sibling's toy because "she hit me" A child who cannot remember witnessing an automobile accident Correct! A potty-trained child who begins to have frequent episodes of wetting
A nurse is caring for a patient who will be hospitalized for a period of time. Which activity can the nurse provide for a 9 year old child to encourage a sense of industry?
Allow the child to help with his dressing change Allow the child to assist with his bath Allow the child to choose what time to take his medication Correct Answer Provide the child with the homework his teacher has sent
The nurse is providing care for a 9 year old with impaired mobility related to an automobile accident. Which of the following is the most appropriate nursing intervention?
Allow the child to lay in bed all day because that what they want Encourage intake of high carbohydrate foods to reward good choices Correct! Provide a basketball hoop and foam balls to encourage active play Limit activity to a quiet play with videos to limit feelings of inadequacy
A 6 month old infant is discharged from the clinic following a diagnosis of an infectious respiratory disease. Health teaching provided by the pediatric nurse includes acetaminophen (Tylenol) dosing, warning signs of respiratory difficulty and follow-up visits. Several hours later, the patient's parents become aware that his breathing has become more difficult and that his cry has been weak for the last hour. Their best action is: Give the infant another dose of acetaminophen (Tylenol) Return to
B
The nurse is assessing a 5 year old girl who is anxious, has a high fever, speaks in a whisper, and sits up with her neck thrust forward. Based on these findings, what would be least appropriate for the nurse to perform?
Auscultating for lung sounds Providing 100% oxygen Having the child sit forward Correct! Visualizing the throa
A pediatric nurse examines a 7 year old at a well child visit. Based on Erikson's theory, which basic task does the nurse anticipate for this child?
Balance indepedence and self sufficiency against uncertainty and misgiving Recognize there are people in their life who can be trusted to take care of basic needs Develop resourcefulness to achieve and learn new things without self approach Correct Answer Develop a sense of confidence through mastery of different tasks
A parent asks the nurse about immunizing her 7 month old daughter against the flu. Which response by the nurse would be most appropriate? "She really doesn't need the vaccine until she reaches 1 year of life." "She will probably receive it the next time she is to get her routine shots." "The vaccine has many side effects, so she wouldn't get it until she is ready to go to school." "Since your daughter is older than 6 months, she should get 2 doses four weeks apart, then every year."
D
A group of nursing students are reviewing information about the variations in respiratory anatomy and physiology in children in comparison to adults. The students demonstrate understanding of the information when they identify which finding?
Children's demand for oxygen is lower than that of adults Correct! Children develop hypoxemia more rapidly than adults do An increase in oxygen saturation leads to a much larger decrease in pO2
A nurse is caring for an infant in the hospital and needs to assess them. Which statement accurately describes the best method for assessing a 12 month old infant?
Correct Ans -The nurse should assess the child while she is in her mother's lap The nurse should assess the child alone in the hospital bed The nurse should assess the child in a head-to-toe sequence The nurse should have the child's mother assist in holding her down
A nurse is providing care for a 5 year old child that was admitted to the hospital overnight and wets the bed. The parent is embarrassed and states, "My child never wets the bed at home." The best response by the nurse would be:
Correct! "It is normal for a sick child to regress. Things should be fine when they are well." "I will talk to the doctor so that we can diagnose the problem." "This happens all the time. We understand. Don't worry about it." "Your child is not upset about this, so you should not be either."
The nurse is teaching the student how to communicate effectively with children. What method would the nurse recommend?
Correct! Direct questions and explanations to the child Use the medical terms for body parts and medical care Position self above the child's level to denote authority If possible, communicate with the child apart from the parent
A child is diagnosed with scarlet fever. The nurse is reviewing the child's medical record, expecting which medication to be prescribed for this child? Acyclovir Doxycycline Azithromycin Penicillin (PCN)
D
A nurse is educating the parents of an immunosuppressed child recently admitted to the hospital. Health teachings that the nurse would provide should focus on which important measure? Restricted visiting hours Pain control Nutrition Handwashing
D
A nurse is assessing a 10 month old baby's anterior fontanel and finds it slightly depressed; the fontanel measures 2 inches (5.08cm). What conclusion and action by the nurse is most appropriate?
Delayed closing; alert health care provider Correct! Sign of dehydration; assess fluid status Fontanel is closing; document findings Sign of increased intracranial pressure; assess neurologic status
A nurse is caring for a child who is recovering from a tonsillectomy. Frequent swallowing may indicate which of the following complications?
Edema Pain Dehydration Correct! Bleeding
Based on Erikson's developmental theory, what is the major developmental task of the adolescent?
Finding an identity-correct ans Coordinating information Gaining independence Mastering motor skills
