NUR 404 Exam 2 Pediatrics

The nurse is teaching manifestations of nephrotic syndrome to the parents of a child with the disorder. What should the nurse instruct the parents to monitor to determine if edema is increasing? A. appetite B. breathing rate C. tightness of shoes D. abdominal circumference

D. abdominal circumference

The parents of a preschooler ask the nurse, "What snacks are appripriate for us to give our child?" Which suggestion would the nurse provide? Select all that apply. A. whole carrots B. a bunch of grapes C. donut holes D. sliced cheese sticks E. jelly beans

D. sliced cheese sticks

A 4-year-old boy with nephrotic syndrome has extensive edema. The best intervention to reduce periorbital edema would be to: A. apply cool, sterile soaks to his head. B. encourage him to eat low-protein foods. C. apply warm compresses to his eyes at bedtime. D. elevate the head of the bed.

D. elevate the head of the bed.

The nurse is evaluating statistics of dental care of preschool-age children in the community. Which should the nurse focus on as having the greatest overall impact? A. the number of dentists in the community B. free toothbrushes to all preschool-age children C. anti-sugar drink campaign in the community D. fluoridated water system in the community

D. fluoridated water system in the community

A parent tells the nurse that no matter what is asked of the toddler, the toddler says, "No." What suggestion might the nurse make to help the parent handle this situation? A. pretend the parent does not hear the toddler's response B. ask no further questions of the toddler C. tell the toddler never to say "No" again D. give the toddler secondary, not primary, choices

D. give the toddler secondary, not primary, choices

The parents of a child with acute glomerulonephritis ask the nurse to explain the cause of the disease. What organism should the nurse instruct the parents as being the cause for the disorder? A. group B streptococcus B. one of the rhinoviruses C. Staphylococcus viridans D. group A beta-hemolytic streptococcus

D. group A beta-hemolytic streptococcus

The clinic nurse is collecting vital signs on a 4-year-old client being seen for a yearly well check-up. Which measurements should the nurse collect? A. height, weight, and head circumference B. height, weight, and abdominal girth C. height, weight, abdominal girth, and head circumference D. height and weight

D. height and weight

The nurse is preparing to assess a toddler during a routine health maintenance visit. Which assessment will the nurse perform to determine the child's growth milestone? A. blood pressure B. urine specimen C. hemoglobin level D. height and weight

D. height and weight

A child with burns requires daily whirlpool with débridement treatment. The purpose of this treatment is to: A. relieve pain. B. maintain mobility of extremities. C. decrease the need for skin grafts. D. prevent infection.

D. prevent infection.

A child with chronic renal failure does not want to take the prescribed aluminum hydroxide gel because of the taste. Which information would the nurse integrate into the response when explaining the reason for this medication? A. prevents an upset stomach B. assists with the absorption of calcium C. assists with the elimination of potassium D. reduces absorption of phosphorus from the GI tract

D. reduces absorption of phosphorus from the GI tract

Which immunization would the nurse expect to administer at a preschool health maintenance visit? A. diphtheria, pertussis, and tetanus (DTaP) booster B. hepatitis B C. meningococcal disease D. tetanus booster

A. diphtheria, pertussis, and tetanus (DTaP) booster

A parent of a child diagnosed with seizures states, "I've heard about a special diet that may control seizures, I think it's called ketogenic. What can you tell me about it?" Which are appropriate responses by the nurse? Select all that apply. A. "About 40% to 50% of children who follow the diet have really good results." B. "The diet consists of high fat foods." C. "Children are encouraged to eat a lot of breads and pasta on this diet." D. "Most families find this diet is easy to incorporate into their life." E. "Protein is limited in this diet."

A. "About 40% to 50% of children who follow the diet have really good results." B. "The diet consists of high fat foods." E. "Protein is limited in this diet."

The parent of a child having tympanoplasty tubes placed asks, "Will my child lose hearing while the tubes are in place?" What is the nurse's best answer? A. "The tubes are inserted into a section of eardrum in which the hearing is not affected." B. "There is some risk of permanent deafness, but the benefit of decreasing the infection is worth it." C. "Your child's hearing will decrease while the tubes are in place." D. "Have you asked your child's surgeon about that?"

A. "The tubes are inserted into a section of eardrum in which the hearing is not affected."

The parent of a toddler notices the child plays nicely next to another toddler but does not play with that child. The parent expresses concern about this behavior to the nurse during an examination. Which response by the nurse is appropriate? A. "This is called parallel play and is normal for this age group." B. "This behavior needs to be further assessed to ensure appropriate development." C. "I believe your toddler is exhibiting signs of an autism spectrum disorder." D. "Be sure to inform the primary health care provider of your concern."

A. "This is called parallel play and is normal for this age group."

The nurse administers a Denver Developmental Screening Test to a preschool- age child. Which statement is the best introduction to this test for her mother? A. "This test will identify different developmental skills your child can perform." B. "It will be best if you do not watch your child during the test." C. "The test will be important in determining your child's future IQ level." D. "The test may be inaccurate because it is not well standardized."

A. "This test will identify different developmental skills your child can perform."

A 4-year-old child with asthma is prescribed fluticasone as part of the treatment plan. After teaching the parents about this medication, the nurse determines that additional teaching is needed based on which statement? A. "We should use this medicine for an acute attack." B. "It's important for our child to rinse their mouth after using the medicine." C. "We will give the medicine with a metered-dose inhaler." D. "We should call the provider if we see white patches in the mouth."

A. "We should use this medicine for an acute attack."

The nurse is teaching a group of novice nurses how to assess bowel sounds. Which statement will the nurse include in the education? A. "You should auscultate all four quadrants for a full minute each." B. "Hypoactive bowel sounds are expected in a client with diarrhea." C. "Bowel sounds should be present within the first few days of life." D. "Bowel sounds will be audible by the naked ear unless distention is present."

A. "You should auscultate all four quadrants for a full minute each."

Which statement best explains the principle behind a Rinne test for determining hearing loss? A. Air conduction of sound is normally better than bone conduction of sound. B. Conduction of sound is intensified in the middle of the forehead. C. A tuning-fork vibration will not be heard as sound in a child under 2 years of age. D. Bone conduction of sound is normally better than air conduction of sound.

A. Air conduction of sound is normally better than bone conduction of sound.

A 4-year-old child has been admitted to the hospital with a diagnosis of pneumococcal pneumonia. The parents are extremely distraught over the child's condition and the fact that the child has not wanted to eat anything for the past 2 days. Which nursing approach would be most important to take to help alleviate the high anxiety level of the parents? A. Allow the parents to remain with the child as much as possible. B. Encourage the parents to return home and get some rest. C. Tell the parents that their child is receiving the best care possible. D. Avoid telling the parents unnecessary facts regarding the child's prognosis.

A. Allow the parents to remain with the child as much as possible.

What advice should the nurse provide the parent of a toddler, regarding how to handle temper tantrums? A. Appear to ignore the toddler B. Distract the toddler with a toy when the toddler begins holding the breath C. Promise the toddler a special activity if the toddler will stop D. Mimic the toddler's behavior by also holding the breath

A. Appear to ignore the toddler

The parents of a preschool-aged child are investigating child care centers to enroll the child. What would the nurse review with the parents prior to them making a decision? Select all that apply. A. Ask about the child-staff ratio. B. Ask about the center's payment plan. C. Find out if parents can visit at any time. D. Find out how long the center has been in operation. E. Ask about the center's licenses and compliance with regulations.

A. Ask about the child-staff ratio. C. Find out if parents can visit at any time. D. Find out how long the center has been in operation. E. Ask about the center's licenses and compliance with regulations.

The nurse wants to find out how much time a preschooler spends in various activities throughout the day. What should the nurse do to learn this information? A. Ask the parents to complete a day history. B. Ask the parents to name the games the child knows. C. Ask the child how much time the mother is with the child. D. Ask the parents how many hours are spent playing with the child each day.

A. Ask the parents to complete a day history.

Chapter 42 A school-aged child, who is allergic to bee stings, states, "I think I was stung by a bee outside." Which intervention by the school nurse is most appropriate? A. Assess the client for signs of anaphylactic shock B. Administer epinephrine C. Determine if the client was stung D. Apply an ice compress to the site

A. Assess the client for signs of anaphylactic shock

During a previous well-child visit, the nurse reviews the importance of immunizations for the preschool-age child with the parents. Which outcome indicates that the nurse's instruction to the parents has been effective? A. Child has all immunizations up-to-date. B. Parents plan to have the child receive needed immunizations within a year. C. Child began to cry during an immunization, and the decision was made to try again later. D. Primary care physician changed the appointment for immunizations to another day in a month.

A. Child has all immunizations up-to-date.

The nurse is identifying ways to support the 2030 National Health Goals during the upcoming preschool health screening program. What should the nurse include when conducting the program? Select all that apply. A. Conduct vision tests. B. Conduct hearing tests. C. Listen to heart sounds. D. Measure gait and balance. E. Review immunizations received.

A. Conduct vision tests. B. Conduct hearing tests. E. Review immunizations received.

The parent of a 2-year-old toddler tells the nurse she needs to constantly scold the toddler for having wet pants. The parent says the toddler was potty trained at 12 months, but since starting to walk, the toddler wets the pants all the time. Which nursing diagnosis would be most applicable? A. Deficient parental knowledge related to inappropriate method for toilet training B. Excess fluid volume related to inability to control urination C. Ineffective coping related to lack of self-control of 2-year-old toddler D. Total urinary incontinence related to delayed toilet training

A. Deficient parental knowledge related to inappropriate method for toilet training

A preschooler has celiac disease. The parent is preparing a gluten-free diet. The nurse knows that the parent understands the diet when the parent prepares which breakfast foods? A. Eggs and orange juice B. Wheat toast and grape jelly C. Cheerios (oat cereal) and skim milk D. Rye toast and peanut butter

A. Eggs and orange juice

The mother of a female preschool-age child is concerned that the child is developing an unhealthy attachment to her father. About which behavior should the nurse instruct the mother? A. Electra complex B. Oedipus complex C. Freudian complex D. Sexual identification complex

A. Electra complex

The nurse is helping the parents of a toddler identify foods that are causing allergic symptoms in the child. Which strategy should the nurse encourage the parents to use? A. Elimination diet B. Hyposensitivity testing C. Corticosteroid challenge testing D. Complete dietary protein restriction

A. Elimination diet

A toddler is being treated for pinworms. What advice should the nurse give to the mother to prevent reinfection? A. Everyone in the family will need to be treated. B. Don't allow the child to play on the floor. C. Urge the child to urinate every 2 hours as possible. D. Keep the child away from playing with the family cat.

A. Everyone in the family will need to be treated.

The parent of a toddler is frustrated because the toddler insists on brushing his own teeth and being left alone in the bathtub. What advice should the nurse provide to the parent about these expectations? A. Helping with teeth brushing encourages autonomy. B. It is unusual for a 2-year-old to have such strong opinions. C. The parent should continue to give full care in all aspects. D. Leaving the child alone in the bathtub is a good way to encourage autonomy.

A. Helping with teeth brushing encourages autonomy.

What measure at home could help a child with an upper respiratory infection breathe more easily? A. Increasing room humidity B. Limiting fluid intake C. Enforcing strict bed rest D. Playing "rapid breathing" games

A. Increasing room humidity

The nurse is preparing to administer activated charcoal to a 4-year-old child who accidentally ingested a family member's heart medication. What should the nurse do to reduce the discomfort from this treatment? A. Insert a nasogastric tube. B. Mix the charcoal in milk. C. Obtain an order for an indwelling urinary catheter. D. Bring an intravenous infusion for fluid replacement.

A. Insert a nasogastric tube.

The parents of a toddler are worried that the child is not eating enough because food is always left on the child's plate. What should the nurse encourage the parents to do? A. Place smaller amounts on the child's plate. B. Reinforce that the child is to eat everything on the plate. C. Discipline the child for not eating by removing a toy from play. D. Feed the child if refusing to eat the food on the plate independently.

A. Place smaller amounts on the child's plate.

The nurse is reviewing the immunization schedule with the parent of a child who is HIV positive. What information should the nurse provide? Select all that apply. A. Pneumococcal vaccination can be given. B. The child should receive live vaccines only. C. The human papillomavirus vaccine should not be given. D. The varicella vaccine should not be given if the child is symptomatic. E. If the CD4 count is low, the measles, mumps, and rubella vaccine should not be given.

A. Pneumococcal vaccination can be given. D. The varicella vaccine should not be given if the child is symptomatic. E. If the CD4 count is low, the measles, mumps, and rubella vaccine should not be given.

The nurse is planning a program for community members that focus on the 2030 National Health Goals for allergies and immunologic functioning. What content should the nurse include in this program? Select all that apply. A. Promote following safe sexual practices. B. Discourage the use of intravenous substances. C. Discuss the role of sexual relations in HIV transmission. D. Explain how certain foods promote food borne illnesses. E. Encourage parents to discuss the air quality in the schools with the school district.

A. Promote following safe sexual practices. B. Discourage the use of intravenous substances. C. Discuss the role of sexual relations in HIV transmission. E. Encourage parents to discuss the air quality in the schools with the school district.

A community health center is planning a seminar about the 2030 National Health Goals for preschool-age children. Which topics would be included in this seminar to address safety? Select all that apply. A. Protection against second-hand smoke B. Providing helmets before riding a bicycle C. Using appropriate restraints in motor vehicles D. Removing houseplants from easy to reach areas E. Posting the telephone number of the poison control agency

A. Protection against second-hand smoke B. Providing helmets before riding a bicycle C. Using appropriate restraints in motor vehicles

The nurse obtains a history from the parent of a child with glomerulonephritis about how the child became ill. What would the nurse expect the parent to report? A. Reddish-brown, smoky-colored urine B. Diuresis and pallor C. Headache, loss of appetite D. Loss of weight, oliguria

A. Reddish-brown, smoky-colored urine

The nurse is working with a school district to ensure students do not develop food-borne illnesses. Which intervention should the nurse emphasize that supports the 2030 National Health Goals regarding food preparation? A. Refrigerate foods promptly. B. Provide fresh fruits and vegetables. C. Ensure all students are appropriately immunized. D. Examine the number of students who contract food-borne illnesses.

A. Refrigerate foods promptly.

The nurse is teaching the parent of a child with chronic renal failure about high- potassium foods that should be restricted. Which foods will the nurse include in this teaching? Select all that apply. A. bananas, carrots, nuts, and milk B. peaches, broccoli, and red meat C. oranges, potatoes, wheat, and bran D. spinach, chicken, fish, and green beans

A. bananas, carrots, nuts, and milk

The nurse is teaching the parents of a child with multiple environmental allergies on ways to control allergens in the home. What will the nurse include in these instructions? Select all that apply. A. Remove all carpeting. B. Install a dehumidifier in the home. C. Consider having fish as pets within the home. D. Remove stuffed toys unless filled with synthetic material. E. Replace wood furniture with upholstered chairs and sofas for sitting.

A. Remove all carpeting. B. Install a dehumidifier in the home. D. Remove stuffed toys unless filled with synthetic material.

The nurse is planning care for a toddler who is diagnosed with a profound hearing loss. Which nursing diagnosis should the nurse identify as the priority once the child is discharged? A. Risk for injury related to hearing loss B. Social isolation related to effects of hearing loss C. Impaired verbal communication related to congenital hearing deficit D. Risk for parental role strain related to responsibilities of caring for sensory- impaired child

A. Risk for injury related to hearing loss

The child with nephrotic syndrome who has ascites and difficulty breathing is probably most comfortable sleeping in which position? A. Semi-Fowler B. prone C. supine D. Sims position

A. Semi-Fowler

The nurse is caring for a 3-year-old child with the surgical repair of hypospadias. The preschooler returned from the postanesthesia care unit with an indwelling urinary catheter. What parental teaching is most helpful? A. The catheter insertion site will leave only a minimal scar. B. Back pressure from such drainage may result in nephrotic syndrome. C. The child must be reevaluated at puberty for testicular function. D. The child will always have tenderness on penile erection.

A. The catheter insertion site will leave only a minimal scar.

A child in renal failure is prescribed aluminum hydroxide gel. The parents ask how the medication is going to help their child. Which answer is most accurate? A. The medication reduces the absorption of phosphorus from the GI tract. B. The medication assists with the absorption of calcium. C. The medication prevents gastrointestinal ulceration. D. The medication enables the elimination of potassium.

A. The medication reduces the absorption of phosphorus from the GI tract.

The nurse is identifying outcomes for a family with a preschool-age child who has broken fluency. Which initial outcome would be the most appropriate? A. The parents will not call attention to the child's broken fluency. B. The mother will encourage the child to repeat words after her. C. Other children will help the child by finishing words and sentences. D. The parents will correct the child each time there is a break in fluency.

A. The parents will not call attention to the child's broken fluency.

The parent of a toddler is concerned because the child has taken the wheels off of a toy truck and placed them in a sandbox as stepping stones to walk. What should the nurse explain about this child's behavior? A. This is assimilation. B. The child does not like toy trucks. C. The number of toys should be limited. D. This is abnormal and needs to be evaluated.

A. This is assimilation.

A parent is concerned because the toddler refuses to share. What is the nurse's best response to the parent regarding this concern? A. This is normal toddler behavior; sharing is learned later. B. Behavior modification techniques can change the toddler's behavior. C. Play time with other toddlers should be cut back until your toddler learns to share. D. The toddler is probably reacting to some family crisis.

A. This is normal toddler behavior; sharing is learned later.

When reviewing the medical record of a 4-year-old, the nurse notes that the child has a vibratory murmur. When describing this type of murmur to the child's parents, the nuse would include which information? A. This type of murmur is insignificant. B. Mild activity restrictions are indicated. C. More frequent health appraisals are indicated. D. Corrective surgery may be required later in life.

A. This type of murmur is insignificant.

The nurse is caring for a preschool-age child who survived a drowning experience. Which interventions should the nurse plan to promote optimum respiratory functioning for this client? Select all that apply. A. Turn and reposition every 2 hours. B. Administer antibiotics as prescribed. C. Auscultate lung sounds every 2 to 4 hours. D. Monitor cardiac rhythm and blood pressure. E. Encourage deep breathing and incentive spirometry every hour.

A. Turn and reposition every 2 hours. B. Administer antibiotics as prescribed. C. Auscultate lung sounds every 2 to 4 hours. E. Encourage deep breathing and incentive spirometry every hour.

To determine if ascites is increasing in amount in a child with nephrotic syndrome, which measurements would be most appropriate? A. abdominal circumference B. urine for protein C. blood pressure D. bowel sounds

A. abdominal circumference

A chief danger of scarlet fever is that children may develop: A. acute glomerulonephritis. B. liver destruction. C. local areas of skin necrosis. D. respiratory obstruction.

A. acute glomerulonephritis.

The nurse is caring for a child who has been brought to the clinic for the third time in a week for asthma symptoms. If the goal is to have the parents better manage the child's care, which information will the nurse emphasize? Select all that apply. A. adhering to the recommended immunization schedule B. engaging in sedentary age-appropriate activity daily C. importance of keeping child away from cigarette smokers D. instruction on peak flow meters and nebulizer treatments E. role of good handwashing to reduce transmission of disease

A. adhering to the recommended immunization schedule C. importance of keeping child away from cigarette smokers D. instruction on peak flow meters and nebulizer treatments E. role of good handwashing to reduce transmission of disease

A child hospitalized for surgery develops varicella. The health care provider prescribes isolation for the child. Which type of precautions will the nurse implement to provide care for this child? Select all that apply. A. airborne precautions B. droplet precautions C. contact precautions D. standard precautions E. protective isolation

A. airborne precautions C. contact precautions D. standard precautions

Chapter 50 When teaching a parent about amblyopia, it would be most important to explain that: A. amblyopia is correctable if the child is properly treated before 6 years of age. B. amblyopia is a rapid irregular movement of the eye. C. if the child is not treated, he or she is likely to resent it later on. D. amblyopia can result from a refractive error in one eye.

A. amblyopia is correctable if the child is properly treated before 6 years of age.

When planning how to respond to a 3-year-old child about telling stories ("tall tales"), the nurse would base the statement on the fact that: A. imagination in a 3-year-old is at its peak. B. a 3-year-old knows the word two but not the concept of two. C. a preschooler is in an insecure period. D. preschoolers have a limited vocabulary.

A. imagination in a 3-year-old is at its peak.

Chapter 41 The nurse sees a school-aged child in an ambulatory setting because of rheumatic fever. Which of the following would the nurse expect to find revealed by the health history? A. knee pain, abdominal rash, subcutaneous nodules B. an elevated temperature, back pain, loss of hair C. fatigue, slow pulse, frequent urination D. loss of weight, abdominal pain, chest pain

A. knee pain, abdominal rash, subcutaneous nodules

When beginning a physical examination of a toddler, the nurse notes that the child has halitosis. The nurse will perform a focused assessment on which body system(s) to assess for the source of the halitosis? Select all that apply. A. lungs fields during a respiratory assessment B. urine specimen during a urinary tract assessment C. any open areas during an integumentary assessment D. bowel sounds during a abdominal assessment E. oral cavity during a gastrointestinal assessment

A. lungs fields during a respiratory assessment E. oral cavity during a gastrointestinal assessment

Chapter 45 The nurse is caring for a 3-year-old with repeated diarrhea. The client is listless and clings to the parent. The nurse reviews the lab work, which reports a pH- 7.33, HCO3- 21, PaCO2- 42. Which would be documented? A. metabolic acidosis B. metabolic alkalosis C. high serum pH D. normal serum pH

A. metabolic acidosis

The nurse is caring for a child diagnosed with category B HIV. What should the nurse expect to review in this client's medical history? Select all that apply. A. pneumonia B. herpes zoster C. Kaposi sarcoma D. cardiomyopathy E. Positive tuberculosis test

A. pneumonia B. herpes zoster D. cardiomyopathy

A preschooler's mother asks the nurse an appropriate time to tell her son that she is pregnant. The nurse's best answer would be: A. probably at the point she begins to look pregnant. B. not until the baby is born, so that she can say whether it is a girl or a boy. C. about 1 week before her due date, to reduce anxiety about waiting. D. about 1 month before her due date, when she moves the preschooler out of his crib.

A. probably at the point she begins to look pregnant.

The nurse is caring for a toddler diagnosed with acute otitis media. Which should be the nurse'sconcern? A. relieving pain B. dilating the pupil C. avoiding blowing of the nose D. not touching the ear

A. relieving pain

A 2-year-old toddler holds his breath until passing out when he wants something the parent does not want him to have. The nurse would decide whether these temper tantrums are a form of seizure based on the fact that: A. seizures are not provoked; temper tantrums are. B. seizures rarely occur in toddlers. C. seizures typically occur with fever; temper tantrums do not. D. with seizures, cyanosis rarely develops.

A. seizures are not provoked; temper tantrums are.

The nurse is preparing to administer the Denver II Developmental Screening Test to a preschool-age child. Which areas of the child's development should the nurse explain to the mother that this test measures? Select all that apply. A. social B. language C. fine motor D. intelligence E. gross motor skills

A. social B. language C. fine motor E. gross motor skills

A nurse is providing an anticipatory guidance class on safety for parents of preschool-age children. Which interventions are important for the nurse to address during the class? Select all that apply. A. swimming lessons B. stranger awareness C. gun safety D. drug awareness E. bicycle safety

A. swimming lessons B. stranger awareness C. gun safety E. bicycle safety

The nurse is caring for a toddler who has an innocent heart murmur. The nurse would advise the child's parents that: A. this type of murmur is insignificant. B. mild activity restrictions are indicated. C. more frequent health appraisals are indicated. D. corrective surgery may be required later in life.

A. this type of murmur is insignificant.

During the assessment of a preschooler, the nurse notes that the child has abnormal dryness and thickening of the conjunctiva and dry and scaly skin. Which vitamin deficiency does the nurse suspect this child is experiencing? A. vitamin A B. vitamin B C. vitamin D D. vitamin E

A. vitamin A

A nurse is reviewing the laboratory test results of a child suspected of having Kawasaki disease. Which test result(s) does the nurse expect to find with this condition? Select all that apply. A. white blood cell count: 18.5 × 103/mm3 (18.5 × 109/l) B. platelet count: 75 × 103/mm3 (75 × 109/l) C. erythrocyte sedimentation rate: 35 mm/hr D. C-reactive protein: 0.8 mg/dl (8 mg/l) E. red blood cell count: 4.2 × 106/μl (4.2 × 1012/l)

A. white blood cell count: 18.5 × 103/mm3 (18.5 × 109/l) B. platelet count: 75 × 103/mm3 (75 × 109/l) C. erythrocyte sedimentation rate: 35 mm/hr

The nurse is interviewing the parents of a 3-year-old child brought to the emergency department for fever and fussiness. Which question is the best example to use when completing a health history about pain? A. "Your child doesn't have any pain, does she?" B. "Does your child have pain?" C. "So, your child has been fussy?" D. "Tell me about your child's temperament."

B. "Does your child have pain?"

The nurse instructs the parents of a child with Guillain-Barré syndrome on care that will be needed once the child is discharged home. Which statement made by the parents indicates that teaching has been effective? A. "We need to be sure to change our child's body position at least twice a day." B. "Our child might experience weakness even after recovering from the illness." C. "It will take about 10 days for our child to be back normal and return to school." D. "This disease affects the heart and lungs, so our child will have limited ability going forward."

B. "Our child might experience weakness even after recovering from the illness."

A nurse is teaching the parents of a child with frequent nosebleeds how to care for the child. Which statement by the parents indicate that the parents have understood the teaching? A. "We should put the child in bed, elevate the head slightly and press on the forehead," B. "We will sit the child upright and foward and apply pressure to the sides of the nose." C. "We shoudl turn the child's head to the side and press on the nasal ridge." D. "We should have the child lie flat and apply pressure to the cheeks."

B. "We will sit the child upright and foward and apply pressure to the sides of the nose."

A nurse is providing guidance to the parents of a toddler about way to help the child to achieve the developmental task of autonomy. The nurse determines that the teaching was successful based on which parental statement? A. "We should focus on teaching our child to count from 1 to 10." B. "We'll let our child pick from two choices for what to wear." C. "We will set up a short list of chores that our child needs to do." D. "We'll let our child get dressed every morning by himself."

B. "We'll let our child pick from two choices for what to wear."

A nurse is teaching the parents f a child having a cardiac catheterization about the procedure and what to expect. The nurse determines that the teaching was effective based on which statement? A. "Our child will probably be asleep for at least 8 hours afterwards." B. "We'll probably see a pressure dressing over the site where the catheter was inserted." C. "We shouldn't get frightened by bruising over the arms and legs." D. "Our child will be watched closely for seizures and the side rails will be padded."

B. "We'll probably see a pressure dressing over the site where the catheter was inserted."

A child living in a high-risk area for tuberculosis is tested and the interferon- gamma release assay (IGRA) result is positive. The child's parent asks, "So what happens next?" Which response by the nurse is appropriate? A. "Your child will be retested to make sure the results are correct." B. "Your child will need to have a chest x-ray as a follow-up." C. "Your child will need to start medicines right away," D. "Your child needs to be isolated at home for 2 weeks."

B. "Your child will need to have a chest x-ray as a follow-up."

Chapter 43 A parent whose son has mumps on the left side of the face is concerned that mumps may develop on the right side in the future. Which instruction is most helpful? A. "To prevent this, your son should receive active immunization against mumps as soon as he is well." B. "Your son is immune to further attacks of the disease." C. "There is nothing that can be done to prevent another attack of mumps." D. "It is immaterial; mumps in adulthood are not serious."

B. "Your son is immune to further attacks of the disease."

At which age is a child most likely to ingest a poison? A. 10 to 12 years old B. 1 to 5 years old C. 7 to 9 years old D. 13 to 15 years old

B. 1 to 5 years old

A nurse is assessing a 2 1/2-year old toddler. When inspecting the toddler's teeth, which finding is expected? A. 12 deciduous teeth B. 20 deciduous teeth C. 16 deciduous and 2 permanent teeth D. 6 deciduous and 12 permanent teeth

B. 20 deciduous teeth

A child has returned from cardiac surgery with chest tubes inserted and attached to an underwater-seal drainage system. The nurse assesses the child and immediately clamps the shect tubes based on which finding? A. There is a clot blocking the tubing. B. A tube has become disconnected. C. Draining in the tubing is red-stained . D. The child needs to sit up to promote coughing.

B. A tube has become disconnected.

Which nursing diagnosis would best apply to a child with rheumatic fever? A. Ineffective breathing pattern related to cardiomegaly B. Activity intolerance related to inability of heart to sustain extra workload C. Disturbed sleep pattern related to hyperexcitability D. Risk for self-directed violence related to development of cerebral anoxia

B. Activity intolerance related to inability of heart to sustain extra workload

After administering epinephrine to a client in anaphylactic shock, which action will the nurse perform? A. Contact the primary health care provider B. Administer albuterol via a nebulizer. C. Monitor the vital signs. D. Apply a cardiac monitor to the client.

B. Administer albuterol via a nebulizer.

While caring for a 3-year-old child, the nurse notes that the child's oxygen saturation level is at 90%. Which action would the nurse take next? A. Immediately obtain an arterial blood gas. B. Assess the child's respiratory status. C. Notify the health care provider. D. Give oxygen via face mask at 2 liters per minute.

B. Assess the child's respiratory status.

The nurse is preparing to conduct a physical examination of a 3-year-old child. Which assessment will the nurse introduce for the first time to this client? A. Snellen vision testing B. Blood pressure recording C. Observation of walking gait D. Standing height measurement

B. Blood pressure recording

The parents of a toddler plan to begin toilet training. Which instruction should the nurse provide to the parents at this time? A. Toilet training is a 12-month process. B. Bowel training is easier than urine training. C. All children should be toilet trained by age 2 years. D. Children can remain dry during the night before they can do so during the day.

B. Bowel training is easier than urine training.

During the preschool years, female children may develop a strong attachment to their fathers. What is this attachment called? A. Oedipus complex B. Electra complex C. Freudian complex D. Sexual identification complex

B. Electra complex

The nurse is preparing to conduct the cover test with a preschool-age child. Which body system is the nurse preparing to assess? A. Ears B. Eyes C. Nose D. Neck

B. Eyes

When auscultating bowel sounds, which of the following frequencies would the nurse identify as normal? A. One to two per minute B. Five to 10 per minute C. Thirty to 40 per minute D. Sixty per minute

B. Five to 10 per minute

The nurse sees a 15-month-old at a health maintenance visit. Of the following assessments, which one is generally included in a 15-month checkup? A. Blood pressure B. Height and weight measurements C. Clean-catch urine D. IQ testing

B. Height and weight measurements

The nurse is preparing educational materials for a group of new parents about allergic reactions. Which specific immunoglobulin should the nurse emphasize as being responsible for these types of reactions?

B. IgE

The nurse is preparing to assess the abdomen of a preschool-aged child. Which technique should the nurse use first? A. Palpation B. Inspection C. Percussion D. Auscultation

B. Inspection

Which immunization would you anticipate administering to a 15-month old at a health maintenance visit? A. Hib B. MMR C. tine test D. oral polio

B. MMR

Which nursing diagnosis should the nurse use to guide care for a child with allergic rhinitis (hay fever)? A. Risk for fluid volume deficit B. Pain related to sinus edema and headache C. Ineffective tissue perfusion related to frequent nosebleeds D. Disturbed self-esteem related to inherited tendency for illness

B. Pain related to sinus edema and headache

When reviewing the record of a child with tetralogy of Fallot, what would the nurse expect to discover? A. Leukopenia B. Polycythemia C. Increased platelet level D. Anemia

B. Polycythemia

Which health teaching concept should the nurse emphasize when instructing the parents of a child with polycythemia caused by a congenital heart disorder? A. Prepare for seizures. B. Prevent dehydration. C. Expect the skin to turn yellow. D. Encourage progressive activity.

B. Prevent dehydration.

The nurse is planning care for a preschool-age child diagnosed with bacterial meningitis. What should the nurse identify as a priority goal for this client's care? A. Inspect the teeth for obvious caries. B. Reduce the pain related to nuchal rigidity. C. Provide an opportunity for therapeutic play. D. Increase stimulation opportunities to prevent coma.

B. Reduce the pain related to nuchal rigidity.

The nurse is caring for a preschool-age child who has been seen in the emergency department for an allergic reaction to stinging insects twice in the past month. What teaching should the nurse provide the parents to help reduce the child's exposure to insects? A. Have the child sit next to a railing near steps. B. Remove flowering plants from the patio deck. C. Use lightly scented powders and lotions. D. Avoid going outdoors during the heat of the day.

B. Remove flowering plants from the patio deck.

The nurse is planning care for a preschool-aged child with spastic cerebral palsy. Which nursing diagnosis should the nurse identify to guide care for this client's musculoskeletal status? A. Risk for self-care deficit related to impaired mobility B. Risk for disuse syndrome related to spasticity of muscle groups C. Impaired verbal communication related to neurologic impairment D. Risk for delayed growth and development related to activity restriction

B. Risk for disuse syndrome related to spasticity of muscle groups

Which nursing diagnosis would be the priority when caring for a child in renal failure following a kidney transplant? A. Deficient fluid volume related to fluid intake restrictions postoperatively B. Risk for infection related to immunocompromised state C. Constipation related to effects of administered drugs D. Pain related to tissue rejection

B. Risk for infection related to immunocompromised state

What suggestions regarding the evaluation of a childcare center would the nurse share with a preschooler's mother? A. A ratio of 10 children to 1 teacher is adequate. B. Specific program goals to be accomplished should be available. C. The longer the center has been in operation, the better it is. D. Research local newspapers to see if there are any complaints against the center.

B. Specific program goals to be accomplished should be available.

The parents of a preschool-aged child want to begin preparing the child to attend school. What would the nurse suggest the parents discuss with the child to help with this preparation? A. Point out how to go to school. B. Talk about school as an enjoyable experience. C. Warn about how many rules there will be in school. D. Encourage working on projects lying on the floor so school tables will be appreciated.

B. Talk about school as an enjoyable experience.

Chapter 40 A 2-year-old toddler is seen for acute laryngotracheobronchitis. What observation would lead the nurse to suspect airway occlusion? A. The toddler states being tired and wanting to sleep. B. The respiratory rate is gradually increasing. C. The cough is becoming harsher. D. The nasal discharge is increasing.

B. The respiratory rate is gradually increasing.

When assessing a toddler's language development, what is the standard against which you measure language in a 2-year-old toddler? A. The toddler should say two words plus "ma-ma" and "da-da." B. The toddler should speak in two-word sentences ("Me go"). C. The toddler should be able to count out loud to 20. D. The toddler should say 20 nouns and 4 pronouns.

B. The toddler should speak in two-word sentences ("Me go").

The parent of a toddler observes the child play next to another child but not with the child. What should the nurse explain to the parent about this type of play behavior? A. This is peer play and is abnormal. B. This is parallel play and is expected. C. This is premature play and should be stopped. D. This is adjacent play and is only seen in school-age children.

B. This is parallel play and is expected.

The nurse has received morning report on a group of pediatric clients. Which pediatric client will the nurse see first? A. a child with IgA deficiency reporting rhinitis B. a child reporting coughing, itching, and anxiety C. a child with HIV who reports feeling lethargic D. a child reporting a vesicular rash with yellow crusts

B. a child reporting coughing, itching, and anxiety

How is wheezing in children best heard? A. with the child supine B. as the child exhales C. as the child cries D. without a stethoscope

B. as the child exhales

The nurse is preparing to care for a preschool-age child scheduled for a health history and physical assessment. At which point will the nurse determine a nursing diagnosis that is appropriate for the child's care? A. prior to the assessment B. at the time of assessment C. after completing the review of systems D. after specific problems have been identified

B. at the time of assessment

When a child is scheduled for a cardiac catheterization, an important health teaching point for parents is that the: A. procedure is noninvasive and not frightening for children. B. child will return with a pressure dressing over the catheter insertion area. C. child will require a general anesthetic and needs to be prepared for this. D. child will have to remain NPO for 6 to 8 hours after the procedure to prevent vomiting.

B. child will return with a pressure dressing over the catheter insertion area.

While caring for a child recovering from viral pneumonia, the nurse examines the child's lungs for evidence of exudate and fluid. Which finding would suggest cause for concern? A. a respiratory rate of 20 heard on auscultation B. dullness of his lower lobes heard on percussion C. a longer inspiratory than expiratory rate noticed by inspection D. fine rhonchi heard in the upper lobe on auscultation

B. dullness of his lower lobes heard on percussion

A child in renal failure develops hyperkalemia because of poor glomerular function. Which of the following would the nurse expect to administer? A. sodium and increased fluid B. glucose and insulin C. a diet high in fruit juice D. a fluid high in calcium

B. glucose and insulin

Which immunization should the nurse plan to administer to a preschooler during a health maintenance visit? A. DTaP B. influenza C. hepatitis B D. tetanus booster

B. influenza

Which action is most important to include in the plan of care for a child with infectious mononucleosis? A. limiting fluid intake B. moving the child carefully C. administering a corticosteroid D. counseling the child to stop kissing

B. moving the child carefully

Chapter 49 Any individual taking phenobarbital for a seizure disorder should be taught: A. to brush his or her teeth four times a day. B. never to discontinue the drug abruptly. C. never to go swimming. D. to avoid foods containing caffeine.

B. never to discontinue the drug abruptly.

Chapter 31 The most important safety precaution for parents to teach preschoolers is: A. to chew bites of food three times. B. not to ride in a car with strangers. C. not to begin formal dance classes. D. not to watch their father mow the lawn.

B. not to ride in a car with strangers.

A 3-year-old child is brought to the emergency department after swallowing batteries taken from a grandparent's hearing aids. The parents believe that two batteries were swallowed. What should the nurse explain to the parents regarding the care that the child will need at this time? A. activated charcoal so that the child will vomit the batteries B. preparation for an emergency endoscopy to remove the batteries C. oxygen to ensure that the child's blood is thoroughly oxygenated D. emergency intubation to ensure that the child has an adequate airway

B. preparation for an emergency endoscopy to remove the batteries

The nurse notes that a child with a burn injury is prescribed daily debridement. What should the nurse instruct the child and parents about the purpose of this treatment? A. relieves pain B. prevents infection C. maintains mobility of extremities D. decreases the need for skin grafts

B. prevents infection

A child with extensive burns is permitted to eat. Which nutrient should the nurse ensure is of a high amount when the child's meals are being prepared? A. fats B. protein C. minerals D. carbohydrates

B. protein

The nurse is providing a child with oxybutynin as prescribed following surgical repair of a hypospadias. What should the nurse teach the client about the purpose of this medication? A. acidifies urine B. relieves bladder spasms C. stimulates kidney function D. prevents nausea and vomiting

B. relieves bladder spasms

It is determined that 30% of a child's body is burned. Burned areas are assessed as partial-thickness or second-degree when they involve: A. only the epithelium. B. the epithelium and part of the dermis. C. subcutaneous tissue. D. striated muscle.

B. the epithelium and part of the dermis.

The nurse is planning a program for a community that focuses on the 2030 National Health Goals for neurologic health. Which topics should the nurse include in this presentation? Select all that apply. A. ensuring a diet adequate in vitamins and protein B. use of helmets for bicycle and motorcycle safety C. learning the signs and symptoms of inflammatory disorders D. practicing good handwashing technique and infection control E. importance of proper emergency care to protect the head and neck

B. use of helmets for bicycle and motorcycle safety D. practicing good handwashing technique and infection control E. importance of proper emergency care to protect the head and neck

Chapter 30 When assessing a 2 1⁄2 year old, the nurse would expect the toddler to have: A. 6 deciduous and 12 permanent teeth. B. 12 deciduous teeth. C. 16 deciduous and 2 permanent teeth. D. 20 deciduous teeth.

D. 20 deciduous teeth.

The parents of a 4-year-old ask the nurse, "We want to use 'time-out' to help discipline our child. But we're not sure how long we should keep our child in time- out?" Which response by the nurse would be appropriate? A. "Try keeping the child in time-out for about a minute or two." B. "How long doesn't matter. Just be consistent." C. "Keep the time to about 4 minutes." D. "Keep your child in time-out until they calm down."

C. "Keep the time to about 4 minutes."

The nurse is observing several children interacting during a community health event. Which observed behavior would be indicative of a 4-year-old child? A. "I ran the race better than my best friend because he was slow." B. "I told the other child no, when he asked me to cheat at the game." C. "Look! I am a nurse, and I am helping people feel better!" D. "I lost the game because I did not play good, and I am sad."

C. "Look! I am a nurse, and I am helping people feel better!"

A pediatric client is newly diagnosed with a stinging-insect allergy. Which advice is most appropriate for the nurse to provide this client's parent? A. "Your child should join a peer support group to help relieve anxiety about this problem." B. "I recommend you consult a genetic counselor to reveal other susceptible family members." C. "Obtain your child a medical alert ID bracelet so the presence of the allergy can be identified easily." D. "Arrange for your child to receive allergy testing for foods with ingredients similar to those in insect venom."

C. "Obtain your child a medical alert ID bracelet so the presence of the allergy can be identified easily."

A nurse is teaching the parents about a voiding cystourethrogram that is scheduled for their female preschool child with a urinary tract infection. The nurse determines that the teaching was successful based on which statement made by the parents? A. "It is likely our child will have a headache after the procedure." B. "Our child will get an injection of a local anesthetic before the procedure." C. "Our child will need be asked to urinate during during the procedure." D. "Our child will need to drink several glasses of water during the procedure."

C. "Our child will need be asked to urinate during during the procedure."

A child having tympanostomy tubes placed asks, "How and when will the tubes be removed?" What is the nurse's best response? A. "You will have them replaced every 2 months until you reach age 18." B. "The tubes remain in place for 6 months and then are dissolved by vinegar." C. "The tubes remain in place for 6 to 12 months until they come out by themselves." D. "The tubes are not removed; they grow permanently into place."

C. "The tubes remain in place for 6 to 12 months until they come out by themselves."

An toddler is diagnosed with streptococcal-based impetigo. After teaching the parents about this condition and its treatment, the nurse determines that the teaching was successful based on which statement? A. "We need to stop our child from sucking their thumb." B. "We should change the dressing on the sores every day." C. "We need to make sure we finish up the entire antibiotic prescription." D. "The steroids should treat the sores pretty well."

C. "We need to make sure we finish up the entire antibiotic prescription."

A 2-year-old child is diagnosed with lead poisoning caused by eating paint chips from a windowsill. The nurse is teaching the parents of about how to prevent this from occurring in the future. The nurse determines that the teaching was successful based on which statement by the parents? A. "We need to teach our child not to eat paint." B. "We will not allow our child to drink any milk products while awake during the day." C. "We will make sure to cover the windowsills with paneling so our child cannot get to them." D. "We will give our child ipecac syrup the next time we see our child eating a paint chip."

C. "We will make sure to cover the windowsills with paneling so our child cannot get to them."

A child's parent calls the clinic nurse and states, "My child just drank an unknown amount of a cleaning solution. What should I do?" Which statement by the nurse is best? A. "You need to give your child ipecac syrup to induce vomiting." B. "Immediately take your child to your local emergency facility." C. "You need to hang up with me and call the poison control center now." D. "Monitor your child's breathing and heart rate closely for the next 24 hours."

C. "You need to hang up with me and call the poison control center now."

The nurse calculates that a child with a burn injury is to receive 3,600 ml of intravenous fluid over the next 24 hours. How much of this fluid should the nurse provide to the client during the first 8 hours? A. 900 ml B. 1,200 ml C. 1,800 ml D. 2,700 ml

C. 1,800 ml

The nurse is caring for a preschooler with acute nasopharyngitis. Which information should the nurse include when teaching the parents about this health problem? A. Healthy children rarely have more than one cold per year. B. Typically, the child will pull the ear when a cold is present. C. A cough that accompanies a cold should rarely be suppressed. D. An antibiotic is prescribed for children younger than 5 years of age.

C. A cough that accompanies a cold should rarely be suppressed.

The nurse is caring for a child after heart surgery. The child has chest tubes inserted that are attached to an underwater-seal drainage system. For which reason should the nurse prepare to clamp the chest tubes? A. The child is coughing. B. A clot obstructs the tubing. C. A tube becomes disconnected. D. Red-stained drainage appears in a tube.

C. A tube becomes disconnected.

The nurse is helping parents enhance the developmental task of initiative in their preschool-age child. Which activity would the nurse suggest the parents implement? A. Teach the child how to cross the street safely. B. Help the child learn how to follow rules. C. Allow the child to experiment with molding clay. D. Provide the child with clothes that snap rather than button.

C. Allow the child to experiment with molding clay.

The parents of a child recovering from surgery to repair vesicoureteral reflux ask the nurse if they can do anything to help with the care of their child. What will the nurse encourage the parents to do at this time? A. Help the child get into and out of the tub for a bath. B. Empty urinary collection bags by draining into the toilet. C. Assist the child out of bed while keeping the drainage bags below the level of the catheter. D. Provide hard candy to help with mouth dryness because the child is on a fluid restriction.

C. Assist the child out of bed while keeping the drainage bags below the level of the catheter.

The nurse is caring for a child who is having a seizure. What is the appropriate action by the nurse? A. Attempt to place oxygen on the child so they don't become cyanotic. B. Hold the child's arms and legs still so they aren't injured. C. Attempt to turn the child on their side to prevent aspiration. D. Place a bite block or oral airway into the child's mouth to prevent biting of the tongue.

C. Attempt to turn the child on their side to prevent aspiration.

A boy is seen in the emergency room with tearing and pain in his right eye. To assess for a foreign body under the upper lid, which method would you use? A. Catch the child's attention with a toy so that he looks down. B. Apply cool water to the lid to cause it to retract. C. Avert the upper lid over an applicator stick. D. Apply topical anesthesia to the upper lid.

C. Avert the upper lid over an applicator stick.

The nurse notices that a child is spitting up small amounts of blood in the immediate postoperative period after a tonsillectomy. What would be the best intervention? A. Suction the back of the throat. B. Encourage the child to cough. C. Continue to assess for bleeding. D. Notify the health care immediately.

C. Continue to assess for bleeding.

The nurse is caring for a child immediately following a tonsillectomy. The child requests something to drink. Which action by the nurse is best? A. Inform the child he or she can have nothing to drink for a few hours. B. Provide the child with a red popsicle to eat. C. Give the child a few ice chips to consume. D. Assess the child's gag reflex before giving oral fluids.

C. Give the child a few ice chips to consume.

A toddler is treated for pinworms. To prevent reinfection, what advice would you give the mother? A. Don't allow the child to play on the floor. B. Don't allow the child to play with the family dog. C. Help the child wash hands before eating. D. Urge the child to void as frequently as possible.

C. Help the child wash hands before eating.

A mother telephones you because her physician told her that her son has wax in one ear canal. What advice would you give the mother? A. Observe her son carefully for hearing impairment for the next week. B. Teach her son to clean his ear with a Q-tip and tap water weekly. C. Inform her that earwax is helpful in removing dirt from the ear canal. D. Apply ear drops daily for at least 3 days.

C. Inform her that earwax is helpful in removing dirt from the ear canal.

A child with allergic rhinitis is prescribed a nasal antihistamine spray. When advising the parents about the use of the sprays, what should the nurse explain about the rebound phenomenon? A. It causes a permanent increase in nasal secretions. B. It causes reflux of gastric contents into the esophagus. C. It causes an increase in nasal secretions after an initial decrease. D. It causes a decrease in histamine release after an initial increase.

C. It causes an increase in nasal secretions after an initial decrease.

A preschool-age child tells the nurse about an imaginary friend. The parents are concerned because the child refuses to do anything without the friend's help. Which nursing diagnosis is most applicable for the family? A. Compromised family coping related to abnormal behavior of child B. Disturbed thought processes related to deep-set psychological need C. Parental anxiety related to lack of understanding of childhood development D. Social isolation related to unwillingness to relate except through imaginary friend

C. Parental anxiety related to lack of understanding of childhood development

A child with a head injury is demonstrating signs of cognitive deficits. The parents are concerned about how well the child will recover. Which nursing diagnosis should the nurse identify as the most appropriate for the family at this time? A. Anxiety related to extent of required hospitalization B. Risk for long-term learning deficits related to head injury C. Parental fear related to outcome after head injury in child D. Ineffective coping related to care of a child with a head injury

C. Parental fear related to outcome after head injury in child

When the health care provider looks in a child's mouth during a sick-visit examination, the parent exclaims: "The tongue is bright strawberry red! It was not like that yesterday." The health care provider would most likely prescribe which medication based on the probable diagnosis? A. Steroids to decrease the inflammation B. Acetaminophen to decrease the throat pain C. Penicillin to prevent acute glomerulonephritis D. Erythromycin to prevent the spread to siblings

C. Penicillin to prevent acute glomerulonephritis

A mother is concerned that her 2-year-old child is having seizures. The child holds their breath until they pass out when the child wants something the mother does not want the child to have. How should the nurse respond to this mother's concern? A. Seizures rarely occur in toddlers. B. With seizures, cyanosis rarely develops. C. Seizures are not provoked; temper tantrums are. D. Seizures typically occur with fever; temper tantrums do not.

C. Seizures are not provoked; temper tantrums are.

The nurse is providing guidance over the phone to a parent whose toddler ingested a lye-based cleaner. Which instruction is essential? A. Call the poison control center immediately. B. Rinse the mouth with water and watch for nausea. C. Stay with the child and do not induce vomiting. D. Try to estimate the amount of cleaner ingested.

C. Stay with the child and do not induce vomiting.

The nurse is caring for a child recovering from surgery to correct strabismus. Which interventions should the nurse include when planning this child's care? Select all that apply. A. Apply an eye patch. B. Maintain on bed rest for 3 days. C. Support for nausea and vomiting. D. Provide pain medication as prescribed. E. Apply antibiotic ointment as prescribed.

C. Support for nausea and vomiting. D. Provide pain medication as prescribed. E. Apply antibiotic ointment as prescribed.

At 3 years of age, a child has a cardiac catheterization. After the procedure, which interventions would be most important? A. Assuring the child that the procedure is now over B. Allowing the child to adapt to the light in the room gradually C. Taking pedal pulses for the first 4 hours D. Allowing the child to talk about the procedure

C. Taking pedal pulses for the first 4 hours

The nurse is caring for a female preschool-aged client with a urinary tract infection. What measures should the nurse teach the mother to prevent future infections? A. Suggest the child drink less fluid daily to concentrate urine. B. Encourage the child to be more active to increase urine output. C. Teach the child to wipe the perineum front to back after voiding. D. Teach the child to take frequent tub baths to clean the perineal area.

C. Teach the child to wipe the perineum front to back after voiding.

The home health nurse is visiting a 2-year-old client's home. Which finding will cause the nurse to intervene? A. All of the windows in the home are locked. B. The toddler goes to the bathroom alone to urinate. C. The family's medications are located in a kitchen drawer. D. The toddler in not allowed in the kitchen while food is being prepared.

C. The family's medications are located in a kitchen drawer.

The mother of a preschool-aged child is pregnant and wants to enroll the child in a child care program. When would the nurse suggest that the child be enrolled in this program? A. By 4 years of age regardless of the pregnancy B. Now, because the new sibling will take up the mother's time C. Three months before the baby is born, after the mother stresses that the child is growing up D. Immediately after the baby is born so that the child will feel less jealous and more secure

C. Three months before the baby is born, after the mother stresses that the child is growing up

A nurse is assessing a young child and suspects coarctation of the aorta based on which finding? A. Excessive crying B. Diastolic murmur C. Unequal upper and lower extremity pulses D. Hypotension

C. Unequal upper and lower extremity pulses

A child with allergic rhinitis (hay fever) is prescribed a nasal antihistamine spray. When advising parents about the use of such sprays, the nurse would tell them about a rebound phenomenon. This phenomenon results in: A. a permanent increase in nasal secretions. B. a decrease in histamine release after an initial increase. C. an increase in nasal secretions after an initial decrease. D. reflux of gastric contents into the esophagus.

C. an increase in nasal secretions after an initial decrease.

A toddler's parents want to begin toilet training. As a rule, the best instruction the nurse could give them is: A. all children should be toilet trained by age 2 years. B. if children can remain dry during the night, they can do so during the day. C. bowel training is easier than urine training. D. toilet training is a 12-month process.

C. bowel training is easier than urine training.

A preschool-age child is being seen for a rash that occurred after the mother applied a sunscreen prior to permitting the child to swim at the beach. For which type of allergic reaction should the nurse prepare teaching materials for the mother? A. autoimmunity B. atopic dermatitis C. contact dermatitis D. delayed hypersensitivity

C. contact dermatitis

Chapter 52 A 2-year-old girl is seen at a health maintenance setting for lead poisoning. She has been observed eating paint from a windowsill. What measure would the nurse teach her parents? A. administering ipecac syrup the next time they see her eat a paint chip B. teaching their daughter that paint is not an edible substance C. covering the windowsills with paneling to prevent her from reaching them D. not allowing their daughter any milk products during daylight hours

C. covering the windowsills with paneling to prevent her from reaching them

A nurse is developing a teaching plan for the parents about medications prescribed to address the pulmonary issues for their child diagnosed with cystic fibrosis. Medication therapy focuses on keeping the lungs clear and treating infection. Which medication(s) will the nurse likely include in this plan? Select all that apply. A. dextromethorphan B. codeine C. dicloxacillin D. albuterol E. dornase alfa

C. dicloxacillin D. albuterol E. dornase alfa

An 18-month-old child is admitted with signs of increased intracranial pressure. What should the nurse observe when assessing this client? A. numbness of fingers and decreased temperature B. increased pulse rate and decreased blood pressure C. increased temperature and decreased respiratory rate D. decreased level of consciousness and increased respiratory rate

C. increased temperature and decreased respiratory rate

A child in kidney failure has had a kidney transplantation. The nurse would prepare the child for which of the following to occur postoperatively? A. full-body irradiation that will cause nausea B. a transient rash from T-cell suppression C. infection-control precautions that may cause loneliness D. burning on urination from high uric acid content

C. infection-control precautions that may cause loneliness

A preschool-age child has been experiencing severe vomiting for over 24 hours. The child's respiratory rate is currently 10 breaths/min. On which health problem will the nurse focus when caring for this child? A. overhydration B. metabolic acidosis C. metabolic alkalosis D. hypertonic dehydration

C. metabolic alkalosis

In the emergency department, the nurse is asked to administer a histamine-2 receptor antagonist to a child with extensive burns. Which therapeutic outcome is desired? A. reduced scarring of a burned esophagus B. regulation of electrolyte balance C. prevention of a stress ulcer D. decreased child discomfort

C. prevention of a stress ulcer

The nurse is caring for a 4-year-old with meningitis. A primary nursing goal would be to: A. increase stimulation opportunities to prevent coma. B. provide an opportunity for therapeutic play. C. reduce the pain related to nuchal rigidity. D. inspect the teeth for obvious caries.

C. reduce the pain related to nuchal rigidity.

The nurse is listening to the breath sounds of a 4-year-old child. Which sound should the nurse determine as being normal for this client? A. stridor B. crackles C. rhonchi D. wheezing

C. rhonchi

Which finding would the nurse interpret as least significant when assessing a child's lungs? A. stridor B. crackles C. rhonchi D. wheezing

C. rhonchi

The nurse is developing the plan of care for a child who has undergone a kidney transplant. Which nursing diagnosis should the nurse likely identify as the priority? A. pain related to tissue rejection B. constipation related to effects of administered drugs C. risk for infection related to immunocompromised state D. deficient fluid volume related to fluid intake restrictions postoperatively

C. risk for infection related to immunocompromised state

A nurse is assessing a 3 1/2-year-old child at a well child checkup. Assessment reveals the following: • Blood pressure: 102/62 mm Hg • Pulse: 87 beats/minute • Systolic heart murmur • Mild genus valgus Which assessment finding would the nurse identify as a cause for concern? A. blood pressure B. pulse C. systolic murmur D. genu valgum (knock-knees)

C. systolic murmur

When assessing the growth and development of a 4-year-old, which would the nurse note as being appropriate? A. has best friends at preschool and sleepovers B. begins to show logical thought processes C. tells a fantasy story about a bear and a car D. scribbles with no discernable pictures/letters

C. tells a fantasy story about a bear and a car

A common cause of poisoning in the young family is the ingestion of iron pills. You would inform parents that: A. this is rarely a serious poisoning incident. B. if the child can survive the immediate symptoms of nausea and vomiting, the child is usually fine. C. the ingestion of iron can cause serious problems if the child is not treated immediately. D. an immediate effect of iron poisoning is apt to be a seizure.

C. the ingestion of iron can cause serious problems if the child is not treated immediately.

Chapter 46 A 4-year-old child with a urinary tract infection is scheduled to have a voiding cystourethrogram. When preparing the child for this procedure, the nurse would want to prepare the child to: A. have a local anesthetic injected prior to the procedure. B. drink three glasses of water during the procedure. C. void during the procedure. D. anticipate a headache afterward.

C. void during the procedure.

The nurse is beginning a health history with a 3-year-old child. Which question would the nurse ask the mother first? A. "Is your child ill in any way?" B. "Tell me about your child." C. "Has your child been ill in the past?" D. "Do you have any concerns about your child?"

D. "Do you have any concerns about your child?"

During an assessment, a preschool-aged child tells the nurse about having 12 siblings. The nurse is aware that the child has two older brothers. What would be the nurse's best response? A. "I guess you don't know much about counting yet." B. "Don't lie to me. That's never a nice thing to do to someone." C. "Does it make you feel more important when you add on brothers?" D. "That is a good pretend answer but tell me the names of the brothers you really have."

D. "That is a good pretend answer but tell me the names of the brothers you really have."

A parent of a child child having tympanostomy tubes placed asks, "How long will my child have to have the tubes?" How should the nurse respond to this parent? A. "The tubes are not removed; they grow permanently into place." B. "The tubes will be replaced every 3 months until the child is 13 years old." C. "The tubes will stay in for 6 months; then they will be flushed out with vinegar." D. "The child will have the tubes for about 1 year, until the tubes fall out on their own,"

D. "The child will have the tubes for about 1 year, until the tubes fall out on their own,"

A nurse is teaching a community class on preventing lyme disease. The nurse determines that the teaching was successful when the group makes which statement? A. "It's important to stay away from strange animals when we see them." B. "If we see a bush or plant that we don't know what it is, we shouldn't touch it." C. "When we're out hiking, we should not drink water from mountain streams." D. "When in the woods, we should wear jeans and tuck them inside our socks." Answer: D

D. "When in the woods, we should wear jeans and tuck them inside our socks."

Which nursing diagnosis would best apply to a child experiencing rheumatic fever? A. Disturbed sleep pattern related to hyperexcitability B. Ineffective breathing pattern related to cardiomegaly C. Risk for self-directed violence related to development of cerebral anoxia D. Activity intolerance related to increased cardiac workload

D. Activity intolerance related to increased cardiac workload

The nurse had instructed the family of a toddler on home safety during a previous visit. During this current visit, what observation indicates that instruction has been effective? A. prescribed medication sitting on the countertop B. house plant on a small table next to the sofa C. small bowl of mixed nuts on the coffee table D. All windows in the home have locked screens.

D. All windows in the home have locked screens.

Which is the best way for parents to aid a toddler in achieving the developmental task? A. Urge the toddler to dress oneself completely alone B. Give the toddler small household chores to do C. Help the toddler learn to count D. Allow the toddler to make simple decisions

D. Allow the toddler to make simple decisions

Which measure would be most effective in aiding bronchodilation in a child with laryngotracheobronchitis? A. Urging the child to continue to take oral fluids B. Administering an oral analgesic C. Teaching the child to take long, slow breaths D. Assisting with racemic epinephrine nebulizer therapy

D. Assisting with racemic epinephrine nebulizer therapy

A nurse is developing a plan of care for a 4-year-old client with cystic fibrosis who has frequent hospitalizations related to his illness. Which would be the most appropriate nursing diagnosis for this client? A. Health-seeking behaviors B. Risk for imbalance nutrition, more than body requirements C. Parental anxiety related to lack of understanding D. Delayed growth and development related to frequent illness

D. Delayed growth and development related to frequent illness

The nurse is preparing an educational program for parents of preschool-age children to promote personal safety. Which information should the nurse include in this program? Select all that apply. A. Reducing the intake of fast-food items B. Limiting exposure to household chores C. Chewing food thoroughly before swallowing D. Explaining who police are and what they look like E. Teaching to never talk with or accept a ride from a stranger F. Never enter into a street without an adult

D. Explaining who police are and what they look like E. Teaching to never talk with or accept a ride from a stranger F. Never enter into a street without an adult

The mother of a toddler is frustrated because no matter what she asks of the child, the response is "no." What can the nurse suggest to the mother to assist with this problem? A. Pretend she does not hear the child. B. Ask no further questions to the child. C. Tell the child to never say "no" again. D. Give the child secondary, not primary, choices.

D. Give the child secondary, not primary, choices.

The home care nurse is observing a mother prepare mupirocin to treat a preschool-age child's skin rash. At which point should the nurse stop the mother during the preparation of the medication? A. Mother washes the lesions before using the medication. B. Mother washes own hands after touching the child's rash. C. Mother is still using the medication on day 9 of the infection. D. Mother measures out a teaspoon of the medication for the child to take orally.

D. Mother measures out a teaspoon of the medication for the child to take orally.

While in a pediatric client's room, the nurse notes that the client is beginning to have a tonic-clonic seizure. Which nursing action is priority? A. Administer lorazepam rectally to the client. B. Refer the client to a neurologist. C. Discuss dietary therapy with the client's caregivers. D. Protect the child from hitting the arms against the bed.

D. Protect the child from hitting the arms against the bed.

The nurse is caring for a preschool-age child recovering from a lumbar puncture. What should the nurse do to ensure the client does not develop a spinal headache? A. Measure temperature every hour. B. Restrict fluids for 2 hours after the procedure. C. Elevate the head of the bed to a 30-degree angle. D. Take the pillow away and have the client lie flat in bed.

D. Take the pillow away and have the client lie flat in bed.

To prevent further urinary tract infections in a preschooler, what measures would you teach her mother? A. Encourage her to be more ambulatory to increase urine output. B. Teach her to take frequent tub baths to clean her perineal area. C. Suggest she drink less fluid daily to concentrate urine. D. Teach her to wipe her perineum front to back after voiding.

D. Teach her to wipe her perineum front to back after voiding.

The nurse sees a 3-year-old child in the ambulatory setting for localized wheezing on auscultation. Which statement by the parent would be most important to report to the health care provider? A. The child received the pneumococcal vaccine series within his or her first year. B. The child has two cousins who have many allergies. C. The parent has supervised the child in the same room for the past 24 hours. D. The child was eating peanuts yesterday.

D. The child was eating peanuts yesterday.

The nurse instructs the parents of a child with a congenital heart disorder on the administration of digoxin at home. Which observation indicates that teaching has been effective? A. The father provides a dose of the medication after the baby spits it up. B. The father provides a dose of the medication at the conclusion of a feeding. C. The mother feels for a radial pulse before giving the baby the next scheduled dose. D. The mother provides a dose of the medication 1 hour before the next scheduled feeding.

D. The mother provides a dose of the medication 1 hour before the next scheduled feeding.

Chapter 34 Which site would be best to use to take the temperature on a 12-month-old infant seen in an emergency room? A. Rectum B. Axilla C. Mouth D. Tympanic membrane

D. Tympanic membrane

The outpatient care clinic receives the 2020 National Health Goals that focus on prevention, early detection, treatment, and rehabilitation of vision problems. What should the nurse remind each client to do to ensure eye health? A. Flush the eyes every day with cool water. B. Instill artificial tears in the eyes at least twice a day. C. Cleanse the eyes with soap and warm water while taking a shower. D. Use personal protective eyewear during recreation and hazardous situations.

D. Use personal protective eyewear during recreation and hazardous situations.

The nurse is assessing a toddler's language development. What finding would the nurse interpret as reflecting expected development for a 2-year-old? A. able to count out loud to 20 B. speaks 20 nouns and 4 pronouns C. speaks two words plus "ma-ma" and "da-da" D. speaks in two-word sentences using a noun and a verb

D. speaks in two-word sentences using a noun and a verb

The nurse observes a toddler riding a tricycle and decides that the parents need additional safety education. What did the nurse observe? A. toddler wearing a helmet B. toddler wearing long pants C. toddler wearing tennis shoes D. toddler not wearing a helmet

D. toddler not wearing a helmet