Pedi Success NCLEX

A child had a UTI 3 months ago and was treated with an oral abx. A follow-up UA revealed normal results. The child has had no other problems until this visit when the child was dx with another UTI. Which is the most appropriate plan? A. Obtain UA and UC B. Evaluate for renal failure C. Admit to pediatric unit D. Send home on an abx E. Schedule a VCUG

A. Obtain UA and UC

The parent of a toddler newly dx with CP asks the nurse what caused it. the nurse should answer with which of the following? A. Most cases are caused by unknown prenatal factors B. It is commonly caused by perinatal factors C. The exact cause is not known D. the exact cause is known in every instance

B. It is commonly caused by perinatal factors

The nurse is caring for a newborn with a cleft lip and palate. The mother states, "I will not be able to breastfeed my baby". Which is the nurse's best response? A. It sounds like you are feeling discouraged. Would you like to talk about it? B. Sometimes breastfeeding is still an option for babies with a cleft lip and palate. Would you like more information? C. Although breastfeeding is not an option, you can pump your milk and then feed it to your baby with a special nipple D. We usually discourage breastfeeding babies with cleft lip and palate. as it puts them at an increased risk for aspiration

B. Sometimes breastfeeding is still an option for babies with a cleft lip and palate. Would you like more information?

A 3yo with CP is admitted for dehydration following an episode of diarrhea. THe nurse's assessment follows: Awake; pale, thin child laying in bed; multiple contractures; drooling; coughing spells noted when parent feeds. T 97.8, HR 75, weight 7.2 kg, no diarrheal stool for 48 hours. which nursing dx is most important? A. Potential for skin breakdown: lying in one position B. alteration in nutrition: less than body requirements C. potential for impaired social support: parent sole caretaker D. Alteration in elimination: diarrhea

B. alteration in nutrition: less than body requirements

A child with spastic CP had an intrathecal dose of baclofen in the early afternoon. What is the expected result 3.5 hours post dose that suggests the child would benefit from a baclofen pump? A. The ability to self-feed B. The ability to walk with little assistance C. Decreased spasticity D. Increased spasticity

C. Decreased spasticity

The parents of a 4yo ask the nurse how to manage their child's constipation. Select the nurse's best response: A. Add 2oz of apple juice or pear juice to the child's diet B. Be sure your child eats a lot of fresh fruit such as apples and bananas C. Encourage your child to drink more fluids D. Decrease bulky foods such as whole-grain breads and brown rice

C. Encourage your child to drink more fluids

The nurse is caring for a 3month old being evaluated for possible Hirschsprung disease. His parents call the nurse and show her his diaper containing a large amount of mucus and bloody diarrhea. The nurse notes that the infant is irritable and his abdomen appears very distended. Which should be the nurse's next action? A. Reassure the parents that this is an expected finding and not uncommon B. Call a cod for a potential cardiac arrest and stay with the infant C. Immediately obtain all vital signs with a quick head-to-toe assessment D. Obtain a stool sample for occult blood

C. Immediately obtain all vital signs with a quick head-to-toe assessment

When counseling the parents of a child with OI, the nurse should include which of the following? Select all that apply A. Discourage future children because the condition is inherited B. Provide education about the child's physical limitations C. Give the parents a letter signed by the PCP explaining OI D. Provide information on contacting the OI Foundation E. encourage the parents to treat the child like their other children F. Encourage the use of calcium to decrease risk of fractures

B,C,D

The nurse is caring for a newborn who has just been diagnosed with tracheoesophageal fistula and is scheduled for surgery. Which should the nurse expect to do preop? A. Keep the child in a monitored crib, obtain frequent VS, and allow the parents to visit but not hold their infant B. Administer intravenous fluids and antibiotics C. Place the infant on 100% O2 via a non-rebreather mask D. have the mother feed the infant slowly in a monitored area, stopping all feedings 4-6 hours post surgery

B. Administer IV fluids and abx

The nurse is caring for a newborn with hypospadias. His parents ask if circumcision is an option. Which is the nurse's best response? A. Circumcision is a fading practice and is now contraindicated in most children B. Circumcision in children with hypospadias is recommended because it helps prevent infection C. Circumcision is an option, but it cannot be done at this time D. Circumcision can never be performed in a child with hypospadias

C. Circumcision is an option, but it cannot be done at this time

When instructing a family about care of an orthosis, the nurse should emphasize which of the following? A. Clean the brace with diluted bleach B. Dry the brace over a heater or in the sun C. Clean the brace weekly with mild soap and water D. return the brace to the orthopedic surgeon for cleaning

C. Clean the brace weekly with mild soap and water

WHich findings requires immediate attention in a child with GN? A. Sleeping most of the day and being very cranky when awake; BP is 170/90 B. Urine output is 190mL in an 8hour period and is the color of coca-cola C. Complaining of a severe headache and photophobia D. Refusing breakfast and lunch and stating he is just not hungry

C. Complaining of a severe headache and photophobia

The nurse is caring for an 8 week old male who has just been diagnosed with Hirschsprung disease. The parents ask what they should expect. Which is the nurse's best response? A. It is really an easy disease to manage. Most children are placed on stool softeners to help with constipation until it resolves. B. A permanent stool diversion, called a colostomy, will be placed by the surgeon to bypass the narrowed area C. Daily bowel irrigations will help your child maintain regular bowel habits D. Although your child will require surgery, there are different ways to manage the disease, depending on how much bowel is involved

D. Although your child will require surgery, there are different ways to manage the disease, depending on how much bowel is involved

Which should the nurse include in the plan of care to decrease the symptoms of GER in a 2 month old? Select all that apply A. Place the infant in an infant seat immediately after feedings B. Place the infant in the prone position immediately after feeding to decrease the risk of aspiration C. Encourage the parents not to worry because most infants outgrow GER within the first year of life D. Encourage the parents to hold the infant in an upright position for 30 minutes following a feeding E. Suggest that the parents burp the infant q 1-2 oz consumed

D. Encourage the parents to hold the infant in an upright position for 30 min following a feeding E. Suggest that the parents burp the infant q1-2 oz consumed

The parent of an infant asks the nurse what to watch for to determine whether the infant has CP. which is the nurse's best response? A. If the infant cannot sit up without support before 8 months B. If the infant demonstrates tongue thrust before 4 months C. If the infant has poor head control after 2 months D. If the infant has clenched fists after 3 months

D. If the infant has clenched fists after 3 months

Which should the nurse teach a group of girls and parents about the importance of preventing UTIs? A. Avoiding constipation has no effect on the occurrence of UTIs B. After urinating, always wipe from back to front to prevent fecal contamination C. Hygiene is an important preventative measure and can be accomplished with frequent tub baths D. Increasing fluids will help prevent and treat UTIs

D. Increasing fluids will help prevent and treat UTIs

Which is the nurse's best explanation to the parent of a toddler who asks what a greenstick fracture is A. It is a fracture located in the growth plate of the bone B. Because children's bones are not fully developed, any fracture in a young child is called a greenstick fracture C. It is a fracture in which a complete break occurs in the bone, and small pieces of bone are broken off D. It is a fracture that does not go all the way through the bone

D. It is a fracture that does not go all the way through the bone

An expectant mother asks the nurse if her new baby will have an umbilical hernia. The nurse bases the response on the act that it occurs; A. More often in large infants B. In white infants more than in African American infants C. Twice as often in male infants D. More often in premature infants

D. More often in premature infants

Which can occur in untreated developmental dysplasia of the hip? Select all that apply A. Duck gait B. Pain C. Osteoarthritis in adulthood D. Osteoporosis in adulthood E. Increased flexibility of the hip joint in adulthood

A, B, C

The parents of a 3yo are concerned that the child is having more accidents during the day. Which questions would be appropriate for the nurse to ask to obtain more information? Select all that apply A. Has there been a stressful event in the child's life, such as the birth of a sibling B. Has anyone else in the family had problems with accidents C. Does your child seem to be drinking more than usual D. Is your child more fussy or does your child seem to be in pain when urinating E. Is your child having difficulties at preschool?

A, B, C, D

The mother of a child with DMD asks the nurse who in the family should have genetic screening. Who should the nurse say must be tested? A. Mother B. Sister C. Brother D. Aunts and all female cousins E. Uncles and all male cousins

A, B, D

Which child is at a risk for developing glomerulonephritis? A. A 3 yo who has impetigo 1 week ago B. A 5yo with a hx of 5 UTIs in the previous year C. A 6yo with new onset T1DM D. A 10yo recovering from viral PNA

A. A 3yo who has impetigo 1 week ago

Which would the nurse expect to hear the parents of an infant with an incarcerated hernia report? A. Acute onset of pain, abdominal distention, and a mass that cannot be reduced B. Gradual onset of pain, abdominal distention, and a mass that cannot be reduced C. Acute onset of pain, abdominal distention, and a mass that is easily reduced D. Gradual onset of pain, abdominal distention, and a mass that is easily reduced

A. Acute onset of pain, abdominal distention, and a mass that cannot be reduced

Which developmental milestone should the nurse be concerned about if a 10month old cannot do it A. Crawl B. Cruise C. walk D. have a pincer grasp

B. Cruise

A 9yo is in a spica cast and complains of pain 1 hour after receiving IV opioid analgesia. What should the nurse do first? A. Give more pain meds B. Perform a neuromuscular assessment C. Call the surgeon for orders D. Change the child's position

B. Perform a neuromuscular assessment

A 12 yo dx with scoliosis is to wear a brace for 23 hours a day. what is the most likely reason the child will not wear it for that long A. Pain from the brace B. Difficulty putting the brace on C. Self-consciousness about appearance D. Not understanding what the brace is for

C. Self-consciousness about appearance

The nurse is caring for a 4month old who has just had an isolated cleft lip repaired. Select the best position for the child in the immediate post op period A. Right side lying B. Left side lying C. Supine D. Prone

C. Supine

Which should be the nurse's immediate action when a newborn begins to cough and choke and becomes cyanotic while feeding? A. Inform the healthcare provider of the situation B. Have the mother stop feeding the infant, and observe to see if the choking episode resolves on its own C. immediately determine the infant's oxygen saturation and have the mother stop feeding the infant D. Take the infant from the mother and administer blow-by oxygen while obtaining the infant's oxygen saturation

D. Take the infant from the mother and administer blow-by oxygen while obtaining the infant's oxygen saturation

Which can elicit the Gower sign? Have the child: A. Close the eyes and touch the nose with alternating index fingers B. Hop on one foot and then the other C. Bend from the waist to touch the toes D. Walk like a duck and rise from a squatting position

D. Walk like a duck and rise from a squatting position

The parents of a preschooler dx with muscular dystrophy are asking questions about the course of their child's disease. Which should the nurse tell them? Select all that apply A. Muscular dystrophies usually result in progressive weakness B. The weakness that your child is having will probably not increase C. Your child will be able to function normally and not need any special accommodations D. The extent of weakness depends on doing daily physical therapy E. Your child may have pain in his legs with muscle weakness

E. Your child may have pain in his legs with muscle weakness

The nurse evaluates teaching of parents of a child newly dx with CP as successful when the parents state that CP is which of the following A. Inability to speak and uncontrolled drooling B. Involuntary movements of lower extremities only C. Involuntary movements of upper extremities only D. An increase in muscle tone and deep tendon reflexes

D. An increase in muscle tone and deep tendon reflexes

Which should the nurse stress to the parents of an infant in a Pavlik harness for treatment of DDH A. Put socks on over the foot pieces of the harness to help stabilize the harness B. Use lotions or powder on the skin to prevent rubbing of straps C. Remove harness during diaper changes for ease of cleaning diaper area D. Check under the straps at least 2-3 times daily for red areas

D. Check under the straps at least 2-3 times daily for red areas

Which would the nurse expect to assess on a 3 week old infant with developmental dysplasia of the hip? Select all that apply A. excessive hip abduction B. femoral lengthening of an affected leg C. asymmetry of gluteal and thigh folds D. pain when lying prone E. Positive ortolani test

C, E

A 14yo with OI is confined to a wheelchair. Which nursing intervention will promote normal development? Select all that apply A. Encourage participation in groups with needs who have disabilities or chronic illness B. Encourage decorating the wheelchair with stickers C. Encourage transfer of primary care to an adult provider at age 18 yo D. Allow the teen to view the radiographs E. Help the teen set realistic goals for the future F. Discourage discussion of sexuality, b/c the child is not likely to date

A, B, D, E

Nursing care of a child with a fractured extremity in who there is suspected compartment syndrome includes which of the following? Select all that apply A. Assess pain B. Assess pulses C. Elevate extremity above the level of the heart D. Monitor capillary refill E. Provide pain meds as needed

A, B, D, E

A 6yo involved in a bicycle crash has a spleen injury and a right tibia/fibula fracture and has been casted. Which is an early sign of compartment syndrome in the child? Select all that apply A. Edema B. Numbness C. Severe pain D. Weak pulse E. Anular rash

A, C

Which will help a school age child with muscular dystrophy stay active longer? Select all that apply A. Normal activities, such as swimming B. Using a treadmill everyday C. Several periods of rest every day D. Using a wheelchair upon getting tired E. Sleeping as late as needed

A, C, D

When planning a rehab approach for a child with OI, the nurse should prevent which of the following? A. Positional contractures and deformities B. Bone infection C. Muscle weakness D. Osteoporosis E. Misalignment of lower extremity points

A, C, D, E

Which would the nurse expect a child with spastic CP to demonstrate? Select all that apply A. Increased deep tendon reflexes B. Decreased muscle tone C. Scoliosis D. Contractures E. Scissoring F. Good control of posture G. Good fine motor skills

A, C, D, E

The nurse should tell the parents of a child with DMD that some of the progressive complications include: Select all that apply A. Dry skin and hair, hirsutism, protruding tongue, and mental retardation B. Anorexia, gingival hyperplasia, dry skin and hair C. Contractures, obesity, and pulmonary infections D. Trembling, frequent loss of consciousness, and slurred speech E. Increasing difficulty swallowing and shallow breathing

C, E

The nurse is caring for a 5 month old infant with a diagnosis of intussusception. The infant has periods of irritability during which the knees are brought to the chest and the infant cries, alternating with periods of lethargy. Vital signs are stable and within age-appropriate limits. The healthcare provider elects to give an enema. The parents ask the purpose of the enema. Which is the nurse's most appropriate response? A. The enema will confirm the diagnosis. If the test result is positive, your child will need to have surgery to correct the intussusception. B. The enema will confirm the diagnosis. Although very unlikely, the enema may also help fix the intussusception so that your child will not immediately need surgery C. The enema will help confirm the diagnosis and has a good chance of fixing the intussusception D. The enema will help confirm the diagnosis and may temporarily fix the intussusception. If the bowel returns to normal, there is a strong likelihood that the intussusception will recur.

C. The enema will help confirm the dx and has a good chance of fixing the intussusception

The parents of a child hospitalized with minimal change nephrotic syndrome ask why the last blood test revealed elevated lipids. Which is the nurse's best response? A. If your child had just eaten a fatty meal, the lipids may have been falsely elevated B. It is not unusual to see elevated lipids in children b/c of the dietary habits of today C. Because your child is losing so much protein, the liver is stimulated and makes more lipids D. Your child's blood is very concentrated b/c of the edema, so the lipids are falsely elevated

C. because your child is losing so much protein, the liver is stimulated and makes more lipids

An infant is scheduled for a hypospadias and chordee repair. The parent asks the nurse "I understand why the hypospadias repair is necessary, but do they have to fix the chordee as well".Which is the nurse's best response? A. I understand your concern. Parents do not want their child to undergo extra surgery B. The chordee repair is done strictly for cosmetic reasons that may affect your son as he ages C. the repair is done to optimize sexual functioning when he is older D. this is the best time to repair the chordee because he will be having surgery anyways

C. the repair is done to optimize sexual functioning when he is older

Which foods would be best for a child with DMD. Select all that apply A. High CHO, High protein B. No special food combinations C. extra protein to help strengthen muscles D. Low calorie foods to prevent weight gain E. Thickened liquids and smaller portions that are cut up

D,E

The bladder capacity of a 3 yo is approx how much? A. 1.5 fl oz B. 3 fl oz C. 4 fl oz D. 5 fl oz

D. 5 fl oz

The nurse is caring for a school-age child with DMD in the elementary school. Which would be an appropriate diagnosis? A. Anticipatory grieving B. Anxiety reduction C. Increased pain D. Activity intolerance

D. Activity intolerance

The nurse knows that teaching has been successful when the parent of a child with muscle weakness states that the diagnostic test for muscular dystrophy is which of the following? A. Electromyelogram B. Nerve conduction velocity C. Muscle biopsy D. Creatinine kinase level

C. Muscle biopsy

The parents of a child with GN ask how they will know their child is improving when they go home. Which are the nurse's best responses? Select all that apply A. Your child's urine output will increase, and the urine will become less tea colored B. Your child will have more energy as lab tests become more normal C. Your child's appetite will decrease as urine output increases D. Your childs lab values will become more normal E. Your child's weight will increase as the urine becomes less tea colored

A, E

A 5yo has been dx with pseudohypertrophic muscular dystrophy. Which nursing intervention(s) would be appropriate? Select all that apply A. Discuss with the parents the potential need for respiratory support B. Explain that this disease is easily treated with medications C. Suggest exercises that will limit the use of muscles and prevent fatigue D. Assist the parents in finding a nursing facility for future care E. Encourage the parents to contact the school to develop an IEP

A,C,E

WHich should be included in the plan of care for a 14month old whose clef palate was repaired 12 hours ago? Select all that apply: A. Allow the infant to have familiar items of comfort such as a favorite stuffed animal and a "sippy cup" B. once liquids have been tolerated, encourage a bland diet such as soup, Jell-O, and saltine crackers C. Administer pain meds on a regular schedule, as opposed to an as-needed schedule D. Use a Yankaur suction catheter on the infant's mouth to decrease the risk of aspiration of oral secrtions E. When discharged, remove elbow restraints

A. Allow the infant to have familiar items of comfort such as a favorite stuffed animal and a "sippy cup" C. Administer pain meds on a regular schedule, as opposed to an as-needed schedule

The nurse is caring for an infant diagnosed with Hirschsprung disease. The mother states she is pregnant with a boy and wants to know if her new baby will likely have the disorder. Which is the nurse's best response? A. Genetics play a small role in Hirschsprung disease, so there is a chance the baby will develop it as well B. There is no evidence to support a genetic link, so it is very unlikely the baby will also have it C. It is rarely seen in boys so it is not likely your new baby will have Hirschsprung Disease D. Hirschsprung disease is seen only in girls, so your new baby will not be at risk

A. Genetics play a small role in Hirschsprung disease, so there is a chance the baby will develop it as well

The nurse is interviewing the parents of a 6yo who has been experiencing constipation. Which could be a causative factor? Select all that apply: A. Hypothyroidism B. Muscular dystrophy C. Myelomeningocele D. Drinks a lot of milk E. Active in sports

A. Hypothyroidism B. Muscular dystrophy D. Drinks a lot of milk

The nurse is caring for a newborn with esophageal atresia. When reviewing the mother's history, which would the nurse expect to find? A. Maternal polyhydramnios B. Pregnancy lasting more than 38 weeks C. Poor nutrition during pregnancy D. Alcohol consumption during pregnancy

A. Maternal polyhydramnios

Which statement by the parent is most consistent with minimal change nephrotic syndrome? A. My child missed 2 days of school last week because of a really bad cold B. After camping last week, my child's legs were covered in bug bites C. My child came home from school a week ago because of vomiting and stomach cramps D. We have a pet turtle, but no one washes their hands after playing with the turtle

A. My child missed 2 days of school last week because of a really bad cold

The nurse is caring for an infant newly diagnosed with Hirschsprung disease. What does the nurse understand about this infant's condition? Select all that apply A. There is a lack of peristalsis in the large intestine and an accumulation of bowel contents, leading to abdominal distention. B. there is excessive peristalsis throughout the intestine, resulting in abd distention C. There is a small-bowel obstruction, leading to ribbon-like stools D. There is inflammation throughout the large intestine, leading to accumulation of intestinal contents and abdominal distention E. There is an accumulation of bowel contents, leading to non-passage of stool

A. There is a lack of peristalsis in the large intestine and an accumulation of bowel contents, leading to abdominal distention E. There is an accumulation of bowel contents, leading to non-passage of stools

A nurse is caring for a 5yo who has a fracture of the tibia involving the growth plate. When providing information to the parents, the nurse should indicate that A. This is a serious injury that could cause long-term growth issues B. The fracture usually heals within 6 weeks without further complications C. The child will never be able to play contact sports again D. Fractures involving the growth plate require pain medications

A. This is a serious injury that could cause long-term

The nurse receives a call from the mother of a 6month old who describes her child as alternately sleepy and fussy. She states that her infant vomited once this morning and had two episodes of diarrhea. The last episode contained mucus and a small amount of blood. She asks the nurse what she should do. What is the nurse's best response? A. Your infant will need to have some tests in the emergency department to determine whether anything serious is going on B. Try feeding your infant in about 30 mins; in the event of repeat vomiting, bring the infant to the ED for some tests and IV hydration C. Many infants display these symptoms when they develop of allergy to the formula they are receiving; try switching to a soy-based formula D. DO not worry about the blood in their stools b/c their intestines are more sensitive

A. Your infant will need to have some tests in the ED to determine whether anything serious is going on

The nurse is providing discharge teaching to the parents of an infant with an umbilical hernia. Which should be included in the plan of care? A. If the hernia has not resolved on its own by the age of 12 months, surgery is generally recommended B. if the hernia appears to be more swollen or tender, seek medical care immediately C. To help the hernia resolve, place a pressure dressing over the area gently D. If the hernia is repaired surgically, there is a strong likelihood that it will return

B. If the hernia appears to be more swollen or tender, seek medical care immediately

The nurse is caring for a 7 week old scheduled for a pyloromyotomy in 24 hours. Which would the nurse expect to find in the plan of care? A. Keep infant NPO; begin IV fluids at maintenance B. Keep infant NPO; begin IV fluids at maintenance; place NG tube to low wall suction C. Obtain serum electrolytes; keep infant NPO; do not attempt to pass NGT due to obstruction D. Offer infant small frequent feedings; keep NPO 6-8 hours before surgery

B. Keep infant NPO; begin IV fluids at maintenance; place NG tube to low wall suction

The nurse in a diabetic clinic sees a 10yo who is a new diabetic and has had trouble maintaining blood glucose levels within normal limits. The child's parent states the child has had several daytime "accidents". the nurse knows that this is referred to as which of the following? A. Primary enuresis B. Secondary enuresis C. DIurnal enuresis D. Nocturnal enuresis

B. Secondary enuresis

The parents of a newborn diagnosed with a cleft lip and palate ask the nurse when their child's lip and palate will most likely be repaired. Which is the nurse's best response? A. The palate and the lip are usually repaired in the first few weeks of life so that the baby can grow and gain weight B. The palate and the lip are usually not repaired until the baby is approx 6 months old so that the mouth has had enough time to grow C. The lip is repaired in the first few months of life, but the palate is not usually repaired until the child is 3 years old D. The lip is repaired in the first few weeks of life, but the palate is not usually repaired until the child is 18 months old

B. The palate and the lip are usually not repaired until the baby is approx 6 months old so that the mouth has had enough time to grow

The parent of a child with glomerulonephritis asks the nurse why the urine is such a funny color. Which is the nurse's best response? A. It is not uncommon for the urine to be discolored when children are receiving steroids and BP meds B. There is blood in your child's urine that causes it to be tea-colored C. Your child's urine is very concentrated, so it appears to be discolored D. A ketogenic diet often causes the urine to be tea-colored

B. There is blood in your child's urine that causes it to be tea-colored

Which classification of OI is lethal in utero and in infancy A. Type 1 B. Type 2 C. Type 3 D. Type 4

B. Type 2

The nurse is doing a follow up assessment of a 9month old. The infant rolls both ways, sits with some support, pushes food out of the mouth, and pushes away when held. The parents asks about the infant's development. The nurse responds by saying A. your child is developing normally B. Your child needs to see the primary care provider C. You need to help your child learn to sit unassisted D. Push the food back when your child pushes food out

B. Your child needs to see the primary care provider

The nurse knows that teaching was successful when a parent states which of the following signs of muscle dystrophy A. Increased muscle strength B. difficulty climbing stiars C. high fevers and tiredness D. Respiratory infections and obesity

B. difficulty climbing stiars

The clinical manifestations of minimal change nephrotic syndrome are due to which of the following? A. chemical changes in the composition of albumin B. increased permeability of the glomeruli C. Obstruction of the capillaries of the glomeruli D. loss of the kidneys' ability to excrete waste and concentrate urine

B. increased permeability of the glomeruli

The parents of a 6 week old male ask the nurse if there is a difference between an inguinal hernia and a hydrocele. Which his the nurse's best response? A. The terms are used interchangeably and mean the same thing B. the symptoms are similar, but an inguinal hernia occurs when tissue protrudes into the groin, whereas a hydrocele is a fluid-filled mass in the scrotum C. Hydrocele is the term used when an inguinal hernia occurs in females D. A hydrocele presents in a. manner similar to that of an inguinal hernia but causes increased concern because it is often malignant

B. the symptoms are similar, but an inguinal hernia occurs when tissue protrudes into the groin, whereas a hydrocele is a fluid-filled mass in the scrotum

A child with minimal change nephrotic syndrome has generalized edema. The skin appears stretched, and areas of breakdown are noted over the bony prominences. The child has been receiving lasix twice daily for several days. What does the nurse expect to be included in the treatment plan tor educe edema? A. An increase in the amount and frequency of lasix B. Addition of a second diuretic, such as mannitol C. Administration of albumin IV D. Elimination fo all fluids and sodium from the child's diet

C. Administration of albumin IV

Which child does not need a UA to evaluate for a UTI? A. A 4 month old female presenting with a 2day history of fussiness and poor appetite; current VS include axillary T 100.8, HR 120 B. A 4yo female who states "It hurts when I pee";she has been urinary q 30 min; VS within normal range C. An 8yo male presenting with a finger lac; mother states he had surgical re-implantation of his ureters 2 years ago D. A 12yo female complaining of pain to her lower right back; she denies any burning or frequency at this time; oral temp 101.5

C. An 8yo presenting with a finger lac

The nurse is giving discharge instructions to the parent of a 1 month old infant with tracheoesophageal fistula and a gastrostomy tube (GT). The nurse knows the mother understands the discharge teaching when she states: A. I will give my baby feedings through the GT but place liquid medications in the corner of the mouth to be absorbed B. I will flush the GT with 2 oz of water after each feeding to prevent the GT from clogging C. I will clean the area around the GT every day D. I will place petroleum jelly around the GT if any redness develops

C. I will clean the area around the GT everyday

The parent of a 7yo voices concern over the child's continued bed-wetting at night. the parent, on going to bed, has tried getting the child up at 11:30pm, but the child still wakes up wet. Which is the nurse's best response about what the parent should do next? A. There is a medication called DDAVP. that decreases the volume of the urine. The physician thinks that will work for your child B. WHen your child wakes up wet, be very firm and indicate how displeased you are. Have your child change the sheets to see how much work is involved. C. Limit fluids in the evening and start a reward system in which your child can choose a reward after a certain number of dry nights D. Bed-wetting alarms are readily available, and most children do very well with them

C. Limit fluids in the evening and start a reward system in which your child can choose a reward after a certain number of dry nights

The parent of an infant with CP asks the nurse if the infant will be mentally retarded. Which is the nurse's best response? A. Children with CP have some amount of mental retardation B. Approximately 20% of children with CP have normal intelligence C. Many children with CP have normal intelligence D. Mental retardation is expected if motor and sensory deficits are severe

C. Many children with CP have normal intelligence

Which combination of signs is commonly associated with glomerulonephritis? A. Massive proteinuria, hematuria, decreased urinary output, and lethargy B. Mill proteinuria, increased urinary output, and lethargy C. Mild proteinuria, hematuria, decreased urinary output, and lethargy D. Massive proteinuria, decreased urinary output, and hypotension

C. Mild proteinuria, hematuria, decreased urinary output, and lethargy

The parent of a young child with CP brings the child to the clinic for a checkup. Which parent's statement indicates an understanding of the child's long-term needs A. My child will need all my attention for the next 10 years B. Once in school, my child will catch up and be like the other children C. My child will grow up and need to learn to do things independently D. Im the one who knows the most about my child and can do the most for my chld

C. My child will grow up and need to learn to do things independently

A child is diagnosed with chronic constipation that has been unresponsive to dietary and activity changes. Which pharmacological measure is most appropriate? A. Natural supplements and herbs B. Stimulant laxatives C. Osmotic agent D. Pharmacological measures are not used in pediatric constipation

C. Osmotic agent

The nurse is caring for an infant with pyloric stenosis. The parent asks if any future children will likely have pyloric stenosis. Which is the nurse's best response? A. You seem worried; would you like to discuss your concerns? B. It is very rare for a family to have more than one child with pyloric stenosis C. Pyloric stenosis can run in families. It is more common among males D. Although there can be a genetic link, it is very unusual for girls to have pyloric stenosis.

C. Pyloric stenosis can run in families. It is more common among males

The nurse is caring for a 4yo who weighs 15 kg. At the end of a 10 hour period, the nurse notes the urine output to be 150mL. WHat action does the nurse take? A. Notifies the healthcare provider b/c this urine output is too low B. Encourages the child to increase oral intake to increase urine output C. Records the child's urine output in the chart D. Administers isotonic fluid IV to help with rehydration

C. Records the child's urine output in the chart

An adolescent woke up complaining of intense pain and swelling of the scrotal area and abdominal pain. He has vomited twice. Which should the nurse suggest? A. Encourage him to drink clear liquids until the vomiting subsides; if he gets worse, bring him to the emergency room B. Bring him to the healthcare provider's office for evaluation C. Take him to the emergency room immediately D. Encourage him to rest; apply ice to the scrotal area and go to the ED if the pain does not improve

C. Take him to the emergency room immediately

The nurse is developing a plan of care for a child recently dx with cerebral palsy. Which should be the nurse's priority goal? A. ensure the ingestion of sufficient calories for growth B. Decrease ICP C. Teach appropriate parenting strategies for a special needs child D. Ensure that the child reaches full potential

C. Teach appropriate parenting strategies for a special needs child

The nurse is caring for an 8week old infant being evaluated for pyloric stenosis. Which statement by the parent would be typical for a child with this diagnosis? A. The baby is very fussy eater and just does not want to eat B. The baby tends to have a very forceful vomiting episode about 30 min after most feedings C. the baby is always hungry after vomiting, so i feed her again D. The baby is happy in spite of getting really upset after spitting up

C. The baby is always hungry after vomiting, so I feed her again

The nurse will soon receive a 4 month old who has been diagnosed with intussusception. The infant is described as very lethargic with the following VS: T 101.8, HR 181, BP 68/38. The reporting nurse states the infant's abdomen is very rigid. Which is the most appropriate action for the receiving nurse? A. Prepare to accompany the infant to a computed tomography scan to confirm the dx B. Prepare to accompany the infant to the radiology department for a reducing enema C. Prepare to start a second IV line to administer fluids and abx D. Prepare to get the infant ready for immediate surgical correction

D. Prepare to get the infant ready for immediate surgical correction

Which is the best way to obtain a urine sample in an 8month old being evaluated for a UTI? A. Carefully cleanse the perineum from front to back and apply a self adhesive urine collection bag to the perineum B. Insert an indwelling Foley Cath, obtain the sample, and wait for results C. Place a sterile cotton ball in the diaper and immediately obtain the sample with a syringe after the first void D. Using a straight cath, obtain the sample and immediately remove the cath without waiting for the results of the urine sample

D. Using a straight cath, obtain the sample and immediately remove the cath without waiting for the results of the urine sample

The nurse evaluates the parents' understanding of the teaching about an inguinal hernia as successful when they say which of the following? A. There are no risks associated with waiting to have the hernia reduced; surgery is done for cosmetic reasons B. it is normal to see the bulge in the baby's groin decrease with a bowel movement C. We will wait for surgery until the baby is older because narcotics for pain control will be requird for several days D. it is normal or the bulge in the baby's groin to look smaller when the baby is asleep

D. it is normal or the bulge in the baby's groin to look smaller when the baby is asleep

A parent asks the nurse how to prevent the child from having minimal change nephrotic syndrome again. which is the nurse's best response? A. It is very rare for a child to have a relapse after having fully recovered B. unfortunately many children have cycles of relapse, and there is very little that can be done to prevent it. C. your child is much less likely to get sick again if sodium is decreased in the diet D. try to keep your child away from sick children because relapses have been associated with infectious diseases

D. try to keep your child away from sick children because relapses have been associated with infectious diseases