Pediatric Nursing (Exit Exam Review)
The nurse is teaching circumcision care to a mother before discharge. Which statement by the mother indicates that teaching was successful?
"I should reapply fresh petrolatum gauze after each diaper change."
The parents of a child with cystic fibrosis ask the nurse why their child must receive supplemental pancreatic enzymes. Which response by the nurse would be most appropriate?
"Pancreatic enzymes promote absorption of nutrients and fat."
A 6-week-old infant who is not breathing is brought to the ED by the parents. A preliminary diagnosis of SIDS is made. Which nursing intervention is a priority?
Allow the parents to see their infant
When reinforcing education, what is appropriate to cover for the preschool level?
Bathtub safety, water safety, and bike helmet use
An 8-month-old infant has been diagnosed with developmental dysplasia of the hip (DDH). What is the most significant finding the nurse would expect in the perinatal history related to DDH?
Breech presentation at birth
An infant, age 3 months, undergoes surgical repair of a cleft lip. After surgery, the nurse should use which equipment to feed the infant?
Bulb syringe with tubing
A 15-year-old who sustained a spinal cord injury is on bedrest. Which intervention by the nurse might best help the adolescent cope with the prolonged bedrest?
Encouraging visitation by his friends
A 2-year-old comes to the ED with inspiratory stridor and a barking cough. What is the highest priority action by the nurse?
Establish and maintain the airway
Diabetic keto acidosis assessment finding?
Fruity breath odor and decreasing LOC
A parent calls the clinic and tells the nurse that the toddler was found with an open and empty bottle of acetaminophen. The parent asks the nurse what to do. What is the nurse's priority intervention?
Give the parent instructions on how to call poison control
The nurse is evaluating a child with acute post streptococcal glomerulonephritis (APSGN) for signs of improvement. Which finding typically is the earliest sign of improvement?
Increased urine output
A 9-year-old is being discharged from the hospital after severe urticaria caused by an allergy to nuts. Which instructions would be included in discharge education for the child's parents?
Instruct parents and child on how to use an epinephrine administration kit
A 2-year-old child is brought to the ED with suspected croup. Which data collection finding reflects increasing respiratory distress?
Intercostal retractions (the intercostal muscles are sucked inward between your ribs as you breathe)
The nurse is observing an infant who may have acute bacterial meningitis. Which findings should the nurse anticipate?
Irritability, fever, and vomiting
The nurse is caring for a toddler who is visually impaired.. What is the most important action for the nurse to take to ensure the safety of the child?
Maintain a tidy environment around the child
The nurse is caring for a 15-year-old client admitted with suspected bacterial pneumonia. Which nursing action takes priority?
Obtain a sputum culture
A nurse is caring for a child who developed acute renal failure. Place the following events in the order in which they most likely occurred during progression of the severe renal deterioration.
Oliguria, azotemia, acidosis, severe hypocalcemia
The nurse would explain to the parents of a newborn with a cleft lip and palate that they will need to schedule an appointment with which specialist?
Otolaryngologist
What is the recommended treatment for scabies in a child who's younger than age 1?
Permethrin
A school-age child is admitted with a diagnosis of acute lymphoblastic leukemia. The nurse recognizes a nursing diagnosis of risk for infection. What is the most effective way for the nurse to reduce the child's risk of infection?
Practicing thorough hand washing
The parents of a child with CF are considering having a second child. Each parent is heterozygous for the CF trait. What is the chance their second child will manifest the disorder?
25%
How long after an intradermal skin test (for TB) is administered should the nurse wait to evaluate the results?
48 to 72 hours
When administering gentamicin to a preschooler, which of the following monitoring schedules is best for determining the drug's effectiveness?
A serum trough and peak level with the third dose
A child is brought to the clinic by a grandparent who states that someone may have sexually abused the child. The grandparent noticed blood and a discharge on the child's underpants. After the child is assessed and treated for injuries, what is the priority intervention by the nurse?
Report the suspicion to the appropriate authorities
The parent of a preschooler with chickenpox asks the nurse about measures to make the child comfortable. When given to children with chickenpox, aspirin has been linked to which disorder?
Reye syndrome
Which developmental milestone would the nurse expect an 11-month-old infant to have achieved?
Sitting independently
A 2-year-old child with a tracheostomy suddenly becomes diaphoretic and has an increased HR and RR, and a decreased O2 level. Which of the following should be the nurse's first action?
Suction the tracheostomy
An infant who has been in foster care since birth requires a blood transfusion. Who is authorized to give written informed consent for the procedure?
The foster parent
The nurse observes a mother giving an oral iron supplement to her 6-year-old child with iron deficiency anemia. Which action by the mother indicates the need for further teaching?
The mother administered the iron with milk
An adolescent reports feet that itch, sweat a lot, and have a foul odor. The nurse suspects which condition?
Tinea pedis
A client's caregivers state that they childproofed their home for their 2-year-old. During a home visit, the nurse discovers some situations that show the caregivers don't fully understand the developmental abilities of their toddler. Which situation displays misunderstanding by the caregivers?
Toy chest in front of a second story locked window
