Pediatrics
A nurse is conducting a health assessment for a 24-month-old toddler at the local health department. The nurse should expect which of the following findings?
- Ability to build a tower of 6 blocks - Slightly bowed or curved leg appearance
A school nurse is providing dietary teaching for an adolescent who has type 1 diabetes mellitus. Which of the following responses by the adolescent indicates an understanding of the teaching?
- "I should eat extra food on busy days when I am more active." - "I should increase my intake of sugar-free fluids when I am sick." - "I should eat a snack 30 min before my baseball games start."
A nurse is preparing to administer routine immunizations to a 6-year-old child. In addition to the diphtheria, tetanus, and pertussis (DTaP) vaccine; the measles, mumps, and rubella (MMR) vaccine; and the varicella vaccine, which of the following immunizations should the nurse plan to administer?
Inactivated poliovirus vaccine (IPV)
A nurse is assessing a toddler who has measles (rubeola). Which of the following findings should the nurse expect?
Koplik spots
A nurse is planning care for a preschooler who is immediately postoperative following the placement of a ventriculoperitoneal shunt. Which of the following interventions should the nurse include in the plan?
Lay the preschooler on the nonoperative side
A nurse is teaching the parents of an infant who has acute otitis media about how to administer antibiotic eardrops. Which of the following instructions should the nurse include?
Massage the anterior are of the infant's ear following administration
A nurse in a pediatric clinic is assessing a toddler at a well-child visit. Which of the following actions should the nurse take?
Minimize physical contact with the child initially
A nurse is caring for the family of a preschooler who has a terminal illness. The nurse should teach the family to expect the preschooler to have which of the following concepts of death?
People can come back to life after they die
A nurse is caring for an infant who has tracheoesophageal fistula. Which of the following actions should the nurse take?
Perform oropharyngeal suctioning
A nurse is caring for an adolescent following a lumbar puncture. Which of the following actions should the nurse take?
Place the adolescent in a supine position
A nurse is reviewing the laboratory report of a 2-year-old child who has diarrhea and has been vomiting for 24 hr. Which of the following findings should the nurse report to the provider?
Potassium 2.5 mEq/L
A nurse is assessing a 6-year-old client at a well-child visit. Which of the following findings requires further assessment by the nurse?
Presence of sparse, fine pubic hair
A nurse is providing dietary teaching to the parent of a toddler who has cystic fibrosis. Which of the following instructions should the nurse include?
Provide a high-fat diet for the toddler
A nurse is caring for an adolescent who has a prescription for opioids. Which of the following findings should the nurse recognize as an adverse effect of opioids?
Pruritus
A nurse is teaching the parent of an infant about home safety. Which of the following pieces of information should the nurse include?
- Position the car seat so it is rear-facing - Secure a safety gate at the top and bottom of the stairs - Maintain the water heater temperature at 120F
A nurse is teaching a school-age child who is to undergo a bone marrow aspiration. Which of the following statements should the nurse make?
"I will place a pressure dressing over the area following the procedure."
A nurse is assessing a 9-month-old infant. Which of the following findings should the nurse report to the provider as a possible developmental delay?
Dropping a cube when passing from 1 hand to the other
A nurse is caring for an 8-year-old child who has sickle cell anemia. Which of the following actions should the nurse take?
Give the child flavored popsicles
A nurse is assessing a toddler who has AIDS. Which of the following findings is an indication of an opportunistic infection?
Candidiasis
A nurse on a pediatric unit is reviewing the health record of a child who is demonstrating increasing levels of stress after admission. The nurse should identify which of the following findings as a risk factor for a stress-related reaction to hospitalization?
Frequent hospitalizations
A nurse is preparing a school-age child for a tonsillectomy. Which of the following actions should the nurse take?
Schedule the child for a preoperative visit to the facility
A nurse is caring for a child who has suspected nephrotic syndrome. Which of the following laboratory values should the nurse expect?
Serum cholesterol 700mg/dL
A nurse is assessing a preschooler who has influenza and reports the new onset of a sore throat and difficulty swallowing. Which of the following findings is the priority for the nurse to report to the provider?
The child is drooling
A nurse is assessing a 10-month-old infant at a well-infant checkup. Which of the following assessment findings should the nurse report to the provider?
The infant needs assistance to sit up
A nurse is assessing an 18-month-old toddler during a well-child examination. Which of the following findings should the nurse report to the provider?
The toddler is unable to remove his shoes
A nurse is conducting a support group for parents of toddlers who have terminal illness. Which of the following pieces of information should the nurse include in the teaching?
Toddlers will react to the parents' anxiety and sadness
A nurse is teaching the parent of an infant about food allergens. Which of the following is the most common food allergy in children?
Wheat bread
A nurse is caring for a female adolescent who is being treated for frequent urinary tract infections (UTIs). Which of the following statements by the adolescent indicates a possible cause of the UTIs?
"I have bowel movements every 4 to 5 days."
A nurse is teaching a parent of an infant who has a colostomy. Which of the following statements by the parent indicates an understanding of the teaching?
"I need to apply paste to the back of the wafer on my child's appliance
A nurse is teaching the parent of an infant about injury prevention. Which of the following statements by the parent indicates an understanding of the teaching?
"I should make sure my baby's clothing does not have buttons."
A nurse is providing teaching to the parent of an infant who developmental hip dysphasia and a new prescription for a Pavlik harness. Which of the following parent statements indicates an understanding of the teaching?
"I will apply the harness over a t-shirt and knee socks."
A nurse in the emergency department is caring for a child who accidentally ingested an overdose of acetaminophen. Which of the following medications should the nurse expect to administer?
Acetylcysteine
A nurse is caring for a child who has sickle cell anemia and is experiencing a vast-occlusive crisis. Which of the following actions should the nurse take?
Administer ibuprofen
A nurse in an emergency department is caring for an 8-year-old old is up-to-date with current immunization recommendations and has a deep puncture injury. Which of the following should the nurse anticipate administrating?
Adult tetanus booster (Td)
A nurse is reviewing the risk factors for the development of congenital heart disease with a client who is planning to conceive. Which of the following conditions should the nurse include as a maternal risk factor?
Alcohol consumption
A nurse is caring for a school-aged child who has hemophilia and fell on the playground. The child reports a pain level of 4 on a scale of 0 to 10. Which of the following actions should the nurse take?
Apply an ice pack to the joint
A nurse is providing teaching to the parents of an infant who is breastfeeding. When should the nurse instruct the parents to introduce solid foods in the infant's diet?
At 4 to 6 months of age
A nurse is performing a physical assessment on a 6-month-old infant. Which of the following reflexes should the nurse expect to find?
Babinski
A nurse is teaching about clinical manifestations of tracheomalacia to the parent of an infant who had tracheoesophageal fistula repair as a newborn. Which of the following findings should the nurse include in the teaching?
Barking cough
A nurse is discussing the causes of chronic diarrhea with a client. Which of the following conditions is caused by malabsorption?
Celiac disease
A nurse is teaching the parent of a school-aged child who has celiac disease. Which of the following foods selected by the parent indicates an understanding of the teaching?
Corn tortilla with black beans
A nurse is creating a plan of care for a 6-month-old infant who requires continuous pulse oximetry monitoring. Which of the following interventions should the nurse include?
Cover the oximetry sensor with clothing
A nurse is caring for a child who has electrical burns on the lower arms and hands. Which of the following findings indicate the child is experiencing a complication of the injury?
Dark urine
A nurse is teaching a school-age child and his parents how to self-administer insulin. Which of the following actions should the nurse take first?
Demonstrate the injection technique on an orange
A nurse is caring for an infant who is 6 months old and has moderate dehydration. Which of the following findings should the nurse expect?
Dry mucous membranes
A nurse is planning to use guided imagery for an early school-aged child who continues to have mild discomfort following the administration of an analgesic. Which of the following techniques should the nurse plan to use?
Encourage the child to focus on a recent pleasurable experience
A nurse is assessing an 18-month-old infant who is postoperative. Which of the following pain scales should the nurse use?
FLACC
A nurse is assessing a 4-year-old child. The nurse should expect the child to be able to perform which of the following activities?
Fastening buttons on a shirt
A nurse is assessing a child who has bilateral pheochromocytoma. Which of the following findings should the nurse expect?
Hypertension
A nurse is caring for a toddler who has gastroenteritis caused by Salmonella. Which of the following is the priority action for the nurse?
Initiate contact precautions
A nurse is planning to implement relaxation strategies with a young child prior to a painful procedure. Which of the following actions should the nurse take?
Rock the child using long, rhythmic movements
A nurse is creating a plan of care for an 18-month-old toddler who has cerebral palsy. Which of the following interventions should the nurse include?
Use manual jaw control when feeding the toddler
A nurse is providing education for a group of parents about toddler language development during a well-child visit. Which of the following findings should the parent expect in an 18-month-old?
Vocabulary of 10 or more words
A nurse is providing teaching about home care to the parent of a child who has newly applied fiberglass leg cast. Which of the following statements should the nurse include?
"Monitor the color of your child's toes every 4 hours for 24 hours."
A nurse is caring for an 18-year-old adolescent who is up-to-date on immunizations and is planning to attend college. The nurse should recommend which of the following immunizations prior to moving into a campus dormitory?
Meningococcal polysaccharide
A nurse is providing teaching to the guardian of a child who has Kawasaki disease. Which of the following statements by the guardian indicates an understanding of the teaching?
"My child will likely be irritable for the next few weeks" "I will ensure my child does not receive any live vaccines for at least 18 months" "I will keep a record of my child's temperature until she has no fever for several days"
A nurse is teaching the parents of a child who has cerebral palsy. Which of the following statements should the nurse make?
"Your child will need a botulinum toxin A injection to reduce muscle spasticity."
A nurse is discussing disciplinary techniques with the guardian of a preschooler. Which of the following actions indicates to the nurse that the guardian is using age-appropriate disciplinary technique?
The guardian places the child in time-out after misbehaving
A nurse is caring for a toddler. Which of the following objects should the nurse select from the playroom for this child during hospitalization?
10-piece wooden puzzle
A nurse is planning care for a 10-month-old infant who has suspected failure to thrive (FTT). Which of the following interventions should the nurse include in the plan of care?
- Observe the parent's actions when feeding the child - Maintain a detailed record of food and fluid intake
A nurse on the pediatric unit is caring for a group of clients. Which of the following findings should be the nurses's priority?
A child who has sickle cell anemia and a urine specific gravity of 1.030
A nurse in an emergency department is assisting with the care of a 4-year-old child who ingested toilet bowl cleaner. The child has hemoptysis, is crying, and states, "It burns." Which of the following actions should the nurse perform?
- Identify how much cleaner was in the bottle - Insert an IV for morphine administration - Apply a pulse oximeter
A nurse is caring for a preschool-age child who is dying. Which of the following findings is an age-appropriate reaction to death by the child?
- The child views death as similar to sleep - The child believes his thoughts can cause death - The child thinks death is a punishment
A nurse is teaching the parents of an infant about treatment options for profound sensorineural hearing loss. The nurse should include which of the following pieces of information about the function of cochlear implants?
They provide direct stimulation of auditory nerve fiber
A home health nurse is developing a plan of care for a toddler who has hemophilia. Which of the following instructions for the parents should the nurse include in the plan?
Inspect the toddler's toys for sharp edges
A nurse is caring for a 6-week-old infant following a pyloromyotomty. Which of the following forms of feeding should the nurse anticipate for the infant 6 hr after the procedure?
Small, frequent bottle feedings of electrolyte solution
A nurse in the emergency department is assessing an infant who recently started taking digoxin to treat a supra ventricular arrhythmia. Which of the following findings should the nurse identify as an indication of digoxin toxicity?
Vomiting
A nurse is teaching the parent of a child who has ADHD and a new prescription for methylphenidate sustained-release tablets. Which of the following statements by the parent indicates an understanding of the teaching?
"I should give this medication to my child half an hour before breakfast."
A nurse is teaching an adolescent about managing asthma and using a peak expiratory flow meter. Which of the following statements by the client demonstrates an understanding of the teaching?
"I will continue to take my medication when my peak flow rate is in the green zone."
A nurse is teaching the parent of a toddler about home safety. Which of the following statements by the parent indicates an understanding of the teaching?
"I will lock my medications in the medicine cabinet."
A nurse is providing teaching to the guardians of a 4-month-old infant on how to play with the infant. Which of the following play activities should the nurse suggest for this infant?
Allow the infant to splash in the bathtub
A nurse is preparing to feed an infant who has a cleft lip and palate. Which of the following actions should the nurse plan to take?
Burp the infant at least 2 to 3 times during the feeding
A charge nurse is providing education about child maltreatment to a group of newly licensed nurses. Which of the following pieces of information should the charge nurse include in the training?
Children who were born prematurely are more likely to be maltreated
A nurse in a pediatric clinic is caring for a 3-year-old child who has a blood lead level of 3mcg/dL. When teaching the toddler's parents about the correlation of nutrition with lead poisoning, which of the following pieces of information is appropriate for the nurse to include?
Ensure the child's dietary intake of calcium and iron is adequate
A nurse is preparing to assess an 11-month-old infant during a well-child examination. Which of the following actions should the nurse take?
Examine the infant's throat at the end of the examination
A nurse is assessing a 24-month-old toddler who has a new diagnosis of autism spectrum disorder (ASD). Which of the following findings should the nurse expect?
Impaired language skills
A nurse is caring for a 16-year-old client who reports dysmenorrhea and asks about alternative therapies for treatment. Which of the following statements should the nurse make?
"Herbal medication can be effective but should be monitored by your provider."
A nurse is assessing a 6-year-old child who began treatment for pneumococcal pneumonia 4 days ago. Which of the following findings should the nurse identify as an indication the treatment is effective?
Heart rate 118/min
A nurse is planning to teach a 9-year-old child who has a new diagnosis of diabetes mellitus. The nurse should identify that school-aged children are attempting which of the following developmental tasks?
Industry vs. Inferiority
A nurse is caring for an infant who is experiencing dehydration. Which of the following assessments is the nurse's priority?
Measure the client's weight daily
A nurse is reviewing laboratory findings of an adolescent who has acute renal failure. Which of the following findings should the nurse expect?
Metabolic acidosis
A nurse is admitting a child who has a history of tonic-clonic seizures. Which of the following items is the priority to have in the child's room?
Suction equipment
A nurse is teaching an adolescent about various strategies for chronic pain management. Which of the following activities should the nurse use as an example of the nonpharamcological strategy of thought-stopping?
Repeat memorized facts about the painful event
A nurse is teaching the parent of a child who has ADHD and a new prescription for methylphenidate sustained-release tablets. Which of the following pieces of information should the nurse include in the teaching?
"Weigh your child twice per week while he is taking this medication."
A nurse is teaching an adolescent client who has type 1 diabetes mellitus about managing hypoglycemia. Which of the following statements should the nurse include in the teaching?
"You should drink 8 oz of a regular soft drink if you experience hypoglycemia."
A nurse is caring for a child who has paralytic poliomyelitis. Which of the following actions should the nurse take?
Administer oral analgesics prior to exercises
A nurse is teaching a group of parents of toddlers about measures to reduce the risk of choking. Which of the following foods increase the risk of choking in toddlers?
Hot dogs grapes bagels marshmallows
A nurse is assessing a 30-month-old toddler during a well-child visit. Which of the following findings requires further assessment by the nurse?
The toddler's birth weight is tripled
