pediatrics exam 1

A nurse is preparing to administer digoxin to a six-month-old infant. Prior to administering the dose, the nurse measures the apical heart rate. The nurse should withhold the dose if the infant's apical heart rate is less than what rate?

90

A nurse is caring for a school age child who has a systemic disorder and is receiving antibiotics, immunosuppressants and corticosteroids. Both parents have a smoking history. The child reports soreness in his mouth and refuses to eat. Inspection of his mouth reveals a white, milky plaque that does not come off with rubbing. The nurse should suspect which of the following conditions?

Candidiasis

A nurse is assessing a 6-month-old infant at a well child visit. Which of the following findings should the nurse expect?

Closed posterior fontanel

A nurse is caring for child who is two hours post tonsillectomy which of the following fluid items should the nurse offer the child at this time?

Crushed Ice

A nurse is monitoring a three-month-old infant for signs of increased cranial pressure. On palpation of the fontanels the nurse should note that the anterior fontanels are soft and flat. Based on this finding which nursing actions is most appropriate?

Document the findings

The nurse is caring for a two-month-old infant that is following a repair of cleft lip PALATE. The provider prescribed restraints, the nurse should apply which of the following restraints for this infant?

Elbow restraints

A nurse is caring for a 2-month-old infant who is post op following the surgical repair of a cleft lip. Which of the following actions should the nurse take?

Encourage the parents to rock the infant

The nurse is providing teaching about lice to the parents of a school age child at a well child visit. Which of the following information should the nurse include in the teaching?

Encourage your child to avoid sharing hats with other children

A nurse is teaching nutrition guidelines to a parent of a newborn. Which of the following statements by the parents indicates an understanding of the teaching?

I should wait to give fruit juice until my baby is six months of age

A nurse is assessing an infant following a motor vehicle crash. Which of the following findings should the nurse monitor to identify increased ICP?

Increased sleeping

A nurse in the clinic is teaching the mother of a 4-month-old infant who has been breastfed. The mother plans to switch her infant to an iron fortified formula. Which of the following should be included in the teaching?

Iron stores in infants begin to deplete

A nurse is preparing to administer vaccines to a 1-year-old child. Which of the following vaccines should the nurse give? Select all that apply.

MMR Varicella

A nurse is caring for a toddler who is 24 hours post op following a cleft palate repair. Which of the following actions should the nurse take?

Administer opioids for pain

A nurse is assessing a three-month-old infant. Which of the following findings should the nurse report to the provider?

inability to raise head when in a prone position

A nurse is assessing a 15-month-old toddler. Which of the following findings should report to the provider?

inability to stand upright without support

The parents of a four-year-old child tell the nurse that the child believes that there is a monster hiding in their closet at bedtime. Which of the following statements should the nurse make?

keep a nightlight on in the room

A nurse is providing health promotion teaching to the parents of a toddler. Which of the following information should be included in the teaching? select all that apply

management of tantrums dental care

A nurse is assessing a preschooler who has a calcium level of 8. Which of the following findings should the nurse expect?

muscle tremors

A nurse is admitting a ten-month-old infant who is being hospitalized for a respiratory infection. The nurse developed a plan of care for the infant and includes which most appropriate intervention?

provide a consistent routine with touching, rocking, and cuddling

The nurse notes that a six-year-old child does not recognize that objects exist even when the objects are outside of the visual field. Based on this observation which action should the nurse take?

report this observation to the pediatrician

An infant with a diagnosis of hydrocephalus is scheduled for surgery. Which is the priority nursing intervention preoperative period?

reposition the infant frequently

A nurse is assessing a three-year-old child at a routine wellness checkup. Which of the following findings should the nurse expect?

stands on one foot for a few seconds

A nurse is teaching the parents of a toddler about temper tantrums. Which of the following should the nurse be included in the teaching?

temper tantrums are the toddlers attempt to get control over the situations

The nurse is assessing a preschooler. Which of the findings should indicate the nurse's need for speech therapy? Select all that apply

the preschooler mispronounces words, and talks in a nasally tone

The nurse is preparing to administer a vaccine to a four-year-old child. Which of the following vaccines should the nurse administer?

varicella

A nurse is assessing a child in an area that was struck by an earthquake. The child who is crying and can walk well and state their first name and can repeatedly say all done and bye bye now and has 20 teeth anterior fontanelle is closed. Based on this, how many months old is this child?

30 months

A nurse is completing an assessment of a one-month-old newborn. Which of the following developmental skills are expected findings?

Follows movements of objects with eyes

A nurse is caring for a six-month-old infant. Which of the following findings indicates to the nurse that the infant might be experiencing pain?

Furrow brow

A nurse is caring for a 3-year-old child whose parents report she has intense fear of painful procedures such as injections. Which of the following strategies should the nurse add to the child's plan of care? Select all that apply.

Have a parent stay with the child during procedures Perform the procedure as quickly as possible Allow the child to keep a toy from home with her

A nurse is caring for a newborn whose mother is positive for hepatitis b surface antigen. Which of the following should the infant receive?

Hepatitis b immunoglobulin and hepatitis b vaccine within 12 hours of birth

The nurse is caring for a toddler. Which of the following statements should the nurse use when trying to obtain their vital signs?

I am going to listen to your heart

A nurse is caring for a child who has influenza. The nurse should identify which of the following statements by the parents indicates the child has an increased risk for Reye's syndrome?

I give my child aspirin to reduce his fever

A nurse is caring for an adolescent who has spina bifida and paralysis from the waist down. Which of the following statements by the client should indicate the nurse's need for further teaching?

I only need cath myself twice a day

A nurse is caring for a 6-month-old infant. Which of the following findings should indicate to the nurse that the client is experiencing pain following a procedure?

Increased crying episodes

A 16-year-old client is admitted for acute appendicitis and an appendectomy is performed. Which nursing intervention is most appropriate to facilitate growth and development post op?

allow client to interact with others of their same age

The maternity nurse is providing instruction to a new mother about the psychosocial needs of newborn infants. Using Erikson's developmental theory, the nurse instructs the mother to take which action?

allow the newborn to signal a need

A nurse is caring for an 18-month-old toddler who has been hospitalized for 10 days after the toddler's mother leaves the room the nurse observes the toddler sitting quietly in the corner of the crib sucking her thumb. When the nurse approaches the crib, the toddler turns away from the nurse, the nurse should understand that these behaviors indicate which of the following developmental reactions?

an anxiety reaction

A nurse is planning care for a ten-month-old infant who is eight hours following a cleft palate repair. Which of the following interventions should the nurse include in the infant's plan of care?

apply and release elbow restraints every hour

The mother of an eight-year-old child tells the clinic that she is concerned about the child because the child seems to be more attentive to friends than anything else. Using Erikson's psychosocial developmental theory, the nurse should make which response?

at this age the child is developing their own personality

A nurse is caring for a 12-month-old toddler who is hospitalized and confined to a room with contact precautions in place. Which of the following toys should the nurse recommend meeting the developmental needs of the client?

building blocks

A nurse is teaching about safety recommendations for a car seat for parents of a 24-month-old toddler who is in the 50th percentile for height and weight. Which of the following instructions should the nurse include in the teaching?

position the toddler rear facing in the middle of the back seat

The nurse in the clinic is assessing a nine-month-old infant. Which of the following findings requires further intervention?

positive moro reflex

A nurse is speaking with the mother of a six-year-old child. Which of the following statements by the mother should concern the nurse?

the teacher says my child must squint to see the board

A nurse is caring for a two-year-old child who is hospitalized and is throwing a tantrum when his parents leave. Which of the following toys should the nurse provide to alleviate the child's stress?

toy hammer and pounding board

A nurse is providing anticipatory guidance about child development to the parents of a preschooler. Which of the following developmental tasks should the nurse include as being expected for a preschooler?

Participates in imaginary play

A nurse is orienting a newly licensed nurse in the care of an infant who has a myelomeningocele. Which of the following actions by the new nurse indicates that the teaching has been effective?

Takes an axillary temperature

A nurse is reviewing data for four children. Which of the following children should the nurse assess first?

10-year-old child who has sickle cell anemia and reports severe chest pain

A nurse is obtaining the length and weight of a 6-month-old infant. Which of the following actions should the nurse take? Select all that apply

Place a disposable covering on the scale. Measure the infant from the crown of their head to the heels of their feet. Balance the scale to 0 prior to use.

A nurse is caring for a toddler who is having difficulty sleeping after hospitalization. Which of the following actions should the nurse take to prompt sleep?

Provide bedtime rituals

A nurse is planning care for a four-year-old child who requires airborne precautions. Which of the following activities should the nurse plan for the child?

Putting a large piece puzzle together

Decerebrate posturing signs?

Rigid extremities and pronation of arms/ legs

A nurse is providing anticipatory guidance about child development to the parents of a toddler. Which of the following developmental tasks should the nurse include as expected of a toddler?

Separates easily from primary caregiver for short periods of time

A nurse is caring for a group of adolescents which of the following findings should be reported to the provider immediately?

bp changes from 112/60 to 90/54 when standing

A nurse is caring for a child who has red marks across his cheeks. Which of the following actions should the nurse take?

Assess the rest of the child's body for a rash

A school nurse identifies a child has pediculosis capitis and educates the child's parents about the condition. Which of the following statements by the parents indicates an understanding of the teaching?

All recently used clothing, bedding and towels must be washed in hot water

A nurse is caring for a child who is having a seizure. Which of the following actions should the nurse take? Select all that apply

Assess the client's airway remove objects from the bed place client in a side lying position

A nurse is planning care for a 6-year-old child who has bacterial meningitis. Which of the following interventions is unnecessary in the clients plan of care?

Measure head circumference every shift

A home health nurse is creating a plan of care for a patient who has hemiplegic cerebral palsy. Which of the following goals is the priority for the nurse to include in the plan of care?

Modify the environment

The nurse is assessing the psychosocial development of a toddler. The nurse should recognize this stage is characterized by which of the following?

Negative behaviors characterized by the need for autonomy

A nurse is caring for a patient who is post op following a VP shunt placement. In which of the following positions should the nurse place the client?

On the unoperated side

A nurse is teaching a parent of a six-month-old infant about car safety. Which of the following statements by the parent shows an understanding of the teaching?

Our car seat is an infant model and is anchored into the car

A nurse is caring for a newborn whose mother voices concern about sudden infant death syndrome. The nurse should include which of the following in the discussion with the mother?

Place the baby on its back while sleeping

A nurse is caring for a child who has a suspected diagnosis of bacterial meningitis. Which of the following actions is the nurse's priority?

Place the child in isolation

A nurse is caring for a child who is experiencing a seizure. Which of the following actions should the nurse take?

Position the child laterally

A nurse is assessing a 3-year-old child at a routine wellness checkup which of the following findings should the nurse expect?

Stands on one foot for a few seconds

A nurse is planning to discharge a child who has a prescription for a new antibiotic. Which of the following information should the nurse include in the discharge instructions? Select all that apply.

The reason why the child is taking the medication. Written information about the medication. The adverse effects of the medication.

A nurse is administering ear drops to a toddler and pulls the oracle down and back. The mother asks why are you pulling the ear that way, which of the following explanations should the nurse provide?

This technique opens the ear canal allowing medications to reach the inner ear region

The nurse is preparing to administer a vaccine into the deltoid muscle of a preschooler. Which of the following actions should the nurse take?

Use a half inch needle

A nurse is providing teaching to the parents of a one-week-old infant who has a prescription for home oxygen and pulse ox monitoring. Which of the following statements by the parents indicates a need for further teaching?

We will rotate the probe of the pulse ox every 24 hours

A nurse is preparing to assist the placement of a cast to a preschooler's arm. Which of the following actions should the nurse take?

Wrap the arm of the child's doll or toy prior to the procedure

A nurse is providing teaching to the parents of a newborn. Which of the following information should the nurse include?

Your baby will receive a hepatitis vaccine prior to discharge

A nurse is providing health promotion teaching to an adolescent. Which of the following information should the nurse include in the teaching?

Your need for sleep with increase during periods of growth

What car safety device should be used for a child who is eight years old and four feet tall?

booster seat

A nurse in the clinic is assessing a seven-month-old infant. Which of the following indicates a need for further evaluation?

babbles one syllable sounds

A nurse is planning care for a ten-year-old child who will be hospitalized for an extended period. Which of the following actions should the nurse include in the plan of care to meet the client's psychosocial needs according to Erikson?

encourage the client to complete schoolwork

A nurse at the pediatric clinic is talking to the mother of a preschool aged child. The mother tells the nurse that her son is a picky eater. Which of the following instructions should the nurse include in the teaching?

expect that food consumption might not decrease significantly

A nurse is developing a health program for parents of school aged boys. Which of following information about pubescent changes should the nurse included in the program?

growth spurts in height occur toward the end of mid puberty

A nurse is planning care for a five-month-old infant who is scheduled for a lumbar puncture to rule out meningitis. Which of the following actions should the nurse include in the plan of care?

hold the infant's chin to chest and knees to abdomen during the procedure

A nurse is planning to care for an adolescent who is post op following scoliosis repair with harrington rod instrumentation. Which of the following interventions should the nurse include in the plan of care?

institute use of a PCA Pump

The nurse is reviewing laboratory results of four children. Which of the following report to the provider?

iron 38 mcg