Peds final

A child with Type I diabetes and a blood glucose level of 630 mg/dL is in diabetic ketoacidosis (DKA). Which of the following signs/symptoms would the nurse expect to see? Select all that apply

Blurred vision, Increased thirst, Fruity breath odor, Altered consciousness

Expected outcome(s) when caring for Jackson and his family include which of the following? (Select all that apply)

He is free from seizures, or seizure activity is diminished, Medications are administered and adhered to properly by Jackson's caregiver, Jacksons's caregiver and teachers demonstrate the correct actions to take to prevent injury when a seizure does occur, Jackson experiences minimal side effects of seizure medications, Jackson's caregiver receives adequate support to cope with his condition

During assessment, the pediatric patient reports good control of asthma symptoms with no interferences in daily activities and one incidence of nighttime coughing in the past month. The patient uses a rescue inhaler occasionally during the week for asthma exacerbations. The patient would be classified as having which level of asthma severity?

Mild intermittent

History of a 3-year-old child with suspected brain tumor may include: select all that apply

Recent behavior changes, waking up with complaints of "head hurting", Frequent falls, Bumping into furniture, Decreased interest in surroundings

During an admission assessment, the nurse notes a sudden onset of tonic contractions of the patient's entire body followed by clonic contractions alternating with relaxation of all muscle groups. What action(s) should the nurse take? (Select all that apply)

Check for a patent airway, Raise the side rails and remove any safety hazards

The nurse is taking the health history from a young adult with hemophilia. The nurse should ask the client whether he is experiencing any signs and symptoms of which of the following chronic illnesses?

Osteoarthritis

A child in the pediatric unit has the morning lab tests results of Hgb 10.0, Hct 32.2, WBC 24,000, and platelets 20,000. What are the priority nursing care you will include in your care plan?

Monitor for fever, Assess for bruising on the skin, Assess for gum bleeding

A 4-month-old infant is assessed in the ER for potential dehydration. The lab test results are- potassium 3.0 mEq/L and sodium 130 mEq/L. Which of the following is the most likely cause of the child's lab results?

Baby has gastroenteritis

Early symptoms of bowel obstruction in children include: Select all that apply

Bilious vomiting, Abdominal distention, Constipation

A 4 month old child is admitted with a diagnosis of intussusception. The nurse would expect the infant to have (select all that apply)

Bilious vomiting, Abdominal distention, Incessant crying

A 7-year-old child has been seen in the pediatric clinic three times in the last 2 months for complaints of abdominal pain. The child's physical examination and all ordered lab work have been normal. Which of the following questions of the parents by the nurse would help to determine the etiology of this child's abdominal pain?

"Have there been any changes in your child's school or home life recently?"

Which statement(s) by the caregiver indicate(s) that the education about sickle cell anemia has been effective? (Select all that apply)

"It is important for Brittany to drink enough fluid", "We will give acetaminophen whenever Brittany has a fever", "The vaso-occlusive crises are very painful for Brittany"

The nurse is teaching Jackson's caregiver about phenobarbital and medication adherence. Which of the following statement(s) by Jackson's caregiver indicate(s) that teaching has been effective? (Select all that apply)

"Jackson will need to take the medication daily, even if he's not having seizures", "Jackson needs to take the phenobarbital at the same time daily", "Jackson will need to have his phenobarbital levels checked regularly"

Which of the following statements should be included in the parent teaching of a 7-month-old infant about preventing anemia?

"Milk is a poor source of iron and infants should be given solid foods rich in iron such as cereals, vegetables, and meat"

Which question(s) would the nurse ask Charlie's caregiver before developing a plan of care? (Select all that apply.)

"What reactions has Charlie had to peanuts in the past?", "Does Charlie have any other allergies?", "Has Charlie ever had any surgical procedures?", "Does Charlie have any other medical conditions?", "Did you give Charlie any medications before seeking care?", "For how long has Charlie had shortness of breath?"

An experienced nurse is describing to a new nurse how epinephrine works. Which description correctly explains the mechanism of action of epinephrine?

Increases systemic vascular resistance and heart rate

A nurse is preparing to assess an infant. Which of the following is an appropriate action by the nurse to prepare the child?

Keep medical equipment invisible to the child, Let the mother hold the infant during assessment, Provide a rattle to the infant to hold

Jackson experiences a generalized tonic-clonic seizure while the nurse is caring for him. Which intervention(s) should the nurse perform initially to ensure Jackson's safety? (Select all that apply)

Keep side rails raised at all times and padded, Place Jackson in side-lying position, Ensure oxygen and suction are at bedside

A nurse observes that a school-age child who is hospitalized appears stressed. Which is the most likely stressor for this child?

Loss of body parts

A nurse is explaining to a colleague the relationship between anaphylaxis and distributive shock. The nurse's explanation is based on the knowledge that distributive shock is caused by which physiological process?

Massive systemic vasodilation

A nurse is conducting a well-baby visit with a 1-year-old infant. Which of the following immunizations should the nurse plan to administer to the infant?

Measels, Mumps, Rubella (MMR), Varicella

Nursing care of children receiving chemotherapeutic agents include: select all that apply

Meticulous skin care, High protein high calorie diet, Measures to prevent exposure to infectious agents, Frequent mouth care

A 4-year-old patient admitted with dehydration has an order for a urinalysis. What is the best and most appropriate way for the nurse to collect the urine specimen?

Midstream clean catch

A 5-year-old patient with sickle cell anemia has an order for acetaminophen elixir 240 mg every 6 hours (15 mg/kg/dose) around the clock for pain. Which method is most appropriate for the nurse to employ to administer the medication?

Place medication in an oral syringe and allow the patient to squirt into their mouth

A 1 month old child is post-op from a cleft lip repair. Which of the following interventions should the nurse perform?

Place the child in an elbow restraint system

Which of the following activities demonstrates that an infant has a healthy achievement of Erikson's developmental task?

Plays in the crib comfortably with mother in the room, Clings to the mother when a stranger approaches

A nurse is conducting a well-baby visit with a 4-month-old infant. Which of the following immunizations should the nurse plan to administer to the infant?

Polio (IPV), Pneumococcal vaccine (PCV), Rotavirus

A 10-year-old admitted in the emergency department has the lab results including hemoglobin of 8 grams/dL and hematocrit of 24%. Based on these findings, what nursing actions has the highest priority?

Promoting nutrition, Conserving energy

A nurse must administer maintenance fluid intravenously to a patient weighing 43 lb. What is the daily maintenance fluid requirement for this patient?

1,475 mL/day

The nurse is caring for a 4-year-old patient admitted with suspected dehydration. What is the daily oral fluid maintenance requirement in millimeters for the patient weighing 45 lb?

1,510 mL

The provider has given an order for acetaminophen suspension 240 mg orally every 4 to 6 hours as needed for fever. Which consideration does the nurse need to remember when administering acetaminophen?

Acetaminophen can affect laboratory test results for hemoglobin and hematocrit

A patient with sickle cell disease experiencing a vaso-occlusive crisis comes to the emergency room for evaluation. Which acute manifestations of vaso-occlusive crisis would the nurse expect to see in this patient?

Acute leg pain and dactylitis

6-year-old patient admitted with anaphylaxis, the nurse notes that the skin is cool, central and peripheral pulses are weak, and capillary refill is prolonged. The patient is responsive and anxious, with a heart rate of 140, respiratory rate of 32, blood pressure of 106/60, and oxygen saturation of 91%. What is the most appropriate initial intervention to support perfusion?

Administer 20 mL/kg of intravenous (IV) fluid bolus.

During the nurse's initial assessment of a 5-year-old child admitted with vaso-occlusive crisis, the patient reports a pain level of 8 on the FACES scale. The patient is lying quietly in bed watching television. Which action would the nurse take?

Administer the prescribed analgesic as ordered

What other information is needed to plan care for Brittany? (Select all that apply)

Allergies, Medical history, Urinary output, Current weight

The nurse is preparing an 8-year-old for a CT scan of the chest. Which action would the nurse take when explaining the procedure to the patient?

Allow the child to watch a video of the procedure

When admitting Eva to the hospital, which action(s) would the nurse prioritize? (Select all that apply)

Assess Eva's heart rate, Assess Eva's skin turgor, Ask about Eva's last urine output

When developing the plan of care for Brittany, which intervention(s) would the nurse consider? (Select all that apply)

Assess circulation every 2 hours, Massage the affected extremity, Encourage oral fluid intake, Monitor urinary output

The nurse is preparing to administer methylprednisolone to a 6-year-old patient with anaphylaxis. The patient is allergic to peanuts but has no other pertinent medical conditions. Which assessment finding would be most important for the nurse to monitor during medication administration?

Blood pressure

Which assessment finding(s) for Brittany would the nurse document as within normal limits? (Select all that apply)

Blood pressure of 100/60 mmHg, Temperature of 99 F, Heart rate of 102 beats/min

The nurse would expect which laboratory result(s) to be elevated in Eva? (Select all that apply)

Blood urea nitrogen (BUN), Serum sodium, Creatinine, Urine specific gravity

The nurse is concerned about Sabina's airway. Which assessment finding(s) would indicate the development of respiratory failure? (Select all that apply)

Bradycardia, PaCO2 60 mmHg, Cyanosis

A 5-year-old with a history of sickle cell anemia presents to the emergency room with acute leg pain. When obtaining the health history, the nurse should include questions related to which factor(s)? (Select all that apply)

Frequency of vaso-occlusive crises, Precipitating events, Past hospitalizations and treatment, Immunization history

Which assessment finding(s) would indicate that the treatment was effective? (Select all that apply).

Clear breath sounds, Blood pressure 100/72 mmHg, 3+ peripheral pulses

The role of the pediatric nurse has many components. Which of the following components includes the nurse's work with the interdisciplinary health care team to integrate the needs of the patient and family into a coordinated plan of care?

Collaborator

Eva is placed on isolation precautions until the source of gastrointestinal distress is determined. Which type of precautions would be appropriate to implement? (Select all that apply)

Contact precautions, Standard precautions

The nurse is assessing a 4-year-old patient with a 4-day history of vomiting and diarrhea. Which of the following sign(s) would indicate that this patient is severely dehydrated? (Select all that apply)

Cool, Mottled extremities, Deeply sunken orbits

The nurse is caring for a preschool-aged patient admitted with dehydration. Which of the following measurements is the best indicator of fluid status in this patient?

Daily weight

If the medications are effective, the nurse would expect which assessment finding(s)? (Select all that apply)

Equal chest expansion, Respiratory rate 20 breaths/min

A nurse is assessing the pain level of a 5-year-old patient hospitalized with vaso-occlusive pain crisis. Which pain scale would the nurse use to assess this patient?

FACES scale

A 4-year-old patient comes to the emergency room with a 3-day history of vomiting and diarrhea. The patient weighed 21.8 kg at a well-child checkup 1 month ago and now weighs 20.5 kg. The nurse knows that the patient would be classified as having which of the following levels of dehydration?

Moderate dehydration

Which intervention(s) would the nurse include in the plan of care when treating Charlie? (Select all that apply.)

Monitor airway and breathing., Assess for cardiac arrhythmia., Administer supplemental oxygen., Administer fluid replacement.

A nurse is teaching new parents about preventing the development of food allergies. Which of the following foods would the nurse tell the parents is the most allergenic?

Peanuts

The nurse is obtaining a health history for a patient showing signs of dehydration. Which of the following are considered risk factor(s) for dehydration? (Select all that apply)

Vomiting, Diabetic ketoacidosis, Excessive burns, Diarrhea

The mother of a 2-year-old diagnosed with Tetrology of Fallot is asking questions regarding how much physical activity she can allow him. The nurse's best answer is

"Allow him to regulate his activity"

What is the correct dose of elemental iron for a 2 year old child, weighing 22 pounds? The normal dosage for children up to 2 years is 6 mg/kg/day

15 mg every 6 hours

A child with leukemia received chemotherapy 10 days ago. She presents today with a temperature of 100.4 F, an absolute neutrophil count of 500, and mild bleeding of gums. What is the priority nursing function?

Administer IV antibiotics as ordered

Which of the following is an appropriate nursing intervention when caring for a hospitalized 10-year-old child with bacterial pneumonia?

Administer analgesics for pain

A nurse should question which of the following orders by a primary healthcare provider for a child admitted with a sprained wrist and a history of hemophilia?

Administer aspirin as needed for pain

A nurse is planning care for a child with asthma. Which of the following interventions should the nurse include in the plan of care? Select all that apply

Administer bronchodilators, Monitor oxygen saturation, Place the child in an upright position

A child with Kawasaki disease is admitted to the pediatric unit. Since promotion of comfort is an appropriate nursing care goal, the nurse

Administers aspirin and immunoglobulins as ordered

Classic symptoms of celiac disease include: Select all that apply

Failure to thrive, Diarrhea, Steatorrhea

An infant is admitted to the pediatric unit with a diagnosis of pyloric stenosis. The nurse would expect to see which of the following clinical manifestations? Select all that apply

Failure to thrive, Projectile vomiting, Palpable abdominal mass

The hypotonic infant will feel rigid and display an extended trunk and legs

False

An emergency department nurse is interviewing a 12-year-old who is admitted with a fever of 102 F, knee pain, and a rash on the trunk. Which of the following elements in the child's health history should the nurse view as related to the child's clinical findings?

Four-day absence from school last month with a sore throat

A nurse is reviewing lab results and notes that a 5-year-old patient's serum phenobarbital level is 8 mcg/mL. Phenobarbital is considered therapeutic at levels between 10 and 40 mcg/mL. What is the nurse's best interpretation of this data?

Further assessment is needed regarding phenobarbital administration and adherence to therapy

The nurse is caring for a 6-year-old with Juvenile idiopathic arthritis. The mother states that she has trouble getting her daughter out of bed in the morning and believes the girl's behavior is due to a desire to avoid going to school. What is the best advice by the nurse?

Give the child the prescribed NSAIDS 30 minutes before getting out of bed

A nurse is performing a developmental screening on a 10-month-old infant. Which of the fine motor skills should the nurse expect the infant to perform? Select all that apply.

Grasp a rattle by the handle, use a crude pincer grasp

Complications of chemotherapeutic agents cancer treatment include:

High risk for opportunistic infections, Anemia, Stomatitis, Alopecia

A nurse is caring for orthopedic children who are in the postoperative period following knee surgery and fracture repair. Her focuses nursing care assessment must include- select all that apply

Pedal pulse check, Capillary refill of the feet, Checking for warmth and sensation of the toes

A nurse is caring for a 3 year old with severe diarrhea. To monitor for the presence of dehydration, the nurse should assess which of the following signs/symptoms? Select all that apply

Pulse rate, Skin turgor, Urine specific gravity

Which of the following is a risk factor for developing Reyes Syndrome in a school age child?

Recent episode of Kawasaki disease

A nurse is performing a developmental screening on a 3-year-old child. Which of the following skills should the nurse expect the child to perform?

Ride a tricycle

The nurse is teaching a couple about motor vehicle safety for a 3 year old. Which of the following should be included in the teaching session?

The child car seat should be forward facing in the back seat of the car

The nurse is administering factor VIII to a child with hemophilia. The nurse should be observing for which of the following potential complication during the transfusion?

Transfusion reaction

Which of these factors contribute to infants' and children's increased risk for upper respiratory tract obstruction as compared to adults?

Underdeveloped cricoid cartilage and narrow nasal passages

A school health nurse is performing routine screening tests on middle school-aged girls. Which of the following findings would warrant a referral to the child's primary health care provider?

Uneven hip height

A child is admitted with possible coarctation of aorta. After reviewing the orders, which of the following orders should the nurse question

Vital sign on admission and then daily

The mother of a 7 year old who has been diagnosed with acute streptococcal pharyngitis asks the nurse, "When can my daughter go back to school?" Which of the following responses should the nurse give the mother? "Your daughter can return to school:

after she has taken antibiotics for 24 hours"

An 8-year-old child with asthma states "I want to play sports like my friends. What can I do?" Which of the following is an appropriate response by the nurse?

"As long as you take your medicines you should be able to join a team"

The nurse is obtaining a health history of a 6-year-old child who is being seen at the clinic for the first time. Which of the following questions should the nurse ask the child during the interview? Select all that apply

"Do you have any pets at home?", "Can you tell me how many 1+1 makes?", "Can you tell me the name of one of your school friends?", "What kinds of things do you like to play during recess at school?"

The nurse is providing Eva's mother with discharge instructions regarding diet progression. Which of the following responses by Eva's mother indicate(s) that teaching has been effective? (Select all that apply)

"Eva can drink grape-flavored oral rehydration solution as prescribed in small amounts", "Eva should drink an oral rehydration solution in small amounts until she is ready to progress to a regular diet"

A toddler is receiving liquid iron for iron deficiency anemia. What is the best response by the mother regarding her understanding of administering this medication?

"I will give the iron in a cup with straw"

A newborn baby, 1 day old, has been diagnosed with a ventriculoseptal defect (VSD). Which of the following statements would be appropriate for the nurse to make to the parents?

"It is common for babies with VSDs to develop normally and for the defects to close on their own"

The nurse recognizes that ______ is the most likely cause of Jackson's seizure, and it will be necessary to perform ________ before discharge

1: medication nonadherence 2: patient/family education

Which of the following assessment findings would lead the nurse to suspect that a 3 month old with an upper respiratory infection is experiencing respiratory distress? Select all that apply

Grunting, Coughing, Restlessness

A child is in hospital with skeletal traction. The nurse should monitor this child for which of the following complications?

Infection

A nurse is providing anticipatory guidance to a mother whose child is now 12 months old. Which of the following information should the nurse include regarding the child's eating patterns?

"It is not unusual for toddlers' diets to be erratic. One day he may eat only fruit then refuse to eat fruit the next day when he will eat only cereal."

The nurse is providing discharge instructions for a child who has suffered a head injury within the last four hours. The nurse determines there is a need for additional teaching when the mother states?

"My child should sleep at least 8 hours without arousing after we got home"

A child with respiratory infection is scheduled to have a sweat test. After the physician's explanation about the test, the mother approaches the nurse for more questions. Which of the following response would best reinforce the physician's teachings?"

"This will assess whether your child's sweat glands are functioning"

A 13 year old child has had allergic asthma for the past 4 years. The nurse is discussing the diagnosis with the child and the child's parents. Which of the following statements by the father of the child best reflects a positive adjustment to the disease?

"We encourage our child to participate in his favorite athletic activities after school"

A 7-year-old child is brought to the emergency dept for an acute asthma attack. He is wheezing, tachypneic, and diaphoretic and looks frightened. The nurse should prepare to administer which of the following?

Albuterol

An infant is seen in the pediatrician's office with otitis media for the third time since birth. To prevent future bouts of otitis, which of the following information should the nurse include in the discharge instructions? The parents should:

Avoid taking their child to places where tobacco smoke is present

The best instruction regarding oral health to a 6-month-old infant's mother include

Clean your baby's gums, then the new teeth with a washcloth

A nurse is caring for an adolescent who experienced a serious head blow while playing football. There are no external wounds. Which of the following findings are indications of increased intracranial pressure? Select all that apply

Complains of headache, Alteration in pupillary response, Increased sleepiness

Based on a recommendation from the American Academy of Pediatrics, the nurse should advise a child's caregivers to do which of the following to help prevent sudden infant death syndrome?

Have the baby sleep in a supine position

The nurse is admitting a pediatric patient with a known seizure history with an order to implement seizure precautions. Which of the following intervention(s) should the nurse include in the patient's plan of care? (Select all that apply)

Keep bed in low position and remove objects from the bed, Supervise when ambulating or bathing, Keep oxygen and suction at the bedside

A nurse is checking the vital signs of a 3-year child during a well-baby visit. Which of the following findings should the nurse report to the provider?

Respirations 40/minute

The nurse is caring for an infant with cyanotic heart defect. Symptoms that indicate risk for congestive heart failure include? Select all that apply

Respiratory crackles and frothy secretions, Hepatomegaly, Rapid weight gain

A nurse is providing atraumatic care on the pediatric unit. Which of the following interventions is consistent with the nurse's care? The nurse:

Puts an anesthetic on an infant's arm one hour before an intravenous is inserted

A nurse is assessing a child who has epiglottitis. Which of the following findings should the nurse expect? Select all that apply

Drooling, Hoarseness and difficulty speaking, Difficulty swallowing

A nurse is teaching a family how to care for an infant in a Pavlik harness. Which of the following essential information should the nurse include in the parent's education instructions?

Put the tee shirt on under the harness

A 10-year-old child presents with a 2-day history of fever, abdominal pain, vomiting, and poor oral intake. Which findings would the nurse prioritize for immediate reporting to the physician?

Rebound tenderness and abdominal guarding

A nurse is caring for a pediatric patient who was recently diagnosed with sickle cell anemia. The patient's biological mother says, "I don't understand how one of my children contracted this disease when the other doesn't have it." In which way should the nurse respond?

"Because both biological parents have the sickle cell trait, your risk for having a child with sickle cell anemia is 25% with each pregnancy"

A nurse is caring for a preschool-aged patient experiencing generalized tonic-clonic seizures. This patient is at greatest risk for which of the following complication(s)? (Select all that apply)

Aspiration, Head trauma, Incontinence

A child with leukemia has the following lab results. Hgb 8.0, Hct 24.2, WBC 8,000, platelets 150,000. What is the priority nursing assessment?

Assess for pallor, fatigue, and tachycardia

A pediatric nurse is working in a community agency. Which of the following actions would be appropriate for the nurse to perform?

Encourage parents to have their children immunized

A nurse is performing a developmental screening on a 1-year-old child. Which of the following skills should the nurse expect the child to perform?

Have a 2-word vocabulary, Hold a pencil with the fingers

Which of Charlie's assessment finding(s) would require nursing intervention? (Select all that apply.)

Heart rate 120 beats/min, Dyspnea, Mild stridor, Respiratory rate 32 breaths/min

The nurse is preparing a 6-year-old patient who is experiencing an allergic reaction for an intramuscular epinephrine injection. Which statement demonstrates that the nurse understands developmentally appropriate communication?

"I am going to give you some medicine. It may make you feel a little shaky. Your parent can help hold your hand, and your job is to hold your arm still."

The mother of a 12-year-old boy, newly diagnosed with Type I Diabetes Mellitus, asks the nurse if she should have her son quit the soccer and 200 meter relay teams. Which statement made by the nurse is the most appropriate response?

"If your son eats a high carbohydrate snack before he starts exercising, he should be able to continue both sports"

The parents of a child diagnosed with congestive heart failure is being taught about drug therapy with digoxin and Lasix. Which statement from the parents indicates that they understood the teaching?

"It helps her heart by reducing the amount of water in her system"

Eva's mother asks why the health care provider ordered a stool culture with ova and parasites for Eva. Which of the following responses by the nurse identify(ies) the rationale(s) for the stool test ordered, given Eva's condition? (Select all that apply)

"The lab will check the stool for parasites to see if that is why Eva is having diarrhea", "The specimen will help the lab determine if Eva has rotavirus or other viruses", "The lab will assess for the presence of bacteria in Eva's stool"

A nurse is explaining the pathophysiology of asthma and asthma exacerbations to a group of nursing students at a workshop. Which statement(s) would the nurse include in the education? (Select all that apply)

"The smooth muscles of the airway increase in responsiveness, causing bronchoconstriction", "Chronic inflammation contributes to irreversible airway changes and decreased lung function", "Exposure to bacterial and viral infections increases airway responsiveness and inflammation"

The nurse is teaching Eva and her caregiver how to wash hands properly to prevent the spread of infection. Which statement would the nurse include in the education? (Select all that apply"

"Wash your hands for at least 15 seconds", "Sing the song 'Happy Birthday to You' twice to make sure you wash your hands for the right amount of time", "Wash hands after blowing your nose, coughing, or sneezing"

A nurse is teaching the parents of a 5-year-old girl, with newly diagnosed Type I diabetes, about how to manage the disease at home. Which of the following statements indicates that the parents understand the management of the disease?

"We should keep track of each spot where we insert the insulin medicine"

The nurse is preparing a 4-year-old patient for a clean-catch urine specimen collection. Which of the following demonstrates that the nurse understands developmentally appropriate communication?

"Your mommy will use a special wipe to clean your bottom and then will catch your pee-pee in a cup when you go potty"

To provide rapid relief, the nurse would first administer ______ and would monitor for the side effects of _______.

1: Epinephrine 2: tachycardia and hypertension

Based on the assessment finding of ______, the nurse suspects that Charlie is experiencing ______.

1: Stridor 2: Anaphylaxis

To care for Sabina, the nurse would first administer ______ to ______ and prevent respiratory failure

1: albuterol 2: dilate the bronchioles

The nurse is caring for a patient weighing 16 kg with an order to administer acetaminophen for acute pain crisis. The safe dosage range for children is 10 to 15 mg/kg/dose. What is the maximum safe dose for this patient in milligrams?

240 mg

A child weighing 35 lb, 7 oz is prescribed Ampicillin 100 mg/kg/day, per oral every six hours. How much will you administer at 12 noon? Round to the nearest 10th.

401.75 mg

The nurse has an order to administer a normal saline 20 mL/kg bolus intravenously over 30 minutes. The patient weighs 46.2 pounds. How many milliliters should the nurse prepare to administer?

420 mL

A nurse is preparing to assess a preschool-age child. Which of the following is an appropriate action by the nurse to prepare the child?

Allow the child to role-play using miniature equipment

The nurse encourages the mother of a toddler in hospital with acute LTB (laryngotracheal bronchitis) to stay at the child's bedside as much as possible. The nurse's rationale for this action is primarily which of the following?

Anxious children often cry increasing their oxygen needs

You are taking care of a 6-month-old child admitted with respiratory distress related to bronchiolitis. One of the nursing care goal is to decrease the metabolic requirements. What actions would you take to meet this goal? Select all that apply

Avoid oral feeding, Minimize crying episodes, Discourage parents from "force-feeding"

A 2-year-old child has known cardiac defect and is in congestive heart failure. Which assessment finding indicates to the nurse a toxic dose of digoxin?

Bradycardia, nausea, and vomiting

Which of the following activities demonstrates that a school aged child is showing age appropriate behavior as per Erickson's development theory?

Brings home completed school projects to show the family

The nurse is discussing safety issues with a group of parents of infants. Which of the following information should the nurse include in her discussion?

Irons not in use should be removed from ironing boards

A child has been diagnosed with hypopituitarism. Which of the following data would the nurse expect to see in the child's history? The child:

Is overweight and of short stature

A pediatric client is discharged after an acute phase of rheumatic fever. The priority discharge instructions the nurse provide is that the child

Needs to take prophylactic antibiotics as ordered

A patient weighing 40 lb has an order for phenobarbital 60 mg twice daily. The safe dose range is 3 to 6 mg/kg/day. Is this order safe?

No, the safe range is 54.6 to 109.2 mg/day

A 14-year-old with sickle cell disease is admitted with severe abdominal and leg pain. He is receiving oxygen therapy because oxygen helps to?

Prevent further sickling

Which of the findings should the nurse observe in a child suspected of having congenital hypothyroidism?

Protruding tongue

A newborn full term baby is suspected to have Tracheo-esophageal fistula (TEF). The signs/symptoms include- Select all that apply

Respiratory distress, Drooling/frothy secretions, Abdominal distension

The nurse is administering an IV chemotherapeutic agent to a child with leukemia. The child suddenly begins to wheeze and have severe urticaria. Which of the following is the appropriate action for the nurse to perform at this time?

Stop the chemotherapy infusion

A nurse is performing family assessment for a hospitalized child. Which of the following should the nurse include?

Stressors, Medical history, Support systems, Parents education level

A 5-month-old infant with RSV bronchiolitis is in respiratory distress. The baby has copious secretions, increased work of breathing, cyanosis, and a respiratory rate of 78. What is the most appropriate initial nursing intervention?

Suction secretions, provide 1005 oxygen via mask, and anticipate respiratory failure

At a hemophilia camp which of the children has the highest priority for immediate medical attention and care? A child with

Suspecting head injury

A patient weighing 43 lb has an order for intravenous cefuroxime 475 mg every 8 hours. The safe dose range is 50 to 100 mg/kg/day. Is this order safe?

Yes, the safe range is 975 to 1,950 mg/day

The nurse is performing a physical assessment on a 5-year-old patient. Which statement demonstrates that the nurse understands developmentally appropriate communication?

"I want to listen to you breathe. I need you to help me hold my stethoscope in place"

A child has been diagnosed with asthma. Which of the following statements by the mother indicates an understanding of the disease process?

"I no longer allow friends to smoke in our apartment"

The nurse is teaching Jackson's parents about injury prevention when Jackson has a seizure at home. Which of the following statement(s) by the mother indicates that teaching has been effective? (Select all that apply)

"Rolling Jackson to his side will help him breathe better and keep him from choking", "All toys and other hazards should be moved out of the way to keep Jackson safe", "Someone should stay with JAckson until he fully wakes up after the seizure"

The parents of a child with sickle cell anemia are asking for information about future pregnancies. Neither of them have a disease. The nurse is providing the information that any future pregnancies will have a

1 in 4 chance of producing a child with sickle cell anemia

The nurse is evaluating a school-aged patient brought in for a recent decline in academic performance. The parent reports that the patient has been doing poorly in school and states, "He wastes time staring at the wall and daydreaming instead of completing his schoolwork." The nurse suspects that the patient may be experiencing which type of seizure activity?

Absence

The nurse uses developmentally appropriate care by _____ when ______.

1: allowing the child to assist with care 2: assessing vital signs

To prevent additional sickling and vaso-occlusion during the crisis, the nurse will ______ with the objective of maintaining _____.

1: apply oxygen 2: percentage of sickle cells below 30%

The nurse must assess Jackson's neurologic status closely for signs of a tonic-clonic seizure, which may include _______ and lasts for ______.

1: body shaking, stiffening, and jerking 2: may involve loss of consciousness for 1-2 minutes or longer

The nurse notes mild ______ during the respiratory assessment, which makes the nurse suspect that Sabina is experiencing _____.

1: intercostal retractions 2: respiratory distress

The immediate care you provide to a 10-year-old child with suspected sprain of the right ankle include: Select all that apply

Apply iced compresses to the injury site, Elevate the affected leg, Apply a tight bandage

Parents are being discharged with their child who has a fractured arm and a newly applied plaster of Paris cast. Which of the following actions should the nurse advise the parents to perform? Select all that apply

Assess the color of the child's fingers, Administer analgesics to the child as needed, Elevate the child's arm on a pillow

A nurse caring for a 4-year-old patient admitted with dehydration has an order to collect a stool specimen to test for ova and parasites. The patient is ambulatory and has a recent history of diarrhea and vomiting. What is the best method to use to collect the stool specimen from the patient?

Have the patient urinate first and then place a clean container under the seat at the back of the toilet to collect the specimen

A nurse reports to the neonatalogist that a neonate has yet to pass meconium even though the baby is 48 hours old. For which of the following complications should the nurse recommend that the physician assess the baby?

Hirschsprung disease

A 12-year-old boy with Duchenne muscular dystrophy is being seen in the clinic for a routine health visit. Which of the following is an appropriate nursing diagnosis for this client?

Impaired mobility related to fat infiltrates in muscle tissue

The nurse is caring for a 4-year-old patient with dehydration and hypovolemic shock. The patient received a 400-mL bolus of normal saline over 15 minutes. On reassessment, which of the following findings would indicate that the patient's condition is improving?

Increased urine output

A 6 month old infant, who weighed 6 lb. 8 oz. at birth, is being seen at a well-baby check. The nurse notes that the baby now weighs 12 lb. 15 oz. and reaches for the stethoscope. Which of the following conclusions by the nurse is correct? The infant's:

Motor skills are consistent with age and weight is normal

The nurse is sending a child home on an oral antibiotic. Which of the following discharge instructions should the nurse include in her parent teaching? Inform the parent: (Select all that apply)

Of the name of the medication, When to return for follow up visit, How to measure a dose of the medication, Of the possible side effects of the medication

Which of the following lab findings is consistent with ketoacidosis?

Serum pH of 7.24

Which assessment findings would require nursing intervention? (Select all that apply)

Temperature of 102.2 F, Blood pressure 80/55 mmHg, Respiratory rate 26 breaths/min, Crackles in right lower lobe

The nurse is assessing a patient with an allergic reaction from a food allergen. Which finding is most concerning?

Wheezing

A nurse is explaining to Jackson's caregiver how to respond when Jackson has a seizure at home. Which of the following statement(s) by the caregiver indicate(s) that the teaching has been effective? (Select all that apply)

"Rolling Jackson to his side will help him breathe better and keep him from choking", "All toys and other hazards should be moved out of the way to keep Jackson safe", "Someone should stay with Jackson until he fully wakes up after the seizure"

Which statement(s) by Sabina's parent indicate(s) understanding of the desirable outcomes? (Select all that apply)

"Sabina will be able to breathe easier after the medication", "Sabina's fever will decrease as her infection is treated", "I will see a decrease in Sabina's anxiety"

A nurse is explaining the pathophysiology of vaso-occlusive pain crisis to the caregiver of a patient with sickle cell anemia. Which explanation by the nurse is correct?

"Sickled cells clump together and cause the blood to become thicker, preventing blood flow through smaller vessels, causing decreased oxygenation and increased pain in the affected area."

A patient arrives at the emergency department in respiratory distress with a history of asthma. Upon assessment, the nurse notes that the patient sits forward with intercostal retractions, has a productive cough, and wheezes upon auscultation. Which intervention is most appropriate for the nurse to implement at this time?

Elevate the head of the bed and allow the patient to assume a position of comfort

The triage nurse in the pediatrician's office receives the following call: "My 12-month-old baby has a terrible cold and her temperature is 101 F. What should I do?" Which of the following instructions should the nurse give the mother?

Offer the baby fluids to drink