Peds Practice Questions

An infant is being treated at home for bronchiolitis. What should the nurse teach the parent about home care? SELECT ALL THAT APPLY. a. ensure infant is staying hydrated b. allowing infant to sleep prone c. calling the clinic if the infant vomits d. performing chest physiotherapy every 4 hours e. watching for difficulty breathing

AE A = YES B = NO always back to sleep!!! C = NO bc there is nothing in here that indicates that the patient could vomit D = NO we do not need to beat on child that often E = YES bc why would you not?

The parent of a 16 month old child calls the clinic because the child has a low-grade fever, cold symptoms, and a hoarse cough. What should the nurse suggest that the parent do? a. offer extra fluid frequently b. bring the child to the clinical immediately c. count the child's respiratory rate d. use a hot air vaporizer

a. offer extra fluid frequently No respiratory distress, can be managed at home and if not in distress why count the rr, and hot air is not indicated bc it is not necessary

A 10 year old with AGN reports a headache and blurred vision. The nurse should immediately: a. ask child to stand up b. obtain the child's blood pressure c. notify the healthcare provider d. administer acetaminophen

b. obtain the child's blood pressure bc AGN has hypotension associated with it = want to get BP before calling HCP

A child with CF does not like taking a pancreatic enzyme supplement with meals and snacks. The parent does not like to force their child to take the supplement. The MOST important reason for the child to take the pancreatic enzyme supplement with meals and snacks is: a. the child will become dehydrated if the supplement is not taken with meals and snack b. the child needs these pancreatic enzymes to help the digestive system absorb fat, carbs, and proteins c. the child needs the pancreatic enzymes to aid in liquefying mucus to keep the lungs clear d. the child will experience severe chest pains if they miss taking them

b. the child needs these pancreatic enzymes to help the digestive system absorb fat, carbs, and proteins

Which meal would be MOST appropriate for a child with AGN with severe hypertension? a. hamburger, canned peas, milk b. baked ham, baked potato, a pear, canned carrots, milk c. baked chicken, rice, beans, orange juice d. hot dog on a bun, corn chips, pickle, cookie, milk

c. baked chicken, rice, beans, orange juice because you are looking for easy things, do not want canned stuff bc we are concerned with high sodium, do not want soidum or hard things to eat

The nurse is offering nutritional instruction to the parents of a preschooler who has undergone a tonsillectomy and adenoidectomy. What food choice by the parent would indicate successful teaching? a. meat loaf and uncooked carrots b. pork and noodle casserole c. cream of chicken soup d. hot dog and potato chips

c. cream of chicken soup because you want something soft

A nurse's assessment of a 6 month old infant reveals a rr of 53 bpm (elevated), retractions, wheezing, and nasal congestion. The mother states that her infant was doing fine until yesterday. Which action would be MOST appropriate? a. administer a nebulized treatment b. send the infant for a chest x-ray c. refer the infant for the ED d. provide teaching about cold care to the mother

c. refer the infant for the ED A do not do this bc we do not know if this will help them since we do not know what we are dealing with and could cause increased rr causing anxiety and fear

A 3-year-old is brought into the ED in her parent's arms. The child's mouth is open, she's drooling and lethargic. The parent states that the child became ill suddenly within the past 2 hours. What should the nurse do FIRST? a. draw blood cultures for CBC b. start an IV line c. inspect child's mouth and throat with a tongue blade d. maintain child in an undisturbed, upright position

d. maintain child in an undisturbed, upright position No CBC/IV bc this could make the child could get upset and since we are concerned about airway and both of those could increase the RR bc concerned this is epiglottitis = do not get them upset