PEDS review final

A nurse is assessing the pain level of a 3-year-old child who is postoperative following abdominal surgery. Which of the following pain scales should the nurse use?

FACES pain rating scale

A nurse is collecting data on the postoperative pain level of a 2-year-old child. Which of the following methods should the nurse use?

FLACC pain assessment

A nurse is reinforcing teaching with the family of a child about hospice care. Which of the following statements should the nurse include in the teaching?

"Hospice staff members consider the family's needs to be just as important as those of the child."

A nurse is reinforcing teaching about injury prevention with the parent of an infant. 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 on it."

A nurse on a pediatric mental health unit is caring for a school-aged child. Which of the following questions or statements should the nurse make to foster rapport and engage him in conversation?

"Tell me about your favorite video game."

A nurse is caring for a child who adheres to a vegetarian diet and has sustained superficial partial-thickness burns. The nurse should recommend which of the following food choices due to the highest protein content?

1/2 cup of peanut butter with apple slices

A nurse is reinforcing teaching with a 10-year-old child who requires crutches for a 2-point gait. Which of the following instructions should the nurse reinforce?

Advance the left crutch and the right leg at the same time

A school nurse is caring for a child who is experiencing an acute asthma attack. Which of the following medications should the nurse prepare to administer?

Albuterol

A nurse is caring for a 5-year-old child who has pneumonia and is experiencing a poor appetite. Which of the following interventions should the nurse take?

Allow the child to choose foods with a lower nutritional content

A nurse in a pediatric clinic is preparing to administer an IM vaccine to a preschooler. Which of the following actions should the nurse take?

Allow the preschooler to hold a needless syringe during the vaccine

A nurse is caring for a 4-month-old child who has acute otitis media and a fever of 38.3°C (101°F). Which of the following medications should the nurse administer?

Amoxicillin

A nurse is observing the behavior of a 2-year-old child. Which of the following actions should the nurse expect to observe when the child is in an activity room with other toddlers?

Engaging in play near other children

A nurse is collecting data from a child who has stage | Hodgkin disease. Which of the following findings should the nurse expect?

Enlarged lymph nodes

A nurse is facilitating a group discussion with preschool teachers about child abuse. Which of the following its data should the nurse share as a common example of a suggestive finding?

Arm cast for a spiral fracture of the forearm

A nurse is collecting data from an 8 year old child who was brought to the clinic by a parent. The parent reports the child has missed school for 3 weeks and refuses to go back due to "not feeling well." Which of the following actions should the nurse take during the initial interview with the child?

Ask the child to describe what things were like right before wanting to avoid school

A nurse is caring for a preschooler who has acute leukemia and methicillin resistant staphylococcus aureus (MRSA) the parents are not allowed to take the client to the hospital playroom in the child appears bored, which of the following action should the nurse take?

Ask the parents to bring toys from home for the preschooler

A nurse is collecting data from an adolescent who sustained a broken tibia. Following the application of a fiberglass cast, the adolescent reports pain and a tingling feeling in the limb. Which of the following actions should the nurse take first?

Assess for manifestations of circulatory impairment

A nurse is reinforcing preoperative teaching for a 5-year-old child. Which of the following interventions should the nurse include?

Explain the procedure in terms of what the child will feel,see, hear, and taste

A nurse is caring for a child who has acute glomerulonephritis. Which of the following actions should the nurse take?

Check the child's blood pressure every 4 hours

A school nurse is providing home care instructions to the guardian of a school-aged child who has acute streptococcal pharyngitis. Which of the following statements should the nurse make?

Have your child gargle with warm saline several times each day

A nurse is assisting with develop the plan of care for a 5 year old child who has a diagnosis of type 1 diabetes mellitus. Which of the following actions should the nurse include in the plan?

Use short explanations immediately prior to collecting a blood glucose level to explain what will happen when the finger stick occurs

A nurse is preparing to administer an oral liquid medication to a 6-month-old infant. Which of the following interventions should the nurse plan to perform?

administer medication into the side of the infants mouth

A nurse is collecting data on a 6-month-old infant. Which of the following findings should the nurse identify as unexpected and report to the provider?

head lag when pulled to sitting up position

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 reinforcing teaching with the parent of a toddler who has bacterial conjunctivitis. Which of the following instructions should the nurse include?

notify the provider immediately if the sclera becomes inflammed

A nurse is preparing to assist with the physical assessment of a 2-year-old toddler. Which of the following behaviors should the nurse expect during the examination?

prefer to sit in their parents' lap throughout the examination

A nurse is caring for an 18-month-old infant who has chronic otitis media. The nurse should recognize that chronic otitis media will affect which of the following?

speech patterns

A nurse is reinforcing teaching about the introduction of solid foods with the parent of an infant. Which of the following instructions should the nurse provide?

Begin after the extrusion reflex has diminished

A nurse is collecting data from a preschooler who has HIV. Which of the following manifestations should the nurse expect?

Chronic diarrhea

A nurse is contributing to the plan of care for a school-aged child who has encopresis. Which of the following interventions should the nurse include in the plan of care?

Collect data regarding any recent stress factors in the child's environment

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 reinforcing teaching about home care with the guardian of a school-aged child who has seizures. Which of the following statements by the guardian indicates an understanding of the teaching?

I will turn my child to the side when a seizure begins

A nurse is assisting with the care of an infant who is preoperative for the treatment of an intact myelomeningocele sac. In which of the following positions should the nurse place the infant?

Prone

A nurse is collecting data from 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 preparing a 3-month-old infant for a wellness visit with the physician. Which of the following observations should the nurse expect?

the infant looks at his hands- correct

A nurse in a provider's office is observing children playing in the waiting room. The nurse should expect to identify parallel behavior in which of the following age groups?

toddlers

A nurse is assisting with a nutritional screening for a 12-year-old client who weighs 41 kg (90 lb) and has a height of 1.5 m (60 in). Which of the following values is the client's body mass index (BMI)?

18.2

A nurse is caring for a 10-year-old child who should reduce his fat intake. Which of the following menu choices should the nurse suggest?

3 oz of baked chicken on a whole wheat roll

A nurse in a provider's office is collecting data from an infant who was born at 32 weeks of gestation and is now 8 months old. Which of the following developmental ages should the nurse expect the infant to demonstrate?

6 months

A nurse on a pediatric unit is assisting with the admission of 4 children. For which of the following children should the nurse initiate droplet precautions?

A child who has pertussis

A nurse is reinforcing teaching about preventing poisoning with a group of parents who have toddlers. Which of the following statements should the nurse make?

Put all cleaning supplies in a locked cabinet

A nurse is collecting data from a 6-month-old infant. The guardian reports that the infant does not appear interested in the bright-colored mobile hanging above the crib. Which of the following techniques should the nurse use to check the infant's visual acuity?

Move a brightly colored toy from side to side in front of the infants face

A nurse is caring for a child who has acute lymphocytic leukemia. Which of the following laboratory values should the nurse expect?

RBC 2.5 million/uL

A nurse is reinforcing teaching about baclofen with the guardian of a toddler who has cerebral palsy. Which of the following adverse effects should the nurse include?

Muscle weakness

A nurse is talking with the parent of a 4-month-old infant about growth and development. Which of the following statements indicates that the parent needs further instructions?

My baby loves to play with pillows in her crib

A nurse is preparing for the insertion of an intravenous peripheral catheter into an 8-year-old child. Which of the following interventions should the nurse plan to take?

Apply an anesthetic cream to the intended site for 60mins prior to the procedure

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

Apply continuous pressure to the lower part of the child's nose

A nurse is reinforcing teaching with the guardian of a child who has severe iron deficiency anemia and a new prescription for Ferrous sulfate oral suspension which of the following statements by the gastrointestinal indicates an understanding of the instructions?

My child's blood count will be monitored regularly for the next several weeks

During a well-child visit, the guardian of a toddler expresses a concern that the toddler takes several hours to fall asleep at night. Which of the following recommendations should the nurse make?

Providing the toddler with a favorite toy at bedtime can help the toddler to feel more secure and facilitate sleep

A nurse working on a maternal-newborn unit is assisting with planning an in-service training session for staff about assisting new mothers with breastfeeding. Which of the following infant conditions should the nurse recommend including in the teaching as a contraindication for breastfeeding?

Galactosemia

A nurse in a providers office is collecting data from the caregiver of a school aged child who requires intermittent catheterization. Which of the following questions should the nurse ask the caregiver when monitoring the child for a urinary tract infection?

Have you noticed a change in the color of the child's urine during catheterization?

A nurse is caring for a school-aged child who has acute poststreptococcal glomerulonephritis. Which of the following manifestations should the nurse expect?

Hematuria

A nurse on a pediatric unit is caring for a child who is not eating well. Which of the following suggestions should the nurse reinforce with the parents to promote the child's food intake?

Let the child eat with others when possible

A nurse is collecting data from a 4-year-old preschooler about his gross motor skills. The nurse should expect the preschooler to perform which of the following activities?

Hopping on 1 foot

A nurse is reinforcing teaching with 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 of my child's appliance

A nurse is reinforcing care instructions with the parent of a child who has a newly placed gastrostomy tube. Which of the following statements demonstrates an understanding of the instructions?

I should flush the tube with water in between administering each medicine

A nurse is reinforcing teaching with the parents of a 4-month-old infant who has gastroesophageal reflux. Which of the following statements by the parent indicates an understanding of the teaching?

I will add 1 teaspoon of rice cereal per ounce to my baby's formula

A nurse is reinforcing teaching with the parent of a child who has type 1 diabetes mellitus. The nurse is explaining how to manage the child's disorder during an illness such as a cold. Which of the following statements by the parent indicates an understanding of the teaching?

I'll check his blood glucose more often

A nurse is reinforcing teaching with a parent about pinworm testing. At which of the following times should the nurse advise the parent to perform the tape test?

Immediately after the child wakes up in the morning

A nurse is contributing to the plan of care for a 6-month-old infant who has respiratory syncytial virus (RSV). Which of the following interventions should the nurse plan to include?

Implement droplet and contact precautions

A nurse is caring for a child who has cystic fibrosis and a pulmonary infection. Which of the following findings is the nurse's priority?

Inability to clear secretions

A nurse is caring for a toddler who is hospitalized. Which of the following interventions should the nurse take?

Instruct visitors to notify the healthcare team before leaving the room

A nurse is reinforcing teaching with the family of a child who has autism spectrum disorder. Which of the following statements indicates that the family understands the instructions?

It will help our child if we structure our daily routine

A nurse is reinforcing discharge teaching with the parents of a school-aged child who has nephrotic syndrome and a prescription for corticosteroid therapy. Which of the following home-care instructions should the nurse include?

Keep the child away from people who have an infection

A nurse is reinforcing teaching about home care with the parents of an infant who has diaper dermatitis. Which of the following instructions should the nurse include?

Leave the zinc oxide ointment intact and reapply as necessary during diaper changes

A nurse is caring for a school aged child who has terminal cancer and is receiving palliative care. The child's family asks about possible interventions. Which of the following statements should the nurse include in the teaching?

No pharmacological interventions have a place in managing your child's palliative care

A nurse is caring for an adolescent who has end-stage renal disease and is scheduled for peritoneal dialysis. Which of the following actions should the nurse take?

Obtain the adolescent's weight prior to the procedure

A nurse is contributing to the plan of care for a toddler who has acute gastroenteritis and was recently admitted. Which of the following should the nurse plan to provide for the child?

Oral rehydration solution

A nurse is talking with the parent of an infant during a well-child visit. The parent states, "My 6-year-old son started wetting the bed after we brought his baby sister home. He hasn't done that in over a year." The nurse should recognize that this behavior by the sibling is an indication of which of the following defense mechanisms?

Regression

A nurse is reinforcing teaching with an adolescent about various strategies for chronic pain management. Which of the following activities should the nurse use as an example of the non-pharmacological strategy of thought-stopping?

Repeat memorized facts about the painful event

A nurse is collecting data from a 9-month-old infant. Which of the following findings should the nurse report to the provider as a delay in development?

Requiring support to sit for prolonged periods

A nurse is collecting data from a child who is postoperative. Which of the following findings should the nurse identify as an indication that naloxone should be administered?

Respiratory depression

A nurse is preparing a school-aged 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 planning to assist with health screenings for a group of young adolescent clients. For which of the following health screenings should the nurse plan to collect data?

Scoliosis screening

A nurse is caring for a 1-year-old infant who has chronic otitis media. The nurse should identify that which of the following areas is at risk for a delay in development?

Speech patterns

A nurse is collecting data from a 3-year-old preschooler. Which of the following developmental milestones should the nurse expect the preschooler to demonstrate?

Stacking 10 blocks

A nurse is checking the gross motor development of a 3-year-old child. Which of the following skills should the nurse expect the child to be able to perform?

Standing on 1 foot

A nurse is collecting data from a school-aged child who has celiac disease. Which of the following findings should the nurse expect?

Steatorrhea

A nurse is caring for a 2-year-old child who has a history of frequent urinary tract infections. When reinforcing teaching with the parents about the prevention of urinary tract infections, which of the following instructions should the nurse include?

Teach the child to wipe from front to back

A nurse is collecting data from an infant who is experiencing respiratory distress, absence of breath sounds on a side, and deviation of the trachea away from the affected side. The nurse should identify that the infant is experiencing which of the following conditions?

Tension pneumothorax

A nurse is assisting with a history-taking and physical of a school-aged child who has attention deficit hyperactivity disorder (ADHD). Which of the following findings in the child's medical record should the nurse identify as a risk factor for ADHD?

The child had prenatal exposure to alcohol on a regular basis

A nurse is reinforcing teaching with the parents of a toddler who has enterobiasis about management of the parasitic disease. Which of the following instructions should the nurse include in the teaching?

The nurse should instruct the parents to keep their child's fingernails trimmed short

A nurse is collecting data from a 12-month-old infant during a well-child checkup. Which of the following findings should the nurse report to the provider?

The infants current weight is doubled his birth weight

A nurse is contributing to the preoperative teaching plan for a preschooler who is scheduled for a tonsillectomy. Which of the following interventions should the nurse plan to include?

The nurse should encourage the preschooler to bring a favorite toy or blanket to the hospital on the day of the procedure

A nurse is reinforcing teaching about home safety with the parent of a 2-month-old infant. Which of the following information should the nurse include?

The nurse should instruct the parent to remove bibs prior to the infant sleeping to decrease the risk of strangulation.

A nurse is caring for a school-aged child who has epilepsy and is experiencing a tonic-clonic seizure. Which of the following actions should the nurse take?

The nurse should loosen any clothing that is conning (e.g. around the child's neck) to reduce the risk of injury during a seizure.

A nurse is collecting data about the fine motor skills of a 3-year-old preschooler. Which of the following findings should the nurse expect?

The preschooler builds a tower of 9 cubes

A nurse is reinforcing teaching with the parent of a toddler who is undergoing the insertion of tympanostomy tubes. Which of the following statements should the nurse include?

The tubes should stay in place until they fall out on their own

A nurse is reinforcing teaching about oxycodone with an adolescent who is experiencing a vaso-occlusive crisis. Which of the following pieces of information should the nurse include?

This medication might cause nausea

A hospice nurse is assisting with a support group for parents of toddlers who have a terminal illness. Which of the following pieces of information should the nurse reinforce in the teaching?

Toddlers will react to the parents anxiety and sadness

A nurse is assisting with the care of a child who has epilepsy and just experienced a tonic-clonic seizure. Which of the following actions should the nurse take first?

Turn and maintain the child in a side lying position

A nurse is observing a 6-month-old infant during a well-child visit. Which of the following motor activities should the nurse expect the infant to have achieved?

Turning from back to stomach

The nurse is preparing to administer an oral medication to an 8-month-old infant. Which of the following actions should the nurse take?

Use an oral syringe to place the medication alongside the infant's tongue

A nurse in an urgent care clinic is collecting data from an infant who recently started taking digoxin for a supraventricular arrhythmia. Which of the following findings should the nurse identify as a possible indication of digoxin toxicity?

Vomiting

A nurse is reviewing the laboratory reports of a child with acute nephrotic syndrome who has been receiving prednisone by mouth for the past week. Which of the following findings should the nurse report to the provider?

WBC count 3,000/mm^3

A school nurse is checking the lunch tray of a school-aged child who has a new diagnosis of celiac disease. Which of the following foods should the nurse instruct the child to remove from the tray?

Wheat roll

A nurse is reinforcing teaching with a school-aged child who has a new diagnosis of type 1 diabetes mellitus. Which of the following statements should the nurse make?

You can use a vial of insulin for up to 30 days

A nurse is reinforcing teaching about exercise with an adolescent client who has type one diabetes, which of the following points should the nurse reinforce?

You might need to decrease your routine insulin dosage before exercise

A nurse is reinforcing teaching with the guardian of a 9-month-old infant who has a new prescription for an oral liquid medication. Which of the following points should the nurse include in the teaching?

use an oral syringe to measure your infant's medication accurately

A nurse is caring for a child who has a vesicular rash for 6 days. The parents of the child ask the nurse what illness caused this rash. The nurse should explain the child has which of the following conditions?

varicella