Peds Study Guide
After the nurse teaches the mother of a child with diaper dermatitis how to bathe her child, which statement by the mother indicates effective teaching?
" when my child gets out of the tub i just pat the skin dry"
An adolescent scheduled for an emergency appendectomy is to be transferred directly from the emergency department to the operating room. which statement by the client should the nurse interpret as most significant?
"all of a sudden, it doesn't hurt at all"
The nurse is admitting a child with severe isotonic dehydration. which intravenous fluid should the nurse anticipate the practitioner to order initially to replace fluids?
0.9 NS
a new mother is worried about a " spot spot" on the top of her newborns head. the nurse informs her that this is a normal physical finding called the anterior fontanel. at what age will the nurse educate the mother that the spot will close?
18-24 months of age
a nurse is assessing language development in all the infants presenting at the doctor's office for well child visits. at which age range would the nurse expect to verbalize the words" dada" and "mama"?
9-12 months
A nurse is caring for a toddler who is 24 hr postoperative following a cleft palate repair. which of the following actions should the nurse take?
Administer opioids for pain
A nurse in an emergency department is caring for a child experiencing an acute asthma attack, which of the following medications should the nurse expect to administer first
Albuterol
The nurse is teaching the patent of a type 1 diabetic preschool age client about management of the disease. which teaching point is appropriate for the nurse to include in this session?
Allowing the client to choose which finger to stick for glucose testing
A child admitted to the hospital with pneumonia. the child's oximetry reading is 88 percent upon admission to the pediatric floor. which is the priority nursing intervention for this child?
Begin oxygen per nasal cannula
A child has fluid volume deficit. the nurse performs an assessment and determines that the child is improving and the deficit is resolving if which finding is notes?
Capillary refill is less than 2 seconds
A parent asks the nurse if there is anything that can be done to reduce the pain that his 3 year old experiences each morning when blood is drawn for lab studies. which intervention would the nurse implement based in the parents concern?
EMLA cream
a nurse is planning care for 2 month old infant following a surgical procedure. which of the following pain rating scales should the nurse plan to use to determine the infants level of pain?
FLACC scale
The nurse is providing education to a pediatric client with diabetes. the client will be playing soccer over the summer. which change in the clients management will the nurse explore during this educations sessions?
Increased food intake
An 11 year old is admitted for treatment of an asthma attack. which finding indicates immediate intervention is needed.
Intercostal retractions.
Two 3 year olds are playing in a hospital playroom together. one is working on a puzzle while the other is stacking blocks. which type of play are these children exhibiting?
Parallel play
A nurse is caring for an infant who has gastroesophageal reflux. the nurse should place the infant in which of the following positions following feeding?
Place the infant in an infant seat
A mother of a school age client who recently had surgery for removal of tonsils and adenoids complains that the child has begun sucking his thumb again. which coping mechanism is the child using to cope with the stress of surgery and hospitalization?
Regression
which nursing role is not directly involved when providing family centered approach to the pediatric population?
Researcher
an infant is born with an esophageal atresia and tracheoesophageal fistula. which postoperative nursing diagnosis is the priority for this infant.
Risk for aspiration related to regurgitation
An adolescent with cystic fibrosis becomes non compliant with the medication regime. which intervention by the nurse will most likely improve compliance for this client?
Set up a meeting with some older teens with cystic fibrosis who have been managing their disease effectively.
A nurse is reinforcing teaching about nutritional considerations with the parents of a toddler. which of the following statements by the parents indicates an understanding of the teaching?
The QUALITY of the food I provide him is more important than the QUANTITY
A nurse is preparing to discharge a child who has a new prescription for an oral antibiotic. which of following information should the nurse include in the discharge instructions?
The reason why the child is taking the medication Written information about the medication the adverse effects of the medication
A pediatric client diagnosed with type 1 diabetes. the nurse teaches the client between insulin shock and diabetic hyperglycemia. the nurse evaluates that the client understand the teaching when the client states which characteristic of diabetic hyperglycemia?
Thirst and flushed skin
a nurse caring for a school age client notices swelling in the child's ankles. the nurse presses against the ankle bone for five seconds, then releases the pressure and notices a markedly slow disappearance of the indentation. which priority nursing assessment is appropriate?
Urine output
A nurse is caring for a child who has acute appendicitis. which of the following should the nurse anticipate when reviewing this client's laboratory values?
WBC 17,000/mm
The nurse must assess each of the 2 year old listed below. which one should be evaluated first?
a child who has stridor
the nurse is taking the blood pressure of a 3-year-old admitted to the hospital for mild dehydration from vomiting and diarrhea andn obtains a reading of 90/50mmHg. the nurse interprets this is an indicating which finding?
a normal finding
a school aged client.. diagnosed with asthma... peanut allergy the nurse knows that this client is at an increased risk for which complication?
anaphylaxis
the mother of a child with an umbilical hernia calls the clinic and reports that the child has been vomiting and is complaining of pain in the abdominal area. the nurse would instruct the mother to take which action?
bring the child to the ED
the nurse is preparing to care for a child with a diagnosis of intussusception. the nurse reviews the child's record and expects to note which sign of this disorder documented?
currant jelly stools
a newborn is diagnosed with Hirschsprung disease. which clinical manifestations found on assessment support this newborn's diagnosis?
currant jelly: gelatinous stools; pain
a nurse is caring for a 2 month old infant who is postoperative following a repair of a cleft lip and palate. the provider prescribes restraints. the nurse should apply which of the following types of restaurants for this infant.
elbow
The charge nurse is concerned with reducing the stressors of hospitalization. which nursing intervention is most helpful in decreasing the stressors for the toddler age client?
encourage a parent to stay with the child
The mother of a 6 year old who has type 1 diabetes mellitus calls a clinic nurse and tells the nurse that the child has been sick. the mother reports that she checked the child's urine and it was positive for ketones. the nurse should instruct the mother to which action?
encourage the child to drink liquids
a nurse is providing teaching about lice to the parents of a school age child 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 1 month old client is admitted to the emergency room with severe diarrhea. which assessment suggests the client is severely dehydrated?
fontanelle depressed; capillary refill greater than three seconds
the nurse is providing care to a toddler age child. which assessment finding is indicative of abuse?
inconsistency of stories between caregivers
The nurse has provided an instructional session about impetigo to parents of the child attending school. which statement, if made by parent, indicates the need for further teaching?
lesions most often are located on the arms and chest
a nurse is caring for a 6 month infant who has a prescription for clear liquids by mouth after repair an intussusception. which of the following fluids should the nurse select for the infant?
oral electrolyte solution
A nurse is caring for child who has acute gastroenteritis but is able to tolerate oral fluid. the nurse should anticipate providing which of the following types of fluids?
oral rehydration solution
the nurse is performing an assessment on a child suspected diagnosis of epiglottis. which action during the assessment would the nurse avoid?
performing a throat culture
a nurse in an emergency department is assessing a 3 year old child who has a high fever, severe dyspnea, and is drooling. which of the following is the nurse's priority?
prepare for nasotracheal /intubation
the nurse admits a child to the hospital with a diagnosis of pyloric stenosis. on assessment, which data would the nurse expect to obtain when asking the parent about the child's symptoms
projectile vomiting
a school nurse is performing a routine health assessment for a school age child. which of the following findings indicates the nurse should investigate further for pediculosis capitis?
pruritus of the scalp
A nurse is planning care for a 4 year old child who requires airborne precautions. which of the following activates should the nurse plan for child?
putting a large piece puzzle together
a nurse is assessing a 15 month old toddler. which of the following findings should the nurse report to the provider?
the toddler cannot stand upright without support
a nurse is caring for a 3 year old child who has admitted with acute diarrhea and dehydration. which of the following findings indicates that oral rehydration therapy has been effective?
urine specific gravity 1.015
the school nurse is conducting pediculosis capitis ( head lice) checks, which findings would indicate a positive head check
white sacs attached to the hair shafts in the occipital area