Peds Study Questions

Nurses play an important role in current issues and trends in health care. Which is a current trend in pediatric nursing and health care today? a. The patient is the unit of care for the health care provider b. Discharge planning begins when the physician writes the order c. Health promotion resources enable children to achieve their full potential d. The focus of pediatric health care is trending towards acute hospital care

c. Health promotion resources enable children to achieve their full potential

During a well-baby visit, the parents of a 12-month old ask the nurse for advice on age-appropriate toys for their child. Based on the nurse's knowledge of developmental levels, the most appropriate toys to suggest are? SATA a. Toys with black-white patterns b. Soft toys that can be put in the mouth c. Pop-up toy such as a Jack-in-the-box d. Push-pull toys e. Toys that pop apart and go back together

c. Pop-up toy such as Jack-in-the-box d. Push-pull toys e. Toys that pop part and go back together

During play, a toddler with a history of tetralogy of Fallot (TOF) might assume which position? a. Sitting b. Supine c. Squatting d. Standing

c. Squatting

Which statement helps explain the growth and development of children? a. Development proceeds at a predictable rate b. Rates of growth are consistent among children c. The sequence of developmental milestones is predictable d. At times of rapid growth, there is also acceleration of development

c. The sequence of developmental milestones is predictable

An infant experienced an apparent life-threatening event (ALTE) and is being placed on home apnea monitoring. Parents have understood the instructions for use of a home apnea monitor when they state? a. We can adjust the monitor to eliminate false alarms b. We should sleep in the same bed as our monitored infant c. We will check the monitor several times a day to be sure the alarm is working d. We will place the monitor in the crib with our infant

c. We will check the monitor several times a day to be sure the alarm is working

The nurse is talking to the parents of a child with pediculosis capitis. Which should the nurse include when explaining how to manage pediculosis capitis? a. You can distinguish viable form nonviable nits and remove all viable ones b. You will need to cut the hair shorted if infestation and nits are severe c. You will need to remove nits with an extra-fine-tooth comb or tweezers d. You can wash all the nuts out of hair with a regular shampoo

c. You will need to remove nits with an extra-fine-tooth comb or tweezers

The nurse is teaching the parents about the diet of a child experiencing severe edema associated with acute glomerulonephritis. Which information should the nurse include in the teaching? a. You will need to decrease the number of calories in your child's diet b. Your child's diet will need an increased amount of protein c. Your need to avoid adding salt to your child's food d. Your child's diet will consistent of low-fat, low-carbohydrate foods

c. Your need to avoid adding salt to your child's food

The nurse is playing a game with a toddler in the hospital room. What is the most important benefit of this nurse-client interaction? a. Occupying a toddler's time while the parents are meeting with the physician b. Distracting the toddler from expending too much energy with active playing c. Developing a trusting relationship with the nurse d. Utilizing clinical time when the unit is not busy

c. developing a trusting relationship with the nurse

A nurse on a pediatric unit is practicing family-center care. Which is most descriptive of the care the nurse is delivering? a. Taking over total care of the child to reduce stress on the family b. Encourage family dependence on health care systems c. Recognizing that the family is the constant in a child's life d. Excluding families from the decision-making process

c. recognizing that the family is the constant in a child's life

A nurse must do a venipuncture on a 6-year-old. Which is an important consideration in providing atraumatic care? a. Use an 18-gauge needle if possible b. If not successful after four attempts, have another nurse try c. Restrain the child only as needed to perform venipuncture safely d. Show child equipment, including the long needle which will be used before procedure

c. restrain the child only as needed to perform venipuncture safely

What is the single most important factor to consider when communicating with children? a. The child's physical condition b. Presence or absence of the child's parents c. The child's developmental level d. The child's nonverbal behaviors

c. the child's developmental level

The most consistent indicator of pain in infants is a. Increased respirations b. Increase heart rate c. Clenching the teeth and lips d. A facial expression of discomfort

d. A facial expression of discomfort

The nurse had instructed the family of a toddler on home safety during a previous visit. During the current visit, what observation indicated that instruction has been effective? a. Prescribed medication sitting on the countertop b. House plant on a small table next to the sofa c. Small bowl of mixed nuts on the coffee table d. All windows in the home have locked screens

d. All windows in the home have locked screens

What is beneficial in reducing the risk of Reye syndrome? a. Immunization against the disease b. Medical attention for all head injuries c. Prompt treatment of bacterial meningitis d. Avoidance of aspirin to treat fever associated with influenza

d. Avoidance of aspirin to treat fever associated with influenza

A group of boys ages 9 and 10 years have formed a boys-only club that is open to neighborhood and school friends who have skateboards. How should this be interpreted? a. Characteristic of children who later are at risk for membership in gangs b. Behavior that reinforces poor peer relationships c. Behavior that encourages bulling and sexism d. Characteristic of social development at this age

d. Characteristic of social development at this age

A 4-year-old child is hospitalized with a serious bacterial infection. The child tells the nurse that he is sick because he was "bad." Which is the nurse's best interpretation of this comment? a. Sign of stress b. Suggestive of maladaptation c. Suggestive of excessive discipline at home d. Common at this age

d. Common at this age

The nurse is teaching a group of school-aged children about physical development. Which statement made by one of their children indicates the correct understanding of the teaching? a. There are not many physical differences between school-aged boys and girls b. Menarche is usually the first sign of puberty in school-aged girls c. Boys normally grow an average of 5in (12.5 cm) each year d. Girls typically experience a rapid growth spurt before boys

d. Girls typically experience a rapid growth spurt before boys

Superficial palpation of the abdomen is often perceived as tickling. Which measure by the nurse is most likely to minimize and promote relaxation? a. Palpate another area simultaneously b. Ask the child not to laugh or move if it tickles c. Begin with deeper palpation and gradually process to superficial palpation d. Have the child "help" with palpation by placing his or her hand over the palpating hand

d. Have the child "help" with palpation by placing his or her hand over the palpating hand

Based on Piaget's theory of cognitive development, what is one basic concept a child is expected to attain during the first year of life? a. He or she cannot be fooled by changing shapes b. Most procedures can be reversed c. Parents are not perfect d. If an object is hidden, that does not mean that it is gone.

d. If an object is hidden, that does not mean that it is gone

When assessing a preschooler's chest, the nurse would expect a. Respiratory movements to be chiefly thoracic b. Anteroposterior diameter to be equal to the transverse diameter c. Intercostal retraction on respiratory movement d. Movement of the chest wall to be symmetric bilaterally and coordinated with breathing

d. Movement of the chest wall to be symmetric bilaterally and coordinated with breathing

The nurse needs to take the blood pressure of a preschooler for the first time. What action would be best for gaining the child's cooperation? a. Take the blood pressure when a parent is there to comfort the child b. Tell the child that this procedure will help the child to get well faster c. Explain to the child how blood flow through the arm and why taking the blood pressure is important d. Permit the child to handle equipment and see the dial move before putting the cuff in place

d. Permit the child to handle equipment and see the dial move before putting the cuff in place

The nurse is presenting an in-service training to a group of pediatric nurses on the topic of play. The nurse determines the session is successful when the group correctly chooses which example as best displaying toddlers playing? a. Playing apart from other without benign part of a group b. Playing together in an activity without organization c. Playing in an organized group with each other d. Playing independently and are side by side

d. Playing independently and are side by side

Nursing students are reviewing information about the cognitive development of preschoolers. The student demonstrates understanding of the information when the identify that 3-year-old is in what stage as identified by Piaget? a. Primary circular reaction b. Coordination of secondary schema c. Tertiary circular reaction d. Preoperational thought

d. Preoperational thought

What is cellulitis often caused by? a. Herpes zoster b. Candida albicans c. Human papillomavirus d. Streptococcus or staphylococcus organisms

d. Streptococcus or staphylococcus organisms

Parents are concerned that their child is showing aggressive behaviors. Which suggestion should the nurse make to the parents? a. Punish the child for the behavior b. Ignore the behavior c. Accept the behavior if the child is male d. Supervise television viewing

d. Supervise television viewing

Which nursing intervention would be most effective in decreasing mortality from unintentional injury? a. Teaching children the danger of contact sports b. Encouraging potential parents to obtain genetic counseling c. Educating parents-caregivers about the benefits of immunizations d. Teaching parents-caregivers about proper use of vehicle restraint seats

d. Teaching parents-caregivers about proper use of vehicle restraint seats

The nurse is documenting the relationship between a postpartum mother and her infant. Which observation would demonstrate attachment? a. The infant is in the crib every time the nurse goes into the room b. The infant remains in the nursery most of the day c. The father is always holding the infant d. The mom is talking to the infant while breastfeeding the infant

d. The mom is talking to the infant while breastfeeding the infant

Parents are concerned about the number of hours their teenager daughter spends with peers. The nurse explains that peer relationships are important during adolescence for which reason? a. Adolescents dislike their parents b. Adolescents no longer need parental control c. They prompt a sense of individuality in adolescents d. They provide adolescents with a feeling of belonging

d. They provide adolescents with a feeling of belonging

An order is written to administer 5 mL of an oral liquid medication to a toddler. The toddler says, "Me do it!" Which of the following modes of administration would be appropriate for the nurse to perform? a. Draw the medication in an oral syringe, have parent hold the child down, and inject the medication in the child's mouth b. Pour the medication into a medicine cup and hold the cup while the child drinks from the cup c. Pour the medication into a teaspoon, hand the teaspoon to the child, and watch the child drink the medicine d. Draw up the medication in an oral syringe, hold the syringe, ask the child to push the plunger on the syringe, and watch the child squirt and drink the medicine.

d. draw up the medication into an oral syringe, hold the syringe, ask the child to push the plunger on the syringe, and watch the child squirt and drink the medicine

The nurse is working in the room of her 5-day-old patient and accidentally bumps the crib. The baby demonstrates a Moro reflex. The nurse sees this baby in which posture? a. Trunk extended upward and head lifted b. When placed on abdomen, crawling movement occurs c. A "fencing" posture d. Extremities extended and abducted and fingers fanned

d. extremities extended and abducted and fingers fanned

Which is the correct method to instill ear drops in a 5-year-old? a. Pull the pinna of the ear downward and back for instillation b. Place cotton tightly in the ear after instillation c. Have the child remain upright after instillation d. Pull the pinna of the ear upward and back for instillation

d. pull the pinna of the ear upward and back for instillation

What is the most accurate method of determining the length of a child younger than 12 months of age? a. Standing height b. Estimation of length to the nearest centimeter of ½ inch c. Recumbent length measure in the prone position d. Recumbent length measure in the supine position

d. recumbent length measure in the supine position

Parents of a 3-year-old child with tetralogy of fallot are afraid to let their child play with other children because of possible overexertion. The nurse's reply should be based on which statement? a. The child need opportunities to play with peers b. The child needs to understand that peers' activities are too strenuous c. Parents can meet all of the child's needs d. Constant parental supervision is needed to avoid overexertion

a. The child needs opportunities to play with peers

An 8-year-old child is being treated for tonic-clonic seizures. What should the nurse emphasize when teaching the parent about this disorder? a. The child should maintain an active lifestyle b. Immediately provide medication if a seizure begins c. Have the child carry a padded tongue blade with her at all times d. Ensure quiet time late in the day, when seizure activity is most

a. The child should maintain an active lifestyle

The nurse is observing the behavior of a preschool-aged child and becomes concerned. Which observation suggests that the child's thinking is inconsistent with normal preschooler growth and development? a. Refusing to play with "real" children b. Refusing to go to bed without the imaginary friend c. Insisting that an imaginary friend have dinner with the family d. Insisting that an imaginary friend watch television with the child

a. refusing to play with "real" children

A nurse is admitting a toddler to the hospital. The toddler is with both parents and is currently sitting comfortably on a parent's lap. THe parents state they will need to leave for a brief period. Which type of nursing diagnosis should the nurse formulate for this child? a. Risk for anxiety b. Anxiety c. Readiness for enhanced coping d. Ineffective coping

a. risk for anxiety

A nurse is caring for four patients; three are toddlers and one is a preschooler. Which represents the major stressor for these four patients? a. Separation anxiety b. Loss of control c. Fear of bodily injury d. Fear of pain

a. separation anxiety

The nurse is conducting a class at a local community center for parents of preschool-aged and school-aged children. One of the topics is Reye syndrome. The nurse emphasizes the need to avoid the use of aspirin in children with a viral illness. Which virus(es) would the nurse address as commonly associated with this syndrome? SATA a. Varicella b. Influenza c. Hepatitis d. Cytomegalovirus e. Epstein-Barr virus

a. varicella b. influenza

The nurse working on an infant unit has to draw a heel-stick blood sample on a 1 week old baby. What can the nurse do to decrease the pain the infant feels from the procedure? SATA a. Wrap the heel in a warm, damp cloth b. Leave the infants sock off after the heel stick c. Swaddle the infant d. Have the infant do non-nutritive sucking e. Do the stick while the infant is asleep

a. wrap the heel in a warm, damp cloth c. swaddle the infant d. have the infant do non-nutritive sucking

At a well baby check the nurse does teaching with the parents regarding what they can expect their baby to be doing over the next couple of months. This teaching that the nurse is providing is considered to be ______ ______.

anticipatory guidance

Parents are often confused by the terms growth and development and use the terms interchangeably. Based on the nurse's knowledge of growth and development, the most appropriate explanation of development is? a. A child's weight triples during the first year b. A child leans to throw a ball overhand c. A child's brain increases in size until school age d. A child grows taller all through early childhood

b. A child leans to throe a ball overhand

A nurse is examining a toddler and is discussing with the mother psychosocial development according to Erickson's theories. Based on the nurse's knowledge of Erickson, the most age-appropriate activity to suggest to the mother at this stage is to a. Turn on a TV show with bright colors and loud songs b. Allow the toddler to start making choices about what to wear c. Allow the toddler to pull a talking-duck toy d. Feed lunch

b. Allow the toddler to start making choices about what to wear

The nurse enters the room of an 8-month-old. The baby is asleep in her mother's arms. Which of the following actions would be best for the nurse to perform at this time? a. Ask the mother for an updated history since the last well-child check b. Auscultate the baby's heart, lung, and bowel sounds c. Begin a full body assessment, starting with the baby's head and neck d. When the baby is playing with the baby's toes and feet

b. Auscultate the baby's heart, lung, and bowel sounds

The nurse is caring for a child diagnosed with a urinary tract infection. The caregiver asks the nurse why it is so important for the child to have so much fluid. The nurse tells the caregiver that the most important reason eh child needs increased fluids is to: a. Fill the bladder so a specimen can be obtained b. Dilute the urine and flush the bladder c. Prevent the child from developing a fever d. Decrease the pain of urination

b. Dilute the urine and flush bladder

The nurse and a client are discussing the client's preschool child. The client states, "When I tell my child it's time for bed, he/she screams and cries for almost an hour each night before going to sleep. The client and the nurse decide that the next course of action is: a. Let the child set the time to go to bed b. Follow a routine and set a bedtime c. Promise the child a new toy in the morning for good behavior d. Let the child fall asleep wherever he/she wants and then carry the child to bed

b. Follow a routine and set a bedtime

The parent of a 12-month-old says to the nurse, "He pushes the teaspoon right out of my hand when I feed him. I can't let him feed himself, he makes too much of a mess." the most appropriate response by the nurse is a. "He is at the age when he should begin to feed himself. Let's think of ways to make the mess more tolerable." b. "It's important not to give in to this kind of temper tantrum at this age" c. "Maybe you need to try a different type of spoon, one designed for children" d. "It's important to let him make a mess. Just don't worry about it so much"

a. "he is at the age when he should begin to feed himself. Let's think of ways to make the mess more tolerable."

The nurse must assess a 10-month-old infant. The infant is sitting on the father's lap and appears to be afraid of the nurse and of what might happen next. Which initial action by the nurse would be most appropriate? a. Ask father to place the infant on the examination table b. Initiate a game of peek-a-boo c. Undress the infant while he is still sitting on his father's lap d. Talk softly to the infant while taking him from his father

b. Initiate a game of peek-a-boo

The father of a child with mononucleosis is concerned with his child's fever and cough. The father asks when antibiotic therapy will begin. What is the best response by the nurse? a. We have to get all of the la results back before the antibiotic can be started b. Mononucleosis is a viral infection so an antibiotic isn't used. We address the symptoms with appropriate therapy c. It is common treatment to let the infection run its course and ket the immune system take care of it d. There aren't a lot of antibiotics that work for pertussis. We will just treat your son with medication to treat his fever and cough

b. Mononucleosis is a viral infection so an antibiotic isn't used. We address the symptoms with appropriate therapy

Which statement best describes fear in the school-age child? a. Those who have numerous fear need continuous protective behavior by parents to eliminate these fears b. Most of the new fears that trouble them are related to school and family c. They should be encouraged to hide their fears to prevent ridicule by peers d. They are increasingly fearful for body safety

b. Most of the new fears that trouble them are related to school and family

The most important safety precaution for parents to teach preschoolers is: a. To chew bites of food three times b. Not to ride in a car with strangers c. Not to begin formal dance classes d. Not to watch their father mow the lawn

b. Not to ride in a car with strangers

The nurse is discussing home safety with the parents of a 10-year-old client. Which statement by the client's parents most concerns the nurse? a. Our child is home along for an hour each day b. Our child swims alone before we get home from work c. Our child refuses to ebay any green vegetables d. We do our best to keep no-cook snacks in the home

b. Our child swims alone before we get home from work

A nurse is doing teaching a new mother of a 4-month-old. The nurse recommends which of the following to prevent her baby from getting sunburned: SATA a. Keep the infant indoors during the summer months b. Place a large rimmed hat on the child when outside c. Have the child wear a light color clothing d. Apply sunscreen of at least 30 SPF on any of the child's exposed skin e. Keep the child in a carrier or stroller with a canopy top over the child

b. Place a large rimmed hat on the child when outside c. Have the child wear a light color clothing d. Apply sunscreen of at least 30 SPF on any of the child's exposed skin e. Keep the child in a carrier or stroller with a canopy top over the child

A toddler sustains a minor burn on the hand from hot coffee. Which is the first action the nurse should recommend in treating his burn? a. Apply ice to burned area b. Place burned area under cool running water c. Break any blisters with sterile needle d. Cleanse wound with soap and warm water

b. Place burned area under cool running water

Which is an objective of care for a 10-year-old with minimal change in nephrotic syndrome? a. Reduce blood pressure b. Reduce excretion of urinary protein c. Increase excretion of urinary protein d. Increase ability of tissue to retain fluid

b. Reduced excretion if urinary protein

Which activity will the nurse encourage new parents to complete in order to assist their infant in accomplishing Erickson's developmental task for the first year of life? a. Praise the infant when a new milestone is reached b. Respond promptly when the infant cries. c. Read age-appropriate books to the infant daily d. Appropriately enunciate words when speaking to the infant

b. Respond promptly when the infant cries.

A 12-year-old girl is experiencing prepubescent, and tells the school nurse that she feels "very out of place" in her school. What would be acceptable responses by the nurse? SATA a. It must be difficult for you. Why don't you sit down and we can talk about it b. I would suggest that you talk to your parents about your feelings. This isn't something that I can talk to you about c. All the girls and boys will be going through the same thing as you so that should make you feel a little better d. Tell me how this makes you feel. Talking about your feelings may help you feel better about school e. I went through the same high when I was in school. I know it doesn't feel like it not but I promise it will get easier

a. It must be difficult for you. Why don't you sit down and we can talk about it d. Tell me how this makes you feel. Talking about your feelings may help you feel better about school

Which is the most frequent source of acute childhood lead poisoning? a. Lead-based paint b. Unglazed pottery c. Cigarette butts and ashes d. Folk remedies

a. Lead-based paint

What is the most common cause of death in the adolescent group? a. Motor vehicles b. Firearms c. Drug overdoses d. Drownings

a. Motor vehicles

The nurse is admitting a child with coarctation of the aorta. Which figure depicts this congenital heart defect? a. Narrowed aorta b. ASD c. VSD d. PDA

a. Narrowed aorta

The nurse is doing a routine assessment on a 14-month-old infant and notes that the anterior fontanel is closed. How should the nurse interpret this finding? a. Normal finding b. Findings requiring a referral c. Abnormal finding d. Normal finding, but requires rechecking in 1 month

a. Normal finding

A nurse is providing care to a child with strabismus. The nurse understands that the most common first line of treatment for this condition would be which of the following? a. Occlusion therapy b. Surgery c. Botulinum toxin injections d. Eye therapy

a. Occlusion therapy

The nurse is interviewing the mother of an infant. She reports, "I had a difficult delivery, and my baby was born prematurely." This information should be recorded under which of the following headings? a. Past history b. Present illness c. Chief complaint d. Review of systems

a. Past history

A nurse is assessing an infant and notes that she can hear a continuous murmur when she listens on the infants front and back. The nurse understand that the defect the child most likely has is: SATA a. Patent ductus arteriosus (PDA) b. Atrial septal defect (ASD) c. Coarctation d. Central septal defect (VSD) e. Tetralogy of Fallot

a. Patent ductus arteriosus (PDA) c. Coarctation

A nurse is admitting a toddler to the hospital. The parent needs to leave for a brief period. Which figure depicts the reaction the nurse expects from the child? *picture selection* a. Picture showing separation anxiety b. Kid playing with adult c. Person holding content child d. Child sitting alone eating a snack

a. Picture showing separation anxiety

Infants or children receiving antibiotics may develop oral candidiasis (thrush). Which findings suggests that an infant has thrush? a. Presence of a white membrane on tongue b. Diffuse buccal erythema without discharge c. Mucopurulent sputum d. Oral sputum

a. Presence of a white membrane on tongue

A hospitalized child with minimal change nephrotic syndrome is receiving high doses of prednisone. Which is an appropriate nursing goal related to this? a. Prevent infection b. Stimulate appetite c. Detect evidence of edema d. Ensure compliance with prophylactic antibiotic therapy

a. Prevent infection

The parents of a toddler ask the nurse for suggestions about discipline. When discussing the use of timeouts, which of the following suggestions should the nurse include? a. Select an area that is safe and non stimulating, such as a hallway. b. Send the child to his or her room c. If the child cries, refuses, or is more disruptive, try another approach d. The general rule for length of time is 1 hour per year of age

a. Select an area that is safe and non stimulating, such as a hallway

A clinic nurse is assessing a child with erythema infectiosum (fifth disease). Which figure depicts the rash the nurse should expect to assess? a. Slapped, red cheeks b. Rash over belly c. Lesions over chest d. Lesion on face

a. Slapped, red cheeks

A 10-year-old child, without a history of previous seizures, experiences a tonic-clonic seizure at school. Breathing is not impaired, but some postictal confusion occurs. What is the most appropriate initial action by the school nurse? a. Stay with child and have someone call emergency medical service (EMS) b. Notify parent and regular practitioner c. Notify parent that child should go home d. Stay with child, offering calm reassurance

a. Stay with child and have someone call emergency medical service (EMS)

The nurse is evaluating children's weights during a clinic visit. Which child should the nurse conclude has a weight that is normal the child's age? a. The child whose weight has troupe in the first 6 months of life b. The child whose weight has doubled in the first year of life. c. The child whose weight has doubled in the first 6 months of life and tripled in the first year d. The child whose weight doubled in the first 6 months of life and quadruple in the first year

b. The child whose weight has doubled in the first year life.

Jenny is a 15-year-old who is being seen today in the clinic and her mom comments on the fact that Jenny seems to always choose the opposite of what everyone else wants and that her mood swings are a common occurrence. After teaching the mother about adolescent and developmental changes, the nurse determines that the teaching was successful when the mother states which of the following? a. I know that she is doing this because of all the hormones b. This is common for this age group and it will get better with time c. This is her temperament and we will have to learn how to deal with her d. She will never find anyone to live with her if she acts like this

b. This is common for this age group and it will get better with time

Two toddlers are playing in a sandbox when one child suddenly grabs a toy from the other child. Which is the best interpretation of this behavior? a. This is typical behavior because toddlers are aggressive b. This is typical behavior because toddlers are egocentric. c. Toddlers should know that sharing toys is expected of them d. Toddlers should the cognitive ability to know right from wrong

b. This is typical behavior because toddlers are egocentric.

The nurse is assessing the 12-month-old. Which finding should the nurse document as a developmental delay? a. Can smile and respond to own name b. Unable to lift own head to 90 degrees c. Says mam, dad, dog, eat, and milk d. Unable to feed self with a spoon

b. Unable to lift own head to 90 degrees

A nurse is assessing a 2-year old's language development. What would the nurse expect to assess? a. Verbalization of 4 to 6 words b. Use of a two-word noun-verb sentence. c. Knowledge of full name d. Ability to name one color

b. Use of two-word noun-verb sentence.

A nurse is teaching parents about caring for their child with chickenpox. The nurse should let the parents know that the child is considered to be no longer contagious when which occurs? a. When fever is absent b. When lesions are crusted c. 24 hours after lesions erupt d. 8 days after onset of illness

b. When lesions are crusted

Acyclovir (Zovirax) is given to children with chicken pox to: a. Minimize scarring b. Decreased number of lesions c. Prevent aplastic anemia d. Prevent spread of the disease

b. decreased number of lesions

A nurse in a day-care center is observing a 2-year-old during recess. Which of the following actions would the nurse expect the child to perform? a. Ride a tricycle b. Kick a ball c. Climb the rungs of a ladder d. Build a sand castle

b. kick a ball

The nurse is preparing an in-service education to staff about atraumatic care for pediatric patients. Which intervention should the nurse include? a. Prepare the child for separation from parents during hospitalized by reviewing a video b. Prepare the child before any unfamiliar treatment or procedure by demonstrating on a stuffed animal c. Help the child accept the loss of control associated with hospitalization d. Help the child accept pain that is connected with a treatment or procedure

b. prepare the child before any unfamiliar treatment or procedure by demonstrating on a stuffed animal

Which should the nurse recommend to prevent urinary tract infections in young girls? a. Limit bathing as much as possible b. Wear cotton underpants c. Increase fluids; decrease salt intake d. Cleanse perineum with water after voiding

b. wear cotton underpants

After the nurse provides education to new parents about appropriate sleeping habits for infants, which statements by a parent would indicate to the nurse that teaching needs to reoccur? a. "I will place my infant on the back to sleep every night" b. "I have a crib in my room so that I can breastfeed my baby" c. "My husband gave the baby a special bear that I will place in the crib" d. "By keeping the room at a neutral temperature, I do not have to use blankets"

c. "My husband gave the baby a special bear that I will place in the crib"

A parent reports to the nurse that her child has inflamed conjunctivae of both eyes with purulent drainage and crusting of the eyelids especially on awakening. These manifestations suggest: a. Allergic conjunctivitis b. Conjunctivitis caused by foreign body c. Bacterial conjunctivitis d. Viral conjunctivitis

c. Bacterial conjunctivitis

The nurse is caring for a neonate with suspected meningitis . Which clinical manifestation should the nurse prepare to assess if meningitis is confirmed? SATA a. Complain of headache b. Photophobia c. Bulging anterior fontanel d. High pitched cry e. Poor feeding

c. Bulging anterior fontanel d. High pitched cry e. Poor feeding

What is most descriptive of atopic dermatitis (eczema) in the infant? a. Eczema is worse in humid climates b. Eczema is associated with upper respiratory tract infections c. Eczema is associated with hereditary allergies d. Eczema is worse in summer months

c. Eczema is associated with hereditary allergies

The parent's of a 2-year-old tell the nurse that they are concerned because the toddler has started to use "baby talk" since the arrival of their new baby. The nurse should recommend which intervention? a. Ignore the "baby talk" b. Explain to the toddler that "baby talk" is for babies c. Tell the toddler frequently, "You are a big kid now" d. Encourage the toddler to practice more advanced patterns of speech

a. Ignore the "baby talk"

A nurse is providing care to an infant who is admitted with burns over the face, neck, and chest. The nurse identifies which goal as priority for planning the infant's care? a. Airway remain patent b. Pain is at a tolerable level c. Wounds remain infection-free d. Fluid balance is maintained

a. Airway remain patent

Which clinical manifestations would suggest hydrocephalus in a neonate? a. Bulging fontanel and dilated scalp veins b. Closed fontanel and high-pitched cry c. Constant low-pitched cry and restlessness d. Depressed fontanel and decreased blood pressure

a. Bulging fontanel and dilated scalp veins

The nurse is conducting a staff in-service on the appearance of childhood skin conditions. Lymphangitis ("streaking") is frequently seen in which condition? a. Cellulitis b. Folliculitis c. Impetigo contagiosa d. Staphylococcal scalded skin

a. Cellulitis

A nurse is planning care for a 7-year-old hospitalized with osteomyelitis. Which activities should the nurse plan to bring from the playroom for the child? SATA a. Computer games b. Paper and some paints c. Stuffed animals d. Jack-in-the-box e. Board games

a. Computer games b. Paper and some paints e. Board games

The nurse is completing a pain assessment of a 4-year-old child. Which of the depicted pain scale tools should the nurse use with this child? a. FACES b. Numeric pain scale c. Word graphic d. Combo numeric and word

a. FACES

Which toys should a nurse provide to promote imaginative play for 3-year-old hospitalized child? SATA a. Farm animals and equipment b. Plastic telephone c. Jump rope d. Hand puppets e. Jigsaw puzzle (100 pieces)

a. Farm animals and equipment b. Plastic telephone d. hand puppets

The nurse is assessing a 4-year-old on a routine well-child visit. When assessing the gross motor skills of this preschooler, which activity will the nurse predict the child to be able to successfully accomplish? a. Hop on one foot b. Walk backwards with heel to toe c. Ride a bicycle without training wheels d. Jump rope

a. Hop on one foot

A child with Kawasaki disease is to receive IV immune globulin on day 7 of the illness. A parent asks the nurse, "I am so scared. Will my child be cured after getting the medicine?" Which of the following responses by the nurse is appropriate? a. I cannot promise, but children have been shown to have the best results from the medicine when it is given before the 10th day of illness b. I am sure that your child will be fine. This medicine has been has been shown to work well for children with Kawasaki disease c. I really do not know. We will find out more when your child has follow-up testing in 1 or 2 days d. I know that you are scared, but it is important for you to have faith in your doctors because they are doing all that they can do

a. I cannot promise, but children have been shown to have the best results from the medicine when it is given before the 10th day of illness

The nurse is communicating with a preschooler with a chronic illness. Which statement by the child would indicate the child has a healthy sense of initiative? a. I like to play pretend hospital with mommy. She is the sick person and I am the nurse b. When I color in that book, mommy told me to color inside the lines with my red crayon c. I want to watch this movie, but I am afraid to ask because my brothers thinks the movie is silly d. Sometimes I sing loud songs but when somebody comes inside the room, I stop because I am embarrassed

a. I like to play pretend hospital with mommy. She is the sick person and I am the nurse

A nurse, who is also a mother of a 2-year-old, attends a party at a friend's house and notes some safety concerns that she would like to share with the other mother privately. Which observations during the party would be considered a safety concern that should be addressed privately when appropriate? SATA a. The nurse/mother notes that the toddler's car seat is located in the passenger front seat. b. The parent is busy entertaining guests and did not notice the toddler running out in the neighborhood street to get a toy. c. The toddler was wearing a helmet while riding a tricycle d. The parents allow the toddler to climb up on the counter and watch as food is stirred on the stove. e. The safety gate/fence surrounding the pool area is secure and a little hard, even for parents, to unlatch

a. The nurse/mother notes that the toddler's care seat is located in the passenger front seat. b. The parent is busy entertaining guests and did not notice the toddler running out in the neighborhood street to get a toy. d. The parents allow the toddler to climb up on the counter and watch as food is stirred on the stove.

The nurse is caring for a hospitalized 4-year-old boy. His parents tell the nurse that they will be back to visit at 6 PM. When the child asks the nurse when his parents are coming, the nurse's best response is a. They will come after dinner b. Let me show you on the clock when 6 PM is c. I will tell you every time I see you how much longer it will be d. They will be here soon

a. They will come after dinner

During an examination, an adolescent client tells the nurse about being anxious and frustrated because of facial acne. Which nursing response is appropriate? a. This is one of the most common physical changes during adolescence b. I will tell you primary health care provider about your acne c. Most people get acne during adolescence. It will go away as you get older d. Consuming fried foods and chocolate can cause acne to develop

a. This is one of the most common physical changes during adolescence

When liquid medication is given to a crying 10-month-old infant, which approach minimizes the possibility of aspiration and child spitting the medication out? a. Administer the medication with a syringe (without needle) placed along the side of the infant's tongue b. Administer the medication as rapidly as possibly with the infant securely restrained c. Mix the medication with the infant's regular formula and administer by bottle d. Keep the child upright with the nasal passages blocked for a minute after administration

a. administer the medication with a syringe (without needle) placed along the side of the infant's tongue

The nurse is evaluating the laboratory results on cerebrospinal fluid (CSF) from a 3-year-old child with bacterial meningitis. Which findings confirm bacterial meningitis? SATA a. Elevated white blood cell (WBC) count b. Decreased glucose c. Normal protein d. Elevated red blood cell (RBC) count

a. elevated withe blood cell (WBC) count b. Decreased glucose

Nonpharmacologic strategies for pain management a. May reduce pain perception b. Make pharmacologic strategies unnecessary c. Usually take too long to implement d. Trick children into believing they do not have pain

a. may reduce pain perception

To enhance the effectiveness of the pharmacological pain intervention administered to a 4-year-old child with an injured knee, the nurse plans to add a non pharmacological pain intervention. Which of the following actions would be appropriate for the nurse to perform? SATA a. Read a book to the child b. Hold and cuddle with the child. c. Put an ice pack on the child's knee. d. Have the child watch a favorite program on television. e. Perform passive range of motion exercises on the injured knee

a. read a book to the child b. hold and cuddle the child c. put an ice pack on the child's knee d. have the child watch a favorite program on television