PN Nursing Care of Children Practice B with NGN 2022
A nurse is caring for an adolescent who has acne and a new prescription for isotretinoin. For which of the following adverse effects should the nurse monitor?
Depression
#2 The nurse is reinforcing teaching about the adverse effects of chemotherapy with the toddler's parents. Which of the following statements by a parent indicates an understanding of the teaching?
"I should not pressure my child to eat while they have oral ulcers."
A nurse is reinforcing teaching about sudden infant death syndrome (SIDS) with the parent of a 1-month-old infant. Which of the following statements by the parent indicates an understanding of the teaching?
"I will allow my baby to have a pacifier while sleeping."
A nurse is reinforcing teaching about home care with the guardian of a 14month old toddler who has spatic cerebral palsy. Which of the following statements by the guardian indicates an understanding of the teaching?
"I will perform daily stretching exercises to my toddler's affected muscles
A nurse is caring for a toddler who has terminal cancer and is receiving hospice care. The child's parent tells the nurse, "I'm a bad parent, and I can't deal with this." Which of the following responses should the nurse make?
"I'm not sure I follow you. Can you explain?"
A nurse in a pediatric clinic is talking on the telephone with the parent of a 6-month-old infant who has a urinary tract infection and started taking an oral antibiotic the day before. Listen to the audio clip and determine which of the following responses the nurse should take?
"Mix the medicine with 1 teaspoon of applesauce before giving it to your baby."
A nurse in a pediatric clinic is caring for an infant who has heart failure and a prescription for digoxin. Which of the following statements by the parent indicates desired therapeutic effect of the medication?
"My baby is breathing easier than she used to."
A nurse is reinforcing teaching regarding the immunization schedule with the parent of a 6-month-old infant during a well-baby visit. Which of the following statements by the parent indicates an understanding of the teaching?
"My baby will receive his third DTaP vaccine today."
A nurse in a provider's office is caring for a preschooler who has findings of croup. Which of the following statements by the parent requires immediate intervention by the nurse?
"My child has refused to drink any fluids for the past 8 hours."
A nurse is preparing to administer phenobarbital to a toddler who has a seizure disorder and weighs 10 kg (22lb). The prescription read phenobarbital sodium 2.5 mg/kg PO BID. Available is phenobabrital 20mg/5mL. How many mL should the nurse administer with each dose? (Round answer to the nearest hundredth. Use a leading zero if it applies. Do not use a trailing zero.)
6.25 mL
A nurse is screening a group of school age children for abuse. The nurse should identify that which of the following conditions places a child at risk for physical abuse?
A child who has ADHD
A nurse is caring for a group of children in an acute care setting. The nurse should identify that which of the following children is at risk for impaired elimination?
A child who has hyperglycemia
For each finding, click to specify if the finding is consistent with acute glomerulonephritis, iron deficiency anemia, or nephroblastoma (Wilms' tumor). Each finding may support more than one disease process.
Acute glomerulonephritis, Nephroblastoma (Wilms' tumor) - hematuria, urine RBC casts, blood pressure Iron deficiency anemia, Nephroblastoma (Wilms' tumor) - hemoglobin level Acute glomerulonephritis, Nephroblastoma (Wilms' tumor), Iron deficiency anemia - skin assessment
For each potential provider's prescription, click to specify if the potential prescription is anticipated or contraindicated for the toddler.
Administer factor VIII - anticipated Apply ice packs to affected joints - anticipated Administer aspirin PRN pain - contraindicated Perform passive range-of-motion (ROM) exercises during the first 12 hr following injury - contraindicated Elevated affected joints - anticipated
A nurse is collecting data from an infant during a well-child visit. Which of the following sites should the nurse use when obtaining the infant's heart rate?
Apical
A nurse is caring for a 3-year-old female child who is prescribed an indwelling urinary catheter. Which of the following actions should the nurse take when performing this procedure?
Apply 2% lidocaine lubricant into the urethral meatus.
A nurse is preparing to administer furosemide to a toddler who has a heart defect. Which of the following actions should the nurse take to identify the toddler?
Ask the guardian to verify the child's name.
A nurse is reinforcing dietary teaching with the parent of a child who has phenylketonuria. Which of the following foods should the nurse include the best recommendation for a low phenylalanine diet?
Banana
A nurse is collecting data from an 18-month-old toddler who has just presented to the urgent care clinic. Which of the following data should the nurse investigate further?
Blood pressure 120/80 mm Hg
term-40A nurse is assisting with the care of a child who is receiving a blood transfusion. Which of the following findings indicates the child is having a hemolytic reaction?
Chills and flank pain= incompatibility of the transfused blood product
A nurse is caring for a toddler following a tonsillectomy. Which of the following is the priority finding that the nurse should report to the provider?
Continuous swallowing
A nurse is assisting with the care of a 4-year old child who is prescribed an IV medication preoperatively. Which of the following techniques should the nurse use to assist the child to cope with this procedure? (Select all)
Discuss the benefits of the procedure Give the child needleless IV supplies to play Allow the child to perform the procedure with a doll
A nurse in the outpatient clinic is assisting with the care of the toddler. Which of the following actions should the nurse take? select all that apply.
Encourage drinking fluids through a straw Report platelet count to the provider Offer the toddler oral nutritional supplements
A nurse is assisting with the admission of a toddler who has bacterial meningitis caused by Haemophilus influenzae type B. Which of the following isolation guidelines should the nurse plan to initiate?
Droplet precautions
A nurse is contributing to the plan of care for a child who has type 1 diabetes mellitus and is experiencing an acute illness. Which of the following actions should the nurse include in the plan of care?
Encourage an increased fluid intake
Complete the following sentence by using the list of options. The nurse should anticipate a provider's prescription for _______ due to _________.
Establishing IV access The need to administer fluids and medications
Complete the following sentence by using the lists of options. The nurse should first address the child's ______ followed by the child's _______.
Fever Abdominal pain
A nurse is preparing to leave the room after performing nasal suctioning for an infant who has respiratory syncytial virus (RSV). Identify the sequence in which the nurse should remove the following personal protective equipment (PPE).
Gloves Goggles Gown Mask
A nurse is caring for a child who has type 1 diabetes mellitus and has been receiving insulin via subcutaneous infusion pump. Which of the following laboratory tests would verify the average blood glucose level over the past 2 months?
Glycosylated hemoglobin
Select the 4 findings that the nurse should report to the provider.
Hemoglobin Abdominal findings Urine RBC casts Blood pressure
A nurse is reviewing the laboratory values of a school-age child who has iron deficiency anemia. Which of the following findings should the nurse expect?
Hgb 9 g/dL
A nurse is assisting in the care of a male child who has acute post-streptococcal glomerulonephritis (APSGN). For which of the following manifestations should the nurse monitor?
Oliguria
Click to highlight the information in the Nurses' Notes that indicates the infant's condition is improving. To deselect a piece of information, click on the information again.
Infant is sleeping in parent's arms oxygen saturation is 96% on 100% cool mist oxygen via blow-by tubing breath sounds are present and equal bilaterally in the lung bases Infant voided 34 mL
A nurse is contributing to the plan of care for a child who is in Buck's traction. Which of the following interventions should the nurse include in the plan?
Maintain the leg in an extended position
A nurse is preparing a toddler for suturing of a minor facial laceration. The nurse should place the toddler in which of the following restraints?
Mummy restraint
A nurse is reinforcing teaching with the guardian of a child who has a new diagnosis of rheumatic fever. Which of the following statements by the guardian indicates an understanding of the teaching?
My child might have a period of irregular movement of the extremities
A nurse is providing care to parents immediately following their child's unexpected death. Which of the following actions should the nurse take?
Offer the parents the opportunity to bathe and dress the child's body.
Complete the following sentence by using the lists of options. The nurse should plan to first address the child's _______ followed by the child's _______.
Oxygen saturation Pain
A nurse is contributing to the plan of care for a 10-month-old infant who is postoperative following a cleft palate repair. Which of the following actions should the nurse include in the plan of care?
Place the infant in side lying position
A nurse is reviewing the laboratory findings of a school-age child who reports feeling tired and being easily bruised. Which of the following laboratory values should the nurse report to the provider?
Platelets 85,000/mm3
A nurse is caring for a 1-month-old infant who has a nasogastric tube in place for intermittent feedings. Which of the following actions should the nurse take?
Position the head of the crib at a 30 angle between feedings.
A nurse is assisting with planning dietary needs for a toddler. Which of the following interventions should the nurse include in the plan of care?
Provide 1 Tbsp (15 g) of solid food for each year of age.
A nurse in a care provider's office is preparing to administer scheduled vaccines to an infant. The infant's parent refuses to allow the nurse to administer the vaccines. Which of the following actions should the nurse take?
Provide the parent with a vaccine information sheet (VIS).
During a well-child visit, the parent of a toddler expresses concern to the nurse that the toddler takes several hours to fall asleep at night. Which of the following recommendations should the nurse make?
Provide the toddler with a favorite toy at bedtime.
A nurse is reinforcing teaching with the parents of a 2 yo toddler at a well child visit. Which of the following should the nurse recommend as an age appropriate activity for the toddler?
Putting together a large piece puzzle
A nurse is collecting for an adolescent who has asthma and has received an albuterol nebulizer treatment. Which of the following findings indicates an improvement in the adolescent's condition
Respiratory rate 20/min
A nurse is reinforcing teaching with the parents of preschoolers regarding the use of booster seats in a motor vehicle. Which of the following instructions should the nurse include in the teaching?
Secure the child in the booster seat using the motor vehicle's shoulder-lap seat belt.
A nurse is collecting data from a 10-month-old infant. Which of the following findings should the nurse report to the provider?
Sits with support by leaning on hands
A nurse is contributing to the plan of care for an infant who has bronchiolitis and is tachypneic. Which of the following actions should the nurse include in the plan of care?
Suction nasal passages with a bulb syringe.
A nurse is collecting physical data from a 4-year-old child who has diarrhea and has been vomiting for 24 hr. Which of the following sites should the nurse grasp to determine the child's skin turgor?
The child's abdomen.
A nurse is assisting with the development of a health promotion program for the guardians of adolescents. Which of the following information about adolescents should the nurse recommend to include in the program?
The leading cause of death in adolescents is physical injury
A nurse is collecting data from an 18-month-old toddler. Which of the following is a deviation from expected growth and development that the nurse should report to the provider?
The toddler is unable to recognize familiar objects by name.
A nurse is reinforcing teaching with the parent of a school-age child who has lactose intolerance. Which of the following supplements should the nurse instruct the parent to include in the child's diet?
Vitamin D
Select the 3 findings that the nurse should identify as indications of a potential complication.
WBC count Abdominal assessment Temperature
A nurse is reinforcing discharge teaching with the guardians of a 6-month-old infant following a surgical procedure to repair a hypospadias. Which of the following instructions should the nurse include?
Wait 1 week before giving the infant a tub bath
A nurse is reinforcing teaching with the family of an adolescent client who was recently diagnosed with celiac disease. Which of the following foods should the nurse recommend
Yellow corn
A nurse is assisting with the care of an adolescent following a cardiac catherization. Which of the following is the priority finding the nurse should report to the provider?
bleeding noted on the dressing
A nurse is collecting data from a school-age child. The nurse should identify that which of the following findings is a manifestation of physical abuse?
bruises at various stages of healing
A nurse is preparing to obtain a peak expiratory flow rate from an adolescent. Which of the following actions should the nurse take?
have the client stand during the procedure ; allows to get an accurate reading
A nurse is caring for a school age child who has hypocalcemia. Which of the following manifestations should the nurse expect?
hypotension
