proctored peds
A nurse is planning n educational program to teach parents about protecting their children from sunburns. Which of the following instructions should the nurse plan to include?
"Choose a waterproof sunscreen with a minimum SPF of 15."
A nurse is providing teaching to the family of a school-age child who has juvenile idiopathic arthritis. Which if the following instructions should the nurse include in the teaching?
"Encourage the child to perform independent self-care."
A nurse is teaching the parent of a toddler about home safety. Which of the following statements by the parent indicates an understanding of the teaching?
"I lock my medications in the medicine cabinet."
A nurse is providing teaching to an adolescent about how to manage tineapedis. Which of the following statements by the adolescent indicates an understanding of the teaching?
"I should wear sandals as much as possible."
A nurse is providing discharge teaching to the guardian of a school-age child who has undergone a tonsillectomy. Which of the following statements by the guardian indicates an understanding the teaching?
"I will notify the doctor if I notice that my child is swallowing frequently."
A nurse is teaching the guardian of a 6-month-old infant about teething. Which of the following statements should the nurse make?
"Your baby might pull at their ears when they are teething."
A nurse is teaching a 12-month old child about development during the toddler years. which of the following statements should the nurse include?
"your child should be able to scribble spontaneously using a crayon at the age of 15 months"
A nurse in an emergency department is assessing a toddler who has Kawasaki disease. Which of the following findings should the nurse expect? (Select all that apply.)
-Increased temperature -Xerophthalmia-Cervical lymphadenopathy
A nurse is admitting an infant who has intussusception. Which of the following findings should the nurse expect? (Select all that apply.)
-Vomiting -Lethargy
A nurse in an emergency department is assessing a toddler who has Kawasaki disease. Which of the following findings should the nurse expect?
1. Increased temperature 2.Xerophthalmia3.Cervical lymphadenopathy
A nurse is admitting an infant who has intussusception. Which of the following findings should the nurse expect?
1. Vomiting 2. Lethargy
A nurse is reviewing the dietary choices of an adolescent who has iron deficiency anemia. The nurse should identify that which of the following menu items has the highest amount of nonheme iron?
1⁄2 cup of raisins
A nurse is planning care for a school age child who has a tunneled central venous access device. Which of the following intervention should the nurse include in the plan?
A semi permeable transparent dressing to cover the site.
A nurse is admitting a 4-month-old infant who has heart failure. Which of the following findings is the nurses priority?
Episodes of vomiting
A nurse is assessing the pain level of a 3-year-old toddler. Which of the following pain assessment scales should the nurse use?
FACES
A nurse is creating a plan of care for a newly admitted adolescent who has bacterial meningitis. How long should the nurse plan to maintain the adolescent in droplet precautions?
For 24 hr following initiation of antimicrobial therapy
A nurse is creating a plan of care for a newly admitted adolescent who has bacterial meningitis. How long should the nurse plan to maintain the adolescent in droplet precautions?
For 24 hr following initiation of antimicrobial therapy
A nurse is providing teaching to an adolescent about how to manage tinea pedis. Which of the following statements by the adolescent indicates an understanding of the teaching?
I should wear sandals as much as possible.
A nurse is caring for an infant who is receiving IV fluids for the treatment of Tetralogy of Fallot and begins to have hypercryanotic spell. Which of the following actions should the nurse take?
Place the infant in a knee-chest position
A nurse is caring for an infant who is receiving IV fluids for the treatment of Tetralogy of Fallot and begins to have hyper cyanotic spell. Which of the following actions should the nurse take?
Place the infant in a knee-chest position.
A nurse is caring for a preschooler who has congestive heart failure. The nurse observes wide QRS complexes and peaked T waves on the cardiac monitor. Which of the following prescriptions should the nurse clarify with the provider?
Potassium Chloride
A nurse is caring for a newly admitted school age child who has hypopituitarism. Which of the following medication should the nurse expect a provider to prescribe?
Recombinant growth hormone
A nurse is caring for a newly admitted school-age child who has hypopituitarism. Which of the following medications should the nurse expect the provider to prescribe?
Recombinant growth hormone
A nurse is providing discharge teaching to the guardians of a toddler who had a lower leg cast applied 24 hr ago. The nurse should instruct the guardians to report which of the following findings to the provider?
Restricted ability to move the toes
A nurse is providing discharge teaching to the guardians of a toddler who had lower leg cast applied 24 hr ago. The nurse should instruct the guardians to report which of the following finding to the provider?
Restricted ability to move the toes.
A nurse is planning care for a school-age child who has tunneled central venous access device. Which of the following interventions should the nurse include in the plan?
Use a semipermeable transparent dressing to cover the site.
A nurse is assessing a 3-year-old child who is 1 day postoperative following a tonsillectomy. Which of the following methods should the nurse use to determine if the child is experiencing pain?
Use the FACES scale.
A nurse is teaching a school-age child and their parent about postoperative care following cardiac catheterization. Which of the following instructions should the nurse include?
Wait 3 days before taking a tub bath
A nurse is planning to collect a specimen from a male infant using a urine collection bag. Which of the following actions should the nurse take?
Wash and dry the infant's genitalia and perineum thoroughly.
A nurse is caring for a 15-month-old toddler who requires droplet precautions. Which of the following actions should the nurse take?
Wear a mask when assisting the toddler with meals.
A nurse in an emergency department is auscultating the lungs of an adolescent who is experiencing dyspnea. The nurse should identify the sound as which of the following?
Wheezes
a nurse in the emergency department is caring for a 2-year-old child who was found by his parents crying and holding a container of toilet bowl cleaner. the child's lips are edematous and inflamed, and he is drooling. which of the following is the priority action by the nurse?
check the child's respiratory status.
A nurse is teaching the parent of an infant about food allergens. Which of the following foods should the nurse include as being the most common food allergy in children?
cow's milk
A nurse is performing a physical assessment on a 6-month-old infant. Which of the following reflexes should the nurse expect to find?
Babinski
A nurse is providing teaching to the parents of a preschooler who has heart failure and a new prescription for digoxin twice daily. Which of the following instructions should the nurse include in the teaching?
Brush the child's teeth after giving the medication
A nurse is providing discharge teaching to the parents of a 3-month old infant following a cheiloplasty. Which of the following instructions should the nurse include?
"Apply a thin layer of antibiotic ointment on the your babys suture line daily for the next 3 days."
A nurse is preparing to administer ibuprofen 5 mg/kg every 6 hr. PRN for a temperature above 100.5*F to an infant who weighs 17.6lb. Available is ibuprofen oral suspension 100 mg/5mL. How many mL should the nurse administer to the infant per dose?
2 mL
A nurse is caring for a toddler and is preparing to administer 0.9% sodium chloride 100 mL IV to infuse over 4 hr. The drop factor of the manual IV tubing is 60 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
25 gtt
A nurse is receiving change-of-shift report for four children. Which of the following children should the nurse assess first?
A toddler who has a concussion and an episode of forceful vomiting
A nurse in an emergency department is assessing a 3-month-old infant who has rotavirus and is experiencing acute vomiting and diarrhea. Which of the following manifestations should the nurse identify as an indication that the infant has moderate to severe dehydration?
Sunken anterior fontanel
A nurse is planning an educational program for school-age children and their parents about bicycle safety. Which of the following information should the nurse plan to include?
The child should be able to stand on the balls of their feet when sitting on the bike.
A nurse is providing discharge teaching to the parent of a school-age child who has moderate persistant asthma. Which of the following instructions should the nurse include?
"Pulmonary function tests will be performed every 12 to 24 months to evaluate how your child is responding to therapy."
A nurse in a providers office is caring for a school-age child who has varicella. The parents asks the nurse when their child will no longer be contagious. Which of the following responses should the nurse make?
"When your childs lesions are crusted, usually 6 days after they appear."
A nurse is monitoring the oxygen saturation level of an infant using pulse oximetry. The nurse should secure the sensor to which of the following areas on the infant?
Great Toe
A nurse is monitoring the oxygen saturation level of an infant using pulse oximetry. The nurse should secure the sensor to which of the following areas on the infant?
Great toe
A nurse is preparing to administer recommended immunizations to a 2-month-old infant. Which of the following immunizations should the nurse plan to administer?
Haemophilus influenzae type B (Hib) and inactivated polio virus (IPV)
A nurse is providing discharge teaching to a parent of an 18-month-old toddler who has dehydration due to acute diarrhea. Which of the following statements by the parent indicates an understanding of the teaching?
I will monitor my child's number of wet diapers.
A nurse is providing discharge teaching to the Guardian of a school age child who has undergone a tonsillectomy. Which of the following statements by the guardian indicates an understanding that of the teaching?
I will notify the doctor if I notice that my child is swallowing frequently
A school nurse is providing an in-service for faculty about improving education for students who have ADD. Which of the following statements by a faculty member indicates an understanding of the teaching?
I will teach challenging academic subjects to students who have ADHD in the morning.
A nurse in a health department is caring for an emancipated adolescent who has an STI and is unaccompanied by a guardian. Which of the following actions should the nurse take?
Have the adolescent sign a consent form for treatment
A nurse is teaching a group of parents about infectious mononucleosis. Which of the following statements by a parent indicates an understanding the teaching?
Mononucleosis is caused by an infection with the Epstein-Barr virus.
A nurse is assessing an infant who has pneumonia. Which of the following findings is the priority for the nurse to report to the provider?
Nasal flaring
A nurse is observing a mother who is playing peek-a-boo with her 8-month-old child. The mother asks if this game has any developmental significance. The nurse should inform the mother that peek-a-boo helps develop which of the following concepts in the child?
Object permanence
A nurse is caring for 1-month-old infant who is breast feeding and requires a heel stick period which of the following action should the nurse take to minimize the infant's pain?
Allow the mother to breastfeed while the same is being obtained.
A nurse is caring for a 1-month-old infant who is breastfeeding and requires a heel stick. Which of the following actions should the nurse take to minimize the infants pain?
Allow the mother to breastfeed while the sample is being obtained.
A nurse is assessing an 8-year-old child who has early indications of shock. After establishing an airway and stabilizing the child's respirations, which of the following actions should the nurse take next?
Initiate IV access
A nurse is assessing an 8-year-old child who has early indications of shock. After establishing an airway and stabilizing the childs respirations, which of the following actions should the nurse take next?
Initiate IV access.
A nurse is creating a plan for a child who has varicella. Which of the following interventions should the nurse include?
Initiate airborne precautions for the child
A nurse is assessing a 6-month-old infant at a well-child visit. Which of the following findings indicates the need for further assessment
Legs remain crossed and extended when supine
A nurse is caring for an 18-year-old adolescent who is up-to-date on immunizations and is planning to attend college. The nurse should inform the client that he should receive which of the following immunizations prior to moving into a campus dormitory?
Meningococcal polysaccharide
A nurse in a pediatric clinic is assessing a toddler at a well-child visit. Which of the following actions should the nurse take?
Minimize physical contact with the child initially
A nurse in an emergency department is caring for a school-age child who has epiglottitis. Which of the following actions should the nurse take?
Monitor the child's oxygen saturation
A nurse is an emergency department is caring for a school-age child who has epiglottitis. Which of the following actions should the nurse take?
Monitor the childs oxygen saturation
A nurse in a provider's office is caring for a school-age child who has varicella. The parent asks the nurse when their child will no longer be contagious. Which of e following responses should the nurse make?
When your child's lesions are crusted, usually 6 days after they appear.
A nurse is providing dietary teaching to the guardian of a school-age child who has cystic fibrosis. Which of the following statements should the nurse make?
You should offer your child high protein means and snacks throughout the day.
A nurse in an emergency department is caring for a school-age child who has sustained a minor superficial burn from fireworks on their forearm. Which of the following actions should the nurse take?
Apply an antimicrobial ointment to the affected area.
A nurse is creating a plan of care for a preschooler who has Wilms' tumor and is scheduled for surgery. Which of the following interventions should the nurse include?
Avoid palpating the abdomen when bathing the child before surgery
A nurse is planning developmental activities for a newly admitted 10-year-old child who has neutropenia. Which of the following actions should the nurse plan to take?
Provide the child with a book about adventure.
A nurse is planning developmental activities for a newly admitted 10-year-old child who has neutropenia. Which of the following actions should the nurse plan to take?
Provide the child with a book about adventure.
A nurse is providing discharge teaching to the parent of a school age child who has moderate persistent asthma. Which of the following instruction should the nurse include?
"Pulmonary function tests will be performed every 12 to 24 months to evaluate how your child is responding to therapy."
A nurse assessing a school-age child who has an infratentorial brain tumor. Which of the following findings should the nurse identify as a manifestation of increased intracranial pressure?
Difficulty concentrating
A nurse is performing hearing screenings for children at a community health fair. Which of the following children should the nurse refer to a provider for a more extensive hearing evaluation?
An 8-month-old who is not yet making babbling sounds.
A nurse is providing discharge teaching to the parents of a 3-month-old infant following a cheiloplasty. Which of the following instructions should the nurse include?
Apply a thin layer of antibiotic ointment on your baby's suture line daily for the next 3 days.
A nurse is caring for a school-age child who has primary nephrotic syndrome and is taking prednisone. Following 1 week of treatment, which of the following manifestations indicates to the nurse that the medication is effective?
Decreased edema
A nurse is caring for a school-age child who has DM and was admitted with a diagnosis of DKA. When performing the respiratory assessment, which of the following findings should the nurse expect?
Deep respirations of 32/min
A nurse is assessing a school-age child who has an infratentorial brain tumor. Which of the following findings should the nurse identify as a manifestation of increased intracranial pressure?
Difficulty concentrating
A nurse in a pediatric clinic is caring for a 3-year-old child who has a blood lead level of 3 mcg/dL. When teaching the toddler's parents about the correlation of nutrition with lead poisoning, which of the following information is appropriate for the nurse to include in the teaching?
Ensure the child's dietary intake of calcium and iron is adequate.
Just caring for a school age child who has peripheral edema. The nurse should identify that which of the following assessment should be performed to confirm peripheral edema?
Palpate the dorsum of the child's feet.
A community health nurse is assessing an 18-month-old toddler in a community daycare. Which of the following findings should the nurse identify as a potential indication of physical neglect?
Poor personal hygiene
A nurse is assessing a 6-month old infant during a well-child visit. Which of the following finding should the nurse report to the provider?
Presence of strabismus.
A nurse is assessing an adolescent who received a sodium polystyrene sulfonate enema. Which of the following findings indicate effectiveness of this medication?
Serum potassium level 4.1
A nurse is assessing an adolescent who received a sodium polystyrene sulfonate enema. Which of the following findings indicates effectiveness of the medication?
Serum potassium level 4.1 mEq/L
A nurse is planning care for a newly admitted school-age child who has generalized seizure disorder. Which of the following interventions should the nurse plan to include?
Ensure the oxygen source is functioning in the child's room.
A nurse is reviewing the laboratory results of a school-age child who is 1 week postoperative following an open fracture repair. Which of the following findings should the nurse identify as an indication of a potential complication?
Erythrocyte sedimentation rate 18 mm/hr
A nurse is developing a plan of care for a school-age child who underwent a surgical procedure that resulted in temporary loss of vision. Which of the following interventions should the nurse include in the plan of care?
Explain sounds the child is hearing.
A charge nurse is preparing to make a room assignment for a newly admitted school-age child. Which of the following considerations is the nurse's priority?
Disease process
A charge nurse is preparing to make a room assignment for a newly admitted school-age child. Which of the following considerations is the nurses priority?
Disease process
A nurse is discussion organ donation with the parents of a school-age child who has sustained brain death due to a bicycle crash. Which of the following actions should the nurse take first?
Explore the parents feelings and wishes regarding organ donation.
A nurse is caring for a child following a tonic-clonic seizure. Which of the following actions should the nurse take first?
Check the child's respiratory rate
A nurse is discussing organ donation with the parents of a school age child who has sustained brain death due to a bicycle crash. Which of the following actions should the nurse take first?
Explore the parents' feelings and wishes regarding organ donation
A nurse is caring for a 10-year-old child following a head injury. Which of the following findings should he nurse identify as an indication that they child is developing diabetes insipidus?
Sodium 155 mEq/L
A nurse is planning care to address nutritional needs for a preschooler who has cystic fibrosis. Which of the following interventions should the nurse include in the plan?
Increase fat content in the child's diet to 40% of total calories.
A nurse is planning care for a 10-month-old infant who has suspected failure to thrive (FTT). Which of the following interventions should the nurse include in the plan of care? (Select all that apply.)
Observe the parents' actions when feeding the child. Maintain a detailed record of food and fluid intake.
A nurse is providing discharge teaching to the parents of a 6-month-old infant who is postoperative following hypospadias repair with a stent placement. Which of the following instructions should the nurse include in the teaching?
Allow the stent to drain directly into your infant's diaper
A nurse is creating a plan of care for a preschooler who has Wilms' tumor and is scheduled for surgery. Which of the following interventions should the nurse include?
Avoid palpating the abdomen when bathing the child before surgery.
A nurse is creating a plan of care for a child who has varicella. Which of the following interventions should the nurse include?
Initiate airborne precautions for the child.
A nurse is teaching the parents of a toddler who has a cognitive impairment about toilet training. Which of the following instructions should the nurse include in the teaching?
Award your child with a sticker when they sit on the potty chair
A nurse is caring for a toddler who has acute otitis media and a temperature of 104*F. After administering acetaminophen, which of the following actions should the nurse plan to take to reduce the toddler's temperature?
Dress the toddler in minimal clothing
The nurse is providing anticipatory guidance to the parent of a toddler. Which of the following expected behavior characteristics of toddlers should the nurse include?
Expresses likes and dislikes
A nurse at a pediatric clinic is assessing a 5-month-old infant during a well-child visit. Which of the following findings should the nurse report to the provider?
Head lags when pulled from a lying to a sitting position
