Toddler, Preschool-passp
Which statement by the mother of a toddler with nephrotic syndrome indicates that the nurse's discharge teaching was effective?
"I've been checking the urine for protein so I'll be able to do it at home."
Which method is most reliable for confirming a preschooler's identity before administering a medication?
Check the hospital identification bracelet.
The nurse should expect a 3-year-old child to be able to perform which action?
Ride a tricycle
The nurse is caring for a child with a fractured leg. The parents become concerned when visiting they notice the child sucking his thumb, a behavior previously given up. What does this behavior indicate?
The child is responding to stress.
Which I.M. injection site might the nurse use for a 2-year-old child?
Ventrogluteal muscle
A 2-year-old child with status asthmaticus is admitted to the pediatric unit and begins to receive continuous treatment with albuterol, given by nebulizer. The nurse should observe for which adverse reaction?
tachycardia
The nurse is caring for a toddler hospitalized with a diagnosis of croup (laryngotracheobronchitis). The health care provider prescribes treatment with a mist tent. As the parent attempts to put the toddler in the crib, the toddler cries and clings to the parent. What would be the best approach for the nurse to take to gain the child's cooperation with the treatment?
Encourage the parent to stand next to the crib and stay with the child.
The charge nurse overhears a nurse complaining that she has been assigned to a toddler diagnosed with tetralogy of Fallot for the past 3 days and the mother is very demanding. Which response by the charge nurse is best?
"It's important for the child to have someone assigned to him who's familiar with his care."
Parents of a 15-month-old are concerned that their child says "no" to everything. Which statement by the nurse would be an appropriate response?
"Saying 'no' is part of toddler development and is normal at this age."
The nurse is preparing a child, age 4, for cardiac catheterization. Which explanation of the procedure is most appropriate?
"The special medicine will feel warm when it's put in the tubing."
The nurse suspects that a child, age 4, is being neglected physically. To best collect data on the child's nutritional status, the nurse should ask the parents which question?
"What did your child eat for breakfast?"
A 13-month-old is admitted to the pediatric unit with a diagnosis of gastroenteritis. The toddler has experienced vomiting and diarrhea for the past 3 days, and laboratory tests reveal that the child is dehydrated. Which nursing interventions are correct to prevent further dehydration? Select all that apply.
-Give clear liquids in small amounts. - Encourage the child to eat nonsalty soups and broths. - Monitor the IV solution per the health care provider's order.
A nurse observes a parent in a class performing chest compressions on a simulated 2-year-old child. The nurse knows the mother is doing compression correctly when she observes her compression to be approximately how many inches in depth?
2 in (5 cm)
For a child with a circumferential chest burn, what is the most important factor for the nurse to monitor?
Breathing pattern
How should the nurse prepare a suspension before administration?
By shaking it so that all the drug particles are dispersed uniformly
A preschool-age child scheduled for surgery in the morning is admitted to the facility for the first time. Which nursing action would ease the child's anxiety?
Having the child act out the surgical experience using dolls and medical equipment
Which is the most appropriate nursing diagnosis for a preschool child with epiglottitis?
Ineffective airway clearance related to laryngospasm
Encouraging children to engage in fantasy play and participate in their own care is a useful developmental approach for which pediatric age-group?
Preschool age (3 to 5 years)
A 5-year-old newly diagnosed asthma client is being discharged from the hospital following asthma exacerbation. While providing discharge instructions to an overwhelmed parent, which instruction is essential for home medication use?
Provide the family with the drug's name, dosage, route, and frequency of administration.
Which observation by a nurse indicates that an 18-month-old in Bryant traction is properly positioned?
The hips are slightly elevated off the bed.
The nurse is teaching a group of parents about normal toddler development. When talking about toddlers' play, the nurse should include which point?
They play with similar objects nearby other children rather than with them.
A child, age 5, is brought to the pediatrician's office for a routine visit. When inspecting the child's mouth, the nurse expects to find how many teeth?
Up to 20
When collecting data on a child's cultural background, the nurse should keep in mind that:
behavioral patterns are learned within a culture.
A 3-year-old child is experiencing distress after having cardiac surgery. Which sign indicates cardiac tamponade
muffled heart sounds
A toddler is diagnosed with iron deficiency anemia. When teaching the parents about using supplemental iron elixir, the nurse should provide which instruction?
"Give the elixir with water or juice."
A 3-year-old child with Down syndrome, admitted to the pediatric unit with asthma, does not enunciate words well and holds on to furniture when he walks. What question would be appropriate for the nurse to ask the parent?
"How does your child's condition today differ from his normal condition?"
The nurse is reinforcing education with the parents of a 3-year-old child diagnosed with rubella. The mother has just given birth to a second child. Which statement by the parent best indicates an understanding of the implications of rubella?
"I'll call my neighbor who's 2 months pregnant and tell her not to have contact with my son."
A 2-year-old hospitalized child is HIV positive with severe thrush. The child's anxious grandparents are at her bedside, continually calling the nurses with various concerns. The staff speak disparagingly about them because they are tired of responding to the frequent call lights. When working with the unit's staff, which response by the nurse manager would be appropriate in creating a more optimal care environment for the child?
"If we stop by the room before the light goes on, they may be less anxious."
A child, age 15 months, is admitted to the health care facility. During the initial data collection, which statement by the mother most strongly suggests that the child has a Wilms' tumor?
"My child's abdomen seems bigger, and his diapers are much tighter."
A nurse in a primary health care provider's office is reinforcing education about car seat safety with the parent of a 2-year-old. The parent asks if the child, who weighs 35 lb (15.9 kg), requires a car seat. Which response by the nurse is most appropriate?
"The child should ride in the car seat until he is 4 years old and weighs at least 40 lb."
A 2-year-old child's parent informs the nurse of a concern that the child may have attention deficit hyperactivity disorder (ADHD) because "my child has so much energy, doesn't pay attention for long, and is always getting into things." Which response by the nurse would be best?
"This behavior is normal. The child is exploring and learning about the world."
A 1-year-old infant is pale, but his physical examination is normal. Blood studies reveal his hematocrit is 24%. Which question by the nurse to the parents would be most useful in helping to establish a diagnosis of anemia?
"What's the infant's usual daily diet?"
The nurse is working in a toddlers' playroom providing play therapy. When the toddlers are brought into the room, which scenarios indicate normal toddler play? Select all that apply.
-toddlers playing with toys separately from each other - toddlers wanting the parents to be within sight in the room - toddlers reluctant to crawl to nursing personnel
A nurse rescuer knows that chest compressions must be coordinated with ventilations. Which ratio should the nurse rescuer use for a 3-year-old child?
30 compressions to 2 ventilations
A 3-year-old is to receive 500 mL of dextrose 5% in normal saline solution over 8 hours. At what rate (in milliliters per hour) should a nurse set the infusion pump? Round your answer to a whole number.
63
A 3-year-old child has had surgery to remove a Wilms tumor. Which action should the nurse take first when the parent asks for pain medication for the child?
Assess the child's pain using a smiley face pain scale.
A mother brings her 13-month-old toddler to the clinic. The toddler has erythema and small vesicles that ooze on his buttocks. Which instruction should the nurse give the mother?
Change diapers frequently and use air-drying when possible.
A 2-year-old child is found on the floor next to a toy chest. After first determining unresponsiveness and calling for help, which step should be taken next?
Check for a pulse.
A 4-year-old male is brought to the ambulatory care clinic for well-child care. His height (37 inch [94 cm]) and weight (29 lb [13.2 kg]) are below the 5th percentile for his age and sex. What should the nurse do first in evaluating his growth?
Compare his growth trends with those of his parents and siblings.
A 2-year-old child comes to the emergency department with inspiratory stridor and a barking cough. What is the highest priority action by the nurse?
Establish and maintain the airway
A 2-year-old child comes to the emergency department with inspiratory stridor and a barking cough. What is the highest priority action by the nurse?
Establish and maintain the airway.
A 4-year-old child has a tick embedded in the scalp. Which method should the nurse use to remove the tick?
Grasp the tick with tweezers and apply slow, outward pressure.
Which of the following techniques is most effective in preventing nosocomial infection transmission when caring for a preschooler?
Hand washing
During a well-child visit, the nurse is reinforcing education with the parents of a 2-year-old child. What is the best recommendation a nurse can give to the parents regarding frequent temper tantrums?
Ignore the behavior when it happens.
A 2-year-old child is brought to the emergency department with suspected croup. Which data collection finding reflects increasing respiratory distress?
Intercostal retractions
The mother of a preschooler with spina bifida tells the nurse that her daughter sneezes and gets a rash when playing with brightly colored balloons and that recently she had an allergic reaction after eating kiwifruit and bananas. The nurse would suspect that the child may have an allergy to which of the following?
Latex
What should the nurse do to ensure a safe hospital environment for a toddler?
Move the equipment out of reach.
A nurse has instructions to notify the health care provider if a 44-lb preschooler's urine output drops below 3 mL/kg/hour. The urine output for the previous hour was 30 mL. Which nursing intervention would be the priority?
Notify the health care provider of the child's urine output
A nurse on the pediatric unit who's assigned to the performance improvement committee identifies that admission assessments aren't being completed within the timeframe designated in their standards. Which action should she take first?
Notify the nurse-manager so she can identify contributing factors and devise an action plan.
After collecting data on a newly admitted 5-year-old child, the nurse assists in making the nursing diagnosis of Parental role conflict related to child's hospitalization. Which defining characteristic would most suggest this diagnosis?
Parents' failure to use available support systems or agencies to assist in coping
A nurse is reinforcing education with parents on providing adequate nutrition for their toddler who has cerebral palsy. Which observation by the nurse indicates that the education has been effective?
The child eats finger foods independently.
When collecting data from a 2-year-old child, which finding would indicate to the nurse the possibility of growth hormone deficiency?
The child had normal growth during the first year of life but showed a slowed growth curve below the 3rd percentile for the second year of life.
An 18-month-old child comes to the primary health care provider's office for a well-baby checkup. Which foods should the nurse recommend as providing the best sources of dietary iron for the child?
peanut butter, green vegetables, and raisins
For a child who's admitted to the emergency department with an acute asthma attack, nursing data collection is most likely to reveal:
expiratory wheezing
The nurse is preparing a toddler for a lumbar puncture. For this procedure, the nurse should place the child in which position?
lying on one side, with the back curved
A 4-year-old child is admitted to the burn unit with a circumferential burn to the left forearm. Which finding would alert the nurse to a potential complication that should be reported to the health care provider?
numbness of fingers
Which adverse effect can be expected by the parents of a 2-year-old child who has been started on rifampin after testing positive for tuberculosis?
orange body secretions
A nurse is assessing a 3-year-old child with nuchal rigidity. Which sign would be documented on the chart to support this condition?
positive Kernig's sign
The nurse is caring for a 20-month-old toddler. The toddler's adoptive parent asks what kind of toy is good to give this child based on the toddler's age. Which toy would the nurse suggest that the parent give based on the growth and development of toddlers?
push-pull toy
The nurse is caring for a 3-year-old client being treated for severe status asthmaticus. After comparing clinical manifestations with laboratory results (reported as shown), a nurse determines that this client has progressed to which condition?
respiratory acidosis
A child is admitted to the pediatric unit with a fractured hip. The physician orders Russell traction. This type of traction is:
skin traction applied to a lower extremity, with the extremity suspended above the bed.
The nurse is planning a health teaching session for parents of a toddler. When describing a toddler's typical eating pattern, the nurse should mention that many children of this age exhibit:
strong food preferences.
A 1-year-old underwent hypospadias repair yesterday; he has a urethral catheter in place and an IV. Which rationale is appropriate for administering propantheline on an as-needed basis?
to prevent bladder spasms while the catheter is present
The nurse at a family health clinic is educating a group of parents about normal infant development. What patterns of communication should the nurse tell parents to expect from an infant at age 1?
understands "no" and other simple commands
The parents of a 2-year-old scheduled for surgical repair of an inguinal hernia are fearful and their fears are affecting their child. A play therapist is consulted to help with the child's care. The nurse should explain to the parents that the play therapist will:
use puppets to gain insight into how the child feels about his hospitalization and fears.
When telling a 4-year-old child about an upcoming procedure, the nurse's most important consideration is to:
use simple terms.
A 2-year-old child has been diagnosed with asthma. The parents ask about the most common asthma triggers. What is the nurse's response?
weather
Which of the following objects poses the most serious safety threat to a 2-year-old child in the hospital?
Side rails in the halfway position
A nurse is reinforcing education to the parents of an 18-month-old infant diagnosed with bilateral otitis media about the prescribed medication amoxicillin and clavulanate potassium. Which statement by the parents indicates the education has been effective?
"It can cause diarrhea."
An 18-month-old child is admitted to the hospital with full-thickness burns to the anterior chest. The parent asks how the burns will heal. Which statement would the nurse incorporate in the response?
"Surgical closure and grafting are usually needed."
When teaching the parents of a toddler with congenital heart disease, the nurse should explain all medical treatments and emphasize which instruction?
"Try to maintain your child's usual lifestyle to promote normal development."
At a wellness visit, the parents report that their daughter, age 4, resists going to bed at night. After instruction by the nurse, which statement by the parents indicates effective teaching?
"We'll read her a story and let her play quietly in her bed until she falls asleep."
A 3-year-old child who is unable to make a sound and is cyanotic and lethargic is brought to the emergency department. The parent states that the child swallowed a penny. Which should the nurse do first?
Administer abdominal thrusts.
When assisting in developing a plan of care for a toddler with a seizure disorder, which of the following would be inappropriate?
Arm restraints while asleep
When caring for a toddler, the nurse should understand that a child in this age-group works to achieve which developmental task?
Autonomy
Parents bring their 13-month-old toddler to the clinic. The toddler has erythema and small vesicles that ooze on the buttocks. Which instruction should the nurse give the parents?
Change diapers frequently and air-dry when possible. Correct response:
A father expresses concern over his toddler's eating habits. He states the toddler eats very little and consumes only a single type of food for weeks on end. Which instruction is most helpful?
This is normal toddler behavior.
A child is seen at the health care provider's office. During the interview period the child's parent reports the child has a grade 1 heart murmur. The nurse is aware that this murmur has which characteristic?
a sound softer than the heart sounds
A nurse is collecting data on a 3-year-old who has ingested toilet bowl cleaner. What is the priority when gathering data from this child?
evaluating the airway patency and respiratory status
A 3-year-old child is receiving ampicillin for acute epiglottitis. Which sign would lead the nurse to suspect that the child is experiencing a common adverse effect of this drug?
generalized rash
When obtaining data on a 2-year-old child with croup in respiratory distress, which finding would the nurse expect to observe first?
grunting or head bobbing
What is the best way for a nurse to position a 3-year-old child with right lower lobe pneumonia?
left side-lying
The nurse is caring for a toddler admitted to the hospital with nephrotic syndrome. The nurse carefully monitors the toddler's fluid intake and output and checks urine specimens regularly with a reagent strip. Which finding is the nurse most likely to report?
proteinuria
A mother states that she is being pressured by family to toilet train her 22 month old. When the nurse is instructing on successful toilet training tips, which point is stressed?
Curiosity of the child
