uPrep Questions T4 Peds
The physician has ordered routine hemoglobin A1C levels for a teenager with diabetes. Following teaching about the test by the nurse, the client and family demonstrate the need for further instruction with which statements? Select all that apply. "This test will help us monitor if our child is following the prescribed diet and treatment regimen." "We will need to make sure our child gets this lab test at least every 6 months to ensure the diabetes is under control." "I can check this level myself using a blood glucose monitor." "If I am under a lot of stress I should let my doctor know during my visit in case my hemoglobin A1C levels are elevated." "I will be sure to not eat or drink anything the night before I get my blood drawn for the test."
"I will be sure to not eat or drink anything the night before I get my blood drawn for the test." "I can check this level myself using a blood glucose monitor." "We will need to make sure our child gets this lab test at least every 6 months to ensure the diabetes is under control."
A 9-year-old child is admitted to the hospital with a diagnosis of idiopathic thrombocytopenic purpura. When receiving shift handoff, which description is anticipated? A petechial rash over body Crusted lesions on the roof of the mouth Vesicular lesions along the fifth cranial nerve Purpural lesions only on the forehead and chest
A petechial rash over body
A nurse is leading a discussion with a group of new mothers about newborn nutrition and its importance for growth and development. One of the mothers asks, "Doesn't the baby get iron from me before birth?" Which response by the nurse would be most appropriate? "If the baby didn't use up what you gave him before birth, he excretes it soon after birth." "The iron you give him before birth is different from what he needs once he is born." "You give the baby some iron, but it is not enough to sustain him after birth." "Because the baby grows rapidly during the first months, he uses up what you gave him."
"Because the baby grows rapidly during the first months, he uses up what you gave him."
A 2-year-old boy is in respiratory distress. Which nursing assessment finding would suggest the child aspirated a foreign body?
Noting absent breath sounds in one lung
The nurse notes tachycardia on the cardiac monitor of the pediatric client. What would the nurse further assess for this child? Select all that apply. Pain Body temperature Oxygen saturation Fluid volume status Constipation
Pain Body temperature Oxygen saturation Fluid volume status
The nurse is examining a 10-month-old girl who has fallen from the back porch. Which assessment will directly follow evaluation of the "ABCs?" a) Observing skin color and perfusion b) Palpating the abdomen for soreness c) Auscultating for bowel sounds d) Palpating the anterior fontanel
Palpating the anterior fontanel
A child is brought to the emergency department with a suspected poisoning. What treatment would the nurse least likely expect to be used? Whole bowel irrigation Gastric lavage Syrup of ipecac Activated charcoal
Syrup of ipecac
The nurse is collecting data from the caregivers of a child brought to the clinic setting. The parents tell the nurse that the child's skin seems to be an unusual color. The nurse notes that the child's skin appears bronze-colored and jaundiced. This observation alerts the nurse to the likelihood that this child has which disorder? Thalassemia Sickle cell disease Hemophilia Kawasaki disease
Thalassemia
A child with growth hormone deficiency is prescribed growth hormone (GH) by subcutaneous injection. When teaching the child's parents about this drug, the nurse would instruct the parents to administer the drug at which frequency? Monthly Weekly Every 3 days Daily, 6 to 7 days a week
Daily, 6 to 7 days a week
The nurse is preparing to talk with an adolescent about contraception. During the interaction, which communication techniques will be beneficial? Select all that apply. Face the teen during the interaction. Use open-ended questions. Let the teen know that you may not know all the answers for their questions. Ask that the teen be open and patient when you are providing information. Stand while the teen remains sitting.
Face the teen during the interaction. Use open-ended questions. Let the teen know that you may not know all the answers for their questions. Ask that the teen be open and patient when you are providing information.
A nurse is reviewing the history and physical examination of an infant diagnosed with juvenile idiopathic arthritis. What is often the first sign of juvenile idiopathic arthritis? Macular rash Fussiness Joint pain Fever
Fussiness
A 14-month-old trauma victim has arrived in the emergency department. What client priority will the nurse need to address first?
Inadequate systemic perfusion
A 14-month-old trauma victim has arrived in the emergency department. What client priority will the nurse need to address first?
The physician has ordered routine hemoglobin A1C levels for a teenager with diabetes. Following teaching about the test by the nurse, the client and family demonstrate the need for further instruction with which statements? Select all that apply.
During a physical examination of a 13-year-old boy, the nurse observes a single, enlarged, rubbery-feeling cervical lymph node in the armpit. The boy also reports unexplained loss of weight and malaise. Which condition should the nurse most suspect in this client? Acute lymphocytic leukemia (ALL) Acute myeloid leukemia (AML) Hodgkin lymphoma Non-Hodgkin lymphoma
Hodgkin lymphoma
The nurse is about to see a 9-year-old girl for a well-child checkup. Knowing that the child is in Piaget's period of concrete operational thought, which characteristic should the child display? A) Consider an action and its consequences. B) Know lying is bad because she gets sent to her room for it. C) Make generalized assumptions about groups of things. D) View the world in terms of her own experience.
A) Consider an action and its consequences.