Week 1 peds edapt questions

The nurse is assessing the abdomen of a preschooler admitted for lower right quadrant pain. Which question or statement is the most correct for assessing the child's pain?

"Choose the face that shows how you feel now."

Which statement by an adolescent supports the nurse's conclusion that the caregivers follow permissive parenting?​

"I get irritated and angry whenever someone imposes rules on me."​

A nurse has been caring for an 8-year-old girl with multiple chronic urinary tract infections. The mother states that the family lives in a house with an adult male boarder who occasionally babysits. The child's mother appears protective, never leaving the daughter's side. ​ As the nurse helps the child's mother provide morning care, the child states, "It hurts down there." Her mother becomes visibly upset and tells her daughter not to discuss the matter. What is the nurse's professional responsibility to this child? ​

Discuss with a supervisor that there is a possibility the child is being abused​.

The nurse is preparing to administer an intramuscular (IM) injection to a 4-year-old and asks the caregiver to assist by blowing bubbles for the child while the nurse gives the injection. Which type of non-pharmacological pain management is this demonstrating? ​

Distraction

Which nursing intervention is appropriate to minimize separation anxiety in a hospitalized toddler?​

Encourage parents to room in.

While at the clinic for a newborn check-up, the new father states "I feel a little left out of things because I can't bond with my child the same way as my wife who is breastfeeding." What is the most appropriate response by the nurse?​

"Holding, talking to, and playing with the infant will facilitate bonding between you and your child."​

The nurse is caring for a 7-year-old who has just returned from the postoperative unit after surgery. The child is playing with toys in bed. The child's parents are smiling and state, "Isn't it great that our child does not have any pain?" What is the best response by the nurse?​

"Some children distract themselves with play while in pain."​

The nurse caring for a group of children on the pediatric unit should collect further data and explore the possibility of child abuse in which situation?​

A 7-year-old with a spiral fracture of the humerus, which the caregiver reports as having been caused when the child was hit by a bat swung by a little league teammate

The nurse is assessing the development of a 2-year-old child using Kohlberg's stages of moral development. Which developmental characteristic does the nurse expect? ​

Adjusting behavior according to right/wrong thinking

Which term describes an inorganic cause of failure to thrive?​

Abuse

The caregiver of a 12-year-old with spastic cerebral palsy and a communication disorder tells the nurse, "My child seems so restless. I think they are in pain." What is the nurse's best action?​

Administer prescribed pain medication

The nurse is caring for a 6-year-old boy who must have a lumbar puncture. Which action provides the best example of atraumatic care?​ Select all that apply.

Explain the lumbar puncture procedure​ Keep the parents calm in front of the child​ Have a child life specialist play with the child​ Let the child take his teddy bear with him​

A nurse reviews the client assignment for the day, which includes an infant, a preschool-age child, a third-grader, and a sophomore in high school. Which techniques used by the nurse take into consideration developmental stages when working with pediatric clients?​

Explaining and demonstrating what the blood pressure machine does to the third-grader before taking her blood pressure​

A nurse is teaching health promotion interventions to a caregiver of an 11-month-old infant. Which activity by the caregiver indicates the need for further teaching?​

Feeding the infant cow's milk​

The nurse is providing teaching to the caregivers of a newborn prior to obtaining blood via heelstick. The nurse is describing the procedure and recommending various methods for the caregivers to help comfort their baby. Which statement by the caregivers indicates a need for further teaching?​

It's better if we leave the room during the procedure." ​

An adolescent with neuroblastoma is discharged with written information about chemotherapy administration and an outpatient appointment schedule. The client is now in the maintenance phase of chemotherapy but has missed clinic appointments for blood work and admits to omitting some chemotherapy doses. To improve compliance, the nurse should include which intervention in the care plan?​

Let the adolescent participate in the planning and scheduling of treatments​

The father of a hospitalized child tells the nurse, "He can't have meat. We are Buddhist and vegetarians." What is the nurse's best intervention?​The father of a hospitalized child tells the nurse, "He can't have meat. We are Buddhist and vegetarians." What is the nurse's best intervention?​

Order the child a meatless tray as requested​.

How can the nurse help prevent adverse childhood experiences (ACE)? Select all that apply

Safe dating education program for high school students Home visitation of a newborn to an unwed, teenage caregiver living alone Participation in national or local community mentoring organizations

The nurse teaches the parents of a bottle-feeding infant about interventions to help prevent tooth decay. During the follow-up visit, the nurse finds the parents need additional teaching. Which statement by the parents supports the nurse's conclusion?​

"It is okay to give my baby juice at least once a day."​

A caregiver is seeking care for a 4-month-old who is listless and lethargic and states, "The baby wouldn't stop crying, and so I shook her in frustration." Based on this information, what should the nurse expect is occurring? ​

Physical abuse​

The mother of a 22-month-old child has arranged a play date with a neighbor who has a 23-month-old child. During the play date, the parents anticipate their toddlers will engage in which kind of play?​

Play alongside one another but not actively with one another​.

A community health nurse is assessing an 18-month-old toddler in a community day care. Which finding should the nurse identify as a potential indication of physical neglect?​

Poor hygiene​

A nurse is employed at a facility that practices family-centered care. The nurse understands that the primary focus of this type of care includes which action?​

Promoting the involvement of the child and caregivers as members of the health care team​

A nurse is providing injury prevention guidance to the caregivers of a 3-year-old. Which instructions should the nurse include in the teaching? Select all that apply.​

Ready access to the poison control center's number Proper use of household safety devices Proper use of child car seats

A nurse working in the emergency department is caring for a 4-year-old child with a skull fracture. The parent states that the child rolled off the sofa. Which action by the nurse is most appropriate?​

Report suspected child abuse to appropriate agencies​.

An adolescent girl and her caregiver present at the pediatrician's office. The adolescent complains of severe abdominal pain. A diagnosis of pelvic inflammatory disease (PID) is made. The nurse notes in the child's chart that this is the third time she has been treated for PID. Which action by the nurse would be most appropriate at this time?​

Take the child to a private room and interview her regarding her sexual history and partners.

The nurse is teaching health promotion guidelines to the mother of a 2-year-old child. Which actions of the mother indicate effective learning? Select all that apply.​

Taking the child for scheduled vaccines Training the child to use the toilet for urination Taking the child for cognitive skills screening

The nurse is providing health promotion education in a health care provider's office. Which information provided by the nurse is considered anticipatory guidance?

Teaching parents to prevent injury

The nurse is preparing to perform a physical assessment on a 15-year-old adolescent. The nurse gives the client the option of the caregiver either staying in the room or leaving. Which statement best describes the nurse's action?​

The action is appropriate because of the child's age​.

A caregiver expresses concern to the nurse that her 18-month-old child might have an ear infection. Which of the following clinical manifestations might alert the nurse that the child is in pain? Select all that apply.​

The child is pulling on the ear The child expresses "ouchie" in the ear The child clings to the caregiver The child is crying nonstop

An 18-month-old is brought to the emergency room (ER) by the grandparents, who are babysitting. They noticed that the child was fussy and, when they removed the pants to change the diaper, redness was noted on both legs. "It looked like a burn to me," the grandmother stated. ​ When the child's caregiver arrived at the ER, they were asked about the injuries. The nurse knows which assessment findings create an index of suspicion or warning signs of possible child abuse? Select all that apply.​

Uniform appearance of the burn The caregivers have different stories when questioned separately​ Delay in treatment