20-37
1. 2
1. A pediatric nurse assesses the language skills of a preschool child. This nurse is assessing an aspect of which developmental domain? 1) Physical 2) Cognitive 3) Psychosocial 4) Moral/spiritual
1. 3
1. The nurse is teaching the parents of a 6-year-old child what to expect in terms of normal growth and development. Which parental statement indicates the need for further education? 1) "My child's vision has reached maturity." 2) "I should expect my child to be constantly active." 3) "Finger feeding is abnormal and indicates the need for intervention." 4) "A coloring book is a developmentally appropriate activity for my child."
1. 3
1. The parent of a toddler states, "My child is constantly saying 'no.'" When documenting this in the medical record, which term should the nurse use? 1) Autonomy 2) Egocentric 3) Negativism 4) Temperament
1. 1
1. The pediatric nurse is explaining the procedure for débriding a wound to a preschool-aged patient. Which is an age-appropriate method to describe this process? 1) Use play to demonstrate the procedure 2) Allow the child to see all of the equipment 3) Allow the child to refuse the procedure 4) Use pamphlets to describe the procedure
1. 2
1. Which bone is a common location for musculoskeletal disorders during childhood? 1) Flat 2) Long 3) Short 4) Irregular
1. 3
1. Which classification of medication should the nurse be prepared to teach the family of a child who is newly diagnosed with schizophrenia? 1) Opioid 2) Antianxiety 3) Neuroleptic 4) Antidepressant
1. 4
1. Which health-care provider is mandated by law to report suspected child abuse? 1) Baptist priest 2) Day-care provider 3) Basketball coach 4) Registered nurse
1. 1
1. Which is a responsibility of the nurse when implementing safety precautions for pediatric patients each shift? 1) Checking that the bedside equipment is functional and the right size 2) Verifying a dose of insulin with another nurse prior to administration 3) Using the 10 rights of medication administration with each drug given 4) Verifying the patient prior to administering a prescribed treatment
1. 4
1. Which is a theoretical reason for why adolescents engage in risky behavior? 1) As a coping mechanism 2) To impress a teacher 3) As a cry for help 4) To receive peer approval
1. 4
1. Which is an example of an anthropometric measurement the nurse documents for the infant in the medical record? 1) Heart rate 2) Pain rating 3) Blood pressure 4) Head circumference
1. 2
1. Which rationale for why young children are more prone to otitis media should the nurse include in the teaching session with a parent? 1) The eustachian tube is longer, wider, and vertical in younger children. 2) The eustachian tube is shorter, wider, and horizontal in younger children. 3) The eustachian tube is longer, more narrow, and vertical in younger children. 4) The eustachian tube is shorter, more narrow, and horizontal in younger children.
1. 1
1. Which statement accurately describes the structures of the heart? 1) The right atrium is a reservoir, or collecting chamber, for the peripheral venous return. 2) The left ventricle receives blood from the right atrium and pumps it into the lungs via the pulmonary artery. 3) The right ventricle receives blood from the left atrium and pumps it into the systemic circulation via the aorta. 4) The left atrium receives deoxygenated blood from the entire body (except the lungs) through the superior and inferior venae cavae with an approximate saturation of 100%.
1. 3
1. Which statement reflects appropriate understanding of the anatomy and physiology of the nervous system? 1) The brain is a network of nerve cells called axons. 2) The central nervous system consists of the brain only. 3) The peripheral nervous system consists of the cranial nerves and the spinal nerves. 4) Gray matter consists of axons that are coated with myelin, which allows nerve impulses to travel rapidly.
1. 3
1. Which statement regarding the endocrine system is accurate? 1) The hypothalamus is a photosensitive gland that receives light through the optic nerve. 2) The pituitary gland produces two hormones called thyroxin and triiodothyronine. 3) The pancreas produces insulin and glucagon, which affect metabolism. 4) The adrenal glands produce steroidal sex hormones that regulate changes at puberty.
1. 4
1. Which term describes assisting a family to feel supported, listened to, and competent? 1) Enable 2) Empathy 3) Egocentric 4) Empowerment
10. 3
10. A 9-month-old who is not sitting independently has been diagnosed with ataxic cerebral palsy (CP). Which clinical manifestation does the nurse expect to see in the baby? 1) Hypertonicity 2) Muscle dystrophy 3) Poor muscle coordination 4) Involuntary wormlike movements
10. 2
10. An infant who is diagnosed with a mild heart defect will not have surgical correction for at least 2 years. Which information should the nurse include in the discharge teaching regarding management in the home environment? 1) "Your child is not at risk for congestive heart failure." 2) "It is important for your child to maintain normal activity." 3) "It is important to avoid antipyretics for the treatment of fever." 4) "Your child will have a low-grade fever until the defect is repaired."
10.3
10. For which immunization booster does the nurse provide parental education during the health maintenance visit for a 4-year-old patient? 1) Hepatitis B 2) Haemophilus influenzae type B 3) Inactivated poliovirus (IPV) 4) Human papillomavirus (HPV)
10. 2
10. The nurse witnesses a child collapsing in the cafeteria. Which is the priority action by the nurse? 1) Calling for help 2) Determining unresponsiveness 3) Performing chest compressions 4) Giving a resuscitative breath
10.2
10. The parents of a toddler have not sought the recommended dental care for their child. Which type of abuse should the nurse identify in this situation? 1) Physical abuse 2) Physical neglect 3) Emotional abuse 4) Emotional neglect
10. 2
10. Which assessment finding requires an immediate nursing action when providing care to an adolescent who is postoperative for spinal fusion surgery? 1) Sleeps when not bothered but arouses easily with stimuli 2) Impaired color, sensitivity, and movement of lower extremities 3) Nausea relieved by antiemetics 4) Pain relieved by analgesics
10. 3
10. Which clinical manifestations should the nurse anticipate when providing care to an adolescent client who presents with untreated Graves' disease? 1) Hyperglycemia, ketonuria, and glucosuria 2) Weight gain, hirsutism, and muscle weakness 3) Tachycardia, fatigue, and heat intolerance 4) Dehydration, metabolic acidosis, and hypertension
10. 3
10. Which is a component of constructing patient-centered goals when planning care for a school-aged patient who is being abused? 1) Family-centered 2) Past-oriented 3) Measurable 4) Based on medical principles
10. 1
10. Which is an essential component when providing care to a pediatric patient who is experiencing an acute exacerbation of a mental health condition? 1) Establishing rapport 2) Collecting vital signs 3) Determining medication adherence 4) Documenting events leading to hospitalization
10.2
10. Which nursing action is appropriate when assessing an infant for respiratory distress? 1) Palpating for masses 2) Inspecting for head bobbing 3) Documenting the frequency of stools
10.3
10. Which nursing action is appropriate when providing care to an adolescent patient who is accompanied to an appointment by a parent? 1) Instructing the parent to stay in the waiting room, with the explanation that the adolescent will provide a report after the examination 2) Telling the parent it is against policy for a parent to accompany the adolescent to the examination room 3) Reassuring the parent that the nurse will discuss any parental concerns or questions after the examination 4) Allowing the parent to come into the examination room with the adolescent
10.1
10. Which pediatric patient can best tolerate separation from parents during hospitalization? 1) A 3-month-old 2) A 15-month-old 3) A 24-month-old 4) A 36-month-old
10. 2
10. Which term should the nurse use when discussing a child with no sight sensory experience with other members of the health-care team? 1) Deaf 2) Blind 3) Hard of hearing 4) Visually impaired
10.1
10. Which toy should the nurse provide to the infant patient to promote development? 1) Music box 2) Board game 3) Pail and shovel 4) Large-piece puzzle
10.1
10. Which type of relationship is most important to the school-aged child? 1) Same-sex peer relationship 2) Opposite-sex peer relationship 3) Same-sex parental relationship 4) Opposite-sex parental relationship
11. 4
11. A 2-month-old infant with a congenital heart defect is admitted to the pediatric intensive care unit with congestive heart failure (CHF). Which intervention should the nurse include in the infant's plan of care? 1) Forcing fluids appropriate for age 2) Monitoring respirations during active periods 3) Giving larger feedings less often to conserve energy 4) Organizing activities to allow for uninterrupted sleep
11. 4
11. A pediatric patient is admitted to the ED with a traumatic brain injury (TBI) that caused a loss of consciousness. The last set of vital signs showed a heart rate of 48 bpm, a BP of 148/74 mm Hg, and a respiratory rate of 12 breaths per minute and irregular. Which does the nurse suspect? 1) Improvement 2) Typical for sleep 3) Spinal cord injury 4) Increased intracranial pressure
11. 3
11. The nurse is giving discharge instructions to the parents of a child whose adrenal glands have been removed because of a tumor. Which parental statement indicates the need for further education? 1) "I will call the doctor if my child has restlessness and confusion." 2) "If my child has any gastric irritation, I will give him antacids." 3) "If my child has vomiting and diarrhea, I will hold his hydrocortisone." 4) "I will give my child his hydrocortisone in the morning."
11. 2
11. The nurse is providing care for a child of Asian descent who is experiencing an exacerbation of asthma. The nurse notes bruising on the child's back in the shape of a Christmas tree. Which question exhibits therapeutic communication when conducting the health history assessment on the basis of the current data? 1) "Why are you subjecting your child to this treatment?" 2) "Do you use spooning when caring for your child's breathing issues?" 3) "Have you ever been accused of abusing or neglecting your child?" 4) "Do you require a medical translator during the interview process?"
11. 4
11. The nurse is providing care to a child who is diagnosed with Legg-Calvé-Perthes disease. Which parental statement regarding the child's care indicates correct understanding of the information provided? 1) "We're glad this will take only about 6 weeks to correct." 2) "We understand adduction of the affected leg is important." 3) "We know that surgical correction is the only medical intervention needed." 4) "We will encourage our child to swim in the pool for exercise."
11. 1
11. The school nurse is performing annual height and weight screenings. The nurse notes that three adolescent girls who are close friends have each lost 15 pounds over the past year. Which is the priority nursing action? 1) Obtaining a nutritional history for each of these adolescents 2) Referring these adolescents to the school psychologist 3) Calling the respective parents to discuss the eating pattern of each adolescent 4) Speaking with the adolescents in a group to discuss the problems associated with anorexia nervosa
11. 4
11. Which behavior noted by the school-aged patient indicates the development of conservation? 1) Learning to spell 2) Becoming interested in collections 3) Developing a sense of cause and effect 4) Being able to classify objects according to mass
11. 4
11. Which data collected during the health history process cause the nurse to assess for autism? 1) Using pronouns incorrectly 2) Sleeping less than 14 hours per day 3) Using two-word sentences at 20 months of age 4) Lacking interest in games such as hide-and-go-seek
11. 2
11. Which data obtained during an infant's health history interview cause the nurse to provide specific information about SIDS? 1) Sleeping on the back 2) Smoking in the home 3) Attending day care each day 4) Being behind on current vaccinations
11. 1
11. Which information should the nurse include in the teaching plan for the parents of a child who is diagnosed with ASD as methods to increase the child's socialization? 1) Create a reward system when the child interacts with a person. 2) Punish the child when the child's social behaviors are inappropriate. 3) Use dolls to demonstrate appropriate social interactions to the child. 4) Enroll the child in a day-care facility to encourage interaction with other children.
11. 3
11. Which nursing action is most appropriate when updating the family of a preschool-aged patient? 1) Providing the update at the bedside 2) Giving the parents a written report from the providers 3) Stepping out of the room to discuss the information 4) Asking the provider to discuss all of the information with the family
11. 3
11. Which parental statement during a scheduled health maintenance assessment for a preschool-aged child causes the nurse concern? 1) "We have dinner together as a family each evening." 2) "We are so proud that our child is able to recognize letters of the alphabet." 3) "Our child wakes up each night screaming because of nightmares." 4) "Our child attends a day-care program 3 days per week."
11. 2
11. Which should the nurse include in the plan of care for a pediatric client diagnosed with otitis media with effusion? 1) Assessing for visual acuity 2) Assessing for speech delays 3) Administering prescribed aspirin for pain relief 4) Administering prescribed IV antibiotics
11. 4
11. Which should the nurse monitor when assisting with the rapid assessment of body systems to assess a child's cardiovascular system? 1) Presence of petechiae 2) Retinal hemorrhage 3) Paradoxical breathing 4) Abnormal heart sounds
11. 2
11. Which toy should the nurse provide to the school-aged patient to promote development? 1) Music box 2) Board game 3) Pail and shovel 4) Large-piece puzzle
12. 3
12. A toddler is prescribed digoxin (Lanoxin) for cardiac failure. Which should the nurse instruct the toddler's parents to monitor for as a manifestation associated with digoxin toxicity? 1) Ataxia 2) Tinnitus 3) Bradycardia 4) Hypotension
12. 3
12. An adolescent patient presents in the emergency department (ED) with confusion. The health-care provider suspects diabetic ketoacidosis (DKA). A STAT serum glucose is done, and the result is 715 mg/dL. Which clinical manifestations does the nurse anticipate upon assessment of this client? 1) Tachycardia, dehydration, and abdominal pain 2) Sweating, photophobia, and tremors 3) Dry mucous membranes, blurred vision, and weakness 4) Dry skin, shallow rapid breathing, and dehydration
12. 3
12. At which stage of development should the nurse anticipate that pediatric patients will begin to show differences in play activities that are related to gender? 1) Preschool 2) Adolescence 3) Late school age 4) Early school age
12. 2
12. The licensed practical nurse (LPN) notes annular ecchymosis on a school-aged child's back. The LPN is not sure if this is due to abuse or a cultural practice. Which is the priority action by the LPN? 1) Contacting child protective services 2) Asking the registered nurse to assist with the assessment 3) Instructing the parent to proceed to the waiting room for the remainder of the examination 4) Initiating a child life specialist consult for a more in-depth assessment of the current situation
12. 3
12. The nurse is providing care to a toddler-aged client whose laboratory data indicate anemia. Which question should the nurse include in the health history of this patient? 1) "Does your child eat green leafy vegetables?" 2) "Does your child have a history of bleeding?" 3) "How much milk does your child drink each day?" 4) "Does your child eat the same types of foods as the rest of the family?"
12. 3
12. When planning community health promotion activities, which should the nurse consider when catering an educational session to the adolescent? 1) More females smoke cigarettes than males. 2) Marijuana is not an issue until college. 3) Alcohol and drug use often goes hand-in-hand with sexual intercourse. 4) There is no risk of texting and driving during adolescence.
12. 1
12. Which action should the nurse include when providing education regarding methods to enhance health promotion during a scheduled health maintenance visit for a 4-year-old child? 1) Recognizing that food jags are common 2) Mentioning the importance of foods high in sodium 3) Encouraging the use of a high chair with a safety strap 4) Recommending that the child consume high-fat foods
12. 3
12. Which child should the nurse refer for further assessment because of a probable diagnosis of ASD? 1) A 6-year-old boy who chatters constantly to anyone who will listen 2) An 18-month-old child who walks around the area using the furniture to provide balance 3) A 4-year-old girl who doesn't make eye contact with her mother and resists the mother's touch 4) A 3-year-old boy who joins one group of children then moves to another group of children without joining their activities
12. 1
12. Which complementary therapy might the nurse encourage for an infant who is experiencing colic? 1) Herbal tea 2) Acupressure 3) Stone therapy 4) Massage therapy
12. 4
12. Which nursing action is appropriate when assisting with the rapid assessment of a patient diagnosed with a neurological condition? 1) Assessing apical pulse 2) Monitoring blood pressure 3) Obtaining an oral temperature 4) Determining level of consciousness
12. 3
12. Which nursing action is most appropriate to reduce stress during the preoperative period for a 4-year-old patient? 1) Explaining to the child that the surgery will fix her "broken" heart 2) Waiting until the child is in the holding room to insert the Foley catheter 3) Telling the child what will be seen, heard, and felt while awake prior to the procedure 4) Asking the parents to wait in the waiting room when it is time to take the child to the holding area
12. 1
12. Which should the nurse monitor when assisting with the rapid assessment of body systems to assess a child's integumentary system? 1) Presence of petechiae 2) Retinal hemorrhage 3) Paradoxical breathing 4) Abnormal heart sounds
12. 4
12. Which term should the nurse use when discussing a child with a limited sensory experience for sight with other members of the health-care team? 1) Deaf 2) Blind 3) Hard of hearing 4) Visually impaired
12. 4
12. Which topic is the priority for the nurse who is teaching the family of an infant diagnosed with osteogenesis imperfecta? 1) Cast care 2) Traction care 3) Postoperative spinal surgery care 4) Trunk and extremity support during everyday care
12. 4
12. Which toy should the nurse provide to the preschool-aged patient to promote development? 1) Music box 2) Board game 3) Pail and shovel 4) Large-piece puzzle
13. 3
13. A teacher states to the school nurse, "I have a student who often just stares at me for 15 seconds after being asked a question; then the student blinks and asks me to repeat the question. Should I be concerned?" Which statement should the nurse include in the response to the teacher? 1) The child may have Reye's syndrome. 2) The child may have had a head injury. 3) The child is experiencing absence seizures. 4) The child has increased ICP.
13. 3
13. An obese adolescent who adamantly denies sexual activity has a positive pregnancy test. Which response by the nurse is most appropriate? 1) "When was your last menstrual period (LMP)?" 2) "Tell me how you feel about your body image." 3) "Let's discuss some activities that you have done within the past few months that could possibly lead to pregnancy." 4) "Why are you denying sexual intercourse?"
13. 1
13. In which position should the nurse place a child who is experiencing a medical emergency in order to use color-coded resuscitative response tape? 1) Supine 2) Prone 3) Side-lying 4) Trendelenburg
13. 3
13. The nurse is conducting a physical assessment for a preschool-aged child. When plotting the child's body mass index (BMI), the nurse notes that the child is in the 90th percentile. Which action by the nurse is most appropriate? 1) Referring the child to a nutritionist 2) Conducting a developmental assessment 3) Assessing the child's level of activity 4) Checking the child's blood glucose level
13. 4
13. The nurse suspects that a child is being sexually abused. Which nursing action is appropriate? 1) Using a personal cell phone to collect images for documentation 2) Asking a novice nurse to assist in the data collection 3) Reviewing institutional policy regarding reporting abuse to authorities 4) Bathing the child after the collection of evidence
13. 1
13. Which action related to insulin administration should the nurse include in the teaching plan for an adolescent client who has been newly diagnosed with DM, in order to avoid the development of lipoatrophy? 1) Rotating injection sites 2) Checking blood sugar levels at mealtime and bedtime 3) Using a sliding scale for additional coverage 4) Administering insulin via a pump
13. 4
13. Which activity should the nurse include in the plan of care for a child diagnosed with ADHD to improve behavior and learning? 1) Asking the mother to seek a prescription for methylphenidate (Ritalin) for the child 2) Placing the child's desk at the back of the room to reduce distractions 3) Encouraging seasonal decorations in the classroom 4) Developing a consistent routine for the classroom
13. 3
13. Which clinical manifestation causes the nurse to plan care based on a diagnosis of retinoblastoma for a pediatric patient? 1) Enucleation 2) Red reflex 3) Leukokoria 4) Cerumen buildup
13. 3
13. Which goal should the nurse include in the plan of care for a toddler-aged client who is diagnosed with seasonal flu? 1) "The child will verbalize the need to have a bowel movement." 2) "The child will ask for fever reducers when hyperthermia occurs." 3) "The child will sneeze and cough into a tissue provided by the caregiver." 4) "The child will use hand sanitizer prior to touching other children in the day-care environment."
13. 2
13. Which intervention should be included in the plan of care for an infant who is experiencing diaper rash? 1) Changing the diaper three times per day 2) Keeping the diaper area clean and dry 3) Using scented lotion on the diaper area 4) Applying nystatin cream four times per day
13. 4
13. Which pediatric anatomical factor increases the risk for respiratory failure when care is provided to a child? 1) Smaller airway 2) Obligatory nose breathing 3) Large posterior head bone occiput 4) Poorly developed intercostal chest muscles
13. 2
13. Which should the nurse include in a teaching session for the parents of an infant who will be placed in a Pavlik harness for the treatment of congenital developmental dysplasia? 1) Apply lotion or powder to minimize skin irritation. 2) Check at least two or three times a day for red areas under the straps. 3) Put clothing over the harness for maximum effectiveness of the device. 4) Place a diaper over the harness, preferably a thin, superabsorbent, disposable diaper.
13. 4
13. Which strategy is most appropriate for administering a medication to a toddler-aged child who has a history of being difficult? 1) Put the medication in a favorite drink in the child's sippy cup 2) Notify the health-care provider to change the route to IV 3) Hold the child down and squirt the medication into the corner of his mouth 4) Allow the mother to administer the medication to the child
13. 3
13. Which teaching point regarding safety should the nurse include in instructions for the parents of a school-aged patient? 1) "Consider getting a pet for your child." 2) "Plan play dates for your child to attend on afternoons you are not home." 3) "Teach your children not to let others know that they are home alone after school." 4) "Encourage your child to use a helmet when riding a bike. Other equipment is not necessary."
13. 4
13. Which teaching point should the nurse include in the discharge instructions for a pediatric patient recovering from subacute bacterial endocarditis (SBE)? 1) Should not receive routine immunizations 2) Should be restricted from most play activities 3) Fever is expected for several weeks following infection. 4) Prophylactic antibiotics are required for any dental, oral, or upper respiratory tract procedures.
14. 1
14. A mother reports that her adolescent daughter is always late. The mother states, "She was born late and has been late every day of her life." Which response by the nurse is appropriate? 1) "Setting specific alarms and then reinforcing the value of being 'on time' may be helpful strategies." 2) "Just let it go for now. Teachers and employers are the best people to help her be on time." 3) "You need to establish specific time frames for your adolescent and be certain she adheres to them." 4) "You have a major problem. There must be a lot of screaming in your home."
14. 4
14. For which patient scenario should the nurse activate the rapid response team? 1) An infant who requires an IV catheter for antibiotic administration 2) A toddler-aged patient who is experiencing separation anxiety 3) A preschool-aged patient who requires a procedure with the implementation of restraints 4) A school-aged patient who has a grand mal seizure in the playroom
14. 3
14. The home-care nurse is conducting a home visit for the family of a toddler-aged patient. Which finding necessitates education related to safety? 1) Drugs kept in a medicine cabinet in the bathroom 2) Knives stored on the counter out of reach 3) A bucket of water used for mopping in the hallway 4) Cleaning supplies stored in a locked cabinet under the sink
14. 1
14. The nurse is conducting a health history interview with the parents of a preschool-aged patient who believe the child may be suffering from depression. Which should the nurse monitor for during the assessment process? 1) Weight loss 2) Poor hygiene 3) Concentration 4) Decision making
14. 4
14. The nurse is providing care to a school-aged patient who is overweight. Which nursing action is appropriate to enhance the child's intake of a healthy diet? 1) Offering food as a reward for good grades 2) Encouraging the consumption of high-fat foods 3) Educating on the importance of soda consumption 4) Making fruits and vegetables available for daily snacks
14. 4
14. Which action by the nurse is appropriate for a child who presents in the emergency department with an ankle injury? 1) Avoiding compression of the area to allow tissue swelling as necessary 2) Performing passive range of motion (ROM) to the extremity 3) Lowering the extremity below the level of the heart 4) Applying ice to the extremity
14. 3
14. Which action is most appropriate when providing care to a hospitalized pediatric patient who is on contact precautions because of a communicable disease? 1) Asking the parents to visit the child once per day 2) Scheduling physical therapy for the child 3) Providing age-appropriate stimulation for the child 4) Discouraging the parents from holding their child during the visit
14. 3
14. Which data cause the nurse to report to the charge nurse that an infant is experiencing moderate dehydration? 1) A 5% weight loss 2) A 15% weight loss 3) A decrease in urine output 4) A delayed capillary refill time
14. 4
14. Which growth characteristic should the nurse anticipate when assisting with the physical examination process? 1) An increase in physical growth 2) The need for snacks due to blood glucose instability 3) The eruption of 15 of the 20 deciduous teeth 4) A weight gain of 5 lb per year
14. 4
14. Which is a behavioral indicator of abuse when providing care to a pediatric patient? 1) Ecchymosis 2) Rash 3) Vaginal discharge 4) Radar gaze
14. 2
14. Which parental statement regarding the use of Cyclosporin A after a heart transplant indicates correct understanding of the information presented by the nurse? 1) "This medication is used to treat infections." 2) "This medication is used to prevent rejection." 3) "This medication is used to treat hypertension." 4) "This medication is used to reduce serum cholesterol level."
14. 1
14. Which pediatric anatomical factor increases the risk for airway occlusion when care is provided to a child? 1) A large posterior head bone occiput 2) An increase in total body surface area 3) A decrease in circulatory blood volume 4) Intercostal chest muscles that are poorly developed
14. 2
14. Which preventive strategies should the nurse include in a teaching session for a mother whose infant is at risk for febrile seizures? 1) Decreasing oral fluid intake 2) Patting the child dry after a tepid bath 3) Administering dose-appropriate aspirin 4) Providing a sponge bath with cold water
14. 2
14. Which sequela should the nurse include in the teaching session for a parent who does not believe in medication for the treatment of the newborn's hypothyroidism? 1) Heart disease 2) Delayed mental processing 3) Renal failure 4) Thyroid storm
14. 1
14. Which treatment should the nurse anticipate for a pediatric patient with an aggressive case of retinoblastoma? 1) Enucleation 2) Cryotherapy 3) Laser surgery 4) Cochlear implant
15. 3
15. How many hours of sleep should the nurse recommend for an 11-year-old patient? 1) 6 to 8 2) 8 to 10 3) 10 to 12 4) 14 to 16
15. 4
15. The nurse is providing education to the parents of a preschool-aged child. Which statement regarding infectious disease should the nurse include in the teaching session? 1) "Immunizations are voluntary prior to entering the public school system." 2) "Immunizations can increase the risk of your child developing ovarian cancer." 3) "Immunizations decrease your child's risk for developing autism spectrum disorder." 4) "Immunizations can decrease the risk for serious complications associated with communicable diseases."
15. 4
15. The parent of an adolescent states, "My daughter slouches all the time. She is so lazy." Which should the nurse assess in order to provide the parent with the most appropriate anticipatory guidance? 1) Asthma 2) Depression 3) Alcohol use 4) Scoliosis
15. 3
15. When care is provided to an infant, which clinical manifestation supports the diagnosis of meningitis? 1) Hypothermia 2) Soft, flat fontanel 3) Poor feeding habits 4) Cries that are consoled with holding
15. 1
15. Which assessment finding causes the nurse to question whether a preschool-aged boy diagnosed with phenylketonuria (PKU) shortly after birth is following the prescribed dietary restrictions? 1) The child's body has a musty odor. 2) The child is a blue-eyed blond. 3) The child appears sleepy and uninterested in the surroundings. 4) The child has a sunburn over his entire body.
15. 3
15. Which assessment finding for a toddler-aged child in balanced Bryant traction for a fractured right femur requires immediate action by the nurse? 1) The child keeps trying to turn and lie on his belly. 2) The ropes are unequal in length. 3) The child's buttocks are resting on the bed. 4) The compression bandage wrapping the legs is wrinkled.
15. 2
15. Which clinical manifestation does the nurse anticipate for a pediatric patient who is admitted with CHF? 1) Bradycardia 2) Tachycardia 3) Weight loss 4) Hypertension
15. 4
15. Which guideline should the nurse include in the education provided to the parents of pediatric patients regarding the implementation of the rapid response team? 1) The team should be activated for customer service issues. 2) The team should be activated when an immediate care conference is required. 3) The team can be activated only by the family, but the nurse can assist with this process. 4) The team can be activated for signs and symptoms indicating the child is deteriorating, such as trouble breathing.
15. 1
15. Which is a nursing responsibility when providing care to a child who is being abused? 1) Filing a report with child protective services 2) Taking photographs of the child's injuries on a personal cell phone 3) Determining who is abusing the child 4) Washing a child who is being sexually abused upon arrival to the department
15. 4
15. Which may be a causative factor the nurse includes in a teaching session for a pediatric patient diagnosed with sensorineural hearing loss? 1) Otitis media 2) Foreign body 3) Cerumen buildup 4) Rubella syndrome
15. 3
15. Which nursing action assists in the diagnosis of mental health and cognitive disorders that occur during childhood? 1) Monitoring vital signs 2) Administering prescribed medications 3) Conducting a developmental assessment 4) Documenting an accurate history and physical
15. 3
15. Which nursing action is appropriate for the parents of a hospitalized patient to enhance safety? 1) Allowing the parent to sleep in the bed with the patient 2) Keeping supplies on the bedside table to enhance their use 3) Teaching the use of the call bell system 4) Encouraging the child to walk barefoot to the bathroom
15. 2
15. Which nursing action supports the National Patient Safety Goals for 2016? 1) Securing oxygen and suction equipment at each bedside 2) Using two identifiers prior to medication administration 3) Teaching the pediatric patient how to use the call button 4) Ensuring the bed is left in the lowest position when leaving the room
15. 3
15. Which parental statement indicates understanding of methods to prevent newborn neurological injury? 1) "I should cover my baby's head." 2) "I should place my baby on her back to sleep." 3) "I should never shake my baby, even if she won't stop crying." 4) "I should use the bulb syringe to remove secretions from my baby's nose."
15. 3
15. Which point should the nurse include in a teaching session for the parents of a toddler-aged patient who live in a home with stairs? 1) Allowing the child to walk up and down the steps to enhance autonomy 2) Ensuring that the child is instructed not to use the steps without assistance 3) Placing a gate so the child is unable to access the steps without supervision 4) Suggesting that the family consider moving to a home that does not have steps
16. 2
16. During a health maintenance visit, an adolescent says, "I have no friends in my new school, and I no longer want to go to college. I know I will be lonely there, too." Which priority screening should the nurse implement? 1) Substance abuse 2) Depression 3) Anorexia nervosa 4) Pregnancy
16. 4
16. For which topic, considered an adolescent stressor, should the nurse include interventions in the plan of care for a hospitalized teenage patient? 1) Fear of the dark 2) Separation anxiety 3) Mutilation concerns 4) Loss of privacy
16. 1,2,5
16. The nurse is planning a teaching session for the parents of a child who has been diagnosed with simple partial seizures. Which characteristics of this type of seizure should the nurse include in the session? (Select all that apply.) 1) Lasts less than 30 seconds 2) Pain or numbness may occur. 3) Sudden stiffening followed by jerking 4) Chewing and lip smacking are common. 5) Remains conscious with no postictal period
16. 3
16. Which action enhances crib safety when providing care to a pediatric patient in the hospital setting? 1) Ensuring that all patients wear nonskid footwear 2) Keeping a name badge on the patient at all times 3) Storing items such as diapers and wipes at the bedside table 4) Allowing a toddler to sleep in an adult bed with side rails engaged
16. 3
16. Which action is appropriate when assisting a preschool-aged child with hand washing? 1) Offering a hand towel to dry the hands 2) Using hot water to wash the hands 3) Singing the Happy Birthday song while washing the hands for timing purposes 4) Rinsing the hands, ensuring that the hands are upright
16. 1
16. Which circumstance requires the nurse to obtain assistance from local law enforcement when providing care to a child who is being abused? 1) For a child who is at risk for further abuse 2) For a child who is emotionally abused 3) For any child who is sexually abused 4) For any child who is physically neglected
16. 2
16. Which data obtained by the nurse during the health history portion of the assessment process support the current diagnosis of Duchenne muscular dystrophy (MD) for an 18-month-old child? 1) The child was postmature by almost 2 weeks. 2) The child seems very muscular. 3) The child walked early and without support at 10 months. 4) The child's older sister developed scoliosis in the fourth grade.
16. 2
16. Which deciduous teeth should the nurse anticipate the school-aged child will lose first? 1) Lateral incisors 2) Central incisors 3) Third molars 4) Second molars
16. 3
16. Which laboratory test does the nurse anticipate for a child who is admitted to the hospital with suspected rheumatic fever? 1) Throat culture 2) C-reactive protein 3) Antistreptolysin-O (ASO) titer 4) Erythrocyte sedimentation rate (ESR)
16. 3
16. Which nursing action exemplifies the therapeutic communication required when a child is moved to a higher level of care in an acute care facility? 1) Asking the provider on call to communicate why the child was transferred to intensive care 2) Calling the hospital social worker to communicate with the parents during the transfer process 3) Talking to the family in a calm, matter-of-fact manner, explaining each step of the transfer process 4) Instructing the family to go to the waiting room until a provider is available to update them on their child
16. 1
16. Which nursing action is appropriate when assisting with the assessment of a toddler-aged patient who is diagnosed with a communicable disease? 1) Asking the parents if the child has been exposed to anyone who has been sick 2) Determining if the child has received the human papillomavirus (HPV) vaccine 3) Establishing if the mother was exposed to any sexually transmitted infections (STIs) during pregnancy 4) Monitoring for any musculoskeletal abnormalities
16. 1
16. Which reaction should the nurse anticipate when the family of an infant is told there is a sensory impairment? 1) Fear 2) Anger 3) Blame 4) Indifference
16. 4
16. Which research topic is likely to have the most impact on the diagnosis and care a child receives regarding mental health issues? 1) Genetics 2) Medication 3) Risk factors 4) Development
16. 2
16. Which statement regarding plotting anthropometric measurements indicates correct parental understanding? 1) "Body mass index (BMI) is monitored closely during the first year of life." 2) "Height, weight, and BMI are monitored from 3 to 18 years of age." 3) "You will plot my baby's weight, length, and head circumference through 4 years of age." 4) "There are four charts used to monitor physical growth from birth to 18 years of age."
16. 4
16. Which type of nutrition should the nurse include when planning care for a newborn who is diagnosed with galactosemia? 1) Goat's milk formula 2) Breast milk 3) Cow's milk-based formula 4) Lactose-free formula
17. 1,2,4
17. According to Piaget, which data does the nurse expect for a school-aged child during the nursing assessment process? (Select all that apply.) 1) Classifying objects 2) Understanding reversibility 3) Having theoretical thoughts 4) Describing a process without actually doing it 5) Believing personal actions are constantly being scrutinized
17. 3,4,5
17. An endocrinologist orders a test(s) for a child to diagnose adrenal crisis. Which test(s) does the nurse anticipate on the basis of the child's diagnosis? (Select all that apply.) 1) Computed tomography (CT) scan of the brain 2) White blood cell count 3) Chest radiography 4) Blood test to determine electrolyte levels 5) Aldosterone levels
17. 1,4,5
17. The nurse performs a neuromuscular assessment of a child who is in Russell's traction. Which assessment findings indicate the need for further intervention? (Select all that apply.) 1) A pain rating of 6 on an age-appropriate numeric pain rating scale 2) The child feels the distal part of the extremity when touched by the nurse. 3) The child does not have a significant amount of edema in the extremity. 4) The child has a capillary refill time of more than 3 seconds. 5) The child's toes are cold and appear dusky.
17. 3,4,5
17. Which are clinical manifestations of sexual abuse that the nurse should include when assisting with the assessment process? (Select all that apply.) 1) Radar gaze 2) Poor hygiene 3) Vaginal discharge 4) Positive chlamydia culture 5) Ecchymosis located on the inner thighs
17. 2,3,5
17. Which clinical manifestations should the nurse monitor for when assisting in the assessment of a school-aged child who is the victim of bullying? (Select all that apply.) 1) Mania 2) Anxiety 3) Loneliness 4) Easily distracted 5) Suicidal thoughts
17. 1,2,3,4
17. Which defects of the heart should the nurse include in the educational session for parents of a newborn diagnosed with tetralogy of Fallot? (Select all that apply.) 1) Overriding aorta 2) Ventral septal defect 3) Hypertrophic right ventricle 4) Pulmonary stenosis or atresia 5) Transposition of the great vessels
17. 1,2,4,5
17. Which difficulties faced by an adolescent are attributed to normal development? (Select all that apply.) 1) Risk-taking 2) Rebelliousness 3) Peer socialization 4) Lack of cooperation 5) Hostility toward authority
17. 1,3,4
17. Which information should the nurse collect during the health history portion of the comprehensive neurological assessment for a pediatric patient? (Select all that apply.) 1) Accidents 2) Vital signs 3) Family history of seizures 4) Exposure to perinatal infection 5) Glasgow coma scale assessment
17. 2,4
17. Which information should the nurse include in the handoff communication with the receiving unit when a child is transferred to a higher level of care? (Select all that apply.) 1) The child's nickname in order to enhance comfort when on the new unit 2) The date of admission and the diagnosis 3) A comprehensive history of the hospital stay up until the transfer 4) Any medical interventions that were attempted to stabilize the child prior to the transfer 5) The family members who are approved to receive information about the child via telephone
17. 1,2,4,5
17. Which nursing actions are appropriate when providing care to a toddler-aged patient who is restrained to protect an incision after a surgical procedure? (Select all that apply.) 1) Using the least restrictive method 2) Obtaining an order containing the reason, the type of restraint, and a start/stop time 3) Removing the restraints every 4 hours to assess skin 4) Encouraging games and activities that promote growth and development 5) Assessing hygiene and elimination needs frequently
17. 1,4,5
17. Which nursing actions are included when collecting anthropometric measurements during the newborn assessment? (Select all that apply.) 1) Measuring head circumference 2) Monitoring blood pressure 3) Determining heart rate 4) Documenting length 5) Assessing weight
17. 1,2,3
17. Which parental statements indicate correct understanding of the care that is needed for a pediatric patient after the insertion of tympanostomy tubes? (Select all that apply.) 1) "I should restrict my child to quiet activities after surgery." 2) "It is important for my child to drink plenty of fluids after the procedure." 3) "I will remind my child to use ear plugs prior to showering and swimming." 4) "It is important to limit my child's diet after surgery and allow only soft, bland foods." 5) "I should plan to administer a decongestant to my child for 1 to 2 weeks following surgery."
17. 1,2,4
17. Which recommendations does the nurse make to the parents of a preschool-aged child who is experiencing frequent nightmares? (Select all that apply.) 1) Reassure the child by back rubbing 2) Repeat a nighttime routine, such as reading a story 3) Bring the child to the parental bed 4) Allow the child time to settle back into sleep 5) Place a television in the child's room for distraction
17. 2,5,
17. Which statements should the nurse include when discussing the use of child safety seats for the parents of a toddler-aged patient? (Select all that apply.) 1) "Your child should be placed in a safety seat that is rear facing." 2) "If your child must be placed in the front seat, it is important to adjust the seat so it is as far from the dashboard as possible and to disengage the airbag system." 3) "Your child can be secured using the seat belt provided within the vehicle without an additional car seat." 4) "It is appropriate to hold your child in your lap for short distances if there isn't room for a safety seat within the vehicle." 5) "It is appropriate to place your child in the back seat with the use of an appropriate child safety seat."
17.3,5
17. Which toddler characteristics require the nurse to implement enhanced safety precautions when providing care? (Select all that apply.) 1) Feeling invincible 2) Learning to crawl 3) Challenging limits 4) Desiring autonomy 5) Testing the environment
18. 1,2,3,4
18. A mother brings her school-aged daughter to the pediatrician. Upon hearing the daughter's symptoms, the health-care provider prescribes a test for type 1 DM. Which data collected during the nursing assessment support the diagnosis of type 1 diabetes? (Select all that apply.) 1) Polydipsia 2) Polyuria 3) Polyphagia 4) Enuresis 5) Hypoglycemia
18. 1,4
18. According to Erikson, which should the nurse anticipate when assessing a school-aged child? (Select all that apply.) 1) Being engaged in tasks 2) Questioning sexual identity 3) Having highly imaginative thoughts 4) Wanting to participate in organized activities 5) Struggling with self-control and independence
18. 2,4
18. Which behaviors exhibited by an adolescent who is diagnosed with depression cause the nurse to document that the patient is experiencing suicidal ideations? (Select all that apply.) 1) Suicidal thoughts but no plan 2) Suicidal thoughts with a plan 3) Surviving an intentional jump off a bridge 4) Collecting pills without a plan 5) Taking an intentional overdose of medication, resulting in death
18. 2,4,5
18. Which clinical manifestations should the nurse monitor for when conducting a scoliosis screening for a school-aged child? (Select all that apply.) 1) Lordosis 2) Prominent scapula 3) Pain 4) A one-sided rib hump 5) Uneven shoulders and hips
18. 1,3,4
18. Which factors associated with sexual abuse should the nurse include in an educational session regarding this topic? (Select all that apply.) 1) Anyone can be an abuser. 2) The middle daughter is often the victim. 3) Male victims are less likely to report the abuse. 4) Pedophiles often choose to work closely with children. 5) The perpetrator is typically someone the family does not know.
18. 1,3,5
18. Which immunizations should the nurse prepare the parents of an infant for during the 4-month well-child visit? (Select all that apply.) 1) Rotavirus 2) Hepatitis B 3) IPV 4) MMR 5) Diphtheria, tetanus, pertussis (DTP)
18. 2,3
18. Which infant characteristics require the nurse to implement enhanced safety precautions when providing care? (Select all that apply.) 1) Feeling invincible 2) Learning to crawl 3) Beginning to walk 4) Desiring autonomy 5) Testing the environment
18. 4,5
18. Which nursing actions are appropriate to assist in the assessment of CN V? (Select all that apply.) 1) Asking the patient to smile 2) Asking the patient to identify different tastes 3) Asking the patient to follow finger commands with the eyes 4) Testing the patient's response to cotton ball sensations on the face 5) Asking the patient to perform chewing movements on command
18. 2,3,5
18. Which nursing actions are appropriate when attempting to stabilize a pediatric patient who is experiencing shock? (Select all that apply.) 1) Placing the child in a prone position 2) Preparing for intubation and mechanical ventilation 3) Protecting the child's vascular access line 4) Administering prescribed antianxiety medications 5) Using color-coded resuscitative tape to obtain accurate height and weight
18. 2,3,4,5
18. Which nursing actions are appropriate when providing care to a child who is hospitalized? (Select all that apply.) 1) Teaching the family that the doctor is the decision maker in the child's care 2) Educating the family about procedures performed on the child 3) Providing emotional support to the child and the family 4) Administering age-appropriate care to the child 5) Communicating in a genuine fashion with the child's family and health-care providers
18. 1,3,5
18. Which nursing actions are appropriate when providing care to an infant diagnosed with tetralogy of Fallot who is having a "tet" spell? (Select all that apply.) 1) Administering oxygen 2) Drawing blood for a serum hemoglobin 3) Placing the child in knee-chest position 4) Administering diphenhydramine (Benadryl) as ordered 5) Administering IV morphine per prescriber's order
18. 1,2
18. Which push-pull toys should the nurse recommend for play when providing education to the parents of a toddler-aged patient? (Select all that apply.) 1) Child grocery carts 2) Large trucks or cars 3) Soft foam balls 4) Soft mats
18. 1,2,5
18. Which should be included in the anticipatory guidance for high-risk behaviors provided to adolescents and their parents during a health maintenance visit? (Select all that apply.) 1) Alcohol use 2) Tobacco use 3) Sexual preference 4) College application process 5) Motor vehicle accidents
18. 4,5
18. Which teaching points regarding pertussis should the nurse include in an educational session in the community? (Select all that apply.) 1) "This infection manifests on the scalp." 2) "This infection will cause a scalelike rash." 3) "This infection may cause the formation of scars." 4) "This infection will cause violent coughing to occur." 5) "This infection can be prevented through immunization."
18. 1,2,3,5
18. Which topics should the nurse include in a teaching session for the parents of a 10-month-old infant who experiences frequent ear infections? (Select all that apply.) 1) Continuing to breastfeed 2) Avoiding use of woodburning stoves 3) Prohibiting tobacco smoke in the home 4) Cleaning the child's ears nightly with peroxide 5) Avoiding use of a pacifier while the child is sleeping
19. 495
19. The nurse is calculating the kilocalorie needs for a newborn aged 15 days of life. Which is the maximum number of kilocalories the newborn needs per day if the current weight is 4.5 kg? Record your answer as a whole number. ____________________
19. 700
19. The nurse is providing care to a toddler-aged patient who weighs 10 kg. What is the minimum number of kilocalories this child should receive each day? Record your answer as a whole number. ____________________
19. 1,3,5
19. The nurse is providing information to an adolescent newly diagnosed with diabetes. Which clinical manifestations of DKA should the nurse include in the teaching session? (Select all that apply.) 1) Change in mental status 2) Tachycardia 3) Fruity breath odor 4) Rapid, shallow respirations 5) Abdominal pain
19. 1,3,4
19. The nurse is teaching the parents of a 7-year-old child information related to appropriate heart rate and blood pressure readings for their child. Which information should the nurse include in the teaching session? (Select all that apply.) 1) Heart rate of 60 to 95 beats per minute 2) Heart rate of 65 to 110 beats per minute 3) Systolic pressure range of 100 to 120 mm Hg 4) Diastolic pressure range of 60 to 75 mm Hg 5) Blood pressure of 95 to 110/60 to 75 mm Hg
19. 3,4,5
19. Which clinical data noted by the nurse during the shift assessment indicate the pediatric client may be experiencing compartment syndrome? (Select all that apply.) 1) Pink, warm extremity 2) Dorsalis pedis pulse present 3) Prolonged capillary refill time 4) Pain not relieved by pain medication 5) Paresthesia of the leg
19. 1,3,4,5
19. Which common eye disorders should the nurse include in a teaching session for the parents of pediatric clients? (Select all that apply.) 1) Myopia 2) Cataracts 3) Hyperopia 4) Strabismus 5) Astigmatism
19. 2,3,4,5
19. Which complications of substance abuse should the nurse monitor for when assisting with the assessment process for an adolescent? (Select all that apply.) 1) Autism 2) Violence 3) Alienation 4) Depression 5) Hopelessness
19. 3,5
19. Which factors associated with Munchausen syndrome by proxy should the nurse include in an educational session regarding this topic? (Select all that apply.) 1) The child is usually under the age of 10 years. 2) The child often displays symptoms during the hospitalization. 3) The child has had multiple hospitalizations in the medical history. 4) The perpetrator is usually the father with some knowledge of health care. 5) The claimed history is not supported by evidence found by health-care providers.
19. 1,2,3,4
19. Which information should the nurse elicit when collecting assessment data related to a child's most recent seizure event? (Select all that apply.) 1) Precipitating events 2) Current medications 3) Any aura experienced 4) Description of movements 5) Family history of neurological disorders
19. 1,2,4
19. Which medications should the nurse be prepared to administer when providing care to a child who is experiencing shock? (Select all that apply.) 1) Cefazolin 2) Epinephrine 3) Insulin 4) Hydrocortisone 5) Diazepam
19. 1,3
19. Which questions related to socialization should the nurse include when assisting with the assessment of a school-aged child who is new to the pediatric practice? (Select all that apply.) 1) "What grade are you currently attending?" 2) "At what age did your child cut the first tooth?" 3) "Do you have a best friend at your new school?" 4) "What was your child's approximate length at 1 year of age?" 5) "What was your child's approximate weight at 6 months and at 1, 2, and 5 years of age?"
19. 1,2
19. Which reactions should the nurse anticipate when providing care to a pediatric patient who is exhibiting the protest stage of separation anxiety? (Select all that apply.) 1) Clinging to the parents 2) Crying or acting aggressively 3) Withdrawing from the environment 4) Being disinterested when the family visits 5) Exhibiting depression
19. 1,2,3
19. Which screenings are appropriate for an adolescent who admits to being sexually active during a scheduled health maintenance visit? (Select all that apply.) 1) Herpes simplex virus 2) Gonorrhea 3) Chlamydia 4) Impetigo 5) Mononucleosis
19. 1,4,5
19. Which statements should the nurse include in an educational session for a preschool-aged patient diagnosed with enuresis? (Select all that apply.) 1) "Bed-wetting might occur because of anxiety." 2) "A diagnosis of enuresis occurs when bed-wetting occurs nightly." 3) "Girls are more likely to experience bed-wetting than boys." 4) "Bed-wetting can alter a child's social experiences." 5) "Nightmares are often associated with bed-wetting."
19. 1,2
19. Which toys should the nurse include in the plan of care to promote age-appropriate development for the infant? (Select all that apply.) 1) Rattles 2) Music boxes 3) Picture books 4) Cubes for stacking 5) Multicolored mobiles
2. 1
2. A school-aged child presents in the pediatric clinic with a parent who states, "My child complains of a stomachache almost every day before school." Which mental health disorder should the nurse assess this child for on the basis of the current data? 1) Anxiety 2) Depression 3) Schizophrenia 4) Bipolar disorder
2. 2
2. On which new morbidity topic should the pediatric nurse focus when providing health promotion to families? 1) Dietary fads 2) Unsafe neighborhoods 3) Cost of health insurance 4) Post-traumatic stress disorder
2. 3
2. The mother of a 4-year-old male tells the clinic nurse that her son asked her about the differences in his anatomy and that of his baby sister. The nurse reassures the mother that this is normal behavior for her son because the child is in which of Freud's developmental stages? 1) Oral stage 2) Anal stage 3) Phallic stage 4) Latency stage
2. 1
2. The nurse prepares a child to receive oxygen via a tent delivery system by allowing the child to place a teddy bear in and out of the tent and then rewarding the child with a sticker. Which practice is the nurse using? 1) Therapeutic play 2) Therapeutic rewards 3) Therapeutic interventions 4) Therapeutic communication
2. 1
2. The parent of a toddler states, "My child wants to do everything by herself." Which term should the nurse use to describe this behavior in the medical record? 1) Autonomy 2) Egocentric 3) Negativism 4) Temperament
2. 3
2. To prevent rickets, which calcium requirement should the nurse include in a teaching session for the parents of a later school-aged child? 1) 500 mg 2) 800 mg 3) 1300 mg 4) 1500 mg
2. 3
2. Which clinical manifestation does the nurse anticipate when assisting with the assessment of a child diagnosed with acromegaly? 1) Weight loss 2) Hyperglycemia 3) Osteoarthritis 4) Dry skin
2. 3
2. Which heart valve connects the right atrium to the right ventricle and is composed of "doors" that open to allow blood flow into the adjoining chamber and shut to prevent backflow? 1) Mitral valve 2) Aortic valve 3) Tricuspid valve 4) Pulmonary valve
2. 3
2. Which is often the reason why an adolescent engages in self-harm activities such as cutting? 1) For peer approval 2) For attention 3) To release anger 4) To seek medical attention
2. 3
2. Which is the most common form of child abuse around the world that the nurse should assess for when caring for children? 1) Physical 2) Emotional 3) Neglect 4) Sexual
2. 4
2. Which item regulates emotions and behavior? 1) Thalamus 2) Brainstem 3) Spinal cord 4) Hypothalamus
2. 1
2. Which neonate requires a close nursing assessment for the development of retinopathy of prematurity (ROP)? 1) A newborn of 28 weeks' gestation who has been on long-term oxygen and weighed 1240 g at birth 2) A small-for-gestational-age newborn of 36 weeks' gestation who was in an oxyhood for 12 hours and weighed 1800 g 3) A female newborn of 28 weeks' gestation who was on short-term oxygen, weighed 1420 g, and was treated with phototherapy 4) A newborn of African heritage and 32 weeks' gestation with a congenital heart defect who needed no oxygen and weighed 1850 g
2. 3
2. Which nursing action exemplifies safe practice when providing care to pediatric patients? 1) Using therapeutic play for teaching 2) Allowing the parents to remain at the bedside as long as they wish 3) Implementing the rapid response team for a child who is experiencing complications 4) Scheduling a child life specialist for a patient who is on contact precautions
2. 3
2. Which parental statement indicates the need for further education regarding newborn safety? 1) "I should lay my baby on his back when I put him to sleep." 2) "It is important to support my baby's head when I hold him." 3) "My baby doesn't require a hat unless I am wearing one also." 4) "I shouldn't overextend my baby's shoulders when changing his clothing."
2. 1
2. Which physical change noted by the nurse during a growth and developmental assessment for a 7-year-old patient necessitates further action? 1) Pubescent changes 2) Weight gain of 4 lb (2 kg) per year 3) Eruption of central incisors 4) Height increase of 1 to 2 feet (30 to 60 cm) during the entire period
20. 900
20. The nurse is providing care to a toddler-aged patient who weighs 10 kg. What is the maximum number of kilocalories this child should receive each day? Record your answer as a whole number. _________________
20. 1,2,4
20. The parents of an infant visit the ED with complaints that their son is experiencing a high fever and lack of interest in breastfeeding. Upon examination, the nurse records the following symptoms of meningitis: nuchal rigidity, a bulging fontanel, and photophobia. Which tests does the nurse explain to the parents are necessary to confirm a diagnosis of meningitis? (Select all that apply.) 1) Kernig's sign 2) Blood cultures 3) Rooting reflex 4) Lumbar puncture 5) Computed tomography scan
20. 625
20. What is the minimum overall fluid requirement, in milliliters, for a newborn who weighs 5 kg? Record your answer as a whole number. ____________________
20. 3,4,5
20. Which assessment data for a pediatric client support the diagnosis of familial or idiopathic central DI? (Select all that apply.) 1) Polyuria 2) Polydipsia 3) Nocturia 4) Enuresis 5) Constipation
20. 2,3,4,5
20. Which categories of pharmacological treatment should the nurse be familiar with when providing care to children with a mental health diagnosis? (Select all that apply.) 1) Opioid 2) Antianxiety 3) Neuroleptic 4) Mood stabilizer 5) Antidepressant
20. 1,2,4
20. Which clinical manifestations does the nurse anticipate for a pediatric client who is diagnosed with Kawasaki's disease? (Select all that apply.) 1) Diarrhea 2) Joint pain 3) Thrombocytosis 4) Swollen lymph nodes 5) High fever for 1 day
20. 1,2,3
20. Which health screenings should the nurse include during a scheduled health maintenance visit for a preschool-aged patient? (Select all that apply.) 1) Vision 2) Obesity 3) Lead 4) Asthma 5) Platelets
20. 3,4,5
20. Which individuals are mandatory reporters of child abuse? (Select all that apply.) 1) Parents 2) Grandparents 3) Childcare providers 4) Commercial film developers 5) Child protective services employees
20. 1,2,4,5
20. Which information related to school-aged play should the nurse include in a teaching session for the parents of children in this stage of development? (Select all that apply.) 1) Team play 2) Card games 3) Parallel play 4) Board games 5) Club membership
20. 1,2,4
20. Which interventions should the nurse include in the plan of care for an adolescent patient who is on complete bedrest after spinal fusion surgery secondary to scoliosis to prevent complications associated with immobility? (Select all that apply.) 1) Encouraging use of the spirometer every 2 hours while the patient is awake 2) Log rolling the patient every 2 hours while awake 3) Increasing intake of milk to maintain bone calcium 4) Increasing fruit and grains in the diet 5) Limiting fluid intake to reduce the need to void
20. 1,2,4
20. Which nursing actions are appropriate when teaching a pediatric patient how to administer an insulin injection? (Select all that apply.) 1) Showing the child a syringe filled with water to practice on a favorite doll 2) Showing the child a video of another child receiving an insulin injection 3) Showing the child a picture of the beach to imagine jumping in the waves 4) Showing the child how the injection will occur by pretending to inject self 5) Showing the child how the injection occurs by allowing the child to watch another child receive the injection first
20. 1,2,4,5
20. Which organizations should the nurse include in the teaching session for the parents of a child with a visual or hearing impairment? (Select all that apply.) 1) American Council of the Blind 2) National Federation of the Blind 3) American Academy of Pediatrics 4) National Association for Visually Handicapped 5) National Association for Parents of Children with Visual Impairments
20. 1,2,5
20. Which should the nurse include when assessing the central nervous system (CNS) of a child who is acutely ill? (Select all that apply.) 1) Irritability 2) Lethargy 3) Hypoventilation 4) Vomiting 5) Seizures
20. 2,3
20. Which topics are appropriate for the nurse to include in a teaching session for an adolescent patient who is experiencing acne? (Select all that apply.) 1) Discouraging the consumption of greasy foods 2) Washing the face twice per day 3) Using a mild soap on the face 4) Scrubbing the face with a washcloth 5) Recommending products that contain oil
20. 3,4
20. Which toys should the nurse include in the plan of care to promote age-appropriate development for the toddler? (Select all that apply.) 1) Rattles 2) Music boxes 3) Picture books 4) Cubes for stacking
3. 2
3. A school-aged child presents with trouble concentrating at school along with trouble making decisions and recalling information. Which mental health disorder should the nurse assess this child for on the basis of the current data? 1) Anxiety 2) Depression 3) Schizophrenia 4) Bipolar disorder
3. 1
3. According to Erikson, which person has the most influence over the adolescent? 1) Peers 2) Siblings 3) Parents 4) Teachers
3. 4
3. An infant with Down's syndrome is diagnosed with a heart condition. The parents state, "The doctor says our baby has a large hole in the center of his heart." Which congenital heart condition does the nurse suspect? 1) Pulmonary atresia 2) Pulmonic valve stenosis 3) Ventricular septal defect 4) Atrioventricular canal defect
3. 1
3. The nurse is providing care to a pediatric patient who is experiencing separation anxiety as a result of hospitalization. Which data indicate the patient is experiencing the "despair" stage? 1) Lies quietly in bed 2) Does not cry when parents return and leave again 3) Appears to be happy and content with staff 4) Screams and cries when parents leave
3. 1
3. Which action by the nurse is appropriate when using the "S" of the SBAR system? 1) Identifying the reason for the phone call 2) Giving the patient's presenting complaint 3) Providing the most recent vital signs 4) Asking if the provider will be coming to assess the patient
3. 3
3. Which assessment data increase the risk for newborn airway compromise? 1) Long torso 2) Long neck 3) Large tongue 4) Large mandible
3. 2
3. Which child factor that contributes to abuse should the nurse assess for when abuse is suspected? 1) Low self-esteem 2) Temperament that is demanding 3) Stress that is chronic in nature 4) Poverty-level socioeconomic status
3. 4
3. Which imaging test should the nurse anticipate for a patient whose provider wants to visualize hard and soft tissue along with bone marrow, without the use of radiation? 1) Bone scan 2) Fluoroscopy 3) Computed tomography 4) Magnetic resonance imaging
3. 2
3. Which initiative is the nurse following by not using the abbreviation QOD when documenting care that is provided every other day? 1) Read back verbal orders 2) Do Not Use Abbreviations 3) Handoff reports 4) Critical test results
3. 3
3. Which medication should the nurse plan to administer to decrease the risk of eye infection for a newborn? 1) Oral erythromycin 2) IV penicillin 3) Erythromycin eyedrops 4) Fluoroquinolone ointment
3. 2
3. Which risk is increased for a child during the toddler stage of development because of exploration and curiosity? 1) SIDS 2) Suffocation injuries 3) Accidental poisoning 4) Motor vehicle accidents
3. 4
3. Which should the nurse anticipate when providing care to a pediatric patient diagnosed with diabetes insipidus (DI)? 1) Anuria 2) Oliguria 3) Dependent edema 4) Uncontrolled diuresis
3. 3
3. Which should the nurse encourage for a school-aged patient to enhance a sense of accomplishment? 1) Wearing makeup 2) Going on a date 3) Participating in sports activities 4) Gaining weight during the school year
3. 3
3. Which teaching point should be included in the plan of care for a toddler-aged patient to decrease the risk of traumatic brain injury (TBI)? 1) Using an appropriate rear-facing car seat 2) Using head support devices when placed in a car seat 3) Wearing a helmet when riding a tricycle 4) Teaching appropriate technique for diving
3. 4
3. Which type of play should the nurse encourage when providing age-appropriate care to a preschool-aged child? 1) Team 2) Parallel 3) Solitary 4) Associative
4. 2
4. For which pediatric patient should the nurse provide focused teaching regarding near drowning? 1) Toddler 2) Preschooler 3) School-aged 4) Early adolescent
4. 4
4. The nurse is assisting in the assessment process for a school-aged patient who reports groin pain all week. When assessing the right hip, the nurse finds that the hip does not fully rotate internally, and abduction is limited. On the basis of these data, which condition might the nurse suspect? 1) Osgood-Schlatter disease 2) Left hip and femur fracture 3) Legg-Calvé-Perthes disease 4) Slipped capital femoral epiphysis
4. 3
4. The nurse is conducting a growth and development assessment and must calculate the body mass index (BMI) of a pediatric client. The child's weight is 33 lb and 4 oz. The child's height is 37 and 5/8 in. tall. What is the child's BMI? 1) 14.5 2) 15.5 3) 16.5 4) 17.5
4. 3
4. The nurse is conducting a health history for a preschool-aged patient. Which should the nurse anticipate regarding language development at the age of 4 years? 1) Using 50 words 2) Knowing 900 words 3) Answering simple questions with simple answers 4) Articulating complex and compound sentences
4. 1
4. The nurse is providing care to an adolescent patient who is diagnosed with bipolar disorder. Which clinical manifestation noted by the nurse during the assessment process indicates the adolescent is currently experiencing mania? 1) Impulsive behavior 2) Feelings of emptiness 3) Increased need for sleep 4) Loss of interest in activities
4. 3
4. Which action by the nurse is appropriate when using the "A" of the SBAR system? 1) Identifying the reason for the phone call 2) Giving the patient's presenting complaint 3) Providing the most recent vital signs 4) Asking if the provider will be coming to assess the patient
4. 3
4. Which action should the nurse implement in order to apply the principles of family-centered care in the hospital environment? 1) Implementing strict visitation policy for siblings 2) Allowing a child to "cry it out" when parents leave the bedside 3) Encouraging parents to continue bedtime routines, such as reading a story 4) Discouraging cultural foods because they cannot be provided by the dietary department
4. 3
4. Which cardiac condition should the nurse suspect for a neonate who is experiencing a pressure gradient between the arms and legs when blood pressure is assessed? 1) Tricuspid atresia 2) Conal truncal defects 3) Coarctation of the aorta (CoA) 4) Transposition of the great arteries
4. 1
4. Which clinical manifestation noted during a physical examination causes the nurse to suspect physical abuse? 1) Traumatic alopecia 2) Extremity fractures 3) Unilateral ecchymosis of the eye 4) Weight below the 10th percentile
4. 4
4. Which is a common fear for hospitalized pediatric patients between the ages of 6 and 18 months? 1) Death 2) Disfigurement 3) Bodily mutilation 4) Stranger anxiety
4. 2
4. Which is a psychological and developmental task of adolescence? 1) Being engaged in tasks 2) Forming a self-identity 3) Having highly imaginative thoughts 4) Wanting to participate in organized activities
4. 1
4. Which is the priority nursing action when providing care for a school-aged child admitted to the hospital experiencing an adrenal crisis? 1) Administering prescribed fluids and electrolytes 2) Clustering care to enhance rest 3) Monitoring stool output 4) Providing pain relief and tepid baths
4. 4
4. Which nursing action is appropriate when teaching the family of a child diagnosed with bacterial conjunctivitis regarding medication administration? 1) Teaching that the drug should be administered one time per day 2) Encouraging the child to rub the eye after administration of the drug 3) Asking the child to hold the eye open when the drug is administered 4) Telling the child to lie down for 1 to 2 minutes after the drug is administered
4. 1
4. Which should the nurse recommend to the parents of a toddler who is exhibiting tantrums? 1) Ignoring the child's behavior 2) Locking the child in the bedroom 3) Swatting the child on the backside 4) Giving in to the demands of the child
4. 3
4. Which statement regarding infant physical growth patterns should the nurse share with the parents of an infant? 1) "Your baby will double his birth weight by 3 months of age." 2) "Your baby should double his birth weight by 9 months of age." 3) "Your baby should triple his birth weight by 12 months of age." 4) "Your baby will lose 15% of his body weight by 1 month of age."
5. 2
5. A child with a history of seizures arrives in the emergency department (ED) in status epilepticus. Which is the priority nursing action? 1) Taking vital signs 2) Maintaining a patent airway 3) Establishing an IV line 4) Performing rapid neurological assessment
5. 3
5. According to Erikson, which should the nurse anticipate when assessing a preschool-aged child? 1) Being engaged in tasks 2) Questioning sexual identity 3) Having highly imaginative thoughts 4) Wanting to participate in organized activities
5. 2
5. At which age should the nurse suggest introducing rice cereal to the infant's diet? 1) 3 months 2) 6 months 3) 9 months 4) 12 months
5. 2
5. The nurse is planning to teach a group of adolescents about what can happen during unprotected sex. Which nursing action allows effective communication with the group? 1) Offering personal opinions on the topic 2) Allowing for discussion among the participants 3) Lecturing on the topic for the allotted time without any discussion 4) Discussing sex education related to religious belief
5. 3
5. The nurse is providing care to an infant who presents with a fever, rash, and red eyes and lips, along with hand and feet edema. Which cardiac disease process does the nurse suspect? 1) Cardiomyopathy 2) Rheumatic fever 3) Kawasaki's disease 4) Congestive heart failure
5. 3
5. The nurse is providing education to a school-aged child recently diagnosed with type 1 diabetes mellitus (DM). Which item will the nurse include in the teaching plan regarding sick day management? 1) Holding the prescribed dose of insulin 2) Monitoring blood glucose every 8 hours 3) Monitoring for ketones after each void 4) Encouraging exercise every 24 hours
5. 2
5. Which action by the nurse is appropriate when using the "B" of the SBAR system? 1) Identifying the reason for the phone call 2) Giving the patient's presenting complaint 3) Providing the most recent vital signs 4) Asking if the provider will be coming to assess the patient
5. 1
5. Which anatomical difference between adults and children places a pediatric patient at risk for insensible losses? 1) Large body surface area 2) Obligatory nose breathing 3) Disproportionate head size 4) Poorly developed intercostal chest muscles
5. 1
5. Which is a priority teaching point regarding nutrition for the toddler-aged child? 1) Limiting milk consumption 2) Offering water with each meal 3) Offering the child finger foods only 4) Emphasizing the need for two snacks per day
5. 2
5. Which nursing action is appropriate when providing care for a child who is in a spica cast to decrease the risk for cast syndrome? 1) Discouraging frequent repositioning 2) Encouraging increased fluids and dietary fiber 3) Drying the cast using a hair dryer 4) Telling the parents the cast can be immersed in water
5. 2
5. Which nursing action is most appropriate when providing emergency care to a child whose parents do not wish to leave the room? 1) Asking the health-care provider if the parents can stay with the child 2) Allowing the parents to stay with the child 3) Escorting the parents to the waiting room and assuring them that they can see their child soon 4) Telling the parents that they do not need to stay with the child
5. 4
5. Which percentage of reported cases of child abuse in the United States reflects child neglect? 1) 12% 2) 16% 3) 24% 4) 52%
5. 1
5. Which prescription should the nurse anticipate when providing care to an adolescent patient who is diagnosed with bipolar disorder? 1) Lithium 2) Valproate 3) Bupropion 4) Fluoxetine
5. 4
5. Which should the nurse include in the discharge instructions for the parents of an infant who is diagnosed with acute otitis media? 1) Administer a decongestant. 2) Place the baby to sleep with a bottle. 3) Keep the baby in a flat position during feedings. 4) Administer acetaminophen (Tylenol) to relieve discomfort.
5. 3
5. Which stage of development is characterized by a slower, steadier pattern of growth and development? 1) Toddler 2) Preschool 3) School-age 4) Adolescence
6. 4
6. The mother of a school-aged patient says, "My daughter appears much thinner than she did a few years ago. Should I be worried?" Which response by the nurse is most appropriate? 1) "Does your child vomit after meals?" 2) "How many meals does your child eat each day?" 3) "It is important that we monitor your concern closely with frequent visits." 4) "Body fat diminishes and distribution changes during this stage of development."
6. 3
6. The nurse is preparing a teaching session for an infant who is diagnosed with bradycardia. Which topic should the nurse review prior to conducting the session? 1) Atrial flutter 2) Atrial fibrillation 3) Junctional rhythms 4) Bundle branch block
6. 2
6. The nurse is providing care to a pediatric patient experiencing a hyperactive adrenal medulla. Which clinical manifestation should the nurse anticipate during the assessment process? 1) Hypoglycemia 2) Tachypnea 3) Constipation 4) Edema
6. 3
6. The nurse is providing care to an adolescent patient who is diagnosed with anorexia and is experiencing an imbalance of potassium. Which is the priority assessment for this patient? 1) Integumentary 2) Gastrointestinal 3) Cardiac function 4) Height and weight
6. 4
6. Which action by the nurse is appropriate when using the "R" of the SBAR system? 1) Identifying the reason for the phone call 2) Giving the patient's presenting complaint 3) Providing the most recent vital signs 4) Asking if the provider will be coming to assess the patient
6. 4
6. Which developmental theorist stated that the adolescent is able to logically manipulate abstract, observable, and nonobservable concepts with greater depth? 1) Erikson 2) Freud 3) Kohlberg 4) Piaget
6. 4
6. Which environmental influence should the nurse include when assessing a child's risk for abuse? 1) A history of cruelty to animals 2) A lack of follow-through for medical follow-up 3) The use of multiple health-care providers 4) The family frequently relocates to different geographical locations.
6. 2
6. Which is the best method for providing orientation to a novice pediatric nurse to enhance communication skills when working with this population? 1) Real-time training 2) Simulation activities 3) Computer-based training 4) Written module instructions
6. 1
6. Which nursing action is appropriate when providing care to a child with mild hearing loss who reads lips in order to enhance adaptation during hospitalization? 1) Engaging the child with medical toys and dolls 2) Speaking directly to the parents for communication 3) Collecting only objective data during the health history 4) Providing only physiological support during the acute phase
6. 2
6. Which nursing action is appropriate when providing care to a toddler-aged patient whose lead level is 8 mcg/dL? 1) Conducting a survey of the environment 2) Following up as needed during future appointments 3) Administering prescribed edetate calcium-disodium (EDTA) 4) Preparing the patient for hospital admission for a full medical work-up
6. 3
6. Which parental statement about newborn and infant stooling patterns indicates the need for further education? 1) "A formula stool has a soft consistency." 2) "A transitional stool is less thick and sticky." 3) "A breastfed baby will stool only once per day." 4) "A meconium stool is the first stool my baby will have."
6. 2
6. Which parental statement indicates correct understanding regarding a type IV fracture of the femur? 1) "The break will not affect my child's growth and long-term development." 2) "The break requires open reduction and internal fixation." 3) "The break results in premature closure of the epiphyseal plate." 4) "The break will not impact my child's circulation."
6. 4
6. Which parental statement regarding the sleep needs of a toddler indicates the need for additional education from the nurse? 1) "My child should sleep a total of 14 hours per day." 2) "My child will need only one afternoon nap versus two naps per day." 3) "I should not put my child down for a nap too late in the afternoon." 4) "I should expect my child to sleep 14 hours each night in addition to an afternoon nap."
6. 2
6. Which pediatric patient is at greatest risk for experiencing separation anxiety if the parents are unable to stay with the child at all times? 1) A 3-month-old infant 2) An 18-month-old toddler 3) A 4-year-old, preschool-aged child 4) A 6-year-old, school-aged child
6. 3
6. Which result does the nurse anticipate when providing care to a preschool-aged child who successfully completes tasks associated with this stage of Erikson's theory of psychosocial development? 1) Faith and optimism 2) Devotion and fidelity 3) Direction and purpose 4) Self-control and willpower
7. 3
7. A preschool-aged child is admitted to the pediatric unit for surgery. The parents request to stay with their child. Which is the best response by the nurse? 1) Tell the parents they can stay in the hospital but not on the unit 2) Read the rules and regulations of rooming in with the child 3) Let the parents know they are allowed to stay with the child 4) Explain to the parents why they cannot stay with the child
7. 2
7. The nurse is assessing an adolescent patient to determine her relationships with others. Which nursing action is appropriate? 1) Telling the parents that information will be shared with them after the examination 2) Providing separate times to communicate with the adolescent and the parents 3) Avoiding asking the parents their opinions of the adolescent's friends 4) Telling the parents they are not allowed to come into the examination room
7. 1
7. The nurse is preparing to assess a preschool-aged child who states, "This is Bella, my bear. People tell me that they can't hear Bella talking, but that hurts her feelings and makes her cry." When documenting this interaction in the child's medical record, which term should the nurse use? 1) Animism 2) Seriation 3) Conservation 4) Object permanence
7. 1
7. The nurse is providing care to a school-aged patient who is prescribed methylphenidate. Which clinical manifestation supports the use of the drug? 1) Talking excessively in class 2) Complaining of an upset stomach 3) Hearing and seeing things that are not there 4) Wanting to sleep more than 12 hours each day
7. 2
7. Which action by the nurse is most appropriate for a child who presents with a history of migraine headaches? 1) Administering a prescribed opioid analgesic by intramuscular injection 2) Determining when the child's last eye examination was conducted 3) Conducting a weight assessment and documenting the information in the medical record 4) Asking the parent if the child is experiencing night terrors
7. 1
7. Which activity is easier for a school-aged child because of changes in proportions from the preschool stage of development? 1) Climbing 2) Handwriting 3) Problem-solving 4) Cooperative play
7. 3
7. Which activity should the nurse recommend to the parents of a toddler-aged child to challenge object permanence? 1) Jumping rope 2) Stacking blocks 3) Playing hide-and-go-seek 4) Reading books about colors
7. 2
7. Which code should the nurse call for a pediatric patient who is not breathing? 1) Code red 2) Code blue 3) Code pink 4) Code grey
7. 3
7. Which information should the nurse include in a teaching session for the parents of a child with a leg cast? 1) Apply warm compresses to the leg for the first 24 hours after the injury. 2) Provide a well-balanced diet consisting mostly of carbohydrates. 3) Elevate the casted extremity on pillows for at least the first 24 hours. 4) Apply cold packs to the leg 24 hours after the injury.
7. 1
7. Which intervention is meant to enhance medication safety for inpatient pediatric units? 1) Computerized order entry 2) Hospital-based pharmacies 3) Double-checking drug orders with three nurses 4) Interaction with other nurses in the medication room
7. 3
7. Which is a child factor that may increase the risk for abuse? 1) Substance abuse 2) Lack of respite care 3) Developmental delay 4) History of divorce
7. 1
7. Which is the reason for a health-care provider recommending that a preschool-aged male client with documented hearing loss attend preschool at least 2 days per week? 1) To increase the child's socialization skills 2) To help the child recognize his hearing deficit 3) To teach other children that children are different 4) To improve the child's immunity by increased exposure to organisms
7. 2
7. Which nursing action is appropriate when providing care to a school-aged patient who is scheduled for a cardiac catheterization? 1) Explaining to the parent that this noninvasive procedure has few risks 2) Monitoring vital signs pre- and postprocedure 3) Prescribing pain medication if tachycardia occurs 4) Monitoring temperature postprocedure only
7. 1
7. Which parental statement regarding the sleep needs of a younger infant is accurate? 1) "My baby requires 22 to 23 hours of sleep each day." 2) "My baby requires a 1- to 2-hour nap in the afternoon." 3) "My baby requires a 1- to 2-hour nap in the morning." 4) "My baby requires 16 hours of sleep each day, including two naps."
7. 2
7. Which teaching point should the nurse include in the discharge instructions for the parents of an infant who has been diagnosed with congenital hypothyroidism and has been prescribed daily levothyroxine? 1) Stopping the medication as long as the child continues to grow 2) Preventing hypothermia with appropriate clothing 3) Changing formula because it is contraindicated with the prescribed medication 4) Monitoring growth and development without any other prescribed interventions
8. 4
8. For which stage of development must the nurse engage in total safety perception when providing patient care? 1) Toddler 2) Preschooler 3) Older infant 4) Younger infant
8. 3
8. On the basis of cultural background, which reaction should the nurse anticipate when providing care to the family of a Hispanic newborn diagnosed with a congenital heart defect? 1) Refusing pain medication containing opioids 2) Initiating polite and modest interactions with providers 3) Believing that the baby's condition is related to wrongdoing 4) Requesting extra time for rituals prior to medical procedures
8. 4
8. The nurse is planning care for an overweight adolescent. Which topic is appropriate to include in the plan of care? 1) Preventing substance abuse 2) Assessing for school phobia 3) Monitoring for spiritual distress 4) Determining self-esteem
8. 4
8. Which assessment finding should the licensed practical nurse (LPN) report to the charge nurse when providing care to an infant with a ventral-peritoneal (VP) shunt? 1) Pupils equal and reactive to light 2) Apical pulse 110 beats per minute 3) Respiratory rate 32 breaths per minute 4) Tympanic temperature 102°F (38.8°C)
8. 1
8. Which code should the nurse call for a fire in a patient care area? 1) Code red 2) Code blue 3) Code pink 4) Code grey
8. 4
8. Which data does the licensed practical nurse (LPN) report to the charge nurse for an infant suspected of having unilateral congenital hip dysplasia? 1) Lordosis 2) Trendelenburg sign 3) Telescoping of the affected limb 4) Asymmetry of the gluteal and thigh fat folds
8. 2
8. Which immunization should the nurse plan to give prior to newborn discharge from the hospital? 1) Rotavirus 2) Hepatitis B 3) Inactivated polio virus (IPV) 4) Measles, mumps, rubella (MMR)
8. 3
8. Which pediatric patient is at increased risk for child abuse, necessitating a focused nursing assessment? 1) A 3-year-old child who is toilet-trained 2) A 1-year-old child who was born at 41 weeks' gestation 3) A 9-month-old child, born prematurely, who is diagnosed with reflux 4) A 10-year-old child who is active in sports and recently made the honor roll
8. 4
8. Which prescriber prescription should the nurse anticipate when providing care to a pediatric patient diagnosed with SIADH? 1) Furosemide by mouth 2) Insulin injections as needed 3) Blood glucose monitoring as needed 4) Oral fluid restriction
8. 2
8. Which psychosocial concern should the nurse monitor for when providing care to a school-aged child who is diagnosed with pediculosis? 1) Itching of the scalp 2) Feeling dirty 3) Applying medication appropriately 4) Educating the family on prevention
8. 2
8. Which question allows the nurse to assess a preschool-aged child for delayed peer relationships? 1) "Can your child independently dress each day?" 2) "Does your child play with the other children in the playroom?" 3) "Has your child ever thought that asthma is a punishment?" 4) "Does your child become anxious before respiratory treatments?"
8. 2
8. Which should the nurse identify as most important to social development during the toddler stage of development? 1) Peers 2) Siblings 3) Religious figures 4) Day-care providers
8. 3
8. Which statement from the parents of a school-aged child diagnosed with ADHD indicates the need for further education by the nurse? 1) "I will develop a reward system for desired behaviors." 2) "I will stick to the same routine each day after school." 3) "I will let him do his homework while he is watching his favorite television show." 4) "I will take my child to the physician every 3 months for a weight and height check."
8. 2
8. Which tool should the nurse use to monitor pain in a toddler-aged patient? 1) FACES pain scale 2) FLACC pain scale 3) Oucher pain scale 4) Numeric pain scale
8. 1
8. Which tool should the nurse use to screen a pediatric patient for esotropia? 1) Perform the cover-uncover test 2) Examine the eye with an otoscope 3) Use a tonometer to evaluate the eyes 4) Check for the "red reflex" in the eyes
9. 1
9. A 5-year-old child with a history of hypopituitarism presents with complaints of right hip and leg pain. Which prescribed medication for the diagnosis should the nurse identify as the cause for the current symptoms? 1) Daily growth hormone 2) Insulin before meals and bedtime 3) Desmopressin at bedtime 4) Cortisone injections
9. 2
9. A child diagnosed with autism spectrum disorder (ASD) is admitted to the hospital with dehydration. Which should the nurse include in the plan of care for this child? 1) Taking the child on a tour of the pediatric unit 2) Assigning the child to a single-bed hospital room 3) Taking the child to the playroom for arts and crafts 4) Discouraging the parents from bringing favorite toys from home that might be lost
9. 2
9. The nurse is providing care to a school-aged child who was treated with aspirin during a viral infection. Which data should the LPN report to the charge nurse? 1) Eupnea 2) Lethargy 3) Urine output 30 mL/hr 4) Pupils equal and reactive to light
9. 4
9. Which activity should the nurse identify as a safety risk for a preschool-aged patient? 1) The parents are participating in a methadone program. 2) The parents consume alcohol on a daily basis. 3) The child watches television for 2 hours each day. 4) The child is permitted to swim in the family pool unsupervised.
9. 4
9. Which assessment finding indicates adequate peripheral perfusion for a child after a cardiac catheterization? 1) Capillary refill is greater than 3 seconds. 2) Sensation is decreased, with a weakened dorsalis pedis pulse. 3) Dorsalis pedis pulse is palpable, but posterior tibial pulse is weak. 4) Lower extremities are warm, with a capillary refill of less than 3 seconds.
9. 3
9. Which code should the nurse call if a newborn is missing from the nursery? 1) Code red 2) Code blue 3) Code pink 4) Code grey
9. 1
9. Which data cause the nurse to provide the parents of an infant with education regarding colic? 1) Abdominal pain accompanied by crying 3 days per week 2) No weight gain since the last well-child visit 3) Muscle mass that has decreased 4) Frequent emesis
9. 3
9. Which form of discipline should the nurse encourage when providing care to the family of a toddler-aged child? 1) Saying "no" 2) Ignoring the behavior 3) Implementing "time-outs" 4) Implementing corporal punishment
9. 1
9. Which growth and developmental change indicates increased maturity during the school-aged stage of development? 1) An increase in leg length in relation to height 2) A decreased head circumference in relation to standing height 3) The face growing faster in relation to the remainder of the cranium 4) Little increase in the size of the skull and the brain, which grow very slowly
9. 2
9. Which information should the nurse include in order to prevent noise-induced hearing loss (NIHL) for pediatric patients? 1) Avoid the use of ear plugs 2) Participate in annual screenings 3) Stand close to amplifiers during live music 4) Use a cotton-tipped applicator for wax removal
9. 1
9. Which is a priority nursing action when providing care to a school-aged child who is experiencing abuse? 1) Meeting the child's immediate psychological needs 2) Planning for the child's long-term physical needs 3) Earning the trust of the child's parents 4) Engaging the child in play to encourage expression of anxiety
9. 4
9. Which nursing action is most appropriate to minimize stress for a pediatric patient who will have a planned hospitalization for a tonsillectomy and his or her family? 1) Telling the client and family that everything will be fine 2) Explaining to the client and family how the child will benefit from the surgery 3) Telling the client and family that the surgeon is very good 4) Giving the client and family a tour of the hospital unit or surgical area
9. 2
9. Which parental statement causes the nurse to include further education related to the care of a child who is diagnosed with congenital clubfoot? 1) "We'll keep the casts dry." 2) "We're happy this is the only cast our baby will need." 3) "We're getting a special car seat to accommodate the casts." 4) "We'll watch for any swelling of the feet while the casts are on."
9. 1
9. Which should the nurse keep in mind when providing care to an adolescent patient during the initial health maintenance visit at the provider's office? 1) The importance of explaining procedures and introducing personnel to adolescents 2) Many adolescents are quiet and will offer no opinions. 3) The importance of attending to and discharging the adolescent quickly 4) Many adolescents are comfortable with their surroundings.
9. 3
9. Which toy should the nurse provide to the toddler-aged patient to promote development? 1) Music box 2) Board game 3) Pail and shovel 4) Large-piece puzzle
