30701

A nurse is caring for a 3 year old client whose parents report that she has an intense fear of painful procedures, such as injections. Which of the following strategies should the nurse add to the child's plan of care?

Have a parent stay with the child during procedures Perform the procedure as quickly as possible Allow the child to keep a toy from home during the procedure

A nurse is caring for a toddler admitted to a pediatric unit. Which of the following statements should the nurse use when preparing to check the child's vital signs?

I am going to listen to your heart

A home care nurse is providing instructions to the mother of a toddler regarding safety measures in the home to prevent an accidental burn injury. Which statement by the mother indicates a need for further instruction?

I need to be sure to place my cup of coffee on the counter

A nurse is caring for a six month old infant. Which of the following findings should indicate to the nurse that the client is experiencing pain following a procedure?

Increased crying episodes

A nurse is providing care to a child who has an allergy to eggs. The nurse should question a prescription for which of the following immunizations?

Influenza

When examining an infant's abdomen, which assessment should be done first?

Inspection

When teaching a class about safety to 10 and 11 year old children, which type of accident should the school nurse focus as the primary cause of serious accidental injury and death in school-aged children?

Motor vehicle accidents

A nurse is assessing the psychosocial development of a toddler. The nurse is aware that this stage is characterized by which of the following?

Negative behaviors characterized by the need for autonomy

A 10 year old child had an appendectomy 18 hours ago. The nurse is monitoring the child for pain control. Which of the following is most appropriate for assessing the child's pain?

Numeric scale

A nurse is obtaining the length and weight of a 6 month old infant. Which of the following are appropriate actions?

Place a disposable covering on the scale Measure the infant from crown of head to heel of feet Ensure the scale is balanced to 0 prior to use

A nurse is assigned to care for a hospitalized toddler. What priority should the nurse include in the plan of care?

Protecting the toddler from injury

A nurse is caring for a toddler who is having difficulty sleeping during the hospitalization. Which of the following actions should the nurse take to help promote sleeo?

Provide home bedtime rituals

The nurse is preparing an 8 year old child for a procedure. What is the most appropriate nursing intervention considering the child's stage of growth and development

Provide visual aids; such as dolls, puppets and diagrams in the explanation

A nurse is caring for an 18 month old toddler who has been hospitalized for 10 days. After the toddler's mother leaves the room, and nurse observes the toddler sitting quietly in the corner of the crib, sucking a thumb. When the nurse approaches the crib, the toddler shyly turns away from the nurse. The nurse should know that these behaviors indicate

An anxiety reaction to the stress of hospitalization

What should the nurse counsel the parents of a preschooler regarding the best way for them to assist their child to complete the core developmental tasks of the preschooler?

Answer their preschoolers questions simply but truthfully

A nurse is caring for an infant who needs otic medication. Which of the following is an appropriate action for the nurse to take?

Pull the pinna downward and straight back

A nurse is teaching the parents of a toddler about temper tantrums. Which of the following statements should the nurse include in the teaching?

Temper tantrums are the toddlers attempt to gain control of a situation

A nurse is reinforcing teaching about nutritional considerations with the parent of a toddler. Which of the followings statements by the parents indicate understanding for the teaching?

The quality of the food i provide him is more important than the quantity

A nurse is teaching assistive personnel to count the respirations of a newborn. which of the following statements includes an understanding of why the respiratory rate should be counted for one full minute?

The rate and rhythm are irregular in newborns

When administering ear drops to a toddler, the nurse pulls the auricle down and back. The mother asks why are you pulling the ear in that way? which of the following is an appropriate response by the nurse?

This opens the ear canal, allowing medication to reach the inner ear region

A nurse is assessing a 3 month old. Which of the following findings should the nurse report to the provider?

Unable to raise head when in the prone position

The nurse should expect a 4 year old child to be capable of which of the following behaviors?

Use scissors to cut out pictures by following an outline Skip and hop on one foot Knows simple songs and names one or more colors Throws a ball overhead

You need to give a 2 year old an intramuscular injection of an antiemetic. The most appropriate muscle site for this injection is the

Vastus lateralis

A clinic nurse is planning to teach a teenage client about sexuality. What is the best way to begin instruction?

Establishing a relationship and determining prior knowledge

The nurse is caring for a 2 year old child in the postoperative period. The pain assessment tool most appropriate for assessment of pain intensity in a 2 year old is the

FLACC scale

The nurse is caring for an adolescent with seizures. Which of the following behaviors is a common reaction to hospitalization by the adolescent?

Fear of altered body image

An adolescent with acne asks the nurse what she can do to improve her skin. What is the nurse's best advice?

Get adequate rest with moderate exercise, eat a well-balanced diet and try to avoid stress

What is the best way for the parents of a school-aged child to assist their child to complete the core developmental task of the school-aged uearS?

Give recognition and positive feedback for accomplishments

A nurse is preparing to administer hydrocodone/acetimenophen (Lortab) 5 mg. It is available in 7.5 mg elixir. HOw many mL should the nurse administer?

10 mL

The mother of a 6 month old infant is concerned that the infant's anterior fontanel is still open. The nurse would explain to the mother that further evaluation is needed if the anterior fontanel is still open after which age?

18 months

A nurse is collecting data on a child who is descending stairs by placing both feet on each step while holding onto the railing. This is developmentally appropriate at which of the following ages?

3 years

A nurse is caring for an infant who is prescribed amoxicillin 320 mg PO every 12 hours. The medication is available as 400mg/5 mL. How many mL will the nurse administer?

4

A nurse is caring for a one month old infant. The mother asks the nurse when should she introduce semi solid foods such as cereal into the infants diet. What is the nurses' correct response?

4-6 months

A nurse is collecting data on an infant at a well-child check-up. By which of the following ages is the birth weight typically doubled?

6 months

What should the nurse suggest to a toddler's parents to assist the child to complete the core development task of the toddler years?

Allow the toddler to make simple decisions

A nurse is providing health promotion teaching to an adolescent. Which of the following is the leading cause of death among this age group?

Accidents

A nurse is collecting data from the adolescents client. Which of the following represents the greatest risk for suicide?

Active psychiatric disorder

During the nurse's initial assessment of a school-age child, the child reports a pain level of 6 out of 10. The child is lying quietly in bed watching television. The nurse should:

Administer the prescribed medication

What should the nurse counsel the parents of an adolescent on regarding the best way for them to assist their child to complete the core developmental task of the teenage years?

Allow participation in the decion-making process

A hospitalized school=aged boy has a large collection of comic books with him. On seeing the stacks of comics scattered in his room, which action by the nurse is most appropriate?

Allow the child to keep the comics with him, provided that they are kept reasonably neat

A nurse is assessing a toddler in the well child clinic. At what point in the physical examination should the nurse examine the tympanic membrane?

At the end

The nurse must perform an admitting assessment on a preschooler who is very upset and crying. What is the most appropriate action for the nurse to take initially?

Avoid any physical contact with the child, but remain in the room and speak with the parents.

A nurse is providing home safety information to the parents about an 11 month old infant. Which of the following should be included?

Avoid grapes and popcorn Position the crib away from windows

A clinic nurse is performing an assessment on a 12 month old infant. Which determines that the infant is demonstrating the highest level of developmental achievement?

Begin to use simple words

The nurse should be aware that which description is uncharacteristic of the play practices of children in the school-aged years?

Boys and girls seek each other out to play

A nurse is reinforcing car seat safety with the parent of an infant who weights 4.5 kg 10lb.Which of the following car seat positions should be included in the teaching?

Rear facing in the middle of the back seat

A nurse is preparing to discharge a child with a new prescription for an oral antibiotic. Which of the following should be included in the discharge instructions?

Reason the child is taking the medication Written information about the medication Adverse effects of the medication

A recently hospitalized 2 year old client screams and shouts that he wants a botte. HIs parents are puzzled and state that he has been drinking from a cup for the past year. The nurse would include which information in an explanation to the parents?

Regression to an earlier behavior often helps the child to cope with stress and anxiety

The parents of an infant ask the nurse when the child should be seen by the dentist for the first time. The nurse would be most correct in advising the parents that ideally a child should see the dentist at what stage?

Soon after the first teeth erupt; usually by age 1

The RN observes a nursing student entering a toddler's room to check the vital signs and begins to take the child's temperature first. What should the RN suggest to the nursing student?

Suggest the student start with the respirations