A funny little guide

A nurse is caring for an 8-year-old child who was recently diagnosed with chronic renal failure. The child's parents ask for information on hemodialysis. Which of the following statements should the nurse make? A "Hemodialysis uses your child's abdominal cavity as a membrane to clean their blood." B "Hemodialysis uses an electrolyte solution to clean your child's blood." C "Hemodialysis uses an artificial membrane outside the body to clean your child's blood." D "Hemodialysis slowly filtrates your child's blood continuously."

"Hemodialysis uses an artificial membrane outside the body to clean your child's blood."

A nurse in the emergency department is preparing to discharge a 3-year- old child. Exhibits Which of the following statements should the nurse plan to include in the discharge instructions for the child's guardian?Select all that apply. "You should cut and file your child's fingernails frequently." "You should use a mild detergent for your child's laundry." "You should apply a thick layer of pimecrolimus cream to your child's lesions." "Your child will experience occasional flare-ups of this condition." "Your child's condition is contagious when lesions are present." "You can apply gloves to your child's hands." "You should apply emollients to your child's skin after bathing.

"You should cut and file your child's fingernails frequently. "You should use a mild detergent for your child's laundry." "Your child will experience occasional flare-ups of this condition." "You can apply gloves to your child's hands." "You should apply emollients to your child's skin after bathing.

NGN Question A nurse is caring for an adolescent who is admitted with a vaso-occlusive crisis.The nurse is planning care for the adolescent. Right upper quadrant tender to palpation Hands painful to touch and swollen bilaterallyRight knee is swollen, warm to palpation, and the client reports pain as 8 on a scale of 0 to 10.Client is tearful and grimacing during the examination. Select the 5 interventions the nurse should include. Instruct the parent to ensure the pneumococcal vaccine is current. Administer folic acid as prescribed. Monitor oxygen saturation continuously. Place the client on strict bed rest. Apply cold compresses to the affected joints. Administer meperidine IV for pain. Restrict oral intake. Give oral hydroxyurea.

*Administer folic acid as prescribed *Monitor oxygen saturation continousely. *Apply cold compresses to the affected joints *Administer meperidine IV for pain *Give oral hydroxyurea

A nurse is planning to administer diphenhydramine 1.25 mg/kg IV to a school-age child who weighs 55 lb. Available is diphenhydramine 50 mg/mL. How many ml should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

0.6

A nurse is providing discharge teaching to the guardian of a child who has cystic fibrosis.Which of the following statements by the guardian indicates an understanding of the teaching? A "I will ensure that my child consumes a high-calorie diet." B "I will expect my child to need annual sweat chloride testing." C "I will have my child chew the pancrelipase medication before eating." D "I will administer dornase alfa every 4 hours for wheezing."

A "I will ensure that my child consumes a high-calorie diet."

A nurse is providing teaching to the parent of a toddler who is scheduled for an electrocardiogram. Which of the following statements should the nurse make? A "Your child can rest on your lap during the procedure. B "An alarm will sound if your child has an abnormal heart rhythm. C "Leads will be placed on your child's back prior to the procedure. D "This procedure will take at least 30 minutes to complete."

A "Your child can rest on your lap during the procedure. Allowing the child to sit on the parent's lap can provide comfort and support during the procedure.

Diagnostic Results Cerebrospinal fluidPressure: 22 cm H,O (less than 20 cm H2O) Color: Cloudy (clear or colorless)Blood: None (none)CellsRBC: 0 (0)WBC: 36 cells/mcL (0 to 30 cells/mcL) Protein: 92 mg/dL (up to 70 mg/dL) Glucose: 36 mg/dL (50 to 75 mg/dL)Serum glucose: 64 mg/dL (60 to 100 mg/dL)A nurse in an emergency department is caring for a 3-month-old infant. Which of the following actions should the nurse take?

A Administer ceftriaxone. Given the cloudy appearance of the cerebrospinal fluid (CSF) and elevated white blood cell count (WBC) in the CSF, there may be an indication of meningitis

A nurse is caring for a group of clients. Which of the following findings should the nurse report to the provider? A An 18-month-old toddler who has a heart rate of 68/min B A school-age child who has a rectal body temperature of 37.3° C (99.1° F) C An adolescent who has a BP of 132/82 mm Hg D A 3-month-old infant who has a respiratory rate of 30/min

A An 18-month-old toddler who has a heart rate of 68/min

A nurse is providing teaching to the parents of a child who has impetigo. Which of the following instructions should the nurse include in the teaching? A Apply bactericidal ointment to lesions. B Administer acyclovir PO two times per day. C Soak hairbrushes in boiling water for 10 min. D Seal soft toys in a plastic bag for 14 days.

A Apply bactericidal ointment to lesions.

A nurse is caring for an adolescent who has major depressive disorder. Which of the following actions should the nurse take first? A Ask the client if he is considering harming himself. B Encourage the client to attend a group therapy session. C Administer an antidepressant to the client. D Assist the client in completing his ADLs.

A Ask the client if he is considering harming himself.

A nurse is preparing to administer an enteral feeding to an adolescent who has an NG tube. Which of the following actions should the nurse take first? A Check the pH of the gastric secretions. B Set the administration rate on the feeding pump. C Flush the tube with water. D Attach the feeding bag tubing to the end of the NG tube.

A Check the pH of the gastric secretions. This is the priority action to confirm the correct placement of the NG tube in the stomach before administering the enteral feeding.

A nurse is caring for a 4-year-old child who has meningitis and is receiving gentamicin.Which of the following laboratory values should the nurse report to the provider? A Creatinine 1.4 mg/dL (0.2 to 0.5 mg/dL) B Creatinine 0.3 mg/dL (0.2 to 0.5 mg/dL) C BUN 12 mg/dL (5 to 18 mg/dL) D BUN 6 mg/dL (5 to 18 mg/dL)

A Creatinine 1.4 mg/dL (0.2 to 0.5 mg/dL)

A nurse is assessing a school-age child who is receiving cefazolin. For which of the following adverse effects should the nurse monitor? A Hypotension B Prolonged wound healing C Stevens-Johnson syndrome D Bradypnea

A Hypotension

A charge nurse is observing a staff nurse who is caring for a child who has pertussis.Which of the following actions by the staff nurse indicates an understanding of infection control practices? A Maintains droplet precautions while the child is coughing and sneezing B Applies a face mask after entering the child's room C Wears gloves when assisting the child to the bathroom D Follows airborne precautions by wearing an N95 respirator while caring for the child

A Maintains droplet precautions while the child is coughing and sneezing

A nurse in the emergency department is caring for an adolescent who is requesting testing for STIs. Which of the following actions is appropriate for the nurse to take? A Obtain written consent from the client. B Request verbal consent from the social worker. C Contact the client's parents to obtain phone consent. D Postpone the testing until the client's parents are present.

A Obtain written consent from the client.

A nurse is teaching home care to the parents of a preschool-age child who has heart failure. Which of the following information should the nurse include in the teaching? A Provide for periods of rest. B Increase the child's oxygen flow rate until the child no longer has cyanosis. C Withhold digoxin if the child's pulse is greater than 100/min. D Weigh the child once each month.

A Provide for periods of rest.

A nurse is providing teaching for a 20-year-old adolescent who has syphilis. Which of the following statements should the nurse make? A "You need to come back in a week for retesting." B "I have to notify the public health department." C "I have to contact your parents." D "Let's review the side effects of metronidazole."

B "I have to notify the public health department." Notifying the public health department is essential for contact tracing and preventing the spread of syphilis.

A nurse in an emergency department is assessing an adolescent who reports inhalation of gasoline. Which of the following findings should the nurse expect? A Pinpoint pupils B Ataxia C Hyperactive reflexes D Hypothermia

B Ataxia

A nurse is providing teaching to the parents of a school-age child newly diagnosed with a seizure disorder. The nurse should teach the parents to take which of the following actions during a seizure? A Minimize movement of the limbs. B Clear the area of hard objects. C Place the child in a prone position. D Insert a tongue blade between the teeth.

B Clear the area of hard objects.

A nurse is assessing a 5-month-old infant. Which of the following findings should the nurse report to the provider? A Unable to roll from back to abdomen B Exhibits head lag when pulled to a sitting position C Unable to hold a bottle D Absent grasp reflex

B Exhibits head lag when pulled to a sitting position

A nurse is preparing to administer immunizations to a 3-month-old infant. Which of the following is an appropriate action for the nurse to take to deliver atraumatic care? A Apply eutectic mixture of local anesthetics (EMLA) cream immediately before the injections. B Provide a pacifier coated with an oral sucrose solution prior to the injections. C Inject the immunizations into the deltoid muscle. D Use a 20-gauge needle for the injections.

B Provide a pacifier coated with an oral sucrose solution prior to the injections.

A nurse is caring for a 6-month-old infant who has gastroenteritis. Which of the following findings should the nurse identify as a manifestation of severe dehydration? A Capillary refill time 3 seconds B Sunken anterior fontanel C Weight loss of 5% D Produces tears when crying

B Sunken anterior fontanel

A nurse in a family practice clinic is assessing a preschool-age child who recently experienced the death of a sibling. Which of the following reactions is an age-appropriate response to death? A The child views the sibling's death as permanent. B The child is curious about what happened to the sibling's body. C The child can give a logical explanation for the sibling's death. D The child feels responsible for the sibling's death.

B The child is curious about what happened to the sibling's body.

A nurse is providing teaching about home care to the parent of a child who has scabies.Which of the following instructions should the nurse include in the teaching? A Wash the child's hair with shampoo containing ketoconazole. B Treat everyone who came into close contact with the child. C Apply petroleum jelly to the affected areas. D Soak combs and brushes in boiling water for 10 min.

B Treat everyone who came into close contact with the child. Treating close contacts is essential to prevent the spread of scabies.

A nurse is providing discharge teaching to the guardian of a preschooler who had a tonsillectomy. Which of the following statements should the nurse include? A "Notify the provider if your child has dark brown blood between their teeth." B "Encourage your child to drink liquids through a straw." C "Notify the provider if your child is swallowing frequently." D "Encourage your child to clear their throat as needed."

C "Notify the provider if your child is swallowing frequently. Frequent swallowing may indicate discomfort or bleeding and should prompt notification of the healthcare provider.

A nurse is teaching the parents of a child who has cystic fibrosis about home care following discharge. Which of the following statements should the nurse include? A "Your child will have chest x-rays periodically to monitor for disease reactivation." B Your child might need to have their tonsils and adenoids removed." C "Your child should take pancreatic enzymes with meals and snacks." D "Your child will take isoniazid for 9 months."

C "Your child should take pancreatic enzymes with meals and snacks."

A nurse is prioritizing care for four clients. Which of the following clients should the nurse assess first? A A toddler who has a new diagnosis of osteomyelitis and is to receive an IV bolus of nafcillin B An adolescent who is in skin traction and reports a pain level of 7 on a scale from 0 to 10 C An adolescent who has sickle cell anemia and slurred speech D A toddler who has a partial-thickness burn on his right hand and requires a dressing change.

C An adolescent who has sickle cell anemia and slurred speech

A school nurse is assessing a 7-year-old student. The nurse should identify which of the following findings as a potential indicator of physical abuse? A Front deciduous teeth missing B Weight in 45th percentile C Bruising around the wrists D Abrasions on the knees

C Bruising around the wrists

A nurse is caring for an adolescent who has a new diagnosis of type 1 diabetes mellitus.Which of the following recommendations should the nurse make? A Store opened vials of insulin for up to 60 days. B Follow up with physical therapy. C Consult with a nutritionist. D Monitor capillary blood glucose daily.

C Consult with a nutritionist.

A nurse is caring for a child who has had a lumbar puncture. The nurse should monitor the child for which of the following complications? A Nuchal rigidity when standing B Double vision C Headache D Pain in the posterior iliac crest

C Headache

A nurse is providing teaching about injury prevention to the parents of a toddler. Which of the following safety measures should the nurse include in the teaching? A Check clothing for loose buttons. B Adjust the water heater temperature to 54° C (129.2° F). C Place screens on all windows. D Provide balloons for play.

C Place screens on all windows.

A nurse is teaching a newly licensed nurse about infant safety. Which of the following information should the nurse include in the teaching? A Place an infant who is 5 months old in a high chair to feed. B Position a 1-month-old infant supine on a soft mattress. C Provide an infant with a one-piece pacifier for non-nutritive sucking. D Secure the infant's car seat behind an airbag

C Provide an infant with a one-piece pacifier for non-nutritive sucking. Providing a one-piece pacifier is a safe practice since it prevents the pacifier from breaking apart and causing a choking hazard.

A nurse is caring for a 5-year-old child who has nephrotic syndrome. Which of the following findings should indicate to the nurse that treatment has been effective? A Odorless urine B No report of pain with voiding C Urine output 256 mL over 8 hr D Temperature 37.2° C (99° F)

C Urine output 256 mL over 8 hr

NGN Question most likely

Condition Most Likely Experiencing C. The condition that the infant is most likely experiencing is congestive heart failure, which can cause poor weight gain, tachypnea, decreased appetite, and periorbital edema. Actions to Take A. Elevating the head of the bed can help reduce the workload of the heart and improve breathing. B. Digoxin can increase the contractility of the heart and decrease the heart rate. Parameters to Monitor B. Intake and output can indicate fluid balance and renal function. C. Respiratory status can reflect cardiac function and oxygenation.

A nurse is caring for a school-age child who has heart failure. Which of the following findings should the nurse expect?Select all that apply. Cyanosis Weight loss Bounding peripheral pulses Dyspnea Tachycardia

Cyanosis Dyspnea Tachycardia

A nurse is providing teaching to a 15-year-old adolescent about a medication used to treat a sexually transmitted infection. Which of the following actions should the nurse take? A Inform the client to contact the pharmacy regarding any questions related to the medication. B Provide instructions to the client's parent with the client present. C Instruct the client's parents to write down the information that is being provided. D Ask how the client prefers to learn new information.

D Ask how the client prefers to learn new information.

A nurse in an emergency department is caring for a preschool-age child who has acute acetylsalicylic acid poisoning. Which of the following should the nurse expect? A Neck vein distention B Polyuria C Jaundice D Hyperpyrexia

D Hyperpyrexia Hyperpyrexia (extremely high fever) is a potential complication of acute acetylsalicylic acid poisoning due to its effects on the central nervous system and metabolism.

A nurse is assessing a child for scabies. Which of the following findings should the nurse identify as a manifestation of scabies? A Scaly lesions on the inner thighs B Rash with red macular lesions on the scalp C Bull's eye edematous area on the groin D Maculopapular skin burrows on the hand

D Maculopapular skin burrows on the hand

A nurse in an emergency department is caring for a toddler who has manifestations of epiglottitis. Which of the following actions should the nurse take first? A Obtain an x-ray of the child's neck B Administer intravenous antibiotics C Initiate droplet precautions D Place intubation equipment at the bedside.

D Place intubation equipment at the bedside. Placing intubation equipment at the bedside is the first priority because epiglottitis can cause airway obstruction and respiratory distress.

A nurse is assessing a 6-month-old infant who has respiratory syncytial virus. The nurse should immediately report which of the following findings to the provider? A Rhinorrhea B Pharyngitis C Coughing D Tachypnea

D Tachypnea

A nurse is performing a cranial nerve assessment on a school-age child. Which of the following findings indicates proper functioning of the child's trigeminal nerve? A The child maintains balance when standing with eyes closed. B The child exhibits a gag reflex when stimulated with a tongue blade. C The child correctly identifies specific scents. D The child has symmetrical jaw strength when biting down.

D The child has symmetrical jaw strength when biting down.

A nurse is caring for a school-age child who is having a tonic-clonic seizure. Which of the following actions should the nurse take? A Administer chlorothiazide. B Hold the child down. C Place the child in a prone position. D Time the episode.

D Time the episode.

A nurse is caring for a child who has disseminated intravascular coagulation. Which of the following laboratory findings should the nurse expect? A Decreased prothrombin time B Increased Hgb level C Increased RBC D Decreased platelet count

Decreased Platelet count

A nurse is caring for a child whose guardian requests information about essential oils to help their child relax. Which of the following oils should the nurse recommend? A Lavender B Eucalyptus C Jasmine D Tea tree

Lavender

A nurse is preparing to administer recommended immunizations to a 12-month-old infant who is up-to-date with the current schedule. Which of the following immunizations should the nurse plan to administer?Select all that apply. Measles, mumps, and rubella (MMR) Varicella (VAR) Rotavirus (RV) Herpes zoster Human papillomavirus (HPV4)

Measles, mumps, and rubella (MMR) Varicella (VAR)

A nurse is providing teaching to the parent of a school-age child who has a maintenance prescription for prednisone following an acute asthma attack. Which of the following statements by the parent indicates an understanding of the teaching? A "My child might experience mood swings." B "I should take my child to the clinic for a weekly blood test." C "I should withhold my child's medication before physical activity." D "My child might have a decreased appetite."

My child might experience mood swings."

A nurse is assessing a school-age child who is receiving morphine. For which of the following adverse effects should the nurse monitor? A Prolonged wound healing B Nausea C Stevens-Johnson syndrome D Renal failure

Nausea

A nurse is caring for a preschool-age child who is postoperative following a tonsillectomy and is clearing her throat frequently. Which of the following actions should the nurse take first? A Observe the child's throat with a flashlight. B Give the child small sips of water. C Administer an analgesic. D Offer the child an ice collar.

Observe the child's throat with a flashlight.

A nurse is preparing to administer an oral medication to a preschooler. Which of the following actions should the nurse take to encourage acceptance of the medication? A Provide an ice pop after administering the medication. B Give 4 oz of milk with the medication. C Mix the medication with the child's favorite food. D Dilute the medication with 8 oz of water.

Provide an ice pop after administering the medication. This is a positive reinforcement strategy that can motivate the child to take the medication and reduce the unpleasant taste.

NGN question A nurse in a provider's office is caring for a 1-year-old toddler. Exhibits The child is at risk for developing _________________ and ______________________. Drag words from the choices below to fill in each blank in the following sentence. Word Choices Nephrotic syndrome Renal Scarring Polycystic kidney Acute glomerulonephritis Pyelonephritis

Renal Scarring Pyelonephritis

A nurse is assessing a child who has heart failure. Which of the following findings is a clinical manifestation associated with this diagnosis? A Tachypnea B Tremors C Increased appetite D Bradycardia

Tachypnea Tachypnea (rapid breathing) is a common clinical manifestation of heart failure due to decreased cardiac output and inadequate tissue perfusion.

A nurse is caring for a school-age child who has diabetes mellitus. Which of the following findings should the nurse recognize as being consistent with hyperglycemia? A Sweating B Tremors C Pallor D Thirst

Thirst

A nurse on a pediatric intensive care unit is caring for a toddler who weighs 12 kg (26.5 lb) and is postoperative following open heart surgery. Which of the following findings should the nurse report to the provider? A Drainage from the chest tube of 22 mL in the last hour B Urine output of 15 mL in the last 2 hr C Skin temperature 36° C (96.8° F) D Pedal and posterior tibial pulses of 2+

Urine output of 15 mL in the last 2 hr

NGN Question A nurse is caring for a school-age child who has cystic fibrosis.History and PhysicalSchool-age child admitted, diagnosed with cystic fibrosis at 3 months of age, has experienced failure to thrive, and has chronic obstructive pulmonary disease. The child presents with wheezing, rhonchi, paroxysmal cough, and dyspnea. The parent reports large, frothy, foul-smelling stools. The child has deficient levels of vitamin A, D, E, and K.Barrel-shaped chestClubbing of the fingers bilaterallyRespiratory rate 40/min with wheezing and rhonchi noted bilaterally, dyspnea, and paroxysmal coughA nurse is reviewing the child's medical record. Which of the following medications should the nurse expect the provider to prescribe or reconcile from the child's home medication list?Select all that apply. Water-soluble vitamins Acetaminophen Dornase alfa Meperidine Pancreatic lipase

Water-Soluble Vitamins Dornase Alfa Pancreatic Lipase