Care of Children Final Multiple Choice Book Questions

The nurse provides homecare instructions to the parent of a child with attention deficit hyperactivity disorder regarding behavioral therapy interventions. Which statement by the parent indicates a need for further teaching? 1. "I hear that the side effects of the medication that my child will be on can cause overeating." 2. "I know that consistent medication and regular follow-up visits are a part of the plan for my child." 3. "I know I need to maintain a consistent home environment because my child is easily distracted." 4. "I understand that I will need to learn some behavioral modification techniques to help my child's impulsivity."

1. "I hear that the side effects of the medication that my child will be on can cause overeating."

The nurse is providing instructions to a parent of a child with patent ductus arteriosus (PDA). Which statement by the parent would indicate a need for further teaching? 1. "I know that my child will outgrow this problem, just give him time." 2. "I know that I need to be alert for signs of heart failure with this defect until it is repaired." 3. "The doctors tell me that my child has a heart murmur caused by the ductus not closing after birth." 4. "As I understand it, my child may have to have his defect closed, either during a catheterization or by surgery."

1. "I know that my child will outgrow this problem, just give him time."

The nurse has provided instructions to the mother of an infant with viral pneumonia. Which statement by the mother would indicate the need for further teaching? 1. "I understand I will need to have my baby on antibiotics for this pneumonia." 2. "I will need to give a cough suppressant before meals if his cough gets too bad." 3. "I will be careful and allow my baby to sleep, so he can conserve energy and fight this infection." 4. "I understand that my baby has viral pneumonia and I need to monitor his temperature because of the risk for febrile seizures."

1. "I understand I will need to have my baby on antibiotics for this pneumonia."

The nurse reinforces instructions to the mother of a child who has been hospitalized with croup. Which statement made by the mother would indicate the need for further teaching? 1. "I will give my child cough syrup if a cough develops." 2. "During an attack, I will take my child to a cool location." 3. "I can give acetaminophen if my child develops a fever." 4. "I will be sure that my child drinks at least three to four glasses of fluids every day."

1. "I will give my child cough syrup if a cough develops."

The nurse is instructing a mother of a 1-year-old child with strabismus about the treatment options. Which statement by the mother would indicate the need for further teaching? 1. "My child will outgrow this by the time he is 2 years old and be able to see just fine." 2. "I will have my child wear an eye patch over the good eye to help strengthen the weak eye." 3. "If this eye patch does not work I know that we will have to do surgery to correct my child's crossed eyes." 4. "There are a few causes of this condition and they tell me my child has crossed eyes because of a muscle imbalance."

1. "My child will outgrow this by the time he is 2 years old and be able to see just fine."

The student nurse is preparing a community presentation on urinary tract infections. What should the student include as risk factors? (Select all that apply.) 1. A short urethra in young girls 2. Frequent emptying of the bladder 3. Increased fluid intake 4. Ingestion of highly acidic juices 5. Cleaning the perineal area from back to front

1. A short urethra in young girls 5. Cleaning the perineal area from back to front

How is Hirschsprung disease best described? 1. Absence of parasympathetic ganglion cells in a segment of the colon 2. Passage of excessive amounts of meconium by the newborn 3. Results in excessive peristaltic movements within the GI tract 4. Results in frequent evacuation of solids, liquids, and gas

1. Absence of parasympathetic ganglion cells in a segment of the colon

The nurse is caring for a child with nephrotic syndrome. The nurse is correct in questioning the health care provider's order of which class of medications? (Select all that apply.) 1. Antibiotics 2. Diuretics 3. Vitamins 4. Corticosteroids 5. Antifungals

1. Antibiotics 3. Vitamins 5. Antifungals

When preparing snacks for an 18-month-old child, which would be appropriate? (Select all that apply.) 1. Apple sauce 2. Peanuts 3. Grapes 4. Orange segments 5. Crackers 6. Hot dogs 7. Marshmallows 8. Sliced strawberries 9. Mashed bananas 10. Cottage cheese

1. Apple sauce 4. Orange segments 5. Crackers

A child is admitted to the hospital with a probable diagnosis of nephrotic syndrome. Which findings would the nurse expect to observe? Select all that apply. 1. Ascites 2. Anorexia 3. Weight loss 4. Proteinuria 5. Decreased serum lipids 6. Periorbital and facial edema

1. Ascites 2. Anorexia 4. Proteinuria 6. Periorbital and facial edema

The nurse is discussing planned well child appointments with the mother of a toddler who frequently misses them. What actions should be taken by the nurse? (Select all that apply.) 1. Assess the parent's beliefs on the importance of the health promotion activities. 2. Determine if the family has transportation for the appointments. 3. Seek family input on the dates and times for scheduling the appointments. 4. Report the family to Child Protective Services. 5. Review the family's ability to pay for health care.

1. Assess the parent's beliefs on the importance of the health promotion activities. 2. Determine if the family has transportation for the appointments. 3. Seek family input on the dates and times for scheduling the appointments. 5. Review the family's ability to pay for health care.

The nurse is assessing a newly admitted patient. What clinical manifestations would probably indicate that the child has autism? (Select all that apply.) 1. Avoidance of body contact with other people 2. Speech and language delays 3. Deficits in social development 4. Good eye contact with the nurse during the assessment 5. Increased sensitivity to stimuli

1. Avoidance of body contact with other people 2. Speech and language delays 3. Deficits in social development 5. Increased sensitivity to stimuli

In an assessment of a newborn, what findings are suggestive of hydrocephalus? 1. Bulging fontanelle, dilated scalp veins 2. Depressed fontanelle, decreased blood pressure 3. Constant low-pitched cry, restlessness 4. Closed fontanelle, high-pitched cry

1. Bulging fontanelle, dilated scalp veins

The nurse is assisting in preparing a care plan for a patient who has received a diagnosis of a seizure disorder. What is an important nursing intervention that should be included in caring for a child who is experiencing a seizure? 1. Describe and record the seizure activity observed. 2. Restrain the child when seizures occur to prevent bodily harm. 3. Place a tongue blade between the teeth if they become clenched. 4. Suction the child during a seizure to prevent aspiration.

1. Describe and record the seizure activity observed.

The nurse is assigned to care for a child after a myringotomy with the insertion of tympanostomy tubes. The nurse notes a small amount of reddish drainage from the child's ear after the surgery. On the basis of this finding, which action would the nurse take? 1. Document the findings. 2. Notify the RN immediately. 3. Change the ear tubes so that they do not become blocked. 4. Check the ear drainage for the presence of cerebrospinal fluid.

1. Document the findings.

A school-age child with type 1 diabetes mellitus has soccer practice three afternoons a week. The nurse reinforces instructions regarding how to prevent hypoglycemia during practice. Which would the nurse tell the child? 1. Drink a half a cup of orange juice before soccer practice. 2. Eat twice the amount that is normally eaten at lunchtime. 3. Take half of the amount of prescribed insulin on practice days. 4. Take the prescribed insulin at noontime rather than in the morning.

1. Drink a half a cup of orange juice before soccer practice.

A 4-year-old child sustains a fall at home injuring the right arm and is brought to the emergency department by the mother. The nurse would perform which emergency actions in the care of the child? Select all that apply. 1. Elevate the right arm. 2. Apply warm packs to the right arm. 3. Check the neurovascular status of the right extremity. 4. Check the range of motion (ROM) of the right arm and shoulder. 5. Determine the level of pain using a pediatric pain assessment tool.

1. Elevate the right arm. 3. Check the neurovascular status of the right extremity. 5. Determine the level of pain using a pediatric pain assessment tool.

A 3-year-old patient has received a diagnosis of intellectual impairment. Which intervention is most important in dealing with the patient and her family? 1. Encourage the family to enroll the child in an early intervention program. 2. Discourage play with "normal" children to prevent feelings of inadequacy. 3. Instruct the family not to discuss their feelings in front of the child. 4. Educate the family that they should treat the child in a special manner because she is "slow."

1. Encourage the family to enroll the child in an early intervention program.

A mother of a child with a diagnosis of intussusception calls the nurse into the hospital room because the child is screaming in pain. The nurse quickly assesses the child. Which manifestations of perforation and shock would the nurse report immediately? Select all that apply. 1. Fever 2. Ribbon-like stools 3. Increased heart rate 4. Hypoactive bowel sounds 5. Profuse projectile vomiting 6. Change in the level of consciousness

1. Fever 3. Increased heart rate 6. Change in the level of consciousness

Which home care instructions would the nurse plan to reinforce to the mother of a child with acquired immunodeficiency syndrome (AIDS)? Select all that apply. 1. Frequent hand washing is important. 2. The child needs to avoid exposure to other illnesses. 3. The child's immunization schedule will need revision. 4. Kissing the child on the mouth will never transmit the virus. 5. Clean up body fluid spills with bleach solution (10:1 ratio of water to bleach). 6. Fever, malaise, fatigue, weight loss, vomiting, and diarrhea are expected to occur and do not require special intervention.

1. Frequent hand washing is important. 2. The child needs to avoid exposure to other illnesses. 5. Clean up body fluid spills with bleach solution (10:1 ratio of water to bleach).

The nurse is assigned to care for a child who is suspected of having glomerulonephritis. The nurse reviews the child's record and notes that which findings are associated with the diagnosis of glomerulonephritis? Select all that apply. 1. Headache 2. Hypotension 3. Red-brown urine 4. Periorbital edema 5. Increased urine output 6. A low blood urea nitrogen (BUN) level

1. Headache 3. Red-brown urine 4. Periorbital edema

The nurse assists to create a nursing care plan for the child with an arm cast and would include which interventions in the plan? Select all that apply. 1. Instruct parents to keep the cast clean and dry. 2. Monitor the extremity for circulatory impairment. 3. Instruct the child not to stick objects down the cast. 4. Ensure that rough cast materials are cut off to keep the edges smooth. 5. Notify the registered nurse (RN) immediately if circulatory impairment occurs.

1. Instruct parents to keep the cast clean and dry. 2. Monitor the extremity for circulatory impairment. 3. Instruct the child not to stick objects down the cast. 5. Notify the registered nurse (RN) immediately if circulatory impairment occurs.

A mother brings her 3-week-old infant to a clinic for a phenylketonuria (PKU) rescreening blood test. The test indicates a serum phenylalanine level of 0 mg/dL. The nurse reviews this result and makes which interpretation? 1. It is negative. 2. It is a concern. 3. It is inconclusive. 4. It requires rescreening at age 6 weeks.

1. It is negative.

A child is diagnosed with chicken pox. The nurse collects data regarding the child. Which finding is characteristic of chicken pox? 1. Macular rash on the trunk and scalp 2. Pseudomembrane formation in the throat 3. Maculopapular or petechial rash on the extremities 4. Small, red spots with a bluish-white center and red base

1. Macular rash on the trunk and scalp

A child with a diagnosis of a hernia has been scheduled for a surgical repair in 2 weeks. The nurse reinforces instructions to the parents about the signs of possible incarcerated hernia. The nurse tells the parents that which manifestation requires primary health care provider (PHCP) notification by the parents? 1. Pain 2. Diarrhea 3. Constipation 4. Increased flatus

1. Pain

A child is diagnosed with scarlet fever. The nurse collects data regarding the child. Which is characteristic of scarlet fever? 1. Pastia's sign 2. Abdominal pain and flaccid paralysis 3. Dense pseudoformation membrane in the throat 4. Foul-smelling and mucopurulent nasal drainage

1. Pastia's sign

The nurse is preparing for the admission of an infant with a diagnosis of bronchiolitis caused by the respiratory syncytial virus (RSV). Which interventions would be included in the plan of care? Select all that apply. 1. Place the infant in a private room. 2. Place the infant in a room near the nurses' station. 3. Ensure that the infant's head is in a flexed position. 4. Wear a mask at all times when in contact with the infant. 5. Place the child in a tent that delivers warm, humidified air. 6. Position the infant side-lying, with the head lower than the chest.

1. Place the infant in a private room. 2. Place the infant in a room near the nurses' station. 4. Wear a mask at all times when in contact with the infant.

The nurse is planning care for a child with hemolytic-uremic syndrome (HUS). The child has been anuric and will be receiving peritoneal dialysis treatment. The nurse would plan to include which interventions in the care of the child? Select all that apply. 1. Provide adequate nutrition. 2. Restriction of fluids, as prescribed 3. Institute measures to prevent infection. 4. Monitoring the arteriovenous (AV) fistula 5. Administer blood products to treat severe anemia. 6. Anticipate the child will have central nervous system involvement.

1. Provide adequate nutrition. 2. Restriction of fluids, as prescribed 3. Institute measures to prevent infection. 5. Administer blood products to treat severe anemia. 6. Anticipate the child will have central nervous system involvement.

The nurse is monitoring for signs of dehydration in a 1-year-old child who has been hospitalized for diarrhea and prepares to take the child's temperature. Which method of temperature measurement needs to be avoided? 1. Rectal 2. Axillary 3. Electronic 4. Tympanic

1. Rectal

The nurse reinforces home-care instructions to the parents of a child with celiac disease. Which food item would the nurse advise the parents to include in the child's diet? 1. Rice 2. Oatmeal 3. Rye toast 4. Wheat bread

1. Rice

A pediatric patient has received a diagnosis of Wilms tumor. Which statement regarding Wilms tumor is true? 1. The tumor manifests as a firm, nontender, intraabdominal mass. 2. The tumor is sometimes difficult to distinguish from the spleen. 3. The tumor usually crosses the midline. 4. If the surgeon successfully removes the tumor without a tear in its capsule, no chemotherapy is needed.

1. The tumor manifests as a firm, nontender, intraabdominal mass.

A 15-year-old male patient states that he does not smoke. Further assessment reveals he uses chewing tobacco. What information should the nurse provide to the patient about smokeless tobacco? (Select all that apply) 1. The use of smokeless tobacco carries a similar risk for the development of lung cancer. 2. Individuals using smokeless tobacco have an increased risk for the development of lip, gum, and throat cancer. 3. People using smokeless tobacco are at an elevated risk for becoming a smoker later in life. 4. The use of the tobacco must stop immediately. 5. Heart disease risk is increased by the use of smokeless tobacco.

1. The use of smokeless tobacco carries a similar risk for the development of lung cancer. 2. Individuals using smokeless tobacco have an increased risk for the development of lip, gum, and throat cancer. 5. Heart disease risk is increased by the use of smokeless tobacco.

After a tonsillectomy, the child begins to vomit bright red blood. Which is the initial nursing action? 1. Turn the child to the side. 2. Notify the registered nurse (RN). 3. Administer the prescribed antiemetic. 4. Maintain NPO (nothing by mouth) status.

1. Turn the child to the side.

What is the most accurate method to measure urine output in an infant? 1. Weigh the diaper before and after the infant voids. 2. Weigh the infant after each wet diaper. 3. Have the parents try to catch the urine in a plastic cup. 4. Insert a Foley catheter for all infants who are not potty trained.

1. Weigh the diaper before and after the infant voids.

The nurse has reinforced homecare instructions to the parent of a child who is being discharged after cardiac surgery. Which statement by the parent indicates the need for further teaching? 1. "A balance of rest and exercise is important." 2. "I can apply lotion or powder to the incision if it is itchy." 3. "Activities during which the child could fall need to be avoided for 2 to 4 weeks." 4. "Large crowds of people need to be avoided for at least 2 weeks after this surgery."

2. "I can apply lotion or powder to the incision if it is itchy."

The nurse reinforces home-care instructions to the parents of a child with hepatitis regarding the care of the child and the prevention of the transmission of the virus. Which statement by a parent indicates a need for further teaching? 1. "Frequent hand washing is important." 2. "I need to provide a well-balanced, high-fat diet to my child." 3. "I need to clean contaminated household surfaces with bleach." 4. "Diapers should never be changed near any surfaces that are used to prepare food."

2. "I need to provide a well-balanced, high-fat diet to my child."

10. The nurse reviews the home care instructions with a parent of a 3-year-old with pertussis. Which statement by the parent indicates a need for further teaching? 1. "I know that my child will make a loud whooping sound." 2. "I understand this whooping cough is viral and I have to let it run its course." 3. "I understand that I need to watch for respiratory distress signs with pertussis." 4. "I can reduce the environmental factors that can trigger coughing, like dust and smoke."

2. "I understand this whooping cough is viral and I have to let it run its course."

The nurse is reinforcing instructions to the parents of a child with scoliosis regarding the use of a brace. Which statement by a parent indicates the need for further teaching? 1. "I need to have my child wear a soft fabric under the brace." 2. "I will apply lotion under the brace to prevent skin breakdown." 3. "I need to encourage my child to perform the prescribed exercises." 4. "I need to avoid applying powder under the brace, because it will cake."

2. "I will apply lotion under the brace to prevent skin breakdown."

The nurse reinforces instructions to the mother of a child with croup about the measures to take if an acute spasmodic episode occurs. Which statement by the mother indicates the need for further teaching? 1. "I will take my child out into the humid night air." 2. "I will place a steam vaporizer in my child's bedroom." 3. "I will place a cool-mist humidifier in my child's bedroom." 4. "I will place my child in a closed bathroom and allow my child to inhale steam from the running water."

2. "I will place a steam vaporizer in my child's bedroom."

The nursing instructor asks a nursing student about sudden infant death syndrome (SIDS). Which statement by the student indicates further teaching is needed? 1. "Some of the interventions that are used to prevent SIDS include having infants sleep in the supine position." 2. "The incidence of SIDS has been found to be higher in breast-fed infants and infants that use a pacifier." 3. "Infants exposed to cigarette smoking during pregnancy and after birth are considered at risk for SIDS." 4. "SIDS refers to sudden infant death syndrome that can occur in healthy infants under 1 year of age, and no exact cause is known."

2. "The incidence of SIDS has been found to be higher in breast-fed infants and infants that use a pacifier."

5. The mother of a child with Marfan syndrome asks the nurse what can be done to help her child. Which are the best responses by the nurse? Select all that apply. 1. "You will need to keep your child indoors and avoid sports." 2. "You will need to consider surgery in the future if recommended." 3. "You will need to make regular pediatric appointments for your child." 4. "You will need to make regular eye examination appointments for your child." 5. "You will need to be sure your child takes prescribed cardiac medication(s) to decrease stress on the aorta." 6. "You will need to let the dentist know so antibiotics can be prescribed before any procedure."

2. "You will need to consider surgery in the future if recommended." 3. "You will need to make regular pediatric appointments for your child." 4. "You will need to make regular eye examination appointments for your child." 5. "You will need to be sure your child takes prescribed cardiac medication(s) to decrease stress on the aorta." 6. "You will need to let the dentist know so antibiotics can be prescribed before any procedure."

Isoniazid is prescribed for a 2-year-old child with a positive tuberculin skin test. The mother of the child asks the nurse how long the child will need to take the medication. Which time frame is the appropriate response to the mother? 1. 4 months 2. 9 months 3. 12 months 4. 18 months

2. 9 months

The nurse is caring for an 18-month-old child who has been vomiting. Which is the appropriate position to place the child during naps and sleep time? 1. A supine position 2. A side-lying position 3. Prone, with the head elevated 4. Prone, with the face turned to the side

2. A side-lying position

An 18-month-old child is being discharged after surgical repair of hypospadias. Which postoperative nursing care measure would the nurse stress to the parents as they prepare to take this child home? 1. Leave diapers off to allow the site to heal. 2. Avoid tub baths until the stent has been removed. 3. Encourage toilet training to ensure that the flow of urine is normal. 4. Restrict the fluid intake to reduce urinary output for the first few days.

2. Avoid tub baths until the stent has been removed.

The nurse collects a urine specimen preoperatively from a child with epispadias who is scheduled for surgical repair. The nurse reviews the child's record for the laboratory results of the urine test and would most likely expect to note which finding? 1. Hematuria 2. Bacteriuria 3. Glucosuria 4. Proteinuria

2. Bacteriuria

A child with rubeola (measles) is being admitted to the hospital. When preparing for the admission of the child, which precautions would be implemented? Select all that apply. 1. Enteric 2. Contact 3. Airborne 4. Protective 5. Neutropenic

2. Contact 3. Airborne

The parents of a 12-year-old patient are concerned about the child's recent diagnosis of school avoidance. Which response by the nurse would be the most appropriate? 1. Emphasize that the child is sick and needs to stay home from school. 2. Discuss the importance of the child's returning to school. 3. Ignore any somatic complaints the child may have. 4. Instruct them that this is a psychiatric disorder

2. Discuss the importance of the child's returning to school.

The nurse is assisting with gathering admission assessment data on a 2-year-old child who has been diagnosed with nephrotic syndrome. The nurse collects data knowing that which is a common characteristic associated with nephrotic syndrome? 1. Hypotension 2. Generalized edema 3. Increased urinary output 4. Frank, bright red blood in the urine

2. Generalized edema

The nurse is assigned to care for a child who is scheduled for an appendectomy. Which prescriptions does the nurse anticipate to be prescribed? Select all that apply. 1. Administer a Fleet enema. 2. Initiate an intravenous line. 3. Maintain nothing-by-mouth status. 4. Administer intravenous antibiotics. 5. Administer preoperative medications. 6. Place a heating pad on the abdomen to decrease pain.

2. Initiate an intravenous line. 3. Maintain nothing-by-mouth status. 4. Administer intravenous antibiotics. 5. Administer preoperative medications.

The nurse caring for an infant with congenital heart disease is monitoring the infant closely for signs of heart failure (HF). The nurse would observe for which early signs of HF? Select all that apply. 1. Cough 2. Irritability 3. Scalp diaphoresis 4. Tachypnea, tachycardia 5. Slow and shallow breathing

2. Irritability 3. Scalp diaphoresis 4. Tachypnea, tachycardia

The nurse is reviewing the postoperative prescriptions for an infant with hydrocephalus, who came back from surgery with a ventriculoperitoneal shunt. Which of the surgeon's prescriptions does the nurse question? 1. Position the infant on the nonoperative side. 2. Keep the head of the bed elevated 45 degrees. 3. Monitor for signs of infection and check dressings for drainage. 4. Observe for irritability, a high shrill cry, lethargy, and poor feeding.

2. Keep the head of the bed elevated 45 degrees.

The nurse was caring for an infant who had come to the nursing unit for observation and treatment of tetralogy of Fallot. The child suddenly becomes cyanotic and the oxygen saturation reading drops to 60%. The nurse would perform which action first? 1. Assist to administer morphine sulfate. 2. Place the child in a knee-chest position. 3. Administer 100% oxygen by face mask. 4. Prepare to administer intravenous fluids.

2. Place the child in a knee-chest position.

The nurse is reviewing the record of a child with a diagnosis of pyloric stenosis. Which data would the nurse expect to note as having been documented in the child's record? 1. Watery diarrhea 2. Projectile vomiting 3. Increased urine output 4. Vomiting large amounts of bile

2. Projectile vomiting

A 2-month-old infant receives a diagnosis of Down syndrome. Which clinical manifestation supports this diagnosis? 1. Pointed nose 2. Small, rounded skull with flat occiput; simian crease 3. Small tongue 4. Downward-slanting eyes

2. Small, rounded skull with flat occiput; simian crease

The mother of a child with juvenile idiopathic arthritis calls the nurse because the child is experiencing a painful exacerbation of the disease. The mother asks the nurse if the child should perform range-of-motion (ROM) exercises at this time. The nurse would make which response to the mother? 1. "Avoid all exercise during painful periods." 2. "The ROM exercises must be performed every day." 3. "Have the child perform simple isometric exercises during this time." 4. "Administer additional pain medication before performing the ROM exercises."

3. "Have the child perform simple isometric exercises during this time."

The nurse provides information to the parent of a 2-week-old infant who was diagnosed with clubfoot at the time of birth. Which statement by the parent indicates the need for further teaching regarding this disorder? 1. "I understand treatment needs to be started as soon as possible." 2. "I realize my child will require follow-up care until fully grown." 3. "I need to bring my child back to the clinic in 2 months for a new cast." 4. "I need to come to the clinic every week with my child for the casting."

3. "I need to bring my child back to the clinic in 2 months for a new cast."

A parent with a 6 year-old-child diagnosed with enuresis discusses with the nurse the measures that are being taken to help her child. Which statement by the parent indicates a need for further teaching? 1. "I make sure that my child goes potty before going to bed." 2. "I will praise my child and think of a reward for him for staying dry." 3. "I take away privileges such as TV time when the bed is wet in the morning." 4. "I make sure that my child does not have anything to drink 2 hours before bedtime."

3. "I take away privileges such as TV time when the bed is wet in the morning."

The nurse reinforces home care instructions to the parents of a child with a brace for scoliosis. Which statement by a parent indicates a need for further teaching? 1. "I will inspect the skin under the brace for redness or breakdown." 2. "I will encourage my child to do their exercises to maintain strength." 3. "I understand that my child needs to wear this brace for 12 hours a day." 4. "I understand that this brace is not a cure for scoliosis; it only slows the progression of the curvature."

3. "I understand that my child needs to wear this brace for 12 hours a day."

The nurse instructs a mother of a child who has seizures regarding seizure precautions. Which statement by the mother indicates a need for further teaching? 1. "I will make my child wear a medical identification alert bracelet." 2. "I know that my child will need to have a companion when swimming." 3. "I will need to give antiseizure medications when my child has a seizure." 4. "I will have my child wear a bike helmet when riding a bike or skateboarding."

3. "I will need to give antiseizure medications when my child has a seizure."

The nurse is reinforcing discharge instructions to the parent of a 2-year-old child who has had an orchiopexy to correct cryptorchidism. Which statement by the parent indicates a need for further teaching? 1. "I'll check his temperature." 2. "I'll give him medication so he'll be comfortable." 3. "I'll let him decide when to return to his play activities." 4. "I'll check his voiding to be sure there are no problems."

3. "I'll let him decide when to return to his play activities."

The nurse reviews the record of a child who was just seen by the primary health care provider (PHCP). The PHCP has documented a diagnosis of suspected aortic stenosis. Which specific sign/symptom of aortic stenosis would the nurse anticipate? 1. Pallor 2. Hyperactivity 3. Activity intolerance 4. Gastrointestinal disturbances

3. Activity intolerance

A 6-month-old infant receives a diphtheria, tetanus, and acellular pertussis (DTaP) immunization at the well-baby clinic. The parent returns home and calls the clinic to report that the infant has developed swelling and redness at the site of injection. Which instruction by the nurse is appropriate? 1. Monitor the infant for a fever. 2. Bring the infant back to the clinic. 3. Apply an ice pack to the injection site. 4. Leave the injection site alone, because this always occurs.

3. Apply an ice pack to the injection site.

The nurse reinforces instructions to the mother about dietary measures for a 5-year-old child with lactose intolerance. The nurse would tell the mother that which supplement will be required as a result of the need to avoid lactose in the diet? 1. Fats and vitamin A 2. Zinc and vitamin C 3. Calcium and vitamin D 4. Thiamine and vitamin B

3. Calcium and vitamin D

A child has fluid volume deficit. The nurse collects data and determines that the child is improving and the deficit is resolving if which finding is noted? 1. The child has no tears. 2. Urine specific gravity is 1.030. 3. Capillary refill is less than 2 seconds. 4. Urine output is less than 1 mL/kg/h.

3. Capillary refill is less than 2 seconds.

The nurse reviews the record of an infant who is seen in the clinic. The nurse notes that a diagnosis of esophageal atresia with tracheoesophageal fistula (TEF) is suspected. The nurse expects to note which most likely manifestation of this condition in the medical record? 1. Incessant crying 2. Coughing at nighttime 3. Choking with feedings 4. Severe projectile vomiting

3. Choking with feedings

Which laboratory result would verify the diagnosis of bacterial meningitis? 1. Clear cerebrospinal fluid with high protein and low glucose levels 2. Cloudy cerebrospinal fluid with low protein and low glucose levels 3. Cloudy cerebrospinal fluid with high protein and low glucose levels 4. Decreased pressure and cloudy cerebrospinal fluid with a high protein level

3. Cloudy cerebrospinal fluid with high protein and low glucose levels

The nurse assists with admitting a child with a diagnosis of acute stage Kawasaki disease. When obtaining the child's medical history, which manifestation is likely to be noted? 1. Cracked lips 2. A normal appearance 3. Conjunctival hyperemia 4. Desquamation of the skin

3. Conjunctival hyperemia

The nurse would implement which interventions for a child older than 2 years with type 1 diabetes mellitus who has a blood glucose level of 60 mg/dL? Select all that apply. 1. Administer regular insulin. 2. Encourage the child to ambulate. 3. Give the child a teaspoon of honey. 4. Provide electrolyte replacement therapy intravenously. 5. Wait 30 minutes and confirm the blood glucose reading. 6. Prepare to administer glucagon subcutaneously if unconsciousness occurs.

3. Give the child a teaspoon of honey. 6. Prepare to administer glucagon subcutaneously if unconsciousness occurs.

The nurse is performing a neurovascular check on a hospitalized child who had a cast applied to the lower leg. The child complains of tingling in the toes distal to the fracture site. Which action would the nurse take? 1. Elevate the extremity. 2. Document the findings. 3. Notify the registered nurse (RN). 4. Ambulate the child with crutches.

3. Notify the registered nurse (RN).

An infant returns to the nursing unit after the surgical repair of a cleft lip located on the right side of the lip. Which is the best position to place this infant at this time? 1. A flat position 2. A prone position 3. On his or her left side 4. On his or her right side

3. On his or her left side

The nurse is assigned to care for a child who is in skeletal traction. The nurse needs to avoid which action when caring for the child? 1. Keeping the weights hanging freely 2. Ensuring that the ropes are in the pulleys 3. Placing the bed linens on the traction ropes 4. Ensuring that the weights are out of the child's reach

3. Placing the bed linens on the traction ropes

The child with cryptorchidism is being discharged after orchiopexy, which was performed on an outpatient basis. The nurse would reinforce instructions to the parents about which priority care measure? 1. Measuring intake and output 2. Administering anticholinergics 3. Preventing infection at the surgical site 4. Applying cold, wet compresses to the surgical site

3. Preventing infection at the surgical site

The nurse assists to prepare a teaching plan regarding the administration of eardrops for the parents of a 2-year-old child with otitis media. Which would be included in the plan? 1. Wear gloves when administering the eardrops. 2. Pull the ear up and back before instilling the eardrops. 3. Pull the earlobe down and back before instilling the eardrops. 4. Hold the child in a sitting position when administering the eardrops.

3. Pull the earlobe down and back before instilling the eardrops.

The nurse is reviewing the record of a child with increased intracranial pressure and notes that the child has exhibited signs of decerebrate posturing. During data collection about the child, the nurse expects to note which characteristic of this type of posturing? 1. Flaccid paralysis of all extremities 2. Adduction of the arms at the shoulders 3. Rigid extension and pronation of the arms and legs 4. Abnormal flexion of the upper extremities and extension and adduction of the lower extremities

3. Rigid extension and pronation of the arms and legs

The nurse is reviewing the postoperative surgeon's prescriptions for a 3-week-old infant with Hirschsprung's disease admitted to the hospital for surgery. Which prescriptions documented in the child's record would the nurse question? Select all that apply. 1. Measure abdominal girth daily. 2. Monitor strict intake and output. 3. Take temperature measurements rectally. 4. Start clear liquid diet after 8 hours postoperative. 5. Maintain intravenous (IV) fluids until the child tolerates oral intake. 6. Monitor the surgical site for redness, swelling, and drainage.

3. Take temperature measurements rectally. 4. Start clear liquid diet after 8 hours postoperative.

Morphine sulfate, 2.5 mg, is prescribed for a child. The safe pediatric dose is 0.05 mg/kg/dose to 0.1 mg/kg/dose. The child weighs 50 kg. Which statement accurately describes the prescribed dosage for this child? 1. The dose is too low. 2. The dose is too high. 3. The dose is within the safe dosage range. 4. There is not enough information to determine the safe dosage range.

3. The dose is within the safe dosage range.

The nurse is working in the emergency department and is caring for a child who has been diagnosed with epiglottitis. Which is an indication that the child may be experiencing airway obstruction? 1. Retractions and coughing 2. Nasal flaring and bradycardia 3. Tripod positioning and dyspnea 4. A low-grade fever and complaints of a sore throat

3. Tripod positioning and dyspnea

Sulfisoxazole 1 g orally four times daily is prescribed for an adolescent with a urinary tract infection. The medication label reads, "250-mg tablets." The nurse has determined that the prescribed dose is safe. How many tablets per dose would the nurse administer to the adolescent? Fill in the blank. Answer:______ tablets

4

The nurse is told that a child with rheumatic fever (RF) will be arriving to the nursing unit for admission. Which question would the nurse ask the family to elicit information specific to the development of RF? 1. "Has the child complained of back pain?" 2. "Has the child complained of headaches?" 3. "Has the child had any nausea or vomiting?" 4. "Has the child had a sore throat or a fever within the past 2 months?"

4. "Has the child had a sore throat or a fever within the past 2 months?"

The nurse has provided instructions to the mother of a child who has been diagnosed with bacterial conjunctivitis. Which statement by the mother would indicate the need for further teaching? 1. "I need to wash my hands frequently." 2. "I need to clean the eye, as prescribed." 3. "I need to give the eye drops, as prescribed." 4. "I need to use hot compresses to relieve the eye irritation."

4. "I need to use hot compresses to relieve the eye irritation."

The nurse reviews measures to prevent tick bites with a parent of a child with Rocky Mountain spotted fever. Which statement by the parent indicates a need for further teaching? 1. "I will have my child wear long sleeves and long pants to keep covered up." 2. "I will have my child stay on well-worn paths and not stray into tall grass." 3. "I will check my child for ticks after being exposed to a high-risk tick-infected area." 4. "I will have my child wear dark colored clothing so the tick will not be attracted to the colors."

4. "I will have my child wear dark colored clothing so the tick will not be attracted to the colors."

The nurse reinforces instructions to the parent of a child with meningococcal meningitis. Which statement by the parent indicates a need for further teaching? 1. "I can give my child acetaminophen for fever." 2. "I will watch for any hearing loss that may occur." 3. "I know that I will need to watch for any rash that my child may develop." 4. "I will need to get my other children the pneumococcal vaccine, but not the baby yet, he is only 3 months."

4. "I will need to get my other children the pneumococcal vaccine, but not the baby yet, he is only 3 months."

The nurse is reviewing instructions to a parent of a 6-year-old on how to prevent influenza. Which statement by the parent indicates a need for further teaching? 1. "I will get a flu shot and I will have my child get a flu shot too." 2. "I will avoid having my child come into contact with sick children." 3. "I will have my child wash her hands frequently during the flu season." 4. "I will not let my child play with other children who have the flu unless they are taking acetaminophen."

4. "I will not let my child play with other children who have the flu unless they are taking acetaminophen."

The nurse provides homecare instructions to the parents of a child with heart failure regarding the procedure for the administration of digoxin. Which statement by a parent indicates the need for further teaching? 1. "I will not mix the medication with food." 2. "If more than one dose is missed, I will call the doctor." 3. "I will take my child's pulse before administering the medication." 4. "If my child vomits after medication administration, I will repeat the dose."

4. "If my child vomits after medication administration, I will repeat the dose."

The parents of a newborn have been told that their child was born with bladder exstrophy and the parents ask the nurse about this condition. Which response would the nurse give to the parents about bladder exstrophy? 1. "It is a hereditary disorder that occurs in every other generation." 2. "It is caused by the use of medications taken by the mother during pregnancy." 3. "It is a condition in which the urinary bladder is abnormally located in the pelvic cavity." 4. "It is an extrusion of the urinary bladder to the outside of the body through a defect in the lower abdominal wall."

4. "It is an extrusion of the urinary bladder to the outside of the body through a defect in the lower abdominal wall."

The parents of a child recently diagnosed with cerebral palsy ask the nurse about the disorder. The nurse bases the response on the understanding that cerebral palsy is which type of condition? 1. An infectious disease of the central nervous system 2. An inflammation of the brain as a result of a viral illness 3. A congenital condition that results in moderate to severe retardation 4. A chronic disability characterized by impaired muscle movement and posture

4. A chronic disability characterized by impaired muscle movement and posture

The nurse is monitoring the daily weight of an infant with heart failure (HF). Which finding alerts the nurse to suspect fluid accumulation and thus the need to notify the registered nurse? 1. Bradypnea 2. Diaphoresis 3. Decreased blood pressure (BP) 4. A weight gain of 1 lb in 1 day

4. A weight gain of 1 lb in 1 day

A child is brought to the emergency room and the mother reports that the child accidentally swallowed paint thinner after mistaking it for water. The nurse must perform which action first? 1. Begin resuscitation. 2. Terminate exposure to the poison. 3. Take measures to prevent absorption of the poison. 4. Check the airway, breathing, and circulation status of the child.

4. Check the airway, breathing, and circulation status of the child.

The nurse is instructing the mother of a child with cystic fibrosis (CF) about the appropriate dietary measures. Which meal best illustrates the most appropriate diet for a client with CF? 1. Veggie salad and a caramel apple 2. Strawberry jelly sandwich and pretzels 3. Plate of nachos and cheese and a cupcake 4. Chicken tenders and a baked potato with butter

4. Chicken tenders and a baked potato with butter

A child with type 1 diabetes mellitus is brought to the emergency department by the mother, who states that the child has been complaining of abdominal pain and has been lethargic. Diabetic ketoacidosis is diagnosed. Anticipating the plan of care, the nurse prepares to administer which type of IV infusion? 1. Potassium infusion 2. NPH insulin infusion 3. 5% dextrose infusion 4. Normal saline infusion

4. Normal saline infusion

A child is diagnosed with infectious mononucleosis. The nurse reinforces homecare instructions to parents about the care of the child. Which instruction would the nurse provide to the parents? 1. Maintain the child on bed rest for 2 weeks. 2. Maintain respiratory precautions for 1 week. 3. Notify the pediatrician if the child develops a fever. 4. Notify the pediatrician if the child develops abdominal or left shoulder pain.

4. Notify the pediatrician if the child develops abdominal or left shoulder pain.

A child is diagnosed with Reye's syndrome. The nurse assists with developing a nursing care plan for the child and would include which intervention in the plan? 1. Assess hearing loss 2. Monitor urine output 3. Change body position every 2 hours 4. Provide a quiet atmosphere with dimmed lighting

4. Provide a quiet atmosphere with dimmed lighting

The nurse has just administered ibuprofen to a child with a temperature of 38.8°C (102°F). The nurse would also take which action? 1. Withhold oral fluids for 8 hours. 2. Sponge the child with cold water. 3. Plan to administer salicylate in 4 hours. 4. Remove excess clothing and blankets from the child.

4. Remove excess clothing and blankets from the child.

The mother of a toddler with mumps asks the nurse what she needs to watch for in her child with this disease. The nurse bases the response on the understanding that mumps is which type of communicable disease? 1. Skin rash caused by a virus 2. Skin rash caused by a bacteria 3. Respiratory disease caused by virus involving the lymph nodes 4. Respiratory disease caused by a virus involving the parotid gland

4. Respiratory disease caused by a virus involving the parotid gland

A child has a basilar skull fracture. Which primary health care provider's prescription would the nurse question? 1. Restrict fluid intake. 2. Insert an indwelling urinary catheter. 3. Keep an intravenous (IV) line patent. 4. Suction via the nasotracheal route as needed.

4. Suction via the nasotracheal route as needed.

The nurse is assisting a primary health care provider (PHCP) during an examination of an infant with hip dysplasia. The PHCP performs the Ortolani maneuver. Which data would the nurse expect to note during the examination? 1. Full range of motion (ROM) of the legs 2. Marked asymmetry on the affected side 3. The unstable femoral head pops out of the acetabulum. 4. The dislocated femoral head pops back into the acetabulum.

4. The dislocated femoral head pops back into the acetabulum.

A primary health care provider has prescribed oxygen as needed for a 10-month-old infant with heart failure (HF). In which situation would the nurse administer the oxygen to the child? 1. When the child is sleeping 2. When changing the child's diapers 3. When the mother is holding the child 4. When drawing blood for electrolyte levels

4. When drawing blood for electrolyte levels

The PHCP has prescribed phenobarbital sodium, 25 mg orally twice daily, for a child with febrile seizures. The medication label reads as follows: "Phenobarbital sodium, 20 mg/5 mL." The nurse has determined that the dose prescribed is a safe dose for the child. How many milliliters per dose would the nurse administer to the child? Fill in the blank. Answer:______ mL

6.25

The primary health care provider's (PHCP's) prescription reads acetaminophen 240 mg orally every 6 hours as needed for relief of pain, for a 5-year-old child. The medication label reads "acetaminophen 160 mg per 5 mL." The nurse has determined that the dose prescribed is safe. How many mL per dose would the nurse administer to the child? Fill in the blank. Answer:______ mL

7.5

The pediatrician has prescribed an antibiotic for a child. The average adult dose is 500 mg. The child has a body surface area (BSA) of 0.63 m2. What is the dose for the child? Fill in the blank. Answer: _____ mg

= (0.63 m^2 ÷ 1.73 m^2) × 500 mg = 0.364 × 500 mg = 182 mg

Burns are the ______________ leading cause of accidental death in children 1 to __________ years of age.

- third - four

When counseling the parents of a 6-month-old about dental health, the nurse includes which statement(s)? (Select all that apply.) 1. "Begin cleansing the oral cavity by wiping teeth and gums with a damp washcloth." 2. "Avoid toothpaste at this age, especially if it is fluoridated." 3. "Initiate fluoride supplementation at 6 months of age if infant's home water supply is not fluoridated." 4. "It is acceptable to prop a bottle with juice or milk for the infant if limited to nighttime periods." 5. "Dilute fluids made with tap water if fluoridation is present."

1. "Begin cleansing the oral cavity by wiping teeth and gums with a damp washcloth." 2. "Avoid toothpaste at this age, especially if it is fluoridated." 3. "Initiate fluoride supplementation at 6 months of age if infant's home water supply is not fluoridated."

In a discussion about an 11-month-old patient's diet, which statement by her mother indicates a possible cause for iron-deficiency anemia? 1. "Formula is so expensive. We switched to regular milk early on." 2. "She almost never drinks water." 3. "She doesn't really like peaches or pears, so we stick to bananas for fruit." 4. "I give her a piece of bread now and then. She likes to chew on it."

1. "Formula is so expensive. We switched to regular milk early on."

The grandma of an 11 month old is making homemade baby food using food she has in the house. When would the mother intervene? A. Addition of white sugar B. Addition of frozen peaches C. Use of a blender D. Addition of honey

D. Addition of honey

An adolescent client with type 1 diabetes mellitus is admitted to the emergency department for treatment of diabetic ketoacidosis. Which assessment findings would the nurse expect to note? 1. Sweating and tremors 2. Hunger and hypertension 3. Cold, clammy skin and irritability 4. Fruity breath odor and decreasing level of consciousness

4. Fruity breath odor and decreasing level of consciousness

What is true regarding the child's nutrition? (Select all that apply.) 1. The toddler needs to eat twice as much as a 6-month-old infant. 2. Infants can begin solid foods at 4 to 6 months of age. 3. The toddler is too busy to eat, so give finger foods such as hot dogs, grapes, and nuts. 4. The toddler has no risk of food allergies. 5. Solid foods should be introduced one at a time and a new one each week.

2. Infants can begin solid foods at 4 to 6 months of age. 5. Solid foods should be introduced one at a time and a new one each week.

The parents of a 10-month-old are concerned about motor vehicle safety. What education should be provided from the nurse to the parents? 1. Children who weigh more than 35 pounds must be secured with a lap and shoulder belt. 2. Infants from birth to age 2 years must be in a rear-facing safety seat. 3. When using a lap and shoulder belt, have the lap belt rest above the hip bones. 4. When using a lap and shoulder belt, have the shoulder belt fit across the upper abdomen.

2. Infants from birth to age 2 years must be in a rear-facing safety seat.

The nurse is answering questions from a parent whose child has acute glomerulonephritis. Which explanation of the disease is most accurate? 1. It is a syndrome in which there is reabsorption of bicarbonate or in which excretion of hydrogen ions is impaired. 2. It occurs after an antecedent streptococcal infection. 3. It is a disorder manifested by gross bacteria. 4. It is a disorder associated with a defect in the ability to concentrate urine.

2. It occurs after an antecedent streptococcal infection.

When interviewing parents of an infant with hypertrophic pyloric stenosis, the nurse expects the parents to report which symptom? 1. Diarrhea 2. Projectile vomiting 3. Poor appetite 4. Constipation

2. Projectile vomiting

Which statement by the new pediatric nurse indicates an understanding of medication administration to children? (Select all that apply.) 1. "Children and adults are susceptible to toxic effects of medication at the same rate." 2. "There are unit doses for children." 3. "BSA is a reliable method of calculating children's medication dosage." 4. "The route of choice is always the rectal route." 5. The six rights of medication must be followed when administering medication.

3. "BSA is a reliable method of calculating children's medication dosage." 5. The six rights of medication must be followed when administering medication.

A 7-year-old is about to have a finger-stick blood draw. Which statement by the nurse is most effective? 1. "It will hurt, but you are a big girl, so you can just grin and bear it." 2. "It will hurt a lot, and you can cry if you want to." 3. "Some children say that they feel a little pinch." 4. "Close your eyes, and don't look; it will be over in a minute."

3. "Some children say that they feel a little pinch."

A primary health care provider prescribes an intravenous (IV) solution of 5% dextrose and half-normal saline (0.45%) with 40 mEq of potassium chloride for a child with hypotonic dehydration. The nurse performs which priority assessment before this IV prescription is initiated? 1. Obtains a weight 2. Takes the temperature 3. Takes the blood pressure 4. Checks the amount of urine output

4. Checks the amount of urine output

A nurse is meeting a new 4-year-old patient for the first time. Which intervention is most effective when entering the patient's room for the first time? 1. Speak only to the parents because the child will be very scared. 2. Explain all procedures in detail because the child will want to know what is going on. 3. Be careful not to use words that may be misinterpreted by the child, such as "take your temperature." 4. Tell the parents they must leave the room until the physical assessment is complete.

3. Be careful not to use words that may be misinterpreted by the child, such as "take your temperature."

The nurse is planning a program for parents and adolescents in the community related to obesity. What information is most appropriate for inclusion in the information that will be provided? 1. Because more mothers work outside the home, children and adolescents eat only fast foods. 2. Obese children always become obese adults. 3. Being overweight or obese sometimes results in major physical and psychological health problems. 4. It is best for families to have more meals at home.

3. Being overweight or obese sometimes results in major physical and psychological health problems.

Human papillomavirus (HPV) vaccine is recommended for what population? 1. Carriers of the disease 2. Women with sexual partners who are carriers of the virus 3. Boys or girls between the ages of 11 to 12 who are not sexually active 4. Girls who have been sexually active for less than 12 months

3. Boys or girls between the ages of 11 to 12 who are not sexually active

The nurse caring for a child with aplastic anemia is reviewing the laboratory results and notes a white blood cell (WBC) count of 6000 mm3 and a platelet count of 20,000 mm3. Which nursing intervention would be incorporated into the plan of care? 1. Encourage naps. 2. Encourage a diet high in iron. 3. Encourage quiet play activities. 4. Maintain strict isolation precautions.

3. Encourage quiet play activities.

The mother of a 6-year-old child who has type 1 diabetes mellitus calls a clinic nurse and tells the nurse that the child has been sick. The mother reports that she checked the child's urine and it was positive for ketones. The nurse would instruct the mother to take which action? 1. Hold the next dose of insulin. 2. Come to the clinic immediately. 3. Encourage the child to drink liquids. 4. Administer an additional dose of regular insulin.

3. Encourage the child to drink liquids.

An 18-month-old is hospitalized for surgery in the morning. Which intervention is most helpful in relieving the child's stress? 1. Maintaining a normal routine 2. Providing opportunities for play 3. Encouraging parental presence and rooming-in 4. Encouraging self-care activities

3. Encouraging parental presence and rooming-in

The nurse reinforces instructions to the parents of a child with sickle cell anemia regarding the precipitating factors related to pain crisis. Which, if identified by a parent as a precipitating factor, indicates the need for further teaching? 1. Stress 2. Trauma 3. Infection 4. Fluid overload

4. Fluid overload

The nurse reinforces home care instructions to the parents of a 3-year-old child who has been hospitalized with hemophilia. Which statement by a parent indicates the need for further teaching? 1. "I will supervise my child closely." 2. "I will pad the corners of the furniture." 3. "I will remove household items that can easily fall over." 4. "I will avoid immunizations and dental hygiene treatments for my child."

4. "I will avoid immunizations and dental hygiene treatments for my child."

The nurse is providing discharge instructions to the parents of a 14-year-old child who is undergoing radiation for Hodgkin's disease. Which statement by a parent indicates the need for further teaching? 1. "I need to watch for diarrhea, so my child does not get dehydrated." 2. "I think that once my child's hair starts to fall out that I can keep a hat on him." 3. "I understand that the radiation will cause nausea and vomiting and I need to keep my child hydrated." 4. "I will need to keep my child's skin from flaking, so we will be allowing showers every 2 or 3 days."

4. "I will need to keep my child's skin from flaking, so we will be allowing showers every 2 or 3 days."

A topical corticosteroid is prescribed by the pediatrician for a child with atopic dermatitis (eczema). Which instruction would the nurse give the parent about applying the cream? 1. Apply the cream over the entire body. 2. Apply a thick layer of cream to affected areas only. 3. Avoid cleansing the area before application of the cream. 4. Apply a thin layer of cream and rub it into the area thoroughly.

4. Apply a thin layer of cream and rub it into the area thoroughly.

The mother of a 6-month-old is worried because the child's grandmother is concerned that the child is "slow" because she is not yet crawling. What action by the nurse is most appropriate? 1. Assure the parent that grandmothers are often overly concerned when it comes to grandchildren. 2. Ask the mother at what age her other children began crawling. 3. Refer the mother for additional evaluation because most children do crawl by 6 months of age. 4. Assure the mother that children develop at their own rate, but most children do not crawl at age 6 months.

4. Assure the mother that children develop at their own rate, but most children do not crawl at age 6 months.

HPV infection is associated with what health complication? 1. Infertility in women 2. Menorrhagia 3. Pelvic inflammatory disease 4. Cervical cancer

4. Cervical cancer

A 4-year-old child is to be hospitalized for the first time, and the parents voice anxiety about his condition and hospitalization. Which action by the nurse best addresses the concerns of the child's parents? 1. Provide only necessary information. 2. Provide an orientation to the child before hospitalization. 3. Provide a tour of the entire hospital. 4. Provide anticipatory guidance and explain all procedures.

4. Provide anticipatory guidance and explain all procedures.

What is the appropriate method to examine a 6-month-old's ear with an otoscope? 1. Pull the ear up and back. 2. Pull the ear down and forward. 3. Pull the ear up and forward. 4. Pull the ear down and back.

4. Pull the ear down and back.

The nurse is assisting in performing pediculosis capitis (head lice) checks. Which finding indicates that a child has a "positive" head check? 1. Maculopapular lesions behind the ears 2. Lesions in the scalp that extend to the hairline or neck 3. White flaky particles throughout the entire scalp region 4. White sacs attached to the hair shafts in the occipital area

4. White sacs attached to the hair shafts in the occipital area

The nurse monitors a 5-year-old child admitted to the hospital for a neuroblastoma for signs/symptoms related to the location of the tumor in the adrenal gland. Which descriptions would the nurse expect to be documented in the child's record specific to this tumor? Select all that apply. 1. Respiratory impairment 2. Anorexia and weight loss 3. Pallor, weakness, irritability 4. Supraorbital ecchymosis and periorbital edema 5. Firm, nontender, irregular mass in the abdomen 6. Urinary frequency or retention from compression on the bladder

5. Firm, nontender, irregular mass in the abdomen 6. Urinary frequency or retention from compression on the bladder

An accurate apical heart rate measurement is assessed at the ________________ intercostal space.

5th

Set of vital signs to the average finding for two year-old child? A. BP 94/66, Pulse 110, RR 25. B. BP 108/70, Pulse 90, RR 22 C. BP 110/80, Pulse 100, RR 20 D. BP 120/76, Pulse 70, RR 24

A. BP 94/66, Pulse 110, RR 25.

Which age group is most at risk for foreign body aspiration? A. 1 - 5 months B. 6 - 12 months C. 1 - 2 years D. 2 -4 years

B. 6 - 12 months

What vocalization would be typical of a-year-old child? A. When is daddy coming? B. Give me a cookie up C. Mama, me; dada, me D. Burrr, ahhh, eeeehhh

C. Mama, me; dada, me

Which set of vital signs for a 12-year-old child requires a follow up intervention? A. BP 110/76, Pulse 74, RR 22 B. BP 100/80, Pulse 90, RR 20 C. BP 110/70, Pulse 88, RR 20 D. BP 126/66, Pulse 24, RR 32.

D. BP 126/66, Pulse 24, RR 32.

The nurse is placing electrodes on the chest of a five-year-old after the parents reported the child was experiencing shortness of breath while riding his bike. What should the nurse say to the child? A. This won't hurt, it is just for us to see your heart B. The electrodes allows us to watch your heart beat all the time C. These snaps will hook you to a machine so we can watch you D. Feel this, like little round Band-Aids with a bit of cold jelly

D. Feel this, like little round Band-Aids with a bit of cold jelly

Which child is most likely to benefit from the en face position? A. Adolescence wanting privacy while talking on the phone to friends B. Toddler falls down and looks up at mother to gauge her response C. School-age child wanting parent to look at completed school project D. Newborn infants shows quiet alertness after breast-feeding

D. Newborn infants shows quiet alertness after breast-feeding

You are preparing to administer of vaccination to a four-year-old child in the pediatric clinic. What is the best way to communicate this event to the child? A. I will be coming back to give you a shot B. Do you want to take this medicine now? C. Don't move when I give you this D. This may feel like a pinch

D. This may feel like a pinch

Which vital sign should be performed first on an infant?

Respirations

The most common asymmetry with lateral curvature of the spine in the adolescent is known as ________________.

scoliosis

When a child is beginning antidepressant medications, it is important for parents to be alert for signs of ______________________________ for the first 2 weeks of treatment

suicidal thoughts

You are trying to assess heart and lung sounds on a three-year-old child who is resisting placement of the stethoscope. What should the nurse do first? A. Ask the parent if the child has been eating B. Let the child handle the stethoscope C. Obtain assistance of a helper D. Document the attempts as "deferred by patient"

B. Let the child handle the stethoscope

The nurse is reinforcing home-care instructions to the parents of a 3-year-old child with scabies. Which statement by a parent indicates the need for further teaching? 1. "I understand that I need to leave the scabicide on for 4 hours before washing it off." 2. "I will need to seal up all my child's non-washable toys in a plastic bag for at least 4 days." 3. "I realize that everyone who has come in contact with my child will need to be treated for scabies." 4. "I know I need to wash all the clothing and bedding in hot water with detergent and dry in a hot dryer."

1. "I understand that I need to leave the scabicide on for 4 hours before washing it off."

Which statement made by a 12-year-old patient with type 1 diabetes indicates a need for more teaching? 1. "My pancreas is sick and needs insulin until it gets better." 2. "I will need to take my insulin every day." 3. "I need to keep a piece of candy in my pocket in case I start to feel shaky." 4. "My mom has to give me insulin shots twice a day."

1. "My pancreas is sick and needs insulin until it gets better."

A 16-year-old teen reports he uses smokeless tobacco. Which statements by the teen indicate the need for further instruction? (Select all that apply) 1. "Smokeless tobacco is safer for me than a cigarette." 2. "As long as I brush my teeth after use I am going to be OK." 3. "My breath may have a foul odor from smokeless tobacco." 4. "I can become sterile from smokeless tobacco use." 5. "I am at increased risk for heart disease from using this product."

1. "Smokeless tobacco is safer for me than a cigarette." 2. "As long as I brush my teeth after use I am going to be OK." 4. "I can become sterile from smokeless tobacco use."

The nurse is discussing dietary intake with the mother of an 18-month-old child. What statement(s) by the mother indicate(s) the need for further instruction? (Select all that apply.) 1. "Whole milk is not a good option for my child." 2. "I need to begin to decrease the amount of milk my child is allowed to drink." 3. "2% milk is a good alternative to whole milk for my child." 4. "Until my child is 3 years of age, whole milk is recommended." 5. "I can continue to provide 2% milk for my child to drink."

2. "I need to begin to decrease the amount of milk my child is allowed to drink." 4. "Until my child is 3 years of age, whole milk is recommended."

When caring for a 9-month-old patient who underwent surgery to repair a cleft palate, what is the priority intervention? 1. Referral to a parent support group 2. Maintaining adequate nutrition 3. Keeping an IV line open 4. Keeping the patient sedated

2. Maintaining adequate nutrition

The nurse is monitoring for bleeding in a child after surgery to remove a brain tumor. The nurse checks the head dressing for the presence of blood and notes a colorless drainage on the back of the dressing. Which nursing action is appropriate? 1. Reinforce the dressing. 2. Notify the registered nurse (RN). 3. Document the findings and continue to monitor. 4. Circle the area of drainage and continue to monitor.

2. Notify the registered nurse (RN).

A 16-month-old child is admitted to the pediatric floor after surgery to repair a cleft palate. The child's mother asks why her child is restrained. The nurse explains that the elbow safety reminder device (SRD) is being used to: 1. monitor pressure to the suture line. 2. prevent excessive movement in bed. 3. help to prevent injury to the operative site. 4. reduce the likelihood your baby will fall out of the bed.

3. help to prevent injury to the operative site.

A 14-year-old patient has a positive test result for human immunodeficiency virus (HIV) and expresses a desire to kill herself. What would be the most appropriate initial response of the nurse? 1. Tell her that they are very close to discovering a cure for HIV. 2. Encourage her to talk to her pastor. 3. Arrange a visit with another adolescent who is HIV positive. 4. Immediately report the threat to a mental health care provider.

4. Immediately report the threat to a mental health care provider.

What is the best rationale for advising parents to not give their child cows milk until the child is at least 12 months old? A. Whole milk is more likely to cause vomiting, diarrhea, and flatus B. The proteins and minerals and milk, places stress on immature, kidneys C. The child is more likely to develop allergies to milk later in life D. Breast milk is cheaper and a better source of high quality protein

B. The proteins and minerals and milk, places stress on immature, kidneys

Which child is exhibiting behavior that warrants additional assessment? A. 6 month old that coos and babbles to himself B. 2 year-old refuses to eat as much as he used to C. 10 year-old exhibits apprehension when another child cries D. 17 year-old resistant to any parental suggestions

C. 10 year-old exhibits apprehension when another child cries

Which family is most likely to be eligible for the benefit from a referral to WIC (Women, Infant, and Children's) program? A. 15 and 16-year-old sisters who need counseling on pregnancy prevention and STI's. B. 22 year-old mom who needs emotional support to cope with the child who sustained a traumatic brain injury. C. 35 year-old single mom, who was her second child. D. 53 year-old teenage child with developmental disabilities need a wheelchair.

C. 35 year-old single mom, who was her second child.

Which child has the highest risk of accidental ingestion of a poisonous substance? A. Infant just learning to crawl B. A 14 year old studying chemistry C. A 2 year old who is visiting grandparents D. An 8 year old cleaning out paint brushes

C. A 2 year old who is visiting grandparents

You are reviewing infant development. What is an expected finding? A. Having visual acuity of 20/100 at birth B. Tripling birthweight by six months of age C. Enjoying peekaboo through infancy. D. Controlling bladder elimination by 18 months

C. Enjoying peekaboo through infancy.

Young parents are seeking advice on how to help their child develop good lifelong habits. What would the nurse recommend as the best method? A. Schedule a child for regular medical and dental checkups. B. Encourage parents to obtain recommended immunizations. C. Role model a lifestyle that includes exercise and healthy foods. D. Enroll the child in a daycare program that includes exercise.

C. Role model a lifestyle that includes exercise and healthy foods.

The nurse is providing postoperative care instructions to parents of a 5-month-old who is recovering from surgery. Which statement indicates that the teaching was effective? (Select all that apply.) 1. "The baby will perhaps be comforted by sucking on a pacifier, being swaddled, or being rocked." 2. "Analgesics are best given only if the child will not stop crying." 3. "At 5 months of age, the baby has immature pain receptors and therefore will not need analgesics." 4. "The baby will have less pain if left alone in the bed for all activities." 5. "I can continue to breast feed as soon as my child is able to eat."

1. "The baby will perhaps be comforted by sucking on a pacifier, being swaddled, or being rocked." 5. "I can continue to breast feed as soon as my child is able to eat."

A 7-year-old patient has a diagnosis of recurrent abdominal pain (RAP). What nursing interventions would be most appropriate to include in the plan of care? (Select all that apply.) 1. Encourage the parents to maintain a normal schedule for their child with regard to school. 2. Support the parents in deemphasizing their child's complaints. 3. Educate the parents to contact the health care provider if symptoms worsen. 4. Help the parents choose appropriate exercise for the child. 5. Discourage the parent from allowing the child to play with other children until symptoms subside

1. Encourage the parents to maintain a normal schedule for their child with regard to school. 2. Support the parents in deemphasizing their child's complaints. 3. Educate the parents to contact the health care provider if symptoms worsen. 4. Help the parents choose appropriate exercise for the child.

Proper counseling of the parent of a 1-year-old regarding safety includes which instruction(s)? (Select all that apply.) 1. Fence pools with a self-locking gate. 2. Keep drapery cords out of children's reach. 3. Place infant on back to sleep. 4. Do not tie pacifiers on a string around the infant's neck. 5. Limit bottle-feeding to the periods before bedtime.

1. Fence pools with a self-locking gate. 2. Keep drapery cords out of children's reach. 3. Place infant on back to sleep.

The nurse is educating a new mother about infectious diseases. The mother demonstrates understanding of teaching by identifying which disorders as being contagious? (Select all that apply.) 1. Impetigo 2. Staphylococcus aureus infection 3. Infantile eczema (atopic dermatitis) 4. Pediculosis 5. Cystic fibrosis

1. Impetigo 2. Staphylococcus aureus infection 4. Pediculosis

The nurse is caring for a 4-month-old patient with severe infantile diarrhea. What condition is this patient most likely to experience as a result? 1. Metabolic acidosis 2. Metabolic alkalosis 3. Respiratory acidosis 4. Respiratory alkalosis

1. Metabolic acidosis

Lillian Ward, founder of the Henry Street Settlement in New York City, focused on which of the following? (Select all that apply.) 1. Nursing services 2. Social work 3. Recreational sports 4. Educational activities

1. Nursing services 2. Social work 4. Educational activities

A 4-year-old child is hospitalized with a suspected diagnosis of Wilms' tumor. The nurse reviews the plan of care and would question which intervention that is written in the plan? 1. Palpate the abdomen for a mass. 2. Check the urine for the presence of hematuria. 3. Monitor the blood pressure for the presence of hypertension. 4. Monitor the temperature for the presence of a kidney infection.

1. Palpate the abdomen for a mass.

The school nurse prepares a list of home care instructions for the parents of school children who have been diagnosed with pediculosis capitis (head lice). Which would be included in the list? Select all that apply. 1. Siblings may also need treatment. 2. Use antilice sprays on all bedding and furniture. 3. Use a pediculicide shampoo and repeat treatment in 14 days. 4. Grooming items such as combs and brushes should not be shared. 5. Launder all the bedding and clothing in hot water and dry on high heat. 6. Vacuum floors, play areas, and furniture to remove any hairs that may carry live nits.

1. Siblings may also need treatment. 4. Grooming items such as combs and brushes should not be shared. 5. Launder all the bedding and clothing in hot water and dry on high heat. 6. Vacuum floors, play areas, and furniture to remove any hairs that may carry live nits.

The nurse observes a mother giving an oral iron supplement to her 6-year-old child with iron deficiency anemia. Which action by the mother indicates the need for further teaching? 1. The mother administered the iron with milk. 2. The mother administered the iron with water. 3. The mother administered the iron with apple juice. 4. The mother administered the iron with orange juice.

1. The mother administered the iron with milk.

The mother of a child with Down syndrome expresses concerns about her child's physical health. Which response by the nurse would be the most appropriate? 1. "Children with Down syndrome are prone to upper respiratory infections." 2. "Congenital heart defects are uncommon in children with Down syndrome." 3. "Your child will probably need to be institutionalized before the age of 18." 4. "Most children with Down syndrome develop leukemia."

2. "Congenital heart defects are uncommon in children with Down syndrome." 1. "Children with Down syndrome are prone to upper respiratory infections." (might be correct answer; pg 1068)

The nurse reinforces instructions to the parents of a child with leukemia regarding measures related to monitoring for infection. Which statement by the parents indicates the need for further teaching? 1. "I need to use proper hand-washing techniques." 2. "I need to take my child's rectal temperature daily." 3. "I need to inspect my child's skin daily for redness." 4. "I need to inspect my child's mouth daily for lesions."

2. "I need to take my child's rectal temperature daily."

The nursing instructor asks a nursing student about phenylketonuria (PKU). Which statement made by the student indicates a need for further teaching? 1. "PKU is an autosomal-recessive disorder." 2. "PKU primarily affects the gastrointestinal system." 3. "Treatment of PKU includes the dietary restriction of phenylalanine." 4. "All 50 states require routine screening of all newborns for PKU."

2. "PKU primarily affects the gastrointestinal system."

The nursing instructor asks a student nurse to describe osteogenic sarcoma. Which statement by the student indicates the need to further research the disease? 1. "The femur is the most common site of this sarcoma." 2. "The child does not experience pain at the primary tumor site." 3. "If a weight-bearing limb is affected, then limping is a clinical manifestation." 4. "The symptoms of the disease during the early stage are almost always attributed to normal growing pains."

2. "The child does not experience pain at the primary tumor site."

The nurse caring for a child who sustained a burn injury plans care based on which pediatric considerations associated with this injury? Select all that apply. 1. Scarring is less severe in a child than in an adult. 2. A delay in growth may occur after a burn injury. 3. An immature immune system presents an increased risk of infection for infants and young children. 4. Fluid resuscitation is unnecessary unless the burned area is more than 25% of the total body surface area. 5. The lower proportion of body fluid to body mass in a child increases the risk of cardiovascular problems. 6. Infants and young children are at increased risk for protein and calorie deficiency because they have smaller muscle mass and less body fat than adults.

2. A delay in growth may occur after a burn injury. 3. An immature immune system presents an increased risk of infection for infants and young children. 6. Infants and young children are at increased risk for protein and calorie deficiency because they have smaller muscle mass and less body fat than adults.

The nursing student is reviewing what he/she knows about the development of pediatrics as a discipline. The nursing student recognizes which of the following individuals as being credited with being the "father of pediatrics"? 1. Hippocrates 2. Abraham Jacobi 3. James Mott 4. R.E. Behrman

2. Abraham Jacobi

Responsible sexual behavior among young people most importantly should include what characteristic? 1. Having sexual activity only with someone you know 2. Abstaining from sexual activity or properly using condoms 3. Having sexual activity only once a month 4. Requiring sexual partners to be tested for HIV

2. Abstaining from sexual activity or properly using condoms

A 5-year-old patient is admitted to the pediatric unit in sickle cell crisis. Which nursing intervention will be included in the plan of care? (Select all that apply.) 1. Strenuous exercise of the extremities to increase oxygen to the area 2. Administration of IV fluids to improve circulation and hydration 3. Administration of analgesics as ordered 4. Administration of oxygen as ordered 5. Applying ice packs to the affected areas

2. Administration of IV fluids to improve circulation and hydration 3. Administration of analgesics as ordered 4. Administration of oxygen as ordered 5. Applying ice packs to the affected areas (could be incorrect because ice packs can cause vasoconstriction, which might worsen the sickling and pain)

A 6-month-old patient is suspected of having cystic fibrosis. What diagnostic tests does the nurse expect to be ordered for this patient? (Select all that apply.) 1. Bronchoscopy, with pulmonary washings 2. Chest x-ray study 3. Upper GI series 4. Sweat test 5. Pulmonary function tests

2. Chest x-ray study 4. Sweat test 5. Pulmonary function tests

A newborn was admitted to the nursery with a complete bilateral cleft lip and palate. The health care provider explained the plan of therapy and its expected good results; however, the mother refuses to see or hold her baby. What is the most therapeutic initial approach to the mother? 1. Restate what the health care provider has told her about plastic surgery. 2. Encourage her to express her feelings. 3. Emphasize the normal characteristics of her baby and the baby's need for mothering. 4. Keep the baby and mother apart until the lip has been repaired.

2. Encourage her to express her feelings.

The parents of a 13-year-old boy report their son spends several hours on the Internet and social media sites each day before and after school. What information should be provided by the nurse? (Select all that apply.) 1. As long as the child's school grades are good, this is a safe practice. 2. Excessive hours on social media can result in an imbalance between the rest of the social activities of the child. 3. Social media use may result in mental health concerns. 4. Social media has some benefits including improved communication with others. 5. The Internet can provide educational benefits.

2. Excessive hours on social media can result in an imbalance between the rest of the social activities of the child. 3. Social media use may result in mental health concerns. 4. Social media has some benefits including improved communication with others. 5. The Internet can provide educational benefits.

When caring for a patient who is 2 1/2 years old and has Wilms tumor, what assessment is most likely to reveal clinical manifestations of the disease? 1. Auscultation of lung sounds 2. Palpation of the abdomen 3. Assessment of skin turgor 4. Palpation of femoral and dorsalis pedis pulses

2. Palpation of the abdomen

What is true of intramuscular injections in children younger than 2 years old? (Select all that apply.) 1. Not possible to give because of poor muscular development. 2. Possible to give in the vastus lateralis muscle. 3. Possible to give in the ventrogluteal muscle. 4. Possible to give in the deltoid muscle. 5. Apply EMLA cream 15 minutes before injection. 6. Possible to give in the dorsogluteal muscle. 7. Help should be obtained to restrain the child.

2. Possible to give in the vastus lateralis muscle. 3. Possible to give in the ventrogluteal muscle. 7. Help should be obtained to restrain the child.

Which method is the most effective when preparing a child for a pediatric procedure? 1. Problem-solving approach 2. Sensation-based approach 3. Symbol-based approach 4. Autonomy-based approach

2. Sensation-based approach

The health care provider has diagnosed depression in a 16-year-old patient. Which statement by the parents indicates that they have a proper understanding of the diagnosis? 1. "My child will need to be placed in an inpatient mental health facility." 2. "My child will have to take antidepressive medications for life." 3. "The recovery process for my child is likely to be a slow, lengthy process." 4. "Depression is nothing to worry about in a child of this age."

3. "The recovery process for my child is likely to be a slow, lengthy process."

The nurse is caring for a patient with nephrotic syndrome. What assessment finding does the nurse expect to find? 1. Gross hematuria, albuminuria, temperature of 101°F (38.3°C) to 103°F (39.4°C) 2. Elevated blood pressure, weight loss, hematuria 3. Albuminuria, edema, puffiness of face 4. Edema, albuminuria, hypotension

3. Albuminuria, edema, puffiness of face

The nurse is discussing possible causes of a 4-year-old child's cognitive impairment with his mother. Which causes would the nurse be correct in including in the discussion? 1. Metabolic disorders, perinatal anoxia, hyperthyroidism 2. Perinatal infection, metabolic disorders, and postmaturity 3. Lead poisoning, prematurity, perinatal anoxia 4. Iron supplementation, toxoplasmosis, maternal drug use

3. Lead poisoning, prematurity, perinatal anoxia

The first White House Conference on Children focused on issues of child labor, dependent children, and infant care. As a result, what was established in 1987 on behalf of children? 1. US Children's Bureau 2. Office of Child Development 3. National Commission on Children 4. Women, Infants, and Children program

3. National Commission on Children

The nurse is completing screenings. Which children need a follow up for further investigation? (Select all that apply). A. 13-year-old male with height in the 90th percentile and weight in the 10th percentile. B. 11-year-old male who continues in the 50th percentile for height and weight. C. 17-year-old male who has had no increase in height or weight since age 13. D. 9-year-old male with height 10 percentile and weight in the 90th percentile. E. 10-year-old male who had a sudden increase in height, putting him in the 90th percentile.

A. 13-year-old male with height in the 90th percentile and weight in the 10th percentile. C. 17-year-old male who has had no increase in height or weight since age 13. D. 9-year-old male with height 10 percentile and weight in the 90th percentile. E. 10-year-old male who had a sudden increase in height, putting him in the 90th percentile.

Which assessment findings would be reported to the provider? (Select all that apply) A. Tongue protrusion by a toddler B. Lack of babbling by 9 months of age C. Bumping into obstacles at one years of age. D. Preference of en-face position of newborns E. Tufts of hair along the spine of a newborn F. Two palmar flexion creases in a newborn

A. Tongue protrusion by a toddler B. Lack of babbling by 9 months of age E. Tufts of hair along the spine of a newborn F. Two palmar flexion creases in a newborn

You have a student nursing following you while working in the peds clinic. When would you intervene? A. the student asked the nurse if the child's clothing should be removed prior to weighing. B. the student uses a paper, measuring tape to measure the arms circumference. C. The student puts the tape measure under the chin and over the top of the head to measure head circumference. D. the student positions and a recumbent position extends the leg length.

C. The student puts the tape measure under the chin and over the top of the head to measure head circumference.

When an infant begins to transition from breast-feeding or formula to solid foods, which is recommended as the introductory food? A. Strained bananas B. Farina with whole milk C. Thinned rice cereal D. Strained applesauce

C. Thinned rice cereal