NGN B Peds

A nurse is discussing organ donation with the parents of a school-age child who has sustained brain death due to a bicycle crash. Which of the following actions should the nurse take first? a. inform the parents that written consent is required prior to organ donation b. provide written information to the parents about organ donation c. ask the provider to explain misconceptions of organ donation to the parents d. explore the parents' feelings and wishes regarding organ donation

d. explore the parents' feelings and wishes regarding organ donation

A nurse is planning an educational program to teach parents about protecting their children from sunburns. Which of the following instructions should the nurse plan to include? a. allow your child to play outside during the hours between 10:00am and 2:00pm b. choose a waterproof sunscreen with a minimum SPF of 15 c. dress your child in loose weave polyester fabric prior to sun exposure d. reapply sunscreen every 4 hours

b. choose a waterproof sunscreen with a minimum SPF of 15

A nurse is assessing a 6-month-old infant during a well-child visit. Which of the following findings should the nurse report to the provider? a. presence of a central incisor tooth b. presence of strabismus c. presence of an open anterior fontanel d. presence of external cerumen

b. presence of strabismus

A nurse is caring for a 10-year-old child following a head injury. Which of the following findings should the nurse identify as an indication that the child is developing diabetes insipidus? a. urine specific gravity 1.045 b. sodium 155 mEq/L c. blood glucose 45mg/dL d. urine output 35 mL/hr

b. sodium 155 mEq/L

A nurse is assessing a school-age child who has an infratentorial brain tumor. Which of the following findings should the nurse identify as a manifestation of increased intracranial pressure? a. hypotension b. reports insomnia c. difficulty concentrating d. tachycardia

c. difficulty concentrating

A nurse in an emergency department is auscultating the lungs of an adolescent who is experiencing dyspnea. The nurse should identify the sound as which of the following? a. wheezes b. crackles d. pleural friction rub d. rhonchi

a. wheezes

A nurse in an emergency department is caring for a school-age child who has epiglottitis. Which of the following actions should the nurse take? a. obtain a throat culture from the child b. monitor the child's oxygen saturation c. put a warm mist humidifier in the child's room d. place the child in the supine position

b. monitor the child's oxygen saturation

A nurse is providing anticipatory guidance to the parent of a toddler. Which of the following expected behavior characteristics of toddlers should the nurse occur? a. controls impulsive feelings b. understand right from wrong c. easily separates from parents for long periods of time d. expresses like and dislikes

d. expresses like and dislikes

A nurse is creating a plan of care for a child who has varicella. Which of the following interventions should the nurse include? a. maintain the child's room temperature at 80F b. prepare the child for a lumbar puncture c. administer aspirin to the child for a temperature greater than 101 d. initiate airborne precautions for the child

d. initiate airborne precautions for the child

A community health nurse is assessing an 18-month-old toddler in a community day care. Which of the following findings should the nurse identify as a potential indication of physical neglect? a. resists having an axillary temperature taken b. exhibits withdrawal behaviors when their parent leaves c. has multiples bruises on their knees d. poor personal hygiene

d. poor personal hygiene

A nurse is creating a plan of care for a preschooler who has Wilms' tumor and is scheduled for surgery. Which of the following interventions should the nurse include? a. avoid palpating the abdomen when bathing the child before surgery b. refrain from auscultating the child's bowel sounds during the postoperative assessment c. encourage the child to play with other children on the unit prior to surgery d. explain to the child that their pain will be managed after the surgery

a. avoid palpating the abdomen when bathing the child before surgery

A nurse in an emergency department is assessing a toddler who has Kawasaki disease. Which of the following findings should the nurse expect? (select all that apply) a. increased temperature b. gingival hyperplasia c. xerophthalmia d. bradycardia e. cervical lymphadenopathy

a. increased temperature c. xerophthalmia e. cervical lymphadenopathy

A nurse is caring for a school-age child who has peripheral edema. The nurse should identify that which of the following assessments should be performed to confirm peripheral edema? a. palpate the dorsum of the child's feet b. weight the child daily using the same scale c. assess the child's skin turgor d. observe the child for periorbital swelling

a. palpate the dorsum of the child's feet

A nurse is caring for an infant who is receiving IV fluids for the treatment of Tetralogy of Fallot and begins to have a hypercyanotic spell. Which of the following actions should the nurse take? a. place the infant in a knee-chest position b. administer a dose of meperidine IV c. discontinue administration of IV fluids d. apply oxygen at 2L/min via nasal cannula

a. place the infant in a knee-chest position

A nurse is providing dietary teaching to the guardian of a school-age child who has cystic fibrosis. Which of the following statements should the nurse make? a. you should offer your child high-protein meals and snacks throughout the day b. you should decrease your child's dietary fat intake to less than 10% of their caloric intake c. you should restrict your child's calorie intake to 1200 per day d. you should give your child a multivitamin one weekly

a. you should offer your child high-protein meals and snacks throughout the day

A nurse is providing teaching to the parents of a preschooler who has heart failure and a new prescription for digoxin twice daily. Which of the following instructions should the nurse include in the teaching? a. use a kitchen teaspoon to measure the medication b. brush the child's teen after giving the medication c. double the next dose if the child misses a dose d. repeat the dose if the child vomits

b. brush the child's teen after giving the medication

A nurse is monitoring the oxygen saturation level of an infant using pulse oximetry. The nurse should secure the sensor to which of the following areas on the infant? a. wrist b. great toe c. index finger d. heel

b. great toe

A nurse is providing discharge teaching to the guardians of a toddler who had a lower leg cast applied 24 hr ago. The nurse should instruct the guardians to report which of the following findings to the provider? a. capillary refill time less than 2 seconds b. restricted ability to move the toes c. swelling of the casted foot when the leg is dependent d. pedal pulse +3 bilateral

b. restricted ability to move the toes

A charge nurse is preparing to make a room assignment for a newly admitted school-age child. Which of the following considerations is the nurse's priority? a. length of stay b. treatment schedule c. disease process d. self-care ability

c. disease process

A nurse is assessing an 8-year-old child who has early indications of shock. After establishing an airway and stabilizing the child's respirations, which of the following actions should the nurse take next? a. insert an indwelling urinary catheter b. measure weight and height c. initiate IV access d. maintain ECG monitoring

c. initiate IV access

A nurse is caring for a newly admitted school-age child who has hypopituitarism. Which of the following medications should the nurse expect the provider to prescribe? a. desmopressin b. luteinizing hormone-releasing hormones c. recombinant growth hormone d. levothyroxine

c. recombinant growth hormone

A nurse is assessing an adolescent who received a sodium polystyrene sulfonate enema. Which of the following findings indicates effectiveness of the medication? a. reports an absence of nausea and vomiting b. reports experiencing an onset of loose stools within 15 mins of administration c. serum potassium level 4.1 mEq/L d. blood pressure 86/52 mm Hg

c. serum potassium level 4.1 mEq/L

A nurse is teaching a school-age child and their parent about postoperative care following cardiac catheterization. Which of the following instructions should the nurse include? a. stay home from school for 1 week following the procedure b. follow a diet that is low in fiber for 1 week c. wait 3 days before taking a tub bath d. apply a pressure dressing to the site for 3 days

c. wait 3 days before taking a tub bath

A school nurse is providing an in-service for faculty about improving education for students who have ADHD. Which of the following statements by a faculty member indicates an understanding of the teaching? a. I will plan to increase the amount of homework I assign to students who have ADHD b. I will give students who have ADHD the same amount of time as other students to complete tests c. I will allow students who have ADHD one rest break throughout the day d. I will teach challenging academic subjects to students who have ADHD in the morning

d. I will teach challenging academic subjects to students who have ADHD in the morning

A nurse is planning care to address nutritional needs for a preschooler who has cystic fibrosis. Which of the following interventions should the nurse include in the plan? a. administer pancreatic enzymes 2 hr after meals b. discontinue the use of pancreatic enzymes if steatorrhea develops c. limit fluid intake to 750mL per day d. increase fat content in the child's diet to 40% of total calories

d. increase fat content in the child's diet to 40% of total calories

A nurse is teaching the guardian of a 6-month-old infant about teething. Which of the following statements should the nurse make? a. your baby might pull at their ears when they are teething b. rub your baby's gums with an aspirin to decrease discomfort c. place a beaded teething necklace around your baby's neck d. your baby's upper middle teeth will erupt first

a. your baby might pull at their ears when they are teething

A nurse is providing discharge teaching to the parents of a 6-month-old infant who is postoperative following hypospadias repair with a stent placement. Which of the following instructions should the nurse include in the teaching? a. you may bathe your infant in an infant bathtub when you go home b. apply hydrocortisone cream to your infant's penis daily c. you should clamp you infant's stent twice daily d. allow the stent to drain directly into your infant's diaper

d. allow the stent to drain directly into your infant's diaper

A nurse is caring for a preschooler who has congestive heart failure. The nurse observes wide QRS complexes and peaked T waves on the cardiac monitor. Which of the following prescriptions should the nurse clarify with the provider? a. furosemide b. captopril c. regular insulin d. potassium chloride

d. potassium chloride

A nurse is planning care for a newly admitted school-age child who has generalized seizure disorder. Which of the following interventions should the nurse plan to include? a. ensure that a padded tongue blade is at the child's bedside b. allow the child to play video games on a tablet computer c. allow the child to take a tub bath independently d. ensure the oxygen source is functioning in the child's room

d. ensure the oxygen source is functioning in the child's room

A nurse is creating a plan of care for a newly-admitted adolescent who has bacterial meningitis. How long should the nurse plan to maintain the adolescent in droplet precautions? a. until the adolescent is afebrile b. for 7 days following admission to the facility c. until the adolescent has a negative blood culture d. for 24 hours following initiation of antimicrobial therapy

d. for 24 hours following initiation of antimicrobial therapy

A nurse is assessing a school-age child who has an acute spinal cord injury following a sports injury 1 week ago. Identify the area the nurse should tap to elicit the biceps reflex. A B C

A

A nurse is assessing the pain level of a 3-year-old toddler. Which of the following pain assessment scales should the nurse use? a. FACES b. numeric c. CRIES d. visual analog

a. FACES

A nurse is teaching a group of parents about infectious mononucleosis. Which of the following statements by a parent indicates an understanding of the teaching? a. Mononucleosis is caused by an infection with the Epstein-Barr virus b. Mononucleosis is a bacterial infection requiring 14 days of antibiotics c. A Monospot is a throat culture used to diagnose mononucleosis d. Children who get mononucleosis will need to refrain from sports for 6 months

a. Mononucleosis is caused by an infection with the Epstein-Barr virus

A nurse is admitting an infant who has intussusception. Which of the following findings should the nurse expect? (select all that apply) a. steatorrhea b. vomiting c. lethargy d. constipation e. weight gain

b. vomiting c. lethargy

A nurse is reviewing the dietary choices of an adolescent who has iron deficiency anemia. The nurse should identify that which of the following menu items has the highest amount of nonheme iron? a. 1/2 cup whole milk b. 1 cup orange juice c. 1/2 cup raisins d. 1 cup raw carrots

c. 1/2 cup raisins

A nurse is admitting a 4-month-old infant who has heart failure. Which of the following findings is the nurse's priority?

Episodes of vomiting

A nurse is planning an educational program for school-age children and their parents about bicycle safety. Which of the following information should the nurse plan to include? a. the child should be able to stand on the balls of their feet when sitting on the bike b. the child should ride their bike 2 feet to the side of other bike riders c. the child should wear dark-colored clothing with a fluroescent stripe when riding at night d. the child should ride the bike facing traffic when it is necessary to ride in the street.

a. the child should be able to stand on the balls of their feet when sitting on the bike

Which of the following statements by a guardian indicates that the discharge teaching was effective? Select all that apply a. we should apply a skin emollient immediately after bathing our child b. we should keep our child's fingernails trimmed short c. we should rub the sores vigorously to remove scabs d. we should allow our child to take a bubble bath prior to bed e. we should use a mild detergent for our laundry f. we should apply a large amount of the ointment to the sores

a. we should apply a skin emollient immediately after bathing our child b. we should keep our child's fingernails trimmed short e. we should use a mild detergent for our laundry

After reviewing the information in the child's medical record, which of the following findings should the nurse report to the provider? Select the 4 findings that the nurse should report to the provider. a. arterial blood gasses b. cardiovascular assessment c. WBC count d. hemoglobin e. oxygen saturation level f. respiratory assessment

a. arterial blood gasses c. WBC count e. oxygen saturation level f. respiratory assessment

A nurse is caring for a school-age child who has diabetes mellitus and was admitted with a diagnosis of diabetic ketoacidosis. When performing the respiratory assessment, which of the following findings should the nurse expect? a. deep respirations of 32/min b. shallow respirations of 10/min c. paradoxic respiration of 26/min d. periods of apnea lasting for 20 seconds

a. deep respirations of 32/min

A nurse is planning developmental activities for a newly admitted 10-year-old child who has neutropenia. Which of the following actions should the nurse plan to take? a. provide the child with a book about adventure b. arrange frequent visits from family members and peers c. give the child a large-piece puzzle d. use puppets to entertain the child

a. provide the child with a book about adventure

A nurse is performing hearing screenings for children at a community health fair. Which of the following children should the nurse refer to a provider for a more extensive hear evaluation? a. an 18-month-old toddler who has unintelligible speech b. a 3-month-old infant who has an exaggerated startle response c. a 4-year-old preschooler who prefers playing with others rather than alone d. an 8-month-old infant who is not yet making babbling sounds

d. an 8-month-old infant who is not yet making babbling sounds

A nurse is providing discharge teaching to the parents of a 3-month-old infant following a cheiloplasty. Which of the following instructions should the nurse include? a. clean your baby's sutures daily with a mixture of chlorohexidine and water b. expect your baby to swallow more than usual over the next few days c. inspect your baby's tongue for white patches using a tongue depressor every 8 hours d. apply a thin layer of antibiotic ointment on your baby's suture line daily for the next 3 days

d. apply a thin layer of antibiotic ointment on your baby's suture line daily for the next 3 days

After reviewing the information in the child's medical record, which of the following findings should the nurse identify as a potential complication? Select 3 findings from the child's medical record that the nurse should identify as indications of a potential complication? a. WBC count b. oxygen saturation level c. platelets d. abdomen assessment e. temperature f. abdominal dressing assessment

a. WBC count d. abdomen assessment e. temperature

A nurse is caring for a school-age child who has primary nephrotic syndrome and is taking prednisone. Following 1 week of treatment, which of the following manifestations indicates to the nurse that the medication is effective? a. decreased edema b. increased abdominal pain c. decreased appetite d. increased protein in the urine

a. decreased edema

A nurse is teaching the parents of a toddler who has a cognitive impairment about toilet training. Which of the following instructions should the nurse include in the teaching? a. scold your child when they have a toileting accident b. award your child with a sticker when they sit on the potty chair c. play your child's favorite song while teaching them to use the potty chair d. teach multiple steps of the skill at the same time

b. award your child with a sticker when they sit on the potty chair

A nurse in a health department is caring for an emancipated adolescent who has an STI and is unaccompanied by a guardian. Which of the following actions should the nurse take? a. have the adolescent sign a consent for treatment b. instruct the adolescent to return with a guardian c. obtain consent from the adolescent's guardians over the phone d. treat the adolescent without a consent form

a. have the adolescent sign a consent for treatment

A nurse is providing discharge teaching to the parent of an 18-month-old toddler who has dehydration due to acute diarrhea. Which of the following statements by the parents indicates an understanding of the teaching? a. I will offer my child small amounts of fruit juice frequently b. I will avoid giving my child solid foods until the diarrhea has stopped c. I will monitor my child's number of wet diapers d. I will give my child polyethylene glycol daily for 7 days

c. I will monitor my child's number of wet diapers

A nurse is receiving change-of-shift report for four children. Which of the following children should the nurse assess first? a. a toddler who has a concussion and an episode of forceful vomiting b. an adolescent who has ineffective endocarditis and reports having a headache c. an adolescent who was placed into halo traction 1 hr ago and reports pain as 6 on a scale of 0 to 10 d. a school-age child who has acute glomerulonephritis and brown-colored urine

a. a toddler who has a concussion and an episode of forceful vomiting

A nurse in an emergency department is assessing a 3-month-old infant who has rotavirus and is experiencing acute vomiting and diarrhea. Which of the following manifestations should the nurse identify as an indication that the infant has moderate to severe dehydration? a. heart rate 124/min b. increased tear production c. sunken anterior fontanel d. capillary refill 2 seconds

c. sunken anterior fontanel

A nurse is caring for a 1-month-old infant who is breastfeeding and requires a heel stick. Which of the following actions should the nurse take to minimize the infant's pain? a. use a manual lancet to obtain the heel blood sample b. apply an ice pack to the infant's heel prior to obtaining the sample c. allow the mother to breastfeed while the sample is being obtained d. apply a topical lidocaine cream prior to obtaining the sample

c. allow the mother to breastfeed while the sample is being obtained

A school nurse is caring for a child following a tonic-clonic seizure. Which of the following actions should the nurse take first? a. check the child for a head injury b. observe for oral bleeding c. check the child's respiratory rate d. observe for extremity weakness

c. check the child's respiratory rate

A nurse in a pediatric emergency department is planning care for an adolescent. Based on the information in the adolescent's medical record, which of the following actions should the nurse plan to take? Select all the apply. a. apply supplemental oxygen b. place the adolescent in supine position c. prepare for chest tube insertion d. obtain consent for a pericardiocentesis we. administer a levalbuterol metered dose inhaler

a. apply supplemental oxygen c. prepare for chest tube insertion