Nursing Care of Children 1

A nurse in an ED is caring for an 8 year old who is up to date with current vaccine recommendations and has a deep puncture injury. Which of the following should the nurse anticipate administering? A. Diphtheria, tetanus, and acellular pertussis (DTaP) vaccine B. A single injection of tetanus immune globulin (TIG) mixed with the pediatric tetanus booster (DT) C. Tetanus, diphtheria, and acellular pertussis (Tdap) vaccine D. Adult tetanus booster (Td)

Adult tetanus booster (Td)

A nurse is performing a physical assessment on a 6 month old infant. Which of the following highlight reflexes should the nurse expect to find? A. Stepping B. Babinski C. Extrusion D. Moro

Babinski

A nurse in a pediatric clinic is assessing a toddler at a well child visit. Which of the following actions should the nurse take? A. Perform the assessment in a head to toe sequence. B. Minimize physical contact with the child initially. C. Explain procedures using medical terminology. D. Stop the assessment if the child becomes uncooperative.

Minimize physical contact with the child initially.

A nurse is teaching the parents of an infant about food allergens. Which of the following foods should the nurse include as being the most common food allergy in children? A. Cow's milk B. Wheat bread C. Corn syrup D. Eggs

Cow's milk

A nurse in a pediatric clinic is caring for a 3 year old child who has a blood lead level of 3 mcg/dL. When teaching the toddler's parent about the correlation of nutrition with lead poisoning, which of the following info is appropriate for the nurse to include in the teaching? A. Decrease the child's vitamin C intake until the blood lead level decreases to zero. B. Administer a folic acid supplement to the child each day. C. Give pancreatic enzymes to the child with meals and snacks. D. Ensure the child's dietary intake of calcium and iron is adequate.

Ensure the child's dietary intake of calcium and iron is adequate.

A nurse is developing a plan of care for a school age child who underwent a surgical procedure that resulted in a temporary loss of vision. Which of the following interventions should the nurse include in the plan of care? A. Assign an assistive personnel to feed the child. B. Explain sounds the child is hearing. C. Have the child use a cane when ambulating. D. Rotate nurses caring for the child.

Explain sounds the child is hearing.

A nurse is planning care for a 10 month old who has suspected failure to thrive. Which of the following interventions should the nurse include in the plan of care? SATA A. Observe the parents' actions when feeding the child. B. Maintain a detailed record of food and fluid intake. C. Follow the child's cues as to when food and fluids are provided. D. Sit beside the child's high chair when feeding the child. E. Play music videos during scheduled meal times.

Observe the parents' actions when feeding the child. Maintain a detailed record of food and fluid intake.

A nurse is planning to implement relaxation strategies with a young child prior to a painful procedure. Which of the following actions should the nurse take? A. Ask the child to hold his breath and then blow it out slowly B. Ask the child to describe a pleasurable event. C. Bounce the child gently while holding him upright. D. Rock the child in long rhythmic movements.

Rock the child in long rhythmic movements.

A nurse is assessing a 7 year old child's psychosocial development. Which of the following findings should the nurse recognize as requiring further evalutaion? A. The child prefers playmates of the same sex. B. The child is competitive when playing board games. C. The child complains daily about going to school. D. The child enjoys spending time alone.

The child complains daily about going to school.

A nurse is caring for a 15month old who requires droplet precautions. Which of the following actions should the nurse take? A. Have the toddler wear a disposable gown when in the unit's playroom. B. Wear sterile gloves when changing the toddler's diapers. C. Wear a mask when assisting the toddler with meals. D. Ask visitors to wear an N-95 mask when entering the room.

Wear a mask when assisting the toddler with meals.

A nurse in the ED is caring for a 12 year old who has ingested bleach. Which of the following statements by the nurse indicates an understanding of this ingestion? A. "The absence of oral burns excludes the possibility of esophageal burns." B. "Treatment focuses on neutralization of the chemical." C. "Injury by a corrosive liquid is more extensive than by a corrosive solid." D. "Immediate administration of activated charcoal is warranted."

"Injury by a corrosive liquid is more extensive than by a corrosive solid."

A nurse on a pediatric unit is reviewing the health record of a child who is demonstrating increasing levels of stress after admission. The nurse should identify which of the following findings as a risk factor for a stress related reaction to hospitalization? A. Age 10 B. Frequent hospitalizations C. Parent bonding with child D. Calm, quiet demeanor

Frequent hospitalizations

A nurse ia assessing a 9 month old infant during a well child visit. Which of the following findings indicates that the infant has a developmental delay? A. Creeps on hands and knees B. Inability to vocalize vowel sounds C. Uses crude pincer grasp D. Stands by holding onto support

Inability to vocalize vowel sounds