Nursing Care of Children 1, PEDS: NCCB
A nurse is planning n educational program to teach parents about protecting their children from sunburns. Which of the following instructions should the nurse plan to include?
"Choose a waterproof sunscreen with a minimum SPF of 15."
A nurse is providing teaching to the family of a school-age child who has juvenile idiopathic arthritis. Which if the following instructions should the nurse include in the teaching?
"Encourage the child to perform independent self-care."
A nurse is administering the MMR vaccine to a child. Which of the following statements by the parent indicates an understanding of the vaccine?
"I can give my child Tylenol for discomfort associated with the vaccine."
A nurse is providing teaching to an adolescent about how to manage tinea pedis. Which of the following statements by the adolescent indicates an understanding of the teaching?
"I should wear sandals as much as possible."
A nurse is providing discharge teaching to the guardian of a school-age child who has undergone a tonsillectomy. Which of the following statements by the guardian indicates an understanding the teaching?
"I will notify the doctor if I notice that my child is swallowing frequently."
A nurse is caring for a hospitalized 3 year old child who the parents report is toilet trained. Since admission to the hospital, the child has experienced bed wetting. Which of the following is an appropriate response by the nurse?
"Let's get you cleaned up so you can go to the playroom."
A nurse in a providers office is caring for a school-age child who has varicella. The parents asks the nurse when their child will no longer be contagious. Which of the following responses should the nurse make?
"When your childs lesions are crusted, usually 6 days after they appear."
A nurse is caring for a toddler who is scheduled for surgery. The parent asks the nurse for suggestions on how to prepare her child for the upcoming surgery. Which of the following would be an appropriate statement by the nurse to the parent?
"You could read books to your child about being hospitalized."
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?
"You should offer your child high-protein meals and snacks throughout the day."
A nurse is preparing to administer ibuprofen 5 mg/kg every 6 hr PRN for a temperatures above 38.0 C (100.5 F) to an infant who weighs 17.6 lb. Available is ibuprofen oral suspension 100mg/5mL. How many mL should the nurse administer to the infant per dose?
2 mL
A nurse is receiving change-of-shift report for four children. Which of the following children should the nurse assess first?
A toddler who has a concussion and an episode of forceful vomiting.
A school nurse is caring for a child following tonic-clonic seizure. Which of the following actions should the nurse take first?
Check the childs respiratory rate.
A nurse is providing education for a group of parents. A parent is concerned about the development of her 4-year-old child's fine motor skills. Which of the following should the nurse explain to be an expected skill for this age group?
Copying a square and circle
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 bicep reflect.
Correct answer is A
A nurse is teaching a new parent about infant nutrition. The nurse should realize teaching has been effective about food allergens when the parent indicates which of the following food choices as a common allergen in infants?
Cow's milk
A nurse 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?
Difficulty concentrating
A nurse is admitting a 4-month-old infant who has heart failure. Which of the following findings is the nurses priority?
Episodes of vomiting
A nurse is taking a history during a routine physical examination. Which of the following would be appropriate to tell the parent?
Establish a set bedtime and follow a nightly routine.
A nurse is assessing the pain level of a 3-year-old toddler. Which of the following pain assessment scales should the nurse use?
FACES
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?
Great Toe
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?
Presence of strabismus
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?
Provide the child with a book about adventure.
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?
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?
Serum potassium level 4.1 mEq/L
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?
Sodium 155 mEq/L
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?
Sunken anterior fontanel
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?
"Allow the stent to drain into your infants diaper."
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?
"Apply a thin layer of antibiotic ointment on the your babys suture line daily for the next 3 days."
52. A nurse is teaching the parents of a toddler who has cognitive impairment about toilet training. Which of the following instructions should the nurse include in the teaching?
"Award your child with a sticker when they sit on the potty chair."
A nurse is caring for a child with bacterial endocarditis. The child will receive long-term antibiotics and will require a peripherally inserted central catheter (PICC). Which of the following statements would be appropriate for the nurse to state to the child's parent?
"The PICC line will last several weeks with proper care."
A nurse is caring for an 18 month old toddler who has been admitted for lead poisoning. An order for a urine specific gravity is written. Which of the following would be the appropriate way for the nurse to collect the urine?
Applying a pediatric urine collector
A nurse is performing a physical assessment on a 6 month old infant. Which of the following reflexes should the nurse expect to find at this age?
Babinski
A nurse is performing an assessment on a child at the clinic. When performing this assessment, the nurse should do which of the following?
Have the child sit in the parent's lap, auscultate the heart and lungs, and then examine the ears and throat.
A nurse is caring for an 8 year old child who has fractured his femur. The child is in skeletal traction. To assist with the child's developmental needs, which of the following would be an appropriate action for the nurse to take?
Have the hospital tutor visit daily to assist the child with homework.
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?
Poor personal hygiene
A nurse is teaching a parent of an 18 month old child about safety. Which of the following statements should indicate to the nurse that the parent understands the teaching?
"I have locked my medications in the medicine cabinet."
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?
"I will teach challenging academic subjects to students who have ADHD in the morning."
A nurse is teaching a group of parents about infectious mononucleosis. Which of the following statements by parent indicates an understanding the teaching?
"Mononucleosis is caused by an infection with the Epstein-Barr virus."
A nurse is caring for a dehydrated toddler who must receive 100 mL of normal saline over the next 4 hrs. Using a 60 gtt microdrip set, what rate should the nurse regulate the IV to deliver?
25 gtt/min
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 infants pain?
Allow the mother to breastfeed while the sample is being obtained.
A nurse is caring for a 2 month old who is brought to the clinic for routine immunizations. Which of the following should the nurse administer?
DTaP (diptheria, tetanus, pertussis), HIB (Haemophilus influenzae type b), IPV (polio), and HBV (Hepatitis B vaccine)
A nurse is caring for a child who is dying. The child's 4-year-old sibling is visiting. Which of the following statements indicates a 4-year-old's perception of death? (Select all that apply.)
Death is the same as going to sleep. Death is caused by magical thinking. Death is the result of a wish. Death is a punishment.
The nurse is caring for a 3 year old child who has a lead level of 15 g/dL. When teaching the toddler's parent about nutrition and the correlation with lead poisoning, which of the following suggestions is appropriate for the nurse to state?
Drink milk
A nurse is reviewing the laboratory results of a school-age child who is 1 week postoperative following an open fracture repair. Which of the following findings should the nurse identify as an indication of a potential complication?
Erythrocyte sedimentation rate 18 mm/hr
The nurse is caring for a 3 year old child who is postoperative following revision of a malfunctioning ventriculo peritoneal shunt. Which of the following would be an appropriate way for the nurse to determine if the child is in pain?
Use the FACES scale to rate the pain.
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 parent indicates an understanding of the teaching?
"I will monitor my childs number of wet diapers."
A nurse is teaching a parent of a 12 month old infant about nutrition. Which of the following statements by the parent would indicate the need for further teaching?
"My infant should drink 2 qt of skim milk per day."
A nurse is providing discharge teaching to the parent of a school-age child who has moderate persistant asthma. Which of the following instructions should the nurse include?
"Pulmonary function tests will be performed every 12 to 24 months to evaluate how your child is responding to therapy."
A nurse is performing a physical assessment on a 30 month old toddler. Which of the following nursing assessments should the nurse not expect to find at this age?
Birth weight is tripled
A nurse is caring for a 2-year-old with cystic fibrosis. The nurse is planning to take the child to the playroom. Which of the following activities would be the most appropriate for the child?
Building block towers.
A charge nurse is preparing to make a room assignment for a newly admitted school-age child. Which of the following considerations is the nurses priority?
Disease process
A nurse is caring for a 3-month-old infant admitted with suspected non-organic failure to thrive (FTT). Which of the following statements is true regarding non-organic failure to thrive?
Disruption in the patient-child bond
A nurse is caring for a toddler who has acute otitis media and a temperature of 40 C (104 F). After administering acetaminophen, which of the following actions should the nurse plan to take to reduce the toddler's temperature?
Dress the toddler in minimal clothing.
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?
Have the adolescent sign a consent form for treatment.
A nurse is observing an 8 month old infant and parent playing peek a boo. The parent asks the nurses if this game has any developmental significance. The nurse should indicate to the parents that playing peek a boo will develop which of the following concepts?
Object permanence
A nurse is assessing an 8-year-old's psychosocial development. Which of the following findings should the nurse recognize as requiring further evaluations?
The child complains everyday about going to school.
The nurse is assessing a 4-month-old infant in the well baby clinic. Which of the following assessments should prompt the nurse to conduct a further evaluation?
Head lag when pulled from a lying to sitting position
A nurse is performing a physical assessment on a 6-year-old child. Which of the following findings should prompt the nurse to conduct additional follow-up?
Sparse, fine pubic hair
A nurse in an emergency department is caring for a school-age child who has sustained a minor superficial burn from fireworks on their forearm. Which of the following actions should the nurse take?
Apply an antimicrobial ointment to the affected area.
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?
Decreased edema
A nurse is planning care for a newly admitted schole-age child who has generalized seizure disorder. Which of the following interventions should the nurse plan to include?
Ensure the oxygen source is functioning in the childs room
A nurse is assessing a 9-month-old infant for potential developmental delay. Which of the following observations should the nurse expect to find to support this condition?
Inability to sit without support
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?
Increase fat content in the childs diet to 40% of total calories.
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?
For 24 hr following initiation of antimicrobial therapy
A nurse is an emergency department is caring for a school-age child who has epiglottitis. Which of the following actions should the nurse take?
Monitor the childs oxygen saturation
A nurse is caring for a 2-year-old child who was found by his parents crying and holding a container of a toilet bowl cleaner. The client's lips are peeled and oozing, and he is drooling. Which of the following should be the nurse's highest priority?
Monitoring the respiratory status of the child.
A nurse is educating a teenage mother about the care of her newborn. When giving safety information, which of the following information should the nurse provide to the mother? (Select all that apply.)
Move glass objects to a higher shelf. Put a safety gate at the top of the stairs. Keep small objects out of reach.
A nurse is assessing an infant who has pneumonia. Which of the following findings is the priority for the nurse to report to the provider?
Nasal flaring
A nurse is caring for a 4-year-old child who has been admitted to the hospital. Which of the following would be the appropriate toy for the 4-year-old?
Plastic stethoscope
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?
½ cup raisins
A nurse is assessing an 8-year-old child who has early indications of shock. After establishing an airway and stabilizing the childs respirations, which of the following actions should the nurse take next?
Initiate IV access.
A nurse is creating a plan of care for a child who has varicella. Which of the following interventions should the nurse include?
Initiate airborne precautions for the child.
A nurse is working at an immunization clinic. Which of the following would be a contraindication to the pertussis immunization?
Known neurologic or seizure disorder
The nurse is assessing a 6 month old infant in the well child clinic. Which of the following assessments would indicate the infant needs further evaluation?
Legs stay crossed at the knees
A nurse is caring for an 18-year-old adolescent who is going away to college. The adolescent will be living in the dormitory. Which of the following is the most appropriate immunization to suggest that he receive?
Meningococcal polysaccharide
A nurse is caring for an infant on droplet precautions. The nurse understands that she can best prevent the spread of droplet pathogens by doing which of the following?
Wearing a gown and mask when feeding the infant
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?
Wheezes
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?
Palpate the dorsum of the childs feet
A nurse is caring for an infant who is crying. The nurse plans to administer a liquid medication. Which of the following administration methods should the nurse use?
Place a needless syringe in the buccal cavity
A nurse is caring for an infant who is receiving IV fluids for the treatment of Tetralogy of Fallot and begins to have hypercryanotic spell. Which of the following actions should the nurse take?
Place the infant in a knee-chest position
A nurse is teaching the guardian of a 6-month-old infant about teething. Which of the following statements should the nurse make?
"Your baby might pull at their ears when they are teething."
A nurse is educating a parent of a toddler on development. Which of the following would be an appropriate response by the nurse?
"Your child will begin to scribble spontaneously using a crayon by the age of 18 months."
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?
The child should be able to stand on the balls of their feet when sitting on the bike.
A nurse is caring for a 12-year-old adolescent who has ingested 60 mL of bleach. Which of the following statements by the nurse would indicate an understanding of this ingestion?
The severity of alkaline burn depends on the pH of the substance.
A nurse is conducting a yearly assessment of a 14-year-old girl. The nurse should understand which of the following findings will require further evaluation?
There is a lateral curvature to her spine.
A nurse is planning care for a school-age child who has tunneled central venous access device. Which of the following interventions should the nurse include in the plan?
Use a semipermeable transparent dressing to cover the site.
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?
"Wait 3 days before taking a tub bath."
A nurse is providing anticipatory guidance to the parent of a toddler. Which of the following expected behavior characteristics of toddlers should the nurse include?
Expressed likes and dislikes
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 hearing evaluation?
An 8-month-old who is not yet making babbling sounds.
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.)
-Increased temperature -Xerophthalmia -Cervical lymphadenopathy
A nurse is admitting an infant who has intussusception. Which of the following findings should the nurse expect? (Select all that apply.)
-Vomiting -Lethargy
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?
Avoid palpating the abdomen when bathing the child before surgery.
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?
Potassium Chloride
The nurse is caring for an adolescent who is receiving pain medication via a PCA pump. When the nurse assesses the client's pain at 8 a.m., the client describes the pain at level 3 on the scale of 1 to 10. At 10 a.m., the client describes the pain at level 5. The nurse discovers the client has not pushed the button to deliver the medication in the past 2 hrs. Which of the following actions would be appropriate for the nurse to take?
Reinforce teaching about how to push the button to deliver the medication with the client.
A nurse is providing discharge teaching to the guardians of a toddler who had lower leg cast applied 24 hr ago. The nurse should instruct the guardians to report which of the following finding to the provider?
Restricted ability to move the toes.
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?
"Brush the childs teeth after giving the medication."
A nurse is providing anticipatory guidance about accidental ingestion of a toxic substance to the parents of a toddler. Which of the following is an appropriate teaching point for the nurse to give the parents?
Call the poison control center.
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?
Deep respirations of 32/min
EDKH
Epstein Didn't Kill Himself
The nurse is caring for a 3 year old child newly diagnosed with diabetes mellitus. When writing the care plan, the nurse includes this goal: The child will be provided with opportunities for therapeutic play. Which of the following would be the most appropriate toy to help meet this goal?
Doll and a syringe with no needle
A nurse is discussion 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?
Explore the parents feelings and wishes regarding organ donation.