PEDI

The nurse would select as a snack for a 4-year-old child with cystic fibrosis? A. Apple sauce B. Prune juice C. An orange D. Pretzels

D. Pretzels

What type of relationship are the preferred social interactions for the school-age child?

A. Same-sex peer group

What does the nurse consider as an appropriate snack for a 2-year old child?

A.Applesauces

What intervention might the nurse suggest as helpful for the child with enuresis? A. Increasing dietary fiber intake B. Decreasing fluid intake after the evening meal C. Applying an electric pad that gently shocks the child D. Waking the child several times during the night to urinate

B. Decreasing fluid intake after the evening meal

Amblyopia is often referred to as a lazy eye

true

What sign indicate moderate dehydration? A. Increase urinary output B. Dry mucosa membrane C. Normal anterior fontanel D. Lethargy E. 10% weight loss

B. Dry mucosa membrane C. Normal anterior fontanel E. 10% weight loss

The nurse is assessing a 13-year old boy. Which physical change indicated that male puberty has begun? A. pigmentation of the scrotum B. Enlargement of testicles C. Enlargement of penis D. Development of axillary and facial hair

B. Enlargement of testicles

Status asthmatics is not a medical emergency. A. True B. False

B. False

Treatment for celiac disease involves a lifelong diet of restrictions on fruits and vegetables? A. True B. False

B. False

The nurse suggests offering which foods to support the toddler's desire to self-feed? A. Pureed food B. Foods that are varied and colorful C. Foods in colorful dishes D. Foods served cold E. Finger foods

B. Foods that are varied and colorful C. Foods in colorful dishes E. Finger foods

The nurse discusses child-proofing the home for safety with the mother of a 9-month-old infant. Which statement made by the mother would indicate an unsafe behavior? A. "In the car, she rides in a front-facing care seat." B. "I put covers on all the electrical outlets." C. "I have a gate at the top and bottom of the stairs." D. "There are locks on all of the cabinets in the house."

A. "In the car, she rides in a front-facing care seat."

The nurse discussed strategies with a parent to prevent a recurrence of urinary tract infection in the child. Which statement made by the parent indicates a need for further teaching? A. "It is acceptable to take frequent bubble baths B. She needs to drink lots of fluids and void frequently. C. "My daughter should wash and wipe the perineal area from front to back. D. I am only going to have my daughter wear cotton underwear."

A. "It is acceptable to take frequent bubble bath

At what age does an infant birth weight triple? A. 1 year B. 9 months C. 2 year D. 18 months

A. 1 year

A child hospitalized for treatment of osteomyelitis complains that he is tired of being sick and wants to know when the antibiotic protocol will end. How long will the nurse indicate that antibiotic therapy will probably last? A. 6 weeks B. 2 weeks C. 2 months D. 3 months

A. 6 weeks

A 5-year-old boy is admitted to the hospital with acute glomerulonephritis. In taking the child's history, what does the nurse recognize as the probable cause? A. A sore throat 2 weeks ago B. Recovery from German measles 2 months ago C. Dysuria since the previous night D. A history of allergy

A. A sore throat 2 weeks ago

The nurse is assessing a 16-vear-old female for characteristics for anorexia nervosa. Which assessment findings would lead to suspect the possibility of this diagnosis? A. Amenorrhea B. Severe weight loss

A. Amenorrhea B. Severe weight loss

Parents of a 5-year-old child tell the nurse they are concerned about their child's speech development by stating, "No one can understand him but us." What clinical classification of speech disorder does the nurse suspect? A. Articulation disorder B.Expressive language delay C. Language loss D. Global language delay

A. Articulation disorder

What does the nurse expect the appearance of the stools of a child with celiac disease to be? A. Bulky, frothy B. Hard, constipated C. Loose, foul-smelling D. Ribbon like

A. Bulky, frothy

What assessment made by the school nurse would lead to the suspicion of strabismus? A. Child covers one eve to read the chalkboard B.Reddened sclera in one eye C. Copious tears while watching TV D. Child complains or a headache

A. Child covers one eve to read the chalkboard

The home, health nurse is monitoring an 8-month-old child with hypothyroidism taking levothyroxine (Synthroid). Which symptoms does the I nurse recognize as signs of overdose? A. Diaphoresis B. Irritability C. Tachycardia D. Vomiting E. Weight gain

A. Diaphoresis B. Irritability C. Tachycardia

The pediatric nurse is presenting school-age children with information on safety issues to follow when going home alone. What guidelines should they be educated to follow? A. Do not enter house if the door is ajar B. Keep door locked C. Ask for ID before letting someone in the house D.Never accept rides with strangers. E. Walk to and from school with friends.

A. Do not enter house if the door is ajar B. Keep door locked D.Never accept rides with strangers. E. Walk to and from school with friends.

the parents of a 4 1/2 year old child tells the nurse, "Bedtime is difficult. I can't get my son to go to bed at night." The nurse and the child's mother discuss options. What intervention is the most appropriate choice? A. Establish a bedtime routine and use is consistency B. Tire him out with physical activity before bedtime C. Allow the child to put himself to bed when he is tired D.Let the child read in his room until he falls asleep.

A. Establish a bedtime routine and use is consistency

When teaching the mother of a young child about iron-deficiency anemia, the nurse would tell her that a rich source of iron is: A. Fortified cereals B. Egg whites C. Bananas D. Carrots

A. Fortified cereals

The nurse caring for a child with nephrotic syndrome is alert to which symptoms of this disorder? A. Generalized edema B. Fatigue C. Proteinuria D. Grossly bloody urine E. Hyperalbuminemia

A. Generalized edema B. Fatigue C. Proteinuria D. Grossly bloody urine

Rheumatic fever follows an infection with the organism: A. Group A b-hemolvtic streptococcus B. Streptococcus pneumoniae C. Staphylococcus aureus D. Haemophilus influenzae

A. Group A b-hemolvtic streptococcus

The school nurse suspects a first-grade student has sinusitis. Which symptoms might lead the nurse to this suspicion? A. Halitosis is present B. Nurse observes periorbital swelling C. Child report, "I have had a cold for 2 weeks." D. Severe wheezing is auscultated on inspiration E.Child reports tooth pain.

A. Halitosis is present B. Nurse observes periorbital swelling C. Child report, "I have had a cold for 2 weeks." E.Child reports tooth pain.

Which statement best describes a 3-year-old child? A. Helpful, wants to assist with chores B. Boisterous, tattles on others C. Talkative, inquisitive about the environment D. Aggressive, shows off

A. Helpful, wants to assist with chores

The nurse is caring for a child with a low platelet count. What skin assessments would alert the nurse to bleeding? (Select all that apply.) A. Hematoma B. Purpura C. Lymphadenopathy D. Ecchymosis E. Petechiae

A. Hematoma B. Purpura

A mother confides in the school nurse that she witnessed her son kissing another boy. Which concept should guide the nurse to base a reply? A. Homosexual behavior in adolescent is not uncommon. C. Adolescents often desire to explore alternative lifestyle

A. Homosexual behavior in adolescent is not uncommon. C. Adolescents often desire to explore alternative lifestyle

What are the four structural heart anomalies that make up the tetralogy of Fallot? A. Hypertrophied right ventricle B. Patent ductus arteriosus C. Dextroposition of aorta D. Arteriovenous fistula E. Narrowing of pulmonary artery

A. Hypertrophied right ventricle B. Patent ductus arteriosus C. Dextroposition of aorta E. Narrowing of pulmonary artery

A child is diagnosed with attention-deficit hyperactivity disorder (ADHD). Which characteristics would the nurse assess in this child? A. Inattention B. hyperactivity C. Social anxiety D. Impulsivity E. Distractibility

A. Inattention B. hyperactivity D. Impulsivity E. Distractibility

The nurse Is caring for a child with a diagnosis of Kawasaki disease. The childs parent ask the nurse, How does Kawaski diease affect my child's heart and blood vessels?" On what understanding is the nurse's response based? A. Inflammation weakens blood vessels, leading to aneurysm. B. Increased lipid levels lead to the development of atherosclerosis C. Altered blood flow increases cardiac workload with resulting heart failure D. Untreated disease causes mitral valve stenosis

A. Inflammation weakens blood vessels, leading to aneurysm

What is the nurse's best advice to a parent about a preschooler's "imaginary friend?" A. It is common for preschoolers to have imaginary friends

A. It is common for preschoolers to have imaginary friends

Which aspects of a child's development does the nurse caution parents that hearing impairment can affect? A. Language development B. Immunity to disease C. Personality development D. Speech clarity E.Academic achievement

A. Language development C. Personality development D. Speech clarity E.Academic achievement

Parents of a newborn are worried about dark areas over the sacrum of the newborn. What does the nurse explain this transitory skin discoloration is called? A. Mangolian spot B. Stork bites C. Epstein pearls D. Milia

A. Mongolian

Parents tell the nurse they are frustrated with their toddler's recent behavior and refusal to agree with anything they ask of them. What does the nurse explain as the term for when a toddler tests their own power? A. Negativism B. Dawdling C. Food fads D. Tantrums

A. Negativism

How does the pediatric skeletal system differ from that of the adult? (Select all that apply.) A. Open epiphyses B. Less DOrOSItY C. More ossification D. Lower mineral content E. Greater strength

A. Open epiphyses D. Lower mineral content E. Greater strength

What is an appropriate nursing intervention for a hospitalized child who is autistic? A. Organize care to provide as few disruptions to the routine as possible B. Keep the child's room free of toys or objects that she might want to take home with her. C. Use the child's chronological age as a guide for communication D. Place the child in a location where she can watch all of the activity on the unit

A. Organize care to provide as few disruptions to the routine as possible

A young child on the pediatric unit cannot express himself well. What therapeutic intervention might the nurse implement that allows children to act out their feelings? A. Play therapy B. Art therapy C. Music therapy D. Bibliotherapy

A. Play therapy

Which assessment performed by a nursing student performing a neurovascular check alerts their structor that further education is necessary? A. Pupils B. Movement C. Pulses D. Capillary refill

A. Pupils

When assessing a preterm infant, the nurse observes nasal flaring, sternal retraction, and expiratory grunting. What do these findings indicate?

A. Respiratory distress syndrome

The nurse has reviewed dietary restrictions for celiac disease with concerned parents. Which grain will the nurse explain can be eaten with celiac disease? A. Rice B. Barley C. Wheat D. Oats

A. Rice

Which factor(s) activate the herpes simplex virus type I? (Select all that apply) A. Stress B. Fever C. Sun D. Food allergies E. Menses

A. Stress B. Fever C. Sun E. Menses

A parent comments that her infant has had several ear infections in the past few months. Why are infants more susceptible to otitis media? A. The Eustachian tube is short, straight, and wide B. They have increased susceptibility to upper respiratory tract infections. C. Sucking on a nipple creates middle ear pressure D. Infants are in a supine or prone position most of the time

A. The Eustachian tube is short, straight, and wide

The mother of a post term infant asks the nurse why the infant is being watched so closely. What is the nurse's most appropriate response? A. The placenta does not function adequate as it ages.

A. The placenta does not function adequate as it ages.

On what understanding does the nurse plan the care of a child with a new diagnosis of type 1 diabetes mellitus? A. There is an absolute deficiency of insulin. B. Oral hypoglycemic agents can control it. C. Insufficient quantities of insulin are produced by the pancreas. D. Insulin deficiency is caused by another disease affecting the pancreas.

A. There is an absolute deficiency of insulin.

The nurse is discussing insulin shock with parents of a child recently diagnosed with diabetes mellitus. What will the nurse respond when V the parents ask why children are more prone to insulin reactions? (Select all that apply.) A. They are still growing." B. "Sleep patterns are not established." C. The activities are irregular." D."Parents are often noncompliant." E. "The condition is more unstable in children."

A. They are still growing." C. The activities are irregular." E. "The condition is more unstable in children."

What does the nurse explain to parents of a child with febrile seizures? A. They occur when the temperature rises quickly B. They can be prevented by anticonvulsant medication C. They occur when the body temperature exceeds 38.3° C (101 F). D. They usually lead to the development of epilepsy.

A. They occur when the temperature rises quickly

Children should never be given a live virus vaccine if they are on corticosteroid therapy or immunosuppressive drugs A. True B. False

A. True

Glucagon is used for the treatment severe hypoglycemia A. True B. False

A. True

Prevention of infection and prevention of dehydration are important goals in the care of a child with sickle cell disease. A. True B. False

A. True

The parents of a child newly diagnosed with diabetes mellitus tell the nurse, "Our son's body is resistant to insulin." With what does the nurse recognize this description is consistent? A. Type 2, non-insulin-dependent diabetes mellitus B. Maturity-onset diabetes of youth C. Drug-induced diabetes D. Type 1, insulin-dependent diabetes mellitus

A. Type 2, non-insulin-dependent diabetes mellitus

Which congenital cardiac defects causes increased pulmonary blood flow? A. Ventricular septal defects (VSDs) B. Dextroposition of aorta C. Patent ductus arteriosus D. Tetralogy of Fallot E. Atrial septal detects

A. Ventricular septal defects (VSDs) C. Patent ductus arteriosus E. Atrial septal detects

Which is the most appropriate nursing action related to the administration of digoxin (Lanoxin) to an infant? A. Withhold a dose if the apical heart rate is less than 100 beats/minute B. Counting the apical rate for 30 seconds before administering the medication C. Checking respiratory rate and blood pressure before each dose D. Repeating a dose it the child vomits within 30 minutes of the previous dose

A. Withhold a dose if the apical heart rate is less than 100 beats/minute

The parents of a 1-year-old child with tetralogy of Fallot asks the nurse, "Why do my child's fingertips look like that? On what understanding does the nurse base a response? A. clubbing occurs as a result of chronic hypoxia

A. clubbing occurs as a result of chronic hypoxia

The nurse who is assessing a child with patent ductus arteriosus, which is a defect that increases pulmonary congestion, would anticipate finding? A. machine-like murmuR B. A child of normal weight and height C. A history absent of infections D. A weak, thready pulse on exertion

A. machine-like murmuR

What is the nurse's best response to a mother who is voicing concern about the molding of her 2-day-old infant? A.The baby's head conformed to the shape of the birth canal. It will go away soon.

A.The baby's head conformed to the shape of the birth canal. It will go away soon.

Fluid turnover is rapid, and dehydration occurs more quickly in infants than in adults. A.True B. False

A.True

The nurse explains that one common feature of children who die of SIDS is that: A. The infants had a high birth weight B. Death occurs during sleep C. Most deaths occur in hot, humid weather D. Most deaths are in female infants

B. Death occurs during sleep

Which statement made by a parent indicates an understanding of health maintenance of a child with sickle cell disease? A. "He shouldn't receive any immunizations until he is older.' B. "It is important for my child to drink plenty of fluids."

B. "It is important for my child to drink plenty of fluids."

What interventions would the nurse preparing a teaching plan for the care of a child with infantile eczema include? A. Apply lanolin-based lotions after the bath B. Add bath oil to bath water after the child has soaked C. Bathe child several times a day. D. Bathe the child using products with a fragrance E. Use oatmeal and baking soda as bath additives

B. Add bath oil to bath water after the child has soaked E. Use oatmeal and baking soda as bath additives

A 13-year old girls tell the nurse she is concerned because she has not had her first menstrual period. What is the best initial response from the nurse? A. Could you be pregnant B. Age of first menstrual cycle varies C. Do not worry about it

B. Age of first menstrual cycle varies

What guideline should an adult follow when speaking to a toddler?

B. Be at eye level with the child.

The parents of a 3-month-old infant with cystic fibrosis (CF) want to know how their child got this disease, because no one in either of their families has CF. What is the nurse's best response based on the understanding of CF? A. ,The inheritance pattern is multifactorial. B. Both parents are carriers of the CF gene. C. Only one parent carries the CF gene. D. The result is probably a genetic mutation.

B. Both parents are carriers of the CF gene.

The nurse assessing a 10-year-old child diagnosed with coarctation of the aorta anticipates that this child will have A. A harsh diastolic murmur B. Bounding pulses in the upper extremities and weak pulses in the lower extremities C. Edema in the lower extremities D. Chest pain on exertion

B. Bounding pulses in the upper extremities and weak pulses in the lower extremities

A parent remarks, "My 18-month-old daughter carries her blanket around everywhere. Is it normal?" What is the best explanation a nurse who has an understanding of toddler development might given? A. This behavior can be discouraged by offering new toys to the child. B. Carrying her favorite blanket is self-consoling behavior C. This could be indicative of emotional distress D. She carries her blanket because she is ritualistic

B. Carrying her favorite blanket is self-consoling behavior

The parents of a newborn girl express concern about the infants vaginal discharge, which appears to be bloody mucus. What does the nurse explain as the cause? A.trauma to the genitalia during the birth process B. Cessation of female sex hormone transferred in utero from mother to infant C. Premature stimulation of the ovarian hormones by the pituitary system D. The increase amount of circulating blood from the mother throughout pregnancy.

B. Cessation of female sex hormone transferred in utero from mother to infant

The nurse is assessing Apgar score on a newborn. What will be evaluated? A.Weight B. Color C. Heart rate D. Respiration E. Reflexes.

B. Color C. Heart rate D. Respiration E. Reflexes.

When the post-tonsillectomy patient is tully awake, the nurse may offer: A. Small sips of orange juice B. Cool sweetened tea C. A strawberry popsicle D. Cold carbonated aninks

B. Cool sweetened tea

A child is diagnosed with nonparalytic strabismus. How will this disorder most likely be corrected? A. Laser treatment B. Corrective lenses C. No treatment is necessary D. Surgery

B. Corrective lenses

A child has just been diagnosed with acute lymphoblastic leukemia. What is the result of an overproduction of immature white blood cells in the bone marrow? A. Decreased -cell production B. Increased susceptibility to infection C. Increased blood clotting D. Decreased hemoglobin

B. Increased susceptibility to infection

A 4-year-old child insists he has more money with a nickel than his father has with a dime. What is this perception, as described in Piaget's theory? A. Intuition B. Animism C. Egocentrism D. Artificialism

B. Intuition

A mother reports that her child has been scratching the anal area and complaining of itching. What does the nurse suspect based on this information? A. Giardiasis B. Pinworms C. Ringworms D. Roundworms

B. Pinworms

The nurse is planning to teach about preventing SIDS. What significant information would the nurse include? A. Positioning the infant prone for sleep B. Placing infant on their back to sleep C. Wrapping the infant snugly for rest period D. Sitting the infant up in an infant seat

B. Placing infant on their back to sleep

The nurse is interviewing parents of an infant with pyloric stenosis. What would the nurse expect the parents to report? A. Poor appetite B. Projectile vomiting C. Constipation D. Diarrhea

B. Projectile vomiting

The parents of a 9-month-old child who has been diagnosed with coarctation of the aorta are anxious to have the defect repaired quickly. The nurse's best response will be based on the knowledge that? A. The repair will be done in stages over a period several months B. Repair at such an early age will almost assure recurrence C.Surgical repair is the only option D.The repair can be done when the child has tripled the birth weight

B. Repair at such an early age will almost assure recurrence

The mother of a 5-year-old child taking prednisone for nephrotic syndrome tells the nurse he needs to get immunizations to enter kindergarten. What does the nurse clarify about receiving immunizations while on prednisone? A. Can interfere with the treatment for nephrosis B. Should be delayed. C. Require that the child have antibiotic coverage. D. Can be given in smaller, divided doses

B. Should be delayed.

The nurse is documenting the pediatrician's assessment of a female patient, When assessing Tanner's stages of breast development there is evaluation of papilla only. What stage of development will the nurse document. A. Stage 2 B. Stage 1 C. Stage 3 D. Stage 4

B. Stage 1

Which allergy would contraindicate the use of silver sulfadiazine(Siivadene) as a topical agent for burns? A. Iodine B. Sulfa C. Tetanus immunization D. Penicillin

B. Sulfa

What deficiency causes a preterm infant respiratory distress syndrome? A. Hyaline B. Surfactant C. Estrogen D. Protein

B. Surfactant

A frightened mother calls the pediatrician's office because her child swallowed dishwashing detergent. What is the most appropriate action? A. Give the child activated charcoal mixed with juice. B. Take the child to the local emergency department

B. Take the child to the local emergency department

What would the nurse teach parents to do in order to avoid diaper rash? A. Keep perineum covered at all times. B. Use disposable diapers. C. Avoid plastic bloomers or pants D. Use ointments E. Change diaper frequently.

B. Use disposable diapers. C. Avoid plastic bloomers or pants D. Use ointments E. Change diaper frequently.

What would be an expected finding when assessing language development in a 2-year-old child? A. Use of pronouns and prepositions B. Use of two-word sentences C. A 900-word vocabulary D. 100% of speech is understandable

B. Use of two-word sentences

An adolescent girl with acne is being treated with an antibiotic in addition to topical applications. What side effect does the nurse caution the girl to expect? A. Breast engorgement B. Vaginitis C. Urinary burning and frequency D. Cough and congestion

B. Vaginitis

What would the nurse consider an abnormal finding on a musculoskeletal assessment of a 4-year, old child? A. Appears to have flat feet B. Walks on the toes C. Swings his arms when walking, D. Has inward-turned knees while standing

B. Walks on the toes

What action does the nurse implement to protect newborns from infection while in the nursery?

B. Wash hands before touching each infant.

A mother reports that her 2-year-old child experiences constipation frequently. Which food would the nurse recommend to include in the 12 child's diet? A. Cooked vegetables B. Whole-grain cereal C. Pretzels D. Yogurt

B. Whole-grain cereal

Which statement by a mother may indicate a cause for her 9-month-old's iron deficiency anemia? A. "She doesn't really like peaches or pears, so we stick to bananas for fruit.' B. "I give her a piece of bread now and then. She likes to chew on it.' C. "Formula is so expensive. We switched to regular milk right away." D."She almost never drinks water."

C. "Formula is so expensive. We switched to regular milk right away."

Which statement made by a parent indicates an understanding of the topical application or medications for a skin condition? A. l apply the medication after I give my child a bath. B. I increased the amount of cream because the rash was not improving C. "I apply the medication after I give my child a bath D. "I use powder and cornstarch to keep the skin dry

C. "I apply the medication after I give my child a bath

A 13 year old boy states, "The girls in my class tower over me." What would be the nurse's most informative response? C. "It may seem that way because girls have a growth spurt 2 years earlier than boys."

C. "It may seem that way because girls have a growth spurt 2 years earlier than boys."

The nurse is speaking to the parent of a 3-year old child who has mild diarrhea. What dietary modification would the nurse advise? A. Chicken soap because it is high in sodium B. Small amount of clear fluids such as gelatin C. An oral rehydration solution, such as Pedialyte

C. An oral rehydration solution, such as Pedialyte

The nurse outlines precautions parents can take to prevent SIDS, which include? A. Using a device to maintain the baby s sleep position B. Using a solt, comtortable mattress C. Avoiding soft objects and loose bedding

C. Avoiding soft objects and loose bedding

An infant is experiencing dyspnea related to patent ductus arterioasus. What does the nurse understand regarding why dyspnea occurs:? A. Blood is shunted past cardiac arteries, causing myocardial hypoxia B. Blood is shunted past the pulmonary circulation, causing pulmonary hypoxia C. Blood is circulated through the lungs again, causing pulmonary circulatory congestion D. Blood is circulated through the ductus from the pulmonary artery to the aorta, bypassing the left side of the heart

C. Blood is circulated through the lungs again, causing pulmonary circulatory congestion

What would the nurse include in a teaching plan about mouth care of a child receiving chemotherapy? A. Avoid use of a Water-Pik. B. Inspect the mouth weekly for ulcerations. C. Clean teeth with a soft toothbrush.

C. Clean teeth with a soft toothbrush.

What is the most appropriate classroom intervention for a child with attention-deficit hyperactivity disorder (ADHD) for the school nurse to suggest? A. Seat the child in the back of the room to prevent distractions for other children B. Separate the child from others to increase his focus on schoolwork C. Divide work assignments into shorter periods with breaks in between D. Pair the child with a student buddy to offer reminders to pay attention

C. Divide work assignments into shorter periods with breaks in between

What classic sign would the nurse, auscultating the breath sounds of a child hospitalized for an acute asthma attack, expect to find? A.Decreased breath sounds at lung bases B. Fine crackles C. Expiratory wheezing

C. Expiratory wheezing

What is the best way for the nurse to communicate with a 10-year-old child who has a hearing impairment? A. Let the child's parents communicate for her. B. Use gestures and signs as much as possible C. Face the child and speak clearly in short sentences. D. Recognize that the child's ability to communicate will be on a 6-year-old child's level.

C. Face the child and speak clearly in short sentences.

The nurse is educating a group of preschool parents about the importance of safety. Which statement by a parents indicate the need for further education? A. Medications are kept in a lock cabinet B. I continue to provide a great deal of indirect supervision for my child C. I only leave my child in the car for brief moments D. My stairway is always free of clutters

C. I only leave my child in the car for brief moments

What statement by an 11- year-old child leads the nurse to determine he has moved from the mind-set of egocentrism. A. I am a member of the best club scout group in the world B My dad can do anything C. Im sorry. I bet that hurt your feelings D. I must do my homework before I can play.

C. Im sorry. I bet that hurt your feelings

The nurse is performing a neurovascular check on a limb in traction would report and document which finding(s) as indicative of altered circulation? A. Pulse is equal to uncasted limb. B. Patient is aware of touch and warm and cold application C. Limb is cool to the touch D. Distal limb can flex and extended E. Capillary refill is 5 seconds

C. Limb is cool to the touch E. Capillary refill is 5 seconds

A mother asked the nurse, "Do you think my baby recognized my voice?" The nurse should consider which correct information when responding? A. Voice recognition is delayed because the ears are not well developed at birth B. Infants initially respond low-pitched voices. C. Neonates can distinguish a mother's voice from other sounds in the first days of life. D. Infants respond to voice by increasing movements and sucking.

C. Neonates can distinguish a mother's voice from other sounds in the first days of life.

The nurse observed three toddlers play side by side with dolls. Closer observation revealed that the children were not interacting with one another. What type of play is this? A. Solitary B. Associative C. Parallel D. Cooperative

C. Parallel

What might the nurse explain as a common treatment for amblyopia? A. Using corticosteroids to treat inflammation of the optic nerve B. Using glasses that will slightly blur the image for the good eye C. Patching the good eye to force brain to use the affected eye D. Patching the affected eye allow the refractory muscle to rest

C. Patching the good eye to force brain to use the affected eye

What is an initial sign of nephrosis that the nurse might note in a child? A. Raspberry-like rash B. Abdominal pain C. Periorbital edema D. Temperature elevation

C. Periorbital edema

The most recent blood count for a child who received chemotherapy last week shows neutropenia. What is the priority nursing diagnosis for this child? A. Altered skin integrity B. Disturbance in body image C. Risk for infection D. Risk for hemorrhage

C. Risk for infection

A mother calls the pediatrician's office because her infant is "colicky." What is the most helpful measure the nurse can suggest to the mother? A. Place the infant in a well lit room B. Walk around and massage the infants back C. Rock the fussy infant slowly and gently D. Sing songs to the infants in a soft voice.

C. Rock the fussy infant slowly and gently

What symptom assessed in the newborn shortly after delivery should be reported? A. irregular heart rate B. Mucus drainage from the nose C. Sternal or chest retractions D. Cyanosis of the hands and feet

C. Sternal or chest retractions

How is a gateway substance defined? A. Drug used to wean from stronger drugs B. Nonaddictive drug used daily C. Substance that can lead to use of stronger drugs

C. Substance that can lead to use of stronger drugs

Which assessments would cause the pediatric nurse to suspect the probability of an ear infection in a 6-month-old child? A. Hypersensitivity to noise B. Ecchymotic ear canal C. Temperature of 39.4° C (103° F) D. Rolls head from side to side E. Irritability

C. Temperature of 39.4° C (103° F) D. Rolls head from side to side E. Irritability

The nurse explains that a male child with hemophilia A has inherited the disease from: A. grandmother B. The father C. The mother D. Grandfather

C. The mother

A mother is concerned because her 9-year-old has developed the habit of twitching his eyes and flipping his hair while communicating with anyone. What is the best nursing response to this parent. A. Children sometimes do these things for attention. B. this may indicate that he needs eyeglasses C. Tics appear when a child is under attention D. This behavior suggest low self-esteem

C. Tics appear when a child is under attention

The nurse is documenting a description of a skin assessment. What term can be used for an elevated, fluid-tilled blister? A. Wheal B. Papule C. Vesicle D. Pustule

C. Vesicle

What will the nurse expect when assessing the anterior fontanelle of a healthy, full term newborn? A. Triangular shape B. Depressed and sucken C. open and diamond shaped D. Smaller than the posterior fontanelle.

C. open and diamond shaped

The nurse is planning to explain the use of time-outs to the parent of a 3-year-old child. How many minutes will the nurse indicate is appropriate for a child of this age? A. 6 B. 15 C. 3 D. 10

C.3

Parents are speaking with the urologist about their son's undescended testicle. Which statement by the child's father causes the nurse to determine he understands the information presented? A. Surgical correction reduce the risk for testicular tumors B. "The optimal time to surgically correct the condition is at diagnosis C. "The testicle usually descends spontaneously during the first month of life D. "An undescended testicle can reduce fertility.

D. "An undescended testicle can reduce fertility.

Why does a child's fracture heal more rapidly than the adult's? A.A child's bones are not affected by bone overgrowth B. A child's bones are covered by a thicker periosteum C. A child's bones are less porous than adult bone D. A child's bones have faster callus formation.

D. A child's bones have faster callus formation.

The nurse giving a liquid iron preparation to a 5-year-old child with iron-deficiency anemia would take the precaution of: A. mixing the drug with ice cream to hide the taste B. Diluting the drug with milk C. Giving the drug with meals D. Administering the drug through a straw

D. Administering the drug through a straw

The nurse is measuring the vital signs of a calm, full-term newborn. Which finding is abnormal? A. Blood Pressure of 80/50 mm Hg B. An axillary temperature of 98 C. Respirations of 35/min D. An Apical pulse of 178 beats/minutes

D. An Apical pulse of 178 beats/minutes

What intervention is appropriate for a nurse assessing a preadolescent child for scoliosis? A. Observe the gait while the child is walking forward heel to toe. B. Have the child flex the knees and look for uneven knee height. C. Look at the Childs shoulders and hips while fully clothed. D. Ask the child to bend forward at the waist and observe the child's back for asymmetry

D. Ask the child to bend forward at the waist and observe the child's back for asymmetry

The nurse is planning to teach parents about prevention of Reyes syndrome. What information would the nurse include in this teaching? A. Use aspirin instead of acetaminophen for children with viral illness. B. Get the child tested for Reve's syndrome if the child exhibits fever, vomiting, and lethargy C. Advise parents to have their children immunized against Reye's syndrome. D. Avoid giving salicylate-containing medications to a child who has viral symptoms

D. Avoid giving salicylate-containing medications to a child who has viral symptoms

The nurse would observe a child for frequent swallowing after a tonsillectomy and adenoidectomy (T&A). What might this indicate? A. Pain at the incision area B. Potential vomiting C. Sore throat from postnasal drip D. Bleeding from the surgical site

D. Bleeding from the surgical site

What does the nurse explain that a ventricular septal defect will allow A. No shunting because of high pressure in the left ventricle B. Blood to shunt right to left, causing decreased pulmonary flow and cyanosis C. Increased pressure in the left atrium, impeding circulation of oxygenated blood in the circulating volume D. Blood to shunt left to right, causing increased pulmonary flow and no cyanosis

D. Blood to shunt left to right, causing increased pulmonary flow and no cyanosis

A preterm infant has a yellow skin color and a rising bilirubin level. The nurse knows that this infant is at risk for what? A. Skin breakdown B. Renal failure C. Heart failure D. Brain damage

D. Brain damage

What description of a child's stool characteristic leads the nurse to suspect intussusception. A. black and tarry B. Green liquid C. Greasy and foul-smelling D. Currant jelly

D. Currant jelly

How does the nurse characterize the play of 5-year-old children? A. Preferring inside activities B. Playing well-organized games C. Enjoying rough and tumble play. D. Following rules

D. Following rules

What should the nurse suggest before a 17-year-old girl starts a protocol of isotretinoin (Accutane) for her acne? A. Increase exposure to sunlight. B. Limit intake of chocolate, cola, and peanuts C. Increase the dose of the present medication D. Get a prescription for oral contraceptives

D. Get a prescription for oral contraceptives

The parent of a toddler tells the nurse, "My daughter's appetite has decreased. Thank goodness she loves milk." What is the most appropriate response by the nurse? A. Has she become a fussy eater B. Has your daughter been sick recently C. Have you tried offering her finger foods D. How much milk does she drink in a day

D. How much milk does she drink in a day

What statement by a patient's mother leads the nurse to determine she understands instructions about administering an oral antibiotic for otitis media? A. I will share the medicine with siblings if their symptoms are the same B. "I will continue using the medication until symptoms are relieved C. I will give the medication with a glass of milk D. I will administer prescribed doses until all the medication is used

D. I will administer prescribed doses until all the medication is used

A child with diabetes is brought to the emergency department. He is flushed and drowsy, and his skin is dry. His father states that the child has been feeling progressively worse since the morning. What is this child most likely experiencing? A. Water intoxication B. Dawn syndrome C. Somogyi phenomenon D. Ketoacidosis

D. Ketoacidosis

A child is sent to the school nurse for assessment because she comes to school every day disheveled, unbathed, and hungry. The assessment does not indicate any bruises or marks on the body. What do these finding indicate? A. Physical abuse B. Sexual abuse C. Emotional abuse D. Physical neglect

D. Physical neglect

A 7-month-old infant is admitted to the hospital with a diagnosis of acute gastroenteritis. What will be the nurse's priority goal of the infant's care? A. Prevent malabsorption. B. Prevent skin breakdown. C. Prevent nutritional deficiency. D. Prevent fluid and electrolyte imbalance.

D. Prevent fluid and electrolyte imbalance.

A 13-year-old tells the school nurse that she is getting fat, especially in her hip and legs. What understanding by the nurse would best guide the response? A. Many adolescents are unaware of proper nutrition B. Adolescents of this age become less active and should eat fewer calories C. As soon as menarche occurs, she will lose this excess weight D. Puberty is often precede by fat deposits in these areas.

D. Puberty is often precede by fat deposits in these areas.

A first-time mother reports that she is experiencing difficulty breastfeeding her newborn. Which neonatal reflex would the nurse teach the mother to elicit to facilitate breastfeeding? A. Grasping B. Tonic neck C. Sucking D. Rooting

D. Rooting

A father asks why his child with tetralogy of Fallot seems to favor a squatting position. What is the nurse's best response? A. Squatting increases the workload of the heart. B. Squatting decreases arterial blood flow away from the heart. C. Squatting is a common resting position when a child is tachycardic D. Squatting increases the return of venous blood back to the heart.

D. Squatting increases the return of venous blood back to the heart.

An adolescent male is admitted to the ED with severe acute scrotal pain. When documenting medical history the nurse notes cryptorchidism at birth. What diagnosis does the nurse expect? A. Nephrosis B. Urinary tract intection C. Phimosis D. Torsion

D. Torsion

A 6-year-old child with daytime enuresis complains of dysuria and urgency. What does the nurse recognize these signs and symptoms indicate? A. Nephrotic syndrome B. Vesicoureteral reflux C. Acute glomerulonephritis D. Urinary tract infection

D. Urinary tract infection

A parent tells the nurse that her child is scheduled for an x-ray of the bladder and urethra that is done while the child is urinating. What is this test known as? A. Cystometrogram B. Cystoscopy C. Intravenous Nyelogram D. Voiding Cystourethrogram

D. Voiding Cystourethrogram

What will the nurse administer with ferrous sulfate drop when providing them to a child on the pediatric unit? A. With milk B. With water C. On a full stomach D. With orange juice

D. With orange juice

Which statement made by a parent indicates the need for further teaching about strategies to control itching for the infant with eczema? A. "I should avoid laundry detergents with fragrances B. "I put cotton loves on the infants hands. C. The infants fingernails are kept short " D. Wool is the best fabric for the infant's clothing

D. Wool is the best fabric for the infant's clothing

How many hours should toddlers be able to stay dry for the nurse to suggest if they are ready to begin bladder training? A. 4 B. 1 C. 3 D. 2

D.2

A child Is brought to the emergency department with burns on the face and chest. What is the nurse's first priority? A.Insert a Foley catheter B. Administer pain medication C. Remove clothing D.Assess respiratory status.

D.Assess respiratory status.

The mother of a 4-day-old calls the pediatricians office because she is concerned about her infants skin. Which finding needs to be reported promptly to the child's pediatrician? A.Today, the infants skin has a yellowish tinge.

Today, the infants skin has a yellowish tinge.

What noninvasive forms of pain relief might a nurse implement with a newborn? (Select all that apply.) a. Swaddling b. Rocking c. Offering a pacifier d. Distraction e. Cuddling

a. Swaddling b. Rocking c. Offering a pacifier e. Cuddling

When the newborns crib was moved suddenly, the nurse noticed that his legs flexed and arms fanned out, and then both came back toward the midline. How would the nurse interpret this behavior? a. The Moro reflex b. The grasp reflex c. An abnormality of the musculoskeletal system d. A neurological abnormality

a. The Moro reflex

The nurse is providing instructions about how to treat a sprained ankle. What statement by the mother does the nurse recognize as indicative of a need for additional teaching? a. Keep the lea elevated when sitting." b. "Put an ice pack on the ankle, alternating 30 minutes on with 30 minutes off." c. "Apply warm compresses to the ankle for the first 24 hours d. "Wrap the ankle in an Ace bandage for support."

c. "Apply warm compresses to the ankle for the first 24 hours

Why are infants more vulnerable to fluid and electrolyte imbalances than adults? a. They have a smaller surface area than adults in proportion to body weight. b. Water needs and losses per kilogram are lower than those for adults. c. A greater percentage of body water in infants is extracellular. d. Infants have a lower metabolic turnover of water.

c. A greater percentage of body water in infants is extracellular.

What fear is unique to the preschool period? a. Water b. Animals c. Bodily harm d. Death

c. Bodily harm

Parents ask the pediatric nurse how school life might influence their growing child. What area of development will the nurse indicate that school affects the least? a. Moral development b. Social development c. Physical development d. Cognitive development

c. Physical development

Neurovascular vascular checks are performed when a child has a cast on their arm for a broken bone.

true