Pedi Final

The nurse is presenting an in-service training to a group of pediatric nurses on the topic of play. The nurse determines the session is successful when the group correctly chooses which example as best displaying toddlers playing?

Playing independently and are side by side

The nurse is preparing to participate in a community discussion on the needs of the adolescents in the local school. The nurse should point out which goal is the primary concern for these young individuals as the committee makes plans?

Teens are busy developing their own personal identity.

The nurse is administering a PRN pain medication to a child. What is the highest priority for the nurse in this situation?

The nurse checks the last time the medication was given.

The nurse is caring for an 8-year-old hospitalized child who is visually impaired. Which nursing intervention would be the highest priority in helping this child reduce anxiety related to hospitalization?

The nurse talks to the child when entering and leaving the room.

The nurse is teaching a group of nursing students about genitourinary conditions. The nurse tells these students about a condition that occurs when there is an inflammation of the kidney and renal pelvis. The condition the nurse is referring to is:

pyelonephritis.

A 6-year-old male has come to the clinic for a routine well-child visit. The nurse, after noting in the medical record that this child has followed basic growth and development standards, anticipates documenting which common assessment finding?

swayed back

The school nurse is discussing obesity with a group of caregivers of school-aged children. Which statement by the caregivers best illustrates that they are prepared to help their child prevent obesity?

"I always cook foods that are low in fat."

The nurse is caring for a 4-year-old who is upset that the nurse is leaving at the end of a shift. Which statement by the nurse will most help the child understand why the nurse is leaving?

"I have a 4-year-old son and I need to go play with him."

In a preadmission visit, a 9-year-old girl says she is afraid her tonsillectomy will hurt too much. Which statement by the nurse would be best to help the child feel more comfortable and less afraid?

"I understand that you're worried. It will hurt for only a few days; we'll give you something to help stop the pain when you need it."

Which statement by a parent would best prepare the toddler for the parent's return if the parent must leave the hospital?

"I will be back after you eat your dinner and SpongeBob goes off."

The nurse is teaching an in-service program to a group of nurses on the topic of children diagnosed with sickle cell disease. The nurses in the group make the following statements. Which statement is most accurate regarding this condition?

"If the trait is inherited from both parents the child will have the disease."

A nurse is reviewing important concepts related to bathing and tub baths with a parent of a toddler. Which statement by the parent indicates the need for additional teaching?

"It's okay to let my toddler take bubble baths and play in the bubbles."

The nurse is preparing a safety presentation for a health fair for families. Which instruction should the nurse prioritize when illustrating car safety and the family?

"Set a good example. Wear your own seat belt every time you drive."

The nurse instructor is reviewing the integumentary system during a presentation to a group of student nurses. Which statement made by the instructor is the most accurate regarding the integumentary system?

"The largest organ of the body helps regulate body temperature."

The nurse takes a call from a concerned mother whose infant received routine immunizations the day before and now has a temperature of 101°F (38.3°C), is fussy, and pulling at the injection site. The mother wants to know what she should do. Which is the best response from the nurse to this mother?

"This is a common reaction. Give your child acetaminophen, cuddle him, and apply a cool compress to the injection site."

A urine specimen has been ordered for a 1-year-old girl. Which method would be the best way for the nurse to obtain this urine specimen?

Place a sterile cotton ball into the child's diaper; after the child has urinated, squeeze the urine from the cotton ball into a sterile container to be sent to the lab.

The nurse is presenting an in-service on the types of playing that children may engage in. The nurse determines the session is successful when the attending nurses correctly choose which example as representing cooperative play?

Playing in an organized group with each other.

The nurse is presenting nutritional information at a community health fair. Which suggestion should the nurse prioritize when illustrating proper nutrition for preschoolers?

Snacks throughout the day help the child meet nutritional requirements

A child is brought to the emergency department for evaluation. The caregiver states, "The child was running and tripped over the scooter on the sidewalk and landed on the left arm." The nurse assesses and records the findings (above). The nurse suspects child abuse (child mistreatment) and notifies the proper authorities. Which finding(s) will the nurse use to support this suspicion? Select all that apply.

Spiral fractures Bruises on the thighs Bruises on upper back

The nurse is admitting a child to the intensive care unit. The child arrives with a cardiac monitor, pulse oximeter, and an IV infusion. As the nurse begins collecting data on the child, which nursing interventions should the nurse prioritize?

Verify that the alarms on the monitor are still properly set.

Which action by the nurse providing end-of-life care to a preschool-aged client best promotes comfort?

arranging for a bed to allow the parent to lie with the child

When caring for an infant who is hospitalized with Haemophilus influenzae meningitis, an important nursing intervention for the child would be for the nurse to:

check the child's neurologic status every 2 hours.

Which is the best determination of the family's ability to manage a chronic condition?

family's coping ability

The nurse caring for a child who has been put into a leg cast must be on the alert for signs of nerve and muscle damage. Which symptom might be an early warning signal that the child has developed compartment syndrome? The child:

feels increasing severe pain.

As part of an admission to the pediatric floor, the nurse gathers a lifestyle history. What components would be included in this part of the client history? Select all that apply.

habits such as thumb sucking or nail biting the child's grade in school custody of the child if parents are divorced

A first-time parent asks the nurse what toys would be appropriate for her son's second birthday next month. What recommendations would be nurse make?

play lawn mower

A nurse admits an infant with a possible diagnosis of congestive heart failure. Which signs or symptoms would the infant most likely be exhibiting?

Feeding problems

In caring for a child who has been admitted after being sexually abused, which intervention would be included in the child's plan of care?

Observe for signs of anxiety.

The nurse is preparing a presentation for a local health fair depicting the differences in maturity between preadolescents. Which differing factor should the nurse prioritize in the presentation?

Boys grow at a slower, steadier rate than do girls.

The nurse is caring for a child in the emergency department who is on a cardiac monitor. Which nursing action should the nurse prioritize?

Confirm the alarms are set with maximum and minimum settings.

The nurse is admitting a 10-year-old child the night before surgery, and the child is very concerned about what will happen. Which action should the nurse prioritize in caring for this child to minimize the possible trauma related to this hospitalization?

Encourage the child to ask questions and express fears.

The caregivers of a child report that their child had a cold and complained of a sore throat. When interviewed further they report that the child has a high fever, is very anxious, and is breathing by sitting up and leaning forward with the mouth open and the tongue out. The nurse recognizes these symptoms as those seen with which disorder?

Epiglottitis

The nurse asks the parents of a child about the family health history. The father asks the nurse why she needs his information. The nurse would explain that the family health history is gathered for what reason?

Identifying risk factors in families decreases the child's risk of developing the same conditions or health problems.

The parents of a 16-year-old male are worried about recent changes in his behavior, ignoring his schoolwork and sports, and spending almost all of his free time interacting with his girlfriend. Which suggestion should the nurse point out would best address this situation?

He has developed his own identity by now; being able to establish close relationships with girls is important preparation for all of his adult relationships. They should honor his need to be with, or talk to, his girlfriend as long as he has completed his schoolwork for the day.

The nurse has been assigned to care for a child who is on transmission-based precautions. This nurse has not cared for this child before. Which action would be the best way to help the child feel comfortable with the nurse?

Let the child see the nurse's face before the mask is put on.

The nursing instructor is leading a class discussion on the various aspects of adolescents. The instructor determines the class is successful after the students correctly choose which milestone as the beginning of adolescence?

The beginning of puberty

The nurse is assisting with a physical exam on a child who has been admitted with a diagnosis of possible child abuse (child maltreatment). Which finding might alert the nurse to this possibility that the child may have been abused?

The child has a burn that has not been treated.

The mother has presented to the pediatric clinic with her 1-year-old infant for the next round of immunizations. The nurse would question administering the immunizations if which situation is noted on assessment?

The infant is being treated for a case of eczema.

When caring for a child who has a urinary tract infection, which nursing interventions would be most appropriate. Select all that apply.

The nurse observes for signs of pain or burning on urination. The nurse administers antipyretics as needed. The nurse monitors intake and output.

The nurse is caring for a child with an elevated temperature. Which of the following nursing interventions would be the highest priority in caring for this child?

The nurse should monitor the child for seizure activity.

The nurse is conducting teaching with the caregivers of a child who is being discharged from the pediatric unit. The care provider has recommended the child have moist heat applications at home. In conducting teaching with this caregiver, the nurse will teach the caregiver to use which of the following to provide the moist heat?

towels dampened with hot water

The nurse is collecting data from the caregivers of a child who is suspected of having a food allergy. Which clinical manifestation would likely have been noted in this child?

urticaria and pruritus