PEDIATRIC COMPLETE STUDY SET

What information would be included in a teaching plan for a child with asthma? a. avoid exercise and sports activities b. keep house humidity about 50% c. identify early signs of an asthma attack d. decrease the amount of liquids taken after 6:00 pm

identify early signs of an asthma attack

The nurse determines a parent understands instructions when she tells the nurse first-aid treatment of a partial-thickness burn should include A. application of butter B. immersion in cold water C. maintaining exposure to clean air D. breaking the blisters

immersion in cold water

Immediate nursing care of a child with hemophilia who has hemarthrosis includes A. application of heat B. active and passive range-of-motion exercises C. immobilization of the area of pain D. withholding factor VIII

immobilization of the area of pain

While the child with nephrotic syndrome is being treated, he or she should not receive A. antihistamines B. immunizations C. diuretics D. analgesics

immunizations

The nurse is aware that a fracture involving the epiphyseal plate in a long bone can result in A. reduced red blood cell production B. excessive calcium storage C. impaired bone growth D. delayed bone healing

impaired bone growth

A 3 year old boy was seen in the clinic by the health care provider and diagnosed with pneumonia. Amoxicillin for 10 days was prescribed, with a follow-up visit in 2 weeks. Choose the priority parent teaching. a. avoid giving cough medication at naptime or bedtime b. importance of taking all of the prescribed amoxicillin c. wrap snugly in blankets until fever breaks d. room-temperature, fizzy drinks enhance amoxicillin absorption

importance of taking all of the prescribed amoxicillin

An appropriate intervention for a child with bronchiolitis is a. isolation b. increased fluids c. placing the child for sleeping d. dry environment

increased fluids

The administration of prednisone to children with nephrosis creates the problem of a. intolerance to foods b. increased risk of infection c. increased periorbital edema d. weight loss

increased risk of infection *Because steroids mask signs of infection, the patient much be watched closely for more subtle symptoms of illness.

Which is a priority nursing diagnosis in a child admitted with acute asthma? a. risk for infection b. imbalanced nutrition c. ineffective breathing pattern d. disturbed body image

ineffective breathing pattern

A common manifestation of an allergy in a neonate is A. port wine stain B. infantile eczema C. strawberry nevus D. mongolian spots

infantile eczema

Which skin condition is not contagious? A. impetigo B. Staphylococcus aureus infection C. infantile eczema D. pediculosis

infantile eczema

The nurse recognizes which as symptoms of meningitis? a. intense thirst and stiff neck b. hyperactivity and vomiting c. irritability and malaise d. loss of vision and malaise

irritability and malaise

A child who has had heart surgery returns to the pediatric unit with a chest tube and drainage bottles in place. What is a priority nursing responsibility when caring for a child with chest tubes? A.) empty the chest tube drainage bottles each shift B.) clamp the chest tubes when turning the patient C.) place the drainage bottles on the bed when moving the bed D.) keep the drainages bottle below the chest level at all times

keep the drainages bottle below the chest level at all times

An appropriate nursing intervention for an infant with bacterial meningitis is to a. restrain the infant when awake b. position the infant on the right side c. keep the room quiet and indirectly lit d. place in isolation until discharged

keep the room quiet and indirectly lit

An infant with tetralogy of Fallot becomes hypercyanotic. The nurse would place an infant in the ________ position. A. High Fowler's B. Trendelenburg C. Side-lying D. Knee chest

knee chest

A child appear apathetic and weak. HIs growth is below normal for his age. There is a white streak in the child's hair. The nurse recognizes these signs as characteristic of A. rickets B. scurvy C. gastroesophageal reflux D. kwashiorkor

kwashiorkor

IV fluid usually given for burns

lactated ringers

The nurse should explain to parents that infants are more susceptible to accidental ingestion of foreign bodies because they are A. often left unattended B. likely to put everything in their mouths C. constantly hungry D. seeking parental attention

likely to put everything in their mouths

The organ damaged by acetaminophen poisoning is the A. gallbladder B. pancreas C. liver D. stomach

liver

What is the priority for the care of a child with decreased level of consciousness resulting from a head injury? a. maintain a patent airway b. prevent skin breakdown c. monitor fluid balance d. Perform passive range of motion exercises

maintain a patent airway

A child who is in a vasoocclusive crisis caused by sickle cell anemia is experiencing acute pain. The nurse understands that Demerol (Meperidine) is not an appropriate pain medication to administer to this child because it: A. is very addictive B. is not strong enough C. may induce seizures D. cannot be given by mouth

may induce seizures

A priority in changing the dressing of a burn patient is A. asking the parents to leave the room B. medicating for pain prior to the procedure C. limiting the number of dressing changes D. doing the procedure in the child's room

medicating for pain prior to the procedure

An infant brought to the emergency department with a high fever, irritability, and a high-pitched cry would immediately be evaluated for a. retinoblastoma b. Reye's syndrome c. neuroblastoma d. meningitis

meningitis

An appropriate nursing intervention for the child admitted to the hospital in sickle cell crisis would be to A. apply ice to painful areas B. encourage the child to ambulate C. provide foods high in iron at meals D. monitor the child's response to analgesics

monitor the child's response to analgesics

Children receiving steroids for nephrosis should be A. placed on antibiotics before there are signs of an infection B. isolated from other children receiving steroids C. monitored closely for signs of infection D. taken off the medication after 1 week

monitored closely for signs of infection

Iron supplement absorption is increased by taking it with A. orange juice B. cereal C. milk D. eggs

orange juice

Why is pain relief important for the burn patient? A. it prevents discomfort B. the child must be kept from crying C. parents become upset D. pain contributes to shock

pain contributes to shock

Which is a sign of a UTI in a 6 year old child? A. proteinuria B. perineal rash C. hematuria D. pain during urination

pain during urination

Children with Hodgkin's disease usually present with a(n) A. unexpected sudden weight gain B. painless cervical neck lump C. enlarged abdomen D. high fever

painless cervical neck lump

The nurse is assessing a child admitted with possible Kawasaki disease. A characteristic sign of symptom that the nurse should observe and document would be A. cardiac dysrhythmia B. decreased urine output C. peeling skin on fingers D. decreased level of consciousness

peeling skin on fingers

A nurse is caring for a child who is suspected to have Enterobius vermicularis. Which of the following actions should the nurse take? A. perform a tape test B. Collect stool specimen for culture C. Test the stool for occult blood D. Assist with initiating an infusion of IV fluids

perform a tape test

Signs and symptoms that might indicate that a child has ITP include A. headaches and hematuria B. anemia and purpura C. petechiae and purpura D. hematuria and petechiae

petechiae and purpura

The priority nursing intervention when administering Dilantin (phenytoin) to a patient diagnosed with epilepsy is a. recording the blood pressure b. providing detailed oral hygiene c. encouraging bed rest d. administering the drug milk

providing detailed oral hygiene

When administering digoxin (Lanoxin) to an infant, the medication should be withheld and the health care provider notified if the A. pulse rate is below 60 beats/min B. infant is dyspneic C. pulse rate is below 100 beats/min D. respiratory rate is above 40 breaths/min

pulse rate is below 100 beats/min

A 7 month old child had a febrile seizure. Which statement would the nurse give to the infant's parents?' "febrile seizures: a. rarely occur before an infant's first birthday." b. indicate a permanent, underlying neurologic problem." c. are usually controlled with phenobarbital." d. rarely develop into epilepsy."

rarely develop into epilepsy."

When taking the history of a child with encephalitis, it is important to note recent a. cat scratches b. exposure to poison ivy c. respiratory infection d. drug therapy

respiratory infection

RICE acronym

rest, ice, compression, elevation

Stage 1 Hodgkin's disease

restricted to a single site or localized to a group of lymph nodes; asymptomatic

decrebrate posturing

rigid extension and pronation of the arms and legs

Children with hemophilia should avoid A. swimming B. salicylates C. citrus fruits D. analgesics

salicylates *aspirin contains it

Stapphylococcus aureus causes

scalded skin syndrome

An abnormal S shaped curvature of the spine seen in school-age children is: A. sclerosis B. sciatica C. scabies D. scoliosis

scoliosis

Which factor is most likely to trigger seizures in a child with epilepsy? a. high-fat diet b. hypothermia c. sensitivity to light d. loud noises

sensitivity to light

An expected outcome for a child with nephrotic syndrome is the prevention of A. skin breakdown B. an antigen-antibody reaction C. Pathologic fractures D. urinary stasis

skin breakdown

Priority teaching for a parent of a child who ingested a foreign body includes: a. encouraging the use of a mild laxative every night b. slicing each stool passed to observe for the foreign body c. encouraging a daily enema until the foreign body is passed d. keeping the child NPO until the foreign body is passed

slicing each stool passed to observe for the foreign body

The nurse assessing urinary output for a child with acute glomerulonephritis should expect urine to be A. straw-colored B. smoky brown C. cloudy and concentrated D. yellow with many mucous shreds

smoky brown

What is the best suggestion by the nurse when parents ask, "When is the best time to begin to prepare a 5-year-old child for surgery and hospitalization?" a. "As soon as the surgery is scheduled" b. "About 2 weeks before surgery" c. "About 4 days before surgery" d. "On the night before admission to the hospital"

"About 4 days before surgery"

The anxious parent asks if there is a danger of her 2-year-old child becoming addicted to the opioid pain reliever. What is the nurse's most helpful response? a. "Although this drug is addictive, the doctor monitors the dose very carefully." b. "Don't worry. Addicted children are very easy to wean off the drug." c. "Addiction is rare in children when opiates are given for pain." d. "Addictive behaviors are easy to assess. The drug will be stopped if that happens."

"Addiction is rare in children when opiates are given for pain."

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. "An undescended testicle can reduce fertility." b. "The testicle usually descends spontaneously during the first month of life." c. "Surgical correction reduces the risk for testicular tumors." d. "The optimal time to surgically correct the condition is at diagnosis."

"An undescended testicle can reduce fertility."

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. "Apply warm compresses to the ankle for the first 24 hours." b. "Put an ice pack on the ankle, alternating 30 minutes on with 30 minutes off." c. "Wrap the ankle in an Ace bandage for support." d. "Keep the leg elevated when sitting."

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

A nurse is reinforcing teaching with a guardian about complicated grief. Which of the following statements should the nurse make? A. "Complicated grief occurs when little time is spent thinking about the loss." B. "Personal activities are rarely affected when experiencing complicated grief." C. "Guardians will experience complicated grief together." D. "Counseling can be helpful in resolving complicated grief."

"Counseling can be helpful in resolving complicated grief."

A nurse is reinforcing teaching with a group of caregivers about fractures. Which of the following information should the nurse include? A. "Children need longer time to heal from a fracture than an adult." B. "Epiphyseal plate injuries can result in altered bone growth." C. "A greenstick fracture is a complete break in the bone." D. "Bones are unable to bend, so they break."

"Epiphyseal plate injuries can result in altered bone growth."

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

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

What is the most appropriate nursing response to an adolescent who asks what she can do about her acne? A. "Restrict the amount of chocolate and peanuts you eat." B. "Wash your face at least four times a day." C. "Get adequate rest and eat a well-balanced diet." D. "Stay out of the sun even if you are not on medication."

"Get adequate rest and eat a well-balanced diet."

A nurse in a community center is reinforcing teaching with a group of adolescents about HIV/AIDS. Which of the following statements should the nurse include in the teaching? A. "You can contract HIV through casual kissing." B. "HIV is transmitted through IV substance use." C. "HIV is now curable if caught in the early stages." D. "Medications inhibit inhibit transmission of the HIV virus."

"HIV is transmitted through IV substance use."

The mother of a child with juvenile idiopathic arthritis calls the nurse because the child is experiencing a painful exacerbation of the disease. The mother asks the nurse if the child should perform range of motion (ROM) exercises at this time. The nurse should make which response to the mother? 1. "Avoid all exercises during painful periods." 2. "The ROM exercises must be performed every day." 3. "Have the child perform simple isometric exercises during this time." 4. "Administer additional pain medication before performing the ROM exercises."

"Have the child perform simple isometric exercises during this time."

Which comment made by a parent of a 1-month-old infant would alert the nurse about the presence of a congenital heart defect? a. "He is always hungry." b. "He tires out during feedings." c. "He is fussy for several hours every day." d. "He sleeps all the time."

"He tires out during feedings."

Which statement best corresponds to a preschooler's understanding of hospitalization? a. "A germ made me get sick." b. "I got sick because I was mad at my brother." c. "My tonsils are sick and they have to come out." d. "I have a cast because I broke my leg."

"I got sick because I was mad at my brother."

Which statement made by a parent of a child with nephrotic syndrome indicates an understanding of discharge teaching? a. "I will make sure he gets his measles vaccine as soon as he gets home." b. "He can stop taking his medication next week." c. "I should check his urine for protein when he goes to the bathroom." d. "He should eat a low-protein diet for the next few weeks."

"I should check his urine for protein when he goes to the bathroom."

A nurse is reinforcing teaching about dental care and teething to the caregiver of a 9 month old infant. Which of the following statements by the caregiver suggests an understanding of the teaching? A. "I can give my baby a warm teething ring to relieve discomfort." B. "I should clean my baby's teeth with a cool, wet wash cloth." C. "I can give Advil for up to 5 days while my baby is teething." D. "I should place diluted juice in the bottle my baby drinks while falling asleep."

"I should clean my baby's teeth with a cool, wet wash cloth."

The nurse reinforces home care instructions to the parents of a 3 year old child who has been hospitalized with hemophilia. Which statement by a parent indicates the need for further teaching? 1. "I will supervise my child closely." 2. " I will pad the corners of the furniture." 3. "I will remove household items that can easily fall over." 4. "I will avoid immunizations and dental hygiene treatments for my child."

"I will avoid immunizations and dental hygiene treatments for my child."

The nurse is reinforcing discharge instructions to the parent of a 2 year old child who has had an orchiopexy to correct cryptorchidism. Which statement by the parent indicates a need for further teaching? 1. "I'll check his temperature." 2. "I'll give him medication so he'll be comfortable." 3. "I'll let him decide when to return to his play activities." 4. "I'll check his voiding to be sure there are no problems."

"I'll let him decide when to return to his play activities."

The nurse provides home care instructions to the parents of a child with heart failure regarding the procedure for the administration of digoxin. Which statement by a parent indicates the need for further teaching? A. "I will not mix the medication with food." B. "If more than one dose is missed, I will call the doctor." C. "I will take my child's pulse before administering the medication." D. "If my child vomits after medication administration, I will repeat the dose."

"If my child vomits after medication administration, I will repeat the dose."

A parent of a school-age child who has GH deficiency asks the nurse how long the child will need to take injections for growth delay. Which of the following responses should the nurse make? A. "Injections are usually continued until age 10 for girls and age 12 for boys." B. "Injections continue until your child reaches the fifth percentile on the growth chart." C. "Injections might be stopped once your child grows less than 1 inch/year." D. "The injections will need to be administered throughout your child's entire life."

"Injections might be stopped once your child grows less than 1 inch/year."

The parents of a newborn have been told that their child was born with bladder exstrophy and the parents ask the nurse about this condition. Which response should the nurse give to the parents about bladder exstrophy? 1. "It is a hereditary disorder that occurs in every other generation." 2. "It is caused by the use of medications taken by the mother during pregnancy." 3. "It is a condition in which the urinary bladder is abnormally located in the pelvic cavity." 4. "It is an extrusion of the urinary bladder to the outside of the body through a defect in the lower abdominal wall."

"It is an extrusion of the urinary bladder to the outside of the body through a defect in the lower abdominal wall."

Which statement made by a parent indicates an understanding of health maintenance of a child with sickle cell disease? a. "I should give my child a daily iron supplement." b. "It is important for my child to drink plenty of fluids." c. "He needs to wear protective equipment if he plays contact sports." d. "He shouldn't receive any immunizations until he is older."

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

The mother of a hospitalized toddler states, "He cries when I visit. Maybe I should just stay away." What is the nurse's best response? a. "Perhaps you are right. He only gets upset when you have to leave." b. "It is important that you are here. This is a common reaction in children when they are separated from their parents." c. "It might be easier for your child if you would stay with him, but this decision is up to you." d. "We take good care of him and he seems fine when you are not here."

"It is important that you are here. This is a common reaction in children when they are separated from their parents."

A nurse is reinforcing teaching to the parent of a child who has a new prescription for liquid oral iron supplements. Which of the following statements by the parent indicates an understanding? A. "I should take my child to the emergency department if his stools become dark." B. "My child should avoid eating citrus fruits while taking the supplements." C. "I should give the iron with milk to help prevent an upset stomach." D. "My child should take the supplement through a straw."

"My child should take the supplement through a straw."

The parent of a child with osteomyelitis asks why his child is in so much pain. What will the nurse respond causes the pain experienced with osteomyelitis? a. "Pressure of inelastic bone" b. "Purulent drainage in the bone marrow" c. "The cast applied on the extremity" d. "Circulatory congestion of the skin"

"Purulent drainage in the bone marrow"

What is the correct nursing response to a mother who asks, "How can I get rid of the baby's cradle cap?" a. "Rub baby oil on the infant's head at night and shampoo the hair the next morning." b. "Use a brush with firm bristles to loosen the scales on the baby's head several times a day." c. "Wash the baby's head every night with a dandruff-control shampoo." d. "Lubricate the baby's head every morning with a small amount of olive oil."

"Rub baby oil on the infant's head at night and shampoo the hair the next morning."

Which statement indicates to the nurse that a parent understands information about hypospadias? A. "This defect must be corrected in the first 48 hours of life." B. "Fertility will most likely be reduced." C. "The condition usually resolves by the third birthday." D. "Surgical repair is usually performed by age 18 months."

"Surgical repair is usually performed by age 18 months."

The nurse finds an adolescent with Hodgkin's disease crying. The adolescent says, "I am so scared." What is the most appropriate nursing response to this comment? a. "I understand how you must feel." b. "You shouldn't feel that way." c. "Is this the strongest feeling you've had today?" d. "Tell me what's got you scared."

"Tell me what's got you scared."

A nurse is caring for a toddler who has a hip dysplasia and has been placed in a hip spica cast. The child's guardian asks the nurse why a PPavlik harness is not being used. Which of the following responses should the nurse make? A. "The Pavlik harness is used for children with scoliosis, not hip dysplasia." B. "The Pavlik harness is used for school-age children." C. "The Pavlik harness cannot be used for your child because their condition is too severe." D. "The Pavlik harness is used for infants less than 6 months of age."

"The Pavlik harness is used for infants less than 6 months of age."

Which statement by a mother might indicate future problems related to the care of a newborn infant? A. "I am happy that my mother will be here for a few weeks. I will have time to recuperate and adjust to my larger family." B. "May I call you with questions? This is my first child and although I feel prepared, I am feeling frightened by the responsibility." C. "The baby cries all the time. She doesn't seem to like me. I didn't think it would be like this. Sometimes I think she is just trying to irritate me." D. "Our baby has colic. We are taking turns rocking her and getting up with her at night. When will we get a full night of sleep."

"The baby cries all the time. She doesn't seem to like me. I didn't think it would be like this. Sometimes I think she is just trying to irritate me.

The nursing instructor asks a student nurse to describe osteogenic sarcoma. Which statement by the nurse indicates the need to further research the disease? 1. "The femur is the most common site of this sarcoma." 2. "The child does not experience pain at the primary tumor site." 3. "If a weight-bearing limb is affected, then limping is a clinical manifestation." 4. "The symptoms of the disease during the early stage are almost always attributed to normal growing pains."

"The child does not experience pain at the primary tumor site."

The nursing instructor asks a nursing student about sudden infant death syndrome (SIDS). Which statement by the student indicates further teaching is needed? 1. "Some of the interventions that are used to prevent SIDS include having infants sleep in the supine position." 2. "The incidence of SIDS has been found to be higher in breastfed infants and infants that use a pacifier." 3. "Infants exposed to cigarette smoking during pregnancy and after birth are considered at risk for SIDS." 4. "SIDS refers to sudden infant death syndrome that can occur in healthy infants under 1 year of age, and no exact cause is known."

"The incidence of SIDS has been found to be higher in breastfed infants and infants that use a pacifier."

What statement by the parent of a hospitalized toddler leads the nurse to determine the parent understands a hospitalized toddler's need for transitional objects? a. "This stuffed animal makes him feel secure." b. "He insisted on bringing this dirty old blanket with him." c. "I'm going to buy him a big stuffed animal from the gift shop." d. "I'd like to get him some toys from the playroom."

"This stuffed animal makes him feel secure."

Parents of a 10-year-old child diagnosed with an intellectual deficit are sharing multiple approaches they implement in dealing with various challenges. Which statement by the parents alerts the nurse they need further instruction? a. "We dress our son every morning for school." b. "Our son participates in the Special Olympics every year." c. "Our son attends play therapy at a center close to home." d. "We attend a support group once a week."

"We dress our son every morning for school."

Which statement by a mother may indicate a cause of her son's vitamin C deficiency? a. "We get our fruits from homemade preserves." b. "We use milk from our own goats." c. "We grow all our own vegetables." d. "We're not big meat eaters."

"We get our fruits from homemade preserves." *heat destroys vit c

The 6-year-old child scheduled for an orchiopexy shyly asks the nurse, "What are they going to do to me 'down there'?" What is the nurse's best response? a. "They are going to fix you up 'down there'." b. "They will move your testicle from your abdomen to your scrotum." c. "What do you think your doctor is going to do?" d. "You shouldn't worry. Your doctor knows exactly what to do."

"What do you think your doctor is going to do?"

A 4-year-old child asks tearfully if the IM injection will hurt. What is the nurse's most effective response? a. "No. It is over before you know it." b. "Yes. It will sting a little." c. "No. Would you like to see the syringe?" d. "Yes. Your mom and I are going to hold you to help you be still."

"Yes. It will sting a little."

A nurse is reinforcing teaching with the guardian of an infant who has seborrheic dermatitis of the scalp. Which of the following instructions should the nurse include? A. "You can use petrolatum to help soften and remove patches from your infant's scalp." B. "When patches are present, you should keep your infant away from others." C. "You should avoid washing your infant's hair while patches are present on the scalp." D. "When patches are present, it indicates that your infant has a systemic infection."

"You can use petrolatum to help soften and remove patches from your infant's scalp."

A nurse is reinforcing teaching with a school-age child who has diabetes mellitus about insulin administration. Which of the following instructions should the nurse include? A. "You should inject the needle at a 30 degree angle." B. "You should combine our glargine and regular insulin in the same syringe." C. "You should aspirate for blood before injecting the insulin." D. "You should give four to six injections in one area before switching sites."

"You should give four to six injections in one area before switching sites."

A nurse is reinforcing preoperative teaching with an adolescent client who is scheduled to receive spinal instrumentation for scoliosis. Which of the following information should the nurse include? A. "You will go home the same day of surgery." B. "You will have minimal pain." C. "You will need to receive blood." D. "You will not be able to eat until the day after surgery."

"You will need to receive blood."

A nurse is caring for a toddler who has had rhinitis, cough, and diarrhea for 2 days. The tympanic membrane has an orange discoloration and decreased movement. Which of the following statements should the nurse make? A. "Your child has an ear infection that requires antibiotics." B. "Your child could experience transient hearing loss." C. "Your child will need to be on a decongestant until this clears." D. "Your child will need to have to have a myringotomy."

"Your child could experience transient hearing loss."

The mother of a 3-year-old child tells the nurse that she will be in to visit tomorrow around 12:00 PM. The next morning, the child asks the nurse, "When is my mommy coming?" What is the nurse's best response? a. "Your mommy will be here around noon." b. "Your mommy will be here when you have lunch." c. "Mommy will be here very soon." d. "Your mommy is coming in 4 hours."

"Your mommy will be here when you have lunch."

gtt rate formula

(volume in mL X gtt factor) ÷ time in minutes

Which statement indicates that the child's parents understand how to perform respiratory therapy? a. "We do her postural drainage before the aerosol therapy." b. "We give her respiratory treatments when she is coughing a lot." c. "We give the aerosol followed by postural drainage before meals." d. "She needs respiratory therapy every day when she has an infection."

. "We give the aerosol followed by postural drainage before meals."

When weighing diapers on a gram scale, the conversion from grams to milliliters is A. 1 g = 2.5 mL B. 1 g = 1 mL C. 1 g = 0.5 mL D. 1 g = 0.25 mL

1 g = 1 mL

when both parents have the sickle cell trait. chances of child having sickle cell.

1 in 4. 25%

A nurse in a community center is assisting with an in-service to a group of guardians on management of airway obstructions in toddlers. Which of the following responses by one of the caregivers indicates an understanding of the information? (select all that apply) a. "I will push on my child's abdomen." b. "I will hyperextend my child's head to open the airway." c. "I will use my finger to check my child's mouth for objects." d. "I will use my finger to check my child's mouth for objects." e. "I will place my child in my car and take them to the closest emergency facility."

1. "I will push on my child's abdomen." 2. "I will place my child in my car and take them to the closest emergency facility."

What sign(s) indicate(s) moderate dehydration? (Select all that apply.) a. 10% weight loss b. Dry mucous membranes c. Normal anterior fontanel d. Increased urinary output e. Lethargy

1. 10% weight loss 2. Dry mucous membranes 3. Normal anterior fontanel

The nurse reports which assessments that suggest a meconium ileus in a newborn? (Select all that apply.) a. Abdominal distention b. Vomiting c. Hiccoughing d. Jaundice e. Absence of stool

1. Abdominal distention 2. Vomiting 3. Absence of stool

A nurse is collecting data from a child who has Meckel's diverticulum. Which of the following manifestations should the nurse expect? (select all that apply) A. Abdominal pain B. Fever C. Mucus and blood in stools D. Vomiting E. Rapid, shallow breathing

1. Abdominal pain 2. Mucus and blood in stools

Which symptoms are indicative of rheumatic fever (RF)? (Select all that apply.) A. Abdominal pain B. Migratory polyarthritis C. Peeling skin D. Chorea E. Vomiting

1. Abdominal pain 2. Migratory polyarthritis 3. Chorea

A 3-year-old patient is admitted to the pediatric unit with a fever of 103° F. Which actions will the nurse implement? (Select all that apply.) a. Assess rectal temperature every 4 hours. b. Administer acetaminophen as ordered. c. Assess skin turgor. d. Restrict fluids. e. Assess level of consciousness.

1. Administer acetaminophen as ordered. 2. Assess skin turgor. 3. Assess level of consciousness.

A nurse is reinforcing teaching with the teacher of a child who has attention-deficit/hyperactivity disorder (ADHD). Which of the following classroom strategies should the nurse include? (select all that apply) a. Eliminate testing b. Allow for regular breaks c. Combine verbal instruction with visual cues d. Establish consistent classroom rules e. Increase stimulu in the environment

1. Allow for regular breaks 2. Combine verbal instruction with visual cues 3. Establish consistent classroom rules

A nurse is contributing to the plan of care for an infant who has diaper dermatitis. Which of the following interventions should the nurse include? (select all that apply) A. Apply talcum powder with every diaper change B. Allow the buttocks to air dry C. Use commercial baby wipes to cleanse the area D. Use cloth diapers until the rash is gone E. Apply zinc oxide ointment to the affected area

1. Allow the buttocks to air dry 2 Apply zinc oxide ointment to the affected are

A nurse is caring for an infant who has manifestations of acute otitis media (AOM). The nurse should identify that which of the following factors places the infant at risk for otitis media? (select all that apply) A. breastfeeds without formula supplementation B. Attends day care 4 days per week C. Immunizations are up to date D. History of a cleft palate repair E. Parents smoke cigarettes outside

1. Attends day care 4 days per week 2. History of a cleft palate repair 3. Parents smoke cigarettes outside

Parents are preparing their child for admission to the pediatric unit for minor surgery. What should they expect to see when visiting the pediatric unit? (Select all that apply.) a. Nurses wearing all white b. Formal atmosphere c. Availability of a playroom d. Dim lighting e. Colored bedding

1. Availability of a playroom 2. Colored bedding

What factor(s) may trigger abuse in a parent? (Select all that apply.) a. Being abused as a child b. High self-esteem c. Substance abuse d. Overwhelming responsibility e. Knowledge deficit relative to child care

1. Being abused as a child 2. Substance abuse 3. Overwhelming responsibility 4. Knowledge deficit relative to child care

A nurse is collecting data from an infant who has heart failure. Which of the following findings should the nurse expect? (select all that apply) A. Bradycardia B. Cool extremities C. Peripheral edema D. Increased urinary output E. Nasal flaring

1. Cool extremities 2. Peripheral edema 3. Nasal flaring

A nurse is caring for a child who has a fracture. Which of the following findings should the nurse expect? (Select all that apply) A. Crepitus B. Edema C. Pain D. Fever E. Ecchymosis

1. Crepitus 2. Edema 3. Pain 4. Ecchymosis

A nurse in an urgent care clinic is admitting an infant who experienced a life threatening event. Which of the following prescriptions by the provider should the nurse anticipate? (select all that apply) a. Electroencephalogram b. Electrocardiogram c. Urine culture d. Arterial blood gases e. Blood culture

1. Electroencephalogram 2. Electrocardiogram 3. Blood culture

A nurse is collecting data from a child who has rheumatic fever. Which of the following findings should the nurse expect? (select all that apply) A. Erythema marginatum (rash) B. Continuous joint pain of the digits C. Tender, subcutaneous nodules D. Decreased erythrocyte sedimentation rate E. Elevated C-reactive protein

1. Erythema marginatum (rash) 2. Elevated C-reactive protein

A child is brought into the ED with suspected appendicitis. What signs and symptoms does the nurse expect to assess? (Select all that apply.) a. Left lower quadrant pain b. Guarding c. Rebound tenderness d. Decreased C-reactive protein e. Pain on lifting thigh when supine

1. Guarding 2. Rebound tenderness 3. Pain on lifting thigh when supine

A nurse is collecting data from a child who has muscular dystrophy. Which of the following findings should the nurse expect? (Select all that apply) A. Purposeless, involuntary, abnormal movements B. Spinal defect and saclike protrusion C. Muscular weakness in lower extremities D. Unsteady, wide-based or waddling gait E. upward slant to the eyes

1. Muscular weakness in lower extremities 2. Unsteady, wide-based or waddling gait

A nurse is collecting date from an infant who has scabies. Which of the following findings should the nurse expect? (select all that apply) A. Presence of nits on the hair shaft B. Pencil-like marks on hands C. Blisters on the soles of the feet D. Small, red bumps on the scalp E. Pimples on the trunk

1. Pencil-like marks on hands 2. Blisters on the soles of the feet 3. Pimples on the trunk

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. Petechiae b. Purpura c. Ecchymosis d. Hematoma e. Lymphadenopathy

1. Petechiae 2. Purpura 3. Ecchymosis 4. Hematoma

A nurse is contributing to the plan of care for a child who has asthma. Which of the following interventions should the nurse include in the plan of care? (Select all that apply) A. Perform chest percussion B. Place the child in an upright position C. Monitor oxygen saturation D. Administer bronchodilators E. Administer dornase alfa daily

1. Place the child in an upright position 2. Monitor oxygen saturation 3. Administer bronchodilators

Informed consent for a minor guarantees that the parent or legal guardian understands what aspect(s) of a procedure? (Select all that apply.) a. Purpose of the procedure b. Risks associated with the procedure c. That no suit can be brought for damages d. That the document must be signed and witnessed e. That information was given

1. Purpose of the procedure 2. Risks associated with the procedure 3. That the document must be signed and witnessed 4. That information was given

A nurse is reinforcing teaching a group of caregivers about E. coli. Which of the following information should the nurse include? (select all that apply) A. Severe abdominal cramping occurs B. Watery diarrhea is present for more than 5 days C. It can lead to hemolytic uremic syndrome D. It is a foodborne pathogen E. Antibiotics are given for treatment

1. Severe abdominal cramping occurs 2. It can lead to hemolytic uremic syndrome 3. It is a foodborne pathogen

The nurse assesses a major burn as a full-thickness burn involving _____% or more of the body surface

10

The nurse is checking for capillary refill on a child in Bryant's traction. How long does it take for the toe to regain color if adequate perfusion is assessed? a. 3 seconds b. 4 seconds c. 5 seconds d. 6 seconds

3 seconds

After instilling nose drops, the nurse will keep the infant in the head down position for at least _________ seconds.

30

The nurse explains that Bryant's traction is reserved for children who weigh less than _____ pounds.

30

The nurse is measuring output on an infant on the pediatric unit. When weighing the diaper and subtracting the weight of the dry diaper, the nurse records 30 g and documents this as _________ mL.

30

Children with failure to thrive fall below the ___ percentile in weight and height on growth charts. A. 3rd B. 6th C. 10th D. 15th

3rd

An infant's dry diaper weighs 2.5 g. The wet diaper weighs 47 g. How would the nurse record the infant's urine output? a. 47 mL b. 44.5 mL c. 43.5 mL d. 40.5 mL

44.5 mL *Urine output is determined by calculating the difference in weight between the wet diaper and a dry diaper. One gram is equivalent to one milliliter of output. 47 - 2.5 = 44.5 g = 44.5 mL of urine

Parkland Burn Formula

4mL x body weight (kg) x percentage of burned body surface= total fluid requirement in mL for 24 hours ÷ 2 now divide it by 8 for 1st 8 hours or by 16 for second 16 hours.

How long should a 4-year-old child recovering from rheumatic fever need to receive monthly injections of penicillin G? a. 1 year b. 2 years c. 5 years d. 10 years

5 years

The nurse must make a room assignment for a 16-year-old adolescent with cystic fibrosis. Which roommate would be the most appropriate for this patient? a. A 4-year-old child who had an appendectomy b. A 10-year-old child with sickle cell disease in vaso-occlusive crisis c. A 15-year-old adolescent with type 1 diabetes mellitus d. To assign the adolescent to a private room

A 15-year-old adolescent with type 1 diabetes mellitus

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

A child's bones have faster callus formation.

What assessment does the school nurse recognize as the cardinal sign of a hyphema? a. Opacity of the lens b. A yellow-white reflex on the pupil c. A dark-red spot in front of the iris d. Inflamed mucous membranes of the eyelids

A dark-red spot in front of the iris

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.

A greater percentage of body water in infants is extracellular.

Which assessment would lead the nurse to suspect that a newborn infant has a ventricular septal defect? a. A loud, harsh murmur with a systolic thrill b. Cyanosis when crying c. Blood pressure higher in the arms than in the legs d. A machinery-like murmur

A loud, harsh murmur with a systolic thrill

What is the best choice for fluid replacement that the nurse can offer a child who has just had a tonsillectomy? a. A popsicle b. Chocolate milk c. Orange juice d. Cola drink

A popsicle

Parents ask the nurse how their infant developed a Meckel's diverticulum. What condition, will the nurse explain, is present causing this diagnosis? a. The yolk sac remains connected to the intestine. b. There is inflammation of the ileocecal valve. c. A pouch forms when the vitelline duct fails to disappear. d. There is a weakness in the abdominal wall.

A pouch forms when the vitelline duct fails to disappear

The nurse is caring for an 18 month old child who has been vomiting. Which is the appropriate position to place the child during naps and sleep time? 1. A supine position 2. A side-lying position 3. Prone, with the head elevated 4. Prone, with the face turned to the side

A side-lying position

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. Recovery from German measles 2 months ago b. Dysuria since the previous night c. A history of allergy d. A sore throat 2 weeks ago

A sore throat 2 weeks ago

At a 2-month well-child visit, parents ask the nurse about the red area on the infant's neck. They tell the nurse that the mark appeared a few weeks after birth. What does the nurse recognize this skin lesion as? a. A port wine nevus b. A strawberry nevus c. Exanthem d. Intertrigo

A strawberry nevus

The nurse is monitoring the daily weight of an infant with heart failure (HF). Which finding alerts the nurse to suspect fluid accumulation and thus the need to notify the registered nurse? 1. Bradypnea 2. Diaphoresis 3. Decreased blood pressure (BP) 4. A weight gain of 1 lb in 1 day

A weight gain of 1 lb in 1 day

The nurse is monitoring the daily weight of an infant with heart failure (HF). Which finding alerts the nurse to suspect fluid accumulation and thus the need to notify the registered nurse? A. Bradypnea B. Diaphoresis C. Decreased blood pressure (BP) D. A weight gain of 1 lb in 1 day

A weight gain of 1 lb in 1 day

The mother of a child with Marfan syndrome asks the nurse what can be done to help her child. Which are the best responses by the nurse? (select all that apply) 1. "You may need to consider surgery in the future." 2. "You will need to make regular pediatric appointments for your child." 3. "You will need to keep your child indoors and avoid sports." 4. "You will need to make regular eye examination appointments for your child." 5. "You will need to have your child take cardiac medication(s) to decrease stress on the aorta." 6. "You will need to let the dentist know that antibiotics should be given before any procedure."

A. "You may need to consider surgery in the future." B. "You will need to make regular pediatric appointments for your child." C. "You will need to make regular eye examination appointments for your child." D. "You will need to have your child take cardiac medication(s) to decrease stress on the aorta." E. "You will need to let the dentist know that antibiotics should be given before any procedure."

The nurse caring for an infant with congenital heart disease is monitoring the infant closely for signs of heart failure (HF). The nurse should observe for which early sign of HF? (select all that apply) 1. Cough 2. Irritability 3. Scalp diaphoresis 4. Tachypnea, tachycardia 5. Slow and shallow breathing

A. Irritability B. Scalp diaphoresis C. Tachypnea, tachycardia

A nurse is contributing to the plan of care for a child following a surgical procedure. Which of the following interventions should the nurse include in the plan of care? A. Administer NSAIDs for pain greater than 7 on a scale of 0 to 10 B. Administer intranasal analgesics for pain C. Administer IM analgesics for pain D. Administer IV analgesics on a schedule

Administer IV analgesics on a schedule

A nurse is reinforcing discharge teaching for a child who has cystic fibrosis. Which of the following instructions should the nurse include? A. Provide a low-calorie, low protein diet B. Administer pancreatic enzymes with meals and snacks C. Implement a fluid restriction during times of infection D. Restrict physical activity

Administer pancreatic enzymes with meals and snacks

A nurse is reinforcing teaching to an adolescent about the appropriate use of their asthma medications. Which of the following medications should the nurse instruct t he client to use as needed before exercise? A. Fluticasone/salmeterol B. Montelukast C. Prednisone D. Albuterol

Albuterol

A group of football players is taking oral griseofulvin for tinea pedis. What should the school nurse caution them to avoid? a. Citrus fruit and juice b. Eating shellfish c. Alcohol consumption d. Taking corticosteroids

Alcohol consumption

A child is brought to the pediatric clinic because he has been vomiting for the past 2 days. What acid-base imbalance would the nurse expect to occur from this persistent vomiting? a. Hyperkalemia b. Hypernatremia c. Acidosis d. Alkalosis

Alkalosis

Following surgery for pyloric stenosis, an infant awoke from anesthesia hungry and crying. What is the most appropriate nursing action? a. Delay feeding the child for 6 hours. b. Offer regular formula thinned with water. c. Give small amounts of regular formula thickened with cereal. d. Allow 1 ounce of glucose water at frequent intervals.

Allow 1 ounce of glucose water at frequent intervals

A nurse is preparing to examine a preschooler during a well-child visit. Which of the following actions should the nurse take to prepare the child? A. Allow the child to role-play using miniature equipment B. Use medical terminology to describe what will happen C. Separate the child from the caregiver during the examination D. Keep medical equipment visible to the child

Allow the child to role-play using miniature equipment

The nurse is reinforcing the health care provider's explanation of treatment for Legg-Calve-Perthes disease. What information would the nurse review with parents? A. Buck's extension traction B. Muscle strengthening with weights C. Surgery to stabilize the joint D. Ambulation-abduction casts or braces

Ambulation-abduction casts or braces

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. Soft foods with rice, bananas, toast, and applesauce b. Small amounts of clear fluids such as gelatin c. An oral rehydrating solution, such as Pedialyte d. Chicken soup because it is high in sodium

An oral rehydrating solution, such as Pedialyte

A nurse is caring for a preschooler who expresses the need to leave because their doll is scared to be at home alone. Which of the following characteristics of preoperational though is the child exhibiting? A. Egocentrism B. Centration C. Animism D. Magical thinking

Animism

Which nursing action would facilitate rapport with a child and the child's parents during the admission process? a. Direct the parents to undress the child. b. Answer questions in a calm and matter-of-fact way. c. Perform assessments and ask questions as quickly as possible. d. Express concern about the seriousness of the child's condition.

Answer questions in a calm and matter-of-fact way

Which diagnostic test is a standardized diagnostic test for rheumatic fever? A. Sedimentation rate B. WBC count C. Antistreptolysin O titer D. Rubella titer

Antistreptolysin O titer

What is the best pulse location for the nurse to use when assessing the pulse rate on a 12-month-old infant? a. Brachial b. Apical c. Radial d. Femoral

Apical

What will the nurse teach the parents of a child with a low platelet count to avoid? a. Benadryl b. Aspirin c. Caffeine d. Prednisone

Aspirin

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

Assess respiratory status.

On admission, a child with leukemia has widespread purpura and a platelet count of 19,000/mm3. What is the priority nursing intervention? a. Assessing neurological status b. Inserting an intravenous line c. Monitoring vital signs during platelet transfusions d. Providing family education about how to prevent bleeding

Assessing neurological status

What intervention will the nurse caring for a child in Buck skin traction implement? a. Position in high Fowler's position. b. Assist the child to be pulled up in bed. c. Keep child's heel on the bed surface. d. Maintain child's feet against the foot of the bed

Assist the child to be pulled up in bed

A nurse is caring for a child who has had watery diarrhea for the past 3 days. Which of the following is an action for the nurse to take? A. Offer chicken broth B. Assist with initiating oral rehydration therapy C. Assist with starting an infusion of a hypertonic IV solution D. Keep NPO until the diarrhea subsides

Assist with initiating oral rehydration therapy

What risk is increased with children who have been diagnosed with infantile eczema? a. Pneumonia b. Acne c. Sun sensitivity d. Asthma

Asthma

What should the nurse explain to the parent of a child with exercise-induced asthma about when to inhale Cromolyn? a. Before exercise to prevent attacks b. At the initial onset of the attack c. During the attack to relieve symptoms d. As often as 4 times a day

Before exercise to prevent attacks

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

Bleeding from the surgical site

A nurse is caring for a school-age child who has acute glomerulonephritis. Which of the following findings should the nurse report to the provider? A. BUN 8 mg/dL B. Blood creatinine 1.3 mg/dL C. Blood pressure 100/74 mm Hg D. Urine output 550 mL 24 hr

Blood creatinine 1.3 mg/dL

The nurse reinforces instructions to the mother about dietary measures for a 5 year old child with lactose intolerance. The nurse should tell the mother that which supplement will be required as a result of the need to avoid lactose in the diet? 1. Fats and vitamin A 2. Zinc and vitamin C 3. Calcium and vitamin D 4. Thiamine and vitamin B

Calcium and vitamin D

The teaching plan for the use of a dry powder inhaler for the treatment of asthma should include the warning to rinse the mouth after inhaling the powder. What does this prevent? a. Discoloration of tooth enamel b. Halitosis c. Irritation of oral membranes d. Candidiasis

Candidiasis

A nurse is using an otoscope to examine a child's ears. Which of the following findings should the nurse expect? A. Light reflex is located at the 2 o-clock position B. Tympanic membrane is red in color C. Bony landmarks are not visible D. Cerumen is present bilaterally

Cerumen is present bilaterally

What is an appropriate intervention for the edematous child with reduced mobility related to nephrotic syndrome? a. Reach the child to minimize body movements. b. Change the child's position frequently. c. Keep the head of the child's bed flat. d. Keep edematous areas moist and covered.

Change the child's position frequently.

A health care provider prescribes an intravenous (IV) solution of 5% dextrose and half-normal saline (0.45%) with 40 mEq of potassium chloride for a child with hypotonic dehydration. The nurse performs which priority assessment before administering this IV prescription? 1. Obtains a weight 2. Takes the temperature 3. Takes the blood pressure 4. Checks the amount of urine output

Checks the amount of urine output

What assessment made by the school nurse would lead to the suspicion of strabismus? a. Reddened sclera in one eye b. Child covers one eye to read the chalkboard c. Child complains of a headache d. Copious tears while watching TV

Child covers one eye to read the chalkboard

The child receiving a transfusion complains of back pain and itching. What is the best initial action by the nurse? a. Notify the charge nurse. b. Disconnect intravenous lines immediately. c. Give diphenhydramine (Benadryl). d. Clamp off blood and keep line open with normal saline

Clamp off blood and keep line open with normal saline.

What would the nurse include in a teaching plan about mouth care of a child receiving chemotherapy? a. Use commercial mouthwash. b. Clean teeth with a soft toothbrush. c. Avoid use of a Water-Pik. d. Inspect the mouth weekly for ulcerations.

Clean teeth with a soft toothbrush.

A nurse is caring for a client who has a superficial partial-thickness burn. Which of the following actions should the nurse take? A. Monitor IV infusion of 0.9% sodium chloride B. Apply cool, wet compresses to the affected area C. Clean the affected area using a soft-bristle brush D. Administer morphine sulfate

Clean the affected area using a soft-bristle brush

The nurse shares the information and timelines recorded on the interdisciplinary outline of care for a child. What is this document? a. Clinical pathway b. Comprehensive nursing care plan c. Holistic care approach d. Incorporated cost analysis

Clinical pathway

The home health nurse discovers a family infected with pediculosis. What information can the nurse provide to the mother to start eradication of the lice? a. Cover the hair with Vaseline. b. Apply a soda-vinegar solution to the hair. c. Comb through the hair with a vinegar-water solution. d. Shampoo the hair with dish detergent

Comb through the hair with a vinegar-water solution.

The nurse preparing to administer medication to a 2-month-old infant discovers there is no ID bracelet on the child. What should be the next action by the nurse? a. Give the medication after confirming the child's name from the foot of the crib. b. Ask the charge nurse to give the medicine. c. Confirm the identity with the charge nurse, make a new bracelet, and give the medicine. d. Delay the medication until the admissions office can supply a new ID bracelet.

Confirm the identity with the charge nurse, make a new bracelet, and give the medicine.

A nurse assists with admitting a child with a diagnosis of acute-stage Kawasaki disease. When obtaining the child's medical history, which clinical manifestation is likely to be reported? 1. Cracked lips 2. A normal appearance 3. Conjunctival hyperemia 4. Desquamation of the skin

Conjunctival hyperemia

What will the nurse caution the parents of a child who has had a nephrectomy that he will have to avoid? a. Contact sports b. Horseback riding c. Alcohol d. Diuretic medications

Contact sports

What should the nurse keep in mind when providing care to the school-age child hospitalized with a burn injury? a. Hospitalization will be brief. b. Analgesics should be given immediately after dressing changes. c. Contact with peers should be maintained. d. Parents usually handle injury worse than the child.

Contact with peers should be maintained.

The nurse is teaching the parents of a young child with iron deficiency anemia about nutrition. What food would the nurse emphasize as being a rich source of iron? a. An egg white b. Cream of Wheat c. A banana d. A carrot

Cream of Wheat

The nurse observes a child's position is supine with his arms and legs rigidly extended and the hands pronated. How does the nurse identify this posture? a. Correct anatomical position b. Decorticate c. Decerebrate d. Opisthotonos

Decerebrate

A nurse on a pediatric unit is assisting the manager with preparing an education program on working with families for a group of newly hired nurses. Which of the following should the nurse include when discussing the developmental theory? A. Describes that stress is inevitable B. Emphasizes that change with one member affects the entire family C. Provides guidance to assist families adapting to stress D. Defines consistencies in how families change

Defines consistencies in how families change

An infant with congestive heart failure would most likely experience A. Excessive or rapid weight gain B. Difficulty breathing C. Bradypnea D. Erythema

Difficulty breathing

Which is a priority nursing diagnosis for an adolescent treated for osteosarcoma? A. Risk for infection B. Posttrauma syndrome C. Disturbed body image D. Risk for trauma

Disturbed body image

The nurse is assigned to care for a child after a myringotomy with the insertion of tympanostomy tubes. The nurse notes a small amount of reddish drainage from the child's ear after the surgery. On the basis of this finding, which action should the nurse take? 1. Document the findings 2. Notify the registered nurse immediately 3. Change the ear tubes so that the do not become blocked 4. Check the ear drainage for the presence of cerebrospinal fluid

Document the findings

Which disease is usually inherited as a sex-linked disorder? A. Legg-Calve-Perthes disease B. Scoliosis C. Juvenile idiopathic arthritis D. Duchenne's muscular dystrophy

Duchenne's muscular dystrophy

A newly married couple is seeking genetic counseling because they are both carriers of the sickle cell trait. How can the nurse best explain the children's risk of inheriting this disease? a. Every fourth child will have the disease; two others will be carriers. b. All of their children will be carriers, just as they are. c. Each child has a one in four chance of having the disease and a two in four chance of being a carrier. d. The risk levels of their children cannot be determined by this information.

Each child has a one in four chance of having the disease and a two in four chance of being a carrier

A nurse is caring for a child who has enuresis. The nurse should identify that which of the following conditions is a complication of enuresis? A. urinary tract infections B. Emotional problems C. Urosepsis D. Progressive kidney disease

Emotional problems

A nurse is contributing to the plan of care for a child who has a urinary tract infection. Which of the following interventions should the nurse include? A. Administer an antidiuretic B. Restrict fluids C. Evaluate the child's self-esteem D. Encourage frequent voiding

Encourage frequent voiding

The nurse caring for a child with aplastic anemia is reviewing the laboratory results and notes a white blood cell (WBC) count of 6000 mm3 and a platelet count of 20,000 mm3. Which nursing intervention should be incorporated into the plan of care? 1. Encourage naps 2. Encourage a diet high in iron 3. Encourage quiet play activities 4. Maintain strict isolation precautions

Encourage quiet play activities

The mother of a 6 year old child who has type 1 diabetes mellitus calls a clinic nurse and tells the nurse that the child has been sick. The mother reports that she checked the child's urine and it was positive for ketones. The nurse should instruct the mother to take which action? 1. Hold the next dose of insulin 2. Come to the clinic immediately 3. Encourage the child to drink liquids 4. Administer an additional dose of regular insulin

Encourage the child to drink liquids

Which approach might best support maternal attachment when caring for a child with failure to thrive? A. Point out areas where the mother need improvement B. Send the mother to a parenting class C. Encourage the mother to participate in the child's care D. Leave the room when the mother visits

Encourage the mother to participate in the child's care

Which diagnostic test permits visualization of the upper GI tract? A. Colonoscopy B. Sigmoidoscopy C. Endoscopy D. Proctoscopy

Endoscopy

What is a characteristic manifestation of Hodgkin's disease? A. Petechiae B. Erythematous rash C. Enlarged lymph nodes D. Pallor

Enlarged lymph nodes

Which is the most appropriate nursing action when planning care for a child with cystic fibrosis? a. Provide chest physiotherapy before meals every day. b. Assess weight monthly. c. Administer pancreas with protein food at mealtime. d. Ensure high-protein, high-calorie diet

Ensure high-protein, high-calorie diet.

A nurse caring for a child who is receiving oxygen therapy and is on a continuous oxygen saturation monitor that is reading 89%. Which of the following actions should the nurse take first? A. Increase the oxygen flow rate B. Encourage the child to take deep breaths C. Ensure proper placement of the sensor probe D. Place the child in the Fowler's position

Ensure proper placement of the sensor probe

Which organism is the most common cause of urinary tract infections in children? a. Escherichia coli b. Staphylococcus c. Klebsiella d. Pseudomonas

Escherichia coli

Which action should the nurse take before adding potassium to a child's IV? A. Take a baseline blood pressure B. Determine if the child can tolerate oral fluids C. Establish that the child is voiding D. Place the child on a cardiac monitor

Establish that the child is voiding *Jenny's memory tip=no "P"ee no "K"+

The nurse reviews the record of a child who was just seen by the primary health care provider (PHCP). The PHCP has documented a diagnosis of suspected aortic stenosis. Which specific sign/symptom of aortic stenosis should the nurse anticipate? 1. Pallor 2. Hyperactivity 3. Exercise intolerance 4. Gastrointestinal disturbances

Exercise intolerance

The nurse reviews the record of a child who was just seen by the primary health care provider (PHCP). The PHCP has documented a diagnosis of suspected aortic stenosis. Which specific sign/symptom of aortic stenosis should the nurse anticipate? A. Pallor B. Hyperactivity C. Exercise intolerance D. Gastrointestinal disturbances

Exercise intolerance

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

Expiratory wheezing

A nurse is caring for an infant who has a hydrocele. Which of the following actions should the nurse take? A. Prepare the infant for surgery B. Explain to the guardians that the issue generally self-resolves C. Retract the foreskin and cleanse several times daily D. Refer the family for genetic counseling

Explain to the guardians that the issue generally self-resolves

What important focus of nursing care for the dying child and the family should the nurse implement? a. Nursing care should be organized to minimize contact with the child. b. Adequate oral intake is crucial to the dying child. c. Families should be made aware that hearing is the last sense to stop functioning before death. d. It is best for the family if the nursing staff provides all of the child's care

Families should be made aware that hearing is the last sense to stop functioning before death.

What is the best method for feeding an infant with congestive heart failure from a large ventricular septal defect? A. Space feedings at least every 3-4 hours B. Give frequent, large feedings C. Feed intravenously D. Feed smaller amounts more frequently

Feed smaller amounts more frequently

What should the nurse closely assess in a child receiving a transfusion? a. Fever b. Lethargy c. Jaundice d. Bradycardia

Fever

What emergency action should be implemented for airway obstruction in the infant? a. Six to 10 midsternal thrusts b. Five back blows followed by five chest thrusts c. Five chest thrusts followed by five back blows d. Abdominal thrusts until the object is expelled

Five back blows followed by five chest thrusts

The nurse reinforces instructions to the parents of a child with sickle cell anemia regarding the precipitating factors related to pain crisis. Which, if identified by a parent as a precipitating factor, indicates the need for further teaching? 1. Stress 2. Trauma 3. Infection 4. Fluid overload

Fluid overload

A nurse is collecting data from a child who is postoperative following a tonsillectomy. Which of the following is a clinical finding of postoperative bleeding? A. Hgb 11.6 and Hct 37% B. Inflamed and reddened throat C. Frequent swallowing and clearing of the throat D. Blood-tinged mucus

Frequent swallowing and clearing of the throat

The nurse is assisting with gathering admission assessment data on a 2 year old child who has been diagnosed with nephrotic syndrome. The nurse collects data knowing that which is a common characteristic associated with nephrotic syndrome? 1. Hypotension 2. Generalized edema 3. Increased urinary output 4. Frank, bright red blood in the urine

Generalized edema

A nurse is reviewing the medical record of a newborn who has necrotizing enterocolitis (NEC). The nurse should identify that which of the following findings is a risk factor for NEC? a. Macrosomia b. Transient tachypnea of the newborn (TTN) c. Maternal gestational hypertension d. Gestational age 36 weeks

Gestational age 36 weeks

The nurse is careful to apply only the prescribed amount of ointment to the skin of a 2-month-old infant. How is infant skin different from adult skin? a. Less perfusion b. Greater moisture c. More perspiration d. Greater absorption

Greater absorption

A nurse is participating in a discussion about prepubescence and preadolescence with a group of guardians of school-age children. Which of he following information should the nurse include in the discussion? A. Initial physiologic changes appear during early childhood B. Changes in height and weight occur slowly during this period C. Growth differences between boys and girls become evident D. Sexual maturation becomes highly visible in boys

Growth differences between boys and girls become evident

What would the nurse include when creating a teaching plan that includes the long-term administration of phenytoin (Dilantin)? a. The medication should be given on an empty stomach. b. Insomnia can be a significant side effect. c. Gums should be massaged regularly to prevent hyperplasia. d. Blood pressure should be closely monitored.

Gums should be massaged regularly to prevent hyperplasia.

A nurse is assisting with performing a peripheral vision test on a child. Which of the following actions should the nurse take? A. Place the child 10 feet away from a Snellen chart B. Show a set of cards to the child one at a time C. Cover the child's eye while performing the test on the other eye D. Have the child focus on an object while performing the test

Have the child focus on an object while performing the test

Prevention of rheumatic fever can best be accomplished by A. Keeping children with fever home B. Sending children with sore throats home from school C. Having sore throats cultured as soon as possible D. Treating all colds with antibiotics

Having sore throats cultured as soon as possible

A hospitalized toddler was drinking from a cup at home but now refuses to drink from anything except his favorite bottle. What is the most likely reason for this behavior? a. He is dealing with the anxiety of hospitalization by regressing. b. He is demonstrating attention-seeking behaviors because of an overabundance of attention in the hospital. c. He is attempting to refocus the attention of the adults around him to avoid further painful procedures. d. He is exhibiting normal behavior for his age, as children often stop new behaviors after they believe they have mastered them.

He is dealing with the anxiety of hospitalization by regressing.

Rule of Nines (adult)

Head 9%, Back 18%, Chest/Abdomen 18%, Arms 9% each, Groin 1%, Legs 9% each. (1/2 anterior 1/2 posterior)

A child is brought to the emergency department with severe frostbite. Which body parts should be warmed first? a. Hands and arms b. Feet and legs c. Fingers and toes d. Head and torso

Head and torso

A nurse is caring for an infant whose screening test reveals a potential diagnosis of sickle cell disease. Which of the following tests should be performed to distinguish if the infant has the trait or the disease? A. Sickle solubility test B. Hemoglobin electrophoresis C. Complete blood count D. Transcranial Doppler

Hemoglobin electrophoresis

A child with thalassemia major receives blood transfusions frequently. What is a complication of repeated blood transfusions? a. Hemarthrosis b. Hematuria c. Hemoptysis d. Hemosiderosis

Hemosiderosis *excessive deposits of iron

A nurse is collecting data from a 4 month old infant who has meningitis. Which of the following manifestations should the nurse expect? A. Depressed anterior fontanel B. Constipation C. Presence of the rooting reflex D. High-pitched cry

High-pitched cry

How often should a child who has a continuous intravenous infusion should be assessed? a. Hourly b. Every 2 hours c. Every 3 hours d. Every 4 hours

Hourly

A parent reports her son's urethral opening is located on the undersurface of the penis. The nurse recognizes he child has which genitourinary condition? A. Hydrocele B. Phimosis C. Hypospadias D. Cryptorchidism

Hypospadias

What is the name of the condition in which the urinary meatus is located on the underside of the penis? a. Hypospadias b. Epispadias c. Phimosis d. Chordee

Hypospadias

An adolescent is diagnosed with Hodgkin's disease. Lymph nodes on both sides of her diaphragm have been found to be involved, including cervical and inguinal nodes. Which disease stage is this? a. I b. II c. III d. IV

III

Which urinary diversion procedure is the least damaging to the body image of the adolescent? a. Urostomy b. Ileal conduit c. Nephrostomy d. Suprapubic placement

Ileal conduit

What factor does the nurse explain affects the infant's physiological response to medications? a. Faster metabolism in the liver b. Slower intestinal transit c. Immature kidney function d. Increased secretion of hydrochloric acid

Immature kidney function

A 16-year-old boy enters the emergency department reporting acute scrotal pain. He is diagnosed with testicular torsion. What treatment for this condition will the nurse expect? a. Application of cool compresses b. Immediate surgery c. Ultrasound-guided external manipulation d. Rest and elevation

Immediate surgery *Acute scrotal pain may indicate a testicular torsion (twisting), which requires immediate surgery to preserve testicular function

A child has sustained a second-degree deep thermal burn to the hand. What is the best first action to take? a. Immerse the burned area in cold water. b. Apply ice to the burned area. c. Break any blisters that are present. d. Apply petroleum jelly to the burned skin.

Immerse the burned area in cold water

What would help the child with a serious burn meet nutritional needs during the subacute phase of recovery? a. Decrease calories because the child will be on bed rest and will not need as many. b. Increase calories and protein to compensate for the healing process. c. Increase fat to replace the layer of fat next to the burned skin. d. Decrease carbohydrates and starches because the pancreas is strained by the healing process.

Increase calories and protein to compensate for the healing process

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 T-cell production b. Decreased hemoglobin c. Increased blood clotting d. Increased susceptibility to infection

Increased susceptibility to infection

What is important to assess in a child receiving prednisone to treat nephrotic syndrome? a. Infection b. Urinary retention c. Easy bruising d. Hypoglycemia

Infection

The nurse is caring for a child with a diagnosis of Kawasaki disease. The child's parent asks the nurse, "How does Kawasaki disease 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. Untreated disease causes mitral valve stenosis. d. Altered blood flow increases cardiac workload with resulting heart failure.

Inflammation weakens blood vessels, leading to aneurysm

Which diagnosis often accompanies cryptorchidism? a. Wilms' tumor b. Pyloric stenosis c. Paraphimosis d. Inguinal hernia

Inguinal hernia

A nurse is caring for a client who has a moderate burn. Which of the following actions should the nurse take? A. Maintain immobilization of the affected area B. Expose affected area to the air C. Initiate a high-protein, high-calorie diet D. Implement contact isolation

Initiate a high-protein, high-calorie diet

Scabies are most strongly characterized by: A. round, dry patches on the arms B. intense itching C. a purulent drainage D. round lesions similar to chickenpox

Intense itching.

A 4-year-old child begins to cry when his mother tells him it is time for his operation. The nurse understands this is an expected reaction. On which particular fear of the preschooler does the nurse base this understanding? a. Loss of control b. Restricted mobility c. Unfamiliar routines d. Invasive procedures

Invasive procedures

The nurse is preparing to start an IV on an infant admitted to the pediatric unit. What intervention is appropriate for the nurse to implement? a. Involve the parents. b. Provide a simple explanation to the child. c. Let the child examine the equipment. d. Suggest coping techniques

Involve the parents

A nurse is reinforcing teaching about when introducing new foods to the guardians of a 4 month old infant. The nurse should recommend that the caregiver introduce which of the following foods first? A. Strained yellow vegetables B. Iron fortified cereals C. Pureed fruits D. Whole milk

Iron fortified cereals

Which assessment finding in a child with meningitis should be reported immediately? a. Irregular respirations b. Tachycardia c. Slight drop in blood pressure d. Elevated temperature

Irregular respirations

A mother brings her 3 week old infant to a clinic for a phenylketonuria rescreening blood test. The test indicates a serum phenylalanine level of 0 mg/dL. (0 mcmol/L). The nurse reviews this result and makes which interpretation? 1. It is negative 2. It is a concern 3. It is inconclusive 4. It requires rescreening at age 6 weeks

It is negative

The nurse is presenting information on the congenital disorder of hemophilia A. What fact will the nurse include? a. It is seen in males and females equally. b. It is transmitted by symptom-free females. c. It is a sex-linked dominant trait. d. It is a defective gene located on the Y chromosome

It is transmitted by symptom-free females

A nurse is assisting with providing education about age appropriate activities for the caregivers of a 6 year old child. Which of the following activities should the nurse include in teaching? A. Jumping rope B. Playing table games C. Solving jigsaw puzzles D. Joining competitive sports

Jumping rope

The development of uveitis is an autoimmune complication of: A. Legg-Calve-Perthes disease B. osteomyelitis C. Juvenile rheumatoid arthritis D. torticollis

Juvenile rheumatoid arthritis

What instruction will the nurse give to parents about preventing the spread and reinfection of pinworms? a. Keep children's nails short. b. Dress child in loose-fitting underwear. c. Clean the bathroom with bleach solution. d. Wash bed linens in cold water.

Keep children's nails short

The nurse is reviewing the postoperative prescriptions for an infant with hydrocephalus, who came back from surgery with a ventriculoperitoneal shunt. Which of the primary health care provider's prescriptions does the nurse question? 1. Position the infant on the inoperative side 2. Keep the head of the bed elevated 45 degrees 3. Monitor for signs of infection and check dressings for drainage 4. Observe for irritability, a high shrill cry, lethargy, and poor feeding

Keep the head of the bed elevated 45 degrees

A nurse is reinforcing teaching with a group of caregivers about separation anxiety. Which of the following information should the nurse include? A. It is often observed in the school-age child B. Detachment is the stage exhibited in the hospital C. It results in prolonged issues of adaptability D. Kicking a stranger is an example

Kicking a stranger is an example

An infant with tetralology of Fallot is experiencing a tet spell involving cyanosis and dyspnea. In which position should the infant be placed? A. Fowler's B. Knee-chest C. Trendenlenburg's D. Prone

Knee-chest

What would the nurse include in teaching when preparing to teach parents about air travel instructions to prevent barotrauma in infants? a. Using ear plugs during takeoff b. Omitting the meal just before takeoff c. Letting the infant nurse during descent d. Applying ear drops before takeoff

Letting the infant nurse during descent

Which instructions should the nurse give parents about caring for a child with acute glomerulonephritis with oliguria? A. No restrictions on activity B. Remain on bedrest for 2 weeks C. Limit activity until gross hematuria subsides D. Encourage a diet high in potassium (e.g., bananas)

Limit activity until gross hematuria subsides

An 8-year-old child will be hospitalized for several weeks in skeletal traction to treat a fractured femur. What does the nurse realize immobilization in this age group can generate feelings of in planning care of this child? a. Loss of control b. Altered body image c. Shame and guilt d. Fear of bodily harm

Loss of control

A child is diagnosed with chicken pox. The nurse collects data regarding the child. Which finding is characteristic of chicken pox? 1. Macular rash on the trunk and scalp 2. Pseudomembrane formation in the throat 3. Maculopapular or petechial rash on the extremities 4. Small, red spots with a bluish-white center and red base

Macular rash on the trunk and scalp

The nurse caring for a patient with severe frostbite observes a purple flush on the hands and feet. What is the most appropriate nursing action? a. Report this sign immediately. b. Place a warm towel over the extremities. c. Gently sponge with cool water. d. Medicate for pain.

Medicate for pain.

A child's arterial blood gas results are: pH 7.30, PaCO2 36, HCO3 21. The nurse determines the child is experiencing which acid-base imbalance? A. Respiratory acidosis B. Respiratory alkalosis C. Metabolic acidosis D. Metabolic alkalosis

Metabolic acidosis

A nurse is assisting with the care of a client who has a major burn and is experiencing severe pain. Which of the following actions should the nurse take? A. Monitor morphine sulfate IV B. Monitor meperidine IM C. Administer acetaminophen PO D. Administer hydrocodone PO

Monitor morphine sulfate IV

When an infant is receiving digoxin (Lanoxin), the nurse would be alert to which finding as a sign of toxicity? A. A nurse's responsibility when a child is receiving diuretics is to B. Monitor serum electrolyte levels C. Place on seizure precautions D. Check the dosage with another nurse before administering

Monitor serum electrolyte levels

What are the priority nursing actions when administering Diuril (chlorothiazide) to a child diagnosed with congestive heart failure (CHF)? A. Intake and output and periods of rest B. Measure pulse for 1 minute and review ECG C. Monitor serum electrolytes and daily weight D. Hold dose if patient vomits and until doctors write order to repeat dose

Monitor serum electrolytes and daily weight Correct *This medication can cause potassium depletion, so serum electrolytes must be monitored, and daily weight identifies and measures the effectiveness of the medication.

Which restraint is most appropriate for the insertion of an intravenous line in a scalp vein of an infant? a. Mummy b. Clove hitch c. Jacket d. Elbow

Mummy

A child is brought to the emergency department because he ingested an unknown quantity of acetaminophen (Tylenol). What does the nurse expect this child to receive following gastric lavage? a. Activated charcoal b. N-acetylcysteine c. Vitamin K d. Syrup of ipecac

N-acetylcysteine *acetaminophen antidote

What nursing action will significantly decrease the risk of serious complications for a child in Bryant's traction? a. Neurovascular checks are done frequently. b. Bandages are wrapped tightly. c. The child is restrained from rolling over. d. The child's buttocks are resting on the bed.

Neurovascular checks are done frequently.

A child with type 1 diabetes mellitus is brought to the emergency department by the mother, who states that the child has been complaining of abdominal pain and has been lethargic. Diabetic ketoacidosis is diagnosed. Anticipating the plan of care, the nurse prepares to administer which type of intravenous (IV) infusion? 1. Potassium infusion 2. NPH insulin infusion 3. 5% dextrose infusion 4. Normal saline infusion

Normal saline infusion

During a physical assessment of a hospitalized 5-year-old child, the nurse notes that the foreskin has been retracted and is very tight on the shaft of the penis; the nurse is unable to return it over the head of the penis. What action should the nurse implement? a. Forcibly push the foreskin down over the head of the penis. b. Place a warm compress on the penis. c. Notify the charge nurse. d. Wait a few hours and try again.

Notify the charge nurse

A child with a diagnosis of a hernia has been scheduled for a surgical repair in 2 weeks. The nurse reinforces instructions to the parents about the signs of possible hernial strangulation. The nurse tells the parents that which manifestation requires primary health care provider (PHCP) notification by the parents? 1. Pain 2. Diarrhea 3. Constipation 4. Increased flatus

Pain

A child with a diagnosis of a hernia has been scheduled for a surgical repair in 2 weeks. The nurse reinforces instructions to the parents about the signs of possible hernial strangulation. The nurse tells the parents that which manifestation requires primary health care provider (PHCP) notification by the parents? 1. Pain 2. Diarrhea 3. Constipation 4. Increased flatus

Pain

A nurse is reinforcing teaching with a caregiver about acetaminophen poisoning. Which of the following information should the nurse include? a. Nausea begins 24 hr after ingestion b. Pallor can appear as early as 2 hr after ingestion c. Jaundice will appear in 12 hr if the child is toxic d. Children can have 4 g/day of acetaminophen

Pallor can appear as early as 2 hr after ingestion

A 4 year old child is hospitalized with a suspected diagnosis of Wilms' tumor. The nurse reviews the plan of care and should question which intervention that is written in the plan? 1. Palpate the abdomen for a mass. 2. Check the urine for the presence of hematuria 3. Monitor the blood pressure for the presence of hypertension 4. Monitor the temperature for the presence of a kidney infection

Palpate the abdomen for a mass.

What would be the priority nursing intervention when a nurse is caring for a child wearing an Ace bandage for a sprained ankle? A. Ensure the ankle is elevated on a pillow B. Perform a neurovascular assessment C. Apply a fresh ice pack to the sprained ankle D. Determine when the child received analgesic

Perform a neurovascular assessment.

What is an initial sign of nephrosis that the nurse might note in a child? a. Raspberry-like rash b. Periorbital edema c. Temperature elevation d. Abdominal pain

Periorbital edema

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. Sexual abuse b. Physical abuse c. Physical neglect d. Emotional abuse

Physical neglect

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. Pinworms b. Giardiasis c. Ringworm d. Roundworm

Pinworms

Which information would the nurse give to parents of an infant with gastroesophageal reflux disease? A. Feed the infant half-strength formula B. Position in an infant seat after feeding C. Increase the time between feedings D. Place in upright prone position after feeding

Place in upright prone position after feeding

The nurse was caring for an infant who had come to the nursing unit for observation and treatment of tetralogy of Fallot. The child suddenly becomes cyanotic and the oxygen saturation reading drops to 60%. The nurse should perform which action first? 1. Assist to administer morphine sulfate 2. Place the child in a knee-chest position 3. Administer 100% oxygen by face mask 4. Prepare to administer intravenous fluids

Place the child in a knee-chest position

The nurse notes that a 4-year-old child's gums bleed easily and he has bruising and petechiae on his extremities. Which lab value is consistent with these symptoms? a. Platelet count of 25,000/mm3 b. Hemoglobin level of 8 g/dL c. Hematocrit level of 36% d. Leukocyte count of 14,000/mm3

Platelet count of 25,000/mm3

Which intervention is correct when a nurse is administering a gastrostomy feeding by gravity? a. Discard the residual and increase the volume of feeding by the amount of residual. b. Flush the gastrostomy tube with 2 to 4 ounces of water before the feeding. c. Refill the syringe with formula after it has completely emptied. d. Position the child on the right side after a feeding.

Position the child on the right side after a feeding.

What is the best intervention for the nurse caring for a child experiencing an acute asthma attack? a. Offer plenty of fluids, particularly carbonated beverages. b. Place the child in a humidified cool mist tent with oxygen. c. Administer sedatives as ordered to decrease anxiety. d. Position the child with arms resting on the overbed table

Position the child with arms resting on the overbed table

The child with cryptorchidism is being discharged after orchiopexy, which was performed on an outpatient basis. The nurse should reinforce instructions to the parents about which priority care measure? 1. Measuring intake and output 2. Administering anticholinergics 3. Preventing infection at the surgical site 4. Applying cold, wet compresses to the surgical site

Preventing infection at the surgical site

The first child of a couple is being treated for bronchopulmonary dysplasia (BPD). They ask how to prevent this from happening with the child they are currently expecting. What will the nurse explain as the best way to prevent BPD? a. Maternal intake of folic acid b. Exercise c. Prevention of preterm birth d. Provision of oxygen therapy to the newborn

Prevention of preterm birth

A nurse is collecting data from a child who has short stature. Which of the following findings would indicate a growth hormone deficiency? A. Proportional height to weight B. Height proportionally greater than weight C. Oversized jaw D. Early-onset puberty

Proportional height to weight

Which assessment performed by a nursing student performing a neurovascular check alerts the instructor that further education is necessary? a. Pulses b. Capillary refill c. Movement d. Pupils

Pupils

A nurse is caring for a child who is suspected of having Legg-Calve-Perthes disease. The nurse should prepare the child for which of the following diagnostic procedures? A. Bone biopsy B. Genetic testing C. CT scan D. Radiographs

Radiographs

The nurse is monitoring for signs of dehydration in a 1 year old child who has been hospitalized for diarrhea and prepares to take the child's temperature. Which method of temperature measurement should be avoided? 1. Rectal 2. Axillary 3. Electronic 4. Tympanic

Rectal

The nurse is teaching a parent about pyrvinium (Povan). What would be included in regard to potential side effects? a. Diarrhea b. Skin rash c. Red stool d. Metallic taste

Red stool

A nurse is contributing to the plan of care for a newborn who has hyperbilirubinemia and is scheduled to receive phototherapy. Which of the following interventions should the nurse include? a. Reposition the newborn every 4 hr b. Lotion the newborn's skin twice per day c. Check the newborn's temperature every 8 hr d. Remove the newborn's eye mask during feedings

Remove the newborn's eye mask during feedings

A 2-day-old infant is noted to have small pustules on her skin. What is the best nursing action? a. Report it immediately because it may be a staphylococcus infection. b. Keep the affected area dry and clean. c. Teach the parents how to care for seborrheic dermatitis. d. Chart the finding because it may be the beginning of a strawberry nevus.

Report it immediately because it may be a staphylococcus infection.

A nurse is checking the vital signs of a 3-year-old child during a well-child visit. Which of the following findings should the nurse report to the provider? A. Temperature 37.2 C (99.0 F) B. Heart rate 106/min C. Respirations 35/min D. Blood pressure 88/54 mm Hg

Respirations 35/min

The nurse is caring for a toddler with acute laryngotracheobronchitis. Which assessment finding would indicate the child is experiencing increased respiratory obstruction? a. Restlessness b. Tachycardia c. Brassy cough d. Expiratory wheezing

Restlessness

A nurse is collecting data from a 3 year old child during a well child visit. Which of the following gross motor skills should the nurse expect the child to perform? A. Ride a tricycle B. Hop on one foot C. Jump rope D. throw a ball overhead

Ride a tricycle

The nurse is reviewing the record of a child with increased intracranial pressure and notes that the child has exhibited signs of decerebrate posturing. During data collection about the child, the nurse expects to note which characteristic of this type of posturing? 1. Flaccid paralysis of all extremities 2. Adduction of the arms at the shoulders 3. Rigid extension and pronation of the arms and legs 4. Abnormal flexion of the upper extremities and extension and adduction of the lower extremities

Rigid extension and pronation of the arms and legs

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. Risk for infection b. Risk for hemorrhage c. Altered skin integrity d. Disturbance in body image

Risk for infection

The nurse offers a variety of fluids to a 5-year-old asthmatic child to compensate for the fluid loss through dyspnea. Which fluids are most appropriate? a. Room temperature water b. Carbonated beverages c. Iced fruit juice d. Cold milk

Room temperature water

An adolescent is at the pediatrician's office because he has been experiencing intense itching, particularly in the axilla and between the fingers. The itching is worse during the night and he has not been sleeping well. With what is this symptom associated? a. Scabies b. Pediculosis capitis c. Tinea corporis d. Eczema

Scabies

The pediatric nurse completes an assessment on all patients assigned during evening shift at the hospital. Which patient assessment requires immediate intervention? a. Toddler with an axillary temperature of 99° F b. School-age child with widening pulse pressure c. Infant pulse rate of 100 beats/minute d. Adolescent with a respiratory rate of 28 breaths/minute

School-age child with widening pulse pressure

A child had a burn, evidenced by pink skin and blistering. The child complains of pain and is crying. How does the nurse classify this burn when documenting? a. First-degree b. Second-degree superficial c. Second-degree deep dermal d. Third-degree

Second-degree superficial

An infant is admitted to the hospital with severe isotonic dehydration. For what is this child at the highest risk? a. Metabolic alkalosis b. Hypocalcemia c. Sepsis d. Shock

Shock

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. Require that the child have antibiotic coverage. c. Can be given in smaller, divided doses. d. Should be delayed.

Should be delayed.

A nurse is reinforcing teaching about the management of epistaxis to an adolescent. Which of the following positions should the nurse instruct the adolescent to take when experiencing a nosebleed? A. Sit up and lean forward B. Sit up and tilt the head up C. Lie in a supine position D. Lie in a prone position

Sit up and lean forward

A child diagnosed with epilepsy had a generalized tonic-clonic seizure that lasted 90 seconds. What would the nurse expect to assess after a generalized tonic-clonic seizure? a. Restlessness b. Sleepiness c. Nausea d. Anxiety

Sleepiness

What should the nurse stress to the mother of a child with impetigo? a. The condition is caused by the herpes simplex virus type I. b. The crusts on the lesions should be left in place. c. The lesions may spread, but the disease is not contagious. d. Small cuts and bites should be treated promptly.

Small cuts and bites should be treated promptly

The nurse observes that the legs of a child with cerebral palsy cross involuntarily, and the child exhibits jerky movements with his arms as he tries to eat. The nurse recognizes that he has which type of cerebral palsy? a. Athetoid b. Ataxic c. Spastic d. Mixed

Spastic

A nurse is caring for a toddler who has had three ear infections in the past 5 months. The nurse should identify that this places the toddler at risk for developing which of the following long-term complications? A. Balance difficulties B. Rash C. Speech delays D. Mastoiditis

Speech delays

A pediatric nurse is assisting with the care of a child diagnosed with a fractured femur. What type of fracture would be the most likely to alert the nurse to the possibility of physical abuse? a. Stress fracture b. Compound fracture c. Spiral fracture d. Greenstick fracture

Spiral fracture

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 return of venous blood back to 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 workload of the heart.

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

A nurse is caring for a child who has AIDS. Which of the following isolation precautions should the nurse initiate? A. Contact B. Airborne C. Droplet D. Standard

Standard

A child has a basilar skull fracture. Which primary health care provider's prescription should the nurse question? 1. Restrict fluid intake 2. Insert an indwelling urinary catheter 3. Keep an intravenous (IV) line patent. 4. Suction via the nasotracheal route as needed

Suction via the nasotracheal route as needed

What symptom leads the nurse caring for a 5-month-old child with viral influenza to suspect the development of Reye's syndrome? a. Respirations drop from 18 to 14 breaths/minute b. Falling asleep after feeding c. Sudden vomiting without effort d. Development of a macular rash

Sudden vomiting without effort

Which allergy would contraindicate the use of silver sulfadiazine (Silvadene) as a topical agent for burns? a. Penicillin b. Iodine c. Tetanus immunizations d. Sulfa

Sulfa

A 15-year-old patient returns to the pediatric unit following a lumbar puncture. What initial position will the nurse maintain for this patient? a. Left side-lying b. Supine c. Prone d. Semi-Fowler's

Supine

How does Russell traction provide adequate skin traction? a. Subluxates the tibia b. Does not interfere with range of motion c. Prevents the knee from flexing d. Supplies continuous pull in two directions

Supplies continuous pull in two directions

A child with rheumatic fever begins involuntary, purposeless movements of her limbs. What does the nurse recognize that this indicates? a. Seizure activity b. Hypoxia c. Sydenham's chorea d. Decreasing level of consciousness

Sydenham's chorea

A nurse is collecting data from an infant who has a respiratory infection. Which of the following findings is an early indication of acute hypoxemia? A. Nonproductive cough B. Hypoventilation C. Tachypnea D. Nasal stuffiness

Tachypnea

Which initial intervention will the nurse suggest to the parents of a child experiencing laryngeal spasm? a. Take the child outside in the cool air. b. Bring the child directly to the emergency department. c. Take the child to the bathroom and turn on a hot shower. d. Have the child drink plenty of fluids.

Take the child to the bathroom and turn on a hot shower.

Which nursing interventions will be implemented for the mother of a 10-month-old infant with nonorganic failure to thrive? a. Pointing out errors that the nurse observes when the mother is caring for the infant b. Discussing negative characteristics of the infant with the mother c. Having the nurse provide as much of the infant's care as possible d. Teaching the mother about the developmental milestones to expect in the next few months

Teaching the mother about the developmental milestones to expect in the next few months

A nurse is assisting teaching a class about puberty in boys. Which of the following should the nurse include as the first manifestation of sexual maturation? A. pubic hair growth B. Vocal changes C. Testicular enlargement D. Facial hair growth

Testicular enlargement

A nurse is reinforcing preconception teaching with a client whonhas phenylketonuria (PKU). Which of the following information should the nurse include? a. Follow a low-phenylalanine diet once pregnancy is confirmed b. Testing of phenylalanine levels will be required one to two times per week throughout pregnancy c. Increase intake of dietary proteins prior to conception d. Cesarean birth will be required due to the likelihood of having a fetus with macrosomia

Testing of phenylalanine levels will be required one to two times per week throughout pregnancy

Which disorder causes unoxygenated blood to enter the systemic arterial circulation? A. Patent ductus arteriosus B. Tetralogy of Fallot C. Coarctation of the aorta D. Atrial stenosis

Tetralogy of Fallot *cyanotic heart disease. the rest are acyanotic

A congenital heart defect that results in decreased pulmonary flow is A. Tetrology of Fallot B. Atrial septal defect C. Ventricular Septal defect D. Patent ductus arteriosus

Tetrology of Fallot

The nurse is dealing with a preschool child with a life-threatening illness. What should the nurse remember the child's concept of death is at this age? a. That it is final b. Only a fear of separation from her parents c. That a person becomes alive again soon after death d. An understanding based on simple logic

That a person becomes alive again soon after death

Which observation indicates that an infant with congestive heart failure (CHF) is carefully following the prescribed medical regimen? A. The child takes antibiotics daily. B. The child exhibits normal weight for age. C. The child has an elevated RBC. D. The child's pulse rate is less than 50 beats/minute.

The child exhibits normal weight for age.

The nurse is assisting a primary health care provider (PHCP) during an examination of an infant with hip dysplasia. The PHCP performs the Ortolani maneuver. Which data should the nurse expect to note during the examination? 1. Full range of motion of the legs 2. Marked asymmetry on the affected side 3. The unstable femoral head pops out of the acetabulum 4. The dislocated femoral head pops back into the acetabulum

The dislocated femoral head pops back into the acetabulum

The nurse observes a mother giving an oral iron supplement to her 6 year old child with iron deficiency anemia. Which action by the mother indicates the need for further teaching? 1. The mother administered the iron with milk 2. The mother administered the iron with water 3. The mother administered the iron with apple juice 4. The mother administered the iron with orange juice

The mother administered the iron with milk

The parents of a hospitalized 9-month-old infant ask if their preschool child may visit his younger sibling. What understanding would assist the nurse most in formulating a response? a. Preschool children can be disruptive in the hospital environment. b. Seeing his younger sibling would probably frighten the preschooler and thus should be avoided. c. The sibling could view the infant from the doorway but not enter the room to prevent the spread of microorganisms. d. The preschooler needs to visit his infant sister to reassure himself that she is all right.

The preschooler needs to visit his infant sister to reassure himself that she is all right.

A 2-year-old child has been crying constantly for his mother since he was hospitalized 3 days ago. What does this behavior suggest? a. The toddler feels abandoned by his mother. b. The child still has not adjusted to his hospitalization. c. The child is not separated from his mother often. d. There is a poor mother-child bond.

The toddler feels abandoned by his mother.

Why is a tympanic thermometer considered more accurate than other types of thermometers? a. The thermometer probe is blunt and wide. b. It takes a brief time to register. c. The tympanic membrane shares circulation with the hypothalamus. d. The tympanic membrane and the brain have the same temperature.

The tympanic membrane shares circulation with the hypothalamus

Why are rapid respirations a possible cause of dehydration? a. They prevent the child from drinking. b. They increase circulation, thus increasing urine production. c. They cause evaporation of fluid on the mucous membranes. d. They often lead to vomiting.

They cause evaporation of fluid on the mucous membranes

What is accurate about the characteristics of high-density lipoproteins (HDLs)? a. They have high amounts of triglycerides. b. They have only small amounts of protein. c. They have little cholesterol. d. They aid in steroid production.

They have little cholesterol

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

They occur when the temperature rises quickly

A toddler has been walking independently for 1 month. Observation of the toddler's gait reveals the child's feet are wide apart and the gait is unsteady. How would the nurse interpret this finding? A. The child appears to have genu varum B. Orthotic devices in the shoes will improve the gait C. A comprehensive neurologic assessment is indicated D. This is a normal gait for a child in the toddler age group

This is a normal gait for a child in the toddler age group

The nurse completed a neurovascular check on a child in Russell's traction for a fractured femur. Which finding should be reported to the charge nurse? A. Foot is warm to the touch B. Can wiggle toes C. Toes feel tingly D. Capillary refill of toes less than 3 seconds

Toes feel tingly

The nurse is working in the emergency department and is caring for a child who has been diagnosed with epiglottitis. Which is an indication that the child may be experiencing airway obstruction? 1. Retractions and coughing 2. Nasal flaring and bradycardia 3. Tripod positioning and dyspnea 4. A low grade fever and complaints of a sore throat

Tripod positioning and dyspnea

After a tonsillectomy, the child begins to vomit bright red blood. Which is the initial nursing action? 1. Turn the child to the side 2. Notify the registered nurse (RN) 3. Administer the prescribed antiemetic 4. Maintain NPO (nothing by mouth) status

Turn the child to the side

A nurse is caring for a child who is receiving oxygen. Which of the following findings indicates oxygen toxicity? A. Increased blood pressure B. Hyperventilation C. Decreased PaCo2 D. Unconsciousness

Unconsciousness

Gentamicin ear drops are prescribed for a 4-year-old child. How would the nurse position the auricle when administering the ear drops? a. Up and back b. Down and back c. Up and out d. Down and out

Up and back

A parent tells the nurse, "I'm not sure how to give this medicine to my infant." How would the nurse teach the parent to best administer an oral suspension? a. Pour the medication into a small cup and allowing the infant to drink it. b. Place the medication in a nipple and having the infant suck the nipple. c. Use an oral syringe and placing the medication in the side of the infant's mouth. d. Administer the medication with a dropper onto the back of the infant's tongue.

Use an oral syringe and placing the medication in the side of the infant's mouth

A nurse is reinforcing teaching with the guardian of a child who has pediculosis capitis. Which of the following instructions should the nurse include? A. Apply mayonnaise to the affected area at night B. Treat all household pets C. Use an over the counter medication containing 1% permethrin D. Discard the child's stuffed animals

Use an over the counter medication containing 1% permethrin

A nurse is preparing to administer iron dextran IM to a school-age child who has iron deficiency anemia. Which of the following actions by the nurse is appropriate? A. Administer the dose in the deltoid muscle B. Use the Z-track method when administering the dose C. Avoid injecting more than 2 mL with each dose D. Massage the injection site for 1 min after administering the dose

Use the Z-track method when administering the dose

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. Lessened effectiveness of oral contraceptives b. Urinary burning and frequency c. Breast engorgement d. Vaginitis

Vaginitis

A 3-year-old child with sickle cell disease is admitted to the hospital in sickle cell crisis with severe abdominal pain. Which type of crisis is the child most likely experiencing? a. Aplastic b. Hyperhemolytic c. Vaso-occlusive d. Splenic sequestration

Vaso-occlusive

Where is the best site for giving an IM injection to a 15-month-old child? a. Ventrogluteal muscle b. Dorsogluteal muscle c. Deltoid muscle d. Vastus lateralis muscle

Vastus lateralis muscle

The nurse is documenting a description of a skin assessment. What term can be used for an elevated, fluid-filled blister? a. Pustule b. Papule c. Wheal d. Vesicle

Vesicle

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. Voiding cystourethrogram d. Intravenous pyelogram

Voiding cystourethrogram

An infant with congestive heart failure is receiving digoxin (Lanoxin). What does the nurse recognize as a sign of digoxin toxicity? a. Restlessness b. Decreased respiratory rate c. Increased urinary output d. Vomiting

Vomiting

What instruction would the nurse provide to an adolescent who has been fitted with a Milwaukee brace? a. Wear the brace directly against the skin. b. Wear the brace over regular clothing. c. Wear the brace over a T-shirt 23 hours a day. d. Remove the brace before sleeping.

Wear the brace over a T-shirt 23 hours a day

On the second day of hospitalization for a 3-month-old brought in for treatment for gastroenteritis, the nurse makes all of the assessments listed below. Which assessment finding indicates ineffectiveness of treatment? a. Weight loss of 4 ounces b. Dry mucous membranes c. Decreased skin turgor d. Depressed fontanelle

Weight loss of 4 ounces

A health care provider has prescribed oxygen as needed for a 10 month old infant with heart failure (HF). In which situation should the nurse administer the oxygen to the child? 1. When the child is sleeping 2. When changing the child's diapers 3. When the mother is holding the child 4. When drawing blood for electrolyte levels

When drawing blood for electrolyte levels

A health care provider has prescribed oxygen as needed for a 10-month-old infant with heart failure (HF). In which situation should the nurse administer the oxygen to the child? A. When the child is sleeping B. When changing the child's diapers C. When the mother is holding the child D. When drawing blood for electrolyte levels

When drawing blood for electrolyte levels

The nurse is assisting in performing pediculosis capitis (head lice) checks. Which finding indicates that a child has a "positive" head check? 1. Maculopapular lesions behind the ears 2. Lesions in the scalp that extend to the hairline or neck 3. White flaky particles throughout the entire scalp region 4. White sacs attached to the hair shafts in the occipital area

White sacs attached to the hair shafts in the occipital area

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

Whole-grain cereal

What will the nurse administer with ferrous sulfate drops when providing them to a child on the pediatric unit? a. With milk b. With orange juice c. With water d. On a full stomach

With orange juice

How are pinworms diagnosed? a. seeing the worm in the stool b. a blood antigen level c. A "Scotch tape test" in the early morning d. a stool laboratory examination obtained at the hour of sleep

a "Scotch tape test" in the early morning

A practice that has been helpful in preventing intellectual disability is: a. administering the Stanford-Binet test b. a blood test at birth c. careful preschool development screening d. a urine test at age 6 months

a blood test at birth

Chillblains

a cold injury with erythema and formation of vesicles and ulcerative lesions that occur as a result of vasoconstriction

Wilms' tumors are often discovered when A. children enter school B. the child has flank pain C. blood is noted in the urine D. a routine physical exam is given

a routine physical exam is given

What nursing action would be avoided when caring for a child diagnosed with Wilms' tumor? A. measuring urinary output B. monitoring blood pressure C. abdominal palpation D. auscultation of lungs

abdominal palpation

The priority goal in the management of a severe burn is A. wound debridement B. pain control C. fluid replacement D. airway maintenance

airway maintenance

startle reflex

aka Moro reflex response that one makes after a sudden, unexpected loud noise or similar sudden stimulus

Nursing care of an adolescent with cancer who is refusing to cooperate with treatment should include A. allowing the adolescent to make some choices B. asking the parents to make the adolescent cooperate C. restricting visits from friends until the behavior is modified D. withholding the influences of group therapy until the behavior changes

allowing the adolescent to make some choices

The treatment of osteomyelitis includes the use of: A. steroids B. antibiotics C. traction D. hydrotherapy

antibiotics

The etiology of acute glomerulonephritis is thought to be a(n) A. antigen-antibody reaction B. autoimmune disease C. malignant disease D. infectious disease

antigen-antibody reaction

When a child has pinworms, the nurse should know that A. A warm stool specimen must be sent to the lab B. the child will be hospitalized for the duration of infection C. any family member with symptoms should be treated D. any pregnant household member must be treated with mebendazole

any family member with symptoms should be treated

What is the best liquid for the nurse to give to a child who has had a tonsillectomy? a. apple juice b. milk c. sweet or diet colas d. fresh-squeezed lemonade

apple juice

The nurse would expect the parent of an infant with croup to describe the infant's cough as a. dry b. barking c. productive d. quiet

barking

The diagnostic test that confirms a diagnosis of leukemia is a(n) A. spinal tap B. Bone marrow aspiration C. complete blood count D. x-ray of the bones

bone marrow aspiration

A teenager who had a cast applied after a tibia fracture complains that his pain medication is not working and his pain is still a 9 or 10. The nurse notices some edema of the toes and a capillary refill of 6 seconds. The priority action of the nurse would be to A. call the health care provider immediately B. find out if there is an order for a stronger pain medication C. try nonpharmalogical techniques of an relief D. explain to the teen that a new fracture is expected to be painful the first day

call the health care provider immediately

adolescent on death

can understand abstract concept of death but has own feelings of own immortality. may express anger at person who died.

One of the most common causes of death in a child with muscular dystrophy is A. renal failure B. osteomyelitis C. cardiac failure D. liver disease

cardiac failure

Daily weights are obtained in children with nephrosis to monitor: a. weight loss from low protein diet b. accurate of fluid balance sheets c. changes in the amount of edema d. percentile on growth grid

changes in the amount of edema

A child is brought to the emergency room and the mother reports that the child accidentally swallowed paint thinner after mistaking it for water. The nurse should perform which action first? 1. begin resuscitation 2. terminate exposure to the poison 3. take measures to prevent absorption of the poison 4. check the circulation, airway, and breathing status of the child

check the circulation, airway, and breathing status of the child

The nurse measuring an infant's blood pressure finds it is higher in the arms than the legs. The finding is associated with which congenital heart defect A. Tetrology of Fallot B. Coarctation of the aorta C. Patent ductus arteriosus D. Hypoplastic left heart syndrome

coarctation of the aorta

The nurse places a child with croup in an environment of high humidity for which effect? a. decrease the possibility of dehydration b. decrease risk of spreading the infection c. decrease mucosal swelling d. decrease risk of vomiting and aspiration

decrease mucosal swelling

A nurse is reinforcing teaching with a group of guardians about characteristics of infants who have failure to thrive. Which of the following characteristics should the nurse include? a. intense fear of strangers b. Increased risk for childhood obesityc. c. inability to form close relationships with siblings d. developmental delays

developmental delays

What would be the initial nursing action when a child receiving a transfusion of packed red blood cells complains of chills and back pain? A. reduce the infusion rate B. take the child's blood pressure C. administer Benadryl as ordered D. discontinue the transfusion

discontinue the transfusion

The nurse is assessing a child with burns recognizes which finding as an early sign of sepsis? A. decreased pulse B. erythema C. elevated temperature D. decreased blood pressure

elevated temperature

A burn patient with cyanosis and charred lips may need a(n) A. nasogastric tube B. endotracheal tube C. foley catheter D. throat culture

endotracheal tube

Anxiety can be decreased in both the family and the child who has cancer by A. not telling the child that he or she has cancer B. explaining all procedures before they are done C. placing the child with an older child who has the same diagnosis D. discouraging the child who has the same diagnosis

explaining all procedures before they are done

A health provider is preparing to examine the throat of a child diagnosed with acute epiglottis. A priority nursing responsibility would be to a. have a tracheotomy set at the bedside b. immobilize the child's head c. restrain the child's arms d. have oxygen available

have a tracheotomy set at the bedside

Signs of increased intracranial pressure in a 3 year old child include 1. headache, lethargy 2. high-pitched cry, bulging fontanelles 3. apnea, crossed eyes 4. painful head movement, anorexia

headache, lethargy

The nurse is caring for a child who received a skin graft from pigskin. This type of graft is called a(n) a. homograft B. heterograft C. isograft D. autograft

heterograft

The nurse determines a parent dietary teaching for a child with cystic fibrosis when she states the child should eat which type of diet? a. high calorie, high protein, no salt supplement b. high calorie with salt supplement c. low calorie, high protein, low salt d. low calorie, low protein, with salt supplement

high calorie, high protein, no salt supplement

what are some signs and symptoms of meningitis?

high fever, irritability, and a high-pitched cry

A. urse ks reinforcing teaching with the guardian of a child about risk factors for attention-deficit/hyperactivity disorder (ADHD). Which of the following risk factors should the nurse include? a. formula-feeding as an infant b. history of head trauma c. history of postterm birth d. child of a single guardian

history of head trauma

What is the treatment of choice for a child with intussusception? a. hydrostatic reduction air enema b. Immediate surgery c. IV fluids until the spasms subside d. Gastric lavage

hydrostatic reduction air enema

The nurse should assess a child with acute glomerulonephritis for the presence of A. urinary frequency B. petechiae C. hypotension D. hypertension

hypertension

The pathologic disturbance of pyloric stenosis results from a. edema of the pyloric muscle b. ischemia of the pyloric muscle c. hypertrophy of the pyloric muscle d. neoplastic obstruction

hypertrophy of the pyloric muscle

The greatest threat to life in isotonic dehydration is A. hypervolemic shock B. hypovolemic shock C. decreased K levels D. clammy mucous membranes

hypovolemic shock ISO=hypO shock

The greatest concern of a nurse caring for a child with ITP is A. injuries that might initiate bleeding B. a reaction to excess platelets C. noncompliance with aspirin therapy D. development of a secondary bacterial infection

injuries that might initiate bleeding

Which presents the greatest risk to the child with hemophilia? A. Hematuria B. Hemarthrosis C. Intracranial bleeding D. Iron deficiency anemia

intracranial bleeding

Stage 2 Hodgkin's disease

involves 2 or more lymph nodes in area or on same side of diaphragm

Stage 3 Hodgkin's disease

involves lymph node regions on both sides of diaphragm; involves adjacent organ or spleen

Stage 4 Hodgkin's disease

is diffuse disease; least favorable prognosis

Thalassemia major (Cooley's anemia) is treated primarily with: A. a diet high in iron B. multiple blood transfusions C. bed rest until the sedimentation rate is normal D. oxygen therapy

multiple blood transfusions

Influenza type A or B may be diagnosed with which test? a. nasal swab b. blood test c. urine sample d. chest x-ray

nasal swab

The nurse would teach parents of a child with impetigo to be alert for sign of which complication? A. rheumatoid arthritis B. nephritis C. endocarditis D. otitis media

nephritis

infants on death

no concept. doesn't understand. reacts on emotional level to amxiety of parents

The nurse observes a child who had a tonsillectomy a few hours earlier is swallowing frequently. What is the appropriate action for the nurse to take? a. offer the child cold milk b. reposition the child to supine position c. instruct the child to cough or clear the throat d. notify the health care provider

notify the health care provider

What is contained in an emollient bath often prescribed for children with eczema? A. bath oil B. glycerin soap C. oatmeal D. salt or saline solution

oatmeal

A child who has been burned eats only a small amount of the food on her tray. An appropriate nursing action would be to A. request an order to start an IV B. insert a nasogastric tube for feedings C. offer the child small, frequent feedings D. leave the tray at the bedside longer

offer the child small, frequent feedings

A priority nursing responsibility in the care of a child with Wilm's tumor is to: a. maintain accurate intake and output records b. omit abdominal palpation during daily assessment c. maintain strict bedrest d. assess neurological function

omit abdominal palpation during daily assessment

An appropriate nursing action when caring for a child in Bryant's traction is to: A. remove the weights when bathing B. Support the weights when the bed is moved C. position the child so the buttocks touch the bed D. position the child's legs at right angles to the body

position the child's legs at right angles to the body

The nurse would instruct an adolescent who is taking Accutane to avoid A. sun exposure B. dairy products C. pregnancy D. strenuous exercise

pregnancy

milliaria

prickly heat

school age on death

realizes death is final. may be interested in details may fear parents will die

Which nursing action is appropriate when caring for a hospitalized child who is hearing-impaired? a. speak in a loud, clear tone b. stand close to the child and speak slowly c. speak at eye level with the child d. speak in an exaggerated tone

speak at eye level with the child

A type of fracture in a young child may be indicative of child abuse is A. greenstick fracture of the tibia B. spiral fracture of the femur C. pathological fracture of the fibula D. aligned fracture of the wrist

spiral fracture of the femur

The nurse planning care for a child with nephrotic syndrome knows the classification of medication used to reduce edema in nephrotic syndrome is A. fungicide B. antibiotics C. analgesics D. steroids

steroids

When the patient experiences apprehension and urticaria while receiving a blood transfusion, the nurse: A. slows the transfusion and takes the patient's vital signs B. observes the child for further transfusion reactions C. stops the transfusion, allows normal saline solution to run slowly, and notifies the charge nurse D. stops what he or she is doing and obtains the patient's history

stops the transfusion, allows normal saline solution to run slowly, and notifies the charge nurse

The nurse understands that genitourinary surgery affects growth and development. When caring for a 4 year old child postoperatively, a priority nursing responsibility would include a. strategies to preserve the child's body image b. assurances that appearance and sexual function will not be affected c. providing age-appropriate toys such as tricycles d. preventing embarrassment by limiting visitation of family and friends

strategies to preserve the child's body image

The nurse is caring for a child receiving digoxin (Lanoxin) for the diagnosis of heart failure. Which manifestation does the nurse recognize as a cardinal sign of digoxin toxicity? A. Respiratory distress B. Sudden change in pulse C. Constipation D. Headache

sudden change in pulse *Symptoms of toxicity include nausea, vomiting, anorexia, irregularity in rate and rhythm of the pulse, and a sudden change in the pulse.

The nurse observes a mother giving an oral iron supplement to her 6 year old child with iron deficiency anemia. Which action by the mother indicates the need for further teaching? A. The mother administered the iron with milk B. The mother administered the iron with water C. The mother administered the iron with apple juice D. The mother administered the iron with orange juice

the mother administered the iron with milk

What information would the nurse give to parents of a young child following surgical insertion of a pressure equalization tube during myringotomy after eardrum rupture? a. The tube may fall out spontaneously within 6 to 12 months b. Avoid getting water in the child's ears c. Position the child on his back for sleep d. Use cotton swabs to clean the ears

the tube may fall out spontaneously within 6 to 12 months

preschoolers on death

thinks death is temporary. may blame self. respond by relying on their experience. turning to fantasy

A full thickness burn can best be described as A. red with good capillary refill, painful B. mottled, red, dull white, painful C. blistered, pink or red, painful D. tough, leathery, painless to touch

tough, leathery, painless to touch

A nurse is giving a newborn her first feeding when the baby starts coughing and choking. This is indicative of which condition? A. celiac disease B. enterocolitis C. tracheoesophageal atresia D. pyloric stenosis

tracheoesophageal atresia

Symptoms of an earache in an infant include: a. external drainage, pain, and decrease in temp b. tugging at the ear and rolling head from side to side c. crying and pointing to affected ear d. redness of the cheeks and cyanosis of the ear

tugging at the ear and rolling head from side to side

Nursing care for a child following a generalized tonic-clonic seizure would include: a. attempting to hold the tongue b. administering oxygen c. restraining extremities d. turning on his or her side

turning on his or her side

The nurse is caring for a child who has a ureterostomy. With this urinary diversion the nurse is aware A. the ureters were removed from the bladder and attached to the colon B. an opening was created into the bladder between the umbilicus and pubis C. ureters are surgically implanted outside the abdominal wall D. a tube was passed through the flank into the pelvis of kidney

ureters are surgically implanted outside the abdominal wall

What information would the nurse give to parents about the treatment of pediculosis capitis? A. all family members must be treated B. wash the child's hair with hydrogen peroxide C. apply prescription lotion to the entire body D. use a fine-toothed comb to remove nits

use a fine-toothed comb to remove nits

When instructing parents who plan to take their 5 month old infant sunbathing at the beach, it is most important to emphasize which of the following? A. use a sunscreen with an SPF greater than 30 over exposed areas of the infant's skin B. reapply sunscreen after the child has been playing in the water C. use sunglasses to protect eyes D. use light clothes and a hat to protect again sun exposure

use light clothes and a hat to protect again sun exposure

A parent tells the nurse, My child is going to have a test that takes an X-ray before and while he is urinating." The child is scheduled for which diagnostic study? A. voiding cystourethrography B. cystoscopy C. cystometrogram D. uroflow study

voiding cystourethrography

Early signs of Reye's Syndrome include a. diarrhea and headache b. vomiting and lethargy c. nausea and malaise d. hyperactivity and vomiting

vomiting and lethargy

A 3-year-old is being removed from the home of an abusive parent. The child is crying and a coworker wonders if this could be a sin that the child was not abused. The nurse understands that the child: A. would not be crying if he or she had been abused in the home B. will mourn the loss of family, even if there was abuse C. Is seeking attention from any available adult D. doesn't really understand what is happening

will mourn the loss of family, even if there was abuse

Children who carry the sickle cell trait A. have a 10% chance of developing the disease B. have a 25% chance of developing the disease C. have a 50% chance of developing the disease D. will not develop any symptoms of the disease

will not develop any symptoms of the disease

What information should the nurse include when teaching young girls about preventing UTIs? A. wear nylon underwear B. void only when the bladder is full C. limit fluids after 8:00 pm D. wipe from front to back

wipe from front to back

The nurse reinforcing teaching concerning the use of a cromolyn sodium inhaler for a 10 year old with asthma. Which would be an accurate concept to emphasize? a. you should use the inhaler whenever you have difficulty breathing b. you should use the inhaler between meals c. you should use the inhaler every day even if you are symptom free d. you can discontinue using the inhaler when you are feeling stronger

you should use the inhaler every day even if you are symptom free

Which statement made by a parent alerts the nurse to the need for additional education about poison prevention? a. "I keep the poison control center phone number easily accessible." b. "All medication is kept out of reach in a locked cabinet." c. "I keep a bottle of syrup of ipecac handy." d. "Our garden is free from marigolds."

"I keep a bottle of syrup of ipecac handy."

A nurse is reinforcing teaching about expected changes during puberty to a group of guardians of early adolescent girls. Which of the following statements by one of the guardians indicates an understanding of the information? A. "Girls usually stop growing about 2 years after menarche." B. "Girls are expected to gain about 65 pounds during puberty." C. "Girls experience menstruation prior to breast development." D. "Girls typically grow more than 10 inches during puberty."

"Girls usually stop growing about 2 years after menarche."

A nurse is reinforcing teaching with the caregiver of an infant who has a prescription for digoxin. Which of the following statements should the nurse make? A. "Do not offer your baby fluids after giving the medication." B. "Digoxin increased your baby's heart rate." C. "Give the correct dose of medication at regularly scheduled times." D. "If your baby vomits a dose, you should repeat the dose to ensure that the correct amount is received."

"Give the correct dose of medication at regularly scheduled times."

A nurse is told that a child with rheumatic fever (RF) will be arriving to the nursing unit for admission. Which question should the nurse ask the family to elicit information specific to the development of RF? 1. "Has the child complained of back pain?" 2. "Has the child complained of headaches?" 3. "Has the child had any nausea or vomiting?" 4. "Has the child had a sore throat or fever within the past 2 months?"

"Has the child had a sore throat or fever within the past 2 months?"

A nurse is told that a child with rheumatic fever (RF) will be arriving to the nursing unit for admission. Which question should the nurse ask the family to elicit information specific to the development of RF? A. "Has the child complained of back pain?" B. "Has the child complained of headaches?" C. "Has the child had any nausea or vomiting?" D. "Has the child had a sore throat or fever within the past 2 months?"

"Has the child had a sore throat or fever within the past 2 months?"

Which statement made by a parent indicates an understanding of the topical application of medications for a skin condition? a. "I apply the medication after I give my child a bath." b. "I rub the ointment in a circular motion over the rash." c. "I increased the amount of cream because the rash was not improving." d. "I use powder and cornstarch to keep the skin dry."

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

The nurse has reinforced homecare instructions to the parent of a child who is being discharged after cardiac surgery. Which statement by the parent indicates the need for further teaching? 1. "A balance of rest and exercise is important." 2. "I can apply lotion or powder to the incision if it is itchy." 3. "Activities during which the child could fall need to be avoided for 2 to 4 weeks." 4. "Large crowds of people need to be avoided for at least 2 weeks after this surgery."

"I can apply lotion or powder to the incision if it is itchy."

The nurse has reinforced homecare instructions to the parent of a child who is being discharged after cardiac surgery. Which statement by the parent indicates the need for further teaching? A. "A balance of rest and exercise is important." B. "I can apply lotion or powder to the incision if it is itchy." C. "Activities during which the child could fall need to be avoided for 2 to 4 weeks." D. "Large crowds of people need to be avoided for at least 2 weeks after this surgery."

"I can apply lotion or powder to the incision if it is itchy."

The nurse instructed an adolescent female about collecting a clean-catch urine specimen. What statement made by the adolescent led the nurse to determine she understood the instructions? a. "I should wash my perineum with soap and water, then begin to urinate." b. "I clean the perineum from front to back with an antiseptic wipe before I urinate." c. "I'll collect the first stream of urine in a sterile container." d. "I will discard the first void and collect a freshly voided specimen 30 minutes later."

"I clean the perineum from front to back with an antiseptic wipe before I urinate."

The nurse provides homecare instructions to the parent of a child with attention deficit hyperactivity disorder regarding behavioral therapy interventions. Which statement by the parent indicates a need for further teaching? 1. "I hear that the side effects of the medication that my child will be on can cause overeating." 2. "I know that consistent medication and regular follow up visits are a part of the plan for my child." 3. "I know I need to maintain a consistent home environment because my child is easily distracted." 4. "I understand that I will need to lean some behavioral modification techniques to help my child's impulsivity."

"I hear that the side effects of the medication that my child will be on can cause overeating."

The nurse is providing instructions to a parent of a child with patent ductus arteriosus (PDA). Which statement by the parent would indicate a need for further teaching? 1. "I know that my child will outgrow this problem, just give him time." 2. "I know that I need to be alert for signs of heart failure with this defect until it is repaired." 3. "The doctors tell me that my child has a heart murmur caused by the ductus not closing after birth." 4. "As I understand it, my child may have to have the defect closed, either during a catherization or by surgery."

"I know that my child will outgrow this problem, just give him time."

The nurse is providing instructions to a parent of a child with patent ductus arteriosus (PDA). Which statement by the parent would indicate a need for further teaching? A. "I know that my child will outgrow this problem, just give him time." B. "I know that I need to be alert for signs of heart failure with this defect until it is repaired." C. "The doctors tell me that my child has a heart murmur caused by the ductus not closing after birth." D. "As I understand it, my child may have to have the defect closed, either during a catherization or by surgery."

"I know that my child will outgrow this problem, just give him time."

The nurse provides information to the parent of a 2 week old infant who was diagnosed with clubfoot at the time of birth. Which statement by the parent indicates the need for further teaching regarding this disorder? 1. "I understand treatment need to be started as soon as possible." 2. "I realize my child will require follow-up care until full grown." 3. "I need to bring my child back to the clinic in 1 month for a new cast." 4. "I need to come to the clinic every week with my child for the casting."

"I need to bring my child back to the clinic in 1 month for a new cast."

The nurse reinforces home-care instructions to the parents of a child with hepatitis regarding the care of the child and the prevention of the transmission of the virus. Which statements by a parent indicates a need for further teaching? 1. "Frequent hand washing is important." 2. "I need to provide a well-balanced, high-fat diet to my child." 3. "I need to clean contaminated household surfaces with bleach." 4. "Diapers should not be changed near any surfaces that are used to prepare food."

"I need to provide a well-balanced, high-fat diet to my child."

The nurse reinforces instructions to the parents of a child with leukemia regarding measures related to monitoring for infection. Which statement by the parents indicates the need for further teaching? 1. "I need to use proper hand-washing techniques." 2. "I need to take my child's rectal temperature daily." 3. "I need to inspect my child's skin daily for redness." 4. I need to inspect my child's mouth daily for lesions."

"I need to take my child's rectal temperature daily."

The nurse has provided instructions to the mother of a child who has been diagnosed with bacterial conjunctivitis. Which statement by the mother would indicate the need for further teaching? 1. "I need to wash my hands frequently." 2. "I need to clean the eye, as prescribed." 3. "I need to give the eye drops, as prescribed." 4. "I need to use hot compresses to relieve the eye irritation."

"I need to use hot compresses to relieve the eye irritation."

A nurse is reinforcing teaching with a child who has type 1 diabetes mellitus about self-care. Which of the following statements by the child indicates understanding of the teaching? A. "I should skip breakfast when I am not hungry." B. "I should increase my insulin with exercise." C. "I should drink a glass of milk when I am feeling irritable." D. "I should draw up the NPH insulin into the syringe before the regular insulin."

"I should drink a glass of milk when I am feeling irritable."

A nurse is reinforcing teaching with the parent of a newborn who has plagiocephaly. Which of the following statements by the parent indicates an understanding of the instructions? a. "I should put my baby to sleep on the belly during her afternoon nap." b. "I should ensure my baby's head is in the same position whenever sleeping." c. "I should have my baby wear the prescribed helmet 23 hours a day." d. "I should allow my baby to sleep in an infant swing."

"I should have my baby wear the prescribed helmet 23 hours a day."

A nurse is reinforcing teaching with the guardian of an infant who has Down syndrome. Which of the following statements by the guardian indicates an understanding of the teaching? A. "I should expect him to have frequent diarrhea." B. "I should place a cool mist humidifier in his room." C. "I should avoid the use of lotion on his skin." D. "I should expect him to grow faster in length than other infants."

"I should place a cool mist humidifier in his room."

A parent with a 6 year old child diagnosed with enuresis discusses with the nurse the measures that being taken to help her child. Which statement by the parent indicates a need for further teaching? 1. "I make sure that my child goes potty before going to bed." 2. "I have my child help with changing the wet sheets in the morning." 3. "I take away privileges such as TV time when the bed is wet in the morning." 4. "I make sure that my child does not have anything to drink 2 hours before bedtime."

"I take away privileges such as TV time when the bed is wet in the morning."

The nurse has provided instructions to the mother of an infant with viral pneumonia. Which statement by the mother would indicate the need for further teaching? 1. "I understand I will need to have my baby on antibiotics for this pneumonia." 2. "I will need to give a cough suppressant before meals if his cough gets too bad." 3. "I will be careful and allow my baby to sleep, so he can conserve energy and fight this infection." 4. "I understand that my baby has viral pneumonia and I need to monitor his temperature because of the risk for febrile seizures."

"I understand I will need to have my baby on antibiotics for this pneumonia."

The nurse is reinforcing home-care instructions to the parents of a 3 year old child with scabies. Which statement by a parent indicates the need for further teaching? (select all that apply) 1. "I understand that I need to leave the scabicide on for 4 hours before washing it off." 2. "I will need to seal up all my child's nonwashable toys in a plastic bag for at least 4 days." 3. "I realize that everyone who has come in contact with my child will need to be treated for scabies." 4. "I know I need to wash all the clothing and bedding in hot water with detergent and dry in a hot dryer."

"I understand that I need to leave the scabicide on for 4 hours before washing it off."

The nurse reinforces home care instructions to the parents of a child with a brace for scoliosis. Which statement by a parent indicates a need for further teaching? 1. "I will insect the skin under the brace for redness or breakdown." 2. "I will encourage my child to do their exercises to maintain strength." 3. "I understand that my child needs to wear this brace for 12 hours a day." 4. "I understand that this brace is not a cure for scoliosis, it only slows the progression of the curvature."

"I understand that my child needs to wear this brace for 12 hours a day."

The nurse reviews the home care instructions with a parent of a 3 year old with pertussis. Which statement by the parent indicates a need for further teaching? 1. "I know that my child will make a loud whooping sound." 2. "I understand this whooping cough is viral and I have to let it run its course." 3. "I understand that I need to watch for respiratory distress signs with pertussis." 4. "I can reduce the environmental factors that can trigger coughing, like dust and smoke."

"I understand this whooping cough is viral and I have to let it run its course."

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 continue using the medication until symptoms are relieved." b. "I will share the medicine with siblings if their symptoms are the same." c. "I will give the medication with a glass of milk." d. "I will administer prescribed doses until all the medication is used."

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

The nurse is reinforcing instructions to the parents of a child with scoliosis regarding the use of a brace. Which statement by a parent indicates the need for further teaching? 1. "I need to have my child wear a soft fabric under the brace." 2. "I will apply lotion under the brace to prevent skin breakdown." 3. "I will need to encourage my child to perform the prescribed exercises." 4. "I will need to avoid applying powder under the brace, because it will cake."

"I will apply lotion under the brace to prevent skin breakdown."

The nurse reinforces instructions to the mother of a child who has been hospitalized with croup. Which statement made by the mother would indicate the need for further teaching? 1. "I will give my child cough syrup if a cough develops." 2. "During an attack, I will take my child to a cool location." 3. "I can give acetaminophen if my child develops a fever." 4. "I will be sure that my child drinks at least three to four glasses of fluid every day."

"I will give my child cough syrup if a cough develops."

The nurse reviews measures to prevent tick bites with a parent of a child with Rocky Mountain spotted fever. Which statement by the parent indicates a need for further teaching? 1. "I will have my child wear long sleeves and long pants to keep covered up." 2. "I will have my child stay on well worn paths and not stray into tall grass." 3. "I will check my child for ticks after being exposed to a high risk tick infected area." 4. "I will have my child wear dark colored clothing so the tick will not be attracted to the colors."

"I will have my child wear dark colored clothing so the tick will not be attracted to the colors."

A nurse is reinforcing teaching to the guardian of a preschooler about methods to promote sleep. Which of the following statements by the guardian indicates an understanding of the teaching? A. "I will sleep in the bed with my child if she wakes up during the night." B. "I will let my child stay up an additional 2 hours on weekend nights." C. "I will let my child watch television for 3 minutes just before bedtime each night." D. "I will keep a dim light on in my child's room during the night."

"I will keep a dim light on in my child's room during the night."

A nurse is caring for a child who has a terminal illness and reviews palliative care with an assistive personnel (AP). Which of the following statements by the AP indicates understanding of this review? A. "I'm sure the family is hopeful that the new medication will stop the illness." B. "I'll miss working with this client now that only nurses will be caring for the child." C. "I will get all the client's personal objects out of the room." D. "I will listen and respond as the family talks about their child's life."

"I will listen and respond as the family talks about their child's life."

The nurse instructs a mother of a child who has seizures regarding seizure precautions. Which statement by the mother indicates a need for further teaching? 1. "I will make my child wear a medical identification alert bracelet." 2. "I know that my child will need to have a companion when swimming." 3. "I will need to give anti-seizure medications when my child has a seizure." 4. "I will have my child wear a bike helmet when riding a bike or skateboarding."

"I will need to give anti-seizure medications when my child has a seizure."

The nurse is providing discharge instructions to the parents of a 14 year old child who is undergoing radiation for Hodgkin's disease. Which statement by a parent indicates the need for further teaching? 1. "I need to watch for diarrhea, so my child does not get dehydrated." 2. "I think that once my child's hair starts to fall out that I can keep a hat on him." 3. "I understand that the radiation will cause nausea and vomiting and I need to keep my child hydrated." 4. "I will need to keep my child's skin from flaking, so we will be allowing showers every 2 or 3 days."

"I will need to keep my child's skin from flaking, so we will be allowing showers every 2 or 3 days."

The nurse is reviewing instructions to a parent of a 6 year old on how to prevent influenza. Which statement by the parent indicates a need for further teaching? 1. "I will get a flu shot and I will have my child get a flu shot too." 2. "I will avoid having my child come into contact with sick children." 3. "I will have my child wash her hands frequently during the flu season." 4. "I will not let my child play with other children who have the flu unless they are taking acetaminophen."

"I will not let my child play with other children who have the flu unless they are taking acetaminophen."

The nurse reinforces instructions to the mother of a child with croup about the measures to take if an acute spasmodic episode occurs. Which statement by the mother indicates the need for further teaching? 1. "I will take my child out into the humid night air." 2. "I will place a steam vaporizer in my child's bedroom." 3. "I will place a cool-mist humidifier in my child's bedroom." 4. "I will place my child in a closed bathroom and allow my child to inhale steam from the running water."

"I will place a steam vaporizer in my child's bedroom."

The nurse notices that the mother of a child with cerebral palsy corrects and redoes many of the things the nurse does for her child. What is the nurse's most appropriate response to this mother? a. "Would you like to do all of your child's care?" b. "I'm doing the very best job that I can with your child." c. "Why don't you go have a cup of coffee? You are going to be exhausted if you don't take a break." d. "I'd love for you to share with me some of the special things you do for your child."

"I'd love for you to share with me some of the special things you do for your child."

The nurse provides homecare instructions to the parents of a child with heart failure regarding the procedure for the administration of digoxin. Which statement by a parent indicates the need for further teaching? 1. "I will not mix the medication with food." 2. "If more than one dose is missed, I will call the doctor." 3. "I will take my child's pulse before administering the medication." 4. "If my child vomits after medication administration, I will repeat the dose."

"If my child vomits after medication administration, I will repeat the dose."

The nurse explained how to position an infant with tetralogy of Fallot if the infant suddenly becomes cyanotic. Which statement by the father leads the nurse to determine he understood the instructions? a. "If the baby turns blue, I will hold him against my shoulder with his knees bent up toward his chest." b. "If the baby turns blue, I will lay him down on a firm surface with his head lower than the rest of his body." c. "If the baby turns blue, I will immediately put the baby upright in an infant seat." d. "If the baby turns blue, I will put the baby in supine position with his head elevated."

"If the baby turns blue, I will hold him against my shoulder with his knees bent up toward his chest."

The parents of a newborn are concerned that their son's scrotum is enlarged and swollen on one side. What is the nurse's best response? a. "It is very common in the newborn that one gonad is larger than the other." b. "Birth trauma caused bruising to the scrotum. It will reduce in size in a few days." c. "It is a collection of fluid that will most likely correct itself in a year." d. "The doctor will drain this collection of blood before your baby is discharged."

"It is a collection of fluid that will most likely correct itself in a year."

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. "My daughter should wash and wipe the perineal area from front to back." b. "I am only going to have my daughter wear cotton underwear." c. "It is acceptable to take frequent bubble baths." d. "She needs to drink lots of fluids and void frequently."

"It is acceptable to take frequent bubble baths."

A child has been diagnosed with ascariasis (roundworm). Which statement made by her mother that may suggest a cause for her condition? a. "I've been airing out the house on these nice breezy days." b. "My child often goes out to the garden and pulls up a carrot to eat." c. "She runs barefoot so much I have to wash her feet at least twice a day." d. "We just remodeled our bathroom at home."

"My child often goes out to the garden and pulls up a carrot to eat."

A nurse is reinforcing teaching about growth and development characteristics to the guardian on a 2 year old toddler. Which of the following statements by the guardian indicates an understanding of the teaching? A. "My child should be able to turn the pages of a book one a time." B. "My child should be able to walk on their tiptoes for several steps." C. "My child should be able to cut out an outline using scissors." D. "My child should be able to put the toys away after using them."

"My child should be able to turn the pages of a book one a time."

A nurse is reinforcing teaching to the guardians of a child who is to have an electroencephalogram (EEG). Which of the following statements by a guardian indicates teaching was effective? A. "My child should remain quiet and still during this procedure." B. "I cannot wash my child's hair prior to the procedure." C. "I should not give my child anything to eat prior to the procedure." D. "This procedure will be very painful for my child."

"My child should remain quiet and still during this procedure."

The nurse is instructing a mother of a 1 year old child with strabismus about the treatment options. Which statement by the mother would indicate the need for further teaching? 1. "My child will outgrow this by the time he is 2 years old and be able to see just fine." 2. "I will have my child wear an eye patch over the good eye to help strengthen the weak eye." 3. "If this eye patch does not work I know that we will have to do surgery to correct my child's crossed eyes." 4. "There are a few causes of this condition and they tell me my child has crossed eyes because of a muscle imbalance."

"My child will outgrow this by the time he is 2 years old and be able to see just fine."

A 9-year-old child is preparing for a lumbar puncture. What position will the nurse explain the child will assume for this procedure? a. "On your stomach with your head turned to the side." b. "On your side, keeping the legs bent and the head arched back." c. "On your back with your legs extended straight out." d. "On your side with the knees bent and the head close to the knees."

"On your side with the knees bent and the head close to the knees."

A nurse is reinforcing teachings with a group of guardians about influenza. Which of the following information should the nurse include? A. "Amantadine will prevent the illness." B. "The influenza vaccine is recommended for children 4 months and older." C. Zanamivir can be given to children 1 year and older." D. "Oseltamivir should be given within 48 hours of onset of manifestations."

"Oseltamivir should be given within 48 hours of onset of manifestations."

The nursing instructor asks a nursing student about phenylketonuria (PKU). Which statement made by the student indicates a need for further teaching? 1. "PKU is an autosomal-recessive disorder." 2. "PKU primarily affects the gastrointestinal system." 3. "Treatment of PKY includes the dietary restriction of phenylalanine." 4. "All 50 states require routine screening of all newborns for PKU."

"PKU primarily affects the gastrointestinal system."

When auscultating breath sounds of an infant with respiratory syncytial virus, which assessment would the nurse immediately report? a. Respiration rate decreases from 40 to 32 breaths/minute b. Heart rate decreases from 110 to 100 beats/minute c. "Quiet chest" from previous assessment of wheezing d. Oxygen saturation of 90%

"Quiet chest" from previous assessment of wheezing

A nurse is reinforcing teaching with a guardian about parallel play in children. Which of the following statements should the nurse include? A. "Children sit and observe other playing." B. "Children exhibit organized play when in a group." C. "The child plays alone." D. "The child plays independently when in a group."

"The child plays independently when in a group."

The mother of an infant born with congenital torticollis tells the nurse she is concerned that her child will always have limited neck motion. What is the best nursing response to the mother's concern? A. "Your child will always need to wear a neck brace." B. "Surgery is the treatment of choice to correct the problem." C. "The condition will most likely resolve by age 2-6 months." D. "There is nothing you can do to improve the condition."

"The condition will most likely resolve by age 2-6 months."

The nurse is reviewing the characteristics of Ewing's sarcoma. Which statement if made by the nurse indicates correct understanding of this disease? a. "Amputation is the accepted treatment." b. "The disease is sensitive to radiation and chemotherapy." c. "Metastasis is rare." d. "The disease is more prevalent among toddlers and preschoolers."

"The disease is sensitive to radiation and chemotherapy."

Which question will elicit the best information to determine a plan of care during hospitalization for a 5 year old child who has intellectual impairment? a. "Can the child dress herself?" b. "Is she toilet trained?" c. "What is her favorite breakfast food?" d. "What is her bedtime routine?"

"What is her bedtime routine?"

A 6-year-old child with leukemia asks, "Who will take care of me in heaven?" What is the best response by the nurse? a. "Who do you think will take care of you?" b. "Your grandparents and God will take care of you." c. "Your mom will know more about that than I do." d. "Why are you asking me that?"

"Who do you think will take care of you?"

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

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

A 2-year-old child has been diagnosed with hemophilia A. What information should the nurse include in a teaching plan about home care? a. If bleeding occurs, apply pressure, ice, elevate, and rest the extremity. b. Children's aspirin in lowered doses may be given for joint discomfort. c. A firm, dry toothbrush should be used to clean teeth at least twice a day. d. Do not permit interactive play with other children

. If bleeding occurs, apply pressure, ice, elevate, and rest the extremity.

The nurse, caring for a child receiving chemotherapy, notes that the child's abdomen is firm and slightly distended. There is no record of a bowel movement for the last 2 days. What do these assessment findings suggest? a. Peripheral neuropathy b. Stomatitis c. Myelosuppression d. Hemorrhage

. Peripheral neuropathy

A nurse is reinforcing teaching with the guardian of a child who has a urinary tract infection. Which of the following instructions should the nurse include? (select all that apply) A. Wear nylon underpants B. Avoid bubble baths C. Empty bladder completely with each void D. Watch for manifestations of infection E. Wipe perineal area back to front

1. Avoid bubble baths 2. Empty bladder completely with each void 3. Watch for manifestations of infection

The nurse is caring for a 3-year-old child who suffered a smoke inhalation injury. How long is this patient at the highest risk for pulmonary edema after exposure? a. 2 hours b. 4 hours c. 18 hours d. 72 hours

72 hours

A nurse is collecting data from a child who has epiglottis. Which of the following findings should the nurse expect? (select all that apply) A. Hoarseness B. Difficulty swallowing C. Low-grade fever D. Drooling E. Dry, barking cough F. Stridor

1. Difficulty swallowing 2. Drooling 3. Stridor

A newborn's total body weight is about ______ water. A. 77% B. 60% C. 55% D. 45%

77%

What should be included in the nursing care of a 12-year-old child receiving radiation therapy for Hodgkin's disease? (Select all that apply.) a. Application of sunblock b. Appetite stimulation c. Conservation of energy d. Provision for expressions of anger e. Preparation for premature sexual development

1. Application of sunblock 2. Appetite stimulation 3. Conservation of energy 4. Provision for expressions of anger

A nurse is caring for a child who has bronchiolitis. Which of the following actions should the nurse take? A. Administer oral prednisone B. Initiate chest percussion and postural drainage C. Administer humidified oxygen D. Suction the nasopharynx as needed E. Administer oral penicillin

1. Administer humidified oxygen 2. Suction the nasopharynx as needed

What should the nurse assess to determine the method of transportation for a pediatric patient? (Select all that apply.) a. Age b. Race c. Vital signs d. Distance to travel e. Level of consciousness

1. Age 2. Distance to travel 3. Level of consciousness

A nurse is contributing to the plan of care for an infant who has diaper dermatitis. Which of the following interventions should the nurse include? (select all that apply) A. Apply talcum powder with every diaper change B. Allow the buttocks to air dry C. Use commercial baby wipes to cleanse the area D. Use cloth diapers until the rash is gone E. Apply zinc oxide ointment to the affected area

1. Allow the buttocks to air dry 2 Apply zinc oxide ointment to the affected area

A nurse is caring for a child who has absence seizures. Which of the following findings should the nurse expect? (select all that apply) A. Loss of consciousness B. Appearance of daydreaming C. Dropping help objects D. Falling to the floor E. Having a piercing cry

1. Loss of consciousness 2. Appearance of daydreaming 3. Dropping help objects

A nurse is collecting data from a child who has leukemia. Which of the following are early manifestations of leukemia? (select all that apply) A. Hematuria B. Anorexia C. Petechiae D. Ulcerations in the mouth E. Unsteady gait

1. Anorexia 2. Petechiae 3. Unsteady gait

A nurse is reinforcing teaching with the guardian of an infant about administration of oral medications. Which of the following should the nurse include in the teaching? (Select all that apply) A. Use a universal dropper for medication administration B. Ask the pharmacy to add flavoring to the medication C. Add the medication to a formula bottle before feeding D. Use the nipple of a bottle to administer the medication E. Hold the infant in an semi-reclining position

1. Ask the pharmacy to add flavoring to the medication 2. Use the nipple of a bottle to administer the medication 3. Hold the infant in an semi-reclining position

Which congenital cardiac defect(s) cause(s) increased pulmonary blood flow? (Select all that apply.) a. Atrial septal defects (ASDs) b. Tetralogy of Fallot c. Dextroposition of aorta d. Patent ductus arteriosus e. Ventricular septal defects (VSDs)

1. Atrial septal defects (ASDs) 2. Patent ductus arteriosus 3. Ventricular septal defects (VSDs)

A nurse is reinforcing teaching with a group of parents about preventing insect bites. Which of the following information should the nurse include? (select all that apply) A. Wear perfumes when outside B. Avoid areas of tall grass C. Wear bright-colored clothing D. Wear insect repellent E. Check house pets frequently

1. Avoid areas of tall grass 2. Wear insect repellent 3. Check house pets frequently

A nurse is caring for a child who has cerebral palsy and is experiencing muscle spams. Which of the following medications should the nurse expect the provider to prescribe? (select all that apply) A. Baclofen B. Diazepam C. Oxybutynin D. Methotrexate E. Prednisone

1. Baclofen 2. Diazepam

A nurse is caring for an infant and notices an audible click in their left hip. Which of the following diagnostic test should the nurse expect the provider to perform? (select all that apply) A. Barlow test B. Babinski reflex C. Manipulation of foot and ankle D. Ortolani test E. Ponseti method

1. Barlow test 2. Ortolani test

The nurse is recording the vital signs of an infant admitted with signs of respiratory distress. Which of the following observations should be reported to the health care provider? (select all that apply) A. Blood pressure is higher in the legs than in the arms B. Blood pressure is lower in the legs than in the arms C. Cyanosis of the lips D. Respiratory rate of 35 breaths per minute

1. Blood pressure is lower in the legs than in the arms 2. Cyanosis of the lips

A nurse is assisting with providing anticipatory guidance to the caregiver of a 13 year old adolescent. Which of the following screenings should the nurse recommend for the adolescent? (select all that apply) A. Body mass index B. Blood lead level C. 24 hr dietary recall D. Weight E. Scoliosis

1. Body mass index 2. Weight 3. Scoliosis

What interventions will the nurse perform when feeding a child with pyloric stenosis? (Select all that apply.) a. Give a formula thinned with water. b. Burp the infant before and during feeding. c. Give the feeding slowly. d. Refeed if the infant vomits. e. Position infant on left side after feeding.

1. Burp the infant before and during feeding. 2. Give the feeding slowly. 3. Refeed if the infant vomits.

A nurse is caring for a child who has short stature. Which of the following diagnostic tests should the nurse expect to confirm a growth hormone (GH) deficiency? (select all that apply) A. CT scan of the head B. Skeletal x-rays C. GH Stimulation test D. Blood IGF-1 E. DNA testing

1. CT scan of the head 2. Skeletal x-rays 3. GH Stimulation test 4. Blood IGF-1

A nurse is preparing to administer medication to a toddler. Which of the following actions should the nurse take? (select all that apply) A. Identify the toddler by asking the caregiver B. Tell the caregiver to administer the medication C. Calculate the safe dosage D. Ask the toddler to pick a toy to hold during administration E. Offer juice after medication

1. Calculate the safe dosage 2. Ask the toddler to pick a toy to hold during administration 3. Offer juice after medication

A nurse is caring for a child who is in skeletal traction. Which of the following actions should the nurse take? (select all that apply) A. Remove the weights to reposition the client B. Check the child's position every 4 hr C. Monitor pin sites every 4 hr D. Ensure the weights are hanging freely E. Ensure the rope's knot he is in contact with the pulley

1. Check the child's position every 4 hr 2. Monitor pin sites every 4 hr 3. Ensure the weights are hanging freely

The school nurse suspects a first-grade student has sinusitis. Which symptoms might lead the nurse to this suspicion? (Select all that apply.) a. Child reports tooth pain. b. Severe wheezing is auscultated on inspiration. c. Child reports, "I have had a cold for 2 weeks." d. Nurse observes periorbital swelling. e. Halitosis is present.

1. Child reports tooth pain. 2. Child reports, "I have had a cold for 2 weeks." 3. Nurse observes periorbital swelling. 4. Halitosis is present.

A nurse is reinforcing teaching with a guardian about posttraumatic stress disorder (PTSD). Which of the following information should the nurse include? (select all that apply) a. Children who have PTSD can benefit from psychotherapy b. A manifestation of PTSD is phobias c. Personality disorders are a complication of PTSD d. PTSD develops following a traumatic event e. There are six stages of PTSD

1. Children who have PTSD can benefit from psychotherapy 2. A manifestation of PTSD is phobias 3. Personality disorder are a complication of PTSD

A nurse is checking the trigeminal nerve of an adolescent client. Which of the following responses should the expect? (select all that apply) A. Clenching teeth together tightly B. Recognizing sour tastes on the back of the tongue C. Identifying smells through each nostril D. Detecting facial touches with eyes closed E. Looking down and in with the eyes

1. Clenching teeth together tightly 2. Detecting facial touches with eyes closed

Which signs indicate congenital cardiac problems? (Select all that apply.) A. Greater than normal weight gain B. Clubbing of fingers C. Bradycardia D. Tachypnea E. Pulsations in neck veins F. Dyspnea

1. Clubbing of fingers 2. Tachypnea 3. Pulsations in neck veins 4. Dyspnea

A toddler must maintain bed rest for the diagnosis of pneumonia. What actions will the nurse implement? (Select all that apply.) a. Maintain strict bed rest. b. Consider age. c. Assess developmental level. d. Implement light play activities. e. Provide hypnotic medication as ordered.

1. Consider age. 2. Assess developmental level. 3. Implement light play activities

A nurse providing anticipatory guidance to the adoptive parents of a toddler. Which of the following information should the nurse include? (Select all that apply) A. Develop food habits that will prevent dental caries B. Meeting caloric needs results in an increased appetite C. Expression of bedtime fears is common D. Expect behaviors associated with negativism and ritualism E. Annual screenings for phenylketonuria are important

1. Develop food habits that will prevent dental caries 2. Expression of bedtime fears is common 3. Expect behaviors associated with negativism and ritualism

A nurse is collecting data from a child who has type 1 diabetes mellitus. Which of the following manifestations indicate of diabetic ketoacidosis? (select all that apply) A. Blood glucose 58 mg/dL B. Weight gain C. Dehydration D. Mental confusion E. Fruity breath

1. Dehydration 2. Mental confusion 3. Fruity breath

A 7-year-old child has a BUN of 25 mg/dL. What is the nurse aware this lab value might indicate? (Select all that apply.) a. Dehydration b. Renal disease c. Need for steroid therapy d. Diabetes e. Pituitary malfunction

1. Dehydration 2. Renal disease 3. Need for steroid therapy

What special considerations are related to long-term prednisone therapy in preschoolers? (Select all that apply.) a. Delayed immunization b. Hypertension c. Enlargement of the sex organs d. Alteration in nutrition e. Increased risk for infection

1. Delayed immunization 2. Increased risk for infection

A nurse is reinforcing teaching with the guardian of a child who has growth hormone deficiency. Which of the following complications of untreated growth hormone deficiency should the nurse include? (select all that apply) A. Delayed sexual development B. Premature aging C. Advanced bone age D. Short stature E. Increased epiphyseal closure

1. Delayed sexual development 2. Premature aging 3. Short stature

stages of dying

1. Denial 2. Anger 3. Bargaining 4. Depression 5. Acceptance

A nurse is caring for a child who is dying. Which of the following are findings of impending death? select all that apply) A. Heightened sense of hearing B. Tachycardia C. Difficulty swallowing D. Sensation of being cold E. Cheyne-Stokes respirations

1. Difficulty swallowing 2 Cheyne-Stokes respirations

A nurse is conducting a well-child visit with a 5 year old child who is up to date with current immunizations. Which of the following immunizations should the nurse plan to administer to the child? (select all that apply) A. Diphtheria, tetanus, pertussis (DTaP) B. Inactivated poliovirus (IPV) C. Measles, mumps, rubella (MMR) D. Pneumococcal (PCV) E. Haemophilus influenzae type B (Hib)

1. Diphtheria, tetanus, pertussis (DTaP) 2. Inactivated poliovirus (IPV) 3. Measles, mumps, rubella (MMR)

A nurse is caring for a child who sustained a fracture. Which of the following actions should the nurse take? (select all that apply) A. Place a heat pack on the site of injury B. Elevate the affected limb C. Check neurovascular status frequently D. Encourage ROM of the affected limb E. Stabilize the injury

1. Elevate the affected limb 2. Check neurovascular status frequently 3. Stabilize the injury

How has synthetic recombinant antihemophilic factor improved the management of hemophilia? (Select all that apply.) a. Eliminates the need for frequent transfusions. b. Can be administered by family at home. c. Prevents hemorrhage. d. Reduces cost of care of the hemophiliac. e. Reduces risk of HIV and hepatitis A and B transmission.

1. Eliminates the need for frequent transfusions. 2. Can be administered by family at home. 3. Reduces cost of care of the hemophiliac. 4. Reduces risk of HIV and hepatitis A and B transmission.

The nurse is educating parents on prevention of eyestrain in their 5-year-old child. What information will the nurse include? (Select all that apply.) a. Encourage books with large type. b. Words in books should be closely spaced. c. Provide adequate lighting without glare. d. Be sure desks and chairs are adequate height. e. Instruct child to squint when reading.

1. Encourage books with large type. 2. Provide adequate lighting without glare. 3. Be sure desks and chairs are adequate height

What is included in preventive teaching for urinary tract infections (UTIs) in girls? (Select all that apply.) a. Wearing nylon underwear b. Encouraging fluids c. Wiping front to back d. Avoiding bubble baths e. Encouraging use of talcum powder

1. Encouraging fluids 2. Wiping front to back 3. Avoiding bubble baths

A nurse is collecting data from a child who has rhabdomyosarcoma of the nasopharynx. Which of the following are manifestations of rhabdomyosarcoma? (select all that apply) A. Enlarged neck lymph nodes B. Pain C. Vomiting D. Epistaxis E. Diplopia

1. Enlarged neck lymph nodes 2. Pain 3. Epistaxis

A nurse on a pediatric unit is caring for a toddler. Which of the following behaviors is an effect of hospitalization? (select all that apply) A. Believes the experience is a punishment B. Experiences separation anxiety C. Displays intense emotions D. Exhibits regressive behaviors E. Manifests disturbance in body image

1. Experiences separation anxiety 2. Displays intense emotions 3. Exhibits regressive behaviors

A nurse is preparing to assist the charge nurse with discussing risk factors for asthma with a group newly licensed nurses. Which of the following conditions should the nurse include in the teaching? A. Family history of asthma B. Family history of allergies C. Exposure to smoke D. Low birth weight E. Being underweight

1. Family history of asthma 2. Family history of allergies 3. Exposure to smoke 4. Low birth weight

A nurse is reinforcing teaching with a group of caregivers about the risk factors for seizures. Which of the following factors should the nurse include? (select all that apply) A. Febrile episodes B. Hypoglycemia C. Sodium imbalances D. Low blood lead levels E. Presence of diphtheria

1. Febrile episodes 2. Hypoglycemia 3. Sodium imbalances

How would the nurse caring for an infant with congestive heart failure (CHF) modify feeding techniques to adapt for the child's weakness and fatigue? (Select all that apply.) a. Feeding more frequently with smaller feedings b. Using a soft nipple with enlarged holes c. Holding and cuddling the child during feeding d. Substituting glucose water for formula e. Offering high-caloric formula

1. Feeding more frequently with smaller feedings 2. Using a soft nipple with enlarged holes 3. Holding and cuddling the child during feeding 4. Offering high-caloric formula

A nurse is collecting date from a child who has a rotavirus infection. Which of the following are expected findings? (Select all that apply) A. Fever B. Vomiting C. Water stools D. Bloody stools E. Confusion

1. Fever 2. Vomiting 3. Water stools

A nurse is collecting date from a child who has a rotavirus infection. Which of the following are expected findings? (Select all that apply) A. Fever B. Vomiting C. Watery stools D. Bloody stools E. Confusion

1. Fever 2. Vomiting 3. Watery stools

A nurse is collecting data from an infant who has eczema. Which of the following findings should the nurse expect? (select all that apply) A. Generalized distribution of lesions B. Papules C. Ecchymosis in flexural areas D. Crusting lesions E. Keratosis pilaris

1. Generalized distribution of lesions 2. Papules 3. Crusting lesions

A nurse is collecting data from an infant. Which of the following are findings of pain in an infant? (Select all that apply) A. Pursed lips B. Loud cry C. Lowered eyebrows D. Rigid body E. Pushes away stimulus

1. Loud cry 2. Lowered eyebrows 3. Rigid body

A nurse is collecting data during a developmental screening on a 10 month old infant. Which of the fine motor skills should the nurse expect the infant to perform? (select all that apply) A. Grasp the rattle by the handle B. Try building a two block tower C. Use a crude pincer grasp D. Place objects into a container E. Walks with one hand held

1. Grasp the rattle by the handle 2. Use a crude pincer grasp

A nurse is collecting data from a child who has myopia. Which of the following findings should the nurse expect? (Select all that apply) A. Headaches B. Photophobia C. Difficulty reading D. Difficult focusing on close objects E. Poor school performance

1. Headaches 2. Difficulty reading 3. Poor school performance

What are the classic symptoms of thalassemia major (Cooley's anemia)? (Select all that apply.) a. Hepatomegaly b. Jaundice c. Protruding teeth d. Pathological fractures e. Renal failure

1. Hepatomegaly 2. Jaundice 3. Protruding teeth 4. Pathological fractures

A 16-year-old patient is diagnosed with primary hypertension. What risk factors does the nurse mention when providing education on this diagnosis to the patient and his family? (Select all that apply.) a. Heredity b. Stress c. Congenital defect d. Obesity e. Poor diet

1. Heredity 2. Stress 3. Obesity 4. Poor diet

A nurse is planning to administer recommended immunizations to a 4 year old child. Which of the following vaccines should the nurse plan to give? (select all that apply) A. Inactivated poliovirus (IPV) B. Haemophilus influenzae type b (Hib) C. Measles, mumps, rubella (MMR) D. Varicella (VAR) E. Hepatitis B (HeB) F. Diphtheria, tetanus, and acellular pertussis (DTaP)

1. Inactivated poliovirus (IPV) 2. Measles, mumps, rubella (MMR) 3. Varicella (VAR) 4. Diphtheria, tetanus, and acellular pertussis (DTaP)

A nurse is reinforcing teaching with an adolescent who has diabetes mellitus about manifestations of hypoglycemia. Which of the following findings should the nurse include? (select all that apply) A. Increased urination B. Hunger C. Poor skin turgor D. Irritability E. Sweating and pallor F. Kussmaul respirations

1. Hunger 2. Irritability 3. Sweating and pallor

What are the four structural heart anomalies that make up the tetralogy of Fallot? (Select all that apply.) a. Hypertrophied right ventricle b. Patent ductus arteriosus c. Ventral septal defect d. Narrowing of pulmonary artery e. Dextroposition of aorta

1. Hypertrophied right ventricle 2. Patent ductus arteriosus 3. Narrowing of pulmonary artery 4. Dextroposition of aorta

A school-aged child is living with a chronic disease process. How would the nurse anticipate chronic illness will effect growth and development? (Select all that apply.) a. Delayed bonding with parents b. Delayed toilet training c. Impaired sense of belonging d. Decreased feelings of independence e. Impaired speech development

1. Impaired sense of belonging 2. Decreased feelings of independence

A nurse is assisting with conducting a well child visit with a child who is scheduled to receive the recommended immunizations for 11-12 year olds. Which of the following immunizations should the nurse administer? (select all that apply) A. Inactivated influenza (IIV) B. Pneumococcal (PCV) C. Meningococcal (MenB-4C) D. Tetanus and diphtheria toxoids and pertussis (Tdap) E. Rotavirus (RV)

1. Inactivated influenza (IIV) 2. Meningococcal (MenB-4C) 3. Tetanus and diphtheria toxoids and pertussis (Tdap)

The nurse performing a neurovascular check on a limb in traction would report and document which finding(s) as indicative of altered circulation? (Select all that apply.) 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. Capillary refill is 5 seconds. e. Distal limb can flex and extend

1. Limb is cool to the touch. 2. Capillary refill is 5 seconds

A nurse is collecting data from a client who has major burns and suspected septic shock. Which of the following findings should the nurse expect? (select all that apply) A. Increased body temperature B. Altered sensorium C. Decreased capillary refill time D. Decreased urine output E. Increased bowel sounds

1. Increased body temperature 2. Altered sensorium 3. Decreased urine output

What would the nurse teaching an asthmatic child the technique of pursed-lip breathing include? (Select all that apply.) a. Inhale deeply through nose with mouth closed. b. Make exhalation twice as long as inhalation. c. Use medicated inhaler prior to perform breathing exercise. d. Exhale through mouth as if whistling. e. Exhale forcefully.

1. Inhale deeply through nose with mouth closed. 2. Make exhalation twice as long as inhalation. 3. Exhale through mouth as if whistling.

Which specific drug(s) should be checked with a second licensed nurse prior to administration? (Select all that apply.) a. Insulin b. Digoxin c. Vasodilators d. Calcium salts e. Anticoagulants

1. Insulin 2. Digoxin 3. Calcium salts 4. Anticoagulants

Which assessments would cause the pediatric nurse to suspect the probability of an ear infection in a 6-month-old child? (Select all that apply.) a. Hypersensitivity to noise b. Irritability c. Ecchymotic ear canal d. Rolls head from side to side e. Temperature of 39.4° C (103° F)

1. Irritability 2. Rolls head from side to side 3. Temperature of 39.4° C (103° F)

The nurse caring for an infant with congenital heart disease is monitoring the infant closely for signs of heart failure (HF). The nurse should observe for which early sign of HF? (select all that apply) A. Cough B. Irritability C. Scalp diaphoresis D. Tachypnea, tachycardia E. Slow and shallow breathing

1. Irritability 2. Scalp diaphoresis 3. Tachypnea, tachycardia

A nurse is collecting data from an infant who has a suspected urinary tract infection. Which of the following findings should the nurse expect? (select all that apply) A. Increase in hunger B. Irritability C. Decrease in urination D. Vomiting E. Fever

1. Irritability 2. Vomiting 3. Fever

What intervention(s) would the nurse caring for a child with infectious meningitis include? (Select all that apply.) a. Isolation precautions b. Provision of brightly lit room c. Observation for increasing intracranial pressure d. Preparation for spinal tap e. Seizure precautions

1. Isolation precautions 2. Observation for increasing intracranial pressure 3. Preparation for spinal tap 4. Seizure precautions

A nurse is reinforcing teaching with a group of parents about Salmonella. Which of the following information should the nurse include? (Select all that apply) A. Incubation period is nonspecific B. It is a bacterial infection C. Bloody diarrhea is common D. Transmission can be from house pets E. Antibiotics are used for treatment

1. It is a bacterial infection 2. Bloody diarrhea is common 3. Transmission can be from house pets

Parents of a child show the nurse that their child has a flat strawberry nevus. What information can the nurse provide in educating the parents regarding strawberry nevus? (Select all that apply.) a. It is a rare skin variation. b. It is harmless. c. It gradually becomes raised. d. Laser treatment is available. e. Sometimes it can disappear spontaneously.

1. It is harmless. 2. It gradually becomes raised. 3. Laser treatment is available

A nurse is caring for a child who has severely symptomatic HIV. Which of the following findings should the nurse expect? (select all that apply) A. Kaposi's sarcoma B. Hepatitis C. Wasting syndrome D. Pulmonary candidiasis E. Cardiomyopathy

1. Kaposi's sarcoma 2. Wasting syndrome 3. Pulmonary candidiasis

The nurse reinforces home care instructions for parents of a child who has had an above the knee cast applied. (select all that apply) A. use fingertips to lift the cast until it is fully dry B. Keep small toys out of the child's reach C. place a heating pad on the toes if they feel cold D. elevate the leg on pillows E. contact the health care provider if the child complains of numbness

1. Keep small toys out of the child's reach 2. elevate the leg on pillows 3. contact the health care provider if the child complains of numbness

The nurse suggests to parents that they use the outpatient surgical center for their child's upcoming surgery. What advantage(s) does this type of facility have to offer? (Select all that apply.) a. Lower cost b. Less incidence of health care-associated infections c. Reduction of parent-child separation d. Ample time for recuperation at the facility e. Decreased emotional impact of illness

1. Lower cost 2. Less incidence of health care-associated infections 3. Reduction of parent-child separation 4. Decreased emotional impact of illness

How does the pediatric skeletal system differ from that of the adult? (Select all that apply.) a. Lower mineral content b. More ossification c. Open epiphyses d. Less porosity e. Greater strength

1. Lower mineral content 2. Open epiphyses 3. Greater strength

A nurse is assisting with performing family data collection. Which of the following should the nurse include? A. Medical history B. Parents' education level C. Child's physical growth D. Support systems E. Stressors

1. Medical history 2. Parents' education level 3. Support systems 4. Stressors

The nurse is preparing to obtain a throat culture on a toddler patient. What interventions are appropriate for the nurse to implement? (Select all that apply.) a. Model desired behavior. b. Instruct patient not to yell. c. Use distractions. d. Explain the procedure in detail. e. Encourage the child to ask questions.

1. Model desired behavior. 2. Use distractions.

A nurse is collecting data during a well-baby visit with a 4 month old infant. Which of the following immunizations should the nurse plan to administer to the infant? (select all that apply) A. Measles, mumps, rubella (MMR) B. Polio (IPV) C. Pneumococcal vaccine (PCV) D. Varicella E. Rotavirus vaccine (RV)

1. Polio (IPV) 2. Pneumococcal vaccine (PCV) 3. Rotavirus vaccine (RV)

A nurse is reinforcing teaching about sick-day management with a parent of a child who has type 1 diabetes mellitus. Which of the following instructions should the nurse include? (select all that apply) A. Monitor blood glucose levels every 3 hr B. Discontinue taking insulin until feeling better C. Drink 8 oz of fruit juice every hour D. Test urine for ketones E. Call the provider if blood glucose is greater than 240 mg/dL

1. Monitor blood glucose levels every 3 hr 2. Test urine for ketones 3. Call the provider if blood glucose is greater than 240 mg/dL

A nurse is assisting with the care for a child who has thrombocytopenia following chemotherapy. Which of the following actions should the nurse take? (select all that apply) A. Monitor for manifestations of bleeding B. Administer routine immunizations C. Obtain rectal temperatures D. Avoid peripheral venipunctures E. Limit visitors

1. Monitor for manifestations of bleeding 2. Avoid peripheral venipunctures

The nurse describes the "allergic salute" as a cluster of what signs related to chronic allergy? (Select all that apply.) a. Mouth breathing b. Transverse nasal crease c. Dark circles under the eyes d. Productive cough e. Reddened conjunctiva

1. Mouth breathing 2. Transverse nasal crease 3. Dark circles under the eyes 4. Reddened conjunctiva

A nurse is reviewing cerebrospinal fluid analysis for a client who has suspected meningitis. Which of the following findings should the nurse identify as indicating viral meningitis? (Select all that apply) A. Negative Gram stain B. Normal glucose content C. Turbid and cloudy color D. Decreased WBC count E. Normal protein content

1. Negative Gram stain 2. Normal glucose content 3. Normal protein content

A nurse is collecting data from a child who has asthma. Which of the following are indications of deterioration in the child's respiratory status? (select all that apply) A. Oxygen saturation 95% B. Wheezing C. Retraction of sternal muscles D. Warm extremities E. Nasal flaring

1. Wheezing 2. Retraction of sternal muscles 3. Nasal flaring

A nurse is caring for a child who is receiving a bronchodilator medication by nebulized aerosol therapy. Which of the following actions should the nurse take? (select all that apply) A. Instruct the child that the treatment will last 30 min B. Obtain vital signs prior to the procedure C. tell the child to take slow deep breaths D. Determine if the child should use a mask E. Attach the device to an air source

1. Obtain vital signs prior to the procedure 2. tell the child to take slow deep breaths 3. Determine if the child should use a mask 4. Attach the device to an air source

A nurse is reinforcing teaching with the guardian of a child who has HIV. Which of the following information should the nurse include? (select all that apply) A. Obtain yearly influenza vaccination B. Monitor a fever for 24 hr before seeking medical care C. Avoid individuals who have colds D. Provide nutritional supplements E. Administer aspirin for pain

1. Obtain yearly influenza vaccination 2. Avoid individuals who have colds 3. Provide nutritional supplements

A nurse is contributing to the plan of care for an infant who is experiencing pain. Which of the following interventions should the nurse include in the plan of care? (select all that apply) A. Offer a pacifier B. Use guided imagery C. Use swaddling D. Initiate a behavioral contact E. Encourage kangaroo care

1. Offer a pacifier 2. Use swaddling 3. Initiate a behavioral contact

A nurse is reinforcing teaching with the guardian of an infant about gastrointestinal reflux disease. Which of the following instructions should the nurse include? (select all that apply) A. Offer frequent feedings B. Thicken formula with rice cereal C. Use a bottle with a one way valve D. Position baby upright after feedings E. Use a wide-based nipple for feedings

1. Offer frequent feedings 2. Thicken formula with rice cereal 3. Position baby upright after feedings

A nurse is assisting with the care for a child who has oral mucositis. Which of the following actions should the nurse take? (select all that apply) A. Swab the mucosa with lemon glycerin swabs B. Apply viscous lidocaine C. Offer soft foods D. Use a soft, disposable toothbrush for oral care E. Encourage gargling with a warm saline mouthwash

1. Offer soft foods 2. Use a soft, disposable toothbrush for oral care 3. Encourage gargling with a warm saline mouthwash

A nurse is assisting with the admission of a child who has HIV. The nurse should identify which of the following findings as an indication that the child is in the mildly symptomatic category of the infection? (select all that apply) A. Herpes zoster B. Anemia C. Oral candidiasis D. Hepatomegaly E. Lympadenopathy

1. Oral candidiasis 2. Hepatomegaly 3. Lympadenopathy

nurse is caring for a client who has rubeola. The nurse should monitor for which of the following complications? (select all that apply) A. Otitis media B. Constipation C. Laryngitis D. Arthralgia E. Syncope

1. Otitis media 2. Laryngitis

A nurse is assisting with the development of an in-service about viral and bacterial meningitis. The nurse should include that the introduction of which of the following immunizations decreased the incidence of bacterial meningitis in children? (select all that apply) A. Inactivated polio vaccine (IPV) B. Pneumococcal conjugate vaccine (PCV) C. Diphtheria and tetanus toxoids and acellular pertussis vaccine (DTaP) D. Haemophilus influenzae type B (Hib) vaccine E. Inactivated influenza vaccine (IIV)

1. Pneumococcal conjugate vaccine (PCV) 2. Haemophilus influenzae type B (Hib) vaccine

A nurse is caring for an infant who has ambiguous genitalia. Which of the following actions should the nurse take? (select all that apply) A. Prepare the infant for surgery B. Test the infant's adrenal function C. Cover the genitals with a sterile dressing D. Refer to the family for genetic counseling E. Explain the need for a chromosomal analysis

1. Prepare the infant for surgery 2. Test the infant's adrenal function 3. Refer to the family for genetic counseling 4. Explain the need for a chromosomal analysis

What will the nurse include when documenting a grand mal seizure? (Select all that apply.) a. Presence of incontinence b. Current dose of antispasmodic medication c. Activity level prior to and following seizure d. Level of consciousness following seizure e. Length of seizure

1. Presence of incontinence 2. Activity level prior to and following seizure 3. Level of consciousness following seizure 4. Length of seizure

A nurse is providing reinforcement teaching about epistaxis to the parent of a school-age child. Which of the following should the nurse include as an action to take when managing an episode of epistaxis? (select all that apply) A. Press the nares together for at least 10 min B. Breathe through the nose until the bleeding stops C. Pack cotton or tissue into the naris that is bleeding D. Apply a cold cloth across the bridge of the nose E. Insert petroleum into the naris after the bleeding stops

1. Press the nares together for at least 10 min 2. Apply a cold cloth across the bridge of the nose

What information will the nurse include when taking a developmental history? (Select all that apply.) a. Previous experience with hospitalization b. Cultural needs c. History of illness d. Allergies e. Child's nickname

1. Previous experience with hospitalization 2. Cultural need 3. Child's nickname

A nurse is collecting data from an infant who has hypertrophic pyloric stenosis. Which of the following manifestations should the nurse expect? (select all that apply) A. Projectile vomiting B. Dry mucus membranes C. Currant jelly stools D. Sausage-shaped abdominal mass E. Constant hunger

1. Projectile vomiting 2. Dry mucus membranes 3. Constant hunger

What will the nurse caring for a newborn with exstrophy of the bladder include in the care? (Select all that apply.) a. Diaper infant tightly. b. Protect skin around bladder. c. Position infant on back. d. Prepare for surgical closure. e. Cover exposed bladder with shield.

1. Protect skin around bladder. 2. Position infant on back. 3. Prepare for surgical closure. 4. Cover exposed bladder with shield.

The nurse caring for a child with nephrotic syndrome is alert to which classic symptoms of this disorder? (Select all that apply.) a. Proteinuria b. Grossly bloody urine c. Hyperalbuminemia d. Fatigue e. Generalized edema

1. Proteinuria 2. Grossly bloody urine 3. Fatigue 4. Generalized edema

A nurse is reinforcing teaching with a group of caregivers about possible manifestations of Down syndrome. Which of the following findings should the nurse include? (Select all that apply) A. A large head with bulging fontanels B. Larger ears that are set back C. Protruding abdomen D. Broad, short feet and hands E. Hypotonia

1. Protruding abdomen 2. Broad, short feet and hands 3. Hypotonia

A nurse is assisting with teaching a course about safety during the school age. Which of the following information should the nurse include in the course? (Select all that apply) A. Gating stairs at the top and bottom B. Wearing helmets when riding bicycles or skateboarding C. Riding safely in bed of pickup trucks D. Implementing firearm safety E. Wearing seat belts

1. Wearing helmets when riding bicycles or skateboarding 2. Implementing firearm safety 3. Wearing seat belts

A nurse is reinforcing discharge teaching with the guardians of a school-age child who has juvenile idiopathic arthritis. Which of the following instructions should the nurse include? (select all that apply) A. Provide extra time for completion of ADLs B. Use cold compresses for joint pain C. Take ibuprofen on an empty stomach D. Remain home during periods of exacerbation E. Perform range-of-motion exercises

1. Provide extra time for completion of ADLs 2. Perform range-of-motion exercises

The nurse demonstrates which similarities among all traction devices? (Select all that apply.) a. Pull the limb into extension. b. Decrease muscle spasm. c. Reduce pain. d. Align two bone fragments. e. Immobilize the limb.

1. Pull the limb into extension. 2. Decrease muscle spasm. 3. Align two bone fragments. 4. Immobilize the limb.

A "neurovascular check" for tissue perfusion includes which of the following observations? (select all that apply) A. Pulse B. color and capillary refill C. movement and sensation D. equal pupil size of eyes

1. Pulse 2. color and capillary refill 3. movement and sensation

A nurse is assisting with preparing a toddler for an intravenous catheter insertion using atraumatic care. Which of the following actions should the nurse take (select all that apply) A. Reinforce the procedure using the child's favorite toy B. Ask the guardians to leave during the procedure C. Assist with performing the procedure with the child in his bed D. Allow the child to make one choice regarding the procedure E. Apply lidocaine and prilocaine cream to three potential insertion sites

1. Reinforce the procedure using the child's favorite toy 2. Allow the child to make one choice regarding the procedure 3. Apply lidocaine and prilocaine cream to three potential insertion sites

A nurse often cares for children who are dying. Which of the following are actions for the nurse to take to maintain professional effectiveness? select all that apply) A. Remain in contact with the family after their loss B. Develop a professional support system C. Take time off from work D. Suggest that a hospital representative attend the funeral E. Demonstrate feelings of sympathy toward the family.

1. Remain in contact with the family after their loss 2. Develop a professional support system 3. Take time off from work

A nurse is caring for a child who has contact dermatitis due to poison ivy exposure. Which of the following actions should the nurse take? (select all that apply) A. Remove the clothing over the rash B. Initiate contact isolation precautions while the rash is present C. Expose the rash to a heat lamp for 15 min D. Cleanse the affected areas with hydrogen peroxide solution E. Apply calamine lotion to the skin

1. Remove the clothing over the rash 2. Apply calamine lotion to the skin

An 8-year-old near-drowning victim is rushed into the ED. What priorities of care will be implemented? (Select all that apply.) a. Parental education regarding prevention b. Respiratory support c. Cardiovascular support d. Controlled rewarming e. Adequate cerebral oxygenation

1. Respiratory support 2. Cardiovascular support 3. Controlled rewarming 4. Adequate cerebral oxygenation

The nurse is caring for a 4-year-old child diagnosed with H. influenzae type B. Which signs and symptoms exhibited by the child would alert the nurse to suspect epiglottitis? (Select all that apply.) a. Harsh cough b. Restlessness c. Edematous epiglottis d. Child insists on lying down e. Drooling

1. Restlessness 2. Edematous epiglottis 3. Drooling

What assessment(s) would lead a nurse to suspect Hirschsprung's disease in a 1-month-old infant? (Select all that apply.) a. Ribbon-like stools b. Fever c. Failure to thrive d. Vomiting e. Diminished peristalsis

1. Ribbon-like stools 2. Fever 3. Failure to thrive 4. Vomiting 5. Diminished peristalsis

A nurse is collecting data from an infant who has acute otitis media. Which of the following findings should the nurse expect? (select all that apply) A. Decreased pain in the supine position B. Rolling head side to side C. Loss of appetite D. Increased sensitivity to sound E. Crying

1. Rolling head side to side 2. Loss of appetite 3. Crying

A nurse is planning to administer recommended immunizations to a 2 month old infant. Which of the following vaccines should the nurse plan to give? (select all that apply) A. Rotavirus (RV) B. Diphtheria, tetanus, and acellular pertussis (DTaP) C. Haemophilus influenzae type b (Hib) D. Hepatitis A (HepA) E. Pneumococcal conjugate (PCV13) F. Inactivated poliovirus (IPV)

1. Rotavirus (RV) 2. Diphtheria, tetanus, and acellular pertussis (DTaP) 3. Haemophilus influenzae type b (Hib) 4. Pneumococcal conjugate (PCV13) 5. Inactivated poliovirus (IPV)

A nurse is reinforcing teaching with a group of family members about complications of communicable diseases. Which of the following communicable diseases can lead to pneumonia? (select all that apply) A. Rubella (German measles) B. Rubeola (measles) C. Pertussis (whooping cough) D. Varicella (chicken pox) E. Mumps

1. Rubeola (measles) 2. Pertussis (whooping cough) 3. Varicella (chicken pox)

A nurse is collecting data from a client who has pertussis. Which of the following findings should the nurse expect? (select all that apply) A. Runny nose B. mild fever C. Cough with whooping sound D. Swollen salivary glands E. red rash

1. Runny nose 2. mild fever 3. Cough with whooping sound

What are the basic fears of a young child being hospitalized? (Select all that apply.) a. Separation b. Permanent scarring c. Pain d. Cost e. Body intrusion

1. Separation 2. Pain 3. Body intrusion

A nurse is reinforcing teaching with an adolescent to self-administer a corticosteroid medication using a metered-dose inhaler (MDI). Which of the following instructions should the nurse include (select all that apply) A. Shake the device prior to use B. Rinse and expectorate after administration C. Inhale slowly with medication administration D. Exhale quickly after medication administration E. Wait 30 seconds between puffs

1. Shake the device prior to use 2. Rinse and expectorate after administration 3. Inhale slowly with medication administration

Why would the nurse urge the family of a dying 12-year-old boy to include his 8-year-old sister in care? (Select all that apply.) a. She will feel less neglected by the parents. b. She can make amends for past hostilities to her brother. c. She will feel increased helplessness. d. She can express her feelings through care. e. She can experience being supportive of her parents and brother.

1. She will feel less neglected by the parents. 2. She can make amends for past hostilities to her brother. 3. She can express her feelings through care. 4. She can experience being supportive of her parents and brother.

Which aspect(s) of a child's development does the nurse caution parents that hearing impairment can affect? (Select all that apply.) a. Speech clarity b. Language development c. Immunity to disease d. Personality development e. Academic achievement

1. Speech clarity 2. Language development 3. Personality development 4. Academic achievement

What assessment(s) in a child with tetralogy of Fallot would indicate the child is experiencing a paroxysmal hypercyanotic episode? (Select all that apply.) a. Spontaneous cyanosis b. Dyspnea c. Weakness d. Dry cough e. Syncope

1. Spontaneous cyanosis 2. Dyspnea 3. Weakness 4. Syncope

The nurse speaking to a group of junior high school students informs them that acne can be exacerbated by which drug(s)? (Select all that apply.) a. Steroids b. Phenytoin c. Phenobarbital d. Aspirin e. Oral contraceptives

1. Steroids 2. Phenytoin 3. Phenobarbital

Which factor(s) activate the herpes simplex virus type I? (Select all that apply.) a. Stress b. Sun c. Menses d. Fever e. Food allergies

1. Stress 2. Sun 3. Menses 4. Fever

What will the nurse discourage when providing education to parents of a child with asthma? (Select all that apply.) a. Stuffed toys b. Pet ownership c. Gymnastics d. Basketball e. Cotton blankets

1. Stuffed toys 2. Basketball

The nurse would suggest the parents of an asthmatic child to encourage participation in which sport(s)? (Select all that apply.) a. Swimming b. Gymnastics c. Baseball d. Cross-country skiing e. Distance running

1. Swimming 2. Gymnastics 3. Baseball

A nurse is caring for a child who is experiencing respiratory distress. Which of the following findings are early manifestations of respiratory distress? (select all that apply) a. Bradypnea b. Peripheral cyanosis c. Tachycardia d. Diaphoresis e. Restlessness

1. Tachycardia 2. Diaphoresis 3. Restlessness

A nurse is caring for a client who has a skin graft. Which of the following findings indicate infection? (select all that apply) A. Pink color to subcutaneous fat B. Unstable body temperature C. Generation of granulation tissue D. Subeschar hemorrhage E. Change in skin color around the affected area.

1. Unstable body temperature 2. Subeschar hemorrhage 3. Change in skin color around the affected area.

A nurse is collecting data from an infant who has coarctation of the aorta. Which of the following findings should the nurse expect? (select all that apply) A. Weak femoral pulses B. Cool skin of lower extremities C. Severe cyanosis D. Clubbing of the fingers E. Low blood pressure

1. Weak femoral pulses 2. Cool skin of lower extremities 3. Low blood pressure

A nurse is collecting data from an infant who has coarctation of the aorta. Which of the following findings should the nurse expect? (select all that apply) A. Weak femoral pulses B. Cool skin of lower extremities C. Severe cyanosis D. Clubbing of the fingers E. Low blood pressure

1. Weak femoral pulses 2. Cool skin of lower extremities 3. Low blood pressure

A nurse is collecting data from a child who has a cystic fibrosis. Which of the following findings should the nurse expect? (select all that apply) A. Wheezing B. Clubbing of fingers and toes C. Barrel-shaped chest D. Thin, water mucus E. Rapid growth spurts

1. Wheezing 2. Clubbing of fingers and toes 3. Barrel-shaped chest

The nurse is aware that genitourinary surgery is especially stressful for preschool children. What factor(s) lend to this stress? (Select all that apply.) a. They may perceive the treatment as punishment. b. They are especially prone to separation anxiety. c. They are sexually curious and developmentally fixated on their genitals. d. They have a fear of castration. e. They fear death.

1. They may perceive the treatment as punishment. 2. They are especially prone to separation anxiety. 3. They are sexually curious and developmentally fixated on their genitals. 4. They have a fear of castration.

A nurse is assisting with a development screening on an 18 month old. Which of the following skills should the toddler be able to perform? (Select all that apply) A. Build a tower with six blocks B. Throw a ball overhand C. Walk up and down stairs D. Stand on one foot for a few seconds E. Use a spoon without rotation

1. Throw a ball overhand 2. Use a spoon without rotation

What will the nurse include when documenting the discharge of a pediatric patient? (Select all that apply.) a. Time of discharge b. Adult(s) accompanying the child and the relationship to the child c. Condition of the child d. Method of transportation e. Instructions that were given to physician

1. Time of discharge 2. Adult(s) accompanying the child and the relationship to the child 3. Condition of the child 4. Method of transportation

A nurse is assisting with the admission of a child who has cystic fibrosis. Which of the following medications should the nurse expect the provider to prescribe? (select all that apply) A. Tobramycin B. Loperamide C. Fat-soluble vitamins D. Albuterol E. Dornase alfa

1. Tobramycin 2. Fat-soluble vitamins 3. Albuterol 4. Dornase alfa

A nurse is contributing to the plan of care for a child who has tinea capitis. Which of the following interventions should the nurse include? (select all that apply) A. Treat infected house pets B. Use selenium sulfide shampoo C. Cleanse area with Burrow solution D. Administer antiviral medication E. Use moist, warm compresses

1. Treat infected house pets 2. Use selenium sulfide shampoo

A nurse is caring for an infant who has obstructive uropathy. Which of the following findings should the nurse expect? (select all that apply) A. Decreased urine flow B. Urinary tract infection C. History of maternal polyhydramnios D. Concentrated urine E. Hydronephrosis

1. Urinary tract infection 2. Hydronephrosis

A nurse is collecting data from a child who has nephrotic syndrome. Which of the following findings should the nurse expect? (select all that apply) A. Urine dipstick +2 protein B. Edema in the ankles C. Hyperlipidemia D. Polyuria E. Anorexia

1. Urine dipstick +2 protein 2. Edema in the ankles 3. Hyperlipidemia 4. Anorexia

What intervention(s) would the nurse preparing a teaching plan for the care of a child with infantile eczema include? (Select all that apply.) a. Bathe the child using products with a light fragrance. b. Use oatmeal and baking soda as bath additives. c. Add bath oil to bath water after the child has soaked. d. Apply lanolin-based lotions after the bath. e. Bathe child several times a day.

1. Use oatmeal and baking soda as bath additives. 2. Add bath oil to bath water after the child has soaked

What would the nurse teach parents to do in order to avoid diaper rash? (Select all that apply.) a. Use ointments. b. Keep perineum covered at all times. c. Use disposable diapers. d. Avoid plastic bloomers or pants. e. Change diaper frequently

1. Use ointments. 2. Use disposable diapers. 3. Avoid plastic bloomers or pants. 4. Change diaper frequently.

A nurse is collecting screening data from a toddler for possible hearing loss. Which of the following findings are indications of a hearing impairment? (select all that apply) A. Uses monotone speech B. Speaks loudly C. Repeats sentences D. Appears shy E. Is overly attentive to the surroundings

1. Uses monotone speech 2. Speaks loudly 3. Appears shy

The family of a child receiving chemotherapy for leukemia should be taught to focus on which aspect(s) of the child's care? (Select all that apply.) a. Using a support group b. Stimulating appetite c. Maintaining adequate hydration d. Continuing with scheduled immunizations e. Reporting exposure to infectious diseases

1. Using a support group 2. Stimulating appetite 3. Maintaining adequate hydration 4. Reporting exposure to infectious diseases

A nurse is preparing to reinforce treatment options with the guardian of a child who has worsening seizures. Which of the following treatment options should the nurse include in the discussion? (select all that apply) A. Vagal nerve stimulator B. Additional antiepileptic medications C. Corpus callosotomy D. Focal resection E. Radiation therapy

1. Vagal nerve stimulator 2. Additional antiepileptic medications 3. Corpus callosotomy 4. Focal resection

Which defects are associated with tetralogy of Fallot? (Select all that apply.) A. Atrial septal defect B. Ventricular septal defect C. Dextroposition of the aorta D. Pulmonary artery stenosis E. Hypertrophy of the right ventricle F. Patent ductus arteriosus

1. Ventricular septal defect 2. Dextroposition of the aorta 3. Pulmonary artery stenosis 4. Hypertrophy of the right ventricle

The nurse explains that the COPP medical regimen for the treatment of Hodgkin's disease uses a combination of which drugs? (Select all that apply.) a. Vincristine b. Cyclophosphamide c. Methotrexate d. Prednisone e. Procarbazine hydrochloride

1. Vincristine 2. Cyclophosphamide 3. Prednisone 4. Procarbazine hydrochloride

Parents have adopted a child with the diagnosis of kwashiorkor. What is most likely to be observed when assessing this child? (Select all that apply.) a. Hyperactivity b. White streak in hair c. Edematous abdomen d. Slowed growth e. Thick, oily hair

1. White streak in hair 2. Edematous abdomen 3. Slowed growth

A nurse is reinforcing teaching with a child who has asthma about how to use a peak flow meter. Which of the following information should the nurse include in the teaching? (select all that apply) A. Zero the meter before each use B. Record the average of the attempts C. Perform three attempts D. Deliver a long, slow breath into the meter E. Sit in a chair with feet on the floor

1. Zero the meter before each use 2. Perform three attempts

A nurse responsibility when a child has a seizure includes (select all that apply) a. time the seizure b. place the child in the prone position c. move furniture away from the child d. observe and record behavior immediately following the seizure e. call 911

1. time the seizure 2. move furniture away from the child 3. observe and record behavior immediately following the seizure

Distinct phases of a grand mal epileptic seizure include (select all that apply) a. aura b. agitation c. tonic/clonic movements d. postictal lethargy

1. aura 2. tonic/clonic movements 3. postictal lethargy

effects on chronic illness on growth and development: TODDLER

1. autonomy 2. physical restrictions impede development of motor and language skills. 3. toilet training may be delayed 4. fear may erode self-confidence 5. separation anxiety occurs

The nurse is monitoring a 2 year old child for signs of dehydration. Which of the following techniques of monitoring body temperature is appropriate? (select all that apply) a. axillary b. rectal c. temporal artery d. tympanic e. stroking the forehead

1. axillary 2. temporal artery 3. tympanic

A nurse is caring for a male infant who has an epispadias. Which of the following findings should the nurse expect? (select all that apply) A. bladder exstrophy B. Inability to retract foreskin C. widened pubic symphysis D. Urethral opening on the dorsal side of the penis E. Pain

1. bladder exstrophy 2. widened pubic symphysis 3. Urethral opening on the dorsal side of the penis

Lab results in bacterial meningitis

1. cloudy cerebrospinal fluid 2. high protein level 3. low glucose levels

A nurse is collecting data from a newborn who has congenital hypothyroidism. Which of the following findings should the nurse expect? (select all that apply) a. Hypertonicity b. Cool extremities c. Short neck d. Tachycardia e. Hyperreflexia

1. cool extremities 2. short neck

An infant is admitted with a diagnosis of respiratory syncytial virus (RSV) infection . The type of transmission-based isolation precaution the nurse would set up would be: (select all that apply) a. standard precautions b. droplet precautions c. contact precautions c. airborne infection isolation precautions

1. droplet precautions 2. contact precautions

A nurse is collecting data from a child who has Legg-Calve-Perthes disease. Which of the following findings should the nurse expect? (Select all that apply) A. Longer affected leg B. hip stiffness C. back pain D. limited ROM E. limp with walking

1. hip stiffness 2. back pain 3. limited ROM 4. limp with walking

The principles of care in the treatment of infantile eczema include which of the following? (Select all that apply) A. hydrate skin, prevent infection, and relieve itching B. keep skin dry, and clean with mild soap C. use elbow restraints to prevent scratching, and increase fluid intake D. dress warmly, bathe often with clear water, and administer antibiotics

1. hydrate skin, prevent infection, and relieve itching 2. use elbow restraints to prevent scratching, and increase fluid intake

effects of chronic illness on growth and development: ADOLESCENT

1. identity 2. adolescent feels loss of control and inability to conform to peers. 3. the developing self concept may become negative. 4. adolescent may grieve for a lost ability 5. enforced dependence may inpair plans for future goals. 6. rebellion results in decreased compliance

effects of chronic illness on growth and development: SCHOOL AGE

1. industry 2. loss of grade level in school because of illness and inability to participate or compete can lead to a sense of inferiority. 3. sense of independence and accomplishment can be lost 4. being different from peers may impede child's sense of belonging

effects of chronic illness on growth and development: PRESCHOOLER

1. initiativd 2. impaired ability to experience world outside of family impedes social skills. 3. overprotective parents delay teaching self-discipline 4. child may develop negative body image. 5. child develops sense of guilt at his or her inability to master tasks

The nurse is caring for a child diagnosed with nephrosis. Symptoms that are characteristics of nephrosis (select all that apply): a. massive proteinuria b. edema c. a positive antistreptolysin titer d. bacterium

1. massive proteinuria 2. edema

A nurse is collecting data from a child who has acute post-streptococcal glomerulonephritis (APSGN). Which of the following manifestations should the nurse expect? (select all that apply) A. pale urine B. periorbital edema C. ill appearance D. decreased creatinine E. hypertension

1. periorbital edema 2. ill appearance 3. hypertension

When caring for a child newly admitted with a major burn injury, the priority nursing responsibilities include which of the following interventions? (select all that apply) A. prevent infection B. maintain accurate intake and output C. provide daily baths for cleanliness D. provide a high-carbohydrate diet

1. prevent infection 2. maintain accurate intake and output

Which of the following orders written for a child admitted with a diagnosis of sickle cell anemia should the nurse question? (select all that apply) A. restrict fluids B. provide a high-calorie, high protein diet C. administer meperidine (Demerol) 25 mg IM for pain q6h D. administer oxygen at 2 liters via nasal cannula prn

1. restrict fluids 2. administer meperidine (Demerol) 25 mg IM for pain q6h

A nurse is collecting data from a child who has a urinary tract infection. Which of the following findings should the nurse expect? (select all that apply) A. night sweats B. swelling of the face C. pallor D. pale-colored urine C. fatigue

1. swelling of the face 2. pallor 3. fatigue

A nurse is collecting data from a child who has a urinary tract infection. Which of the following findings should the nurse expect? (select all that apply) A. night sweats B. swelling of the face C. pallor D. pale-colored urine C. fatigue

1. swelling of the face 2. pallor 3. fatigue

It is recommended that iron-fortified formula begiven to infants through age A. 3 months B. 6 months C. 9 months D. 12 months

12 months

effects on chronic illness on growth and development INFANCY

1. trust 2. a visible defect can delay bonding. 3. prolonged illness may separare child from family 4. irritability promotes parental negativity

Which of the following foods would be appropriate to offer a child following a tonsillectomy (select all that apply) a. low-fat milk b. orange juice c. clear carbonated soft drink d. vanilla-flavored ice pop e. yellow gelatin

1. vanilla-flavored ice pop 2. yellow gelatin

A child is admitted with a burn injury that involves the forehead, ears, cheeks, and chest. Which of the following are essential nursing responsibilities? (Select all that apply A. weigh the child B. provide oxygen and assess respirations C. apply dry sterile dressings to burned areas D. remove eschar from burned areas

1. weigh the child 2. provide oxygen and assess respirations

A nurse is caring for a child who has a depressive disorder. which of the following findings should the nurse expect? (select all that apply) a. prefers being with peers b. weight loss or gain c. reports low self-esteem d. sleeps more than usual e. hyperactivity

1. weight loss of gain 2. reports low self-esteem 3. sleeps more than usual

Phenytoin (Dilantin)

1.) Anticonvulsant 2.) Drunken feeling 3.) Do not mix with D5W 4.) May discolor urine 5.) Regular massaging of the gums decreases hyperplasia 6.) use in combination with phenobarbital

Valporic Acid (Depakote)

1.) Anticonvulsant 2.) causes liver (hepatic) toxicity 3.) take with food 4.) do NOT chew tablets 5.) do NOT administer with carbonated beverages 6.) do NOT take during pregnancy 7.) monitor platelets *memory tip=depaKOTE dont give with "COKES" aka carbonated beverages ;)

Keppra (levetiracetam)

1.) Anticonvulsant 2.) causes sleepiness, behavioral changes, & incoordination 3.) used with other medications for partial seizures 4.) monitor coordination

Topiramate (Topamax)

1.) Anticonvulsant 2.) slow cognition 3.) increase fluid intake 4.) monitor for cognitive effect

Gabapentin (Neurontin)

1.) Anticonvulsant/Antineuralgic 2.) used in poorly controlled seizures 3.) do NOT take with antacid

Phenobarbital (Luminal)

1.) Antiseizure med/anticonvulsant 2.) causes drowsiness, irritability, & hyperactivity 3.) Provide vitamin D & Folic acid supplements

tergretol (Carbamazepine)

1.) do not drink with grapefruit juice-may increase levels 2.) causes photosensitivity 3.) has fewest side effect!!! 4.) give with food

fencing reflex

1.) gone by 8mo 2.) known as an asymmetric tonic reflex *This reflex can be stimulated by turning your baby's head to one side while they are lying on their back. The baby will respond by straightening the arm and leg on the side the baby faces and bending the arm and leg on the opposite side.

The prescription for a 4-month-old is penicillin G 150,000 units intramuscularly bid. The drug is supplied as a unit dose of 600,000 units in a 5-mL vial. How many milliliters (mL) should the nurse provide? a. 1.25 b. 1.4 c. 1.6 d. 1.8

1.25 *600,000 mL ---------------- =1.25 mL 5 mL × 150,000 *This dose would have to be given in divided doses as only 0.5 to 1 mL should be injected in one site on an infant.

You work at a pediatric clinic and develop a cold sore, or herpes zoster, while at work. Which of these children should you avoid contacting directly to prevent complications to the child? A. 10 month old girl with allergies and diagnosed with infantile eczema B. 18 month old boy showing generalized rash after starting antibiotics C. 2 month old boy showing dermatitis in area of wet diaper D. 5 year old girl diagnosed with pediculosis by school nurse

10 month old girl with allergies and diagnosed with infantile eczema

By what age do children realize that death is final and permanent? A. 3 years B. 5 years C. 7 years D. 10 years

10 years

Digoxin (Lanoxin) is withheld if the pulse of a newborn is lower than ______ bpm. A. 120 B. 110 C. 100 D. 90

100

The order reads, "Give ampicillin oral suspension 400 mg PO every day." The vial reads, "Ampicillin 125 mg/5 mL." The nurse will give a dose of ______ mL.

16

Which child would have the most difficulty in coping with separation from parents because of hospitalization? a. 3-month-old child b. 16-month-old child c. 4-year-old child d. 7-year-old child

16-month-old child

A nurse is collecting data from an infant who has eczema. Which of the following findings should the nurse expect? (select all that apply) A. Generalized distribution of lesions B. Papules C. Ecchymosis in flexural areas D. Crusting lesions E. Keratosis pilaris

1A. Generalized distribution of lesions 2. Papules 3. Crusting lesions

What is an acceptable urine output for an 18 month old child? A. 4-5 mL/kg/hr B. 2-3 mL/kg/hr C. 1-2 mL/kg/hr D. 0.5-1 mL/kg/hr

2-3 mL/kg/hr

Which assessment would the nurse report to the physician immediately? a. 2-month-old with a urine output of 150 mL in 24 hours b. 3-year-old with a urine output of 650 mL in 24 hours c. 8-year-old with a urine output of over 1000 mL in 24 hours d. 14-year-old with a urine output of 800 mL in 24 hours

2-month-old with a urine output of 150 mL in 24 hours

The nurse is caring for an 18-pound child who has had one stool of diarrhea. The nurse knows that the child needs to consume how many milliliters of oral fluid to make up for the fluid loss? a. 18 b. 36 c. 64 d. 81

81 *The formula for oral fluid replacement is 10 mL/kg. 18 pounds = 8.1 kg × 10 = 81 mL

After the 3-month-old child with respiratory syncytial virus is given a protocol of antiviral medications, the nurse explains that routine immunizations will need to be delayed for _______ months.

9

Isoniazid is prescribed for a 2-year-old child with a positive tuberculin skin test. The mother of the child asks the nurse how long the child will need to take the medication. Which time frame is the appropriate response to the mother? 1. 4 months 2. 9 months 3. 12 months 4. 18 months

9 months

When a child is referred to a health care provider after scoliosis screening, the plan is to defer treatment and watch the child. The nurse determines that the child's curvature must be less than A. 10 degrees B. 20 degrees C. 30 degrees D. 40 degrees

20 degrees

The nurse is caring for a 3-year-old child with severe burns. What is the nurse aware is the minimum adequate hourly urine output? a. 5 mL/hr b. 10 mL/hr c. 15 mL/hr d. 20 mL/hr

20 mL/hr

The pediatric nurse is caring for a child that weighs 15 kg and calls the physician for an order for acetaminophen for pain control. What is the maximum amount of medication per dose the nurse anticipates ordering? a. 100 mg b. 150 mg c. 225 mg d. 250 mg

225 mg

Which situation would cause the nurse to suspect a hearing impairment? a. 3-month-old infant with a positive Moro (startle reaction) reflex b. 15-month-old toddler who is babbling c. 18-month-old toddler who is speaking one-syllable words d. 24-month-old toddler who communicates by pointing

24-month-old toddler who communicates by pointing

What is the appropriate technique for the application of a topical treatment for a child with eczema? a. Apply skin lotions in a circular motion. b. Apply prescribed ointments with a gloved hand. c. Apply as much and as frequently as relieves the symptoms. d. Choose lanolin-based ointments.

Apply prescribed ointments with a gloved hand.

Which intervention will the nurse implement when suctioning a tracheostomy? a. Suction for two to three breaths. b. Clear the catheter with water after suctioning for reuse. c. Apply suction for no more than 15 seconds. d. Establish a regular schedule for suctioning

Apply suction for no more than 15 seconds

What foods does the nurse recommend the child with acute glomerulonephritis avoid to prevent hyperkalemia? a. Dairy products b. Whole-grain cereals c. Organ meats d. Bananas

Bananas

What would the nurse expect to find in a child admitted to the hospital for nonorganic failure to thrive? a. Cry to be picked up b. Be limp like a rag doll c. Be responsive to cuddling d. Weigh in the 10th percentile for age

Be limp like a rag doll

The parents of a child recently diagnosed with cerebral palsy ask the nurse about the disorder. The nurse bases the response on the understanding that cerebral palsy is which type of condition? 1. An infectious disease of the central nervous system 2. An inflammation of the brain as a result of a viral illness 3. A congenital condition that results in moderate to severe retardation 4. A chronic disability characterized by impaired muscle movement and posture

A chronic disability characterized by impaired muscle movement and posture

The nurse is caring for a 4-year-old child. What will the nurse expect the child's daily urinary output to be? a. 400 to 500 mL b. 500 to 600 mL c. 600 to 700 mL d. 700 to 1000 mL

600 to 700 mL

The nurse explains the medically accepted definition of constipation is fewer than _____ bowel movements in a 2-week period.

7

A yellow bruise is approximately A. 2 days old B. 5 to 7 days old C. 7 to 10 days old D. 10 to 14 days old

7 to 10 days old

Approximately how old does the nurse assess a large green bruise on the thigh of a 4-year-old to be? a. 2 days b. 4 days c. 6 days d. 8 days

6 days

What is the approximate bladder capacity of a 4-year-old child? 2 ounces 4 ounces 6 ounces 8 ounces

6 ounces *The bladder capacity of a child can be approximated by the following formula: Age in years + 2 = ounces of bladder volume or capacity. 4 years old + 2 = 6 oz bladder volume or capacity

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. 2 weeks b. 6 weeks c. 2 months d. 3 months

6 weeks

The nurse monitors a 5 year old child admitted to the hospital for a neuroblastoma for signs and symptoms related to the location of the tumor in the adrenal gland. Which descriptions would the nurse expect to be documented in the child's record specific to this tumor? (select all that apply) 1. Respiratory impairment 2. Anorexia and weight loss 3. Pallor, weakness, irritability 4. Supraorbital ecchymosis and periorbital edema 5. Firm, nontender, irregular mass in the abdomen 6. Urinary frequency or retention from compression on the bladder

A. Firm, nontender, irregular mass in the abdomen B. Urinary frequency or retention from compression on the bladder

What finding would the nurse expect when measuring blood pressure on all four extremities of a child with coarctation of the aorta? a. Blood pressure higher on the right side b. Blood pressure higher on the left side c. Blood pressure lower in the arms than in the legs d. Blood pressure lower in the legs than in the arms

Blood pressure lower in the legs than in the arms

Which home care instructions should the nurse plan to reinforce to the mother of a child with acquired immunodeficiency syndrome (AIDS)? (Select all that apply.) 1. Frequent hand washing is important 2. The child should avoid exposure to other illnesses 3. The child's immunization schedule will need revision 4. Kissing the child on the mouth will never transmit the virus 5. Clean up body fluid spills with bleach solution (10:1 ratio of water to bleach). 6. Fever, malaise, fatigue, weight loss, vomiting, and diarrhea are expected to occur and do not require special intervention

A. Frequent hand washing is important B. The child should avoid exposure to other illnesses C. Clean up body fluid spills with bleach solution (10:1 ratio of water to bleach).

The nurse should implement which interventions for a child older than 2 years with type 1 diabetes mellitus who has a blood glucose level of 60 mg/dL (3.4 mmol/L)? (select all that apply) 1. Administer regular insulin 2. Encourage the child to ambulate 3. Give the child a teaspoon of honey 4. Provide electrolyte replacement therapy intravenously 5. Wait 30 minutes and confirm the blood glucose reading 6. Prepare to administer glucagon subcutaneously if unconsciousness occurs

A. Give the child a teaspoon of honey B. Prepare to administer glucagon subcutaneously if unconsciousness occurs

The nurse caring for a child who sustained a burn injury plans care based on which pediatric consideration associated with this injury? (select all that apply) 1. Scarring is less severe in a child than in an adult 2. A delay in growth may occur after a burn injury 3. An immature immune system presents an increased risk of infection for infants and young children 4. Fluid resuscitation is unnecessary unless the burned are is more than 25% of the total body surface area 5. The proportion of body fluid to body mass in a child increases the risk of cardiovascular problems 6. Infants and young children are at increased risk for protein and calorie deficiency because they have smaller muscle mass and less body fat than adults

A. A delay in growth may occur after a burn injury B. An immature immune system presents an increased risk of infection for infants and young children C. Infants and young children are at increased risk for protein and calorie deficiency because they have smaller muscle mass and less body fat than adults

The nurse caring for a child who sustained a burn injury plans care based on which pediatric consideration associated with this injury? (select all that apply) 1. Scarring is less severe in a child than in an adult 2. A delay in growth may occur after a burn injury 3. An immature immune system presents an increased risk of infection for infants and young children 4. Fluid resuscitation is unnecessary unless the burned are is more than 25% of the total body surface area 5. The proportion of body fluid to body mass in a child increases the risk of cardiovascular problems 6. Infants and young children are at increased risk for protein and calorie deficiency because they have smaller muscle mass and less body fat than adults

A. A delay in growth may occur after a burn injury B. An immature immune system presents an increased risk of infection for infants and young children C. Infants and young children are at increased risk for protein and calorie deficiency because they have smaller muscle mass and less body fat than adults

A child is admitted to the hospital with a probable diagnosis of nephrotic syndrome. Which findings should the nurse expect to observe? (select all that apply) 1. Ascites 2. Anorexia 3. Weight loss 4. Proteinuria 5. Decreased serum lipids 4. Periorbital and facial edema

A. Ascites B. Anorexia C. Proteinuria D. Periorbital and facial edema

A nurse is caring for a preschooler who has nephrotic syndrome. Which of the following findings should the nurse report to the provider? A. Blood protein 5.0 g/dL B. Hgb 14.5 g/dL C. Hct 40% D. Platelet 200,000 mm3

Blood protein 5.0 g/dL

A child with rubeola (measles) is being admitted to the hospital. When preparing for the admission of the child, which precautions should be implemented? (select all that apply) 1. Enteric 2. Contact 3. Airborne 4. Protective 5. Neutropenic

A. Contact B. Airborne

A mother of a child with a diagnosis of intussusception calls the nurse into the hospital room because the child is screaming in pain. Which manifestations of perforation should the nurse report immediately? (Select all that apply) 1. Fever 2. Ribbon-like stools 3. Increased heart rate 4. Hypoactive bowel sounds 5. Profuse projectile vomiting 6. Change in the level of consciousness

A. Fever B. Increased heart rate C. Change in the level of consciousness

The nurse is assigned to care for a child who is suspected of having glomerulonephritis. The nurse reviews the child's record and notes that which findings are associated with the diagnosis of glomerulonephritis? (Select all that apply) 1. Headache 2. Hypotension 3. Red-brown urine 4. Periorbital edema 5. Increased urine output 6. A low blood urea nitrogen (BUN) level

A. Headache B. Red-brown urine C. Periorbital edema

The nurse is assigned to care for a child who is scheduled for an appendectomy. Which prescriptions does the nurse anticipate to be prescribed? (select all that apply) 1. Administer a fleet enema 2. Initiate an intravenous line 3. Maintain nothing by mouth status 4. Administer intravenous antibiotics 5. Administer preoperative medications 6. Place a heating pad on the abdomen to decrease pain

A. Initiate an intravenous line B. Maintain nothing by mouth status C. Administer intravenous antibiotics D. Administer preoperative medications

The nurse assists to create a nursing care plan for the child with an arm cast and should include which interventions in the plan? (select all that apply) 1. Instruct parents to keep the cast clean and dry 2. Monitor the extremity for circulatory impairment 3. Instruct the child not to stick objects down the cast 4. Ensure that rough cast materials are cut off to keep smooth 5. Notify the registered nurse (RN) immediately if circulatory impairment occurs

A. Instruct parents to keep the cast clean and dry B. Monitor the extremity for circulatory impairment C. Instruct the child not to stick objects down the cast D. Notify the registered nurse (RN) immediately if circulatory impairment occurs

The nurse is preparing for the admission of an infant with a diagnosis of bronchiolitis caused by the respiratory syncytial virus (RSV). Which interventions should be included in the plan of care? (select all that apply) 1. Place the infant in a private room 2. Place the infant in a room near the nurses' station 3. Ensure that the infant's head is in a flexed position 4. Wear a mask at all times when in contact with the infant 5. Place the child in a tent that delivers warm, humidified air 6. Position the infant side-lying, with the head lower than the chest

A. Place the infant in a private room B. Place the infant in a room near the nurses' station

A child is planning care for a child with hemolytic-uremic syndrome (HUS). The child has been anuric and will be receiving peritoneal dialysis treatment. The nurse should plan to include which interventions in the care of the child? Select all that apply) 1. Provide adequate nutrition 2. Restriction of fluids, as prescribed 3. Institute measures to prevent infection 4. Monitoring the arteriovenous (AV) fistula 5. Administer blood products to treat severe anemia 6. Anticipate the child will have central nervous system involvement

A. Provide adequate nutrition B. Restriction of fluids, as prescribed C. Institute measures to prevent infection D. Administer blood products to treat severe anemia E. Anticipate the child will have central nervous system involvement

The school nurse prepares a list of home care instructions for the parents of school children who have been diagnosed with pediculosis capitis (head lice). Which should be included in the list? (select all that apply) 1. Siblings may also need treatment 2. Use anti-lice sprays on all bedding and furniture 3. Use a pediculicide shampoo and repeat treatment in 14 days 4. Grooming items such as combs and brushes should not be shared 5. Launder all the bedding and clothing in hot water and dry on high heat 6. Vacuum floors, play areas, and furniture to remove any hairs that may carry live nits.

A. Siblings may also need treatment B. Grooming items such as combs and brushes should not be shared C. Launder all the bedding and clothing in hot water and dry on high heat D. Vacuum floors, play areas, and furniture to remove any hairs that may carry live nits.

The nurse is reviewing the postoperative primary health care provider's (PHCP's) prescriptions for a 3 week old infant with Hirschsprung's disease admitted to the hospital for surgery. Which prescriptions documented in the child's record should the nurse question? (select all that apply) 1. Measure abdominal girth daily 2. Monitor strict intake and output 3. Take temperature measurements rectally 4. Start clear liquid diet after 8 hours postoperative 5. Maintain IV fluids until the child tolerates oral intake 6. Monitor the surgical site for redness, swelling, and drainage

A. Take temperature measurements rectally B. Start clear liquid diet after 8 hours postoperative

A 4 year old child sustains a fall at home injuring the right arm and is brought to the emergency department by the mother. The nurse should perform which emergency actions in the care of the child? (select all that apply) 1. elevate the right arm 2. Apply warm packs to the right arm 3. check the neurovascular status of the right extremity 4. check the range of motion of the right arm and shoulder 5. determine the level of pain using a pediatric pain assessment tool

A. elevate the right arm B. check the neurovascular status of the right extremity C. determine the level of pain using a pediatric pain assessment tool

A nurse is assisting with collecting data from 12 month old infant during a well child visit. Which of the following findings should the nurse report to the provider? A. Closed anterior fontanel B. Eruption of six teeth C. Birth weight doubled D. Birth length increased by 50%

Birth weight doubled

The nurse is providing information to parents of a child born with bilateral cryptorchidism. What information is accurate to include? a. This is the most common form. b. Fertility will be unaffected. c. Surgical intervention is not recommended. d. An inguinal hernia may be present

An inguinal hernia may be present.

A parent reports that her child has begun to do poorly at school and experiences episodes where he appears to be staring into space. Of which type of seizure is this behavior a characteristic? a. Absence b. Akinetic c. Myoclonic d. Complex partial

Absence

A nurse is caring for a 15 month old child in a clinic. Which of the following actions should the nurse take? CHART: HepB: 1 month, 2 months, 12 months Rotavirus: 2 months, 4 months, 6 months DTaP: 2 months, 4 months, 6 months Hib: 2 months, 4 months, 12 months IPV: 2 months, 4 months, 6 months MMR: 12 months Varicella: 12 months HepA: 12 months A. Administer DTaP vaccine B. Administer rotavirus vaccine C. Hold immunizations until fever subsides D. Administer hepatitis A vaccine

Administer DTaP vaccine

A nurse is assisting with the care of a child in the postoperative period following a tonsillectomy. Which of the actions should the nurse take? A. Encourage the child to blow their nose gently B. Administer analgesic on a schedule C. Offer orange juice D. Position the child supine

Administer analgesic on a schedule

A nurse is caring for a toddler who has acute otitis media. Which of the following is the priority for the nurse to take? A. Provide emotional support to the family B. Reinforce teaching with the family on care of the child C. Provide a diversional activity for toddler D. Administer analgesics to the toddler

Administer analgesics to the toddler

Which principle should the nurse teach the parent concerning administering liquid iron preparations to the child with iron-deficiency anemia? A. Allow the preparation to mix with saliva and bathe the teeth between swallowing B. Warm the medication before administering C. Administer between meals D. Administer in the bottle of formula

Administer between meals

A nurse is caring for a child who has cellulitis on the hand. Which of the following actions should the nurse take? A. Administer oral antibiotics to the child B. Cleanse area using Burrow solution C. Prepare the child for cryotherapy D. Apply a topical antifungal medication

Administer oral antibiotics to the child

Through what does the infant born with hypoplastic left heart syndrome acquire oxygenated blood? a. The patent ductus arteriosus b. A ventricular septal defect c. The closure of the foramen ovale d. An atrial septal defect

An atrial septal defect

Hyptertension is identified in a 10 year old child during routine screening. Which plan of care can the nurse expect to see implemented initially? A. The child is started on a diuretic B. Beta-adrengic blockers are prescribed C. An exercise and diet program is developed D. A blood pressure measurement is scheduled in 4 weeks

An exercise and diet program is developed

A nurse is assisting with the care of an infant who has a myelomeningocele. Which of the following actions should the nurse take? A. Encourage the guardian to cuddle the infant B. Monitor the infant's temperature rectally C. Maintain the infant in a supine position D. Apply a sterile, moist dressing on the sac

Apply a sterile, moist dressing on the sac

A topical corticosteroid is prescribed by the health care provider for a child with atopic dermatitis (eczema). Which instruction should the nurse give the parent about applying the cream? 1. Apply the cream over the entire body 2. Apply a thick layer over the entire body 3. Avoid cleansing the area before application of the cream 4. Apply a thin layer of cream and rub it into the area thoroughly

Apply a thin layer of cream and rub it into the area thoroughly

A 6 month old infant receives a diphtheria, tetanus, and acellular pertussis (DTaP) immunization at the well baby clinic. The parent return home and calls the clinic to report that the infant has developed swelling and redness at the site of injection. Which instruction by the nurse is appropriate? 1. Monitor the infant for a fever 2. Bring the infant back to the clinic 3. Apply an ice pack to the injection site 4. Leave the injection site alone, because this always occurs

Apply an ice pack to the injection site

A nurse is caring for a child who is in a plaster spica cast. Which of the following actions should the nurse take? A. Use a heat lamp to facilitate drying B. Avoid turning the child until the cast is dry C. Assist the client with crutch walking after the cast is dry D. Apply moleskin to the edges of the cast

Apply moleskin to the edges of the cast

A 13-year-old girl has been hospitalized for the past week. When discussing the girl's feelings about her illness, what would the nurse expect the girl to express as her biggest concern? a. Invasive procedures b. Loss of control c. Appearance d. Separation from her boyfriend

Appearance

The nurse is explaining to a 17-year-old female the actions to prevent urinary tract infection. Which is the best beverage for the nurse to recommend to keep urine acidic? a. Milk b. Grape juice c. Apple juice d. Orange juice

Apple juice

What intervention should the nurse implement after topical administration of hydrocortisone cream to the buttocks and abdomen of an infant? a. Diaper the infant snugly with a disposable diaper. b. Cover the area with a transparent dressing. c. Apply a cloth diaper. d. Place the infant on a plastic pad, undiapered.

Apply a cloth diaper.

Which intervention would be helpful in relieving morning discomfort associated with juvenile rheumatoid arthritis? a. Wearing splints at night to prevent extension contractures b. Applying moist heat packs upon awakening c. Taking a warm tub bath the evening before d. Sleeping with two pillows under the head

Applying moist heat packs upon awakening

A nurse is preparing to administer the varicella vaccine to an adolescent. Which of the following questions should the nurse ask to determine whether there is a contraindication to administering the vaccine? A. "Do you have an allergy to eggs?" B. "Have you ever had encephalopathy following immunizations?" C. "Are you currently taking corticosteroid medication?" D. "Have you ever had an anaphylactic reaction to yeast?"

Are you currently taking corticosteroid medication?"

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

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

A nurse is assisting with the care for a toddler who has a Wilms' tumor. Which of the following actions should the nurse take? A. Palpate the child's abdomen to identify the size of the tumor B. Assist with preparing the child for surgery C. Reinforce teaching with the guardians about dialysis D. Obtain a 24 hr urine specimen from the child

Assist with preparing the child for surgery

Which is an expected assessment finding in a child with suspected scoliosis? A. Prominent clavicle B. Expiratory wheeze C. Asymmetry of the shoulders D. Delayed breast development

Asymmetry of the shoulders

A nurse is assisting a group of guardians of adolescents to develop skills that will improve communication within the family. The nurse hears one guardian state, "My son knows he better do what I say." Which of the following parenting styles is the parent exhibiting? A. Authoritarian B. Permissive C. Authoritative D. Passive

Authoritarian

A nurse is assisting an education program for a group of caregivers of preschooler about promoting optimum nutrition. Which of the following information should the nurse include in the program? A. Saturated fats should equal 20% of total daily caloric intake B. Average calorie intake should be 1,800 calories per day C. Daily intake of fruits and vegetables should total 2 servings D. Healthy diets include a total of 8 g protein each day

Average calorie intake should be 1,800 calories per day

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

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

An 18 month old child is being discharged after surgical repair of hyposadias. Which postoperative nursing care measure should the nurse stress to the parents as they prepare to take this child home? 1. Leave diapers off to allow the site to heal. 2. Avoid tub baths until the stent has been removed 3. Encourage toilet training to ensure that the glow of urine is normal 4. Restrict the fluid intake to reduce urinary output for the first few days

Avoid tub baths until the stent has been removed

What would the nurse include when planning postoperative teaching for a child who has had a tympanostomy with insertion of tubes? a. Keeping the infant flat after feeding b. Giving over-the-counter decongestants c. Avoiding getting water in the ears d. Cleaning the ear canal with cotton-tipped applicators

Avoiding getting water in the ears

An infant is experiencing dyspnea related to patent ductus arteriosus (PDA). What does the nurse understand regarding why dyspnea occurs? a. Blood is circulated through the lungs again, causing pulmonary circulatory congestion. b. Blood is shunted past the pulmonary circulation, causing pulmonary hypoxia. c. Blood is shunted past cardiac arteries, causing myocardial hypoxia. d. Blood is circulated through the ductus from the pulmonary artery to the aorta, bypassing the left side of the heart.

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

The nurse urges the mother of a 6-month-old child to get her child inoculated with Haemophilus influenzae type B. What does this immunization protect against? a. Encephalitis b. Influenza c. Bacterial meningitis d. Otitis media

Bacterial meningitis

The nurse collects a urine specimen preoperatively from a child with epispadias who is scheduled for surgical repair. The nurse reviews the child's record for the laboratory results of the urine test and would most likely expect to note which finding? 1. Hematuria 2. Bacteriuria 3. Glucosuria 4. Proteinuria

Bacteriuria

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

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

What finding would the nurse assessing the neurovascular status of a child in Russell traction report immediately? a. Skin that's warm to the touch b. Capillary refill less than 3 seconds c. Ability to wiggle toes d. Bluish coloration of skin

Bluish coloration of skin

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. Only one parent carries the CF gene. b. Both parents are carriers of the CF gene. c. The inheritance pattern is multifactorial. d. The result is probably a genetic mutation.

Both parents are carriers of the CF gene.

A child is admitted to the hospital because she had a seizure. Her parents report that for the past few weeks she has had headaches, with vomiting, that are worse in the morning. What does the nurse suspect? a. Meningitis b. Reye's syndrome c. Brain tumor d. Encephalitis

Brain tumor

Which type of traction would the nurse expect to be used for a 20-month-old child who has a fractured femur? A. Buck's extension B. Bryant's C. Russell's D. Ninet-ninety

Bryant's

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

Bulky, frothy

Which laboratory result would verify the diagnosis of bacterial meningitis? 1. Clear cerebrospinal fluid with high protein and low glucose levels 2. Cloudy cerebrospinal fluid with low protein and low glucose levels 3. Cloudy cerebrospinal fluid with high protein and low glucose levels 4. Decreased pressure and cloudy cerebrospinal fluid with a high protein level

Cloudy cerebrospinal fluid with high protein and low glucose levels

The parent 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 untreated congestive heart failure. b. Clubbing occurs as a result of a left-to-right shunting of blood. c. Clubbing occurs as a result of decreased cardiac output. d. Clubbing occurs as a result of chronic hypoxia.

Clubbing occurs as a result of chronic hypoxia.

A nurse assists with admitting a child with a diagnosis of acute-stage Kawasaki disease. When obtaining the child's medical history, which clinical manifestation is likely to be reported? A. Cracked lips B. A normal appearance C. Conjunctival hyperemia D. Desquamation of the skin

Conjunctival hyperemia

A child is brought to the emergency department after he fell and hit his head on the ground. Which nursing assessment suggests the child has a concussion? a. Sleepy but easily arousable b. Complaining of a stiff neck c. Cannot remember what happened to him d. Pupils react sluggishly to light

Cannot remember what happened to him

A child has fluid volume deficit. The nurse collects data and determines that the child is improving and the deficit is resolving if which finding is noted? 1. The child has no tears 2. Urine specific gravity is 1.030 3. Capillary refill is less than 2 seconds 4. Urine output is less than 1 mL/kg/hour

Capillary refill is less than 2 seconds

A nurse is assisting with the care of a 2 year old child who has a heart defect and is scheduled for cardiac catherization. Which of the following actions should the nurse take? A. Place on NPO status for 12 hr prior to the procedure B. Check for iodine or shellfish allergies prior to the procedure C. Elevate the affected extremity following the procedure D. Limit fluid intake following the procedure

Check for iodine or shellfish allergies prior to the procedure

What will the nurse include when caring for a child in Buck's extension? a. Positioning the child with hips flexed 90 degrees at all times b. Keeping the weights in contact with the floor c. Checking for skin irritation from traction equipment d. Releasing the weights on a schedule

Checking for skin irritation from traction equipment

On entering the room of a child in Buck traction, the nurse makes all of the following observations. Which observation requires a nursing intervention? a. Child's heels are placed firmly against the foot of the bed. b. Head of bed is elevated 20 degrees. c. Weights are hanging freely. d. Ropes are on pulleys.

Child's heels are placed firmly against the foot of the bed

Which finding in a newborn is suggestive of tracheoesophageal fistula? a. Failure to pass meconium in 24 hours b. Choking on the first feeding c. Palpable mass in the sternal area d. Visible peristalsis across abdomen

Choking on the first feeding

A nurse reviews the record of an infant who is seen in the clinic. The nurse notes that a diagnosis of esophageal atresia with tracheoesophageal fistula (TEF) is suspected. The nurse expects to note which most likely clinical manifestation of this condition in the medical record? 1. Incessant crying 2. Coughing at nighttime 3. Choking with feedings 4. Severe projectile vomiting

Choking with feedings

A nurse is caring for an adolescent who has acne and a new prescription for isotretinoin. Which of the following laboratory findings should the nurse plan to monitor? A. Cholesterol and triglycerides B. BUN and creatinine C. Blood potassium D. Blood sodium

Cholesterol and triglycerides

What is the result of a deficiency of factor IX? a. Thalassemia b. Idiopathic thrombocytopenic purpura c. Hemophilia A d. Christmas disease

Christmas disease

What will the nurse teach parents when giving instructions for acute conjunctivitis? a. Apply cool compresses to the affected eye several times a day. b. Instill topical steroid eyedrops for 1 week. c. Clear drainage from the inner to the outer aspect of the eye. d. Keep the eye patched until the inflammation resolves

Clear drainage from the inner to the outer aspect of the eye.

A child is diagnosed with nonparalytic strabismus. How will this disorder most likely be corrected? a. Patching the unaffected eye b. Corrective lenses c. Laser treatment d. Surgery

Corrective lenses

The nurse observes a tarry stool from a 16-year-old burn victim who has been in the ICU for 2 weeks. Which complication does the nurse anticipate? a. Diverticulitis b. Stress diarrhea c. Curling's ulcer d. Perforated bowel

Curling's ulcer

What description of a child's stool characteristic leads the nurse to suspect intussusception? a. Currant jelly b. Black and tarry c. Green liquid d. Greasy and foul-smelling

Currant jelly

Diuresis has not occurred on a child with nephrotic syndrome after a month on corticosteroids. What protocol can the nurse encourage to bring about diuresis? a. Ibuprofen, an anti-inflammatory agent b. Furosemide (Lasix), a diuretic c. Ciprofloxacin (Cipro), an antibiotic d. Cyclophosphamide (Cytoxan), an antisuppressant

Cyclophosphamide (Cytoxan), an antisuppressant

A nurse is collecting data from a child who has chronic kidney disease. Which of the following findings should the nurse expect? A. Flushed face B. Hyperactivity C. Weight gain D. Delayed growth

Delayed growth

What would the nurse include in planning teaching to parents of a child with Legg-Calvé-Perthes disease about the long-term effects of this disease? a. There are no long-term effects. b. The disease is self-limited and requires no long-term treatment. c. Degenerative arthritis may develop later in life. d. There is risk of osteogenic sarcoma in adulthood.

Degenerative arthritis may develop later in life

The parents of a hospitalized toddler are upset because she seems more interested in her toys when they come to visit her. In which stage of separation anxiety is the toddler? a. Protest b. Despair c. Denial d. Attachment

Denial

The nurse is planning a parent education program about lead poisoning prevention. What will be included regarding primary sources of lead in the community? a. Increased lead content of air b. Use of aluminum cookware c. Deteriorating paint in older buildings d. Inhaling smog

Deteriorating paint in older buildings

A nurse is contributing to the plan of care for a toddler who has cerebral palsy. Which of the following interventions should the nurse include? A. Structure interventions according to the toddler's chronological age. B. Determine the toddler's need for an evaluation of hearing ability C. Monitor the toddler's pain level routinely using a numeric rating scale D. Provide total care for daily hygiene activities

Determine the toddler's need for an evaluation of hearing ability

Which observation on entering the hospital room lets the nurse know that there is a need for the parents to receive safety education to prevent unintentional injury? a. The blanket is not tucked into the mattress. b. Diapers and wipes are stacked at the foot of the crib. c. The crib side is locked in the up position. d. Pillows are stacked on the bedside table

Diapers and wipes are stacked at the foot of the crib.

A nurse is preparing to administer an intramuscular (IM injection to a child. Which of the following muscle groups is contraindicated? A. Deltoid B. Ventrogluteal C. Vastus lateralis D. Dorsogluteal

Dorsogluteal

A school age child with type 1 diabetes mellitus has soccer practice three afternoons a week. The nurse reinforces instructions regarding how to prevent hypoglycemia during practice. Which should the nurse tell the child? 1. Drink a half a cup of orange juice before soccer practice 2. Eat twice the amount that is normally eaten at lunchtime. 3. Take half of the amount of prescribed insulin on practice days 4. Take the prescribed insulin at noontime rather than in the morning

Drink a half a cup of orange juice before soccer practice

The asthmatic child who has been taking theophylline complains of stomachache and tachycardia and is sweating profusely. What does the nurse recognize as the cause of these symptoms? a. Severe asthma attack b. Allergic response to theophylline c. Onset of bronchitis d. Drug toxicity

Drug toxicity

What will the nurse include when teaching about general skin care measures that could help prevent acne? a. Eliminating chocolate, peanuts, and cola from the diet b. Washing the face with a cleansing product frequently c. Planning indoor activities to avoid sun exposure d. Eating a balanced diet and getting sufficient rest

Eating a balanced diet and getting sufficient rest

A pediatric patient is scheduled for a noninvasive procedure to determine if his heart is structurally normal and to localize a murmur. What diagnostic test does the nurse anticipate? a. Barium swallow b. Chest x-ray c. Electrocardiogram d. Echocardiogram

Echocardiogram

The nurse instructs the mother of a 2-year-old child who is taking iron supplements for anemia that some foods reduce the absorption of iron. What would be the best example provided by the nurse? a. Red meat b. Green, leafy vegetables c. Acidic fruit juices d. Egg yolks

Egg yolks

A nurse is collecting data from an infant about pain. Which of the following pain scales should the nurse use? A. FACES B. FLACC C. Oucher D. Numeric scale

FLACC

What is the best way for the nurse to communicate with a 10-year-old child who has a hearing impairment? a. Use gestures and signs as much as possible. b. Let the child's parents communicate for her. 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.

Face the child and speak clearly in short sentences

What characteristic manifestation does the nurse caring for a child with Duchenne's muscular dystrophy document? a. Ambulates by holding onto furniture b. Exhibits atrophy of the calf muscles c. Falls frequently and is clumsy d. Has delayed fine-motor development

Falls frequently and is clumsy

What is an appropriate nursing interventions for feeding a child with spastic type cerebral palsy? a. Touch the tip of the tongue with the spoon b. Stroke downward under the chin area c. Feed with a rubber coated spoon d. Tilt the head backward 30 degrees

Feed with a rubber coated spoon

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

Get a prescription for oral contraceptives

A nurse is collecting data from a 2 1/2 year old toddler at a well child visit. Which of the following findings should the nurse report to the provider? A. Height increased by 7.5 cm (3 in) in the past year B. Head circumference exceeds chest circumference C. Anterior and posterior fontanels are closed D. Current weight equals four times the birth weight

Head circumference exceeds chest circumference

A child is diagnosed with iron deficiency anemia. What will the nurse explain can occur if this disorder goes untreated? a. Hemorrhage b. Heart failure c. Infection d. Pulmonary embolism

Heart failure

A child develops carditis from rheumatic fever. Which areas of the heart are affected by carditis? a. Coronary arteries b. Heart muscle and the mitral valve c. Aortic and pulmonic valves d. Contractility of the ventricles

Heart muscle and the mitral valve

A mother is concerned about what might have caused a heat rash on her infant. The nurse observes tiny pinhead-sized reddened papules on the infant's neck and axilla. What does the nurse explain as the most likely cause of this rash? a. Sun exposure b. Allergic reaction c. Infection d. Heat and moisture

Heat and moisture

The nurse reinforces instructions to the parent of a child with meningococcal meningitis. Which statement by the parent indicates a need for further teaching? 1. "I can give my child acetaminophen for fever." 2. "I will watch for any hearing loss that may occur." 3. "I know that I will need to watch for any rash that my child may develop." 4. I will need to get my other children the pneumococcal vaccine, but not the baby yet, he is only 3 months.

I will need to get my other children the pneumococcal vaccine, but not the baby yet, he is only 3 months.

The nurse is caring for a 3-year-old child with a head injury. Which assessment would lead the nurse to report the probability of increasing intracranial pressure (ICP)? a. Temperature increase from 37.2° C (99° F) to 37.7° C (100° F) b. Increase in blood pressure with an attendant decrease in pulse c. Increase in respirations d. Equilateral pupils

Increase in blood pressure with an attendant decrease in pulse

The nurse is instructing a mother how to administer oral nystatin suspension prescribed to treat thrush. What will the nurse include? a. Pour the prescribed amount into a nipple and have the infant suck the medication. b. Squirt the prescribed dose into the back of the mouth and have the infant swallow. c. Give the medication mixed with a small amount of juice in a bottle. d. Use a sterile applicator to swab the medication on the oral mucosa.

Use a sterile applicator to swab the medication on the oral mucosa

The nurse explains to the parents of a hospitalized child that their child will receive fentanyl for an upcoming procedure. What advantage of fentanyl will the nurse explain? a. It is specifically designed for children. b. It has a rapid onset. c. It is nonaddicting. d. It has a long duration.

It has a rapid onset

A child is diagnosed with infectious mononucleosis. The nurse reinforces homecare instructions to the parents about the care of the child. Which instruction should the nurse provide to the parents? 1. Maintain the child on bed rest for 2 weeks 2. Maintain respiratory precautions for 1 week 3. Notify the pediatrician if the child develops a fever 4. Notify the pediatrician if the child develops abdominal or left shoulder pain

Notify the pediatrician if the child develops abdominal or left shoulder pain

An infant is admitted to the hospital with severe dehydration. Laboratory results show pH 7.32, PaCO2 40, HCO3- 21. How does the nurse interpret these values? a. Metabolic acidosis b. Metabolic alkalosis c. Respiratory acidosis d. Respiratory alkalosis

Metabolic acidosis

What is an appropriate nursing action when a child is experiencing a generalized tonic-clonic seizure? a. Assist the child to bed and then go for help. b. Move objects out of the child's immediate area. c. Stick a padded tongue blade between the child's teeth. d. Manually restrain the child.

Move objects out of the child's immediate area

The nurse is monitoring for bleeding in a child after surgery to remove a brain tumor. The nurse checks the head dressing for the presence of blood and notes a colorless drainage on the back of the dressing. Which nursing action is appropriate? 1. Reinforce the dressing 2. Notify the registered nurse (RN) 3. Document the findings and continue to monitor 4. Circle the area of drainage and continue to monitor.

Notify the registered nurse (RN)

The nurse is performing a neurovascular check on a hospitalized child who had a cast applied to the lower leg. The child complains of a tingling in the toes distal to the fracture site. Which action should the nurse take? 1. Elevate the extremity 2. Document the findings 3. Notify the registered nurse (RN) 4. Ambulate the child with crutches

Notify the registered nurse (RN)

While caring for a child with glomerulonephritis, the nurse observes a rise in the child's blood pressure. What is the most appropriate nursing action? A. Document the findings B. Recheck the blood pressure regularly C. Notify the health care provider D. Restrict sodium and fluid intake

Notify the health care provider

A nurse is reinforcing teaching with a group of family members about communicable diseases. The nurse should include that which of the following is the best method to prevent a communicable disease? A. Hand washing B. Avoiding persons who have active disease C. Covering your cough D. Obtaining immunizations

Obtaining immunizations

Which strategy might the nurse use when administering oral medications to a young child who is reluctant? a. Mix the medication with chocolate milk. b. Tell the child that the medication is candy. c. Give the medication quickly if the child is crying. d. Offer the child fruit juice after the medication is swallowed

Offer the child fruit juice after the medication is swallowed.

An infant returns to the nursing unit after the surgical repair of a cleft lip located on the right side of the lip. Which is the best position to place this infant at this time? 1. A flat position 2. A prone position 3. On his or her left side 4. On his or her right side

On his or her left side

The nurse assists to prepare a teaching plan regarding the administration of eardrops for the parents of a 2 year old child with otitis media. Which should be included in the plan? 1. Wear gloves when administering the eardrops 2. Pull the ear up and back before instilling the eardrops 3. Pull the earlobe down and back before instilling the eardrops 4. Hold the child in a sitting position when administering the eardrops

Pull the earlobe down and back before instilling the eardrops

A nurse is caring for an infant who needs otic medication. Which of the following is an appropriate action for the nurse to take? A. Hold the infant in an upright position B. Pull the pinna downward and straight back C. Hyperextend the infant's neck D. Ensure that the medication is cool

Pull the pinna downward and straight back

What will the nurse tell parents of a child with a positive throat culture for group A hemolytic streptococcus that the treatment is most likely to be? a. Acetaminophen and plenty of fluids b. Oral penicillin for 10 days c. Penicillin until his sore throat is gone d. Streptococcus immunization

Oral penicillin for 10 days

A 6-year-old sustained a fractured femur and was put in Russell traction 2 days ago. She screams in pain when she raises herself onto the bedpan. Which nursing diagnosis takes highest priority for this child? a. Pain resulting from tissue trauma b. High risk for impaired skin integrity resulting from immobility c. Altered growth and development related to separation from family d. Altered urinary elimination related to immobility and traction

Pain resulting from tissue trauma

A child has an elevated antistreptolysin O (ASO) titer. Which combination of symptoms, in conjunction with this finding, would confirm a diagnosis of rheumatic fever? a. Subcutaneous nodules and fever b. Painful, tender joints, and carditis c. Erythema marginatum and arthralgia d. Chorea and elevated sedimentation rate

Painful, tender joints, and carditis

Which physical assessment technique will the nurse omit when caring for a 2-year-old child diagnosed with Wilms' tumor? a. Performing range-of-motion exercises on lower extremities b. Palpating the abdomen c. Assessing for bowel sounds d. Percussing ankle and knee reflexes

Palpating the abdomen

What will the nurse teach the child with cystic fibrosis to take in order to facilitate digestion and absorption of nutrients? a. Pancreatic enzymes b. Water-soluble minerals c. Fat-soluble vitamins d. Salt supplements

Pancreatic enzymes

A nurse is reviewing the medical record of a client who has Reye syndrome. Which of the following findings should the nurse identify as a risk factor for Reye syndrome? A. Recent history of infectious cystitis caused by Candida B. Recent history of bacterial otitis media C. Recent episode of gastroenteritis D. Recent episode of Haemophilus influenzae meningitis

Recent episode of gastroenteritis

A child is diagnosed with scarlet fever. The nurse collects dats regarding the child. Which is characteristic of scarlet fever? 1. Pastia's sign 2. Abdominal pain and flaccid paralysis 3. Dense pseudoformation membrane in the throat 4. Foul smelling and mucopurulent nasal drainage

Pastia's sign

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

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

The nurse is planning a hypertension-prevention program. What should be the main focus of the nurse when presenting information? a. Pharmacological treatment b. Surgical interventions available c. Patient education d. Reduction of aerobic exercise

Patient education

The nurse was caring for an infant who had come to the nursing unit for observation and treatment of tetralogy of Fallot. The child suddenly becomes cyanotic and the oxygen saturation reading drops to 60%. The nurse should perform which action first? A. Assist to administer morphine sulfate B. Place the child in a knee-chest position C. Administer 100% oxygen by face mask D. Prepare to administer intravenous fluids

Place the child in a knee-chest position

A nurse is planning to administer the influenza vaccine to a toddler. Which of the following actions should the nurse take? A. Administer subcutaneously in the abdomen B. Use a 20 gauge needle C. Divide the medication into two injections D. Place the child in the supine position

Place the child in the supine position

A nurse is assisting with the care of a client who has suspected meningitis and a decreased level of consciousness. Which of the following actions should the nurse take? A. Place the client on NPO status B. Prepare the client for a liver biopsy C. Position the client dorsal recumbent D. Put the client in a protective environment

Place the client on NPO status

A nurse is assisting with the care of an infant who has just returned from PACU following cleft lip and palate repair. Which of the following actions should the nurse take? A. Remove the packing in the mouth B. Place the infant in an upright position C. Offer a pacifier with sucrose D. Observe the mouth with a tongue blade

Place the infant in an upright position

The nurse is planning to teach parents about preventing sudden infant death syndrome (SIDS). What significant information would the nurse include? a. Wrapping the infant snugly for rest periods b. Positioning the infant prone for sleep c. Sitting the infant up in an infant seat d. Placing infants on their backs or sides for sleep

Placing infants on their backs or sides for sleep

The nurse is assigned to care for a child who is in skeletal traction. The nurse needs to avoid which action when caring for the child? 1. Keeping the weights hanging freely. 2. Ensuring that the ropes are in the pulleys 3. Placing the bed linens on the traction ropes 4. Ensuring that the weights are out of the child's reach

Placing the bed linens on the traction ropes

A nurse is collecting data from a 6 month old infant. Which of the following reflexes should the nurse expect the infant to exhibit? A. Moro B. Plantar grasp C. Stepping D. Tonic neck

Plantar grasp

When a 2-year-old child returns to her hospital room following a diagnostic procedure, her parents are not available, and the child is crying loudly. Which technique is most appropriate to alleviate the child's distress? a. Rock the child gently to sleep. b. Play with the child using pop-up toys. c. Role-play with the child to act out her feelings. d. Ask the child to draw a picture about her feelings.

Play with the child using pop-up toys.

A 13-year-old girl is diagnosed with functional scoliosis. What does the nurse explain as the cause of this spinal curvature defect? a. Juvenile rheumatoid arthritis b. Poor posture c. Heredity d. Myelomeningocele

Poor posture

A nurse is caring for a child who just experienced a generalized seizure. Which of the following is the priority action for the nurse to take? A. Position the child in a side-lying position B. Try and determine the seizure trigger C. Reorient the child to the environment D. Note the time of the postictal period

Position the child in a side-lying position

Which is the most appropriate intervention for a 3-month-old infant who has gastroesophageal reflux? a. Position the infant in the crib on his or her abdomen, with the head elevated. b. Administer medication as ordered to stimulate the pyloric sphincter. c. Give thin rice cereal with formula before feeding solid foods. d. Place the infant in an infant seat after feedings.

Position the infant in the crib on his or her abdomen, with the head elevated.

A nurse in an urgent in an urgent care clinic is caring for a child whose guardian reports that the child has swallowed paint thinner. The child is lethargic, gagging, and cyanotic. Which of the following actions should the nurse anticipate assisting with? a. Induce vomiting with syrup of ipecac b. Insert a nasogastric tube, and administer activated charcoal c. Prepare for intubation with a cuffed endotracheal tube d. Administer chelation therapy using deferoxamine mesylate

Prepare for intubation with a cuffed endotracheal tube

A nurse is caring for a child who has Hirschsprung's disease. Which o the following actions should the nurse take? A. Encourage a high-fiber, low-protein, low-calorie diet B. Prepare the family for surgery C. Place an NG tube for decompression D. Initiate bed rest

Prepare the family for surgery

A nurse is reinforcing teaching with a caregiver of a preschool child about factors that affect the child's perception of death. Which of the following factors should the nurse include? A. Preschool children have no concept of death B. Preschool children perceive death as temporary C. Preschool children often regress to an earlier stage of behavior D. Preschool children experience fear related to the disease process

Preschool children perceive death as temporary

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 fluid and electrolyte imbalance. b. Prevent nutritional deficiency. c. Prevent skin breakdown. d. Prevent malabsorption.

Prevent fluid and electrolyte imbalance.

How would the nurse advise a mother to clear the nostrils when her infant has a cold? a. Clear the nasal passages after the infant has a feeding. b. Use over-the-counter nose drops to clear passages. c. Remove nasal secretions with a bulb syringe. d. Instill saline nose drops after clearing away secretions.

Remove nasal secretions with a bulb syringe.

The nurse is interviewing parents of an infant with pyloric stenosis. What would the nurse expect the parents to report? a. Diarrhea b. Projectile vomiting c. Poor appetite d. Constipation

Projectile vomiting

The nurse is reviewing the record of a child with a diagnosis of pyloric stenosis. Which data should the nurse expect to note as having been documented in the child's record? 1. Watery diarrhea 2. Projectile vomiting 3. Increased urine output 4. Vomiting large amounts of bile

Projectile vomiting

The nurse taking a history from parents of an infant with pyloric stenosis would expect them to report the infant experienced which sign? A. Constipation B. Projectile vomiting C. Diarrhea D. Anorexia

Projectile vomiting

A child is diagnosed with Reye's syndrome. The nurse assists with developing a nursing care plan for the child and should which intervention in the plan? 1. Assess hearing loss 2. Monitor urine output 3. Change body position every 2 hours 4. Provide a quiet atmosphere with dimmed lighting

Provide a quiet atmosphere with dimmed lighting

A nurse is preparing to administer immunizations to a 4 month old infant. Which of the following actions should the nurse take to provide atraumatic care? A. Administer 81 mg of aspirin B. Use the Z-track method when injecting C. Ask the guardians to leave the room during the injection D. Provide sucrose solution on the pacifier

Provide sucrose solution on the pacifier

A nurse encourages a school-age child to draw a picture after a painful procedure. What is the best rationale for this nursing intervention? a. Attempting to re-establish rapport b. Providing a way for the child to express his feelings c. Encouraging quiet play d. Distracting the child from thinking about the pain

Providing a way for the child to express his feelings

A 7-year-old child with acute glomerulonephritis has gross hematuria and has been confined to bed. What is the most appropriate nursing intervention for this child? a. Providing activities for the child on restricted activity b. Feeding the child a protein-restricted diet c. Carefully handling edematous extremities d. Observing the child for evidence of hypotension

Providing activities for the child on restricted activity

The mother of a toddler with mumps asks the nurse what she needs to watch for in her child with this disease. The nurse bases the response on the understanding that mumps is which type of communicable disease? 1. Skin rash caused by a virus 2. Skin rash caused by a bacteria 3. Respiratory disease caused by virus involving the lymph nodes 4. Respiratory disease caused by a virus involving the parotid gland

Respiratory disease caused by a virus involving the parotid gland

What should the nurse, preparing to collect an admission history from parents who have recently emigrated from Russia, keep in mind? a. Eye-to-eye contact is considered disrespectful. b. Touching the child's head means the nurse is superior. c. Smiling is inappropriate in a serious situation. d. Staring is a sign of the nurse's rudeness

Smiling is inappropriate in a serious situation

A nurse is caring for an adolescent whose guardian expresses concerns about the child sleeping such long hours. Which of the following conditions should the nurse inform the guardian as requiring additional sleep during adolescence? A. Sleep terrors B. Rapid growth C Elevated zinc levels D. Slowed metabolism

Rapid growth

Which observation is most likely to cause the nurse to consider the possibility of child abuse when a mother says that her young child fell down the basement stairs? a. Red, green, and yellow bruises on his body. b. Bruises are dispersed on his head, arms, and legs. c. A broken arm last year, and the child being described as accident-prone. d. The mother is very anxious for her son to get medical attention.

Red, green, and yellow bruises on his body

On the first day following a severe burn, the body's fluid reserves have left the circulating volume and entered the interstitial space, causing massive edema. What should the nurse monitor for very closely in the burn victim? a. Increasing intracranial pressure b. Reduced urine output c. Eschar formation d. Fluid overload

Reduced urine output

A nurse is caring for a preschooler. Which of the following is an expected behavior of a preschool-age child? A. Describing manifestations of illness B. Relating fears to magical thinking C. Understanding cause of illness D. Awareness of body functioning

Relating fears to magical thinking

The nurse has just administered ibuprofen to a child with a temperature of 38.8 C (102 F). The nurse should also take which action? 1. Withhold oral fluids for 8 hours 2. Sponge the child with cold water 3. Plan to administer salicylate in 4 hours 4. Remove excess clothing and blankets from the child

Remove excess clothing and blankets from the child

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. Wheat b. Oats c. Barley d. Rice

Rice

The nurse reinforces home-care instructions to the parents of a child with celiac disease. Which food item should the nurse advise the parents to include in the child's diet? 1. Rice 2. Oatmeal 3. Rye toast 4. Wheat bread

Rice

When asked about correcting the hypospadias of a newborn, what does the nurse explain about this condition? a. No intervention is necessary as the defect will correct itself over time. b. Surgical repair of the hypospadias is done before 18 months of age. c. Corrective surgery is usually delayed until the preschool age. d. Repairing the defect will increase the risk of testicular cancer.

Surgical repair of the hypospadias is done before 18 months of age

A nurse is reviewing the diagnostic findings for a preschool age child who is suspected of having cystic fibrosis. Which of the following findings should the nurse identify as an indication of cystic fibrosis? A. Sweat chloride content 85 mEq/L B. Increased blood levels of fat-soluble vitamins C. 72 hr stool analysis sample indicating hard, packed stools D. Chest x-ray negative for atelectasis

Sweat chloride content 85 mEq/L

The nurse assessing a child with juvenile rheumatoid arthritis notes the child's right knee and ankle are swollen, warm, and tender. The child has a temperature of 38.8° C (102° F) and abdominal pain. What type of juvenile rheumatoid arthritis do these findings suggest? a. Psoriatic b. Enthesitis c. Systemic d. Acute febrile

Systemic

An adolescent patient at a pediatric clinic presents with a butterfly rash. What diagnosis does the nurse suspect? a. Tuberous sclerosis b. Eczema c. Psoriasis d. Systemic lupus erythematosus

Systemic lupus erythematosus

A frightened mother calls the pediatrician's office because her child swallowed dishwashing detergent. What is the most appropriate action? a. Induce vomiting by giving the child syrup of ipecac. b. Take the child to the local emergency department. c. Give the child activated charcoal mixed with juice. d. Give the child milk to soothe affected mucous membranes

Take the child to the local emergency department

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. Infants are in a supine or prone position most of the time. b. Sucking on a nipple creates middle ear pressure. c. They have increased susceptibility to upper respiratory tract infections. d. The Eustachian tube is short, straight, and wide.

The Eustachian tube is short, straight, and wide.

An adolescent has just had a generalized seizure and collapsed in the school nurse's office. When should the nurse should call 911? a. The seizure lasts more than 5 minutes. b. The child is sleepy and lethargic after the seizure. c. The child vomited at the onset of the seizure. d. The child is confused and has slurred speech after the seizure.

The seizure lasts more than 5 minutes.

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. Urinary tract infection b. Nephrosis c. Torsion d. Phimosis

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. Urinary tract infection b. Nephrotic syndrome c. Acute glomerulonephritis d. Vesicoureteral reflux

Urinary tract infection

What is the most common congenital heart defect occurring in children? A. Ventricular septal defect B. Coarctation of the aorta C. Atrial septal defect D. Patent ductus arteriosus

Ventricular septal defect

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

Walks on the toes.

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

Withholding a dose if the apical heart rate is less than 100 beats/minute

An appropriate nursing action when a child is suspected of having epiglottitis to a. avoid examination of the pharynx b. collect a throat culture c. place the child on the right side d. institute isolation precautions

avoid examination of the pharynx

The nurse reinforces instructions to the parents of a child with sickle cell anemia regarding the precipitating factors related to pain crisis. Which, if identified by a parent as a precipitating factor, indicates the need for further teaching? A. Stress B. Trauma C. Infection D. Fluid overload

fluid overload

A topical ointment is prescribed for an infant with eczema. Which application strategy is key to maximizing its absorption? A. apply a generous amount of ointment to affected areas B. use a circular motion to massage the ointment into the skin C. keep the fingernails short to prevent scratching the infant D. for best absorption, apply ointment after bathing the child

for best absorption, apply ointment after bathing the child

which sign or symptom observed in a sleeping 2-year-old child immediately after a tonsillectomy necessitates reporting and follow-up care? a. pulse of 110 beats/min b. a blood pressure of 96/64 mm Hg c. nausea d. frequent swallowing

frequent swallowing

An adolescent client with type I diabetes mellitus is admitted to the emergency department for treatment of diabetic ketoacidosis. Which assessment findings should the nurse expect to note? 1) sweating and tremors 2) hunger and hypertension 3) cold, clammy skin and irritability 4)

fruity breath and decreasing level of consciousness

The nurse assesses a major burn as _____-thickness burn involving _____% of the body surface. a. partial; 10 b. partial; 12 c. full; 20 d. full; 5

full; 20

The nurse teaching parents about adverse effects of phenytoin (Dilantin) would explain this medication can cause a. drowsiness b. gum overgrowth c. blurred vision d. liver toxicity

gum overgrowth

When inspecting children for pediculosis capitis, special attention should be given to which area of the body? A. pubic area B. hairline at the back of the neck C. bottoms of the feet D. underarms

hairline at the back of the neck

The nurse is instructing the mother of a child with cystic fibrosis (CF) about the appropriate dietary measures. Which meal best illustrates the most appropriate diet for a client with cystic fibrosis (CF)? 1. veggie salad and caramel apple 2. strawberry jelly sandwich and pretzels 3. plate of nachos and cheese and a cupcake 4. chicken tenders and a baked potato with butter

chicken tenders and a baked potato with butter

Which instruction is most helpful for administering albuterol to a child with asthma? a. take 30-60 minutes before exercise b. child should hold breath 5-10 seconds after inhaling or use a spacer c. give with food to reduce gastric irritation d. administer in early AM when normal hormones peak

child should hold breath 5-10 seconds after inhaling or use a spacer

The nurse monitors fluid intake and output in children with a head injury to: a. prevent renal damage b. control cerebral edema c. prevent aspiration d. decrease headaches

control cerebral edema

Which menu selections are best for a child diagnosed with celiac disease? a. pizza and chocolate cake b. spaghetti and blueberry muffin c. chicken sandwich on whole-wheat bread d. corn tortilla and fresh fruit

corn tortilla and fresh fruit

Children with intussusception may have bowel movements containing blood and mucus and no feces. These are called A. currant jelly stools B. mucoid stools C. steatorrhea D. occult blood stools

currant jelly stools

a child with newly diagnosed leukemia does not have all immunizations up to date. Which is an essential step in response to this? A. delay treatment until all immunizations have taken effect because a child with leukemia is immuno-compromised and prone to serious illness B. delay active immunizations during chemotherapy C. Administer immunizations on alternating days from chemotherapy D. Give immunizations according to the expected schedule; they do not interfere with treatment

delay active immunizations during chemotherapy

When caring for a child on steroid therapy, it is important to seek immediate medical attention if the child A. vomits B. develops a fever C. skips a meal D. loses her hair

develops a fever

The nurse doing a newborn assessment knows the earliest sign of Hirschsprung's disease is A. failure to pass meconium B. large, bulky, and frothy stools C. acute, sudden diarrhea D. ribbon-like stools

failure to pass meconium