Pediatrics Capstone Pre-Assessment Quiz
A nurse is caring for an adolescent client diagnosed with mononucleosis. Which of the following statements by the client's parent indicates a need for further education?
"I will give him aspirin as needed for fever and discomfort."
A nurse is teaching a newly licensed nurse about reporting suspected child abuse. Which of the following statements indications an understanding by the newly licensed nurse?
"If suspicion of abuse exists then reporting is mandatory."
A nurse is teaching the parents of a child who has ADHD about methylphenidate. Which of the following statements should the nurse include in the teaching?
"Restrict your child's intake of caffeine while she is taking this medication."
A nurse is teaching the parents of a toddle about temper tantrums. Which of the following statements should the nurse include in the teaching?
"Temper tantrums are the toddler's attempt to gain control of a situation."
A nurse is caring for child who was admitted with suspected rheumatic fever. The provider prescribes an anti-streptolysin O (ASO) titer. The parent asks the nurse the purpose of the test. Which of the following responses should the nurse make?
"This test will confirm if your child had a recent streptococcal infection."
A nurse is preparing to administer desipramine 150 mg PO daily to a client to treat diabetic neuropathy. The amount available is desipramine 100 mg/tablet. How many tablets should the nurse administer per dose?
1.5
A nurse is planning care for a child who has cystic fibrosis and a prescription to receive chest physiotherapy (CPT). Which of the following actions should the nurse plan to take?
Administer albuterol prior to CPT.
A nurses is caring for an infant following a cleft lip and palate repair. Which of the following actions should the nurse take in the post-operative period?
Administer analgesics.
A nurse is assisting with the admission of a child who has measles. Which of the following isolation precautions should the nurse initiate?
Airborne.
A nurse is caring for a 10-month-old infant who is in cast for development dysplasia of the hip (DDH). Which of the following strategies should the nurse implement to promote the infant's growth and development?
Allow the infant to stand in the crib.
A nurse is planning care for a 10-year-old child who will be hospitalized for an extended period of time. Which of the following actions should the nurse include in the plan of care to meet the client's psychosocial needs according to Erikson?
Arrange for a teacher to provide lesson plans.
A nurse is caring for a child who has tinea pedis. The child's parent asks the nurse what this infection is commonly called. The nurse should respond with which of the following common names?
Athlete's foot
A nurse is caring for a child with a closed head injury. Which of the following interventions should the nurse institute to decrease intracranial pressure? Select all that apply.
Avoid extension of the head. Keep the body in alignment. Instruct to avoid coughing and blowing nose. Provide a calm, restful environment.
A nurse is providing care to a child who has an allergy to eggs. The nurse should question a prescription for which of the following immunizations?
Influenza, live attenuated (LAIV)
A nurse is preparing to perform an abdominal assessment on a child. Identify the sequence the nurse should follow.
Inspection Auscultation Superficial palpitation Deep palpitation
A nurse is caring for a 6-month-old client who has sudden abdominal pain, vomiting, distended abdomen and red current jelly-like stools. The nurse should know that these are signs for which of the following?
Intussusception.
A nurse is providing dietary education to the mother of an infant. What recommendations regarding the introduction of solid foods to the infant's diet should the nurse make?
Iron-fortified rice cereal should be offered first. Solids can be introduced between 4-6 months of age. New foods should be introduced one at a time over a 5- to 7-day period to observe for signs of allergies or intolerance. Vegetables or fruit are first started between 6 and 8 months of age/
Which of the following is the priority intervention a nurse should take when caring for a child who just experienced a febrile seizure?
Keep in a side-lying position.
A nurse is admitting a toddle who has respiratory syncytial virus (RSV). Which of the following actions should the nurse take?
Keep thermometer in the toddler's room.
A nurse is providing health promotion teaching to the parents of a toddler. Which of the following information should the nurse include in the teaching? (Select all that apply.)
Management of tantrums. Dental care.
A nurse is planning care for a 6-year-old child who has bacterial meningitis. Which of the following nursing interventions is unnecessary in the client's plan of care?
Measure head circumference every shift.
A nurse is creating a plan of care for a child who has sickle cell anemia. Which of the following interventions should the nurse include in the plan?
Observe for indications of hypokalemia.
A nurse is providing anticipatory guidance about child development to the parents of a preschooler. Which of the following development tasks should the nurse include as being expected of a preschooler?
Participates in imaginary play
A nurse is caring for an infant who has a congenital heart defect. Which of the following defects is associated with increased pulmonary blood flow?
Patent ductus arteriosus.
A nurse is reviewing the history and physicality of an adolescent client who has conduct disorder. Which of the following is an expected finding?
Suspended from school several times in the past year.
A nurse is admitting an infant who has severe dehydration from acute gastroenteritis. Which of the following findings should the nurse expect?
3% weight loss
A nurse is assessing the physical development of a 3-month-old infant. Which of the following findings would indicate that the infant may be developmentally delayed?
Does not attempt to raise head when placed on stomach.
A nurse is caring for a 6-month-old infant following surgery. Which of the following should the nurse use to measure pain in this client?
FLACC pain scale.
A nurse is monitoring a child for manifestations of hemorrhage following a tonsillectomy. Which of the following findings is a manifestation of this postoperative complication?
Frequent swallowing.
A nurse is caring for a 4-year-old child who has a new diagnosis of diabetes mellitus and is distressed after an insulin injection. Which of the following play activities should the nurse recognize is therapeutic in helping the child deal with the injection?
Playing with a needleless syringe and a doll is an appropriate therapeutic activity for the child, because they will allow the child to act out feelings of anger and helplessness.
