Peds A

A nurse in an emergency department is caring for a school-age child who is experiencing an anaphylactic reaction. Which of the following is the priority action by the nurse? Elevate the head of the child's bed. Insert a large bore IV catheter for the child. Determine the allergen that caused the child's reaction. Administer IM epinephrine to the child.

administer IM epinephrine to the child

A nurse is providing teaching to the parents of a toddler about the administration of prescribed eye drops and eye ointment. Which of the following instructions should the nurse include? "Apply the eye ointment within 30 minutes of your toddler awakening in the morning." "Apply the eye ointment from the outer canthus to the inner canthus." "Use one hand to pull the upper eyelid upward when instilling the eye drops." "Administer the eye drops 3 minutes before the ointment."

administer the eye drops 3 min before the ointment

A nurse is preparing to administer an immunization to a 4-year-old child. Which of the following actions should the nurse plan to take? Place the child in a prone position for the immunization. Request that the child's caregiver leave the room during the immunization. Administer the immunization using a 24-gauge needle. Inject the immunization slowly after aspirating for 3 seconds.

administer the immunization using a 24-G needle

A school nurse is assessing a school-age child's blood pressure while he is seated in a chair. The child starts to experience a tonic-clonic seizure. Which of the following actions should the nurse take first? Clear the immediate area around the child of hazardous objects. Loosen the child's restrictive clothing. Assist the child to a side-lying position on the floor. Apply an oxygen mask to the child.

assist the child to a side-lying position on the floor

A nurse is teaching the parents of a toddler who has a cognitive impairment about toilet training. Which of the following instructions should the nurse include in the teaching? Scold the child when he has a toileting accident." "Award the child with a sticker when he sits on the potty chair." "Play the child's favorite song while teaching him to use the potty chair." "Teach multiple steps of the skill at the same time."

award the child with a sticker when he sits on the potty chair

A nurse is preparing to collect a sample from a toddler for a sickle-turbidity test. Which of the following actions should the nurse plan to take? Obtain a sputum specimen. Perform an Allen test. Perform a finger stick. Obtain a stool specimen.

perform a finger stick

A nurse is assessing a 3-year-old toddler at a well-child visit. Which of the following manifestations should the nurse report to the provider? Blood pressure 90/50 mm Hg Respiratory rate 45/min Weight 14.5 kg (32 lb) Heart rate 110/min

resp rate 45

A nurse in an emergency department is assessing a 3-month-old infant who has rotavirus and is experiencing acute vomiting and diarrhea. Which of the following manifestations should the nurse identify as an indication that the infant has moderate to severe dehydration? Heart rate 124/min Increased tear production Sunken anterior fontanel Capillary refill 2 seconds

sunken anterior fontanel

A nurse is assessing an adolescent who received a sodium polystyrene sulfonate enema. Which of the following findings indicates effectiveness of the medication? The adolescent reports an absence of nausea and vomiting. The client experiences onset of loose stools within 15 min of administration. The adolescent's serum potassium level is 4.1 mEq/L. The adolescent has a blood pressure of 86/52 mm Hg.

the adolescent's serum potassium level is 4.1

A nurse in a provider's office is caring for a school-age child who has varicella. The parent asks the nurse when her child will no longer be contagious. Which of the following responses should the nurse make? "When your child no longer has an increased temperature." "Three days after you first noticed the rash appear on your child." "When your child's lesions are crusted, 6 days after they appear." "Two to three weeks, when your child's lesions completely disappear."

when your child's lesions are crusted, 6 days after they appear

A nurse is providing teaching to the parents of a preschooler who has heart failure and who is to begin taking digoxin twice daily. Which of the following instructions should the nurse include in the teaching?

Brush the child's teeth after giving the medication

A nurse is assessing the pain level of a 3-year-old toddler. Which of the following pain assessment scales should the nurse use? FACES pain rating scale Numeric pain rating scale CRIES pain assessment scale Noncommunicating children's pain checklist

FACES pain rating scale

A nurse is providing teaching to an adolescent about how to manage tinea pedis. Which of the following statements by the adolescent indicates an understanding of the teaching? "I should buy some plastic shoes to wear at the swimming pool." "I should wear sandals as much as possible." "I should place the permethrin cream between my toes twice daily." "I should seal my non-washable shoes in plastic bags for a couple of weeks."

I should wear sandals as much as possible Sandals allow air to circulate around the feet, decreasing perspiration and eliminating the medium for bacteria and fungus to grow. The nurse should inform the adolescent that wearing sandals, open-toed, or well-ventilated shoes will promote healing of his fungal infection.

A nurse is providing discharge teaching to the parent of an 18-month-old toddler who has dehydration as a result of acute diarrhea. Which of the following statements by the parent indicates an understanding of the teaching? "I will offer my child small amounts of fruit juice frequently." "I will avoid giving my child solid foods until his diarrhea has stopped." "I will monitor my child's number of wet diapers." "I will give my child polyethylene glycol daily for 7 days."

I will monitor my child's number of wet diapers

A nurse is receiving change-of-shift report on four children. Which of the following children should the nurse assess first? A toddler who has a concussion and an episode of forceful vomiting An adolescent who has infective endocarditis and reports having a headache An adolescent who was placed into halo traction 1 hr ago and rates his pain at a 6 on a 0 to 10 scale A school-age child who has acute glomerulonephritis and brown-colored urine

a toddler who has a concussion and an episode of forceful vomiting

A nurse is caring for a preschooler who is scheduled for hydrotherapy tx for wound debridement following a burn injury. Which of the following actions should the nurse take prior to the procedure? Apply topical antimicrobial ointment to the child's wound. Place a mesh gauze dressing over the child's wound. Administer an analgesic to the child. Initiate prophylactic antibiotic therapy for the child.

administer an analgesic to the child

A nurse is creating a plan of care for a toddler who has minimal change nephrotic syndrome and 3+ pitting edema. Which of the following interventions should the nurse include in the plan? Encourage an increased fluid intake for the toddler. Place the child in an airborne infection isolation room. Increase the toddler's dietary sodium intake. Administer corticosteroids to the toddler.

administer corticosteroids to the toddler

A nurse is preparing an adolescent for a lumbar puncture. Which of the following actions should the nurse take?

apply topical analgesic cream to the site 1 hr prior to the procedure

A nurse is caring for a school-age child who has primary nephrotic syndrome and is taking prednisone. Following 1 week of treatment, which of the following clinical manifestations indicates to the nurse that the medication is effective? Decreased edema Increased abdominal girth Decreased appetite Increased protein in the urine

dec edema

A nurse at an urgent care clinic is assessing an adolescent client who has an upper resp tract infection. Which of the following findings should the nurse recognize as a manifestation of pertussis? nflamed throat with exudate Purulent eye drainage Dry, hacking cough Koplik spots on buccal mucosa

dry, hacking cough

A nurse is assessing an infant who has pneumonia. Which of the following findings is the priority for the nurse to report to the provider? Nasal flaring WBC 11,300/mm3 Diarrhea Abdominal distension

nasal flaring

A nurse is caring for a school-age child who has peripheral edema. Which of the following assessments should the nurse perform to confirm peripheral edema? Palpate the dorsum of the child's feet. Weigh the child daily using the same scale. Assess the child's skin turgor. Observe the child for periorbital swelling.

palpate the dorsum of the child's feet

A nurse is assessing the vital signs of a 10-year-old child following a burn injury. Which of the following clinical manifestations indicate early septic shock? Blood pressure 130/90 mm Hg Heart rate 60/min Temperature 39.1° C (102.4° F) Urinary output 100 mL/hr

temp of 39.1 C (102.4 F)

A nurse is providing dietary teaching to the parent of a school-age child who has cystic fibrosis. Which of the following statements should the nurse make? "You should offer your child high-protein meals and snacks throughout the day." "Your child should decrease dietary fats to less than 10% of her caloric intake." "Your child will need to take a 1 gram sodium chloride tablet daily throughout her lifetime." "You should calculate your child's carbohydrate needs based on her daily activities."

you should offer your child high-protein meals and snacks throughout the day

A nurse is providing anticipatory guidance to the mother of a toddler. Which of the following expected behavior characteristics of toddlers should the nurse include in the teaching?

expresses likes and dislikes

A nurse is creating a plan of care for a newly-admitted adolescent who has bacterial meningitis. How long should the nurse plan to maintain the adolescent in droplet precautions? Until the adolescent is afebrile For 7 days following admission to the facility Until the adolescent has a negative blood culture For 24 hr following initiation of antimicrobial therapy

for 24 hours following initiation of antimicrobial therapy

A nurse is providing teaching about social development to the parents of a preschooler. Which of the following play activities should the nurse recommend for the child? Playing pat-a-cake Using a push-pull toy Creating a scrapbook Playing dress-up

playing dress-up

A nurse is reviewing the lab report of an infant who is receiving tx for severe dehydration. The nurse should identify that which of the following lab values indicates effectiveness of the current tx? Potassium 2.9 mEq/L Sodium 140 mEq/L Urine specific gravity 1.035 BUN 25 mg/dL

sodium 140

A nurse is caring for a 10-year-old child following a head injury. Which of the following findings should the nurse identify as an indication that the child is developing diabetes insipidus? Urine specific gravity 1.045 Sodium 155 mEq/L Blood glucose 45 mg/dL Urine output 35 mL/hr

sodium 155

A nurse is assessing a client who has a new diagnosis of celiac disease. Which of the following clinical manifestations should the nurse expect? Steatorrhea Projectile vomiting Sunken abdomen Weight gain

steatorrhea

A charge nurse in an emergency department is preparing an in-service for a group of newly licensed nurses on the clinical manifestations of child maltreatment. Which of the following clinical manifestations should the charge nurse include as suggestive of potential physical abuse? Recurrent urinary tract infections Symmetric burns of the lower extremities Growth failure Lack of subcutaneous fat

symmetric burns of lower extremities

A nurse in the emergency department is caring for a toddler who has partial-thickness burns on his right arm. Which of the following actions should the nurse take? Insert a nasogastric tube. Initiate prophylactic antibiotics therapy. Cleanse the affected area with mild soap and water. Apply a topical corticosteroid to the affected area.

cleanse the affected area with mild soap and water

A nurse is teaching the parent of a newborn about ways to prevent SIDS. Which of the following instructions should the nurse include? "Place the infant in a prone position to sleep." "Allow the infant to sleep on a large pillow." "Use a soft mattress in the infant's crib." "Give the infant a pacifier at bedtime."

give the infant a pacifier at bedtime

A nurse is providing teaching about care seat use to the mother of a 6-month-old infant. Which of the following statements by the mother indicates an understanding of the teaching?

I should secure the car seat using lower anchors and tethers instead of the seat belt

A nurse is assessing a school-age child immediately postoperative following a perforated appendix repair. Which of the following findings should the nurse expect?

absence of peristalsis

A nurse is reviewing the dietary choices of an adolescent who has iron deficiency anemia. The nurse should identify that which of the following menu items has the highest amount of iron? ½ cup whole milk 1 cup orange juice ½ cup raisins 1 cup raw carrots

1/2 cup raisins

A nurse in a provider's office is preparing to administer immunizations to a toddler during a well-child visit. Which of the following actions should the nurse plan to take? Withhold the measles, mumps, and rubella (MMR) vaccine. Withhold the diphtheria, tetanus, and pertussis (DTaP) vaccine. Withhold the influenza vaccine. Withhold the tuberculin skin test (TST).

Withhold the measles, mumps, and rubella (MMR) vaccine.

A nurse is preparing to administer ibuprofen 5mg/kg Q6H PRN for temp above 38 to an infant who weighs 17.6lb. The infant has a temp 38.4. Available is ibuprofen 100mg/5ml.

2ml

A nurse in the emergency department is caring for an adolescent who has severe abdominal pain due to appendicitis. Which of the following locations should the nurse identify as McBurney's point?

A

A nurse is caring for a toddler who has spastic cerebral palsy. Which of the following clinical manifestations should the nurse expect? (select all that apply) Negative Babinski reflex Ankle clonus Exaggerated stretch reflexes Uncontrollable movements of the face Contractures

-ankle clonus -exaggerated stretch reflexes -contractures

A nurse is caring for a prescooler who has been receiving IV fluids via a PIV. When preparing to discontinue the IV fluids and catheter, which of the following actions should the nurse plan to take?

-turn off the IV pump -occlude the IV tubing -remove the tape securing the catheter -apply pressure over the catheter insertion site

A nurse is reviewing the laboratory report of a school-age child who is experiencing fatigue. Which of the following findings should the nurse recognize as an indication of anemia? Hematocrit 28% Hemoglobin 13.5 g/dL WBC 8,000 mm3 Platelet 250,000 mm3

HCT 28

A school nurse is assessing an adolescent who presents with multiple burns in various stages of healing. which of the following behaviors should the nurse identify as suggestive of possible physical abuse? Expresses a reluctance to leave home Provides a detailed description of how the burns occurred Denies discomfort during assessment of injuries Describes strong relationships with peers

Denies discomfort during assessment of injuries

A nurse in an emergency department is performing a physical assessment on a 2-week-old male infant. Which of the following manifestations is the priority for the nurse to report to the provider? Excoriated scrotal area Multiple capillary hemangiomas Depressed posterior fontanel Substernal retractions

substernal retractions

A nurse is providing dietary teaching to the parent of a school-age child who has celiac disease. The nurse should recommend that the parent offer which of the following foods to the child? Wheat bread Vanilla malt Barley soup Rice pudding

rice pudding

A nurse is caring for a hospitalized preschooler. The child's mother is going home for a few hours while another relative stays with the child. Which of the following statements should the nurse make to explain to the child when her mother will return? "Your mommy will be back at 7 p.m." "Your mommy will be back after she takes care of your brother." "Your mommy will be back in the morning." "Your mommy will be back after you eat."

Your mommy will be back after you eat

A nurse is providing teaching to the family of a school-age child who has juvenile idiopathic arthritis. Which of the following instructions should the nurse include in the teaching? "Limit the movement of the child's large joints." "Encourage the child to perform independent self-care." "Provide the child with a soft mattress for sleeping." "Schedule a 2-hour daily nap for the child in the afternoon."

encourage the child to perform independent self-care

A nurse is planning developmental activities for a newly admitted 10-year-old child who has neutropenia. Which of the following actions should the nurse plan to take? Provide the child with a book about adventure Arrange frequent visits from family members and peers Give the child a large-piece puzzle Use puppets to entertain the child

provide the child with a book about adventure

A nurse is planning care for a toddler who has a serum lead level of 4. Which of the following actions should the nurse plan to take?

schedule the toddler for a yearly rescreening

A nurse is providing teaching to the parent of a school-age child who has oral candidiasis and is to begin taking oral nystatin. Which of the following instructions should the nurse include? Shake the medication prior to administration." "Provide the medication through a straw." "Rinse the child's mouth with water immediately after giving the medication." "Mix the medication with applesauce if the child dislikes the taste."

shake the medication prior to administration

A nurse is performing hearing screenings for children at a community health fair. Which of the following children should the nurse refer to a provider for a more extensive hearing evaluation? A toddler who is 18 months old and has unintelligible speech An infant who is 3 months old and has an exaggerated startle response A preschooler who is 4 years old and prefers playing with others rather than alone An infant who is 8 months old and is not yet making babbling sounds

an infant who is 8 months old and is not yet making babbling sounds

A nurse is teaching the parents of a school-age child who has a new diagnosis of osteomyelitis of the tibia. The nurse should identify that which of the following statements by the parents indicates an understanding of the teaching? "My child will have a cast until healing is complete." "My child will receive antibiotics for several weeks." "My child can return to playing sports once he is discharged." "My child needs to be in contact isolation."

my child will receive antibiotics for several weeks

A nurse in the emergency department is caring for a school-age child who has epiglottis. Which of the following actions should the nurse take? Obtain a throat culture from the child. Monitor the child's oxygen saturation. Put a warm mist humidifier in the child's room. Place the child in the supine position.

monitor the child's oxygen saturation

A nurse is auscultating the lungs of an adolescent who has asthma. The nurse should identify the sound as which of the following? Biot's respiration Cheyne-Stokes respiration Tachypnea Bradypnea

tachypnea

A nurse is providing discharge teaching to the parents of a 3-month-old infant following a cheiloplasty. Which of the following instructions should the nurse include? "Clean your baby's sutures daily with a mixture of chlorhexidine and water." "Expect your baby to swallow more than usual over the next few days." "Inspect your baby's tongue for white patches using a tongue depressor every 8 hours." "Apply a thin layer of antibiotic ointment on your baby's suture line daily for the next 3 days."

apply a thin layer of antibiotic ointment on your baby's suture line daily for the next 3 days

A nurse is creating a plan of care for a preschooler who has Wilms' tumor and is scheduled for surgery. Which of the following interventions should the nurse include? Avoid palpating the abdomen when bathing the child before surgery. Refrain from auscultating the child's bowel sounds during the postoperative assessment. Encourage the child to play with other children on the unit prior to surgery. Explain to the child that his pain will be managed after the surgery

avoid palpating the abdomen when bathing the child before surgery

A nurse is creating an educational plan to teach parents about protecting their children from sunburns. Which of the following instructions should the nurse plan to include? "Choose a waterproof sunscreen with an SPF of at least 15." "Apply sunscreen liberally to infants over 3 months of age." "Dress children in a loose weave polyester fabric prior to sun exposure." "Reapply sunscreen every 4 hours."

choose a waterproof sunscreen with an SPF of at least 15

A nurse is creating a plan of care for an infant who has an epidural hematoma with a skull fracture. Which of the following actions should the nurse include in the plan?

implement seizure precautions for the infant

A nurse is caring for a 15-year-old client following a head injury. Which of the following findings should the nurse identify as an indication that the child is developing syndrome of inappropriate antidiuretic hormone secretion (SIADH)? Sodium 148 mEq/L Urine specific gravity 1.020 Mental confusion Weak peripheral pulses

mental confusion

A nurse is providing discharge teaching to the parent of a school-age child who has moderate persistent asthma. Which of the following instructions should the nurse include? You should give your child his salmeterol inhaler every 4 hours when he is having an acute episode of wheezing." "You should monitor your child's weight weekly while he is receiving inhaled corticosteroid therapy." "Pulmonary function tests will be performed every 12 to 24 months to evaluate how your child is responding to therapy." "When using the peak expiratory flow meter, record your child's average of three readings."

pulmonary function tests will be performed every 12-24 months to evaluate how your child is responding to therapy