PEDS: Chapters 9, 10, 11, & 12

Which of these statements made by an adolescent best describes Erik Erikson's Identity vs. Role Confusion stage of development? "I am glad that the whole family is going on vacation together." "I would rather stay home and hang out with my friends over vacation." "I think that my coach would like it if I practiced soccer when I am on vacation." "I am going to miss my friends while I am on vacation."

"I would rather stay home and hang out with my friends over vacation."

The nurse is explaining the anatomy and physiology of the heart to a new group of nurses. Which statement is correct in terms of normal physiology of the heart? "The right atrium collects deoxygenated blood from the entire body, except for the lungs." "The left atrium collects deoxygenated blood from the entire body, except for the lungs." "The left ventricle collects deoxygenated blood from the entire body, except for the lungs." "The placenta collects deoxygenated blood from the entire body, except for the lungs."

"The right atrium collects deoxygenated blood from the entire body, except for the lungs."

Place the following stages of Piaget's developmental theory in the correct order. 1. Formal Operational 2. Sensorimotor 3. Preoperational 4. Concrete Operational

2. 3. 4. 1.

The nurse is taking a blood pressure on a 4-year-old cardiac client. To ensure a proper reading, a blood pressure cuff should be what? 25% greater than the width of the extremity 25% smaller than the width of the extremity 35% greater than the width of the extremity 42% the width of the extremity

25% greater than the width of the extremity

An adolescent male states "I want to be a police officer just like my father." This adolescent is demonstrating which stage of development according to Erikson? Autonomy vs. Shame Industry vs. Isolation Intimacy vs. Isolation Identity vs. Role confusion.

Identity vs. Role confusion.

The nurse is caring for an 11-year-old client who had surgery the day before. The nurse notices that there is urine in the Foley bag; it was emptied 24 hours ago. The client weighs 32 kg and the expected daily urine output for this age is 0.5 to 1 ml/kg/hr. In the last 24 hours, how much urine should the client have produced? Select the best answer. 300 ml 350 ml 700 ml 800 ml

700 mL

Before birth, __________% of blood bypasses the lungs?

90 %

The nurse understands that in a child with cystic fibrosis (CF) which vitamin absorption is impaired? Select all that apply. A B K D E

A K D E

Which congenital heart defect results in pulmonary hypertension from an increase in pulmonary blood? Atrial septal defect Tetralogy of Fallot Tricuspid atresia Aortic stenosis

Atrial septal defect

The nurse preceptor is preparing a teaching session for a group of nurses that will cover the etiology of congenital heart defects that may occur in childhood. What information should be included in the session? Select all that apply. Excessive sweating Autoimmune factors Genetic factors Teratogens Pain

Autoimmune factors Genetic factors Teratogens

A two-year-old was found playing with coins in his mother's purse. He has no significant past medical history. Later that day, the mother noticed he was blue and having difficulty breathing. She called 911 and the child was brought to the emergency department. What does the nurse determine as the most likely cause of his symptoms? Acute asthma attack Foreign body aspiration Reactive airway disease Acute bronchiolitis

Foreign body aspiration

The nurse is assessing 10-year-old twins for their annual check-up. The female twin has grown by 6 cm and has gained 2.5 kg in one year. The male twin has only grown 3 cm and gained 2 kg. The mother is concerned that the male twin's growth is delayed. What is the best response by the nurse? "Don't worry, you are tall, I'm sure both kids will be at least as tall as you are." "Girls tend to have their growth spurts earlier than boys, sometimes as early as 9 years of age." "Let me check his head circumference and make sure his head grew." "Looks like the boy will be shorter than the girl as an adult."

"Girls tend to have their growth spurts earlier than boys, sometimes as early as 9 years of age."

The nurse is seeing a 16-year-old female who says she is pregnant. The client expresses she wants to keep the child. How should the nurse respond? Select all that apply. Educate the client about options, such as adoption and terminating the pregnancy. Assist the client in finding an appropriate healthcare provider. Encourage the attendance of parenting classes. Assess feelings about the pregnancy. Provide adoption agency information or a skilled provider specializing in abortion.

Assist the client in finding an appropriate healthcare provider. Encourage the attendance of parenting classes. Assess feelings about the pregnancy.

The nurse is teaching the parents of a 9-year-old about the appropriate levels of exercise for this age group. What should the nurse include in this teaching? Children this age should get at least 30 minutes of physical activity per day. Children this age should get at least 1 hour of physical activity per day. Children this age should get at least 2 hours of physical activity per day. It doesn't matter how much exercise the child gets, as long as they are eating healthy.

Children this age should get at least 1 hour of physical activity per day.

The nurse is preparing to assess an eight-year-old boy as part of his well-child check. What would the nurse expect to find? Select all that apply. Weight gain of 3 kg Height increase of 2 cm Height increase of 5 cm Weight gain of 8 kg No change in weight from previous year

Weight gain of 3 kg Height increase of 5 cm

In educating a mother of a child with laryngomalacia, which statement is correct? "Symptoms usually resolve by age two." "Your child will most likely need a tracheostomy." "Your child will definitely have feeding problems." "Administration of Albuterol is most important in this condition."

"Symptoms usually resolve by age two."

The nurse educator is educating a group of parents about fetal circulation. Which statements made by a parent regarding fetal circulation indicate the need for further education? Select all that apply. "The fetal placenta acts like the lungs during pregnancy." "The fetus's lungs function normally during pregnancy." "Fetal circulation is dependent upon the electrical impulses of the heart." "The fetal heart acts like the lungs during pregnancy." "The patent ductus arteriosus acts like the lungs during pregnancy."

"The fetal heart acts like the lungs during pregnancy." "The patent ductus arteriosus acts like the lungs during pregnancy." "The fetus's lungs function normally during pregnancy."

The parents of a newborn diagnosed with tricuspid atresia ask the nurse, "Did something that happened during our son's birth cause the problem with his heart?" Which statement by the nurse indicates the nurse's comprehension of the most common cause of congenital cardiac malformations? "The most common known causes of congenital heart malformations are genetic factors." "The most common known causes of congenital heart malformations are teratogens." "The most common known cause of congenital heart malformations is maternal drug use." "There are no known causes of congenital heart malformations."

"The most common known causes of congenital heart malformations are genetic factors."

Which age group is the most often screened for idiopathic scoliosis? Ages 2 - 4 Ages 10 - 12 Ages 15 - 16 Ages 18 - 20

Ages 10 - 12

The nurse understands that childhood is divided into five stages. What is the age range considered to apply to school-age children? Ages 5-13 Ages 3-6 Ages 12-18 Ages 6-12

Ages 6-12

Which teaching intervention by the nurse would be the most appropriate method to prepare a school-age child for a medical procedure? The nurse provides a simple explanation of the procedure. The nurse shows a video detailing the entire procedure. The nurse explains the procedure to the parents so that they may explain it to the child. School-age children should not be told what is happening before the procedure.

The nurse provides a simple explanation of the procedure.

The nurse is teaching the parents of a child using inhaled aerosolized steroids to use a spacer device with the child's metered dose inhaler (MDI). The parents want to know the purpose of the spacer. What is the appropriate nursing response? To minimize the risk of oral candidiasis To ensure proper dosing To minimize the adverse effects of the drug To cleanse the oral cavity

To ensure proper dosing

The parent of a 7-year-old girl who has just received her second influenza vaccine ask when she will be protected from the flu. What answer should the nurse give? Immediately after vaccination 5 days Two weeks 1 month

Two weeks

The parents of a school-age child report that their child appears withdrawn, disinterested in school, and refuses to ride the bus to school. The nurse suspects that the child is being bullied. Which nursing assessment is the priority? Determine the child's sexual orientation. Assess the child's socioeconomic class. Assess for psychological effects of bullying. Determine what community resources are available to assist with bullying.

Assess for psychological effects of bullying.

A client has just undergone cardiac catheterization. The nurse is preparing discharge instructions. What should the nurse include in the instructions? Select all that apply. Avoid strenuous activity such as lifting, sports, or physical education, although school is appropriate. Regular diet can be consumed. Follow-up appointments are essential. Fever is common following catheterization and should last longer than 24 hours and go above 100°F. Keep lower extremities slightly flexed for 4 to 6 hours following the catheterization.

Avoid strenuous activity such as lifting, sports, or physical education, although school is appropriate. Regular diet can be consumed. Follow-up appointments are essential.

Which nursing intervention should be included in the plan of care to decrease the stress for a hospitalized, chronically ill school-age child? Allow 24-hour visitation from peers. Offer the child some choices around daily activities. Have tutoring postponed until discharge. Maintain a strict daily routine.

Offer the child some choices around daily activities.

An adolescent is admitted to the inpatient unit with asthma exacerbation. The adolescent indicates that he would like to go for a walk outside. What is the best nursing action? Notify the physician Tell the patient that he can go for a walk outside as long as his parents says it is okay Ask the patient why he would like to go for a walk at this time Offer the patient activities on the unit that will occupy him and will lessen pulmonary exertion

Offer the patient activities on the unit that will occupy him and will lessen pulmonary exertion

The nurse is using the CRAFFT screening tool. Which adolescent should the nurse assess with this tool? One who vomits and fasts after overeating A teenager who needs health promotion activities A teenager who is being cyberbullied One who drinks beer every other weekend

One who drinks beer every other weekend

What are the components of Tetralogy of Fallot? Select all that apply. Overriding aorta Ventricular septal defect Atrial septal defect Pulmonary stenosis Thickened right ventricle

Overriding aorta Ventricular septal defect Pulmonary stenosis Thickened right ventricle

The nurse demonstrates understanding of formal operational cognitive processing when the nurse identifies which behavior? Participating in a debate club Assuming that everything will be about yourself Wanting to be liked by everyone Behaving in manners that will please elders

Participating in a debate club

In assessing the client, the nurse notices bounding pulses. Which congenital heart defect is suggested by bounding pulses? Tricuspid atresia Patent ductus arteriosus Pulmonary stenosis Subaortic stenosis

Patent ductus arteriosus

An infant is diagnosed with central apnea. What symptoms might the nurse expect to see for this infant? Select all that apply. Observed periods of cessation of breathing for 20 seconds or more Enlarged tonsils Seizure activity Desaturations on the pulse oximeter Primarily nasal breathing and nasal flaring

Seizure activity Desaturations on the pulse oximeter Observed periods of cessation of breathing for 20 seconds or more

The nurse is performing a sexuality assessment on a 16-year-old adolescent female. What safe sex practices should the nurse assess for? Select all that apply. Sexually transmitted infections (STIs) Birth control options Abstinence Number of partners Pregnancy

Sexually transmitted infections (STIs) Birth control options Abstinence Number of partners

At what age should annual influenza vaccines first be given to children? Newborn Two weeks Three months Six months

Six months

The nurse is caring for an adolescent post cardiac transplant and notes episodes of tachycardia, lightheadedness, and irritability. Which additional assessment would support the possibility of rejection? Temperature of 98.4° orally Intake of 90% of meals for the last 24 hours Gain of 4 pounds in the last 2 days Respiratory rate varying between 20 and 24

Gain of 4 pounds in the last 2 days

Which are risk factors for the development of sudden infant death syndrome (SIDS)? Select all that apply. Mothers over 40 Low birth weight neonates A multiple pregnancy like triplets Maternal smoking Mothers who breastfeed

Low birth weight neonates A multiple pregnancy like triplets Maternal smoking

Which statement does the nurse understand to be true about the developmental differences in the respiratory system of a child versus an adult? A child\"s airway is shorter but wider than an adult's. A child's intercostal muscles are fully developed at birth. Newborns are obligatory nose breathers until about four weeks of age. The cartilage around a child\"s trachea is less flexible than an adult's.

Newborns are obligatory nose breathers until about four weeks of age.

A 12-year-old is brought into the emergency department in severe respiratory distress. His respiratory rate is 45 breaths per minute. Oxygen saturations are 84% on room air. His mouth is open and he is gasping for air. Which oxygen delivery device would me most effective in delivering the highest oxygen concentration quickly? Nasal cannula Simple mask Non rebreather mask An oxygen tent

Non rebreather mask

The nurse is teaching a group of adolescents about nutrition. Which statement should the nurse include in the teaching? "It is recommended that most adolescent girls and boys consume 2,800 calories per day." "It is recommended that that dietary supplements are taken in addition to eating healthy to obtain the correct level of vitamins and minerals." "Around 70% of obese adolescents will be obese as adults." "Obesity in adolescence puts you at risk for hypertension and type II diabetes."

"Obesity in adolescence puts you at risk for hypertension and type II diabetes."

A mother of a child diagnosed with tracheomalacia is in respiratory distress. The mother asks, "Will my child need a tracheostomy?" What is the best response by the nurse? "Yes, your child will definitely need a tracheostomy to maintain a patent airway." "Most children with tracheomalacia can be treated with oxygen via nasal cannula." "Only 20% of children with tracheomalacia will need surgical intervention like a tracheostomy." "If you place your child prone to sleep this will improve the airway so they don't need a tracheostomy."

"Only 20% of children with tracheomalacia will need surgical intervention like a tracheostomy."

The nurse is counseling a client undergoing an electrocardiogram (EKG) about the electrical conduction of the heart. Which statement is correct regarding the anatomical structure that is found in the right atrium and is needed for the contraction of the aorta to get blood flow to the ventricles? "The sinoatrial (SA) node acts as the heart's pacemaker, helping the heart to set and maintain a steady heart rate." "The patent foramen ovale (PFO) acts as the heart's pacemaker, helping the heart set and maintain a steady heart rate." "The PQ interval acts as the heart's pacemaker, helping the heart set and maintain a steady heart rate." "The atrioventricular (AV) node acts as the heart's pacemaker, helping the heart set and maintain a steady heart rate."

"The sinoatrial (SA) node acts as the heart's pacemaker, helping the heart to set and maintain a steady heart rate."

Which abnormal finding indicates to the nurse that a child likely has cystic fibrosis (CF)? A positive sweat chloride test A positive blood culture Excessive mucus production Edema and weight gain

A positive sweat chloride test

A four-year-old is presented to the urgent care center with a history of a sudden onset of a severe sore throat. He began drooling and has difficulty swallowing. The temperature is 102.2F (39.0C). Lung sounds are clear and there is no cough. The child is very anxious and flushed and is leaning forward in a tripod position. Based on these symptoms, the nurse anticipates a diagnosis of: Acute Asthma Attack Laryngotracheomalacia Acute laryngotracheobronchitis (Croup) Acute Epiglottitis

Acute Epiglottitis

The nurse educator has just completed a lecture on congenital heart defects and its symptoms. The educator knows that teaching was effective when a student defines central cyanosis as what? A reddish discoloration of mucus membranes, tongue, circumoral or core body A bluish discoloration of mucus membranes, tongue, circumoral or core body A bluish discoloration of the hands or feet Decreased hemoglobin levels

A bluish discoloration of mucus membranes, tongue, circumoral or core body

Which statement does the nurse understand to be true about clients admitted with Bordetella Pertussis (Whooping cough)? A paroxysmal cough might be present. The client should be maintained on contact precautions/isolation. Peak occurrence is in the fall and winter. It is most often caused by Haemophilus Influenzae.

A paroxysmal cough might be present.

Supportive nursing care for the family of an infant with sudden infant death syndrome (SIDS) would include: Interviewing the parents to determine the cause Allowing the parents to hold and rock the child Sheltering the parents from grief by not giving them any personal items of the baby like footprints or a lock of hair Informing the parents that an autopsy will not be necessary

Allowing the parents to hold and rock the child

The nurse is assessing a 2-day-old infant and notes blood pressure in the arm of 69/45, with a blood pressure in the leg of 45/32. The nurse understands this discrepancy is associated with which disorder? Aortic arch abnormality Ventricular septal defect Atrial septal defect Patent ductus arteriosus

Aortic arch abnormality

A mother inquires about her baby who was diagnosed with an acute life-threatening event (ALTE). What fact does the nurse recognize as being consistent with this diagnosis? Most (75%) of these events occur during naps or sleep. ALTE is a definite result of having gastroesophageal (GE) reflux. Undiagnosed cardiac defects cause ALTE. Brief resolved unexplained events (BRUE) is another name for ALTE.

Brief resolved unexplained events (BRUE) is another name for ALTE.

Which assessment finding would indicate to the nurse that the plan of care for an eight-year-old hospitalized for an acute asthma attack is effective? Diminished breath sounds on auscultation Decreased tachypnea Prolonged expiratory phase of breathing Lung sounds have expiratory wheezes

Decreased tachypnea

The nurse is preparing to teach a 10-year-old client about their Type I Diabetes. What is the best format to teach the child? Show a video and ask them if they have any questions. Lead the discussion through a picture book. Demonstrate correct use of supplies and equipment. Allow for questions. Sign them up for a web tutorial.

Demonstrate correct use of supplies and equipment. Allow for questions.

In completing a physical assessment on a school-age child, the nurse will need to complete which step first? Gain permission from the child to complete the physical assessment. Ask the child to change into a patient gown. Ask the parents to leave the room. Develop a therapeutic relationship with the child

Develop a therapeutic relationship with the child

The nurse is caring for an adolescent who has been hospitalized for an acute condition. What roles/boundaries should the nurse establish when caring for this client? Select all that apply. Be a friend Be respectful Use judgment Develop trust Use humor

Develop trust Use humor Be respectful

While auscultating a client's chest, the nurse observes a shift in the point of maximal impulse (PMI) and magnified heart sounds (hyperactive precordium). The nurse understands this may indicate what? Select all that apply. Normal finding Dextrocardia Acrocyanosis Bradycardia

Dextrocardia

The nurse is teaching a nine-year-old child about oral hygiene. What should he include in the teaching? Select all that apply. Encourage yearly dental check-ups Encourage brushing twice a day Encourage a visit to the dentist twice a year Encourage use of fluoride toothpaste Discourage eating after bedtime brushing

Encourage brushing twice a day Encourage a visit to the dentist twice a year Encourage use of fluoride toothpaste Discourage eating after bedtime brushing

The nurse is reviewing developmental stages when caring of a nine-year-old hospitalized client. Using Erikson's developmental stages, what are the best interventions? Select all that apply. Encourage continuation of schoolwork. Provide information on sexuality. Help the child adjust to limitations. Name objects and provide simple explanations. Give clear instructions about treatments and interventions.

Encourage continuation of schoolwork. Help the child adjust to limitations. Give clear instructions about treatments and interventions.

An adolescent female is admitted to the inpatient unit. Which activity should the nurse suggest for this client? A coloring book A video game A book to read Going to the activity room to meet other teens

Going to the activity room to meet other teens

The nurse working in the pediatric cardiac care unit (CCU) notices that a client who is 8 years old has a rapid rhythm on the electrocardiogram (EKG) tracing. The nurse recognizes this dysrhythmia as supraventricular tachycardia (SVT) when the heart rate reaches what? Greater than 220 beats/minute Less than 200 beats/minute 180 to 200 beats/minute 70 to 90 beats/minute

Greater than 220 beats/minute

A nurse is assessing a preterm infant. Which assessment items might indicate that the infant's respiratory status is worsening? Arterial CO2 of 43 Acrocyanosis Grunting & nasal flaring Respiratory rate of 50

Grunting & nasal flaring

A nurse is conducting in-service over mixed disorders of the heart. Which statements are true of mixed disorders? Select all that apply. In mixed disorders, blood from the pulmonary circulation mixes with blood from systemic circulation in the chambers of the heart. Due to mixing of the blood, there is increased volume in the ventricles, resulting in an increase in cardiac output. Due to mixing of the blood, there is an increased volume in the ventricles, resulting in a decrease in cardiac output. Examples of mixed disorders include Ebstein's anomaly and hypoplastic left heart. Children with mixed disorders will have normal oxygen saturations.

In mixed disorders, blood from the pulmonary circulation mixes with blood from systemic circulation in the chambers of the heart. Due to mixing of the blood, there is an increased volume in the ventricles, resulting in a decrease in cardiac output. Examples of mixed disorders include Ebstein's anomaly and hypoplastic left heart.

A nurse performs an admission assessment on a school-age child and suspects physical abuse. On the basis of this suspicion, what is the priority legal nursing responsibility? Document the child's physical assessment findings accurately. Report the suspected abuse according to hospital policy. Ask the parents to explain the injuries. Assist the family to identify resources and support systems.

Report the suspected abuse according to hospital policy.

The nurse recognizes that cardiac pulsations are seen in which condition? Patent ductus arteriosus (PDA) Subaortic stenosis Coarctation of the aorta (COA) Tricuspid Atresia

Subaortic stenosis

The nurse is assigned to take care of a five-month-old with Respiratory Syncytial Virus (RSV). The baby presents with a temperature of 102.2o F rectally, HR 165, RR, 72, and O2 saturation of 96% on room air. The best initial intervention for the nurse to do would be to: Make sure the baby eats to maintain hydration. Place an intravenous catheter (IV) and promptly and hang IV antibiotics ASAP. Put the infant on 4 liters of oxygen via nasal cannula. Suction the nares bilaterally frequently.

Suction the nares bilaterally frequently.

The nurse understands appropriate drug therapy for infants with bronchopulmonary dysplasia (BPD) includes which therapy? Surfactant Vitamin D Methylphenidate (Ritalin) Sodium Chloride (NaCl)

Surfactant

What is the priority nursing intervention to ensure accurate pain assessments in a school-age child? Use a developmentally appropriate pain scale. Teach the child how to use the scale. Ask the child specifically about the pain level. Instruct the parents how to interpret facial expressions to determine pain level.

Teach the child how to use the scale.

The nurse should instruct the parent whose child is diagnosed with respiratory syncytial virus (RSV) to notify the healthcare provider for which issue? Select all that apply. The child is not eating There is a decrease in wet diapers There is increased work of breathing The child develops yellow drainage from the nose Only when the child wheezes

The child is not eating There is a decrease in wet diapers There is increased work of breathing

The nurse is seeing a child in the school clinic for the fifth time this month. The child complains of a "tummy ache," but soon after he is at the clinic he is doing well and playing with toys. The nurse suspects the child does not really have a stomach ache. What can this behavior indicate to the nurse? Select all that apply. The child may be avoiding bullying. The child may be having issues at home. The child just wants to skip class. The child has irritable bowel syndrome. The child may be depressed.

The child may be avoiding bullying. The child may be having issues at home. The child may be depressed.

The nurse understands that, according to Erikson, a school-age child must overcome a developmental crisis in order to move to the next stage of development. What is the crisis that school-age children must overcome? Mistrust Guilt Inferiority Solitude

Inferiority

The nurse is seeing a school-age child in the urgent care center. The child has a fever of 104°F. The dad is worried that this high fever indicates a very serious infection. What statement by the nurse is the best to calm the dad? "Don't worry, it's not a big deal." "We will need to refer you to a hospital right away." "Because children's immune systems are not as refined as adults', they can run higher fevers for ailments such as the common cold." "We'll give her some medicine and you'll be on your way."

"Because children's immune systems are not as refined as adults', they can run higher fevers for ailments such as the common cold."

The school nurse is teaching a group of parents about the bullying in school-age children. What should the nurse include in the teaching? Select all that apply. "Bullying occurs in most cultures and countries to some extent." "Bullying is more prevalent in the adolescent group than it is in the school-age group." "Bullying is usually solicited by the targeted individual." "Bullying occurs as the aggressor aims to implant power over an individual." "Factors, such as the caregiver's educational level and socioeconomic status, have been associated with bullying."

"Bullying occurs as the aggressor aims to implant power over an individual." "Factors, such as the caregiver's educational level and socioeconomic status, have been associated with bullying." "Bullying occurs in most cultures and countries to some extent."

The nurse is working triage in the emergency department. She is about to perform a pain assessment on a seven-year-old client. Which statement shows the best age appropriate assessment? "Does it hurt a little or a lot?" "Can you point to the face that shows how much pain you are in?" "On a scale of 1 through 10, 10 being the worst pain ever, can you tell me what number your pain is at?" The client is sleeping so the nurse determines pain during FLACC scale.

"Can you point to the face that shows how much pain you are in?"

The mother of a nine-year-old client is concerned about the child's growth. What is the best statement by the nurse when teaching the mother? "Children in this age group should grow up to 8 inches per year." "Children in this age group should grow at least 4.5 inches per year." "Children in this age group are expected to grow 1.2 to 2.5 inches per year." "Children in this age group are not expected to grow in height."

"Children in this age group are expected to grow 1.2 to 2.5 inches per year."

A child is suspected of having rheumatic heart disease. Which history question is a priority for the nurse in helping to establish this diagnosis? "Did your child complete antibiotics for strep throat in the last month?" "Has your child had low-grade fever in the last week?" "Has your child demonstrated a rash on the legs recently?" "Has your child been swimming in rivers or lakes?"

"Did your child complete antibiotics for strep throat in the last month?"

An adolescent is seen in the outpatient clinic for an annual physical examination and is with her mother. Which questions should the nurse ask when the mother steps out of the room? Select all that apply. "Do you like school?" "Have you ever tried or used drugs?" "Are you sexually active?" "Do you play sports?" "Have you ever tried alcohol?"

"Have you ever tried or used drugs?" "Are you sexually active?" "Have you ever tried alcohol?"

The nurse is auscultating an apical pulse on a 12-year-old client. The client asks the nurse what number is normal. Which statement by the nurse indicates proper knowledge of this information to the client? "Heart rate varies with age." "According to your age, your heart rate should be 80 to 150 beats per minute." "From infancy through childhood, the heart rate increases with age." "Heart rate varies with the age of the child from 60 to 260 beats per minute."

"Heart rate varies with age."

An eight-year-old client has started to menstruate. The child is diagnosed with precocious puberty. What statement by the child shows that additional teaching is necessary? "I need to change my maxi regularly." "My body maturing and this is why I have started menstruating." "I am going to have a baby soon." "The bleeding can last three to seven days."

"I am going to have a baby soon."

The nurse is educating parents of a toddler about ways to avoid foreign body aspiration. Which statement made by the parents indicates their understanding of this concept? "I will use back blows and abdominal thrusts for my toddler if he begins to choke." "I will cut table foods into small pieces before feeding my child." "I will allow my two-year-old to play with his older brothers Legos." "I will make sure he chews his food properly."

"I will cut table foods into small pieces before feeding my child."

The nurse is providing discharge teaching to the mother of a four-year-old who had a tonsillectomy. Which statement made by the mother indicates she has a good understanding of what to feed her child when they arrive home? "I will give her whatever she wants so she eats something." "She likes to eat pretzels & tortilla chips for a snack. I will give that to her if she asks." "I will give her cool apple juice and orange juice to drink to help her throat." "I will give her Italian ice and yogurt initially when she gets hungry."

"I will give her Italian ice and yogurt initially when she gets hungry."

A nurse is providing anticipatory guidance to a parent of an adolescent about injury prevention. Which statement, when made by the parent, indicates they understand the teaching? "I will make sure that my teen sits in a booster seat in the car." "I will keep all medications out of reach." "I will make sure that my teen does not stay up past 10pm every night." "I will have ongoing conversations with my teen about rules they will need to follow when they begin to drive."

"I will have ongoing conversations with my teen about rules they will need to follow when they begin to drive."

The parents of a neonate with a patent ductus arteriosus ask why their child is receiving ibuprofen if the child is not in pain. What is the nurse's best response? "Ibuprofen will help facilitate closure of the patent ductus arteriosus." "Ibuprofen is used prophylactically to prevent infection in children with cardiac disorders." "Ibuprofen will help keep the ductus open in order to provide additional blood flow to the body." "Routine pain medication is given to children with cardiac disorders to keep them calm."

"Ibuprofen will help facilitate closure of the patent ductus arteriosus."

The nursing student asks the nurse about genetic implications related to cystic fibrosis (CF). How should the nurse respond? "It is inherited as an autosomal dominant trait." "It is a genetic defect found primarily in non-Caucasian people." "If it is present in a child, both parents are carriers of the defective gene." "There is a 50% chance the siblings of an affected child will also be affected."

"If it is present in a child, both parents are carriers of the defective gene."

The nurse is taking a patient history on a seven-year-old child from the mother. She tells the nurse that the child was diagnosed with an innocent heart murmur and she is concerned that the child will need heart surgery as an adult. What is the best response by the nurse? Select all that apply. "Innocent murmurs are very common in school-age children." "They will need to see a cardiologist immediately." "Up to 90% of children age four to seven have innocent heart murmurs." "Your child will not be able to participate in sports." "You should be careful feeding your child red meat with this condition."

"Innocent murmurs are very common in school-age children." "Up to 90% of children age four to seven have innocent heart murmurs."

The nurse is speaking with a parent of a premature infant with apnea of prematurity. Which statement made by the parent indicates to the nurse that they understand the diagnosis? "It can be cured if my baby takes a lot of caffeine." "It is caused by my baby being tired." "It is a pause in breathing for 20 seconds or more." It is caused by infants sensing carbon dioxide in their brain to breathe."

"It is a pause in breathing for 20 seconds or more."

A 13 year-old adolescent client is seen in the outpatient clinic and expresses concern that she is gaining weight. Her anthropomorphic measurements indicate that she is in the 40th percentile for weight for her age. What is the most appropriate response by the nurse? "You should be seen by our nutritionist to make sure you are eating the correct foods." "Gaining weight is not something you need to concern yourself with." "Let's discuss further your concerns about your body and also review some of the normal changes your body will be going through during puberty." "I will have you discuss this further with the physician to make sure your questions are answered."

"Let's discuss further your concerns about your body and also review some of the normal changes your body will be going through during puberty."

An adolescent has a positive pregnancy test in the outpatient clinic. She denies having any sexual activity. Which statement by the nurse is the most appropriate in this situation? "Tell me how you are feeling." "I will refer you to a gynecologist to review your test results." "Let's talk about your boyfriend and the kinds of things you do with your boyfriend." "Since you did not have any sexual activity, let's repeat the test."

"Let's talk about your boyfriend and the kinds of things you do with your boyfriend."

The mother of a 10-year-old female client tells the nurse that she is concerned about her daughter's 3 kg weigh gain in the last year despite the child being in the 50th percentile for weight. What is the best response by the nurse? "She is overweight, you need to cut out her snacks." "Commercial weight loss programs can help with that." "Your child is underweight, she needs to eat more." "Normal weight gain for this age group is 3 kg/yr."

"Normal weight gain for this age group is 3 kg/yr."

The nurse is assessing a 6-year-old child who has just lost their first tooth. What is an appropriate response by the nurse? "You are so lucky, the tooth fairy is going to make a visit tonight!" "Remember to brush your teeth every morning and night." "You lost your first tooth earlier than other children do." "Remember to tell your parents that you will need a dental checkup once a year."

"Remember to brush your teeth every morning and night."

During a physical assessment, the nurse notices the adolescent client has a nose piercing. Which statement is true about body piercings? "Research suggests a relationship between body piercings and other high-risk behaviors." "About 40 to 45 percent of adolescents have a body piercing other than the ear lobes." "Keloids only appear with ear lobe piercings." "Excessive bleeding is uncommon with most body piercings."

"Research suggests a relationship between body piercings and other high-risk behaviors."

The healthcare provider changes the medication of a child who is a known asthma patient to Salmeterol (Serevent). The mother asks the nurse what this drug does. How should the nurse respond? "Salmeterol is an anti-inflammatory." "Salmeterol decreases mucus production." "Salmeterol controls allergies." "Salmeterol is a bronchodilator."

"Salmeterol is a bronchodilator."

Question 6 of 25 A nine-month-old is admitted with influenza. Which statement made by the nurse would be the best response when caring for this infant? "This infection could have been prevented if the parents washed their hands at home." "Antibiotics should be given as soon as a diagnosis is made to prevent further infection." "Supportive care such as encouraging fluids to liquefy secretions will help prevent dehydration." "Antiviral medications such as Oseltamivir (Tamiflu) can be given at any time during the illness.

"Supportive care such as encouraging fluids to liquefy secretions will help prevent dehydration."

In educating a mother of a child with laryngomalacia, which would be a correct statement for the nurse to make? "Symptoms usually resolve by age two." "Your child will most likely need a tracheostomy." "Your child will definitely have feeding problems." "Administration of Albuterol is most important in this condition."

"Symptoms usually resolve by age two."

The mother of a child recently diagnosed with ventricular septal defect wants to know how this disorder affects the lungs. What is the best response from the nurse? "VSD causes an increase in blood flow to the lungs because blood is moving from the right side of the heart to the left." "The excess blood flowing into the lungs makes the lungs stiffer and more difficult to move air in and out." "Infants with VSD also often have abnormalities in the lungs, which make it difficult for them to take in enough oxygen." "The left side of the heart is not formed well making the right side of the heart more full, which creates pressure on the lungs."

"The excess blood flowing into the lungs makes the lungs stiffer and more difficult to move air in and out."

The nurse identifies that knowledge of developmental stages is important when caring for children. What statements about growth and development shows understanding by the nurse? Select all that apply. "Younger school age children will act more like preschoolers." "Each child moves through phases at their own pace." "Older school age children will behave more like adults." "The nurse needs to be rigid to be effective with developing children." "The nurse needs to provide careful assessment at every stage."

"The nurse needs to provide careful assessment at every stage." "Younger school age children will act more like preschoolers." "Each child moves through phases at their own pace."

The nurse is explaining the anatomy and physiology of the heart to a new group of nurses. Which statement made by one of the new nurses indicates that teaching was effective regarding the physiology of the heart? "The right ventricle pumps deoxygenated blood to the lungs via the pulmonary artery." "The left ventricle pumps deoxygenated blood to the lungs via the pulmonary artery." "The patent foramen ovale pumps deoxygenated blood to the lungs via the pulmonary artery." "A single ventricle is a condition that allows for the pumping of deoxygenated blood to the lungs via the pulmonary artery."

"The right ventricle pumps deoxygenated blood to the lungs via the pulmonary artery."

The nurse is preparing a school-aged child for an intramuscular injection. What statement by the child lets the nurse know that the child has understood the procedure? "I won't feel the pinch at all." "The special numbing cream will help the injection hurt less." "The needle will go just under my skin." "I'm going to need stitches after the injection."

"The special numbing cream will help the injection hurt less."

A child with chronic otitis media has bilateral myringotomy tubes placed. Which statement would indicate that the parent understands education about myringotomy tubes? "The tubes have to be surgically removed in 9 months or so." "The tubes were placed to equalize pressure." "These tubes won't affect my child being able to go swimming in the summer." "My child will still need to be on Amoxicillin prophylactically for six months."

"The tubes were placed to equalize pressure."

The nurse is discussing with the parents of a child just diagnosed with a cardiac defect an upcoming noninvasive test that indicates structure, size, flow patterns, function, and the blood vessels attached to the heart. The parents ask the nurse what the test is called as they would like to do more research. What is the appropriate nursing response? "This test is called an echocardiogram." "An electrocardiogram (EKG) is the test used to look at flow pattern functions." "This is called angiography." "This is referred to as a cardiac catheterization."

"This test is called an echocardiogram."

A student nurse asks which classification of congenital heart defects results in the combining of blood between systemic and pulmonary circulation in the heart chambers, which results in a desaturation of blood oxygen levels and a decrease in cardiac output related to an increased volume load on ventricles. What is the appropriate nursing response? "This type of congenital heart defect is classified as a mixed defect." "You are describing a defect that is related to a decrease in pulmonary blood flow." "The defect that you are describing is brought on by an increased pulmonary blood flow." "This defect is referred to as an obstructive disorder."

"This type of congenital heart defect is classified as a mixed defect."

A mother is breastfeeding her infant and looks down to notice her baby's lips are blue and the baby isn't breathing. She takes the baby off the breast and rubs the baby's sternum. The baby then coughs and then starts to breathe. The mother calls 911 and the child is admitted for an acute life-threatening event (ALTE). The mother is crying and wants to know what happened. She is afraid to breastfeed the baby again. What would be the correct statement to tell the mother? "Don't worry the baby won't die if you breastfeed again." "Does your baby have reflux, this could explain it." "We need to be sure the baby's nose is not obstructed." "When your baby naps be extra vigilant because he might have sudden infant death syndrome (SIDS)."

"We need to be sure the baby's nose is not obstructed."

The nurse is educating the parents of a child with asthma about environmental control. The nurse knows teaching has been understood if the parent states: "We will allow the cat to sleep in her room just on the floor." "We will replace the carpet in our child's bedroom with hardwood flooring." "We will be sure to dust the plants in our child\"s room often." "We will use the wood fireplace often in the winter to keep our house warm."

"We will replace the carpet in our child's bedroom with hardwood flooring."

The parents of a school-age child tell the nurse that according to the measurements taken today their child has gained 2 ½ pounds and grown 1 inch in the last year. What is the nurse's best response? "Don't worry, your child just hasn\"t had a growth spurt yet." "Okay, let's take a look at his growth chart and see how your child has been growing over the last year." "This is the expected pattern of growth in a school-age child." "Why don't we weigh and measure him one more time to be sure we have the correct measurements."

"Why don't we weigh and measure him one more time to be sure we have the correct measurements."

The nurse is caring for a 12-year-old client who just had bowel surgery for perforated bowel and peritonitis. What intervention by the nurse is the most appropriate to promote industry? Call the volunteer department and ask for books with pictures. Allow for favorite board games to be brought to the bedside. Limit visitation to immediate family, the child needs to rest. Explain post-operative care directly to the parents.

Allow for favorite board games to be brought to the bedside.

The nurse is developing a teaching plan about medication management for a client who is taking a loop diuretic. Which drug should be included in the plan? Bumetanide (Bumex) Hydrochlorothiazide (Diuril) Amoxicillin (Amoxil) Spironolactone (Aldactone)

Bumetanide (Bumex)

When performing a physical assessment on a hospitalized adolescent, how should the nurse best protect their privacy? Perform the physical assessment on the client over their clothes Wait until there is no one else in the room to perform the physical assessment Ask the physician to perform the physical assessment Ask pertinent questions making sure to address the adolescent first, then, politely ask parents and visitors to step out of the room momentarily in order to complete the physical assessment

Ask pertinent questions making sure to address the adolescent first, then, politely ask parents and visitors to step out of the room momentarily in order to complete the physical assessment

The nurse is seeing an adolescent who has just admitted to smoking cigarettes. What should the nurse do next? Ask the client about their use of other substances. Educate the client on the dangers of tobacco. Offer the client information on electronic cigarettes. Tell the client's parents about their cigarette use.

Ask the client about their use of other substances.

The nurse is caring for a child diagnosed with Kawasaki disease. Which interventions should the nurse anticipate as part of the treatment protocol? Complete blood count for analysis Aspirin administration, high dose for weight Emergent echocardiogram Administer varicella (chickenpox) vaccine prior to discharge. help parents cope with irritability of child

Aspirin administration, high dose for weight Complete blood count for analysis help me cope with the irritability of this child.

The nurse is providing discharge teaching to parents of a child receiving digoxin (Lanoxin). Which items should the nurse include as signs of digoxin toxicity? Bradycardia Nausea Diarrhea Increase in appetite Flushing of the skin

Bradycardia Nausea Diarrhea

Which should the nurse expect to be included in the treatment of the client experiencing acute asthma symptoms? Select all that apply. Bronchodilators Corticosteroids Oxygen Montelukast (Singular) Immediate Intubation

Bronchodilators Corticosteroids Oxygen

The nurse demonstrates understanding of what a positive Russell's sign is by further assessing an adolescent for which condition(s)? Neuromuscular problems Developmental delay Failure to thrive Bulimia

Bulimia

One of the goals for children who have asthma is to prevent respiratory infections. This is important because a respiratory infection: Increases one's sensitivities to allergies Will cause exercise-induced asthma Can lessen the effectiveness of asthma medications Can trigger an acute asthmatic episode

Can trigger an acute asthmatic episode

To decrease the school-age child's anxiety about a surgical procedure, the nurse will enlist the services of which member of the health care team? Child-life specialist Surgical nurse practitioner Anesthesiologist Social worker

Child-life specialist

The nursery nurse is completing an assessment on a newborn and notes that the infant has bounding pulses in upper extremities and weak pulses in lower extremities. To which congenital cardiac disease does the nurse attribute these findings? Tricuspid atresia Tetralogy of Fallot Coarctation of the aorta Subaortic stenosis

Coarctation of the aorta

The nurse is explaining cardiac conditions that result in the obstruction of blood flow in the heart. Which defects should be included in the teaching? Select all that apply. Tricuspid atresia Coarctation of the aorta Aortic stenosis Pulmonary atresia Ventricular septal defect (VSD)

Coarctation of the aorta Aortic stenosis Pulmonary atresia

What should the school nurse recommend to a sexually active adolescent who states, "I don't want to get an infection"? Condoms Antibiotics Talking with their parents Talking with their physician

Condoms

The nurse is measuring blood pressure on the leg of a sleeping toddler and receives an unusually high reading. What is the best action for the nurse? Confirm the appropriate size of the cuff and obtain a larger cuff if needed to recheck pressures. Confirm the appropriate size of the cuff and obtain a smaller cuff if needed to recheck pressures. Allow the child to rest and recheck with the same cuff in approximately 10 minutes. Document the finding and notify the practitioner.

Confirm the appropriate size of the cuff and obtain a larger cuff if needed to recheck pressures.

The parents of a school-age child with congenital heart defect state they are having some dental work done. What recommendation should the nurse make? Inform the dentist of the condition so they can monitor during the procedure. Contact the provider for a prescription of prophylactic antibiotics. Inform the parent the child is at no increased risk during the procedure. Praise the parents for providing the appropriate health maintenance for their child.

Contact the provider for a prescription of prophylactic antibiotics.

While assessing an infant diagnosed with a congenital heart defect (CHD) in the newborn intensive care unit, the nurse notes the results from the arterial blood gas indicate a PaO2 level of 30. After bagging the infant with 100% oxygen, the PaO2 level is 34. What does the nurse suspect related to the assessment findings and diagnosis? Normal newborn assessment findings, no abnormalities Pulmonary disease Continued mixing of oxygenated and nonoxygenated blood Metabolic disease

Continued mixing of oxygenated and nonoxygenated blood

A 12-year-old with exercise induced asthma was taking a shower. She became short of breath and started to wheeze. The parents called 911 and the girl was taken to the ED. Upon arrival to the ED she had inspiratory and expiratory wheezes bilaterally. She was placed on high flow oxygen but continued to deteriorate and was intubated. Which treatment would the nurse identify as appropriate for the client at this time? Select all that apply. Continuous infusion of Albuterol Solumedrol every six hours IV A stat portable chest x-ray Chest percussion and postural drainage Arterial blood gases every six hours

Continuous infusion of Albuterol Solumedrol every six hours IV A stat portable chest x-ray Arterial blood gases every six hours

A three-year-old is noted to speak in a muffled tone and frequently complains of a sore throat. The mother has noted that lately the child is very noisy when he breathes. She states that he seems to "stop breathing." A sleep study was done to confirm obstructive sleep apnea. Which treatments would the nurse expect to occur for this child? Select all that apply. Continuous positive airway pressure (CPAP) Tonsillectomy and Adenoidectomy Administration of Caffeine Citrate Administration of oxygen to assist with hypoxia Waking the child at frequent intervals

Continuous positive airway pressure (CPAP) Tonsillectomy and Adenoidectomy Administration of oxygen to assist with hypoxia

The nurse is caring for a newborn who has been diagnosed with Tetralogy of Fallot and begins to turn dusky during the newborn assessment. The nurse bases the priority nursing intervention on the knowledge that what is occurring? Cyanosis Oxygenation Heart defect Patent ductus arteriosus

Cyanosis

The nurse is caring for a 7-year-old client and obtains these vital signs: temperature 98.2°F, pulse 90, respirations 22, and blood pressure 93/60. What will the nurse do next? Cover the client with a warm blanket. Document these normal vital signs. Contact the healthcare provider regarding the low blood pressure. Repeat the vital signs for accuracy.

Document these normal vital signs.

The nurse is caring for an adolescent who was just diagnosed with a chronic illness. What are the appropriate nursing actions at this time? Select all that apply. Tell the parents they must help the adolescent at all times. Suggest the client stops going to school to focus on getting better. Educate the client and their family on the condition and treatments. Tell the family not to resort to any Internet resources to find information on the client's condition. Assess how the caregiver is doing.

Educate the client and their family on the condition and treatments. Assess how the caregiver is doing.

A nurse is caring for a neonate with a suspected tracheoesophageal fistula (TEF). What nursing intervention would appropriate for this client? Elevate the head for feedings. Avoid suctioning the client. Elevate the head, but give nothing by mouth. Feed the baby glucose water only.

Elevate the head for feedings.

A 15-year-old male client is seen in an outpatient clinic accompanied by his mother. Which topic is a priority health promotion topic to discuss with this client? Hand-washing Hygiene Enforcing safe driving rules Encouraging use of protective gear while playing sports

Encouraging use of protective gear while playing sports

According to Kohlberg's theory of moral development, the nurse knows that adolescents tend to engage in which behavior? Depend on friends in times of crisis Base their value system on that of their family Socialize in co-ed cliques Explore gender roles

Explore gender roles

The nurse is assessing pain in a seven-year-old client who broke his arm skateboarding. What is the best pain scale to use for this client? FACES Scale Analog Scale CRIES Scale Activity Tolerance Scale

FACES Scale

Which of the following behaviors is a developmental warning sign during adolescence? Disagreeing with a parent's stance about a political issue Joining an online forum that discusses social issues Failing a class in school in a favorite subject Beginning a new exercise routine to lose weight

Failing a class in school in a favorite subject

The nurse is charting a care plan for a client who has undergone a heart transplant. Which common signs and symptoms of heart transplant rejection should be listed on the plan of care? Select all that apply. Fever Oliguria Weight gain Bradycardia Tachycardia

Fever Oliguria Weight gain Tachycardia

The nurse is caring for a school age child. Using Freud's theory, the nurse knows that the child is in the latency stage. What descriptions below apply to latency stage? Select all that apply. Identifies with parent of the same sex Focuses on peer relationships Derives gratification from control of bodily functions Emphasis on privacy Focuses on understanding the body

Focuses on peer relationships Emphasis on privacy Focuses on understanding the body

Which indicates the earliest sign of hemorrhage in a child who has just had a tonsillectomy? Frequent swallowing Labored respirations Tachypnea stridor Dark brown emesis

Frequent swallowing

School-age children develop sharper motor and sensory abilities during this stage. They participate in group activities, they have more mature use of language, they read, can play instruments and enjoy hobbies. What known developmental theories apply to this stage? Select all that apply. Freud's Latency Stage Erikson's Initiative vs. Guilt Erikson's Industry vs. Inferiority Freud's Phallic Stage Piaget's Concrete Operational Stage

Freud's Latency Stage Erikson's Industry vs. Inferiority Piaget's Concrete Operational Stage

The nurse documents objective assessment data in the client record of a nine-year-old girl. Which are cause for concern? Select all that apply. Heart Rate of 125 bpm Blood Pressure of 102/61 mmHg Temperature of 100.7 F Height of 132 cm Oxygen Saturation of 94%

Heart Rate of 125 bpm Temperature of 100.7 F

The nurse is caring for an adolescent who weighs 110 pounds (50 kilograms, kg). Which assessment findings should the nurse report as abnormal? Select all that apply. Heart rate is 50 beats per minute. Blood pressure is 130/60. Daily fluid intake is 1,800 milliliters (mL). Hourly urine output is 30 mL. Cholesterol level is 150 mg/dL (3.88 mmol/L).

Heart rate is 50 beats per minute. Blood pressure is 130/60. Daily fluid intake is 1,800 milliliters (mL).

An 11-year-old girl has returned to her room after spinal surgery. How can the nurse help promote industry? Stick to a rigid physical therapy schedule. Give the client some video games to play with. Do everything for the client so that they can rest. Help the client adjust to new spinal brace with everyday activities.

Help the client adjust to new spinal brace with everyday activities.

The nurse is caring for a child who has cystic fibrosis (CF). Which type of diet does the nurse anticipate will be ordered for this child? High fat, high salt High carbohydrate, high calorie High sodium, high fat High calorie, high protein

High calorie, high protein

Hypertension is not diagnosed based on a single reading." "I cannot diagnose, but your child will need to be referred to a cardiologist." "We don't routinely monitor blood pressure until adult age, so I would not worry." "Blood pressure in adolescents is very different than in adults, so those numbers are fine."

Hypertension is not diagnosed based on a single reading."

he nurse is providing education to expectant mothers regarding modifiable risk factors for acquired heart disease. Which risk factors can be minimized through lifestyle changes? Autoimmune factors Genetic factors Hyperthermia Cocaine and alcohol use Exposure to infectious agents

Hyperthermia Cocaine and alcohol use

When performing the physical examination for an adolescent, the nurse must perform which of the following actions? Address questions to the parent of the adolescent Focus on the negative aspects of the individual because those are the most important to address during the visit Use slang for reference to anatomical body parts Inform the adolescent of your actions and explain the rationales

Inform the adolescent of your actions and explain the rationales

A client is in the neonatal intensive care unit (NICU) and has a patent ductus arteriosus (PDA). The nurse explains to the mother that the conventional drug of choice for treating a PDA is what? Amoxicillin Indomethacin Ibuprofen Paracetamol

Indomethacin

The nurse is caring for a 10-year-old client. According to Erikson, what is this client's developmental stage? Industry versus Inferiority Initiative versus Guilt Identity versus Role confusion Autonomy versus Shame and doubt

Industry versus Inferiority

The mother of a child who is 72 hours post-cardiac catheterization calls the clinic to report a temperature of 102°. What is the best action for the nurse to take? Inform the mother it is normal to have some fever following a cardiac catheterization. Ask the mother to administer acetaminophen and recheck in 1 hour. Instruct the mother to bring the child in for evaluation. Instruct the mother to reduce activity and report any signs of changes to the affected extremity.

Instruct the mother to bring the child in for evaluation.

A school nurse notes that three females who are close friends each lost nearly 20 pounds recently. What is the priority nursing action in this situation? Tell the girls that they will need to have their weights monitored weekly from now on Interview and assess each of the girls privately and obtain a nutritional history Notify each of the girl's pediatricians of the situation Inform each of their parents of the situation

Interview and assess each of the girls privately and obtain a nutritional history

The mother of a premature infant asks the nurse to describe the patent ductus arteriosus. Which is the best description of this anomaly? It is a defect that allows blood to flow from the right to the left side of the heart, resulting in decreased oxygen flow to the body. It is not unusual for preterm infants to have a patent ductus arteriosus. The severity depends upon the age of the neonate and size of the opening. The defect is due to low pulmonary pressures in the vessels in utero. Substances produced in the lungs called prostaglandins help to keep this open. It will eventually close due to increased oxygenation.

It is not unusual for preterm infants to have a patent ductus arteriosus. The severity depends upon the age of the neonate and size of the opening.

Which statements are true about apnea of prematurity? Select all that apply. It occurs in most infants at less than 28 weeks gestation. As premature births have expanded in the United States so has apnea of prematurity. It occurs in 50% of infants born at 30-31 weeks gestation. It is not affected by maternal drug use. It usually resolves by 36 weeks post-conceptual age.

It occurs in most infants at less than 28 weeks gestation. As premature births have expanded in the United States so has apnea of prematurity. It occurs in 50% of infants born at 30-31 weeks gestation. It usually resolves by 36 weeks post-conceptual age.

Which of the following does the nurse correctly identify as the leading cause of mortality in adolescents? Homicide Suicide Cardiac disease Motor vehicle accidents

Motor vehicle accidents

You are teaching a family with a child who has cystic fibrosis (CF) about chest physiotherapy treatment (CPT). Which of the following teaching points are correct to include? It should be performed three to four times a day. It may cause bronchospasm. It is all right to percuss over the spine or internal organs. When manually percussing you should use a cupped hand. CPT can be done at any time including after eating.

It should be performed three to four times a day. It may cause bronchospasm. When manually percussing you should use a cupped hand.

The nurse understands that school-age children need special consideration when hospitalized. What nursing interventions are appropriate for this age-group? Select all that apply. Knock on the door prior to entering the room. Provide appropriate gown/covering for the body. Diversion activity such as play with board games. Ask parents to step out for health history and examination. Show client equipment that will be used in treatment.

Knock on the door prior to entering the room. Provide appropriate gown/covering for the body. Diversion activity such as play with board games. Show client equipment that will be used in treatment.

A five-month old who was born at 27 weeks was in severe respiratory distress. The respiratory viral panel came back positive for rhinovirus, enterovirus, and metapneumovirus. The parents state that the infant has always been a "noisy breather." Upon initial assessment severe suprasternal retractions and stridor are present. What illness might the nurse expect the child to have? Laryngotracheomalacia Apnea of prematurity Bronchiolitis Severe gastroesophageal (GE) reflux

Laryngotracheomalacia

A newborn is suspected of having cystic fibrosis (CF). As the child is being prepared for transport to a pediatric hospital, the mother asks, "Why do they think my baby has cystic fibrosis?" The nurse replies that the first clinical manifestation of cystic fibrosis in a newborn is: Meconium ileus Bulky stools or steatorrhea Constipation Rectal prolapse

Meconium ileus

The nurse is caring for an infant who has bronchopulmonary dysplasia (BPD). What issues would the nurse associate with this diagnosis? Select all that apply Term infants can develop BPD. Mild forms of BPD can heal as the lungs grow and remodel. Children with BPD often are poor feeders. All clients with BPD will develop heart failure. Pulmonary hypertension frequently occurs with BPD.

Mild forms of BPD can heal as the lungs grow and remodel. Children with BPD often are poor feeders. Pulmonary hypertension frequently occurs with BPD.

What does the care of a child following cardiac catheterization include? Select all that apply. Monitoring pulses above and below the site Monitoring intake and output Placing the child in a side-lying position with the affected extremity down Instructing family members to keep the child quiet for 8 hours following the procedure Placing a dry, occlusive dressing over the site 24 hours after the procedure

Monitoring pulses above and below the site Monitoring intake and output Placing a dry, occlusive dressing over the site 24 hours after the procedure

The nurse instructs a 10-year-old with asthma to use the peak flow meter because it: Can help identify asthma triggers Monitors daily changes in airway reactivity Confirms the asthma diagnosis Indicates whether allergen exposure has occurred

Monitors daily changes in airway reactivity

The nurse is caring for a toddler diagnosed with Kawasaki disease when the child states, "My heart hurts." What should the nurse assess for related to these symptoms? Elevated blood pressure Myocardial infarction Renal impairment and fluid overload Need to educate the child on truth telling

Myocardial infarction

Which are signs and symptoms of respiratory distress in a two-month-old? Select all that apply. Nasal flaring Intercostal retractions Coughing Bronchovesicular lung sounds Grunting

Nasal flaring Intercostal retractions Grunting

An infant presents to the emergency department with a monitored heart rate of 254. Which treatment would be appropriate for the nurse to institute? Nasal suctioning Prepare for unsynchronized defibrillation. Insert IV for fluid bolus. Obtain a weight in order to prepare medications.

Nasal suctioning

A six-year-old child comes to the emergency room accompanied by her mother. The client reports an ear ache. The mother states that the child was febrile overnight. When taking the client's temperature the nurse notices a healing round burn mark on the client's arm and a newer one on the forearm. What should the nurse do next? Select all that apply. Objectively document the findings on the medical record and describe them as best as possible. Report the findings to the authorities. Notify the physician on duty that day. Notify the social worker on duty that day. Ask the child about them in front of the mother.

Objectively document the findings on the medical record and describe them as best as possible. Report the findings to the authorities. Notify the physician on duty that day. Notify the social worker on duty that day.

The nurse is educating a group of new nurses and explaining congenital heart defects classified as having increased pulmonary blood flow. Which defects should be included in this teaching session? Select all that apply. Patent ductus arteriosus (PDA) Atrial septal defects (ASDs) Ventricular septal defects (VSDs) Tetralogy of Fallot (TOF) Tricuspid atresia

Patent ductus arteriosus (PDA) Atrial septal defects (ASDs) Ventricular septal defects (VSDs)

A child is admitted to the hospital with pneumonia. The child's pulse oximetry reading is 85% on room air. What would the priority nursing activity for this child be? Obtain an arterial blood gas (ABG). Start an intravenous (IV) line and begin fluids. Place the child on oxygen at 1 liter via nasal cannula. Obtain a respiratory viral panel to determine the cause of illness.

Place the child on oxygen at 1 liter via nasal cannula.

The nurse is caring for a child with hypoplastic left heart syndrome. The client's pulses have become hard to palpate. Pulses that are difficult to palpate may indicate what? Select all that apply. Poor cardiac output Shock Pain Obstructive outflow lesions Increased pulmonary blood flow lesions

Poor cardiac output Shock Obstructive outflow lesions

Which assessment findings by the nurse indicate possible indicators of congenital heart disease (CHD) in children? Select all that apply. Poor weight gain Dysmorphic features Large for gestational age Clubbing and erythema in fingers and toes Anemia

Poor weight gain Dysmorphic features Clubbing and erythema in fingers and toes

A child just returned from the cardiac catheterization lab. What should the nurse include to provide safe and effective care of this client? Select all that apply. Provide developmentally appropriate post-operative instructions. Involve parents in care and instruction. Keep extremities straight for 4 to 6 hours with no movement. Monitor for temperature changes or color changes in the arm or leg that is used for the catheterization. Keep the client on a liquid diet.

Provide developmentally appropriate post-operative instructions. Involve parents in care and instruction. Keep extremities straight for 4 to 6 hours with no movement. Monitor for temperature changes or color changes in the arm or leg that is used for the catheterization.

A 13-year-old male expresses concern to the school nurse that he is still shorter than most of his friends. What is the best action by the nurse? Notify his parents about his concerns Refer this adolescent to see his pediatrician Tell him not to let the other teens' heights concern him Provide him with information about when boys have growth spurts and reassure him that his height is within normal limits

Provide him with information about when boys have growth spurts and reassure him that his height is within normal limits

A 13-year-old female tells the school nurse that she and her friends plan on going to the beach this weekend. What is the best response by the nurse? Notify the parents Ask for the names of all of the teen's friends so the nurse can interview them Tell the teen that she should not go because it is not safe Provide safety guidelines for sun protection

Provide safety guidelines for sun protection

Which is considered one of the best strategies for preventing smoking in teenagers? Provide long term consequences of smoking Showing pictures of lungs in people who smoked for years Involve the teen's parents in a discussion about not smoking Provide social and peer related media about unhealthy consequences of smoking

Provide social and peer related media about unhealthy consequences of smoking

A six-week-old is admitted for respiratory syncytial virus (RSV). The infant has expiratory wheezes, increased work of breathing, substernal and subcostal retractions. Oxygen saturations is 87% on room air. An intravenous line (IV) is placed and the infant is placed on 2 liters via nasal cannula. Nursing care for this infant should include: Administering Acyclovir intravenously Giving morphine as needed for pain Providing nebulized hypertonic saline Giving Palivizumab (Synagis) prior to discharge

Providing nebulized hypertonic saline

What is the best method nurses may provide for educating adolescents about managing obesity? Providing teens with healthy options for planning meals and strategizing with them about making healthier choices will help them be healthier. Fad diets have very quick results and should be considered. Referring adolescents with a weight problem to a nutritionist is best. Talking to the adolescent's physician is the best approach as they need to hear options from the doctor.

Providing teens with healthy options for planning meals and strategizing with them about making healthier choices will help them be healthier.

The nurse is caring for a child with a congenital heart defect and notes an increased work of breathing with tachypnea, grunting, and nasal flaring. The nurse should suspect which complication has developed? Pulmonary edema Polycythemia Clubbing Hyperoxia

Pulmonary edema

A 15-month-old is admitted to the pediatric unit with a history of a recent upper respiratory infection. Which symptom is consistent with the diagnosis of laryngotracheobronchitis (croup)? Select all that apply. Reported inspiratory stridor which is worse at night. Suprasternal retractions are present upon examination. The toddler has a barking, seal-like, harsh cough. Lung sounds have inspiratory wheezing. Lung sounds with crackles in the bases bilaterally.

Reported inspiratory stridor which is worse at night. Suprasternal retractions are present upon examination. The toddler has a barking, seal-like, harsh cough.

The nurse is preparing to administer digoxin to a child in the hospital who routinely takes the medication at home. Which is the appropriate action for the nurse to take prior to administration? Request a second nurse to verify the dosage and amount prior to administration. Make sure the child\"s tray is present so they can take the dosage with food. Ask the mother if this is the same dosage administered at home. Obtain vital signs immediately after administration to note changes in heart rate.

Request a second nurse to verify the dosage and amount prior to administration.

The nurse is assessing a 3-day-old infant who has received Prostaglandin E1 intravenously for hypoplastic left heart syndrome. Which side effect related to the medication requires an immediate nursing intervention? Respiratory rate of 12 breaths per minute Heart rate is 160 beats per minute Constipation Jaundice

Respiratory rate of 12 breaths per minute

The nurse is planning a primary prevention initiative to prevent bacterial endocarditis in children with prosthetic valvular repairs. Which intervention should be included in the initiative? Avoid dental procedures. Avoid surgical procedures. Respiratory rate of 12 breaths per minute Antibiotics are only needed for surgical procedures if fever arises.

Respiratory rate of 12 breaths per minute

Nursing education provided to caregivers of a child diagnosed with bronchopulmonary dysplasia (BPD) should include which interventions? Select all that apply. Safe oxygen administration Signs and symptoms of respiratory distress Strict handwashing Ventilator management Low calorie feedings

Safe oxygen administration Signs and symptoms of respiratory distress Strict handwashing Ventilator management

Which screenings do school nurses perform annually in the adolescent population? Select all that apply. Diabetes Scoliosis Body Mass Index (BMI) Hearing Tuberculosis

Scoliosis Body Mass Index (BMI) Hearing

Which is a priority nursing consideration when conducting an admission assessment on an adolescent? Meal choice preferences Activity preferences Sexual activity and substance usage Sleep and rest patterns at home

Sexual activity and substance usage

Which screenings should be expected for a 16-year-old during a routine wellness visit? Select all that apply. Sexually transmitted infections Hemophilia Anemia Autism Hearing and vision

Sexually transmitted infections Hearing and vision

A nurse is explaining what a tracheoesophageal (TE) fistula is to a parent. Which statement is correct? "ITension pneumothorax "The trachea and esophagus do not form in utero." "Both the esophagus and trachea end in a pouch." "The trachea connects to the stomach and the esophagus to the lungs."

Tension pneumothorax

A six-year-old is admitted to the emergency department after being a restrained front seat passenger in a motor vehicle crash. The airbags deployed. Vital signs on admission are T-98F, HR 110, RR 56, BP 108/96. The child is having great difficulty breathing. The trachea is deviated to the left. There are no lung sounds on the right side. What problem might you suspect the child has? Cardiac contusion Fractured ribs Pneumonia Tension pneumothorax

Tension pneumothorax

Which initial indication of puberty in males is identified correctly by the nurse? Testicular enlargement Facial hair Pubic hair Increased size of penis

Testicular enlargement

The nurse knows that developmental changes affect medication absorption, metabolism, and elimination. What should the nurse keep in mind when prescribing a medication to an adolescent? The nurse can rely on symbols or phrases to warn adolescents of medicine-related risks. After puberty, medication metabolism increases to adult levels. Most medications are metabolized slower by a client in puberty. The adolescent understands medication warnings best when informed verbally by the healthcare personnel.

The adolescent understands medication warnings best when informed verbally by the healthcare personnel.

An adolescent who weighs 110 pounds is admitted to an inpatient unit. The nurse knows which statements are true regarding the daily fluid requirement of an adolescent client? Select all that apply. The daily fluid requirement should be based on the age of the adolescent. The daily fluid requirement should be based on the weight (in kg) of the adolescent. The daily fluid requirement should be calculated based on urine output of the adolescent alone. The daily fluid requirement of an adolescent should be the same as the daily fluid requirement of an adult. The calculated daily fluid requirement of an adolescent can be applied to both oral fluid intake and intravenous fluid administration.

The daily fluid requirement should be based on the weight (in kg) of the adolescent. The calculated daily fluid requirement of an adolescent can be applied to both oral fluid intake and intravenous fluid administration.

Which statement does the nurse understand to be true about giving palivizumab (Synagis), the immunization for respiratory syncytial virus (RSV) to an infant? Children don't need to get it every year. It is 100% effective in preventing RSV. The immunization must be given monthly. Any child can receive the vaccination.

The immunization must be given monthly.

An infant with total anomalous pulmonary venous return (TAPVR) suddenly develops tachypnea, cyanosis, tachycardia, and a change in level of consciousness. What is the correct interpretation for the nurse to make regarding these findings? The infant had a patent ductus arteriosus (PDA), which closed. The infant is showing incompetence of the tricuspid valve and blood flow to the lungs. The infant is showing signs of septic shock. The child has developed a respiratory infection.

The infant had a patent ductus arteriosus (PDA), which closed.

Which blood flow dynamics are involved in transposition of the great vessels (TGV)? Select all that apply. The systemic and pulmonary circulation are always mixed. The left ventricle sends oxygenated blood to the lungs. The aorta receives oxygenated blood from the right ventricle for systemic circulation. The aorta receives unoxygenated blood from the right ventricle for systemic circulation. An arterial or ventricular septal defect is a life-saving defect in an infant with TGV.

The left ventricle sends oxygenated blood to the lungs. The aorta receives unoxygenated blood from the right ventricle for systemic circulation. An arterial or ventricular septal defect is a life-saving defect in an infant with TGV.

The nurse at a pediatrician's office is preparing to take the blood pressure of a 10-year-old client. What action by the nurse shows that she understands the concept of autonomy? The nurse promises the client a lollipop after the visit. The nurse skips the blood pressure measurement. The nurse allows the client to play with the blood pressure cuff. The nurse asks what arm they would like the have their blood pressure taken.

The nurse asks what arm they would like the have their blood pressure taken.

The nurse is caring for a child who swallowed a quarter. A bronchoscopy with retrieval is planned for later that day. Which assessment finding would be most concerning? The child develops a fever of 101. Intermittent audible stridor is noted. The respiratory rate is 45 with the increased work of breathing. Oxygen saturations drop to 96% on room air.

The respiratory rate is 45 with the increased work of breathing.

Which statement best describes the expected social interactions of a school-age child that the nurse will need to remember when planning an interactive health fair at the local elementary school? School-age peer groups usually consist of both boys and girls. The school-age child does not like to be separated from his parents. The school-age child enjoys forming clubs with set rules. The school-age child becomes very upset when their daily routine is disrupted.

The school-age child enjoys forming clubs with set rules.

A nurse reviewing the prenatal history of an expectant mother notes the use of lithium for bipolar disorders. How should the nurse interpret this finding? There is no risk to the unborn child. There is a demonstrated link between lithium and certain acquired heart diseases. The mother's diet will need to be closely monitored during pregnancy to avoid potential harm from the medication. Lithium only poses a threat to the unborn child if certain genetic factors are present.

There is a demonstrated link between lithium and certain acquired heart diseases.

The nurse is preparing a teaching session for new nurses on congenital heart defects classified as having decreased pulmonary blood flood flow. Which defects should be included in the teaching? Select all that apply. Tricuspid atresia Eisenmenger syndrome Ventricular septal defects (VSDs) Tetralogy of Fallot (TOF) Patent ductus arteriosus (PDA)

Tricuspid atresia Eisenmenger syndrome Tetralogy of Fallot (TOF)

In fetal circulation, which structure is responsible for carrying oxygenated blood to the fetus? Umbilical vein Pulmonary artery Patent ductus arteriosus Aorta

Umbilical vein

The nurse is auscultating the heart of a newborn infant and notes a holosystolic murmur and thrill in the left lower sternal border. Which defect should the nurse suspect? Ventricular septal defect (VSD) Atrial septal defect (ASD) Patent ductus arteriosus (PDA) Ebstein's anomaly

Ventricular septal defect (VSD)

The nurse is preparing to perform an annual assessment on an 11-year-old girl. What should she prepare to assess? Select all that apply. Height Weight Blood pressure Head circumference Vision

Vision Height Weight Blood pressure

The nurse is taking care of a 12-year-old client with cystic fibrosis (CF). The breakfast tray has arrived. The client is ordered pancreatic enzymes. When should the nurse administer this medication for maximal effect? One hour before breakfast With breakfast Two hours after breakfast With antibiotics

With breakfast

A 13-year-old diagnosed with asthma is learning about their medication regime. Which statement indicates a need for further education regarding the management of their chronic asthma? "I'll need to keep my bedroom cleaner and dusted." "I will keep my Albuterol with me for quick treatment." "I can still try out for the baseball team." \"I should take my Montelukast (Singulair) for a sudden onset of wheezing."

\"I should take my Montelukast (Singulair) for a sudden onset of wheezing."

Which child does the nurse anticipate to be most at risk for being hospitalized for respiratory syncytial virus (RSV)? A three-month-old who was born at 30 weeks gestation A 18-month-old with a tracheostomy A four-year-old with a ventricular septal defect (VSD) A five-year-old who was term but has never received any immunizations

three-month-old who was born at 30 weeks gestation

A parent expresses concern to the nurse regarding their 12-year-old's sexual activity after seeing a 'sext' on their cell phone. How should the nurse respond? Select all that apply. "Sexting is very common in this age group, and it is only growing more common." "Have you ever discussed sex with your child?" "Let me show you some resources you can use to talk to your child about safe sex." "You need to tell your child to stop sexting because it can lead to emotional and legal consequences." "I know this may be hard for you to talk about. Tell me how it makes you feel."

"Have you ever discussed sex with your child?" "Let me show you some resources you can use to talk to your child about safe sex." "I know this may be hard for you to talk about. Tell me how it makes you feel."

A 14-year-old female is seen in an outpatient clinic and asks about losing weight. The nurse assesses the client and notes that the client has progressively lost weight in the past six months and is now plotting on the 10th percentile on the weight by age growth chart. What is the nurse's best response to this client? "You are already thin enough and do not need to lose any weight." "Why do you want to lose weight?" "Tell me more about how you are feeling about your body's appearance." "You should speak with a psychologist about your obsession with losing weight."

"Tell me more about how you are feeling about your body's appearance."

An adolescent female who has just started her menses is concerned about gaining weight now that she is a teenager. What is the best response by the nurse? "You should avoid salty foods when you have your period. This will help you from gaining water weight." "You should not worry about gaining weight. Teenagers don't eat enough food. You should eat what you want." "Tell me more about what you are experiencing. What is leading you to feel like you are gaining weight?" "You should talk to your mother about what worked for her when she was your age."

"Tell me more about what you are experiencing. What is leading you to feel like you are gaining weight?"

An adolescent girl comes to the outpatient clinic because she did not have her period in over one month. She admits that she is sexually active and not using birth control. A pregnancy test reveals that she is not pregnant. She does not want her parents to know about her sexual activity. What is the best response by the nurse? "I have a legal obligation to tell your parents. They have a right to know." "I will insist that you let them know." "Let's talk about your life choices first." "Tell me more about your reasons for not wanting to talk to your parents about this."

"Tell me more about your reasons for not wanting to talk to your parents about this."

During the health history interview, the parents state that they are concerned that their seven-year-old is developing breasts. Which additional questions(s) will the nurse need to ask during the health history interview? Select all that apply. "When did you first notice that your daughter was developing breasts?" "Have you noticed increased body hair, especially under the arms and in the pubic area?" "Has she started her period?" "Has she experienced acne?" "When you first noticed her breast development, did you notice a time of rapid growth in height and weight?"

"When did you first notice that your daughter was developing breasts?" "Have you noticed increased body hair, especially under the arms and in the pubic area?" "Has she started her period?" "Has she experienced acne?" "When you first noticed her breast development, did you notice a time of rapid growth in height and weight?"

The school nurse is requesting written permission from the parents of older school-age students to provide information regarding risky behaviors. The mother of one student calls the nurse stating she is upset that this topic is being addressed and does not want to sign the consent form. What is the nurse's best initial response? "Well, you know that risky behavior starts in middle school, so it would be best if you just gave us permission to teach your child about them." "I understand that you are worried. We feel it is important to teach our students about risky behaviors. We know that sexting, for instance, has been linked to an increased likelihood of risky sexual behaviors in middle school students." "Okay, that's fine. We will make sure your child goes to the library for study time when her classmates are receiving the information on risky behaviors." "You absolutely have a right to be concerned. Do you have some specific questions I can answer for you to help you understand why we are addressing these issues in class?"

"You absolutely have a right to be concerned. Do you have some specific questions I can answer for you to help you understand why we are addressing these issues in class?"

The nurse is calculating fluid requirements for a school-age client who weighs 16 kg. Using the following table, what is the daily fluid requirements for this client? Select the best answer. 1000 ml/day 1300 ml/day 1600 ml/day 1500 ml/day

1300 ml/day

What is the required daily fluid intake for a school-age child who weighs 36.8 kg? Record your answer in mL/day using a whole number. Enter the number only.

1836 mL/day

Put the five developmental Tanner stages of male secondary sex characteristics in the correct order. 1. Pubic hair is same as adult in quality and quantity; penis, scrotum, and testes are adult size and shape 2. Darker and coarser pubic hair spreads sparsely over pubic symphysis, penis elongates, testes and scrotum enlarge 3. Sparse growth of long, slightly pigmented downy hair chiefly at base of penis; testes and scrotum enlarge and are somewhat reddened 4. No pubic hair except for fine body hair similar to that on abdomen; penis, testes, and scrotum same size and proportions as in childhood 5. Pubic hair is coarse and curly as in an adult, covers over the pubic symphysis; penis enlarges in length and breadth, glands develop; scrotum and testes enlarge, scrotal skin darkens

4, 3, 2, 5, 1

Which information is most important for the nurse to include regarding anticipatory guidance for health promotion in the school-age child? A balanced diet and one hour of exercise per day is recommended. School-age children should attend a basic first aid class. Allow for unsupervised activities. Limit screen time (TV, cell phones) to four hours per day

A balanced diet and one hour of exercise per day is recommended.

A nurse is providing care to a 14-year-old adolescent post-operatively. What is most significant in planning care for this child? A child this age will miss being in school the most A child this age will only want to be with their parents while in hospital A child this age will be concerned about privacy A child this age is learning to be independent with activities

A child this age will be concerned about privacy

A six-year-old client is being seen by the school nurse. The nurse knows that the child's moral development is pre-conventional according to Kohlberg. What behavior does the nurse expect? Adjusts behavior based on loyalty Adjusts behavior based on social order Adjusts behavior based on right and wrong thinking Adjusts behavior based on personal values

Adjusts behavior based on right and wrong thinking

Safety education for adolescents should include information about how to remain safe while using computers. What is a potential safety consideration as it relates to internet usage? Adolescents should be discouraged from prolonged screen time, which may impair eyesight. Adolescents should be discouraged from using the internet because they should spend their free time outside. Adolescent safety guidelines include protecting them from risky behavior, bullying, and privacy invasion. Adolescents should be encouraged to learn about computer science to improve their chances of getting a better job.

Adolescent safety guidelines include protecting them from risky behavior, bullying, and privacy invasion.

The nurse is admitting an adolescent to the hospital for an acute condition. What should the nurse do to optimize the environment of care? Leave the equipment out for view, so the adolescent can feel like they are apart of their care. Group the adolescent with adults to give them a sense of independency. Allow the adolescents to leave the unit if their condition allows it. Offer only board games or age-appropriate magazines so that the adolescent doesn't exhaust themselves.

Allow the adolescents to leave the unit if their condition allows it.

The nurse demonstrates understanding of which hormones levels are increased during puberty when an adolescent has which hormones tested? Select all that apply. Estrogen Adrenocorticotropic hormone (ACTH) Antidiuretic Hormone (ADH) Androgens Progesterone

Androgens Progesterone Estrogens

The nurse is applying EMLA cream to a patient before a painful procedure. Which action is not safe an effective nursing care for EMLA cream application? Assess for allergic reaction Apply 5 hours before procedure Apply large "glob" Apply dressing over medication

Apply 5 hours before procedure

The nurse is caring for an eight-year-old client with cystic fibrosis (CF). He notices that the dad is unkempt and looks very tired. The dad confides in the nurse that he is so busy caring for his child that sometimes he can't even get a shower. The nurse suspects caregiver fatigue. Which is the best intervention by the nurse? Give the dad a meal ticket so he can get a discounted meal at the cafeteria. Ask the dad about his support system and offer to contact the social worker. Tell the dad he can shower today in the client's room. Ask a volunteer to come play with the child.

Ask the dad about his support system and offer to contact the social worker.

When admitting a school-age child to the acute care unit, what information will the nurse include to decrease the stress of the hospitalization for the child and family? Select all that apply. Ask the parents to bring a couple of the child's favorite items from home. Encourage parents to take an active role in the care of the child. Stay in the hospital room as much as possible. Encourage the child to go to the play room, as tolerated. Assure the child that they will be told what is happening during the hospital stay.

Ask the parents to bring a couple of the child's favorite items from home. Encourage parents to take an active role in the care of the child. Encourage the child to go to the play room, as tolerated. Assure the child that they will be told what is happening during the hospital stay.

A nurse is caring for an adolescent in the acute care setting. The nurse knows which term means obtaining agreement from the adolescent regarding the plan of care? Consent Health Care Proxy Assent Dissent

Assent

What is a priority nursing assessment to use for the adolescent? Blood pressure screening Diabetes screening Anthropomorphic measurements Assessing adolescent's health, education, activity, sexuality, and safety

Assessing adolescent's health, education, activity, sexuality, and safety

Which data will the nurse collect when completing a Pediatric Early Warning System (PEWS) assessment on a post-operative school-age child? Select all that apply. Behavior Cardiovascular Sleep habits Respiratory Pain scale

Behavior Cardiovascular Respiratory

Which of the following assessment findings during a routine well child exam is most concerning? Leukorrhea in a 12-year-old Hispanic female Breast development in a 7-year-old Caucasian female Breast tenderness in a 10-year-old African American female Irregular menstrual cycles in an 11-year-old Asian female

Breast development in a 7-year-old Caucasian female

The nurse understands that school-age children must pay special attention to dental changes during this age. At what time do most school-age children lose their first deciduous tooth? By age five By age seven By age six By age eight

By age six

Which statements are true regarding the use of complimentary/alternative medicines (CAM) and adolescents? Select all that apply. Teens do not use CAM therapies often. CAM therapies may utilize in the adolescent and their families. Preferences for specific kinds of CAM therapies may become apparent during the adolescent phase of life CAM therapy is only used with adolescents with a chronic illness. CAM therapy usage needs to be assessed with every patient during every admission.

CAM therapies may utilize in the adolescent and their families. Preferences for specific kinds of CAM therapies may become apparent during the adolescent phase of life CAM therapy usage needs to be assessed with every patient during every admission.

The nurse is determining the Pediatric Early Warning Score system (PEWS) score for a six-year-old child. The client is recently more irritable, the capillary refill is three seconds and the respiratory rate is 21 bpm. Using the PEWS score, how would the nurse categorize this child's risk with appropriate interventions? Client is low risk, reassess as needed. Client is high risk, initiate rapid response. Client is high risk, ask another nurse to watch the client while you look for the doctor. Client is intermediate risk, initiate a rapid response.

Client is high risk, initiate rapid response.

According to Piaget, a school-age child (age 7-11) is in a phase of concrete operation. Which information does the nurse understand to be describing this stage? Can think of one idea at a time Thought process more coherent and logical Is egocentric Thinks abstractly and rationally

Thought process more coherent and logical

A nurse is providing health education to an adolescent who is beginning to be involved in sports. What should the nurse incorporate when preparing a teen for a sports physical? Speak with the teen independently only Have the parents discuss their concerns with the adolescent's primary care provider Direct the teaching to the teen and involve him or her in the conversation. Incorporate parents into the conversation as well. Speak with parents independently first to ensure that they are first in agreement with the plan

Direct the teaching to the teen and involve him or her in the conversation. Incorporate parents into the conversation as well.

Parents of a 16-year-old adolescent express their concerns to the nurse about their son beginning to drive. What is the role of the nurse in this situation? Emphasize the need for reviewing and reinforcing safe driving practices and encouraging them to contract with their son to adhere to their rules Refer the adolescent to a psychologist Ask to speak with the adolescent independently Tell the parents to limit their child from driving as long as possible

Emphasize the need for reviewing and reinforcing safe driving practices and encouraging them to contract with their son to adhere to their rules

The nurse is teaching health promotion and safety to a parent of a school-age child. What important teaching should be included? Select all that apply. Limit television to four hours a day. Encourage outdoor play time and physical fitness. Limit food intake to three meals with no snacks. Encourage proper oral hygiene Always use a helmet when riding a bicycle or skateboard.

Encourage outdoor play time and physical fitness.

A school-age child reports that the liquid medication "tastes bad." Which nursing intervention might the nurse try to hide the taste of the medication? Instruct the child to breathe in and out through his nose while taking the medication. Mix the medication with grape jelly. Request that the medication be provided as an intravenous medication. Numb the child's tongue with a popsicle.

Numb the child's tongue with a popsicle.

The nurse is talking to the parents of a school-age child with a debilitating chronic illness. The parents appear mentally and physically exhausted and are tearful when discussing the care they provide to their child. Which nursing intervention will help alleviate caregiver fatigue for these parents? Select all that apply. Recommend an appropriate support group. Encourage parents to ask for help from family. Refer to an agency that provides respite care. Encourage parents to participate in activities that relieve stress. Give the parents permission to take care of themselves.

Recommend an appropriate support group. Encourage parents to ask for help from family. Refer to an agency that provides respite care. Encourage parents to participate in activities that relieve stress. Give the parents permission to take care of themselves.

When examining an adolescent, which action by the nurse would be most appropriate? Select all that apply. Allow child to participate in the examination Respect the client's privacy at all times Ask all questions directly to the parents Speak with the adolescent directly Ask the physician to accompany them while examining the adolescent

Respect the client's privacy at all times Speak with the adolescent directly

Which is the highest priority for the nurse to assess in the adolescent population? Nutritional status Healthy sleep habits Skin protection when outside Safe driving practices

Safe driving practices

A school-age child is seen in urgent care after sustaining a mild concussion in a touch football game. In providing health education to the family, the nurse includes which information? The high activity level of school-age children places them at risk for unintentional injury. To avoid injury, do not leave school-age children unsupervised. Helmets are not necessary when using a scooter. School-age children are too young to participate in team sports.

The high activity level of school-age children places them at risk for unintentional injury.

A nurse is caring for a 17-year-old male in the outpatient clinic and takes his vital signs. His blood pressure (BP) reads 112/72 mm/Hg. What is the best nursing action based on these results? This is an average reading for this age range. The nurse should record the BP reading and continue with the assessment. This blood pressure is too high for this age range and the client should be evaluated by the physician. The nurse should provide education about nutritional interventions that will lower BP. The nurse should refer the client for a cardiology appointment.

This is an average reading for this age range. The nurse should record the BP reading and continue with the assessment.