Peds Final
what is the most important information to be included in the discharge planning for an infant with gastroesophageal reflex? a. have the parents keep an accurate record of intake and output b. reinforce the parents knowledge of the infants developmental needs c. teach the parents how to do infant cardiopulmonary resuscitation d. teach parents to position the infant on the left side
c. teach the parents how to do infant cardiopulmonary resuscitation (CPR)
When suctioning a child's airway, the nurse should always: a. inject saline into the tube or their airway with each pass of suctioning b. use continuous suction c. use intermittent suction d. insert catheter until you meet significant resistance
c. use intermittent suction
parents of a 12-year-old child ask the clinical nurse "How many hours of sleep should our child get?" The nurse should respond that 12-year-old children need how many hours of sleep at night?" a. 8 b. 10 c. 11 d. 9
d. 9
whenever the parents of a 10-month-old leave thier hospitalized child for short periods, the child begins to cry and scream. The nurse explains that the child is exhibiting which of the following? a. time of discomfort b. a need to remain with his parents at all times c. a state of being extremely spoiled d. an episode of separation anxiety
d. an episode of separation anxiety
When assessing a child who reports abdominal pain, what is the most appropriate nursing action? a. palpate the most painful area first b. palpate for rebound tenderness c. use deep palpation for abdominal tenderness d. avoid painful areas until the end of the assessment
d. avoid painful areas until the end of the assessment
calcium carbonate is given with meals to a child with chronic renal disease. The purpose of this is to: a. prevent vomiting b. stimulate appetitie c. increase absorption of fat-soluble vitamins d. bind phosphorus
d. bind phosphorus
Which of the following would be priority intervention the nurse should initiate for a child suspected of having varicella? a. universal precautions and standard precautions b. contact precautions c. droplet respiratory precautions d. contact and droplet precautions
d. contact and droplet precautions
A 2 year old has been admitted for anemia. His mother asks the nurse what foods to include in his diet to improve his nutritional status. Which of the following should the nurse recommend? a. increase the childs intake of whole cows milk to 32 ounces a day b. increase the number of snacks that the child eats during the day c. increase the childs intake of fruits, whole grains, and rice d. increase the childs intake of meats, eggs, and green vegetables
d. increase the childs intake of meats, eggs and green vegetables
How does the onset of pubertal growth spurt compare in girls and boys? a. it occurs earlier in boys b. it is about the same in both boys and girls c. in both boys and girls it depends on their growth in infancy d. it occurs earlier in girls
d. it occurs earlier in girls
what postoperative intervention should be questioned for a child after a cardiac catheterization? a. check the dressing for bleeding b. continue IV fluids until the infant is tolerating oral fluids c. assess peripheral circulation on the affected extremity d. keep the affected leg flexed and elevated
d. keep the affected leg flexed and elevated
A mother calls the clinic nurse about her 4 year old son who has acute diarrhea. she has been giving him the antidiarrheal drug loperamide. The nurses response should be based on knowledge that this drug is: a. indicated because it decreases diarrhea b. indicated because it decreases fluid and electrolyte losses c. indicated because it slows intestinal motility d. not indicated
d. not indicated
what food choice by the parent of a 2-year old child with celiac disease indicates a need for further teaching? a. meat patty b. rice cake c. corn muffin d. oatmeal
d. oatmeal
anorexia nervosa may best be described as: a. resulting from a posterior pituitary disorder b. occurring most frequently in adolescent males c. occurring most frequently in adolescents from lower socioeconomic groups d. resulting in severe weight loss in the absence of obvious physical causes
d. resulting in severe weight loss in the absence of obvious physical causes
because of their striving for independence and productivity, which age-group of children is particularly valnurable to events that may lessen their feeling of control and power? a. preschoolers b. infants c. toddlers d. school-age children
d. school-age children
The nurse is teaching a class on preventing diaper rash in newborns to a group of new parents. Which statement made by a parent indicates a correct understanding of the teaching? a. "I will wash a mild soap and water and dry thoroughly whenever my infant has a bowel movement" b. "I should wash my infants buttocks with soap before applying a thin layer of oil." c. "I should wash my infants buttocks with soap and water every time I change the diaper" d. "I will apply baby oil and powder to the creases in my infants buttocks"
a. "I will wash with a mild soap and water and dry thoroughly whenever my infant has a bowel movement."
at what age is exual development in boys and girls considered to be precocious? a. boys, 9; girls, 8 b. boys, 11; girls, 9 c. boys, 10; girls, 9.5 d. boys, 12; girls, 10
a. boys, 9; girls, 8
What is the most appropriate intervention for the parents of a 6-year-old girl with precocious puberty? a. explain the importance of having the child foster relationships with same-age peers b. assure the childs parents that there is no increased risk for sexual abuse because of her appearance c. advise the parents to consider birth control for their daughter d. counsel parents that there is no treatment currently available for this disorder
a. explain the importance of having the child foster relationships with same-age peers.
A young boy has been diagnosed with pseudohypertrophic (Duchenne's) muscular dystrophy. The management plan should include: a. recommending genetic counseling b. assisting the family in finding a nursing facility to provide his care c. suggesting ways to limit the use of muscles d. explaining that the disease is easily treated.
a. recommending genetic counseling
An objective of care the child with nephrosis is to: a. reduce excretion of urinary protein b. increase ability of tissues to retain fluid c. reduce blood pressure d. increase excretion or urinary protein
a. reduce excreition of urinary protein
the nurse is administering an intravenous chemotherapeutic agent to a child with leukemia. The child suddenly beings to wheeze and have severe urticarial. Which if the most appropriate nursing action? a. stop drug infusion immediately b. observe child closely for next 10 minutes c. recheck rate of drug infusion d. explain to child that this is an expected side effect
a. stop drug infusion immediately
which response about safety measures is the most appropriate advice to the 2 year old girls mother who had her older home remodeled to reduce lead levels a. wash and dry the child's hands and face before eating b. remodeling the home to remove the lead is all you need to do c. it is best to use hot water to prepare the childs food to decrease the lead d. diet does not matter in reducing lead levels
a. wash and dry the childs hands and face before eating
What would cause a nurse to suspect that an infection has developed under a cast? a. cold toes b. "hot spots" felt on cast surface c. complaint of parethesia d. increased respirations
b. "hot spots" felt on cast surface
A 4 year old child presents to the ED with a temperature of 102.4 degrees F. The mother states that the child has no significant past medical history, no regular medications and no allergies to medications. The child does not have any contraindications to Motrin. His mother administered Tylenol orally 1 hour ago. The child weights 32 pounds. What is the max dose of Motrin that he can receive for his first dose? a. 180mg b. 140mg c. 100mg d.80mg
b. 140mg
Which behavior indicates that an infant has developed object permanence? a. recognized familiar objects such as a bottle b. actively searches for a hidden object c. secures objects by pulling on a string d. recognizes a familiar face such as the mother
b. actively searches for a hidden object
a school age with leukemia experienced severe nausea and vomiting when receiving chemotherapy for the first time. The most appropriate nursing action to prevent or minimize these reaction with subsequent treatments is to: a. encourage drinking large amounts of favorite fluids b. administer an antiemetic before chemotherapy begins c. encourage child to take nothing by mouth until nausea and vomiting subside d. administer an antiemetic as soon as child has nausea
b. administer an antiemetic before chemotherapy begins
The nurse is admitting a child with rheumatic fever. Which therapeutic management should the nurse expect to implement? a. imposing strict bed rest for 4-6 weeks b. admin penicillin c. admin corticosteroids if chorea develops d. avoiding salicylates (aspirin)
b. administer penicillin
a boy with leukemia screams whenever he needs to be turned or moved. The most probable cause of this pain is: a. petechial hemorrhages b. bone involvement c. changes within the muscles d. edema
b. bone involvement
Which set of signs and symptoms best represents the mild side effects reported with both the live attenuated and inactivated influenza vaccines? a. dizziness and rapid heart rate b. coughing and headache c. high fever and difficulty breathing d. hoarseness and weakness
b. coughing and headache
Which statement regarding atopic dermatitis (eczema) in the infant is most accurate? a. it is easily cured b. it is associated with allergy wit a hereditary tendency c. it is worse in humid climates d. it is associated with upper respiratory tract infections
b. it is associated with allergy with a hereditary tendency
which child should the nurse document as being anemic: a. 7-year-old chils with a hemoglobin of 11.5 b. 3 year old child with a hemoglobin of 12 b. 14 year old with a hemoglobin of 10 d. 1 year old child with hemoglobin
c. 14 year old child with a hemoglobin of 10
An ER nurse is assessing a 12 month old female. which statement accurately describes the best way to assess this child? a. the nurse should have the child's mother assist in holding her down b. the nurse should assess the child in a head-to-toe sequence c. the nurse should assess the child while she is in her mothers lap d. the nurse should assess the child on the examining table
c. The nurse should assess the child while she is in her mothers lap
a child with growth hormone deficiency is receiving GH therapy. The best time for the GH to be administered is: a. before meals b. after meals c. at bedtime d. on arising in the morning
c. at bedtime
which statement is accurate concerning a childs musculoskeletal system and how it may be different from an adults? a. growth occurs in children as a result of an increase in the number of muscle fibers b. children's bones have less blood flow c. because soft tissues are resilient in children, dislocations and sprains are less common than in adults d. infants are at greater risk for fractures because their epiphyseal plates are not fused
c. because soft tissues are resilient in children, dislocations and sprains are less common than in adults
postural drainage should be preformed: a. after meals and other respiratory therapy b. after meals but before other resp therapy c. before meals but after other resp therapy d. before meals and before other resp therapy
c. before meals but after other resp therapy
chest percussion is being preformed correctly if: a. it is preformed over the rib cage and diaphragm b. a soft, circular mask is used c. it makes a popping sound d. it is painful
c. it makes a popping sound
the nurse is admitting a child with Werdnig-hoffman disease (spinal muscular atrophy type 1) Which signs and symptoms are associated with the disease a. pseudohypertrophy of certain muscle groups b. spinal muscular atrophy c. progressive weakness and wasting of skeletal muscle d. neural atrophy of muscles
c. progressive weakness and wasting of skeletal muscle
Your patient presents with a fever, tachycardia, slightly elevated BP, and mildly tachypenic. They have a history of severe headache and neck stiffness/generalized body aches for the past 48 hours, They are sensitive to light and have a positive Kernigs sign. The MD orders a lumbar puncture and the result is: appearance: clear, glucose: 45, protein: 45, total cell count: 1, WBC: 15. What is most likely diagnosis? a. bacterial meningiis b. hydrocephalus c. viral meningitis d. migraine headahce
c. viral meningitis
Which intervention should be included in the plan of care for an infant with the nursing diagnosis of Excess Fluid Volume related to congestive heart failure? a. put the infant in a car seat to minimize movement b. notify physician when weight gain exceeds more than 20g/day c. weigh the infant every day on the same scale at the same time d. admin dig as ordered by the physician
c. weigh the infant every day on the same scale at the same time
A 4 year old child presents to the ED with a temperature of 102.4 degrees F. The mother states that the child has no significant past medical history, no regular medications and no allergies to medications. The child does not have any contraindications to Tylenol or Motrin. The child weighs 32 pounds. What is the max dose of Tylenol that he can recieve for his first dose? a. 400mg b. 350mg c.160mg d.200mg
d. 200mg
Which of the following children is most likely to be hospitalized for croup? a. a 5 year old whose croupy cough worsens at night b. a 2 year old croupy cough worsens at night c. 2 year old with croupy cough who improves after being brought out into the cold night air d. a child with inspiratory stridor after being given humidified o2 and steroids
d. a child with inspiratory stidor after being given humidfied o2 and steroids
When liquid medication is given to a crying 10-month-old infant, which approach minimizes the possibility of aspiration? a. keeping the child upright with the nasal passages blocked for a minute afteradministration b. mixing the medication with the infants regular formula or juice nad administering by bottle c. administering the medication as rapidly as possible with the infant securely restrained d. administering the medication with a syringe (without needle) placed along the side of the infants tongue
d. administering the medication with a syringe (without needle) placed along the side of the infants tongue
The most common side effect from opioid therapy is: a. respiratory depression b. pruritus c. nausea and vomiting d. constipation
d. constipation
What would be the priority nursing action on finding the varicella vaccination at rom temp on the shelf in the med room? a. ask the moter if the child had any prior reactions to the vaccination b. ensure that varicella vaccines integretity is intact, give the vaccine after verify the physician orders c. ensure the varicella vaccines integrity is intact; if intact, follow the five rights of medication and administration d. do not administer this batch of vaccination
d. do not administer this batch of vaccination
The nurse who is examining an infant would document a positive babinski reflex after noting which of the following? a. curling downward of the toes b. dorsiflexion of the toes c. withdrawing the foot from the stimulus d. fanning of the toes
d. fanning of the toes
The nutritional needs of the infant with CHF are usually: a. less than a healthy infants b. same as a healthy infants c. same as an adults d. greater than a healthy infants
d. greater than a healthy infants
Kristin, age 10 years, sustained a fracture in the epiphyseal plate of her right fibula when she fell off of a tree. When discussing this injury with her parents, the nurse should consider which statement? a. healing is usually delayed in this type of fracture b. this is an unusual fracture site in young children c. this type of fracture is inconsistent with a fall d. growth can be affected by this type of fracture
d. growth can be affected by this type of fracture
Which statement is most descriptive of a concussion? a. petechial hemorrhages cause amnesia b. a slight lesion develops c. visible bruising and tearing of cerebral tissue occur d. it is a transient, reversible neuronal dysfunction
d. it is a transient, reversible neuronal dysfunction
What would be the best response if the mother of a 10 year old boy on kidney dialysis tells the nurse that he has no appetite and only eats bananas? a. did you try asking him what else he wants to eat? b. bananas are good to eat; they are rich in needed nutrients c. right now his stomach is upset, and as long as he is eating something to give him strength is fine d. lets talk about your son and his diet
d. lets talk about your son and his diet
When caring for the child with Reye's syndrome, the priority nursing intervention is to: a. observe for petechiae b. do range of motion exercises c. prevent skin breakdown d. monitor intake and output
d. monitor intake and output
when caring for the child with kawasaki disease, the nurse should understand that: a. aspirin is contraindicated b. the principal area of involvement is the joints c. the childs fever is usally responsive to antibiotics within 48 hours d. therapeutic management includes administraton of gamma globulin and aspirin
d. therapeutic management includes administration of gamma globulin and aspirin
A normal blood glucose level for a child greater than 2 months is: a. 60-100 b. 100-140 c. 30-100 d. 80-120
a. 60-100
When discussing hyperlipidemia with a group of adolescents, the nurse should explain that high levels of what substance are thought to protect against cardiovascular disease a. HDL b. triglycerides c. cholesterol d. LDL
a. HDL
a child is admitted with acute glomerulonephritis. The nurse would expect the urinalysis during this acute phase to show: a. hematuria and proteinuria b. bacteriuria and increased specific gravity c. bacteriuria and hematuria d. proteinuria and decreased specific gravity
a. hematuria and proteinuria
a 13 year old boy is hopitalized for a femur fracture. He was his by a car while he and his friends were racing bikes near a major intersection. The child's parents are concerned about their son's judgement. What should the nurse understand about adolescents in order to appropriately help them address their concern? a. The childs behacior is typical of young teens b. The childs behavior is related to hormonal surges during adolescence c. This was an isolated incident and will likely not happen again d. The childs behavior is related to teen rebellion and should be punished
a. the childs behavior is typical of young teens
which is the nurse's best response when the mother of a 2 month old who is going to get the IPV tells the nurse the older brother is immunocompromised? a. your baby can be immunizaed with the IPV; he will not be contagious b. your baby should recieve the oral polio virus vaccine instead so that your immunocompromised son does not get sick c. your baby should not be immunized because your immunocompromised son could develop polio d. you should seperate your 2 month old son from the immunocompromised son for 7-14 days after the IPV
a. your baby can be immunized with the IPV; he will not be contagious
What is the appropriate priority nursing action for the infant with a CHD who has an increased respiratory rate, is sweating and is not feeding well? a. recheck the infants blood pressure b. alert the physician c. increase the oxygen rate d. withhold oral feeding
b. alert the physican
The most common clinical manifestation of brain tumors in children is: a. irritability b. headaches and vomiting c. fever and poor fine motor control d. seizures
b. headaches and vomiting
The nurse caring for a 9 month old female is using the FLACC scale to rate her pain level. The child's parents ask the nurse what the FLACC scale is. What is the nurses best response? a. it estimates a childs level of pain utilizing a numeric scale from 0-5 b. it estimates a childs level of pain utilizing behavioral and physical responses c. it estimates a childs level of pain based on parents perceptions d. it estimates a childs level of pain utilizing vital sign information
b. it estimates a childs level of pain utilizing behavioral and physical responses
A 16 year old boy has a diagnosis of new onset diabetes. The child is meeting with the RN educator regarding changes that will need to be made in his diet. What would most influence a teenagers food choices? a. television and other sources of media influences b. peers and their dietary choices c. cultural background d. familial preferences and dietary choices
b. peers and their dietary choices
A 6 month old child is at his well child visit. The nurse weighs him, and his mother asks if his weight is normal for his age. The nurse's best response is: a. "Each child gains weight at their own pace" b. "At 6 months the child should weigh about 10 pounds plus his birth weight or more" c. "At 6 months his weight should be appx twice his birth weight" d. "At 6 months his weight should be appx 4 times his birth weight"
c. "at 6 months his weight should be appx twice his birth weight"
By what age does birth length usually double? a. 2 years b. 1 year c. 4 years d. 3 years
c. 4 years
A typical WBC range for a child is: a. 5,000-9,000 b. 10,000-15,000 c.5,000-13,000 d. 3,000-8,000
c. 5,000-13,000
which teaching would be important to discuss with the family of a child born with PKU? a. studies have shown that children with PKU outgrow the disease b. exclusive breastfeeding is encouraged for maximal nutrition for the child c. consumption of decreased amounts of protein and dairy products is advised d. high-protein and high-dairy products consumption must be maintained
c. consumption of decreased amounts of protein and dairy products is advised
most respiratory infections in children are caused by: a. streptococci b.haemophilus influenza c. viruses d. pneumococci
c. viruses
The nurse explains to new parents that the American Academy of Pediatrics recommends iron-fortified formula be continued in a child's dietary intake until what age? a. 24 months b. 6 months c. 18 montha d. 12 months
d. 12 months
Which individual is allowed to recieve the live influenza vaccine? a. an adolescent on a long-term aspirin regimen b. a 4 year old diagnosed with asthma c. a 5 month old infant d. a health care worker working directly with a HIV-infected individual
d. a health care worker working directly with a HIV-infected individual
What action may be beneficial in reducing the risk of Reyes syndrome a. prompt treatment of bacterial meningitis b. medical attention for all head injuries c. immunization against the disease d. avoidance of adpirin and ibuprofen for children with varicella or those suspected of having influenza
d. avoidance of aspirin and ibuprofen for children with varicella or those suspected of having influenza
place in order the expected sequence of fine motor developmental milestones for an infant, beginning with the first milestone achieved and ending with the last milestone achieved voluntary palmar grasp reflex palmar grasp puts objects into a container neat pincer grasp builds a tower of two blocks
1. reflex palmar grasp 2. voluntary palmar grasp 3. neat pincer grasp 4. builds a tower of two blocks 5. puts objects into a container
the nurse is teaching the parents of 7 year old child who has just had a cast applied for a fractured arm with the wrist and elbow immobilized. which instructions should be included in the teaching? a. elevate casted arm when resting and when sitting up b. allow the affected limb to hang down for 1 hour each day c. swelling of the fingers is to be expected for the next 48 hours d. immobilize the shoulder to decrease pain in the arm
a. elevate casted arm when resting and when sitting up
a child with hypoparathyroidism is receiving vitamin D therapy. the parents should be advised to watch for which sign of Vitamin D toxicity? a. weakness and lassitude b. headache and seizures c. anorexia and insomnia d. physical restlessness and voracious appetite without weight gain
a. weakness and lassitude
which statement is most descriptive of bulimia during adolescnence? a. weight that can be normal, slightly above normal, or below normal b. profound lack of awareness that the eating is abnormal c. strong sense of control over eating behavior d. feelings of elation after binge-purge cycle
a. weight that can be normal, slightly above normal, or below normal
Surgical closure of the ductus arteriosus would: a. stop the loss of unoxygenated blood to the systemic circulation b. prevent the return of oxygenated blood to the lungs c. decrease the edema in legs and feet d. increase the oxygenation of blood
b. prevent the return of oxygenated blood to the lungs
the nurse is planning activity for a 4 year old child with anemia. which activity should the nurse plan for this child? a. a walk down to the hospital lobby b. puppet play in the childs room c. participation in dance activities in the playroom d. game of "hide and seek" in the childrens outdoor play area
b. puppet play in the childs room
which nursing intervention is appropriate to assess for neurovascular competency in a child who fell off the monkey bars at school and hurt his arm? a. the degree of motion and ability to position the extremity b. the skin color, temperature, movement, sensation, and capillary refill of the extremity c. the length, diameter, and shape of the extremity d. amount of swelling noted in the extremity and pain intensity
b. skin color, temperature, movement, sensation, and capillary refill of the extremity
What is the preferred site when giving vaccination to a 4 month old baby? a. ventrogluteal b. vastus lateralis c. only give subcutaneously d. deltoid
b. vastus lateralis
what effect does immobilization have on the cardiovascular system? a. increased vasopressor mechanism b. venous stasis c. increased efficiency of orthostatic neurovascular reflexes d. normal distribution of blood volume
b. venous stasis
The mother of a 14-month-old child is concerned because the childs appetite as decreased. The best response for the nurse to make to the mother is: a."Giving your child a multivitamin suplement daily will increase your toddler's appeitite" b. "be sure to increase your childs milk consumption, which will improve nutrition" c. "It is not unusual for toddlers to eat less" d. "It is important for your toddler to eat three meals a day and nothing in between"
c. "It is not unusual for toddlers to eat less"
The nurse is speaking to a mother of a 10 month old child. The nurse understands that further teaching about the Hep A vaccine is necessary when the mother states: a. my child will recieve two seperate doses of the vaccination b. my child can first recieve the shot when she is 12 months old c. after receiving the first dose, I should bring my child backin 3 months for the second dose. d. anyone 1 year or older who wants protection from Hep A should get this vaccination
c. After receiving the first dose, i should bring my child back in 3 months for the second dose
When assessing a child for possible congenital heart defects (CHD), where should the nurse measure pressure? a. both arms while the child is crying b. right arm c. all four extremeties d. left arm
c. all four extremeties
which of the following are stressors common to hospitalized toddlers? Select 3 that apply a. self concept disturbances b. social isolation c. fear of being hurt d. sleep disturbances e. interrupted routine
c. fear of being hurt d. sleep disturbances e. interrupted routine
In the child suspected of having epiglottitis, the nurse should: a. obtain a throat culture b. all of the above c. have intubation/trach supplies available d. prepare to immunize the child with the HIB vaccine
c. have intubation/trach supplies available
A nurse places some x-ray contrast the toddler is to drink in a small cup instead of a large cup. Which concept of a toddlers preoperational thinking is the nurse using? a. centration b. magical thinking c. inability to conserve d. irreversibility
c. inability to conserve
A 14-year-old is being treated for renal failure. The nurse would ensure that the child follows a: a. high protein diet b. high carbohydrate diet c. low-sodium diet d. low fiber diet
c. low-sodium diet
The vector reservoir for agents causing viral encephalitis in the United States is: a.domestic and wild animals b. tarantula spiders c. mosquitoes and ticks d. carnivorous wild animals
c. mosquitos and ticks
An 11 month old girl has a diagnosis of iron-deficiency anemia. The child's mother tells the RN that her daughter is currently taking iron and a multivitamin. Which statement by the mother should be of concern to the RN? a. "I give her the iron and MVI in her morning 6 ounce bottle of formula" b. "I give her her iron and MVI in oral syringes toward the back of her cheek" c. "I give her her iron and MVI in a small amount (1 tsp) of sweet-tasting substance" d. "I give her her iron and MVI in a nipple before I feed the morning bottle"
a. "I giver her the iron and MVI in her morning 6 ounce bottle of formula"
which pneumonia vaccine is currently recommended to give to infants under the age of 2 years? a. PCV 13 b. PCV 9 c.PCV 7 d. PCV 23
a. PCV 13
RSV is: a. a common virus that usually does not require hospitalization for older children but may for infants b. an uncommon virus that causes severe bronchitis an uncommon virus that usually does not require hospitalization d. a common virus that causes severe bronchiolitis
a. a common virus that usually does not require hospitalization for older children but may for infants
Frequent urine testing for specific gravity and glucose are required on a 6-month-old infant. The most apporpriate way to collect small amounts of urine for these tests is to: a. aspirate urine from cotton balls inside the diaper with a syringe b. tape a small medicine cup to the inside of the diaper c. aspirate urine from a superabsorbent disposable diaper with a syringe d. apply a urine-collection bag to the perineal area
a. aspirate urine from cotton balls inside the diaper with a syringe
which instructions would be of the highest priority for the mother of an infant receiving his first oral rotavirus vaccine? a. call the MD if he develops bloody stool or diarrhea b. call the MD if he developes a fever or a cough c. call the MD if he develops fever, redness, or swelling at the injection site d. call the MD if he develops constipation or irritability
a. call the MD if he develops bloody stool or diarrhea
which child should not recieve the pneumococcal vaccine? a. child who had a previus allergic reaction to the vaccine b. child with a fever of 99.6 c. child with a cough d. child with a mild upper respiratory tract infection
a. child who had a precious allergic reaction to the vaccine
the nurse should recommend medical attention if a child with a slight head injury experiences: a. confusion or abnormal behavior b. sleepiness c. vomiting, even once d. headache, even if slight
a. confusion or abnormal behavior
the infant relies primarily on: a. diaphragmatic abdominal breathing b. intercostal muscles for breathing c. mouth breathing d. all of the above
a. diaphragmatic abdominal breathing
The oxygen mist tent is a satisfactory means of oxygen administration for children past early infancy because it: a. does not come into direct contact with the face b. controls and maintains the oxygen above 80% c. comes into direct contact with the face d. keeps the child warm and dry
a. does not come into direct contact with the face
A 16 year old boy is hospitalized for cystic fibrosis. He will be an inpatient for 2 weeks while he receives IV antibiotics. As the nurse caring for this patient, what action can you take that will most enhance his psychosocial development? a. Encourage the teen's friends to visit him in the hospital b. Tell the teen he is free to use his phone in the hospital c. Encourage the teen's grandparents to visit him in the hospital d. fax the teen's teacher and have her send his homework
a. encourage the teen's friends to visit him in the hospital
What is an example of an absolute contraindication for someone receiving the polio vaccine? a. history of anaphylactic reactions to streptomycin b. diabetes mellitus c. diarrhea d. common cold
a. history of anaphylactic reactions to streptomycin -people with diabetes should seek physical guidance, but will likely still be able to get vaccine
Which of the following statements is true in regard to the anatomy of an infants nasopharyngeal area a. laryngeal reflexes are wearker in infants than in older children b. epiglottis is longer and projects more posteriorly in infants than in adults c. the glottis is located deeper in infants than in older children d. the infants and young child are both less suceptible than adults to edema formation in the nasopharyngeal regions.
a. laryngeal reflexes are weaker in infants than in older children
A nurse is planning care for a hospitalized toddler in the preoperational thinking stage. Which characteristics should the nurse expect in this stage? (select all that apply) a. magical thinking b. animism c. ability to reason d. concrete thinking e. egocentrism
a. magical thinking b. animism e. egocentrism
which nursing action is the most appropriate when applying a face mask to a child for oxygen therapy? a. make sure the mask fits properly b. set the oxygen flow rate at less than 6 L/min c. remove the mask for 5 minutes every hour d. keep the child warm
a. make sure the mask fits properly
the most common cause of acute renal failure in children is: a. severe dehydration b. pyelonephritis c. tubular destruction d. urinary tract obstruction
a. severe dehydration
What is the most common reaction to the polio vaccine? a. sore, tender area at the site where the vaccine was administered b.pneumonia c. diarrhea d. whooping cough
a. sore, tender area at the site where the vaccine was administered
the electrolyte usually is depleted with diuretic therapy in children is" a.chloride b. magnesium c. potassium d. sodium
c. potassium
which factor predisposes a child to urinary tract infections? a. frequent emptying of the bladder b. increased fluid intake c. short urethra in young girls d. prostatic secretions in males
c. short urethra in young girls
the nurse is caring for a toddler who is not toilet trained. The doctor has ordered intake and output measurement. The nurse most accurately measure the urine by: a. subtracting the weight of a dry diaper from a wet diaper and recording the amount b. estiomating output as a small, moderate, or large and recording on the clients chart c. determining urine output by the number of diaper changes in each 24 hour period d. weight each wet diaper and recording the weight of the diaper as the amount of urine ouput
a. subtracting the weight of a dry diaper from a wet diaper and recording this amount.
A 8 week old male just had surgery for pyloric stenosis. His nurse is assessing his level of pain. The child's mother asks the nurse what vital sign changes she should expect to see in a child who is experiencing pain. The nurses best response is? a. we expect to see a child's heart rate and blood pressure increase b. we expect to see a child's heart rate and blood pressure decrease c. we expect to see a child's heart rate decrease and resp rate increase d. we expect to see a child's heart rate increase and blood pressure decrease
a. we expect to see a childs heart rate and blood pressure increase
The nurse is performing a physical assessment on a 6 month old baby. Which finding should the nurse realize is abnormal? a. The child is able to track and follow objects b. the child's posterior fontanel is open c. The child's anterior fontanel is open d. The child has the beginning of signs of tooth eruption
b. The child's posterior fontanel is open
the most appropriate nursing diagnosis for a child with anemia is: a. risk for injury related to depressed sensorium b. activity intolerance related to generalized weakness c. risk for injury related to dehydration and abnormal hemoglobin d. decreased cardiac ouput related to abnormal hemoglobin
b. activity intolerance related to generalized weakness
Which statement best describes a subdural hematoma? a. the hematoma commonly occurs in the parietotemporal region b. bleeding occurs between the dura and the cerebrum c. bleeding is generally arterial, and the brain compression occurs rapidly d. bleeding occurs between the dura and the skull
b. bleeding occurs between the dura and the cerebrum
what is an expected assessment finding in a child with coarctation of the aorta? a. systolic hypertension in the lower extremeties b. disparity in blood pressure between the upper and lower extremities c. blood pressure higher on the left side of the body d. orthostatic hypotension
b. disparity in blood pressure between the upper and lower extremeties
which intervention will encourage a sense of autonomy in a toddler with disabilities a. avoiding seperation from the family during hospitalizations b. encouraging independence in as many areas as possible c. helping parents learn special care needs of thier child d. exposing child to pleasurable experiences as much as possible
b. encouraging independence in as many areas as possible
An infant with pyloric stenosis experiences excessive vomiting that can result in: a. hyperchloremia b. metabolic alkalosis c. metabolic acidosis d. hypernatremia
b. metabolic alkalosis
A child with pulmonary atresia exhibits cyanosis with feeding. On reviewing this child's labratory values, the nurse is not surprised to notice which abnormality? a. anemia b. polycythemia c. dehydration d. infection
b. polycythemia
The nurse is instructing a new breastfeeding mother in the need to provide her premature infant with an adequate source of iron in her diet. Which one of the following statements reflects a need for further education of the new mother? a. "my baby will need to have iron supplements introduced when she is 4-6 months old" b. "When my baby begins to each solid foods, I should introduce iron fortified cereals into her diet" c. "I will need to add iron supplements to my babys diet when she is 9 months old" d. "I will use only breast milk or iron fortified formula as a source of milk for my baby until she is atleast 12 months old"
c. "I will need to add iron supplements to my babys diet when she is 9 months old
an adolescent boy is brought to the emergency department after a motorcycle accident. His respirations are deep, periodic, and gasping. There are extreme fluctuations in blood pressure. Pupils are dilated and fixed. What type of head injury should the nurse suspect? a. epidural hemorrhage b. subdural hemorrhage c. brainstem d. skull fracture
c. brainstem
What should the nurse stress in a teaching plan for the mother of an 11-year-old boy with ulcerative colitis? a. preventing the spread of illness to others b. nutritional guidance and preventing constipation c. coping with stress and avoiding triggers d. teaching daily use of enemas
c. coping with stress and avoiding triggers
An important nursing intervention when caring for a child who is experiencing a seizure is to: a. restrain the child when seizure occurs to prevent bodily harm b. place a tongue blade between the teeth if they become clenched c. describe and record the seizure activity observed d. suction the child during a seizure to prevent aspiration
c. describe and record the seizure activity obesrved
a newborn assessment shows seperated sagittal suture, oblique palpebral fissures, depressed nasal bridge, protruding tongue and transverse palamr creases. These findings are most suggestive of: a. fragile X syndrome b. cerebral palsy c. down syndrome d. microcephaly
c. down syndrome
A 9 year old is NPO while he awaits surgery that is scheduled for later in the afternoon. The nurse is trying to engage the child in some form of activity to distract him from thinking about food or his upcoming surgery. Which is the best and most age appropriate method of distraction for this patient? a. Encourage the child to read a pamphlet about his surgical process b. Encourage the child to watch television c. Encourage the child to play a board game with another child of a similar age d. Encourage the child to color a picture for their refrigerator
c. encourage the child to play a board game with another child of similar age
The priority nursing intervention when a child is unconscious after a fall is to: a. determine whether a neck injury is present b. monitor intercranial pressure c. establish an adequate airway d. perform neurologic assessment
c. establish an adequate airway
