Peds pulled from everywhere
A nurse is preparing to administer acetaminophen 240 mg PO daily to a child who has a temperature of 102. The amount available is acetaminophen oral solution 160 mg/5 mL. How many mL should the nurse administer per dose.
7.5 mL
A nurse is assessing a school-aged child after a VP shunt replacement. Which of the following findings indicates a complication of this procedure? A. Abdominal distension B. Unequal peripheral pulses C. Pinpoint pupils D. Frontal bossing
A. Abdominal distension
A nurse is providing teaching to the parent of a child who has CF and a prolapsed rectum. The nurse should identify that which of the following is a cause of this complication? A. Bulky stools B. Weakened rectal sphincter C. Elevated pancreatic enzymes D. Decreased intra-abdominal pressure
A. Bulky stools
A nurse is preparing to feed an infant who has a cleft lip and palate. Which of the following actions should the nurse plan to take? A. Burp the infant at least 2-3x during the feeding B. Remove the nipple from the infant's mouth if swallowing becomes audible C. Stop the feeding if formula appears in the nasal cavity of the infant D. Discourage the parents from participating in the feeding prior to a surgical repair
A. Burp the infant at least 2-3x during the feeding
A nurse is providing teaching to the parents of a 4 year old child about fine motor development. Which of the following tasks should the nurse include as an expected finding for this age group? A. Copying a circle B. Cutting foods using a table knife C. Beginning to write in cursive D. Printing the first and last name clearly
A. Copying a circle
A nurse is caring for an adolescent who has sickle cell anemia. Which of the following manifestations is/are the result of chronic vaso-occlusive phenomena? (Select all that apply) A. Enlarged Heart B. Enuresis C. Leg ulcers D. Extrahepatic cholestasis E. Retinal detachment
A. Enlarged Heart B. Enuresis C. Leg ulcers E. Retinal detachment Organs are enlarged, in stasis, and have infarction due to ischemia and scarring
A nurse is teaching a group of parents of toddlers about measures to reduce the risk of choking. Which of the following foods increase the risk of choking in toddlers? (Select all that apply) A. Hot dogs B. Grapes C. Bagels D. Marshmallows E. Graham crackers
A. Hot dogs B. Grapes C. Bagels D. Marshmallows
A nurse is teaching the parent of a preschool-aged child about the treatment for pinworms. Which of the following statements by the parent indicates an understanding of the teaching? A. I will give my child a dose of albendazole today and again in 2 weeks B. I will collect specimens immediately after my child has a bowel movement C. I will give my child a tub bath twice each day D. I will place my child's bed linens in a sealed plastic bag for 7 days
A. I will give my child a dose of albendazole today and again in 2 weeks
A nurse is providing teaching about immunization schedules to parents of 1 week old newborn. Which of the following should the nurse include? A. Initial vaccines should be administered between birth and 2 weeks B. Your child will need to begin the vaccination series over again if subsequent doses are missed C. An allergic reaction to a vaccine is due to the active ingredient in the vaccine D. A vaccination should be postponed if your child has a rectal temp of 99.5 and head congestion
A. Initial vaccines should be administered between birth and 2 weeks of age
A nurse is caring for an infant who is experiencing dehydration. Which of the following assessments is the nurse's priority? A. Measure the child's weight daily B. Check for tears C. Palpate the fontanel D. Assess skin turgor
A. Measure the child's weight daily
A nurse is caring for an infant who has tetralogy of Fallot and is experiencing a hypercyanotic episode. Which of the following actions should the nurse take? A. Place the infant in a knee-chest position B. Initiate a fluid restriction C. Provide oxygen by nasal cannula D. Administer acetaminophen
A. Place the infant in a knee-chest position
A nurse is caring for a school-aged child who has sickle cell anemia. Which of the following actions should the nurse plan to take to help decrease the risk of vaso-occlusive crisis? A. Provide adequate fluid intake throughout the day B. Provide oxygen at 2L/min via nasal cannula C. Administer a blood transfusion D. Give ibuprofen to manage pain
A. Provide adequate fluid intake throughout the day
A nurse is performing a developmental assessment on a 3 year old child. Which of the following commands should the nurse expect the child to complete successfully? A. Put your shoes on B. Name the days of the week C. Cut out this picture with a pair of scissors D. Balance on 1 foot with your eyes closed
A. Put your shoes on
A nurse is preparing a school-age child for a tonsillectomy. Which of the following actions should the nurse take? A. Schedule the child for a pre-op visit to the facility B. Inform the child they will be put to sleep for the procedure C. Read the child a story about a cartoon character having a similar operation D. Tell the child the appointment is to have his throat checked
A. Schedule the child for a pre-op visit to the facility
A kid has bacterial endocarditis. They are scheduled to receive moderate-term antibiotics therapy and requires a PICC. Which of the following statements should the nurse include when teaching the child's parent? A. The PICC line will last for several weeks with proper care B. The public health nurse will rotate the insertion site every 3 days C. You will need to ensure the arm board is in place at all times D. Your child will go to the operating room to have the line placed
A. The PICC line will last for several weeks with proper care
A nurse is assessing in a 2 month old infant who has a ventricular septal defect. Which of the following findings should the nurse report to the provider? A. Weight gain of 1.8 kg B. Heart rate of 125/min C. Soft, flat fontanel D. Systemic murmur
A. Weight gain of 1.8 kg
A nurse is caring for a 3 year old child on a pediatric unit. The nurse should identify which of the following as an appropriate toy for the child? A. Jump rope B. Coloring book and crayons C. Checkers game D. Jack in the box
B. Coloring book and crayons
A nurse is providing teaching about foods high in fiber to the guardian of a child who has chronic constipation. Which of the following foods should the nurse recommend? A. 1/2 cup whole milk B. 1/2 cup cooked pinto beans C. 1 cup green leaf lettuce D. 1 cup apple juice
B. 1/2 cup cooked pinto beans
A nurse is providing teaching to the guardian of an adolescent. The guardian reports that the adolescent sleeps about 10 hours on weekend nights. Which of the following responses should the nurse provider? A. Your child should have a blood test to check for anemia B. Adolescents need more sleep due to rapid growth C. Your child should not be staying up so late at night D. If your child eats properly, this shouldn't happen
B. Adolescents need more sleep due to rapid growth
A nurse is reviewing the risk factors for the development of congenital heart disease with a client who is planning to conceive. Which of the following conditions should the nurse include as a maternal risk factor? A. Preeclampsia B. Alcohol consumption C. Placenta previa D. Late prenatal care
B. Alcohol consumption
A nurse is assessing the visual acuity of a group of school-aged children. Which of the following actions should the nurse take? A. Position each child with their heels at a line that is 20 feet away from the Snellen chart B. Allow each child to wear their glasses during the exam C. Start the screening by covering each child's right eye D. Begin by having each child read the largest line of letters at the top of the Snellen chart
B. Allow each child to wear their glasses during the exam
A nurse is caring for a child who received penicillin IM 15 minutes ago. The child is now irritable and restless. Which of the following actions should the nurse take first? A. Administer diphenhydramine B. Assess for laryngeal edema C. Initiate hourly urine output monitoring D. Give epinephrine IV push
B. Assess for laryngeal edema May be having an anaphylactic reaction to penicillin
A nurse is instructing a group of parents and guardians about child development, Which of the following recommendations should the nurse make to promote the developmental task of industry in the school-age child? A. Have an after-school snack ready for the child each day B. Assign the child several small chores C. Talk with the child about what future goals as an adult D. Talk openly about the family's value system
B. Assign the child several small chores
A nurse is assessing a preschooler who has recurrent and persistent otitis media. When obtaining the child's history from her parent, which of the following questions should the nurse ask? A. Does your child wear a hat outdoors in cold weather? B. Does anyone smoke around or in the same house as your child? C. Have you given your kid any aspirin lately? D. Is your child's diet high in gluten?
B. Does anyone smoke around or in the same house as your child?
A nurse is providing teaching to the parent of a school-aged child who has pediculosis. Which of the following instructions should the nurse include? A. Machine-wash clothing in cold water B. Dry clothing in a hot dryer for at least 20 minutes C. Soak combs and brushes for 5 minutes in boiling water D. Seal non washable items in a bag for 7 days
B. Dry clothing in a hot dryer for at least 20 minutes
Which of the following actions should the nurse take? A. Administer the medication while the infant is supine B. Give the medication at the side of the infant's mouth C. Add the medication to a full bottle of the infant's formula D. Administer the medication slowly while holding the nares closed
B. Give the medication at the side of the infant's mouth
A nurse is assessing a child who has a ventricular septal defect. Which of the following findings should the nurse expect? A. Diastolic murmur B. Murmur at the left sternal border C. Cyanosis that increases with crying D. Widened pulse pressure
B. Murmur at the left sternal border
A nurse is assessing the gross and fine motor behaviors of a toddler. Which of the following behaviors should the nurse identify as an expected achievement for a 3 year old? A. Walking backward while moving heel to toe B. Standing on 1 foot for several seconds C. Using scissors to cut out shapes D. Printing letters with a pencil
B. Standing on 1 foot for several seconds
A nurse is taking the history of and performing a physical on a school-age child who has ADHD. Which of the following findings in the child's medical record should the nurse identify as a risk factor for ADHD? A. The child's family has a middle-class socioeconomic background B. The child had prenatal exposure to alcohol on a regular basis C. Both siblings of the child show moderate activity levels in school and play activities D. The child's mom currently has diabetes mellitus
B. The child had prenatal exposure to alcohol on a regular basis
A nurse is caring for a 4 week old infant who is 2 weeks post-op following surgical correction of biliary atresia. Which of the following findings is an indication that the surgery was successful? A. The infant has lost 2.2 kg since the surgery B. The infant has a total bilirubin level of 0.3 mg/dL C. The infant has an aspartate aminotransferase (AST) level of 120 units/L D. The infant's stools are gray in color
B. The infant has a total bilirubin level of 0.3 mg/dL
A nurse in the emergency department is reviewing laboratory results for several kids who have manifestations of influenza. Which of the following children should the nurse report to the provider immediately? A. A school-aged kid with a urine specific gravity of 1.035 B. A toddler with a BUN of 25 mg/dL and a creatinine of 0.5 mg/dL C. An infant with a WBC count of 24,000/mm^3 D. An adolescent with a positive beta human chorionic gonadotropin test
C. An infant with a WBC count of 24,000/mm^3
A nurse is providing discharge teaching to the guardian of an infant following a hypospadias repair. Which of the following instructions should the nurse include? A. Clamp the infant's catheter for 30 minutes each day B. Give the infant a tub bath once per day C. Apply antibacterial ointment to the infant's penis once per day D. Decrease the infant's fluid intake for 3 days
C. Apply antibacterial ointment to the infant's penis once per day
A nurse is assessing a 6 month old infant following a cardiac catheterization. Which of the following findings should the nurse report to the provider? A. Temperature 99.5 B. Apical pulse rate 140/min C. BP 86/40 mmHg D. Respiratory rate 32/min
C. BP 86/40 mmHg
A nurse is caring for a toddler who has asthma. The parents are concerned about the toddler's reaction to the hospitalization. Which of the following actions should the nurse take to decrease the child's anxiety? A. Provide privacy B. Give the child a thorough explanation before providing care C. Encourage rooming-in D. Tell the child you will help fix her
C. Encourage rooming-in
A nurse is assessing the pain level of a 3 year old who is postoperative following abdominal surgery. Which of the following pain scales should the nurse use. A. Word graphic rating scale B. Color tool C. FACES pain rating scale D. Numeric scale
C. FACES pain rating scale
A nurse is providing discharge teaching for the parent of a newborn who is prescribed a Pavlik harness for developmental dysplasia of the hip. Which of the following responses indicates an understanding? A. I should apply powder to the folds of skin on my baby's knees and thighs B. I should adjust the straps on the harness once a week as my baby grows C. I should lightly massage my baby underneath the straps once a day D. I should place my baby's diaper over the straps of the harness
C. I should lightly massage my baby underneath the straps once a day
A nurse is providing teaching to a parent of a preschooler who has impetigo. Which of the following statements by the parent indicates an understanding of the teaching? A. Impetigo is caused by a virus B. Impetigo is contagious for 48 hours after vesicles rupture C. I will wash my child's clothes in hot water D. My child now has immunity against impetigo
C. I will wash my child's clothes in hot water
A nurse is assessing a 24 month old toddler who has a new diagnosis of autism spectrum disorder. Which of the following findings should the nurse expect? A. Wanting to be held frequently B. Ability to build a tower of 10 cubes C. Impaired language skills D. Ability to stand on 1 foot
C. Impaired language skills
A nurse is admitting a child who has Wilm's tumor. Which of the following actions should the nurse take? A. Initiate contact precautions for the child B. Explain to the child's parents that chemotherapy will start 3 months after surgery C. Put a "no abdominal palpation" sign over the child's bed D. Prepare the child for a spinal tap
C. Put a "no abdominal palpation" sign over the child's bed
A nurse is providing nutritional teaching to an adolescent client who has celiac disease. Which of the following breakfast foods should the nurse recommend? A. Plain flour pastry B. Wheat cereal C. Scrambled eggs D. Rye toast
C. Scrambled eggs
A nurse is assessing a 4 year old child for growth and developmental milestones during a well-child visit. Which of the following findings suggests a possible delay in development? A. Inability to tie shoes B. Adding 3 parts to a stick figure C. Speaking using 2 or 3 word sentences D. Inability to walk backward
C. Speaking using 2 or 3 word sentences
A nurse is assessing a 7 year old child's psychosocial development. Which of the following findings should the nurse recognize as an indicator for further evaluation? A. The child prefers playmates of the same sex B. The child is competitive when playing board games C. The child complains daily about going to school D. The child enjoys spending time alone
C. The child complains daily about going to school
A nurse is assessing a preschooler who has influenza and reports the new onset of a sore throat and difficulty swallowing. Which of the following findings is the priority for the nurse to report to the provider? A. The child's temperature is 102 degrees B. The child's skin is sallow C. The child is drooling D. The child's voice is hoarse
C. The child is drooling
A nurse is caring for a child who has glomerulonephritis. Which of the following actions should the nurse take? A. Monitor the child's blood pressure twice a day B. Maintain the child on bed rest for 3 days C. Weight the child once every day D. Increase the child's daily sodium intake
C. Weight the child once every day
A nurse is creating a plan of care for a preschooler who was admitted for the treatment of measles. Which of the following activities should the nurse include in the client's care plan? A. Constructing a model airplane B. Playing a video game in the playroom C. Pulling a wagon with toys in the hallway D. Putting together a puzzle with large pieces
D. Putting together a puzzle with large pieces
A nurse is caring for a child who has tetralogy of Fallot. Which of the following laboratory values should the nurse expect to find? A. Platelet count of 20,000/mm^3 B. WBC 4,000/mm^3 C. Thyroid stimulating hormone 7.0 microunits/mL D. RBC 6.8 million/uL
D. RBC 6.8 million/uL
A nurse is assessing the development of a 3 year old child. Which of the following gross motor skills should the nurse expect the child to be able to perform? A. Skipping around the room B. Hopping on 1 foot C. Throwing a ball overhead D. Standing on 1 foot
D. Standing on 1 foot
A nurse is caring for a 5 year old who has a fever and begins to have a seizure. Which of the following actions should the nurse take? A. Give acetaminophen 240 mg PO immediately following the seizure B. Sponge the child's skin with a mixture of cold water and rubbing alcohol C. Administer rectal diazepam if the seizure lasts longer than 2 minutes D. Place the child in a side-lying position
D. Place the child in a side-lying position
A nurse is caring for a school-aged child who has hemophilia and fell on the playground. The child reports a pain level of 4 on a scale of 0-10/ A. Administer an NSAID B. Perform passive range of motion exercises on the joint C. Administer cyroprecipitate D. Apply an ice pack to the joint
D. Apply an ice pack to the joint
A nurse in the ED is assessing a preschooler for indications of child maltreatment. The nurse should identify that which of the following findings is a manifestation of physical abuse? A. Multiple dental caries B. Malnutrition C. Frequent UTIs D. Bruises at various stages of healing
D. Bruises at various stages of healing
A nurse is assessing a toddler who has AIDS. Which of the following findings is an indication of an opportunistic infection? A. Koplik spots B. Peripheral neuropathy C. Chancre D. Candidiasis
D. Candidiasis
A nurse is assessing a preschooler who has HIV. Which of the following manifestations should the nurse expect? A. Generalized petechiae B. Jaundice C. Obesity D. Chronic diarrhea
D. Chronic diarrhea
A nurse is planning care for a toddler who has acute gastroenteritis and was recently admitted. Which of the following should the nurse plan to provide for the child? A. Oral rehydration solution B. Bananas or applesauce C. Chicken or beef broth D. Hypertonic IV solution
A. Oral rehydration solution Promotes body's reabsorption of water and sodium and is more effective and less traumatic than the administration of IV fluids for the treatment of dehydration d/t diarrhea and emesis
A nurse is assessing a 3 year old preschooler. Which of the following developmental milestones should the nurse expect the preschooler to demonstrate? A. Stacking 10 blocks B. Printing 1 letter C. Tying shoelaces D. Using 7 word sentences
A. Stacking 10 blocks should use 3-4 word sentences and 7 at age 5
A nurse is caring for a preschool-aged kid who is dying. Which of the following findings is an age-appropriate reaction to death by the kid? (SATA) A. The kid views death as similar to sleep B. The kid is interested in what happens to the body after death C. The child recognizes that death is permanent D. The child believes his thoughts can cause death E. The child thinks death is a punishment
A. The kid views death as similar to sleep D. The child believes his thoughts can cause death E. The child thinks death is a punishment
A nurse is assessing an 18 month old toddler during a well-child examination. Which of the following findings should the nurse report to the provider? A. The toddler is unable to remove his shoes B. The toddler is unable to draw a plus sign C. The toddler is unable to jump off a sep D. The toddler is unable to turn 1 page of a book at a time
A. The toddler is unable to remove his shoes
A nurse is caring for a child who has a ruptured appendix. Which of the following positions should the nurse encourage the child to maintain? A. Supine B. Semi-Fowler's C. Sims' D. Orthopenic
B. . Semi-Fowler's
A nurse is assessing a school-aged kid 30 minutes post-op following a cardiac catheterization using the left femoral artery. Which of the following findings should the nurse identify as a the priority to report to the provider? A. The child rouses to verbal stimuli B. The pulse strength of the child's left popliteal artery site is decreased C. The child's respiratory rate is 20/min D. The child rates his pain at the catheter insertion site at a 7 on a scale of 0 to 10
B. The pulse strength of the child's left popliteal artery site is decreased
A nurse is teaching the parents of a toddler who has enterobiasis about managing this parasitic disease. Which of the following pieces of information should the nurse include in the teaching? A. You should encourage your child to take a tub bath daily B. You should keep your child's fingernails trimmed short C. You should dress your child in a 2-piece outfit at bedtime D. You should expect your child not to have a recurrence of the parasitic disease
B. You should keep your child's fingernails trimmed short
A nurse is caring for an infant who has pertussis. Which of the following actions should the nurse take? A. Assess for edema of the extremities B. Apply warm compresses to the neck area C. Initiate airborne precautions D. Maintain a cardiorespiratory monitor
D. Maintain a cardiorespiratory monitor
A nurse is teaching the guardian of a preschooler. The guardian states that the preschooler has had an imaginary playmate for about 3 months. Which of the following pieces of information should the nurse give the guardian? A. Children commonly begin having imaginary friends when they reach school age B. Notify your provider if the imaginary friend persists longer than 6 months C. Have your child take responsibility for actions if he tries to blame the imaginary friend D. Set limits by not allowing your child to have the imaginary friend present during family meals
C. Have your child take responsibility for actions if he tries to blame the imaginary friend
A nurse is providing education to the parent of a toddler who is about to receive an MMR immunization. Which of the following statements by the parent indicates an understanding of the teaching? A. My child should not play with other kids for 2 days B. I will need to return in 2 weeks for my child to receive the varicella immunization C. I will help my kid to blow bubbles during the injection D. My child may have some drainage from the injection site
C. I will help my kid to blow bubbles during the injection
A nurse is caring for an infant who has gastroenteritis and is dehydrated. Which of the following characteristics places the infant at a higher risk of electrolyte imbalances compared to an adult client? A. Less extracellular fluid B. Reduced body surface area C. Longer intestinal tract D. Decreased rate of metabolism
C. Longer intestinal tract
A nurse is obtaining a urine sample from a 5 month old infant by applying a urine collection bag. Which of the following actions should the nurse take first? A. Apply the collection bag to the skin at the area of the symphysis pubis B. Apply the collection bag to the skin at the area of the perineum C. Wash and dry the genitalia, perineum, and surrounding skin D. Stroke the muscles on either side of the infant's spine
C. Wash and dry the genitalia, perineum, and surrounding skin
A nurse on a pediatric oncology unit is helping the parents of a child who is terminally ill to prepare for the impending loss of their child. Which of the following statements should the nurse make? A. The nursing staff will bathe your child and take care of his daily needs B. Your child will be most comfortable in a low-stimulation environment C. Would you like assistance in planning where your child will die? D. Would you like hospice to continue providing curative care in your home?
C. Would you like assistance in planning where your child will die?
A nurse is providing teaching to the parents of an infant who is breastfeeding. When should the nurse instruct the parents to introduce solid foods in the infant's diet? A. After the rooting reflex disappears B. At 2-3 months of age C. After the infant's first tooth erupts D. At 4-6 months of age
D. At 4-6 months of age
A nurse is planning preoperative teaching for a 5 year old child. Which of the following interventions should the nurse include? A. Explain the long-term benefits of the procedure B. Provide diagrams and pictures while explaining the procedure C. Use correct medical terminology during the teaching session D. Explain the procedure in terms of what the child will feel, see, hear, and taste
D. Explain the procedure in terms of what the child will feel, see, hear, and taste
A nurse is providing teaching about home care to the guardian of a school-aged child who has seizures. Which of the following statements by the guardian indicates an understanding of the teaching? A. I will call an ambulance if my child's seizure lasts more than 10 minutes B. I will offer my child clear liquids immediately following a seizure C. I will tightly hold my child to restrain her during a seizure D. I will turn my child onto her side when a seizure begins
D. I will turn my child onto her side when a seizure begins
A nurse is assessing a school-aged child who has acute glomerulonephritis. Which of the following manifestations should the nurse expect? A. Hypokalemia B. Decreased blood pressure C. Increased urine volume D. Periorbital edema
D. Periorbital edema They'll have reduced urine volume
A nurse is preparing to obtain an antistreptolysin O (ASO) titer from a child who has acute glomerulonephritis. The child's parents ask the nurse to explain the purpose of the test. Which of the following responses should the nurse provide? A. The test determines the level of antibiotics in your child's blood B. The test tells us if your child ever had measles C. The test verifies the amount of albumin in your child's blood D. The test shows us if your child had a recent strep infection
D. The test shows us if your child had a recent strep infection
A nurse is assessing a 6 month old infant during a well-child visit. Which of the following motor activities should the nurse expect the infant to have achieved? A. Sitting alone B. Attempting to stack objects C. Picking up small objects with a crude pincer grasp D. Turning from back to stomach
D. Turning from back to stomach Sitting alone is at 9 months Stacking objects might start happening at 12 months Picking up objects with a crude pincer grasp is 9 months
A nurse is teaching the parent of a child who has ADHD and a new prescription for methylphenidate sustained-release tablets. Which of the following pieces of information should the nurse include in the teaching? A. Crush the medication and mix it in your child's food B. Administer the medication 1 hour before bedtime C. Expect your child to have cloudy urine while he is taking this medication D. Weigh your child twice per week while he is taking this medication
D. Weigh your child twice per week while he is taking this medication
A nurse is planning care for a 10 month old infant who has suspected FTT. Which of the following interventions should the nurse include in the plan of care? (Select all that apply) A. Observe the parents' actions when feeding the child B. Maintain a detailed record of food and fluid intake C. Follow the child's cues to time food and fluids D. Sit beside the child's high chair for feedings E. Play music videos during scheduled meal times
A. Observe the parents' actions when feeding the child B. Maintain a detailed record of food and fluid intake sit directly in front of the kid
A nurse is reviewing the medical record of a 2 month old with rotavirus. The nurse notes a hemoglobin level of 12g/dL and a hematocrit of 51%. Which of the following statements by the nurse indicates an understanding of the laboratory values? A. The infant might be dehydrated B. The infant might be anemic C. The infant might have received too much fluid D. The infant might have leukemia
A. The infant might be dehydrated
A nurse is performing a physical assessment on a 6 month old infant. Which of the following reflexes should the nurse expect to find? A. Stepping B. Babinski C. Extrusion D. Moro
B. Babinski
A nurse is assessing an infant who has acute gastroenteritis. Which of the following findings should the nurse identify as the priority? A. Decreased skin turgor B. Capillary refill 5 seconds C. Heart rate 150/min D. Dry mucous membranes
B. Capillary refill 5 seconds
A nurse is teaching the parent of a kid with type 1 diabetes how to manage the child's disorder during an illness such as a cold. Which of the following statement by the parent understanding of the teaching? A. I'll reduce my child's food intake B. I'll check his blood glucose more often C. I'll limit his fluid intake between meals D. I won't administer his long-acting insulin dose
B. I'll check his blood glucose more often
A nurse is caring for a 4 year old child who has pneumonia. The child's mother left 2 hours ago and is currently experiencing the separation anxiety stage of despair. Which of the following findings should the nurse expect? A. Crying and screaming B. Inactivity and thumb sucking C. Showing interest in nearby toys D. Attempting to escape and find the parent
B. Inactivity and thumb sucking
A home health nurse is developing a plan of care or a toddler who has hemophilia. Which of the following instructions for the parents should the nurse include in the plan? A. Administer low-dose aspirin for pain B. Inspect the toddler's toys for sharp edges C. Perform passive range-of-motion of the affected joint during a bleeding episode D. Avoid contact with people who have respiratory infections
B. Inspect the toddler's toys for sharp edges
A nurse is caring for a preschool-aged child who has mucosal ulceration after receiving chemotherapy. Which of the following actions should the nurse take? A. Place viscous lidocaine on the child's oral lesions B. Instruct the child to use a soft sponge toothbrush when brushing her teeth C. Encourage the child to rinse her mouth with hydrogen peroxide every 2-4 hours D. Give the child lemon glycerin swabs to use after each meal
B. Instruct the child to use a soft sponge toothbrush when brushing her teeth
A nurse is caring for a 3 year old child with a cyanotic cardiac defect. The child cries when her parents leave the room, worsening her cyanosis and dyspnea. Into which of the following positions should the nurse place the child to improve these manifestations? A. Orthopneic B. Knee-chest C. Sims' D. Semi-Fowler's
B. Knee-chest
A nurse is caring for an infant who is postoperative following a myelomeningocele repair. Which of the following is the priority action the nurse should take? A. Measure the infant's intake and output B. Measure the infant's head circumference C. Check the infant's lower extremity function D. Monitor the infant's blood pressure
B. Measure the infant's head circumference
A school nurse is assessing a child who has been stung by a bee. Their hand is swelling and the nurse notes they're allergic to insect stings. Which should the nurse expect if they develop anaphylaxis? A. Bradycardia B. Nausea C. Hypertension D. Urticaria E. Stridor
B. Nausea D. Urticaria E. Stridor
A nurse is assessing a child who is postoperative. Which of the following findings should the nurse identify as an indication that naloxone should be administered? A. Crackles in the lung bases B. Respiratory depression C. Nausea and vomiting D. Tachycardia
B. Respiratory depression
A nurse is evaluating the outcome of a surgery for an infant who had a bile duct obstruction. Which of the following findings should indicate to the nurse that the surgery was successful? A. The infant's stool becomes fatty B. The color of the infant's stool is yellowish-brown C. The infant's direct bilirubin level has increased D. A palpable mass is noted in the RUQ
B. The color of the infant's stool is yellowish-brown
A nurse is providing teaching about immunizations to the parents of a severely immunocompromised child who has HIV. Which of the following statements should the nurse include in the teaching? A. Your child's immunizations today will be half-doses B. The pneumococcal and influenza vaccines are recommended for your child C. Immunizations will be delayed until your kid tests HIV negative D. Your child will need to restart the immunization schedule once lab values are within the reference range
B. The pneumococcal and influenza vaccines are recommended for your child
A nurse is providing teaching for a parent about pinworm testing. At which of the following times should the nurse advise the parent to perform the tape test? A. Immediately after the child has a bowel movement B. After being on a clear liquid diet for 24 hours C. Immediately after the child wakes up in the morning D. After soaking for 20 minutes in a warm bath
C. Immediately after the child wakes up in the morning
A nurse is talking with the parent of a preschool-aged child who tells the nurse, "My child has suddenly become disinterested in certain foods." Which of the following statements should the nurse make? A. During this phase, feed your child anything that she will eat B. Increase the amount of calories and water your child consumes C. Keep a diary of the foods your child consumes D. Provide a large variety of fruit juices for your child to choose from
C. Keep a diary of the foods your child consumes
A nurse is providing teaching to the parent of a toddler who has bacterial conjunctivitis. Which of the following instructions should the nurse include? A. Clean secretions from the infected eye by wiping from the outer canthus toward the inner canthus B. Keep the infected eye covered with warm compresses for the first 24-48 hours C. Notify the provider immediately if the sclera becomes inflamed D. Apply pressure to the outer canthus of the eye for 1 minute after administering drops
C. Notify the provider immediately if the sclera becomes inflamed
A nurse is observinf a mother who is playing peek-a-boo with her 8 month old child. The mother asks if this game has any developmental significance. The nurse should reply that peek-a-boo helps develop which of the following concepts in the child? A. Hand-eye coordination B. Sense of trust C. Object permanence D. Egocentrism
C. Object permanence
A nurse is caring for an infant who is postoperative for the treatment of an intact myelomeningocele sac. In which of the following positions should the nurse place the infant? A. Side-lying B. Supine C. Prone D. Semi-Fowler's
C. Prone
A nurse at a community health department is discussing the nutritional needs of children with a group of parents and guardians. Which of the following pieces of information should the nurse include? A. Infants should be transitioned to low-calorie milk at 12 months B. Preschoolers need 10-12g protein/day C. Toddlers can be given up to 120-180 mL (4-6 oz) of juice per day D. School-age kids should be encouraged to avoid afternoon snacks
C. Toddlers can be given up to 120-180 mL (4-6 oz) of juice per day
A nurse is creating a plan of care for a 6 month old infant who requires continuous pulse ox monitoring. Which of the following interventions should the nurse include? A. Reposition the sensor to a new site once every 24 hrs B. Secure the oximetry sensor to the infant's wrist C. Apply conduction gel to the skin before attaching the sensor D. Cover the oximetry sensor with clothing
D. Cover the oximetry sensor with clothing
Which of the following actions should the nurse take first? A. Allow a parent to administer an injection to the nurse B. Have the child teach the injection technique to the parents C. Have a parent administer the insulin injection to the child D. Demonstrate the injection technique on an orange
D. Demonstrate the injection technique on an orange
A nurse is an emergency department is caring for a 4 year old child who has burns to the neck and face following a house fire. Which of the following actions should the nurse take first? A. Cover the child's wounds with a clean, dry cloth B. Establish IV access with a large-bore catheter C. Provide reassurance to the child's parents D. Determine the child's breathing pattern
D. Determine the child's breathing pattern
A nurse is assessing pain in a 3 year old kid following a tonsillectomy. Which of the following rating scales should the nurse use to determine the child's pain level? A. Word-graphic rating scale B. Color tool C. Poker chip tool D. FACES rating scale
D. FACES rating scale
A nurse is teaching a school-age child who is to undergo a bone marrow aspiration. Which of the following statements should the nurse make? A. I will give you an antibiotic before your procedure B. I will place you on your side during the procedure C. You might have a headache following the procedure D. I will place a pressure dressing over the area following the procedure
D. I will place a pressure dressing over the area following the procedure
A nurse is teaching an adolescent who has asthma about how to use a peak expiratory flow meter (PEFM). Which of the following responses by the adolescent indicates an understanding of the teaching? A. I will breathe in through the mouthpiece, hold my breath for 5 seconds, and then exhale B. If I get a reading in the green zone, I will tell my parents immediately C. I will slowly exhale through the mouthpiece over 10 seconds D. I will record the highest attempt of 3 attempts
D. I will record the highest attempt of 3 attempts
A nurse is caring for a child with cystic fibrosis who has a pulmonary infection. Which of the following findings is the nurse's priority? A. Blood streaking of the sputum B. Dry mucous membranes C. Constipation D. Inability to clear secretions
D. Inability to clear secretions
A nurse is providing teaching about home care to be parents of an infant who has diaper dermatitis. Which of the following instructions should the nurse include? A. Dry the affected area with a hair dryer on the low setting twice per day B. Use cloth diapers washed in a low-residue detergent C. Wash the genital area vigorously with each diaper change D. Leave the zinc oxide ointment intact and reapply as necessary during diaper changes
D. Leave the zinc oxide ointment intact and reapply as necessary during diaper changes
A nurse is teaching to a group of parents of adolescents about developmental needs. Which of the following statements by a parent should the nurse investigate further? A. My child has frequent mood swings B. My child has a very messy bedroom C. My child takes 1-2 showers a day D. My child spends 4 hours a day using online chat rooms
D. My child spends 4 hours a day using online chat rooms
A nurse is teaching the parent of a 12 month old infant about nutrition. Which of the following statements by the parent indicates a need for further teaching? A. I can give my baby 4 ounces of juice to drink each day B. I will offer my baby dry cereal and chilled banana slices as snacks C. I am introducing my baby to the same foods the family eats D. My infant drinks at least 2 qts of skim milk each day
D. My infant drinks at least 2 qts of skim milk each day
A nurse is assessing an adolescent who is receiving fentanyl via epidural. Which of the following assessments should the nurse identify as the priority? A. Skin around the catheter site B. Blood pressure C. Pain level D. Oxygen saturation
D. Oxygen saturation
A nurse is teaching a group of parents and guardians about otitis media. Which of the following should the nurse identify as a risk factor for this illness? A. Summer months B. Breastfeeding C. Ages 7-10 D. Passive smoking
D. Passive smoking
A nurse is caring for an 8 year old child who has acute glomerulonephritis. Which of the following findings should the nurse expect? A. Hypotension B. Stomatitis C. Bloody diarrhea D. Periorbital edema
D. Periorbital edema
A nurse is teaching a parent of an infant who has a colostomy. Which of the following statements by the parent indicates an understanding of the teaching? A. I will not dress my child in 1-piece outfits B. I need to buy diapers that are tighter than those my infant usually wears C. I need to apply paste to the back of the wafer on my child's appliance D. I will not need to toilet train my child
C. I need to apply paste to the back of the wafer on my child's appliance
A nurse is caring for an adolescent client who has a prescription for opioids. Which of the following findings should the nurse recognize as an adverse effect of opioids? A. Dilated pupils B. Tremors C. Yawning D. Pruritus
D. Pruritus
A nurse is teaching the parent of an infant about home safety. Which of the following pieces of information should the nurse include? (Select all that apply) A. Use a wheeled infant walker B. Place soft pillows around the edge of the infant's crib C. Position the car seat so it is rear-facing D. Secure a safety gate at the top and bottom of the stairs E. Maintain the water heater temperature at 120 degrees
C. Position the car seat so it is rear-facing D. Secure a safety gate at the top and bottom of the stairs E. Maintain the water heater temperature at 120 degrees
A nurse is teaching the parents of a toddler who had an anaphylactic reaction to peanut butter about administering injectable epinephrine. Which of the following instructions should the nurse include? A. Common sites for an injection of epinephrine are the fatty tissue found in the upper arm and lower abdomen. B. Administer prior to giving PB C. No further treatment is needed after the epinephrine D. You will need to increase the dosage as your child gains weight
D. You will need to increase the dosage as your child gains weight
A nurse is caring for a child who has been in Buck's traction for 2 days. Which of the following actions should the nurse take to prevent complications? A. Manually move the weights to the floor when the child is experiencing pain B. Check for pulses in the affected leg every 4 hours C. Cleanse the pins every 12 hrs D. Inform parents to discourage visitors for the child
B. Check for pulses in the affected leg every 4 hours
A nurse is caring for a child who has acute glomerulonephritis. Which of the following actions should the nurse take? A. Maintain the child on strict bed rest B. Check the child's blood pressure every 4 hours C. Administer albumin to the child every 8 hours D. Provide the child with a low carbohydrate diet
B. Check the child's blood pressure every 4 hours
A nurse is assessing the dynamics of a family in which child maltreatment is suspected. Which of the following findings should the nurse report to the provider? A. The parents provide emotional support to the child during the assessment process B. The child has several unexplained scars and bruises C. The child cries and appears afraid of the healthcare provider D. The parents offer consistent, detailed stories about the child's injuries
B. The child has several unexplained scars and bruises
