Peds Unit 4 25, 35, 36, 39
The nurse is reinforcing teaching with the caregiver of 5-year-old twins regarding urinary tract infections (UTIs). The caregiver is puzzled about why her daughter has had three urinary tract infections but her son has had none. She reports that their diets and fluid intake is similar. Which statement would be accurate for the nurse to tell this mother? A. "A girl's urethra is much shorter and straighter than a boy's, so it can be contaminated fairly easily." B. "Girls tend to urinate less frequently than boys, making them more susceptible to UTI's." C. "Girls need more vitamin C than boys to keep their urinary tract healthy, so your daughter may be deficient in vitamin C." D. "It is unlikely that your daughter is practicing good cleaning habits after she voids.
A
The parents of a toddler are concerned their child is not developing correctly and are questioning the nurse concerning the child's lack of effort to join other children in a group activity. Which response should the nurse prioritize in answering the parents? A. "This is normal for this age group. It's referred to as solitary independent play." B. "You should try to get your child involved in a local Boys and Girls club to encourage more interaction." C. "Perhaps getting your child interested in sports will improve their other play habits." D. "Your child is involved with others, just indirectly. See how they sit next to the other children and play with the same toys?"
A
. A nurse is preparing a presentation for a health fair discussing various aspects of preschoolers. Which example should the nurse use to best illustrate dramatic play? A. Playing apart from others without being part of a group B. Acting out a troubling or stressful situation C. Playing a video game with several other children D. Watching television or videos
B
A first-time father calls the pediatric nurse stating he is concerned that his 4- year-old daughter still wets the bed almost every night. Remembering his own experience of being punished for wetting the bed at 4 years old, he is not sure punishment is the best approach to address this. Which nursing instruction is the most appropriate? A. "Disciplining is not likely to be effective, but if the child keeps wetting the bed it may be necessary." B. "Bedwetting is not uncommon in young children. Try to calmly change the bed without showing your frustration." C. "Setting rules is a parent's job to help the child have acceptable social behavior, so take away a privilege each time she wets the bed." D. "Nightly bedwetting up to age 12 is developmentally typical, so you will need to practice patience with your daughter."
B
A group of nurses is reviewing the diagnosis of cystic fibrosis. With regard to the effect of this disease on the body, which parts of the body (besides the lungs) are most affected by this disease? A. Brain and spinal cord B. Pancreas and liver C. Heart and blood vessels D. Kidney and bladder
B
A symptom often seen in the child diagnosed with Haemophilus influenza meningitis occurs when the child has a stiff neck. This symptom is referred to as which of the following? A. opisthotonos B. nuchal rigidity C. encephalopathy D. purpuric rash
B
While the nurse is taking a blood pressure on a 4-year-old, the child states that the blood-pressure cuff is too tight and angrily says, "That hurt, you big poo-poo head." What is the most appropriate response by the nurse? A. Scold the child for the insult while apologizing for hurting her, and loosen the cuff. B. Calmly explain that you don't mean to hurt her, loosen the cuff, and tell her that is isn't nice to call you names. C. Explain that the cuff will only hurt for minute and ask the child's caregiver to please tell the child not to speak to you that way. D. Ask the child's caregiver to please hold the child on their lap until she calms down.
B
The caregivers of an 8-year-old bring their child to the pediatrician and report that the child has not had breathing problems before, but since taking up lacrosse the child has been coughing and wheezing at the end of every practice and game. Their friend's child has often been hospitalized for asthma; they are concerned that their child has a similar illness. The nurse knows that because the problems seem to be directly related to exercise, it is likely that the child will be able to be treated with: A. decreased activity and increased fluids. B. corticosteroids and leukotriene inhibitors. C. removal of allergens in the home and school. D. a bronchodilator and mast cell stabilizers.
D
The first method of choice for obtaining a urine specimen from a 3-year-old child with a possible urinary tract infection is: A. performing a suprapubic aspiration. B. placing a cotton ball in the underwear to catch urine. C. placing an indwelling urinary catheter. D. obtaining a clean catch voided urine
D
The nurse caring for the child with asthma weighs the child daily. What is the most important reason for doing a daily weight on this child? A. To determine medication dosages B. To monitor the child's growth pattern C. To ensure that the child's food intake is adequate D. To determine fluid losses
D
The nursing instructor is illustrating the various types of play. The instructor determines the class is successful when the students correctly choose which example as best representing onlooker play? A. playing apart from others without being part of a group B. acting out a troubling situation C. playing in an organized group with each other D. observing without participating
D
When assessing a child for the probable cause of acute bronchiolitis, the nurse focuses on which factor? A. Bacterial infections B. Environmental allergies C. Prenatal complications D. Viral infections
D
The nurse is collecting data on a 6-year-old child admitted with a possible urinary tract infection. Which vital sign might indicate the possibility of an infection? A. pulse rate 135 bpm B. pulse oximetry 93% on room air C. respirations 22 per minute D. blood Pressure 100/70
A
The nurse is discussing genitourinary conditions with a group of 16-year-old girls. One of the girls says she has heard about girls who have stopped taking birth control pills and now don't have periods. The condition the girl is referring to is: A. oliguria. B. amenorrhea. C. pyelonephritis. D. ascites.
B
A 12-year-old girl who has not yet reached menarche comes to the pediatrician's office for her annual well-child check. As the nurse is weighing and measuring her, the child says emphatically that she does not want to get her period. Which response would be most appropriate for the nurse to make to this child? A. "What have you heard about it that makes you worried?" B. "But it's a good thing, having a period is a part of growing up." C. "Are you afraid of getting pregnant?" D. "Do you think it will hurt?"
A
A 7-year-old client has been complaining of headache, coughing, and an aching chest. The care provider makes a diagnosis of a viral infection. The child's mother tells the nurse that when she first said she had a headache, the child's father gave her half of an adult aspirin. The mother has heard of Reye syndrome and asks the nurse if her child could get this. Which statement would be the best response by the nurse? A. "This might or might not be a problem. Watch your daughter for signs of lethargy, unusual irritability, confusion, or vomiting. If you notice any of these, bring her to the emergency room immediately so she can be checked for Reye syndrome." B. "This is a serious problem. Aspirin is likely to cause Reye syndrome, and she should be admitted to the hospital for observation as a precaution." C. "This is unlikely to be a problem. Half an aspirin is not enough to cause harm. Reye syndrome generall
A
A child is home with the caregivers following a treatment for a head injury. The caregiver should contact the care provider if the child makes which statement? A. "You look funny. Well, both of you do. I see two of you." B. "My stomach is upset. I feel like I might throw up." C. "I am glad that my headache is getting better." D. "It will be nice when you will let me take a long nap. I am sleepy."
A
A child is hospitalized with nephrotic syndrome. Which measurement is best for the nurse to determine the child's edema? A. weight, daily B. urine output, every shift C. amount of protein in the urine D. abdominal circumference
A
A child who has been diagnosed with minimal change nephrotic syndrome (MCNS) is being discharged after a 3-week hospitalization. Her edema has been greatly reduced and her appetite is beginning to return. Her caregivers have promised to have a family party to celebrate her return. The child has requested the following foods for the party. Which of these foods would the nurse suggest is appropriate for this child's diet? A. banana splits B. popcorn C. potato chips D. orange soda
A
A female nurse of childbearing ages caring for a 2-year-old child diagnosed with bacterial pneumonia. The child has been placed in a mist tent. In caring for the child, it is important for the nurse to: A. monitor the child regularly for signs of cyanosis. B. avoid contact with the mist. C. use contact transmission precautions. D. check for hyperthermia related to enclosure in the tent.
A
A school-aged child has come to the clinic with symptoms of a urinary tract infection. The child reports dysuria, frequency and hesitancy. What nursing assessment is most important for the nurse to complete? A. Assess for bladder distention. B. Measure the urine output. C. Monitor the temperature. D. Assess for flank pain.
A
In caring for the child with asthma, the nurse recognizes that bronchodilator medications are administered to children with asthma for which reason? A. Relief of acute symptoms B. Management of chronic pain C. To stabilize the cell membranes D. Prevention of mild symptoms
A
The caregivers bring a 2-year-old child to the emergency care center after becoming concerned when the child woke up in the middle of the night with a barklike cough and labored breathing. Which assessment question related to the child's condition earlier in the day would the nurse ask to rule out the possibility of spasmodic laryngitis? A. "Did the child have a runny nose?" B. "Was there any reason to think the child had difficulty swallowing?" C. "Did you notice the child drooling?" D. "Did the child breathe through the mouth rather than the nose?"
A
The mother of a child newly diagnosed with an intellectual disability tells the nurse that her partner disagrees with the diagnosis and believes that the child is perfectly normal. The mother shares with the nurse that she finds this reaction frustrating and confusing. Which action by the nurse would be appropriate in supporting this mother? A. Reassure the mother that her partner's reaction is a normal stage in the grieving process. B. Offer to speak with the partner to explain how the diagnosis was reached. C. Suggest that the couple get a second opinion about the child's condition. D. Recommend that the couple consider placing the child in foster care until they adjust to the diagnosis.
A
The nurse has brought a group of preschoolers to the playroom to play. Which activity would the nurse predict the children to become involved in? A. Pretending to be mommies and daddies in the playhouse B. Playing a board game C. Painting pictures in the art corner of the room D. Watching a movie with other children their age
A
The nurse is assessing a 4-year-old on a routine well-child visit. When assessing the gross motor skills of this preschooler, which activity will the nurse predict the child to be able to successfully accomplish? A. Hop on one foot B. Walk backwards with heel to toe C. Ride a bicycle D. Jump rope
A
The nurse is caring for a 5-year-old who has been hospitalized after an episode of asthma. As the nurse prepares to teach the child how to use the nebulizer, which action should the nurse prioritize? A. Allow the child to touch and play with the nebulizer for a few minutes before the treatment. B. Show the child how to use the nebulizer and tell the child how much easier it is to breathe afterward. C. Explain that the child will feel better after the treatment and allow the child to ask questions. D. Use a poster or brochure to illustrate to the child how the machine works.
A
The nurse is caring for a child who has been admitted with a possible diagnosis of tuberculosis. Which laboratory/diagnostic tools would most likely be used to help diagnose this child? A. Purified protein derivative test B. Sweat sodium chloride test C. Blood culture and sensitivity D. Pulmonary functions test
A
The nurse is caring for an 8-year-old child hospitalized with nephrotic syndrome. Which nursing intervention would be appropriate for this child? A. Measure the abdominal girth daily. B. Weigh the child once a week. C. Test the urine for ketones twice a day. D. Administer antipyretics as needed.
A
The nurse is interviewing the caregivers of a child brought to the emergency unit. The caregiver states, "She has a history of seizures but this time it lasted more than 30 minutes and she just keeps having them." The most accurate description of this child's condition would be: A. The child is in status epilepticus. B. The child is having generalized seizures. C. The child's history indicates she has infantile seizures. D. The child may begin to have absence seizures every day.
A
The nurse is observing a group of children diagnosed with various types of cerebral palsy. One of the children has an awkward and wide-based gait. The nurse recognizes this characteristic as common in which type of cerebral palsy? A. ataxic cerebral palsy B. athetoid cerebral palsy C. rigidity cerebral palsy D. spastic cerebral palsy
A
The nurse is reinforcing teaching with a group of caregivers of children diagnosed with asthma. Which statement best indicates an understanding of the management and treatment for this diagnosis? A. "We have taken the carpet out of our house and let my mom take our dog." B. "He knows how and even when he needs to use his peak flow meter." C. "Even the babysitter helps us keep up the diary with her symptoms." D. "The medications she takes are all in one place, ready for her to take at any time."
A
The pediatric nurse is discussing the daily activities of a 4-year-old with the caregiver to assess growth and development status. The nurse would document that the child has reached the initiative stage of development if the caregiver indicates the child participates in which activity? A. tries to sweep up spilled cereal but cries when can't do well B. broke a dish but blamed it on a friend the caregivers don't know C. refuses to hold anyone's hand while crossing the street D. gets upset when a babysitter is in charge, but will do what is asked by the babysitter
A
When caring for a child with acute bronchiolitis, which nursing interventions should be included in the plan of care? Select all that apply. A, B, C, E A. Encourage fluids. B. Administer oxygen. C. Suction the nose. D. Administer antibiotics. E. Follow contact precautions. F. Encourage activity.
A, B, C, E
The nurse caring for a 3-year-old child with a history of seizures observes the child having a seizure. What information should the nurse document concerning the event? Select all that apply. A, B, E, F A. Time the seizure started B. Factors present before seizure started C. Persons in attendance during seizure D. Number of seizures child has had in the last 48 hours E. Eye position and movement F. Incontinence of urine or stool
A, B, E, F
The LPN is working with the RN to develop a plan of care for a child with asthma. Which would be appropriate goals of treatment for this child? Select all that apply. A, C A. preventing symptoms B. decreasing activity levels C. preventing recurrence D. decreasing fluid intake E. relieving pain
A, C
The LPN is working with the RN to develop a plan of care for a child with nephrotic syndrome. Which of the following would be appropriate goals of treatment for this child? Select all that apply. A, C, E A. conserving energy B. encouraging a high-salt diet C. preventing infection D. restricting protein intake E. promoting coping
A, C, E
The mother of a 4-year-old is concerned her child is not eating well. In addressing the concerns of this mother, which foods should the nurse point out are high in protein? Select all that apply. A. cheese and crackers B. cookies and juice C. whole grain granola with yogurt D. strawberries and bananas E. turkey sandwich
A, C, E
A single male caregiver of a 14-year-old girl accompanies his daughter to her pre-high school physical. In the course of discussion about how his daughter is developing, he remarks, "She's terrific most of the time. Of course when she gets her period, she's miserable and mean, but I tell her that's just what it's like to be a woman." What would be the most appropriate response by the nurse? A. "PMS is a problem for a lot of women, but sometimes it's worse in the beginning. She might outgrow it." B. "There are nutritional and medical things she can do to lessen the symptoms; I'll give both of you information about some strategies and we'll track her for a few months." C. "That must be hard on you, especially because you are raising her by yourself." D. "That doesn't make being a woman sound very good. It would probably be easier for her if you could be more supportive."
B
During a class for caregivers of children with asthma, a caregiver asks the nurse the following question when medications are being discussed. "They told me about a plastic device my child can hold in his a hand which will give him a premeasured and exact amount of his corticosteroid." The nurse recognizes that the caregiver is most likely referring to which device? A. Medication cup B. Metered-dose inhaler C. Nebulizer D. Needleless syringe
B
In caring for the child with meningitis, the nurse recognizes that which nursing diagnosis would be most important to include in this child's plan of care? A. Delayed growth and development related to physical restrictions B. Risk for injury related to seizure activity C. Risk for acute pain related to surgical procedure D. Ineffective airway clearance related to history of seizures
B
The caregiver of a 2-year-old child tells the nurse, "They told me my daughter has an eye disorder called hyperopia." Which statement made by the mother indicates she has an understanding of this child's current condition? A. "She can see better close up than at a distance." B. "Now I know why when she is working on puzzles she says her eye is sleepy." C. "She has to have glasses right away." D. "At least by the time she gets married maybe she can have contacts."
B
The caregiver of a child being treated at home for acute glomerulonephritis calls the nurse reporting that her daughter has just had a convulsion. The child is resting comfortably but the caregiver would like to know what to do. The nurse would instruct the caregiver to take which action? A. Weigh the child in the same clothes she had been weighed in the day before and report the two weights to the nurse while the nurse is on the phone. B. Take the child's blood pressure and report the findings to the nurse while the nurse is still on the phone. C. Give the child a diuretic and report back to the nurse in a few hours. D. Give the child fluids and report back to the nurse in a few hours.
B
The location of the kidneys in the child in relationship to the location of the kidneys in the adult makes which fact a greater likelihood in the child? A. The adult has less fat to cushion the kidney. B. The child has a greater risk for trauma to the kidney. C. The child has more frequent urges to empty the bladder. D. The adult has a greater chance of retaining fluids than the child.
B
The nurse cares for a 7-year-old child with new-onset seizure disorder. Which prescription will the nurse anticipate for this client? A. frequent temperature assessment B. use of anticonvulsant medications C. ketogenic diet D. vagus nerve stimulation
B
The nurse is assessing a 3-year-old at a routine well-child visit. Which assessment should the nurse prioritize in the vision check? A. visual acuity B. eye coordination C. depth perception D. color perception
B
The nurse is assessing a 3-year-old at a well-child visit and the child appears to be progressing well. Which activity will the nurse ask the child to attempt to appropriately assess the fine motor skills of this preschooler? A. Use scissors. B. Button clothes. C. Tie shoelaces. D. Print a few letters
B
The nurse is assigned four pediatric clients with diagnoses of acute bronchiolitis and acute interstitial pneumonia. When discussing the history of the disorder, the nurse anticipates which for the age of onset? A. "It is most often seen in premature newborns right after they are born." B. "Most children who have this are about 6 months old." C. "It usually occurs when children start school, around the age of 5." D. "Most children with this disorder are in their teens.
B
The nurse is caring for a child admitted with acute glomerulonephritis. Which clinical manifestation would likely have been noted in the child with this diagnosis? A. Loose, dark stools B. Tea-colored urine C. Strawberry-red tongue D. Jaundiced skin
B
The nurse is caring for a child admitted with asthma. Which clinical manifestations would likely have been noted in the child with this diagnosis? A. Elevated temperature B. Wheezing C. Circumoral cyanosis D. Clubbed fingers
B
The nurse is caring for a child admitted with focal onset motor seizures (simple partial motor seizures). Which clinical manifestation would likely have been noted in the child with this diagnosis? A. The child had jerking movements in the legs and facial muscles. B. The child had shaking movements on one side of the body. C. The child was rubbing the hands and smacking the lips. D. The child was dizzy and had decreased coordination.
B
The nurse is caring for a child who has been admitted with a possible diagnosis of cystic fibrosis. Which laboratory/diagnostic tools would most likely be used to help determine the diagnosis of this child? A. Purified protein derivative test B. Sweat sodium chloride test C. Blood culture and sensitivity D. Pulmonary functions test
B
The nurse is caring for a child who is being evaluated for a possible nephroblastoma. Which nursing intervention would be important for this child? A. Monitor for protein in the urine at each voiding. B. Protect the child from having the abdomen palpated. C. Check blood pressure every 2 hours. D. Measure the child's intake and output every hour.
B
The nurse is caring for an 8-year-old hospitalized child who is visually impaired. Which nursing intervention would be the highest priority in helping this child reduce anxiety related to hospitalization? A. The nurse takes the child to the playroom and lets her touch the toys. B. The nurse talks to the child when entering and leaving the room. C. The nurse encourages the child to call her friends on the telephone. D. The nurse stays with the child during meals and helps her eat
B
The nurse is caring for several clients on the pediatric unit. When interacting with the preschool-age child, which action does the nurse predict will occur? A. Increased attention span and can be interested in an activity for a long length of time B. Takes in new information at a rapid rate and asks "why" and "how" C. Insists doing something and the next moment reverts to being dependent D. Grows and develops skills more rapidly than at any other time in their life
B
The nurse is collecting data from the caregivers of a child admitted with seizures. Which statement indicates the child most likely had an absence seizure? A. "His arms had jerking movements in his legs and face." B. "He was just staring into space and was totally unaware." C. "He kept smacking his lips and rubbing his hands." D. "He usually is very coordinated, but he couldn't even walk without falling.
B
The nurse is collecting data on a 2-year-old child admitted with a diagnosis of urinary tract infection. When interviewing the caregivers, which question would be most important for the nurse to ask? A. "Is your child potty trained?" B. "Has your child complained of pain?" C. "How often do you bathe your child?" D. "Do any of your other children have a temperature?"
B
The nurse is discussing discipline issues with a group of caregivers of preschoolaged children who have a cognitive impairment. One father tells the group that after he tells his child to stop doing something, the child just continues. Parents in the group make the following statements. Which statement indicates an understanding of disciplining the cognitively impaired child? A. "We hold a family meeting to explain to our other children that she gets away with things they will not get away with because of her impairment." B. "We wait until a behavior happens a second time and immediately put our child in time-out." C. "We always take away a privilege our child has been looking forward to, such as going to a movie next weekend." D. "My wife and I just ignore the behavior and if there is a mess, clean up the mess. He doesn't understand that he has an impairment."
B
The nurse is discussing urinary tract infections (UTI's) in children with a group of peers. Which fact is the most accurate regarding urinary tract infection seen in children? A. Urinary tract infections are rarely seen after toilet training. B. The most common age for UTIs in children is 2 to 6 years of age. C. Males between the ages of 10 to 12 years of age commonly get UTIs. D. Girls who have gone through puberty most commonly get UTIs
B
The nurse is doing discharge teaching for a child who has had a tonsillectomy. The nurse tells the client and family that the child should have plenty of fluids. In addition, the nurse would explain to the child's caregiver that the child may: A. have a painful earache around the third day postoperatively, but the earache will be gone by the fourth day. B. vomit dark, old blood, but the caregiver should call the clinic if the child has bleeding between the fifth and seventh days postoperatively. C. be given ice cream and milk the first postoperative day because these foods make swallowing easier. D. have severe throat pain for up to 2 weeks postoperatively; this is not a concern
B
The nurse is monitoring children playing in the unit's playroom. The nurse notes that some children are involved in associative play by which actions? A. drawing pictures in the art area B. pushing toy cars around on a large rug with roads C. playing a board game with each other D. several children engrossed in their own tool-and-bench set
B
The nurse is reinforcing teaching with the family caregivers of a child diagnosed with tuberculosis who is being treated with the drug rifampin. Which statement made by the caregivers indicates an understanding of this medication? A. "My son will have to take this medication the rest of his life." B. "While she is taking this medication, I won't worry if her tears look orange." C. "This medication may cause slight bleeding when she urinates." D. "He will not be able to attend school for the first few months that he is on this medication."
B
The nurse is talking with the mother of a 4-year-old boy who will soon be going to a pre-kindergarten program. The child has had the Snellen vision test done at home, and he was unable to distinguish the pictures at the distance that would indicate his vision is normal. The child's mother asks the nurse if he will need glasses. Which statement made by the nurse would be most appropriate regarding the child's vision? A. "He might be suffering from hyperopia and probably will need glasses now." B. "A child's vision is not completely developed by this age. Your child might outgrow this nearsightedness." C. "He is likely to have a slight astigmatism, which almost always needs to be corrected by glasses." D. "His vision problem will get in the way of his learning, so he will probably have to have glasses before he starts school."
B
The nurse is teaching an in-service program on children diagnosed with nephrotic syndrome. Which statement made by the nurse accurately reflects information on the disease process? A. "These children have such a big appetite and are always hungry." B. "The child may look chubby, but he is really malnourished." C. "When you look at the urine of these children it is smoky and bloody." D. "Their lab work shows a decreased level of cholesterol."
B
The nurse is teaching an in-service program to a group of colleagues on the topic of children diagnosed with acute glomerulonephritis. In which age range is the peak incidence of this disorder noted? A. 2 to 4 years of age B. 6 to 7 years of age C. 12 to 13 years of age D. 15 to 17 years of age
B
The nurse makes the statement that if an older child inhales a foreign body, the inhaled object is more likely to be drawn into the right bronchus rather than the left. What is the basis for this statement? A. The left bronchus is shorter and wider than the right. B. The right bronchus is shorter and wider than the left. C. Both bronchi are the same size, but the left is more vertical than the right. D. The left bronchus is more vertical than the right.
B
The parent of a 4-year-old is expressing concern that this child is not talking as much—or as well—as her other children did at that age. Which question should the nurse prioritize when assessing this preschooler for this concern? A. "How often do you or a family member read to your child?" B. "Has your child had their hearing tested?" C. "Does your child have opportunities to have conversations with other people?" D. "Do you praise and give your child encouragement when the child tries to talk with you?"
B
Urinary tract infections are usually successfully treated by what means? A. Increasing fluids, such as cranberry juice B. Administering antibiotics C. Performing bladder irrigations D. Administering diuretics
B
What information is most correct regarding the nervous system of the child? A. The child's nervous system is fully developed at birth. B. As the child grows, the gross and fine motor skills increase. C. The child has underdeveloped fine motor skills and well-developed gross motor skills. D. The child has underdeveloped gross motor skills and well-developed fine motor skills
B
What statement is the most accurate regarding the structure and function of the newborn's respiratory system? A. The diameter of the child's trachea is the same as that of adults. B. Most infants are nasal breathers rather than mouth breathers. C. The respiratory tract in the child is fully developed by age 2. D. Infants and young children have smaller tongues in proportion to their mouths
B
Which of these age groups has the highest actual rate of death from drowning? A. infants B. toddlers C. preschool children D. school-aged children
B
. A group of nursing students is discussing terminology related to the genitourinary system during a post-conference setting. One of the students asks what mittelschmerz is or what it means. A classmate of this student correctly answers that mittelschmerz is: A. a symptom of premenstrual syndrome. B. the beginning of menstruation. C. a dull, aching abdominal pain at ovulation. D. a medication given to treat dysmenorrhea
C
. If the child follows a normal development process, the child's kidneys will most likely have reached their full size and function by which age? A. 5 years of age B. 8 years of age C. 12 years of age D. 20 years of age
C
. The nurse is teaching a group of nursing students about genitourinary conditions. The nurse tells these students about a condition that occurs when there is an inflammation of the kidney and renal pelvis. The condition the nurse is referring to is: A. oliguria. B. amenorrhea. C. pyelonephritis. D. ascites.
C
A 2-year-old child has had a common cold for 4 days. The caregiver calls the nurse in the emergency department at 2 a.m. on a cold winter night to say that the child has awakened with a barking cough and an elevated temperature; the child seems blue around the mouth. The nurse would appropriately recommend what action to the caregiver? A. "Put a cool mist humidifier or vaporizer in the room to see if that relieves the cough. Call back if there is no relief in an hour." B. "Bundle the child up and take the child out into the cold for a few minutes. Call back if the exposure to the cold air does not provide relief." C. "Bring the child to the emergency room immediately." D. "Turn on all of the hot water taps in the bathroom and close the door. Take the child into the steam-filled room for 15 minutes. If there is no relief, bring the child to the emergency room."
C
A symptom often seen in acute glomerulonephritis is edema. The most common site the edema is first noted is in which area of the body? A. Ankles B. Hands C. Eyes D. Sacrum
C
Haemophilus influenzae meningitis is usually spread by which method of transmission? A. intravenous B. fecal C. droplet D. contact
C
If the newborn is following a normal development process, the child will most likely void when which amount of urine is in the bladder? A. 3 ml B. 6 ml C. 15 ml D. 25 ml
C
Most urinary tract infections seen in children are caused by: A. hereditary causes. B. fungal infections. C. intestinal bacteria. D. dietary insufficiencies.
C
The caregiver of a 2-year-old calls the clinic concerned that her child may have pushed paper into her ears, and she asks the nurse what to do. The mother found the child pushing on her ears with torn paper on the floor in front of her. What would be the appropriate response by the nurse? A. "Wait for a day or two to see if the child's ears seem irritated. If they do, bring her in." B. "Sterilize a pair of narrow tweezers. While someone else holds the child's head still, carefully insert the tweezers and remove the paper if there is any." C. "The child should be seen by a care provider. Don't put anything in her ear and bring her in right away." D. "Wash her ear out using warm water and an ear syringe then the paper will flush out with the water."
C
The caregiver of a child with a history of ear infections calls the nurse and reports that her son has just told her his urine "looks funny." He also has a headache, and his mother reports that his eyes are puffy. Although he had a fever 2 days ago, his temperature is now down to 100 ℉ (37.8 ℃). The nurse encourages the mother to have the child seen by the care provider because the nurse suspects the child may have: A. a urinary tract infection. B. lipoid nephrosis (idiopathic nephrotic syndrome). C. acute glomerulonephritis. D. rheumatic fever
C
The caregivers of a child who was diagnosed with cystic fibrosis 5 months ago report that they have been following all of the suggested guidelines for nutrition, fluid intake, and exercise, but the child has been having bouts of constipation and diarrhea. The nurse tells the caregiver to increase the amount of which substance in the child's diet? A. Iodized salt B. Saturated fat C. Pancreatic enzymes D. Calories from protein
C
The father of a 4-year-old is concerned his child is not telling the truth and blaming others for things that have happened. Which response should the nurse prioritize after the father shares that the child is blaming someone named "Andrew" for a broken tool, and they have no idea who this is? A. "You should punish your son because no child should be telling lies at this age." B. "You need to show your child the broken tool since at this age they must see something in order to understand." C. "Your son may have a friend named Andrew, but it could be an imaginary friend."
C
The health care provider orders amoxicillin 35 mg/kg/day in three divided doses for a child with otitis media. The child weighs 44 lb and the medication is available in a suspension of 50 mg/ml. What is the total daily dosage in ml for this child? A. 0.4 ml B. 1.4 ml C. 14.0 ml D. 140 ml
C
The nurse at a camp for children with asthma is teaching these children about the medications they are taking and how to properly take them. The nurse recognizes that many medications used on a daily basis for the treatment of asthma are given by which method? A. Directly into the vein B. Through a gastrostomy tube C. Using a nebulizer D. Sprinkled onto the food
C
When caring for an infant who is hospitalized with Haemophilus influenzae meningitis, an important nursing intervention for the child would be for the nurse to: A. restrain the child before and during a seizure. B. place the child in a side-lying position and keep the position using pillows. C. monitor intake and output and increase fluid intake every 4 hours. D. check the child's neurologic status every 2 hours.
D
The nurse caring for a deaf child is preparing to give the child an intramuscular injection in the child's upper arm. The child's attention is focused on the caregiver on the opposite side of the bed. Before administering the injection, it would be most important for the nurse to do which of the following? A. Pat the child gently on the shoulder to get his attention and point to her own arm so he knows she is giving him the injection. B. Ask his caregiver to point out that the nurse is there. C. Move around the bed and make eye contact, then show the child the syringe and indicate that the shot is going to be given. D. Ask the caregiver to keep the child's attention focused on her
C
The nurse is bottle feeding an infant diagnosed with pneumonia. An important action for the nurse to take is clearing the infant's nose, and then the nurse should feed the infant using: A. a large-holed nipple so that the infant doesn't have to work too hard. B. the smallest-holed nipple available so that the infant can exercise the muscles. C. a nipple that is small enough so that the baby doesn't choke, but not so small that they have to work too hard to eat. D. a nipple specially designed to fit an infant's mouth
C
The nurse is caring for a child admitted with focal onset impaired awareness seizure (complex partial seizure). Which clinical manifestation would likely have been noted in the child with this diagnosis? A. The child had jerking movements and then the extremities stiffened. B. The child had shaking movements on one side of the body. C. The child was rubbing the hands and smacking the lips. D. The child was dizzy and had decreased coordination.
C
The nurse is collecting data for a child diagnosed with acute glomerulonephritis. What would the nurse likely find in this child's history? A. The child has a sibling with the same diagnosis. B. The child had a congenital heart defect. C. The child recently had an ear infection. D. The child is being treated for asthma
C
The nurse is collecting data on a child with a diagnosis of tonsillitis. Which clinical manifestation would likely have been noted in the child with this diagnosis? A. bark-like cough B. hoarseness C. erythema of the pharynx D. inability to make audible voice sounds
C
The nurse is doing a presentation for a group of nursing students about the topic of menstrual disorders. After discussing the disorder secondary amenorrhea, the students make the following statements. Which statement made by the nursing students is the most accurate regarding the cause of secondary amenorrhea? A. "It is caused from taking birth control pills when a girl is younger than 13 years old." B. "This disorder is usually seen after a girl has had a spontaneous abortion (miscarriage)." C. "Emotional stress can be a cause of this disorder." D. "This is what happens if a 16-year-old girl has never had any periods at all.
C
The nurse is doing an in-service training with nurses working with families who may be in situations that create high-risk health situations for their children. The nurse explains that children of caregivers with which situation should be tested annually for tuberculosis? A. a caregiver with a diagnosis of HIV B. a caregiver who has been serving in the military in the Middle East C. a caregiver whose family is homeless D. a caregiver who immigrated from Africa before her child was born
C
The nurse is observing 4-year-old twins during their well-child appointment. Which observation by the nurse would indicate the children are demonstrating cooperative play? A. They competitively stack blocks and keep score of who stacks the highest number of blocks. B. They play with dollhouse furniture, each with different room furnishings. C. They are building a house for their dolls with blocks in the room. D. They sit on the floor, near each other, and look at different picture books
C
The nurse is preparing a safety presentation for a health fair for families. Which instruction should the nurse prioritize when illustrating car safety and the family? A. "Stop the car any time the preschooler unbuckles the restraints." B. "Explain that wearing a seat belt is a law and the police officer will give a ticket if the seat belt is not buckled." C. "Set a good example. Wear your own seat belt every time you drive." D. "Reward the child with candy or some other treat each time the child keeps the seat belt on.
C
The nurse is presenting an in-service on the types of playing that children may engage in. The nurse determines the session is successful when the attending nurses correctly choose which example as representing cooperative play? A. Playing apart from others without being part of a group. B. Playing together in an activity without organization. C. Playing in an organized group with each other. D. Playing independently and are side-by-side
C
The nurse is presenting nutritional information at a community health fair. Which suggestion should the nurse prioritize when illustrating proper nutrition for preschoolers? A. Need three big meals a day due to rapid growth B. Need extra calcium for proper muscle growth C. Snacks throughout the day help the child meet nutritional requirements D. Should drink at least 4 cups of milk each day
C
The nurse is providing education to the caregivers of a child recently diagnosed with tonic-clonic seizure disorder. What instructions should the nurse provide related to the tonic stage of this type of seizure? A. Be prepared for the child to report being dizzy. B. Ask the child whether he or she is experiencing any unusual sensory sensations. C. Monitor the child's breathing closely. D. Be prepared for the child to be temporarily confused.
C
The nurse is reinforcing teaching with the caregivers of a child who has had a head injury and is being discharged. Which statement made by the caregiver indicates an accurate understanding of the follow-up care for this child? A. "If he falls asleep, we will wake him up every 15 minutes." B. "We can give him acetaminophen for a headache, but no aspirin." C. "Even if the flashlight bothers him, we will check his eyes." D. "If he vomits again, we will bring him back immediately."
C
The nurse is teaching a group of parents about eyes and eye concerns. The nurse tells these caregivers about a condition that occurs when unequal curvatures in the cornea bend the light rays in different directions and this causes images to be blurred. The condition the nurse is referring to is: A. Refraction B. Myopia C. Astigmatism D. Hyperopia
C
The nurse is working with a group of caregivers of children diagnosed with asthma. Which statement made by a caregiver is most accurate regarding the triggers that may cause an asthma attack? A. "My neighbor told me that asthma attacks are caused by hot weather." B. "I always thought that a lack of exercise caused my child's asthma." C. "My sister and her family love animals, and when we go to their house my daughter always has an asthma attack." D. "One person told me that asthma is caused by using antibiotics for infection."
C
The nurse is working with a group of caregivers of small children discussing various disorders seen in children. One of the caregivers makes the statement that her children always seem to have a common cold. After discussing this condition, the caregivers make the following statements. Which statement indicates the most accurate understanding of a complication related to the common cold? A. "When my 6-month-old gets a cold, I know her temperature will be high." B. "At least with a cold they only have diarrhea for a few days." C. "Next time he has a cold, I will watch closely to see if my 1-year-old pulls at his ears." D. "Last week my son came home from school with a cold and I gave him Tylenol for the pain."
C
The parents of 5-year-old boy are concerned about the how a recent motorcycle accident to his father will affect the child. Although the father has fully recovered, the child is very concerned if the father is away longer than expected; the child is not as talkative but appears withdrawn and quiet. The nurse should point out the child's behavior is likely related to which factor? A. The child is afraid of losing his father and trying show how much he loves him. B. The boy is afraid of being hurt himself and thinks being "especially good" will protect him from accidents. C. The boy believes he caused the accident by telling his father he "hoped he crashed" when the boy couldn't go along. D. The child is imitating the adults' behavior and just trying to be nice to everyone
C
The student nurse is collecting data on a child diagnosed with cystic fibrosis and notes the child has a barrel chest and clubbing of the fingers. In explaining this manifestation of the disease, the staff nurse explains the cause of this symptom to be: A. impaired digestive activity. B. high sodium chloride concentration in the sweat. C. chronic lack of oxygen. D. decreased respiratory capacity.
C
When collecting data on a preschool-aged child during a well-child visit, the nurse discovers the child has gained 12 lb (5.4 kg) and grown 2.5 inches (6.3 cm) in the last year. The nurse interprets these findings to indicate which situation? A. Weight and height are within expected patterns of growth. B. Weight falls within an expected range and height is less than what would be expected. C. Weight is above an expected range and height is within an expected range. D. Weight is below an expected range and height is above an expected range.
C
When caring for a child who has a diagnosis of acute glomerulonephritis, which nursing interventions would most likely be included in the child's plan of care? Select all that apply. C, D, E, F A. The nurse encourages ambulation several times a day. B. The nurse promotes increased fluid intake. C. The nurse administers diuretics. D. The nurse administers antihypertensives. E. The nurse weighs the child every day using the same scale. F. The nurse dipsticks the child's urine to test for protein.
C, D, E, F
When caring for a child who has a urinary tract infection, which nursing interventions would be most appropriate. Select all that apply. A. The nurse encourages the child to void every 30 minutes. B. The nurse positions the child on a bedpan rather than on the toilet. C. The nurse observes for signs of pain or burning on urination. D. The nurse monitors intake and output. E. The nurse administers pain medications each time the child voids. F. The nurse administers antipyretics as needed.
C, D, F
. The pediatric nurse is meeting with a group of preschoolers' family members to discuss various health topics. The nurse determines the sexual development session is successful after overhearing which comment by one of the participants? A. "When I find my son masturbating, I will tell him that is unacceptable." B. "I will tell my daughter that she will have time to explore her body as she gets older." C. "I will encourage my son to ask his father any questions that are sexual in nature." D. "I feel better knowing that her curiosity is normal."
D
A 4-week-old infant is diagnosed with acute bronchiolitis. The parent states, "I do not know how the baby got this!" How should the nurse respond? A. "Do you have allergies in the family?" B. "Do any family members have history of asthma?" C. "Do you have air conditioning in your house?" D. "Has your infant been around any crowds?"
D
A caregiver brings her 7-year-old son to the pediatrician's office, concerned about the child's bedwetting after being completely toilet trained even at night for over 2 years. The caregiver further reports that the child has wet the bed every night since returning home from a 1-week fishing trip. The child refuses to talk about the bedwetting. The nurse notes the child is shy, skittish, and will not make eye contact. Further evaluation needs to be done to rule out what possible explanation for the bedwetting? A. The child has a urinary tract infection due to not bathing while on the fishing trip. B. The child is out of the habit of waking himself up during the night to void. C. The child did not want to go on the fishing trip and is now retaliating against being made to go. D. The child has been sexually abused, maybe on the fishing trip
D
During a well-child visit, the caregiver expresses concern that the 3-year-old child often stutters when speaking. Which response should the nurse prioritize to best assist this family? A. "Stuttering is common in young children because they are not physically capable of forming all the sounds." B. "Stuttering is usually indicative of a hearing loss." C. "Difficulties with speaking generally indicate that the adults in the child's life are not reading to the child enough." D. "Children of this age may stutter while they search for just the right word.
D
In caring for the child with asthma, the nurse recognizes that which nursing diagnosis would be the highest priority in this child's plan of care? A. Delayed growth and development related to physical restrictions B. Risk for fluid volume excess related to medications C. Risk for infection related to anatomic structures of involved body system D. Ineffective airway clearance related to the diagnosis
D
The caregiver of a 6-month-old boy calls the nurse concerned about her child. The child has been irritable, fussy, and is sneezing. The child's temperature is 100oF (37.8oC). The nurse suspects that the cause of the symptoms is: A. pneumonia. B. a pollen-based allergy. C. cystic fibrosis. D. a common cold.
D
The caregiver of a child diagnosed with allergic rhinitis asks the nurse working in the allergy clinic why her child frequently pushes his nose upward and backward. Which response accurately explains this action? A. The child is attempting to draw attention to his/her nose. B. The child has a nasal discharge and he is trying to keep his nose from running. C. The child is concerned that he is going to sneeze and is trying to stop the sneeze. D. The child is trying to relieve the itching and open the air passages
D
The caregiver of a child who has a history of seizures reports that her child was complaining of being dizzy, and the caregiver noted the child seemed drowsy and was clumsy. The nurse recognizes that the description of the child's behavior was most likely which stage of a tonic-clonic seizure? A. aura B. clonic C. postictal D. prodromal
D
The caregivers of a child report that their child had a cold and complained of a sore throat. When interviewed further they report that the child has a high fever, is very anxious, and is breathing by sitting up and leaning forward with the mouth open and the tongue out. The nurse recognizes these symptoms as those seen with which disorder? A. Spasmodic laryngitis B. Tonsillitis C. Laryngotracheobronchitis D. Epiglottitis
D
The nurse is caring for a child who has been admitted with a diagnosis of asthma. What laboratory/diagnostic tool would likely have been used for this child? A. Purified protein derivative test B. Sweat sodium chloride test C. Blood culture and sensitivity D. Pulmonary functions test
D
The nurse is collecting data on a 6-year-old child admitted with acute glomerulonephritis. Which vital sign would the nurse anticipate with this child's diagnosis? A. Pulse rate 112 bpm B. Pulse oximetry 93% on room air C. Respirations 24 per minute D. Blood pressure 136/84
D
The nurse is collecting data on an 18-month-old child admitted with a diagnosis of possible seizures. When interviewing the caregivers, which questions would be most important for the nurse to ask? A. "Is your child up to date on his immunizations?" B. "Has anyone in your family been sick recently" C. "What type of activities was your child doing today?" D. "Have you checked your child's temperature?"
D
The nurse is meeting with a group of young parents to discuss nutrition and their preschooler. Which response should the nurse prioritize when asked if using desserts as a reward for good behavior is an appropriate idea? A. The child may only behave on days when dessert is something that is liked. B. The child will learn to choose sweets over nutritious food. C. This will result in the child being overweight. D. The child can use food to manipulate others' behavior
D
The nurse is observing a child following an eye injury. Which symptom should alert the nurse to the possibility that the child's uninjured eye may be exhibiting signs of an inflammatory reaction? A. swelling or dryness B. brightness of vision C. discharge of purulent drainage D. an intolerance to light
D
The nurse is preparing discharge education for the caregivers of a child with a seizure disorder. Which goal of treatment is priority for this client? A. The caregivers will be prepared to care for the child at home. B. The child will have an understanding of the disorder. C. The family will understand seizure precautions. D. The child will remain free from injury during a seizure
D
The nurse is reinforcing teaching about medications with the parents of a 2- year-old who has cystic fibrosis. The nurse suggests that pancreatic enzymes may be given by which method? A. Directly into the vein B. Through a gastrostomy tube C. Using a nebulizer D. Sprinkled onto the food
D
The nurse is teaching the caregivers of a child with cystic fibrosis. What is most important for the nurse to teach this family? A. Be sure the child exercises daily. B. Watch out for signs that family members are overly stressed. C. Avoid overprotecting the child. D. Encourage everyone in the family to use good handwashing techniques
D
The nurse recognizes that what would be a likely physiologic cause for a child to have enuresis? A. Regression to get attention B. Stress and stressful situations C. Sexual abuse D. Sleeping too soundly
D
