set

The nurse is teaching the parent of an infant with a temporary ileostomy about stoma care. What is the most important instruction to emphasize to the parent to avoid an emergency situation? - "Gather all of your supplies before you begin." - "Call the healthcare provider immediately if the stoma is not pink/red and moist." - "You may need adhesive remover to ease pouch removal." - "You must be meticulous in caring for the surrounding skin."

"Call the healthcare provider immediately if the stoma is not pink/red and moist."

The nurse is caring for a 2-year-old child with an umbilical hernia and is teaching the parent about this condition. Which response from the parent indicates a need for further teaching? - "I need to watch for pain, tenderness, or redness." - "Incarceration is rare, but it can occur." - "I can tape a quarter over the hernia to reduce it." - "My child could have some appearance-related self-esteem issues."

"I can tape a quarter over the hernia to reduce it."

The nurse in the emergency department is caring for a child who has a simple contusion of the right eye following a motor vehicle accident. Upon discharge to home, which response by the parents requires further clarification? - "Our child will probably have a black eye for at least a couple of weeks." - "The blood in the white part of the eye is normal with this type of injury." - "I will need to apply heat to the eye four times a day." v"For the first 24 hours I will apply ice for 20 minutes, then leave it off for 20 minutes."

"I will need to apply heat to the eye four times a day."

The nurse is caring for a newborn with facial nerve palsy from birth trauma. The parent is very upset and concerned about the child's prognosis. Which response by the nurse would be most appropriate? - "Was this from pressure resulting from forceps?" - "This is the most common facial nerve palsy." - "In most cases treatment is not necessary, only observation." - "Have you seen any signs of improvement?"

"In most cases treatment is not necessary, only observation."

A nurse is taking the history of a 4-year-old child who will undergo a cardiac catheterization. Which statement by the parent may necessitate rescheduling of the procedure? - "My child is allergic to iodine and shellfish." - "My child seems listless and slightly warm." - "My child is not taking any medication." - "My child is very scared and nervous about the procedure."

"My child seems listless and slightly warm."

The nurse is caring for a 6-year-old child with myelomeningocele. The nurse is teaching the parent how to promote appropriate bowel elimination and avoid constipation. Which response from the parent indicates a need for further teaching? - "My child's activity is too limited to stimulate the bowels." - "I can palpate my child's abdomen to assess for constipation" - "My child must have an adequate amount of fluid." - "I need to figure out my child's usual pattern for passing stool."

"My child's activity is too limited to stimulate the bowels."

After teaching the parents of a child diagnosed with pernicious anemia about the disorder and treatment, the nurse determines that the teaching was successful when the parents state: - "We will need to plan for a bone marrow transplant soon." - "Our child needs to eat more green leafy vegetables to cure the anemia." - "Our child will need to have those vitamin shots for life." - "Our child might get constipated from the supplement."

"Our child will need to have those vitamin shots for life."

The nurse is caring for a 2-year-old child with sickle cell anemia and describing the acute and chronic manifestations of sickle cell anemia to the parent. Which statement by the parent indicates a need for further teaching? - "Aplastic crisis is a life-threatening acute manifestation of sickle cell anemia." - "Delayed growth and development and delayed puberty are chronic manifestations." - "Bone infarction, dactylitis, and recurrent pain episodes are acute manifestations." - "The acute manifestations, like splenic sequestration, are most often life-threatening."

"The acute manifestations, like splenic sequestration, are most often life-threatening."

The nurse is caring for an infant with grade II vesicoureteral reflux (VUR). The parent is very fearful that her child will have progressive renal damage. Which response by the nurse would be most appropriate? - "This condition usually resolves spontaneously with no symptoms." - "You can expect recurrent urinary tract infections along with progressive renal damage." - "Your child will most likely need surgical intervention." - "This problem must be carefully managed to avoid permanent damage."

"This condition usually resolves spontaneously with no symptoms."

The nurse is teaching the parents of a 6-year-old child who has sustained a large laceration about providing care to the wound at home. The nurse determines that the parents need additional teaching when they state: - "We need to keep the wound tightly bandaged for at least 3 days." - "We should call the healthcare provider if the wound becomes red and hot looking." - "If our child starts telling us that the pain is increasing, we need to have it checked out." - "If we notice some yellowish drainage, we need to call the healthcare provider."

"We need to keep the wound tightly bandaged for at least 3 days."

The nurse is educating the parents of a 7-year-old child who has hearing loss due to otitis media with effusion. Which statement by the parents indicates that further education is needed? - "Using hand gestures as visual cues should help our child understand a little better." - "We need to make sure we are speaking clearly." - "We need to face our child when we are speaking." - "We need to raise the volume of our voices significantly so our child can hear us."

"We need to raise the volume of our voices significantly so our child can hear us."

A child is to receive an oral corticosteroid as part of the treatment regimen for leukemia. After teaching the child and family about this drug, the nurse determines the need for additional teaching when they state: - "We should check our child's urine for glucose." - "He might develop a rounded face from this drug." - "We should administer the drug on an empty stomach." - "We will need to gradually decrease the dosage."

"We should administer the drug on an empty stomach."

A child is experiencing an acute exacerbation of Crohn disease for which she is prescribed prednisone. The nurse teaches the parents and child about this medication. Which statement by the parents indicates that the teaching was successful? - "This drug helps to control the abdominal cramping." - "We might notice some of the medication in her stool" - "She might lose some weight initially." - "We should not stop this medication abruptly."

"We should not stop this medication abruptly."

After teaching the parents of a 6-year-old child about caring for a sprained wrist, which statement by the parents indicates the need for additional teaching? - "We'll make sure she keeps her arm above heart level." - "We can wrap the wrist in an elastic bandage to help reduce the swelling." - "We'll apply a warm moist compress to the wrist for 20 minutes at a time." - "She'll need to limit any activity that involves the wrist."

"We'll apply a warm moist compress to the wrist for 20 minutes at a time."

An 8-year-old child is scheduled for an exercise stress test. Which instruction would be most important for the nurse to emphasize? - "You'll have to wear the monitor for 24 hours." - "You get some medicine that will make you sleepy." - "You need to report any symptoms you are having during the test." - "You need to lie very still during this test."

"You need to report any symptoms you are having during the test."

The nurse is speaking with the parent of a 2-year-old child recently diagnosed with an autism spectrum disorder. The parent asks about educational programs for her child. What is the best response by the nurse? - "Children with an autism spectrum disorder enrolled in public schools can have an individualized educational plan to help meet their specific needs." - "Children with an autism spectrum disorder are able to function on their own and do not need any special support at school." - "Children with an autism spectrum disorder can only go to special schools, not public schools, so you will need to get your name on a waiting list soon." - "Children with an autism spectrum disorder are not eligible to participate in any of the local early educational programs provided since they are only open to children with cognitive impairment."

- "Children with an autism spectrum disorder enrolled in public schools can have an individualized educational plan to help meet their specific needs."

The nurse is preparing an 18-month-old for discharge after treatment for dehydration following diarrhea. What instruction would the nurse most likely include in the discharge teaching? - "Give her plenty of fruit juice or soda." - "Make sure she gets lots of clear liquids." - "Encourage bananas, applesauce, and crackers." - "Offer her flavored gelatin if she is hungry."

- "Encourage bananas, applesauce, and crackers."

The nurse has performed client teaching to a 15-year-old child with Crohn disease, and parents regarding the cobblestone lesions in the child's small intestine. Which comment by the child indicates learning occurred? - "I may end up with a colectomy because the disease is continuous from the beginning to the end of my intestines." - "I have a lot of diarrhea every day because of how my small intestine is damaged." - "I have to be careful because I am prone to not absorbing nutrients." - "It's unusual for someone my age to get Crohn disease."

- "I have to be careful because I am prone to not absorbing nutrients."

The nurse is caring for a 10-year-old child recently diagnosed with attention deficit hyperactivity disorder (ADHD). The nurse would expect to provide teaching regarding which medication? - Trazodone - Buspirone - Fluoxetine - Methylphenidate

- Methylphenidate

The nurse is caring for an infant with a myelomeningocele who has paralysis of the lower extremities. Which action would be most appropriate to help reduce friction resulting from this paralysis? - Place a folded diaper in between the legs. - Place synthetic sheepskin under the infant's chest. - Place the child on a special care mattress. - Place a pad beneath the diaper area and change frequently.

- Place a folded diaper in between the legs.

The nurse is taking a health history of a 12-year-old child presenting with scrotal pain. Which assessment finding would indicate testicular torsion? - Fever, scrotal swelling, and urethral discharge - Sudden onset of severe scrotal pain with significant hemorrhagic swelling - Hardened and tender testicle with edema and erythema of scrotum - Enlarged inguinal glands and fever

- Sudden onset of severe scrotal pain with significant hemorrhagic swelling

After assessing a child, the nurse suspects coarctation of the aorta based on a finding of: - bounding pulse. - narrow pulse. - femoral pulse weaker than brachial pulse. - hepatomegaly.

- femoral pulse weaker than brachial pulse.

A group of students are reviewing the role of neurotransmitters in the development of depression. The students demonstrate a need for additional study when they identify which neurotransmitter as being involved? - γ-Aminobutyric acid (GABA) - Serotonin - Norepinephrine - Dopamine

- γ-Aminobutyric acid (GABA)

Nurses who will be working on the pediatric unit are attending an in-service program about sickle cell disease. During the program, the nurse manager describes the steps for managing sickle cell pain. Place these steps in the sequence in which the nurse manager would describe them. - Administer fluids. - Look for complications or cause of pain. - Give medications and use distraction. - Assess the pain. - Provide rest in a quiet area. - Believe the child's report of pain.

1) Assess the pain. 2) Believe the child's report of pain. 3) Look for complications or cause of pain. 4) Give medications and use distraction. 5) Provide rest in a quiet area. 6) Administer fluids.

The nurse is caring for a child in sickle cell crisis. To best promote hemodilution, the nurse would expect to administer how much fluid per day intravenously or orally? - 120 mL/kg of fluids per day - 150 mL/kg of fluids - 130 mL/kg of fluids per day - 110 mL/kg of fluids

150 mL/kg of fluids

The nurse is assessing the blood pressure of a toddler. Which finding would the nurse document as a normal finding? 80/40 mm Hg 90/64 mm Hg 110/60 mm Hg 100/60 mm Hg

90/64 mm Hg

The nurse is conducting a physical examination of an 18-month-old with suspected intussusception. Which finding would the nurse identify as the hallmark of this condition? - A sausage-shaped mass in the upper midabdomen - Perianal skin tags - Skin tenting - Abdominal pain and guarding

A sausage-shaped mass in the upper midabdomen

The nurse is caring for a 6-year-old child with an abdominal neuroblastoma prior to having a magnetic resonance imaging (MRI) scan without contrast done. Which intervention would the nurse expect to perform? - Encouraging fluid intake to increase radionuclide uptake - Advising the healthcare provider that the child is allergic to shellfish - Applying EMLA to the injection site prior to inserting the IV - Administering a sedative as ordered to keep the child still

Administering a sedative as ordered to keep the child still

What would the nurse expect to be ordered for a child with acute lymphoblastic leukemia who develops tumor lysis syndrome? - Leukapheresis - Dexamethasone - Inotropics - Allopurinol

Allopurinol

The nurse is screening a 4-year-old child for vision problems. What problem could result in loss of vision? Amblyopia Diplopia Exotropia Nystagmus

Amblyopia

The nurse is discussing communication options with the parents of a 2-year-old child with congenital hearing loss. The nurse integrates knowledge of what form of communication as having no verbal component? - Oral deaf education - Total communication - American Sign Language - Cued speech

American Sign Language

A nurse is performing a physical examination of a child with a suspected musculoskeletal dysfunction. Which assessment technique would the nurse assume would not be used? - Palpation - Observation - Auscultation - Inspection

Auscultation

The nurse is preparing a presentation for a local health fair on autism spectrum disorders. What statement would the nurse include as part of the presentation? - Scientific evidence supports the use of complementary therapies. - Children respond best when the environment is less structured. - Autism spectrum disorders cannot be cured. - Communication therapies are of little value in treating autism spectrum disorders.

Autism spectrum disorders cannot be cured.

After teaching a group of students about medications commonly used for neuromuscular disorders, the nursing instructor determines that the teaching was successful when the students identify which agent as a centrally acting skeletal muscle relaxant? - Prednisone - Botulin toxin - Baclofen - Lorazepam

Baclofen

A child is diagnosed with intussusception. The nurse anticipates that what action would be attempted first to reduce this condition? - Barium enema - Upper endoscopy - Endoscopic retrograde cholangiopancreatography - Surgery

Barium enema

The nurse is taking a health history of a 2-year-old child presenting with a sudden onset of severe vomiting. Which description would suggest an obstruction? - Projectile vomiting - Bilious vomiting - Bloody vomiting - Effortless vomiting

Bilious vomiting

The nurse is assessing an 11-year-old child diagnosed with acute myelogenous leukemia (AML) who came to the emergency department. What would alert the nurse to the need for immediate intervention? - Observation discloses weight loss and muscle wasting. - CBC indicates hyperleukocytosis. - Child complains of headache and vision problems. - Palpation reveals lymphadenopathy in the axillae.

CBC indicates hyperleukocytosis.

A child is to undergo testing for suspected muscular dystrophy and is scheduled for the following tests. Which test would the nurse identify as most important to be completed first? - Electromyogram - Muscle biopsy - Creatine kinase - Nerve conduction velocity

Creatine kinase

The nurse is caring for a 10-year-old child with iron toxicity. What would the nurse expect the healthcare provider to order? - Succimer - Edentate calcium disodium - Dimercaprol - Deferasirox

Deferasirox

A child with cerebral palsy is referred for physical therapy. When describing the rationale for this therapy, the nurse would emphasize what as the primary goal? - Enhance feeding capabilities - Development of fine motor skills - Promote optimal self-care ability - Development of gross motor movement

Development of gross motor movement

The nurse is caring for a 10-year-old child in traction. The child is experiencing muscle spasms associated with the traction. What would the nurse expect to administer if ordered? - Diazepam - Alendronate - Narcotic analgesics - Pamidronate

Diazepam

The nurse is assessing an infant for peripheral edema. Based on the nurse's knowledge, the nurse would expect edema to occur in which area first? - Lower extremities - Face - Presacral region - Upper extremities

Face

The nurse is caring for a 15-year-old adolescent with psoriasis. In addition to the plaques, what would the nurse expect to note? - Lichenification - Fever and malaise - Fissures and scaling on palms and soles - Hyperpigmentation

Fissures and scaling on palms and soles

The nurse is providing discharge teaching to an adolescent who has been treated for pelvic inflammatory disease (PID). What would the nurse include as a preventive measure? - Using a vaginal douche routinely - Using oral contraceptives as prescribed - Insisting that sexual partners use condoms - Suggesting that sexual partners use antibiotic ointment

Insisting that sexual partners use condoms

A child returns to the clinic after an episode of otitis externa, which has resolved. What would the nurse emphasize as the priority for preventing future episodes? - Performing hand washing - Adhering to regular follow-up to assess for hearing loss - Keeping ear canals dry - Avoiding upper respiratory tract infections

Keeping ear canals dry

An infant with a femur fracture is placed in Bryant traction. What would the nurse include in the infant's plan of care? - Removing the traction boot every 8 hours - Provide range of motion to the unaffected extremity - Wrapping the bandages from the ankle to the knee - Keeping the buttocks slightly elevated

Keeping the buttocks slightly elevated

The nurse is caring for a child who has been hospitalized repeatedly at multiple hospitals. There is no clear medical diagnosis and the parent is threatening to leave the hospital against medical advice. The nurse suspects what issue? - Anxiety disorder - Sexual abuse - Bipolar disorder - Medical child abuse

Medical child abuse

A 6-month-old infant who was born premature is being seen for a follow-up examination. The child is to receive an intramuscular injection monthly through the winter and spring season. Which drug would the nurse expect to be ordered? - Palivizumab - Nedocromil - Zanamivir - Amantadine

Palivizumab

A nurse is conducting a physical examination of a 5-year-old child with spinal muscular atrophy (SMA) type 2. What assessment findings would the nurse expect to find? - Loss of strength in hip extension - Pectus excavatum - Pseudohypertrophy of the calves - Loss of strength in ankle dorsiflexion

Pectus excavatum

The nurse is caring for a 7-year-old child who has just had a tonsillectomy. Which intervention is least appropriate for this child? - Placing the child on his side - Applying an ice collar - Discouraging the child from coughing - Providing fluids by straw

Providing fluids by straw

The nurse is assessing a child with a hordeolum. Which would the nurse be least likely to observe? - Eyelid edema - Lesion along the lid margin - Reddened conjunctiva - Pain

Reddened conjunctiva

When developing the postoperative plan of care for a child with sickle cell anemia who has undergone a splenectomy, which would the nurse identify as the priority? - Deficient fluid volume - Risk for delayed growth and development - Risk for infection - Impaired skin integrity

Risk for infection

The nurse is providing care to a 2-year-old child who is experiencing hypoxemia related to a respiratory infection. The nurse understands that which anatomic characteristic accounts for the higher risk of hypoxemia in children? - Diaphragmatic breathing - Smaller number of alveoli - Compliant chest walls - Narrow trachea and bronchi

Smaller number of alveoli

The nurse assesses a child for clubbing. What would the nurse identify as the initial sign? - Rounding of the fingers - Thickening of the nail ends - Shininess of the nail ends - Softening of the nail beds

Softening of the nail beds

The nurse is caring for a 6-month-old child with diarrhea and dehydration. The parent is concerned because the child has some patches on the tongue. Which feature indicates a geographic tongue rather than thrush? - There are plaques on the buccal mucosa. - The patches are thick, white plaques on the tongue. - There are white patches on the erupted teeth. - The patches are light in color on the tongue.

The patches are light in color on the tongue.

The nurse has administered oral penicillin as ordered for prophylaxis of endocarditis. The nurse instructs the parents to immediately report which reaction? - Nausea with diarrhea - Wheezing - Abdominal distress - Stomach upset

Wheezing

The nurse is caring for a newborn who is scheduled for cardiac surgery to correct a diagnosed defect. Which statements by the parent demonstrates understanding of the situation? (Select all that apply.) a- "I know my child uses up a lot of energy feeding but it doesn't seem to cause distress when I breast feed." b- "I have read that human milk fortifier can be added to my breast milk for additional calorie needs if necessary." c- "I hope my baby doesn't have to have feeding through a feeding tube after surgery, but I know that is a possibility." d- "Since having the surgery my baby sometimes nurses for almost an hour." e- "I'm sure is likely that my baby will be in intensive care after surgery. I believe I can pump so he can still receive my milk."

a- "I know my child uses up a lot of energy feeding but it doesn't seem to cause distress when I breast feed." b- "I have read that human milk fortifier can be added to my breast milk for additional calorie needs if necessary." c- "I hope my baby doesn't have to have feeding through a feeding tube after surgery, but I know that is a possibility." e- "I'm sure is likely that my baby will be in intensive care after surgery. I believe I can pump so he can still receive my milk."

The nurse is caring for an 11-year-old presenting with tenderness in the shoulder. He is the pitcher for his baseball team and reports shoulder pain with active internal rotation but is able to continue past the pain with full range of motion. Based on these reported symptoms, the nurse is aware that the disorder is most likely to be: - epiphysiolysis of the proximal humerus. - Sever disease. - epiphysiolysis of the distal radius. - Osgood--Schlatter disease.

epiphysiolysis of the proximal humerus.

Vision screening reveals that a child has myopia. The nurse interprets this as: - eye and brain are not working together properly. - light rays being focused in front of the retina. - light rays being bent unevenly. - farsightedness.

light rays being focused in front of the retina.

The nurse is assessing a child and notices pinpoint hemorrhages appearing on several different areas of the body. The hemorrhages do not blanch on pressure. The nurse documents this finding as: - purpura. - petechiae. - ecchymosis. - poikilocytosis.

petechiae.

The history of a 2-year-old child reveals ingestion of clay over the past 6 weeks. The nurse documents this as: - anorexia. - bulimia. - rumination. - pica.

pica.

The nurse is assessing a 13-year-old adolescent with an eye injury. The nurse determines that evaluating pupillary response to light and accommodation is not appropriate based on the suspicion of a: - scleral hemorrhage. - simple contusion. - corneal abrasion - foreign body.

scleral hemorrhage.

A nurse is assessing a newborn and observes webbing of the fingers and toes. The nurse documents this finding as: - pectus carinatum. - metatarsus adductus. - syndactyly. - polydactyly.

syndactyly.

The emergency department nurse is caring for a 3-year-old child with an arm injury. The parent is very upset because the parent believes she broke her child's arm. "I was lifting her by her hands and felt a pop in her wrist. She instantly started screaming." The child is now guarding and refusing to move the arm. Which response by the nurse would be most appropriate? - "This is most likely nursemaid's elbow; you will have to be more careful in the future." - "You probably dislocated the radial head when you lifted her." - "The popping noise was the ligament surrounding the radial head becoming entrapped." - "The arm isn't broken. This injury is common and easily fixed with no complications."

"The arm isn't broken. This injury is common and easily fixed with no complications."

A 10-year-old child who is receiving therapy has received ondansetron before this therapy session. About an hour later, the child tells the nurse that his mouth feels really dry. The child has urinated several times and his skin turgor is normal. Which response by the nurse would be most appropriate? - "You might be having a severe allergic reaction. Are you itchy?" - "This indicates an infection. We need to start antibiotics." - "The drug you got to help with the nausea can cause dry mouth." - "Let me increase your intravenous fluids."

"The drug you got to help with the nausea can cause dry mouth."

The nurse is caring for a 10-year-old child with cystic fibrosis who receives pancreatic enzymes. Which comment by a parent demonstrates understanding of the instructions regarding the medication? - "Between meals is the best time to give the enzymes." - "I should reduce the dose if she has large, malodorous stools." - "I should give the enzymes before each meal or snack." - "I should stop the enzymes if my child is taking antibiotics."

- "I should give the enzymes before each meal or snack."

A group of students are reviewing the different classes of drugs used for cancer chemotherapy. The students demonstrate understanding of these agents when they identify what as cell cycle-specific agents? - Nitrogen mustards - Antimetabolites - Alkylating agents - Nitrosoureas

- Antimetabolites

The nurse is caring for a 6-year-old child with Russell traction applied to the left leg. Which intervention would be most appropriate to prevent complications? - Provide pin care as needed. - Clean and massage the entire leg daily. - Adjust the weights as needed. - Assess the popliteal region carefully for skin breakdown.

- Assess the popliteal region carefully for skin breakdown.

A child is scheduled for a urea breath test. The nurse understands that this test is being performed for which reason? - Determine esophageal contractility - Confirm pancreatitis - Detect Helicobacter pylori - Evaluate gastric pH

- Detect Helicobacter pylori

A group of students are reviewing the effects of sickle cell anemia on the various parts of the body. The students demonstrate a need for additional study when they identify what as an effect? - Pulmonary hypertension - High urine specific gravity - Cholelithiasis - Chest syndrome

- High urine specific gravity

A nursing instructor is preparing a class presentation about tibia vara. What would the instructor include as a risk factor? - Obesity - Hormonal alterations during puberty - Lack of sunlight exposure - Late walking

- Obesity

The nurse is obtaining the history of an adolescent who is suspected of having anorexia nervosa. What findings would the nurse expect? (Select all that apply.) - Warm hands and feet - Syncope - Diarrhea - Desire for perfectionism - Secondary amenorrhea

- Syncope - Desire for perfectionism - Secondary amenorrhea

The nurse is to obtain a stool specimen from a 4-year-old child who has very liquid stool. The child is ambulatory but weak. Which collection method would be most effective for the nurse to use? - Apply a urine bag to the anal area. - Use a clean bedpan to collect the specimen. - Use a tongue blade to scrape a specimen from a diaper. - Have the child defecate into a container in the toilet.

Apply a urine bag to the anal area.

A group of students are reviewing information about acute rheumatic fever. The students demonstrate a need for additional review when they identify what as a major Jones criterion? - Carditis - Erythema marginatum - Subcutaneous nodules - Arthralgia

Arthralgia

The nurse is caring for a 14-year-old child with atrial fibrillation. Which medication would the nurse expect to be prescribed? - Alprostadil - Indomethacin - Digoxin - Furosemide

Digoxin

The nurse is teaching the family of a 6-year-old child with allergic conjunctivitis how to minimize the exposure to allergens. What action would the nurse anticipate as being most difficult for the family to implement? - Making sure the child showers and shampoos before bedtime - Rinsing the child's eyelids with a clean washcloth and cool water - Washing the child's hands and face when returning from outdoors - Encouraging the child to keep the hands away from the eyes

Encouraging the child to keep the hands away from the eyes

A nurse is preparing a presentation for a health fair focusing on prevention of congenital neuromuscular disorders. What would the nurse emphasize as most important in preventing neural tube defects? - Ultrasound screening at 16 weeks' gestation - Folic acid supplementation - Maternal serum α-fetoprotein levels screening - Genetic testing for gene identification

Folic acid supplementation

The nurse is preparing a presentation for a local community parent group about measures to prevent the common cold. What would the nurse stress as a vital prevention measure? - Avoiding second-hand smoke - Antibiotic use for household members with colds - Frequent hand washing - Minimizing exposure to crowds, especially during the spring

Frequent hand washing

The nurse is caring for a 6-year-old child with non-Hodgkin lymphoma who is being treated with monoclonal antibodies. What recommendation would the nurse include in the child's plan of care? - Assessing for signs of capillary leak syndrome - Assessing the child's hydration status secondary to vomiting - Monitoring for allergic reactions or anaphylaxis - Monitoring for complaints of bone pain

Monitoring for allergic reactions or anaphylaxis

When developing the preoperative plan of care for an infant with bladder exstrophy, which would the nurse least likely include? - Placing the infant in a side-lying position - Changing soiled diapers immediately - Sponge-bathing instead of tub bathing - Covering the bladder with a sterile plastic bag

Placing the infant in a side-lying position

The school nurse is caring for a 12-year-old child with a bloody nose. Which action would be most appropriate for the nurse to do? - Seat the child with his head tipped back and apply ice or a cold cloth to the nose. - With the child lying on his back, apply pressure to the bridge of the nose. - Seat the child leaning forward and pinch the anterior portion of the nose closed. - With the child lying on his back, pinch the anterior portion of the nose closed.

Seat the child leaning forward and pinch the anterior portion of the nose closed.

A 14-year-old child is diagnosed with tinea versicolor. What would the nurse expect the nurse practitioner to order? - Diphenhydramine - Topical nystatin - Selenium sulfide - Oral griseofulvin

Selenium sulfide

The nurse is caring for a 3-year-old child with suspected iron-deficiency anemia. Which test would the nurse expect to be ordered to confirm the diagnosis? - Hemoglobin electrophoresis - Reticulocyte count - Serum ferritin - Iron test

Serum ferritin

The nurse is assessing an adolescent with suspected osteosarcoma. What would the nurse be least likely to assess? - Severe bone pain - Swelling of the extremity - Gait changes - Erythema of the extremity

Severe bone pain

The nurse is caring for an 11-year-old with otalgia and fever. When reviewing the child's medical record, which would the nurse identify as a risk factor for acute otitis media? - The child had a first episode of acute otitis media 3 months ago. - The child lives with the parents and older sister. - The child was breastfed, not bottle-fed. - The parent has had recurrent otitis media.

The parent has had recurrent otitis media.

A nurse is conducting a physical examination on an 11-year-old child with Legg--Calvé--Perthes disease. Which assessment finding would be expected? - Loss of strength in ankle dorsiflexion - Kyphosis - Lordosis - Trendelenburg gait

Trendelenburg gait

The nurse is obtaining the history from the parents of an infant who suffered an episode of apnea. If the apnea was an acute life-threatening event, what would the nurse expect the parents to report? (Select all that apply.) a. Altered muscle tone b. Coughing c. Tachycardia d. Change in color e. Bradycardia

a. Altered muscle tone b. Coughing d. Change in color e. Bradycardia

The nurse is providing family education for the prevention or early recognition of vaso-occlusive events in sickle cell anemia. Which response by a family member indicates a need for further teaching? - "We need to seek medical attention for abdominal pain." - "We must watch for unusual headache, loss of feeling, or sudden weakness." - "We should call the healthcare provider for any fever over 100°F (37.8°C)." - "We must be compliant with vaccinations and prophylactic penicillin."

"We should call the healthcare provider for any fever over 100°F (37.8°C)."

The nurse is conducting a routine wellness examination of a 13-year-old adolescent. Which question would be best to use when beginning to discuss sexual behavior? - "Are you curious about sex?" - "What do you like to do on the weekend?" - "Do you talk to your parent about sex?" - "Are you sexually active?"

"What do you like to do on the weekend?"

The nurse is teaching the parents of a female child with a myelomeningocele how to perform clean intermittent catheterization. The nurse determines that the teaching was effective when the parents return demonstrate the procedure and state: - "We need to insert the catheter about 6 inches so that we make sure the catheter is in the bladder." - "Before inserting the catheter, we need to wipe her labia with normal saline from back to front." - "We need to apply some petroleum jelly to her labia and the catheter before we attempt to insert it." - "When the urine stops flowing, we should press on the lower belly to ensure the bladder is empty."

"When the urine stops flowing, we should press on the lower belly to ensure the bladder is empty."

The nurse is caring for a child with celiac disease. The parents and the child have attended a class with a group of other clients with the disorder. Which statements by the child or the parents indicate the need for further teaching? (Select all that apply.) - "I must be careful to eat only 100% whole grain foods." - "I hope they find a cure for celiac disease some day." - "I love pasta, so as long as I only eat it occasionally I should be fine." - "My brother and sister are more likely to develop celiac disease since I have it." - "Celiac disease is the same as gluten intolerance that everyone is talking about these days."

- "I must be careful to eat only 100% whole grain foods." - "I love pasta, so as long as I only eat it occasionally I should be fine." - "Celiac disease is the same as gluten intolerance that everyone is talking about these days."

The nurse is caring for a 13-year-old adolescent with acne vulgaris and is teaching the adolescent about skin care. Which response by the adolescent indicates a need for further teaching? - "It is best to avoid hats and headbands." - "I should use a humectant moisturizer." - "I should avoid eating any kind of chocolate." - "I must use my medicine daily so that it will work."

- "I should avoid eating any kind of chocolate."

A topical corticosteroid is prescribed for a child with contact dermatitis. Which statement by the parent would indicate the teaching was successful? - "I need to shake the preparation before using it." - "I should use the highest-potency steroid cream I can find." - "I should not cover the area with plastic wrap after applying the cream." - "I should apply the medicine at bedtime and rinse it off in the morning."

- "I should not cover the area with plastic wrap after applying the cream."

The nurse is providing child and family education prior to discharge following a cardiac catheterization. The nurse is teaching about signs and symptoms of complications. Which statement by the parent indicates a need for further teaching? - "Strenuous activity should be limited for the next 3 days." - "We need to avoid a tub bath for the next 3 days." - "We need to watch for changes in skin color or difficulty breathing." - "The feeling of the heart skipping a beat is common."

- "The feeling of the heart skipping a beat is common."

A nursing instructor is preparing for a class about the structural and functional differences in the cardiovascular system of infants and children as compared to adults. What would the instructor include in the class discussion? - Left ventricular function predominates immediately after birth. - The heart is about four times the birth size between the ages of 6 and 12 years. - Blood pressure is initially high at birth but gradually decreases to adult levels. - The heart's apex is higher in the chest in children younger than the age of 7 years.

- The heart's apex is higher in the chest in children younger than the age of 7 years.

The nurse is caring for a child with urticaria. What is the priority action? - Obtaining a detailed history of new foods, medications, stress, or changes in environment - Noting whether hives are pruritic, blanch when pressed, or are migrating - Inspecting the skin, noting evidence of raised, edematous hives anywhere on the body - Assessing the child's airway and breathing and noting any wheezing or stridor

Assessing the child's airway and breathing and noting any wheezing or stridor

The nurse is caring for a 10-year-old child with hemophilia. The child asks the nurse for suggestions about appropriate physical activities. Which activity would the nurse most likely recommend? - Soccer - Wrestling - Football - Baseball

Baseball

A child is being prepared for discharge after sustaining a simple contusion of the eye. Which advice would the nurse expect to include in the discharge instructions? - Encourage the parents to apply ice to the area for 20 minutes at a time for the first 24 hours. - Teach the parents how to apply ophthalmologic antibiotic ointment properly. - Inform the parents to call their pediatrician if the bruising persists for more than 2 days. - Tell the parents that although the condition is frightening, no intervention is needed.

Encourage the parents to apply ice to the area for 20 minutes at a time for the first 24 hours.

The nurse is caring for a child on a pediatric unit who has hemodialysis 3 times per week due to renal failure. On the days between dialysis treatment, which meal would be acceptable for the child? - Three egg omelet, bacon, and orange juice - Grilled chicken, half of a banana, and flavored water - Cheeseburger, french fries, and lemonade - Tomato soup, crackers, and diet soda

Grilled chicken, half of a banana, and flavored water

The nurse in a pediatric cardiovascular clinic is talking with the parent of a 5-year-old child who underwent cardiac surgery for a heart defect at the age of 3. The parent reports that the child has been having increased shortness of breath, tires easily after playing, and has been gaining weight. The nurse is aware that the child is most likely demonstrating symptoms of which acquired cardiovascular disorder? - Kawasaki Disease - Cardiomyopathy - Infective endocarditis - Heart failure

Heart failure

The nurse is caring for a 5-year-old child who will soon die of cancer and is experiencing dyspnea and increasing levels of pain. What would be the priority for pain management with this child? - Monitoring the child's vital signs frequently - Preventing addiction to the opioid medications - Following the healthcare provider's rigid guidelines regarding dosages - Preventing and alleviating pain

Preventing and alleviating pain

The nurse is performing an assessment on a child who is 6 days old. When assessing the eyes, the nurse notes the presence of a bluish tinge to the sclerae. What can the nurse infer about this finding? - This may signal a connective tissue disorder. - This is normal in infants up to several weeks of age. - Blue hues noted in the sclerae in a child of this age is associated with a renal disorder. - Autoimmune disorders are often preceded with these findings.

This is normal in infants up to several weeks of age.

After conducting vision screening and examination of a preschooler, the nurse suspects amblyopia based on: - crossing of the eyes. - absent red reflex. - irregular rapid eye movement. - asymmetric corneal light reflex.

asymmetric corneal light reflex.

The nurse is performing a well-child assessment on a 2-week-old infant. The parent asks why the infant only breathes out of the nose and does not seem to mouth breathe. What information can the nurse provide to the parent? - "Breathing from the nose only will be noted in infants for about the first 6 weeks of life." - "Your infant is breathing normally for this age." - "Infants breathe from both their nose and mouth around 2 or 3 weeks of age." - "Infants are nose breathers for about the first 4 weeks of life."

- "Infants are nose breathers for about the first 4 weeks of life."

The nurse is caring for a 10-year-old child with a history of inappropriate behavior. Which statement by the parent would lead the nurse to suspect possible conduct disorder? - "Our child has frequent temper tantrums." - "Our child argues excessively with teachers." - "Our child blames everyone else for his or her problems." - "Our child recently trampled our neighbor's flower bed."

- "Our child recently trampled our neighbor's flower bed."

A group of students are reviewing the various causes of bacterial conjunctivitis in children. The students demonstrate understanding of this condition when they identify what as the common causes? (Select all that apply.) - Staphylococcus aureus - Neisseria gonorrhoeae - Chlamydia trachomatis - Streptococcus pneumoniae - Haemophilus influenzae

- Staphylococcus aureus - Neisseria gonorrhoeae - Chlamydia trachomatis - Streptococcus pneumoniae - Haemophilus influenzae

A 6-year-old child is diagnosed with tinea capitis and treatment is initiated. The nurse instructs the parents to have the child return to school within which time frame? - 5 days - 72 hours - 1 week v24 hours

- 1 week

The nurse is reviewing the laboratory test results of a child with thalassemia. Which results would the nurse expect to find with the hemoglobin electrophoresis? (Select all that apply.) - Hemoglobin A2 - Hemoglobin S - Hemoglobin F - Hemoglobin A

- Hemoglobin A2 - Hemoglobin F

A 5-year-old child with acute renal failure develops hyperkalemia. What would the nurse expect to administer? - Furosemide - Labetalol - Nifedipine - Polystyrene sulfonate

- Polystyrene sulfonate

A group of nursing students are reviewing information about atopic dermatitis. Which answers indicate that the students understand the information? (Select all that apply.) - The disorder is chronic with periods of remissions. - Scratching initiates the reaction, which then becomes pruritic. - The reaction occurs in response to specific allergens. - Excessively humid environments often lessen the severity of the reaction. - Changes in temperature can contribute to flare-ups.

- The disorder is chronic with periods of remissions. - The reaction occurs in response to specific allergens. - Changes in temperature can contribute to flare-ups.

The nurse is assessing a child with aortic stenosis. Which would the nurse assess? (Select all that apply.) - Thrill palpated at base of heart - Chest pain with activity - Blood pressure in arms significantly higher than in legs - Dizziness with prolonged standing - Moderately loud systolic murmur at the base of the heart

- Thrill palpated at base of heart - Chest pain with activity - Dizziness with prolonged standing

The parent of a 4-week-old infant is discussing what babies see with the nurse. What information should be included? (Select all that apply.) - Babies can focus on multiple images at birth. - Your baby can see about 8 to 10 in. - Children will not have 20/20 vision until they are school age. - Infants experience blurry vision due to the immaturity of their eye structures. - Your baby can see colors clearly.

- Your baby can see about 8 to 10 in. - Children will not have 20/20 vision until they are school age. - Infants experience blurry vision due to the immaturity of their eye structures.

While obtaining a history from a 15-year-old adolescent, the client tells the nurse about often experiencing cramping abdominal pain in the middle of the menstrual cycle. The nurse documents this as: - menorrhagia. - mittelschmerz. - metrorrhagia. - dysmenorrhea.

- mittelschmerz.

The healthcare provider orders fluorescent antibody testing for a child with suspected respiratory syncytial virus infection. The nurse would obtain the specimen for testing from: - arterial blood. - sweat. - nasopharyngeal secretions. - sputum.

- nasopharyngeal secretions.

The nurse is caring for a 2-year-old child with cerebral palsy (CP). The medical record indicates "hypertonicity and permanent contractures affecting both extremities on one side." Based on these findings, the nurse identifies this type of CP as: - athetoid or dyskinetic. - spastic. - ataxic. - mixed.

- spastic.

A group of nursing students are reviewing the process of blood cell formation. The students demonstrate understanding of this process when they place the formation events in their proper sequence. What is the proper sequence? - Megakaryocyte -Megakaryocyte/erythroid progenitor - Myeloid progenitor - Multipotent stem cell - Platelets

1) Multipotent stem cell 2) Myeloid progenitor 3) Megakaryocyte/ erythroid progenitor 4) Megakaryocyte 5) Platelets

An adolescent is prescribed isotretinoin. Which statement indicates that the adolescent understands the necessary precautions associated with this drug? - "I'm going to have a blood count done every couple of months." - "This drug can affect my lungs so I need a chest radiograph done first." - "I have to make sure that I do not become pregnant while taking this drug." - "The drug might cause staining of my clothing."

- "I'm going to have a blood count done every couple of months."

The parent of a child with asthma tells the nurse about occasionally giving the child the steroid medicine the child takes for rheumatoid arthritis when the child has a "flare up" of asthma. "It's easier than going to the hospital or healthcare provider every time a flare up happens." What is the best response by the nurse? - "I understand that appointments can be annoying but steroid use can cause your child to have high blood sugar, peptic ulcers, slowed growth rate, and various other problems." - "I'm sure it must be difficult to cope with the flare ups, but there are many side effects from steroid use and the healthcare provider needs to monitor your child's asthma symptoms." "- As long as you only occasionally give your child the medication it shouldn't be a problem." - "An adult should never give a child their medication. The doses may be very different."

- "I'm sure it must be difficult to cope with the flare ups, but there are many side effects from steroid use and the healthcare provider needs to monitor your child's asthma symptoms."

A nurse is preparing a presentation for a group of parents about vision impairment. When describing the causes, what would the nurse include as a common cause? (Select all that apply.) - Conjunctivitis - Trauma - Retinopathy of prematurity - Refractive error - Amblyopia - Infantile glaucoma

- Retinopathy of prematurity - Refractive error - Amblyopia - Infantile glaucoma

The nurse is providing teaching about the potential side effects of lithium for the parents of a child recently diagnosed with bipolar disorder. Which statement by the parents indicates a need for additional teaching? - "If our child loses weight, then we know the medication is working." - "Our child may notice an increase in urination" - "Our child will probably tell us about being hungrier than usual." - "Tremors and nausea are common side effects."

- "If our child loses weight, then we know the medication is working."

The nurse is teaching the parents of a 4-year-old child with thalassemia about sound nutritional choices. The nurse asks the parent about good snack choices to send to preschool. Which response by the parent would indicate a need for further teaching? - "My child can bring graham crackers and peanut butter." - "I can send apple slices with yogurt dip." - "My child likes string cheese and saltine crackers." - "Yogurt and granola is a good choice."

- "My child can bring graham crackers and peanut butter."

The nurse is taking a health history of a toddler with a suspected congenital heart defect. Which response by the parent could indicate that the child is experiencing hypercyanotic spells? - "My child does not seem to have difficulty breathing." - "My child likes to stop and squat wherever my child walks." - "My child walks very quickly and never stops moving." - "My child takes one nap a day and is fairly active."

- "My child likes to stop and squat wherever my child walks."

The nurse is caring for an 8-month-old in Bryant traction for developmental dysplasia of the hip and is monitoring for complications. Which assessment finding would alert the nurse to a possible complication? - A weak pedal pulse - Crusting at pin site - Brisk capillary refill - Mild fussiness

- A weak pedal pulse

The nurse is caring for a 20-month-old child with equivocal bacterial otitis media, a severe earache, and a temperature of 39°C (102.2°F). Which intervention would the nurse expect to implement? - Determining if the child's balance is shaky when walking - Obtaining a culture of fluid from the middle ear - Administering antibiotics as soon as they're available - Administering antivirals to ensure broad coverage of all organisms

- Administering antibiotics as soon as they're available

The nurse is caring for 9-year-old child undergoing chemotherapy whose complete blood count (CBC) with differential reports 7% banded and 13% segmented neutrophils with a white blood cell count of 2,540. The child has an oral temperature of 38.6°C. Which intervention would be the priority? - Assessing for signs of infection every 8 hours - Restricting visitors with symptoms of infection - Administering prescribed broad-spectrum IV antibiotics - Monitoring vital signs every 4 hours

- Administering prescribed broad-spectrum IV antibiotics

The nurse is caring for a 10-year-old child with a suspected heart arrhythmia. The nurse would expect to prepare the child for which test to identify and quantitate the arrhythmia? - Chest radiograph - Echocardiogram - Arteriogram - Ambulatory electrocardiographic monitoring

- Ambulatory electrocardiographic monitoring

The nurse is assessing a child with spina bifida occulta. During the assessment, the parents say, "It's going to be so difficult taking care of our child. Our child will never be able to walk." The nurse identifies which nursing diagnosis as the priority? - Impaired physical mobility related to spinal cord defect - Risk for injury related to lack of muscle control - Ineffective coping related to diagnosis of chronic condition - Deficient knowledge related to diagnosis and condition

- Deficient knowledge related to diagnosis and condition

A child receiving chemotherapy is experiencing significant reduction in red blood cells secondary to myelosuppression. Which agent would the nurse most likely expect to be ordered? - Gamma interferon - Epoetin alfa - Sargramostim - Filgrastim

- Epoetin alfa

When developing a teaching plan for the parents of a child diagnosed with tricuspid atresia, the nurse would integrate knowledge of what factor as the major mechanism involved? - Mixing of well-oxygenated and poorly oxygenated blood - Obstruction of blood flow to the lungs - Narrowing of the major vessel - Increased pulmonary blood flow

- Obstruction of blood flow to the lungs

A nursing instructor is preparing a class discussion about pediatric skin variations, specifically related to differences in dark-skinned children. What information would the nurse most likely include? (Select all that apply.) - Papules often appear more prominent on the skin. - Hypopigmentation often occurs after a skin condition heals. - Keloid formation occurs less often in dark-skinned children. - Hypertrophic scarring is a common occurrence in dark-skinned children. - Vesicles appear less visible in most dark-skinned children.

- Papules often appear more prominent on the skin. - Hypopigmentation often occurs after a skin condition heals. - Hypertrophic scarring is a common occurrence in dark-skinned children.

The nurse is caring for a child with a suspected fungal infection. Which test would the nurse anticipate being ordered? - Potassium hydroxide (KOH) prep - Patch or skin testing - Culture of wound/drainage - Erythrocyte sedimentation rate (ESR)

- Potassium hydroxide (KOH) prep

A group of nursing students are reviewing the actions of various drugs used to treat mental health disorders in children. The students demonstrate understanding of the information when they identify which drug as potentiating the activity of serotonin in the brain? - Lithium - Sertraline - Buspirone - Trazodone

- Sertraline

The nurse is reviewing the history of a child who has chronic oral lesions. What risk factors does the nurse expect to find when reviewing the child's history? (Select all that apply.) - Severe malabsorption from a GI disorder - Frequent bouts of constipation - History of anemia - Recently finished the last chemotherapy treatment for - leukemia Several episodes of tonsillitis

- Severe malabsorption from a GI disorder - Recently finished the last chemotherapy treatment for

The nurse on a pediatric mental health unit notices one of the clients continually avoids joining the other clients in the dining room for meals. The nurse is aware that the client is demonstrating characteristics of which disorder? - Selective mutism - Separation anxiety - Generalized anxiety disorder - Social phobia

- Social phobia

A child with cirrhosis of the liver is admitted to the acute care facility in preparation for a liver transplant. When completing the physical examination, what would the nurse expect to assess? (Select all that apply.) - Spider angiomas - Jaundice - Facial erythema - Ascites - Fatty stools

- Spider angiomas - Jaundice - Ascites

A group of nursing students are reviewing information about celiac disease. The students demonstrate understanding of this disorder when they identify which classic symptoms? (Select all that apply.) - Steatorrhea - Failure to thrive - Polycythemia - Sunken abdomen - Diarrhea - Constipation

- Steatorrhea - Failure to thrive - Diarrhea - Constipation

A nurse is assessing an infant who has been vomiting and experiencing diarrhea. Which findings would indicate to the nurse that the infant is experiencing severe dehydration? (Select all that apply.) - Sunken fontanels - Slightly decreased urine output - Bradycardia - Pink moist oral mucosa - Cool mottled extremities

- Sunken fontanels - Bradycardia - Cool mottled extremities

The nurse is caring for a child recently fitted with braces on both legs due to cerebral palsy (CP). What would the nurse emphasize in the discharge teaching? - "If the brace is painful, feel free to take it off." - "Check the skin that is covered by the braces for redness and breakdown." - "It is very important to comply with the use of this brace." - "Please try and follow the therapist on and off schedule."

"Check the skin that is covered by the braces for redness and breakdown."

The nurse is providing discharge teaching to the parents of a child who had a tonsillectomy. Which statements by the parents indicate learning has occurred? (Select all that apply.) - "If our child starts swallowing a lot, we may need to call the surgeon." - "Milkshakes should be drank with straws so that not too much is swallowed at a time." - "Hot drinks, like hot chocolate, will help with controlling the pain." - "Fluids are very important. Our child loves popsicles so we will get a variety of flavors, except cherry and strawberry." - "We can use an ice collar on his throat as long as we don't leave it on too long at a time."

- "If our child starts swallowing a lot, we may need to call the surgeon." - "Fluids are very important. Our child loves popsicles so we will get a variety of flavors, except cherry and strawberry." - "We can use an ice collar on his throat as long as we don't leave it on too long at a time."

The nursing educator has completed an educational program for new nurses on eating disorders in adolescents. Which statement by a participant would indicate a need for further education? - "Meal time should be structured but pleasant and relaxed without distractions." - "We need to stay with them for at least 30 minutes after they eat so they don't try to vomit or dispose of the food." - "If they refuse to eat, we need to sit with them and not let them leave the table until they do eat something." - "We need to allow the client to participate in developing the treatment plan."

- "If they refuse to eat, we need to sit with them and not let them leave the table until they do eat something."

After teaching the parents of a child with Tourette syndrome about motor and vocal tics, the nurse determines that the teaching was successful when the parents state: - "If we get our child focused on an activity, the tics will be less pronounced." - "Our child can control the tics if our child really concentrates on doing so." - "Drugs are the primary method for controlling the symptoms." - "Vocal tics are harder to control than the motor tics are."

- "If we get our child focused on an activity, the tics will be less pronounced."

The nurse is caring for a 4-year-old with oral vesicles and ulcers from herpangina. The child is refusing fluids due to the pain and the parent is concerned about the child's hydration status. Which of the suggestions would be most appropriate? - "Encourage your child to have some soda." - "Offer your child some orange juice." - "Try some benzocaine oral gel." - "Offer 'magic mouthwash' followed by a popsicle."

- "Offer 'magic mouthwash' followed by a popsicle."

The nurse is caring for a child with attention deficit hyperactivity disorder (ADHD) who is experiencing insomnia related to the prescribed psychostimulant. The parents are considering stopping the medication and want to know if there are other options. Which response by the nurse would be most appropriate? - "Speak to the healthcare provider about atomoxetine." - "Ask the health care provider about long-acting methylphenidate." - "Perhaps the health care provider will prescribe long-acting dextroamphetamine." - "Talk to the health care provider about dextroamphetamine."

- "Speak to the healthcare provider about atomoxetine."

A young child is prescribed pancreatic enzymes as part of the treatment plan for cystic fibrosis. The child has difficulty swallowing medications. After teaching the parents of a young child with cystic fibrosis about how to administer pancreatic enzymes, the parents demonstrate understanding by stating: - "We should crush the capsule to make it smaller." - "We can open the capsule and sprinkle it on cereal." - "We need to dissolve the capsule in water." - "We can puncture the capsule and pour the liquid on our child's tongue."

- "We can open the capsule and sprinkle it on cereal."

The nurse is providing home care instructions for the parents of an infant with cradle cap. Which response by the parents indicates a need for further teaching? - "We can safely use a selenium sulfide shampoo on his hair." - "We should wash or shampoo the scalp areas with mild soap." - "We can massage his head with mineral oil first and then shampoo it." - "We can scrape off the crusts on his scalp with a cotton swab."

- "We can scrape off the crusts on his scalp with a cotton swab."

A child is diagnosed with short bowel syndrome. What would the nurse expect to be included in the child's plan of care? (Select all that apply.) - Laxatives - Antibiotics - Immunosuppressants - Vitamin supplements - Total parenteral nutrition

- Antibiotics - Vitamin supplements - Total parenteral nutrition

A nurse is preparing a teaching plan for a child with hemophilia and parents. Which would the nurse be least likely to include to manage a bleeding episode? - Elevate the injured area such as a leg or arm. - optionApply direct pressure to the area. - Apply heat to the site of bleeding. - Administer factor VIII replacement.

- Apply heat to the site of bleeding.

The nurse is caring for a 2-year-old child who is receiving chemotherapy using antitumor antibiotics. Which intervention would the nurse question? - Assessing the mouth for redness, lesions, or ulcers - Assessing for tachypnea and adventitious breath sounds - Administering antiemetics prior to chemotherapy - Maintaining meticulous hand-washing procedures

- Assessing the mouth for redness, lesions, or ulcers

The nurse is caring for a child who has been experiencing hypercyanotic episodes. Which treatments will be effective in managing them? (Select all that apply.) - Reduce intravenous fluids. - Assist the child to a knee-chest position. - Provide supplemental oxygen. - Administer Demerol as prescribed. - Apply a cool cloth on the child's forehead.

- Assist the child to a knee-chest position. - Provide supplemental oxygen.

A group of nursing students are reviewing medications used to treat attention deficit hyperactivity disorder (ADHD). The group demonstrates understanding of the information when they identify what as a nonstimulant norepinephrine reuptake inhibitor? - Lisdexamfetamine - Atomoxetine - Pemoline - Methylphenidate

- Atomoxetine

The nurse determines that a child is experiencing late signs of increased intracranial pressure based on which assessment findings? (Select all that apply.) - Bradycardia - Increased blood pressure - Sunset eyes - Fixed dilated pupils - Irregular respirations

- Bradycardia - Fixed dilated pupils - Irregular respirations

The nurse is reviewing the laboratory test results of several children who have come to the clinic for evaluation. Which child would the nurse identify as having the least risk for hyperlipidemia? - Child B with a total cholesterol level of 175 mg/dL and LDL of 105 mg/dL. - Child C with a total cholesterol level of 190 mg/dL and LDL of 125 mg/dL. - Child A with a total cholesterol of 150 mg/dL and low-density lipoprotein (LDL) of 80 mg/dL. - Child D with a total cholesterol level of 220 mg/dL and LDL of 138 mg/dL.

- Child A with a total cholesterol of 150 mg/dL and low-density lipoprotein (LDL) of 80 mg/dL.

The nurse is assessing a 10-year-old child with acute lymphoblastic leukemia. What information would lead the nurse to suspect that the cancer has infiltrated the central nervous system? - Child report facial palsy and vision problems - Palpation of abdomen reveals enlarged liver and spleen - Noting adventitious breath sounds during auscultation - Observing petechiae, purpura, or unusual bruising

- Child report facial palsy and vision problems

A child who has had a tracheostomy is admitted to the hospital for abdominal surgery. When assessing the child's tracheostomy, what would the nurse identify as normal findings? (Select all that apply.) - Clear, clean tracheostomy tube - Tube free of secretions - Two fingers slide under tracheostomy ties - Small amount of clear drainage from stoma - Stoma pale pink

- Clear, clean tracheostomy tube - Tube free of secretions - Stoma pale pink

The nurse is reviewing the health history and physical examination of a child diagnosed with heart failure. What would the nurse expect to find? (Select all that apply.) - Hypertension - Crackles on lung auscultation - Shortness of breath when playing - Tiring easily when eating - Bradycardia

- Crackles on lung auscultation - Shortness of breath when playing - Tiring easily when eating

The nurse is collecting data from a 14-year-old adolescent and parent who have come to the clinic for a check-up. The parent reports that the adolescent has had hives intermittently for the past 2 months. What is the priority action for this client? - Encourage the family to speak to the health care provider about prescribing topical steroids. - Determine the underlying cause. - Encourage the parent to purchase over-the-counter topical ointments to keep on hand in the event of another episode. - Discuss home remedies to manage the skin condition.

- Determine the underlying cause.

A 5-year-old child is brought to the clinic by the parent because the child developed a high fever over the past 2 to 3 hours. The nurse suspects epiglottitis based on which signs and symptoms? (Select all that apply.) - Cough - Difficulty speaking - Sitting with neck extended - Drooling - Frightened appearance

- Difficulty speaking - Sitting with neck extended - Drooling - Frightened appearance

The nurse is caring for a 13-year-old adolescent with a nursing diagnosis of ineffective coping related to inability to deal with life stressors as evidenced by few or no meaningful friendships and low self-esteem. Which intervention would be the priority to promote coping skills? - Role model appropriate social and conversation skills. - Set clear limits on behavior. - Encourage the adolescent to discuss thoughts and feelings. - Demonstrate unconditional acceptance of the adolescent as a person.

- Encourage the adolescent to discuss thoughts and feelings.

When developing the plan of care for a child with a visual impairment, what would the nurse include? (Select all that apply.) - Ensuring that the child's environment is familiar and secure - Encouraging the use of self-stimulatory behaviors - Using touch and tone of voice to demonstrate affection - Encouraging activities to stimulate development - Referring the child to early intervention after the age of 5 years

- Ensuring that the child's environment is familiar and secure - Using touch and tone of voice to demonstrate affection - Encouraging activities to stimulate development

The nurse is performing the physical examination of a child with bulimia. What findings would the nurse identify as supporting this disorder? (Select all that apply.) - Dry sallow skin - Pink moist gums - Bradycardia - Eroded dental enamel - Split fingernails

- Eroded dental enamel - Split fingernails

The nurse is taking a health history of a 6-year-old child with suspected Stevens--Johnson syndrome. During the physical examination, the nurse would expect to note which physical findings? - Red macules and bullous eruptions on an erythematous base - Erythema multiforme with inflammatory bullae of at least two types of mucosa - Red, raised hair follicles - Fiery red lesions, scaling in the skin folds, and satellite lesions

- Erythema multiforme with inflammatory bullae of at least two types of mucosa

The nurse is assessing a child with spastic cerebral palsy. What findings would the nurse expect to assess? (Select all that apply.) - Exaggerated deep tendon reflexes - Hemiplegia - Drooling - Poor control of balance - Hypertonicity - Dysarthria

- Exaggerated deep tendon reflexes - Hemiplegia - Poor control of balance - Hypertonicity

A child is suspected of having bipolar disorder. What would the nurse identify if the child was experiencing a manic episode? (Select all that apply.) - Flamboyant behavior - Decreased sleep - Loss of interest in activity - Decreased energy - Pressured speech

- Flamboyant behavior - Decreased sleep - Pressured speech

The nurse is caring for a child diagnosed with acute poststreptococcal glomerulonephritis. When assessing the child, what findings does the nurse anticipate? (Select all that apply.) - Generalized edema - Headache - Weight gain - A recent gastrointestinal infection resulting in severe diarrhea - Clear, straw-colored urine

- Generalized edema - Headache - Weight gain

The nurse is developing a teaching plan for the parents of an 11-month-old infant with gastroesophageal reflux disease (GERD). The child will be managed medically. What actions would the nurse incorporate into the teaching plan? (Select all that apply.) - Giving the child small frequent feedings - Keeping the child upright for 30 minutes after feeding - Administering prokinetics to empty the stomach quickly - Burping the infant at the end of the feeding - Thinning the formula with water to ease flow

- Giving the child small frequent feedings - Keeping the child upright for 30 minutes after feeding - Administering prokinetics to empty the stomach quickly

A 7-year-old child is suspected of having transient synovitis of the hip. What findings would the nurse expect to assess? (Select all that apply.) - History of recent otitis media - High fever - Internally rotated affected extremity - Complaint of acute onset of moderate - pain - Pain worse in the morning on arising

- History of recent otitis media - Complaint of acute onset of moderate pain - Pain worse in the morning on arising

A child who is experiencing an exacerbation of his asthma is brought to the emergency department by his parents. When reviewing the child's laboratory and diagnostic test results, which would the nurse expect to find? - Hyperinflation on chest radiograph - Low arterial blood carbon dioxide level - Decreased pulmonary function tests - Increased peak expiratory flow rate

- Hyperinflation on chest radiograph

A child is hospitalized with dehydration as a result of rotavirus. When reviewing the plan of treatment, what can the nurse anticipate will be included? (Select all that apply.) - IV fluid administration - Antibiotic therapy - Antidiarrheal agents - Daily weight assessment - Monitor of intake and output

- IV fluid administration - Daily weight assessment - Monitor of intake and output

The parents of an 8-year-old child with nocturnal enuresis bring the child to the clinic for a follow-up. History reveals that the parents have tried numerous behavioral and motivational therapies without success. The nurse anticipates medication therapy. Which agents would the nurse identify as being used? (Select all that apply.) - Albumin - Imipramine - Oxybutynin - Desmopressin - Prednisone

- Imipramine - Oxybutynin - Desmopressin

The nurse is assessing a newly admitted 14-year-old adolescent and notes that the adolescent makes very little eye contact, becomes very frustrated with questions and conversation, and does not smile or laugh. What nursing diagnoses will the nurse add to the care plan based on these assessment findings? (Select all that apply.) - Impaired social interaction - Ineffective individual coping - Delayed growth and development - Imbalanced nutrition, less than body requirements - Disturbed thought process

- Impaired social interaction - Ineffective individual coping

A nurse is assessing a child with cancer and suspects that the child has developed sepsis based on what findings? (Select all that apply.) - Respiratory alkalosis - Increased blood urea nitrogen (BUN) - Thrombocytosis - Hyperkalemia - Absolute neutrophil count (ANC) less than 500

- Increased blood urea nitrogen (BUN) - Hyperkalemia - Absolute neutrophil count (ANC) less than 500

A nurse is preparing a plan of care for an infant who has undergone surgery to repair a myelomeningocele. The nurse would include placing the infant in which positions postoperatively? (Select all that apply.) - Supine - Semi-Fowler - Left side lying - Right side lying - Prone

- Left side lying - Right side lying - Prone

The nurse is caring for a neonate who has undergone an intestinal pull-through procedure for an imperforate anus. Which action would be most important for the nurse to do postoperatively? - Turning the infant every 4 hours - Determining the infant's ability to suck on a pacifier - Observing the abdominal skin - Listening for bowel sounds

- Listening for bowel sounds

The nurse is caring for a 7-year-old child with conduct disorder. The child is very aggressive and at risk for self-harm. To promote the child's adaptive and social skills, the nurse refers the family to a therapist who specializes in which type of therapy? - Milieu therapy - Family therapy - Cognitive therapy - Play therapy

- Milieu therapy

A nurse is preparing a presentation for a parent group on childhood cancers. As part of the presentation, the nurse plans to discuss rhabdomyosarcoma. What are some common sites where rhabdomyosarcoma occurs? (Select all that apply.) - Central nervous system - Neck - Extremities - Head - Gastrointestinal tract

- Neck - Extremities - Head

A child has been admitted to the acute care facility for the management of dehydration. The nurse is preparing to administer intravenous fluid replacement to the child. Which fluids are suitable for use? (Select all that apply.) - 0.45% saline - 10% dextrose in water - Normal saline - Lactated Ringer - 5% dextrose in water

- Normal saline - Lactated Ringer

The nurse is implementing the plan of care for a child with acute rheumatic fever. What treatments would the nurse expect to administer if ordered? (Select all that apply.) - Intravenous immunoglobulin - Penicillin - Digoxin - Nonsteroidal anti-inflammatory drugs - Corticosteroids

- Penicillin - Nonsteroidal anti-inflammatory drugs - Corticosteroids

The nurse is examining a 7-year-old child with suspected appendicitis. Which physical findings would indicate the possibility of appendicitis? - Tenderness that comes and goes in the lower abdomen - Intermittent, left lower quadrant pain with rebound tenderness - Diffuse, intermittent abdominal pain - Persistent, right lower quadrant pain with rebound tenderness

- Persistent, right lower quadrant pain with rebound tenderness

When assessing an adolescent for acne, what findings would lead the nurse to identify the acne as severe? (Select all that apply.) - Presence of nodules - Facial papules - Evidence of cysts - Comedones - Widespread inflammatory lesions

- Presence of nodules - Evidence of cysts - Widespread inflammatory lesions

A nurse is assessing a toddler who is brought to the clinic by the parent. The parent states, "My toddler has been so irritable lately and I've noticed the toddler frequently pulling on the right ear." The nurse suspects acute otitis media based on which assessment findings? (Select all that apply.) - Red bulging tympanic membrane - Loss of appetite - Mobile eardrum - Upper respiratory infection 3 months ago - Low-grade fever

- Red bulging tympanic membrane - Loss of appetite - Low-grade fever

The nurse is considering risk factors for influenza in a group of preschool children. Which factors are considered to place children at an increased risk? (Select all that apply.) - Renal disease - Obesity - History of asthma - Heart failure - Diabetes

- Renal disease - History of asthma - Heart failure - Diabetes

After a cardiac catheterization, the nurse monitors the child's fluid balance closely based on the understanding that: - blood loss during the procedure can be significant. - the prolonged preprocedure fasting state places the child at risk for dehydration. - the insertion of the catheter into the heart stimulates a diuretic response. - the contrast material used has a diuretic effect.

- the contrast material used has a diuretic effect.

A 10-month-old infant has been admitted to the hospital with severe hemolytic anemia and chronic hypoxia. The nurse notes icteral sclerae, jaundice of the skin, and frontal and maxillary bossing. The nurse interprets these findings as most likely indicating: - von Willebrand disease. - β-Thalassemia major. - hemophilia. - sickle cell anemia.

- β-Thalassemia major.

While obtaining the health history for an 11-year-old child, the nurse suspects the child may have myopia based on what information? (Select all that apply.) a. The child tells the nurse that it is difficult to see the ball in the outfield when playing baseball. b. The child tells the nurse that they have problems seeing their hand held video games. c. The parent tells the nurse that the child seems to hold books "closer and closer" to the face when reading. d. The child tells the nurse that they have to squint to see their teacher write on the white board at the front of the classroom. e. The parent tells the nurse that the child always wants to set close to the movie screen, but never did in the past.

a. The child tells the nurse that it is difficult to see the ball in the outfield when playing baseball. d. The child tells the nurse that they have to squint to see their teacher write on the white board at the front of the classroom. e. The parent tells the nurse that the child always wants to set close to the movie screen, but never did in the past.