VATI Nursing for the Child Assessment

A nurse is reinforcing teaching with a school age child who has mild persistent asthma and has a new prescription for therapy with montelukast. Which of the following should the nurse include?

This medication helps prevent bronchospasms

A nurse is caring for a mth old toddler who has a prescription for a urinary catheter. Which of the following urinary catheters should the nurse use

5 French

A nurse in a pediatric unit is assisting with providing care for multiple children. Which of the following physical findings and parental reports should cause the nurse to suspect child maltreatment

A toddler has a spiral fracture, and the parent reports a fall from a swing

A nurse is caring for a preschooler who has diabetes mellitus and pale, and irritable. The child's blood glucose level is 52 mg/dL. Which of the following actions should the nurse take first?

Administer 1 tbsp of sugar to the child

A nurse is reinforcing teaching with the parents of a preschooler who has recently started to stutter. Which of the following instructions should the nurse include?

Avoid completing your child's sentences

A nurse is reinforcing teaching with the parent of a school-age child who is undergoing testing for acute lymphoid leukemia. The nurse should inform the parent that the child will undergo which of the following tests to confirm the diagnosis?

Bone Marrow biopsy

A nurse is reinforcing teaching with the parent of a child who has a bacterial upper respiratory infections. which of the following statements by the parent indicates an understanding of the teaching

I will keep my child's towels separate from those of the rest of the family

A nurse is reinforcing teaching with the guardian of an adolescent who has ADHD and a prescription for methylphenidate. Which of the following statements by the guardian indicates an understanding of the teaching?

I will use charts to assist my child with organizing their day

A nurse is caring for a child who has pertussis. Which of the following precautions should the nurse initiate?

Droplet

A nurse is reinforcing teaching about injury prevention with the parents of a toddler. which of the following instructions should the nurse include in the teaching

Install window guards on windows. keep doors locked. supervise at playgroundsmoist mu

A nurse is planning to reinforce teaching about head injuries with a group of parents of school age children. The nurse should instruct the parents to monitor for and report which of the following meanifestations?

Irritability

A nurse is assisting with the care of a child following a tonsillectomy. Which of the following actions is the nurse's priority?

Monitor the child for frequent swallowing

A nurse is collecting data from a toddler who has heart failure. Which of the findings should the nurse expect?

decreased urine output

A nurse is caring for a child who is experiencing a seizure. Which of the following actions should the nurse take

loosen restrictive clothing. time the seizure episode. place the child in a side lying position

A nurse is contributing to a plan of care for a 24 mth old toddler. which of the following actions should the nurse take

making sure the toddler has at least 1 nap during the day

A nurse is collecting data from a toddler who has mild dehydration. Which of the following findings should the nurse expect?

moist mucus membranesA

A nurse is assisting in preparing a preschooler for a diagnostic procedure. Which of the following strategies should the nurse use?

Review the child's present understanding. Prepare the child shortly before the procedure. Describe any expected sensations experienced during the procedure.

A nurse is reviewing the medical record of a school age child who is current on recommended immunizations. which of the following immunizations should the nurse plan to administer at the 11 yr old well child visit

Tetanus, diphtheria, acellular pertussis (Tdap)

A nurse is collecting data about sleep patterns from the parents of a preschooler during a well child visit. the parent states "my child has nightmares 3-4 times each week. I hope they grow out of this soon". Which of the following findings indicates to the nurse that the child is experiencing sleep terrors rather than nightmares

The child usually goes back to sleep immediately

A nurse is reinforcing teaching about introducing solid foods with the parents of a 6 mth old infant who is bottle fed. Which of the following information should the nurse include?

You should introduce one new food to your baby every 5-7 days

A nurse is reinforcing teaching with the parent of a child who is newly diagnosed with diabetes mellitus. Which of the following guidelines should the nurse include?

Your child's meal plan should include a snack before physical activity

A nurse is contributing to the plan of care for a preschooler who has moderate partial thickness burns on both lower extremities. which of the following interventions should the nurse recommend

ensure the child receives pain medication 30-45 min prior to therapy

A nurse is reinforcing teaching with an adolescent client who has a prescription for lisinopril. which of the following foods should the nurse instruct the client to avoid

high potassium foods

A nurse is assisting with the care of a hospitalized toddler who has congenital heart disease. The parent calls the nurse to the room to ask for fresh linens and states. "My child never wets the bed at home. I am not sure why this is happening now." Which of the following responses should the nurse make to the parent?

Regression is a common reaction to stress when toddlers are hospitalized. This is temporary.

A nurse is collecting data from a 5 mth old infant who is postoperative following umbilical hernia repair. Which of the following measures should the nurse use to evaluate the infant's pain level?

FLACC pain rating scale

A nurse is assisting with providing care for an adolescent client who has neuropathic pain. Which of the following medications should the nurse anticipate administering

Gabapentin

A nurse in a providers office is collecting data from an adolescent who has juvenile idiopathic arthritis and has been taking ibuprofen daily for the last 6 mths. Which of the following client statements should the nurse report to the provider

I noticed some blood in my stool this morning

A nurse is reinforcing car seat safety instructions with the parents of a 15 mth old toddler. Which of the following statements by the parents indicates an understanding of the teaching?

I should place my child in a rear facing car seat until age 2

A nurse is caring for an adolescent client who has terminal illness. Which of the following statements should the nurse make to the parent

I will administer pain medication on a schedule

A nurse is reinforcing teaching with the parent of a toddler about promoting effective sleep patterns. Which of the following statements by the parent indicates an understanding of the teaching?

I will allow my child to have a drink of water each night prior to bedtime

A nurse is reinforcing preoperative teaching with an adolescent client who is scheduled for a surgical repair of scoliosis. which of the following statements by the client indicates effectiveness of the teaching

I will begin range of motion exercises on the first postop day

A nurse is reinforcing teaching with the guardian of a 1 mth old infant who has a cleft lip and is bottle fed. which of the following statements by the guardian indicates that the teaching was effective

I will hold my baby in an upright position during feedings

A nurse is reinforcing discharge teaching about preventing infections with the parent of a child who is receiving chemotherapy and has a platelet count of 100,000/mm. Which of the following statements by the parent indicates an understanding of the teaching

I will inspect the inside of my child's mouth for sores every day

A nurse is assisting with care for an adolescent client who has asthma and a new prescription for albuterol by meterd-dose inhaler. Which of the following statements by the client indicates that they might be experiencing an adverse effect of albuterol?

My heart feels like it's fluttering after taking my medication

A nurse is reviewing the medical records of several children in an outpatient clinic. The nurse should identify that which of the following infections is included on the list of nationally notifiable conditions?

Pertusis

A nurse is caring for a 4 yr old child who has pneumonia due to varicella zoster. The parent asks the nurse what type of activites are available for the child. Which of the following play activities should the nurse recommend?

Playing an alphabet flash card game with the parent

A nurse is preparing to obtain a blood pressure reading from a school age child. Which of the following actions should the nurse take?

Position the child's arm at the level of the heart

A nurse is assisting with the care of a child who is in status asthmaticus. which of the following medications should the nurse administer first

albuterol via nebulizer

A nurse is collecting data from a child who recently experienced a psychomotor seizure. which of the following finding should the nurse expect

amnesia

A nurse in a clinic is caring for a group of infants. which of the following findings should the nurse report as a possible indication of physical maltreatment

an abrasion on the back of the infants arm

A nurse is obtaining a sputum sample form a school age child. Which of the following actions should the nurse take?

ask the child to cough deeply

A nurse is reinforcing teaching with an adolescent client who has oral candidiasis and a new prescription for clotrimazole troche. Which of the following instructions should the nurse include in the teaching

be sure to let the troche dissolve in your mouth for 15 min

A nurse is collecting data from a 1 mth old infant who has just undergone a hernia repair. which of the following findings should the nurse report to the provider

blood pressure 64/40mm Hg

A nurse is caring for a preschooler immediately following the application of a long leg plaster cast due to a fracture. which of the following actions is the nurse's priority

monitor capillary refill of the cast extremeties

A nurse is reinforcing teaching with the parent of a child who has diabetes mellitus. the parent asks the nurse how to minimize the child's pain when monitoring blood glucose levels. which of the following statements by the parent indicates an understanding of the teaching

my child should hold their finger under warm water before obtaining a sample

A nurse is reinforcing teaching with a parent of a 15 mth old toddler about nutritional guidelines. which of the following statements by the parent indicates an understanding of the teaching

my child's intake of calcium should average 500 milligrams every day

A nurse is reinforcing teaching with a guardian of an 1 mth old infant who has colic. which of the following instructions should the nurse include in the teaching

offer a pacifier when your baby is fussy

A nurse is reinforcing teaching with the parent of a preschooler who has amblyopia. which of the following instruction should the nurse include in the teaching

patch the unaffected eye during the day

A nurse is contributing to the plan of care for a child who has nephrotic syndrome and a prescription for corticosteriods. which of the following interventions should the nurse recommend

provide a low sodium diet

A nurse is caring for a toddler who has respiratory illness and a temperature of 39.3 C (102.7 F), Which of the following actions should the nurse take to reduce the toddlers temperature?

remove the toddlers extra clothing

A nurse is caring for an adolescent who reports manifestations of an STI. Which of the following actions should the nurse take?

request that the adolescent sign a consent for treatment form prior to performing STI screening

A nurse is caring for an infant who has a cleft palate and is having trouble bottle feeding. which of the following actions should the nurse take

select a bottle with a one way flow valve

A nurse is collecting data from a 8 mth old infant. which of the following findings indicates expected growth and development

sits unsupported

A nurse is assisting with the care of an infant who requires emergency surgery and whose parent is an emancipated adolescent. Which of the following people can sign the informed consent form form the procedure?

the adolescent parent

A nurse is making a home visit to a 5 yr old child who has cerebral palsy and uses a wheelchair. which of the following observations made by the nurse indicates that the family needs support and resources to cope with the child's condition

the parent is withdrawn and rarely interacts with the child

A nurse is collecting data from a 7 yr old child. which of the following indicates a developmental delay

unable to tell the difference between right and left

A nurse is preparing to perform a heel stich on an infant. which of the following actions should the nurse take?

use an automated lancet device to puncture the heel

A nurse is assisting with the care of an infant who is postoperative following of a cleft lip and palate. Which of the following actions should the nurse plan to take

weigh the infant once each day using same scale