Care of Children A
A nurse is reinforcing teaching about injury prevention with the guardian of an infant. Which of the following statements by the guardian indicates an understanding of the teaching?
"I should make sure my baby's clothing does not have buttons on it."
A nurse is reinforcing discharge teaching with the parent of a school-age child who is being treated for nephrotic syndrome. The parent asks the nurse why it is necessary to check the child's urine for protein. Which of the following explanations should the nurse offer?
"A decrease in urine protein indicates that treatment is effective."
A nurse is reinforcing discharge teaching with the guardian of a child who has juvenile idiopathic arthritis (JIA). Which of the following statements by the parent indicates an understanding of the teaching?
"I will have my child sleep in knee, wrist, and hand splints."
A nurse is reinforcing discharge teaching with the guardian of a school-age child who has a new prescription for home oxygen therapy. Which of the following statements by the guardian indicates an understanding of the teaching?
"I will make sure that electrical devices in the house are grounded."
A nurse is reinforcing teaching about home safety with the parent of a toddler. Which of the following parent statements indicates an understanding of the teaching?
"I will place a screen in front of the fireplace."
A nurse is reinforcing discharge teaching with the guardian of a school-age child who has acute lymphocytic leukemia and an absolute neutrophil count of 450/mm3. Which of the following instructions should the nurse include?
"Keep your child away from crowded areas."
A nurse is caring for an adolescent client who is a practicing Jehovah's Witness and is scheduled for surgery for a ruptured appendix. The adolescent tells the nurse that based on her religious beliefs, she cannot receive a blood transfusion. Which of the following responses should the nurse make?
"Let's discuss the possibility of you needing a blood transfusion with your parents."
A nurse is reinforcing teaching regarding the immunization schedule of a newborn. Which of the following statements made by the parent should the nurse recognize as an understanding of the newborn's immunization schedule?
"My baby will receive his next immunization when he is 2 months old."
A nurse is preparing to administer the measles, mumps, and rubella (MMR) vaccine to a preschooler. The nurse should recognize which of the following statements by the parent as a contraindication to receiving the immunization?
"My child received an immunoglobulin last month."
A nurse is caring for a school-age girl who is being treated for frequent, severe urinary tract infections (UTIs). The nurse should recognize that which of the following statements by the parent indicates a possible cause of the UTIs?
"My daughter has bowel movements every 4 to 5 days."
A nurse is reinforcing teaching about glucose monitoring with the parent of a child who has type 1 diabetes mellitus. Which of the following instructions should the nurse include in the teaching?
"Put your child's finger under warm, running water prior to collecting blood."
A nurse is reinforcing teaching with the guardian of child who has scabies and a new prescription for permethrin 5% cream. Which of the following information should the nurse include?
"The medication will eliminate your child's itching within 2 to 3 weeks."
A nurse is reinforcing home safety instructions with the parents of a toddler. Which of the following parent statements indicates an understanding of the teaching?
"We will turn the pot handles toward the back of the stove."
A nurse is caring for a preschooler who has a new diagnosis of asthma. Which of the following medications should the nurse instruct the parent to administer for an acute asthma attack?
Albuterol
A nurse is reinforcing teaching with an adolescent female client who has acne vulgaris and a new prescription for isotretinoin. Which of the following information should the nurse include?
"You will need to have two negative pregnancy tests prior to starting this medication."
A nurse is caring for a school-age child who has been admitted to the facility in sickle cell crisis. The nurse is measuring the child's oral intake for the shift. The child consumed 4 oz of juice at breakfast. For lunch, the child consumed 6 oz of milk, 6 oz of gelatin, and drank 7 oz of water. What is the child's oral intake for this shift in milliliters? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
690 mL
A nurse has just received change-of-shift report for four children in a pediatric unit. Which of the following children should the nurse collect data from first?
A child who has a fever and nuchal rigidity
A nurse is reinforcing teaching with the parents of a child who has cystic fibrosis and is taking pancrelipase as a pancreatic enzyme replacement. The nurse should plan to inform the child's parents that the therapeutic effects of this medication can be evaluated by which of the following?
Amount and consistency of stools
A nurse is reinforcing dietary teaching about a low-sodium diet with the parents of a child who is recovering from acute glomerulonephritis. Which of the following food choices by the parents indicates an understanding of the teaching?
Apples
A nurse is preparing to administer ophthalmic drops to a child. Which of the following actions should the nurse take?
Apply pressure to the lacrimal punctum for 1 min following administration.
A nurse is assisting with scoliosis screenings for a group of school-age children. The nurse should place the students in which of the following positions during the screening?
Bending forward with back parallel to the floor
A nurse is collecting data from a 12-month-old infant during a well-child visit. The nurse should identify which of the following findings as a deviation from expected growth and development?
Birth weight doubled
A nurse is collecting data from a 6-month-old child who is experiencing a sickle cell crisis. Which of the following areas should the nurse observe when monitoring for manifestations of splenic sequestration? (You will find hot spots to select in the artwork below.
Box B
A nurse is collecting data from a toddler who has gastroesophageal reflux disease (GERD). Which of the following findings should the nurse expect?
Chronic cough
A nurse is preparing to administer an enteral feeding to a child who has cerebral palsy and a nasogastric tube. Which of the following actions should the nurse take?
Confirm that the pH of the stomach contents is 5 or less
A nurse is contributing to the plan of care for a child who has sickle cell anemia and is experiencing a vaso-occlusive crisis. Which of the following is the priority intervention for the nurse to recommend to include in the plan?
Promote oxygen utilization.
A nurse in a community center is reinforcing teaching about poison control with a group of parents. A parent asks what to do if a child ingests a large quantity of acetaminophen. Identify the sequence of actions the nurse should recommend to the parent.
Determine if the child is breathing Empty the child's mouth of remaining pills and residue Identify the medication and dosage strength Call poison control center
A nurse in a pediatric clinic is collecting data from an infant who was recently exposed to pertussis. The nurse should recognize which of the following as a manifestation of pertussis?
Dry cough
A nurse is reinforcing teaching about tracheostomy care with the parent of a toddler who has a temporary tracheostomy. Which of the following instructions should the nurse include in the teaching?
Ensure one finger fits between the ties and the neck
A nurse is reinforcing teaching with the parents of a toddler who has strabismus. Which of the following treatments should the nurse plan to include in the teaching?
Eye patch
A nurse is collecting data from a child who has iron deficiency anemia. Which of the following data signifies that adherence to ferrous sulfate therapy has occurred?
Green, tarry stools
A nurse is assisting with the care of a child who has tonic-clonic seizures. Which of the following actions should the nurse take?
Have a suction canister and tubing available in the room.
A nurse is assisting with the care of an infant who has spina bifida and recently had a ventriculoperitoneal shunt placed for hydrocephalus. Which of the following findings should the nurse identify as an indication of increased intracranial pressure?
High-pitched cry
A nurse in a pediatric clinic is observing for an anaphylactic reaction after administering an IM antibiotic to a child 5 min ago. Which of the following manifestations should the nurse expect to observe first?
Hives
A nurse is collecting data about a 4-year-old preschooler's gross motor skills. The nurse should expect the preschooler to be able to perform which of the following activities?
Hopping on one foot
A nurse is reviewing the medical record of a female adolescent client who has primary amenorrhea. Which of the following findings should the nurse identify as a risk factor for this disorder? (Select all that apply.)
Hypothyroidism, cannabis use, oral contraceptive use, emotional stress
A nurse is contributing to the plan of care for an adolescent client who has human immunodeficiency virus (HIV). Based on the adolescent's diagnosis, which of the following actions should be included in the plan of care?
Inform the client regarding routes of transmission.
A nurse is reinforcing teaching with the parent of a child who has hemophilia and is experiencing acute hemarthrosis. Which of the following instructions should the nurse include in the teaching?
Keep the affected joints immobilized.
A nurse is collecting data from a toddler at a well-child visit. Which of the following findings should the nurse identify as a possible indication of child maltreatment?
Laceration on the side of the torso
A nurse is reviewing the laboratory report of a preschooler. Which of the following laboratory results should the nurse report to the provider?
Lead 14 mcg/dL
A nurse is assisting with the care of a 3-year-old child who is prescribed a lumbar puncture. Which of the following actions should the nurse take to prevent complications?
Maintain the child in a flat position after the procedure.
A nurse is collecting data about the dietary habits of an adolescent client. The nurse should identify that which of the following findings puts the client at risk for nutritional deficits?
The client skips eating dinner for track practice three times per week.
A nurse is reinforcing teaching with the parent of a child who has a new prescription for ferrous sulfate. The nurse should reinforce that the parent should administer the medication with which of the following fluids to enhance medication absorption?
Orange juice
A nurse is assisting with the administration of a nasogastric enteral feeding for an infant. Which of the following actions should the nurse take?
Place the infant in semi-Fowler's position for 1 hr after the feeding.
A nurse is reviewing the laboratory report of a preschooler who has a Wilms' tumor and is scheduled to begin treatment with an antineoplastic medication regimen. Which of the following laboratory results should the nurse report to the provider?
Platelet count 70,000/mm3
A nurse is caring for a school-age child who has skeletal traction applied to the right lower leg to repair a femur fracture. Which of the following findings is the priority for the nurse to report to the provider?
Report of tingling in the right foot
A nurse is collecting data from a 12-month-old infant during a well-child visit. Which of the following findings should the nurse report to the provider?
Respiratory rate 32/min
A nurse is auscultating heart sounds on an infant. The nurse should identify this sound as which of the following?
Sinus rhythm
A nurse is reviewing the laboratory report of a school-age child who is receiving prednisone. Which of the following laboratory results should the nurse report to the provider?
Sodium 150 mEq/L
A nurse is reinforcing teaching with the guardians of a school-age child who has hearing loss. Which of the following techniques should the nurse recommend to facilitate communication with the child?
Speak at the child's eye level.
A nurse is reinforcing teaching with the parents of a 7-year-old female child about behavioral expectations. Which of the following behaviors should the nurse include in the teaching?
Spends a lot of time by herself
A nurse is assisting the provider with a developmental assessment of a toddler. Which of the following behaviors should the nurse recognize as an expected finding?
Stands on one foot for several seconds
A nurse in a clinic is collecting data from an adolescent who has received all recommended immunizations through the age of 6 years. Which of the following immunizations should the nurse plan to administer?
Tetanus, diphtheria toxoids, and acellular pertussis (Tdap)
A nurse is reinforcing teaching with the guardian of a child who has a new diagnosis of enterobiasis. The nurse should advise the guardian to take which of the following actions to prevent infection?
Trim the child's fingernails short.
A nurse is monitoring a preschooler following an abdominal CT scan with contrast dye. The nurse should identify which of the following as an indication that the preschooler experienced an allergic reaction to the contrast dye?
Urticaria
A nurse in a pediatric clinic is collecting data from an infant who recently started taking digoxin. Which of the following manifestations should the nurse identify as an indication of digoxin toxicity and report to the provider?
Vomiting
A nurse is collecting data from an infant who has severe dehydration. Which of the following findings should the nurse expect?
Weight loss of 10%
A nurse is reinforcing dietary teaching with the guardian of a school-age child who has celiac disease. Which of the following foods should the nurse recommend including in the child's diet?
White rice
A nurse is reinforcing teaching with the family of a preschooler whose parent has a terminal diagnosis. Which of the following statements should the nurse include when discussing age-appropriate responses to death?
"At this age, your child likely believes his thoughts can cause another person's death."
