Kaplan Peds Class

Type I Diabetes The pediatric nurse instructs families of children dx with diabetes about the differences between hypoglycemia and hyperglycemia. Which info should the nurse include in the presentation?

Hyperglycemia causes fruity breath odor

Down Syndrome The nurse cares for the infant diagnosed with Down syndrome. The nurse discusses Down Syndrome with the parents. The nurse thinks further instruction is required if the infant's mother makes which statement?

I should push solid food toward the back and side of my baby's mouth

Iron Deficiency Anemia The nurse counsels the parents of a child diagnosed with iron deficiency anemia. The nurse instructs the parents about how to administer the prescribed liquid iron supplement. Which instruction is the most important for the nurse to include?

Administer the liquid iron supplement through a straw.

Rheumatic Fever Nurse cares for the school-aged child reporting joint pain in the extremities. Parent state that their child had a sore throat about 10 days ago that did not require tx. The nurse anticipates the HCP will order which test?

Antistreptolysin O (ASO) titre.C.

Vitals Signs Children The nurse in the pediatric clinic performs a well child assessment on the 6-month-old infant. As the infant is sitting quietly on the mother's lap, the nurse obtains an apical heart rate of 190 bpm. Which action by the nurse is most appropriate?

Ask the mother if the infant has been crying.

Wilms Tumor The nurse cares for the child dx with Wilms tumor. Preoperatively, it is most important for the nurse to include which action in the plan

Assess abdominal girth

Developmental Dysplasia of the Hip (DDH) The nurse cares for the 2-week-old infant diagnosed with developmental dysplasia of the hip (DDH). The nurse notes which finding is consistent diagnosis of DDH?

Asymmetry of the gluteal folds.

Diarrhea in children Nurse instructs the mother of the young child dx with moderate dehydration due to diarrhea. Nurse determines that teaching was successful if mother makes which statement?

Offer child ½ cup of oral rehydration after each diarrheal stool.

Myringotomy The nurse provides instructions to the parents of a child being discharged after a myringotomy with tympanostomy tubes inserted. It is most important for the nurse to respond to which statement made by the parents?

Our child loves to jump off the dock into lake

Vesicoureteral Reflux The nurse instructs the parents of the 4-year-old diagnosed with grade II vesicoureteral reflux. It is most important for the nurse to.. in discharge teaching?

Your child will be receiving a continuous low-dose antibacterial.

Duchenne Muscular Dystrophy (MD) The nurse performs an assessment on the 5-year-old child suspected of having Duchenne muscular dystrophy. Which assessment data obtained.. parent will assist the medical team with this diagnosis?

My child can't ride a bike

Headaches Nurse in peds clinic assesses a child reporting chronic headaches. Which statement by the child to nurse requires immediate follow up?

My headaches have stated causing me to awaken at night

Type I Diabetes The nurse counsels the school-aged diagnosed with type 1 diabetes. The child tells the nurse about sometimes going to the park after school with friends. It is most important for the nurse to include which instruction?

Eat extra food before going to the park to play with you friends

Sudden Infant Syndrome Nurse prepares to discharge a new mother and the newborn. It is most important for the nurse to include which discharge instruction about SIDS?

Place on back during sleep

BP cuff The nursing student cares for clients in the pediatric clinic. The nursing student reports to the nurse that a 12-year-old child has a bp of 150/... which response by the nurse is best?

Please show me the bp cuff that you used

Acute Glomerulonephritis Nurse reviews the record of the child dx with acute glomerulonephritis. Nurse identifies which finding is most commonly associated with this dx?

Frequent use of acetaminophen for fever acute glomerular nephritis *diagnosis cause Oliguria Proteinuria Htn

Head Injury: Infant The nurse in the peds clinic assess a 12-month-old infant. The infant fell to the floor from a high chair. It is most important for the nurse to assess for which injury?

Head injury

Asthma School nurse discusses triggers that precipitate asthma with school-aged children. The nurse determines that teaching is effective if a parent makes which statement?

Cold air can trigger my child's asthma attack

Dental Hygiene The nurse discusses dental hygiene with the parents of a 12-month-old infant. Which statement, if made by the parents to the nurse, indicates.. further instruction?

"Good dental hygiene starts as soon as the first tooth erupts."

Hirschsprung Disease The peds nurse cares for the 4-year old admitted with a dx of hirschsprung disease. The nurse expects to find which s&s:

Constipation, abd distension, ribbon-like stools

Cystic Fibrosis The nurse cares for the 4-year-old child with a suspected dx of cystic fibrosis. The quantitative sweat chloride test is administered. The nurse knows that which result confirms the dx of cystic fibrosis?

69 mEq/L

Craniotomy Nurse cares for the child immediately after supratentorial craniotomy to remove a brain tumor. The nurse notes that the child's apical pulse and bp is decreased. Which action should nurse take?

Contact the HCP

Glucagon School nurse administers glucagon IM to a child dx with type 1 Diabetes. The child immediately begins to... what action should the nurse take first?

Contact the child HCP

Language Development The nurse monitors a 13-month-old for speech and hearing development. To better understand the child's speech dev., its most important for nurse to ask the parents which question?

Does your child say da, na, ya ya?

Atrial Septal Defects Student nurse prepares to discuss cardiac defects that cause increased pulmonary blood flow. Student nurse identifies which cardiac defect affects pulmonary blood flow?

Atrial septal defect

Constipations in school The nurse in the peds clinic counsels the mother of a 6-year old who has developed new-onset constipation. Which is the most common reason new-onset constipation in a 6-year old?

Beginning school

Ulcerative Colitis Nurse presents a conference about GI dysfunction in children. Nurse discusses the difference between ulcerative colitis and Crohn's. The nurse determines that further teaching is required if an attendee makes which statement?

Bloody diarrhea is common in Crohn's

Aplastic Anemia Nurse cares for the child with dx of rule out aplastic anemia. To confirm the dx, the nurse expects to use which test?

Bone marrow aspiration

Coarctation of the Aorta Nurse cares for a 10-month old admitted for surgical repair of coarctation of the aorta. The nurse expects which finding?

Bounding pulses in the arms and weak femoral pulses.

Increased Intracranial Pressure: Infants and Children The nurse cares for an infant admitted to the ER. The mother reports that the child fell off the changing table. The nurse performs an assessment and identifies which symptom as an early sign of increased intracranial pressure (ICP)?

Bulging fontanelle

Osteomyelitis The nurse cares for the 7-year-old child dx with osteomyelitis of the right arm. Which finding would the nurse expect to observe?

Child holds right arm in a semi-flexed position

Attention Deficit Hyperactivity Disorder (ADHD) Nurse observes 10 year old dx with ADHD. Nurse expects to observe

Child wanders the hallways

Group A Beta-HemolyticStreptococcusPharyngitis The nurse counsels the mother of a 4-year-old diagnosed with group A B-hemolyticStreptococcus infection of the upper airway. Which statement made by the mother to the nurse, indicates an understanding of the nurse's instructions?

I will buy my child a new toothbrush tomorrow

Hip Spica Cast The nurse performs discharge teaching for parents with a child in a hip spica cast. The nurse determines further teaching is necessary if one of the.. make which statement?

I will place my child in a supine position to eat

Sickle Cell Anemia Nurse instructs the family of the child diagnosed with sickle cell disease on how to minimize the vaso-occlusive. The nurse determines that further teaching is required if the family makes which statement?

If my child experiences pain, I will apply cold compresses

Idiopathic Thrombocytopenia Purpura (ITP) A student nurse presents a conference on hematological disorders in children. The student nurse identifies which information should be included.. presentation about immune thrombocytopenia purpura (ITP)?

Immune thrombocytopenia purpura is caused by excessive destruction of platelets. There is discoloration due to petechiae, and the bone marrow is normal.

Congenital Heart Defect The nurse cares for a preterm infant diagnosed with patent ductus arteriosus (PDA) receiving indomethacin 0.1 mg/kg intravenously (IV). The mother asks the nurse why her baby is receiving the medication. Which response by the nurse is best?

Indomethacin is given to close the patent ductus arteriosus."

Cerebral Palsy Nursing student presents at a conference about signs of CP. Which statement will the nursing student include in the presentation?

Infant has poor head control after 3 months of age

Car Seat Safety The nurse instructs parents about car safety for infants. It is most important for the nurse to include which piece of info in the presentation?

Infant should be in a rear-facing car seat

Oxygen Safety Nurse cares for the infant receiving O2 through an O2 hood. Which observation requires an intervention by the nurse?

Infant's parent covers the infant with a brightly colored nylon blanket.

Infant Dehydration Nurse plans care for infants on the peds unit. The nurse understands that careful assessment of infants... for which reason?

Infants have larger amounts of ECF than adults

Scoliosis The school nurse plans scoliosis screening for a class of fifth graders. Which is the correct screening procedure for scoliosis?

Instruct the child to bend forward from the waist.

Hepatitis B Vaccine The nurse cares for the young child scheduled to receive the hepatitis B vaccine. The nurse identifies which method is best administer the vaccine..?

Intramuscularly in the deltoid muscle

Otitis Media Nurse identifies which statement as a true statement about otitis media?

Is caused by a dysfunction of the middle ear

Retinoblastoma Nurse performs an assessment on a 15-month old. The infant's parents tells nurse that child has started to walk, is eating with a spoon, and builds a two-block tower. During the visit, the parent mentions that the toddler's right eye sometimes "glows" which response by nurse is best?

Is light shining in the toddlers eye when this happens?

Hemophilia Nurse in peds clinic assesses a child reporting chronic headaches. Which statement by the child to nurse requires immediate follow up?

Joint pain

Iron Supplements The nurse performs a well-baby assessment on the 10-month-old infant. The nurse should intervene if the mother makes which statement?

My baby drinks about 40 oz. of cow's milk each day

Pyloric Stenosis The nurse admits the infant suspected of having pyloric stenosis. During the nursing history, the nurse expects the parents to make which..?

My baby has frequent projectile vomiting

Evaluate Infant's Hearing The charge nurse of a newborn nursery instructs mothers on how to assess their infants' hearing. Which statement, if made by the mother to the nurse, indicates that teaching is successful?

My baby may startle when I make a loud noise close to her head

Asthma Nurse cares for 5-year old dx with asthma. Nurse demonstrates to child's parents how to measure the peak expiration... nurse asks child to forcefully exhale into meter, and the nurse notes the results are in red zone. The nurse knows that the red zone presents which finding?

Severe airway narrowing may be occurring

Cardiac Disrhythmias Nurse cares for the child dx with cardiac dysrhythmia. Nurse knows which dysrhythmia is not a common one found in children?

Supravent. tachy

Heart Failure Nurse cares for the young child dx with HF. Nurse recognizes which findings is one of the earliest indicators.

Tachycardia

Tetanus The child is in the emergency room for a puncture wound contaminated with dirt. The nurse knows that the health care provider will order which medications?

Tetanus immune globulin

Respiratory Infections in Children The nurse cares for a young child diagnosed with a respiratory infection. The nurse understands that children are more prone to respiratory infection.. which reason?

The child's airway is a smaller diameter than is found in adults

HIV/AIDS The school nurse monitors the kindergarten-aged child dx with HIV. The school nurse should intervene if which finding is observed?

The kindergarten teacher reports that the child bit another child

Strabismus The pediatric nurse performs an exam on the three-year-old. The nurse suspects the child may have strabismus. Which observation, made by.. may indicate this type of visual impairment?

The nurse observes that the child closes one eye when looking around the room

Digoxin:Infant The nurse prepares to administer digoxin to an infant. Which finding would cause the nurse to hold the infant's digoxin and contact the health care provider?

The parent reports the infant vomited four times during the night

Intussusception The nurse admits the infant suspected of having intussusception. During the nursing assessment, the nurse expects to obtain which information?

The parents state that the infant's stools look like currant jelly

Respiratory Syncytial Virus (RSV) Nurse cares for the infant dx with rsv receiving ribavirin. Nurse should intervene if which action...

The pregnant nursing assistive personnel (NAP) gives the child a bath

Hypercholesterolemia The nurse at the local high school is discussing hypercholesterolemia in health class. Which statement, if made by a student to the nurse.. need for further teaching?

There is not treatment for hypercholesterolemia

Gastro esophageal Reflux Nurse cares for the infant diagnosed with gastroesophageal reflux. The infant presents with anemia, forceful vomiting, and weight loss. The nurse should take which action?

Thicken formula w/ rice cereal

Tonsillectomy The nurse cares for the child after tonsilectomy. The child vomits bright red blood. Which action should the nurse take first?

Turn the child

Parent of an infant brings child to ped clinic because of noticing the infant has edema of the hands and feet. The nurse observes wide spaced nipples as low posterior hairline. Nurse knows these findings are consistent with the dx of which genetic disorder?

Turner syndrome

Type I spinal atrophy Wershing Hoffman Disease The nurse cares for the infant dx with type 1 spinal muscular atropy (werding-hoffman). nurse identifies which statement is true about this disease?

Type 1 is characterized by progressive weakness and wasting of skeletal muscles

Neuroblastoma Nurse cares for 18-month-old dx with stage IV neuroblastoma. During a discussion with the child's parents, the parents shouts at the... "I have brought my child in for all checkups. The hcp should have found this sooner." Which response by the nurse is most appropriate?

We are doing everything we can

Nephrotic Syndrome The nurse cares the child dx with nephrotic syndrome. The nurse knows that which finding is a common characteristic associated with nephrotic syndrome?

Weight gain

Nutrition Nurse performs a nutritional assessment on the 3-month-old infant. Which question best assists the nurse to obtain a dietary hx from parents?

When did you start feeding your baby solid foods?

Epilepsy The home care nurse cares for the child dx with a seizure disorder. The child's parents calls to report that the child had a tonic-clonic seizure... most important for the nurse to follow up which statement made by parent?

When the seizure first began, I tried to move my child to the bed

Central Precocious Puberty The nurse cares for a 7-year-old girl dx with central precocious puberty. It is most important for the nurse to include which statement when counseling the child's mother?

central precocious puberty problem at adolescent Outgrow in puberty Let child be themselves

Cohorting

grouping kids with the same diagnoses

Cystic Fibrosis (CF) Nurse plans care for the child dx with cystic fibrosis. nurse determines which action is most important?

instruct the family on how to perform chest physiotherapy

Meningitis

make sure that the family is checked for bacterial meningitis, high pitched cry, bulging fontanelle

Appendicitis Nurse cares for the pre-adolescent admitted with RLQ abd pain, decreased bowel sounds, and fever. The HCP suspects that the child has appendicitis. The nurse knows that the child's appendix has ruptured if which finding is noted?

sudden loss of pain

Osteogenesis Imperfecta

support the child when moving

Adolescent Depression

the one with the question