NCLEX Qs Exam 4 Peds

The nurse provides home care instructions to the parents of a child with HF regarding the procedure for administration of digoxin (Lanoxin). Which statement made by the parent indicates the need for further instruction? A. I will not mix the medication with food B. I will take my child's pulse before administration of the med C. If more than one dose is missed I will call the health care provider D. If my child vomits after med administration, I will repeat the dose

D. If my child vomits after med administration, I will repeat the dose

The clinic nurse is providing instructions to a parent of a child with cystic fibrosis regarding the immunization schedule for the child. Which statement should the nurse make to the parent? A. The immunization schedule will need to be altered B. The child should not receive any hepatitis vaccines C. The child will receive all the immunizations except for the polio series D. The child will receive the recommended basic series of immunizations along with a yearly influenza vaccination

D. The child will receive the recommended basic series of immunizations along with a yearly influenza vaccination

A HCP has prescribed O2 as needed for an infant with HF. In which situation should the nurse administer the O2 to the infant? A. During sleep B. When changing the infant's diapers C. When the mother is holding the infant D. When drawing blood for electrolyte testing

D. When drawing blood for electrolyte testing

Which car safety device should be used for a child who is 8 yo? A. Seat belt B. Booster seat C. Rear-facing convertible seat D. Front-facing convertible seat

B. Booster seat

A 10 yo child with asthma exacerbation is treated for acute exacerbation in the ED. The nurse caring for the child should monitor for which sign, knowing that it indicates a worsening of the condition? A. Warm, dry skin B. Decreased wheezing C. Pulse Rate of 90 bpm D. Respirations of 18 breaths/minute

B. Decreased wheezing Remember - don't want "silent chest" (inability to move air)

The nurse is caring for an infant with bronchiolitis, and diagnostic tests have confirmed RSV. On the basis of this finding, which is the most appropriate nursing action? A. Initiate strict enteric precautions B. Move the infant to a room with another child with RSV C. Leave the infant in the present room because RSV is not contagious D. Inform the staff that they must wear a mask, gloves, and a gown when caring for a child

B. Move the infant to a room with another child with RSV

The ED nurse is caring for a child diagnosed with epiglottitis. In assessing the child, the nurse should monitor for which indication that the child may be experiencing airway obstruction? A. The child exhibits nasal flaring and bradycardia B. The child is leaning forward, with the chin thrust out C. The child has a low-grade fever and complains of a sore throat D. The child is leaning backward, supporting himself or herself with the hands and arms

B. The child is leaning forward, with the chin thrust out

The nurse is evaluating the developmental age of a 2 yo. Which does the nurse expect to observe in this child? A. Uses a fork to eat B. Uses a cup to drink C. Pours own milk into a cup D. Uses a knife for cutting food

B. Uses a cup to drink

A mother of a 3 yo asks a clinic nurse about appropriate and safe toys for the child. The nurse should tell the mother that the most appropriate toy for a 3 yo is which? A. A wagon B. A golf set C. A farm set D. A jack set with marbles

A. A wagon *Dont want something small enough for them to swallow

The maternity nurse is providing instructions to a new mother regarding the psychosocial development of the newborn infant. Using Erikson's psychosocial development theory, the nurse instructs the mother to take which measure? A. Allow the newborn infant to signal a need B. Anticipate all the needs of the newborn infant C. Attend to the newborn infant immediately when crying D. Avoid the newborn infant during the first 10 minutes of crying

A. Allow the newborn infant to signal a need

A 4 yo child diagnosed with leukemia is hospitalized for chemo. The child is fearful of the hospitalization. Which nursing intervention should be implemented to alleviate the child's fear? A. Encourage the child's parents to stay with the child B. Encourage play with other children of the same age C. Advise family to visit only during scheduled visiting hours D. Provide a private room, allowing the child to bring favorite toys from home

A. Encourage the child's parents to stay with the child

The nurse is preparing for the admission of an infant with a diagnosis of bronchiolitis caused by RSV. Which interventions should the nurse include in the plan of care? SELECT ALL THAT APPLY A. Place the infant in a private room B. Ensure that infant's head is in a flexed position C. Wear a mask at all times when in contact with the infant D. Place the infant in a tent that delivers warm humidified air E. Position the infant on the side, with the head lower than the chest F. Ensure that nurses caring for the infant with RSV do not care for other high-risk children

A. Place the infant in a private room F. Ensure that nurses caring for the infant with RSV do not care for other high-risk children

A parent of a 3 yo tells a clinic nurse that the child is rebelling constantly and having temper tantrums. Using Erikson's psychosocial development theory, which instruction(s) should the nurse provide to the parent? SELECT ALL THAT APPLY A. Set limits on the child's behavior B. Ignore the child when this behavior occurs C. Allow the behavior, because this is normal at this age period D. Provide a simple explanation of why the behavior is unacceptable E. Punish the child every time the child says "no" to change the behavior

A. Set limits on the child's behavior D. Provide a simple explanation of why the behavior is unacceptable

The mother of an 8 yo child tells the clinic nurse the is concerned about the child because the child seems to be more attentive to friends than anything else. Using Erikson's psychosocial development theory, the nurse should make which response? A. You need to be concerned B. You need to monitor the child's behavior closely C. At this age, the child is developing his own personality D. You need to provide more praise to the child to stop this behavior

C. At this age, the child is developing his own personality

On assessment of a child admitted with a diagnosis of acute-stage Kawasaki disease, the nurse expects to note which clinical manifestation of the acute stage of the disease? A. Cracked lips B. Normal appearance C. Conjunctival hyperemia D. Desquamation of the skin

C. Conjunctival hyperemia

The clinical nurse reviews the record of a child just seen by a health care provider and diagnosed with suspected aortic stenosis. The nurse expects to note documentation of which clinical manifestation specifically found in this disorder? A. Pallor B. Hyperactivity C. Exercise intolerance D. GI disturbances

C. Exercise intolerance

The nurse is monitoring an infant with congenital heart disease closely for signs of heart failure (HF). The nurse should assess the infant for which early sign of HF? A. Pallor B. Cough C. Tachycardia D. Slow & shallow breathing

C. Tachycardia

A 16 yo is admitted to the hospital for acute appendicitis and an appendectomy is performed. Which nursing intervention is most appropriate to facilitate normal growth and development post-op? A. Encourage the child to rest and read B. Encourage the parents to room in with the child C. Allow the family to bring in the child's favorite computer games D. Allow the child to interact with others in his or her same age group

D. Allow the child to interact with others in his or her same age group

A new parent expresses concern to the nurse regarding SIDS. She asks the nurse how to position her infant for sleep. In which position should the nurse tell the parent to place the infant? A. Side or prone B. Back or prone C. Stomach with the face turned D. Back rather than on stomach

D. Back rather than on stomach