NGN Peds Final
A nurse is caring for a 5-year-old child in the acute care setting. Which of the following assessment findings require additional action by the nurse? Click to highlight the assessment findings which require additional action by the nurse? To deselect a finding, click on the finding again.
Child uncooperative and agitated is correct. Child reports chest pain and joint pain as a 4 on the Faces Scale is correct. Nasal flaring and moderate subcostal and substernal retractions are noted is correct. Bilateral, moderate inspiratory and expiratory wheezes noted upon auscultation is correct.
A nurse in a provider's office is caring for a 9-month-old-infant. The nurse is providing teaching to the guardians of the infant. Select the 3 instructions the nurse should include in the teaching.
Cleanse diaper area with soap and water is correct. Change diaper when wet is correct. Apply zinc oxide with each diaper change is correct.
A nurse in the emergency department (ED) is caring for a 13-year-old client who presented with right lower quadrant abdominal pain, nausea, and fever. The nurse has notified the provider of the client's 0700 assessment data and lab results. Which of the following prescriptions should the nurse anticipate?
Initiate IV antibiotics is correct. Obtain abdominal ultrasound is correct. Maintain NPO status is correct. Administer acetaminophen 800 mg is correct.
A nurse is caring for an infant who has congenital heart disease. Which of the following actions should the nurse plan to take? (Select all that apply.) Request a prescription for a diuretic. Administer an additional dose of digoxin. Place the infant in a knee-chest position. Provide 100% oxygen by face mask. Administer morphine via IV bolus. Perform nasopharyngeal suctioning for a maximum of 5 seconds. Prepare to assist with the insertion of a chest tube.
Provide 100% oxygen by face mask is correct. Place the infant in a knee-chest position is correct. Administer morphine via IV bolus is correct.
A nurse is caring for an infant on a pediatric unit. The nurse reassesses the infant at 1630. Which of the following assessment findings should the nurse report to the provider? Select the 4 findings that the nurse should report to the provider.
Respiratory rate is correct. Oxygen saturation is correct. Wheezing is correct. Retractions is correct.
A nurse is teaching the parents of a 10-month old infant about home safety. Which of the following information should the nurse include in the teaching?
Serve food in small, non-circular pieces is correct. Tie plastic bags in knots before discarding them is correct. Fit the mattress so that it is snug against the sides of the crib is correct.
A nurse is caring for a 7-year-old child. The nurse is reviewing the assessment findings and diagnostic results. For each assessment finding, click to specify if the finding is consistent with leukemia, sickle cell anemia, or hemophilia. Each finding may support more than one disease process.
Temperature and WBCs-Leukemia and Sickle Cell Bleeding and Bruising-Leukemia and Hemophilia Pain-Leukemia, Sickle Cell and Hemophilia
A nurse is caring for a child with mild persistent asthma. Which of the following are expected findings?
Daytime symptoms occur more than twice per week is correct. Daytime symptoms occur more than twice per week is correct. Peak expiratory flow (PEF) is greater than or equal to 80% of the predicted value is correct.
A nurse is caring for a preschool-age child. The nurse should determine the assessment findings are consistent with which of the following disease processes? For each assessment finding, click to specify if the assessment finding is consistent with laryngotracheobronchitis (LTB), epiglottitis, or foreign body aspiration. Each finding may support more than 1 disease process.
Drooling and Immunization Status-Epiglottitis Irritability and Respiratory Rate-LTB, epiglottitis and foreign body aspiration Fever-LTB and epiglottitis
A nurse is caring for an adolescent. For each potential provider's prescription, click to specify if the potential prescription is anticipated, nonessential, or contraindicated for the client.
Ketorolac IV for pain is anticipated. Intravenous fluids (IVF) at maintenance rate is anticipated. Ambulate in hallway with supervision is contraindicated. Meperidine IV for pain is contraindicated. Ice packs to affected area 15 min on/15 min off is contraindicated.
A nurse is caring for a toddler who presents to the emergency department. Which of the following actions should the nurse plan to take?
Monitor color of stools is correct. Insert an NG tube is correct. Administer intravenous antibiotics is correct.
A nurse is caring for an adolescent who was brought to the emergency department (ED). The nurse should determine the assessment findings are consistent with which of the following disease processes? For each assessment finding, click to specify if the finding is consistent with bacterial meningitis or encephalitis. Each finding may support more than 1 disease process.
Mood and CSF analysis results is consistent with bacterial meningitis. Location of pain, body temp, GI manifestations, reaction to pupil assessment, and neck range of motion is consistent with bacterial meningitis and encephalitis.
A nurse on a pediatric unit is admitting a 2-year-old toddler from the emergency department. Which of the following findings should the nurse on the pediatric unit identify as an indication that the treatment plan is effective? (Select all that apply.)
Nasal flaring is correct. Retractions is correct. Cough is correct. Respiratory rate is correct. Oxygen saturation is correct.
A nurse is preparing to discharge a child who has a new prescription for oral antibiotics. Which of the following information should the nurse include in the discharge teaching?
The reason why the child is taking the medication is correct. Written information about the medication is correct. The adverse effects of the medication is correct.
A nurse is preparing to administer vaccines to a 1 year old child. Which of the following vaccines should the nurse give?
Varicella and MMR (First of 2 doses)
A nurse is caring for an infant whose guardian reports intermittent vomiting for several days. Findings upon admission: Which of the following actions should the nurse take? (Select all that apply)
Weigh the infant is correct. Monitor the infant's intake and output is correct.
