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The nurse is caring for a hospitalized 4-year-old boy. His parents tell the nurse that they will be back to visit at 6pm. When he asks the nurse when his parents are coming, the nurse's best response would be which of the following?
"They will come after dinner"
The nurse assessing a 6-month-old healthy infant who weighed 7lbs at birth shares with the parents that the infant should weigh about how many pounds?
15lbs
Whenever performing a painful procedure on a child, the nurse should:
Perform the procedure quickly and safely
Which of the following is an appropriate play activity for a 7-month-old infant to encourage visual stimulation
Playing peek-a-boo
A nurse on a pediatric unit is practicing family centered care. Which is most descriptive of the care the nurse is delivering?
Recognizing that the family is the constant in a child's life
A 6-year-old continues to complain of pain at the surgical site, one hour after the nurse gave IV morphine, which is ordered every 4 hours for pain. What is the nurse's best next step
Review whether the morphine dose is sufficient for his weight
A 13-year-old female is admitted for abdominal pain. Her parents state that their daughter is not sexually active. As the health care provider you:
Ask the parents to leave so that you can be with the patient alone
You enter a 2-year-old patient's room and you see the pulse oximeter reading 85% oxygen sat. Your first action would be to:
Assess the child's airway, breathing, and circulation
The nurse is preparing an in-service education to staff about atraumatic care for pediatric patients. Which intervention should the nurse include?
Prepare the child before any unfamiliar treatment or procedure by demonstrating on a stuffed animal
A 4-year-old child tells the nurse that she doesn't want another blood sample drawn because "I need all of my insides and I don't want anyone taking them out" Which of the following is the nurse's best interpretation of this?
Preschoolers have poorly defined body boundaries
To provide anticipatory guidance to a family, which of the following actions is most important?
Provide information before a problem occurs
The nurse encourages the mother of a toddler with acute laryngotracheobronchitis to stay at the bedside as much as possible. The nurse's rationale for this action is primarily which of the following?
The mother's presence will reduce anxiety and ease child's respiratory efforts
Which physiologic factor is most likely to contribute to respiratory compromise in a child?
A child has a narrower airway diameter than an adult
When auscultating a toddlers lungs, the nurse detects diminished breath sounds. The nurse should interpret this as which of the following?
An Abnormal finding warranting investigation
A 7-year-old child with acute asthma flare ups is brought to the ED. The parent reports the child has had a cold with a frequent dry cough for several days. What is the priority nursing action?
Auscultate the lungs for air movement
Melanie is a 6-month-old child who presented with tachypnea, marked retractions, listlessness, and poor eating and drinking. Nasal swab was positive for respiratory syncytial virus (RSV) and she was just admitted to the hospital. What nursing intervention would be most appropriate assuming you have a physician's orders?
Provide oxygen, administer IV fluids, and hand washing
When assessing a 6-month-old infant which finding would concern the nurse?
Closed anterior fontanel
The nurse is assessing a child with croup in the ED. The child has a sore throat and is drooling. Examining the child's throat using a tongue depressor might precipitate which of the follwoing?
Complete obstruction
Which is the leading cause of death in infants younger than 1 year?
Congenital anomalies
Which term best describes a group of people who share a set of values, beliefs, practices, social relationships, law, politics, economics, and norms of behavior?
Culture
The nurse administers digestive replacement enzymes to a 14-year-old with cystic fibrosis. What change indicates the enzyme is effective?
Decreased fat and mucus excretion in the stool
Which factor most impacts the type of injury a child is susceptible to, according to the child's age
Developmental level of the child
What is the role of the peer group in the life of school age children?
Provides them with security as they gain independence from their parents
A hospitalized infant with acute bronchitis (RSV) is NPO and receiving IV fluids. Which statement explains the rationale for holding feedings?
Feeding would be too much of an effort for the baby right now
The nurse is counseling first-time parents of a newborn on infant nutrition. The nurse educates parents that infants are physiologically and developmentally ready to begin solid foods at what age?
Four to six months
A 6-year-old girl is brought to the ED . She has a 'froglike' croaking sound on inspiration, is agitated and is drooling. She insists on sitting upright. The nurse should do which of the following:
Get emergency equipment at the bedside
A 6-month old infant is frequently admitted for respiratory distress and respiratory infections. He has BPD, this condition commonly develops in the lungs of infants when they
Have long term exposure to high oxygen concentrations
A 15-year-old has been injured during football practice and has been taken to the hospital via ambulance. Providers have been unable to speak to parents despite several attempts to contact them. The youth needs emergency surgery and understand the risks and benefits of the surgery. Which action is most appropriate at this time?
Have the youth sign the consent and proceed with the surgery.
The nurse is observing parents playing with their 10-month-old child. Which should the nurse recognize as evidence that the child is developing object permanence?
Looking for the toy that parents hide under the blanket
The primary factor responsible for possible multiple clinical manifestations in cystic fibrosis is which of the following?
Mechanical obstruction caused by increased viscosity of mucus gland production
The nurse is caring for a child in acute respiratory distress. Nursing actions should include which of the following?
Monitor pulse oximetry
A child is admitted to the hospital with asthma. Which assessment findings supports this diagnosis?
Nonproductive cough, wheezing
The father of a hospitalized child tells the nurse. "He can't have meat, we are Buddhist. and vegetarians". The nurse's best response is to:
Order a meatless tray
The nurse is providing discharge teaching to the parents of a 4-year-old with newly diagnosed asthma. An important method to discuss to assess the control of asthma is:
Peak expiratory flow meter
A nurse is caring for a 6-year-old Mexican-American boy. Which of the following does NOT reflect culturally responsive care
The nurse plans the patient based on what his/her assumptions about Mexicans
A mother tells the nurse that her 7-month-old infant cries whenever her neighbor comes into the room. This did not happen when the baby was younger. The nurse's best response is
This is called stranger anxiety and is commonly seen in infants at this age
A parent of an 18-month-old tells the nurse that the child says "no" to everything and has rapid mood swings. If scolded, the child shows anger and then immediately wants to be held. What is the nurse's interpretation of this behavior?
This is normal behavior for the child's age
When assessing a child's pain, the best approach is for the nurse to:
Use self report, behavioral and physiological factors
The nurse is discussing with the father of a 4-year-old child. Critical teaching points include
You should hold you child's hand when crossing the street
In girls, what is the initial indication of puberty?
breast development
