PEDI resp.
Math Q:
5.3 mL
endotrach. suctioning
< 10 sec
A nurse is teaching the mother of a 5 y/o who has cystic fibrosis about pancreatic enzymes. The nurse should understand that further teaching is necessary when the mother states which of the following? A. "I will give my son the enzymes btwn meals" B. "the enzymes probably wont cause many adverse effects" C. "the enzymes help him digest fat" D. "i will put the enzyme crystals in his applesauce"
A. "I will give my son the enzymes btwn meals"
A nurse is educating new parents about risk factors for sudden infant death syndrome (SIDS). Which of the following statements should indicate to the nurse the need for further teaching? A. "our baby will sleep in our bed bc I am breastfeeding" B. " we will give our baby a pacifier during naps and at bedtime" C. "we will place our baby on back when sleeping" D. "we will remove blankets/toys from the crib"
A. "our baby will sleep in our bed bc I am breastfeeding"
A nurse is caring for a newborn whose mother voices concerns about SIDS. The nurse should include which of the following statements in a discussion with the mother?
A. "placing your child on her back when sleeping decreases risk of SIDS"
A nurse is admin ear drops to a toddler and pulls the auricle down and back. The mother asks, "why are you pulling the ear that way?" Which of the following explanations should the nurse provide?
A. "this technique opens the ear canal, allowing med to reach the inner ear region"
A nurse is providing discharge teaching about nutrition to the parents of a child who has CF. Which of the following responses by the parents indicates an understanding of the teaching?
A. "we will give our child pancreatic enzymes w. snacks/meals"
A nurse is providing teaching to the parents of a 1 week old infant who has a Rx for home O2 and pulse ox monitoring. Which of the following statements by the parents indicates a need for further teaching?
A. "we will rotate the probe of pulse ox Q 24 hrs" -rotated Q 3-4 hrs -100% O2 = too much
A nurse is preparing to teach about communicable diseases. During which of the following stages is the period in which a disease is contagious? A. communicability period B. convalescent period C. incubation period D. prodromal period
A. communicability period -incubation: infection and onset of illness -prodromal: nonspecific to specific -communicability: infectious -convalescent: manifestations are gone and pt becomes well
A nurse is caring for a child who is 2 hr postop following a tonsillectomy. Which of the following fluid items should the nurse offer the child at this time? A. crushed ice B. OJ C. vanilla milkshake D. cranberry juice
A. crushed ice -no citrus = irritating -no milk based = thickens mucus
A nurse is preparing to begin chest compressions on an infant. The nurse should perform compressions using which of the following techniques?
A. deliver compressions at 1/3 depth of chest -approx. 1.5 inch. -below nipple line -2 fingers
A nurse is caring for a 12 mo old toddler who is hospitalized and confined to a room with contact precautions in place. Which of the following toys should the nurse recommend in order the meet the developmental needs of the client? A. large building blocks B. hanging crib toy C. modeling clay D. crayons and coloring book
A. large building blocks
A nurse is caring for a child who has suspected dx for CF. Which of the following dx test will confirm dx?
A. sweat chloride test -increase in Na and Cl in saliva and sweat
A nurse is caring for a toddler who has acute laryngotracheobronchitis and has been placed in a cool mist tent. Which of the following findings indicates that the treatment has been effective? A. barking cough B. improved hydration C. decreased stridor D. decreased temp
C. decreased stridor
A nurse is providing teaching to a parent of a child who has acute group A B-hemolytic streptococci. Which of the following information should the nurse include in the teaching? A. avoid the use of warm compress around the head/neck B. IM injections will be required monthly C. replaced child's toothbrush after 24 hr on antibiotics D. keep the child home from school for at least 1 week
C. replaced child's toothbrush after 24 hr on antibiotics -prevent spread of re-infection
A nurse in a PACU is admitting a client who is postoperative following a tonsillectomy. Which of the following actions should the nurse plan to take to prevent aspiration?
C. withhold fluids until the client demonstrates a gag reflex
A nurse in an ED is ass. a 3 y/o who has high fever, severe dyspnea, and is dropping. Which of the following actions is the nurses priority? A. insert IV cath B. obtain blood cultures C. admin antipyretic D. prepare for nasotrach. intubation
D. prepare for nasotrach. intubation -indicates epiglottitis = resp. 911 -airway obstruction is imminent
A nurse is preparing to discharge a child who has a new Rx for an oral antibiotic. Which of the following info should the nurse include in the discharge instructions? (select all that apply)
reason for taking med written info about med adverse effects of med
A nurse is presenting an in-service about the use of postural drainage for infants who have CF. Which of the following positions should the nurse ID as being contraindicated for the infant?
trendelenburg
A nurse is caring for a child who has otitis media. Which of the following assessment findings should the nurse expect?
A. tugging on the affected ear lobe
Croup and wet the bed overnight
"expected for children who are hospitalized to regress...
A nurse is monitoring a child for manifestations of hemorrhage following tonsillectomy. Which of the following findings is a manifestation of this postop complication?
B. frequent swallowing
A nurse is admitting a toddler who has a respiratory syncytial virus (RSV). Which of the following actions should the nurse take?
B. keep thermometer in toddlers room -contact precautions
A nurse is admitting a child who has suspected epiglottitis. Which of the following actions should the nurse take first? A. admin 0.9% NS IV B. placed child on droplet prec. C. initiate IV antibiotics D. assist w obtaining an x-ray of childs neck
B. placed child on droplet prec.
A nurse is caring for a child who has pertussis. The child's parent asks the nurse what the common name for this disease is. The nurse should respond with which of the following common names?
B. whooping cough
A nurse is teaching the mother of a child who has cystic fibrosis and has a Rx for pancreatic enzymes three times a day. Which of the following statements indicates the mother has an understanding of the teaching?
C. "my child will take the enzymes to help digest the fat in foods"
A nurse is planning care for a child who has cystic fibrosis and a prescription to receive chest physiotherapy (CPT). Which of the following actions should the nurse plan to take? A. percuss each lung segment for 15 min B. perform CPT immediatly after child eats C. admin albuterol prior to CPT D. perform vibration during pt inspirations
C. admin albuterol prior to CPT -vibrations on expirations -each lung segment percuss 1-2 min
A nurse is caring for a 7 y/o who has upper resp infection and type 1 DM. Which of the following statements by the mother indicates a need for further teaching? A. "I will encourage her to drink 1/2 cup a water or sugar-free fluids Q 30 min" B. "I will report change in breathing...." C. "i will notify doctor if temp is not controlled...." D. "I will continue to check his blood sugar x2 every day"
D. "I will continue to check his blood sugar x2 every day" -check Q 3 hrs bc sick
A nurse is providing education to a school-age child who has a new dx of asthma. Which of the following statements should the nurse include in the teaching? A. "take cromolyn sodium at first sign of breathing diff" B. "you should stop playing basketball.." C. "use the peak expiratory flow meter once/week" D. "avoid triggers that cause an attack"
D. "avoid triggers that cause an attack"
A nurse is teaching an assistive personnel to measure a newborn's RR. Which of the following statements indicates an understanding of why the RR should be counted for a complete minute? A. "newborns are abdominal breathers" B. "newborns do not expand their lungs fully with each respiration" C. "activity will increase RR" D. "the rate/rhythm are irreg. with newborns"
D. "the rate/rhythm are irreg. with newborns"
A nurse is providing teaching to the parents of a child who has streptococcal pharyngitis about ways to prevent disease transmission. Which of the following responses by the parents indicates an understanding of the teaching? A. "we'll continue to encourage him to drink lots of fluids" B. "we'll take his temp Q 4hrs" C. "will give him tylenol for the pain" D. "we'll discard his toothbrush and buy another"
D. "we'll discard his toothbrush and buy another"
A nurse in an ED is caring for a child who is experinecing an asthma attack. Which of the following meds should the nurse expect to admin first? A. fluticasone B. budesonide C. montelukast D. albuterol
D. albuterol -fluticasone = glucocorticoid for long-term chronic asthma -budesonide = glucocorticoid for long-term chronic asthma -montelukast = long-term for allergies/asthma
A nurse is assessing a child who is postop following a tonsillectomy. Which of the following findings is a manifestation of hemorrhage? A. increased pain B. poor fluid intake C. drooling D. frequent swallowing
D. frequent swallowing
A nurse is caring for a child who ingested kerosene. Which of the following assessments is the nurse's priority?
RR
red marks across cheeks
assess rest of body
3 mo. sneezing, coughing, nasal congestion, intermittent fever, apneic spells
bronchiolitis
child w a trach
clear breath sounds
mild persistent asthma
daytime symptoms minor limitations occur w normal activity PEF 80% >/=
2 mo infant
fever causing an increase in baby HR
4 y/o airborne prec.
large-piece puzzle
epiglottitis and barking cough
monitor O2 sats
suspected epiglottits
place in upright position
