PEDIATRICS

A nurse is caring for an infant following the surgical repair of a cleft lip and palate. Which of the following actions should the nurse take?

Suction the infant gently with a bulb syringe PRN

A nurse is assessing a 6 month old infant who was recently admitted with acute vomiting and diarrhea. Which of the following findings indicates the infant has moderate dehydration?

Tachypnea

A nurse is caring for a school aged-child who has an arm cast applied 8 hours ago. Which of the following findings should alert the nurse to a complication related to the casting?

The child reports tightness at the wrist

A nurse is providing teaching to the parents of a child who has strabismus. Which of the following instructions should the nurse include to prevent the development of amblyopia?

Q 37 on ATI

A nurse is caring for a toddler who has otitis media and a temperature of 39.1 C (102.4 F). Which of the following actions should the nurse take first?

Administer an antipyrectic to the child

A nurse is reviewing the risk for the development of congenital heart disease with a client who is planning to conceive?

Alcohol consumption

A nurse is assessing the visual acuity of a group of school aged children. Which of the following actions should the nurse take?

Allow each child to wear his or her glasses during the exam

A nurse is providing anticipatory nutritional guidance for the caregivers of a 5 month old infant. Which of the following points should the nurse include in the teaching?

Allow the infant to try finger foods, such as crackers, after 6 months of age

A nurse is admitting a child who has a urinary tract infection (UTI) and a history of myelomeningocele. After completing the admission history, which of the following actions should the nurse plan to take?

Attach a latex allergy alert identification band

A nurse is assessing a 6 month old infant following a cardiac catheterization. Which of the following findings should the nurse report to the provider?

BP 86/40 mmHg

A nurse is assessing an infant who has untreated congenital hypothyroidism. Which of the following manifestations should the nurse expect?

Constipation

A nurse is providing teaching to the parents of a 4 year old child about fine motor development. Which of the following tasks should the nurse include as an expected finding for this age group?

Copying a circle

A nurse is caring for a 5 year old child who has a fever and begins to have a seizure. Which of the following actions should the nurse take?

Place the child in a side lying position

A nurse is caring for a 6 year old child who is experiencing encopresis. Which of the following actions should the nurse take?

Determine if there are any recent stressors in the child's environment

A nurse is assessing a 4 year old child's cognitive development during a well visit. Which of the following should the nurse expect the child to display?

Development of the superego

A nurse is preparing to obtain an antistreptolynsin O (ASO) titer from a child who has acute glomerulonephritis. The child's parent asks the nurse to explain the purpose of the test. Which of the following responses should the nurse provide?

The test shows us if your child had a recent strep infection

A nurse at a community health department is discussing the nutritional needs of children with a group of parents and guardians. Which of the following pieces of information should the nurse include?

Toddlers can be given up to 120-180 mL (4-6oz) per day.

A nurse is providing teaching to an adolescent who has scoliosis and a new prescription for a Boston brace. Which of the following responses by the adolescent indicates an understanding of the teaching?

I can take my brace off for about an hour daily to shower

A nurse is present at the time of a child's death following a terminal illness. Which of the following statements should the nurse make to the child's parent?

I will miss your child's infectious laugh; it always made me smile.

A nurse is teaching the parents of a 3 year old child who has persistent otitis media about prevention. Which of the following statements by the parents indicates an understanding of the teaching?

We should not smoke around our child

A nurse is providing education about the introduction of solid foods for the parent of an infant. Which of the following instructions should the nurse include?

Begin after the extrusion reflex has diminished.

A nurse is providing teaching to the parent of a child who has cystic fibrosis and a prolapsed rectum. The nurse should identify that which of the following is a cause of this complication?

Bulky stools

A nurse is providing preoperative education for an 8 year old child prior to cardiac surgery. Which of the following actions should the nurse take?

Use a doll with tubes and an incision to explain the surgery

A nurse is providing teaching to the guardian of a 9 month old infant who has a prescription for an oral liquid medication. Which of the following points should the nurse include in the teaching?

Use an oral syringe to measure your infant's medicine accurately.

A nurse in an emergency department is assessing an infant who has laryngotracheobrinchitis airway obstruction?

Nasal flaring

A nurse on a pediatric unit for a preschooler who is prescribed an IV medication. Which of the following actions should the nurse take to prepare the child for the procedure?

Use role play activities with the child

A nurse is assessing a 3 year old child who is 1 day postoperative following a tonsillectomy. Which of the following methods should the nurse use to determine if the child is experiencing pain?

Use the FACES scale

A nurse is caring for a child with a vesicular rash that has been present for 6 days. The nurse should expect that the child has which of the following conditions?

Varicella

A nurse in the emergency department is assessing an infant who recently started taking digoxin to treat a supraventricular arrhythmia. Which of the following findings should the nurse identify as an indication of digoxin toxicity?

Vomiting

A nurse is teaching the parent of a 3 year old toddler about promoting sleep. Which of the following pieces of information should the nurse include?

Follow a nightly routine and established bedtime

A nurse is caring for the family of a preschooler who has a terminal illness. The nurse should teach the family to expect the preschooler to have which of the following concepts of death?

People can come back to life after they die

A nurse is caring for an adolescent following a lumbar puncture. Which of the following actions should the nurse take?

Place the adolescent in a supine position

A nurse is assessing a 6 month old infant during a well child visit. Which of the following motor activities should the nurse expect the infant to have achieved?

Turning from back to stomach

A nurse on a pediatric unit is caring for a preschooler who is prescribed an IV medication. Which of the following actions should the nurse take to prepare the child for the procedure?

Use role-play activities with the child

A nurse in the emergency department is caring for an unaccompanied infant following a MVC. During the assessment, the nurse notes that the infant's anterior fontanel is almost closed. She has 6 teeth, is able to sit unsupported, and can drink from a cup. The child cries whenever anyone new to he enters the room, says a few words, and is asking for mama and dada. The nurse should make which of the following age assessments for this child?

12 months old

A nurse at a clinic is preparing to administer immunizations to a 5 year old child. Which of the following immunizations should the nurse plan to give?

Diphtheria, tetanus, and pertussis (DTaP)

A nurse is planning care for a preschool -age child who ha autism and is being admitted to the facility. Which of the following actions should the nurse plan to take?

Encourage the parents to bring the child's stuffed animal

A nurse is caring for a school aged child who has acute post streptococcal glomerulonephritis. Which of the following manifestations should the nurse expect?

Hematuria

A nurse is providing teaching to an adolescent who was recently diagnosed with type 1 diabetes mellitus. Which of the following insulin injection sites should the nurse recommend that the client use during basketball competitions?

Hip

A nurse is admitting a child who has Wilms' tumor. Which of the following action should the nurse take?

Put a "no abdominal palpation" sign over the child's bed

A school nurse is assessing an adolescent who returned to school following a case of mononucleosis. The child has a note from his provider excusing him from gym class. Which of the following findings should the nurse identify as the reason for this excusal?

Potential for sustaining abdominal trauma

A nurse is caring for a school-aged child who has sickle cell anemia. Which of the following actions should the nurse plan to take to help decrease the risk of a vaso-occlusive crisis

Provide adequate fluid throughout the day

A nurse is preparing to administer diphenydramine 5mg/kg/day PO divided equally every 8 hours to a school aged child who weighs 50lbs. Diphenhydramine oral solution 12.5 mg/5mL is available. How many mL should the nurse administer per dose?

15

A nurse in the emergency department is caring for a 12 year old child who has ingested bleach. Which of the following statements by the nurse indicates an understanding of this ingestion?

Injury by a corrosive liquid is more extensive than by a corrosive solid