Pediatrics Final
The nurse is providing preoperative care for a 14-month-old girl who has undergone a myelomeningocele repair. the girls mother is extremely anxious and tells the nurse she is afraid she will never learn how to care for her daughter at home. which response by the nurse would be best? a) " I will help you become comfortable in caring for your daughter" b) "you must learn how to care for your daughter at home" c) "you will need to learn to collaborate with all the caregivers" d) "there is a lot to learn, you need a positive attitude"
a) " I will help you become comfortable in caring for your daughter"
an 8 month-old infant is brought to the clinic for evaluation. the mother tells the nurse that she has noticed some white patches on the infants tongue that look like curdled milk after breastfeeding. the nurse suspects oral candidiasis (thrush). which question would the nurse use to help confirm this suspicion? a) "are you having breast pain when you nurse the baby?" b) "has he had any dairy problems recently?" c) "is he experiencing any vomiting lately?" d) "how has his stools been this past week?"
a) "are you having breast pain when you nurse the baby?" because it transmits to mom
A child with Duchenne muscular dystrophy (DMD) is to receive prednisone as part of his treatment plan. after teaching the Childs parents about this drug, which statement by the parents indicate the need for additional teaching? a) "we should give this drug before he eats anything" b) "we need to watch carefully for possible infection" c) "the drug should not be stopped suddenly" d) "he might gain some weight with this drug"
a) "we should give this drug before he eats anything"
the nurse is providing home care instructions for a 13-year-old girl recently diagnosed with systemic lupus erythematosus. which response by the girl indicates a need for further teaching? a) I need to wear sunscreen in the summer to prevent rashes b) I need to eat a healthy diet, exercise and get plenty of sleep c) I need an eye examination every year d) I need to be careful when it is cold; I should always wear gloves
a) I need to wear sunscreen in the summer to prevent rashes
the nurse is providing anticipatory guidance to the mother of a 9-month-old girl during a well-baby visit. which topic would be most appropriate? a) advising how to create a toddler-safe home b) warning about small objects left on the floor c) cautioning about putting the baby in a walker d) telling about safety procedures during baths
a) advising how to create a toddler-safe home
when assessing the vision of a 2-month-old what would the nurse use? a) black and white checkerboard b) red and blue circles c) gray and blue animal dressings d) green and yellow letters
a) black and white checkerboard
during a physical assessment of a 5-moth old child, the nurse observes the first tooth has just erupted and uses the opportunity to advice the mother to schedule a dental examination fro her baby. what is the correct time for the dentist visit? a) by their first birthday b) by the second birthday c) by entry into kindergarten d) by entry into first grade
a) by their first birthday
the mother of a 14-year-old girl states to the nurse that her daughter is moody, shuts herself in her room, and fights with her younger sister. which comment is most valuable to the mother a) calmly talk to her about your concerns b) this is normal for her age c) she may be hanging with the and crowd d) set some rules for family etiquette
a) calmly talk to her about your concerns
a child with heart failure is receiving supplemental oxygen. the nurse understands that In addition to improving oxygen saturation, this intervention also has what effect? a) cause vasodilation b) increase pulmonary vascular resistance c) promote diuresis d) mobilize secretions
a) cause vasodilation
the nurse is developing a plan of care for a 7-year-old boy with diabetes insipidus. what is the priority nursing diagnosis? a) deficient fluid volume related to dehydration b)excess fluid volume related to edema c)deficient knowledge related to fluid intake regimen d)imbalanced nutrition, more than body requirements related to excess weight
a) deficient fluid volume related to dehydration
a 4-year-old boy has a history of seizures and has been started on a ketogenic diet. which food selection would be most appropriate for this lunch? a) fried eggs, bacon and iced tea b) hamburger on a bun, French fries and milk c) spaghetti with meatballs, garlic bread and a cola drink d) grilled cheese sandwich, potato chips, and a milkshake
a) fried eggs, bacon and iced tea
the nurse is caring for a child hospitalized with reye syndrome who is in the acute stage of the illness. the nurse would assess the child most carefully for what finding? a) indications of ICP b) an increase in the blood glucose level c) a decrease in the liver enzymes d) a presence of protein in the urine
a) indications of ICP
the nurse is caring for a 5-year-old post tonsillectomy. the girl looks out the window and tells the nurse that it is raining and says "the sky is crying because it is sad that my throat hurts." the nurse understands that the girl is demonstrating which mental process? a) magical thinking b) centration c)transduction d) animism
a) magical thinking
The physician has ordered rectal diazepam for a 2-year-old boy with status epilepticus. which instruction is essential for the nurse to teach the parents? a) monitor their child's level of sedation b) watch for fever indicating infection c) gradually reduce the dosage as the seizures stop d) monitor for an allergic reaction to the medication
a) monitor their childs level of sedation
the nurse teaches parents of adolescents that adolescents need the support of parents and nurses to facilitate healthy lifestyles. what should be a priority focus on this guidance? a) reducing risk-taking behavior b)promoting adequate physical growth c) maximizing learning potential d) teaching personal hygiene routines
a) reducing risk-taking behavior
a nurse is caring for a 12-year-old girl with a severe peanut allergy. the girls parents are upset because the school dose not permit her to carry her EpiPen with her. it must remain in the schools office her school regulations. which response by the nurse would be most appropriate? a) she is allowed by law to carry her epipen with her; I will talk to the school authorities b) lets file an action plan and keep it in the school office in event of anaphylaxis c) make sure she wears a medical alert bracelet so that the school staff know she has allergies d) I will be happy to train the school authorities and staff to recognize anaphylaxis
a) she is allowed by law to carry her epipen with her; I will talk to the school authorities
the nurse is conducting a physical examination of a child with suspected cardiovascular disorder. which finding would the nurse most likely expect to assess if the child had transposition of the great vessels? a) significant cyanosis without presence of murmur b) abrupt cessation of chest output with an increase in heart rate/filling pressure c) soft systolic ejection d) holosystolic murmur
a) significant cyanosis without presence of murmur
when developing the plan of care for a child with cerebral palsy, which treatment would the nurse expect as least likely? a) skeletal traction b) physical therapy c) orthotics d) occupational therapy
a) skeletal traction
the nurse is assessing the neuromusculoskeletal system of a newborn. what is an abnormal assessment finding? a) sluggish deep tendon reflexes b) full range of motion in extremities c) absence of hypotonia d) lack of purposeful muscular control
a) sluggish deep tendon reflexes
a mother brings her 6-year-old son in for a check-up because the child is reporting stomachaches. it is beginning of the school year. what might the mother also mention? a) the child cries before going to school b) the child made friends the first day of school c) the child fights with siblings more often d) the child loves the crowds in the lunchroom
a) the child cries before going to school
the nurse is interviewing a 3-year-old girl who tells the nurse "want go potty" the parents tell the nurse that their daughter often speaks in this type of broken speech. what would be the nurses appropriate response to this concern? a) this is a normal common speech pattern in the 3-year-old and is called telegraphic speech b) this is considered a developmental delay in the 3-year-old and we should consult a speech therapist c) this is a condition known as echolalia and can be corrected if you work with your daughter on language skills d) this is a condition known s stuttering and it a normal pattern of speech in toddlers
a) this is a normal common speech pattern in the 3-year-old and is called telegraphic speech
A new mother shows the nurse that her baby grasps her finger when she touches the baby's palm. How might the nurse respond to this information? a) this is the primitive reflex known as the plantar grasp a) this is the primitive reflex known as the palmar grasp a) this is a protective reflex known as rooting a) this is a protective reflex known as the moro reflex
a) this is the primitive reflex known as the palmar grasp
when reviewing the history of a child with suspected primary immunodeficiency, what would the nurse be least likely to find? a) weight appropriate for height b) antibiotic therapy for the past 3 months without effect c) ten episodes of otitis media in the last year d) three bonus sinusitis within a years time
a) weight appropriate for height
the nurse is watching toddlers play. which normal behavior would the nurse observe? a)toddlers engage in parallel play b) toddlers engage in solitary play c) toddlers engage in cooperative play d) toddlers do not engage in play outside the home
a)toddlers engage in parallel play
The school nurse is working with a 10-year-old girl with recurrent abdominal pain. the girl's teacher has been less than understanding about the frequent absences and trips to the nurse's office. how should the nurse respond? a) "be patient; she is trying some new medication" b) "the pain she is having is real" c) " the family is working toward improvement" d) "please do not add to this family stress"
b) "the pain she is having is real"
The parents of a 6-week-old boy come to the clinic for evaluation because the infant has been vomiting. The parents report that the vomiting has been increasing in frequency and forcefulness over the last week. The mother says, "Sometimes, it seems like it just bursts out of his mouth." A diagnosis of hypertrophic pyloric stenosis is suspected. When performing the physical examination, which of the following would the nurse most likely find? a) Sausage-shaped mass in the upper midabdomen b) Hard, moveable, olive-shaped mass in the right upper quadrant c) Tenderness over the McBurney point in the right lower quadrant d) Abdominal pain in the epigastric or umbilical region
b) Hard, moveable, olive-shaped mass in the right upper quadrant
The nurse is caring for an infant with a temporary ileostomy. As part of the plan of care, the nurse monitors for skin breakdown around the stoma. if renders occurs, what would be most appropriate to promote healing and prevent further skin breakdown? a) clean the area well with a scented diaper wipe b) apply a barrier/healing area, or paste on the skin c) use a barrier wafer to attach the appliance d) sanitize the area with an alcohol wipe after each diaper change
b) apply a barrier/healing area, or paste on the skin
the nurse is teaching the parents of a 9-year-old girl about the socialization that is occurring in their child through school contacts. which information would the nurse include in her teaching plan? a) teachers are the most influential people in the development of the school-age childs social network b) continuous peer relationships provide the most important social interactions between school-age children c) parents should establish norms and standards that signify acceptance or rejection d) a characteristic of school-age children is their formation of groups with no rules and values involved
b) continuous peer relationships provide the most important social interactions between school-age children
what information would the nurse include in the preoperative plan of care for an infant with myelomeningocele? a) positioning supine with a pillow under the buttocks b) covering the sac with a saline-soaked nonadhesive gauze c) wrapping the infant snugly in a blanket d) applying a diaper to prevent fecal soiling of the site
b) covering the sac with a saline-soaked nonadhesive gauze
based on eriksons developmental theory, what is the major developmental task of an adolescent? a) gaining independence b) finding an identity c) coordinating information d) mastering motor skills
b) finding an identity
The parents of a boy diagnosed with Hirschsprung disease are anxious and fearful of the upcoming surgery. the mother states, "I'm worried about having to care for our sons ostomy." which intervention would be most helpful for the parents? a) explaining to them about the diagnosis and surgery b) having a wound, stony, and continence nurse meet with them c) reinforcing them the ostomy will be temporary d) teaching them about the medications used to slow stool output
b) having a wound, stony, and continence nurse meet with them
the parents of a 5-year-old boy tell the nurse that their son is having frequent episodes of night terrors. which statement would indicate that the boy is having nightmares instead of night terrors? a) it usually happens about an hour after he falls asleep b) he will tell us about what happened in his dream c) he is completely unaware that we are here d) when we try to comfort him, he screams even more
b) he will tell us about what happened in his dream
the nurse knows that children have larger heads in relation to the body and a higher center of gravity. when developing a teaching plan for parents, the nurse includes information about an increased risk for which problem? a) febrile seizures b) head trauma c) caput succedaneum d) posterior plagiocephaly (flat head)
b) head trauma
a nurse is preparing a plan of care for a child with primary immunodeficiency. which nursing diagnosis is the priority? a) imbalanced nutrition, less than body requirements related to poor appetite b) ineffective protection related to impaired humoral defenses c) acute pain related to inflammatory process d) risk for delayed growth and developmental related to chronic illness
b) ineffective protection related to impaired humoral defenses
the nurse is caring for a teen who will be hospitalized for physical rehabilitation for extended period of time after an auto accident. when working to promote a good working relationships with the teen, what action by the nurse will be most beneficial? a) allow teen to control daily schedule b) keep your word with regard to your promises and statements made to the teen c) allow the teen to make decisions about the plan of care d) include the teen in weekly interdisciplinary care conferences
b) keep your word with regard to your promises and statements made to the teen
then nurse is preparing a teaching plan for the parens of a child who has been diagnosed with a congenital heart defect. what would the nurse be least likely to include? a) daily weight assessment b) maintenance of strict bed rest c) prevention of infection d) signs of complication
b) maintenance of strict bed rest
The nurse is conducting a physical examination of a child with suspected Crohn disease. Which finding would be the most suspicious of Chrohn's disease? a) normal growth patterns b) perianal skin tags or fissures c) poor growth patterns d) abdominal tenderness
b) perianal skin tags or fissures
the nurse is examine an 8-year-old boy with tachycardia and tachypnea. the nurses anticipates which test as most helpful in determining the extent of the Childs hypoxia? a) pulmonary function test b) pulse ox c) peak expiratory flow d) chest radiograph
b) pulse ox
a nurse is caring for a newborn with congenital heart disease (CHD). which finding would the nurse interpret as indicating distress? a)reduced respiratory rate during feeding b) subcostal retractions at the time of feeding c) perspiration on body after feeding d) feeding lasting 15-20 minutes
b) subcostal retractions at the time of feeding
the nurse is teaching a new mother about the developmental sensory skills in her newborn. what would alert the mother to a sensory deficit in her child? a) the newborns eyes wander and occasionally are crossed b) the newborn does not respond to a loud noise c) the newborns eyes focus on near objects d) the newborn becomes more alert with stroking when drowsy
b) the newborn does not respond to a loud noise
the nurse is assessing a 5-year-old who is anxious, has a high fever, speaks in a whisper, and sits up with her neck thrust forward. based on these findings, what would the nurse be LEAST likely to perform a) providing 100% o2 b) visualizing the throat c) having the child sit forward d) auscultating for lung sounds
b) visualizing the throat - can make it worse
the nurse is caring for a newborn diagnosed with an atrial septal defect (ASD). the parents voice concern and state, "I can't believe this is happening. will our child be okay?" what is the nurses best response? a) if the defect isn't treated it can cause problems such as pulmonary hypertension, heart failure, trail arrhythmias, or stroke b) while each case is different, the majority of these defects correct on their own. lets see what the tests show, then speak with the doctor d) since there are no symptoms being exhibited right now, your child will likely not require surgery until age of 3 years d) most children have no symptoms of this defect
b) while each case is different, the majority of these defects correct on their own. lets see what the tests show, then speak with the doctor
a group of nursing students are reviewing the medications used to treat asthma. the students demonstrate understanding of the information when they identify which agent as appropriate for an acute episode of bronchospasm? a) salmeterol b)albuterol c) ipratropium d) cromolym
b)albuterol
the nurse is caring for a 2-month-old with cerebral palsy. the infant is limp and flaccid with uncontrolled, slow, worm-like, writhing, and twisting movements. what word would the nurse use when documenting these observations? a)spastic b)athetoid c) ataxic d) mixed
b)athetoid
the nurse is caring for a child who is taking corticosteroids for systemic lupus erythematosus. The nurse closely monitors the child based on the understanding the corticosteroids exert which major action? a) the increase liver enzymes b)they can mask signs of infection c) they cause bone marrow suppression d) they decrease renal function
b)they can mask signs of infection
the nurse is preparing to administer an IM injection to an 8-month-old infant. which site would the nurse select? a) rectus femoris b)vastus lateralis c) dorsogluteal muscle d)deltoid
b)vastus lateralis
a teenage girl diagnosed with POCS tells the nurse "I refuse to take oral contraceptives since I am not sexually active." what is the best response to the girl? a) "its important for you to take the pills even if you're not sexually active in order to prevent unwanted symptoms of the disease" b) "the doctor has prescribed these form you because it is an effective treatment method for the disease" c) "I know its hard remembering to take those pills every day. tell me more about what is making you not want to take the oral contraceptives" d) "do your parents know that you are not taking the treatment medication your doctor prescribed?"
c) "I know its hard remembering to take those pills every day. tell me more about what is making you not want to take the oral contraceptives"
A 6-year-old boy with cerebral pesky has been admitted to the hospital for some tests. his condition is stable. the boys mother stays with her son, but she is obviously exhausted and stressed. which response by the nurse would be most appropriate? a) "would you like me to bring you a blanket and pillow?" b) "you are doing such a wonderful job with your son" c) "hes in good hands; consider going home to get some sleep" d) "are you planning to spend the night or to go home?"
c) "hes in good hands; consider going home to get some sleep" (idk if this is right)
the nurse is caring for a 2-month-old infant who has been diagnosed with acute heart failure. the nurse is providing teaching about nutrition. which statement by the mother indicates a need for further teaching? a) the baby may need as much as 150 calories/kg/day b) small, frequent feedings ate best if tolerated c) I need to feed him every hour to make sure he eats enough d) savage feedings may be required for now
c) I need to feed him every hour to make sure he eats enough
a child with a suspected cardiovascular disorder is to undergo diagnostic testing and is scheduled for an echocardiogram. when explaining this test to the child, what would the nurse most likely include? a) this test will check the pattern of how your heart is beating b) they'll take a picture of your chest to look at the hearts size c) a special wand that picks up sound is used to check your heart d) small patches are attached to your chest to check the rhythm
c) a special wand that picks up sound is used to check your heart
the nurse is caring for a child who is having an anaphylactic reaction with bronchospasm. the nurse would expect to administer what medication for bronchospasm as ordereD? a) epinephrine b)corticosteroid c) albuterol d) diphenhydramine
c) albuterol
An infant with congenital heart disease is to undergo surgery to correct the defect. the mother states, "I guess I'm going to have to stop breastfeeding her." which response by the nurse would be most appropriate? a) thats true but we'll make sure she gets the best IV nutrition b) unfortunately, your baby needs more nutrients than what breast milk can provide c) breast milk may help boost her immune system, so you continue to use it" d) she won't be able to suck, so we have to giver her fortified formula through a tube
c) breast milk may help boost her immune system, so you continue to use it"
a child with a pneumothorax has a chest tube attached to a water seal system. when assessing the child, the nurse notices that the chest tube has become disconnected from the drainage system. what would the nurse do first? a)notify the physician b) apply an occlusive dressing c) clamp the chest tube d) perform a respiratory assessment
c) clamp the chest tube
the nurse is providing care to a child with an intussusception. the child has a bowel movement and the nurse inspects the stool. the nurse would most likely document the stool's appearance as having what quality? a) greasy b) clay-colored c) currant jelly-like d) bloody
c) currant jelly-like enema is a treatment its when the intestines telescope
the school nurse is walking through the lunchroom when one of the children says she starts to feel strange after trading lunches with a friend. which assessment would be most important? a) asking if she has a rash anywhere b) checking is she has any nausea c) determining if her throat itches d) asking if she has abdominal pain
c) determining if her throat itches
the nurse is assessing the gross motor skills of an 8-year-old boy. which interview question would facilitate this assessment? a) do you like to do puzzles? b) do you play any instruments? c) do you participate in any sports? d) do you like to construct models?
c) do you participate in any sports?
the nurse is developing a teaching plan for the mother of a 4-year-old girl with cold and fever. what would the nurse include in this teaching plan? a) keeping the child covered and warm b) calling the doctor if the Childs fever lasts more than 36 hours c) ensuring fluid intake to prevent dehydration d) observing for changes in alertness resulting from brain damage
c) ensuring fluid intake to prevent dehydration
the nurse is caring for a neonate who is suspected of having sepsis. which assessment findings would the nurse interpret as most indicative of sepsis? a)rash on face b) edematous neck c) hypothermia d) coughing
c) hypothermia
a nurse is preparing a teaching program for a parenting group about prevention of reign body aspiration. what information would the nurse include? a) avoid giving popcorn to children younger than age of 2 years b) withhold peanuts from children until they are at least 5 years of age c) if an object fits through a standard toilet paper roll, the child can aspirate it d) keep pennies and dimes out of the Childs reach; quarters do not pose a problem
c) if an object fits through a standard toilet paper roll, the child can aspirate it
a nurse is preparing a program for a group of parents about injury prevention. what would the nurse include as an important contributing factor for cervical spine injury in a child? a) exposure to tetratogens while in utero b) immaturity of the central nervous system c) increased mobility of the spine d) imcomplete myelinization
c) increased mobility of the spine
the nurse is implementing interventions to prevent physical stressors for a 9-year-old child receiving chemotherapy in the hospital. what is an example of using atraumatic care for this child? a) use a restraint or "holding down" of the child during the procedure to prevent injury b) have the parent stand near and or rub the Childs feet during the procedure c) insert a saline lock if the child will receive multiple doses of parenteral medications d) avoid using numbing techniques for multiple blood draws for IV insertion
c) insert a saline lock if the child will receive multiple doses of parenteral medications
the nurse is discussing discharge instructions with the parents of a 6-year-old who has a tonsillectomy. what is the most important thing to stress? a) administer analgesics b) encourage the child to drink liquids c) inspect the throat for bleeding d) apply an ice collar
c) inspect the throat for bleeding
during a follow-up visit, the parents of a 5-month-old infant diagnosed with congenital heart disease tell the nurse "were just so tired and emotionally spent. all these tests and examinations are overwhelming. we just want to have a normal life. We're so focused on the baby that it seems like our 3-year-old is lost in the shuffle. which nursing diagnosis would the nurse identify is the most appropriate? a) risk for delayed growth ad developmental related to necessary treatments b) deficient knowledge related to the care of a child with congenital heart disease c) interrupted family processes related to the demands of caring for the ill child d) fear related to the infants cardiac condition and need for ongoing care
c) interrupted family processes related to the demands of caring for the ill child
the nurse has determined that an 8-year-old girl is at risk for being overweight. which intervention would be a priority prior to developing the care plan? a) determining the need for additional caloric intake b) asking the parents who they want to work with the child c) interviewing the parents about their eating habits d) discussing the influence of peers on the child diet
c) interviewing the parents about their eating habits
when providing care to a newborn infant who was born at 29 weeks gestation, the nurse integrates knowledge of potential complications, being alert for signs and symptoms of what condition? a) neonatal conjunctivitis b) facial deformities c) intracranial hemorrhage d) imcomplete myelinization
c) intracranial hemorrhage
when examining the abdomen of a child, which technique would the nurse use last? a) auscultation b) percussion c) palpitation d) inspection
c) palpitation because pushing things around can screw bowel sounds
a parent asks the nurse about immunizing her 7-month-old daughter against the flu. which response by the nurse should be most appropriate? a) she really doesn't need the vaccine until she reaches 1 year of age b) she will probably receive it the next time she is to get her routine shots c) since your daughter is older than 6 months she should get the vaccine every year d) the vaccine has many side effects, so she would get it until she ready to go to school
c) since your daughter is older than 6 months she should get the vaccine every year
which exercise would the nurse suggest as most helpful to maintain mobility with juvenile idiopathic arthritis? a) jogging every other day b) using a treadmill c) swimming d) playing basketball
c) swimming
bacterial pneumonia is suspected in a 4-year-old boy with fever, headache, and chest pain. which assessment finding would most likely indicate the need for this child to be hospitalized? a) fever b) oxygen sat of 96% c) tachypnea with retractions d) pale skin color
c) tachypnea with retractions
the nurse is administering Tylenol PRN to a 9-year-old on the pediatric ward of the hospital. which answers reflect nursing actions that follow the rules of the "eight rights" of pediatric medication administration? select all that apply a) the nurse identifies the child by checking the name on the child's chart b) the nurses makes sure the medication is given within an hour of the order c) the nurse checks the documented time of the last dose administered d) the calculates the dosage according to the Childs weight e) the nurse explains the therapeutic effects of the medication to the child and parents f) the nurse administers the medication even thought he child is adamant about taking it
c) the nurse checks the documented time of the last dose administered d) the calculates the dosage according to the Childs weight e) the nurse explains the therapeutic effects of the medication to the child and parents
The nurse is assessing a 13-year-old boy with type 2 diabetes mellitus. what would the nurse correlate with this disorder? a) the parents report that their child had "a cold or flu" recently b) BP is decreased when checking vital signs c) the parents report their son "can't drink enough water" d) auscultation reveals Kussmaul breathing
c) the parents report their son "can't drink enough water"
a 16-year-old has just been diagnosed with HIV. which statement by the parent indicates understanding for the diagnosis? a) it important for our child to get started on drug therapy for a better chance of a cure of infection b) I must be infected with HIV and passed it to our child while in the uterus for the infection to have occurred c) we don't want to face the fact that is likely our child contracted HIV through sexual contact or IV drug use d) infections as result of being HIV positive are a low risk since the diagnosis come early
c) we don't want to face the fact that is likely our child contracted HIV through sexual contact or IV drug use
the nurse is preparing a teaching plan for a 10-year-old girl with hyperthyroidism. what information would the nurse include in this plan? a)describing the surgery to remove an anterior pituitary tumor b)teaching her parents to give injections of growth hormone c)explaining about the radioactive iodine procedure d)showing her parents how to give DDAVP intranasally
c)explaining about the radioactive iodine procedure
As a result of seizure activity, a CT scan was performed and showed that an 18-month-old child has intracranial arteriovenous malformation. when developing the Childs plan of care, what would the nurse expect to implement actions to prevent? a) drug interactions b) developmental disabilities c)hemorrhagic stroke d) respiratory paralysis
c)hemorrhagic stroke
the nurse hears wheezing when auscultating a 4-year-old. which condition would the nurse most likely rule out based on the assessment findings? a) bronchitis b)asthma c)influenza d) cystic fibrosis
c)influenza- don't always hear wheezing
A child is diagnosed with scarlet fever. the nurse is reviewing the Childs medical record, expecting which medication to be prescribed for this child? a) ibuprofen b) acyclovir c)penicillin v d)doxycycline
c)penicillin v
the nurse is performing a physical examination on a 9-year-old boy who has experienced a tick bite on his lower leg and is suspected of having Lyme disease. which assessment finding would the nurse expect to find? a) swelling in the neck b)confusion and anxiety c)ring-like rash on lower leg d)hypersalvation
c)ring-like rash on lower leg
After teaching a class of nursing students about muscular dystrophy, the sinteructor determines the teaching was successful when the students identify which type of muscular dystrophy as demonstrating an X-linked recessive pattern of inheritance? a) limb-girdle b) myotonic c) distal d) Duchenne
d) Duchenne
The nurse has developer a plan of care for a 12-month-old hospitalized with dehydration as a result of rotavirus. which intervention would the nurse include in the plan of care? a) encouraging consumption of fruit juice b) offering cool-aid or popsicles as tolerated c) encouraging milk products to boost caloric intake d) maintaining the intravenous (IV) fluid rate as ordered
d) maintaining the intravenous (IV) fluid rate as ordered
a child is diagnosed with juvenile idiopathic arthritis and is receiving several different medications listed in the medication administration record. Which agent would the nurse identify as being used to prevent disease progression? a)aspirin b) prednisone c) ibuprofen d) methotextrate
d) methotextrate
a 4-year-old boy has a febrile seizure during a well-child visit. what action would be a priority" a) hyperextending the child's head while placing him on his side b) using a tongue blade to pry open the childs jaw c) loosening the childs clothing to ensure a patent airway d) protecting the child from harm during seizure
d) protecting the child from harm during seizure
the nurse is examining a 5-year-old boy. which sign of symptoms is a reliable first indication of a respiratory illness in children? a)slow, irregular breathing b)a bluish tinge to the lips c) increasing lethargy d) rapid, shallow breathing
d) rapid, shallow breathing
The nurse has developed a plan of care for a 6-year-old with muscular dystrophy. he was recently injured when he fell out of bed at home. which intervention would the nurse suggest to prevent further injury? a) recommend the beds side rails be raised throughout the day and night b) suggest a caregiver be present continuously to prevent falls from bed c) encourage a loose restraint to be used when he is in bed d) recommend raising the beds side rails when a caregiver is not present
d) recommend raising the beds side rails when a caregiver is not present
The nurse has developed a teaching plan for the family of a 2-year-old boy who holds his breath when he greats frustrated. what will be most important to include in this plan? a) provide cuddle time whenever the child begins to act out b) explain the Childs behavior to the parents c) encourage the parents to interact more with the child d) stay close to prevent injury when the child gets frustrated
d) stay close to prevent injury when the child gets frustrated
A 16-year-old boy reports to the school nurse of headaches and a stiff neck. which sign or symptom would alert the nurse that the child may have bacterial meningitis? a) fixed and dialed pupils b)frequent urination c) sunset eyes d) sunlight is "too bright"
d) sunlight is "too bright" photosensitivity
the nurse inspects the eyes of a child na observes that the sclera is showing over the top of the iris. the nurse documents this finding as : a) decorticate posturing b) nystagmus c) dolls eye d) sunsetting
d) sunsetting- sign of hydrocephalus
the mother of a 4-year-old boy tells the nurse that her son occasionally wets his pants during the day, how should the nurse respond? a) is there a family history of diabetes b) suddenly having accidents can be a sign of diabetes c) thats normal; don't worry about it d) tell me about the circumstances when this occurs
d) tell me about the circumstances when this occurs
while reviewing various studies about the use of antipyretics possibly prolonging illness, the nurse notes that there are benefits to their sue for the child with fever. what would the nurse identify as the best explanation related to the benefit of antipyretics? a) they slow the growth of bacteria b) they increase neutrophil proliferation c) they encourage t-cell proliferation d) the help decrease fluid requirements
d) the help decrease fluid requirements
the nurse is performing a physical examination on a sleeping newborn. which body system should the nurse examine last? a) heart b) abdomen c) lungs d) throat
d) throat - last because most invasive
what finding would the nurse expect to assess in a child with hypothryoidism? a) nervousness b)heat intolerance c)smooth velvety skin d) weight gain
d) weight gain
The nurse is caring for a 4-year old boy who has undergone and appendectomy. The child is unwilling to use the incentive spirometer. which approach would be most appropriate to elicit the child's cooperation? a) "can you cough for me please?" b) " you must blow in this or you might get pneumonia" c)" if you don't try, I will have to get the doctor" d)" can you blow this cotton ball across the tray?"
d)" can you blow this cotton ball across the tray?"
