Pediatrics Form A

The mother of an adolescent tells a nurse that she argues frequently with her daughter about playing music while studying. Which of the following is an appropriate response for the nurse to make

"Consider letting her make her own choice about listening to music while studying."

A nurse is teaching a parent of a child who is receiving IV famotidine. The nurse should tell the parent that which of the following is an adverse effect of famotidine?

Bruising

A nurse is assessing a toddler who has diarrhea. Which of the following findings should alert the nurse to worsening dehydration?

Decreased tear production

A hospice nurse is visiting a parent on the 1-year anniversary of the death of his child from leukemia. Which of the following reactions by the parent would indicate to the nurse the need for bereavement counseling referral?

Didn't return to work

A charge nurse is preparing a room assignment for a school-age child. Which of the following is the most important consideration when planning a room assignment?

Disease process

A nurse at an urgent care clinic is performing an admission assessment on a child. Which of the following should the nurse recognize as an early manifestation of pertussis?

Dry, hacking cough

A nurse is providing education to the family of a child who has juvenile idiopathic arthritis. Which of the following should the nurse include in the teaching?

Encourage the child to perform independent self-care.

A nurse is educating the parents of a toddler who will be discharged with a lower leg cast. The nurse should instruct the family that which of the following findings is important to report to the provider?

inability to move the toes

A nurse is caring for an adolescent undergoing a lumbar puncture. Which of the following results would confirm a diagnosis of bacterial meningitis?

increased protein

A nurse is caring for a newborn who has a large sacral myelomeningocele. Prior to surgery, the nurse should prevent potential complications by

keeping the newborn's legs abducted with a pad between the knees.

A school-age child who was treated for a streptococcal throat infection is being admitted to the hospital with a diagnosis of acute rheumatic fever. Which of the following nursing interventions is appropriate?

maintain bedrest

A nurse is providing teaching to the parent of an infant who has diaper dermatitis. The nurse should teach the parent to apply which of the following to the affected area?

zinic oxide

A nurse is assessing a child who has appendicitis with possible perforation. The nurse should identify which of the following as a manifestation of peritonitis?

Abdominal distention

A nurse is caring for a child following surgery for an acute perforated appendix. Which of the following is an expected finding in the immediate postoperative period?

Absence of peristalsis

A nurse is caring for a school-age child who was diagnosed with asthma and reports chest pain. Which of the following actions should the nurse take first?

Auscultate breath sounds

A nurse is auscultating the lungs of a child who has pneumonia. Listen to the audio clip below and identify which of the following sounds the nurse is hearing and should document in the client's medical record.

Crackles

A nurse is assessing a 4-year-old child. Which of the following developmental milestones should the nurse expect?

Cuts a shape using scissors

A nurse is planning care for a child who has glomerulonephritis and is edematous. Which of the following activities should be part of the plan of care?

Restrict sodium intake.

A nurse is caring for a child who is postoperative following a tonsillectomy. Which of the following should the nurse recognize as a sign of hemorrhage?

Frequent swallowing

A nurse is caring for an infant who has respiratory syncytial virus (RSV) and is in a mist tent. Which of the following actions should the nurse implement for infection control?

Have a designated stethoscope in the room.

A nurse is caring for a school-age child who is admitted with a poorly controlled seizure disorder. Which of the following should the nurse include in the plan of care?

Have oxygen available

A nurse in a pediatric unit is caring for a preschool-age child who has acute lymphocytic leukemia and severe stomatitis. Which of the following should the nurse include in the child's plan of care?

Help the child brush her teeth gently with a soft sponge toothbrush

A nurse is caring for a 6-year-old child who is receiving chemotherapy. Which of the following laboratory values should the nurse report to the provider?

Hemoglobin 9.0 g/dL

A nurse is caring for a child who has nephrotic syndrome. Which of the following findings is associated with this diagnosis?

Hyperalbuminuria

A nurse is caring for a 3-year-old child who was administered pain medication. Which of the following pain scales is appropriate for measuring the client's response to the medication?

Oucher

A nurse is caring for a child who has nephrotic syndrome. Which of the following assessments should the nurse perform to confirm peripheral edema?

Palpating dorsum of feet

A nurse is assessing an infant who has heart failure. Which of the following findings should the nurse expect?

Peripheral edema

A nurse is providing discharge teaching about car seat use to the mother of a 6-month-old infant. Which of the following actions by the mother indicates a need for further teaching?

Using a blanket as padding underneath the infant while traveling

A school nurse is assessing a preschool-age child. Which of the following findings should the nurse identify as a potential finding of physical neglect?

Poor personal hygiene

A nurse is caring for a toddler who has a foreign body aspiration. Which of the following is an appropriate action for the nurse to take?

Prepare for an endoscopy

A nurse is assessing a 6-month-old infant at a well-infant visit. Which of the following findings should the nurse report to the provider?

Presence of strabismus Common terms include crossed eyes, squint or wandering eyes

A nurse is providing postoperative care to a 13-month-old toddler following cleft palate repair. Which of the following interventions is appropriate for the nurse to take

Prevent the client from using a pacifier

A nurse is planning care for a child following the application of a halo brace. Which of the following interventions should the nurse include in the plan of care?

Provide pin site care.

A nurse is caring for a school-age child who has heart disease and has developed heart failure. Which of the following interventions should the nurse include in the plan of care?

Provide small, frequent meals.

A nurse is providing teaching to the parent of child who has impetigo. Which of the following instructions should the nurse include in the teaching?

Remove crust after soaking with 1:20 Burow's solution.

A nurse is admitting a 4-month-old infant who has heart failure to the cardiac unit. Which of the following findings is the highest priority?

Three episodes of vomiting

A nurse is caring for a preschool-age child who has been receiving IV fluids via a peripheral IV catheter. When preparing to remove the IV fluids and catheter, which of the following steps should the nurse perform first?

Turn off the pump.

A nurse is working with a toddler who has cerebral palsy and is having trouble with verbal communication. Which of the following strategies should the nurse plan to use to promote effective communication? (Select all that apply.)

Use pictures and objects when talking to the child. Encourage the child to move his lips and tongue when eating Allow the child time to articulate at his own pace.

A nurse is performing a monthly assessment for a child who is taking methylphenidate. Which of the following is a manifestation that indicates an adverse effect of the medication?

Weight loss

A nurse is teaching a parent of a child who has pediculosis. Which of the following statements from the parent indicates an understanding of the teaching?

"I will need to remove the nits after treatment."

A nurse is teaching an adolescent who has a new diagnosis of infectious mononucleosis. Which of the following client statements indicates an understanding of the teaching?

"I should take ibuprofen for my headaches."

A nurse is teaching an adolescent about how to manage tinea pedis. Which of the following statements from the client indicates an understanding of the teaching?

"I should wear sandals as much as possible.

A nurse is providing discharge teaching to the parent of an 18-month-old toddler who experienced dehydration. Which of the following statements by the parent should indicate to the nurse an understanding of the teaching?

"I will monitor my child's number of wet diapers."

A nurse is preparing to administer cefazolin 25 mg/kg IV bolus to a school-age child who weighs 55 lb. Available is cefazolin injection 330 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth.)

1.9mL

A nurse is planning to assess a 2-month-old infant who has pulmonary stenosis. Idenfity the area where a systolic ejection murmur can be heard the loudest.

2nd internal costal sternal

A nurse is performing a urine dipstick test on a child who has nephrotic syndrome. Which of the following results should the nurse expect?

4+ protein

A nurse is providing teaching about growth hormone injections to the mother of a child who has growth hormone deficiency. Which of the following should the nurse include in the teaching?

Have serum calcium levels drawn periodically

A nurse is assessing a 7-month-old infant. Which of the following findings should the nurse report to the provider?

Inability to babble one-syllable sounds

A nurse is caring for a child who has partial-thickness burns on more than 40% of his body. Which of the following fluids prescribed by the provider should the nurse administer to the child in the first 24 hr?

Lactated Ringer's

A nurse is caring for a child who is newly prescribed methotrexate. Which of the following should the nurse obtain prior to administering the first dose?

Liver function tests

During observation of children playing on a pediatric unit, a nurse notes a child begin to stare into space and grunt. The child's extremities then begin to extend stiffly.

Lower, Pillow, loosen, assess

A nurse is caring for a child who is in Bryant traction. Which of the following is an appropriate action for the nurse to take?

Maintain the hips at a 90° angle to the body.

A nurse is caring for an infant who is postoperative pyloric stenosis repair. Which of the following is an appropriate action for the nurse to take?

Monitor the infant following feedings for vomiting.

A school nurse is developing a plan of care for a student who is newly diagnosed with juvenile idiopathic arthritis (JIA). Which of the following should the nurse include in the plan?

Monitoring students for presence of communicable diseases

A nurse is planning care for a toddler who has a serum lead level of 4 mcg/dL. Which of the following is an appropriate action for the nurse to take?

Schedule the toddler for a yearly rescreening

A nurse is caring for a child who has a new diagnosis of Lyme disease. Which of the following findings is a manifestation of stage 1 of this disease

Skin rash

A nurse is preparing an inservice on child maltreatment for a group of newly licensed nurses. Which of the following should the nurse include as a manifestation of physical abuse?

Symmetric burns of the lower extremities

A nurse is caring for a child who has epiglottitis. Which of the following actions should the nurse take?

oxygen stat

A nurse is assessing a 3-year-old child at a well-child visit. Which of the following findings should the nurse report to the provider?

resp. 30

A nurse is discussing food choices with the parent of a child who has celiac disease. Which of the following foods offered to the child by the parents is appropriate?

rice pudding