Peds

A nurse is teaching a parent of a 12 month old child about development during toddler years. Which of the following statements should the nurse make?

"Your child should be able to scribble spontaneously using a crayon at the age of 15 months"

19) A nurse is caring for a 1-month-old infant who is breastfeeding and requires a heel stick. Which of the following actions should the nurse take to minimize the infants pain? Use a manual lancet to obtain the heel blood sample. Apply an ice pack to the infant's heel prior to obtaining the sample. Allow the mother to breastfeed while the sample is being obtained. Apply a topical lidocaine cream prior to obtaining the sample.

Allow the mother to breastfeed while the sample is being obtained.

50) A nurse is teaching the guardian of a 6-month-old infant about teething. Which of the following statements should the nurse make? a. "Your baby might pull at their ears when they are teething." "Rub your baby's gums with an aspirin to decrease discomfort." "Place a beaded teething necklace around your baby's neck." "Your baby's upper middle teeth will erupt first.

a. "Your baby might pull at their ears when they are teething."

22) A nurse is assessing the pain level of a 3-year-old toddler. Which of the following pain assessment scales should the nurse use? a. FACES Numeric CRIES Visual analog

a. FACES

44) A nurse in an emergency department is assessing a 3-month-old infant who has rotavirus and is experiencing acute vomiting and diarrhea. Which of the following manifestations should the nurse identify as an indication that the infant has moderate to severe dehydration? Heart rate 124/min Increased tear production c. Sunken anterior fontanel d. Capillary refill 2 seconds

c. Sunken anterior fontanel

56) A nurse is planning care to address nutritional needs for a preschooler who has cystic fibrosis. Which of the following interventions should the nurse include in the plan? a. Administer pancreatic enzymes 2 hr after meals. b. Discontinue the use of pancreatic enzymes if steatorrhea develops. c. Limit fluid intake to 750 mL per day. d. Increase fat content in the child's diet to 40% of total calories.

d. Increase fat content in the child's diet to 40% of total calories.

54) A nurse in an emergency department is assessing a toddler who has Kawasaki disease. Which of the following findings should the nurse expect? (Select all that apply.) i) Increased temperature ii) Gingival hyperplasia iii) Xerophthalmia iv) Bradycardia v) Cervical lymphadenopathy

i) Increased temperature iii) Xerophthalmia v) Cervical lymphadenopathy

A nurse is teaching a school-aged child and their parent about postoperative care following cardiac catherization. Which of the following instructions should the nurse include?

"Wait 3 days before taking a tub bath"

21. 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 in the teaching as an expected finding for this age group? a. Copies a circle b. Cuts foods using a table knife c. Begins writing in cursive d. Prints first and last name clearly

a. Copies a circle

34) A nurse is caring for a school-age child who has diabetes mellitus and was admitted with a diagnosis of diabetic ketoacidosis. When performing the respiratory assessment, which of the following findings should the nurse expect? a. Deep respirations of 32/min b. Shallow respirations of 10/min c. Paradoxic respirations of 26/min d. Periods of apnea lasting for 20 seconds

a. Deep respirations of 32/min

41) A nurse is caring for a school-age child who has peripheral edema. The nurse should identify that which of the following assessments should be performed to confirm peripheral edema? a. Palpate the dorsum of the child's feet. Weigh the child daily using the same scale. Assess the child's skin turgor. Observe the child for periorbital swelling.

a. Palpate the dorsum of the child's feet.

8) A nurse in an emergency department is auscultating the lungs of an adolescent who is experiencing dyspnea. The nurse should identify the sound as which of the following? a. Wheezes b. Crackles c. Pleural friction rub d.Rhonchi

a. Wheezes

8. A nurse is performing a physical assessment on a 6-month-old infant. Which of the following reflexes should the nurse expect to find? a. Stepping b. Babinski c. Extrusion d. Moro

b. Babinski

24) A nurse is assessing a 6-month-old infant during a well-child visit. Which of the following findings should the nurse report to the provider? a. Presence of a central incisor tooth b. Presence of strabismus c. Presence of an open anterior fontanel d. Presence of external cerumen

b. Presence of strabismus

7) A nurse is providing discharge teaching to the guardians of a toddler who had lower leg cast applied 24 hr ago. The nurse should instruct the guardians to report which of the following finding to the provider? a. Capillary refill time less than 2 seconds b. Restricted ability to move the toes c. Swelling of the casted foot when the leg is dependent d. Pedal pulse +3 bilateral

b. Restricted ability to move the toes

25) A school nurse is caring for a child following tonic-clonic seizure. Which of the following actions should the nurse take first? a) Check the child for a head injury. b) Observe for oral bleeding. c) Check the child's respiratory rate. d) Observe for extremity weakness.

c) Check the child's respiratory rate.

49) A nurse is providing discharge teaching to the parent of an 18-month-old toddler who has dehydration due to acute diarrhea. Which of the following statements by the parent indicates an understanding of the teaching? "I will offer my child small amounts of fruit juice frequently." "I will avoid giving my child solid foods until the diarrhea has stopped." c. "I will monitor my child's number of wet diapers." d. "I will give my child polyethylene glycol daily for 7 days."

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

51) A nurse is creating a plan of care for a newly admitted adolescent who has bacterial meningitis. How long should the nurse plan to maintain the adolescent in droplet precautions? Until the adolescent is afebrile For 7 days following admission to the facility Until the adolescent has a negative blood culture d. For 24 hr following initiation of antimicrobial therapy

d. For 24 hr following initiation of antimicrobial therapy

31) A community health nurse is assessing an 18-month-old toddler in a community day care. Which of the following findings should the nurse identify as a potential indication of physical neglect? Resists having an axillary temperature taken Exhibits withdrawal behaviors when their parent leaves Has multiple bruises on their knees d. Poor personal hygiene

d. Poor personal hygiene

9) A nurse is caring for a preschooler who has congestive heart failure. The nurse observes wide QRS complexes and peaked T waves on the cardiac monitor. Which of the following prescriptions should the nurse clarify with the provider? Furosemide Captopril Regular insulin d. Potassium chloride

d. Potassium chloride

29. A nurse is caring for an adolescent who is receiving pain medication via a PCA pump. When the nurse assess the client's pain at 0800, the client describes the pain as a 3 on a scale of 1 to 10. At 100, the client describes the pain as a 5. The nurse discovers the client has not pushed the button to deliver medication in the past 2 hr. Which of the following actions should the nurse take? a. Ask the provider to discontinue the PCA so the nurse can administer PRN pain medication. b. Suggest the client's parent push the button for the client if the parent thinks the adolescent is having pain. c. Reevaluate the client in 1 hr since a pain level of 5 is acceptable on a scale of 1 to 10. d. Reinforce teaching with the client about how to push the button to deliver the med.

d. Reinforce teaching with the client about how to push the button to deliver the med.

23) A nurse is preparing to administer ibuprofen 5 mg/kg every 6 hr PRN for a temperatures above 38.0 C (100.5 F) to an infant who weighs 17.6 lb. Available is ibuprofen oral suspension 100mg/5mL. How many mL should the nurse administer to the infant per dose?

i) 2 mL

39) A nurse is assessing a school-age child who has an acute spinal cord injury following a sports injury 1 week ago. Identify the area the nurse should tap to elicit the bicep reflect. i) Correct answer is A

i) Correct answer is A

57) A nurse is caring for a toddler who has acute otitis media and a temperature of 40 C (104 F). After administering acetaminophen, which of the following actions should the nurse plan to take to reduce the toddler's temperature? Apply a cooling blanket to the toddler. Dress the toddler in minimal clothing. Give the toddler a tepid bath. Administer diphenhydramine to the toddler.

Dress the toddler in minimal clothing.

10. A nurse is developing a plan of care for a school-age child who underwent a surgical procedure that resulted in temporary loss of vision. Which of the following interventions should the nurse include in the plan of care? Assign an assistive personnel to feed the child. Explain sounds the child is hearing. Have the child use a cane when ambulating. Rotate nurses caring for the child.

Explain sounds the child is hearing.

27) A nurse in a health department is caring for an emancipated adolescent who has an STI and is unaccompanied by a guardian. Which of the following actions should the nurse take? Have the adolescent sign a consent form for treatment. Instruct the adolescent to return with a guardian. Obtain consent from the adolescent's guardian over the phone. Treat the adolescent without a consent form.

Have the adolescent sign a consent form for treatment.

15. A nurse at a pediatric clinic is assessing a 5-month-old infant during a well-child visit. Which of the following findings should the nurse report to the provider? Head lags when pulled from a lying to a sitting position Absence of startle and crawl reflexes Inability to pick up a rattle after dropping it Rolls from back to side

Head lags when pulled from a lying to a sitting position

33. A nurse is assessing a 9-month-old infant during a well-child visit. Which of the following findings indicates that the infant has a developmental delay? Creeps on hands and knees Inability to vocalize vowel sounds Uses crude pincer grasp Stands by holding onto support

Inability to vocalize vowel sounds

28) A nurse is assessing an 8-year-old child who has early indications of shock. After establishing an airway and stabilizing the childs respirations, which of the following actions should the nurse take next? Insert an indwelling urinary catheter. Measure weight and height. Initiate IV access. Maintain ECG monitoring.

Initiate IV access.

38) A nurse is creating a plan of care for a child who has varicella. Which of the following interventions should the nurse include? Maintain the child's room temperature at 80° F. Prepare the child for a lumbar puncture. Administer aspirin to the child for a temperature greater than 38.3° C (101° F). Initiate airborne precautions for the child.

Initiate airborne precautions for the child.

A nurse is assessing an infant with pneumonia. Which of the following findings in a priority to report to the provider?

Nasal Flaring

22. 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 in the teaching as an expected finding for this age group? Brightly colored mobile Plastic stethoscope Small piece jigsaw puzzle A book of short stories

Plastic stethoscope

28. A nurse is teaching the parent of an infant about home safety. Which of the following information should the nurse include? a. Use a wheeled infant walker. Place soft pillows around the edge of the infant's crib. Position the car seat so it is rear-facing. Secure a safety gate at the top and bottom of the stairs. Maintain the water heater temperature at 49° C (120° F).

Position the car seat so it is rear-facing. Secure a safety gate at the top and bottom of the stairs. Maintain the water heater temperature at 49° C (120° F).

26. A nurse is assessing a 6-year-old child at a well-child visit. Which of the following findings requires further assessment by the nurse? Presence of sparse, fine pubic hair Decreased head circumference compared to full height Increased leg length related to height Presence of a loose, central incisor

Presence of sparse, fine pubic hair

26) A nurse is planning developmental activities for a newly admitted 10-year-old child who has neutropenia. Which of the following actions should the nurse plan to take? Provide the child with a book about adventure. Arrange frequent visits from family members and peers. Give the child a large-piece puzzle. Use puppets to entertain the child.

Provide the child with a book about adventure.

55) A nurse is caring for a 10-year-old child following a head injury. Which of the following findings should the nurse identify as an indication that the child is developing diabetes insipidus? Urine specific gravity 1.045 Sodium 155 mEq/L Blood glucose 45 mg/dL Urine output 35 mL/hr

Sodium 155 mEq/L

15) A nurse is admitting an infant who has intussusception. Which of the following findings should the nurse expect? (Select all that apply.) a) Steatorrhea b) Vomiting c) Lethargy d) Constipation e) Weight gain

b) Vomiting c) Lethargy

36) A nurse is providing teaching to the parents of a preschooler who has heart failure and a new prescription for digoxin twice daily. Which of the following instructions should the nurse include in the teaching? a. "Use a kitchen teaspoon to measure the medication." b. "Brush the child's teeth after giving the medication." c. "Double the next dose if the child misses a dose." d. "Repeat the dose if the child vomits."

b. "Brush the child's teeth after giving the medication."

4. A nurse in a pediatric clinic is assessing a toddler at a well-child visit. Which of the following actions should the nurse take? a. Perform the assessment in a head to toe sequence. b. Minimize physical contact with the child initially. c. Explain procedures using medical terminology. d. Stop the assessment if the child becomes uncooperative.

b. Minimize physical contact with the child initially.

20) A nurse is assessing an adolescent who received a sodium polystyrene sulfonate enema. Which of the following findings indicates effectiveness of the medication? a) Reports an absence of nausea and vomiting b) Reports experiencing an onset of loose stools within 15 min of administration c) Serum potassium level 4.1 mEq/L d) Blood pressure 86/52 mm Hg

c) Serum potassium level 4.1 mEq/L

30) A nurse is providing discharge teaching to the guardian of a school-age child who has undergone a tonsillectomy. Which of the following statements by the guardian indicates an understanding the teaching? "My child can resume usual activities since this was just an outpatient surgery." "My child will be able to drink the chocolate milkshake I promised to get for them tonight." c. "I will notify the doctor if I notice that my child is swallowing frequently." d. "I will have my child gargle with warm salt water to relieve their sore throat."

c. "I will notify the doctor if I notice that my child is swallowing frequently."

21) A charge nurse is preparing to make a room assignment for a newly admitted school- age child. Which of the following considerations is the nurses priority? Length of stay Treatment schedule c. Disease process d. Self-care ability

c. Disease process

23. A nurse in an emergency department is caring for an 8-year old who is up-to-date with current immunization recommendations and has a deep puncture injury. Which of the following should the nurse anticipate administering? a. Diphtheria, tetanus, and acellular pertussis (DTaP) vaccine b. A single injection of tetanus immune globulin (TIG) mixed with the pediatric tetanus booster (DT) c. Tetanus, diphtheria, and acellular pertussis (Tdap) vaccine d. Adult tetanus booster (Td)

d. Adult tetanus booster (Td)

29) A nurse is performing hearing screenings for children at a community health fair. Which of the following children should the nurse refer to a provider for a more extensive hearing evaluation? An 18-month-old toddler who has unintelligible speech A 3-month-old infant who has an exaggerated startle response A 4-year-old preschooler who prefers playing with others rather than alone d. An 8-month-old infant who is not yet making babbling sounds

d. An 8-month-old infant who is not yet making babbling sounds

52) A nurse is providing anticipatory guidance to the parent of a toddler. Which of the following expected behavior characteristics of toddlers should the nurse include? Controls impulsive feelings Understands right from wrong c. Easily separates from parents for long periods of time d. Expresses likes and dislikes

d. Expresses likes and dislikes

17. A nurse in a pediatric clinic is caring for a 3-year-old child who has a blood lead level of 3 mcg/dL. When teaching the toddler's parents about the correlation of nutrition with lead poisoning, which of the following information is appropriate for the nurse to include in the teaching? Decrease the child's vitamin C intake until the blood lead level decreases to zero. Administer a folic acid supplement to the child each day. Give pancreatic enzymes to the child with meals and snacks. Ensure the child's dietary intake of calcium and iron is adequate.

Ensure the child's dietary intake of calcium and iron is adequate.

5) A nurse is receiving change-of-shift report for four children. Which of the following children should the nurse assess first? a. A toddler who has a concussion and an episode of forceful vomiting An adolescent who has infective endocarditis and reports having a headache An adolescent who was placed into halo traction 1 hr ago and reports pain as 6 on a scale of 0 to 10 A school-age child who has acute glomerulonephritis and brown-colored urine

a. A toddler who has a concussion and an episode of forceful vomiting

20) A nurse is assessing an adolescent who received a sodium polystyrene sulfonate enema. Which of the following findings indicates effectiveness of the medication? Reports an absence of nausea and vomiting Reports experiencing an onset of loose stools within 15 min of administration c. Serum potassium level 4.1 mEq/L d. Blood pressure 86/52 mm Hg

c. Serum potassium level 4.1 mEq/L

17) A nurse is providing discharge teaching to the parents of a 3-month old infant following a cheiloplasty. Which of the following instructions should the nurse include? a) "Clean your baby's sutures daily with a mixture of chlorhexidine and water." b) "Expect your baby to swallow more than usual over the next few days." c) "Inspect your baby's tongue for white patches using a tongue depressor every 8 hours." d) "Apply a thin layer of antibiotic ointment on your baby's suture line daily for the next 3 days."

d) "Apply a thin layer of antibiotic ointment on your baby's suture line daily for the next 3 days."

33) A nurse is providing teaching to an adolescent about how to manage tinea pedis. Which of the following statements by the adolescent indicates an understanding of the teaching? a. "I should buy plastic shoes to wear at the swimming pool." b. "I should wear sandals as much as possible." c. "I should place the permethrin cream between my toes twice daily." d. "I should seal my nonwashable shoes in plastic bags for a couple of weeks."

b. "I should wear sandals as much as possible."

5. A nurse is caring for an 18-year-old adolescent who is up-to-date on immunizations and is planning to attend college. The nurse should inform the client that he should receive which of the following immunizations prior to moving into a campus dormitory? a. Pneumococcal polysaccharide b. Meningococcal polysaccharide c. Rotavirus d. Herpes zoster

b. Meningococcal polysaccharide

6) A nurse is planning care for a newly admitted school-age child who has generalized seizure disorder. Which of the following interventions should the nurse plan to include? a) Ensure that a padded tongue blade is at the child's bedside. b) Allow the child to play video games on a tablet computer. c) Allow the child to take a tub bath independently. d) Ensure the oxygen source is functioning in the child's room.

d) Ensure the oxygen source is functioning in the child's room.

43) A nurse is reviewing the dietary choices of an adolescent who has iron deficiency anemia. The nurse should identify that which of the following menu items has the highest amount of nonheme iron? 1⁄2 cup whole milk 1 cup orange juice c. 1⁄2 cup raisins d. 1 cup raw carrots

c. 1⁄2 cup raisins

47) A nurse is caring for a newly admitted school-age child who has hypopituitarism. Which of the following medications should the nurse expect the provider to prescribe? a. Desmopressin b. Luteinizing hormone-releasing hormone c. Recombinant growth hormone d. Levothyroxine

c. Recombinant growth hormone

9. A nurse is preparing to administer recommended immunizations to a 2-month-old infant. Which of the following immunizations should the nurse plan to administer? Human papillomavirus (HPV) and hepatitis A Measles, mumps, rubella (MMR) and tetanus, diphtheria, and acellular pertussis (TDaP) c. Haemophilus influenzae type B (Hib) and inactivated polio virus (IPV) d. Varicella (VAR) and live attenuated influenza vaccine (LAIV)

c. Haemophilus influenzae type B (Hib) and inactivated polio virus (IPV)

20. A nurse is providing education to the parent of a toddler who is about to receive her first dose of the MMR (measles, mumps and rubella) immunization. Which of the following statements by the parent indicates an understanding of the teaching? "I am not going to let my child play with other children for 2 days." "I will need to return in 2 weeks for my child to receive the varicella immunization." "I can give my child acetaminophen for discomfort associated with the immunization." "My child might have some discharge from the injection site."

"I can give my child acetaminophen for discomfort associated with the immunization."

24. A nurse is providing teaching about promoting sleep with the parent of a 3-year-old toddler. Which of the following information should the nurse include? Follow a nightly routine and established bedtime. Encourage active play prior to bedtime. Let the child remain awake until tired enough to go to sleep. Reward the child with a food treat just prior to sleep if the child goes to bed on time.

Follow a nightly routine and established bedtime.

13. A nurse is observing a mother who is playing peek-a-boo with her 8-month-old child. The mother asks if this game has any developmental significance. The nurse should inform the mother that peek-a-boo helps develop which of the following concepts in the child? a. Hand- eye coordination b. Sense of trust c. Object permanence d. Egocentrism

c. Object permanence

A nurse is providing discharge teaching to the parents of a 6-month-old infant who is postoperative following hypospadias repair with a stent placement. Which of the following instructions should the nurse include in the teaching?-

"Allow the stent to drain directly into your infant's diaper."

A nurse is providing teaching to the parent of a preschooler about ways to prevent acute asthma attacks. Which fo the following statements by the parent should the nurse identify as understanding the teaching?-

"I should keep my child indoors when I mow the yard."

A nurse is assessing an infant who has a ventricular septal defect. Which of the following findings should nurse expect?

- Loud, harsh murmur

A nurse is preparing to suction an infant who has a tracheostomy. Which of the following actions should the nurse take?

- Suction for 5 seconds of less

A school nurse is preparing to administer atomoxetine 1.2 mg/kg/day PO to a school-age child who weighs 75lb. Available is atomexetine 40 mg/capsule. How many capsules should the nurse administer per day?

1

A school nurse is assessing an adolescent who has scoliosis. Which of the following findings should the nurse expect?

A unilateral rib hump

A nurse is caring for a 3 year old female child who is prescribed an indwelling urinary catheter. Which of the following actions should the nurse take when performing this procedure?

Apply 2% lidocaine lubricant into the urethral meatus

A nurse is reinforcing teachings with the guardians of a school-age child who has frequent nosebleeds. Which of the following instructions should the nurse include?

Apply pressure to the child's nose

A nurse is preparing to administer an intramuscular injection to an 11-month-old infant. In which of the following areas should the nurse administer the injection?

B is correct. The nurse should administer an IM injection in the vastuslateralis muscle of an 11-month-old infant. The vastuslateralis is a well-developed muscle that is safe to use for infants and small children.

A nurse is caring for a 2 year old who has cystic fibrosis. The nurse is planning to take the child into the playroom. Which of the following activities would be appropriate for the child?

Building towers of blocks

A nurse is providing anticipatoy guidance about accidental ingestion of a toxic substance to the parents of a toddler. The nurse should instruct the parents to take which of the following actions first if the child ingests a hazordous substance?

Call the poison control center

A nurse is providing anticipatory guidance to the parents of a 2-week-old infant about risk factors for sudden infant death syndrome (SIDS). Which of the following risk factors should the nurse include in the teaching?-

Covering the sleeping infant with a blanket

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

Cuts a shape using scissors

A nurse is assessing a school-age child who has an infratentorial brain tumor. Which of the following findings should the nurse identify as a manifestation of increased intracranial pressure? -

Decreased attention span

A nurse is caring for a school-age child who is receiving a cefazolin via intermittent IV bolus. The child suddenly develops diffuse flushing of the skin and angioedema. After discontinuing the medication infusion, which of the following medications should the nurse administer first? -

Epinephrine

34. A nurse is preparing to administer a liquid medication to an infant. Which of the following actions should the nurse take? Administer the medication while the infant is supine. Give the medication at the side of the infant's mouth. Add the medication to a full bottle of the infant's formula. Administer the medication slowly while holding the nares closed.

Give the medication at the side of the infant's mouth.

A nurse is caring for a school-aged child who is receiving chemotherapy and is severely immunocompromised. Which of the following actions should the nurse take?

Screen the childs visitors for infection

A nurse is assessing a toddler who has gastroenteritis and is exhibiting manifestations of dehydration. Which of the following findings should the nurse address first?-

Tachypnea

A nurse is assisting with the care of plan of a 4-year-old child who is prescribed an IV medication preoperatively. Which of the following techniques should the nurse use to assist the child to cope with this procedure? (Select all that apply) a) Discuss benefits of the procedure. b) Provide the child with a detailed explanation of the procedure. c) Implement interactive sessions of 30 min. d) Give the child needleless IV supplies to play with. e) Allow the child to perform the function with a doll.

a) Discuss benefits of the procedure. d) Give the child needleless IV supplies to play with. e) Allow the child to perform the function with a doll.

A nurse is reviewing the laboratory values of a school-age child who has iron deficiency anemia. Which of the following findings should the nurse expect? a) Hgb 9.0 g/dL b) Hct 37% c) Iron 100 mcg/dL d) Total iron binding capacity 325 mcg/dL

a) Hgb 9.0 g/dL

A nurse is preparing a toddler for suturing of a minor facial laceration. The nurse should place the toddler in which of the following restraints? a) Mummy restraint b) Jacket restraint c) Elbow restraint d) Wrist restraint

a) Mummy restraint

A nurse is contributing to the plan of care for a 10-month-old infant who is postoperative following cleft palate repair. Which of the following actions should the nurse include in the plan of care? a) Place the infant in side-lying position. b) Offer the infant liquids with a straw. c) Prohibit the guardian from holding the infant for 8 hr. d) Cleanse the suture line with a lemon glycerin swab.

a) Place the infant in side-lying position.

A nurse is caring for a 1-month-old infant who has a nasogastric tube in place for intermittent feedings. Which of the following actions should the nurse take? a) Position the head of the crib at a 30° angle between feedings. b) Place the infant on her left side after a feeding. c) Administer feedings over 5 min. d) Flush the tube with 30 mL of tap water.

a) Position the head of the crib at a 30° angle between feedings.

A nurse is collecting data from an 18-month-old toddler. Which of the following is a deviation from expected growth and development that the nurse should report to the provider? a) The toddler is unable to recognize familiar objects by name. b) The toddler is unable to dress himself in simple clothing. c) The toddler is unable to talk in complete sentences. d) The toddler is unable to draw a circle

a) The toddler is unable to recognize familiar objects by name.

56. A nurse is preparing to assist a provider with a lumbar puncture for a school-age child. Which of the following actions is the nurse's priority? a) Labeling collected specimens b) Providing reassurance to the child c) Maintaining the child's position d) Monitoring the child's vital signs

c) Maintaining the child's position

A nurse is reinforcing teaching with the parents of a 2-year-old toddler at a well-child visit. Which of the following should the nurse recommend as an age-appropriate activity for the toddler? a) Creating a rock collection b) Learning the alphabet with flash cards c) Putting together a large-piece puzzle d) Riding a tricycle

c) Putting together a large-piece puzzle

17) A nurse is providing discharge teaching to the parents of a 3-month old infant following a cheiloplasty. Which of the following instructions should the nurse include? "Clean your baby's sutures daily with a mixture of chlorhexidine and water." "Expect your baby to swallow more than usual over the next few days." "Inspect your baby's tongue for white patches using a tongue depressor every 8 hours." d. "Apply a thin layer of antibiotic ointment on your baby's suture line daily for the next 3 days."

d. "Apply a thin layer of antibiotic ointment on your baby's suture line daily for the next 3 days."

A hospice nurse is caring for a preschooler who has a terminal illness. The father tells the nurse that he cannot cope anymore and has decided to move out of the house. Which of the following statements should the nurse make?

- "Let's talk about some of the ways you have handled previous stressors in your life."

A school nurse is assessing a school-age child who has erythema infectious (fifth disease). Which of the following findings should the nurse expect?

- Facial rash

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

- Hgb 8.5 g/dL

A nurse is preparing to administer phenobarbital to a toddler who has a seizure disorder and weights 10 kg (22 lb). The prescription reads phenobarbital sodium 2.5 mg/kg PO BID. Available is phenobarbital 20 mg/5 mL. How many mL should the nurse administer with each dose? (Round to the nearest hundredth. Use a leading zero if it applies. Do not use a trailing zero Ratio and Proportion

6.26 mL

A nurse is monitoring the oxygen saturation level of an infant using pulse oximetry. The nurse should secure the sensor to which of the following areas on the infant? -

Great toe

A nurse is reinforcing teachings about sudden infant death syndrome(SIDS) with the parent of a 1 month old infant. Which of the following statements by the parent indicates an understanding of the teaching?

I will allow my baby to have a pacifier while sleeping

A nurse is reviewing the lumbar puncture results of a school-age child suspected of having bacterial meningitis. Which of the following results should the nurse identify as a finding associated with bacterial meningitis?-

Increased protein concentration

A nurse is planning care for a school-age-child who is in the oliguric phase of acute kidney injury (AKI) and has a sodium level of 129 mEq/L. Which of the following interventions should the nurse include in the plan?-

Initiate seizure precautions for the child.

A nurse is caring for a school-age who has acute rheumatic fever. Which of the following actions should the nurse take?-

Maintain the child on bed rest.

A nurse is reenforcing teaching regarding the immunization schedule with the parent 6-month-old infant during a well baby visit. Which of the following statements by the parent indicates an understanding of the teaching.

My baby will receive his third Dtap vaccine today

A nurse is caring for a toddler who is experiencing acute diarrhea and has moderate dehydration. Which of the following nutritional items should the nurse offer to the child?

Oral rehydration solution

A nurse is caring for a school-age child who has experienced a tonic-clonic seizure. Which of the following actions should the nurse take during the immediate postictal period?-

Place the child in a lateral position.

A nurse is an emergency department suspects that a toddler has epiglottis. Which of the following actions should the nurse take?-

Prepare the toddler for nasotracheal intubation.

A nurse is creating a plan of care 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.

Provide small, frequent meals to the child

A nurse is caring for an adolescent who received a kidney transplant. Which of the following findings should the nurse identify as an indication the adolescent is rejecting the kidney?-

Serum creatinine 3.0 mg/dl

A nurse is interviewing the parent of an 18 month old toddler during a well-child visit. The nurse should identify which of the following findings indicates a need to assess the toddler for hearing loss?

The toddler recieved tobramycin during a hospitalization 2 weeks ago

A nurse is assessing a toddler who has leukemia and is receiving his first round of chemotherapy. Which of the following findings is the priority for the nurse to report to the provider?-

Urticaria

A nurse is teaching a school-age child who has a severe allergy to bee venom and his parent about epinephrine. Which of the following instructions should the nurse include in the teaching?

Use a second dose, if the first dose of epinephrine does not completely reverse the symptoms

A nurse is preparing to administer a hepatitis B vaccine to a 1-month-old infant. The nurse should plan to inject the medication at which of the following locations?-

Vastus lateralis

A nurse is reinforcing teaching with an adolescent who has an inflamed non-perforated appendix and is scheduled for a laparoscopic assisted appendectomy. Which of the following instructions should the nurse include in the teaching?

You will sit in your chair twice a day after surgery

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?-

Zinc oxide

A nurse is reinforcing dietary teaching with the parent of a 2-year-old toddler. Which of the following should the nurse include in the teaching? a) "It is recommended that the toddler consumes no more than 12 ounces of fruit juice each day." b) "An appropriate serving size is 1 tablespoon of food per year of age." c) "Introduce healthy finger foods like carrots and celery sticks." d) "Encourage 5 cups of low-fat milk each day."

b) "An appropriate serving size is 1 tablespoon of food per year of age."

A nurse is reinforcing anticipatory guidance to the parents of an adolescent. Which of the following recommendations should the nurse include? a) Compare the adolescent's behavior to older siblings. b) Be open to the adolescent's point of view. c) Select school activities for the adolescent. d) Provide the adolescent with flexible rules.

b) Be open to the adolescent's point of view.

A nurse is collecting data from an 18-month-old toddler who has just presented to the urgent care clinic. Which of the following data should the nurse investigate further? a) Respiratory rate 25/min b) Blood pressure 120/80 mm Hg c) Heart rate 110/min d) Rectal temperature 37.4° C (99.3° F)

b) Blood pressure 120/80 mm Hg

A nurse is caring for an adolescent who has acne and anew prescription for isotretinoin. For which of the following adverse effects should the nurse monitor? a) Hypersalivation b) Depression c) Bradycardia d) Hyperreflexia

b) Depression

A nurse is reinforcing teaching with the parent of a child who is being treated with diphenhydramine for allergic rhinitis. The nurse should tell the parent to monitor the child for which of the following? a) Polyuria b) Drowsiness c) Drooling d) Hypogeusia

b) Drowsiness

A nurse is reinforcing teaching with the guardian of a school age-age child who has acute bacterial conjunctivitis and a new prescription for sulfacetamide. Which of the following instructions should the nurse include? a) Remove dried drainage with a cold washcloth. b) Instill medication immediately after cleansing the eye. c) Apply an occlusive gauze over the d) Cleanse the eye by gently wiping from the outer aspect of the eye inward toward the nose. child's eye.

b) Instill medication immediately after cleansing the eye.

A nurse is preparing to administer levalbuterol via nebulizer to a child with asthma. Which of the following data should the nurse collect prior to administering the medication? a) Peak flow reading b) Lung sounds c) ABGs d) Inspiratory reserve volume

b) Lung sounds

A nurse is contributing to the pan of care for a child who is in Buck's traction. Which of the following interventions should the nurse include in the plan? a) Remove the weights when changing the bed linens. b) Maintain the leg in an extended position. c) Monitor the halo device every 4 hr. d) Provide pin care as prescribed.

b) Maintain the leg in an extended position.

A nurse is reviewing the plan of care for a child who has cystic fibrosis. Which of the following is the priority goal for this child? a) The child will participate in age-appropriate recreational activities. b) The child will maintain an effective breathing pattern. c) The child will maintain an adequate bowel elimination pattern. d) The child will receive immunizations as recommended

b) The child will maintain an effective breathing pattern.

A nurse is reinforcing with the parent of a school-age child who has lactose intolerance. Which of the following supplements should the nurse instruct the parent to include in the child's diet? a) Zinc b) Vitamin D c) Thiamine d) Folic acid

b) Vitamin D

A nurse is reinforcing teaching about interventions for mild hypoglycemia with the parent of a child who has diabetes mellitus. Which of the following statements by the parent indicates that the teaching has been effective? a) "I should administer a glucagon injection to my child." b) "I should give my child 5 grams of a simple carbohydrate." c) "I should give my child 4 ounces of orange juice followed by cheese and crackers." d) "I should give my child a snack that is 10 percent of his daily caloric intake."

c) "I should give my child 4 ounces of orange juice followed by cheese and crackers."

A nurse is reinforcing teaching with the guardian of a child who has a new diagnosis of rheumatic fever. Which of the following statements by the guardian indicates an understanding of the teaching? a) "I should not give my child aspirin for pain or fever." b) "My child will take antibiotic for 6 months." c) "My child might have a period of irregular movement of the extremities." d) "I should expect there to be blood in my child's urine."

c) "My child might have a period of irregular movement of the extremities."

A guardian calls the clinic nurse after his child has developed symptoms of varicella and asks when his child will no longer be contagious. Which of the following responses should the nurse make? a) "When your child no longer has a fever." b) "Three days after the rash started." c) "Six days after lesions appear if they are crusted." d) "When your child's lesions disappear."

c) "Six days after lesions appear if they are crusted."

A nurse is assisting with the care for a 7-month-old infant who has a cleft palate. Which of the following actions should the nurse take to decrease the infant's risk for aspiration? a) Feed the infant in supine position. b) Encourage the mother to breastfeed the infant exclusively. c) Burp the infant frequently during feedings. d) Perform nasotracheal suctioning if coughing occurs

c) Burp the infant frequently during feedings.

A nurse is caring for a toddler following a tonsillectomy. Which of the following is the priority finding that the nurse should report to the provider? a) Drowsiness b) Throat pain c) Continuous swallowing d) Dark brown emesis

c) Continuous swallowing

A nurse is caring for a child who has type 1 diabetes mellitus and has been receiving insulin via subcutaneous infusion pump. Which of the following laboratory tests would verify the average blood glucose level over the past 2 months? a) Postprandial blood glucose b) Fasting blood glucose c) Glycosylated hemoglobin d) Mean corpuscular hemoglobin

c) Glycosylated hemoglobin

A nurse is administering an injection of epinephrine to a child who is experiencing manifestations of anaphylaxis. The nurse should monitor for which of the following adverse effects? a) Pinpoint pupils b) Decreased heart rate c) Increased systolic blood pressure d) Dry skin

c) Increased systolic blood pressure

During a well-child visit, the parent of a toddler expresses concern to the nurse that the toddler takes several hours to fall asleep at night. Which of the following recommendations should the nurse make? a) Vary the time the toddler goes to bed each night b) Allow the toddler to watch television before bedtime c) Provide the toddler with a favorite toy at bedtime. d) Increase the toddler's activity prior to bedtime

c) Provide the toddler with a favorite toy at bedtime.

A nurse is collecting date from a child during a well-child visit. The nurse should recognize that which of the following findings places the child at a higher risk for abuse? a) The child is 6 years old. b) The child is male. c) The child was born at 30 weeks of gestation. d) The child was born via cesarean birth.

c) The child was born at 30 weeks of gestation.

A nurse is collecting data from a 12-month-old infant during a well-child visit. At birth, the infant's weight was 3.6 kg (8 lb.) and his length was 50.8 cm (20 in). Based on this data, whichof the following findings should the nurse expect? a) The infant weighs 6.4 kg (14 lb) b) The infant is 101.6 cm (40 in) long c) The infant is 76.2 cm (30 in) long d) The infant weighs 14.5 kg (32 lb)

c) The infant is 76.2 cm (30 in) long

A nurse is providing anticipatory guidance to the parents of an 8-month old infant during a well-child visit. Which of the following statements should the nurse make?

your baby should be able to sit unsupported

A nurse is teaching the parents of a toddler who has a cognitive impairment about toilet training. Which of the following instructions should the nurse include in the teaching?

"Award your child with a sticker when they sit on the potty chair"

23) A nurse is preparing to administer ibuprofen 5 mg/kg every 6 hr PRN for a temperatures above 38.0 C (100.5 F) to an infant who weighs 17.6 lb. Available is ibuprofen oral suspension 100mg/5mL. How many mL should the nurse administer to the infant per dose?

2ml

25) A school nurse is caring for a child following tonic-clonic seizure. Which of the following actions should the nurse take first? Check the child for a head injury. Observe for oral bleeding. Check the child's respiratory rate. Observe for extremity weakness.

Check the child's respiratory rate.

32. A nurse is assisting a provider during a femoral venipuncture on a toddler. The nurse should place the child in which of the following positions? Side-lying Semi-recumbent Flexed sitting Supine

Supine

45) A nurse is planning care for a school-age child who has tunneled central venous access device. Which of the following interventions should the nurse include in the plan? Use sterile scissors to remove the dressing from the site. Irrigate each lumen weekly with 10 mL of 0.9% sodium chloride solution when not in use. Access the site using a non-coring angled needle. Use a semipermeable transparent dressing to cover the site.

Use a semipermeable transparent dressing to cover the site.

11. 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? Ask the parents. Use the FACES scale. Use the numeric rating scale. Check the child's temperature.

Use the FACES scale.

15) A nurse is admitting an infant who has intussusception. Which of the following findings should the nurse expect? (Select all that apply.) Steatorrhea Vomiting Lethargy Constipation Weight gain

Vomiting Lethargy

48) A nurse is creating a plan of care for a preschooler who has Wilms' tumor and is scheduled for surgery. Which of the following interventions should the nurse include? Avoid palpating the abdomen when bathing the child before surgery. Refrain from auscultating the child's bowel sounds during the postoperative assessment. c. Encourage the child to play with other children on the unit prior to surgery. d. Explain to the child that their pain will be managed after the surgery.

Avoid palpating the abdomen when bathing the child before surgery.

12. A nurse is assessing a 6-month-old infant at a well-child visit. Which of the following findings indicates the need for further assessment? Grabs feet and pulls them to her mouth Posterior fontanel is closed Legs remain crossed and extended when supine Birth weight has doubled

Legs remain crossed and extended when supine

11) A nurse is an emergency department is caring for a school-age child who has epiglottitis. Which of the following actions should the nurse take? Obtain a throat culture from the child. Monitor the child's oxygen saturation. Put a warm mist humidifier in the child's room. Place the child in the supine position

Monitor the child's oxygen saturation.

19. A nurse is assessing a 7-year-old child's psychosocial development. Which of the following findings should the nurse recognize as requiring further evaluation? The child prefers playmates of the same sex. The child is competitive when playing board games. The child complains daily about going to school. The child enjoys spending time alone.

The child complains daily about going to school.

10) A nurse is planning an educational program for school-age children and their parents about bicycle safety. Which of the following information should the nurse plan to include? The child should be able to stand on the balls of their feet when sitting on the bike. The child should ride their bike 2 feet to the side of other bike riders. The child should wear dark-colored clothing with a fluorescent stripe when riding at night. The child should ride the bike facing traffic when it is necessary to ride in the street.

The child should be able to stand on the balls of their feet when sitting on the bike.

27. A nurse is caring for a preschool-age child who is dying. Which of the following findings is an age-appropriate reaction to death by the child? (Select all that apply.) The child views death as similar to sleep. The child is interested in what happens to his body after death. The child recognizes that death is permanent. The child believes his thoughts can cause death. The child thinks death is a punishment.

The child views death as similar to sleep. The child is interested in what happens to his body after death. The child thinks death is a punishment.

14. A nurse is caring for a 15-month-old toddler who requires droplet precautions. Which of the following actions should the nurse take? Have the toddler wear a disposable gown when in the unit's playroom. Wear sterile gloves when changing the toddler's diapers. Wear a mask when assisting the toddler with meals. Ask visitors to wear an N-95 mask when entering the room.

Wear a mask when assisting the toddler with meals.

53) A nurse is admitting a 4-month-old infant who has heart failure. Which of the following findings is the nurses priority? a. Episodes of vomiting b. Formula consumption c. Weight d. Temperature

a. Episodes of vomiting

30. A nurse is assessing a 12-month-old male infant's vital signs during a well-child visit. The infant is in the 90th percentile of height. Which of the following findings should the nurse report to the provider? a. Heart rate 175/min b. Respiratory rate 26/min c. Blood pressure 88/40 mm Hg) d. Temperature 37.6° C (99.7° F

a. Heart rate 175/min

8) A nurse is providing dietary teaching to the guardian of a school-age child who has cystic fibrosis. Which of the following statements should the nurse make? a) "You should offer your child high-protein meals and snacks throughout the day." b) "You should decrease your child's dietary fat intake to less than 10% of their caloric intake." c) "You should restrict your child's calorie intake to 1,200 per day." d) "You should give your child a multivitamin once weekly."

a) "You should offer your child high-protein meals and snacks throughout the day."

7) A nurse is receiving change-of-shift report for four children. Which of the following children should the nurse assess first?a) A toddler who has a concussion and an episode of forceful vomiting b) An adolescent who has infective endocarditis and reports having a headache c) An adolescent who was placed into halo traction 1 hr ago and reports pain as 6 on a scale of 0 to 10 d) A school-age child who has acute glomerulonephritis and brown-colored urine

A toddler who has a concussion and an episode of forceful vomiting

12) A nurse in an emergency department is caring for a school-age child who has sustained a minor superficial burn from fireworks on their forearm. Which of the following actions should the nurse take? Administer the tetanus toxoid vaccine if more than 1 year since the prior dose. Apply an antimicrobial ointment to the affected area. Leave the burn area open to air. Place an ice pack on the affected area.

Apply an antimicrobial ointment to the affected area.

40) A school nurse is providing an in-service for faculty about improving education for students who have ADHD. Which of the following statements by a faculty member indicates an understanding of the teaching? a. "I will plan to increase the amount of homework I assign to students who have ADHD." "I will give students who have ADHD the same amount of time as other students to complete tests." "I will allow students who have ADHD one rest break throughout the day." "I will teach challenging academic subjects to students who have ADHD in the morning."

"I will teach challenging academic subjects to students who have ADHD in the morning."

31. A nurse is teaching the parent of a 12-month-old infant about nutrition. Which of the following statements by the parent indicates a need for further teaching? "I can give my baby 4 ounces of juice to drink each day." "I will offer my baby dry cereal and chilled banana slices as snacks." "I am introducing my baby to the same foods the family eats." "My infant drinks at least 2 quarts of skim milk each day."

"My infant drinks at least 2 quarts of skim milk each day."

16) A nurse is reviewing the laboratory results of a school-age child who is 1 week postoperative following an open fracture repair. Which of the following findings should the nurse identify as an indication of a potential complication? Erythrocyte sedimentation rate 18 mm/hr WBC count 6,200/mm3 C-reactive protein 1.4 mg/L RBC count 4.7 million/mm3

Erythrocyte sedimentation rate 18 mm/hr

18) A nurse is discussion organ donation with the parents of a school-age child who has sustained brain death due to a bicycle crash. Which of the following actions should the nurse take first? Inform the parents that written consent is required prior to organ donation. Provide written information to the parents about organ donation. Ask the provider to explain misconceptions of organ donation to the parents. Explore the parents' feelings and wishes regarding organ donation.

Explore the parents' feelings and wishes regarding organ donation.

42) A nurse is caring for an infant who is receiving IV fluids for the treatment of Tetralogy of Fallot and begins to have hypercryanotic spell. Which of the following actions should the nurse take? Place the infant in a knee-chest position. Administer a dose of meperidine IV. Discontinue administration of IV fluids. Apply oxygen at 2 L/min via nasal cannula.

Place the infant in a knee-chest position.

25. A nurse is planning to implement relaxation strategies with a young child prior to a painful procedure. Which of the following actions should the nurse take? Ask the child to hold his breath and then blow it out slowly. Ask the child to describe a pleasurable event. Bounce the child gently while holding him upright. Rock the child in long rhythmic movements.

Rock the child in long rhythmic movements.

46) A nurse is teaching a group of parents about infectious mononucleosis. Which of the following statements by parent indicates an understanding the teaching? a. "Mononucleosis is caused by an infection with the Epstein-Barr virus." "Mononucleosis is a bacterial infection requiring 14 days of antibiotics." "A Monospot is a throat culture used to diagnosis mononucleosis." "Children who get mononucleosis will need to refrain from sports for 6 months."

a. "Mononucleosis is caused by an infection with the Epstein-Barr virus."

6) A nurse is providing dietary teaching to the guardian of a school-age child who has cystic fibrosis. Which of the following statements should the nurse make? a. "You should offer your child high-protein meals and snacks throughout the day." "You should decrease your child's dietary fat intake to less than 10% of their caloric intake." "You should restrict your child's calorie intake to 1,200 per day." "You should give your child a multivitamin once weekly."

a. "You should offer your child high-protein meals and snacks throughout the day."

6. A nurse is teaching the parent of an infant about food allergens. Which of the following foods should the nurse include as being the most common food allergy in children? a. Cow's milk b. Wheat bread c. Corn syrup d. Eggs

a. Cow's milk

14) A nurse is providing discharge teaching to the parent of a school-age child who has moderate persistant asthma. Which of the following instructions should the nurse include? "You should give your child their salmeterol inhaler every 4 hours when they are having an acute episode of wheezing." "You should monitor your child's weight weekly while they are receiving inhaled corticosteroid therapy." c. "Pulmonary function tests will be performed every 12 to 24 months to evaluate how your child is responding to therapy." d. "When using the peak expiratory flow meter, record your child's average of three readings."

c. "Pulmonary function tests will be performed every 12 to 24 months to evaluate how your child is responding to therapy."

27) A nurse in a health department is caring for an emancipated adolescent who has an STI and is unaccompanied by a guardian. Which of the following actions should the nurse take? a) Have the adolescent sign a consent form for treatment. b) Instructtheadolescenttoreturnwithaguardian. c) Obtain consent from the adolescent's guardian over the phone. d) Treattheadolescentwithoutaconsentform.

a) Have the adolescent sign a consent form for treatment.

26) A nurse is planning developmental activities for a newly admitted 10-year-oldchild who has neutropenia. Which of the following actions should the nurse plan to take? a) Provide the child with a book about adventure. b) Arrangefrequentvisitsfromfamilymembersandpeers. c) Give the child a large-piece puzzle. d) Usepuppetstoentertainthechild.

a) Provide the child with a book about adventure.

18. A nurse is planning care for a 10-month-old infant who has suspected failure to thrive (FTT). Which of the following interventions should the nurse include in the plan of care? (Select all that apply.) a. Observe the parents' actions when feeding the child. b. Maintain a detailed record of food and fluid intake. c. Follow the child's cues as to when food and fluids are provided. d. Sit beside the child's high chair when feeding the child. e. Play music videos during scheduled meal times.

a. Observe the parents' actions when feeding the child. b. Maintain a detailed record of food and fluid intake.

16. A nurse is planning to collect a specimen from a male infant using a urine collection bag. Which of the following actions should the nurse take? a. Wash and dry the infant's genitalia and perineum thoroughly. b. Apply a small coating of water-soluble lubricant to the skin of the infant's perineal area. c. Avoid placing the scrotum inside the collection bag. d. Wait several hours after positioning the device before checking it.

a. Wash and dry the infant's genitalia and perineum thoroughly.

35) A nurse is planning n educational program to teach parents about protecting their children include? from sunburns. Which of the following instructions should the nurse plan to a. "Allow your child to play outside during the hours between 10:00 a.m. and 2:00 p.m." b. "Choose a waterproof sunscreen with a minimum SPF of 15." c. "Dress your child in loose weave polyester fabric prior to sun exposure." d. "Reapply sunscreen every 4 hours."

b. "Choose a waterproof sunscreen with a minimum SPF of 15."

7. A nurse is teaching the parent of a toddler about home safety. Which of the following statements by the parent indicates an understanding of the teaching? "I lock my medications in the medicine cabinet." "I keep my child's crib mattress at the highest level." "I turn pot handles to the side of my stove while cooking." "I will give my child syrup of ipecac if she swallows something poisonous."

"I lock my medications in the medicine cabinet."

18) A nurse is discussion organ donation with the parents of a school-age child who has sustained brain death due to a bicycle crash. Which of the following actions should the nurse take first? a) Inform the parents that written consent is required prior to organ donation. b) Provide written information to the parents about organ donation. c) Ask the provider to explain misconceptions of organ donation to the parents. d) Explore the parents' feelings and wishes regarding organ donation.

d) Explore the parents' feelings and wishes regarding organ donation.

37) A nurse is providing teaching to the family of a school-age child who has juvenile idiopathic arthritis. Which if the following instructions should the nurse include in the teaching? a. "Limit movement of the child's large joints." b. "Encourage the child to perform independent self-care." c. "Provide the child with a soft mattress for sleeping." d. "Schedule a 2-hour daily nap for the child in the afternoon."

b. "Encourage the child to perform independent self-care."

14) A nurse is providing discharge teaching to the parent of a school-age child who has moderate persistant asthma. Which of the following instructions should the nurse include? a) "You should give your child their salmeterol inhaler every 4 hours when they are having an acute episode of wheezing." b) "You should monitor your child's weight weekly while they are receiving inhaled corticosteroid therapy." c) "Pulmonary function tests will be performed every 12 to 24 months to evaluate how your child is responding to therapy." d) "When using the peak expiratory flow meter, record your child's average of three readings."

c) "Pulmonary function tests will be performed every 12 to 24 months to evaluate how your child is responding to therapy."

16) A nurse is reviewing the laboratory results of a school-age child who is 1 week postoperative following an open fracture repair. Which of the following findings should the nurse identify as an indication of a potential complication? a) Erythrocyte sedimentation rate 18 mm/hr b) WBC count 6,200/mm3 c) C-reactive protein 1.4 mg/L d) RBC count 4.7 million/mm3

a) Erythrocyte sedimentation rate 18 mm/hr

13) A nurse in a providers office is caring for a school-age child who has varicella. The parents asks the nurse when their child will no longer be contagious. Which of the following responses should the nurse make? a) "When your child no longer has an increased temperature." b) "Three days after you first noticed the rash appear on your child." c) "When your child's lesions are crusted, usually 6 days after they appear." d) "Two to three weeks, when your child's lesions completely disappear."

c) "When your child's lesions are crusted, usually 6 days after they appear."

A nurse in a pediatric clinic is talking on the telephone with the parent of a 6-month-old infant who has a urinary tract infection and started taking an oral antibiotic the day before. Listen to the audio clip and determine which of the following responses the nurse should make. (Audio says. "every time I try to give a dose of this medicine to my baby, she either refuses it or takes it and then spits it out. Is there anything I can try that might get her to take it?" a) "Mix the medicine with 1⁄4 cup of juice before giving it to your baby." b) "Mix the medicine with 1 teaspoon of honey before giving it to your baby." c) "Mix the medicine with 1⁄4 cup of formula before giving it to your baby." d) "Mix the medicine with 1 teaspoon of applesauce before giving it to your baby."

d) "Mix the medicine with 1 teaspoon of applesauce before giving it to your baby."

A nurse is reinforcing teaching with the guardian of a child who has a new prescription for levalbuterol solution for use in a nebulizer. Which of the following statements by the guardian indicates an understanding of the teaching? a) "I should store the unused medication in the freezer." b) "I should make sure I use the vial within 3 weeks of opening it from the foil package." c) "My child might be drowsy while taking this medication." d) "My child might experience palpitations after taking this medication."

d) "My child might experience palpitations after taking this medication."

A nurse is preparing to administer furosemide to a toddler who has a heart defect. Which of the following should the nurse take to identify the toddler? a) Ask the child to state her name. b) Ask the pharmacy for the child's room number. c) Ask the child to state her birthday. d) Ask the guardian to verify the child's name.

d) Ask the guardian to verify the child's name.

A nurse is caring for a school-age child who is receiving a blood transfusion. Which of the following manifestations should alert the nurse to a possible hemolytic transfusion reaction? -

Flank pain

A nurse in an emergency department is caring for a school-age child who has appendicitis and rates his abdominal pain t 7 on a 0 to 10 scale. Which of the following actions should the nurse take?-

Give morphine 0.05mg/kg IV.

A nurse is teaching a school-age child who has a new diagnosis of type 1 diabetes millets. The nurse should identify which of the following statements by the child as understanding the teaching?-

"I will give myself a shot of regular insulin 30 minutes before I eat breakfast."

A nurse is teaching the parent of an infant who has a Pack harness to treat developmental dysplasia of the hip. The nurse should identify that which of the following statements by the parents indicates an understandings of the teaching?-

"I will place my infant's diapers under the harness straps."

A nurse is assessing a school-age 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 2-week-old infant who is breastfeeding and requires a heel stick. Which of the following actions should the nurse take to minimize the infant's pain?-

Administer sucrose to the infant prior to the procedure.

A nurse is reinforcing teaching about home care with the guardian of a 14-month-old toddler who has spastic cerebral palsy. Which of the following statements by the guardian indicates an understanding of the teaching? a) "I will perform daily stretching exercises to my toddler's affected muscles." b) "I will ensure my toddler avoids activities that involve repetitive joint movements." c) "I will place my toddler on his stomach to nap after meals." d) "I will give my toddler pain medication just after he performs strenuous activities."

a) "I will perform daily stretching exercises to my toddler's affected muscles."

A nurse in a pediatric clinic is caring for an infant who has heart failure and a prescription for digoxin. Which of the following statements by the parent indicates the desired therapeutic effect of the medication? a) "My baby is breathing easier than she used to." b) "My baby is taking longer naps." c) "My baby is having fewer wet diapers." d) "My baby's heart rate is faster than it used to be."

a) "My baby is breathing easier than she used to."

A nurse in a provider's office is caring for a preschooler who has findings of croup. Which of the following statements by the parent requires immediate intervention by the nurse? a) "My child has refused to drink any fluids for the past 8 hours." b) "My child has been coughing throughout the night." c) "My child is very hoarse and has a fever of 100.4 degrees Fahrenheit." d) "My child recently had the flu."

a) "My child has refused to drink any fluids for the past 8 hours."

A nurse is reinforcing teaching about vital signs with the guardian of a 1-year-old toddler. Which of the following statements by the guardian indicates an understanding of the teaching? a) "My child's pulse could increase to 150 beats a minute with activity." b) "My child's temperature should be 96.8 degrees Fahrenheit." c) "My child should take 40 breaths a minute." d) "My child's pulse could get as low as 60 beats a minute while asleep."

a) "My child's pulse could increase to 150 beats a minute with activity."

A nurse is caring for a toddler who has terminal cancer and is receiving hospice care. The child's parent tells the nurse. "I'm a bad parent, and I can't deal with this." Which of the following responses should the nurse make? a) "Tell me more about what you are feeling." b) "I understand how you are feeling." c) "Let's talk about home care for your child." d) "I'm sure you're just tired right now."

a) "Tell me more about what you are feeling."

A nurse is reinforcing dietary teaching with an adolescent who is a lacto-vegetarian and had iron deficiency anemia. The nurse should recommend which of the following as the best source of iron? a) 1 cup (8 oz) shredded wheat cereal b) 1 cup (8 oz) apple juice c) 1⁄2 cup (4 oz) sweet green peppers d) 1⁄8 cup (1 oz) low-fat cheese

a) 1 cup (8 oz) shredded wheat cereal

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? a) Administer an antipyretic. b) Reduce the room temperature. c) Dress the child in minimal clothing. d) Apply cool compresses to the child's forehead.

a) Administer an antipyretic.

A nurse is collecting data from an infant during a well-child visit. Which of the following sites should the nurse use when obtaining the infant's heart rate? a) Apical b) Radial c) Carotid d) Femoral

a) Apical

A nurse is assisting with the care of a child who is postoperative and received a transfusion during a surgical procedure. Which of the following findings indicates the child is havig a hemolytic reaction? a) Chills and flank pain b) Pruritus and flushing c) Rales and cyanosis d) Bradycardia and diarrhea

a) Chills and flank pain

A nurse is reinforcing teaching with the parent of a 4-month-old infant who has a new prescription for nystatin to treat oral candidiasis and is breastfeeding. Which of the following instructions should the nurse include in the teaching? a) Continue nystatin for 2 weeks after the symptoms disappear. b) Clean the infant's pacifier every 2 days. c) Discontinue breastfeeding until the infant is symptom-free. d) Wipe the white patches from the infant's tongue using a gauze pad.

a) Continue nystatin for 2 weeks after the symptoms disappear.

57. A nurse is reinforcing discharge teaching with the guardians of a 6-month-old infant following a surgical procedure to repair a hypospadias. Which of the following instructions should the nurse include? a) Wait 1 week before giving the infant a tub bath. b) Apply antifungal ointment to the infant's penis. c) Avoid giving the infant fruit juice. d) Apply dry gauze dressing to the infant's penis twice daily.

a) Wait 1 week before giving the infant a tub bath.

37. A nurse is caring for a child who has a bacterial endocarditis. The child is scheduled to receive moderate term antibiotic therapy and requires a peripherally inserted central catheter (PICC). Which of the following statements should the nurse include when teaching the child's parent? a. "The PICC line will last several weeks with proper care." b. "The public health nurse will rotate the insertion site every 3 days." c. "You will need to make certain the arm board is in place at all times." d. "Your child will go to the operating room to have the line placed."

a. "The PICC line will last several weeks with proper care."

39. A nurse is caring for a school-age child who has primary nephrotic syndrome and is taking prednisone. Following 1 week of treatment, which of the following manifestations indicates to the nurse that the medication is effective?

a. Decreased edema

A nurse is assisting with the development of a health promotion program for the guardians of adolescents. Which of the following information about adolescents should the nurse recommend to include in the program? a) The sleep patterns of adolescents are well established. b) The percentage of adolescents that consider suicide is higher for males than for females. c) The leading cause of death in adolescents is physical injury. d) The caloric intake needs of adolescents are less than that of school-age children.

c) The leading cause of death in adolescents is physical injury.

A nurse is reinforcing teaching with the parent of an infant who has a new diagnosis of human immunodeficiency virus (HIV). Which of the following statements made by the parent indicates an understanding of the teaching? a)"The antiretroviral medication will stop the progression of the disease." b) "It won't be possible for my child to attend daycare." c)"I should bring my child in for immunizations on schedule." d) "My child's nutritional needs will not change."

c)"I should bring my child in for immunizations on schedule."

36. 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 indicated an understanding of this ingestion? a. "The absence of oral burns excludes the possibility of esophageal burns." b. "Treatment focuses on neutralization of the chemical." c. "Injury by a corrosive liquid is more extensive than by a corrosive solid." d. "Immediate administration of activated charcoal is warranted."

c. "Injury by a corrosive liquid is more extensive than by a corrosive solid."

40. A nurse is assessing a 30-month-old toddler during a well-child visit. Which of the following findings requires further assessment by the nurse? a. Primary dentition is complete b. Unable to hop on one foot c. Birth weight is tripled d. Able to state first and last name

c. Birth weight is tripled

32) A nurse assessing a school-age child who has an infratentorial brain tumor. Which of the following findings should the nurse identify as a manifestation of increased intracranial pressure? a. Hypotension b. Reports insomnia c. Difficulty concentrating d. Tachycardia

c. Difficulty concentrating

35. A nurse on a pediatric unit is reviewing the health record of a client who is demonstrating increasing levels of stress after admission. The nurse should identify which of the following findings as a risk factor for a stress-related reaction to hospitalization? a. Age 10 b. First hospitalization c. Male gender d. Calm, quiet demeanor

c. Male gender

A nurse is reinforcing teaching about liquid oral iron supplements with the guardian of a school-age child who has iron deficiency anemia. Which of the following statements by the guardian indicates an understanding of the teaching? a) "I will give my child a double dose of this medication if she misses a dose." b) "I will give this medication to my child with a cup of skim milk." c) "This medication will turn my child's stools white." d) "I will give this medication to my child with a straw."

d) "I will give this medication to my child with a straw."

A nurse is assisting with the admission of a toddler who has bacterial meningitis caused by Haemophilus influenza type B. which of the following isolation guidelines should the nurse plan to initiate? a) Protective environment b) Contact precautions c) Airborne precautions d) Droplet precautions

d) Droplet precautions

A nurse is preparing to obtain a peak expiration flow rate from an adolescent. Which of the following actions should the nurse take? a) Document the average of the client's three attempts. b) Instruct the client to exhale slowly over 5 seconds into the meter. c) Determine the zone according to the client's age. d) Have the client stand during the procedure.

d) Have the client stand during the procedure.

A nurse is reinforcing teaching with the parents of preschoolers regarding the use of booster seats in a motor vehicle. Which of the following instructions should the nurse include in the teaching? a) Ensure the shoulder-lap portion of the seat belt fits across the child's abdomen when sitting in the booster seat. b) Use a no-back, belt-positioning booster seat if the motor vehicle does not have head rests. c) Discontinue using a booster seat when the child is 135 cm (4 feet 5 in) in height. d) Secure the child in the booster seat using the motor vehicle's shoulder-lap seat belt.

d) Secure the child in the booster seat using the motor vehicle's shoulder-lap seat belt.

A nurse is collecting data from a 10-month-old infant. Which of the following findings should the nurse report to the provider? a) Pulls self to standing position b) Moves by creeping on hands and knees c) Takes intentional steps when standing d) Sits with support by leaning on hands

d) Sits with support by leaning on hands

A nurse is collecting physical data from a 4-year-old child who has diarrhea and has been vomiting for 24 hr. which of the following sites should the nurse grasp to determine the child's skin turgor? a) The child's sacral area. b) The top of the child's hand. c) The child's sternal area. d) The child's abdomen.

d) The child's abdomen.

A nurse is reinforcing teaching with the family of an adolescent client who was recently diagnosed with celiac disease. Which of the following foods should the nurse recommend? a) Graham crackers b) Rye bread c) Whole wheat spaghetti d) Yellow corn

d) Yellow corn