PEDS classroom questions mods 1-2

An infant with an upper respiratory infection has stridor, difficulty breathing, & RR of 48. Which actions should the nurse take? Select all that apply. A. Administer oxygen B. Contact the provider C. Get emergency equipment to the bedside D. Teach parents about the need to increase fluids E. Push the call light to initiate a code

A. Administer oxygen B. Contact the provider C. Get emergency equipment to the bedside

When preparing to perform an IV insertion on a 7-year-old child, what is the most important nursing intervention? A. Apply EMLA cream to two possible insertion sites. B. Explain the procedure to the child before beginning. C. Obtain an informed consent.2 D. Explain the need for the IV to the child before beginning.

A. Apply EMLA cream to two possible insertion sites.

The nurse applied lidocaine and prilocaine topical cream (EMLA) as ordered. After removing the transparent dressing and wiping off the cream, how does the nurse assess that the cream achieved its purpose? A. Check the skin for redness or blanching. B. Ask the child to describe how the site feels. C. Begin the procedure and have the child rate their pain. D. Note any pain while gently poking the child with a needle.

A. Check the skin for redness or blanching.

The nurse is interviewing the parent of a 3-year-old child brought to the hospital for fever and fussiness. Which question is the best example to use when obtaining a health history? A. "Your child doesn't have any pain, does she?" B. "Does your child have pain?" C. "Do you think your child is fussy due to pain?" D. "Is your child usually fussy when in pain?"

B. "Does your child have pain?"

The nurse is caring for Barney, an 18-month-old with croup. Which sign should alert the nurse that the child is experiencing respiratory distress? A. Barking cough B. Intercostal retractions C. Bloody emesis D. Pain rating of 10

B. Intercostal retractions

A 2-year-old toddler is seen for acute laryngotracheobronchitis. What observation would lead the nurse to suspect airway occlusion? A. The toddler reports being tired & wanting to sleep. B. The respiratory rate is gradually increasing. C. The cough is becoming harsher. D. The nasal drainage is increasing.3

B. The respiratory rate is gradually increasing.

The nurse is planning care for a 6-year-old returning from a tonsillectomy and adenoidectomy. Which nursing intervention is most helpful in meeting the client goal of ingesting 75 mL of fluid per hour? A. Give the child red popsicles throughout the day. B. Distract the child with a video game C. Administer pain medication as prescribed prn D. Encourage the child to drink a vanilla milkshake

C. Administer pain medication as prescribed prn

What is the most important to assess first on a child? A. Lung sounds B. Blood pressure C. Respirations D. Temperature

C. Respirations

If a child is too young to rate their own pain, then the nurse would rate the child's pain using abehavioral assessment. The nurse knows that this assessment will least likely include which measure? A. Cry patterns B. Facial expressions C. Sleep patterns D. Body movements

C. Sleep patterns

A 12-year-old child is receiving morphine for a severe sore throat that is preventing them fromdrinking oral fluids. The nurse is counseling the parents about pain relief. Which statement made by thenurse to the parents accurately reflects pain in children? A. "Your child will experience more adverse effects to narcotics than adults." B. "Your child will learn to adapt to the acute pain she is experiencing." C. "You can expect that your child will ask for pain medication as needed." D. "It is rare that young children become addicted to pain medications given for acute pain."

D. "It is rare that young children become addicted to pain medications given for acute pain."