Peds Final

A child who has leukemia is being admitted. Several rooms are available on the pediatric floor. Which of the following clients should the nurse place in the same room with this child?

A child who has nephrotic syndrome

A nurse is providing care to a group of adolescent clients. Which of the following client situations should be reported to the provider immediately?

A client's blood pressure changes from 112/60 mm Hg to 90/54 mm Hg when standing

A nurse is caring for a 4 y/o child who is newly diagnosed with DM and is distressed after an insulin injection. Which of the following play activities should the nurse recognize as therapeutic in helping the child deal with the injection?

A needleless syringe and a doll

A nurse is caring for a toddler with a 2 day history of vomiting and elevated temperature. Which of the following should the nurse recognize as the most reliable indicator of weight loss?

Body weight

An adolescent who has hemophilia A is scheduled for wisdom teeth removal. Prior to the procedure, the nurse should anticipate that the client will receive which of the following?

Cyroprecipitate

A child is admitted with a possible diagnosis of Wilms tumor. The nurse should obtain a sign with which if the following warnings to be placed over the child's bed?

Do no palpate abdomen

A nurse is monitoring a child who has just had a tonsillectomy for signs of hemorrhage. Which of the following findings is a sign of this post operative complication?

Frequent swallowing

A nurse is providing preoperative teaching to the parent of a child who is scheduled for initial surgery to treat HIrschsprungs disease. The nurse should recognize that the parent understands the goal of surgery when the parent says which of the following

I am glad that the ostomy is only temporary

A nurse is caring for a toddler admitted to a pediatric unit. Which of the following statements should the nurse use when preparing to check the child's vital signs?

I am going to listen to your heart

A nurse is caring for an adolescent who has spina bifida and is paralyzed from the waist down. Which of the following statements by the client should indicate to the nurse a need for further teaching?

I only need to catheterize myself twice a day

A nurse is caring for a 7-year-old client who has a diagnosis of upper respiratory infection and a history of type 1 DM. Which of the following statements by the mother indicates a need for further instruction?

I will continue to check his blood sugar two times a day

A nurse is caring for a 6-month-old infant. Which of the following findings should indicate to the nurse that the client is experiencing pain following a procedure?

Increased crying episodes

A nurse is providing care to a child who has an allergy to eggs. The nurse should question a prescription for which of the following immunizations?

Influenza

A client on a pediatric unit is caring for a client who has a brain tumor. To ensure the client's safety, which of the following actions should the nurse take?

Initiate seizure precautions for the child

A 4 y/o client who has croup is admitted to the hospital and wets the bed overnight. When the parent comes the next day, the nurse explains the situation and the parent says, "My child never wets the bed at home. I am so embarrassed." Which of the following is an appropriate response by the nurse?

It is normal for hospitalized children to regress. The toileting skills will return when your child is feeling better.

A nurse is caring for a child who has been physically abused by a family member. Which of the following is an appropriate statement for the nurse to say to the child?

It is not your fault that this happened

A nurse is caring for a toddler who is having difficulty sleeping during hospitalization. Which of the following actions should the nurse take to help promote sleep?

provide home bedtime rituals

A nurse in family health clinic is performing a routine physical examination of client who is about to enter high school. The nurse observes an abnormal lateral curvature of the spine. The nurse should expect the provider to document which of the following disorders?

scoliosis

A nurse is caring for a client who is hospitalized with active TB and is started on IV rifampin. The nurse should instruct the client that this medication might do which of the following

turn body secretions to a red-orange color

A nurse is calculating the output of an infant admitted with dehydration. When weighing the diaper, the nurse knows that 1g of wet diaper weight is equal to which of the following amounts of urine?

1 mL

A nurse is providing home safety information to the parents of an 11-month-old infant. Which of the following should be included

-avoid grapes and popcorn -position crib away from windows

A nurse is assessing a toddler in the well child clinic. At what point in the physical examination should the nurse examine the tympanic membrane?

At the end

A nurse is obtaining the length and weight of a 6-month-old infant. Which of the following are appropriate actions? (select all that apply)

-place disposable covering on the scale -measure infant from crown of head to heel of feet -ensure the scale is balanced to 0 prior to use

A nurse is caring for a child who is having a seizure. Which of the following is an appropriate action by the nurse? (select all that apply?)

-place the bed in a low position -assess the client's airway patency

A school nurse identified that a child has pediculosis capitis and educates the child's parents about the condition. Which of the following statements by the parent indicates and understanding of teaching?

All recently worn clothing, bedding, and towels must be washed in hot water

A charge nurse, following hospital policy, reports an incident of suspected child abuse. The parent of the child becomes upset and demands to know the reason for the nurse's action. The appropriate response is

As a nurse I am required by law to report incidents of suspected child abuse

A nurse is caring for a 12 month old toddler who is hospitalized and confined to a room with contact precautions in place. Which of the following toys should the nurse suggest in order to meet the developmental needs of the child?

Large building blocks

A nurse is administering a tap water enema to a client who states he is having abdominal cramps as a result. Which of the following actions should the nurse take to relieve the clients discomfort?

Lower the height of the solution container

A nurse is completing discharge teaching to the parent of a child with a new diagnosis of DM. Which of the following statements by the parent requires clarification of the teaching?

My son may have nausea and vomiting with hypoglycemia

A nurse is caring for a 4 y/o child who is resistant to taking medication. Which of the following strategies should the nurse use to elicit the child's cooperation?

Offer the child a choice of crushed pills or elixir

A nurse is caring for a 6 y/o child who is admitted with possible acute appendicitis. Which of the following manifestations should indicate to the nurse that the client's condition is becoming worse?

Sudden decrease in abdominal pain

A nurse is reinforcing teaching with the parents of a child who is taking iron supplements. Which of the following statements by the parents indicates understanding?

Our child's blood count will need to be monitored routinely for several weeks

A nurse is completing an admission on an adolescent client who is a vegetarian. He eats milk products but does not like beans. Which of the following should the nurse suggest the client order for lunch to provide the nutrients most likely to be lacking in his diet?

Peanut butter and jelly sandwich

A nurse is caring for a client who has sustained a basal skull fracture. On assessment, the nurse notices a thin stream of clear drainage coming from the client's right nostril. Which of the following actions should the nurse take first?

Test the drainage for glucose

A nurse in the emergency department is caring for an adolescent following a suicide attempt. In reviewing the client's history, which of the following is the priority risk factor for suicide completion?

Previous suicide attempt

A nurse is planning care for a child who has sickle cell crisis. Which of the following actions is included in the plan of care?

Promote hydration with IV and oral fluids

A nurse is providing care for an infant following a surgical repair of cleft lip. Which of the following actions should the nurse take to minimize the infant's crying?

Rock the infant with a favorite blanket

A nurse is performing tracheostomy care to a client who has copious secretions. Which of the following methods should the nurse use to remove secretions?

Suction 2-3 times with a 60 second pause in between passses

A nurse is obtaining an infant's vital signs. The heart rate is 180/min, and the temperature is 40 C. The father asks the nurse, "Why is my baby's heart beating so fast?" Which of the following is an appropriate response by the nurse?

The fever is causing an increase in your baby's heart rate

A nurse is gathering data on a 10-month-old infant. Which of the following findings should be reported to the provider?

The infant does not sit steady without support

A nurse is speaking with the mother of a 6 y/o child. Which of the following statements should concern the nurse?

The teacher says my child has to squint to see the board

A nurse is caring for a 8 month old. When the parent leaves the room, the child begins to scream. The parent begins to cry and says "I don't understand why my child is so upset, I've never seen them act this way around others before." The nurse should respond

This is a normal, expected reaction for a child this age

A nurse is caring for a child who is diagnosed with otitis media. Which of the following should the nurse expect?

Tugging on the affected ear lobe

A nurse is reinforcing discharge teaching with the parents of preterm infant who has a prescription for home oxygen and pulse oximetry monitoring. Which of the following statements by the parents indicates a need for further teaching?

We will rotate the probe of the pulse ox every 24 hours

A nurse is caring for a child who has acute appendicitis. Which of the following should the nurse anticipate when reviewing this client's lab value

White blood cell (WBC) level of 17,000/mm

A nurse is talking with the mother of a toddler who has acute nephrotic syndrome. The nurse should emphasize the need to report which of the following manifestations to the provider?

Yellow nasal discharge

A nurse has collected 160 mL of urine output from a 3-year-old client during 8 hr. The client weighs 33 lb. What is the next nursing action?

continue to monitor the client

A nurse is caring for a child who has acute gastroenteritis but is able to retain oral fluids. The nurse should anticipate providing which of the following types of fluid?

oral rehydration solution

To relieve thirst following a tonsillectomy, a nurse should offer a child which of the following

orange ice pop

A nurse is caring for an adolescent who has a newly applied fiberglass cast for a fractured tibia. Immediately following application of a fiberglass cast, the nurse should recognize that the nursing priority is to

perform a neurovascular assessment