peds final
The nurse is planning care for an adolescent with acquired immunodeficiency syndrome. What is the priority nursing goal? a. Prevent infection b. Identify source of infection c. Restore immunologic defenses d. Prevent secondary cancers
Prevent infection
The nurse is caring for a newborn with cleft lip and palate. The mother asked a nurse "Should I feed my baby formula instead of breast?" Select the nurse's best response. a. "Why do you want to breastfeed?" b. "Breastfeeding is strictly contraindicated" c. "I am sorry you are having a difficult time" d. "Would you like more information on breastfeeding and nutritional options?"
"Breastfeeding is strictly contraindicated"
A toddler has been hospitalized to have bilateral myringotomy tubes inserted. When discussing age-appropriate activities for the child, which of the following should the nurse recommend? a. "Separating from your child for long periods of time will prevent regressive behavior" the b. "Bring your child's favorite blanket or toy from home when she will be staying in the hospital" c. "Avoid allowing the child to make any decision for themselves as this will increase stress levels" d. "Playing chess with your child will encourage development and prevent boredom"
"Bring your child's favorite blanket or toy from home when she will be staying in the hospital"
A nurse is teaching a parent of a child with hemophilia how-to control a minor bleeding episode. Which of the following statements by the parent is inappropriate? a. "I will apply heat" b. "I will elevate the affected extremity" c. "I will compress the site" d. "I will have my child rest"
"I will apply heat"
A nurse is caring for a school-age with cystic fibrosis who is being discharged after initial diagnosis and treatment. The nurse should recognize that the parent understands the child's nutritional needs when the parent states which of the following? a. "I will reduce my child's intake of rye, wheat, and barley" b. "I will reduce my child's protein consumption" c. "I will reduce my child's caloric intake" d. "I will increase my child's caloric and protein intake"
"I will increase my child's caloric and protein intake"
A nurse is providing teaching to an adolescent female on measures to prevent urinary tract infections (UTIs). Which of the following client statements indicate teaching has been effective? a. "I will need to perform vaginal douching daily" b. "I will need to decrease my fiber intake" c. "I will need to restrict my fluid intake" d. "I will need to increase my fiber intake"
"I will need to increase my fiber intake"
The nurse is administering Prilosec (omeprazole) to a 3-month-old with gastroesophageal reflux (GER). The child's parents ask the nurse how the medication works. Select the nurse's best response to the parent. a. "Prilosec helps food move through the stomach quicker, so there will be less change for reflux" b. "Prilosec decreases stomach acid, so it will not be irritating when your child spits up" c. "Prilosec releases the pressure of the lower esophageal sphincter" d."Prilosec is commonly prescribed for reflux in infant"
"Prilosec decreases stomach acid, so it will not be irritating when your child spits up"
The nurse is assess a child with rheumatic fever. The child has involuntary muscle movements which makes it hard to coordinate purposeful movements. The parent is highly concerned with these symptoms. What is the nurse's best response? a. "These symptoms are self-limiting in nature and key focus is on injury prevention." b. "These symptoms are progressive in nature and eventually lead to total loss of purposeful movements" c. "These symptoms are unrelated to rheumatic fever and other causes must be investigated." d. "These symptoms indicate the disease is worsening."
"These symptoms are self-limiting in nature and key focus is on injury prevention."
The nurse is caring for a newborn with a new diagnosis of Phenylketonuria. The mother asks the nurse about dietary restrictions. Which of the following is the nurse's best response? a. "formula that is high in phenylalanine is recommended for your child" b. "exclusively breastfeeding is not possible" c. "there are no dietary restrictions with your child's diagnosis" d. "exclusively breastfeeding is the recommended dietary intake for your child"
"exclusively breastfeeding is not possible"
A nurse is teaching an adolescent the side effects of chemotherapy medication. Which of the following nursing statements should the nurse include in the teaching? a. "most clients appetite increases during treatment" b. "most clients do not experience nausea" c. "most clients gain weight during treatment" d. "most clients experience oral ulcerations"
"most clients experience oral ulcerations"
The parents of a preschooler diagnosed with muscular dystrophy ask about the course of their child's disease. What is the nurse's best response? a. "the weakness that your child is having will not worsen with time" b. "your child will be able to function normally and not need any special accommodations" c. "the extent of motor dysfunction depends on severity of trauma to the cerebellum" d. "muscular dystrophies usually result in progressive muscular weakness"
"muscular dystrophies usually result in progressive muscular weakness"
The nurse is caring for a toddler with suspected intussusception. The physician elects to give an air enema. The parents ask the purpose of the air enema. Select the nurse's most appropriate response. the a. "the enema will help confirm the diagnosis and has a good chance of correcting the intussusception" b. "the enema will confirm the diagnosis by visualization of an intestinal megacolon" c. "the enema will help confirm the diagnosis while the patient is prepared for colonoscopy" d. "the enema will confirm the diagnosis. If the test result is positive, your child will need to have surgery to correct the intussusception"
"the enema will help confirm the diagnosis and has a good chance of correcting the intussusception"
The nurse is caring for a toddler who presents with honey-colored crusted oral lesions to the Urgent Care. The caregiver asks what the most likely cause of the lesion could be. What is the nurse's best response? a. A parasitic infection b. A bacterial staphylococcal infection c. A common allergic response d. A common viral infection
A bacterial staphylococcal infection
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. A child who has cystic fibrosis b. a child recovering from a varicella c. a child who has rheumatic fever d. a child who has hemophilia
A child who has hemophilia
A nurse is caring for a child who has a fracture. The child reports severe pain on assessment, the nurse should monitor for which of the following complications? SATA a. Absent pulses to the affected extremity b. warm skin to the affected extremity c. inability to move distal to the affected extremity d. positive Gowers sign e. pale cool skin to the affected extremity f. numbness and paresthesia
Absent pulses to the affected extremity Inability to move distal to the affected extremity Pale cool skin distal to the extremity Numbness and paresthesia
It is important that a child with acute streptococcal pharyngitis be treated with antibiotics period to prevent what condition? a. Diabetes insipidus b. Acute rheumatic fever c. Kawasaki disease d. Nephrotic syndrome
Acute rheumatic fever
In preparing a pediatric client for an appendectomy, the nurse would question which doctor's orders? a. Administer a normal saline enema prior to surgery b. Administer ceftriaxone (Rocephin) 1000mg IVPB, now c. Witness legal guardian sign the consent form d. Initiate IV fluids
Administer a normal saline enema prior to surgery
The nurse is taking care of a child who is about to receive an intramuscular shot. Which of the following is appropriate when using EMLA cream? a. Apply EMLA cream to the site of injection 15 minutes prior to the injection b. Apply EMLA cream to the site of injection 60 minutes prior to the injection c. It is ok to give the intramuscular shot without wiping off the EMLA cream d. Apply the EMLA cream over open cuts and burns
Apply EMLA cream to the site of injection 60 minutes prior to the injection
The nurse is caring for a child with newly diagnosed mononucleosis. The child's hepatic panel showed elevation in liver enzymes (ALT/AST). Which of the following recommendations should the nurse provide the caregivers of the child? a. Intake of citrus drinks is recommended b. Antibiotic therapy is recommended c. Minimization of rest is recommended d. Avoidance of contact sports for 6-8 weeks is recommended
Avoidance of contact sports for 6-8 weeks is recommended
The nurse is assessing a child who is suspected to have autism spectrum disorder. Which of the following expected findings is the nurse likely to observe? A. Avoids eye contact B. Lack of empathy C. Repetitive behaviors D. Shows interest in peers E. Responds well to sensory stimuli F. Delayed language development
Avoids eye contact Lack of empathy Repetitive behaviors Delayed language development
A parent is concerned that her 5-year-old child may be exhibiting regression behaviors. The nurse should know the behavior that indicates regression is? a. Eating only food from home b. Cuddling a threadbare blanket at bedtime c. Crying when mother leaves d. Bedwetting several times a day
Bedwetting several times a day
A nurse is caring for a pediatric client who is about to receive chemotherapy. The nurse reviewing the client's laboratory results notes that her platelet count is 80,000/mm2. Which of the following precautions should the nurse add to the client's care plan? a. Bleeding precautions b. Contact precautions c. Seizure precautions d. Airborne precautions
Bleeding precautions
A nurse is caring for an adolescent who is scheduled to receive a transfusion of packed red blood cells. The patient type and screen shows the patient's blood type is B+. Which of the following donor blood would be most appropriate to administer? a. Blood type AB+ b. Blood type O c. Blood type A+ d. Blood type AB-
Blood type O
A nurse is performing a developmental screening on a 2-year-old child. Which of the following skills should the toddler be able to perform? a. Jump across the floor using both feet b. Alternates feet when climbing up the stairs c. Rides a tricycle d. Build a tower of six blocks
Build a tower of six blocks
An infant with hydrocephalus is noted to have an increasing head circumference upon physical examination. Which other findings should the nurse anticipate? a. Bulging fontanels b. Relaxed, calm demeanor c. Ptosis d. Soft, low-pitched cry
Bulging fontanels
On assessment the nurse notes the child has bounding upper extremity pulses but thready, faint pulses on the lower extremities. Which congenital heart defect does the nurse most likely suspect? a. Coaction of the aorta (COA) b. Aortic stenosis (AS) c. Tetralogy of fallot (TOF) d. Transposition of the great vessels
Coaction of the aorta (COA)
The nurse is assessing an 8-month-old infant at a wellness clinic. The infant has a history of myelomeningocele. The nurse expects which of the following assessment findings? a. Decreased sensation in the lower extremities b. Negative extrusion reflex c. Absence of head lag d. Walks with both hands held
Decreased sensation in the lower extremities
When caring for adolescents, the nurse is aware that which of the following interventions help to reduce stress due to hospitalization? a. Discuss with adolescent patients their fears of anxiety about altered body image b. Explain procedures to the parents and not the adolescent patients c. Adolescence patients enjoy dependency on parents d. Discourage any communication with peers during hospitalization to reduce distraction
Discuss with adolescent patients their fears of anxiety about altered body image
A nurse is caring for a child diagnosed with sickle cell anemia, who is receiving their first chelation therapy. What information should the nurse teach the patient regarding the therapy? A. Decreases the sickling of the red blood cells B. Eliminates excess iron C. Decreases the risk of bleeding D. Provides an iron supplement
Eliminates excess iron
A nurse is caring for a child with nephrotic syndrome. The child albumin level is 2.5 g/dL. which of the following complications did the nurse assess for? a. Steatorrhea b. Fractures c. Embolism d. Increased intracranial pressure
Embolism
A nurse is discharging a child with sickle cell anemia after an acute crisis episode. Which of the following should the nurse teach the child's parents to do to prevent future vaso occlusive episodes? a. Encourage the child to drink plenty of fluids b. Encourage increased moderate to high intensity exercise for 90 minutes a day c. Have the child eat a high-protein diet d. Monitor the child's temperature daily
Encourage the child to drink plenty of fluids
The nurse is caring for a child with a fever, headache, and runny nose that began three days ago. Now the child has a rash which is prevalent in the face and has a slapped cheek appearance. Which communicable disease would the nurse suspect for this patient? a. Rubella (german measles) b. Fifth disease (erythema infection) c. Varicella (chickenpox) d. Measles (rubeola)
Fifth disease (erythema infection)
A patient has the following arterial blood gas results: blood pH 7.44, PaCo2 49, and HCO3 30mEq/L. This is known as: a. Partially compensated metabolic alkalosis b. Partially compensated metabolic acidosis c. Fully compensated respiratory acidosis d. Fully compensated metabolic alkalosis
Fully compensated metabolic alkalosis
How can the nurse minimize an infant's risk of developing retinopathy of prematurity? A. Maintain infant's oxygen flow level to keep O2 sat at 100% B. Increase the oxygen flow when the infant is crying to avoid desaturation C. Give oxygen to maintain prescribed oxygen saturation levels D. Give oxygen to all premature infants due to their underdeveloped lungs
Give oxygen to all premature infants due to their underdeveloped lungs
The nurse is administering a liquid iron preparation to a 5-year-old with iron deficiency anemia. It will be most appropriate to do which of the following? a. Mix the medication in the child's milk and give it at lunch b. Give the medication with an antacid to prevent dark tarry stools c. Give the medication in a small cup with straw d. Give the medication with a spoonful of yogurt
Give the medication in a small cup with straw
The nurse is caring for a 5-year-old post-streptococcal infection, now experiencing gross hematuria, edema, blood pressure of 140/90 and slight proteinuria. The nurse expects which of the following as the most likely diagnosis? a. Rheumatic fever b. Glomerulonephritis c. Hemolytic uremic syndrome d. Nephrotic syndrome
Glomerulonephritis
When assessing the pain level of a developmentally appropriate 4 y/o child, which technique should be utilized? A. Observe behavior and match with pain level B. The nurse selects the face on the scale that matches the child's facial expression C. Have the child mark the amount of pain felt by the numbers on the scale D. Have the child select the face that matches the pain they feel
Have the child select the face that matches the pain they feel
A parent calls the pediatric clinic to report that her child has a bloody nose. The nurse should give the parent which of the following instructions to stop the bleeding? a. Place the child in a sitting position with the head tilted back b. Have the child sit with the head tilted slightly forward while holding pressure on the nose c. Place the child in a supine position with a pillow under her backd. Apply heat at the base of the nose for 5 minutes to minimize bleeding
Have the child sit with the head tilted slightly forward while holding pressure on the nose
The nurse is caring for an infant who has an adequate motility of part of the intestine due to absence of ganglion cells. The infant presents with abdominal distention, decreased appetite, and chronic Constipation with occasional ribbon-like school stools. The nurse should identify these findings as a manifestation of which the following disorders? a. Hirschsprung's disease b. Encopresis c. Celiac disease d. Pyloric stenosis
Hirschsprung's disease
The nurse is caring for a child with Kawasaki disease (KD). A student nurse who is on the unit asks what the most common medications are to treat this disease. The nurse's response to the student nurse is: a. Immunoglobulin G and ACE inhibitors b. Immunoglobulin G and Tylenol c. Immunoglobulin G and Antibiotics d. Immunoglobulin G and aspirin
Immunoglobulin G and aspirin
The nurse is planning care for a 3 old child with bacterial meningitis. Which of the following nursing interventions is necessary to include in the client's plan of care? a. Place child in a negative pressure room b. implement seizure precautions c. measure head circumference every shift d. implement bleeding precautions
Implement seizure precautions
The nurse caring for a patient with osteogenesis imperfecta understands that the goal of treatment is to? a. Utilize serial casting b. Maintain spica cast c. Increase bone density d. Treat the bone infection
Increase bone density
A 7y/o child is admitted to the PICU with a diagnosis of acute asthma exacerbation. An arterial blood gas is obtained. What finding does the nurse anticipate? A. Elevated alkalinity B. Increased carbon dioxide level C. High oxygen level D. Decreased bicarbonate
Increased carbon dioxide level
Which of the following medications would the nurse teach a 10-year-old with asthma to use when experiencing difficulty breathing? a. Inhaled cromolyn sodium b. Inhaled long-acting Beta-agonist c. Inhaled short-acting Beta-Agonist d. Inhaled corticosteroid
Inhaled short-acting Beta-Agonist
Which would be a nursing priority intervention for a child suspected of having varicella? a. Initiate airborne precaution b. call another nurse for assistance c. initiate respiratory precautions d. initiate universal precautions and standard precautions
Initiate airborne precaution
The nurse is caring for a 2-month infant in the emergency room with projectile vomiting and an olive shaped mass in the right upper quadrant. Which of the following interventions should the nurse do next? a. Place the infant supine b. Thicken the infant's formula with rice cereal c. Initiate prescribed intravenous fluids d. Offer the infant small amounts of rehydration oral electrolyte solution
Initiate prescribed intravenous fluids
When developing the discharge teaching plan for the parents of a child who has undergone a cardiac catheterization for a ventricular septal defect, which of the following teaching should the nurse expect to include? a. Advise the parents to administer aspirin for discomfort b. Inform the parents to maintain the affected extremity elevated the first twenty four hours c. Instruct the parents to assess the extremities for temperature and color d. Inform the parents to reduce oral intake for the first forty-eight hours
Instruct the parents to assess the extremities for temperature and color
A nurse is an urgent care clinic is assessing a toddler for suspicious of autism. Which of the following symptoms should the nurse suspect for autism? a. Physical delay b. Relaxing delay c. Language delay d. Cognitive delay
Language delay
A school-age child with diabetes gets 10 units of Regular insulin at noon (12:00). According to when this insulin peaks, the child should be at greatest risk for hypoglycemic episodes between when? a. Dinner and bedtime snack b. Bedtime and breakfast the next morning c. Lunch and afternoon snack d. At the hour of sleep
Lunch and afternoon snack
The nurse in the pediatric emergency room is caring for a 3-year-old unvaccinated child. The child is anxious, drooling, and in the tripod position. The parent states the child has become progressively ill within the past two hours. Which of the following interventions is most appropriate? a. Maintain the child in a prone position to assist with drainage b. Complete throat culture to rule out bacterial infection c. Maintain the child in an upright position while the nurse assesses the child d. Impact the child's throat with a tongue blade
Maintain the child in an upright position while the nurse assesses the child
The nurse is providing teaching to a child and her parents about the child's new diagnosis of moderate persistent asthma. The parents ask the nurse if the child will have to take any daily medications. What is the nurse's best response? a. These is no daily treatment medication available for asthma b. Management with a daily dose of an inhaled corticosteroid is necessary c. Management with a daily dose of an inhaled bronchodilator is necessary d. Management with a daily dose of oral steroids is necessary
Management with a daily dose of an inhaled corticosteroid is necessary
The nurse is caring for a patient who arrived in urgent care with a cough, runny nose, and conjunctivitis. On further assessment, the nurses noticed tiny white spots in the oral cavity. Which communicable disease should the nurse suspect? a. Pertussis b. Rubella c. Measles d. Varicella
Measles
A newborn is suspected of having cystic fibrosis. As the newborn is being prepared for transfer to a pediatric hospital, the mother asks the nurse which symptoms made the practitioner suspect cystic fibrosis. Which response by the nurse is the most important? A. Sweet tasting skin B. Meconium ileus C. Black tarry stools D. Rectal prolapse
Meconium ileus
An adolescent female is prescribed amoxicillin (Amoxil) for an ear infection. The nurse should teach the adolescent about the risks associated with her concurrent use of? a. Protein shakes b. Oral contraceptives c. Multiple vitamins d. Antacids
Oral contraceptives
A nurse is caring for a child with acute gastroenteritis and frequent diarrhea episodes. The child's vital signs are within normal limits. The nurse should anticipate providing which of the following therapeutic interventions? a. Diluted apple juice b. Oral rehydration solution c. Isotonic intravenous solution d. Cow's milk
Oral rehydration solution
The nurse is caring for a school-age child with sickle cell anemia. The child's condition has worsened due to hypoxia and dehydration. Which of the following assessment findings is the nurse most likely to assess? a. Epistaxis b. Pain c. Hemarthrosis d. Lordosis
Pain
The nurse is caring for an infant diagnosed with Pertussis. The parent asks if there is any way that Pertussis can be prevented. What is the nurse's best response? a. Pertussis can be prevented with administration of the Rotavirus Vaccine b. Pertussis cannot be prevented but may treated with Acyclovir c. Pertussis can be prevented with administration of the MMR vaccine d. Pertussis can be prevented with administration of the DTap vaccine
Pertussis can be prevented with administration of the DTap vaccine
In a child with leukemia, which presenting lab value would the nurse expect? a. RBC count of 5.0 million cells/mcL b. Hemoglobin of 13.0 mg/dl c. Platelet count of 80,000 per microliter of blood d. Platelet count of 500,000 per microliter of blood
Platelet count of 80,000 per microliter of blood
The nurse is caring for a child who is about to undergo a Lumbar Puncture. Which of the following positions would be appropriate placement during the procedure? SATA a. Positioning the knee drawn up towards the chest b. Position the child side lying c. Positioning the head flexed inwards towards the chest d. Positioning the child prone during the procedure e. Positioning the child in a Trendelenburg position
Positioning the knee drawn up towards the chest Position the child side lying Positioning the head flexed inwards towards the chest
A 14-year-old boy with sickle cell anemia is admitted with severe pain in his abdomen and legs. He asks why the doctor has ordered fluids intravenously. The nurse will be most accurate in stating that the main therapeutic benefit of fluids in this child is to do with which of the following? a. Prevent respiratory complications b. Increase the oxygen-carrying capacity of red blood cells (RBC's) c. Decrease the potential for infection during the crisis d. Prevent further clumping of Red Blood Cells
Prevent further clumping of Red Blood Cells
The nurse in a family clinic receives a call from the mother of a 2-year-old child. The mother states the child has a barky cough with a low-grade fever. She denies any respiratory distress symptoms. Which of the following should the nurse recommend? a. Provide fluids that the child likes and use cool mist humidification b. Admit to the hospital and observe for impending epiglottitis c. Control fever with aspirin and call if cough gets worse tonight d. Recommend the nurse for antibiotic therapy
Provide fluids that the child likes and use cool mist humidification
The nurse is caring for a child who is being treated for extensive bleeding in the emergency department. The source and extent of bleeding are being determined as the nurse is trying to control the bleeding. The nurse places highest priority on which of the following activities? a. Provide psychological support to the family b. Discuss risk of HIV infection with blood transfusions c. Reduce blood volume d. Obtain the client's history
Reduce blood volume
The nurse is planning care for a child with hemolytic-uremic syndrome who has been anuric for over 24 hours and will be initiated on peritoneal dialysis treatment. The nurse should plan to implement which important measure? a. Encourage foods high in potassium b. Care for the arteriovenous fistula c. Administer Spironolactone 25 mg by mouth d. Restrict fluids as prescribed
Restrict fluids as prescribed
When caring for a child with probable appendicitis, the nurse should be alert to recognize which of the following as a sign of perforation? a. Bradycardia b. Anorexia c. Sudden relief from pain d. Decreased abdominal distention
Sudden relief from pain
A nurse is assessing a 3-year-old child who has an untreated congenital heart defect. Which of the following findings would the nurse expect the child to exhibit? SATA a. Normal heart rhythm b. Tachycardia c. Murmur d. Weak pulses e. Clubbing f. Prolonged capillary refill
Tachycardia Murmur Weak pulses Clubbing Prolonged capillary refill
The nurse is preparing to do a discharge teaching to a client who has admitted for trauma, secondary to a bicycle injury. Which of the following is important to include in the discharge teaching? a. Teach the child to ride their bicycle with flow of traffic b. Teach the child to wear a helmet and pads while riding a bike c. Teach the child to wear dark colors with no fluorescent lights while riding their bike when d. Teaching the child that both of the balls of their feet should touch the ground when standing on the bike e. Teach the child to ride their bicycle against flow of traffic
Teach the child to ride their bicycle with flow of traffic Teach the child to wear a helmet and pads while riding a bike Teaching the child that both of the balls of their feet should touch the ground when standing on the bike
A child with Tylenol overdose has been admitted into the pediatric intensive care unit. Which of the following interventions should the nurse anticipate? a. Gastric lavage b. The administration of Protamine Sulfate c. Administration of Phytonadione d. The administration of N-acetylcysteine
The administration of N-acetylcysteine
A child is seen in the clinic for his 6-month well child visit. The nurse is providing education to the parents on the recommended immunization schedule. Which of the following statements is appropriate? a. The child will receive the MMR vaccine today b. The child will receive the varicella vaccine today c. The child will receive the hepatitis A vaccine today d. The child will receive the hepatitis B vaccine today
The child will receive the hepatitis B vaccine today
The nurse is providing discharge teaching for a client with SIADH. Which of the following is the most important to include in the client's discharge teaching? a. The client should drink at least 3 gallons of water a day b. Inform the client that nausea and muscle cramps is normal c. The client should decrease their sodium intake d. The client should increase their sodium intake
The client should increase their sodium intake
A 7y/o with sickle cell disease is scheduled to have a splenectomy. During the pre-surgery teaching, what should the nurse explain to the parents as the reason for a splenectomy? A. To decrease the potential for infection B. There is pooling of blood in the spleen and liver C. To prevent the sickling of red blood cells D. There is peripheral ischemia along with pain
There is pooling of blood in the spleen and liver
A 4y/o child presents with a fever and rash. What three of the following items should the nurse obtain during the health history? SATA A. Whether the child takes a daily vitamin B. Mothers' immunization history C. Thorough description and history of the rash D. Immunization history E. Any exposure to communicable or infectious diseases
Thorough description and history of the rash Immunization history Any exposure to communicable or infectious diseases
The nurse would expect to find the greatest cyanosis in a child with which cardiovascular condition? a. Ventricular septal defect b. Tricuspid atresia c. A large patent ductus arteriosus (PDA) d. Coarctation of the aorta
Tricuspid atresia
The clinic nurse has organized a class for several parents of children newly diagnosed with sickle cell disease. The nurse explains the complications of sickle cell anemia can include the following? SATA a. Vaso-occlusive crisis b. Hemarthrosise. Hemochromatosis c. Aplastic crisis d. Sequestration of blood e. Hemochromatosis
Vaso-occlusive crisis Aplastic crisis Sequestration of blood
The hydration status of an infant can be estimated by assessing which of the following? SATA a. Weight b. Skin turgor c. Reflexes d. Fluid intake e. Stool output f. Urine output
Weight Skin turgor Fluid intake Stool output Urine output
The nurse is caring for a toddler in the emergency department with an abdominal mass. The patient's blood pressure is elevated, and hematuria is noted on urine analysis. The most common cause of these symptoms is likely to be which of the following? a. Wilms tumor b. Ewing sarcoma c. Neuroblastoma d. Osteosarcoma
Wilms tumor
A nurse is admitting a 9-year-old with bacterial pneumonia to a room and in a semi private medical-surgical unit. Which of the following room assignments should the nurse make for the client? a. A room with a child with an appendectomy b. a room with an oncology patient c. a room with another child with bacterial pneumonia d. a private negative pressure room
a room with another child with bacterial pneumonia
At a hemophilia camp, several children with injuries arrive at the clinic at the same time. When prioritizing care for the children, the child who requires the most immediate care from the nurse is a child with which of the following symptoms? a. a sprained wrist b. a swollen knee c. abrasions on both arms d. a slight head injury
a slight head injury
A nurse is caring for a patient with type one diabetes who has a blood sugar reading of 40. The child is awake and alert. What intervention would be most appropriate for the nurse to provide? a. Initiate an infusion of dextrose 50% b. administer Glucagon intramuscularly c. administer 4 oz of juice by mouth d. administer 2 units of Humalog
administer 4 oz of juice by mouth
A nurse is caring for a school age child with a suspected diagnosis of bacterial meningitis. Which of the following actions is the nurse's priority? a. Encourage completion of school-work b. administer prescribed antibiotics c. encourage play activities in the facilities public playroom d. suction nasal secretions to minimize intracranial pressure
administer prescribed antibiotics
The nurse is caring for a newborn with a spinal sac protrusion at the lumbar spine. The nurse prioritizes which of the following interventions to complete first? a. Complete a rectal temperature b. administer intravenous antibiotics as prescribed c. apply a moist sterile gauze to the spinal sac d. encourage infant-parent attachment
apply a moist sterile gauze to the spinal sac
A nurse is caring for a school age child with high fever and difficulty breathing who is drooling, agitated, and in a tripod position. Which of the following is an appropriate nursing action? a. administer prescribed oral antipyretic b. attempt to obtain a throat culture c. initiate intravenous access d. position supine
initiate intravenous access
The nurse is caring for a child with potential bacterial conjunctivitis. Which of the following symptoms are indicative of bacterial conjunctivitis? SATA a. bilateral watery eye discharge b. crusty eyelids upon awakening c. unilateral watery eye discharge d. increased tearing of the eyelid e. unilateral mucopurulent eye discharge f. redness of the conjunctiva
crusty eyelids upon awakening unilateral watery eye discharge increased tearing of the eyelid unilateral mucopurulent eye discharge redness of the conjunctiva
A 2-year-old child who had a tonsillectomy yesterday. The nurse nurse would be most concerned with which of the following symptoms? a. decreased oral intake b. halitosis c. frequent swallowing d. throat pain
frequent swallowing
The child who had a tonsillectomy earlier today is now awake and tolerating fluids. The child asks for something to eat. Which food choice is most appropriate for this client? a. Orange slices b. Green jello c. Red jello d. Whole cow's milk
green jello
A nurse is caring for a toddler whose parents state while bathing the child she noticed a mass in his abdominal area and his urine is a pink color. The toddlers' vital signs show significant increases in blood pressure. Which of the following is a priority action the nurse should take? a. Determine if the child is having pain b. obtain a urine specimen for a urinalysis c. schedule the child for an abdominal ultrasound d. instruct the parent to avoid pressing on the abdominal area
instruct the parent to avoid pressing on the abdominal area
A newborn is suspected of having cystic fibrosis. As the newborn is being prepared for transfer to a pediatric hospital, the mother asked the nurse which symptoms made the practitioner suspect cystic fibrosis. Which response by the nurse is the most appropriate? a. Sweet tasting skin b. Rectal prolapse c. black tarry stools d. meconium ileus
meconium ileus
A nurse is providing teaching to the parents of a child who has been recently diagnosed with rheumatic fever. Which of the following statements by the parent indicates the cause of rheumatic fever? a. My child has a recent urinary tract infection b. my child is unvaccinated c. my child had a recent throat infection d. my child has a recent GI infection
my child had a recent throat infection
Which assessment findings should lead the nurse to suspect that an infant is experiencing emergent respiratory distress? SATA a. Pallor b. nasal flaring c. respiratory rate of 70bpm d. heart rate of 130 beats/min e. restlessness
pallor nasal flaring respiratory rate of 70bpm restlessness
A nurse is caring for a child who is having a tonic-clonic seizure and vomiting. Which of the following actions is a nurse priority? a. Clear the area of hazards b. loosen patients belt c. intubate patient d. position the child side-lying
position the child side-lying
A 16-year old child is admitted to the pediatric medical-surgical unit with a hemoglobin of 6.2 g/dL and a heart rate of 125bpm. While assessing the patient which of the following should be the nurse's priority assessment? A. signs of infection B. manifestations of shock C. signs of cardiac decompression D. the presence of hemoglobinuria
signs of cardiac decompression
What activity should the school nurse recommend for a child with Hemophilia A? SATA a. Rugby b. Lacrosse c. Swimming d. Football e. Golf f. Jogging
swimming golf
A nurse is caring for an infant who has a congenital heart defect associated with decreased pulmonary blood flow. Which of the following would the nurse expect an infant to be diagnosed with? a. Ventricular septal defect b. coarctation of the aorta c. patent ductus arteriosus d. tetralogy of fallot
tetralogy of fallot
A nurse is caring for a four-year-old patient who has a fracture of the tibia involving the growth plate. The child will require casting of extremity. As the cast dries, which of the following should the nurse recommend? a. Utilize the fingertips of the hands to palpate the cast as it dries b. utilize heat lamps to assist with cast drying c. maintain the extremity in a dependent position as it dries d. turn and reposition the extremity frequently
turn and reposition the extremity frequently
The adolescent's peak expiratory flow rate is 40% of their personal best. Which of the following interventions would be most appropriate? a. Encourage participation in physical activity b. use a short acting bronchodilator c. use maintenance medication d. no further intervention is necessary
use a short acting bronchodilator
