PEDS FINAL Prac Questions

A 4-year-old child diagnosed with leukemia is hospitalized for chemotherapy. The child is fearful of the hospitalization. Which nursing intervention should be implemented to alleviate the child's fears? A.Encourage the child's parents to stay with the child. B.Encourage play with other children of the same age. C.Advise the family to visit only during the scheduled visiting hours. D.Provide a private room, allowing the child to bring favorite toys from home.

A.Encourage the child's parents to stay with the child.

A child with a fracture arm and multiple old injuries Child maltreatment is suspected. Which parental characteristic supports this suspicion? A. Waiting to be discharge B. displaying signs of guilt about injuries C. Express concerns about the child health D. Offering inconsistent stories about the injuries

D. Offering inconsistent stories about the injuries

An 8-month-old infant becomes hyper cyanotic while blood is being drawn. What should be the nurse's first action? A. Prepare the child for immediate intubation. B. Assess for neurologic defects. C. Begin cardiopulmonary resuscitation. D. Place the child in knee-chest position.

D. Place the child in knee-chest position.

The nurse is caring for a child recovering from a tonsillectomy. Which fluid or food item should be offered to the child? A. Butterscotch Pudding B. Cherry Slushy C. Sprite D. Green Jell-O

D. Green Jell-O

A 3-year-old child is brought to the emergency department with a febrile seizure. Which of the following is the priority nursing intervention? A.Administer antipyretics as ordered B.Initiate seizure precautions. C.Administer an antiepileptic medication D.Check the child's airway and breathing

D.Check the child's airway and breathing

The nurse is providing care to a child admitted for acute otitis media. What is the nurse's priority concern for this child? A. Acute pain B. Problems with skin integrity C. Risk for interrupted breathing patterns D. Mucous membrane dryness and cracking

A. Acute pain

Which preschool-aged clients would benefit from an individualized education plan (IEP) when entering kindergarten? SATA: A. Child with IQ of 60 B. A child with hearing deficit C. A child with a fracture arm and cast D. A child with autism (ASD) E. A child with type 1 DM controlled with insulin

A. Child with IQ of 60 B. A child with hearing deficit D. A child with autism (ASD)

The nurse is conducting staff in-service training on von Willebrand's disease. Which should the nurse include as characteristics of von Willebrand's disease? Select all that apply. A. Easy bruising occurs. B. Gum bleeding occurs. C. It is a hereditary bleeding disorder. D. Treatment and care are similar to that for hemophilia. E. It is characterized by extremely high creatinine levels.

A. Easy bruising occurs. B. Gum bleeding occurs. C. It is a hereditary bleeding disorder. D. Treatment and care are similar to that for hemophilia.

The nurse is teaching a high school student about scoliosis treatment options. On which priority information would the nurse focus on? A. Effect on body image B. Least invasive treatment C. Continuation with schooling D. Maintenance of contact with peers

A. Effect on body image

The nurse is caring for a child after a tonsillectomy. The nurse monitors the child, knowing that which finding indicates the child is bleeding? A. Frequent swallowing B. A decreased pulse rate C. Complaints of discomfort D. An elevation in blood pressure

A. Frequent swallowing RED FLAG!

The nurse is caring for a child with a diagnosis of a right-to-left cardiac shunt. On review of the child's record, the nurse should expect to note documentation of which most common assessment finding? A. Severe bradycardia B. Asymptomatic after feeding C. Bluish discoloration of the skin D. Higher than normal body weight.

C. Bluish discoloration of the skin

Which health conditions are associated with led poisoning in a preschooler? A. Amblyopia B. Strabismus C. Brain damage D. Hepatic steatosis E. Growth retardation

C. Brain damage E. Growth retardation

Which finding will the nurse identify in most children with symptomatic cardiac malformations? A. Mental retardation B. Inherited genetic disorder C. Delayed physical growth D. Clubbing of the fingertips

C. Delayed physical growth "Lack of energy r/t heart working harder"

When teaching an adolescent with T1 DM about dietary management, which instruction would the nurse include? A. Meals should be eaten only at home B. Food should always be weighed C. Having fast or simple sugar on them D. Specific foods should be cooked for adolescent

C. Having fast or simple sugar on them

A child with a diagnosis of tetralogy of Fallot exhibits an increased depth and rate of respirations. On further assessment, the nurse notes increased hypoxemia. The nurse interprets these findings as indicating which situation? A. Anxiety B. Temper tantrum C. Hypercyanotic episode D. Need of HCP notification

C. Hypercyanotic episode

An adolescent with type 1 diabetes mellitus is attending a dance in the school gym. The adolescent suddenly becomes flushed and complains of hunger and dizziness. The school nurse, who is present at the dance, takes the child to the nurse's office and performs a blood glucose level test that shows 60 mg/dL (3.4 mmol/L). Which is the initial nursing intervention? A.Call the child's mother. B.Assist the child with administering regular insulin. C.Give the child ½ cup (120 ml) of a sugar-sweetened carbonated beverage. D.Call an ambulance to take the child to the hospital emergency department.

C.Give the child ½ cup (120 ml) of a sugar-sweetened carbonated beverage. "NONINVASIVE TO INVASIVE"

Which is the PRIORITY intervention for the infant with developmental dysplasia of the hip? A. Flexion of the hip B. Extension of the hip C. Adduction of the hip D. Abduction of the hip

D. Abduction of the hip Keep the legs apart!

Which of the following heart defects would lead to decrease in pulmonary blood flow? A. Ventricular Septal Defect B. Patent Ductus C. Arteriosus D. Pulmonic Stenosis E. Tetralogy of Fallot

E. Tetralogy of Fallot

The nurse is caring for an infant with a diagnosis of congenital heart disease. Which finding, on physical assessment, does the nurse attribute to chronic hypoxia? A. Tachypnea B. Tachycardia C. Sucking on the fingers D. Clubbing of the fingers

D. Clubbing of the fingers

Which clinical finding would the nurse expect when assessing an infant with pyloric stenosis? Select all that apply. A. Vomiting after feeding B. Visible peristaltic waves C. Olive-shaped mass in RUQ D. Lack of tears when crying. Cramping in lower abdomen

A. Vomiting after feeding B. Visible peristaltic waves C. Olive-shaped mass in RUQ D. Lack of tears when crying.

A 10-year-old child with asthma is treated for acute exacerbation in the emergency department. The nurse caring for the child should monitor for which sign, knowing that it indicates a worsening of the condition? A. Warm, dry skin B. Decreased Wheezing C. HR 90 BPM D. RR 18 BPM

B. Decreased Wheezing

Which organ is commonly affect in a child with juvenile idiopathic arthritis (JIA)? A. Ears B. Eyes C. Liver D. Brain

B. Eyes

Which action would the nurse be responsible for during a lumbar puncture for an 18-month-old toddler? A. Keeping the child immobilized with restraints B. Having mother hold the child in her arms C. Maintaining the continuous flow of local anesthetic D. Collecting the aspirated drainage in a culture tube

D. Collecting the aspirated drainage in a culture tube

The clinic nurse instructs parents of a child with sickle cell anemia about the precipitating factors related to sickle cell crisis. Which, if identified by the parents as a precipitating factor, indicates the need for further instruction? A. Stress B. Trauma C. Infection D. Fluid overload

D. Fluid overload

A topical corticosteroid is prescribed by the primary health care provider for a child with contact dermatitis (eczema). Which instruction should the nurse give the parent about applying the cream? A. Apply the cream over the entire body. B. Apply a thick layer of cream to affected areas only. C. Avoid cleansing the area before application of the cream. D. Apply a thin layer of cream and rub it into the area thoroughly.

D. Apply a thin layer of cream and rub it into the area thoroughly.

Which type of cerebral palsy (CP) is associated with slowing writhing movements? A. Ataxic B. Spastic C. Dystonic D. Athetoid

D. Athetoid

Which assessment data would cause the nurse to suspect that a toddler is experiencing physical abuse? A. Abdominal distention B. Bloody underclothing C. Recurrent urinary tract infection D. Bruises in various stages of healing

D. Bruises in various stages of healing

How would the nurse characterize reye's syndrome? SATA: A. Genetic disorder B. Bacterial infection C. Encephalopathy of unknown origin D. Follows a viral illness E. Associated with aspirin

D. Follows a viral illness E. Associated with aspirin

The nurse is providing instructions to the mother of a child with croup regarding treatment measures if an acute spasmodic episode occurs. Which statement made by the mother indicates a need for further teaching? A. "I should place a warm steamer vaporizer in my child's room." B. "I will take my child out into the cool, humid night air." C. "I could place a cool-mist humidifier in my child's room." D. "I will have my child inhale the cool air from the freezer"

A. "I should place a warm steamer vaporizer in my child's room."

The pediatric nurse knows that short stature and failure to grow is one of the first noticeable manifestations in which genetic syndrome? A. Turner syndrome B. Fragile X syndrome C. Klinefelter syndrome D. Down syndrome

A. Turner syndrome

Which symptoms would the nurse recognize as indicative of ICP in a 3 year old? SATA A. Vomiting B. Headache C. Irritability D. Tachypnea E. Hypotension

A. Vomiting B. Headache C. Irritability

Antibiotics are prescribed for a child with otitis media who underwent a myringotomy with insertion of tympanostomy tubes. The nurse provides discharge instructions to the parents regarding the administration of the antibiotics. Which statement, if made by the parents, indicates understanding of the instructions provided? A. "Administer the antibiotics until they are gone." B. "Administer the antibiotics if the child has a fever." C. "Administer the antibiotics until the child feels better." D. "Begin to taper the antibiotics after 3 days of a full course."

A. "Administer the antibiotics until they are gone."

A 2 year old child is brought to the ED after the sudden onset of high fever, drooling, and respiratory distress. Which action would the nurse perform? SATA: A. Assess the child temp B. Start an IV line C. Draw CBC and diff D. Examine child throat with flashlight and tongue pressor for swelling E. Assess O2 and give O2 <94% F. Ask parents to leave and wait in the waiting room

A. Assess the child temp B. Start an IV line C. Draw CBC and diff E. Assess O2 and give O2 <94% *S/S for Epiglottis!* Nothing in the mouth!

Which type of fracture is common in preschooler? A. Greenstick B. Transverse C. Compound D. Comminuted

A. Greenstick

A school aged child with a fracture of the femur near the epiphyseal plate is admitted to the hospital. Which physiological characteristic of the femur would the nurse consider when teaching the family about the injury? A. Growth of that leg may be affected B. Risk for infection from the leg C. Fracture repair will necessitate prolonged traction D. Long bone contains marrow, which increases the risk for anemia

A. Growth of that leg may be affected

The nurse is assigned to care for a child who is scheduled for an appendectomy. Select the prescriptions that the nurse anticipates will be prescribed. Select all that apply. A. Initiate an IV line. B. Maintain an NPO status. C. Administer a Fleet enema. D. Administer intravenous antibiotics. E. Administer preoperative medications. F. Place a heating pad on the abdomen to decrease pain.

A. Initiate an IV line. B. Maintain an NPO status. D. Administer intravenous antibiotics. E. Administer preoperative medications.

Which clinical sign or reflex entails spasm of the hamstrings muscle during leg extension? A. Kernig sign B. Babinski sign C. Moro reflex D. Chvostek sign

A. Kernig sign

Which clinical finding's suggests developmental dysplasia of the hip in an infant? A. Leg length discrepancy B. Limited ability to adduct the affected leg C. Narrowing of the perineum with an anal stricture D. Inability to palpate movement of the femoral head

A. Leg length discrepancy

A mother arrives at the hospital emergency department with her child, in whom a diagnosis of epiglottitis is documented. Which prescription, if written by the primary health care provider, should the nurse question? A. Obtain a throat culture. B. Obtain axillary temperatures. C. Administer humidified oxygen. D. Administer acetaminophen for fever.

A. Obtain a throat culture. "Nothing in the mouth r/t compromising airway! ABC!

Which of the following are manifestations of hypoglycemia? SATA A. Sweating and palpitation B. Gradual onset C. Pallor D. Thirsty E. Shallow breathing

A. Sweating and palpitation C. Pallor E. Shallow breathing

The nurse is educating parents of an infant newly diagnosed with cystic fibrosis. What education would the nurse include? A. The child may have frequent respiratory infections. B. The child's skin may taste salty C. The child may have foul-smelling stools with white, sticky streaks D. The child will outgrow this with age. E. The child may go through puberty early

A. The child may have frequent respiratory infections. B. The child's skin may taste salty C. The child may have foul-smelling stools with white, sticky streaks

After a tonsillectomy, a child begins to vomit bright red blood. The nurse should take which initial action? A. Turn the child to the side. B. Administer the prescribed antiemetic. C. Maintain NPO (nothing by mouth) status. D. Notify the primary health care provider (PHCP).

A. Turn the child to the side.

Which of the following best indicates to you that a 14-year-olds methylphenidate (Ritalin) administration may need to be adjusted? A. According to the mother, the child has been wanting to sleep past his alarm B. The child has not eaten lunch in several days, stating "I'm just not hungry" C. The child math grade has only gone up from 62% to 70% D. During recess the child has been socializing effectively with his peer

B. The child has not eaten lunch in several days, stating "I'm just not hungry"

Assessment findings of an infant admitted to the hospital reveal a machinery-like murmur on auscultation of the heart and signs of heart failure. The nurse reviews congenital cardiac anomalies and identifies the infant's condition as which disorder? A. Aortic Stenosis B. Atrial Septal Defect C. Patent ductus arteriosus D. Ventricular septal defect

C. Patent ductus arteriosus

The nurse in the hospital is giving at-home feeding instructions to a family whose child is being discharged after being born with a cleft lip. Which statement by the mother would indicate that further teaching is indicated? A. "I am so glad that I am able to breast-feed my baby." B. "I must always feed my baby with a syringe and not use a nipple." C. "I will feed my baby while sitting in a chair and holding her more upright." D. "I will burp my baby very frequently so that she does not swallow a lot of air."

B. "I must always feed my baby with a syringe and not use a nipple."

While working with a mother of a child diagnosed with ADHD, the mother states that she feels like she "caused her child's problem." Which response would be the most appropriate? A. You should not feel that way No one really knows what causes ADHD B. "Sometimes parents feel that way.I can give you information about support" C. "There is no reason to feel that way. Most experts feel there is no connection" D. "It may be a true that ADHD is inherited, but there is nothing you should be worried about"

B. "Sometimes parents feel that way.I can give you information about support"

The nurse is creating a plan of care for a child admitted with a diagnosis of Kawasaki disease. In developing the initial plan of care, the nurse should include monitoring the child for signs of which condition? A. Bleeding B. Heart failure C. Failure to thrive D. Decrease tolerance to stimulation

B. Heart failure

Which education would the nurse teach the parents of an infant with a CHD about an early sign of HF? A. Low RR B. High HR C. Distended jugular vein D. Increase urine output

B. High HR

A 6 year old kid with SCD is admitted with a vaso-occlusive crisis (pain episode). What is the nurse priority concerns? SATA: A. Nutrition B. Hydration C. Pain management D. O2 supplementation E. Prevent infection

B. Hydration C. Pain management D. O2 supplementation

The pediatric nursing instructor asks a nursing student to prioritize care for a child diagnosed with sickle cell disease. Which student response correctly identifies the priority of care? A. Fatigue B. Hypoxia C. Delayed growth D. Avascular necrosis

B. Hypoxia

Prostaglandin E1 is prescribed for a child with transposition of the great arteries. The mother of the child is a registered nurse and asks the nurse why the child needs the medication. What is the most appropriate response to the mother about the action of the medication? A. Prevents blue (tet) spells B. Maintains adequate cardiac output C. Maintains an adequate hormonal level D. Maintains the position of the great arteries

B. Maintains adequate cardiac output

The emergency department nurse is caring for a child diagnosed with epiglottitis. In assessing the child, the nurse should monitor for which indication that the child may be experiencing airway obstruction? A. The child exhibits nasal flaring and bradycardia. B. The child is leaning forward, with the chin thrust out. C. The child has a low-grade fever and complains of a sore throat. D. The child is leaning backward, supporting herself or himself with the hands and arms.

B. The child is leaning forward, with the chin thrust out. AKA: TRIPOD positioning

An infant with persistent diarrhea is subject to significant fluid and electrolyte alterations. Which finding would the nurse anticipate? Select all that apply. A. Decreased Hematocrit B. Weak pulses C. Sunken fontanel D. Metabolic Acidosis E. Increase specific gravity

B. Weak pulses C. Sunken fontanel D. Metabolic Acidosis E. Increase specific gravity

The nurse provides a teaching session to the nursing staff regarding osteosarcoma. Which statement by a member of the nursing staff indicates a need for information? A."The femur is the most common site of this sarcoma." B."The child does not experience pain at the primary tumor site." C."Limping, if a weight-bearing limb is affected, is a clinical manifestation." C."The symptoms of the disease in the early stage are almost always attributed to normal growing pains.

B."The child does not experience pain at the primary tumor site."

What is the most common trigger for DKA? A. Overeating carbohydrates B.Stress and illness C. Excessive exercise D. Skipping meals

B.Stress and illness

The mother of a hospitalized 2-year-old child with viral laryngotracheobronchitis (croup) asks the nurse why the pediatrician did not prescribe antibiotics. Which response should the nurse make? A. "The child may be allergic to antibiotics." B. "The child is too young to receive antibiotics." C. "Antibiotics are not indicated unless a bacterial infection is present." D. "The child still has the maternal antibodies from birth and does not need antibiotics."

C. "Antibiotics are not indicated unless a bacterial infection is present."

The nurse is assessing a child admitted with a diagnosis of rheumatic fever. Which significant question should the nurse ask the child's parent during the assessment? A. "Has your child had difficulty urinating?" B. "Has your child been exposed to anyone with chickenpox?" C. "Has any family member had a sore throat within the past few weeks?" D. "Has any family member had a gastrointestinal disorder in the past few weeks?"

C. "Has any family member had a sore throat within the past few weeks?"

Which assessment finding would the nurse recognize as common in newborn baby with down syndrome? A. Bulging of the fontanels B. Stiff lower extremities C. Abnormal heart sound D. Unusual pupillary reaction

C. Abnormal heart sound

The nurse reviews the record of a newborn infant and notes that a diagnosis of esophageal atresia with tracheoesophageal fistula is suspected. The nurse expects to note which most likely sign of this condition documented in the record? A. Incessant crying B. Awake at night C. Choking with feedings D. Severe projectile vomiting

C. Choking with feedings "3 Cs" Coughing, choking, and cyanosis

A newborn infant is diagnosed with esophageal atresia. Which assessment finding supports this diagnosis? A. Passage of large amounts of frothy stool. B. Projectile vomiting. C. Continuous drooling. D. Slowed reflexes.

C. Continuous drooling.

The nurse is caring for an infant with a diagnosis of tetralogy of Fallot. The infant suddenly becomes cyanotic, and the nurse recognizes that the infant is experiencing a hypercyanotic spell (blue or tet spell). The nurse immediately places the infant in what position? A. Prone position B. High Fowler's C. Knee-chest position D. Reverse Trendelenburg's position

C. Knee-chest position

An auditory screening reveals that a child has mild hearing loss. Which statement would the nurse use to explain the degree of hearing loss? A. A severe hearing deficit may develop B. It will not interfere with progress at school C. SLP and hearing aids may be required D. An immediate follow up visit is not needed

C. SLP and hearing aids may be required

Which education would the nurse provide the parent of a preschool child with atopic dermatitis? A. Scratching causes lesions to become more contagious B. Scratching spreads the dermatitis to other area of body C. Scratching results in skin break that can lead to infection D. Scratching produces changes that are precursors to skin cancer

C. Scratching results in skin break that can lead to infection

A child with croup is being discharged from the hospital. The nurse provides instructions to the mother and advises the mother to bring the child to the emergency department if which occurs? A. The child is irritable. B. The child appears tired. C. The child develops stridor. D. The child takes fluids poorly.

C. The child develops stridor.

The mother of a 6-year-old child who has type 1 diabetes mellitus calls a clinic nurse and tells the nurse that the child has been sick. The mother reports that she checked the child's urine and it was positive for ketones. The nurse should instruct the mother to take which action? A.Hold the next dose of insulin. B.Come to the clinic immediately. C.Encourage the child to drink liquids. D.Administer an additional dose of regular insulin.

C.Encourage the child to drink liquids.

A child with autism is hospitalized with asthma. The nurse should plan the care so that the _________. A. Child is supported through the autistic crisis B.Parents need to be away from the hospital C. Parents expectations are met D. Child routine habits and preference are maintained

D. Child routine habits and preference are maintained

A school-age child with type 1 diabetes mellitus has soccer practice, and the school nurse provides instructions regarding how to prevent hypoglycemia during practice. Which should the school nurse tell the child to do? A.Eat twice the amount normally eaten at lunchtime. B.Take half the amount of prescribed insulin on practice days. C.Take the prescribed insulin at noontime rather than in the morning. D.Eat a small box of raisins or drink a cup of orange juice before soccer practice.

D.Eat a small box of raisins or drink a cup of orange juice before soccer practice.

The nurse analyzes the laboratory results of a child with hemophilia. The nurse understands that which result will most likely be abnormal in this child? A. Platelet count B. Hematocrit level C. Hemoglobin level D. Partial thromboplastin time

D. Partial thromboplastin time

The nurse is caring for an infant with bronchiolitis, and diagnostic tests have confirmed respiratory syncytial virus (RSV). On the basis of this finding, which is the most appropriate nursing action? A. Initiate strict enteric precautions. B. Move the infant to a private room. C. Leave the infant in the present room, because RSV is not contagious. D. Inform the staff that using standard precautions is all that is necessary when caring for the child.

B. Move the infant to a private room. *Droplet Precaution*

The nurse admits a child to the hospital with a diagnosis of pyloric stenosis. On assessment, which data would the nurse expect to obtain when asking the parent about the child's symptoms? A. Watery diarrhea B. Projectile vomiting C. Increased urine output D. Vomiting large amounts of bile

B. Projectile vomiting

After a tonsillectomy, the nurse reviews the surgeon's postoperative prescriptions. Which prescription should the nurse question? A. Monitor for bleeding. B. Suction every 2 hours. C. Give no milk or milk products. D. Give clear, cool liquids when awake and alert.

B. Suction every 2 hours.

The mother of a 4-year-old child tells the pediatric nurse that the child's abdomen seems to be swollen. During further assessment, the mother tells the nurse that the child is eating well and that the activity level of the child is unchanged. The nurse, suspecting the possibility of Wilms' tumor, should avoid which during the physical assessment? A.Palpating the abdomen for a mass B.Assessing the urine for the presence of hematuria C.Monitoring the temperature for the presence of fever D.Monitoring the blood pressure for the presence of hypertension

A.Palpating the abdomen for a mass Risk of rupture and spread!

A child with an autism spectrum disorder (ASD) is being admitted to the hospital for diagnostic tests. Which room assignment is the most appropriate for the child? A.Private room B.Semiprivate room C.4-bed ward room D..Contact isolation room

A.Private room "Delay social interaction"

The nursing student is presenting a clinical conference and discusses the cause of β-thalassemia. The nursing student informs the group that a child at greatest risk of developing this disorder is which of these? A. A child of Mexican descent B. A child of Mediterranean descent C. A child whose intake of iron is extremely poor D. A breast-fed child of a mother with chronic anemia

B. A child of Mediterranean descent

An 11-year-old child is admitted to the hospital in vaso-occlusive sickle cell crisis. The nurse plans for which priority treatments in the care of the child? A. Splenectomy, correction of acidosis B. Adequate hydration, pain management C. Frequent ambulation, oxygen administration D. Passive range-of-motion exercises, adequate hydration

B. Adequate hydration, pain management

What are S/S would the nurse expect when assessing a 4 y/o child with newly acute lymphocytic leukemia (ALL)? SATA: A. Edema B. Anorexia C. Alopecia D. Petechiae E. Insomnia

B. Anorexia D. Petechiae

An infant is diagnosed with bacterial meningitis. Which of the following is a priority nursing intervention? A.Keeping the infant in a supine position B.Isolating the infant from other infants C.Administering oral antibiotics D.Encouraging the infant to drink fluids

B.Isolating the infant from other infants

When assessing a pediatric client in an emergency situation, to guide the assessment the nurse should be aware that most pediatric cardio-pulmonary arrests stem from? A. Cardiac related defects B. Drug induced arrest C. Hypoglycemic events D. Airway and breathing Problems

D. Airway and breathing Problems

A child with laryngotracheobronchitis (croup) is placed in a cool mist tent. The mother becomes concerned because the child is frightened, consistently crying, and trying to climb out of the tent. Which is the most appropriate nursing action? A. Tell the mother that the child must stay in the tent. B. Place a toy in the tent to make the child feel more comfortable. C. Call the pediatrician and obtain a prescription for a mild sedative. D. Let the mother hold the child and direct the cool mist over the child's face.

D. Let the mother hold the child and direct the cool mist over the child's face.

The nurse is assigned to care for an infant with tetralogy of Fallot. The mother of the infant calls the nurse to the room because the infant suddenly seems to be having difficulty breathing. The nurse enters the room and notes that the infant is experiencing a hypercyanotic episode. What is the priority action by the nurse? A. Notify the nursing supervisor. B. Contact the respiratory therapist. C. Place the infant in a prone position. D. Place the infant in a knee-chest position

D. Place the infant in a knee-chest position

Which is the most important action the nurse would take in preparation fro a lumbar puncture for a child with tentative diagnosis of bacterial meningitis? A. Asking if the parents sign the consent form B. Use a doll to demonstrate the procedure to the cild C. Obtaining a pacifier for a child to suck on during the procedure D. Tell the parents they can stay in the room since it is not a sterile procedure

A. Asking if the parents sign the consent form

Which of the following is a cardinal symptom of childhood cancer? SATA: ON EXAM! 1. unusual mass or swelling 2. unexplained paleness and loss of energy 3. Sudden tendency to bruise 4. Persistent localized pain or limping 5. Prolonged unexplained fever/illness 6. Frequent headaches, often with vomiting 7. Sudden eye or vision changes 8. Excessive rapid weight loss

1. unusual mass or swelling 2. unexplained paleness and loss of energy 3. Sudden tendency to bruise 4. Persistent localized pain or limping 5. Prolonged unexplained fever/illness 6. Frequent headaches, often with vomiting 7. Sudden eye or vision changes 8. Excessive rapid weight loss *All of them!*

An adolescent is admitted to the unit with a tentative diagnosis of a bone tumor of the left femur. During the admission procedure the adolescent casually asks, "Do they ever have to cut off a leg if someone has bone cancer"? How would the nurse respond? A. "Sometimes it's necessary. What do you think about that treatment?" B. "Most time the leg can be saved but, sometimes not" C. "I understand that you are concern, but your parents has the ultimate save" D. "Just be happy it is or not cut off, your life will be saved"

A. "Sometimes it's necessary. What do you think about that treatment?"

The nurse is assessing an adolescent child with diagnosis of hemophilia. In which part of the body would the nurse expect bleeding to occur? A. Joints B. Brain C. Intestines D. Pericardium

A. Joints

The nurse is preparing for the admission of an infant with a diagnosis of bronchiolitis caused by respiratory syncytial virus (RSV). Which interventions should the nurse include in the plan of care? Select all that apply. A. Place the infant in a private room. B. Ensure that the infant's head is in a flexed position. C. Wear a mask, gown, and gloves when in contact with the infant. D. Place the infant in a tent that delivers warm humidified air. E. Position the infant on the side, with the head lower than the chest. F. Ensure that nurses caring for the infant with RSV do not care for other high-risk children.

A. Place the infant in a private room. C. Wear a mask, gown, and gloves when in contact with the infant. F. Ensure that nurses caring for the infant with RSV do not care for other high-risk children.

The nurse is closely monitoring the intake and output of an infant with heart failure who is receiving diuretic therapy. The nurse should use which most appropriate method to assess the urine output? A. Weighing the diapers B. Inserting a urinary catheter C. Comparing intake with output D. Measuring the amount of water added to formula

A. Weighing the diapers

An 8-year-old child sustained a fracture in the epiphyseal plate of her right femur when she fell out of a tree and landed on the edge of a picnic table. The nurse caring for her should consider which of the following? A.Bone growth can be affected with this type of fracture. B.This type of fracture is inconsistent with a fall as reported C.This is an unusual fracture in young children. D.Healing is usually delayed in this type of fracture

A.Bone growth can be affected with this type of fracture.

The nurse identifies that a priority nursing diagnosis for a child with a newly broken femur is "Injury risk for peripheral neurovascular compromise." Implementation of which nursing intervention will reduce this risk? A.Initiate hourly assessment of the child's foot distal to the fracture site B.Evaluate the child for orthostatic hypertension C.Perform hourly assessments of the child's level of consciousness. D.Assign an unlicensed assistive personal to measure the child's vitals hourly

A.Initiate hourly assessment of the child's foot distal to the fracture site

A 1 year old infant with bacterial meningitis. Which CSF laboratory finding would support this diagnosis? SATA: A. Decrease cell count B. Increase protein levels C. Increase glucose level D. Low spinal fluid pressure E. Increase WBC F. Clear fluids

B. Increase protein levels E. Increase WBC

A 10-year-old child has been diagnosed with type 1 diabetes mellitus, and the nurse prepares to educate the family. The child is very active socially and often is away from the parents. Which is the best FOCUS of the nurse's teaching for this client? A,The parents are instructed to always be available to monitor the child's insulin requirements. B.The child is taught how to monitor insulin requirements and how to self-administer the insulin. C.All of the friends and family involved with the child's activities should be involved in monitoring the child's insulin requirements. D.The child's schoolteacher needs instruction on how to assist the child to monitor insulin requirements and how to oversee the child's self-administration of insulin.

B.The child is taught how to monitor insulin requirements and how to self-administer the insulin.

The clinic nurse reviews the record of a child just seen by the pediatrician and diagnosed with suspected aortic stenosis. The nurse expects to note documentation of which clinical manifestation specifically found in this disorder? A. Pallor B. Hyperactivity C. Activity intolerance D. GI disturbances

C. Activity intolerance

The nurse employed in an emergency department is monitoring a child diagnosed with epiglottitis. The nurse notes that the child is leaning forward with the chin thrust out. How should the nurse interpret this finding? A. Extreme fatigue B. The presence of pain C. An airway obstruction D. The presence of dehydration

C. An airway obstruction

Which cause of anemia would the nurse recognize as the most common cause of anemia in a 1 year old? A. Thalassemia B. Lead poisoning C. Iron deficiency D. Sickle shape cell in the body

C. Iron deficiency "Breast fed and unfortified infant formulas increased the risk for iron anemia"

An adolescent client with type 1 diabetes mellitus is admitted to the emergency department for treatment of diabetic ketoacidosis. Which assessment findings should the nurse expect to note? A.Sweating and tremors B.Hunger and hypertension C.Cold, clammy skin and irritability D.Fruity breath odor and decreasing level of consciousness

D.Fruity breath odor and decreasing level of consciousness

The nurse is asked to prepare for the admission of a child to the pediatric unit with a diagnosis of Wilms' tumor. The nurse is creating a plan of care for the child and should include which intervention in the plan? A.Monitor the temperature for hypothermia. B.Monitor the blood pressure for hypotension. C.Palpate the abdomen for an increase in the size of the tumor. D.Inspect the urine for the presence of hematuria at each voiding.

D.Inspect the urine for the presence of hematuria at each voiding.