PEDS final review
A nurse is caring for an infant who is 6 months old and has moderate dehydration. Which of the following findings should the nurse expect?
Dry mucous membranes
A nurse is performing a well child assessment on a 4 yo. Which finding should the nurse expect? -Hop on one foot -Build a tower of 6 blocks -Name days of the weeks -identify left from right
Hop on one foot
What is tracheomalacia?
-weakness and floppiness of the walls of the trachea causing airflow obstruction
A nurse is reviewing lab results of a child who has been experiencing diarrhea for the past 24 hrs. What value for urine specific gravity should the nurse expect. -1.010 -1.035 -1.020 -1.005
1.035
What is a healthy BMI relative to height?
18.5-24.9
BMI for overweight?
25-29.9
A child is being treated for diabetic ketoacidosis and has a blood glucose reading of 250 mg/dL, what action should be taken?
Administer 5% dextrose in 0.9% sodium chloride by continuous IN infusion
A child comes to the ED with full thickness nurns over 45% of his body what do you do first?
Administer IV fluid replacement
A child has otitis media and a temp of 102.4. What should the nurse do first?
Administer an antipyretic
What kind of precautions should a nurse implement for someone who has a UTI and a history of myeolomeningocele?
Attach a latex allergy alert ID- myelomeningocele is a seriouslt complication of spina bifida. People who have neural tube defects are at risk of a latex allergy
BMI for underweight
Below 18.5
A nurse is assessing a 3 year old. Which is a finding the nurse should report to the provider? A. Wets the bed when sleeping B. Child cannot catch a ball C. Cannot walk on tiptoe D. Builds a tower of ten blocks
C. Cannot walk on tiptoe
A nurse is providing dietary teaching to a parent of a toddler who have phenylkentonuria. What foods should be recommended?
Cooked carrots-they are low in protein
A toddler who has gastroenteritis. Which of the following findings indicates the toddler is experiencing severe dehydration?
Deep rapid respiration
Manifestations of diabetic ketoacidosis?
Deep rapid respirations
A4 year old has burns to the neck and face following a house fire. When should the nurse do first?
Determine child's breathing pattern
A nurse is caring for an infant who has pertussis. Which of the following actions should the nurse take?
Initiate airborne precautions
Instructions for a patient with a fiberglass cast on a lower-extremity fracture for first 48 hr?
Keep cast above the level of your heart.
A nurse is planning care for a child who has sickle cell anemia and is experiencing a vaso-occlusive crisis. What should the nurse include in the plan?
Maintain bed rest
A nurse is reviewing laboratory findings of an adolescent who has acute renal failure. Which of the following findings should the nurse expect?
Metabolic acidosis
Plan of care of a child who has sickle cell anemia and is experiencing a vaso-occlusive crisis. What interventions is the priority for the nurse to include?
Monitor O2 sat
How should a child lay following the placement of a ventriculoperitoneal shunt?
On nonoperative side
A child has been vomiting and had diarrhea for 24 hours, what lab should the nurse report?
Potassium 2.5 mEq/L
preparing to perform a routine heel puncture on a newborn. Which of the following actions should the nurse take
Prepare concentrated sucrose for oral administration
A nurse is caring for a child who has nephrotic syndrome. Which of the following labs should the nurse expect?
Serum Cholesterol 700 mg/dL
A nurse in a pediatric clinic is talking with the parent of a toddler who states that her child will not sit at the table to eat with the family. She asks the nurse for recommendations for "finger foods" for her child. Which of the following foods should the nurse suggest?
Slices of ripe banana
A nurse is caring for a child who has bacterial endocarditis. The child is scheduled to receive moderate-term antibiotic therapy and requires a peripherally inserted central catheter (PICC) What should the nurse include in he teaching
The PICC line will last for several weeks with proper care
What should the nurse say to parents of a child who has HIV regarding immunizations?
The pneumococcal and flu vaccines are recommended
What should the nurse include about the function of cochlear implants
They provide direct stimulation of auditory nerve fiber
A nurse in the emergency department is assessing an infant who recently started taking digoxin to treat a supraventricular arrhythmia. Which of the following findings should the nurse identify as an indication of digoxin toxicity?
Vomiting
An infant is experiencing diaper dermatitis, what should be applied to the affected area?
Zinc oxide- provides a protective barrier allowing the skin to heal
An increased hematocrit level indicates what?
dehydration
A nurse is assessing a 12 month old male infants vital signs during a well child visit. The infant is in the 90th percentile for height. Which of the following findings should the nurse report to the provider?
HR 175/min
A nurse is preparing for an enema to a 10 month old. What actions should the nurse plan to take?
Hold infants buttocks together after administering the fluid
A nurse is assessing a child who has bilateral pheochromocytoma. What should the nurse expect?
Hypertension, sweating, weight loss, and polyuria
A nurse is teaching the parent of a preschooler about the treatment of pinworms. Which statement indicates an understanding of the teaching?
I will give my child a dose of albendazole today and again in 2 weeks. this eradicates the parasite and prevents reinfection
A nurse is teaching a child who has asthma about how to use peak expiratory flow meter. Which of the following responses by the child indicates an understanding?
I will record the highest reading of three attempts
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 indicates an understanding of this ingestion?
Injury by a liquid corrosive agent is more extensive than a solid agent
A toddle with a new diagnosis of anorexia nervosa would have what expected finding?
Lanugo over the back Decreased BP Dry Skin Hypothermia
A nurse is caring for a preschooler who is immediately postoperative following the removal of a brainstem tumor. Which actions should the nurse take?
Monitor the childs temp every 30 minutes
A toddler has a new prescription for an oral iron supplement. To increase the absorption of iron, the nurse should recommend administering the supplement with what? Eggs, OJ, milk, or oatmeal?
OJ
What should the nurse plan for a child who has gastroenteritis?
Oral rehydration solution- promotes the body's reabsorption of water and sodium
What assessment is important to monitor for someone receiving fentanyl via epidural
Oxygen saturation
A nurse is caring for a school aged child who has sickle cell anemia and was admitted for a vaso-occlusive crisis. What should the nurse report immediately?
Slurred speech- this is an indication of a stroke.
A nurse is caring for a child following a cleft lip repair and palate. Which actions should the nurse take?
Suction the infant gently with a bulb syringe PRN
Treatment for osteomyelitis
antibiotic therapy for at least 4 weeks, no cast but limb should be supported
A nurse is planning to use guided imagery for an early school-aged child who continues to have mild discomfort following analgesis admin. What should the nurse do?
encourage the child to focus on a recent pleasurable experience
What condition is a contraindication for breastfeeding?
galactosemia- this condition cannot metabolize lactose.
BMI for obesity
greater or equal to 30
Catecholamines are
hormones made by the adrenal glands. It can be a problem with pheochromocytoma which can cause too many of them.
What is a contraindication for MMR vaccine
hx of anaphylactic reaction to eggs or neomycin.
glomerulonephritis symptoms
hypertension, check blood pressure every 4 hours
What is osteomyelitis?
infection of the bone
What is peritonitis?
inflammation of the peritoneum which is the tissue that lines the abdomen, can cause abdominal distension
A child sustained a head injury. During the assessment the nurse observes clear drainage leaking from the childs nose. Which of the following actions should the murse take?
test the nasal secretions for glucose
When regarding tympanostomy tubes, what should the nurse include in the teaching?
the tubes should stay in place until they call out on their own. Most children do not need them for more than a year, water in ears should be avoided
A nurse is providing teaching to a parent of a 2 year old toddler about nutrition, which of the following statements by the parent indicates an understanding
A child
A nurse is assessing a 9-month old infant. Which of the following findings should the nurse report to the provider as a delay in development? A. Using a pincer grasp to pick up blocks B. Requiring support to sit for prolonged periods C. Turning head towards parents voice D. Reaching out saying "mama"
B. Requiring support to sit for prolonged periods of time
A physical assessment on a 6 month old, which reflex should the nurse expect?
Babinski
A nurse is teaching about clinical manifestations of a tranemalacia to the parent of an infant who had tracheoesophageal. Which of the following findings should the nurse include in the teaching to be reported?
Barking cough
A preschooler has a terminal illness. The nurse should expect the child to have which perspective about death?
Believes that her own thoughts can cause death
A nurse is assessing a toddler who has AIDS. Which of the following findings is an indication of an opportunistic infection?
Candidasis
A child has been in Bucks traction for 2 days. What should the nurse do to prevent complication?
Check pulses in affected leg every 4 hours
A nurse is planning care for a 3 month old infant who has an ileostomy. Which of the following interventions should the nurse include in the plan?
Check the bag for stool every 4 hours
A child received a unit of RBCs during a surgical procedure. What finding indicates that the child is experiencing a hemolytic transfusion reaction?
Chills and flank pain
A nurse is assessing the vitals og a 1 month old. Which action should the nurse perform first?
Count respirations before taking other vitals
A 12 month old, following a surgical repair of cleft lip. When feeding what tool should the nurse use? Spoon, straw, cup or nipple?
Cup
A nurse is caring for a child who has electrical burns on lower arms and hands. What is an indication that the child is experiencing a complication of the injury?
Dark urine- this is an indication of myoglobinuria which is a result of waste products from muscle damage and can cause renal failure.
A nurse is assessing a 4-year-old child's cognitive development during a well-child visit. Which of the following should the nurse expect the child to display?
Development of the superego
A nurse is caring for an infant who has a cleft palate. The parents ask the nurse how long they should wait before the child can have corrective surgery. The nurse should explain that the parents should wait no longer than 6 to 12 months for surgery to prevent which of the following outcomes?
Difficulty with language acquisition
A nurse is assessing a preschooler who had recurring otitis media. When obtaining the child's health history from her past which of the following questions should the nurse ask.
Does anyone smoke around or in the same house as the child
A nurse is teaching an adolescent client who has type 1 diabetes mellitus about managing hypoglycemia. Which of the following statements should the nurse include in the teaching?
Drink 4 oz of orange juice if you experience hypoglycemia
An infant had bile duct obstruction surgery. What findings indicate the surgery was successful?
The color of the infants stool is yellowing brown.
A nurse is planning care for a child who has meningococcal meningitis. Which of the following isolation precautions should the nurse implement
Droplet
A nurse is providing teaching to the parent of a school-aged child who has pediculosis. Which of the following instructions should the nurse include?
Dry clothing in a hot dryer for at least 20 min
A 24 month old has a new diagnosis of autism. Which should the nurse expect? Wanting to be held a lot Ability to build a 10 cube tower Impaired language skills Ability to stand on 1 foot
Impaired language
A nurse is caring for a school aged child who has sickle cell anemia. Which of the following actions should the nurse plan to take to help decrease the risk of vaso-occlusive crisis?
Provide adequate fluid intake throughout the day- this reduces the risk of sickle cell formation
A nurse is planning care for a 4 year old child who has nephrotic syndrome. Which of the following actions should the nurse take
Provide thorough skin care
What is pheochromocytoma?
Rare tumor that starts in the adrenal gland that produces too many hormones and can cause inscreased blood pressure
A nurse is caring for a child who has a tracheostomy. Which of the following techniques should the nurse use to suction the child tracheostomy?
Remove the catheter while applying intermittent suction
A child with recurring otitis media may have risk for what delay in development?
Speech patterns
A developmental milestone for a 3 yo -Stacking 10 cubes -Printing 1 letter -tying shoes -Using 7 word sentances
Stacking 10 cubes