Peds Final
What is the communicable disease that requires isolating infected children from pregnant women.
Rubella
The nurse should measure urinary output for an infant with dehydration by
weighing the diaper
The nurse know to monitor a child with a diagnosis of pertussis for the development of
whooping cough.
When developing a plan of care for a child with sickle cell disease, the most important nursing intervention would be to administer
analgesics promptly
The best way for the pediatric nurse to establish a good working relationship with parents is to
answer their questions honestly
What indicates the parents understanding of the nurse's discharge instructions about the use of antibiotics.
"I'll give my child the full course of antibiotics"
The best method when approaching a 2 year old child to listen to breath sounds is ask the child if the nurse should
listen to the front or the back of the client first
1. When talking to a mother of a 6 month old girl that has just been diagnosed as having an intussusception, she asks what intussusception means. The nurse's best response is
"One portion of her intestine has telescoped into another portion of the intestine."
To prevent accidental poisoning of a child, medications should be placed in a
locked cupboard.
Vomiting and diarrhea can be very serious in an infant because the infant
loses vital electrolytes and becomes severely dehydrated very quickly.
A nurse is educating the parents of a 10 month old infant on the correct method for instilling eardrops prescribed for the infant when discharged. The statement by the parents, ___ indicates the parents understanding.
"We should pull the earlobe down and back,"
A child tests positive for the sickle cell trait, and the parents ask the nurse what this means. The most appropriate response from the nurse would be,
"Your child is a carrier but doesn't have the disease."
When the newly admitted 2 year old who was potty trained before admission begins to wet the bed, the mother is frightened. The nurse should inform mother
"the stress of hospitalization makes children regress a little."
Adolescents occurs when this age group is
"trying to fit in."
The nurse is preparing a toddle for a lumbar puncture. For this procedure, the nurse should place the child
lying on one side, with the back curved
At what age would an infant be expected to triple his birth weight?
12 months
Length must be measured supine until age
2
1. An infant who weighs 8kg is to receive ampicillin 25mg/kg IV every 6 hours. The nurse should administer __ per dose.
200 mg
A 2 year old child is showing signs of shock. A 10mL/kg bolus of normal saline solution is ordered. The child weighs 20kg. __ should be administered.
200 ml
1. A newborn baby weighs 7lbs at birth. The nurse anticipate the baby's weight will be __lbs at age 1.
21lb
What provides 100% protection from STDs.
Abstinence
What can occur when children go to bed with a bottle that contains carbohydrates.
Bottle mouth
What should never be used in the child's ear canal?
Cotton-tipped applicators
Urinary tract infections are most commonly caused by
E. Coli
When a 10 year old child returns for a follow-up examination after a streptococcal infection, his mother asks why a urinalysis is being done. The nurse explains that
Group A B-hemolytic streptococcal infections can be followed by the complication of glomerulonephritis.
The nurse is reinforcing education to a group of adolescents on acne. ___ is a statement that would indicate the teaching has been affective to the adolescent.
Hormonal changes are a cause of acne
Treatment for a child in sickle cell crisis includes:
IV fluids, oxygen, and analgesics for pain
What can develop if streptococcal infections are inadequately treated.
Rheumatic fever and acute glomerulonephritis
The nurse is reinforcing education for a parent about newborn care and how to prevent SIDS (sudden infant death syndrome). The statement made by the parent that would indicate an understanding of SIDS is
SIDS is an unexplained death of an infant.
what action the practical nurse should implement for a child who has ingested a corrosive product.
Telephone the poison control center and act on their advice
What has contributed to children's obesity.
Watching several hours of television
When gathering data on a preschool child, observation of swelling within the abdomen indicates that a child has a potential
Wilms tumor
A 6 month old infant with uncorrected tetralogy of Fallot suddenly becomes increasingly cyanotic and diaphoretic, with weak peripheral pulses and an increased respiratory rate. The priority action by the nurse should be to place the infant in
a knee-chest position.
A nurse is caring for a child who received a hip spica cast 24 hours ago for hip dysplagia. The data obtained and should be reported to the nurse is
absent pedal pulses
Ineffective breathing pattern is a priority nursing diagnosis in a child admitted with
acute asthma
Whatcould suddenly occur in a child with acute epiglottitis
airway obstruction
Children weighing up to 20lbs must be secured in the
back seat in a rear facing safety seat.
The two main types of medication used to treat asthma are
bronchodilators and ant-inflammatory agents
Parents bring a toddler age 19 months to the clinic for a regular checkup. When palpating the toddler's fontanels, the should expect to find
closed anterior and posterior fontanels
An infant is admitted with a diagnosis of respiratory syncytial virus (RSV) infection. The type of isolation precautions the nurse would institute in addition to droplet precautions is
contact precautions.
The nurse should recommend that the parents should dress the child in ___ to help prevent urinary tract infections (UTIs).
cotton underpants
The hallmark sign of intussusception is
currant jelly-like stools
A severe, atopic dermatitis, characterized by remissions and exacerbations accompanied by vesicle formation, oozing, crusting, excoriations, and itching is
eczema
A parent brings a child to the ED reporting difficulty swallowing, increased drooling, restlessness, and stridor. The position of comfort is observed to be tripod-sitting position. The nurse suspects
epiglottitis may be concerning.
A 2 year old child comes to the emergency department with inspiratory stridor and a barking cough. The highest priority action by the nurse is to
establish and maintain the airway
A male patient, age 18 months is admitted to the hospital for a bilateral myringotomy because of frequent occurrences of otitis media. Otitis media occurs more frequently in young children than in older children because of the different position and shape of the young child's
eustachian tubes
The main characteristic of cystic fibrosis is
excessive thick mucus
Cystic fibrosis is a multisystem chronic, incurable condition. It is a major dysfunction of the
exocrine glands.
When reviewing the dietary guidelines for a child with nephrotic syndrome, the practical nurse should reinforce a ___ with the parents.
high protein diet
When the nurse is performing a treatment, the nurse
identifies the child before beginning the procedure
A nurse is planning to administer immunizations to a 4 year old who has up-to-date immunizations. The nurse should anticipate administering
inactivated poliovirus (IPV), measles, mumps, rubella (MMR), and varicella.
The nurse caring for an infant with hydrocephalus would expect to find
increased head circumference
When a mother asks the nurse about introducing solid foods into the child's diet, the nurse should inform mom to
introduce one solid food at a time several days apart.
During a well-baby visit, Jenny asks the nurse when she should start giving her infant solid foods. The nurse should instruct her to
introduce rice cereal first
A Wilms' tumor is an adenosarcoma found in the
kidney
The nurse is assigned to care for a male 3 year old on the pediatric unit that has a Wilm's tumor. The appropriate intervention is to avoid
manipulation or pressure on the child's abdomen that could increase the possibility of metastasis.
The nurse's neighbor, age 7 years old, has developed a red, raised rash on her face, neck, and trunk. She also has a temperature of 101.4F and whitish spots on the back of her throat. From these symptoms the nurse knows that the child has
measles (rubeola)
According to Erikson, an infant who was abandoned by his or her primary caregiver is at risk for developing
mistrust
The hepatitis B vaccine series should begin at
newborn
The nurse is caring for a child diagnosed with iron deficiency anemia. The treatment option deemed necessary by the health care provider the nurse reinforce education on is
oral ferrous sulfate.
Oral iron supplements are prescribed for a 6 year old child with iron deficiency anemia. The nurse instructs the mother to administer the iron with
orange juice
The area of care that deals with children and adolescents is referred to as
pediatrics
The nurse is caring for an infant with pyloric stenosis should be alert for
projectile vomiting
A toddler is admitted to the hospital with nephrotic syndrome. The nurse carefully monitors the toddler's fluid intake and output and checks urine specimens regularly with a reagent strip. The nurse is most likely to report
proteinuria
Separation anxiety includes the stages of
protest, denial, and despair.
A parent brings in a 5 year old male patient for his first vaccine. When administering the vaccine to the patient, the nurse knows the patient will
receive one injection today and will receive the second injection at least 4 weeks from today
The nurse is legally responsible for
reporting all suspected and confirmed cases of abuse or neglect.
A nurse preparing to administer immunizations to a 2 month old infant. The nurse should anticipate administering
rotavirus (RV), Haemophilus influenza type b (HiB), Diptheria, tetanus, pertussis (Dtap), and Pnuemococcal (PCV).
While assessing a newborn with a cleft lip, the nurse would be aware that the ___ will most likely be compromised.
sucking ability
When conducting a class for parents about sudden infant death syndrome (SIDS), the nurse instructs the class that the infant should be placed in the ___ position to sleep.
supine
The infant with gastroesophageal reflux is typically treated by
thickening the formula or breast milk with cereal.
A health care provider is preparing to examine the throat of a child diagnosed with acute epiglottitis. A priority nursing responsibility would be to have a
tracheotomy set at the bedside.
A 1 year old child is brought to the emergency department with a mild respiratory infection and a temperature of 101.3 Fahrenheit. Otitis media is diagnosed. The nurse would also expect to find
tugging on the ears.
In a 6 month old infant who is teething, the nurse would expect _____ to erupt first
two lower central incisors
Tetralogy of Fallot consists of four separate cardiac defects
ventricular septal defect, pulmonary stenosis, overriding of the aorta, and right ventricular hypertrophy