PEDS MID

A nurse is reinforcing teaching to the parents of a child who has cystic fibrosis and has a prescription for pancrelipase (Pancrease) capsules. Which of the following should the nurse include in the teaching? A. Administer the medication with meals and snacks. B. Capsules must be taken whole. C. This medication may be discontinued when symptoms diminish. D. This medication may cause diarrhea.

A. Administer the medication with meals and snacks.

A nurse is caring for an 8 year old child who has acute rheumatic fever. Which of the following assessments is the priority immediately after admission? A. Auscultating the rate of the childs heart sounds. B. Using the pain-rating tool to determine the severity of the joint pain. C. Identifying the degree of parental anxiety r/t the dx. D. Assessing the clients erythematous rash.

A. Auscultating the rate of the childs heart sounds.

A nurse is caring for a child who has Kawasaki disease. Which of the following systems should the nurse monitor in response to this diagnosis? A. Cardiovascular B. GI C. Integumentary D. Respiratory

A. Cardiovascular

A nurse is caring for an infant who has a tracheoesophageal fistula. Which of the following findings are associated with this diagnosis? (Select all that apply.) A. Coughing. B. Apnea. C. Sunken abdomen. D. Cyanosis. E. Frothy sputum.

A. Coughing. B. Apnea. D. Cyanosis. E. Frothy sputum.

A nurse is assessing a 3 year old child who has aortic stenosis. Which of the following findings should the nurse include? (Select all that apply). A. Hypotension. B. Bradycardia. C. Clubbing of the nail beds. D. Weak pulses. E. Murmur

A. Hypotension D. Weak pulses E. Murmur.

A parent tells a nurse that her toddler drinks a quart of milk a day and has a poor appetite for solid foods. The nurse should explain that the toddler is at risk for which of the following disorders? A. Iron deficiency anemia. B. Rickets. C. Diabetes Mellitus. D. Obesity.

A. Iron deficiency anemia.

A nurse is caring for a client who has a suspected dx of cystic fibrosis. Which of the following dx test will confirm the dx? A. Sweat chloride test. B. Sputum culture. C. A stool fat content analysis. D. Pulmonary function test.

A. Sweat chloride test.

A nurse is presenting an in-service about the use of postural drainage for infants who have cystic fibrosis. Which of the following positions should the nurse identify as being contraindicated for the infant? A. Trendelenburg. B. Sitting on a nurses lap leaning forward. C. Supine. D. Sitting on a nurses lap leaning backwards.

A. Trendelenburg.

A nurse is providing teaching to the parents of a 1 week old infant who has a prescription for home O2 and telemetry monitoring. Which of the following statements by the parent indicates a need for further teaching? A. We will rotate the probe of the pulse oximeter every 24 hours. B. The probe of the pulse oximeter can be applied to the finger or toe. C. The pulse oximeter might not be accurate during times of excessive movement. D. We will notify the doctor if the pulse oximeter consistently reacts ___

A. We will rotate the probe of the pulse oximeter every 24 hours.

A nurse is caring for a preterm newborn who is in an incubator. The nurse should make sure that the maximum oxygen concentration to deliver to this client is? A. 30% B. 40% C. 50% D. 60%

B. 40%

A nurse is caring for a child who has rheumatic fever. When obtaining the childs medical hx from a parent, the nurse would recognize the significance in which of the following data as the source of the childs infection? A. A classmate who has___? B. A sibling who had a sore throat 3 weeks ago. C. The father who has gastritis 2 weeks ago. D. A neighbors child who has the chickenpox.

B. A sibling who had a sore throat 3 weeks ago.

A home health nurse is teaching parents about endotracheal suctioning. Which of the following should the nurse include in the teaching? A. Apply suction when inserting the catheter. B. Apply suction for less than 10 seconds. C. Set the suction pressure to 110 mm Hg. D. Allow the child to rest for 10 to 15 seconds after each suctioning attempt.

B. Apply suction for less than 10 seconds.

A nurse is monitoring an infant who is __ months old and has sneezing, coughing, nasal congestion, intermittent apneic spells. The nurse should recognize these findings are consistent with which of the following diagnosis? A. Influenza B. Bronchiolitis C. Croup D. Epiglottis

B. Bronchiolitis

A nurse is caring for a school aged patient with mild persistent asthma. Which of the following is an expected finding? (Select all that apply). A. Symtoms ar contagious____ B. Daytime symptoms occur twice a week. C. Nightmare symptoms occur unfortunately twice a week. D. Minor limitations occur with normal activity. E. Peak expiratory flow is greater than or equal to 80% of the predicted value.

B. Daytime symptoms occur twice a week. D. Minor limitations occur with normal activity. E. Peak expiratory flow is greater than or equal to 80% of the predicted value.

A nurse is admitting a toddler who has RSV. Which of the following actions should the nurse take? A. Initiate airborne precautions. B. Keep the thermometer in the toddlers room. C. Allow the toddler to play in the common room? D. Place the toddler in a room that has negative air pressure.

B. Keep the thermometer in the toddlers room.

A nurse is collecting data from an infant. Which of the following is clinical manifestation of a large patent ductus arteriosus? A. Cyanosis with crying. B. Machinery-like murmur. C. Weak pulses. D. Chronic hypoxemia.

B. Machinery-like murmur.

A nurse is planning care for a child with suspected epiglottis. Which of the following is an appropriate action for the nurse to take? A. Obtain a throat culture. B. Place the client in an upright position. C. Transfer for a throat x-ray. D. Visualize the epiglottis with a tongue depressor.

B. Place the client in an upright position.

A nurse is providing discharge instructions for a client who has congestive heart failure. Which of the following client statements indicates to the nurse that the teaching was effective? A."I will read food labels and limit my sodium to 4 grams per day." B. "I should use naproxen to manage discomfort." C. "I plan to slow down if I am tired the day after exercising." D. "I will take my diuretic before sleep and drink fluids during the day

C. "I plan to slow down if I am tired the day after exercising."

A nurse is caring for a child who has a tracheostomy. After suction the tracheostomy, the nurse should expect which of the following findings to determine that the procedure was effective? A. Increased respiratory rate. B. Stable O2 sats. C. Clear breath sounds. D. Brisk capillary refill.

C. Clear breath sounds.

A nurse is completing a history and physical on a 3 year old child who is admitted for a surgical repair of Tetralogy of Fallot (TOF). Which of the following manifestations of the condition should the nurse expect? (Select all that apply) A. Decreased PO B. Obesity C. Cyanosis D. Systolic Murmur E. Energetic

C. Cyanosis D. Systolic Murmur

A nurse is assisting with the discharge of a child with sickle cell anemia after an acute crisis episode. Which of the following should the nurse reinforce with the child's parents? A. Monitor the child temp daily. B. Restrict outdoor play activity to 1 hr per day. C. Encourage the child to drink lots of fluids. D. Have the child eat a high protein diet.

C. Encourage the child to drink lots of fluids.

A nurse is caring for a child who has influenza. The nurse should identify that which of the following statements by the parent indicated the child has an increased risk for Reye's Syndrome? A. I give my child ibuprofen when his muscles are aching. B. I am encouraging my child to drink grapefruit juice. C. I give my child aspirin to reduce his fever. D. I am leaving a humidifier on in my childs room when he naps.

C. I give my child aspirin to reduce his fever.

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 indicates a need for further teaching? A. I will have my child rest. B. I will compress the site. C. I will apply heat. D. I will elevate the affect part.

C. I will apply heat.

A nurse is caring for a child who is postoperative following ventriculoperitoneal (VP) shunt placement. In which of the following positions should the nurse place the client? A. Prone B. Semi-Fowler's C. On the unoperated side. D. Trendelenburg.

C. On the unoperated side.

A nurse is collecting data from an infant. Which of the following is a clinical manifestation of pyloric stenosis? A. Absent bowel sounds. B. Increased sodium level. C. Projectile vomiting after feedings. D. Golf ball-sized mass over the left quadrant.

C. Projectile vomiting after feedings.

A nurse is providing teaching to a parent of a child who has acute group A B-hemolytic streptococci. Which of the following information should the nurse include in the teaching? A. Avoid the use of warming around the neck? B. Intramuscular injections will be required monthly. C. Replace the child's toothbrush after 24 hours on abx. D. Keep the child home from school for at least 1 week.

C. Replace the child's toothbrush after 24 hours on abx.

A nurse is providing caring for an infant who has congenital heart defect. Which of the following defects is associated with the pulmonary blood flow? A. Coarctation of the aorta. B. Patent ductus arteriosus. C. Tetralogy of Fallot D. Tricuspid atresia

C. Tetralogy of Fallot

A nurse is teaching the mother of a child who has cystic fibrosis and has a prescription for pancreatic enzymes three times per day. Which of the following statements indicates that the mother understands the teaching? A. "My child will take the enzymes to improve her metabolism." B. "My child will take the enzymes 2 hours before meals." C. "My child will take the enzymes following meals." D. "My child will take the enzymes to help digest the fat in foods."

D. "My child will take the enzymes to help digest the fat in foods."

A nurse is caring for a pre-school age child who has a epiglottis with a barking cough. Which of the following is an appropriate nursing action? A. Encourage coughing. B. Attempt to obtain a throat culture. C. Visualize the back of the throat. D. Apply O2.

D. Apply O2.

A nurse is providing education for a child who has a new dx of asthma. Which of the following should the nurse include in the teaching? A. Take cromolyn sodium when having breathing difficulty. B. You should stop playing basketball, but you can swim instead. C. use the peak expiratory flow meter once a week. D. Avoid triggers that cause an attack.

D. Avoid triggers that cause an attack.

A nurse is assessing a toddler who has heart failure. Which of the following findings should the nurse expect? A. Weight loss B. Increased urine output. C. Bradycardia D. Orthopnea.

D. Orthopnea.

A nurse in an ED is assessing a 3 year old child who has a high fever, severe dyspnea and _____? Which of the following actions is the nurses priority? A. Insert an IV cath. B. Obtain blood culture specimens. C. Administer antipyretics. D. Prepare for nasotracheal suctioning.

D. Prepare for nasotracheal suctioning.

An infant is being prepared for surgical repair of a ventricular septal defect. Which of the following problems will be prevented by closing the defect?

Failure to thrive.

d/c instructions for a child with sickle cell anemia after an acute crisis episode

Offer fluids to your child multiple times every day.

A nurse is planning care for a child with cystic fibrosis and a prescription to receive chest physiotherapy. Which of the following actions should the nurse take? A. Percuss each lung sound. B. Perform CPT immediately after the child eats. C. Administer albuterol prior to CPT. D. Perform vibration during the clients inspirations.

C. Administer albuterol prior to CPT.

A nurse is teaching the mother of a 5 year old child who has CF about pancreatic enzymes. The nurse should understand that further teaching is necessary when the mother states which of the following?

I will give my son the enzymes between the meals.

The healthcare provider is caring for an infant with a diagnosis of a congenital heart defect. The baby's pulse is 158 and the RR is 74. Which of the following is the best position for the baby to be placed?

Upright in an infant seat