peds PTF
a school age child has been seen in the pediatric clinic three times in the last two months for complaints of abdominal pain. physical exams and all ordered lab work have been normal. which of the following likely help determine the etiology of the child's abdominal pain? a. have there been any changes in your child's school or home life recently? b. how many meals does your child eat each day? c. are your child's immunization up to date? d. has your child had any fevers or viral illnesses in the last three months?
A
in which congenital heart defect (CHD) would the nurse need to take blood pressure reading in both the upper and lower extremities? a. cortication of the aorta (COA) b. Aortic stenosis (AS) c. transposition of the great arteries (TGA) d. Tetralogy of fallot (TOF)
A
the mother of a child who has been exposed to chicken pox telephones the pediatric clinic for advice. the triage nurse asks which of the following before responding to the mother? a. the child's exposure and immune status b. whether the child has had the rubella vaccination c. the age, height and weight of the child e. the relationship of the person to whom the child was exposed
A
a 18 month old infant is admitted with a diagnosis of severe diarrhea. which of the following is the priority nursing intervention. a. child's dehydration status b. number of the child's stool c. method of disposal of the stools d. assess electrolyte lab results
A?
a nurse is caring for a 3 year old child whose parents report she has an intense fear of painful procedures. which of the following strategies should the nurse add to the child's plan of care a. tell the child about the procedure ahead of time so they know what to expect b. cluster invasive procedures whenever possible c. have a parent stay with the child during the procedure d. use mummy restraints during painful procedures
C
a nurse practitioner diagnosed a newborn with congenital hip dysplasia. a Pavlik harness has been ordered. the nurse plans to teach the parents how to: a. check the skin integrity b. provide ROM to the legs every 2 hours c. place the clothes under the harness d. clean and maintain the orthopedic splint
C
which nursing action would help foster a hospitalized 3 year old sense of autonomy? a. let the child choose what time to take the oral antibiotic b. allow the child to have a doll for medical play c. assist the child with administering her own dose of keflex via oral syringe d. let the child watch age appropriate videos
C
a parent tells a nurse that the 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 a. obesity b. rickets c. diabetes mellitus d. iron deficiency anemia
D
a child is admitted to the unit with findings of nasal congestion and cough with periods of cyanosis and dehydration. the suspected diagnosis is pertussis (whooping cough) what is the first action? a. implement droplet precautions b. maintain hydration and encourage fluids c. monitor HR, respiratory rate, and oxygen saturation d. initiate anti-infective therapy
A
a nurse is caring for an infant and is concerned about developmental delay. which of the following is a sign of developmental delay in a 8 month old infant ? a. head lag when pulled up to a sitting position b. infant is not cruising c. infant has not developed the pincer grasp d. infant is not walking yet
A
a nurse is performing a developmental assessment on a child. which of the following would be an appropriate developmental task for a 4 year old child? a. kick and throw a ball b. tie their shoes c. ride a 2 wheeled bike d. jump rope
A
a nurse is preparing an education program for a group of parents of adolescents. which of the following should be included as indicators of nutritional risk among adolescents? a. skipping more than three meals per week b. eating fast food once weekly c. hearty appetite d. having lactose intolerance
A
a child with heart failure is newly referred to a home health care team. the nurse discovers that the child has not been following the prescribed diet. what should be the appropriate response by the nurse? a. discharge the child from home health care because of noncompliance b. notify the provider of the child's failure to follow prescribed diet c. discuss diet with the child and family to learn the reasons for not following the diet d. make a referral to meals-on wheels for a weekly delivery of a proper meal
C
a nurse is caring for a child who has acute glomerulonephritis. which of the following actions is the nurse's priority? a. place the child on a no salt added diet b. check the child's daily weight c. educate the parents about potential complications e. maintain a saline lock
B
a nurse is conducting a well child visit for a 4 month old and the mother states that she wants to start introducing baby food into the infant's diet. what statement by the mom is appropriate? a. I should introduce baby food between 4-6 months old b. I should introduce them one at a time for a week to observe for any food sensitivity c. I should introduce savory meats and vegetables before introducing sweet fruits and vegetables d. I should introduce iron fortified cereal last because my baby still has my circulating iron stores
B
a nurse is providing care for a toddler age child. which assessment finding is indicative of abuse? a. abdominal pain with rebound tenderness b. inconsistency of stories between caregivers c. bruising noted on the knees and shins d. child is acting afraid of the health care provider
B
when discharging a NB which injury prevention instruction would be of the highest priority to educate the parents? a. place safety locks on all medication cabinets and households cleaning supplies b. never leave the baby unattended on a raised, unguarded area c. transport the infant in the car seat in front so that you will see the baby if it spits up d. place safety guards in front of any heating appliance, stove, fireplace, or radiation
B
a 7 month old has a low grade fever, nasal congestion, and a mild cough. what should the nursing care management of this child include? a. maintain strict bedrest b. avoiding contact with family members c. instilling nasal saline nose drops and bulb suctioning d. keeping the head of the bed flat
C
a nurse in a pediatric clinic is caring for a preschool age child who has a new diagnosis of ADHD. when teaching the parent about this disorder, which of the following statements should the parent make? a. behaviors associated with ADHD are present prior to age 3 years b. one characteristic of this disorder is argumentativeness c. below average intellectual functioning is associated with ADHD d. this disorder puts your child at an increased risk for injury
D
