Peds wk test
A nurse is caring for a one year old infant who has chronic otitis media. The Nurse should Identify that which the following areas is at risk of delay in development?
Speech patterns
A nurse in the emergency department is carrying for a two-year-old child who has found by his parents crying and holding a container of toilet bowl cleaner. The child's lips are edematous and inflamed and he is drooling. Which the following is a priority action by the nurse?
Check the child's respiratory status
A nurse is assessing a toddler who has measles (rubella). Which in the following finding should the nurse expect?
Koplik spots
A nurse's reinforcing teaching about preventing poisoning with the group of parents who have toddlers. Which the following statement show the nurse make?
Put all cleaning supplies in a locked cabinet
A nurse is caring for a school age child who has appendicitis. Which the following findings should the nurse report to the physician
Sudden decrease in pain level
A nurse is caring for a child who has bacterial indo card itis. The child is scheduled to receive moderate term antibiotic therapy and requires a peripherally Inserted central catheter(PICC). Which of the following statements to the nurse include when teaching the child's parent?
The PICC Line will last for several weeks with proper care
A marathon a pediatric unit is assisting with the admission of 4 children from the emergency department. After receiving a verbal report from a nurse for which the following children to the nurse plan to initiate droplet precautions?
A child who has pertussis
A nurse is assessing a school age child for a ventricular peritoneal(VP) shunt of replacement. Which the following findings indicates a complication of this procedure?
Abdominal distension
A nurse in an emergency department as caring for an 8 year old who has up-to-date with current immunization recommendations and has a deep puncture injury. Which of the following should the nurse anticipate administering?
Adult tetanus booster (Td)
A nurse is assessing a 6 month old infant following a cardiac catheterization. Which of the following findings should the nurse report to the provider ?
BP 86/40 mmHg
A nurse at a clinic is preparing to administer immunizations to a 5 yr old child. Which of the following immunizations should the nurse plan to give?
Diptheria, tetanus, and pertussis (DTaP)
A nurse in an emergency department is caring for a four-year-old child who has burned to the neck and face following a house fire. Which of the falling action to the nurse take 1st?
Determine the child's breathing pattern
A nurse is collecting data for a pre schooler who has recurrent and persistent otitis media. When obtaining their child history from her parent which of the following question should the nurse ask?
Does anyone smoke around are in the same house as your child?
A nurse is planning care for a 6 yr old child who is recieving chemotherapy. The child has a highlight platelet count of 20,000/mm3. Based on the laboratory value which the phone intervention should the nurse include in the plan of care?
Encourage quiet play
A nurse's reviewing the laboratory report of a toddler who is receiving chemotherapy for leukemia. Which of the following laboratory value should the nurse report to the provider?
Hgb 6 g/dl
A nurse or providing education to the parent of a toddler who's about to receive her 1st dose of the measles, mumps, and rubella (MMR) immunization. Which of the following statements by their parent indicate an understanding of the teaching?
I can give my child acetaminophen for discomfort associated with the immunization
A nurse is preparing to administer routine immunizations to a six-year-old child. In addition to the diptheria, tetanus, and pertussis vaccine; the measles mumps and rubella vaccine and the varicella vaccine; which the following immunization should the nurse plan to administer?
Inactivated polio virus vaccine (IPV)
A nurse is creating a plan of care for a child who has sickle cell anemia and is experiencing a vaso-occlusive crisis. Which of the following interventions is the priority for the nurse to include?
Monitor the child's oxygen saturation level
A nurse is caring for the family of a preschooler who has a terminal illness. The nurse should teach the family to expect the preschooler to have which of the following concepts of death?
People can come back to life after they die
A nurse is providing teaching about immunizations to parents of a severely immunocompromised child who has human immunodeficiency virus (HIV). Which of the following statements should the nurse include in teaching?
The pneumococcal and influenza vaccines are recommended for your child
A nurses ran forcing teaching with a parent of a toddler who is undergoing the insertion of tympanostomy tubes. Which of the following statements should the nurse include?
The tube should stay in place until they fall on their own
A school nurse is collecting data from an adolescent child who returned to school following a case of mononucleosis. The child has a note from his provider excusing him from gym class. Which is the following finding should the nurse identify as a reason for this exclusion?
To reduce the potential of sustaining abdominal trauma
A nurse is planning preoperative teaching for a school age child who is scheduled for cardiac surgery. Which of the following actions should the nurse plan to take when teaching the child?
Use photographs to help explain the procedure
A nurse at a clinic is preparing to administer highlight immunizations to a 5 year old child. Which of the following immunization should the nurse plan to give?
diptheria, tetanus, and pertussis (DTaP)
A nurse as assisting with an informational session about otitis media for a group of parents. Which is the following should the nurse identify as a risk factor for this illness?
Passive smoking
A nurse is preparing to administer recommended immunizations to a 2 month old infant. Which of the following immunizations should the nurse plan to administer?
Haemophilus influenza type B (Hib) and inactivated polio virus (IPV)
A nurse is preparing to administer recommended immunizations to a 2 month old infant. Which of the following immunizations should the plan to administer?
Haemophilus influenza type B (Hib) and inactivated polio virus (IPV)
A hospice nurse is conducting a support group for parents of toddlers who have a terminal illness. Which of the following pieces of information should the nurse include in the teaching?
Toddlers will react to the parents anxiety and sadness
A nurse's reinforcing pre operative education with an 8 year old child prior to cardiac surgery. Which the falling action should the nurse take?
Use a doll with tubes and an incision to explain the surgery
A nurse is caring for a school aged child who has hemophilia and fell on the playground. The child reports a pain level of a 4 on a scale of 1 to 10. Which of the following actions should the nurse take?
Apply an ice pack to the joint
A nurse is reviewing the risk factors for development of congenital heart disease with a client who is planning to conceive. Which of the following conditions should the nurse include as a maternal risk factor?
Alcohol consumption
A nurse is assessing a toddler who has aids. Which of the following findings as an indication of an opportunist infection?
Candidiasis
A nurse is teaching the parent of an infant about injury prevention. Which of the following statements by the parent indicates an understanding of the teaching?
I should make sure my baby's clothing does not have buttons
A nurse is creating a plan of care for a child who has a plastic anemia. Which the following intervention should the nurse include a?
Initiate protective environment isolation for the child
A nurse and emergency department is caring for a twelve-year-old child who has ingested bleach. Which of the following statements by the nurse indicates an understanding of this ingestion?
Injury by a corrosive liquid is more extensive than by a corrosive solid
A home health nurse is developing a plan of care a toddler who has hemophilia. Which the following instructions for the parents to the nurse include in the plan?
Inspect the toddler's toys for sharp edges
A nurse is caring for an infant who has pertussis. Which of the following action should the nurse take?
Maintain a cardio respiratory monitor
A school nurse is assessing a child who had been stung by a bee. The child's hand a swelling and the nurse notes that the child is allergic to insect stings. Which of the following finding should the nurse expect if the child develops anaphylaxis?
Nausea, strider, urticaria
A nurse's collecting data from an adolescent who has receiving fentanyl via epidural. Which the following assessments the nurse identified as a priority?
Oxygen saturation
A nurse is caring for a school age child who has sickle cell anemia. Which the following action should the nurse plan to take to help decrease the risk of vaso-occlusive crisis?
Provide adequate fluid intake throughout the day
A nurse is caring for a child who has tetralogy of solid. Which the falling lab value should the nurse expect?
RBC 6.8 million/uL
A nurse is admitting a child who has acute lymphocytic leukemia. Which the following laboratory value should the nurse expect
RBCs 2.5 million/uL
A nurse is assessing a child who is receiving iv chemotherapy. Assessment findings include extravasation of the tissue surrounding the IV insertion site. In which order should the nurse take the following actions?
Stop the infusion, elevate the extremity, notify the provider, remove the IV line
A nurse is teaching the parents of a 3 yr old who has persistent otitis media about prevention. Which of the following statements by the parents indicate an understanding of the teaching?
We should not smoke around our child
A nurse is assessing a 2 month old infant who has a ventricular septal defect. Which the falling finding should the nurse report to the provider?
Weight gain of 1.8 kg (4lb)
A nurse in the emergency department is assessing infant who has recently started Taking digoxin to treat a supraventricular arrhythmias. Which the following findings should the nurse identify as an indication of digoxin toxicity?
vomiting
A nurse is caring for a three-year-old child who has a cyanotic cardiac defect. The child cries when her parents leave their Room worsening her cyanosis and dyspnea. Into which the following position should the nurse place a child to improve these manifestations?
knee-chest
A nurse is reinforcing teaching about prevention with the parents of a three-year-old child who has persistent otitis media. Which a following statements by the parents indicates an understanding of the teaching?
We should not smoke around our child
A nurse's reinforcing teaching with a group of parents of Of toddlers to reduce the risk of choking. Which the following food should the nurse increase the risk of choking and toddlers?
Hot dogs, grapes, bagels, marshmallows
A nurse is caring for an 18 yr old adolescent who is up to date on immunizations and is planning to attend college. The nurse should recommend which of the following immunizations prior to moving into a campus dormitory?
Meningococcal polysaccharide
A nurse's creating a plan of care for a child who has leukopenia secondary to chemotherapy. Which the following intervention should the nurse include in the plan?
Monitor the child for increased temperature
A nurse in the emergency department is revering laboratory results for several children who have manifestations of influenza. Which the following children should the nurse report to the provider immediately?
An infant with a WBC count of 24,000/mm3
A nurses caring for an adolescent who have sickle cell anemia. Which the following manifestations is/are the result of chronic vaso-occlusive phenomena?
Enlarged heart, enuresis, leg ulcers, retinal detachment
A nurse is reinforcing teaching About otic medication administration with a guardian of an 18 month old toddler. Which of The following statement said the nurse make?
Gently for the ear cartilage down and Back when administering the medication
A nurse is teaching the parent of an infant about injury prevention. Where to the following statements by the parent indicated understanding of the teaching?
I should make sure that baby's clothing does not have buttons
A nurse is caring for a four-year-old child who has superficial partial thickness Burns over 50% of his body. To meet the nutritional needs of the child which the following action should the nurse plan to take?
Supplement the child feedings with enteral feedings
A nurse is teaching the parents of a child who has rheumatic fever. Which the following statements by a parent indicate an understanding of the teaching?
My child may take aspirin for his joint pain
A nurse is carrying for an 18 yr old adolescent who is up to date on immunizations and is planning to attend college. The nurse should recommend which of the following immunizations prior to moving into a campus dormitory?
Meningococcal polysaccharide
A nurse is caring for an infant who has tetralogy of fallot and is experiencing a hypercyanotic spell while crying. Which of the following action should the nurse take?
Position that infant in a knee- chest position
A nurse is reinforcing teaching with The Guardian of an infant who has tetralogy of fallot. Which the following guardian responses indicate an understanding of the teaching?
I should bring the baby's knees toward her chest for cyanotic episodes
A hospice nurse as assisting with a support group for parents of toddlers who have a terminal illness. Where to the following pieces of information should the nurse reinforcing the teaching?
Toddlers will react to the parents anxiety and sadness
A nurses caring for a group of infants with congenital heart defects. For which in the following defects should the nurse expect to observe cyanosis?
Transposition of the great arteries
