Proctor care of a child 2023
A nurse is caring for a 4-month-old child who has acute otitis media and a fever of 38.3°C (101°F). Which of the following medications should the nurse administer?
Amoxicillin
A nurse is caring for a child who has possible intussusception. The parents of the child asked the nurse how the Diagnosis is determined. Which of the following responses should the nurse make?
An abdominal ultrasound Will confirm the pocket of the intestine.
A nurse is providing teaching to an adolescent client who has juvenile idiopathic arthritis. Which of the following instructions should the nurse include in the teaching?
Attend school regularly
A nurse is providing education for a family of a six month old infant about ways to stimulate language development. Which of the following instruction should the nurse include?
Explain what you're doing to the infant while providing care.
A nurse is teaching the guardian of a preschooler. The guardian states that the preschooler has had an imaginary playmate for about 3 months. Which of the following pieces of information should the nurse give the guardian?
"Have your child take responsibility for actions if he tries to blame the imaginary friend."
A nurse is teaching the parents of a 4-month-old infant who has gastroesophageal reflux. Which of the following statements by a parent indicates an understanding of the teaching?
"I will add 1 teaspoon of rice cereal per ounce to my baby's formula."
A nurse is providing teaching about immunization schedules to the parents of a newborn who is 1 week old. Which of the following pieces of information should the nurse include in the teaching?
"Initial vaccines should be administered between birth and 2 weeks of age."
A nurse is teaching to a group of parents of adolescents about developmental needs. Which of the following statements by a parent should the nurse investigate further?
"My child spends 4 hours per day using online chat rooms."
A nurse is teaching the parent of a 12-month-old infant about nutrition. Which of the following statements by the parent indicates a need for further teaching?
"My infant drinks at least 2 qt of skim milk each day."
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?
"You should drink 4 oz of orange juice if you experience hypoglycemia."
A nurse is teaching the parents of a toddler who had an anaphylactic reaction to peanut butter about administering injectable epinephrine. Which of the following instructions should the nurse include?
"You will need to increase the dosage as your child gains weight."
A nurse is teaching the parents of an infant who has congenital hypothyroidism. Which of the following directions should the nurse provide?
"Your child will need to take thyroid hormone replacement for her entire life.
A nurse is caring for a school-age child who has skeletal traction applied to repair a pelvic fracture. Which of the following actions should the nurse take?
. Place the child on a pressure reduction mattress
A nurse is providing teaching about foods high in fiber to the guardian of a child who has chronic constipation. Which of the following foods should the nurse recommend?
1/2 cup cooked pinto bean
Fontanels should be flat. The posterior fontanel usually closes by 8 weeks of age, and the anterior fontanel usually closes between 12 and 18 months of age.
12 months
A nurse in the emergency department is assessing a preschooler for indications of child maltreatment. The nurse should identify that which of the following findings is a manifestation of physical abuse?
Bruises in various stages
A nurse is preparing to feed an infant who has a cleft lip and palate. Which of the following actions should the nurse plan to take?
Burp the infant at least 2 to 3 times during the feeding
A nurse is providing teaching about disease management to the parent of a preschooler who has a new diagnosis of asthma. Which of the following parent statements indicates an understanding of the teaching?
I will encourage my child to play sports
A nurse on a pediatric unit is planning care for a preschooler who will be having a surgical procedure in the morning. The child has been crying despite his parents' presence at his bedside. The nurse should add engaging the child in therapeutic play to the care plan to offer which of the following benefits?
Allow the child to manipulate toy medical equipment
a nurse is providing teaching to an adolescent who has a fiberglass arm cast. which of the following instructions should the nurse include in the teaching?
A place a plastic bag over the cast when showering.
A nurse is providing teaching to the guardian of a child who has Kawasaki disease. Which of the following statements by the guardian indicates an understanding of the teaching? (Select all that apply.) A. "My child will likely be irritable for the next few weeks." B. "I will notify my child's doctor if the skin on her hands or feet begins to peel. C. "I will ensure my child does not receive any live vaccines for at least 18 months. D. "I will keep a record of my child's temperature until she has no fever for several days." E. "My child will have joint stiffness primarily at the end of the day
A. "My child will likely be irritable for the next few weeks." C. "I will ensure my child does not receive any live vaccines for at least 18 months." D. "I will keep a record of my child's temperature until she has no fever for several days."
A nurse is caring for a preschooler who was brought to an outpatient clinic with a 2-day history of a vesicular, honeycolored crusty region around the nose and mouth. If the provider determines the lesions to be impetigo contagiosa, what should the nurse anticipate teaching the child's parent about the illness? (Select all that apply.) A. Apply a topical antibacterial ointment to the lesions B. Wash the child's bed linens daily with hot water C. Administer acyclovir oral suspension to prevent recurrence D. Allow the crust covering the infected lesions to remain intact E. Wash hands before and after contact with the affected are
A. Apply a topical antibacterial ointment to the lesions B. Wash the child's bed linens daily with hot water E. Wash hands before and after contact with the affected area
A nurse is planning care for a 10-month-old infant who has suspected failure to thrive (FTT). Which of the following interventions should the nurse include in the plan of care? (Select all that apply.) A. Observe the parents' actions when feeding the child B. Maintain a detailed record of food and fluid intake C. Follow the child's cues to time food and fluids D. Sit beside the child's high chair for feedings E. Play music videos during scheduled meal times
A. Observe the parents' actions when feeding the child B. Maintain a detailed record of food and fluid intake
A nurse in the emergency department is caring for a child who accidentally ingested an overdose of acetaminophen. Which of the following medication should the nurse expect to administer?
Acetylcysteine
A nurse is providing teaching to the guardians of an infant who has failure to thrive (FTT). Which of the following pieces of information should the nurse include in the teaching?
Add fortified rice cereal to the infant's formula
A nurse is caring for a child who is receiving treatment for diabetic ketoacidosis and has a current blood glucose level of 250mg/dL. Which of the following actions should the nurse take?
Administer 5% dextrose in 0.9% sodium chloride by continuous IV infusion
A school nurse is caring for a child who is experiencing an acute asthma attack. Which of the following medications should the nurse plan to administer to the child?
Albuterol
A nurse is providing anticipatory nutritional guidance for the caregivers of a 5-month-old infant. Which of the following points should the nurse include in the teaching?
Allow the infant to try finger foods, such as crackers, AFTER 6 months of age
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- to low
A nurse is caring for a preschooler who has a terminal illness. The nurse should expect the preschooler to have which of the following perspectives about death? 2 of 60 questions S Strikeout A. Believes that her own thoughts can cause death B. Has an understanding of the finality of death.
Believes that her own thoughts can cause death.
A nurse is assessing an infant who has untreated congenital hypothyroidism. Which of the following manifestations should the nurse expect?
Constipation
A nurse is providing dietary teaching to the parent of a toddler who has phenylketonuria. Which of the following foods should the nurse recommend?
Cooked carrots
A nurse is creating a plan of care for a child who has aplastic anemia. Which of the following interventions should the nurse include?
Initiate protective-environment isolation for the child
A nurse is assessing a child who has stage one hodgkin's disease. Which of the following finding should the nurse expect?
In large lymph nodes
A nurse is caring for a child with cystic fibrosis who has a pulmonary infection. Which of the following findings is the nurse's priority?
Inability to clear secretions
A nurse is planning to use guided imagery for an early school-aged child who continues to have mild discomfort following the administration of an analgesic. Which of the following techniques should the nurse plan to use?
Encourage the child to focus on a recent pleasurable experience
nurse is planning care for a school-aged child who has juvenile idiopathic arthritis (JIA). Which of the following actions should the nurse include in the plan?
Encourage the child to participate in physical activities
A nurse is observing the behavior of a two year old child. Which of the following actions should The Nurse expect to observe When we observe the child in an activity room With another toddler?
Engaging and play near the other child.
A nurse on a pediatric unit is caring for a child who has autism spectrum disorder. Which of the following actions should the nurse take?
Ensure that staff visits with the child are kept short
A nurse in a pediatric clinic is caring for a 3-year-old child who has a blood lead level of 3 mcg/dL. When teaching the toddler's parent about the correlation of nutrition with lead poisoning, which of the following pieces of information is appropriate for the nurse to include?
Ensure the child's dietary intake of calcium and iron is adequate
A nurse is preparing to assess an 11-month-old infant during a well-child examination. Which of the following actions should the nurse take?
Examine the infant's throat at the end of the examination
A nurse is developing a plan of care for a school age child who underwent a surgical procedure That resulted in temporary loss of vision. Which of the following intervention should the nurse include in the plan of care?
Explain the sounds the child is hearing.
A nurse is assessing a toddler who has gastroenteritis. Which of the following findings indicates the toddler is experiencing severe dehydration?
Deep, rapid respirations
A nurse at a clinic is preparing to administer immunizations to a 5-year-old child. Which of the following immunizations should the nurse plan to give?
Diphtheria, tetanus, and pertussis (DTaP)
A nurse is caring for a school-aged child who begins to have a tonic-clonic seizure when leaving the bathroom. Which of the following actions should the nurse take first?
Ease the child to the floor in Sims' position
A nurse is providing teaching about home care to the guardian of an adolescent who has hemophilia. Which of the following pieces of information should the nurse provide?
Encourage the adolescent to participate in non-contact sports
A nurse is assessing pain in a three-year-old child following a tonsillectomy.Which of the following rating scale should the nurse use to determine the child's pain level?
FaCES
A nurse is assessing a 4-year-old child. The nurse should expect the child to be able to perform which of the following activities?
Fastening buttons on a shirt
A nurse teaching the parent of a 3-year-old toddler about promoting sleep. Which of the following pieces of information should the nurse include?
Follow a nightly routine and established bedtime
A nurse is performing a visual acuity screening for a school-aged child using the Snellen letter chart. Which of the following actions should the nurse take?
Have the child wear his glasses during the vision screening
A nurse is caring for a school-aged child who has acute post-streptococcal glomerulonephritis. Which of the following manifestations should the nurse expect?
Hematuria
A nurse is assessing the gross motor skills of a 4-year-old preschooler. The nurse should expect the preschooler to perform which of the following activities?
Hopping on 1 foot
A nurse is teaching a parent of an infant who has a colostomy. Which of the following statements by the parent indicates an understanding of the teaching?
I need to apply pastr to the back of the wafer on my child's appliance.
A nurse is providing discharge teaching for a parrot of a newborn who is prescribed a Pavlik harness For developing dysplasia of the hip. Which of the following responses indicates an understanding of the teaching?
I should lightly massage my baby underneath the straps once a day.
A nurse is caring for a preschool-age child who has mucosal ulceration after receiving chemotherapy. Which of the following actions should the nurse take?
Instruct the child to use a soft sponge toothbrush when brushing her teeth.
A nurse is providing discharge teaching to the parents of a child who has nephrotic syndrome. Which of the following instructions should the nurse include in the teaching?
Keep the child away from people who have an infection
A nurse is providing teaching about home care to the parents of an infant who has diaper dermatitis. Which of the following instructions should the nurse include?
Leave the zinc oxide ointment intact and reapply as necessary during diaper changes
A nurse in a pediatric clinic is assessing a toddler at a well child visit. Which of the following action should the nurse take?
Minimize physical contact with a child initially.
A nurse is assessing a child who has a ventricular septal defect. Which of the following findings should the nurse expect?
Murmur at the left sternly border.
A nurse is providing teaching about baclofen to the guardian of a toddler who has cerebral palsy. Which of the following adverse effects should the nurse include?
Muscle weakness
A nurse is talking with a parent of a four month old infant about growth and development. Which of the following Statements indicates that the parent needs Further teaching?
My Baby loves to play with pillows in the crib.
A nurse in an emergency department is assessing an infant who has laryngotracheobronchitis. Which of the following findings should the nurse report as an indication of impending airway obstruction?
Nasal flaring
A nurse is caring for an adolescent who has end-stage renal disease and is scheduled for peritoneal dialysis. Which of the following actions should the nurse take?
Obtain the adolescent's weight prior to the procedure
A nurse is teaching a group of parents and guardians about otis media. Which of the following should the nurse identify as a risk factor for this illness?
Passes smoking
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 to an adolescent who has a fiberglass armcast. Which of the following instruction should the nurse include in the teaching?
Place a plastic bag over the cast when showering.
A nurse on a pediatric unit is admitting a 4-year-old child. Which of the following toys should the nurse plan to provide for the child to engage in independent play?
Plastic stethoscope
A nurse is caring for a school age child who is having a tonic colonic seizure. Which of the following action should the nurse perform first?
Position to child on its side
During a well-child visit, the guardian of a toddler reports that the toddler takes several hours to fall asleep at night. Which of the following recommendations should the nurse make?
Provide the toddler with a favorite stuffed animal at bedtime.
A nurse is discussing play activities with a group of parents of toddlers. Which of the following activities should the nurse recommend for this age group?
Pushing a toy lawn mower
A nurses came for a child who has tetrlogy of Fallot. Which of the following laboratory value should the nurse expect to find?
RBC 6.8 million/uL
A nurse is admitting a child who has acute lymphocytic leukemia. Which of the following laboratory values should the nurse expect?
RBCs 2.5 million/uL
A nurse in the emergency department is caring for a child who has bruises that support a suspicion of child abuse. Which of the following actions should the nurse take?
Report the abuse to local authorities
A nurse is killing for a school age child who has sick a cell anemia and was admitted for vasil acclusive crisis. Which of the following findings should the nurse report to the provider immediately?
Slurred speech
A nurse is reviewing the laboratory values for a 6-month-old infant who has acute renal failure. Which of the following findings should the nurse expect?
Sodium 125 mEq/L
A nurse is assessing a 6-month-old infant who was recently admitted with acute vomiting and diarrhea. Which of the following findings indicates the infant has moderate dehydration?
Tachypnea
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 is assessing an infant who develops respiratory distress, absence of breath sounds on one side, and deviation of the trachea away from the affected side. Based on these manifestations, which of the following conditions is the infant experiencing?
Tension pneumothorax
A nurse is assessing a child who sustained a head injury. During the assessment, the nurse observes clear drainage leaking from the child's nose. Which of the following actions should the nurse take?
Test the nasal secretions for glucose
A nurse is assessing a 3-year-old child during a well-child examination. Which of the following findings should the nurse report to the provider?
The child cannot walk on tiptoe
A nurse is taking the history of and performing a physical on a school age child who has attention deficit disorder. Which of the following findings should the child medical record should the nurse identify as a risk factor for ADHD?
The child had prenatal exposure to alcohol on a regular basis.
A nurse is assessing The dynamics of a family in which a child maltreatment is suspected. Which of the following finding should the nurse report to the provider?
The child has several unexplained scars and bruises.
A nurse is discussing disciplinary techniques with the guardian of a preschooler. Which of the following actions indicates to the nurse that the guardian is using an age-appropriate disciplinary technique?
The guardian places the child in time out after misbehaving
A nurse is assessing a 10-month-old infant at a well-infant checkup. Which of the following assessment findings should the nurse report to the provider?
The infant needs assistance to sit up
A nurse in a provider's office enters an examination room to assess an 8-month-old infant for the first time. Which of the following reactions by the infant should the nurse expect?
The infant turns away when the nurse approaches.
A nurse is teaching the parents of an infant about treatment options for profound sensorineural hearing loss. The nurse should include which of the following pieces of information about the function of cochlear implants?
They provide direct stimulation of auditory nerve fiber.
A nurse is teaching the parent of an infant who has a cute otis media about how to administer antibiotic eardrops. Which of the following instructions should the nurse include?
This massage and interior area of the infant's ear following administration.
A nurse is providing education for a group of parents about toddler language development during a well-child visit. Which of the following findings should the parent expect in an 18-month-old toddler?
Vocabulary of 10 or more words
A nurse is assessing a 2-month-old infant who has a ventricular septal defect. Which of the following findings should the nurse report to the provider?
Weight gain of 1.8 kg (4 lb)
A nurse is caring for a four month old child who is hospitalized. Which of the following toys should the nurse provide to the child?
a plastic mirror.
A nurse is reviewing the risk factors for the 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 caring for an 8-year-old child who has sickle cell anemia. Which of the following actions should the nurse take?
give the child flavored popsicle
A nurse is assessing a child who has bilateral pheochromocytoma. Which of the following findings should the nurse expect?
hypertension
A nurse is planning care for a four year old child who has an nephrotic syndrome. which of the following actions should the nurse take?
provide THOROUGH skin care.
A nurse is caring for an 18-month-old infant who has chronic otitis media. The nurse should recognize that chronic otitis media will affect which of the following?
speech patterns
A nurse is assisting a provider during a femoral veinpuncture On a toddler. The nurse should place the child in which of the following positions?
supine
A nurse is assessing a school-aged child who is 30 minutes postoperative following a cardiac catheterization using the left femoral artery. Which of the following findings should the nurse identify as the priority to report to the provider?
the pulse strength of the child left popiteal artery site is decreased.
A nurse is assessing a 6-month-old infant during a well-child visit. Which of the following motor activities should the nurse expect the infant to have achieved?
turning from back to stomach
A nurse is teaching the parents of a 3-year-old child who has persistent otitis media about prevention. Which of the following statements by the parents indicates an understanding of the teaching?
we should not smoke around our child
A nurse is caring for a child who has glomerulonephritis. Which of the following actions should the nurse take?
weigh child each day
