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A series of questions and answers related to nursing care of children. The questions cover a range of topics, including medication administration, physical assessment, and patient education. The correct answers are provided for each question. The document could be useful for nursing students studying pediatric nursing or preparing for the NCLEX exam.
Typology: Exams
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A nurse is caring for an adolescent who has acne and a new prescription for isotreetinoin. For which of the following adverse effects should the nurse monitor? -------
A nurse is assisting with the care for a 7 mo old infant who has a cleft palate. Which of the following actions should the nurse take to decrease the infants risk for aspiration? --- ----- Correct Answer -------- burp the infant frequently during feedings A nurse is caring for a 3 yr old female child who is prescribed an indwelling urinary catheter. Which of the following actions should the nurse take when performing this procedure? -------- Correct Answer -------- apply 2% lidocaine into the urethral meatus A nurse is collecting data from a 18 month old toddler. Which of the following is a deviation from expected growth and development that thee nurse should report to the provider? -------- Correct Answer -------- the toddler is unable to recognize familiar objects by name A nurse is reinforcing discharge teaching with the guardian of a 6 mo old infant following a surgical procedure to repair a hypospadias. Which of the following instructions should the nurse include? -------- Correct Answer -------- wait 1 week before giving the infant a tub bath A nurse is collecting data from a school age child. The nurse should identify that which of the following finds is a manifestation of physical abuse? -------- Correct Answer -------- bruises at various stages of healing A nurse is collecting data from a child during a well child visit. The nurse should recognize that which of the following findings placed the child at a higher risk for abuse ? -------- Correct Answer -------- the child was born at 30 weeks of gestation A nursing is reinforcing teaching with the parents of preschoolers regarding the use of booster seats in Motor vehicle. Which of the following instructions should the nurse include in the teaching? -------- Correct Answer -------- secure the child in the booster seat using the motor vehicles shoulder lap seat belt A nurse is reinforcing anticipatory to the parents of an adolescent. Which of the following recommendations should the nurse include? -------- Correct Answer -------- bee open to the adolescents point of view A nurse is caring for a toddler following a tonsillectomy. Which of the following is the priority finding that the nurse should report to the provider? -------- Correct Answer -------
A nurse is assisting with the admission of a toddler who has bacterial meningitis caused by homophiles influenzae type B. Which of the following isolation guidelines should the nurse plan to initiate? -------- Correct Answer -------- droplet precautions A nurse is collecting data from an 18 mo old toddler who has just presented to the urgent care clinic. Which of the following data should the nurse investigate further? ------ -- Correct Answer -------- blood pressure 120/80 mm Hg A nurse is reinforcing dietary teaching with an adolescent who is lactose vegetarian and has iron deficiency anemia. The nurse should recommend which of the following as the best source of iron? -------- Correct Answer -------- 1 cup shredded wheat cereal A nurse is reinforcing dietary teaching with the parent of a 2 yr old toddler. Which of the following should the nurse include in the teaching? -------- Correct Answer -------- an appropriate servings size is 1 tablespoon of food per year of age A nurse is reinforcing teaching with the parent of a school age child who has lactose intolerance. Which of the following supplements should the nurse instruct the parent to include in the childs diet? -------- Correct Answer -------- vitamin D A nurse is collecting data from an infant during a well child visit. Which of the following sites should the nurse use when obtaining the infants heart rate? -------- Correct Answer -------- apical A nurse is reinforcing teaching with an adolescent who has an inflamed non perforated appendix and is scheduled for a laparoscopic assisted appendectomy. Which of the following instructions should then nurse include in the teaching? -------- Correct Answer - ------- you will sit in your chair at least twice a day after surgery A nurse is preparing to leave the room after performing nasal suctioning on an infant who has respiratory syncytial virus RSV. Identify the sequence in which the nurse should remove the following personal protective equipment PPE. -------- Correct Answer -------- gloves, goggles, gown, mask A nurse is preparing a toddler. for suturing of a minor facial laceration. The nurse should place the toddler in which of the following restraints? -------- Correct Answer -------- mummy restraint A nurse is reinforcing teaching with the parent of a child who is being treated with diphenhydramine for allergic rhinitis. The nurse should tell the parent to monitor the child for which of the following? -------- Correct Answer -------- drowsiness A nurse is reinforcing teaching with the parents of a 2 yr old toddler at a well child visit. Which of the following should the nurse recommend as an age appropriate activity for the toddler? -------- Correct Answer -------- putting together a large piece puzzle
A nurse is reviewing the plan of care for a child who has cystic fibrosis. Which of the following is the priority goal for this child? -------- Correct Answer -------- the child will maintain an effective breathing pattern A nurse is assisting with the care of a 4 yr old child who is prescribed an IV medication prepop. Which of the following techniques should the nurse use to assist the child to cope with this procedure? -------- Correct Answer -------- discuss benefits of the procedure, give the child needless IV supplies to play with, allow the Child to perform the procedure with a doll A nurse is contributing to the plan of care for a child who is in Bucks traction. Which of the following interventions should the nurse include in the plan? -------- Correct Answer - ------- maintain the leg in an extended position A nurse is reinforcing teaching with the family of an adolescent client who has recently diagnosed with Celiac disease. Which of the following foods should the nurse recommend? -------- Correct Answer -------- yellow corn A nurse in a pediatric clinic is talking on the telephone with the parent of a 6 mo old infant who has a UTI and started taking an oral antibiotic the day before. -------- Correct Answer -------- mix the medicine with 1 teaspoon of applesauce before giving it to your baby A nurse is preparing to administer Phenobarbital to a toddler who has a seizure disorder and weighs 10 kg (22 lb). The prescription reads phenobarbitals sodium 2.5 mg/kg PO BID. Available is phenobarbitals 20 mg/ 5 mL. How many mL should the nurse administer with each dose? -------- Correct Answer -------- 6.25 mL A nurse is reinforcing teaching about SIDS with the parent of a 1 mo old infant. Which of the following statements by the parent indicates an understanding of the teaching? ------ -- Correct Answer -------- I will allow my baby to have a pacifier while sleeping A nurse is contributing to the plan of care for a 10 mo old who is postoperative following a cleft palate repair. Which of the following actions should thee nurse include in the plan of care? -------- Correct Answer -------- place the infant in side lying position A nurse in a providers office is caring for a preschooler who has findings of croup. Which of the following statements by the parent requires immediate intervention by the nurse? -------- Correct Answer -------- my child has refused to drink any fluids for the past 8 hours A nurse is preparing to obtain a peak expiratory flow rate from an adolescent. Which of the following actions should the nurse take? -------- Correct Answer -------- have thee client stand during thee procedure
A nurse is reinforcing teaching with the guardians of a school age child who has frequent nosebleeds. Which of the following instructions should thee nurse include? ----- --- Correct Answer -------- apply the pressure to the childs nose A nurse is collecting data from a 10 mo old infant. Which of the following findings should the nurse report to the provider? -------- Correct Answer -------- sits with support by leaning on hands A guardian calls the clinic nurse after his child has developed symptoms of varicella and asks when his child will no longer be contagious. Which of the following responses should the nurse make? -------- Correct Answer -------- six days after lesions appear if they are crusted A nurse is assisting with the care of a child who is postoperative and received a transfusion during a surgical procedure. Which of the following findings indicates thee child is having a hemolytic reaction? -------- Correct Answer -------- chills and flank pain A nurse is reinforcing teaching regarding the immunization schedule with the parent of a 6 mo old infant during a well baby visit. Which of the following statements by the parent indicates an understanding of the teaching? -------- Correct Answer -------- my baby will receive his third DTap vaccine today A nurse is preparing to administer levabuterol via nebulizer to a child with asthma. Which of thee following data should the nurse collect prior to administering the medication? -------- Correct Answer -------- lung sounds A nurse is reinforcing teaching with the guardian of a child who has a new presciprion for levabuterol solution for use in a nebulizer. Which of the following statements by the gaurdian indicates an understanding of the teaching? -------- Correct Answer -------- my child might experience palpitations after taking this medication A nurse is assisting with thee development of a health promotion program for the guardians of adolescents. Which of the following information about adolescents should thee nurse recommend to include in the program? -------- Correct Answer -------- the leading cause of death in adolescents is physical injury A nurse is preparing to administer furosemide to a toddler who has a heart defect. Which of the following actions should the nurse take to identify the toddler? -------- Correct Answer -------- ask the guardian to verify the childs name During a well child visit the parent of a toddler expresses concern to the nurse that the toddler takes several hours to fall asleep at night. Which of the following recommendations should the nurse make? -------- Correct Answer -------- provide the toddler with a favorite toy at bedtime
A nurse is preparing to administer an intramuscular injection to an 11 month old infant. In which of the following areas should the nurse administer the injection? -------- Correct Answer -------- B (lateralis muscle) A nurse is caring for a toddler who has ostits media and a temp of 102.4. Which of the following actions should the nurse take first? -------- Correct Answer -------- administer an antipyretic A nurse is reinforcing teaching with the guardian of a school age child who has acute bacterial conjunctivitis and a new presciprtion for sulfacetamide. Which of the following instructions should the nurse include? -------- Correct Answer -------- instill medication immediately after cleansing the eyes A nurse is caring for a 1 mo old infant who has a nasogastric tube in place for intermittent feedings. Which of the following actions should the nurse take? -------- Correct Answer -------- position the head of the crib at 30 degree angle between feedings A nurse is caring for a toddler who has terminal cancer and is receiving hospice care. The child's parent tells the nurse I am a bad parent and I can't deal with this. Which of the following responses should the nurse make? -------- Correct Answer -------- tell me more about what you are feeling A nurse is reinforcing teaching about liquid iron supplements with the guardian of a school age child who has iron deficiency anemia. Which of the following statements by the guardian indicates an understanding of the teaching? -------- Correct Answer -------- I will give this medication to my child with a straw A nurse is reinforcing teaching with the parent of a 4 mo old infant who has a new prescription for nystatin to treat oral candiasis and is breast feeding. Which of the following instructions should the nurse include in the teaching? -------- Correct Answer -- ------ continue nystatin for 2 weeks after the symptoms disappear A nurse is reinforcing teaching about vital signs with the guardian of 1 year old toddler. Which of the following statements by the guardian indicates an undeerlsaning of thee teaching? -------- Correct Answer -------- my childs pulse could increase to 150 beats a minute with activity A nurse in a pediatric is caring for an infant who has heart failure and a prescription for digoxin. Which of the following statements by the parent indicates the desired therapeutic effect of the medication? -------- Correct Answer -------- my baby is breathing easier than she used to A nurse is collecting data from a 12 mo old infant during a well child visit. At birth the infants weight was 3.6 kg (8 lb) and his length was 50.8 cm (20 in). Based on this data which of thee following findings should the nurse expect? -------- Correct Answer --------
the infant is 76.2 cm (30 in) long