a nurse is reviewing the history and physicality of an adolescent client who has conduct disorder. what is an expected finding?
suspended from school several times in the past year
a nurse is planning care for a 6yr old child who has bacterial meningitis, what nursing intervention is unnecessary in the pt’s plan of care?
measure head circumference every shift
a nurse is teaching the parents of a child who has ADHD about methylphenidate. which of the following statements should the nurse include in the teaching?
restrict your child’s intake of caffeine while she is taking this medication
a nurse is caring for a 6 month old pt who has sudden abdominal pain, vomiting, distended abdomen and red current jelly like stools. the nurse should know that these are signs of what
intussuception
a nurse is preparing to perform an abdominal assessment on a child. identify the sequence the nurse should follow (move the steps into the box on the right, placing them in the selected order of performance. use all the steps)
inspection
auscultation
superficial palpitation
deep palpitation
a nurse is caring for a 4 year old child who has a new diagnosis of diabetes mellitus and is distressed after an insulin injection. which of the following play activities should the nurse recognize is therapeutic in helping the child deal with the injection?
a needleless syringe and a doll
a nurse is providing anticipatory guidance about child development to the parents of a preschooler. which of the following developmental tasks should the nurse include as being expected of a preschooler?
participates in imaginary play
a nurse is providing care to a child who has an allergy to eggs, the nurse should question a prescription for which of the following immunizations?
influenza, live attenuated (LAIV)
a nurse is caring for a 10 month old infant who is in a cast for developmental dysplasia of the hip (DDH). which of the following strategies should the nurse implement to promote the infant’s growth and development
allow the infant to stand in the crib
a nurse is caring for a 6month old infant following surgery. which of the following should the nurse use to measure pain in this client
FLACC pain scale
a nurse is assisting with the admission of a child who has measles. which of the isolation precautions should the nurse initiate
airborne
which of the following is the priority intervention a nurse should take when caring for a child who just experienced a febrile seizure
keep in a side-lying position
a nurse is planning care for a 10yr old child who will be hospitalized for an extended period of time. what actions should the nurse include in the plan of care to meet the pt’s psychosocial needs according to Erikson?
arrange for a teacher to provide lesson plans
a nurse is caring for a pt who was admitted with suspected rheumatic fever. the provider prescribes an anti-streptolysin O titer (ASO), the parent asks the nurse the purpose of the test
it is to confirm if your child has had a recent streptococcal infection
a nurse is caring for an infant following a cleft lip and palate repair. what actions should the nurse take in the post-op period
administer analgesics
a nurse is providing dietary education to the mother of an infant, what recommendations regarding the introduction of solid food to the infant’s diet should the nurse make
solids introduced between 4-6 months
iron fortified cereal should be offered first
new foods should be introduced one at a time over a 5-7 day period to observe for signs of allergies or intolerance
veggies/fruits are first started between 6-8 months
a nurse is caring for an infant who has a congenital heart defect, which defect is associated with increased pulmonary blood flow
patent ductus arteriosis
a nurse is providing health promotion teaching to the parents of a toddler, what information should the nurse include in the teaching (SATA)
management of tantrums
dental care
a nurse is admitting a toddler who has RSV, what action should the nurse take
keep thermometer in the toddler’s room
a nurse is teaching the parents of a toddler about temper tantrums, what statements should the nurse include in the teaching
“temper tantrums are the toddler’s attempt to gain control of a situation”
a nurse is planning care for a child who has cystic fibrosis and a prescription to receive CPT, what action should the nurse plan to take
administer albuterol prior to CPT
a nurse is monitoring a child for manifestations of hemorrhage following a tonsillectomy, what finding is a manifestation of this postop complication
frequent swallowing
a nurse is creating a plan of care for a pt who has sickle cell anemia , what interventions should the nurse include in the plan
observe for indications of hypokalemia
a nurse is teaching a newly licensed nurse about reporting suspected child abuse, what statements indicate an understanding
if suspicion of abuse exists then reporting is mandatory
a nurse is assessing the physical development of a 3 month old infant, what findings should indicate that the infant may be developmentally delayed
does not attempt to raise head when placed on stomach
a nurse is caring for an adolescent pt diagnosed with mono, what statement by the pt’s parent indicates a need for further education
i will give him aspirin as needed for fever and discomfort
a nurse is caring for a pt who has tinea pedis, the parent asks the nurse what this infection is commonly called
athlete’s foot
a nurse is admitting an infant who has severe dehydration from acute gastroenteritis, what finding should the nurse expect
3% weight loss
a nurse is caring for a child with closed head injury, what interventions should the nurse institute to decrease ICP
avoid extension of the the head
keep the body in alignment
instruct to avoid coughing and blowing nose
provide a calm, restful environment
a home health nurse is providing teaching about post-seizure management to the parents of a school-age child who has epilepsy, what should be included
record the length and character of the child’s postictal period following a seizure
call for emergency medical services if the size of the child’s pupils are unequal after the seizure
a nurse is assessing a 3yr old preschooler at a well-child visit, what developmental tasks should be expected
uses primarily two word phrases
a nurse is teaching the parents of a toddler about strategies to manage temper tantrums, what instructions should the nurse include in the teaching
establish a structured daily routine for the child
a nurse in a pediatric clinic is discussing the physiology of Reye syndrome with a newly licensed nurse, what statements by the newly licensed nurse indicates an understanding of the disorder
Reye’s syndrome causes fatty changes in the liver
a nurse is assessing a child who has received the first 50 mL of a blood transfusion, what findings indicates the child may be experiencing an air embolism
sharp pain in the middle of the chest
a school nurse is assessing the visual acuity of a school-age child, what finding indicates that the child should be evaluated for strabismus
movement of the uncovered eye during a cover test
a nurse is assessing a 6 month old infant during a well-child visit, what finings should the nurse report to the provider
the infant does not roll over from his abdomen to his back
a nurse is instilling otic drops into a toddlers ears, what method is used
pull the pinna down and back
a nurse is providing teaching to the parent of an infant about care seat safety, what statement by the parent indicates an understanding of the teaching
i should place the car seat rear facing until my child is 2
a nurse is providing teaching to a parents of a school-age child who has ADHD and a new prescription for methylphenidate ER capsules, what responses by the parent indicates an understanding of the nurse’s instruction
i will inform my child’s teacher that he is taking this medication
a nurse in a pediatric clinic is performing a history and physical for a toddler who is going to receive a MMR immunization, what indicates that it should be withheld
receiving prednisone for nephrotic syndrome
a nurse is providing teaching to a mother who plans to breastfeed her 3 day old infant, what info should the nurse include in the teaching
your baby will need a follow up evaluation by her provider within the next 3 days
a nurse is assessing a toddler who is toilet-trained and has a temperature of 38.5/101.3, what findings should the nurse suspect a UTI
incontinence
a nurse is caring for a school-age child who has hemophilia and reports increased bruising, what lab values provides an explanation for the finding
plt count 120,000
a nurse is preparing a teaching plan for the parent of a school-age child who has asthma, the nurse should include what manifestation as an “exacerbation” of asthma
hacking, non-productive cough
a nurse is providing discharge teaching to the parents of a 6 month old infant following a surgical procedure to repair a hypospadias, what instructions should the nurse include in the teaching
avoid giving the infant a tub bath until the stent is removed
a nurse is assessing an infant who has intussusception, what manifestation is expected
gelatinous red stool
a nurse is caring for a school-age child who has metastatic osteosarcoma, the child asks the nurse “am i going to die?”, what should the nurse respond
“it sounds like you are worried. tell me what you have been told”
a nurse is caring for a an infant who has GERD, what action should the nurse take to avoid regurgitation
thicken the pt’s formula
avoid giving the pt citrus juices
position the child with head elevated after meals
a nurse is providing teaching to an adolescent who has a new prescription for cefazolin, what adverse effect should the nurse monitor for and report to the physician
urticaria
a nurse is caring for a child who has cancer and is receiving chemo, the parent tells the nurse that she wants to d/c treatment and take the child home, what responses should the nurse make
tell me more about your reasons for making this decision today
a charge nurse is assisting a newly licensed nurse with the preoperative assessment of a 2 year old child who has a Wilm’s tumor, what actions by the newly licensed nurse requires intervention from the charge nurse
palpating the child’s abdomen
a nurse is assessing a child who has sickle cell anemia and is experiencing a vasoocclusive crisis, what manifestations should the nurse expect
pain
a nurse is providing teaching to the parents of a school-age child who has pediculosis capitis, what instruction should be included
soak hear brushes in boiling water for 10min
a nurse is caring for a child who has acute glomerlulonephritis without edema, what action should the nurse take
obtain a daily weight
a nurse is reviewing the medical record of a 16 yr old brought in by his parents to receive a physical, the record indicates he received his last immunization 10 years ago, what immunizations should the nurse expect to administer to the adolescent
Tdap
a nurse is caring for a child who has congenital heart defect, the nurse should recognize that which of the following defects is associated with increased pulmonary blood flow
PDA
a nurse is providing teaching to the parent of a preschooler about health promotion, what response by the parent indicates an understanding of the teaching
i should encourage my child to have 1 hour of physical activity each day
a nurse is admitting a child who has bacterial meningitis, what actions should the nurse take first
initiate antibiotic therapy for the child
a nurse is assessing a toddler who has infective endocarditis, what findings should the nurse expect
new heart murmur
a nurse is suctioning the tracheostomy of a child, what assessment findings indicates effectiveness of the procedure
clear breath sounds
a nurse is assessing a child who has acute renal failure, what clinical manifestations are expected
edema
a nurse is developing a plan of care for a 4yr old who has hemophilia and is experiencing acute hemarthrosis, what interventions should the nurse include in the plan
place ice packs on the affected joints
a nurse is providing discharge teaching to the parent of a school-age child who has an infection of the throat caused by group A beta hemolytic streptococci, what instructions should the nurse give to the parent
continue to administer the prescribed antibiotic for 10d
give your child acetaminophen or children ibuprophen for fever
a nurse is providing teaching to the parent of a child who has a new prescription for methylphenidate, what instruction should the nurse include
administer the second dose of the medication at lunch time
a nurse working on an outpatient surgical unit is providing discharge teaching to the parent of a preschooler following placement of tympanoplasty tubes. the parent asks, what should i do if the tubes fall out. what should the nurse instruct
notify the provider that the tubes have fallen out
a nurse in the emergency department is caring for a preschooler who has epiglottitis , what action should the nurse take
initiate droplet precautions for the child
a nurse is providing discharge teaching to the parents of a child who has sickle cell anemia and was hospitalized after experiencing a vasoocclusive crisis. what instructions should the nurse include in the teaching
increase your child’s intake of oral fluids
a nurse is caring for a child who has bacterial meningitis, what action should the nurse take
initiate seizure precautions
a nurse is assessing a 12m old infant who is immediately postop hernia repair surgery, what pain measurement tools should the nurse use to determine if the infant is experiencing pain
FLACC
a nurse is teaching a school-age child and her parents about managing diabetes mellitus during illness, the nurse determines teaching has been effective when they indicate they will provide which of the following when the child is ill
increased fluids
a nurse is caring for a toddler who drinks 950mL (32oz) of milk per day and has poor appetite, the nurse should identify that the toddler is at risk for
iron deficiency anemia
a nurse is providing teaching to an adolescent who has type 2 diabetes mellitus and a new prescription for metformin, what instruction should the nurse include
take the medication at the same time each day
a school nurse is assessing a child who fell from playground equipment and landed head-first, what clinical manifestations should the nurse recognize as indicating increased intracranial pressure
report of diplopia
a nurse is assessing an infant who has hydrocephalus, what clinical manifestations should the nurse expect
separated cranial sutures
a nurse is teaching the parent of an infant about preventing SIDS, what following statement should the nurse make
you should put your infant in bed with a pacifier
a nurse in the ED is creating a plan of care for a child who has an acute head injury following a fall from playground equipment, what interventions should the nurse include
initiate seizure precautions for the child
a nurse is caring for a 4m old infant who is immediately postop following cleft palate repair, what intervention should the nurse take
apply elbow restraints to the infant
a nurse is assessing a 5 month year old infant during a well-child visit, what finding should the nurse report to the provider
the infant does not make consonant sounds when babbling
A nurse is reviewing the history and physicality of an adolescent client who has conduct disorder. Which of the following is an expected finding?
Suspended from school several times in the past year.
A nurse is planning care for a 6-year-old child who has bacterial meningitis. Which of the following nursing interventions is unnecessary in the client’s plan of care?
Measure head circumference every shift.
A nurse is preparing to administer desipramine 150 mg PO daily to a client to treat diabetic neuropathy. The amount available is desipramine 100 mg/tablet. How many tablets should the nurse administer per dose?
1.5
A nurse is teaching the parents of a child who has ADHD about methylphenidate. Which of the following statements should the nurse include in the teaching?
“Restrict your child’s intake of caffeine while she is taking this medication.”
A nurse is caring for a 6-month-old client who has sudden abdominal pain, vomiting, distended abdomen and red current jelly-like stools. The nurse should know that these are signs for which of the following?
Intussusception.
A nurse is preparing to perform an abdominal assessment on a child. Identify the sequence the nurse should follow.
Inspection
Auscultation
Superficial palpitation
Deep palpitation
A nurse is caring for a 4-year-old child who has a new diagnosis of diabetes mellitus and is distressed after an insulin injection. Which of the following play activities should the nurse recognize is therapeutic in helping the child deal with the injection?
Playing with a needleless syringe and a doll is an appropriate therapeutic activity for the child, because they will allow the child to act out feelings of anger and helplessness.
A nurse is providing anticipatory guidance about child development to the parents of a preschooler. Which of the following development tasks should the nurse include as being expected of a preschooler?
Participates in imaginary play
A nurse is providing care to a child who has an allergy to eggs. The nurse should question a prescription for which of the following immunizations?
Influenza, live attenuated (LAIV)
A nurse is caring for a 10-month-old infant who is in cast for development dysplasia of the hip (DDH). Which of the following strategies should the nurse implement to promote the infant’s growth and development?
Allow the infant to stand in the crib.
A nurse is caring for a 6-month-old infant following surgery. Which of the following should the nurse use to measure pain in this client?
FLACC pain scale.
A nurse is assisting with the admission of a child who has measles. Which of the following isolation precautions should the nurse initiate?
Airborne.
Which of the following is the priority intervention a nurse should take when caring for a child who just experienced a febrile seizure?
Keep in a side-lying position.
A nurse is planning care for a 10-year-old child who will be hospitalized for an extended period of time. Which of the following actions should the nurse include in the plan of care to meet the client’s psychosocial needs according to Erikson?
Arrange for a teacher to provide lesson plans.
A nurse is caring for child who was admitted with suspected rheumatic fever. The provider prescribes an anti-streptolysin O (ASO) titer. The parent asks the nurse the purpose of the test. Which of the following responses should the nurse make?
“This test will confirm if your child had a recent streptococcal infection.”
A nurses is caring for an infant following a cleft lip and palate repair. Which of the following actions should the nurse take in the post-operative period?
Administer analgesics.
A nurse is providing dietary education to the mother of an infant. What recommendations regarding the introduction of solid foods to the infant’s diet should the nurse make?
Iron-fortified rice cereal should be offered first.
Solids can be introduced between 4-6 months of age.
New foods should be introduced one at a time over a 5- to 7-day period to observe for signs of allergies or intolerance.
Vegetables or fruit are first started between 6 and 8 months of age/
A nurse is caring for an infant who has a congenital heart defect. Which of the following defects is associated with increased pulmonary blood flow?
Patent ductus arteriosus.
A nurse is providing health promotion teaching to the parents of a toddler. Which of the following information should the nurse include in the teaching? (Select all that apply.)
Management of tantrums.
Dental care.
A nurse is admitting a toddle who has respiratory syncytial virus (RSV). Which of the following actions should the nurse take?
Keep thermometer in the toddler’s room.
A nurse is teaching the parents of a toddle about temper tantrums. Which of the following statements should the nurse include in the teaching?
“Temper tantrums are the toddler’s attempt to gain control of a situation.”
A nurse is planning care for a child who has cystic fibrosis and a prescription to receive chest physiotherapy (CPT). Which of the following actions should the nurse plan to take?
Administer albuterol prior to CPT.
A nurse is monitoring a child for manifestations of hemorrhage following a tonsillectomy. Which of the following findings is a manifestation of this postoperative complication?
Frequent swallowing.
A nurse is creating a plan of care for a child who has sickle cell anemia. Which of the following interventions should the nurse include in the plan?
Observe for indications of hypokalemia.
A nurse is teaching a newly licensed nurse about reporting suspected child abuse. Which of the following statements indications an understanding by the newly licensed nurse?
“If suspicion of abuse exists then reporting is mandatory.”
A nurse is assessing the physical development of a 3-month-old infant. Which of the following findings would indicate that the infant may be developmentally delayed?
Does not attempt to raise head when placed on stomach.
A nurse is caring for an adolescent client diagnosed with mononucleosis. Which of the following statements by the client’s parent indicates a need for further education?
“I will give him aspirin as needed for fever and discomfort.”
A nurse is caring for a child who has tinea pedis. The child’s parent asks the nurse what this infection is commonly called. The nurse should respond with which of the following common names?
Athlete’s foot
A nurse is admitting an infant who has severe dehydration from acute gastroenteritis. Which of the following findings should the nurse expect?
3% weight loss
A nurse is caring for a child with a closed head injury. Which of the following interventions should the nurse institute to decrease intracranial pressure? Select all that apply.
Avoid extension of the head.
Keep the body in alignment.
Instruct to avoid coughing and blowing nose.
Provide a calm, restful environment.
A nurse is reviewing the history and physicality of an adolescent client who has conduct disorder. Which of the following is an expected finding?
Suspended from school several times in the past year.
A nurse is planning care for a 6-year-old child who has bacterial meningitis. Which of the following nursing interventions is unnecessary in the client’s plan of care?
Measure head circumference every shift.
A nurse is preparing to administer desipramine 150 mg PO daily to a client to treat diabetic neuropathy. The amount available is desipramine 100 mg/tablet. How many tablets should the nurse administer per dose?
1.5
A nurse is teaching the parents of a child who has ADHD about methylphenidate. Which of the following statements should the nurse include in the teaching?
“Restrict your child’s intake of caffeine while she is taking this medication.”
A nurse is caring for a 6-month-old client who has sudden abdominal pain, vomiting, distended abdomen and red current jelly-like stools. The nurse should know that these are signs for which of the following?
Intussusception.
A nurse is preparing to perform an abdominal assessment on a child. Identify the sequence the nurse should follow.
Inspection
Auscultation
Superficial palpitation
Deep palpitation
A nurse is caring for a 4-year-old child who has a new diagnosis of diabetes mellitus and is distressed after an insulin injection. Which of the following play activities should the nurse recognize is therapeutic in helping the child deal with the injection?
Playing with a needleless syringe and a doll is an appropriate therapeutic activity for the child, because they will allow the child to act out feelings of anger and helplessness.
A nurse is providing anticipatory guidance about child development to the parents of a preschooler. Which of the following development tasks should the nurse include as being expected of a preschooler?
Participates in imaginary play
A nurse is providing care to a child who has an allergy to eggs. The nurse should question a prescription for which of the following immunizations?
Influenza, live attenuated (LAIV)
A nurse is caring for a 10-month-old infant who is in cast for development dysplasia of the hip (DDH). Which of the following strategies should the nurse implement to promote the infant’s growth and development?
Allow the infant to stand in the crib.
A nurse is caring for a 6-month-old infant following surgery. Which of the following should the nurse use to measure pain in this client?
FLACC pain scale.
A nurse is assisting with the admission of a child who has measles. Which of the following isolation precautions should the nurse initiate?
Airborne.
Which of the following is the priority intervention a nurse should take when caring for a child who just experienced a febrile seizure?
Keep in a side-lying position.
A nurse is planning care for a 10-year-old child who will be hospitalized for an extended period of time. Which of the following actions should the nurse include in the plan of care to meet the client’s psychosocial needs according to Erikson?
Arrange for a teacher to provide lesson plans.
A nurse is caring for child who was admitted with suspected rheumatic fever. The provider prescribes an anti-streptolysin O (ASO) titer. The parent asks the nurse the purpose of the test. Which of the following responses should the nurse make?
“This test will confirm if your child had a recent streptococcal infection.”
A nurses is caring for an infant following a cleft lip and palate repair. Which of the following actions should the nurse take in the post-operative period?
Administer analgesics.
A nurse is providing dietary education to the mother of an infant. What recommendations regarding the introduction of solid foods to the infant’s diet should the nurse make?
Iron-fortified rice cereal should be offered first.
Solids can be introduced between 4-6 months of age.
New foods should be introduced one at a time over a 5- to 7-day period to observe for signs of allergies or intolerance.
Vegetables or fruit are first started between 6 and 8 months of age/
A nurse is caring for an infant who has a congenital heart defect. Which of the following defects is associated with increased pulmonary blood flow?
Patent ductus arteriosus.
A nurse is providing health promotion teaching to the parents of a toddler. Which of the following information should the nurse include in the teaching? (Select all that apply.)
Management of tantrums.
Dental care.
A nurse is admitting a toddle who has respiratory syncytial virus (RSV). Which of the following actions should the nurse take?
Keep thermometer in the toddler’s room.
A nurse is teaching the parents of a toddle about temper tantrums. Which of the following statements should the nurse include in the teaching?
“Temper tantrums are the toddler’s attempt to gain control of a situation.”
A nurse is planning care for a child who has cystic fibrosis and a prescription to receive chest physiotherapy (CPT). Which of the following actions should the nurse plan to take?
Administer albuterol prior to CPT.
A nurse is monitoring a child for manifestations of hemorrhage following a tonsillectomy. Which of the following findings is a manifestation of this postoperative complication?
Frequent swallowing.
A nurse is creating a plan of care for a child who has sickle cell anemia. Which of the following interventions should the nurse include in the plan?
Observe for indications of hypokalemia.
A nurse is teaching a newly licensed nurse about reporting suspected child abuse. Which of the following statements indications an understanding by the newly licensed nurse?
“If suspicion of abuse exists then reporting is mandatory.”
A nurse is assessing the physical development of a 3-month-old infant. Which of the following findings would indicate that the infant may be developmentally delayed?
Does not attempt to raise head when placed on stomach.
A nurse is caring for an adolescent client diagnosed with mononucleosis. Which of the following statements by the client’s parent indicates a need for further education?
“I will give him aspirin as needed for fever and discomfort.”
A nurse is caring for a child who has tinea pedis. The child’s parent asks the nurse what this infection is commonly called. The nurse should respond with which of the following common names?
Athlete’s foot
A nurse is admitting an infant who has severe dehydration from acute gastroenteritis. Which of the following findings should the nurse expect?
3% weight loss
A nurse is caring for a child with a closed head injury. Which of the following interventions should the nurse institute to decrease intracranial pressure? Select all that apply.
Avoid extension of the head.
Keep the body in alignment.
Instruct to avoid coughing and blowing nose.
Provide a calm, restful environment.