Nurse is teaching a parent about parallel play. Which statement should nurse include in teaching?

"Child plays independently when in a group"

A nurse is performing a neurologic assessment on an adolescent. Expected with trigeminal nerve? (Select all)

Clenching Teeth together tightly, Detecting facial touches with eyes closed

A nurse is providing teaching parent preschool-age child about promoting sleep. Which indicates understanding?

"I will keep a dim lamp on my child's room during the night"

Child with suspected rheumatic fever. Which are findings? (select all.)

erythema marginatum, Elevated C-reactive protein

Teaching for child with Wilms Tumor, which should be included (Select all.)

"Palpating tumor could cause spread", "Surgery is done within 48 hours of diagnosis"

Nurse is performing developmental screening on 18 month old. Which skills should they be able to do? (Select all.)

Use spoon w/o rotation, Throw ball overhand

Nurse on peds unit is caring for toddler. Which behavior is an effect of hospitilzation? (select all)

Exhibits regressive behaviors, Experiences separation anxiety

Nurse is teaching a parent of an infant w/ prescription for digoxin. Which instructions should the nurse include?

“Give the correct dose of medication at regularly scheduled times.”

Patient has epiglottis. Which of the following findings should the nurse expect? (Select all.)

Hoarseness, Difficulty Speaking, and Difficulty Swallowing, Stridor, Drooling

Expected findings in a child with Cystic Fibrosis (select all.)

Wheezing, Clubbing, Barrel Chest

Nurse teaching about viral & bacterial meningitis. Which immunizations decrease incidence of bacterial meningitis in kid

Haemophhilius influenza type B, Pneumococcal conjugate vaccine (PCV)

Nurse is caring for preschooler. Which is expected behavior?

Relating fears to magical thinking

Oral iron teaching, what indicates understanding from parent?

"My child should take the supplement through a straw"

Nurse is preparing toddler for IV cath using atraumatic care. Which actions should they take? (select all)

Allow child to make 1 choice regarding procedure, Explain procedure using child's favorite toy, Apply lidocaine and prilocaine cream to multiple insertion sites

Nurse is assessing a 2.5 y/o at a well-visit. Which findings should the nurse report?

Head circum exceeds chest circum

Nurse is reviewing record of client w/ Reye syndrome. Which is a risk factor?

Recent episode of gastroenteritis

Caring for a 2y/o who has a defect and scheduled for a cardiac cath. Which intervention should nurse take?

Check for iodine or shellfish allergy

Nurse reviewing CSF analysis on client with suspected meningitis. Findings for VIRAL meningitis?(select all.)

Normal Glucose Content, Negative Gram Stain, Normal protein content

Nurse is reviewing diagnostic findings of preschool age child with Cystic Fibrosis. Which is an indication?

Sweat chloride content of 85 mEq/L

Infant diagnosed with CP. What information would the nurse want her parents to know about her prognosis?

Symptoms may seem to grow worse as fine motor skill is needed.

Nurse is providing guidance to parents of toddler. Which should they include? (Select all.)

Expression of bedtime fears is common, Expect behaviors associated with negativism and ritualism, Develop food habits that will prevent cavities

Nurse is caring for a child in skeletal traction, what actions should nurse take? (select all.)

assess position frequently, JAZZ HANDS FREE HANGING WEIGHTS JAZZ HANDS, assess pin sites every 4 hours

Teaching caregivers about fractures, what should be included in teaching?

"Epiphyseal Plan injuries can result in altered bone growth"

A nurse is performing a developmental screening on a 10-month-old infant. Which fine motor expected?

Use crude pincer grasp, Grasp Rattle by handle

Nurse is planning care for a child with asthma. Which of the following interventions should nurse include? (Select all.)

Monitor O2 sat, Administer bronchodilators, Upright Position

A nurse is caring for adolescent about child sleeping long hours. Which should nurse inform parent about?

they are experiencing rapid growth

When planning the care for a child with Kawasaki disease, which of the following would be most important?

Teaching him to live with a chronic illness

Nurse is caring for a child in post-op period following a tonsillectomy. Which action should the nurse take?

Administer analgesics on schedule

A nurse prepping education for parent of preschool age about nutrition. which of the following should the nurse include?

Average calorie intake should be 1,800 calories per day

studbud

311 Exam (ati textbook q)

87 termsStudBud Administration20 plays

topics: peds med admininstration, peds physical assessment, growth and development, effects of hospital on child, peds paint management, peds neuro disorders, peds blood disorders, peds ortho, peds cancer, peds resp, and peds cardiac

Flashcards87 cardsFPractice quizPHost liveL

Questions 87

Answers

1
Nurse is teaching a parent about parallel play. Which statement should nurse include in teaching?
"Child exhibits organized play when in a group"
"The child plays alone"
"Child plays independently when in a group"
"Child sits and observes others playing"
2
A nurse is performing a neurologic assessment on an adolescent. Expected with trigeminal nerve? (Select all)
Clenching Teeth together tightly
Identifying smells through each nostril
Recognizing sour tastes on the back of the tongue
Detecting facial touches with eyes closed
3
Patient is diagnosed with Tetralogy of Fallot, what is the FIRST intervention to perform
Knee to Chest Position
Glenn procedure
Immediate ER intervention
Supplemental oxygen
4
A nurse is providing teaching parent preschool-age child about promoting sleep. Which indicates understanding?
"I will let my child stay yup an additional 2 hours on weekend nights"
"I will sleep in the bed with my child if she wakes up during the night"
"I will let my child watch TV for 30 min just before bedtime each night"
"I will keep a dim lamp on my child's room during the night"
5
Symptoms of Compartment Syndrome
Pain
Paresthesia
Pigmentation loss
Paralysis
6
Child with suspected rheumatic fever. Which are findings? (select all.)
erythema marginatum
Elevated C-reactive protein
Continuous joint pain of digits
tender subcu nodules
7
Teaching for child with Wilms Tumor, which should be included (Select all.)
"Palpating tumor could cause spread"
"Wilms' tumors are genetic in nature"
"Child will need chemo for 12 months"
"Surgery is done within 48 hours of diagnosis"
8
A nurse is caring for a child who is experiencing a generalized seizure. Which is priority action?
Try to determine trigger
Note time of postictal period
Position side lying
Reorient child to environment
9
Nurse is performing developmental screening on 18 month old. Which skills should they be able to do? (Select all.)
Use spoon w/o rotation
Walk up and down stairs
Build tower with 6 blocks
Throw ball overhand
10
A nurse is administering flu vaccine to toddler. Which actions should they take?
Place child in supine
Divide into 2 injections
Use 20-gauge needle
Administer sub-cu into abdomen
11
What type of precautions are used for Bacterial Meningitis
Droplet
Contact
Airborne
Respiratory
12
Nurse is assessing 4 m/o infant w/ meningitis. Which should they expect to see?
Presence of Rooting reflex
Depressed anterior fontanelle
Constipation
High-pitched cry
13
Nurse on peds unit is caring for toddler. Which behavior is an effect of hospitilzation? (select all)
Exhibits regressive behaviors
Experiences separation anxiety
Manifests disturbance in body image
Believes experience is a punishment
14
Nurse is teaching a parent of an infant w/ prescription for digoxin. Which instructions should the nurse include?
“If your baby vomits a dose, repeat the dose so they get the right dose”
“Give the correct dose of medication at regularly scheduled times.”
“Digoxin increases your baby’s heart rate.”
“Do not offer your baby fluids after giving the medication.”
15
Patient has epiglottis. Which of the following findings should the nurse expect? (Select all.)
Hoarseness, Difficulty Speaking, and Difficulty Swallowing
Lowgrade Fever
Stridor
Drooling
16
Expected findings in a child with Cystic Fibrosis (select all.)
Wheezing
Thin, Water Mucous
Clubbing
Barrel Chest
17
Child has asthma, which are indications of deterioration of child's respiratory status? (Select all.)
O2 Sat 95%
Wheezing
Warm Extremeties
Retraction
18
Nurse teaching about viral & bacterial meningitis. Which immunizations decrease incidence of bacterial meningitis in kid
Haemophhilius influenza type B
Inactivated Polio Vaccine (IPV)
Pneumococcal conjugate vaccine (PCV)
DTaP
19
Nurse is caring for preschooler. Which is expected behavior?
Understanding cause of illness
Describing manifestation of illness
Relating fears to magical thinking
Awareness of body functioning
20
A nurse is assessing a 6-month old infant. Which of the following reflexes should the infant exhibit?
Plantar Grasp
Stepping
Tonic Neck
Moro Reflex
21
Oral iron teaching, what indicates understanding from parent?
"I should take my child to the emergency room if is stools become dark"
"My child should avoid eating citrus fruits with the supplements"
"I should give iron through a straw"
"My child should take the supplement through a straw"
22
Nurse is preparing toddler for IV cath using atraumatic care. Which actions should they take? (select all)
Allow child to make 1 choice regarding procedure
Explain procedure using child's favorite toy
Apply lidocaine and prilocaine cream to multiple insertion sites
Perform procedure with child in his bed
23
Erikson's Stage for Toddler
Autonomy vs Guilt
Initiative vs Guilt
Trust vs Shame
Autonomy vs Shame
24
Nurse is assessing a 2.5 y/o at a well-visit. Which findings should the nurse report?
Head circum exceeds chest circum
Both fontanelles are closed
Current weight is 4x birth weight
Height increased by 3 in in past year
25
Erikson's Stage for Infant
Trust vs Mistrust
Autonomy vs Shame
Trust vs Shame
Googoo vs Gaga
26
A nurse is assessing a 12-month-old infant during well visit. Which should they report to provider?
Birth Weight Doubled
Eruption of six teeth
Closed anterior fontanelle
Birth length increased by 50%
27
Nurse is reviewing record of client w/ Reye syndrome. Which is a risk factor?
Recent history of Haemophelius influenza meningitis
Recent episode of gastroenteritis
Recent history of infectious cystitis caused by Candida
Recent history of bacterial otitis media
28
A nurse is performing developmental screening on 3 y/o. What activity should she expect him to perform?
Ride a tricycle
Jump rope
Hop on one foot
Throw a ball overhead
29
Caring for a 2y/o who has a defect and scheduled for a cardiac cath. Which intervention should nurse take?
Place NPO for 12 hr
Check for iodine or shellfish allergy
Elevated affected extrem
Limit fluid intake during procedure
30
Nurse is completing a pain assessment on an infant. Which scale should
Oucher
FACES
FLACC
Wong-Baker
31
Nurse reviewing CSF analysis on client with suspected meningitis. Findings for VIRAL meningitis?(select all.)
Normal Glucose Content
Negative Gram Stain
Normal protein content
Decreased WBC
32
Nurse is reviewing diagnostic findings of preschool age child with Cystic Fibrosis. Which is an indication?
72 hr stool analysis indicated hard, packed stools
Chest X-Ray negative for atelectasis
Sweat chloride content of 85 mEq/L
Increased blood levels of fat-soluble vitamins
33
Nurse is assessing an infant. Which of the findings exhibits its experiencing pain? (Select all)
Lowered Eyebrows
Pushes away from stim
Loud cry
Pursed Lips
34
Erikson's Stage for Preschool-age
Identity vs Guilt
Autonomy vs Problems
Industry vs Shame
Initiative vs Guilt
35
Infant diagnosed with CP. What information would the nurse want her parents to know about her prognosis?
Symptoms may seem to grow worse as fine motor skill is needed.
Symptoms of CP typically begin to wane just after puberty.
Severity of cognitive deficits parallels the severity of physical deficits.
CP may occasionally be caused by a childhood vaccine reaction.
36
Nurse is providing guidance to parents of toddler. Which should they include? (Select all.)
Expression of bedtime fears is common
Expect behaviors associated with negativism and ritualism
Meeting caloric needs results in an increased appetite.
Develop food habits that will prevent cavities
37
Nurse is caring for a child in skeletal traction, what actions should nurse take? (select all.)
ensure knot is in contact with pulley
assess position frequently
JAZZ HANDS FREE HANGING WEIGHTS JAZZ HANDS
assess pin sites every 4 hours
38
Post-op for Wilms' tumor removal, which indicated continuation of NPO?
"Passing flatus every 30 min"
Absent Bowel Sounds
Abdominal girth 1cm larger than yesterday
Pain at operative site
39
A nurse is checking vital signs of a 3 y/o during a well-visit. Which of the following findings should the nurse report?
Temp 37.2C (99.0F)
BP 88/54 mmHg
Heart Rate 106/min
RR 30/min
40
Teaching caregivers about fractures, what should be included in teaching?
"Epiphyseal Plan injuries can result in altered bone growth"
"Bones are unable to bend, so they break"
"Children need a longer time to heal from a fracture than adults"
"A greenstick fracture is a complete break in the bone"
41
Caring for a toddler with Wilms Tumor, which actions should the nurse take?
Prepare the child for surgery
Teach parent about dialysis
Obtain 24-hr urine culture
Palpate the child's abdomen to identify size of tumor
42
How long after starting antibiotics for bacterial meningitis should Droplet Precautions last?
72 hrs
48 hrs
24 hrs
12 hrs
43
What is the nursing priority action for children taking Hydroxyurea for sickle cell?
Urine Culture
Monitor their weight
Assess bowel movement pattern
Dental hygiene
44
A nurse is performing a developmental screening on a 10-month-old infant. Which fine motor expected?
Use crude pincer grasp
Grasp Rattle by handle
Place objects in container
Walks with one hand held
45
A nurse is caring for a client who has suspected meningitis and a decreased LOC. Which action should the nurse take?
Position the client dorsal recumbent
Place client NPO
Prepare patient for liver biopsy
Put client in protected environment
46
Nurse is planning care for a child with asthma. Which of the following interventions should nurse include? (Select all.)
Monitor O2 sat
Administer bronchodilators
Chest Percussions
Upright Position
47
A nurse is caring for adolescent about child sleeping long hours. Which should nurse inform parent about?
they are experiencing rapid growth
they have elevated zinc lvls
they have a slowed metabolism
they have sleep terrors
48
When planning the care for a child with Kawasaki disease, which of the following would be most important?
Teaching him to live with a chronic illness
Making sure he performs postural drainage daily
Encouraging him to breathe deeply and cough
Observing him for symptoms of bowel obstruction
49
Nurse is caring for a child in post-op period following a tonsillectomy. Which action should the nurse take?
Offer OJ
Encourage child to blow nose gently.
Position supine
Administer analgesics on schedule
50
A nurse prepping education for parent of preschool age about nutrition. which of the following should the nurse include?
Healthy diets include a total of 8g protein each day
Sat fats should equal 20% of total daily caloric intake
Daily intake of fruits & veggies should be 2 servings
Average calorie intake should be 1,800 calories per day
51
A nurse is providing education about introducing new foods to the parent of a 4 month old. Which food recommended first?
Iron-fortified cereals
Whole milk
Pureed Fruits
Strained yellow veggies
52
Signs of Increased ICP? (Select All.)
Headache when arising
Vomiting with nausea
Strabismus
Diplopia
53
A nurse is preparing to assess a preschooler. Which of the following actions should the nurse take to prepare the child?
use medical terminology to describe what will happen
separate the child from the caregiver during the exam
keep medical equipment visible to the child
allow the child to role-play using miniature equipment
54
Infant with Coarctation of the Aorta, what should the nurse expect? (select all.)
High blood pressure in right upper extremity
Cyanosis
Warm skin of lower extremities
Weak femoral pulses
55
Nurse is teaching parent of a child who has worsening seizures. Which are treatment options? (select all.)
Radiation Therapyy
Focal Resection
Corpus callosotomy
Vagal Nerve Stimulator
56
Nurse is planning care for an infant who is experiencing pain. Which are interventions for this (Select all).
Kangaroo Care
Offer Pacifier
Swaddle
Use guided imagery
57
Nurse is caring for a child in the post-op period after a tonsillectomy. Which is a finding of post-op bleeding?
Inflammed and Red Throat
Blood-tinged mucous
Hgb 11.6 & Hct 37%
Frequent Swallowing and clearing of throat
58
Nurse is teaching a guardian of infant admin of oral meds. Which should nurse include in teaching? (Select all)
Hold the infant in a semi-reclining position
Add med to formula bottle before feeding
Ask pharmacy to add flavoring to med
Use nipple of a bottle to administer the med
59
What is the nursing priority action when giving ferrous sulfate?
Dental hygiene
Monitor their weight
Urine Culture
Assess bowel movement pattern
60
Erikson's Stage for School-age
Industry vs Identity
Trust vs Mistrust
Shame vs Guilt
Industry vs Inferiority
61
"I should use ice as pain relief when my child is having a Sickle Cell Crisis"
True
False
62
A nurse is providing education about activities for a 6 y/o. Which is appropriate?
Joining competitive sports
Solving Jigsaw Puzzles
Playing card games
Jumping rope
63
A nurse is providing guidance to parent of 13 y/o. Which screenings recommended? (Select all)
24-hr dietary recall
BMI
Weight
Scoliosis
64
2m/o with a VSD, mother is not concerned because he is not turning blue. What are reasons for concern? (Select all.)
Presence of cyanosis
Accessory muscle use while feeding
Poor weight gain
Accessory muscle use while breathing
65
When planning the care for a child with Kawasaki disease, which of the following would be most important?
Observing him for symptoms of bowel obstruction
Teaching him to live with a chronic illness
Making sure he performs postural drainage daily
Encouraging him to breathe deeply and cough
66
Erikson's Stage for Adolescent
Industry vs Independence
Sexual Maturation vs Identity
Identity vs Role Confusion
Identity vs Shame
67
Teaching child how to use Peak Flow Meter. Which is included in teaching? (select all.)
Zero the meter before using
Record avg of attempts
Deliver long, slow breath into the meter
Perform 3 attempts
68
A nurse is teaching a course about safety during school age. Which should be included (Select all.)
Riding safely in bed of pickup truck
Implementing Firearm Safety
Wearing Seatbelts
Wearing helmets when riding bikes and skateboard
69
Nurse is teaching a group of caregivers about separation anxiety. which of the following info should the nurse include?
It is observed in a school-age child
Detachment is the stage exhibited in the hospital
Kicking a stranger is an example
It results in prolonged issues of adaptability
70
Nurse is caring for a child who has absence seizures. Which findings should the nurse expect? (Select All.)
Appearance of Daydreaming
Piercing Cry
Dropping held objecs
Loss of Consciousness
71
A nurse is providing teaching about dental care and teething parent of 9-month-old. Which indicates understanding?
"I can give my baby a warm teething ring to relieve discomfort"
"I should clean my baby's teeth with a cool, wet washcloth"
"I can give advil for up to 5 days while my baby is teething"
"I should put diluted juice in the bottle baby drinks while falling asleep"
72
A nurse is planning care for child following surgery. Which should nurse include in plan of care?
Administer intranasal analgesics PRN
Administer IM analgesics for pain
Administer IV analgesics on a schedule
Administer NSAIDs for pain greater than 7/10
73
Child w/ Bronchioloitis. Which actions should nurse take?
Administer prednisone
Sucitons nasopharynx as needed
Administer Penicillin
Administer Humidified O2
74
A nurse is discussing prepubescence with parents of school age. Which should nurse include in discussion?
Growth differences between girls and boys become evident
Sexual maturation becomes highly visible in boys
Initial physiologic changes appear during early childhoood
Changes in heigh and weight occur slowly during this PD
75
What should a nurse include in teaching for a child with Cystic Fibrosis?
Restrict Physical Activity
Low-cal, low-protein snack
Implement a fluid restriction during times of infection
Administer Pancreatic enzymes with meals and snacks
76
Nurse is preparing to admin meds to a toddler. Which actions should they take?
Offer juice after the medication
Calculate Safe dosage
Tell caregiver to administer the med
Ask toddler to pick a toy to hold during administration
77
Nurse is providing teaching about the management of epistaxis to an adolescent. Which position should they take?
Lie inn supine
Lie in prone
Sit up and tilt head up
Sit up and lean forward
78
A nurse is caring for an infant who needs otic meds. Which is appropriate action?
Ensure med is cool
Pull pinna downward and back
Pull pinna upward and back
Hold infant upright
79
Nurse is discussing risk factors for asthma with a group of newly licensed nurses. Which should be included in teaching
Exposure to Smoke
Family history of allergies
Family history of asthma
Low birth rate
80
Nurse assessing pt with neuroblastoma of adrenal gland. Which are manifestations of metastasis? (select all.)
Periorbital ecchymoses
Weight gain
Bone pain
Weight gain
81
A nurse is teaching puberty in boys. Which should the nurse include as the first sign of sexual maturation?
Pubic hair growth
Testicular Enlargement
Facial hair growth
Vocal Changes
82
Nurse is teaching parents about risks for seizures. Which should the nurse include? (Select all.)
Sodium Imbalance
Low blood Lead lvls
Febrile Episodes
Hypoglycemia
83
Where do you perform a lumbar puncture?
L4-L5
L5-L6
L1-L3
L1-L5
84
Nurse is providing teaching to a parent with a child who has a neuroblastoma. Which should be included (Select all.)
"Child will need bone marrow biopsy'
"Your child will be paralyzed from this tumor"
"Most children are diagnosed around the age 12"
"Chemo and Radiation may be necessary"
85
A nurse is assessing a child's ears. Which of the following finds should the nurse expect?
Cerumen is present bilaterally
Bony landmarks are not visible
Light reflex is located at 2 o'clock position
Tympanic membrane is red in color
86
A nurse is preparing to admin an IM to a child. Which muscle groups are contraindicated?
Ventrogluteal
Dorsogluteal
Vastus Lateralis
Deltoid
87
Nurse is preparing to administer iron dextran IM to a school-age child with iron anemia. Which action is appropriate?
Avoid injecting more than 2mL with each dose
Use z-track method with administering
Administer dose in deltoid
Massage the injection site for 1 min after administer dose

311 Exam (ati textbook q) Flashcards | StudBud

311 Exam (ati textbook q)

87 termsStudBud Administration20 plays

Flashcards87 cardsFPractice quizPHost liveL

Questions 87

Answers

1
Nurse is teaching a parent about parallel play. Which statement should nurse include in teaching?
"Child exhibits organized play when in a group"
"The child plays alone"
"Child plays independently when in a group"
"Child sits and observes others playing"
2
A nurse is performing a neurologic assessment on an adolescent. Expected with trigeminal nerve? (Select all)
Clenching Teeth together tightly
Identifying smells through each nostril
Recognizing sour tastes on the back of the tongue
Detecting facial touches with eyes closed
3
Patient is diagnosed with Tetralogy of Fallot, what is the FIRST intervention to perform
Knee to Chest Position
Glenn procedure
Immediate ER intervention
Supplemental oxygen
4
A nurse is providing teaching parent preschool-age child about promoting sleep. Which indicates understanding?
"I will let my child stay yup an additional 2 hours on weekend nights"
"I will sleep in the bed with my child if she wakes up during the night"
"I will let my child watch TV for 30 min just before bedtime each night"
"I will keep a dim lamp on my child's room during the night"
5
Symptoms of Compartment Syndrome
Pain
Paresthesia
Pigmentation loss
Paralysis
6
Child with suspected rheumatic fever. Which are findings? (select all.)
erythema marginatum
Elevated C-reactive protein
Continuous joint pain of digits
tender subcu nodules
7
Teaching for child with Wilms Tumor, which should be included (Select all.)
"Palpating tumor could cause spread"
"Wilms' tumors are genetic in nature"
"Child will need chemo for 12 months"
"Surgery is done within 48 hours of diagnosis"
8
A nurse is caring for a child who is experiencing a generalized seizure. Which is priority action?
Try to determine trigger
Note time of postictal period
Position side lying
Reorient child to environment
9
Nurse is performing developmental screening on 18 month old. Which skills should they be able to do? (Select all.)
Use spoon w/o rotation
Walk up and down stairs
Build tower with 6 blocks
Throw ball overhand
10
A nurse is administering flu vaccine to toddler. Which actions should they take?
Place child in supine
Divide into 2 injections
Use 20-gauge needle
Administer sub-cu into abdomen
11
What type of precautions are used for Bacterial Meningitis
Droplet
Contact
Airborne
Respiratory
12
Nurse is assessing 4 m/o infant w/ meningitis. Which should they expect to see?
Presence of Rooting reflex
Depressed anterior fontanelle
Constipation
High-pitched cry
13
Nurse on peds unit is caring for toddler. Which behavior is an effect of hospitilzation? (select all)
Exhibits regressive behaviors
Experiences separation anxiety
Manifests disturbance in body image
Believes experience is a punishment
14
Nurse is teaching a parent of an infant w/ prescription for digoxin. Which instructions should the nurse include?
“If your baby vomits a dose, repeat the dose so they get the right dose”
“Give the correct dose of medication at regularly scheduled times.”
“Digoxin increases your baby’s heart rate.”
“Do not offer your baby fluids after giving the medication.”
15
Patient has epiglottis. Which of the following findings should the nurse expect? (Select all.)
Hoarseness, Difficulty Speaking, and Difficulty Swallowing
Lowgrade Fever
Stridor
Drooling
16
Expected findings in a child with Cystic Fibrosis (select all.)
Wheezing
Thin, Water Mucous
Clubbing
Barrel Chest
17
Child has asthma, which are indications of deterioration of child's respiratory status? (Select all.)
O2 Sat 95%
Wheezing
Warm Extremeties
Retraction
18
Nurse teaching about viral & bacterial meningitis. Which immunizations decrease incidence of bacterial meningitis in kid
Haemophhilius influenza type B
Inactivated Polio Vaccine (IPV)
Pneumococcal conjugate vaccine (PCV)
DTaP
19
Nurse is caring for preschooler. Which is expected behavior?
Understanding cause of illness
Describing manifestation of illness
Relating fears to magical thinking
Awareness of body functioning
20
A nurse is assessing a 6-month old infant. Which of the following reflexes should the infant exhibit?
Plantar Grasp
Stepping
Tonic Neck
Moro Reflex
21
Oral iron teaching, what indicates understanding from parent?
"I should take my child to the emergency room if is stools become dark"
"My child should avoid eating citrus fruits with the supplements"
"I should give iron through a straw"
"My child should take the supplement through a straw"
22
Nurse is preparing toddler for IV cath using atraumatic care. Which actions should they take? (select all)
Allow child to make 1 choice regarding procedure
Explain procedure using child's favorite toy
Apply lidocaine and prilocaine cream to multiple insertion sites
Perform procedure with child in his bed
23
Erikson's Stage for Toddler
Autonomy vs Guilt
Initiative vs Guilt
Trust vs Shame
Autonomy vs Shame
24
Nurse is assessing a 2.5 y/o at a well-visit. Which findings should the nurse report?
Head circum exceeds chest circum
Both fontanelles are closed
Current weight is 4x birth weight
Height increased by 3 in in past year
25
Erikson's Stage for Infant
Trust vs Mistrust
Autonomy vs Shame
Trust vs Shame
Googoo vs Gaga
26
A nurse is assessing a 12-month-old infant during well visit. Which should they report to provider?
Birth Weight Doubled
Eruption of six teeth
Closed anterior fontanelle
Birth length increased by 50%
27
Nurse is reviewing record of client w/ Reye syndrome. Which is a risk factor?
Recent history of Haemophelius influenza meningitis
Recent episode of gastroenteritis
Recent history of infectious cystitis caused by Candida
Recent history of bacterial otitis media
28
A nurse is performing developmental screening on 3 y/o. What activity should she expect him to perform?
Ride a tricycle
Jump rope
Hop on one foot
Throw a ball overhead
29
Caring for a 2y/o who has a defect and scheduled for a cardiac cath. Which intervention should nurse take?
Place NPO for 12 hr
Check for iodine or shellfish allergy
Elevated affected extrem
Limit fluid intake during procedure
30
Nurse is completing a pain assessment on an infant. Which scale should
Oucher
FACES
FLACC
Wong-Baker
31
Nurse reviewing CSF analysis on client with suspected meningitis. Findings for VIRAL meningitis?(select all.)
Normal Glucose Content
Negative Gram Stain
Normal protein content
Decreased WBC
32
Nurse is reviewing diagnostic findings of preschool age child with Cystic Fibrosis. Which is an indication?
72 hr stool analysis indicated hard, packed stools
Chest X-Ray negative for atelectasis
Sweat chloride content of 85 mEq/L
Increased blood levels of fat-soluble vitamins
33
Nurse is assessing an infant. Which of the findings exhibits its experiencing pain? (Select all)
Lowered Eyebrows
Pushes away from stim
Loud cry
Pursed Lips
34
Erikson's Stage for Preschool-age
Identity vs Guilt
Autonomy vs Problems
Industry vs Shame
Initiative vs Guilt
35
Infant diagnosed with CP. What information would the nurse want her parents to know about her prognosis?
Symptoms may seem to grow worse as fine motor skill is needed.
Symptoms of CP typically begin to wane just after puberty.
Severity of cognitive deficits parallels the severity of physical deficits.
CP may occasionally be caused by a childhood vaccine reaction.
36
Nurse is providing guidance to parents of toddler. Which should they include? (Select all.)
Expression of bedtime fears is common
Expect behaviors associated with negativism and ritualism
Meeting caloric needs results in an increased appetite.
Develop food habits that will prevent cavities
37
Nurse is caring for a child in skeletal traction, what actions should nurse take? (select all.)
ensure knot is in contact with pulley
assess position frequently
JAZZ HANDS FREE HANGING WEIGHTS JAZZ HANDS
assess pin sites every 4 hours
38
Post-op for Wilms' tumor removal, which indicated continuation of NPO?
"Passing flatus every 30 min"
Absent Bowel Sounds
Abdominal girth 1cm larger than yesterday
Pain at operative site
39
A nurse is checking vital signs of a 3 y/o during a well-visit. Which of the following findings should the nurse report?
Temp 37.2C (99.0F)
BP 88/54 mmHg
Heart Rate 106/min
RR 30/min
40
Teaching caregivers about fractures, what should be included in teaching?
"Epiphyseal Plan injuries can result in altered bone growth"
"Bones are unable to bend, so they break"
"Children need a longer time to heal from a fracture than adults"
"A greenstick fracture is a complete break in the bone"
41
Caring for a toddler with Wilms Tumor, which actions should the nurse take?
Prepare the child for surgery
Teach parent about dialysis
Obtain 24-hr urine culture
Palpate the child's abdomen to identify size of tumor
42
How long after starting antibiotics for bacterial meningitis should Droplet Precautions last?
72 hrs
48 hrs
24 hrs
12 hrs
43
What is the nursing priority action for children taking Hydroxyurea for sickle cell?
Urine Culture
Monitor their weight
Assess bowel movement pattern
Dental hygiene
44
A nurse is performing a developmental screening on a 10-month-old infant. Which fine motor expected?
Use crude pincer grasp
Grasp Rattle by handle
Place objects in container
Walks with one hand held
45
A nurse is caring for a client who has suspected meningitis and a decreased LOC. Which action should the nurse take?
Position the client dorsal recumbent
Place client NPO
Prepare patient for liver biopsy
Put client in protected environment
46
Nurse is planning care for a child with asthma. Which of the following interventions should nurse include? (Select all.)
Monitor O2 sat
Administer bronchodilators
Chest Percussions
Upright Position
47
A nurse is caring for adolescent about child sleeping long hours. Which should nurse inform parent about?
they are experiencing rapid growth
they have elevated zinc lvls
they have a slowed metabolism
they have sleep terrors
48
When planning the care for a child with Kawasaki disease, which of the following would be most important?
Teaching him to live with a chronic illness
Making sure he performs postural drainage daily
Encouraging him to breathe deeply and cough
Observing him for symptoms of bowel obstruction
49
Nurse is caring for a child in post-op period following a tonsillectomy. Which action should the nurse take?
Offer OJ
Encourage child to blow nose gently.
Position supine
Administer analgesics on schedule
50
A nurse prepping education for parent of preschool age about nutrition. which of the following should the nurse include?
Healthy diets include a total of 8g protein each day
Sat fats should equal 20% of total daily caloric intake
Daily intake of fruits & veggies should be 2 servings
Average calorie intake should be 1,800 calories per day
51
A nurse is providing education about introducing new foods to the parent of a 4 month old. Which food recommended first?
Iron-fortified cereals
Whole milk
Pureed Fruits
Strained yellow veggies
52
Signs of Increased ICP? (Select All.)
Headache when arising
Vomiting with nausea
Strabismus
Diplopia
53
A nurse is preparing to assess a preschooler. Which of the following actions should the nurse take to prepare the child?
use medical terminology to describe what will happen
separate the child from the caregiver during the exam
keep medical equipment visible to the child
allow the child to role-play using miniature equipment
54
Infant with Coarctation of the Aorta, what should the nurse expect? (select all.)
High blood pressure in right upper extremity
Cyanosis
Warm skin of lower extremities
Weak femoral pulses
55
Nurse is teaching parent of a child who has worsening seizures. Which are treatment options? (select all.)
Radiation Therapyy
Focal Resection
Corpus callosotomy
Vagal Nerve Stimulator
56
Nurse is planning care for an infant who is experiencing pain. Which are interventions for this (Select all).
Kangaroo Care
Offer Pacifier
Swaddle
Use guided imagery
57
Nurse is caring for a child in the post-op period after a tonsillectomy. Which is a finding of post-op bleeding?
Inflammed and Red Throat
Blood-tinged mucous
Hgb 11.6 & Hct 37%
Frequent Swallowing and clearing of throat
58
Nurse is teaching a guardian of infant admin of oral meds. Which should nurse include in teaching? (Select all)
Hold the infant in a semi-reclining position
Add med to formula bottle before feeding
Ask pharmacy to add flavoring to med
Use nipple of a bottle to administer the med
59
What is the nursing priority action when giving ferrous sulfate?
Dental hygiene
Monitor their weight
Urine Culture
Assess bowel movement pattern
60
Erikson's Stage for School-age
Industry vs Identity
Trust vs Mistrust
Shame vs Guilt
Industry vs Inferiority
61
"I should use ice as pain relief when my child is having a Sickle Cell Crisis"
True
False
62
A nurse is providing education about activities for a 6 y/o. Which is appropriate?
Joining competitive sports
Solving Jigsaw Puzzles
Playing card games
Jumping rope
63
A nurse is providing guidance to parent of 13 y/o. Which screenings recommended? (Select all)
24-hr dietary recall
BMI
Weight
Scoliosis
64
2m/o with a VSD, mother is not concerned because he is not turning blue. What are reasons for concern? (Select all.)
Presence of cyanosis
Accessory muscle use while feeding
Poor weight gain
Accessory muscle use while breathing
65
When planning the care for a child with Kawasaki disease, which of the following would be most important?
Observing him for symptoms of bowel obstruction
Teaching him to live with a chronic illness
Making sure he performs postural drainage daily
Encouraging him to breathe deeply and cough
66
Erikson's Stage for Adolescent
Industry vs Independence
Sexual Maturation vs Identity
Identity vs Role Confusion
Identity vs Shame
67
Teaching child how to use Peak Flow Meter. Which is included in teaching? (select all.)
Zero the meter before using
Record avg of attempts
Deliver long, slow breath into the meter
Perform 3 attempts
68
A nurse is teaching a course about safety during school age. Which should be included (Select all.)
Riding safely in bed of pickup truck
Implementing Firearm Safety
Wearing Seatbelts
Wearing helmets when riding bikes and skateboard
69
Nurse is teaching a group of caregivers about separation anxiety. which of the following info should the nurse include?
It is observed in a school-age child
Detachment is the stage exhibited in the hospital
Kicking a stranger is an example
It results in prolonged issues of adaptability
70
Nurse is caring for a child who has absence seizures. Which findings should the nurse expect? (Select All.)
Appearance of Daydreaming
Piercing Cry
Dropping held objecs
Loss of Consciousness
71
A nurse is providing teaching about dental care and teething parent of 9-month-old. Which indicates understanding?
"I can give my baby a warm teething ring to relieve discomfort"
"I should clean my baby's teeth with a cool, wet washcloth"
"I can give advil for up to 5 days while my baby is teething"
"I should put diluted juice in the bottle baby drinks while falling asleep"
72
A nurse is planning care for child following surgery. Which should nurse include in plan of care?
Administer intranasal analgesics PRN
Administer IM analgesics for pain
Administer IV analgesics on a schedule
Administer NSAIDs for pain greater than 7/10
73
Child w/ Bronchioloitis. Which actions should nurse take?
Administer prednisone
Sucitons nasopharynx as needed
Administer Penicillin
Administer Humidified O2
74
A nurse is discussing prepubescence with parents of school age. Which should nurse include in discussion?
Growth differences between girls and boys become evident
Sexual maturation becomes highly visible in boys
Initial physiologic changes appear during early childhoood
Changes in heigh and weight occur slowly during this PD
75
What should a nurse include in teaching for a child with Cystic Fibrosis?
Restrict Physical Activity
Low-cal, low-protein snack
Implement a fluid restriction during times of infection
Administer Pancreatic enzymes with meals and snacks
76
Nurse is preparing to admin meds to a toddler. Which actions should they take?
Offer juice after the medication
Calculate Safe dosage
Tell caregiver to administer the med
Ask toddler to pick a toy to hold during administration
77
Nurse is providing teaching about the management of epistaxis to an adolescent. Which position should they take?
Lie inn supine
Lie in prone
Sit up and tilt head up
Sit up and lean forward
78
A nurse is caring for an infant who needs otic meds. Which is appropriate action?
Ensure med is cool
Pull pinna downward and back
Pull pinna upward and back
Hold infant upright
79
Nurse is discussing risk factors for asthma with a group of newly licensed nurses. Which should be included in teaching
Exposure to Smoke
Family history of allergies
Family history of asthma
Low birth rate
80
Nurse assessing pt with neuroblastoma of adrenal gland. Which are manifestations of metastasis? (select all.)
Periorbital ecchymoses
Weight gain
Bone pain
Weight gain
81
A nurse is teaching puberty in boys. Which should the nurse include as the first sign of sexual maturation?
Pubic hair growth
Testicular Enlargement
Facial hair growth
Vocal Changes
82
Nurse is teaching parents about risks for seizures. Which should the nurse include? (Select all.)
Sodium Imbalance
Low blood Lead lvls
Febrile Episodes
Hypoglycemia
83
Where do you perform a lumbar puncture?
L4-L5
L5-L6
L1-L3
L1-L5
84
Nurse is providing teaching to a parent with a child who has a neuroblastoma. Which should be included (Select all.)
"Child will need bone marrow biopsy'
"Your child will be paralyzed from this tumor"
"Most children are diagnosed around the age 12"
"Chemo and Radiation may be necessary"
85
A nurse is assessing a child's ears. Which of the following finds should the nurse expect?
Cerumen is present bilaterally
Bony landmarks are not visible
Light reflex is located at 2 o'clock position
Tympanic membrane is red in color
86
A nurse is preparing to admin an IM to a child. Which muscle groups are contraindicated?
Ventrogluteal
Dorsogluteal
Vastus Lateralis
Deltoid
87
Nurse is preparing to administer iron dextran IM to a school-age child with iron anemia. Which action is appropriate?
Avoid injecting more than 2mL with each dose
Use z-track method with administering
Administer dose in deltoid
Massage the injection site for 1 min after administer dose