Which children must be secured in a back seat in a rear facing safety seat?

children weighing up to 20 pounds

When you perform an initial assessment of an adolescent with depression, what is the most important question to ask?

Have you ever thought about suicide?

Which statement correctly explains the etiology of Down syndrome?

There is an extrachromosome on the 21st pair.

What is a disadvantage of using a mist tent with a toddler?

The wet bedding andclothing must be changed frequently.

Following a lumbar puncture of a 2-year-old, what should the nurse do?

Allow the child to play quietly at will

Why must the pediatric nurse be cautious about medicating infants and young children?

They are more susceptible to medication effects than adults.

SATA: Strategies to promote dental health in children include:

use water in the betime bottle, cleanse infant's oral cavity with damp washcloth, encourage proper nutrition & avoid foods with concentrated sugars

What are the clinical manifestations of otitis media?

Fever, irritability, pulling on ear

What is the purpose of a mist tent?

To liquefy respiratory secretions

SATA: Which are part of the classification system for Congenital Heart disease?

obstruction to systemic blood flow, mixed blood flow, increased & decreased pulmonary blood flow

An 8-year-old child asks how a blood pressure is taken. What would be the most appropriate response?

The band will hug your arm & tell me how the blood is moving in your arm

Regular physical activity has which positive effect on children?

Increases bone and muscle strength.

Which signs/symptoms would be considered classical signs of meningeal irritation?

Positive Brudzinski sign,positive Kernig sign, and photophobia

What should be included in the teaching plan for the parents of a 3-year-old child who has been prescribed an opioid?

The opioid is veryeffective as a pain control method.

SATA: Which interventions should be included when teaching an accident prevention class for parents of newborns?

carry baby with 2 hands & use an approved car seat, make sure you test the bath water, never use plastic bags in crib

What assessment findings should lead the nurse to suspect Down syndrome in a newborn?

Low-set ears and a simiancrease

SATA: The following are all clinical manifestations of sickle cell disease:

tachypnea, pneumonia & stasis ulcers, hematuria

What is one way to enhance the nutrition of the hospitalized toddler?

Offer nutritious fluidsfrequently.

How is the infant with gastroesophageal reflux (GER) typically treated?

By thickening the formula or breast milk with cereal

SATA: Clinical manifestations of physical abuse include:

apprehension when other children cry, low self esteem & suicide attempts, fear of parents or going home, frequent injuries explained as accidents

What should the nurse do to minimize an unpleasant-tasting drug?

Administer the drug through a straw.

A 6-m/o is diagnosed with iron deficiency anemia & the parents ask why it wasn't diagnosed before. What do you say?

This happens when thematernal stores of iron are depleted at about 6 months

While talking to the parents of a child undergoing surgery, they appear confused & forgetful. What may be causing this?

Increased level of parents’anxiety

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LPN Pediatrics Final Exam

79 termsStudBud Administration67 plays

LPN 20/21 Peds Final Elsevier Chapters 30, 31, & 32

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Questions 79

Answers

1
A newborn has talipes and is wearing casts. How often should the casts be changed?
monthly
biweekly
daily
weekly
2
Which children must be secured in a back seat in a rear facing safety seat?
children weighing up to 20 pounds
children weighing between 20 and 30 pounds
children weighing between 30 and 40 pounds
children weighing more than 40 pounds
3
The nurse instructs the parents of a child who has had a myringotomy to place the child in which position?
On the affected side
In a Trendelenburg’sposition
On the unaffected side
Supine
4
What is the most common clinical manifestation of coarctation of the aorta?
loud systolic ejection murmur
pedal edema and portal congestion
clubbing of the digits
upper extremity hypertension
5
How should an infant be positioned after a feeding?
on the stomach
on the back
on the right side
on the left side
6
What is the preferred IM injection site for a 2-year-old?
deltoid muscle
vastus lateralis
gluteus
upper thigh
7
In what position will does a Pavlik harness hold a child’s femurs?
adduction
flexion
extension
abduction
8
When you perform an initial assessment of an adolescent with depression, what is the most important question to ask?
Have you ever thought about suicide?
What is making you depressed?
Would you like your friends to visit?
What could we do to make you happy?
9
Which statement correctly explains the etiology of Down syndrome?
There is an extrachromosome on the 21st pair.
There are two pairs of the21st chromosome.
The chromosome’s 21st pairis missing.
There is a missingchromosome on the 21st pair.
10
An infant has been diagnosed with cradle cap. What is the correct intervention to treat the scalp?
alcohol
A & D ointment
mineral oil
calamine
11
Lack of physical activity & increased consumption of fast food are causative factors contributing to which issues?
weight gain
dental caries
Type 1 diabetes
nutritional disorders
12
What is a disadvantage of using a mist tent with a toddler?
The wet bedding andclothing must be changed frequently.
All objects must be keptoutside of the tent.
The nurse must remove therestless child.
The mist tent must beopened at least once every hour
13
What is the correct way to assess for the presence of jaundice in an African-American child?
press the edge of the pinna
compare the color to the soles of the feet
examine the sclera
apply pressure to the gum
14
Following a lumbar puncture of a 2-year-old, what should the nurse do?
Stand the child upright immediately.
Hold the child in a flexed position for 5 minutes
Allow the child to play quietly at will
Keep the child flat for several hours
15
Where is the typical IV insertion site in an infant younger than 9 months of age?
scalp vein
femoral vein
radial vein
brachial vein
16
A child diagnosed with sickle cell anemia is having pain. What is the most likely cause of this?
Inflammation of the vessels
Stress-related headaches
Overhydration
Obstructed blood flow
17
Why must the pediatric nurse be cautious about medicating infants and young children?
They are more susceptible to drug interactions than adults.
They are less susceptible to medication effects than adults
They are equally susceptible to medication effects as adults
They are more susceptible to medication effects than adults.
18
SATA: Strategies to promote dental health in children include:
use water in the betime bottle
cleanse infant's oral cavity with damp washcloth
encourage proper nutrition & avoid foods with concentrated sugars
initiate fluoride treatments at 3 months of age
19
When a safety reminder device (SRD) is used to protect a child, what is a responsibility of the nurse?
Use it for convenience
Remove it every 2 hours.
Attach to the side rails.
Apply it loosely.
20
What are the clinical manifestations of otitis media?
Earache, wheezing, vomiting
Coughing, rhinorrhea, headache
Wheezing, cough, drainagein ear canal
Fever, irritability, pulling on ear
21
What is the purpose of a mist tent?
To improve the infant’s hydration
To provide a constant oxygen supply
To aid in lowering temperature
To liquefy respiratory secretions
22
A child with Duchenne muscular dystrophy rises from the floor by walking up the thighs with the hands. This is called:
Gowers sign
Leg crawling
Hand assistance
Bright sign
23
SATA: Which are part of the classification system for Congenital Heart disease?
obstruction to systemic blood flow
mixed blood flow
relational blood flow
increased & decreased pulmonary blood flow
24
An 8-year-old child asks how a blood pressure is taken. What would be the most appropriate response?
This small machine willmeasure your systolic and diastolic pressure
The band will hug your arm & tell me how the blood is moving in your arm
When you are ill we need toknow if your blood is still moving in your body
The band will cut off your circulation and then we can hear it come back
25
How many minutes of daily exercise is recommended by the FDA for children?
60
15
30
45
26
Regular physical activity has which positive effect on children?
Reduces fluid retention.
Increases attention span.
Increases bone and muscle strength.
Improves social skills.
27
What are the major risks of unprotected sex?
abortions & STIs
pregnancy & UTIs
pregnancy & STIs
trauma and STIs
28
What is the single most preventable cause of death and disease in the United States today?
drug use
malnutrition
cigarette smoking
alcohol addiction
29
At what temperature should water be set at to prevent burns?
no more than 130 degrees F
no more than 140 degrees F
no more than 120 degrees F
no more than 110 degrees F
30
Which signs/symptoms would be considered classical signs of meningeal irritation?
Positive Kernig sign, diarrhea, and headache
Negative Brudzinski sign,positive Kernig sign, and irritability
Negative Kernig sign,vomiting, and fever
Positive Brudzinski sign,positive Kernig sign, and photophobia
31
A child has developed a diaper rash, and the parents are using zinc oxide to treat it. What do you suggest to remove it?
alcohol swabs
mild soap and water
mineral oil
a cotton ball
32
What should be included in the teaching plan for the parents of a 3-year-old child who has been prescribed an opioid?
The opioid is veryeffective as a pain control method.
The opioid is likely tocause significant respiratory depression
The opioid is only to begiven in cases of severe pain.
The medicine is prescribedwith the knowledge that addiction may occur
33
SATA: Which interventions should be included when teaching an accident prevention class for parents of newborns?
carry baby with 2 hands & use an approved car seat
make sure you test the bath water
tuck in blankets & use a soft mattress
never use plastic bags in crib
34
Nutrition has the single most important influence on.....
the growth of bones & muscles
cognitive development
secondary sexual characteristics
the production of blood cells
35
What assessment findings should lead the nurse to suspect Down syndrome in a newborn?
Hypertonia and dark skin
Long, thin fingers andexcessive hair
Inner epicanthal folds anda high, domed forehead
Low-set ears and a simiancrease
36
What is the leading cause of fatal injury in children younger than 1 year old?
burns
MVAs
asphyxiation
poisons
37
What should be done before initiating a gavage feeding?
Check for gastricdistention.
Aspirate stomach contents.
Ensure the sterility offeeding equipment.
Hold the feeding tube under water to check for bubbling.
38
SATA: The following are all clinical manifestations of sickle cell disease:
tachypnea
hypotension & bradycardia
pneumonia & stasis ulcers
hematuria
39
What is one way to enhance the nutrition of the hospitalized toddler?
Offer nutritious fluidsfrequently.
Discourage participation innoneating activities.
Leave nutritious fingerfoods out for the child to eat.
Reward with sweets foreating meals.
40
How often should a child on medication for ADHD be assessed for side effects of the drug therapy?
every 2 months
every 4 months
every 6 months
every 8 months
41
How is the infant with gastroesophageal reflux (GER) typically treated?
By switching the infant to cow’s milk
By placing the infant to sleep on the side
By making the infant NPO
By thickening the formula or breast milk with cereal
42
SATA: Clinical manifestations of physical abuse include:
apprehension when other children cry
low self esteem & suicide attempts
fear of parents or going home
frequent injuries explained as accidents
43
How should the nurse measure urinary output for an infant with dehydration?
Attaching a urine collecting bag
Weighing the diaper
Inserting a catheter
Wringing out the diaper
44
What should the nurse do to minimize an unpleasant-tasting drug?
Pour the drug over ice.
Enlist the parent’s assistance.
Administer the drug through a straw.
Squirt the drug in the mouth with a syringe.
45
What is the special category that encompasses children with congenital abnormalities, malignancies, & GI or CNS issues?
very dependent children
children requiring long term care
children with special needs
children requiring special education
46
A 6-m/o is diagnosed with iron deficiency anemia & the parents ask why it wasn't diagnosed before. What do you say?
Are you sure your child has iron deficiency anemia?
This happens when thematernal stores of iron are depleted at about 6 months
The child may not have had it for a long time.
This anemia is caused byblood loss.”
47
What is the maximum amount of time that a nurse should suction an artificial airway?
1 second
30 seconds
1 minute
5 seconds
48
What is the main characteristic of cystic fibrosis?
An overproduction of thinmucus
Multiple upper respiratoryinfections
Excessive, thick mucus
An underproduction ofexocrine glands
49
Parents ask about preparing their toddler for hospital admission. When do you suggest the parents tell their toddler?
the day of admission
2 or 3 days before
two weeks prior
a week prior
50
While talking to the parents of a child undergoing surgery, they appear confused & forgetful. What may be causing this?
Increased level of parents’anxiety
Developmental age of thechild
Serious nature of surgery
Noisy environment
51
What practice should be used by the nurse to remind parents of responsibility to reduce accidents involving children?
strict discipline
child awareness
anticipatory guidance
good manners
52
What is the hallmark sign of intussusception?
mucus like stools
currant jelly like stools
tarry, black stools
green, soft stools
53
What should the therapeutic management of iron deficiency anemia include?
Iodine
Multivitamins
Calcium
Ferrous sulfate
54
What is the most common method of attempted suicide?
slashing the wrists
hanging
drug overdose
gunshot
55
Which vaccine has the possibility to protect against cervical cancer?
varicella
meningococcal
cervarix
rotavirus
56
When using anticipatory guidance with a 5-year-old for an IM injection, what statement is most appropriate?
I’m going to give you a shot.
Some medicine can only be given with a needle
The health care provider wants you to have medicine and it will hurt
I am giving you some medicine that will sting, but only for a little while
57
An adolescent female asks the nurse about taking retinoic acid (Accutane). What must the nurse tell her?
The medication requires that sexually active females use contraception
The medication has few sideeffects.
The medication should beused only for 10 weeks.
The medication lowershemoglobin very quickly
58
What observation in an emergency department should lead a nurse to suspect child abuse in a child with a fractured arm?
The child not answeringquestions concerning the injury
Lack of parental concernfor the severity of the injury
Parents not asking aboutthe child’s condition
Inconsistency between theinjury and the parents’ explanation of it
59
What potential problems should you assess for in a adolescent child with recurrent abdominal pain (RAP)?
physical problems
relational problems
eating disorders
emotional problems
60
To prevent accidental poisoning of a child, where should medications be placed in the home?
in the medicine cabinet
in a dresser drawer
in a locked cabinet
on a high shelf
61
What is the correct order for assessing vital signs in an infant to ensure the accuracy of measurements?
Pulse, respiration,temperature
Temperature, pulse,respiration
Respiration, pulse,temperature
Respiration, temperature,pulse
62
What advise can you give a parent to prevent dental caries in their child?
sugar coated pacifier
juice at bedtime
water at bedtime
milk at bedtime
63
Which laboratory results should the nurse anticipate to be abnormal in a child with hemophilia?
Partial thromboplastin time
Bleeding time
Prothrombin time
Platelet count
64
The mom of a child with varicella asks you when her child would no longer contagious. What do you say?
when the fever dissipates
when the lesions are crusted over
when the lesions have healed
after the incubation period
65
What should be the focus of a practice where the pediatric nurse uses a developmental approach?
Characteristics for theparticular age
Stimulation of the child toreach expected norms
Strengths and abilities ofthe child
Age-centered care plans
66
What are the early signs of varicella disease?
Increased appetite
High fever over 101°F(38.3°C)
General malaise
Crusty sores
67
What is the best time to bathe an infant?
after a feeding
early in the morning
at bedtime
before a feeding
68
Why is a child with acute laryngotracheobronchitis (LTB) kept NPO?
The child is not hungry.
The child is being hydrated with IV fluids.
The epinephrine given causes nausea and vomiting.
The child’s rapid respirations pose a risk for aspiration.
69
What is the best time to administer pancreatic enzyme replacement?
After meals and snacks
Early in the morning
Before bedtime
Before meals and snacks
70
A mom is upset because her 2-year-old who was potty-trained before admission begins to wet the bed. What do you say?
Let’s put a diaper on yourchild until this gets better
Your child will relearn‘potty-training’ if you are patient
The stress ofhospitalization makes children regress a little
Don’t be concerned.Accidents happen
71
The nurse clarifies that child abuse & neglect are complicated & preventable problems falling under which broader term?
Child torment
Child maltreatment
Child mismanagement
Child abandonment
72
A philosophy of care that recognizes the family as the constant in the child’s life is called:
family centered care
parent centered care
child based care
systems based care
73
What activity by an infant would cause a false elevation of the tympanic temperature?
Having been in a cold room
Crying vigorously
Having a bowel movement
Having just eaten
74
Which factor is mostly associated with domestic violence, STIs, school failure & MVAs?
psychological problems
lack of supervision
substance abuse
physiological problems
75
A mom of a child on the family-centered pediatric unit wants to see her child’s lab reports. Which is the best response?
I can tell you that the labs were fine.
Come to the conference room so you can look at them in private.
I'll write them down for you and bring them to your room
I'll let the doctor know that you want to see the reports.
76
Why does obtaining the respirations of an infant require a modified approach from that of an adult?
Infants’ respirations arethoracic in nature.
Infants’ respiratorymovements are abdominal.
Infants have very rapidrespirations.
Infants breathe throughtheir noses.
77
When measuring the head circumference of an infant, where should the nurse place the tape measure?
Around forehead and aroundthe crown of the head
Across the eyebrows andaround the occipital lobe
Over the zygomatic archesand around the parietal areas
Above the eyebrows andpinnas, and around the occipital lobe
78
The nurse educates the family of a newly admitted child with cystic fibrosis that the treatment will be centered on:
Prevention of diarrhea
Insulin therapy
Chest physiotherapy
Mucus-drying agents
79
The mom of a 3-year-old is worried about her daughter’s slowed growth rate. What would be the best response?
The growth of a 3 y/o is associated with nutrition. How is she eating?”
Your daughter is healthy and happy. Don’t worry about it.
3 y/o have finished a growth spurt so you may see a decreased growth rate
Children’s growth ishereditary. She may be of small stature like you

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