NCLEX HURST REVIEW - PEDIATRICS READINESS EXAM 1 -WITH 100% VERIFIED SOLUTIONS -2022 -2024 for a child with a heart defect, would you give them something to do that will get them excited and increase their heart rate? why? -CORRECT ANSWER --no, that would increase the workload of the heart *don't choose a "fun" toy would you give a child in a croup tent their favorite teddy bear from home? why? -
CORRECT ANSWER --no, it would get wet and harbor bacteria would it be appropriate or inappropriate for you to get into the croup tent to play with an 18 months old baby? -CORRECT ANSWER --unless they're asleep, you will probably need to get into the croup tent with them to keep them in the tent and inhaling the humidified oxygen bring a change of clothes what toy is most appropriate for an infant? -CORRECT ANSWER --rattle when a ba by is born, they all have an ___________ grasp reflex -CORRECT ANSWER -
-involuntary when does the anterior fontanel close? -CORRECT ANSWER --12-18 months when does the posterior fontanel close? -CORRECT ANSWER --2-3 months why are new foods introduced to infa nts one at a time? -CORRECT ANSWER --worried about allergies and immature GI tract how is the earlobe positioned to view the auditory canal in a child under the age of two? -CORRECT ANSWER --down and back what is the most common reason for failed toilet trai ning? -CORRECT ANSWER --they are not ready how many cups of milk should a 15 month old toddler consume daily? -CORRECT ANSWER --2-3 cups at what age does the best friend stage occur? -CORRECT ANSWER --9-10 years what are the major causes of accidents in child ren up to 1 year of age? -CORRECT ANSWER --falls, poison, and burns between ages 6 -12, what is the major cause of accidents? -CORRECT ANSWER --MVA what happens to the growth rate between 6 -12 years of age? -CORRECT ANSWER --
decreases a school age child requir es, one average, how many calories per day? -CORRECT ANSWER --2400 calories how much earlier do girls experience the onset of puberty than boys? -CORRECT ANSWER --about 1 -2 years talk to the _______ before you talk to the _________ -CORRECT ANSWER --parents, child what order should you take vital signs? -CORRECT ANSWER --respirations HR blood pressure/o2 sat temp always count RR and HR for ________ because of irregularities -CORRECT ANSWER -
-1 minute if vital signs cannot be taken without disturbing the child then record the __________ with the measurements -CORRECT ANSWER --behavior how should you take the temperature of a child less than 2 yrs? -CORRECT ANSWER --
rectal, axillary, or tympanic when can y ou start doing oral temps? -CORRECT ANSWER --5-6 yrs the pulse/waveform/intensity display on the oximeter machine should correlate with the child's ________ pulse -CORRECT ANSWER --radial what do newborns respond to? -CORRECT ANSWER --human voice, presence, encourage parent's touch how should you speak to an infant? -CORRECT ANSWER --high-pitched voice, cuddle, pat, rub to calm toddlers and preschoolers have a greater ______ than expressive language -
CORRECT ANSWER --receptive toddlers and preschoolers use _____ __ and ______ thinking -CORRECT ANSWER --
concrete, literal describe a toddlers/preschoolers cognitive development -CORRECT ANSWER --
egocentric, magical thinkers, animism toddlers/preschoolers express themselves through dramatic _____ and ______ -
CORRECT ANSW ER--play and drawing describe a school age child's cognitive development -CORRECT ANSWER --able to use logic, understands others point of view, understands cause and effect, understands body functions a school age child's receptive and expressive language i s _________ -CORRECT ANSWER --balanced adolescents have ______ thinking without full _____ comprehension -CORRECT ANSWER --abstract, adult what are some nursing strategies for adolescents? -CORRECT ANSWER --
straightforward approach; talk in private area; cond uct at least part of the interview without parents present what are some observable signs of respiratory dysfunction? -CORRECT ANSWER --
accessory muscle use nasal flaring circumoral pallor sternal retractions capillary refill >3 seconds what is laryngot racheobronchitis (LTB)? -CORRECT ANSWER --the most common type of croup experienced by children admitted tot eh hospital primarily affects children under 5 yrs; caused from a viral infection what are some s/s of upper respiratory distress? -CORRECT ANSWER --slight to severe dyspnea barking or brassy cough increased temperature how do you treat LTB? -CORRECT ANSWER --manage children at home with mild croup (steam, car rides with windows down, c ool-temperature therapy) if symptoms worsen, hospitalization is required (nebulized EPI, corticosteroids) nebulized epi has a ______ onset and improvement is seen in _______ mins -
CORRECT ANSWER --rapid, 10 -15 mins corticosteroids _________ inflammation of the airway -CORRECT ANSWER --decrease what is epiglottitis? -CORRECT ANSWER --a serious obstructive inflammatory process that occurs in children 2 -5 years of age absence of cough, presence of dysphagia, rapid progression to severe respiratory distress ____ ____ kids look worse than they sound; _________ kids sounds worse than they look -CORRECT ANSWER --epiglottitis, croup what is RSV? -CORRECT ANSWER --an acute viral infection that affects the bronchioles and includes RSV, bronchiolitis, and RSV pneumonia what is the leading cause of lower respiratory tract illness in children less than 2 years? -CORRECT ANSWER --RSV what are some risk factors for RSV? -CORRECT ANSWER --prematurity congenital disorders smoke what medications do children @ high risk for RSV get ? -CORRECT ANSWER --
palivizumab (Synagis) & respiratory syncytial virus immune globulin (RespiGam) what are some s/s of RSV? -CORRECT ANSWER --URI nasal discharge mild fever
CORRECT ANSWER --no, it would get wet and harbor bacteria would it be appropriate or inappropriate for you to get into the croup tent to play with an 18 months old baby? -CORRECT ANSWER --unless they're asleep, you will probably need to get into the croup tent with them to keep them in the tent and inhaling the humidified oxygen bring a change of clothes what toy is most appropriate for an infant? -CORRECT ANSWER --rattle when a ba by is born, they all have an ___________ grasp reflex -CORRECT ANSWER -
-involuntary when does the anterior fontanel close? -CORRECT ANSWER --12-18 months when does the posterior fontanel close? -CORRECT ANSWER --2-3 months why are new foods introduced to infa nts one at a time? -CORRECT ANSWER --worried about allergies and immature GI tract how is the earlobe positioned to view the auditory canal in a child under the age of two? -CORRECT ANSWER --down and back what is the most common reason for failed toilet trai ning? -CORRECT ANSWER --they are not ready how many cups of milk should a 15 month old toddler consume daily? -CORRECT ANSWER --2-3 cups at what age does the best friend stage occur? -CORRECT ANSWER --9-10 years what are the major causes of accidents in child ren up to 1 year of age? -CORRECT ANSWER --falls, poison, and burns between ages 6 -12, what is the major cause of accidents? -CORRECT ANSWER --MVA what happens to the growth rate between 6 -12 years of age? -CORRECT ANSWER --
decreases a school age child requir es, one average, how many calories per day? -CORRECT ANSWER --2400 calories how much earlier do girls experience the onset of puberty than boys? -CORRECT ANSWER --about 1 -2 years talk to the _______ before you talk to the _________ -CORRECT ANSWER --parents, child what order should you take vital signs? -CORRECT ANSWER --respirations HR blood pressure/o2 sat temp always count RR and HR for ________ because of irregularities -CORRECT ANSWER -
-1 minute if vital signs cannot be taken without disturbing the child then record the __________ with the measurements -CORRECT ANSWER --behavior how should you take the temperature of a child less than 2 yrs? -CORRECT ANSWER --
rectal, axillary, or tympanic when can y ou start doing oral temps? -CORRECT ANSWER --5-6 yrs the pulse/waveform/intensity display on the oximeter machine should correlate with the child's ________ pulse -CORRECT ANSWER --radial what do newborns respond to? -CORRECT ANSWER --human voice, presence, encourage parent's touch how should you speak to an infant? -CORRECT ANSWER --high-pitched voice, cuddle, pat, rub to calm toddlers and preschoolers have a greater ______ than expressive language -
CORRECT ANSWER --receptive toddlers and preschoolers use _____ __ and ______ thinking -CORRECT ANSWER --
concrete, literal describe a toddlers/preschoolers cognitive development -CORRECT ANSWER --
egocentric, magical thinkers, animism toddlers/preschoolers express themselves through dramatic _____ and ______ -
CORRECT ANSW ER--play and drawing describe a school age child's cognitive development -CORRECT ANSWER --able to use logic, understands others point of view, understands cause and effect, understands body functions a school age child's receptive and expressive language i s _________ -CORRECT ANSWER --balanced adolescents have ______ thinking without full _____ comprehension -CORRECT ANSWER --abstract, adult what are some nursing strategies for adolescents? -CORRECT ANSWER --
straightforward approach; talk in private area; cond uct at least part of the interview without parents present what are some observable signs of respiratory dysfunction? -CORRECT ANSWER --
accessory muscle use nasal flaring circumoral pallor sternal retractions capillary refill >3 seconds what is laryngot racheobronchitis (LTB)? -CORRECT ANSWER --the most common type of croup experienced by children admitted tot eh hospital primarily affects children under 5 yrs; caused from a viral infection what are some s/s of upper respiratory distress? -CORRECT ANSWER --slight to severe dyspnea barking or brassy cough increased temperature how do you treat LTB? -CORRECT ANSWER --manage children at home with mild croup (steam, car rides with windows down, c ool-temperature therapy) if symptoms worsen, hospitalization is required (nebulized EPI, corticosteroids) nebulized epi has a ______ onset and improvement is seen in _______ mins -
CORRECT ANSWER --rapid, 10 -15 mins corticosteroids _________ inflammation of the airway -CORRECT ANSWER --decrease what is epiglottitis? -CORRECT ANSWER --a serious obstructive inflammatory process that occurs in children 2 -5 years of age absence of cough, presence of dysphagia, rapid progression to severe respiratory distress ____ ____ kids look worse than they sound; _________ kids sounds worse than they look -CORRECT ANSWER --epiglottitis, croup what is RSV? -CORRECT ANSWER --an acute viral infection that affects the bronchioles and includes RSV, bronchiolitis, and RSV pneumonia what is the leading cause of lower respiratory tract illness in children less than 2 years? -CORRECT ANSWER --RSV what are some risk factors for RSV? -CORRECT ANSWER --prematurity congenital disorders smoke what medications do children @ high risk for RSV get ? -CORRECT ANSWER --
palivizumab (Synagis) & respiratory syncytial virus immune globulin (RespiGam) what are some s/s of RSV? -CORRECT ANSWER --URI nasal discharge mild fever
