RN Pediatric Nursing Online
A nurse in an emergency department is caring for a school-age
child who is an anaphylactic reaction. Which of the following is the priority
experiencing
action by
nurse? the answers Administer
correct
epinephrine IM
Rationale: When using the urgent vs. non-urgent approach to client care,
the nurse
should determine that the priority action is administering epinephrine IM .
to the child
During an anaphylactic reaction, histamine release causes
bronchoconstriction
vasodilation. andemergency because ultimately it causes decreased
This is an
blood
to the return
heart.
A nurse in a pediatric emergency department is planning care for an
adolescent.
on Based in the adolescent's medical record, which of the
the information
following
should theactions
nurse plan to
take?
Select all that apply. correct answers Apply supplemental
oxygen
Rationale: According to the medical record and chest x-ray report, the
adolescent could
potentially have a pneumothorax. Also according to the medical record and
chest x-ray
report, the adolescent's oxygen saturation level is decreasing, which
indicates hypoxia.
Prepare for chest tube
Therefore, the nurse should plan to administer supplemental
insertion
oxygen.
Rationale: According to the medical record and chest x-ray report, the
adolescent have
potentially coulda pneumothorax. A pneumothorax is the presence of air in
the pleural
cavity, which results in decreased lung expansion. The adolescent could
experience
dyspnea, tachypnea, tachycardia, hypoxia, and pain. This requires prompt
intervention
by the provider, such as the placement of a chest tube into the thoracic
cavity
air andto remove
fluid from the pleural space, if present, allowing the lung to
re-expand.
A nurse in an emergency department is caring for a school-age child
who has
epiglottitis. Which of the following actions should the nurse take?
correct answers
Monitor the child's oxygen
saturation
Rationale: The nurse should monitor the child's oxygen saturation level
because
child the
is experiencing acute respiratory distress and it is necessary to
determine
child if the
is responding to
treatment.
A nurse is providing teaching about play activities for social
development
guardians of atopreschooler.
the Which of the following play activities should
the nurse
recommend for the child? correct answers Playing
dress-up
,Rationale: The nurse should instruct the guardians that at the preschool
age, play
should focus on social, mental, and physical development. Therefore,
playing
is dress-up play activity for this
a recommended
child.
A nurse is receiving change-of-shift report for four children. Which of
the following
children should the nurse see first? correct answers A school-age child who
has anemia
cell sickle and reports decreased vision in the
left eye
Rationale: When using the urgent vs. non-urgent approach to client care,
the nurse
should determine the priority finding is a report of decreased vision in the
left eye.indicates
finding This that the child is experiencing a vaso-occlusive crisis and
should beto the provider immediately. Therefore, the nurse should see this
reported
child first.
A nurse is providing teaching to the parents of a preschooler who has heart
failure
a and
new prescription for digoxin twice daily. Which of the following instructions
should the
nurse include in the teaching? correct answers "Brush the child's teeth
after giving the
medicatio
n."
Rationale: The nurse should instruct the parents to brush the child's
teeth after
administering digoxin to prevent tooth decay caused by the medication,
which
a comes liquid
sweetened as to enhance the
taste.
A nurse is providing teaching to the parent of an infant who has diaper
dermatitis.
nurse should The
instruct the parent to apply which of the following to the
affectedanswers
correct area? Zinc
oxide
Rationale: Diaper dermatitis is a common inflammatory skin disorder caused
by contact
with an irritant such as urine, feces, soap, or friction, and takes the form
of scaling,
blisters, or papules with erythema. Providing a protective barrier, such as
zinc oxide,
against the irritants allows the skin
to heal.
A nurse is caring for a client who has been receiving IV fluids via a
peripheralWhen
catheter. IV preparing to discontinue the IV fluids and catheter,
which of the
following actions should the nurse plan to take? (Move the steps into the
box onplacing
right, the them in the order of performance. Use all the steps.)
correct
First, the answers
nurse should turn off the IV pump. Next, the nurse should
occludeand
tubing, the then
IV remove the tape securing the catheter. Last, the nurse
should apply
pressure over the catheter
insertion site.
A nurse is assessing a school-age child who has an acute spinal cord injury
following
sports a 1 week ago. Identify the area the nurse should tap to elicit
injury
the biceps
reflex. (You will find hot spots to select in the artwork below. Select only
the hot
that spot
corresponds to your answer.) correct
answers A
, A nurse is caring for a school-age child who is receiving chemotherapy and
is severely
immunocompromised. Which of the following actions should the nurse
take? correct
answers Screen the child's visitors for indications of
infection.
Rationale: A child who is severely immunocompromised is unable to
adequately
respond to infectious organisms, resulting in the potential for
overwhelming
Therefore, the infection.
nurse should screen the child's visitors for indications of
infection.
A nurse is providing teaching to the parent of a school-age child who
has a new for oral nystatin for the treatment of oral candidiasis. Which of
prescription
the followingshould the nurse include? correct answers "Shake the
instructions
medication prior to
administratio
n."
Rationale: The nurse should instruct the parent to shake the
medication prior
administration toto
disperse the medication evenly within the
suspension.
A nurse is teaching a group of parents about infectious mononucleosis.
Which of the
following statements by a parent indicates an understanding the
teaching?"Mononucleosis
answers correct is caused by an infection with the Epstein-
Barr virus."
Rationale: The nurse should identify that mononucleosis is a mildly
contagious
that occurs illness
sporadically or in groups, and is primarily caused by the Epstein-
Barr virus.
A nurse is creating a plan of care for a school-age child who has heart
disease andheart
developed has failure. Which of the following interventions should the
nurse include
the plan? correctin answers Provide small, frequent meals for
the child.
Rationale: The metabolic rate of a child who has heart failure is high
becausefunction.
cardiac of poor Therefore, the nurse should provide small, frequent meals
for the child
because it helps to conserve
energy.
A nurse is providing anticipatory guidance to the guardian of a toddler.
Which of the
following expected behavior characteristics of toddlers should the
nurse include?
correct answers Expresses likes and
dislikes
Rationale: The nurse should include that expressing likes and dislikes is an
behavior of toddlers. This is the time in life when a toddler is developing
expected
autonomy and
self-concept. They will try to assert themselves and frequently refuse to
comply. The
guardian should allow the child to have some control, but also set limits for
them from
learn so they
their behavior and learn to control their
actions.
A charge nurse is preparing to make a room assignment for a newly
admitted
age child.school-
Which of the following considerations is the nurse's priority?
correct answers
Disease
process
A nurse in an emergency department is caring for a school-age
child who is an anaphylactic reaction. Which of the following is the priority
experiencing
action by
nurse? the answers Administer
correct
epinephrine IM
Rationale: When using the urgent vs. non-urgent approach to client care,
the nurse
should determine that the priority action is administering epinephrine IM .
to the child
During an anaphylactic reaction, histamine release causes
bronchoconstriction
vasodilation. andemergency because ultimately it causes decreased
This is an
blood
to the return
heart.
A nurse in a pediatric emergency department is planning care for an
adolescent.
on Based in the adolescent's medical record, which of the
the information
following
should theactions
nurse plan to
take?
Select all that apply. correct answers Apply supplemental
oxygen
Rationale: According to the medical record and chest x-ray report, the
adolescent could
potentially have a pneumothorax. Also according to the medical record and
chest x-ray
report, the adolescent's oxygen saturation level is decreasing, which
indicates hypoxia.
Prepare for chest tube
Therefore, the nurse should plan to administer supplemental
insertion
oxygen.
Rationale: According to the medical record and chest x-ray report, the
adolescent have
potentially coulda pneumothorax. A pneumothorax is the presence of air in
the pleural
cavity, which results in decreased lung expansion. The adolescent could
experience
dyspnea, tachypnea, tachycardia, hypoxia, and pain. This requires prompt
intervention
by the provider, such as the placement of a chest tube into the thoracic
cavity
air andto remove
fluid from the pleural space, if present, allowing the lung to
re-expand.
A nurse in an emergency department is caring for a school-age child
who has
epiglottitis. Which of the following actions should the nurse take?
correct answers
Monitor the child's oxygen
saturation
Rationale: The nurse should monitor the child's oxygen saturation level
because
child the
is experiencing acute respiratory distress and it is necessary to
determine
child if the
is responding to
treatment.
A nurse is providing teaching about play activities for social
development
guardians of atopreschooler.
the Which of the following play activities should
the nurse
recommend for the child? correct answers Playing
dress-up
,Rationale: The nurse should instruct the guardians that at the preschool
age, play
should focus on social, mental, and physical development. Therefore,
playing
is dress-up play activity for this
a recommended
child.
A nurse is receiving change-of-shift report for four children. Which of
the following
children should the nurse see first? correct answers A school-age child who
has anemia
cell sickle and reports decreased vision in the
left eye
Rationale: When using the urgent vs. non-urgent approach to client care,
the nurse
should determine the priority finding is a report of decreased vision in the
left eye.indicates
finding This that the child is experiencing a vaso-occlusive crisis and
should beto the provider immediately. Therefore, the nurse should see this
reported
child first.
A nurse is providing teaching to the parents of a preschooler who has heart
failure
a and
new prescription for digoxin twice daily. Which of the following instructions
should the
nurse include in the teaching? correct answers "Brush the child's teeth
after giving the
medicatio
n."
Rationale: The nurse should instruct the parents to brush the child's
teeth after
administering digoxin to prevent tooth decay caused by the medication,
which
a comes liquid
sweetened as to enhance the
taste.
A nurse is providing teaching to the parent of an infant who has diaper
dermatitis.
nurse should The
instruct the parent to apply which of the following to the
affectedanswers
correct area? Zinc
oxide
Rationale: Diaper dermatitis is a common inflammatory skin disorder caused
by contact
with an irritant such as urine, feces, soap, or friction, and takes the form
of scaling,
blisters, or papules with erythema. Providing a protective barrier, such as
zinc oxide,
against the irritants allows the skin
to heal.
A nurse is caring for a client who has been receiving IV fluids via a
peripheralWhen
catheter. IV preparing to discontinue the IV fluids and catheter,
which of the
following actions should the nurse plan to take? (Move the steps into the
box onplacing
right, the them in the order of performance. Use all the steps.)
correct
First, the answers
nurse should turn off the IV pump. Next, the nurse should
occludeand
tubing, the then
IV remove the tape securing the catheter. Last, the nurse
should apply
pressure over the catheter
insertion site.
A nurse is assessing a school-age child who has an acute spinal cord injury
following
sports a 1 week ago. Identify the area the nurse should tap to elicit
injury
the biceps
reflex. (You will find hot spots to select in the artwork below. Select only
the hot
that spot
corresponds to your answer.) correct
answers A
, A nurse is caring for a school-age child who is receiving chemotherapy and
is severely
immunocompromised. Which of the following actions should the nurse
take? correct
answers Screen the child's visitors for indications of
infection.
Rationale: A child who is severely immunocompromised is unable to
adequately
respond to infectious organisms, resulting in the potential for
overwhelming
Therefore, the infection.
nurse should screen the child's visitors for indications of
infection.
A nurse is providing teaching to the parent of a school-age child who
has a new for oral nystatin for the treatment of oral candidiasis. Which of
prescription
the followingshould the nurse include? correct answers "Shake the
instructions
medication prior to
administratio
n."
Rationale: The nurse should instruct the parent to shake the
medication prior
administration toto
disperse the medication evenly within the
suspension.
A nurse is teaching a group of parents about infectious mononucleosis.
Which of the
following statements by a parent indicates an understanding the
teaching?"Mononucleosis
answers correct is caused by an infection with the Epstein-
Barr virus."
Rationale: The nurse should identify that mononucleosis is a mildly
contagious
that occurs illness
sporadically or in groups, and is primarily caused by the Epstein-
Barr virus.
A nurse is creating a plan of care for a school-age child who has heart
disease andheart
developed has failure. Which of the following interventions should the
nurse include
the plan? correctin answers Provide small, frequent meals for
the child.
Rationale: The metabolic rate of a child who has heart failure is high
becausefunction.
cardiac of poor Therefore, the nurse should provide small, frequent meals
for the child
because it helps to conserve
energy.
A nurse is providing anticipatory guidance to the guardian of a toddler.
Which of the
following expected behavior characteristics of toddlers should the
nurse include?
correct answers Expresses likes and
dislikes
Rationale: The nurse should include that expressing likes and dislikes is an
behavior of toddlers. This is the time in life when a toddler is developing
expected
autonomy and
self-concept. They will try to assert themselves and frequently refuse to
comply. The
guardian should allow the child to have some control, but also set limits for
them from
learn so they
their behavior and learn to control their
actions.
A charge nurse is preparing to make a room assignment for a newly
admitted
age child.school-
Which of the following considerations is the nurse's priority?
correct answers
Disease
process
