Nursing care of children vati
A hospital volunteer asks a nurse to suggest an appropriate play activity for a 12-month-old
client on contact precautions. Which of the following toys should the nurse suggest to meet the
developmental needs of the client? - ANS -Push-pull toy
\A nurse at a pediatrician's office answers a phone call from a parent whose child just ingested
15 vitamin tablets with added ferrous sulfate.
Which of the following instructions should the nurse give to the parent? - ANS -Contact a poison
control center
\A nurse has accepted a position on a pediatric unit and is learning more about psychosocial
development. Place Erikson's stages of psychosocial development in order from birth through
age 18 yrs. - ANS -trust vs mistrust
autonomy vs shame and doubt
initiative vs guilt
industry vs inferiority
identity vs role confusion
\A nurse is assisting with the admission of a 6-month-old infant who has dehydration. When she
tracks the client's urinary output, which of the following amounts should indicate to the nurse
that the treatment has corrected the fluid imbalance? - ANS -2 mL
\A nurse is assisting with the discharge of a child who has a new prescription for an oral
antibiotic. Which of following should the nurse include in the discharge instructions? - ANS
-Reason the child is taking the medication, written information about the medication, adverse
effects of the medication
\A nurse is caring for a 3-year-old child who weighs 33 lb and has had 160 mL of urine output
during the past 8 hr. Which of the following actions should the nurse take? - ANS -Continue to
monitor the client.
\A nurse is caring for a 3-year-old client who has persistent otitis media. To help identify
contributing factors, the nurse should ask the parents which of the following questions? - ANS --
Does anyone smoke in the same house as your daughter?
\A nurse is caring for a 4-year-old child who had hydrocephalus as an infant and is admitted with
a malfunctioning ventriculoperitoneal shunt.
Following new shunt placement, the nurse conducts a postoperative check. Which of the
following findings requires immediate action by the nurse? - ANS -Sleepy and very difficult to
arouse
Lethargy could indicate a decreased level of consciousness or increasing intracranial pressure
and should be reported immediately
\A nurse is caring for a child following an open reduction and internal fixation of a fractured
femur and application of a cast. The cast has a window cut in it for viewing of the incision.
Which of the following actions should the nurse take first? - ANS -Perform neurovascular checks
of the affected extremity (check for infection, color, capillary refill, redness)
, \A nurse is caring for a child who has a tracheostomy. After suctioning the tracheostomy, the
nurse determines that the procedure was effective with which of the following findings? - ANS
-Clear breath sounds
Clear breath sounds indicate that there are no remaining secretions obstructing or potentially
obstructing the client's airway.
\A nurse is caring for a child who has acute diarrhea and reports that he is thirsty. Which of the
following fluids should the nurse give the child? - ANS -Pedialyte
Is an oral rehydration therapy used for children who have dehydration due to diarrhea. Pedialyte
provides the child with fluids, sugar and electrolytes content that is lost due to diarrhea
\A nurse is caring for a child who has idiopathic thrombocytopenic purpura and is experiencing a
nose bleed. Which of the following is an appropriate action by the nurse? - ANS -Insert cotton
into each nostril
\A nurse is caring for a child who has rheumatic fever. When obtaining the client's medical
history from the parent, the nurse should recognize which of the following findings as
significant? - ANS -A sibling had a sore throat 3 weeks ago.
\A nurse is caring for a child who reports being physically abused by a family member. Which of
the following statements should the nurse make? - ANS -"It is not your fault that this happened."
\A nurse is caring for a child with a suspected diagnosis of bacterial meningitis. Which of the
following is the priority action by the nurse? - ANS -Administer antibiotics when available
\A nurse is caring for a child with acute glomerulonephritis. Which of the following should be the
first action by the nurse? - ANS -Check the child's daily weight
\A nurse is caring for a hospitalized 14-month-old child. Which of the following lunch choices is
appropriate? - ANS -A) chicken nuggets and green beans
\A nurse is caring for a preschool child who has croup. Which of the following findings should
the nurse report to the provider? - ANS -Drooling of saliva
Indicate epiglottis which requires immediate medical attention
\A nurse is caring for a toddler who has laryngotracheobronchitis and is placed in a cool mist
tent. Which of the following findings should the nurse expect as a result of the treatment? - ANS
-Decreased stridor
Laryngotracheobronchitits , or croup is caused by infection of the upper airway ( larynx, trachea,
and bronchus) and is characterized by a barking cough. Edema and obstruction in the upper
airways cause the cough and stridor. The cool mist tent humidifies the inspired air, which will
reduces respiratory effort and stridor
\A nurse is caring for a toddler whose parent states while bathing the child she noticed a mass
in his abdominal area and his urine is a pink color.
Which of the following is the priority action the nurse should take? - ANS -Instruct the parents to
avoid pressing on the abdominal area
The priority action by the nurse is to instruct them to avoid pressing. These symptoms are
associated with wilms tumor and trauma to the mass should be avoided to prevent entry of
cancer into other sites
\A nurse is caring for an 8-year-old child diagnosed with sickle cell anemia recovering from a
vaso-occlusive crisis. Which of the following precautions should the nurse include in the
discharge teaching? - ANS -Drink 8 to 10 glasses of fluid daily
A hospital volunteer asks a nurse to suggest an appropriate play activity for a 12-month-old
client on contact precautions. Which of the following toys should the nurse suggest to meet the
developmental needs of the client? - ANS -Push-pull toy
\A nurse at a pediatrician's office answers a phone call from a parent whose child just ingested
15 vitamin tablets with added ferrous sulfate.
Which of the following instructions should the nurse give to the parent? - ANS -Contact a poison
control center
\A nurse has accepted a position on a pediatric unit and is learning more about psychosocial
development. Place Erikson's stages of psychosocial development in order from birth through
age 18 yrs. - ANS -trust vs mistrust
autonomy vs shame and doubt
initiative vs guilt
industry vs inferiority
identity vs role confusion
\A nurse is assisting with the admission of a 6-month-old infant who has dehydration. When she
tracks the client's urinary output, which of the following amounts should indicate to the nurse
that the treatment has corrected the fluid imbalance? - ANS -2 mL
\A nurse is assisting with the discharge of a child who has a new prescription for an oral
antibiotic. Which of following should the nurse include in the discharge instructions? - ANS
-Reason the child is taking the medication, written information about the medication, adverse
effects of the medication
\A nurse is caring for a 3-year-old child who weighs 33 lb and has had 160 mL of urine output
during the past 8 hr. Which of the following actions should the nurse take? - ANS -Continue to
monitor the client.
\A nurse is caring for a 3-year-old client who has persistent otitis media. To help identify
contributing factors, the nurse should ask the parents which of the following questions? - ANS --
Does anyone smoke in the same house as your daughter?
\A nurse is caring for a 4-year-old child who had hydrocephalus as an infant and is admitted with
a malfunctioning ventriculoperitoneal shunt.
Following new shunt placement, the nurse conducts a postoperative check. Which of the
following findings requires immediate action by the nurse? - ANS -Sleepy and very difficult to
arouse
Lethargy could indicate a decreased level of consciousness or increasing intracranial pressure
and should be reported immediately
\A nurse is caring for a child following an open reduction and internal fixation of a fractured
femur and application of a cast. The cast has a window cut in it for viewing of the incision.
Which of the following actions should the nurse take first? - ANS -Perform neurovascular checks
of the affected extremity (check for infection, color, capillary refill, redness)
, \A nurse is caring for a child who has a tracheostomy. After suctioning the tracheostomy, the
nurse determines that the procedure was effective with which of the following findings? - ANS
-Clear breath sounds
Clear breath sounds indicate that there are no remaining secretions obstructing or potentially
obstructing the client's airway.
\A nurse is caring for a child who has acute diarrhea and reports that he is thirsty. Which of the
following fluids should the nurse give the child? - ANS -Pedialyte
Is an oral rehydration therapy used for children who have dehydration due to diarrhea. Pedialyte
provides the child with fluids, sugar and electrolytes content that is lost due to diarrhea
\A nurse is caring for a child who has idiopathic thrombocytopenic purpura and is experiencing a
nose bleed. Which of the following is an appropriate action by the nurse? - ANS -Insert cotton
into each nostril
\A nurse is caring for a child who has rheumatic fever. When obtaining the client's medical
history from the parent, the nurse should recognize which of the following findings as
significant? - ANS -A sibling had a sore throat 3 weeks ago.
\A nurse is caring for a child who reports being physically abused by a family member. Which of
the following statements should the nurse make? - ANS -"It is not your fault that this happened."
\A nurse is caring for a child with a suspected diagnosis of bacterial meningitis. Which of the
following is the priority action by the nurse? - ANS -Administer antibiotics when available
\A nurse is caring for a child with acute glomerulonephritis. Which of the following should be the
first action by the nurse? - ANS -Check the child's daily weight
\A nurse is caring for a hospitalized 14-month-old child. Which of the following lunch choices is
appropriate? - ANS -A) chicken nuggets and green beans
\A nurse is caring for a preschool child who has croup. Which of the following findings should
the nurse report to the provider? - ANS -Drooling of saliva
Indicate epiglottis which requires immediate medical attention
\A nurse is caring for a toddler who has laryngotracheobronchitis and is placed in a cool mist
tent. Which of the following findings should the nurse expect as a result of the treatment? - ANS
-Decreased stridor
Laryngotracheobronchitits , or croup is caused by infection of the upper airway ( larynx, trachea,
and bronchus) and is characterized by a barking cough. Edema and obstruction in the upper
airways cause the cough and stridor. The cool mist tent humidifies the inspired air, which will
reduces respiratory effort and stridor
\A nurse is caring for a toddler whose parent states while bathing the child she noticed a mass
in his abdominal area and his urine is a pink color.
Which of the following is the priority action the nurse should take? - ANS -Instruct the parents to
avoid pressing on the abdominal area
The priority action by the nurse is to instruct them to avoid pressing. These symptoms are
associated with wilms tumor and trauma to the mass should be avoided to prevent entry of
cancer into other sites
\A nurse is caring for an 8-year-old child diagnosed with sickle cell anemia recovering from a
vaso-occlusive crisis. Which of the following precautions should the nurse include in the
discharge teaching? - ANS -Drink 8 to 10 glasses of fluid daily
