Nursing Care of Children VATI
A nurse has accepted a position on a pediatric unit and is learning about psychosocial
development. Place Erikson's stages of psychosocial development in order from birth to
adolescence. (Move the steps into the box on the right, placing them in the selected order of
performance. Use all the steps.) - ANS -Trust vs. mistrust
Autonomy vs. shame and doubt
Initiative vs. guilt
Industry vs. inferiority
Identity vs. role confusion
\A nurse in a well-child clinic is assessing a school-age child who has erythema on the face and
a maculopapular rash on the arms and legs. The parent reports that the child has had an
intermittent fever for 1 week. Which of the following actions should the nurse take? - ANS -Offer
the child analgesic for comfort
\A nurse is admitting a child who has a vesicular rash of unknown etiology. Which of the
following actions should the nurse take first? - ANS -Implement transmission precautions.
\A nurse is admitting a school-age child who has rubeola measles. Which of the following
precautions should the nurse plan to initiate? - ANS -Airborn precautions
\A nurse is admitting a toddler who has respiratory syncytial virus (RSV). Which of the following
actions should the nurse take? - ANS -Keep a thermometer in the childs room
\A nurse is assessing a 10-day-old client. Which of the following should the nurse understand is
a clinical manifestation of pyloric stenosis? - ANS -Projectile vomiting after feedings
Pyloric stenosis is a narrowing and thickening of the pyloric canal between the stomach and the
duodenum, resulting in projectile vomiting.
\A nurse is assessing a 3-month-old infant. Which of the following findings should the nurse
report to the provider? - ANS -Inability to raise head when in prone position.
A 3 month-old infant should be able to raise her head and shoulders from prone position;
therefore, the nurse should report this finding to the provider.
\A nurse is assessing a child who is in sickle cell crisis. Which of the following findings should
the nurse expect - ANS -Pain
\A nurse is assessing a female child in an area, struck by an earthquake. The child, who is
crying well, can state her first name, and repeatedly says all done and go bye-bye now during
the assessment. The child has 24 teeth and her anterior fontanelle is closed. Based on these
observations, the nurse should estimate that the child is how many months old? - ANS -30
, \A nurse is assessing a preschooler who was recently diagnosed with acute lymphoid
leukemia.n Which of the following findings should the nurse expect? - ANS -Bruising on the
arms and legs
\A nurse is assessing an adolescent who has attention deficit hyperactivity disorder (ADHD).
Which of the following findings should the nurse expect? - ANS -Impulsivity
\A nurse is assessing an adolescent who is recieving morphine via a patient-controlled
analgesia device (PCA). Which of the following findings should the nurse identify as the priority?
- ANS -Respiratory depression
\A nurse is assessing an infant who has a congenital heart defect. Which of the following
findings is the priority for the nurse to report to the provider? - ANS -Hyperpnea
\A nurse is caring for a 3-year-old child sh was admitted with acute diarrhea and dehydration.
Which of the following findings indicates that oral rehydration therapy has been effective? - ANS
-Urine specific gravity 1.015
\A nurse is caring for a child who is postoperative following ventriculoperitoneal (VP) shunt
placement. In which of the following positions should the nurse place the client? - ANS -On the
unoperative side
\A nurse is caring for a client who has acute osteomyelitis. Which of the following interventions
is the nurse's priority? - ANS -Administer antibiotics to the client
The greatest risk to this client is bacteremia caused by the infection which can lead to septic
shock; therefore, the priority intervention is antibiotic therapy. The client might require multiple
antibiotics for an extended time.
\A nurse is caring for a toiler who is 24hr postoperative following a cleft palate repair. WHich of
the following actions should the nurse take? - ANS -Administer opioids for pain
\A nurse is caring for an infant immediately following surgical repair of a cleft lip. Which of the
following actions should the nurse take? - ANS -Position the infant on their right side when
sleeping
\A nurse is caring for an infant who has a congenital heart defect. Which of the following defects
is associated with increased pulmonary blood flow? - ANS -Patent ductus arteriosus
the area between the pulmonary artery and aorta remains open, allowing the blood to flow
through the patent ductus arteriosus and back to the pulmonary artery and lungs.
\A nurse is caring for an infant who has respiratory syncytial virus (RSV) and is experiencing
respiratory distress. Which of the following actions should the nurse take? - ANS -Provide
heated, high flow nasal cannula therapy
\A nurse is developing a health program for the parents of a school-age boys. Which of the
following information about pubescent changes should the nurse include in the program? - ANS
-Growth spurts in height occur toward the end of midpuberty.
\A nurse is evaluating an adolescent who is postoperative and is receiving fentanyl via an
epidural catheter. Which of the following findings should the nurse recognize as a complication?
- ANS -Respiratory rate of 14/min
normal is 16 to 20
A nurse has accepted a position on a pediatric unit and is learning about psychosocial
development. Place Erikson's stages of psychosocial development in order from birth to
adolescence. (Move the steps into the box on the right, placing them in the selected order of
performance. Use all the steps.) - ANS -Trust vs. mistrust
Autonomy vs. shame and doubt
Initiative vs. guilt
Industry vs. inferiority
Identity vs. role confusion
\A nurse in a well-child clinic is assessing a school-age child who has erythema on the face and
a maculopapular rash on the arms and legs. The parent reports that the child has had an
intermittent fever for 1 week. Which of the following actions should the nurse take? - ANS -Offer
the child analgesic for comfort
\A nurse is admitting a child who has a vesicular rash of unknown etiology. Which of the
following actions should the nurse take first? - ANS -Implement transmission precautions.
\A nurse is admitting a school-age child who has rubeola measles. Which of the following
precautions should the nurse plan to initiate? - ANS -Airborn precautions
\A nurse is admitting a toddler who has respiratory syncytial virus (RSV). Which of the following
actions should the nurse take? - ANS -Keep a thermometer in the childs room
\A nurse is assessing a 10-day-old client. Which of the following should the nurse understand is
a clinical manifestation of pyloric stenosis? - ANS -Projectile vomiting after feedings
Pyloric stenosis is a narrowing and thickening of the pyloric canal between the stomach and the
duodenum, resulting in projectile vomiting.
\A nurse is assessing a 3-month-old infant. Which of the following findings should the nurse
report to the provider? - ANS -Inability to raise head when in prone position.
A 3 month-old infant should be able to raise her head and shoulders from prone position;
therefore, the nurse should report this finding to the provider.
\A nurse is assessing a child who is in sickle cell crisis. Which of the following findings should
the nurse expect - ANS -Pain
\A nurse is assessing a female child in an area, struck by an earthquake. The child, who is
crying well, can state her first name, and repeatedly says all done and go bye-bye now during
the assessment. The child has 24 teeth and her anterior fontanelle is closed. Based on these
observations, the nurse should estimate that the child is how many months old? - ANS -30
, \A nurse is assessing a preschooler who was recently diagnosed with acute lymphoid
leukemia.n Which of the following findings should the nurse expect? - ANS -Bruising on the
arms and legs
\A nurse is assessing an adolescent who has attention deficit hyperactivity disorder (ADHD).
Which of the following findings should the nurse expect? - ANS -Impulsivity
\A nurse is assessing an adolescent who is recieving morphine via a patient-controlled
analgesia device (PCA). Which of the following findings should the nurse identify as the priority?
- ANS -Respiratory depression
\A nurse is assessing an infant who has a congenital heart defect. Which of the following
findings is the priority for the nurse to report to the provider? - ANS -Hyperpnea
\A nurse is caring for a 3-year-old child sh was admitted with acute diarrhea and dehydration.
Which of the following findings indicates that oral rehydration therapy has been effective? - ANS
-Urine specific gravity 1.015
\A nurse is caring for a child who is postoperative following ventriculoperitoneal (VP) shunt
placement. In which of the following positions should the nurse place the client? - ANS -On the
unoperative side
\A nurse is caring for a client who has acute osteomyelitis. Which of the following interventions
is the nurse's priority? - ANS -Administer antibiotics to the client
The greatest risk to this client is bacteremia caused by the infection which can lead to septic
shock; therefore, the priority intervention is antibiotic therapy. The client might require multiple
antibiotics for an extended time.
\A nurse is caring for a toiler who is 24hr postoperative following a cleft palate repair. WHich of
the following actions should the nurse take? - ANS -Administer opioids for pain
\A nurse is caring for an infant immediately following surgical repair of a cleft lip. Which of the
following actions should the nurse take? - ANS -Position the infant on their right side when
sleeping
\A nurse is caring for an infant who has a congenital heart defect. Which of the following defects
is associated with increased pulmonary blood flow? - ANS -Patent ductus arteriosus
the area between the pulmonary artery and aorta remains open, allowing the blood to flow
through the patent ductus arteriosus and back to the pulmonary artery and lungs.
\A nurse is caring for an infant who has respiratory syncytial virus (RSV) and is experiencing
respiratory distress. Which of the following actions should the nurse take? - ANS -Provide
heated, high flow nasal cannula therapy
\A nurse is developing a health program for the parents of a school-age boys. Which of the
following information about pubescent changes should the nurse include in the program? - ANS
-Growth spurts in height occur toward the end of midpuberty.
\A nurse is evaluating an adolescent who is postoperative and is receiving fentanyl via an
epidural catheter. Which of the following findings should the nurse recognize as a complication?
- ANS -Respiratory rate of 14/min
normal is 16 to 20
