Capstone Nursing Care of Children EXAM QUESTIONS
WITH DETAILED ANSWERS | ALREADY GRADED A+.
/. a home health nurse is providing teaching about post-seizure management to the
parents of a school-age child who has epilepsy, what should be included - Answer--
record the length and character of the child's postictal period following a seizure
- call for emergency medical services if the size of the child's pupils are unequal after
the seizure
/.a nurse is assessing a 3yr old preschooler at a well-child visit, what developmental
tasks should be expected uses - Answer-primarily two-word phrases
/.a nurse is teaching the parents of a toddler about strategies to manage temper
tantrums, what instructions should the nurse include in the teaching to establish -
Answer-a structured daily routine for the child
/.a nurse in a pediatric clinic is discussing the physiology of Reye syndrome with a
newly licensed nurse, what statements by the newly licensed nurse indicate an
understanding of the disorder - Answer-Reye's syndrome causes fatty changes in the
liver
/.a nurse is assessing a child who has received the first 50 mL of a blood transfusion,
what findings indicate the child may be experiencing an air embolism - Answer-sharp
pain in the middle of the chest
/.a school nurse is assessing the visual acuity of a school-age child, what finding
indicates that the child should be evaluated for strabismus - Answer-movement of the
uncovered eye during a cover test
/.a nurse is assessing a 6-month-old infant during a well-child visit, what findings should
the nurse report to the provider - Answer-the infant does not roll over from his abdomen
to his back
/.a nurse is instilling otic drops into a toddler's ears, what method is used - Answer-pull
the pinna down and back
/.a nurse is providing teaching to the parent of an infant about care seat safety, what
statement by the parent indicates an understanding of the teaching - Answer-I should
place the car seat rear facing until my child is 2
/.a nurse is providing teaching to parents of a school-age child who has ADHD and a
new prescription for methylphenidate ER capsules, what responses by the parent
indicate an understanding of the nurse's instruction - Answer-I will inform my child's
teacher that he is taking this medication
, /.a nurse in a pediatric clinic is performing a history and physical for a toddler who is
going to receive an MMR immunization, which indicates that it should be withheld -
Answer-receiving prednisone for nephrotic syndrome
/.a nurse is providing teaching to a mother who plans to breastfeed her 3-day-old infant,
what info should the nurse include in the teaching - Answer-your baby will need a
follow-up evaluation by her provider within the next 3 days
/.a nurse is assessing a toddler who is toilet-trained and has a temperature of
38.5/101.3, what findings should the nurse suspect - Answer-a UTI incontinence
/.a nurse is caring for a school-age child who has hemophilia and reports increased
bruising, what lab values explain the finding - Answer-plt count 120,000
/.a nurse is preparing a teaching plan for the parent of a school-age child who has
asthma, the nurse should include what manifestation as an "exacerbation" of asthma -
Answer-hacking, non-productive cough
/.a nurse is providing discharge teaching to the parents of a 6-month-old infant following
a surgical procedure to repair hypospadias, what instructions should the nurse include
in the teaching - Answer-avoid giving the infant a tub bath until the stent is removed
/.a nurse is assessing an infant who has intussusception, what manifestation is
expected - Answer-gelatinous red stool
/.a nurse is caring for a school-age child who has metastatic osteosarcoma, the child
asks the nurse "am I going to die?", what should the nurse respond - Answer-"It sounds
like you are worried. tell me what you have been told"
/.a nurse is caring for an infant who has GERD, what action should the nurse take to
avoid regurgitation - Answer-thicken the pt's formula and avoid giving the pt citrus juices
position the child with the head elevated after meals
/.a nurse is providing teaching to an adolescent who has a new prescription for
cefazolin, what adverse effect should the nurse monitor for and report to the physician -
Answer-urticaria
/.a nurse is caring for a child who has cancer and is receiving chemo, the parent tells
the nurse that she wants to d/c treatment and take the child home, what responses
should the nurse make - Answer-tell me more about your reasons for making this
decision today
/.a charge nurse is assisting a newly licensed nurse with the preoperative assessment
of a 2-year-old child who has a Wilm's tumor, what actions by the newly licensed nurse
require intervention from the charge nurse - Answer-palpating the child's abdomen
WITH DETAILED ANSWERS | ALREADY GRADED A+.
/. a home health nurse is providing teaching about post-seizure management to the
parents of a school-age child who has epilepsy, what should be included - Answer--
record the length and character of the child's postictal period following a seizure
- call for emergency medical services if the size of the child's pupils are unequal after
the seizure
/.a nurse is assessing a 3yr old preschooler at a well-child visit, what developmental
tasks should be expected uses - Answer-primarily two-word phrases
/.a nurse is teaching the parents of a toddler about strategies to manage temper
tantrums, what instructions should the nurse include in the teaching to establish -
Answer-a structured daily routine for the child
/.a nurse in a pediatric clinic is discussing the physiology of Reye syndrome with a
newly licensed nurse, what statements by the newly licensed nurse indicate an
understanding of the disorder - Answer-Reye's syndrome causes fatty changes in the
liver
/.a nurse is assessing a child who has received the first 50 mL of a blood transfusion,
what findings indicate the child may be experiencing an air embolism - Answer-sharp
pain in the middle of the chest
/.a school nurse is assessing the visual acuity of a school-age child, what finding
indicates that the child should be evaluated for strabismus - Answer-movement of the
uncovered eye during a cover test
/.a nurse is assessing a 6-month-old infant during a well-child visit, what findings should
the nurse report to the provider - Answer-the infant does not roll over from his abdomen
to his back
/.a nurse is instilling otic drops into a toddler's ears, what method is used - Answer-pull
the pinna down and back
/.a nurse is providing teaching to the parent of an infant about care seat safety, what
statement by the parent indicates an understanding of the teaching - Answer-I should
place the car seat rear facing until my child is 2
/.a nurse is providing teaching to parents of a school-age child who has ADHD and a
new prescription for methylphenidate ER capsules, what responses by the parent
indicate an understanding of the nurse's instruction - Answer-I will inform my child's
teacher that he is taking this medication
, /.a nurse in a pediatric clinic is performing a history and physical for a toddler who is
going to receive an MMR immunization, which indicates that it should be withheld -
Answer-receiving prednisone for nephrotic syndrome
/.a nurse is providing teaching to a mother who plans to breastfeed her 3-day-old infant,
what info should the nurse include in the teaching - Answer-your baby will need a
follow-up evaluation by her provider within the next 3 days
/.a nurse is assessing a toddler who is toilet-trained and has a temperature of
38.5/101.3, what findings should the nurse suspect - Answer-a UTI incontinence
/.a nurse is caring for a school-age child who has hemophilia and reports increased
bruising, what lab values explain the finding - Answer-plt count 120,000
/.a nurse is preparing a teaching plan for the parent of a school-age child who has
asthma, the nurse should include what manifestation as an "exacerbation" of asthma -
Answer-hacking, non-productive cough
/.a nurse is providing discharge teaching to the parents of a 6-month-old infant following
a surgical procedure to repair hypospadias, what instructions should the nurse include
in the teaching - Answer-avoid giving the infant a tub bath until the stent is removed
/.a nurse is assessing an infant who has intussusception, what manifestation is
expected - Answer-gelatinous red stool
/.a nurse is caring for a school-age child who has metastatic osteosarcoma, the child
asks the nurse "am I going to die?", what should the nurse respond - Answer-"It sounds
like you are worried. tell me what you have been told"
/.a nurse is caring for an infant who has GERD, what action should the nurse take to
avoid regurgitation - Answer-thicken the pt's formula and avoid giving the pt citrus juices
position the child with the head elevated after meals
/.a nurse is providing teaching to an adolescent who has a new prescription for
cefazolin, what adverse effect should the nurse monitor for and report to the physician -
Answer-urticaria
/.a nurse is caring for a child who has cancer and is receiving chemo, the parent tells
the nurse that she wants to d/c treatment and take the child home, what responses
should the nurse make - Answer-tell me more about your reasons for making this
decision today
/.a charge nurse is assisting a newly licensed nurse with the preoperative assessment
of a 2-year-old child who has a Wilm's tumor, what actions by the newly licensed nurse
require intervention from the charge nurse - Answer-palpating the child's abdomen
