and Answers18
A nurse in a provider's office is caring for a preschooler. Which of the following statements by a
guardian indicate that the discharge teaching was effective? Select all that apply. -
ANSWERS-"we should apply skin emollient immediately after bathing our child"
"we should keep our child's fingernails trimmed short"
"we should use a mild detergent for our laundry"
A nurse is caring for a toddler. Click to highlight the findings that require follow-up. - ANSWERS-°
toddler appears lethargic
° toddler is uninterested in eating
° ribbon-like, fowl-smelling stools
° hypoactive bowel sounds
° abdomen distended
° palpable fecal mass
° blood pressure 110/70
A nurse on a pediatric unit is admitting a preschooler. After reviewing the information in the
medical record, the nurse should identify that the child is at risk for developing which of the
following conditions? - ANSWERS-DROPDOWN 1: splenomegaly
DROPDOWN 2: positive mononucleosis rapid test
A nurse is teaching the guardian of a 6-month-old infant about teething. Which of the following
statements should the nurse make?
,A) "place a beaded teething necklace around your baby's neck"
B) "rub your baby's gums with an aspirin to decrease discomfort"
C) "your baby might pull at their ears when they are teething"
D) "your baby's upper middle teeth will erupt first" - ANSWERS-C) "your baby might pull at their
ears when they are teething"
A hospice nurse is caring for a preschooler who has a terminal illness. One of the preschooler's
parents tells the nurse that they cannot cope anymore and are thinking about moving out of the
house. Which of the following statements should the nurse make?
A) "it is important that you provide emotional support for your family at this time"
B) "you have to do what you feel is best. Everything will turn out fine"
C) "I know how you feel. This is an extremely stressful time for your family"
D) "let's talk about some of the ways you have handled previous stressors in your life" -
ANSWERS-D) "let's talk about some of the ways you have handled previous stressors in your
life"
A nurse is caring for a toddler. Complete the diagram by dragging from the choices below to
specify what condition the client is most likely experiencing, 2 actions the nurse should take to
address that condition, and 2 parameters the nurse should monitor to assess the clients
progress - ANSWERS-Actions: educate guardian about sweat chloride testing and prepare
toddler for chest physiotherapy
Middle: cystic fibrosis
Assess/monitor: oxygen saturation level and stools
A nurse on a pediatric unit is caring for a school-age child?
° Arterial blood gas
° Cardiovascular assessment
° WBC count
° Hemoglobin
, ° Oxygen saturation
° Respiratory assessment - ANSWERS-° arterial blood gas
° WBC count
° oxygen saturation
° respiratory assessment
A nurse is receiving change of shift report for four children. Which of the following children
should the nurse assess first? A) a toddler who has a concussion and an episode of forceful
vomiting B) an adolescent who has infective endocarditis and reports having a headache C) an
adolescent who was placed into halo traction 1 hr ago and reports pain as 6 on a scale of 0-10
D) a school age child who has acute glomerulonephritis and brown-colored urine - ANSWERS-A
A nurse is caring for a preschool-age child. For each assessment finding, click to specify if the
finding is consistent with nightmares or sleep terrors. Each finding may support more than 1
disease process: - ANSWERS-Sleep terrors: impaired concentration, daytime fatigue, and
impulsive behaviors.
Nightmares: impaired concentration, daytime fatigue, and
When analyzing cues, the nurse should recognize that manifestations of nightmares include
awakening during the night after a scary dream.
Nightmares are a sleep disturbance that cause distress after the dream is over. The child might
be crying, fearful of returning to sleep, and believe the dream is real. Sleep disturbances cause
interruptions in the sleep-wake cycle and can cause impaired concentration, daytime fatigue,
and impulsive behaviors.
When analyzing cues, the nurse should recognize that manifestations of sleep terrors include a
partial awakening during a deep sleep .