NUR NU265/2633Peds Questions and Answers Latest Fall 2022
NUR NU265/2633Peds Questions and Answers A nurse is providing education about dietary modifications to the parents of a school-aged child who has glomerulonephritis. Which of the following information should the nurse include in the teaching? a. increase the child’s calcium intake ase the child’s sodium intake ase the child’s intake of carbohydrates ase the child’s fat intake A nurse is providing teaching to the parents of a school-aged child newly diagnosed with a seizure disorder. The nurse should teach the parents to take which of the following actions during a seizure? ize movement of the limbs t a tongue blade between the teeth the area of hard objects the child in a prone position = A nurse is assessing an adolescent who has type 1 diabetes mellitus. Which of the following findings is the nurse’s priority? a.HBA1C 11.5% sterol 189 mg/Dl andial blood glucose 124 mg/Dl suria = A nurse is providing anticipatory guidance to a parent of a 1-month-old infant. The nurse should include that it is recommended to start the series of which of the following immunizations first? ella es ,mumps, and rubella ivated poliovirus itis A = A nurse is reviewing the laboratory report of a toddler who has hemolytic uremic syndrome. Which of the following findings should the nurse expect? inine 0.3 mg/dL b.Hgb 18 g/dL casts absent d.BUN 28 mg/dL = A nurse is caring for a school-aged child who is experiencing a sickle cell crisis. Which of the following action should the nurse take? ister furosemide IV twice per day warm compresses to the affected areas ase the child’s fluid intake ate contact precautions = A nurse is planning to teach an adolescent who is lactose intolerant about dietary guidelines. Which of the following instructions should the nurse include in the teaching? a. “You can drink milk on an empty stomach.” b. “You should consume flavored yogurt instead of plain yogurt.” c. “You may tolerate plain milk better than chocolate milk.” d. “You can replace milk with nondairy sources of calcium.” = A nurse is assessing a 6-month-old infant who has respiratory syncytial virus. The nurse should immediately report which of the following findings to the provider? rrrhea pnea ngitis ing = A nurse on a pediatric intensive care unit is caring for a toddler who weighs 12 kg (26.5 lb) and is postoperative following open heart surgery. Which of the following findings should the nurse report to the provider? temperature 36 C (96.8 F) and posterior tibial pulses of 2+ output of 15 mL in the last 2 hr age from the chest tube of 22 mL in the last hour = A nurse is providing dietary teaching to a parent of a 10-month old infant who has phenylketonuria. Which of the following responses by the parent indicates an understanding of the teaching? a. “My daughter can’t drink orange juice.” b. “I will steam carrots and cut them into small pieces for her.” c. “I should ensure that my daughter eats 1 ounce of meat every day.” d. “I will switch her to whole milk now that she’s old enough.” = A nurse is providing teaching to the parents of a preschool-age child who has celiac disease. Which of the following instructions should the nurse include? a. “Your child will be on a gluten-free diet for the rest of her life.” b. “Your child will need to follow a low-protein diet temporarily.” c. “You should place your child on a high-fiber diet when she has an exacerbation.” d. “You should replace white flour with wheat flour when preparing meals for your child.” ; = A nurse is administering albuterol by metered dose inhaler for a preschool-age child who is experiencing an asthma exacerbation. Which of the following findings should the nurse report to the provider? ratory rate 24/min flow rate of 80% costal retractions ted heart rate ; A nurse is caring for a school-aged child who is 1 hr postoperative following a tonsillectomy. Which of the following actions should the nurse take? (Select all that apply.) ister an analgesic to the child on a scheduled basis ve the child for frequent swallowing de cramberry juice to the child ain the child in a supine position urage the child from coughing = A nurse is caring for a school-aged child who has heart failure. Which of the following findings should the nurse expect? (Select all that apply.) cardia t loss sis ea ing peripheral pulses ; = A nurse in an emergency department is assessing a toddler who has a head injury. Which of the following findings should the nurse report to the provider? ow coma scale score of 15 ratory rate 25/min ing ive babinski reflex = A nurse is caring for a toddler who is in the terminal stage of neurobastoma. The parents ask, “How can we help our child now?” Which of the following responses by the nurse is appropriate? a. “Talk to your child about the meaning of death.” b. “Encourage your child’s friends to visit.” c. “Stay close to your child.” d. “Change your child’s schedule every day.” = A nurse is preparing to administer cephalexin 25 mg/kg PO to a child who has otitis media and weights 22 kg (48.5 lb). Available is cephalexin solution 250mg/ 5 mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) ; During a well-baby visit, the parent of a 2- week-old newborn tells the nurse, “My baby always keeps her head tilted to the right side.” The nurse should further assess which of the following area? ocleidomastoid muscle rior fontanelle zius muscle cal vertebrae ; = A nurse is caring for a single mother of a 6-month-old infant. During a well-baby visit, the mother expresses feeling “inexperienced” in caring for the baby. The nurse should recommend which of the following community resources? te child care t management training rt group for postpartum depression t enhancement center ; = A nurse is admitting an infant who has GERD. Which of the following is the priority assessment finding? gitation ing sive crying t loss = A nurse is caring for an infant who has severe dehydration. Which of the following clinical findings should the nurse expect? lary refill 3 seconds respirations cardia extremities = A nurse is teaching a group of female adolescents about healthy eating. Which of the following instructions should the nurse include in the teaching? a. “Consume 1500 to 1700 calories per day.” b. “Decrease your vitamin D intake once you start to menstruate.” c. “Increase the amount of your dietary iron intake.” d. “Limit your sodium intake to 3000 milligrams per day.” = A nurse is preparing to administer immunizations to a 3-month-old infant. Which of the following is an appropriate action for the nurse to take to deliver atraumatic care? de a pacifier coated with oral sucrose solution prior to the injections t the immunizations into the deltoid muscle eutectic mixture of local anesthetics (EMLA) cream immediately before the injections a 20-gauge needle for the injections = A nurse is caring for a child who has impetigo contagiosa that developed in the hospital. Which of the following actions should the nurse take? t the disease to the state health department ister amphotericin B IV te contact isolation precautions lidocaine ointment topically = A nurse is providing discharge teaching to the parents of a school-aged child who has cystic fibrosis. Which of the following responses by the parents indicates an understanding of the teaching? a. “I will limit my child’s daily fluid intake.” b. “I will restrict the amount of sodium in my child’s diet.” c. “I will give my child pancreatic enzymes with snacks or meals.” d. “I will prepare low-fat meals with limited protein for my child.” = A nurse is caring for a 4-year-old child who has meningitis and is receiving gentamicin. Which of the following laboratory values should the nurse report to the provider? inine 1.4 mg/dL inine 0.3 mg/dL c.BUN 6 mg/dL d.BUN 12 mg/dL = A nurse is providing teaching to the parents of a school-aged child who has ADHD and a new prescription for methylphenidate. The nurse should explain that this medication will have which of the following therapeutic effects? ting rest ving appetitie ing anxiety asing focus = A nurse is teaching an adolescent how to manage his cystic fibrosis. Which of the following statements by the adolescent indicates an understanding of the teaching? a. “I will take fewer enzymes when I eat high fat foods.” b. “I will be excused from physical education class.” c. “I will limit my calcium intake to prevent kidney stones.” d. “I will increase my intake of vitamin D.” = A nurse in a provider’s office is caring for a preschool-age child who might have acute epiglottitis. Which of the following actions should the nurse take? ne the oral mucosa using a tongue depressor n a sterile throat culture de humidified oxygen via nasal cannula the child to sit in a comfortable position = A nurse is providing teaching to the parents of a child who has impetigo. Which of the following instruction should the nurse include in the teaching? ister acyclovir PO two times per day hairbrushes in boiling water for 10 min bacterial ointment to lesions soft toys in a plastic bag for 14 days = A nurse is preparing to perform a venipuncture to collect a blood sample from an infant. Which of the following restraints should the nurse plan to use for this procedure? t = A nurse is reviewing the laboratory report of a school-aged child who has rheumatic fever. Which of the following laboratory findings should the nurse expect? ased BUN ased antistreptolysin O titer (ASO) ased immunoglobulin (igG) ased erythrocyte sedimentation rate (ESR) = A nurse is administering an opioid to an adolescent who is in sickle cell crisis. Which statement is true regarding opioid pain management? opioid doses should be larger than parenteral doses opioids should not be combined with other types of pain relievers d doses should be titrated until sedation occurs d doses should be used for mild pain A nurse is planning care for an adolescent following repair of Meckel diverticulum. Which of the following actions should the nurse include in the plan of care? ister total parental nutrition the client about ostomy care ate long-term antibiotic therapy ain an NG tube for decompression = A nurse is preparing to perform peritoneal dialysis for a child who has an elevated serum creatinine level. After explain the procedure, which of the following actions should the nurse plan to take? ate IV access the dialysate refrigerated until time of infusion the fistula site for bruit n the child’s weight = A nurse is caring for an adolescent who is 1 hr postoperative following an appendectomy. Which of the following findings should the nurse report to the provider? e rigidity rate 63/min rature 36.4 C (97.5 F) inal pain = A nurse is caring for a preschool-age child who is postoperative following a tonsillectomy and is clearing her throat frequently. Which of the following actions should the nurse take first? the child small sips of water ve the child’s throat with a flashlight ister an analgesic the child and ice collar = A nurse is planning care for a toddler who has developed oral ulcers in response to chemotherapy. Which of the following actions should the nurse include in the plan of care? se the gums with saline soaked gauze ister oral viscous lidocaine dle routine oral care every 8 hr en the mucosa with lemon glycerin swabs A nurse is planning care for a child immediately following the insertion of a chest tube for continuous suction with a closed drainage system. Which of the following interventions should the nurse include in the plan of care? e the chest tube insertion side dressing every 12 hrs t the presence of tidaling of fluid in the water seal chamber e continuous bubbling is present in the suction control chamber d the amount of chest tube drainage every 2 hr = A nurse is prioritizing care for four clients. Which of the following clients should the nurse assess first? adolescent who is in skin traction and reports a pain level of 7 on a scale from 0 to 10 adolescent who has sickle cell anemia and slurred speech c.a toddler who has a new diagnosis of osteomyelitis and is to receive an IV bolus of nafcillin d.a toddler who has a partial thickness burn on his right hand and requires a dressing change ; A nurse is assessing an adolescent who has Cushings syndrome. Which of the following findings should the nurse expect? ctic appearance glucose 320 mg/dL ssium 4.2 mEq/L ced bone age = A nurse is caring for a preschooler who has a brain tumor. Which of the following findings is the priority for the nurse to report to the provider? mares tis pia activity = A charge nurse is planning care for an infant who failure to thrive. Which of the following actions should the nurse include in the plan of care? the infant fruit juice between feedings half strength formula when feeding the infant the infant in a visually stimulating environment n consistent nursing staff to care for the infant = A nurse is providing discharge teaching to the parents of an infant who is at risk for sudden infant death syndrome (SIDS). Which of the following statements by the parents indicates an understanding of the teaching? a. “I will move my baby’s stuffed animal to the corner of her crib while she sleeps.” b. “I will dress my baby in lightweight clothing to sleep.” c. “I will have my baby sleep next to me in bed during the night.” d. “I will lay my baby on her side to sleep for naps.” = A nurse is caring for a child who has acute glomerulonephritis. Which of the following findings should the nurse expect? rature 39 C (102.2 F) rbital edema ension ive urine culture = A nurse is assessing a 1month old infant at a well-child visit. Identify the location the nurse should stroke to elicit the rooting reflex. (You will find hotspots to select in the artwork below. Select only the hotspot that corresponds to your answer.) = A nurse is providing postoperative care for a child following an arterial cardiac catheterization. Which of the following actions should the nurse take? the affected extremity straight for at least 6 hr or output using an indwelling urinary catheter for the first 24 hr e the child’s pressure dressing after the first 4 hr ain the child’s NPO status for 4 to 6 hr = A nurse in a provider’s office is providing teaching to the parents of a preschooler who has Down syndrome. Which of the following statements by one of the parents indicates an understanding of the instructions? a. “We’ll have soft music playing in the background when we teach our son a new skill.” b. “We’ll explain that it’s best for our son to wait until kindergarten to start going to school.” c. “We’ll be sure to demonstrate a new skill before expecting our son to perform it.” d. “We’ll focus on our son understanding the principles of a skill rather than mastering it.” = A nurse is teaching a parent of a 10-month old infant about home safety. Which of the following instructions should the nurse include in the teaching? (Select all that apply.) e labels from containers that contain toxic substances t a toy chest that has a heavy, hinged lid gates at the top and bottom of the stairs toilet lids in the upright position e the crib mattress is in the lowest position = A nurse is providing discharge teaching to a parent of a toddler who has a ventriculoperitoneal shunt. Which of the following statements by the parent indicates an understanding of the teaching? a. “My child will need to take prophylactic antibiotics daily until the shunt is removed.” b. “I should call my doctor if my child begins vomiting.” c. “I should pump the shunt at the same time each day.” d. “I should check my child’s heart rate before administering medications.” = A nurse in a provider’s office is assessing the vital signs of a 2-year-old child at a well-child visit. Which of the following findings should the nurse report to the provider? rature 37.2 C (99 F) ratory rate 26/min pressure 118/74 mm Hg rate 98/min = A nurse is assessing a 3-month-old infant who has diarrhea. Which of the following findings should the nurse expect? ng fontanels ased heart rate ria ased hematocrit = A nurse is preparing to administer imipenem/cilastatin 25 mg/kg to a child who weights 77 lb. How many mg should the nurse plan to administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) = A nurse is providing teaching to a parent of an infant who has a 1 cm (0.4 in) umbilical hernia. Which of the following instructions should the nurse include in the teaching? a. “Place a belly band around your baby’s umbilicus during the day.” b. “You should place your baby on her abdomen to sleep at night.” c. “Your baby will need surgery if it doesn’t close by 2 years of age.” d. “The bulge can temporarily enlarge when your baby cries.” = A nurse is admitting a child who has pertussis. Which of the following transmission-based precautions should the nurse initiate? rne ct ctive et = A nurse is assessing a toddler who has a history of lead poisoning. Which of the following actions should the nurse take? a. initiate a low-iron diet for lead absorption b. inspect the skin for discoloration n a stool specimen for lead levels rm developmental testing for delays = A nurse is reviewing the medical record of a 24-month old child who has acute lymphocytic leukemia. Which of he following actions should the nurse take? (Click on the “Exhibit” button for additional information about the client. There are three tabs that contain separate categories of data.) n a rectal temperature every 4 hr viscous lidocaine to the oral mucosa the child in knee-chest position ate bleeding precautions = A school nurse is assessing a 7-year-old student. The nurse should identify which of the following findings as a potential indicator of physical abuse? t in the 45th percentile deciduous teeth missing ing around the wrists ions on the knees = A nurse is providing teaching to the parent of a school-aged child who has diabetes mellitus about managing diabetes during illness. Which of the following statements by the parent indicates an understanding of the teaching? a. “I will monitor my child’s blood glucose levels every 8 hours.” b. “I will offer my child 20 grams of a carbohydrates every 2 hours” c. “I will withhold my child’s dose of insulin when his appetite is poor.” d. “I will increase the amount of fluids I offer my child.” ; d. “I will increase the amount of fluids I offer my child.” = A nurse is providing discharge teaching to the parents of a toddler who has iron deficiency anemia and a new prescription for ferrous sulfate elixir. Which of the following instructions should the nurse include? a. “Don’t allow your child to have orange juice while taking this medication.” b. “Administer this medication to your child with a dropper.” c. “Give your child this medication with a glass of milk.” d. “Stop this medication if your child’s stools are a tarry green color.” = A nurse is caring for an infant who has tetralogy of fallot and is having a hypercyanotic episode after crying. Which of the following interventions should the nurse implement? ate continuous positive airway pressure de firm stimulation to the infant’s trunk the infant in the knee-chest position rm postural drainage ; A nurse is providing teaching to an adolescent who has vulvovaginitis. Which of the following statements should the nurse include in the teaching? a. “Wear a feminine deodorant pad for vaginal drainage.” b. “Wear nylon underwear at night.” c. “Apply scented baby powder to absorb residual moisture.” d. “Apply a warm, moist compress three times per day.” ; A nurse is providing discharge instructions to the parents of a toddler who has heart failure and a new prescription for digoxin. Which of the following statements indicates an understanding of the instructions? a. “We will wait to give the medication at the next scheduled dose if a dose is missed.” b. “We will mix the medication with 1 cup of fruit juice for administration.” c. “We will avoid giving our child water for 1 hour after administering the medication.” d. “We will repeat the dose if our child vomits shortly after administration.” ; A nurse is planning an in-service for the parents of school-aged children about the treatment of pediculosis capitis. Which of the following instructions should the nurse plan to include in the teaching? the child’s hairbrushes in vinegar between uses medication to the child’s scalp twice daily until the symptoms subside e nits from the child’s hair using a fine-tooth comb rd the child’s nonwashable items = A nurse is assessing an adolescent who has infectious mononucleosis. Which of the following findings should the nurse expect? cal adenopathy berry tongue k spots trolled drooling = A nurse in an emergency department is assessing an adolescent who reports inhalation of gasoline. Which of the following findings should the nurse expect? a hermia int pupils active reflexes ; A nurse is preparing to assess a 4 year old child’s visual acuity. Which of the following actions should the nurse plan to take? ion the child 4.6 meters (15 feet) from the chart a tumbling E chart for the assessment the child without glasses before testing with glasses s both eyes together first, then each eye separately A nurse in an emergency department is caring for a child following an overdose of acetylsalicylic acid. What of the following medications should the nurse plan to administer? nadione olam zenil one A nurse is providing teaching to the parents of a toddler who is exhibiting negativism during mealtimes. Which of the following statements by the nurse is appropriate? a. “Tell her she is having her favorite sandwich for lunch.” b. “Ask her if she would like to have her favorite sandwich for lunch.” c. “Ask her if she is ready to eat her sandwich for lunch. “ d. “Tell her that she may have a sandwich or soup for lunch.” ; d. “Tell her that she may have a sandwich or soup for lunch.” re to give oral N-acetylcysteine the child home on increased fluid intake hemodialysis within the next 24 hrs rm gastric lavage with activated charcoal
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nur nu2652633peds
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nur nu2652633peds questions and answers
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a nurse is providing education about dietary modifications to the parents of a school aged child who has glomerulonephritis which of the fo
