all Correct Answers
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
.A Home Health Nurse is Providing Teaching About Post-Seizure Management to the Parents of a School-Age
Child with 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 in a Pediatric Clinic is Discussing the Physiology of Reye Syndrome with a Newly Licensed Nurse, What
Statements by the Newly Licensed Nurse Indicates an Understanding of the Disorder - ANSWER-Reye's
syndrome causes fatty changes in the liver
.A Nurse in a Pediatric Clinic is Performing a History and Physical for a Toddler Who is Going to Receive an
MMR Immunization, What Indicates That It Should Be Withheld - ANSWER-Receiving prednisone for nephrotic
syndrome
.A Nurse in the ED is Creating a Plan of Care for a Child Who Has an Acute Head Injury Following a Fall from
Playground Equipment, What Interventions Should the Nurse Include - ANSWER-Initiate Seizure Precautions for
the Child
.A Nurse in the Emergency Department is Caring for a Preschooler Who Has Epiglottitis, What Action Should the
Nurse Take - ANSWER-Initiate Droplet Precautions for the Child
.A Nurse is Admitting a Child Who Has Bacterial Meningitis. What Actions Should the Nurse Take First? -
ANSWER-Initiate Antibiotic Therapy for the Child
.A Nurse is Admitting a Toddler Who Has RSV. What Action Should the Nurse Take? - ANSWER-Keep
Thermometer in the Toddler's Room
, .A Nurse is Admitting an Infant with Severe Dehydration from Acute Gastroenteritis, What Finding Should the
Nurse Expect? - ANSWER-3% Weight Loss
.A Nurse is Assessing a 12-Month-Old Infant Who is Immediately Post-op Hernia Repair Surgery, What Pain
Measurement Tools Should the Nurse Use to Determine if the Infant is Experiencing Pain - ANSWER-FLACC
.A Nurse is Assessing a 3-Year-Old Preschooler at a Well-Child Visit, What Developmental Tasks Should Be
Expected - ANSWER-Uses primarily two-word phrases
.A Nurse is Assessing a 5-Month-Old Infant During a Well-Child Visit, What Finding Should the Nurse Report to
the Provider - ANSWER-The Infant Does Not Make Consonant Sounds When Babbling
.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 Assessing a Child Who Has Acute Renal Failure, What Clinical Manifestations Are Expected -
ANSWER-Edema
.A Nurse is Assessing a Child Who Has Received the First 50 mL of a Blood Transfusion, What Findings Indicates
the Child May Be Experiencing an Air Embolism - ANSWER-Sharp pain in the middle of the chest
.A Nurse is Assessing a Child Who Has Sickle Cell Anemia and Is Experiencing a Vasoocclusive Crisis. What
Manifestations Should the Nurse Expect? - ANSWER-Pain
.A Nurse is Assessing a School-Age Child with Suspected Otitis Media. What Finding Indicates a Possible Ear
Infection? - ANSWER-Tugging or pulling at the ear
.A Nurse is Assessing a Toddler Who Has Infective Endocarditis. What Findings Should the Nurse Expect? -
ANSWER-New Heart Murmur