RN peds

S - The Marketplace to Buy and Sell your Study Material 1. A nurse is providing teaching to the parents of an infant who is to undergo pilocarpine iontophoresis testing for cystic fibrosis. Which of the following statements should the nurse include teaching? “The test will measure the amount of chloride in your baby’s sweat.” 2. A nurse in prioritizing care for four clients. Which of the following clients should the nurse assess first? An adolescent who has sickle cell anemia and slurred speech 3. A nurse is providing teaching to a parent of a child who has cystic fibrosis and a new prescription for dornase alfa. Which of the following instructions should the nurse include the teaching? “Store the medication in the refrigerator.” 4. A nurse is caring for a child who has bacterial meningitis. Which of the following criteria indicates the nurse should remove the child from droplet precautions? Antibiotics initiated 24 hr ago 5. A nurse is assessing a school age child who has type 1 DM. The nurse notes that the child is diaphoretic. Which of the following actions should the nurse take? Obtain a blood glucose level 6. A nurse is caring for a child who is terminally ill. The parents tell the nurse that their child is going to be fine because they heard about another child who survived the same illness. Which of the following responses should the nurse make? “Tell me what you know about your child’s illness.” 7. A nurse is assessing a toddler who has cystic fibrosis. Which of the following findings should the nurse expect? Steatorrhea 8. A nurse is providing teaching to the parents of a child who has impetigo. Which of the following instructions should the nurse include in the teaching? Apply bactericidal ointment to lesions 9. A nurse is preparing to administer naproxen 150 mg PO to a child who is experiencing pain. Available is naproxen 125 mg/ 5 ml solution. 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.) 6 ml Distribution of this document is illegal Want to earn $103 per month? S - The Marketplace to Buy and Sell your Study Material 10. A nurse is assessing a 6-month old patient at a well-child visit. Which of the following findings should the nurse expect? a. Closed posterior fontanel (8 weeks). 11. A nurse is caring for a 2-year old child who has seizures and is receiving phenytoin in suspension form. Which of the following actions should the nurse take before administering each dose? a. ?? 12. A nurse is planning care for a female client who has a T4 spinal cord injury and is at risk for acquiring urinary tract infections. Which of the following actions should the nurse include in the client’s plan of care? a. Encourage fluid intake at and between meals. 13. A nurse is planning care for a child who has suspected epiglotis. Which of the following actions should the nurse take? a. place the child in an upright position 14. A nurse is instructing a group of clients regarding calcium rich food. Which of the following should the nurse include in the teaching as the best source of calcium? a. 1 cup milk 15. A nurse is caring for an 8-month-old infant who screams when the parent leaves the room. The parent begins to cry and says “ I don’t understand why my child is so upset. I’ve never seen my child act this way around others before.” Which of the following statements should the nurse make? a. “This is a normal, expected reaction for a child of this age.” 16. A nurse is caring for a 4-year-old child who is resistant to taking medication. Which of the following strategies should the nurse use to elicit the child’s cooperation? a. Offer the child a choice of taking it with juice or water. 17. A nurse is caring for a client who requires droplet precautions. Which of the following Personal protective equipment should the nurse wear when seting up the meal tray? a. Mask 18. A nurse is teaching a client who has asthma about how to use an albuterol inhaler. Which of The following actions by the client indicates an understanding of the teaching? a. The client holds his breath 10 seconds after inhaling the medication. Distribution of this document is illegal Want to earn $103 per month? S - The Marketplace to Buy and Sell your Study Material 19. A nurse is caring for a 2-month-old infant who is post-operative following surgical repair of a cleft lip. Which of the following actions should the nurse take? a. Administer ibuprofen as needed for pain. 20. A nurse is caring for a child who has Kawasaki disease. Which of the following systems Should the nurse monitor in response to this diagnosis? a. Cardiovascular 21. A nurse is providing teaching to a client who has oral candidiasis and a new script for Nystatin suspension. Which of the following statements by the client indicates an understanding of the teaching? a. “I will store the medicine at room temp” 22. A nurse is caring for a child who has been diagnosed with pertussis. Which type of precautions should the nurse take when caring for this child? Droplet precautions 23.A 7-year old girl is being seen at a healthcare clinic; the nurse suspects that the child is being neglected and physically abused at home. Beyond physical markings on the child, which of the following can also indicate signs of a child being abused or neglected? Select all that apply. The patient is wearing dirty, poorly-fitted clothes The patient misses school approximately once per week The child has body odor and roting teeth 24.A nurse who works in the pediatric unit walks into a 3-year-old patient’s room and finds him lying on the floor. His parents are with him and they tell the nurse, “he fell out of bed!” Which response from the nurse is the most appropriate? Assist the patient back to bed, assess him for injuries and file an incident report 25.The nurse is conducting a physical examination in the ER of a child following a comprehensive health history. What should be the focus of the physical examination? Chief complaint 26.Which would be least effective in gaining the cooperation of a toddler during a physical examination? Tell the child that another child the same age wasn’t afraid. 27.The nurse is preparing a nursing care plan for an 8-year old child hospitalized for cardiac surgery. Which are examples of interventions that nurses perform in the “building a trusting relationship” stage? Select all that apply. Preparing the child for a procedure by playing games Explaining in simple terms what will be happening during surgery Downloaded by Distribution of this document is illegal Want to earn $103 per month? S - The Marketplace to Buy and Sell your Study Material Giving the child a favorite toy to cuddle with following a painful procedure 28.A nurse is caring for a 13-year-old girl who is sexually active and whose partner is her 19-yearold boyfriend. The girl asks the nurse not to tell her parents about her sexual activity. This patient’s situation is best described as: statutory rap 29. An 11-year-old boy has been diagnosed with depression after his parents’ divorce. The nurse understands that depression in most children of this age most commonly manifests as: Lack of interest with friends and families 30.During the health history, the mother of a 4-month-old child tells the nurse she is concerned that her baby is not doing what he should be at this age. What is the nurse’s best response? “Tell me what concerns you.” 31.What is the role of the peer group in the life of school-age children? Provides them with security as they gain independence from their parents. 32.For which child would nonopioid analgesics be recommended? A child with juvenile arthritis 33.A nurse is working with a child who has a learning disability because she is unable to discriminate between different speech sounds. This disorder is most accurately described as: phonological processing deficit 34.The nurse is caring for an 11-year-old child who is experiencing pain related to chemotherapy treatment. What is a behavioral factor that might affect the child’s pain experience? Participation in normal routine activities 35. A nurse is presenting an in-service about the use of postural drainage for infants who have cystic fibrosis. Which of the following positions should the nurse identify as being contraindicated for the infant? a. Trendelenburg? 36. A nurse is caring for a client who has a prescription for digoxin 0.25mg PO daily. The amount available is 0.125mg tab. The client’s current vital signs are: BP 144/96, hear rate 54/min, respirations 18/min, and temperature 98.6 F. Which of the following actions should the nurse take? a. Withhold for decreased pulse rate. Downloaded by Distribution of this document is illegal Want to earn $103 per month? S - The Marketplace to Buy and Sell your Study Material 37. A nurse is speaking with the mother of a 6-year-old child. Which of the following statements by the mother should concern the nurse? a. “My teacher says my child has to squint to see the board.” 38. A nurse is conducting a primary survey of a client who has sustained life-threatening injuries Do to a motor-vehicle crash. Identify the sequence of actions the nurse should take. 1. Open airway using a jaw-thrust maneuver 2. Determine effectiveness of ventilator efforts 3. Establish IV access 4. Glasgow Coma Scale assessment 5. Remove clothing for a thorough assessment. 39. A nurse is reinforcing teaching about food choices with the mother of an 8-month-old infant. Which of the following statements by the mother indicates a need for further teaching? a. “I will give my child strained carrots and mashed egg yolks.” 40. A nurse in an emergency room is caring for a client who sustained partial-thickness burns to both lower legs, chest, face, and both forearms. Which of the following is the priority action the nurse should take? a. Inspect the mouth for signs of inhalation injuries 41. A charge nurse is making a room assignment for a client who has scabies. In which of the following rooms should the nurse place the client? a. Private room 42. A nurse is reviewing the lab findings for a client who has ITP. Which of the following findings should the nurse expect to be decreased? a. Platelets 43. A nurse is assessing a client who has SLE. Which of the following findings should the nurse expect? a. Facial rash 44. A nurse is creating a plan of care for a school-age child who has nephrotic syndrome. Which of the following interventions should the nurse include? (Select all that apply) • Provide a low-sodium diet • Assess for protein in the urine • Obtain a daily weight Downloaded by: Distribution of this document is illegal Want to earn $103 per month? S - The Marketplace to Buy and Sell your Study Material 45. A nurse in a pediatric unit is caring for a school-age child following a cardiac catheterization. Which of the following interventions would the nurse take? • Keep the affected extremity straight for 6 hrs. 46. A nurse is teaching a parent of a toddler about administering digoxin. Which of the following statements by the parent indicates understanding of the teaching? • “I should give my child water after giving the medication.” 47. A nurse is caring for a 9-year-old child who has major burns to her face and upper torso. Which of the following actions should the nurse take first? • Give pain medication 48. A nurse is planning care for a toddler who has developed oral ulcers in response to chemotherapy. Which of the following should the nurse include in the plan of care? • Cleanse the gums with saline soaked gauze 49. A nurse in a community health clinic is assessing the needs of a single parent who has three young children and works full time. Which of the following resources should the nurse recommend? • Respite child care 50. A nurse is caring for a child who has a prescription for fluticasone and has developed white patches and sores in his mouth. Which of the following is an appropriate action for the nurse to take? • Collect a culture from the lesions 51. A nurse is providing teaching to the parents of a child who has impetigo. Which of the following instructions should the nurse include in the teaching? • Apply bactericidal ointment to lesions 52. A nurse in an emergency department is caring for a child who has epiglotis. Which of the following actions should the nurse take? • Provide nebulizer aerosol therapy 53. A nurse is planning care for a child who is placed in skin traction. Which of the following is the priority action for the nurse to take? • Maintain proper body alignment 54. A nurse is preparing to administer ondansetron 0.15 mg/kg IV to a child who is receiving chemotherapy and weighs 29.4 kg. Available is ondansetron 4 mg/2 mL solution. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero) Downloaded by: Distribution of this document is illegal Want to earn $103 per month? S - The Marketplace to Buy and Sell your Study Material • Answer: 2.2 mL 55. A nurse is performing a physical assessment of a school-age child who has acute glomerulonephritis. Which of the following findings should the nurse expect? • Facial edema Downloaded by: Distribution of this document is illegal Want to earn $103 per month?