HESI PEDIATRIC EXAM QUESTIONS & ANSWERS 2022/2023 LATEST UPDATE

HESI PEDIATRIC EXAM QUESTIONS & ANSWERS 2022/2023 LATEST UPDATE HESI PEDIATRIC EXAM QUESTIONS & ANSWERS 2022/2023 LATEST UPDATE HESI PED   1. The nurse is caring for a 3-year old child who is 2 hours postop from a cardiac catheterization via the right femoral artery. Which assessment finding is an indication of arterial obstruction? A. Blood pressure trend is downward and pulse is rapid and irregular B. Right foot is cool to the touch and appears pale and blanched. C. Pulse distal to the femoral artery is weaker on the left foot than right foot. D. The pressure dressing at right femoral area is moist and oozing blood. 2. Following a motor vehicle collision, a 3-year old girl has a spica cast applied. Which toy is best for the nurse for this 3-year-old child? A. Duck that squeaks. B. Fashion doll and clothes C. Set of cloth and hand puppets D. Hand held video game. 3. An infant with tetralogy of Fallot becomes acutely cyanotic and hyper apneic. Which action should the nurse implement first? A. Administer morphine sulphate. B. Start IV fluids. C. Place the infant in a knee-chest position D. Provide 100% oxygen by face mask. 4. A child admitted with diabetic ketoacidosis is demonstrating Kussmaul’s respirations. The nurse determines that the increased respiratory rate is a compensatory mechanism for which acid base alteration? A. Metabolic alkalosis. B. Respiratory acidosis. C. Respiratory alkalosis. D. Metabolic acidosis 5. 7 years old is admitted to the hospital with persistent vomiting, and a nasogastric tube attached to low intermittent suction is applied. Which finding is most important for the nurse to report to the healthcare provider? A. Gastric output of 100 mL in the last 8 hours. B. Shift intake of 640 mL IV fluids plus 30 mL PO ice chips. C. Serum potassium of 3.0 mg/dL. D. Serum pH of 7.45. 6. The nurse is evaluating diet teaching for a client who has non tropical sprue (celiac disease). Choosing which food indicates that the teaching has been effective? • Creamed corn B. Pancakes. C. Rye crackers. D. Cooked oatmeal. 7. During a well-baby check, the nurse hides a block under the baby’s blanket, and the baby looks for the block. Which normal growth and development milestone is the baby developing? A. Separation anxiety. B. Associative play. C. Object prehension. D. Object permanence .8. The nurse is measuring the frontal occipital circumference (FOC) of a 3-months old infant, and notes that the FOC has increased 5 inches since birth and the child’s head appears large in relation to body size. Which action is most important for the nurse to take next? A. Measure the infant’s head-to-toe length. B. Palpate the anterior fontanel for tension and bulging C. Observe the infant for sunken eyes. D. Plot the measurement on the infant’s growth chart. 9. The nurse is preparing a 10-year-old with a lacerated forehead for suturing. Both parents and 12- year-old sibling are at the child’s bedside. Which instruction best supports family? A. While waiting for the healthcare provider, only one visitor may stay with the child. B. All of you should leave while the healthcare provider sutures the child’s forehead. C. It is best if the sibling goes to the waiting room until the suturing is completed. D. Please decide who will stay when the healthcare provider begins suturing .10. The nurse is planning for a 5-month old with gastroesophageal reflux disease whose weight has decreased by 3 ounces since the last clinic visit one month ago. To increase caloric intake and decrease vomiting, what instructions should the nurse provide this mother? A. Give small amounts of baby food with each feeding. B. Thicken formula with cereal for each feeding C. Dilute the child’s formula with equal parts of water. D. Offer 10 % dextrose in water between most feedings. 11. While teaching a parenting class to new parents the nurse describes the needs of infants and toddlers regarding discipline and limit setting. What is the most important reason for implementing such parenting behaviors? A. Children need help in developing social skills. B. This age child fears loss of self-control. C. They provide the child with a sense of security D. Children must to learn to deal with authority. 12. The parents of a newborn infant with hypospadias are concerned about when the surgical correction should occur. What information should the nurse provide? A. Repair should be done by one month to prevent bladder infection. B. To form a proper urethra repair, it should be done after sexual maturity. C. Repairs typically should be done before the child is potty trained. D. Delaying the repair until school age reduces castration fears. 13. Which drink choice on a hot day indicates to the nurse that a teenager with sickle cell anemia understands dietary consideration related to the disease? A. Milkshake. B. Iced tea. C. Diet cola. D. Lemonade. 14. The nurse is assessing an infant with diarrhea and lethargy. Which finding should thenurse identify that is consistent with early dehydration? A. Tachycardia B. Bradycardia. C. Dry mucous membrane. D. Increased skin turgor. 15. While auscultating the lung sounds of a 5-year-old Chinese boy who recently completed antibiotic therapy for pneumonia, the nurse notices symmetrical, round, bruise-like blemishes on his chest. What action is best for the nurse to take? A. Identify the antibiotic used to treat the pneumonia. B. Inquire about the use of alternative methods of treatment C. Ask the parents if the child has been in a recent accident. D. Report suspected child abuse to the authorities. 16. A child with acute lymphocytic leukemia (ALL) who is receiving chemotherapy via a subclavian IV infusion, has an oral temperature of 103 degrees. In assessing the IV site, the nurse determines that there are no signs of infection at the site. Which intervention is the most important for the nurse to implement? A. Obtain specimen for blood cultures B. Assess the CBC. C. Monitor the oral temperature every hour. D. Administer acetaminophen as prescribed. 17. A child who weighs 25 kg is receiving IV ampicillin 300 mg/kg/24 hours in equally divided doses every 4 hours. How many mg should the nurse administer to the child for each dose? 1875mg 18. The nurse is caring for an infant scheduled for reduction of intussusceptions. The day before the scheduled procedure the infant passes a soft-formed brown stool. Which intervention should the nurse implement? A. Instruct the parents that the infant needs to be NPO. B. Notify the healthcare provider of the passage of brown stool. C. Obtain a stool specimen for laboratory analysis. D. Ask the parents about recent changes in the infant’s diet. 19. The mother of a 4-month old asks the nurse for advice in preventing diaper rash. What suggestion should the nurse provide? A. At diaper change generously powder the baby’s diaper area with talcum powder to promote dryness. B. Wash the diaper area every 2 hours with soap and water to help prevent skin breakdown. C. Use a barrier cream, such as zinc oxide, which does not have to be completely removed with each diaper change. D. Place a cloth diaper inside the disposable diaper for overnight periods when increased wearing time is likely. 20. Which statement by a school aged client going to summer camp indicates the best understanding of the mode of transmission of Lyme disease? A. I’ll cover my mouth with a wet cloth if there’s too much dust blowing. B. Cuts and scrapes need to be washed out and covered right away. C. I’m not going to swim where the water is standing still or feels too hot. D.I have to wear long sleeves and pants when we’re hiking around the pond. 21. The nurse is evaluating the effects of thyroid therapy used to treat 5 months old with hypothyroidism. Which behavior indicates that the treatment has been effective? A. Laughs readily, turns from back to side. B. Has strong Moro and tonic neck reflexes. C. Keeps fists clenched, opens hands when grasping an object. D. Can lift head, but not chest when lying on abdomen 22. The HR for a 3-year-old with a congenital heart defect has steadily decreased over the last few hours, now it’s 76 bpm, the previous reading 4 hours ago was 110 bpm. Which additional finding should be reported immediately to a healthcare provider? A. Oxygen saturation 94%. B. RR of 25 breaths/minute. C. Urine output 20 mL/hr. D.BP 70/40. 23. 2-year-old is admitted to the hospital with possible encephalitis, and a lumbar puncture is scheduled. Which information should the nurse provide this child concerning the procedure? A. Describe the side-lying, knees to chest position that must be assumed during the procedure. B. Tell the child to expect loud clicking noises during the procedure that may be slightly annoying. C. Reassure the child that there will be no restrictions on activity after the procedure is completed. D. Explain that fluids cannot be taken for 8 hours before the procedure and for 4 hours after the procedure. 24. the parents of a 3 y/o boy who has Duchenne muscular dystrophy (DMD) ask “how can our son have this disease? We are wondering if we should have any more children” What information should the nurse provide these parents? A. This is an inherited X-linked recessive disorder, which primarily affects male children in the family B. The male infant had a viral infection that went unnoticed and untreated, so muscle damage was incurred C. The XXXX muscle groups of males can be impacted by a lack of the protein dystrophy in the mother D. Birth trauma with a breech vaginal birth causes damage to the spinal cord, thus weakening the muscles 25. The nurse finds a 6-month-old infant unresponsive and calls for help. After opening the airway and finding the XXXX the infant is still no breathing. Which action should the nurse take? A. Palpate femoral pulse and check for regularity B. Deliver cycles of 30 chest compressions and 2 breaths C. Give two breath that makes the chest rise D. Feel the carotid pulse and check for adequate breathing 26. A 3-year-old with HIV infection is staying with a foster family who is caring for 3 other foster children in their home. When one of the children acquires pertussis, the foster mother calls the clinic and asks the nurse what she should do. Which action should the nurse take first? A. Remove the child who has HIV from the foster home B. Report the exposure of the child with HIV to the health department C. Place the child who has HIV in reverse isolation D. Review the immunization documentation of the child who has HIV 27. A 16 y/o female student with a history of asthma controlled with both an oral antihistamine and an albuterol (Proventil) metere-dose inhaler (MDI) comes to the school nurse. The student complains that she cannot sleep at night, feels shaky and her heart feels like it is “beating a mile per minute” Which information is most important for the nurse to obtain? A. When she last took the antihistamine B. When her last Asthma attack occurred C. Duration of most asthmas attacks D How often the MDI is used daily 28. The nurse is assessing a child for neurological soft signs, which finding is most likely demonstrated in the child’s behavior? A. Inability to move tongue in a direction B. Presence of vertigo C. Poor coordination and sense of position D. Loss of visual acuity 29. The nurse is assessing an infant with pyloric stenosis. Which pathophysiological mechanism is the most likely consequence of this infant’s clinical picture? A. Metabolic alkalosis B. Respiratory acidosis C. Metabolic acidosis D. Respiratory Alkalosis 30. A 4-month-old girl is brought to the clinic by her mother because she has had a cold for 2 o 3 days and woke up this morning with a hacking cough and difficulty breathing. Which additional assessment finding should alert the nurse that the child is in acute respiratory distress? A. Bilateral bronchial breath sounds B. Diaphragmatic respiration C. A resting respiratory rate of 35 breathe per minute D. flaring of the nares 31. a two-year-old boy begins to cry when the mother starts to leave. What is the nurse’s best response in this situation? A. Let me read this book to you B. Two years old usually stop crying the minute the parent leaves C. Now be a big boy. Mommy will be back soon D. Let’s wave bye-bye to mommy 32. A two-year-old child with a heart failure (HF) is admitted for replacement of a graft for coarctation of the aorta. Prior to administering the next dose of digoxin (Lanoxin) the nurse obtains an apical heart rate of 128 bpm. What action should the nurse implement? A. Determine the pulse deficit B. Administer the scheduled dose C. calculate the safe dose ranged. review the serum digoxin level 33. A child with leukemia is admitted for Chemotherapy and the nursing diagnosis “altered nutrition, less those body requirements related to anorexia, nausea and vomiting” is identified. Which intervention the nurse included in this child plan of care? A. Encourage a variety of large portions of food at every meal B. Allow the child to eat any food desired and tolerated C. Recommended eating the food as sibling eat at home D. Restrict food brought form fast food restaurants 34. a 6-year-old who has asthma is demonstrating a prolonged expiratory phase and wheezing and has a35% of personal best peak expiratory flow rate (PEFR) based on these finding, actions should the nurse take first? A. Administer a prescribed bronchodilator b. Encourage the child to cough and deep breath C. Report findings to the heath care provider d. determine what triggers precipitated this attack 35. The nurse plans to administer 10 mcg/kg of digoxin elixir as a loading dose to a child who weighs 55 pounds. Digoxin is available as elixir of 50 mcg/ml. How many ml of the digoxin elixir should the nurse administer to this child? 5 ml 36. the nurse observes a mother giving her 11-month-old ferrous sulfate, followed by two ounces of orange juice. What should the nurse do next? A. suggest placing the iron drops in the orange juice and feed the infant B. Tell the mother to follow the iron drops with formula instead of orange juice C. instruct the mother to feed the infant nothing in the next 30 minutes after the iron D. Give positive feedback about the way she administered the sulfate 37. Which nursing intervention is most important to include in the plan of care for a child with acute glomerulonephritis A. encourage fluid intake B. promote complete bed rest C. weight the child daily D. Administer vitamin supplements 38. During a well-baby visit the parents explain that a soft bulge appears in the groin of their 4-month old son when he cries or strain stooling. The infant is schedule for surgical repair of the inguinal; hernia in two weeks. The parent should be instructed to take which measure if the hernia becomes incarcerated prior to the surgery? A. Use rectal thermometer for straining on stool B. Gently manipulate the hernia for reduction C. Offer oral electrolyte fluids for comfort D. Give acetaminophen or aspirin for crying 39. A 16-year-old male client who has been treated in the past for a seizure disorder is admitted to the hospital. Immediately after admission he begins to have a grand mal seizure. Which action should the nurse take? A. Obtain assistance in holding him to prevent injury B. Observe him carefully C. Call a CODE D. Place a padded tongue blade between the teeth 40. The mother of a 9-month old who was diagnosed with respiratory syncytial virus yesterday calls the clinic to inquire if it will be all right to take her infant to the first b-day party of a friend’s child the following day. What response should the nurse provide this mother? A. The child will no longer be contagious, no need to take any further precaution B. Make sure there are not children under the age of 6 months around the infected child C. The child can be around other children but should wear mask at all times D. Do not expose other children to RSV. It is very contagious even without direct contact 41. When screening a 5-year-old for strabismus, what action should the nurse take A. Have the child identify colored patterns on polychromatic cards B. Direct the child through the six-cardinal position of glaze C. Inspect the child for the setting sun sign D. Observe the child for blank, sunken eyes 42. The nurse is assessing a 6-month-old infant. Which response requires further evaluation by the nurse? A. Has doubled birth weight B. Turn head to locate sound C. Plays pick a boo D. Demonstrate startle reflex 43. A child is brought to the clinic complaining of fever and joins pain, and is DX with rheumatic fever. When planning care for this child what is the goal of nursing care? A. Reduce fever B. Maintain fluid and electrolytes C. Prevent cardiac damage D. Maintain join mobility and function 44. The nurse working on the pediatric unit takes two 8-year old girls to the playroom. Which activity is best for the nurse to plan for these girls? A. Selecting a board game B. Playing Doctor and nurse C. Watching cartoon on TVD. D Coloring, cutting and pasting 45. The nurse is developing the plan of care for a hospitalized child with von Will brand disease. What priority nursing intervention should be included in this child plan of care A. Reduce exposure to infection B. Eliminate contact with cold grafts (crafts? Is not legible) C. Guard against bleeding injuries D. Reduce contact with other children 46. How should the nurse instruct the parents of a 4-month-old with seborrheic dermatitis (cradle cap) to shampoo the child’s hair? A. Use a soft brush and gently scrub the area B. Avoid scrubbing the scalp until the scales disappear C. Avoid washing the child’s hair more than once a week D. Use soap and water and avoid shampoos 47. Prior to discharge, the parents of a child with cystic fibrosis are demonstrating chest physiotherapy (CPT) that they will perform for their child at home. Which action requires intervention by the nurse? A. Plan to perform CPT when the child awakens in the morning B. A Copped hand is used when percussing the lung field C. A bronchodilator is administered before starting CPTD. D. The child is placed in a supine position to begin percussion 48. When assessing the breath sounds of an 18-month old child who is crying, what action should the nurse take? A. Document that the assessment is not available because the child is crying B. Ask the parents to quiet the child so breath sounds can be auscultated C Allow the child to initially play with stethoscope, and distract during auscultation D. Auscultate and document breath sounds, noting that the child was crying at the time 49. The mother of a one-month old calls the clinic to report that the back of her infant is flat. How should the nurse respond? A. Turn the infant on the left side braced against the crib when sleeping B. Prop the infant in a sitting position with a cushion when no sleeping C. Place a small pillow under the infant’s head while lying on the back D. Position the infant on the stomach occasionally when awake and active 50. Which nursing intervention is most important to assist in detecting hypopituitarism and hyperpituitarism in children A. Carefully recording the height and weight of children to detect inappropriate growth B. Performing head circumference measurements on infants under one year of age C. Assessing for behavioral problems at home and school by interviewing the parents D. Noting a tracked weight gain without a gain in height on a growth chart 51. A 7-year-old child is admitted to the hospital with acute glomerulonephritis (AGN). When obtaining the nursing history which finding should the nurse expect to obtain? A. High blood cholesterol level on routine screening B. Increased thirst and urination. C. A recent strep throat infection D. A recent DPT immunization 52. The nurse plans to screen only the highest risk children for scoliosis. Which group of children should the nurse screen first? A. Girls between ages 10 and 14 B. Boys between ages 10 and 14 C. Boys and girls between 12 and 14 D. Boys and girls between 8 and 12 53. In assessing a 10-year-old newly diagnosed with osteomyelitis, which information is most for the nurse to obtain. A. Recent recurrence of infections B. Cultural heritage and belief C. Family history of bone disorder D. Occurrence of increased fluid intake 54. A 3-year-old boy in a daycare facility scratches his head frequently and the nurse confirms the presence if head lice. The nurse washes the child’s hair with permethrin (Nix) shampoo and call his parents. What instructions should the nurse provide to the parents about treatment of head lice? A. Wash the child’s bed linens and clothing in hot soapy water B. Dispose of the child’s brushes, comb’s and other hair accessories C. Rewash the child’s hair following a 24-hour isolation period D. Take the child to a hair salon for a shampoo and shorter haircut 55. The nurse on a pediatric unit observes a distraught mother in the hallway scolding her 3year old son for wetting his pants. What initial action should the nurse take? A. Suggest that the mother consult a pediatric nephrologist B. Provide disposable training pants while calming the mother C. Refer the mother to a community parent education program D. Inform the mother that toilet training is slower for boys Which client requires immediate intervention by the RN? • A child with cystic fibrosis who is constipated. • A toddler with chicken pox who is scratching, • A child with acute renal failure and hyperkalemia. • An adolescent with a migraine and photophobia. A 7 year old male is referred to the school clinic because he fainted on the playground. His height is 3 feet, 7 inches (107.5 cm), he weighs 55 pounds (25 kilograms), and his body mass index (BMI) is 20.9. Which assessment finding is most important for the RN to address? • He consumed2 bottles of water in 30 minutes prior to fainting. • Since age 3 he has experienced exercise induced asthma. • Reports drinking 3-4 high calorie, carbonated beverages daily. • The child’s father has a history of fainting when exercising. The RN of a 6 year old girl is concerned about her child’s obesity. The child’s weight plots at the 75th percentile, and height at the 25th percentile. The child’s body mass index (BMI) is at the 85th percentile for age and gender. Which interventions should the RN implement? (Select All That Apply) • Explain that the child is likely to grow into her weight. • Determine the child’s usual physical activity pattern. • Obtain the child’s 3- day diet history based on the mothers input. • Inquire as to whether or not the school has a physical education program. • Tell the mother that girls hit their growth spurt before boys so eating more is expected. A toddler with hemophilia is being discharged from the hospital. Which teaching should the RN include in the discharge instructions to the mother? • Apply padding on the sharp corners of the furniture. • Prevent the client from running inside the house. • Give an 81 mg tablet of aspirin for pain relief. • Use a soft bristle toothbrush from frequent cleaning. The RN is examining an infant for possible cryptorchidism. Which examine technique should be used? • Place the infant in a side lying position to facilitate the exam. • Hold the penis and extract the foreskin gently. • Cleanse the penis with an antiseptic-soaked pad. • Place the infant in a warm room and use a calm approach. An infant who has been diagnosed with a tracheoesophageal fistula (TEF). What nursing intervention is indicated for this infant prior to surgical repair? • Provide frequent sips of liquid. • Give isotonic enemas as prescribed. • Maintain nothing by mouth status. • Prepare the infant for a barium enema. An adolescent with non- Hodgkin’s lymphoma (NHL) is complaining of a sore mouth two days after beginning chemotherapy. What activity should the RN implement? • Encourage large meals during steroid and chemotherapy. • Provide lemon glycerin swabs and dilute peroxide oral rinses. • Recommend fluids using citrus juices and drinking with a straw. • Frequent use of saline oral rinses and a soft sponge toothbrush. A child with acute laryngotracheobronchitis (croup) received epinephrine 2 hours ago in the emergency room, and now is being prepared for discharge to go home. The RN should instruct the parents to take which action if the child’s uncontrolled coughing reoccurs? • Call for emergency transportation to the hospital. • Increase the fluid intake to liquefy the secretions. • Administer a dose of the prescribed cough medicine. • Sit with the child in the bathroom with hot steam.(vapor calient) . The RN is performing a routine examination of a 6-month old infant at the community health clinic. Records indicate that the child weighed 3 kg at birth. The clinic uses lbs to describe weight. When assessing this child, approximately what weight, in lbs, should the RN consider to be within normal range for this child? • 15 to 18 lbs. • 12 to 15 lbs. • 9 to 11.5 lbs. • 6 to 7.5 lbs. Birth weight should at least be double at this time. When developing a teaching plan for an adolescent male who was recently diagnosed with Type 1 Diabetes Mellitus, the RN should instruct the client to eat a source of sugar if which symptom occurs? • Excessive thirst. • Racing pulse. • Profuse perspiration. OJO VERIFICAR • Seeing spots. Tachycardia is one of the symptoms of hypoglycemia. A breast feeding mother returns to work when her infant is 5 months old. She is having difficulty pumping enough milk to mete her infant’s dietary requirements. Which suggestion should the RN provide to this mother? • Mix infants formula with breast milk. • Supplement with an iron-rich formula. • Introduce baby food for one meal daily. • Offer a follow-up transitional formula. The RN is evaluating the effects of thyroid therapy used to treat a 5 month old with hypothyroidism. Which behavior indicates that the treatment has been effective? • Keeps fists clenched, opens hands when grasping an object. • Has strong Moro and tonic neck reflexes. • Can lift head, but not chest when lying on abdomen. • Laughs RISA readily, turns from back to side. The RN is assessing an infant with aortic stenosis and identifies bilateral fine crackles in both lung fields. Which additional finding should the RN expect to obtain? • Vigorous feeding and sanitation. • Hemiplegia. • Fever. • Hypotension and tachycardia. A child with possible Duchenne muscular dystrophy (MD) undergoes an electro- myelogram (EMG). Following the procedure, the child’s parents tell the RN that the child is complaining of sore muscles. How should the RN respond? • Explain that muscle aches and pain are commonly experienced by children with this form of muscular dystrophy. • Advise the parents that children with chronic diseases may seek attention by reporting pain or other unpleasant symptoms. • Encourage the parents to monitors the child’s body temperature for the next 24 hours and report a rise above 101 degree F. • Offer reassurance that muscle soreness following this procedure is temporary and does not indicate a problem. . The heart rate of a 3 year old with a congenital heart defect has steadily decreased over the last few hours, and is now at 76 beats/minutes; the previous reading 4 hours ago was 110 beats/minutes. Which additional clinical finding should be reported immediately to the healthcare provider? • Respiratory rate of 25 bpm. • Urine output of 20 mL/hr. • Oxygen saturation of 94%. • Blood pressure of 70/40 The HCP prescribes epinephrine 0.01 mg/kg IM for a child with asthma who weighs 55 lbs. The available medication is labeled, 1 mg/ml. based on the child’s weight, how many mL should the RN administer? After receiving a single fluid bolus of 20 mL/kg of NS, a child’s heart rate is 140 bpm, blood pressure 70/50, and capillary refill is 6 seconds. The child is anxious and crying. Which intervention should the RN implement first? • Repeat the NS bolus as prescribed. • Allow the child to assist with caregiving. • Recommend age appropriate activities. • Encourage the caregiver to remain at bedside. The RN should instruct the parents of an 8 year old child who has sickle cell anemia to be alert for which complaint from the child? • “I’m shorter than everyone else.” • “I’m really hot and thirsty.” • “I don’t want to eat any vegetables.” • “I have to urinate every few hours.” The RN is assessing an 8 month old who has a cough, axillary temperature of 100, and rhinorrhea. What information is most important for the RN to obtain from this child’s mother? • Living conditions. • Labor and delivery history of the infant. • Immunization status of the infant. • Alcohol and drug intake of the mother. During a routine clinic visit, the RN determines the 5 year old girl’s systolic blood pressure is greater than the 90th percentile. What action should the RN implement next? • Take the blood pressure two more times during the visit and determine the average of the three readings. • Measure the child’s blood pressure three times during the visit and determine the highest of the readings. • Conduct a head to toe assessment and omit repeated blood pressures during the examination. • Refer the child to the HCP and schedule evaluation of blood pressure in two weeks. A child with hemophilia arrives at the clinic with a swollen knee after falling off a bicycle. What action should the RN implement first? • Initiate an IV site and begin infusing normal saline. • Type and cross for possible transfusion. • Monitor the child’s vital signs frequently. • Apply ice pack and compression dressing to knee. What snack is best to provide a 6 year old on prescribed bedrest while receiving treatment for osteomyelitis? • Milk shakes. BATIDO DE LECHE • Soup broth. • Apple sauce. • Popsicle. A young child with osteomyelitis needs high calorie/ high protein snacks to maintain adequate nutrition and promote healing, and a milkshake (A) is the best choice to meet this dietary objective. (B, C, and D) are low in protein and provide minimal calories. An 8 year old is admitted to the emergency Department because of lower right quadrant pain, nausea, and vomiting. Which assessment of the abdomen should the RN conduct after all other assessments are complete? • Percussion. • Palpation. • Inspection. • Auscultation. A one month old male infant is brought to the clinic by his mother who states that her son has been vomiting forcefully after each meal for the last three days. The infant is afebrile, dehydrated, and pyloric stenosis is suspected. What other findings should the RN identify that are consistent with pyloric stenosis? • Perianal diaper rash from persistent diarrhea. • Rooting, hunger, and irritability. • Bile-stained emesis. • An olive-shaped mass in the abdominal area. A RN is evaluating a young child with atopic dermatitis. Which question should the RN ask the parent while obtaining the child’s history? • “Does the child have any nausea or vomiting?” • “Has the child displayed any symptoms of asthma or hay fever?” • “Can any particular stress be associated with onset of rash?” • “What time of the day does the rash appear on the body?” A 3-month-old with myelomeningocele and atonic bladder is catheterized every 4 hours to prevent urinary retention. The home health RN notes that the child developed episodes of sneezing, urticaria, watery eyes, and a rash in the diaper area. What action is most important for the RN to take? • Auscultate the lungs for respiratory pneumonia. • Draw blood to analyze for streptococcal infection. • Change to latex free gloves when handling infant. • Apply zinc oxide to perineum with each diaper change. A 17 year old male student with cystic fibrosis talks with the school RN about his disease and wonders how it will affect getting married and having children. Which relevant information would the RN include in this discussion? • He should undergo cystic fibrosis screening before having children. • Impotence is a frequent problem for males with cystic fibrosis. • If the father is a carrier, 50 % chance of the offspring will have cystic fibrosis. • He is likely to have infertility problems and needs further evaluation. A female of child bearing age receives a rubella vaccination. She has two children at home, age 13 months and 3 years. Which instruction s most important for the RN to provide to this client? • Inquire if anyone in the family is allergic for eggs. • Tell the mother to isolate the children for 3 days. • Encourage the client to immunize the children. • Assess the family history for incidence of rubella. A child weighing 67 lbs receives a prescription for benztropine (Cogentin) 0.61 mg IV q12 hours. This drug is available as 1 mg/ml ampoules. How many mL should the RN administer? 0.61 ml/ dose D/H x V= 0.61 ml/1mg x 1 mL = 0.61 mL/dose. A 12 year old boy with leukemia is being discharged from the hospital with a white blood cell count (WBC) count of 4,000 / mm^3. He is scheduled to receive antineoplastic chemotherapy as an outpatient. What instruction should the RN include in this child’s discharge plan? • Avoid eating at buffets, smorgasbords, and salad bars. • Spend time resting with family pets, but only cats and dogs. • Swim weekly at the neighborhood pool for neuromuscular integrity. • Have all visitors wear protective masks when coming to the home. A 12 year old is admitted to the hospital with possible encephalitis, and a lumbar puncture is scheduled. Which information should the RN provide this child concerning the procedure? • Explain that fluids can’t be taken for 8 hours before the procedure and for 4 hours after the procedure. • Tell the child to expect loud clicking noises during the procedure that may be slightly annoying. • Describe the side lying, knees to chest position that must be assumed during the procedure. • Reassure the child that there will be no restrictions on activity after the procedure is completed. A 10 year old girl is diagnosed with inflammatory bowel disease (IBD). Her mother is concerned that she will experience developmental delays as the result of this disorder. How should the RN respond? • She will only experience developmental delays if weight loss can’t be controlled. • Scheduling a private tutor can help to prevent developmental delays. • She is at high risk for a number of different problems, including developmental delays. • Growth failure is a concern, but developmental delays are not likely to occur. A hospitalized child stiffens and starts to seize as the RN enters the room. What actions should the RN take? (Select All That Apply) • Instruct the parents to leave the room. • Pad side rails with available pillows and blankets. • Notify the emergency response team. • Monitor duration and progress of the seizure. • Turn client to the side if possible. How should the RN respond to the concerned parents of a 15 month old who is not yet able to self-feed with a spoon? • Tell parents to guide the child’s hand when using a spoon. • Suggest using foods that can be eaten with fingers. • Discuss possible causes for delay with self-feeding. • Encourage longer mealtimes to practice eating with a spoon. During a well child visit for their child, one of the parents who have an autosomal dominant disorder tells the RN, “We don’t plan on having any more children, the next child is likely to inherit this disorder.” How should the RN respond? • Explain that the risk of inheriting the disorder decreases by 50% with each child the couple has. • Encourage the couple to reconsider their decision since the inheritance pattern may be sex linked. • Confirm that there is a 50% chance of their future child inheriting this disorder. • Acknowledging that the next child will inherit the disorder since the first child did not. A child who has been vomiting for the past 3 days is admitted for correction of fluid and electrolyte imbalances. What acid based imbalance is this child likely to exhibit? • Respiratory acidosis. • Metabolic alkalosis. • Respiratory alkalosis. • Metabolic acidosis. The RN administers digoxin (Lanoxin) to a 9 month old infant with an apical heart rate of 160 bpm. Which apical pulse rate indicates that the therapeutic effect of the medication has been achieved? • 180 bpm. • 120 bpm. • 80 bpm. • 60 bpm. .When providing care for a child who is in a balanced suspension skeletal traction using a Thomas splint and Pearson attachment to the right femur, which intervention is most important for the RN to implement? • Assess skin for redness and signs of tissue breakdown. • Change position every 2 hours. • Cleanse pin sites as prescribed. • Monitor peripheral pulses and sensation in the right leg. The RN is planning care for a newborn infant scheduled for a cardiac catheterization. Which occurrence poses the greatest risk for this child? • Loss of pulses proximal to the entry site of the cardiac catheter. • Allergic response to the plastics in the catheter used for catheterization. • Acute hemorrhage from the entry site of the catheter after the procedure. • Fever associated with nausea and vomiting after the procedure. A HCP prescribes antipyrine and benzocaine (Auralgan Otic), an anesthetic ear drop, for a 2 year old child with otitis media in the right ear. After positioning the child with the affected ear up, what action should the RN take? • Cleanse the ear canal with saline. • Put upward traction on the ear lobe. • Pull pinna of the ear down and back. • Gently massage in front of ear. The RN is palpating the lymph nodes of an 18 month old. Which finding should the RN call to the attention of the healthcare provider? • Small, firm, mobile nodules in the axilla. • Enlarged, warm, tender, pre-auricular node. • Enlarged, non-tender, movable occipital node. • Small, discrete, mobile, non-tender, inguinal node. A 3 year old boy was successfully toilet trained prior to his admission to the hospital for injuries sustained from a fall. His parents are very concerned about this regression in toileting. Which information should the RN provide to the parents? • A retraining program will need to be initiated when the child returns home. • Diapering will be provided since hospitalization is stressful to preschoolers. • Children usually resume their toileting behaviors when they leave the hospital. • A potty chair should be brought from home so he can maintain his toileting skills. • A mother brings her 8 mo. old baby boy to clinic because he has been vomiting and had diarrhea for last 3 days. Which assessment is most important for nurse to make? • Assess infant abdomen for tenderness • Determine if the infant was exposed to a virus • Measure the infant’s pulse • Evaluate the infant’s cry • While obtaining the vital signs of a 10 year old who had a tonsillectomy this morning, the nurse observes the child swallowing every 2-3 minutes. Which assessment should the nurse implement? • Inspect the posterior oropharynx • Assess for teeth clenching or grinding • Touch the tonsillar pillars to stimulate the gag reflex • Ask the child to speak to evaluate change in voice tone • The parents of a 3-year old boy who has Duchenne muscular dystrophy ask, “How can our son have this disease? We are wondering if we should have any more children.” What information should the nurse provide to parents? • This is an inherited X-linked recessive disorder, which primarily affects male children in the family • The striated muscle groups of males can be impacted by a lack of the protein dystrophin in their mothers • The male infant had a viral infection that went unnoticed and untreated so muscle damage was incurred • Birth trauma with a breech vaginal birth causes damage to the spinal cord, thus weakening the muscles A 2-week-old female infant is hospitalized for the surgical repair of an umbilical hernia. After returning to the postoperative neonatal unit, her RR and HR have increased during the last hour. Which intervention should the nurse implement? • Notify the HCP of these findings • Administer a PRN analgesic prescription • Record the findings in the child’s record • Wrap the infant tightly and rock in rocking chair • A 2-year-old girl is brought to the clinic by her 17 year old mother. When the nurse observes that the child is drinking sweetened soda from her bottle, what information should the nurse discuss with this mother? • A 2-year old should be speaking in 2 word phrases • Dental caries are associated with drinking soda • Drinking soda is related to childhood obesity • Toddlers should be sleeping 10 hours a night • Toddlers should be drinking from a cup by age 2 • A mother brings her 3 month old infant to the clinic because the baby does not sleep through the night. Which finding is most significant in planning care for this family? • The mother is a single parent and lives with her parents • The mother states the baby is irritable during feedings • The infant’s formula has been changed twice • The diaper area shows severe skin breakdown • The nurse determines that an infant admitted for surgical repair of an inguinal hernia voids a urinary stream from the ventral surface of the penis. What action should the nurse take? • Document the finding • Palpate scrotum for testicular descent • Assess for bladder distension • Auscultate bowel sounds • A 16 year old with acute myelocytic leukemia is receiving chemotherapy (CT) via an implanted medication port at the out-patient oncology clinic. What action should the nurse implement when the infusion is complete? • Administer Zofran • Obtain blood samples for RBCs, WBCs, and platelets • Flush mediport w/ saline and heparin solution • Initiate an infusion of normal saline • A mother brings her 3-week old infant to the clinic because the baby vomits after eating and always seems hungry. Further assessment indicates that the infant’s vomiting is projectile, and the child seems listless. Which additional assessment finding indicates the possibility of a life threatening complication? A. Irregular palpable pulse B. Hyperactive bowel sounds C. Underweight for age D. Crying without tears The nurse is performing a routine assessment of a 3-year old at a community health center. Which behavior by the child should alert the nurse to request a follow-up for a possible autistic spectrum disorder? • Performs odd repetitive behaviors • Shows indifference to verbal stimulation • Strokes the hair of a hand held doll • Has a history of temper tantrums • Following admission for cardiac catheterization, the nurse is providing discharge teaching to the parents of a 2-year-old toddler with Tetralogy of Fallot. What instruction should the nurse give the parents if their child becomes pale, cool, lethargic? • Encourage oral electrolyte solution intake • Assess the child to a recumbent position • Contact their HCP immediately • Provide a quiet time by holding or rocking the toddler • A mother brings her 2 year old son to the clinic because he has been crying and pulling on his earlobe for the past 12 hours. The child’s oral temperature is 101.2 F. Which intervention should the nurse implement? • Ask the mother if the child has had a runny nose • Cleanse purulent exudate from the affected ear canal • Apply a topical antibiotic to the periauricle area • Provide parent education to prevent recurrence • During a follow up clinical visit a mother tells the nurse that her 5 month old son who had surgical correction for tetralogy of fallot has rapid breathing, often takes a long time to eat, and requires frequent rest periods. The infant is not crying while being held and his growth is in the expected range. Which intervention should the nurse implement? • Stimulate the infant to cry to produce cyanosis • Auscultate heart and lungs while infant is held • Evaluate infant for failure to thrive • Obtain a 12-lead electrocardiogram • The mother of an 11-year old boy who has juvenile arthritis tells the nurse, “I really don’t want my son to become dependent on pain medication, so I only allow him to take it when he is really hurting.” Which information is most important for the nurse to provide this mother? • The child should be encouraged to rest when he experiences pain • Encourage quiet activities such as watching television as a pain distracter • The use of hot baths can be used as an alternative for pain medication • Giving pain medication around the clock helps control the pain • The mother of a 4-month-old baby girl asks the nurse when she should introduce solid foods to her infant. The mother states, “My mother says I should put rice cereal in the baby’s bottle now.” The nurse should instruct the mother to introduce solid foods when her child exhibits which behavior? • Stops rooting when hungry • Opens mouth when food comes her way • Awakens once for nighttime feedings • Gives up a bottle for a cup • A 6-year-old boy with bronchial asthma takes the beta-adrenergic agonist agent albuterol (Proventil). The child’s mother tells the nurse that she uses this medication to open her son’s airway when he is having trouble breathing. What is the nurse’s best response? • Recommend that the mother bring the child in for immediate evaluation • Advise the mother that over-use of the drug may cause chronic bronchitis • Assure the mother that she is using the medication correctly • Confirm that the medication helps to reduce airway inflammation • A mother brings her school-aged daughter to the pediatric clinic for evaluation of her anti-epileptic medication regimen. What information should the nurse provide to the mother? • The medication dose will be tapered over a period of 2 weeks when being discontinued • If seizures return, multiple medications will be prescribed for another 2 years • A dose of valproic acid (Depakote) should be available in the event of status epilepticus • Phenytoin (Dilantin) and phenobarbital (Luminal) should be taken for life • A child receives a prescription for amantadine 42 mg PO BID. Amantadine is available as a 50 mg/5 mL syrup. Using a supplied calibrated measuring device, how many mL should the nurse administer per dose? (round to nearest tenth) 0.5 mL • A male toddler is brought to the emergency center approximately three hours after swallowing tablets from his grandmother’s bottle of digoxin (Lanoxin). What prescription should the nurse implement first? Administer activated charcoal orally • Administer activated charcoal • Prepare gastric lavage • Obtain a 12-lead electrocardiogram • Give IV digoxin immune fab (Digibind) • An 8-year-old male client with nephrotic syndrome is receiving salt-poor human albumin IV. Which findings indicate to the nurse that the child is manifesting a therapeutic response? • Decreased urinary output • Decreased periorbital edema • Increased periods of rest • Weight gain 0.5 kg/day • A mother of a 3-year old boy has just given birth to a new baby girl. The little boy asks the nurse, “why is my baby sister eating my mommy’s breast?” how should the nurse respond? Select all that apply • Remind him that his mother breastfed him too • Clarify that breastfeeding is the mother’s choice • Reassure the older brother that it does not hurt his mother • Explain that newborns get milk from their mothers in this way • Suggest that the baby can also drink from a bottle • A middle school male student was recently diagnosed with attention-deficit hyperactivity disorder (ADHD) and is having trouble with his grades. He is referred to the school nurse by the teacher because he continues to have learning problems. Which action should the school nurse take? • Ask the parents to have the child seen by a clinical psychologist • Ask the parents to become involved in helping the child with his homework • Refer the child to the school counselor for educational testing • Seek the advice of the school principle regarding the child’s learning needs • A child diagnosed with Kawasaki disease is brought to the clinic. The mother reports that her child is irritable, refuses to eat, and has skin peeling on both his hands and feet. Which intervention should the nurse instruct the mother to implement first? * • Place the child in a quiet environment • Make a list of foods that the child likes • Encourage the parents to rest when possible • Apply lotion to hands and feet • The nurse is preparing a teaching plan for the parents of a 6 month-old infant with GERD. What instruction should the nurse include when teaching the parents measures to promote adequate nutrition? • Alternate glucose water with formula • Mix the formula with rice cereal • Add multivitamins with iron to the formula • Use water to dilute the formula • A child with pertussis is receiving azithromycin (Zithromax Injection) IV. Which intervention is most important for the nurse to include in the child’s plan of care? • Obtain vital signs at onset of fluid overload • Change IV site dressing q3 days and PRN • Monitor for signs of facial swelling or urticartia • Assess for abdominal pain and vomiting • The nurse is conducting an admission assessment of an 11-month old infant with CHF who is scheduled for repair of restenosis of coarction of the aorta hat was repaired 4 days after birth. Findings include blood pressure higher in the arms than the lower extremities, pounding brachial pulses, and slightly palpable femoral pulses. What pathophysiologic mechanisms support these findings? • The aortic semilunar valve obstructs blood flow into the systemic circulation • The lumen of the aorta reduces the volume of the blood flow to the lower extremities • The pulmonic valve prevents adequate blood volume into the pulmonary circulation • An opening in the atrial septum causes a murmur due to a turbulent left to right shunt • A child who is admitted to the hospital with anemia is anxious, fearful, and hyperventilating. The nurse anticipates the child developing which acid base imbalance? • Metabolic acidosis • Respiratory acidosis • Respiratory alkalosis • Metabolic alkalosis • The mother of a toddler reports to the nurse working in the pediatric clinic that her child has had a fever and sore throat for the past two days. The nurse observes several swollen red spots in the child’s body, a few of which are fluid filled blisters. Which action should the nurse implement? • Obtain fluid culture from blisters • Administer a fever reducing salicylate • Cover drainage vesicles with a dressing • Implement transmission precautions • The mother of a 14-year old who had a below-the-knee amputation for osteosarcoma tells the nurse that her child is angry and blaming her for allowing the amputation to occur. Which response is best for the nurse to provide? • “I will ask the HCP for a psychiatric consult for your child” • “This type of acting out behavior is normal for adolescents” • “It is important to focus on your child’s needs at this difficult time” • “A reaction of anger is your child’s attempt to cope with this loss” • The nurse provides information about the human papilloma virus (HPV) vaccine to the mother of a 14-year-old adolescent who came to the clinic this morning complaining of menstrual cramping. Which explanation should the nurse provide to support administering the HPV vaccine to the adolescent who came to the clinic this morning complaining of menstrual cramping. • Use of protective barriers during sexual activity prevents most strains of HPV infection • Most adolescents are not honest about being sexually active • Not all strains of HPV will be covered if given at a later date • Immunity must be established to prevent future HPV infection and risk for cervical cancer • An adolescent’s mother calls the primary HCP’s office to inquire about the results of her daughter’s serum test results that were drawn last week. Since it is the teenager’s 18th birthday, how should the nurse respond to this mother’s inquiry? • Ask when the adolescent was last seen in the clinic • Tell the mother to have the teenager call the clinic • Since the serum samples were drawn last week provide the mother with the findings • Explain that the information cannot be released without the 18-year olds permission • The parents of 15-month old boy tell the nurse that they are concerned because their son brings his spoon to his mouth but does not turn it over. What action should the nurse implement first? • Discuss referral to an occupational therapist • Question the parents about their concern • Tell the parents to hold the spoon correctly in the child’s hand • Suggest longer mealtimes so the child can finish eating • A child with Grave’s disease who is taking propranolol (Inderal) is seen in the clinic. The nurse should monitor the child for which therapeutic response? • Increased weight gain • Decreased heart rate • Reduce headaches • Diminished fatigue • A 10-year-old girl who has had type 1 diabetes mellitus (DM) for the past two years tells the nurse that she would like to use a pump instead of insulin injections to manage her diabetes. Which assessment of the girl is most important for the nurse to obtain? • Understanding of quality control process used to troubleshoot the pump • Interpretation of fingerstick glucose levels that influence diet selections • Knowledge of her glycosylated hemoglobin A1c levels for past year • Ability to perform the pump for basal insulin with mealtime boluses • In developing a behavior modification program for an extremely aggressive 10 year old boy, what should the nurse do first? • Determine what activities, foods, and toys the child enjoys • Evaluate the child’s previous reactions to punishment • Provide the child with positive feedback • Encourage other children on the unit to describe the token system • In assessing a 10-year old newly diagnosed with osteomyelitis, which information s most important for the nurse to obtain? • Family history of bone disorders • Recent occurrence of infection • Cultural heritage and beliefs • Occurrence of increased fluid intake • A 6-year-old child is diagnosed with rheumatic fever and demonstrates associated chorea (sudden aimless movements of the arms and legs). Which information should the nurse provide to the parents? • Permanent life style changes need to be made to promote safety in the home • The chorea or movements are temporary and will eventually disappear • Muscle tension is decreased with fine motor project skills, so these activities should be encouraged • Consistent discipline is needed to help the child control the movements • A 3 year-old boy is receiving a weekly chemotherapy treatment. Which toy is best for the nurse to provide for this child? • Bouncy ball • Coloring book with crayons • Duck that squeaks • Remote-controlled care • A 9-week-old infant is scheduled for cleft lip repair. Which information is most important for the nurse to convey to the surgeon before transporting the infant to the surgical suite? • Red blood cell count of 2.3 million/mm3 • White blood cell count of 10,000/mm3 • Weight gain of 2 pounds since birth • Urine specific gravity is 1.011 • The nurse is caring for a 3-year old child who has been recently diagnosed with cystic fibrosis, which discharge instruction by the nurse is most important to promote pulmonary function? • Chest physiotherapy should be performed before meals and at bedtime • Cough suppressants can be used up to four times a day for relief • Oxygen should be given through a nasal cannula between 4-6 L/min • Exercise is discouraged in order to preserve pulmonary vital capacity • An adolescent who is taking antiretroviral therapy for HIV infection arrives at the clinic for a follow up visit. Which information is most important for the nurse to obtain? • Missed medication doses • A 24-hour dietary recall • Barrier contraceptive use • Ingestion of illicit drugs • A 5-year-old boy with leukemia is receiving chemotherapy through a peripherally inserted central catheter (PICC). Twenty minutes after the infusion is begun, the child feels dizzy and complains of itching. Which intervention should the nurse implement first? • Discontinue the medication infusion • Flush IV line with saline • Obtain emergency resuscitation equipment • Measure current blood pressure and pulse • A nurse is teaching a class for mothers of premature infants, and is asked about “a shot for respiratory virus.” What information about plaibizumab (Synagis) is correct? • It is required immunization for all infants under the age of 3 months • It must be repeated every two months to be effective • It is recommended for infants who meet established high-risk criteria • It provides protection for one year with a single injection • MISSING 45 • When assessing a 5-year-old, which ability should the nurse expect the child to be developing at this age? • Learning to ride a tricycle • Tying shoelaces • Buttoning clothes • Cutting with scissors . • A mother brings her 2-month old son to the clinic for a well-baby exam. During the assessment the nurse finds that the right testicle is not distended into the scrotum but the left is palpable. Which action should the nurse take? • Ask if the right testis has been seen in the scrotum before • Address possible concerns about the child’s future fertility • Schedule an IV pyelogram to validate presence of the testicle • Prepare to obtain a catheterized urine specimen for culture • MISSING 48 • An 8-year-old girl with precocious sexual development is being treated medically with injections of luteinizing hormone-releasing hormone (LRHR) to regulate the pituitary gland. Which statement by the parents indicates that they understand the treatment? • “We should be sure to start our daughter on birth control pills” • “Our daughter will be on this hormone treatment the rest of her life” • “We should encourage her to dress in clothing that suits her sexual maturity level” • “Sexual maturity differences between my daughter and her peers will disappear within a few years” • MISSING 50 • While auscultating the lung sounds of a 5 year-old Chinese boy who recently completed antibiotic therapy for pneumonia, the nurse notices symmetrical, round, bruise-like blemishes on his chest. Which action is best for the nurse to take? • Identify the antibiotic used to treat the pneumonia • Report suspected child abuse to the proper authorities • Inquire about the use of alternative methods of treatment • Ask the parents if the child has been in a recent accident • Which instructions should the nurse include in the discharge teaching plan of 7 year old girl with history of frequent urinary tract infections? • Take frequent bubble baths • Perform intermittent catheterization • Check oral temperature daily • Monitor for changes in urinary odor • A male infant with bronchiolitis is brought to the clinic by his mother. The infant is congested and febrile with a capillary refill of 2 seconds. Which information should the nurse discuss with the mother? • Encourage infant to play • Limit the amount of oral intake • Keep infant isolated from others • Lay infant on back for naps During a routine physical exam, a male adolescent client tells the nurse, “sometimes, my mother gets angry because I want to be with my own friends.” What is the best initial response by the nurse? • Offer reassurance that his mother’s concern is normal • Determine is his friends are engaged in unsafe behaviors • Ask about the client’s response to his mother’s anger • Offer to discuss his concerns together with his mother 1- The nurse is caring for a female client with scoliosis who had a posterior spinal fusion and is in a body jacked cast. Which assessment finding indicates to the nurse the client is developing cast syndrome? -A Diminished pulses in the foot. -B Musty, unpleasant odor to cast. -C “Hot spot” felt on cast. -D Abdominal distention. 2- The healthcare provider prescribes amoxicillin (Amoxil) 80mg PO every 8 hours for a child who weighs 25 pounds. The suspension is labeled Amoxil 125mg/5 ml. How many ml should the child receive in a 24-hour period? (Enter numeric value only. If rounding is required, round to the nearest tenth. 3- The nurse is caring for an infant scheduled for reduction of an intussusception. The day before the scheduled procedure the infant passes a soft-formed brown stool. Which intervention should the nurse implement? -A Instruct the parents that the infant needs to be NPO. -B Obtain a stool specimen for laboratory analysis. -C Ask the parents about recent changes in the infant’s diet. -D Notify the healthcare provider of the passage of brown stool. 5- The nurse is performing a routine examination of a 6-month-old infant at the community health clinic. Records indicate that the child weighed 3 kg at birth. The clinic uses lbs to describe weight. When assessing this child, approximately what weight, in lb, should the nurse consider to be within normal range for the child? -A 12 to 15 lb. -B 6 to 7.5 lb. -C 9 to 11.5 lb. -D 15 to 18 lb. 6- A child with Grave’s Disease who is taking propranolol (Inderal) is seen in the clinic. The nurse should monitor the child for which therapeutic response? -A Increased weight gain. -B Diminished fatigue. -C Reduce headaches. -D Decreased heart rate. 7- A male infant is admitted to the pediatric unit with pertussis and is exhibiting a “whooping-like cough.” The mother brings the infant to the nurse’s station to seek assistance. Which intervention should the nurse implement first? -A Explain the need to maintain droplet precautions to prevent spread to others on the unit. -B Ask the mother if the cool mist humidifier at the bedside is functioning and releasing mist. -C Give the infant an oral dose of a prescribed antitussive and analgesic/antipyretic. -D Cover the infant’s mouth and assist the mother to take the infant back to the room. 8- The nurse is assessing a 3-year-old boy who attends a daycare center. Following an upper respiratory tract infection, he developed acute otitis media. Which factor places this child at greatest risk for developing acute otitis media? -A A child’s Eustachian tube is shorter and straighter than an adult’s Eustachian tube. -B Attending a daycare center causes frequent exposure to other children with upper respiratory infections. -C A child’s inner ear is more narrow than an adult’s and does not protect him from infection. -D The immunity he received at birth from his mother is no longer effective. 9- When administering indomethacin (Indocin) to a premature infant who has patent ductus arteriosus, the nurse should anticipate which outcome? -A Increased number of red blood cells. -B Decreased cardiac murmur. -C Increased respiratory effort. -D Decreased urinary output. 10- The nurse in the Emergency Center is triaging an 8-year-old boy who fell from a tree. The child is crying and complaining of pain in the left forearm. Which intervention should the nurse implement first? -A Elevate the child’s left arm on a pillow. -B Assess pain level using FACES scale. -C Apply a cold pack to his left forearm. -D Check capillary refill of the nail beds. 11- Several children at a day camp return from playing in a tick-infested field. What action should the camp nurse take first? -A Observe the children’s skin for attached ticks. -B Ask the child