PN Nursing Care of Children Practice B with NGN 2022 exam questions and answers verified for accuracy

A nurse is assisting with the admission of a toddler who has bacterial meningitis caused by Haemophilus influenzae type B. Which of the following isolation guidelines should the nurse plan to initiate? Droplet precautions A nurse is caring for a toddler who has terminal cancer and is receiving hospice care. The child's parent tells the nurse, "I'm a bad parent, and I can't deal with this." Which of the following responses should the nurse make? "I'm not sure I follow you. Can you explain?" A nurse is providing care to parents immediately following their child's unexpected death. Which of the following actions should the nurse take? Offer the parents the opportunity to bathe and dress the child's body. A nurse is reinforcing teaching with the parent of a school-age child who has lactose intolerance. Which of the following supplements should the nurse instruct the parent to include in the child's diet? Vitamin D During a well-child visit, the parent of a toddler expresses concern to the nurse that the toddler takes several hours to fall asleep at night. Which of the following recommendations should the nurse make? Provide the toddler with a favorite toy at bedtime. A nurse is preparing to administer furosemide to a toddler who has a heart defect. Which of the following actions should the nurse take to identify the toddler? Ask the guardian to verify the child's name. A nurse is reviewing the laboratory values of a school-age child who has iron deficiency anemia. Which of the following findings should the nurse expect? Hgb 9 g/dL A nurse is assisting with planning dietary needs for a toddler. Which of the following interventions should the nurse include in the plan of care? Provide 1 Tbsp (15 g) of solid food for each year of age. A nurse is reinforcing teaching about sudden infant death syndrome (SIDS) with the parent of a 1-month-old infant. Which of the following statements by the parent indicates an understanding of the teaching? "I will allow my baby to have a pacifier while sleeping." A nurse is caring for a toddler following a tonsillectomy. Which of the following is the priority finding that the nurse should report to the provider? Continuous swallowing A nurse is assisting in the care of a male child who has acute post-streptococcal glomerulonephritis (APSGN). For which of the following manifestations should the nurse monitor? Oliguria A nurse is caring for a child who has type 1 diabetes mellitus and has been receiving insulin via subcutaneous infusion pump. Which of the following laboratory tests would verify the average blood glucose level over the past 2 months? Glycosylated hemoglobin A nurse is collecting data from an 18-month-old toddler. Which of the following is a deviation from expected growth and development that the nurse should report to the provider? The toddler is unable to recognize familiar objects by name. Complete the following sentence by using the lists of options. The nurse should plan to first address the child's _______ followed by the child's _______. Oxygen saturation Pain A nurse is caring for a 1-month-old infant who has a nasogastric tube in place for intermittent feedings. Which of the following actions should the nurse take? Position the head of the crib at a 30 angle between feedings. A nurse in a care provider's office is preparing to administer scheduled vaccines to an infant. The infant's parent refuses to allow the nurse to administer the vaccines. Which of the following actions should the nurse take? Provide the parent with a vaccine information sheet (VIS). A nurse is screening a group of school age children for abuse. The nurse should identify that which of the following conditions places a child at risk for physical abuse? A child who has ADHD A nurse in a provider's office is caring for a preschooler who has findings of croup. Which of the following statements by the parent requires immediate intervention by the nurse? "My child has refused to drink any fluids for the past 8 hours." A nurse is assisting with the development of a health promotion program for the guardians of adolescents. Which of the following information about adolescents should the nurse recommend to include in the program? The leading cause of death in adolescents is physical injury A nurse is reinforcing teaching about home care with the guardian of a 14month old toddler who has spatic cerebral palsy. Which of the following statements by the guardian indicates an understanding of the teaching? "I will perform daily stretching exercises to my toddler's affected muscles Select the 3 findings that the nurse should identify as indications of a potential complication. WBC count Abdominal assessment Temperature A nurse is assisting with the care of an adolescent following a cardiac catherization. Which of the following is the priority finding the nurse should report to the provider? bleeding noted on the dressing Click to highlight the information in the Nurses' Notes that indicates the infant's condition is improving. To deselect a piece of information, click on the information again. Infant is sleeping in parent's arms oxygen saturation is 96% on 100% cool mist oxygen via blow-by tubing breath sounds are present and equal bilaterally in the lung bases Infant voided 34 mL A nurse is preparing to obtain a peak expiratory flow rate from an adolescent. Which of the following actions should the nurse take? have the client stand during the procedure ; allows to get an accurate reading A nurse is caring for an adolescent who has acne and a new prescription for isotretinoin. For which of the following adverse effects should the nurse monitor? Depression A nurse is reinforcing discharge teaching with the guardians of a 6-month-old infant following a surgical procedure to repair a hypospadias. Which of the following instructions should the nurse include? Wait 1 week before giving the infant a tub bath A nurse in a pediatric clinic is caring for an infant who has heart failure and a prescription for digoxin. Which of the following statements by the parent indicates desired therapeutic effect of the medication? "My baby is breathing easier than she used to." A nurse is caring for a 3-year-old female child who is prescribed an indwelling urinary catheter. Which of the following actions should the nurse take when performing this procedure? Apply 2% lidocaine lubricant into the urethral meatus. A nurse is contributing to the plan of care for a child who has type 1 diabetes mellitus and is experiencing an acute illness. Which of the following actions should the nurse include in the plan of care? Encourage an increased fluid intake