Pinnacle Pediatrics : Exam Ready Questions and Answers 20

What is the recommended serving size of vegetables for a toddler? a. 1 tablespoon. b. 1 teaspoon. c. 1/2 teaspoon. d. 1/2 tablespoon. a The nurse is providing emergency care for an unconscious child who presents with a head injury sustained in a fall. Which is the highest nursing priority? a. Establish an airway. b. Assess neurological status. c. Stabilize the spine. d. Obtain vital signs. a he vital signs of a 4-year-old child with polyuria are: BP 80/40, Pulse 118, and Respirations 24. The child's pedal pulses are present with a volume of +1, and no edema is observed. What action should the nurse implement first? a. Insert an indwelling urinary catheter. b. Start an IV infusion of normal saline. c. Send a specimen to the lab for urinalysis. d. Document the child's vital signs and pulses. b The nurse is assessing a 2-year-old child. What behavior indicates that the child's language development is within normal limits? a. Is able to name four colors. b. Can count five blocks. c. Is capable of making a three word sentence. d. Half of child's speech is understandable. c At 8 a.m. the unlicensed assistive personnel (UAP) informs the charge nurse that a female adolescent client with acute glomerulonephritis has a blood pressure of 210/110. The 4 a.m. blood pressure reading was 170/88. The client reports to the UAP that she is upset because her boyfriend did not visit last night. What action should the nurse take first? a. Give the client her 9 a.m. prescription for an oral diuretic early. b. Administer PRN prescription of nifedipine (Procardia) sublingually. c. Notify the healthcare provider and inform the nursing supervisor of the client's condition. d. Attempt to calm the client and retake the blood pressure in thirty minutes. b