PN Nursing Care of Children Online
Practice 2020 A with NGN
A nurse in a clinic is collecting data from an adolescent who has received all recommended
immunizations through the age of 6 years. Which of the following immunizations should the
nurse paln to administer?
a. Haemophilus influenza type b (Hib)
b. Rotavirus (RV)
c. Polio (IPV)
d. Tetanus, diphtheria toxoids, and acellular pertussis (Tdap)
d. Tetanus, diphtheria toxoids, and acellular pertussis (Tdap)
(The Tdap vaccine is recommended between the ages of 11 and 12 years. Therefore, this
adolescent should receive the Tdap vaccine now.)
-Haemophilus influenza type b (Hib)
The Hib immunization series is administered by 18 months of age.
-Rotavirus (RV)
The RV immunization series is administered by 6 months of age.
-Polio (IPV)
The IPV immunization series is administered by 6 years of age.
A nurse is caring for a child who has a fractured tibia and is in Buck's traction. Which of the
following actions should the nurse take?
a. Ensure the weights are hanging freely.
b. Allow the child to change positions frequently.
c. Use palms of hands when handling the traction boot.
,d. Check the pin site every 8 hr.
a. Ensure the weights are hanging freely.
(The nurse should ensure that the weights are hanging freely for a child who is in Buck's
traction.)
-Allow the child to change positions frequently.
The nurse should keep a child in the center of the bed in supine position when using Buck's
traction.
-Use palms of hands when handling the traction boot.
The nurse should use the palms of their hands when touching a damp, plaster cast, but this is
not necessary when handling a boot in Buck's traction.
-Check the pin site every 8 hr.
Buck's traction is skin traction. The child does not have pin sites to check.
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A nurse has just received change-of-shift for four children in a pediatric unit. Which of the
following children should the nurse collect data from the first?
a. A child who is 2 days postoperative following an appendectomy and reports incisional pain
b. A child who has a new diagnosis of diabetes mellitus and an HbA1c level of 7.5%
c. A child who has a fever and nuchal rigidity
d. A child who experienced a seizure 1 hr ago and is resting
c. A child who has a fever and nuchal rigidity
,(A child who has a fever and nuchal rigidity is unstable. This finding indicates bacterial
meningitis, which requires urgent data collection and intervention to reduce complications for
the child and prevent further spread of the infection. Therefore, the nurse should collect data
from this child first.)
-A child who is 2 days postoperative following an appendectomy and reports incisional pain
A child who is 2 days postoperative following an appendectomy and reports incisional pain is
stable. Therefore, there is another child the nurse should collect data from first.
-A child who has a new diagnosis of diabetes mellitus and an HbA1c level of 7.5%
A child who has a new diagnosis of diabetes mellitus and an HbA1c level of 7.5% is stable.
Therefore, there is another child the nurse should collect data from first.
-A child who experienced a seizure 1 hr ago and is resting
A child who experienced a seizure 1 hr ago and is resting is stable. Therefore, there is another
child the nurse should collect data from first.
A nurse is monitoring a preschooler following an abdominal CT scan with contrast dye. The
nurse should identify which of the following as an indication that the preschooler experienced an
allergic reaction to the contrast dye?
a. Jaundice
b. Hematuria
c. Urticaria
d. Petechiae
c. Urticaria
(The nurse should monitor the child for an allergic reaction to the contrast dye. Manifestations of
the allergic reaction include urticaria, itching, flushing of the skin, and possible anaphylaxis.)
-Jaundice
The nurse should recognize that a child who is experiencing an allergic reaction to contrast dye
can have flushed skin or, in the case of respiratory distress, a cyanotic appearance.
-Hematuria
, The nurse should recognize that hematuria is not an expected manifestation of an allergic
reaction to contrast dye. Due to a decrease in blood pressure, the child might have oliguria in
the event of anaphylactic shock.
-Petechiae
The nurse should recognize that petechiae is not an expected manifestation of an allergic
reaction to contrast dye. Petechiae are areas of ruptured capillaries on the skin that appear as
reddish dots or small, red, webbed areas.
A nurse is reviewing the medical record of a female adolescent client who has primary
amenorrhea. Which of the following findings should the nurse identify as a risk for this disorder?
(Select all)
a. Hypothyroidism
b. Obesity
c. Cannabis use
d. Oral contraceptive use
e. Emotional stress
a. Hypothyroidism
c. Cannabis use
d. Oral contraceptive use
e. Emotional stress
-Hypothyroidism is correct. The nurse should identify that hypothyroidism and other endocrine
disorders are risk factors for primary amenorrhea.
-Obesity is incorrect. The nurse should identify that anorexia nervosa and strenuous exercise
are risk factors for primary amenorrhea. Clients who have low BMIs can experience an increase
in prolactin secretions, which can result in amenorrhea.
-Cannabis use is correct. The nurse should identify that cannabis use is a risk factor for primary
amenorrhea.Oral -contraceptive use is correct. The nurse should identify that oral contraceptive
use affects the estrogen and progesterone cycle and is a risk factor for primary amenorrhea.
-Emotional stress is correct. The nurse should identify that emotional stress causes
hypothalamic suppression and is a risk factor for primary amenorrhea.
Practice 2020 A with NGN
A nurse in a clinic is collecting data from an adolescent who has received all recommended
immunizations through the age of 6 years. Which of the following immunizations should the
nurse paln to administer?
a. Haemophilus influenza type b (Hib)
b. Rotavirus (RV)
c. Polio (IPV)
d. Tetanus, diphtheria toxoids, and acellular pertussis (Tdap)
d. Tetanus, diphtheria toxoids, and acellular pertussis (Tdap)
(The Tdap vaccine is recommended between the ages of 11 and 12 years. Therefore, this
adolescent should receive the Tdap vaccine now.)
-Haemophilus influenza type b (Hib)
The Hib immunization series is administered by 18 months of age.
-Rotavirus (RV)
The RV immunization series is administered by 6 months of age.
-Polio (IPV)
The IPV immunization series is administered by 6 years of age.
A nurse is caring for a child who has a fractured tibia and is in Buck's traction. Which of the
following actions should the nurse take?
a. Ensure the weights are hanging freely.
b. Allow the child to change positions frequently.
c. Use palms of hands when handling the traction boot.
,d. Check the pin site every 8 hr.
a. Ensure the weights are hanging freely.
(The nurse should ensure that the weights are hanging freely for a child who is in Buck's
traction.)
-Allow the child to change positions frequently.
The nurse should keep a child in the center of the bed in supine position when using Buck's
traction.
-Use palms of hands when handling the traction boot.
The nurse should use the palms of their hands when touching a damp, plaster cast, but this is
not necessary when handling a boot in Buck's traction.
-Check the pin site every 8 hr.
Buck's traction is skin traction. The child does not have pin sites to check.
Brainpower
Read More
Previous
Play
Next
Rewind 10 seconds
Move forward 10 seconds
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0:15
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A nurse has just received change-of-shift for four children in a pediatric unit. Which of the
following children should the nurse collect data from the first?
a. A child who is 2 days postoperative following an appendectomy and reports incisional pain
b. A child who has a new diagnosis of diabetes mellitus and an HbA1c level of 7.5%
c. A child who has a fever and nuchal rigidity
d. A child who experienced a seizure 1 hr ago and is resting
c. A child who has a fever and nuchal rigidity
,(A child who has a fever and nuchal rigidity is unstable. This finding indicates bacterial
meningitis, which requires urgent data collection and intervention to reduce complications for
the child and prevent further spread of the infection. Therefore, the nurse should collect data
from this child first.)
-A child who is 2 days postoperative following an appendectomy and reports incisional pain
A child who is 2 days postoperative following an appendectomy and reports incisional pain is
stable. Therefore, there is another child the nurse should collect data from first.
-A child who has a new diagnosis of diabetes mellitus and an HbA1c level of 7.5%
A child who has a new diagnosis of diabetes mellitus and an HbA1c level of 7.5% is stable.
Therefore, there is another child the nurse should collect data from first.
-A child who experienced a seizure 1 hr ago and is resting
A child who experienced a seizure 1 hr ago and is resting is stable. Therefore, there is another
child the nurse should collect data from first.
A nurse is monitoring a preschooler following an abdominal CT scan with contrast dye. The
nurse should identify which of the following as an indication that the preschooler experienced an
allergic reaction to the contrast dye?
a. Jaundice
b. Hematuria
c. Urticaria
d. Petechiae
c. Urticaria
(The nurse should monitor the child for an allergic reaction to the contrast dye. Manifestations of
the allergic reaction include urticaria, itching, flushing of the skin, and possible anaphylaxis.)
-Jaundice
The nurse should recognize that a child who is experiencing an allergic reaction to contrast dye
can have flushed skin or, in the case of respiratory distress, a cyanotic appearance.
-Hematuria
, The nurse should recognize that hematuria is not an expected manifestation of an allergic
reaction to contrast dye. Due to a decrease in blood pressure, the child might have oliguria in
the event of anaphylactic shock.
-Petechiae
The nurse should recognize that petechiae is not an expected manifestation of an allergic
reaction to contrast dye. Petechiae are areas of ruptured capillaries on the skin that appear as
reddish dots or small, red, webbed areas.
A nurse is reviewing the medical record of a female adolescent client who has primary
amenorrhea. Which of the following findings should the nurse identify as a risk for this disorder?
(Select all)
a. Hypothyroidism
b. Obesity
c. Cannabis use
d. Oral contraceptive use
e. Emotional stress
a. Hypothyroidism
c. Cannabis use
d. Oral contraceptive use
e. Emotional stress
-Hypothyroidism is correct. The nurse should identify that hypothyroidism and other endocrine
disorders are risk factors for primary amenorrhea.
-Obesity is incorrect. The nurse should identify that anorexia nervosa and strenuous exercise
are risk factors for primary amenorrhea. Clients who have low BMIs can experience an increase
in prolactin secretions, which can result in amenorrhea.
-Cannabis use is correct. The nurse should identify that cannabis use is a risk factor for primary
amenorrhea.Oral -contraceptive use is correct. The nurse should identify that oral contraceptive
use affects the estrogen and progesterone cycle and is a risk factor for primary amenorrhea.
-Emotional stress is correct. The nurse should identify that emotional stress causes
hypothalamic suppression and is a risk factor for primary amenorrhea.
