PN Nursing Care of Children Practice
2020 B with NGN
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? - ANSDroplet precautions
A nurse is reinforcing teaching to the guardian of a toddler who is receiving chemotherapy and
has developed stomatitis. Which of the following instructions should the nurse include in the
teaching? - ANSFrequently rinse the mouth with chlorihexidine mouthwash
NGN
A nurse is assisting with the care or a school age child.
Exhibit 1 - vitals
1230
1330
Exhibit 2- 1240time
Child is restless and crying. Swelling noted at hand joints. Capillary reill is less than 3 seconds.
Mucus membranes adw dry and sticky. Respirations are regular and unlabeled. Abdomen is
soft., flat and nondistended
Tenderness present with light palpation. Child reports pain as an 8 on a scale of 0 to 10.
Exhibit 3- diagnostic results
1400 Hgb, HCt, RBC, WBC, Platelet, Reticulocyte
exhibit 4- medical history
Sickle cell anemia - ANSThe nurse should plan to first address ______1. Oxygen saturation
Followed by the child's _____2.pain
NGN
A nurse is assisting with the care of a school-age child following an appendectomy.
Exhibit 1: vitals
Day 0: Temperature 37.1° C (98.8° F) Heart rate 100/min Respiratory rate 20/min Blood
pressure 94/60 mm Hg Oxygen saturation 97% on room air
, Day 1: Temperature 38.6° C (101.5° F) Heart rate 110/min Respiratory rate 24/min Blood
pressure 100/60 mm Hg Oxygen saturation 95% on room air
Exhibit 2: nurse notes
Day 0: Child is drowsy, but easily roused and responsive to verbal stimuli. Child rates pain as a
4 on a scale of 0 to 10. Lungs are clear upon auscultation. Abdomen is soft, flat, and
nondistended. Bowel sounds are hypoactive in all four quadrants. Extremities are warm and dry
to touch. Gauze pads with clear transparent dressings noted on upper, lower, and left
mid-umbilical area.
Day 1: Child is alert and responsive to verbal stimuli. Appears irritable and restless. Child rates
pain as an 8 on a - ANSSelect the 3 findings that the nurse should identify as indications of a
potential complication.
Platelet count
□WBC count
□Abdominal assessment
□Temperature
NGN
A nurse is assisting with the care of an 8-mo th-old-infant
Notes 0515: Infant is admitted with moderate acute laryngotracheobronchitis (LTB) and
decreased fluid intake. Parent reports it has been more than 12 hr since infant last voided.
Infant is restless, irritable, has a hoarse cry, and is not easily consoled by parent. Audible
inspiratory stridor is evident with a barky-sounding, occasional, nonproductive cough.
Respiratory rate is 78/min with moderate suprasternal and intercostal retractions and nasal
flaring. Oxygen saturation is 89% on room air. Color of mucous membranes is consistent with
the infant's genetic background. Capillary refill is 2 seconds. Mucous membranes are slightly
dry, and skin turgor is good. IV of dextrose 5% in 0.45% sodium chloride is infusing at 30 mL/hr.
0530: Infant is receiving 100% cool mist oxygen via blow-by tubing that the parent is holding.
0600: Oxygen saturation is 92% - ANSClick to highlight the information in the Nurses' Notes that
indicates the infant's condition is improving.
0630:
■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.
2020 B with NGN
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? - ANSDroplet precautions
A nurse is reinforcing teaching to the guardian of a toddler who is receiving chemotherapy and
has developed stomatitis. Which of the following instructions should the nurse include in the
teaching? - ANSFrequently rinse the mouth with chlorihexidine mouthwash
NGN
A nurse is assisting with the care or a school age child.
Exhibit 1 - vitals
1230
1330
Exhibit 2- 1240time
Child is restless and crying. Swelling noted at hand joints. Capillary reill is less than 3 seconds.
Mucus membranes adw dry and sticky. Respirations are regular and unlabeled. Abdomen is
soft., flat and nondistended
Tenderness present with light palpation. Child reports pain as an 8 on a scale of 0 to 10.
Exhibit 3- diagnostic results
1400 Hgb, HCt, RBC, WBC, Platelet, Reticulocyte
exhibit 4- medical history
Sickle cell anemia - ANSThe nurse should plan to first address ______1. Oxygen saturation
Followed by the child's _____2.pain
NGN
A nurse is assisting with the care of a school-age child following an appendectomy.
Exhibit 1: vitals
Day 0: Temperature 37.1° C (98.8° F) Heart rate 100/min Respiratory rate 20/min Blood
pressure 94/60 mm Hg Oxygen saturation 97% on room air
, Day 1: Temperature 38.6° C (101.5° F) Heart rate 110/min Respiratory rate 24/min Blood
pressure 100/60 mm Hg Oxygen saturation 95% on room air
Exhibit 2: nurse notes
Day 0: Child is drowsy, but easily roused and responsive to verbal stimuli. Child rates pain as a
4 on a scale of 0 to 10. Lungs are clear upon auscultation. Abdomen is soft, flat, and
nondistended. Bowel sounds are hypoactive in all four quadrants. Extremities are warm and dry
to touch. Gauze pads with clear transparent dressings noted on upper, lower, and left
mid-umbilical area.
Day 1: Child is alert and responsive to verbal stimuli. Appears irritable and restless. Child rates
pain as an 8 on a - ANSSelect the 3 findings that the nurse should identify as indications of a
potential complication.
Platelet count
□WBC count
□Abdominal assessment
□Temperature
NGN
A nurse is assisting with the care of an 8-mo th-old-infant
Notes 0515: Infant is admitted with moderate acute laryngotracheobronchitis (LTB) and
decreased fluid intake. Parent reports it has been more than 12 hr since infant last voided.
Infant is restless, irritable, has a hoarse cry, and is not easily consoled by parent. Audible
inspiratory stridor is evident with a barky-sounding, occasional, nonproductive cough.
Respiratory rate is 78/min with moderate suprasternal and intercostal retractions and nasal
flaring. Oxygen saturation is 89% on room air. Color of mucous membranes is consistent with
the infant's genetic background. Capillary refill is 2 seconds. Mucous membranes are slightly
dry, and skin turgor is good. IV of dextrose 5% in 0.45% sodium chloride is infusing at 30 mL/hr.
0530: Infant is receiving 100% cool mist oxygen via blow-by tubing that the parent is holding.
0600: Oxygen saturation is 92% - ANSClick to highlight the information in the Nurses' Notes that
indicates the infant's condition is improving.
0630:
■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.
