New= PN Children Practice B
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?
Airborne Precautions
Contact Precautions
Droplet Precautions
Standard precautions - ANSDroplet precautions
The nurse should plan to initiate droplet precautions for this child, because bacterial meningitis
caused by Haemophilus influenzae type B is transmitted through the air via large-particle
droplets.
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?
Care of skin integrity
rinse the mouth with chlorihexidine mouthwash
Have client consume more carbs in diet
rinse the mouth with commercial mouthwash - ANSFrequently rinse the mouth with
chlorihexidine mouthwash
The nurse should encourage the guardian to rinse the toddler's mouth frequently with
chlorhexidine mouthwash.
A nurse is reinforcing discharge teaching with the guardians of a 6month old infant following a
surgical procedure to repair a hypospadias. Which of the following instructions should the nurse
include?
Bath child in warm water to keep penis moist
Wait 1 week before giving the infant a tub bath
Apply ointment to penis when it becomes dry
Monitor for redness or cracks around genital area - ANSWait 1 week before giving the infant a
tub bath
Keep the infants penis as dry as possible until the stent or cather is removed.
,The nurse should instruct the guardians to keep the infant's penis as dry as possible until the
stent or catheter is removed. The parent should provide sponge-baths to the child until the stent
or catheter is removed.
A nurse is reviewing the laboratory findings of a school-age child who reports feeling tired and
being easily bruised. Which of the following laboratory values should the nurse report to the
provider?
Platelets 85,000
WBC 10,000
HCT 32%
Hgb 12% - ANSPlatelets 85,000/mm3
This value is below the expected reference range for a school-age child and should be reported
to the provider.
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?
Consume 15g of simple carbs when feeling thirsty and blurred vision
Encourage an increased fluid intake
Have child exercise 3 times a week atleast
Teach child how to perform an accu-check - ANS- Encourage an increased fluid intake
to flush out ketones and prevent dehydration; this can lead to DKA
The nurse should encourage an increased fluid intake to flush out ketones and prevent
dehydration. Children who have diabetes mellitus and an acute illness are more likely to
experience ketonuria and hyperglycemia. Dehydration increases the risk of the child developing
diabetic ketoacidosis.
A nurse is contributing to the plan of care for a child who is in Buck's traction. Which of the
following interventions should the nurse include in the plan?
Have the weights secured to bed
Have buttocks raised
Maintain the leg in an extended position
Keep restraints on child to avoid tampering with weights - ANSMaintain the leg in an extended
position
, -decreases the risk for further injury to the extremity and minimizes the occurrence of muscle
spasms
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 should be protected for seasonal allergies
My infant has developed therapeutic glucose ranges
My baby's respiratory rate increased
My baby is breathing easier than she used to - ANSMy baby is breathing easier than she used
to
-Digoxin(increases cardiac output and decrease venous pressure and pulmonary edema, which
will reduce respiratory demands
A nurse is caring for a group of children in an acute care setting. The nurse should identify that
which of the following children is at risk for impaired elimation?
A child who has hyperglycemia
A child who has an abnormal heart rate
A child who has delayed cognitive ability
A child who isn't walking at 3 years old - ANSA child who has hyperglycemia
-A client who has hyperglycemia exhibits manifestations of polyuria, lethargy, confusion, thirst,
nausea, vomiting, abdominal pain, signs of dehydration, rapid respiration, and fruity breath. A
child who has hyperglycemia is at risk for dehydration
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 cant deal with this." Which of the following
responses should the nurse make?
Why do you think that?
I'm not sure I follow you, can you explain?
Every now and then a parent will feel like this.
It's ok, you are not a bad parent. - ANSI'm not sure I follow you. Can you explain?
The nurse should use open-ended statements that will allow the parent to share their feelings
and emotions. During times of grief, the parent needs to express emotions. The use of an
open-ended statement relays the message that it is safe to do so with the nurse.
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?
Airborne Precautions
Contact Precautions
Droplet Precautions
Standard precautions - ANSDroplet precautions
The nurse should plan to initiate droplet precautions for this child, because bacterial meningitis
caused by Haemophilus influenzae type B is transmitted through the air via large-particle
droplets.
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?
Care of skin integrity
rinse the mouth with chlorihexidine mouthwash
Have client consume more carbs in diet
rinse the mouth with commercial mouthwash - ANSFrequently rinse the mouth with
chlorihexidine mouthwash
The nurse should encourage the guardian to rinse the toddler's mouth frequently with
chlorhexidine mouthwash.
A nurse is reinforcing discharge teaching with the guardians of a 6month old infant following a
surgical procedure to repair a hypospadias. Which of the following instructions should the nurse
include?
Bath child in warm water to keep penis moist
Wait 1 week before giving the infant a tub bath
Apply ointment to penis when it becomes dry
Monitor for redness or cracks around genital area - ANSWait 1 week before giving the infant a
tub bath
Keep the infants penis as dry as possible until the stent or cather is removed.
,The nurse should instruct the guardians to keep the infant's penis as dry as possible until the
stent or catheter is removed. The parent should provide sponge-baths to the child until the stent
or catheter is removed.
A nurse is reviewing the laboratory findings of a school-age child who reports feeling tired and
being easily bruised. Which of the following laboratory values should the nurse report to the
provider?
Platelets 85,000
WBC 10,000
HCT 32%
Hgb 12% - ANSPlatelets 85,000/mm3
This value is below the expected reference range for a school-age child and should be reported
to the provider.
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?
Consume 15g of simple carbs when feeling thirsty and blurred vision
Encourage an increased fluid intake
Have child exercise 3 times a week atleast
Teach child how to perform an accu-check - ANS- Encourage an increased fluid intake
to flush out ketones and prevent dehydration; this can lead to DKA
The nurse should encourage an increased fluid intake to flush out ketones and prevent
dehydration. Children who have diabetes mellitus and an acute illness are more likely to
experience ketonuria and hyperglycemia. Dehydration increases the risk of the child developing
diabetic ketoacidosis.
A nurse is contributing to the plan of care for a child who is in Buck's traction. Which of the
following interventions should the nurse include in the plan?
Have the weights secured to bed
Have buttocks raised
Maintain the leg in an extended position
Keep restraints on child to avoid tampering with weights - ANSMaintain the leg in an extended
position
, -decreases the risk for further injury to the extremity and minimizes the occurrence of muscle
spasms
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 should be protected for seasonal allergies
My infant has developed therapeutic glucose ranges
My baby's respiratory rate increased
My baby is breathing easier than she used to - ANSMy baby is breathing easier than she used
to
-Digoxin(increases cardiac output and decrease venous pressure and pulmonary edema, which
will reduce respiratory demands
A nurse is caring for a group of children in an acute care setting. The nurse should identify that
which of the following children is at risk for impaired elimation?
A child who has hyperglycemia
A child who has an abnormal heart rate
A child who has delayed cognitive ability
A child who isn't walking at 3 years old - ANSA child who has hyperglycemia
-A client who has hyperglycemia exhibits manifestations of polyuria, lethargy, confusion, thirst,
nausea, vomiting, abdominal pain, signs of dehydration, rapid respiration, and fruity breath. A
child who has hyperglycemia is at risk for dehydration
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 cant deal with this." Which of the following
responses should the nurse make?
Why do you think that?
I'm not sure I follow you, can you explain?
Every now and then a parent will feel like this.
It's ok, you are not a bad parent. - ANSI'm not sure I follow you. Can you explain?
The nurse should use open-ended statements that will allow the parent to share their feelings
and emotions. During times of grief, the parent needs to express emotions. The use of an
open-ended statement relays the message that it is safe to do so with the nurse.
