Nursing Care of Children
VATI
1. Administer opioids for pain: A nurse is caring for a toiler who is 24hr postoper- ative
following a cleft palate repair. WHich of the following actions should the nurse take?
2. Projectile vomiting after feedings
Pyloric stenosis is a narrowing and thickening of the pyloric canal between the
stomach and the duodenum, resulting in projectile vomiting.: A nurse is assessing a
10-day-old client. Which of the following should the nurse understand is a clinical
manifestation of pyloric stenosis?
3. Initiate the use of a PCA pump for pain control: A nurse is planning care for an
adolescent who is postoperative following scoliosis repair with Harrington rod
instrumentation. Which of the following interventions should the nurse include in the plan
of care?
4. Impulsivity: A nurse is assessing an adolescent who has attention deficit hyper-
activity disorder (ADHD). Which of the following findings should the nurse expect?
5. Decreased platelet count
Decreased leukocyte count
Decreased erythrocyte count: A nurse is reviewing the laboratory results of a client who
has acute leukemia and received an aggressive chemotherapy treatment 10 days ago.
Which of the following hematologic laboratory values should the nurse expect? (Select all
that apply.)
6. The child has a congenital immunodeficiency: A nurse is preparing to admin- ister
the first measles, mumps, and rubella (MMR) immunization to 15-month-old toddler.
Which of the following findings is a contraindication for this immunization?
7. Congenital amnomalies: A nurse is providing health promotion teaching to the
parents of an infant. Which of the following conditions should the nurse identify as the
leading cause of death among this age group?
8. Patent ductus arteriosus
the area between the pulmonary artery and aorta remains open, allowing the blood to
flow through the patent ductus arteriosus and back to the pulmonary artery and
lungs.: A nurse is caring for an infant who has a congenital heart defect. Which of the
following defects is associated with increased pulmonary blood flow?
9. Inability to raise head when in prone position.
A 3 month-old infant should be able to raise her head and shoulders from prone
position; therefore, the nurse should report this finding to the provider.-
: A nurse is assessing a 3-month-old infant. Which of the following findings should the
nurse report to the provider?
1/
, Nursing Care of Children
VATI
10. Pruritus of the scalp
Pediculosis capitis is an infestation of head lice. Generally, the. only mani- festation is
scalp itchiness.: A school nurse is performing a routine health as- sessment for a school-
age child. Which of the following findings indicates the nurse should investigate further
for pediculosis capitis?
11. Administer antibiotics to the client
The greatest risk to this client is bacteremia caused by the infection which can lead to
septic shock; therefore, the priority intervention is antibiotic therapy. The client
might require multiple antibiotics for an extended time.: A nurse is caring for a client
who has acute osteomyelitis. Which of the following interventions is the nurse's priority?
12.Wrap the arm of the child's doll or toy prior to the procedure.: A nurse is
preparing to assist with applying a cast to a preschooler's arm. Which of the following
actions should the nurse take?
13.On the unoperative side: A nurse is caring for a child who is postoperative fol-
lowing ventriculoperitoneal (VP) shunt placement. In which of the following positions
should the nurse place the client?
14.Separates easily form primary care giver for short periods of time: A nurse is
providing anticipatory guidance about child development to the parents of a toddler.
Which of the following developmental tasks should the nurse include as expected of a
toddler?
15. Disabling joint pain
can have disabling joint pain over time, especially of the knee and hip, because of
hemorrhage into the joints.: A nurse is teaching a client who has a family history of
hemophilia A about manifestations of the disorder. The nurse should include which of the
following manifestations in the teaching?
16. "Has your son has a sore throat recently"?
Rheumatic fever typically develops 2 to 6 weeks after an untreated or ineffec- tive
treated streptococcal infection of the respiratory tract.: A nurse is obtaining a health
history from a child who has suspected acute rheumatic fever. Which of the following
questions should the nurse ask?
17.Rice: A nurse is providing teaching to a parent of a child who has celiac disease. The
nurse should include which of the following food choices for this child?
18. Trust vs. mistrust
2/
VATI
1. Administer opioids for pain: A nurse is caring for a toiler who is 24hr postoper- ative
following a cleft palate repair. WHich of the following actions should the nurse take?
2. Projectile vomiting after feedings
Pyloric stenosis is a narrowing and thickening of the pyloric canal between the
stomach and the duodenum, resulting in projectile vomiting.: A nurse is assessing a
10-day-old client. Which of the following should the nurse understand is a clinical
manifestation of pyloric stenosis?
3. Initiate the use of a PCA pump for pain control: A nurse is planning care for an
adolescent who is postoperative following scoliosis repair with Harrington rod
instrumentation. Which of the following interventions should the nurse include in the plan
of care?
4. Impulsivity: A nurse is assessing an adolescent who has attention deficit hyper-
activity disorder (ADHD). Which of the following findings should the nurse expect?
5. Decreased platelet count
Decreased leukocyte count
Decreased erythrocyte count: A nurse is reviewing the laboratory results of a client who
has acute leukemia and received an aggressive chemotherapy treatment 10 days ago.
Which of the following hematologic laboratory values should the nurse expect? (Select all
that apply.)
6. The child has a congenital immunodeficiency: A nurse is preparing to admin- ister
the first measles, mumps, and rubella (MMR) immunization to 15-month-old toddler.
Which of the following findings is a contraindication for this immunization?
7. Congenital amnomalies: A nurse is providing health promotion teaching to the
parents of an infant. Which of the following conditions should the nurse identify as the
leading cause of death among this age group?
8. Patent ductus arteriosus
the area between the pulmonary artery and aorta remains open, allowing the blood to
flow through the patent ductus arteriosus and back to the pulmonary artery and
lungs.: A nurse is caring for an infant who has a congenital heart defect. Which of the
following defects is associated with increased pulmonary blood flow?
9. Inability to raise head when in prone position.
A 3 month-old infant should be able to raise her head and shoulders from prone
position; therefore, the nurse should report this finding to the provider.-
: A nurse is assessing a 3-month-old infant. Which of the following findings should the
nurse report to the provider?
1/
, Nursing Care of Children
VATI
10. Pruritus of the scalp
Pediculosis capitis is an infestation of head lice. Generally, the. only mani- festation is
scalp itchiness.: A school nurse is performing a routine health as- sessment for a school-
age child. Which of the following findings indicates the nurse should investigate further
for pediculosis capitis?
11. Administer antibiotics to the client
The greatest risk to this client is bacteremia caused by the infection which can lead to
septic shock; therefore, the priority intervention is antibiotic therapy. The client
might require multiple antibiotics for an extended time.: A nurse is caring for a client
who has acute osteomyelitis. Which of the following interventions is the nurse's priority?
12.Wrap the arm of the child's doll or toy prior to the procedure.: A nurse is
preparing to assist with applying a cast to a preschooler's arm. Which of the following
actions should the nurse take?
13.On the unoperative side: A nurse is caring for a child who is postoperative fol-
lowing ventriculoperitoneal (VP) shunt placement. In which of the following positions
should the nurse place the client?
14.Separates easily form primary care giver for short periods of time: A nurse is
providing anticipatory guidance about child development to the parents of a toddler.
Which of the following developmental tasks should the nurse include as expected of a
toddler?
15. Disabling joint pain
can have disabling joint pain over time, especially of the knee and hip, because of
hemorrhage into the joints.: A nurse is teaching a client who has a family history of
hemophilia A about manifestations of the disorder. The nurse should include which of the
following manifestations in the teaching?
16. "Has your son has a sore throat recently"?
Rheumatic fever typically develops 2 to 6 weeks after an untreated or ineffec- tive
treated streptococcal infection of the respiratory tract.: A nurse is obtaining a health
history from a child who has suspected acute rheumatic fever. Which of the following
questions should the nurse ask?
17.Rice: A nurse is providing teaching to a parent of a child who has celiac disease. The
nurse should include which of the following food choices for this child?
18. Trust vs. mistrust
2/
