Nursing Care of Children Final peds proc assessment questions and answers.docx

  A nurse is providing education to a parent whose child has had a colostomy. Which of the following is an appropriate method to determine understanding of the teaching? - Correct Answers: Observe the parents while they perform the procedure. A nurse is educating the parent of a 9-month-old infant who has recently been diagnosed with cerebral palsy. Which of the following statements by the parent should indicate to the nurse that teaching has been effective? - Correct Answers: "I am hopeful that the early schooling will increase my child's ability for self-care." A nurse is caring for a child who has been in Buck traction for 2 days. Which of the following actions should the nurse take to prevent complications - Correct Answers: Check for pulses in the affected leg every 4 hr nurse is providing diabetic teaching to a 12-year-old child who appears apprehensive during the teaching. Which of the following actions should the nurse recognize as appropriate in this situation? - Correct Answers: Teach the child to do her own fingersticks. A nurse on the pediatric unit is caring for four clients who all have assessments ordered in the morning. Which of the following values should the nurse report to a client's primary care provider immediately? - Correct Answers: Sickle cell anemia and a urine specific gravity of 1.030 A nurse is caring for a 3 year old child who is scheduled for a nephrectomy. When preparing preoperatively, which of the following actions should the nurse recognize as appropriate? - Correct Answers: Explain the procedure to the child in simple sentences just before administering the preoperative sedation. A nurse is caring for a child who is receiving chemotherapy with anorexia and nausea. Which of the following interventions should the nurse recognize as the most appropriate for the child experiencing these symptoms? - Correct Answers: Allow the client to eat whatever the client wants, at any time. A Nurse is reinforcing teaching with a group of parents of toddlers about growth and development. A parent ask, Why does my child's abdomen stick out? which of the following statements should the nurse make? - Correct Answers: Toddlers do not have well developed abdominal muscles nurse is caring for a child who will be receiving PE tubes in the morning. The nurse is teaching the parents how to care for the tubes upon discharge. Which of the following statements should indicate to the nurse that the teaching was understood? - Correct Answers: "I will keep water out of my child's ears." nurse is caring for a child who has cellulitis and a rectal temperature of 102.2° F (39° C). The child has an order for acetaminophen (Tylenol) 280 mg by mouth. The label on the bottle reads 160 mg/5 mL. Which of the following is the correct dose the nurse should dispense to the child? - Correct Answers: 8.8 mL A nurse is caring for a child who adhere to a vegetarian diet and has sustained superficial partial thickness burns. The nurse should recommend which of the following food choices as having the highest protein content - Correct Answers: 1/2 cup of peanut butter with apple slices nurse is performing a yearly physical on an adolescent. The adolescent's parent asks about the adolescent's developmental needs. Which of the following statements by the parent should the nurse investigate further? - Correct Answers: "He spends several hours a day on the internet." nurse is caring for a child who has superficial partial-thickness burns over 50% of his body. In planning for the nutritional needs of the child, which of the following should to nurse recognize as an appropriate intervention? - Correct Answers: Perform dressing changes at least 1 hr before or after meals. nurse is caring for a child who has cystic fibrosis. Which of the following assessments should the nurse recognize as a priority to report to the primary care provider? - Correct Answers: Inability to clear secretions nurse is preparing a 7 year old child for a tonsillectomy. Which of the following nursing actions would be appropriate in this preparation? - Correct Answers: Schedule the child for a preoperative visit to the hospital. nurse is caring for a child who has tetralogy of Fallot preoperatively. Which of following laboratory values should the nurse expect to find? - Correct Answers: Hematocrit of 58% A school nurse is assisting a child who has been stung by a bee. The child's hand is swelling and the nurse notes that the child has allergies to insect stings. Which of the following manifestations should the nurse recognize with anaphylaxis? (Select all that apply.) - Correct Answers: Nausea is correct. A common gastrointestinal response to excessive histamine release is nausea. Urticaria is correct. A common skin manifestation of excessive histamine release is hives (urticaria). Stridor is correct. A serious, life-threatening response to excessive histamine release is airway narrowing, which presents as dyspnea and stridor. nurse is caring for a child who is undergoing a bone marrow aspiration. Which response by the child should indicate to the nurse that the teaching has been effective? - Correct Answers: "I'll have to lie on my belly while it's done." nurse is preparing to administer an injection to a 2 month old infant. Which of the following is an appropriate site for the nurse to give the injection? - Correct Answers: Vastus lateralis nurse is caring for a toddler who has asthma. The parents are concerned about the toddler's reaction to the hospitalization. Which of the following nursing actions should the nurse perform to decrease the stress experienced by the toddler? - Correct Answers: Encourage rooming-in school nurse is assessing a child who returned to school following a case of mononucleosis. The child has a note from his primary care provider excusing him from gym class. Which of the following should the nurse recognize as the most appropriate reason for this excuse? - Correct Answers: Sustaining abdominal trauma A nurse is caring for a 10-year-old child who is obese. Which of the following menu choices is the most appropriate for this child? - Correct Answers: A glass of skim milk, baked fish sandwich on whole wheat roll with lettuce, and a medium apple nurse is assessing an adolescent who sustained a broken tibia while playing football. Following the application of a fiberglass cast, the client complains of pain and a tingling feeling in the limb. Which of the following is the most appropriate action for the nurse to take? - Correct Answers: Assess for signs of circulatory impairment and swelling. nurse is caring for a 7-year-old child diagnosed with glomerulonephritis. The child has decreased urinary output and a blood pressure of 160/78 mm Hg. The child is receiving hydralazine (Apresoline). Which of the following lunch choices should the nurse recognize as most appropriate? - Correct Answers: Grilled chicken on a roll, pear slices, and 4 oz of apple juice charge nurse is assigning rooms for admissions. An 8 year old child who is admitted with sickle cell anemia and is dehydrated. Which of the following is an appropriate room assignment for this child? - Correct Answers: 10-year-old male; postoperative appendectomy nurse is caring for a child who has been brought to the emergency room after ingesting a bottle of acetaminophen (Tylenol). Which of the following medications should the nurse anticipate administering? - Correct Answers: Acetylcysteine (Mucomyst) nurse receives the following laboratory values on a 2-month-old child who has cyanotic heart disease. The results are a hemoglobin of 17 g/dL and a hematocrit of 51%. Which of the following statements by the nurse reflects the most appropriate interpretation of this information? - Correct Answers: "The infant's body is compensating for tissue hypoxia by increasing RBC production." nurse is teaching the parents of a newborn who has congenital hypothyroidism about care of their child. Which of the following should the nurse recommend to the parents? - Correct Answers: Life-long administration of thyroid hormone nurse is caring for a child who has epistaxis. Which of the following actions would be the most appropriate for the nurse to take? - Correct Answers: Apply continuous pressure to the client nose for at least 10 min nurse is caring for a 10-year-old child who is postoperative abdominal surgery and was medicated 6 hr ago. When assessing the child, the nurse finds the child quiet and not interacting with family. Which of the following is an appropriate nursing action? - Correct Answers: Assess the child's need for pain medication. A nurse is caring for a child who has acute glomerulonephritis. Which of the following actions should the nurse recognize as appropriate in the care of this child? - Correct Answers: Monitoring blood pressure every 4 hr A nurse at the immunization clinic is preparing to administer injections to a 5 year old child. Which of the following is the appropriate injection for the nurse to administer? - Correct Answers: Diphtheria nurse is admitting a child who has a possible diagnosis of leukemia. Which of the following tests is the most appropriate for the nurse to consider when confirming a diagnosis of leukemia? - Correct Answers: Bone marrow aspiration 10 month old infant has been hospitalized four times for a total of 42 days. The nurse notices that the infant does not seem upset when the parents leave. Which of the following should the nurse recognize as an appropriate explanation for this behavior? - Correct Answers: Experiencing detachment A nurse is caring for a 6-month-old infant who has colic and vomiting who will be undergoing testing to rule out intussusception. Which of the following would be the appropriate treatment for intussusception? - Correct Answers: Barium enema nurse is caring for a child who has a vesicular rash. The parent asks the nurse what illness can cause the rash. Which of the following is the most appropriate response for the nurse to give? - Correct Answers: Varicella A nurse is admitting a child who has an exacerbation of cystic fibrosis. The nurse should expect to find which of the following assessments? - Correct Answers: Oxygen saturation of 85% nurse is admitting a toddler brought to the hospital for circumferential burns. The history given and burn markings do not correlate, therefore, child abuse is suspected. Which of the following should the nurse consider the most important to include in the documentation? - Correct Answers: A description of the burns A nurse is caring for a child who is admitted with swollen, painful joints and is diagnosed with rheumatic fever. When educating the child's parent about rheumatic fever, which of the following statements by the nurse would be appropriate? - Correct Answers: "It is preceded by a streptococcal infection." A nurse is caring for a child who has cerebral palsy who is scheduled for orthopedic surgery. Which of the following strategies should the nurse plan to include in the initial plan of care? - Correct Answers: Facilitate communication with the child by their usual means. A nurse is caring for a 6-year-old child who is receiving chemotherapy. The child has a platelet count of 20,000/mm3. Which of the following should the nurse recognize as the appropriate intervention for a child with this platelet count? - Correct Answers: Encourage quiet play. parent calls a primary care provider's office and says her child has a respiratory infection and a temperature of 39° C (102.2° F). The nurse instructs the parent to give the child 240 mg of acetaminophen (Tylenol). The label on the bottle reads 160 mg/5 mL. The nurse should instruct the parent to administer which of the following doses? - Correct Answers: 1 1/2 tsp A nurse is planning care for a child who is autistic. Which of the following goals is of primary importance in the care of this child? - Correct Answers: To be protected from self-injury A nurse is providing education on poisoning prevention to a group of parents of toddlers. Which of the following would be an appropriate statement by the nurse? - Correct Answers: Put all cleaning supplies in a locked cabinet. A nurse is caring for a child who has frequent urinary tract infections. When educating the parent on the prevention of urinary tract infections, which of the following instructions should the nurse include in the teaching? - Correct Answers: Teach the child to wipe her perineum from front to back after urinating. A nurse is conducting postoperative teaching for the parent of a 3-month-old infant who is recovering from an umbilical hernia repair. Which of the following statements by the parent indicates an understanding of the teaching - Correct Answers: "I will keep my baby's diaper away from the incision." A nurse is reinforcing teaching with the parents of a 3 year old child who has persistent otitis media about prevention. Which of the following statement by the parents indicates an understanding of the teaching - Correct Answers: We should not smoke around our child A nurse is caring for a child who has a diagnosis of iron deficiency anemia. Which of the following instructions would be appropriate for the nurse to give to the parents? - Correct Answers: "Give the iron between meals with orange juice." A nurse is caring for four children who have congenital heart disease. Based on the pathophysiology of the disorders, which of the following should the nurse recognize would present with cyanosis? - Correct Answers: Transposition of great vessels A nurse is planning care for a 2-day-old infant who has a myelomeningocele. Which of the following nursing measures should take highest priority in the immediate postoperative period? - Correct Answers: Measure the head circumference every shift. a nurse is caring for a 2 year old who has frequent urinary tract infections. when reinforcing teaching with the parents about the prevention of urinary tract infections, which of the following instructions should the nurse include in the teaching - Correct Answers: teach the child to wipe from front to back A nurse is planning care for a preschool-age child who has autism and is being admitted to the facility. Which of the following actions should the nurse plan to take - Correct Answers: Encourage the parents to bring in the child's stuffed animal A nurse is caring for a 3 month old child who has acute otitis media and a fever of 38.3 c(101 f). which of the following medications should the nurse administer - Correct Answers: Amoxicillin A nurse is reinforcing teaching with the parents of a child who has rheumatic fever. Which of the following statements by a parent indicates an understanding of the teaching? - Correct Answers: May child may take aspirin for his joint pain A nurse is caring for a child who has tatralogy of fallot. Which of the following laboratory values should the nurse expect - Correct Answers: RBC 6.8 million/ul Tetralogy of fallot causes cyansis; therefore; the body responds by increasing RBC production (polycythemia) in an attempt to supply oxygen to all body parts A Nurse is reviewing the medical record of a 2 month old infant who has rotavirus. The nurse notes a hemoglobin level of 12 g/dl and a hematocrit of 51 %. Which of the following statements by the nurse indicates an understanding of the laboratory values - Correct Answers: The infant might be dehydrated In increased hematocrit level indicates dehydration. Hematocrit levels rise when blood volume is decreased during dehydration A nurse is reinforcing teaching with the parents of a 10 year old who has iron deficiency anemia. Which of the following statements by a parent indicates as understanding of the teaching - Correct Answers: I will administer the iron tablet with orange juice A nurse is reinforcing teaching with the parents of a child who has cerebral palsy which of the following statements should the nurse make - Correct Answers: Your child will need a botulinum toxin A injection to help with muscle spasticity A nurse is caring for a child who has acute lymphocytic leukemia. Which of the following laboratory values should the nurse expect? - Correct Answers: RBC 2.5 million/ul A nurse is preparing to administer acetaminophen 240 mg PO daily to a child who has a temperature of 38.9 c (102 F). The amount available is acetaminophen oral solution 160 mg/5 ml. How many mL should the nurse administer per dose? - Correct Answers: 7.5 ml A nurse is reinforcing teaching with the parents of a 4 month old infant who has gastroesophageal reflux. Which of the following statement by the parent indicates an understanding of the teaching? - Correct Answers: I will add 1 teaspoon of rice cereal per ounce to my baby's formula A nurse is preparing to administer diphenhydramine 5mg/kg/day Po to divide equally every 8 hr to a school-age child who weighs 50 lb. Available is diphenhydramine oral solution 12.5 mg/5ml How many ml should the nurse administer per dose - Correct Answers: 15 ml A nurse is caring for a 4 year old child who has pneumonia. The child's mother left 2 hr ago and he currently experiencing the despair stage of separation anxiety. Which of the following findings should the nurse expect - Correct Answers: Inactive and thumb sucking