Nursing Care of Children - Pre-Assessment Quiz questions and answers.docx

  A nurse is preparing to administer acetaminophen 10mg/kg/dose to a child who weighs 28 lb. The amount available is acetaminophen 120mg/5mL. How many mL should the nurse administer? (Round the answer to the nearest tenth.) - Correct Answers: 5.3 mL A nurse is presenting an in-service about the use of postural drainage for infants who have cystic fibrosis. Which of the following positions should the nurse identify as being a CONTRAINDICATED for the infant? - Correct Answers: Trendelenburg 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? - Correct Answers: Patent ductus arteriosus A nurse is providing anticipatory guidance about child development to the parents of a toddler. Which of the following development tasks should the nurse include as expected of a toddler? - Correct Answers: Separates easily from primary care giver for short periods of time A nurse in the emergency department is caring for a client who is 13 years old. The nurse is reviewing the information in the adolescent's EMR. After reviewing the information, for each potential provider's prescription, click to specify if the potential prescription is anticipated, nonessential, or contraindicated for the adolescent. - Correct Answers: Urine ketone: ANTICIPATED Regular insulin IV continuous infusion: ANTICIPATED Apply cardiac monitor: ANTICIPATED Potassium chloride IV bolus: CONTRAINDICATED Head CT: NONESSENTIAL Dextrose 5% in water 500 mL IV bolus: CONTRINDICATED A nurse is preparing to administer the first measles, mumps, and rubella (MMR) immunization to a 15-month-old toddler. Which of the following findings is a contraindication for this immunization? - Correct Answers: The child has a congenital immunodeficiency 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. - Correct Answers: Disabling joint pain A nurse is developing a health program for the parents of a school-age boys. Which of the following information about pubescent changes should the nurse include in the program? - Correct Answers: Growth spurts in height occur toward the end of midpuberty A nurse is teaching about safely recommendations for car seats with the parents of a 24-month-old toddler who is in the 50th percentile for height and weight. Which of the following instructions should the nurse include in the teaching? - Correct Answers: Position the toddler in rear-facing in the middle of the back seat A nurse is assessing a 3-month-old infant. Which of the following findings should the nurse report to the provider? - Correct Answers: Inability to raise head when in prone position 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? - Correct Answers: Has your son had a sore throat recently? A nurse is caring for a 3-year-old child who was admitted with acute diarrhea and dehydration. Which of the following findings indicates that oral rehydration therapy has been effective? - Correct Answers: Urine specific gravity 1.015 A nurse is caring for a client who has acute osteomyelitis. Which of the following interventions is the nurse's priority? - Correct Answers: Administer antibiotics to the client 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. - Correct Answers: Initiate the use of a PCA pump for pain control A nurse caring for a toddler who is 24 hr postoperative following a cleft palate repair. Which of the following actions should the nurse take? - Correct Answers: Administer opioids for pain A nurse is assessing an adolescent client who has attention deficit hyperactivity disorder (ADHD). Which of the following findings should the nurse expect? - Correct Answers: Impulsivity A nurse is providing teaching to a parent of child who has celiac disease. The nurse should INCLUDE which of following food choices for this child? - Correct Answers: Rice A nurse is assessing a 10-day-old child client. Which of the following should the nurse understand is a clinical manifestation of pyloric stenosis. - Correct Answers: Projectile vomiting after feedings 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? - Correct Answers: Congenital anomalies A nurse is admitting a a toddler who has respiratory syncytial virus (RSV). Which of the following actions should the nurse take? - Correct Answers: Keep thermometer in the toddler's room A nurse is assessing a female child in a n area struck by an earthquake. The child, who is crying, walks well, can state her first name, and repeatedly says "All done" and "Go bye-bye now" during the assessment. The child has 24 deciduous teeth and her anterior fontanel is closed. Based on these observations, the nurse should estimate that the child is how many months old? - Correct Answers: 30 A school nurse is performing a routine health assessment for a school-age child. Which of the following findings indicates the nurse should investigate further for pediculosis capitis? - Correct Answers: Pruritus of the scalp A nurse is assessing a child who is in sickle cell crisis. Which of the following findings should the nurse expect? - Correct Answers: Pain A nurse is caring for a child who is postoperative following ventriculoperitoneal (VP) shunt placement. In which of the following positions should the nurse place the client? - Correct Answers: On the unoperated side A nurse is teaching a parent of a 2-year-old child about safe food choices. Which of the following foods should the nurse recommend? - Correct Answers: Bananas A nurse on the pediatric unit is caring for a child following a laparoscopic appendectomy 1 day ago. After assisting the AP with getting the child to a safe position, which of the potential actions should the nurse take? For each potential nursing actions, click to specify if the potential prescription is urgent, nonurgent, or contraindicated for the client. - Correct Answers: Check the child's pupils: NONURGENT Leave the child alone to get further assistance: CONTRAINDICATED Loosen the child's tight clothing: URGENT Hold the child's extremities firmly is contraindicated: CONTRAINDICATED Turn the child on their left side: URGENT Place pillow under the child's head: URGENT Restart the child's IV: URGENT A nurse is providing teaching to a parent of a child who has a fracture of an epiphyseal plate. Which of the following statements should the nurse make? - Correct Answers: Normal bone growth can be affected 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? (SATA) - Correct Answers: Decreased platelet count Decreased leukocyte count Decreased erythrocyte count A nurse has accepted a position on a pediatric unit and is learning about psychosocial development. Place Erikson's stages of psychosocial development in order from birth to adolescence. - Correct Answers: Trust vs. Mistrust Autonomy vs. Shame & Doubt Initiative vs. Guilt Industry vs. Inferiority Identity vs. Role Confusion A nurse is preparing to assist with applying a cast to a preschooler's arm. Which of the following actions should the nurse take? - Correct Answers: Wrap the arm of the child's doll or toy prior to the procedure