Practice Assessment: RN Nursing Care of Children Online Practice 2019 B with NGN

A nurse is performing hearing screenings for children at a community health fair. Which of the following children should the nurse refer to a provider for a more extensive hearing evaluation? - An 8-Month-old infant who is not yet making babbling sounds The nurse should refer an infant who is not making babbling sounds by the age of 7 months to a provider for a more extensive evaluation of hearing A school nurse is providing an in service for faculty about improving education for students who have ADHD. Which of the following statements by a faculty member indicates an understanding of the teaching? - I will teach challenging academics subjects to students who have ADHD in the morning." Faculty should plan to teach challenging academic subjects in the morning when students who have ADHD are most able to focus and their medication is most likely to be effective. A nurse is creating a plan of care for a newly admitted adolescent who has bacterial meningitis. How long should the nurse plan to maintain the adolescent in droplet precautions? - for 24 hr following initiation of antimicrobial therapy The nurse should plan to maintain the adolescent on droplet precautions for at least 24 hr following initiation of antimicrobial therapy. This practice will ensure that the adolescent is no longer contagious, which protects family members and the personnel caring for the client. Prophylactic antibiotics might be prescribed to individuals who were in close contact with the adolescent. A nurse is planning care for a school age who has a tunneled central venous access device. Which of the following interventions should the nurse include in the plan? - Use a semipermeable transparent dressing to cover the site. The nurse should cover the site with a semipermeable transparent dressing to reduce the risk of infection. A school nurse is caring for a child following a tonic clonic seizure. Which of the following actions should the nurse take first? - Check the child's respiratory rate When using the airway, breathing, and circulation approach to client care, the nurse should determine the priority action is to assess the child's respiratory rate. I the child is not breathing, the nurse should administer rescue breaths. A nurse in an emergency department is assessing a 3 month old infant who has rotavirus and is experiencing acute vomiting and diarrhea. Which of the following manifestations should the nurse identify as an indication that the infant has moderate to severe dehydration? - Sunken anterior fontanel The nurse should recognize that a sunken anterior fontanel is an indication of moderate too severe due to the acute loss of fluid. A nurse is caring for a 10year old child following a head injury. Which of the following findings should the nurse identify as an indication that the child is developing diabetes insipidus? - Sodium 155 mEq/L A child who has a head injury can develop diabetes insidious as a result of pituitary hypo function leading to a deficiency of antidiuretic hormone. Under-excretion of antidiuretic hormone leads to polyuria and polydipsia, and possibly dehydration. With the excessive loss of free water, sodium level rise above the expected reference range of 136 to 145 mEq/L A nurse is caring for a newly admitted school age child who has hypopituitarism. Which of the following medications should the nurse expect the provider to prescribe? - Recombinant growth hormone. Recombinant growth hormone injections are used to treat hypopituitarism, which inhibits cell growth and results in growth failure. The nurse should expect the provider to prescribe this treatment. a nurse is creating a plan of care for a preschooler who has wills tumor and is scheduled for surgery. Which of the following interventions should the nurse include? - Avoid palpating the abdomen when bathing the child before surgery. The nurse should avoid palpating the abdomen when bathing the child before surgery because movement of the tumor can cause cancer cells to disseminate to other sites, adjacent and distant to the tumor site. A nurse is providing teaching to the parents of a preschooler who has heart failure and a new prescription for digoxin twice daily. Which of the following instructions should the nurse include in the teaching? - Brush the child's teeth after giving the medication The nurse should instruct the parents to brush the chid's teeth after administering digoxin to prevent tooth decay caused by the medication, which comes as a sweetened liquid to enhance the taste a nurse is planning developmental activities for a newly admitted 10- year old child who has neutropenia. Which of the following actions should the nurse plan to take? - Provide the child with a book about adventure The nurse should provide a school age child with a book about adventure as a developmental activity because children are expanding their knowledge and imagination during this age. Through reading school age children can feel powerful and skillful as they imagine themselves in the stories they read. A nurse is monitoring the oxygen saturation level of an infant using pulse oximetry. The nurse should secure the sensor to which of the following areas on the infant? - Greater toe The nurse should secure the sensor to the great toe of the infant and then place a snug fitting sock on the foot to hold the sensor in place. The nurse should also check the skin under the sensor site frequently for temperature, color, and presence of a pulse. A nurse is providing anticipatory guidance to the parent of a toddler. Which of the following expected behavior characteristics of toddlers should the nurse include? - Expresses likes and dislikes The nurse should include that expressing likes and dislikes is an expected behavior of toddles. This is the time in life when a toddler is developing autonomy and self concept. They will try to assert themselves and frequently refuse to comply. The parent should allow the child to have control, but also set limits for them so they learn from their behavior and learn to control their actions. A nurse is caring for a preschooler who has congestive heart failure. The nurse observes wide QRS complexes and peaked T waves on the cardiac monitor. Which of the following prescriptions should the nurse clarify with the provider? - Potassium chloride the nurse should identify that a child who has congestive heart failure can develop electorate imbalances, such as hyperkalemia or hypokalemia. The nurse should identify that the child is exhibiting manifestations of hyperkalemia and contact the provider about the administration of potassium chloride, which can increase the severity of hyperkalemia A nurse is assessing the pain level of a 3 year old toddler. Which of the following pain assessment scales should the nurse use? - FACES The nurse should use the FACES pain rating for pediatric clients who are 3 years old and older. This scale allows the toddler to point to the face that depicts their current level of pain. The nurse can then determine the need for pain management. A nurse is caring for a school age child who has diabetes mellitus and was admitted with a dx. of diabetic keto acidosis. When performing the respiratory assessment, which of the following findings should the nurse expect? - Deep respirations of 32/min The nurse should expect kussmaul respirations in a child who has diabetic keto acidosis. These deep and rapid respirations are the body's attempt to eliminate excess carbon dioxide and achieve a state of homeostasis. A nurse is reining the dietary choices of an adolescent who has iron deficiency anemia. The nurse should identify that which of the following menu items has the highest amount of nonhdme iron? - 1/2 cup raisins The nurse should encourage the adolescent to eat raisins because they contain the highest amount of nonhdme iron A nurse is teaching a school age child and their parent about postoperative care following cardiac Cath. Which of the following instructions should the nurse includes - wait 3 days before taking a tub bath the child should keep the site clean for at least 3 days to reduce the risk of the infection. Tub baths should be avoided for 3 days to avoid immersion of the incision in water. A nurse I assessing an adolescent who received a sodium polystyrene suffocate enema. Which of the following findings indicates effectiveness of the medication? - Serum potassium level 4.1 mEq/L The nurse should monitor the adolescent's serum potassium level following th administration of sodium polystyrene sulfonate. This medication is used to treat hyperkalemia by exchanging sodium ions for potassium ions in the intestine. Therefore, a potassium level within the expected reference range of 3.4-4.7 mEq/L indicates the effectiveness of the medication. A nurse is providing discharge teaching to the guardians of a toddler who had a lower leg cast applied 24 hr ago. The nurse should instruct the guardians to report which of the following findings to the provider? - restricted ability to move the toes The nurse should inform the guardians that a restricted ability of the toddler to move their toes is an indication of neuromuscular compromise and requires immediate notification of the provider. Permanent muscle and tissue damage can occur in just a few hours. A charge nurse is preparing to make a room assignment for a newly admitted school age child. Which of the following considerations is the nurse's priority? - Disease process The transmission of infectious diseases is the greatest risk to this child and other children on the unit. Therefore, the child's disease process is the nurse's priority consideration. A nurse in a health department is caring for an emancipated adolescent who has an STI and is unaccompanied by a guardian. Which of the following actions should the nurse take? - have the adolescent sign a consent form for treatment The nurse should identify that an emancipated minor can sign the consent form for treatment of an STI or any other form of medical treatment requiring consent. A nurse is caring for a Schoo age child who has primary nephrotic syndrome and is taking prednisone. Following 1 week of treatment, which of the following manifestations indicates to the nurse that the medication is effective? - Decreased edema A child who has nephrotic syndrome can experience edema due to the increased glomerular permeability, which increases protein loss. Prednisone decreased glomerular permeability, which causes fluid to shift from extracellular spaces, resulting in decreased edema. A nurse is providing discharge teaching to the parent of an 18 month old toddler who has dehydration due o acute diarrhea. Which of the following statements b the parent indicates an understanding of the teaching - I will monitor my Childs number of wet diapers The nurse should teach the parent to closely monitor the child's number of wet diapers. Monitoring the number of wet diapers per day is an effective way for the parent to monitor adequate output and hydration status. A nurse is providing discharge teaching to the parents of a 3 month old infant following a cheilpasty. Which of the following instructions should the nurse include? - apply a thin layer of antibiotic ointment on your baby's suture line daily for the next 3 days. The nurse should instruct the parents to apply a thin layer of antibiotic ointment on the infant's suture line daily for 3 days and then continue to apply petroleum jelly to the area for several weeks to promote healing A nurse in an emergency department is caring for a school age child who has epiglottis. Which of the following actions should the nurse take? - Monitor the child oxygen saturation The nurse should monitor the child's oxygen saturation level because the child is experiencing acute respiratory distress and it is necessary to determine if the child is responding to treatment. A nurse is planning care for a newly admitted school age child who has generalized seizures disorder. Which of the following interventions should the nurse plan to include? - Enure the oxygen source is functioning in the child's room The nurse should recognize that maintaining the child's airway is important during a seizure. The nurse should ensure that the oxygen source is functioning because the child might require supplemental oxygen following seizure. A nurse is teaching a group of parents about infectious mononucleosis. Which of the following statements by a parent indicates an understanding the teaching? - Mononucleosis is caused buy an infection with the Epstein Barr virus The nurse should identify that mononucleosis is a mildly contagious illness that occurs sporadically or in groups, and is primarily caused by Epstein Barr Virus A nurse is caring for a school age who has peripheral edema. The nurse should identify that which of the following assessments should be performed to confirm peripheral edema? - Palpate the dorm of the child's feet The nurse should palpate the dorm of the feet by pressing the finger tip against a bony prominence for 5 seconds to assess for peripheral edema A nurse is caring for a 1 month old infant who is breastfeeding and requires a heel stick. Which of the following actions should the nurse take to minimize the infant's pain? - Allow the mother to breastfeed while the sample is being obtained The nurse should allow the mother to breastfeed the infant prior to or during the procedure. Evidence based practice indicates breastfeeding or non nutritive sucking with a pacifier can provide non pharmacological pain management in infants. A nurse is caring for an infant who is receiving IV fluid for the treatment of tetralogy of fallout and begins to have a hyper cyanotic spell. Which of the following actions should the nurse take? - Place the infant in a knee chest position The nurse should place the infant in a knee chest position during a hyper cyanotic spell to decrease the return of desaturated venous blood from the legs and to direct more blood into the pulmonary artery by increasing systemic vascular resistance.