NUR 254 Peds Exam 1

1. The nurse administered a prescribed analgesic to a preschool child. Which action should the nurse take to assess the effectiveness of this medication? Use the Wong-Baker pain scale 2. The nurse is caring for a child in middle school who is hospitalized. When developing a plan of care, the nurse should consider that children in this age group Are anxious about missing interactions with friends 3. The nurse is caring for a group of toddlers and is developing a plan for age-appropriate play activities during hospitalization. Which play activity should the nurse include? Offering each toddler a ball to roll around 4. Is working in an emergency triage area where a parent brings in a child and states, “I think she got into my mother's medicine.” After determining the medication the child ingested, which action should the nurse perform next? Contact poison control 5. This is performing an assessment on an adolescent client. Which behavior suggests appropriate psychological development in this client? Thinks about peers opinions’ of them 6. This is performing a nutritional assessment on an adolescent client. Which client statement best indicates that the client's diet is healthy? My parents make sure I drink 8 glasses of water daily 7. 1st is educating new parents about immunizations and immunity. It indicates the need for additional teaching if a parent states Active immunity is what my child gets from me and is short term protection. 8. This has attended a conference on immunizations. Which statement by the nurse indicates that teaching has been effective? Children who have a common cold may still receive an immunization 9. Nurse is on the playground with students and observes a child watching a small group of children playing tag. The nurse recognizes this type of play as Onlooker 10. The nurse has provided discharge instructions to the parents of a three-year-old who had a cardiac catheterization. Which statement by the parents indicates a correct understanding of the teaching? We will refrain from removing the adhesive bandage strip when we get home 11. The nurse is performing a respiratory assessment of an infant. It is necessary for the nurse to notify the PHCP if the nurse observes that the infant has nasal flaring 12. The nurse working in the pediatric cardiac unit is reviewing the telemetry monitors for assigned clients. The nurse should initially plan to assess the client who is a 14-year-old adolescent is resting in bed watching TV and has a pulse of 110 13. The nurse is caring for an infant who has cyanosis, a pulse of 210, and a respiratory rate of 78. After placing the infant in a knee-chest position, which action should the nurse perform next? Suction nares and mouth for any secretions 14. The nurse is assessing an infant with patent ductus arteriosus. Which finding should the nurse anticipate the infant will have? Bounding pulses and a widened pulse pressure 15. The nurse is administering pancreatic enzymes to a client who has cystic fibrosis. Which should the nurse include in the client education concerning the administration of these enzymes? Pancreatic enzymes can be sprinkled on a small amount of food before eating 16. The nurse is caring for a child who had a tonsillectomy and adenoidectomy 4 hours ago. Which action observed by the nurse requires immediate intervention? The child is eating ice cream with a spoon 17. The nurse is assessing a toddler who is suspected of having epiglottitis. It is necessary for the nurse to immediately notify the PHCP if the child becomes agitated, is leaning forward with the mouth open, and is drooling 18. The nurse is providing home care instructions to the parents of a child who has cystic fibrosis (CF). Which statement by the parent indicates a need for further teaching? My child will need to have postural drainage performed once every week 19. The nurse is caring for an infant diagnosed with heart failure. It is most important for the nurse to administer prescribed oxygen to the infant if the infant is crying 20. The nurse faculty is teaching a student nurse about heart defects. Which statement, if made by the student nurse, indicates an understanding of a ventricular septal defect? Ventricular septal defects have a higher pulmonary pressure 21. The nurse is teaching the parent of an infant about ways to prevent otitis media. Which parent statement indicates a need for follow-up teaching I will feed my infant in a supine position 22. The nurse is developing a discharge teaching plan for the parents of a preschool child who has cystic fibrosis. Which should the nurse include as the most important action to help prevent the child from developing pulmonary infections? Meticulous hand washing for all members of the household