Questions and Answers
A nurse is teaching the parent of a preschool-
age child about the treatment for pinworms. --The nurse should instruct the parents to
Which of the following statements by the parent massage the anterior area of the ear following
indicates an understanding of the teaching? - administration of eardrops to facilitate instillation
- "I will give my child a dose of albendazole of the medication.
today and again in 2 weeks."
--The nurse should instruct the parent to repeat A nurse is providing teaching to the parent of a 2-
the dose of albendazole in 2 weeks to completely year-old toddler about nutrition. Which of the
eradicate the parasite and prevent reinfection. following statements by the parent indicates an
understanding of the teaching? - - "My
child should consume 1,000 calories per day."
A nurse is assessing a child who has a
ventricular septal defect. Which of the following --Toddlers who are 2 years old should consume
findings should the nurse expect? - - 1,000 calories daily.
Murmur at the left sternal border.
--A ventricular septal defect, a hole in the septal A nurse is providing teaching about
wall between the ventricles, is an acyanotic heart immunizations to the parents of a severely
defect. A systolic murmur can be best heard at immunocompromised child who has human
the lower left sternal border. Sound is transmitted immunodeficiency virus (HIV). Which of the
in the direction of blood flow, so any backflow of following statements should the nurse include in
blood from the left to the right ventricle through the teaching? - - "The pneumococcal and
the septal defect is best heard in this area. influenza vaccines are recommended for your
child."
A nurse is teaching an adolescent who has --Immunization against common childhood
asthma about how to use a peak expiratory flow illnesses, including the influenza and
meter (PEFM). Which of the following responses pneumococcal disease, is recommended for all
by the adolescent indicates an understanding of children exposed to and infected with HIV.
the teaching? - - "I will record the highest
reading of three attempts."
A nurse in an emergency department is caring for
--Once the client establishes a personal best, a 4-year-old child who has burns to the neck and
she should routinely check the PEFM by face following a house fire. Which of the following
performing three attempts and recording the actions should the nurse take first? - -
highest reading of the three. Determine the child's breathing pattern.
--The nurse should apply the ABC priority setting
A nurse is providing teaching to the parents of an framework. This framework emphasizes the basic
infant who has acute otitis media about how to core of human functioning: having an open
administer antibiotic eardrops. Which of the airway, being able to breathe in adequate
following instructions should the nurse include? - amounts of oxygen, and circulating oxygen to the
- Massage the anterior area of the infant's body's organs via the blood. An alteration in any
ear following administration. of these can indicate a threat to life, and is
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, RN Learning System Nursing Care of Children Practice Quiz 2
Questions and Answers
therefore the nurse's priority concern. When add rick cereal to my baby's feedings."
applying the ABC priority setting framework,
airway is always the highest priority because the --The mother should add 1 tsp to 1 tbsp of rice
airway must be clear and open for oxygen cereal per ounce of formula or expressed breast
exchange to occur. Breathing is the second milk to thicken the feedings because this will
highest priority in the ABC priority setting decrease the number of vomiting episodes.
framework because adequate ventilatory effort is
essential in order for oxygen exchange to occur.
Determining the child's breathing pattern is the A nurse is assessing a 2-month-old infant who
first action the nurse should take. Circulation is has a ventricular septal defect. Which of the
the third highest priority in the ABC priority following findings should the nurse report to the
setting framework because delivery of oxygen to provider? - - Weight gain of 1.8 kg (4 lb)
critical organs only occurs if the heart and blood
vessels are capable of efficiently carrying oxygen --A 4 lb weight gain indicates increased fluid and
to them. worsening of the child's heart failure; therefore,
the nurse should report this finding to the
provider.
A nurse is providing discharge teaching to the
parents of a child who has nephrotic syndrome.
Which of the following instructions should the A nurse is creating a plan of care for a child who
nurse include in the teaching? - - Keep the has leukopenia secondary to chemotherapy.
child away from people who have an infection. Which of the following interventions should the
nurse include in the plan? - - Monitor the
--Children who have nephrotic syndrome are at child for increased temperature.
increased risk for infection and should avoid
contact with people who have infections. --Leukopenia places the child at risk for infection;
therefore, the nurse should monitor the child for a
fever.
A nurse is providing nutritional teaching to an
adolescent client who has celiac disease. Which
of the following breakfast foods should the nurse A nurse is providing dietary teaching to the
recommend? - - Scrambled eggs parent of a child who has cystic fibrosis. Which of
the following dietary recommendations should the
--The client who has celiac disease should be on nurse make? - - Increase the child's protein
a low-gluten diet and should avoid foods intake.
containing barley, oat, rye, and wheat; therefore,
scrambled eggs are an appropriate breakfast --The nurse should recommend an increase in
item for the nurse to recommend to the client. protein intake for the child who has cystic fibrosis.
These children require up to 150% of the
recommended daily allowances to meet their
A clinic nurse is providing teaching to the parent nutritional needs.
of a 1-month-old infant who has
gastroesophageal reflux. Which of the following
statements by the parent indicates an A nurse is assessing a 6-month-old infant
understanding of the teaching? - - "I will following a cardiac catheterization. Which of the
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