Nursing care of children vati Exam Questions
With Compete Answers.
A nurse is caring for a toiler who is 24hr postoperative following a cleft palate repair.
WHich of the following actions should the nurse take? - ANSWER-Administer opioids for
pain
A nurse is assessing a 10-day-old client. Which of the following should the nurse
understand is a clinical manifestation of pyloric stenosis? - ANSWER-Projectile vomiting
after feedings
Pyloric stenosis is a narrowing and thickening of the pyloric canal between the stomach
and the duodenum, resulting in projectile vomiting.
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? - ANSWER-Initiate the use of a PCA pump for
pain control
A nurse is assessing an adolescent who has attention deficit hyperactivity disorder
(ADHD). Which of the following findings should the nurse expect? - ANSWER-
Impulsivity
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? (Select all that apply.) -
ANSWER-Decreased platelet count
Decreased leukocyte count
Decreased erythrocyte count
A nurse is preparing to administer the first measles, mumps, and rubella (MMR)
immunization to 15-month-old toddler. Which of the following findings is a
contraindication for this immunization? - ANSWER-The child has a congenital
immunodeficiency
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? - ANSWER-Congenital amnomalies
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? - ANSWER-Patent ductus
arteriosus
, the area between the pulmonary artery and aorta remains open, allowing the blood to
flow through the patent ductus arteriosus and back to the pulmonary artery and lungs.
A nurse is assessing a 3-month-old infant. Which of the following findings should the
nurse report to the provider? - ANSWER-Inability to raise head when in prone position.
A 3 month-old infant should be able to raise her head and shoulders from prone
position; therefore, the nurse should report this finding to the provider.
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? - ANSWER-Pruritus of the scalp
Pediculosis capitis is an infestation of head lice. Generally, the. only manifestation is
scalp itchiness.
A nurse is caring for a client who has acute osteomyelitis. Which of the following
interventions is the nurse's priority? - ANSWER-Administer antibiotics to the client
The greatest risk to this client is bacteremia caused by the infection which can lead to
septic shock; therefore, the priority intervention is antibiotic therapy. The client might
require multiple antibiotics for an extended time.
A nurse is preparing to assist with applying a cast to a preschooler's arm. Which of the
following actions should the nurse take? - ANSWER-Wrap the arm of the child's doll or
toy prior to the procedure.
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? -
ANSWER-On the unoperative side
A nurse is providing anticipatory guidance about child development to the parents of a
toddler. Which of the following developmental tasks should the nurse include as
expected of a toddler? - ANSWER-Separates easily form primary care giver for short
periods of time
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? - ANSWER-Disabling joint pain
can have disabling joint pain over time, especially of the knee and hip, because of
hemorrhage into the joints.
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? - ANSWER-"Has your son
has a sore throat recently"?
With Compete Answers.
A nurse is caring for a toiler who is 24hr postoperative following a cleft palate repair.
WHich of the following actions should the nurse take? - ANSWER-Administer opioids for
pain
A nurse is assessing a 10-day-old client. Which of the following should the nurse
understand is a clinical manifestation of pyloric stenosis? - ANSWER-Projectile vomiting
after feedings
Pyloric stenosis is a narrowing and thickening of the pyloric canal between the stomach
and the duodenum, resulting in projectile vomiting.
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? - ANSWER-Initiate the use of a PCA pump for
pain control
A nurse is assessing an adolescent who has attention deficit hyperactivity disorder
(ADHD). Which of the following findings should the nurse expect? - ANSWER-
Impulsivity
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? (Select all that apply.) -
ANSWER-Decreased platelet count
Decreased leukocyte count
Decreased erythrocyte count
A nurse is preparing to administer the first measles, mumps, and rubella (MMR)
immunization to 15-month-old toddler. Which of the following findings is a
contraindication for this immunization? - ANSWER-The child has a congenital
immunodeficiency
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? - ANSWER-Congenital amnomalies
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? - ANSWER-Patent ductus
arteriosus
, the area between the pulmonary artery and aorta remains open, allowing the blood to
flow through the patent ductus arteriosus and back to the pulmonary artery and lungs.
A nurse is assessing a 3-month-old infant. Which of the following findings should the
nurse report to the provider? - ANSWER-Inability to raise head when in prone position.
A 3 month-old infant should be able to raise her head and shoulders from prone
position; therefore, the nurse should report this finding to the provider.
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? - ANSWER-Pruritus of the scalp
Pediculosis capitis is an infestation of head lice. Generally, the. only manifestation is
scalp itchiness.
A nurse is caring for a client who has acute osteomyelitis. Which of the following
interventions is the nurse's priority? - ANSWER-Administer antibiotics to the client
The greatest risk to this client is bacteremia caused by the infection which can lead to
septic shock; therefore, the priority intervention is antibiotic therapy. The client might
require multiple antibiotics for an extended time.
A nurse is preparing to assist with applying a cast to a preschooler's arm. Which of the
following actions should the nurse take? - ANSWER-Wrap the arm of the child's doll or
toy prior to the procedure.
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? -
ANSWER-On the unoperative side
A nurse is providing anticipatory guidance about child development to the parents of a
toddler. Which of the following developmental tasks should the nurse include as
expected of a toddler? - ANSWER-Separates easily form primary care giver for short
periods of time
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? - ANSWER-Disabling joint pain
can have disabling joint pain over time, especially of the knee and hip, because of
hemorrhage into the joints.
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? - ANSWER-"Has your son
has a sore throat recently"?
