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Nursing Care of Children
Assessment
Question 1 of 50 A nurse is assessing a child who has a congenital heart defect. The nurse should recognize that which of the following defects is associate with increased pulmonary blood flow? a. Coarctation of the aorta b. Patient ductus arteriosus c. Tetralogy of Fallot d. Tricuspid atresia Answer: b Question 2 of 50 A nurse is caring for a child who has acute glomerulonephritis. Which of the following actions should the nurse take? a. Obtain a daily weight b. Strain the urine c. Monitor blood glucose level every 4hr. d. Recommend strict bed rest. Answer : a Question 3 of 50 A nurse is providing teaching to the parent of a school-age child who has pediculosis capitis. Which of the following instructions should the nurse include in the teaching? a. โSeal nonwashable items in a plastic bag for 2 days: b. "Soak hair brushes in boiling water for 10 minutes.โ c. "Apply permethrin 1 percent cream rinse every day for 8 days. 7 d. "After washing bed linens, place them in a dryer on a cult setting for 30 minutes Answer: b Question 4 of 50
A nurse is providing discharge teaching to the parents of a child who has sickle cell anemia and was hospitalized after experiencing a vasoocclusive crisis. Which of the following instructions should the nurse include in the teaching? a. "Avoid immunizing your child with the meningococcal vaccine.โ b. "Restrict the time your child spends playing outdoors.โ c. "increase your child's intake of oral fluids.โ d. "Provide your child with a high-protein diet.โ Answer: c Question 5 of 50 A nurse is assessing an infant who has hydrocephalus. Which of the following clinical manifestations should the nurse expect? a. Depressed scalp veins b. Sunken anterior fontanels c. Bulging eyes d. Separated cranial sutures Answer: d Question 6 of 50 A nurse on a pediatric unit is receiving change-of-shift report for a group of clients. Which of the following clients should the nurse see first? a. A child who is postoperative following a tonsillectomy and reports moderate throat pain b. A child who had a cardlac catheterization using the femoral artery and has blanching of the toes c. A child who has bacterial pneumonia and is due for their initial dose of IV antibiotics d. A child who has juvenile idiopathic arthritis and needs assistance with application of prescribed splints Answer: b Question 7 of 50 A nurse is reviewing the laboratory values of a school-age child who reports increased bruising. Which of the following laboratory values should the nurse expect? a. WBC count 8,000/mm b. Platelets 120.000/mm c. Trilodothyronine 200 ng/dL d. Hgb 13 g/dL
a. Polyuria b. Scaphoid abdomen c. Gelatinous red stool d. Generalized edema Answer: c Question 12 of 50 A nurse working on an outpatient surgical unit is providing discharge teaching to the parent of a preschooler following placement of tympanoplasty tubes. The parent asks the nurse, "What should I do if the tubes fall out?" Which of the following responses should the nurse make? a. "Gently put the tubes back into the child's ears.โ b. "Bring the child to the emergency department immediately.โ c. "Notify the provider that the tubes have fallen out.โ d. "The tubes are sutured in place and must be surgically removed.โ Answer: c Question 13 of 50 A nurse is teaching the parents of a toddler about strategies to manage temper tantrums. Which of the following instructions should the nurse include in the teaching? a. "Honor the child's request if she holds her breath.โ b. "Establish a structured daily routine for the child.โ c. "Place the child in her room alone until the temper tantrum ends.โ d. "Comfort the child during the temper tantrum.โ Answer: b Question 14 of 50 A nurse is assessing a child who has received the first 50 mL of a blood transfusion. Which of the following findings indicates that the child might be experiencing an air embolism? a. Sharp pain in middle of the chest b. Severe itching of the hands c. Distended neck veins d. Decreased temperature Answer: a Question 15 of 50
A nurse is caring for a child who has cancer and is receiving chemotherapy. The parent tells the nurse that they want to discontinue treatment and take the child home. Which of the following responses should the nurse make? a. "What are your reasons for making this decision today?โ b. "You should discuss your concerns with your child's provider.โ c. "You should give the treatment a chance to work before giving up.โ d. "Do you need assistance gathering your child's belongings to return home?โ Answer: a Question 16 of 50 A nurse is providing teaching to the parent of a child who has a new prescription for methylphenidate. which of the following instructions should the nurse include? a. "Monitor your child for excessive sleepiness.โ b. "Administer the medication with a caffeinated beverage.โ c. "Administer the second dose of the medication at lunch time. d. "Monitor your child for weight gain.โ Answer: c Question 17 of 50 A nurse is providing discharge teaching to the parent of a school-age child who has pharyngitis caused by group A B-hemolytic streptococci (GABHS). Which of the following instructions should the nurse include in the teaching? (Select all that apply.) a. "Schedule a time for your child to receive the pneumococcal vaccine within 2 weeks.โ b. "Provide your child with their own towel for drying their face and hands at home. c. "Replace your child's toothbrush 24 hours after beginning antibiotic therapy.โ d. "Your child can return to school 24 hours after their first does of antibiotics.โ e. "Replace your child's orthodontic appliances prior to beginning antibiotic therapy.โ Answer: b, c, and d Question 18 of 50 A nurse is caring for a child who is experiencing status asthmaticus. Which of the following actions should the nurse take first? a. Initiate an infusion of IV fluids. b. Obtain a blood specimen for ABG analysis. c. Administer a dose of an IV corticosteroid.
c. Administer the ear drops at 5.5ยฐ C (42ยฐ F). d. Massage the area behind the ear. Answer: a Question 23 of 50 A nurse is admitting a child who has bacterial meningitis. Which of the following actions should the nurse take first? a. Initiate antibiotic therapy for the child. b. Minimize the child's environmental stimuli. c. Place the child in a side-lying position. d. Administer pain medication to the child. Answer: a Question 24 of 50 A nurse is providing teaching to the parent of an infant about car seat safety. Which of the following statements by the parent indicate an understanding of the teaching? a. "I should place the shoulder harness above the level of my baby's shoulders.โ b. โI should place the car seat rear-facing until my baby is 2 years old.โ c. "I will place the retainer clip over my baby's abdomen.โ d. "I should position my baby at a 30 - degree angle in the car seat.โ Answer: b Question 25 of 50 A nurse is creating a plan of care for a child who is awake and responsive following an acute head injury. Which of the following interventions should the nurse include? a. Place the child in a room with bright fluorescent lighting. b. Initiate seizure precautions for the child. c. Use the COMFORT scale to rate the child's pain. d. Suction the child's nares to determine the presence of fluid. Answer: b Question 26 of 50 A nurse in the emergency department is caring for a preschooler who has epiglottitis. Which of the following actions should the nurse take? a. Place the child in a left lateral position.
b. Obtain a specimen from the child's throat for a culture. c. Inspect the child's throat with a padded tongue depressor. d. Initiate droplet precautions for the child. Answer: d Question 27 of 50 A nurse is assessing a 6 - month-old infant during a well-child visit. Which of the following findings should the nurse report to the provider? a. The infant does not exhibit fear of strangers. b. The infant does not roll over from his abdomen to his back. c. The infant does not pick up objects from the floor with his fingers d. The infant does not sit on the floor unsupported. Answer: b Question 28 of 50 A school nurse is assessing the visual acuity of a school-age child. Which of the following findings indicate that the child should be evaluated for strabismus? a. Visual acuity 20/30 bilaterally b. Peripheral vision 70 ยฐ downward c. Movement of the uncovered eye during a cover test d. Light reflects symmetrically within each pupil during a corneal light reflex test Answer: c Question 29 of 50 A nurse is providing discharge teaching to the parents of a 6 - month-old infant following a surgical procedure to repair a hypospadias. Which of the following instructions should the nurse include in the teaching? a. "Apply a dry gauze dressing twice per day.โ b. "Perform hourly measurements of the infant's urinary output.โ c. "Offer the infant 12 to 18 ounces of fruit juice daily.โ d. Avoid giving the infant a tub bath until the stent is removed. Answer: d Question 30 of 50
Answer: d Question 34 of 50 A nurse is caring for a 4 - month-old infant who is immediately postoperative following cleft palate repair. Which of the following actions should the nurse take? a. Give the infant liquids using a small spoon with a long handle. b. Apply elbow restraints to the infant. c. Gently check the infant's suture line using a padded tongue depressor. d. Place the infant in a supine position. Answer: b Question 35 of 50 A nurse is admitting a child who has pertussis. Which of the following isolation precautions should the nurse initiate? a. Droplet b. Contact c. Airborne d. Protective environment Answer: a Question 36 of 50 A nurse is assessing a 12 - month-old infant who is immediately postoperative following hernia repair surgery. Which of the following. pain measurement tools should the nurse use to determine if the infant is experiencing pain? a. FACES b. COMFORT c. CRIES d. FLACC Answer: d Question 37 of 50 A nurse is developing a plan of care for a 4 - year-old child who has hemophilia and is experiencing acute hemarthrosis. Which of the following interventions should the nurse include in the plan? a. Have the child perform passive range-of-motion exercises. b. Administer aspirin as needed for pain.
c. Place ice packs on the affected joints. d. Position the lower extremities below the level of the heart. Answer: c Question 38 of 50 A nurse is providing teaching to the parent of a child about home care following a cardiac catheterization. Which of the following statements should the nurse include? a. "You should give your child aspirin if they report pain at the site.โ b. "You can remove the pressure dressing 8 hours after the procedure.โ c. "Your child can soak in the bathtub 24 hours after the procedure.โ d. "Your child should avoid strenuous physical activities for several days.โ Answer: d Question 39 of 50 A nurse is caring for an infant who has gastroesophageal reflux (GER). Which of the following actions should the nurse take to prevent regurgitation? (Select all that apply.) a. Thicken the infant's formula with cereal. b. Avoid giving the infant citrus juices. c. Position the child with their head elevated after meals. d. Place the infant's head on a soft pillow while sleeping. e. Administer an antiemetic to the infant. Answer: a, b, and c Question 40 of 50 A home health nurse is providing teaching about postseizure management to the parents of a school-age child who has epilepsy and experiences tonic-clonic seizures. Which of the following instructions should the nurse include in the teaching? (Select all that apply.) a. "Immediately following a seizure. give your child 6 ounces of water.โ b. "Immediately following a seizure, give your child 6 ounces of water.โ c. "Following a seizure, record the length and characteristics of your child's seizure.โ d. "Administer rectal diazepam to your child following a seizure.โ e. "Call for emergency medical services if the size of your child's pupils are unequal after a seizure.โ Answer: c and e
c. Adolescents worry more about death than the physical changes that can occur as a result of the illness. d. Toddlers personify death as being a type of monster. Answer: a Question 45 of 50 A nurse is assessing a child who has sickle cell anemia and is experiencing a vasoocclusive crisis. Which of the following clinical manifestations should the nurse expect? a. Weight gain b. Bradypnea c. Pain d. Diarrhea Answer: c Question 46 of 50 A nurse is preparing a teaching plan for the parent of a school-age child who has asthma. Which of the following manifestations should the nurse include as an indication of an exacerbation of asthma? a. Green zone reading on peak expiratory flow meter b. Rhinitis c. Axillary temperature of 37.2ยฐ C (99ยฐ F) d. Hacking, nonproductive cough Answer: d Question 47 of 50 A nurse is assessing a toddler who has infective endocarditis. Which of the following findings should the nurse expect? a. New heart murmur b. Weight gain c. Bradycardia d. Decreased body temperature Answer: a Question 48 of 50
A nurse on a pediatric unit is reviewing the laboratory results for a group of clients. Which of the following results should the nurse identify as the priority? a. An adolescent who has iron-deficiency anemia and an Hgb level of 11 mg/dL b. A school-age child who has diabetes mellitus and an HbA1c of 8% c. A toddler who has moderate dehydration and an RBC count of 5.6/mmยฐ d. A preschooler who has cystic fibrosis-related diabetes and a WBC count of 15.000/mm? Answer: d Question 49 of 50 A nurse is caring for a toddler who drinks 946 mL (32 oz) of whole milk per day and has a poor appetite. The nurse should identify the toddler as being at risk for which of the following conditions? a. Iron deficiency anemia b. Vitamin A toxicity c. Impaired carbohydrate metabolism d. Lactose intolerance Answer: a Question 50 of 50 A nurse is planning care for an infant who has congenital talipes equinovarus. Which of the following referrals should the nurse expect the provider to make? a. Ophthalmologist b. Nutrition counselor c. Speech therapist d. Orthopedic specialist Answer: d
