The mother of a 4-year-old child asks the nurse what she can do to help her other children cope with their sibling’s repeated hospitalizations.
The mother of a 4-year-old child asks the nurse what she can do to help her other children cope with their sibling’s repeated hospitalizations. Which is the best response that the nurse should offer?
When planning the care for a child who has had a cleft lip repair, the nurse knows that crying should be minimized because it
The nurse assigning care for a 5-year-old child with otitis media is concerned about the child’s increasing temperature over the past 24 hours. Which statement is accurate and should be considered when planning care for the remainder of the shift?
A 2-year-old child with gastro-esophageal reflux has developed a fear of eating. What instruction should the nurse include in the parents’ teaching plan?
What preoperative nursing intervention should be included in the plan of care for an infant with pyloric stenosis?
The nurse is assessing a 2-year-old. What behavior indicates that the child’s language development is within normal limits?
The nurse receives a lab report stating a child with asthma has a theophylline level of 15 mcg/dl. What action will the nurse take?
A 4-year-old girl continues to interrupt her mother during a routine clinic visit. The mother appears irritated with the child and asks the nurse, “Is this normal behavior for a child this age?” The nurse’s response should be based on which information?
A 6-month-old infant with congestive heart failure (CHF) is receiving digoxin elixir. Which observation by the nurse warrants immediate intervention?
Which restraint should be used for a toddler after a cleft palate repair?
Elbow
When taking the health history of a child, the nurse knows that which finding is an early indication of hypothyroidism in children?
The mother of a preschool-aged child asks the nurse if it is all right to administer Pepto Bismol to her son when he “has a tummy ache.” After reminding the mother to check the label of all over-the-counter drugs for the presence of aspirin, which instruc Do not give if the child has chickenpox, the flu, or any other viral illness.
Which growth and development characteristic should the nurse consider when monitoring the effects of a topical medication for an infant?
The nurse is preparing a health teaching program for parents of toddlers and preschoolers and plans to include information about prevention of accidental poisonings. It is most important for the nurse to include which instruction?
a. B- store all toxic agents and medicines in locked cabinets.
A 16-year-old is brought to the Emergency Center with a crushed leg after falling off a horse. The adolescent’s last tetanus toxoid booster was received eight years ago. What action should the nurse take?
a. C- administer the tetanus toxoid booster.
During administration of a blood transfusion, a child complains of chills, headache, and nausea. Which action should the nurse implement?
a. Stop the infusion immediately and notify the healthcare provider
A hospitalized 16-year-old male refuses all visits from his classmates because he is concerned about his distorted appearance. To increase the client’s social interaction, what intervention is best for the nurse to initiate?
The nurse is caring for a 12-year-old with Syndrome of Inappropriate Antidiuretic Hormone (SIADH). This child should be carefully assessed for which complication?
The nurse is assessing the neurovascular status of a child in Russell’s traction. Which finding should the nurse report to the healthcare provider?
Which class of antiinfective drugs is contraindicated for use in children under 8 years of age?
The nurse is assessing an 8-month-old child who has a medical diagnosis of Tetrology of Fallot. Which symptom is this client most likely to exhibit?
The mother of a 2-year-old boy consults the nurse about her son’s increased temper tantrums. The mother states, “Yesterday he threw a fit in the grocery store, and I did not know what to do. I was so embarrassed. What can I do if this occurs again?” Which Advice should the nurse give
A nurse provides the parents with information on health maintenance for their child with sickle cell disease. Which information reflected by the parents indicates understanding of the child’s care?
When assessing a child with asthma, the nurse should expect intercostal retractions during
The nurse is planning the care of a 2-year-old with severe eczema on the face, neck, and scalp from scratching the affected areas.
Which nursing intervention is most effective in preventing further excoriation due to the pruritis?
A 3-year-old client with sickle cell anemia is admitted to the Emergency Department with abdominal pain. The nurse palpates an enlarged liver, an x-ray reveals an enlarged spleen, and a CBC reveals anemia. These findings indicate which type of crisis?
A female teenager is taking oral tetracycline HCL (Achromycin V) for acne vulgaris. What is the most important instruction for the nurse to include in this client’s teaching plan?
The nurse is giving a liquid iron preparation to a 3-year-old child. Which technique should the nurse implement to engage the child’s cooperation?
The nurse is giving preoperative instructions to a 14-year-old female client who is scheduled for surgery to correct a spinal curvature. Which statement by the client best demonstrates that learning has taken place?
Surgery is being delayed for an infant with undescended testes. In collaboration with the healthcare provider and the family, which prescription should the nurse anticipate?
A 12-month-old boy is admitted with a respiratory infection and possible pneumonia. He is placed in a mist tent with oxygen. Which nursing intervention has the greatest priority for this infant?
The nurse is planning care for school-aged children at a community care center. Which activity is best for the children?
Which measurements should be used to accurately calculate a pediatric medication dosage? (
During routine screening at a school clinic, an otoscope examination of a child’s ear reveals a tympanic membrane that is pearly gray, slightly bulging, and not movable. What action should the nurse take next?
Which finding in a 19-year-old female client should trigger further assessment by the nurse?
In developing a teaching plan for a 5-year-old child with diabetes, which component of diabetic management should the nurse plan for the child to manage first?
The nurse is having difficulty communicating with a hospitalized 6-year-old child. Which approach by the nurse is most helpful in establishing communication?
The nurse is assigning care for a 4-year-old child with otitis media and is concerned about the child’s increasing temperature over the past 24 hours. When planning care for this child, it is important for the nurse to consider that
A 14-year-old female client tells the nurse that she is concerned about the acne she has recently developed. Which recommendation should the nurse provide?
When discussing discipline with the mother of a 4-year-old child, the nurse should include which guideline?
A child falls on the playground and is brought to the school nurse with a small laceration on the forearm. Which action should the nurse implement first?
The nurse is assessing a 13-year-old girl with suspected hyperthyroidism. Which question is most important for the nurse to ask her during the admission interview?
A 6-year-old is admitted to the pediatric unit after falling off a bicycle. Which intervention should the nurse implement to assist the child’s adjustment to hospitalization?
At 8 a.m. the unlicensed assistive personnel (UAP) informs the charge nurse that a female adolescent client with acute glomerulonephritis has a blood pressure of 210/110. The 4 a.m. blood pressure reading was 170/88. The client reports to the UAP that she
A six-month-old returns from surgery with elbow restraints in place. What nursing care should be included when caring for any restrained child?
Which action by the nurse is most helpful in communicating with a preschool-aged child?
A 2-year-old child recently diagnosed with hemophilia A is discharged home. What information should the nurse include in a teaching plan about home care?
The clinic nurse is taking the history for a new 6-month-old client. The mother reports that she took a great deal of aspirin while pregnant. Which assessment should the nurse obtain?
A full term infant is admitted to the newborn nursery. After careful assessment, the nurse suspects that the infant may have an esophageal atresia. Which symptoms are this newborn likely to exhibit?
The parents of a 3-week-old infant report that the child eats well but vomits after each feeding. What information is most important for the nurse to obtain?
Which behavior should the nurse expect a two-year-old child to exhibit?
A three-month old boy weighing 10 lbs 15 oz has an axillary temperature of 98.9° F. The nurse determines the daily caloric need for this child is approximately
The nurse reviews the latest laboratory results for a child who received chemotherapy last week and identifies a reduced neutrophil count. Which nursing diagnosis has the highest priority for this child?
A child with cystic fibrosis is having stools that float and are foul smelling. Which descriptive term should the nurse use to document the finding?
The nurse observes a 4-year-old boy in a daycare setting. Which behavior would the nurse consider normal for this child?
An infant is born with a ventricular septal defect (VSD) and surgery is planned to correct the defect. The nurse recognizes that surgical correction is designed to achieve which outcome? Prevent the return of oxygenated blood to the lungs.
The vital signs of a 4-year-old child with polyuria are: BP 80/40, Pulse 118, and Respirations 24. The child’s pedal pulses are present with a volume of +1, and no edema is observed. What action should the nurse implement first?
A burned child is brought to the emergency room. In estimating the percentage of the body burned, the nurse uses a modified “Rule of Nines.” Which part of a child’s body is calculated as a larger percentage of total body surface than an adult’s?
A 3-year-old boy is brought to the emergency room because he swallowed an entire bottle of children’s vitamin pills. Which intervention should the nurse implement first?
To assess the effectiveness of an analgesic administered to a 4- year-old, what intervention is best for the nurse to implement?
Preoperative nursing care for a child with Wilms’ tumor should include which intervention?
A 2-year-old child with Down syndrome is brought to the clinic for his regular physical examination. The nurse knows which problem is frequently associated with Down syndrome?
A 3-month-old infant develops oral thrush. Which pharmacologic agent should the nurse plan to administer for treatment of this disorder?
A preschool-age child who is hospitalized for hypospadias repair is most strongly influenced by which behavior?
A 4-year-old boy was admitted to the emergency room with a fractured right ulna and a short arm cast is applied. When preparing the parents to take the child home, which discharge instruction has the highest priority?
A 3-week-old newborn is brought to the clinic for follow-up after a home birth. The mother reports that her child bottle feeds for 5 minutes only and then falls asleep. The nurse auscultates a loud murmur characteristic of a ventricular septal defect (VSD)
Monitor the the infant’s weight and number of wet diapers per day. Use a softer nipple or increase the size of the nipple opening.
During discharge teaching of a child with juvenile rheumatoid arthritis, the nurse should stress to the parents the importance of obtaining which diagnostic testing?
As part of the physical assessment of children, the nurse observes and palpates the fontanels. Which child’s fontanel finding should be reported to the healthcare provider?
To take the vital signs of a 4-month-old child, which order provides the most accurate results?
A child is rescued from a burning house and brought to the emergency room with partial-thickness burns on the face and chest. Which action should the nurse implemented first?
A 17-year-old male student reports to the school clinic one morning for a scheduled health exam. He tells the nurse that he just finished football practice and is on his way to class. The nurse assesses his vital signs: temperature 100° F, pulse 80, respirations 20, and blood pressure 122/82
The nurse is teaching a 12-year-old male adolescent and his family about taking injections of growth hormone for idiopathic hypopituitarism. Which adverse symptoms, commonly associated with growth hormone therapy, should the nurse plan to describe to the child and his family?
The nurse is teaching a mother to give 4 ml of a liquid antibiotic to a 10-month-old infant. Which statement by the parent indicates a need for further teaching?
When evaluating the effectiveness of interventions to improve the nutritional status of an infant with gastro-esophageal reflux, which intervention is most important for the nurse to implement?
A 15-year-old girl tells the school nurse that all of her friends have started their periods and she feels abnormal because she has not. Which response is best for the nurse provide?
The nurse is developing a plan of care for a 3-year-old who is scheduled for a cardiac catheterization. To assist in decreasing anxiety for the child on the day of the procedure, which intervention is best for the nurse to implement?
All of the following interventions can be used to evaluate the effectiveness of nursing and medical interventions used to treat diarrhea. Which intervention is least useful in the nurse’s evaluation of a 20-month-old child?
The mother of a 6-month-old asks the nurse when her baby will get the first measles, mumps, and rubella (MMR) vaccine. Based on the recommended childhood immunization schedule published by the Centers for Disease Control, which response is accurate?
A 6-month-old boy and his mother are at the healthcare provider’s office for a well-baby check-up and routine immunizations. The healthcare provider recommends to the mother that the child receive an influenza vaccine. What medications should the nurse plan to administer today?
A 5-month-old is admitted to the hospital with vomiting and diarrhea. The pediatrician prescribes dextrose 5% and 0.25% normal saline with 2 mEq KCl/100 ml to be infused at 25 ml/hour. Prior to initiating the infusion, the nurse should obtain which assessment finding?
A premature newborn girl, born 24 hours ago, is diagnosed with a patent ductus arteriosus (PDA) and placed under an oxygen hood at 35%. The parents visit the nursery and ask to hold her. Which response should the nurse provide to the parents?
The nurse is teaching the parents of a 5-year-old with cystic fibrosis about respiratory treatments. Which statement indicates to the nurse that the parents understand?
Preoperative nursing care for a child with Wilms’ tumor should include which intervention?
Which behavior should the nurse expect a two-year-old child to exhibit
The mother of a preschool-aged child asks the nurse if it is all right to administer Pepto Bismol to her son when he “has a tummy ache.” (aspirin)
A nurse who is working in the Poison Control Center receives several telephone calls from parents whose children have ingested possible poisons. The nurse should recommend inducing vomiting for which child?
The mother of a 2-year-old boy consults the nurse about her son’s increased temper tantrums. What should she do?
When evaluating the effectiveness of interventions to improve the nutritional status of an infant with gastro-esophageal reflux, which intervention is most important for the nurse to implement?
When taking the health history of a child, the nurse know what which finding is an early indication of hypothyroidism in children?
The nurse received a lab report stating a child with asthma has theophylline level of 15 mcg/dl. What action will the nurse take?
Surgery is being delayed for an infant with undescended testes. In collaboration with the health care provider and the family, which prescription should the nurse anticipapte?
Which menu selection by a child with celiac disease indicates to the nurse that the child understands necessary dietary considerations?
The mother of a 2-year-old boy consults the nurse about her son’s increased temper tantrums. The mother states, “yesterday he threw a fit in the grocery store, and I did not know what to do. I was so embarrassed. What can I do if this occurs again?” Which recommendation is best for the nurse to provide this mother?
The mother of a 4-year-old child asks the nurse what she can do to help her other children cope with their sibling’s hospitalizations. Which is the best response that the nurse should offer?
The nurse is giving preoperative instruction to a 14-year-old female client who is scheduled for surgery to correct a spinal curvature. Which statement by the client best demonstrates that learning has taken place?
The clinic nurse is taking the hx for a new 6-month-old client. The mother reports that she took a great deal of aspirin while pregnant. Which assessment should the nurse obtain?
The mother of a preschool aged child asks the nurse if it is all right to administer Pepto Bismol to her son when he has a “tummy ache” After reminding the mother to check the label of all OTC drugs for the presence of aspirin, which instruction should the nurse include when replying to this mother’s question?
A 3 moth old infant develops oral thrush. Which pharmacologic agent should the nurse plan to administer for treatment of this disorder?
The nurse is developing a plan of care for a 3 yr old who is scheduled for a cardiac catheterization. To assist in decreasing anxiety for the child on the day of the procedure, which intervention is best for the nurse to implement?
A 3 yr old boy is brought to the ER because he swallowed an entire bottle of children’s vitamin pills. Which intervention should the nurse implement first?
A 4- year- old girl continues to interrupt her mother during a routine clinic visit. The mother appears irritated with the child and
asks the nurse, “Is this normal behavior for a child this age?” The nurse’s response should be based on which information?
The nurse is planning the care of a 2 year old with severe eczema on the face, next, and scalp fr. scratching the affected areas.
Which nursing intervention is most effective in preventing further excoriation due to the purities?
a 6- year old admitted to the pediatric unit after falling of a bicycle. Which intervention should the nurse implement to assist the child’s adjustments to hospitalization?
The nurse is caring for a 12 year-old with Syndrome of Inappropriate Antidiuretic Hormone (SIADH). This child should be carefully assessed for which complication?
A child falls on the playground and is brought to the school nurse with a small laceration on the forearm. Which action should the nurse implement first?
A 6-month-old infant with congestive heart failure (CHF) is receiving digoxin elixir. Which observation by the nurse warrants immediate intervention?
To assess the effectiveness of an analgesic administered to a 4-yr old, what intervention is best for the nurse to implement?
The nurse is assessing an 8 month old child who has a medical diagnosis of tetrology of Fallot. Which symptom is the client most likely to exhibit?
Which action by the nurse is most helpful in communicating with a preschool aged child?
The nurse observes a 4 yr old boy in a daycare setting. Which behavior would the nurse consider normal for this child?
A 2 yr old child with Down syndrome is brought to the clinic for his regular physical examination. The nurse knows which problem is frequently associated with Down syndrome?
In developing a teaching plan for a 5 year old child with diabetes, which component of diabetic management should the nurse plan for the child to manage first?
The nurse is assessing a 13 yr old girl with suspected hyperthyroidism. Which question is most important for the nurse to ask her during the admission interview?
The mother of a 6 month old asks the nurse when her baby will get the first MMR vaccine. Based on the recommended childhood immunization schedule published by the CDC, which response is accurate?
A 6 month old returns fr. surgery with elbow restraints in place. What nursing care should be included when caring for any restrained child?
A 17 yr old male student reports to the school clinic one morning ofr a scheduled health exam. He tells the nurse that he just finished football practice and is on his way to class. The nurse assess his VS: temp 100, pulse, 80, RR 20, and BP is 122/82.
What is the best action for the nurse to take?
A full term infant is admitted to the newborn nursery. After careful assessment, the nurse suspects that the infant may have esophageal atresia. Which symptoms are this newborn likely to exhibit?
A 5 month old is admitted to the hospital with vomiting and diarrhea. The pediatrician prescribes dextrose 5% and 0.25% normal saline with 2 mEq KCL/100 ml to be infused at 25 ml/hour. Prior to initiating the infusion, the nurse should obtain which assessment finding?
A hospitalized 16 yr old male refuses all visits fr. his classmates because he is concerned about his distorted appearance. To increase the clients social interaction, what intervention is best for the nurse to initiate?
The parents of a 3 week old infant report that the child eats well but vomits after each feeding. What information is most important for the nurse to obtain?
A premature newborn girl, born 24 hours ago, is diagnosed with a patent ductus arteriosus PDA and placed under an oxygen good at 35%. The parents visit the nursery and ask to hold her. Which response should the nurse provide to the parents?
To take the VS of a 4 month old child, which order provides the most accurate results?
A preschool-aged child who is hospitalized fy hypospadias repair is most strongly influenced by which behavior?
All of the following interventions can be used to evaluate the effectiveness of nursing and medical interventions used to treat diarrhea. Which intervention is least useful in the nurse’s evaluation of a 20 month old child?
The nurse assigning care for 5 yr old child with otitis media is concerned about the child’s increasing temperature over the past 24 hours. Which statement is accurate and should be considered when planning care for the remainder of the shift?
At 8am the unlicensed assistive personnel (UAP) informed the charge nurse that a female adolescent client with acute glomerulonephritis has a BP of 210/110. The 4am BP reading was 170/88. The client reports to the UAP that she is upset because her boyfriend did not visit last night. What action should the nurse take first?
A 12-month-old is admitted with a respiratory infection and possible pneumonia. He is placed in a tent with oxygen. Which nursing intervention has the greatest priority for this infant?
A three month old boy weighing 10 lbs 15 oz an axillary temp of 98.8. The nurse determines the daily caloric need for this child is approximately
The nurse is teaching the parents of a 5 yr old w. cystic fibrosis about respiratory treatment. Which statement indicates to the nruse that the parents understand?
A 4 year old boy was admitted to the emergency room with fractured right ulna and a short arm cast is applied. When preparing the parents to take the child home, which discharge instruction has the highest priority?
A 3 week old newborn is brought to the clinic for a follow up after a home birth. The mother reports that her child bottle feeds for 5 min only and falls asleep. The nurse auscultates a loud murmur characteristic of a ventricular septal defect (VSD), and finds the newborn is acyanotic with respiratory rate of 64 breaths per min. What instruction should the nurse provide the mother to ensure the infant is receiving adequate intake? (Select all that apply)
A- Monitor the infant’s weight and # of wet diapers per day
B- Increase the infant’s intake per feeding by 1-2 ounces per week
d. allow the infant to rest and reefed on demand or every 2 hrs
E. use a softer nipple or increase the size of the nipple opening Rationale
The nurse is teaching a mother to give 4 mL of a liquid antibiotic to a 10 month old infant. Which statement by the parent indicates a need for further teaching?
A 3 yr old client with sickle cell anemia is admitted to the ER with abdominal pain. The nurse palpates an enlarged liver, and x ray reveals an enlarged spleen, and a CBC reveals anemia. These findings indicate which type of crisis?
A 14 yr old female client tells the nurse that she is concerned about the acne she has recently developed/ Which recommendation should the nurse provide?
An 18 month old is admitted to the hospital with possible Hirschsprung’s disease. When obtaining a nursing hx the nurse asks about bowel habits. What description of the disease?
A 15 yr old girl tells the school nurse that all of her friends have started their periods and she feels abnormal because she has not. Which response is best for the nurse provide?
A 2 yr old child with gastro-esophageal reflux has developed a fear of eating. What instruction should the nurse include in the parent’s teaching plan?
The nurse is assessing a 2 year old. What behavior indicates that the child’s language development is within normal limits?
What preoperative nursing intervention should be included in the plan of care for an infant with pyloric stenosis?
When evaluating the effectiveness of interventions to improve the nutritional status of an infant with gastro-esophageal reflux, which intervention is most important for the nurse to implement?
Which finding in a 19 yr old female client should trigger further assessment by the nurse?
A 6 month old boy and his mother are at healthcare provider’s office for a well-baby check up and routine immunizations. The healthcare provider recommends to the mother that the child receive an influenza vaccine. What medications should the nurse plan to administer today?
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