1. The pediatric nurse carefully monitors a patient's status by assessing the child's level of consciousness. The nurse understands that the Glasgow Coma
... [Show More] Scale provides clues to:
2. When assessing a family, the nurse determines that the parents exert little or no control over their children. This style of parenting is known as?
3. The nurse is caring for a school-age girl who has had a cardiac catheterization. The child tells the nurse that her bandage is "too wet." The nurse finds the bandage and bed soaked with blood. What is the most appropriate initial nursing action?
4. the pediatric nurse caring for hearing-impaired children teaches parents the following recommended guidelines for communicating with their children: (Select all answers that apply.)
5. A young child is brought to the emergency department with severe dehydration secondary to acute diarrhea and vomiting. What is the therapeutic management of this child?
6. What is the priority nursing intervention when a child is unconscious after a fall?
7. Discipline is important to the growth and development of children. Discipline can teach a child how to manage behavior. Some discipline will destroy a child's self- esteem. Which discipline is appropriate? (select all that apply) Time out. Consequences of actions. Removal of privileges.
8. When caring for a child with an intravenous infusion, what nursing intervention is the most appropriate?
9. On physical assessment of the skin of a patient, the nurse documents cyanosis. This finding may indicate what complication?
10. What is probably the single most important influence on growth at all stages of childhood development?
11. A contraindication to vaccine administration indicates that the child has an increased risk of serious side effects from the vaccine and therefore should not receive that vaccine. What is the one universal contraindication to all vaccines?
12. A 6-year-old child is being discharged from the emergency department after being diagnosed with varicella or chickenpox. What over the counter medication should he nurse instruct the parents to avoid administering?
13. After the acute stage and during the healing process the primary complication from burn injury is which of the following?
14. A prescription for Morphine sulfate IV bolus has been ordered for a child who is in pain. The nurse preparing to administer the medication realizes that the client appears small for her age. Which of the following actions should the nurse take?
15. A toddler's parent asks the nurse for suggestions on dealing with temper tantrums. What is the most appropriate recommendation?
16. Nursing care of a child during a seizure includes which of the following interventions? Select all that apply.
17. A baby is born today with a weight of 9 pounds, 8 ounces at 38 weeks gestation. What serum level should be assessed immediately after birth?
18. Health teaching that the nurse would provide for parents of an immunosuppressed child focuses on which important measure?
19. The nurse is caring for a child who has a burn. The child has a large burned area on the left leg. The burned area appears pink, has blisters, and is very painful. How will the nurse categorize this injury?
20. A infant who weighs 9 pounds at birth would be expected to weigh how many pounds at 1 year of age?
21. 4-year-old girl is brought to the emergency department. She has a "frog-like" croaking sound on inspiration, is agitated, and is drooling. She insists on sitting upright. What does the nurse recognize as the first action?
22. The nurse is caring for a hospitalized 4-year-old child, Ryan. His parents tell the nurse that they will be back to visit at 6 p.m. When Ryan asks the nurse when his parents are coming, what is the nurse's best response?
23. A toddler is diagnosed with iron deficiency anemia which is found to be dietary in nature. What recommendation would the nurse make to the parents to enhance dietary iron intake to promote growth and development?
24. The pediatric nurse is aware that the following is true of pain management in pediatrics.
25. A new mother expresses concern to a nurse regarding sudden infant death syndrome. (SIDS). She asks the nurse how to position her new infant for sleep. The nurse appropriately tells the mother that the infant should be placed in what position?
26. A mother brings her infant to the pediatrician for a check-up. She tells the pediatric nurse that almost every afternoon her infant fusses generally occurring at the same time each day, usually during the late afternoon or evening. The infant pulls both legs and arms into a flexed position. Based on this description, the nurse suspects that the infant has:
27. Sara , age 6 months, was born at 35 weeks gestation. She seems to be developing normally, but her parents are concerned because she is a more difficult baby than their other child, who was born at term. How does the nurse explain this?
28. Which strategy would be the least appropriate for a child to use to cope ?
29. A child undergoes an appendectomy. Which of the following nursing interventions would not be considered acceptable? Pain management? Give oral laxatives pre operative?
30. At what age do most infants begin to fear strangers?
31. The signs that can be used to indicate increased intracranial pressure in the infant but not in the older child is?
32. Which drug is usually the best choice for patient-controlled analgesia (PCA) for a child in the immediate postoperative period?
33. The nurse should expect the anterior fontanel to close at what age?
34. What is an important consideration for the nurse who is communicating with a very young child?
35. What actions can a nurse do that is most likely to encourage the parents to talk about their feelings related to their child's injuries?
36. Fentanyl and midazolam (Versed) are given before debridement of a child's burn wounds. These drugs are important for what purpose?
37. The nurse observes some children in the playroom. Which play situation exhibits the characteristics of parallel play?
38. In what type of play are children engaged in similar or identical activity without organization, division of labor, or mutual goal? Associative.
39. Which factor predisposes the urinary tract to infection?
40. What are the advantages of the ventral gluteal muscle as an injection site? Choose all that apply.
41. After infancy growth is not as rapid until adolescence where puberty becomes the primary focus. In comparison the onset of that growth is noted to be which of the following?
42. An appropriate nursing intervention to minimize separation anxiety in a hospitalized toddler is to:
43. A pediatric nurse listens while a mother describes her toddler's eating habits. The mother states that her daughter "refuses to eat vegetables at mealtime" and "wants peanut butter sandwiches for every meal." The nurse's best advice to the mother is:
44. The pediatric nurse explains to the parents of a child with type 1 diabetes that there are several major components of treatment for their child, including: (Select all answers that apply.)
45. The pediatric nurse teaches a patient that following a sprain to an extremity, it is important to take the following measures: (Select all answers that apply.)
46. The clinic is lending a federally approved car seat to an infant's family. The nurse should explain that the safest place to put the car seat is where?
47. In providing care to a child with immunosuppression, the pediatric nurse is vigilant about which assessment?
48. The pediatric nurse describes the effects of cystic fibrosis on the body systems to the parents of a child recently diagnosed with the disease. The nurse would include which of the following statements?: (Select all answers that apply.)
49. Nurses must be alert for increased fluid requirement when a child has which of the following medical issue?
50. By the time children reach their twelfth birthday, they should have learned to trust others and should have developed a sense of what? [Show Less]