VATI Nursing Care of Children Questions and Answers fall 2019
1. A nurse is teaching an adolescent how to use a peak expiratory flow meter.
o I will
... [Show More] record the highest reading of the three attempts
2. A nurse in a pediatric clinic is providing teaching to the parent of an infant who has gastroesophageal reflux.
o I will add rice cereal to my baby’s feeding
3. A nurse is planning care for a client who has cerebral palsy and is experiencing muscle spasms.
o Baclofen
4. A nurse is planning care for an infant who has RSV and a respiratory rate of 46/min
o Initiate contact precautions
5. A nurse is creating a of care for a school-age child who is postoperative following a tonsillectomy.
o Apply an ice collar to the child’s neck
6. A nurse is providing discharge teaching to a group of guardians of infants about home safety
o Keep your infant restrained when they are in a highchair.
7. A nurse is teaching the parents of an infant how to administer antibiotic eardrops
o Massage the anterior area of the ear following administration
8. A nurse is preparing to obtain a blood sample for an Hgb from a child who has hemophilia.
o Obtain the sample using venipuncture
9. A nurse is providing discharge teaching to the parents of a school-age child who has epilepsy and a new prescription for phenytoin extended release capsules.
o Encourage the child to brush their teeth after each meal
10. A nurse is caring for a child who has terminal leukemia
o Your child will lose movement in their legs
11. A nurse is caring for a 6-month old infant who has acute vomiting and diarrhea.
o Tachypnea
12. A nurse is caring for an infant who has returned to the pediatric unit following surgical repair following a cleft lip.
o Monitor temporal artery temperature
13. A nurse is assessing an infant who has Tetralogy of Fallot. Select all that apply
o A heart murmur
o Cyanotic spells
14. A nurse is assessing a child who has full thickness burns of the legs
o Injured skin is cream to black in color
15. A nurse is planning care for a newly admitted child who has autism spectrum disorder.
o Establish a reward system for the child
16. A nurse is teaching a female adolescent who report frequent urinary tract infections
o Void at least every 3-4 hrs
17. A nurse is providing discharge teaching to the parent of a school-age child who has juvenile idiopathic arthritis.
o I will have my child wear splints during the night
18. A nurse is assessing a 4-month infant at a well-child visit.
o The infant has an absent grasp reflex
19. A nurse is reviewing the admission laboratory report of a school-age child who has glomerulonephritis.
o BUN 32
20. A nurse is admitting a child who has pertussis.
o Droplet
21. A nurse is assessing a 9-month old infant who has gastroenteritis.
o Absence of tears when they cry
22. A nurse is teaching a group of new parents about expected language development
o 18 months
23. A nurse is caring for an infant who has pyloric stenosis and a new prescription for 0.9% sodium chloride.
o Check the infant’s serum creatinine
24. A nurse in the emergency department is caring for a preschool-age child who has hemophilia A and an MVA Select all
o Administer factor VIII
o Assess for changes in LOC
25. A nurse is teaching the parent of a school-age child who has cystic fibrosis about home care.
o I will give my child stool softeners for constipation
26. A nurse is teaching about injury prevention to the parent of a toddler.
o Place a throw rug under the crib
27. A nurse is providing dietary teaching for an 11-year-old child who has type 1 diabetes mellitus. Select all that apply
o Eat extra food
o Increase intake of sugar free
o Eat a snack 30 minutes
28. A nurse is planning to obtain a rectal temperature from a toddler
o Place the child in a prone position
29. A nurse is providing pre-procedure teaching to the parents of a preschooler who has nephrotic syndrome and is scheduled for percutaneous renal biopsy.
o Your child will have a pressure dressing on the biopsy site following the test.
30. A nurse in an emergency department is providing pre-procedure teaching to the parents of a child who is to undergo a bronchoscopy due to aspiration of a foreign body.
o The provider will remove the object during this procedure
31. A nurse is assessing a 4-year old child who is 2 days postoperative following insertion of a ventriculoperitoneal shunt.
o Lethargy
32. A nurse is caring for a toddler who is experiencing hyperglycemia.
o Lethargic mood
33. A nurse is planning care for an adolescent client who has sickle cell anemia and is experiencing vaso- occlusive crisis
o Promote bed rest
34. Another vaso-occulusive question
o Give fluids
35. A nurse is providing discharge teaching to the parent of a 5-year-old who has leukemia and is receiving chemotherapy.
o I will make sure to inspect my son’s mouth every day for sores.
36. IMAGE
o A
37. A nurse is assessing a toddler. Potential child maltreatment?
o Circular burns on the soles of the toddler’s feet.
38. A nurse in an emergency department is caring for a child who has ingested kerosene.
o Prepare for intubation with a cuffed ET
39. A nurse on a pediatric unit is admitting a 5-year-old child who has a submersion injury and is awake and alert.
o We need to observe your child for cerebral swelling
40. A nurse is providing nutritional teaching to the parents of a 2-year old child
o I should feed my child 1 cup of vegetables per day.
41. A nurse is providing teaching about home safety to the parents of an infant
o Place your child on a firm mattress for sleeping
42. A nurse is planning a community education series for teachers of children who has ADHD
o Accompany verbal instructions with visual references
43. A home health nurse is developing a plan of care for the parents of a toddler who has hemophilia A.
o Place knee pads on the child
44. A nurse is providing home care instructions to the parents of a child who is in the edema phase of nephrotic syndrome.
o Provide quiet activities for the child
45. A nurse is assessing a 2-year old child following a surgical procedure.
o FLACC
46. A nurse is providing discharge teaching to the parents of a school-age child who is immobilized following spinal surgery
o Encourage small, frequent meals high in protein
47. A nurse is caring for a 3-year-old child who has viral meningitis.
o Nuchal rigidity
48. A nurse is creating a plan of care for a school-age child who has moderate partial thickness burns on both lower extremities.
o Maintain aseptic technique
49. MED MATH
o 12.5 ml
50. A charge nurse on a pediatric unit is reviewing informed consent guidelines with a newly licensed nurse.
o A 15 yr old
51. A nurse in an emergency department is assessing a 5-year-old child who has a concussion
o Nausea
52. A nurse is providing teaching about food choices to the parent of a school age child who has celiac disease.
o I can offer popcorn as a snack food
53. A nurse is providing nutritional teaching to the parent of a child who has acute glomerulonephritis with pitting edema.
o Hot dogs
54. A nurse is providing teaching about MRI without contrast
o You can remain in the room with you child
55. A nurse is providing a presentation for parents of a toddler about preventing childhood burns.
o I will plug protective guards into my electrical outlets
56. Bacterial meningitis
o Initiate droplet
57. A nurse is performing an initial physical examination on a child. Select all
o Vomiting
o Clumsiness
o Irritability
58. A nurse is planning care for a child who is postoperative following a below-the-knee-amputation
o Perform active and isotonic range of motion exercises
59. A nurse is assessing a child who has heart failure.
o Distended neck veins
60. A nurse is an emergency department is caring for a child who is experiencing an acute asthma attack.
o Profuse sweating [Show Less]