Pediatric Nursing 4

While examining a 2-year-old child, the nurse in charge sees that the anterior fontanel is open. The nurse should:

When developing a plan of care for a male adolescent, the nurse considers the child’s psychosocial needs. During adolescence, psychosocial development focuses on:

A mother asks the nurse how to handle her 5-year-old child, who recently started wetting the pants after being completely toilet trained. The child just started attending nursery school 2 days a week. Which principle should guide the nurse’s response?

A 1-year-and 2-month-old child weighing 26 lb (11.8 kg) is admitted for traction to treat congenital hip dislocation. When preparing the patient’s room, the nurse anticipates using which traction system?

Nurse Kim is teaching a group of parents about otitis media. When discussing why children are predisposed to this disorder, the nurse should mention the significance of which anatomical feature?

Parents bring their infant to the clinic, seeking treatment for vomiting and diarrhea that has lasted for 2 days. On assessment, the nurse in charge detects dry mucous membranes and lethargy. What other findings suggest a fluid volume deficit?

Lily , age 5, with an intelligence quotient of 65 is admitted to the hospital for evaluation. When planning care, the nurse should keep in mind that this child is:

When evaluating a severely depressed adolescent, the nurse knows that one indicator of a high risk for suicide is:

Which of the following is the best method for performing a physical examination on a toddler?

How does the nurse appropriately administer Mycostatin suspension in an infant?

Which of the following situations increase the risk of lead poisoning in children?

The nurse answers a call bell and finds a frightened mother whose child, the patient, is having a seizure. Which of these actions should the nurse take?

Cherry, the mother of an 11-month-old girl, Elizabeth, is in the clinic for her daughter’s immunizations. She expresses concern to the nurse that Elizabeth cannot yet walk. The nurse correctly replies that, according to the Denver Developmental Screen, the median age for walking is:

Kim is using bronchodilators for asthma. The side effects of these drugs that you need to monitor this patient for include:

The twelve-year-old boy has fractured his arm because of a fall from his bike. After the injury has been casted, the nurse knows it is most important to perform all of the following assessments on the area distal to the injury except:

A mother tells the nurse that she is very worried because her 2-year old child does not finish his meals. What should the nurse advise the mother?

An inborn error of metabolism that causes a premature destruction of RBC?

At the community center, the nurse leads an adolescent health information group, which often expands into other areas of discussion. She knows that these youths are trying to find out “who they are,” and discussion often focuses on which directions they want to take in school and life, as well as peer relationships. According to Erikson, this stage is known as:

Sunshine, age 13, has had a lumbar puncture to examine the CSF to determine if bacterial infection exists. The best position to keep her in after the procedure is:

The adolescent patient has symptoms of meningitis: nuchal rigidity, fever, vomiting, and lethargy. The nurse knows to prepare for the following test:

The nurse is assessing a newborn who had undergone vaginal delivery. Which of the following findings is least likely to be observed in a normal newborn?

Which of the following blood study results would the nurse expect as most likely when caring for the child with iron deficiency anemia?

The nurse is assessing a 9-month-old boy for a well-baby check-up. Which of the following observations would be of most concern?

Buck’s traction with a 10 lb. weight is securing a patient’s leg while she is waiting for surgery to repair a hip fracture. It is important to check circulation- sensation-movement:

The nurse is drawing blood from the diabetic patient for a glycosylated hemoglobin test. She explains to the woman that the test is used to determine:

The Foley Family is caring for their youngest child, Justin, who is suffering from tetralogy of Fallot. Which of the following are defects associated with this congenital heart condition?

Which of the following instructions would Nurse Courtney include in a teaching plan that focuses on initial prevention for Sheri who is diagnosed with rheumatic fever?

Mr. and Mrs. Baker’s only daughter is diagnosed with heart failure. Which of the following interventions would be appropriate to promote optimal nutrition for the infant?

Which of these statements regarding the conduction system of the heart is NOT correct? Select all that apply.

The ductus arteriosus is another fetal structure that is important in the intrauterine life. It functions to:

Beta-adrenergic agonists such as albuterol are given to Reggie, a child with asthma. Such drugs are administered primarily to do which of the following?

Fred is a 12-year-old boy diagnosed with pneumococcal pneumonia. Which of the following would Nurse Nica expect to assess?

The Andrews family has been taking good care of their youngest, Archie, who was diagnosed with asthma. Which of the following statements indicate a need for further home care teaching?

Which of the following respiratory conditions is always considered a medical emergency?

Nurse Veronica is teaching a group of parents about otitis media. When discussing why children are predisposed to this disorder, the nurse should mention the significance of which anatomical feature?

Veronica is a 14-year-old girl who wears a brace for structural scoliosis; which of the following statements indicate effective use of the brace?

Nurse Cheryl is assessing Fred, a 14-year-old boy who had scoliosis; besides checking neurologic status directly after Harrington rod instrumentation and spinal fusion, she should be regarded with which of the following factors?

Nurse Kevin is assessing a newborn for developmental dysplasia of the hip (DDH); he would expect to assess which of the following?

Incomplete development of teeth, bones, and ligaments is the result of:

Neurovascular assessment for a fracture patient includes: Select all that apply.

Which of the following is TRUE about sickle cell disease (SCD)? Select all that apply.

Mr. and Mrs. Smith’s child has hemophilia; which of the following actions would you instruct them to avoid?

Nurse Olenna is performing community assessment; which of the following age-groups would be inappropriate for her to monitor iron deficiency anemia?

Nurse Hannah is administering a steroid to a child diagnosed with idiopathic thrombocytopenic purpura (ITP); which of the following should the nurse monitor?

It is a serious condition in which the bone marrow does not produce enough new blood cells. It may be passed down from the parents or develop sometime during childhood:

Nurse Daya, a school nurse, is meeting with the school and health treatment team about a child who has been receiving methylphenidate (Ritalin) for two (2) months. The meeting is to evaluate the results of the child’s medication use. Which behavior change noted by the teacher will help determine the medication’s effectiveness.

A 15-year-old boy was hospitalized in a psychiatric unit because he initiates frequent fights with peers. Which implementation is most appropriate?

The parents of Suzanne, a child with attention deficit hyperactivity disorder, tell the nurse they have tried everything to calm their child and nothing has worked. Which action by the nurse is most appropriate initially?

Nurse Sophia is teaching the parents of a child with pervasive developmental disorder about how to deal with the child when his behavior escalates and he begins throwing things and screaming. Which guideline would be most helpful for the parents to deal with the situation?

Which of the following statements about Attention deficit hyperactivity disorder (ADHD) in children is false?