1. A nurse is teaching an adolescent with inflammatory bowel disease about treatment with corticosteroids. Which adverse effects are concerns for this client? Select all that apply. Show
1. Acne 2. A nurse is conducting an examination of a 6-month-old baby. During the examination, the nurse should be able to elicit which reflex? 1. Babinski's 3. When teaching a parent of a school-age child about signs and symptoms of fever that require immediate notification of the physician, which description should the nurse include? 1. Burning or pain with urination 4. After being hospitalized for status asthmaticus, a child, age 5, is discharged with prednisone (Deltasone) and other oral medications. Two weeks later, when the child comes to the clinic for a checkup, the nurse instructs the mother to gradually decrease the dosage of prednisone, which will be discontinued. The mother asks why prednisone must be discontinued. How should the nurse respond? 1. "Steroids increase the appetite, leading to obesity with prolonged use." 5. A hospitalized infant, age 10 months, begins to choke while eating and quickly becomes unconscious. A foreign object isn't visible in the infant's airway, but respirations are absent and the pulse is 50 beats/minute and thready. The nurse attempts rescue breathing, but the ventilations are unsuccessful. What should the nurse do next? 1. Deliver five back blows. 6. An adolescent is admitted for treatment of bulimia nervosa. When developing the care plan, the nurse anticipates including interventions that address which metabolic disorder? 1. Hypoglycemia 7. An infant is hospitalized for treatment of inorganic failure to thrive. Which nursing action is most appropriate for this child? 1. Encouraging the infant to hold a bottle 8. During a well-baby visit, a mother asks the nurse when she should start giving her infant solid foods. The nurse should instruct her to introduce which solid food first?
9. A child who was hospitalized for sickle cell crisis is being discharged. Which parent outcome demonstrates effective teaching regarding prevention of future crises? 1. The parent verbalizes the need to stay away from persons with known infections. 10. A nurse is teaching a parent how to administer antibiotics at home to a toddler with acute otitis media. Which statement by the parent indicates that teaching has been successful?
11. A child, age 15 months, is recovering from surgery to remove a Wilms' tumor. Which finding best indicates that the child is free from pain?
12. A toddler develops acute otitis media and is ordered cefpodoxime proxetil (Vantin) 5 mg/kg P.O. every 12 hours. If the child weighs 22 lb (10 kg), how many milligrams will the nurse administer with each dose? 1. 50 mg 13. A nurse is working on the pediatric unit. Which assignment best demonstrates primary care nursing? 1. Caring for the same child from admission to discharge 14. A 10-month-old infant with tetralogy of Fallot (TOF) experiences a cyanotic episode. To improve oxygenation during such an episode, the nurse should place the infant in which position? 1. Knee-to-chest 15. A nurse has just administered a drug to a child. Which organ is most responsible for drug excretion in children?
16. A 44-lb preschooler is being treated for inflammation. The physician orders 0.2 mg/kg/day of dexamethasone (Decadron) by mouth to be administered every 6 hours. The elixir comes in a strength of 0.5 mg/5 ml. How many teaspoons of dexamethasone should the nurse give this client per dose? Record your answer using a whole number. Answer: ____ teaspoons 17. A child is receiving total parenteral nutrition (TPN). During TPN therapy, the most important nursing action is: 1. assessing vital signs every 30 minutes. 18. A child with hemophilia is hospitalized after falling. Now the child complains of severe pain in the left wrist. What should the nurse do first? 1. Perform passive range-of-motion (ROM) exercises on the wrist. 19. A mother is discontinuing breast-feeding after 5 months. What should the nurse advise the mother to include in her infant's diet? 1. Iron-rich formula and baby food 20. The physician suspects tracheoesophageal fistula in a 1-day-old neonate. Which nursing intervention is most appropriate for this child?
21. According to Erikson's psychosocial theory of development, an 8-year-old child would be in which stage? 1. Trust versus mistrust 22. A nurse in the pediatric intensive care unit is caring for the only survivor of a house fire that killed seven people. Reporters from local newspapers and television stations are at the hospital, trying to obtain information about the child's condition. The nurse knows that she: 1. may not disclose information regarding the child's condition. 23. The parents of a healthy infant request information about advance directives. The nurse's best response is to: 1. suggest that the parents discuss the matter with an attorney. 24. A parent asks the nurse for advice on disciplining a 3-year-old child. Which statement made by a parent indicates understanding of accepted discipline techniques? 1. "I don't think children younger than 5 understand the purpose of time-out." 25. An infant is diagnosed with a congenital hip dislocation. On assessment, the nurse expects to note: 1. symmetrical thigh and gluteal folds. 26. A 9-year-old boy with diabetes mellitus tests his glucose level in the nurse's office before lunch. According to this sliding scale of insulin, he's due for 1 unit of regular insulin. What steps should a nurse follow after confirming the medication order, washing her hands, drawing up the appropriate dose, verifying the boy's identity, and putting on gloves? Put the following steps in chronological order. 1. Pinch the skin
around the injection site 27. A nurse is preparing a child, age 4, for cardiac catheterization. Which explanation of the procedure is appropriate?
1. "Don't worry. It won't hurt." 28. A child has just been admitted to the facility and is displaying fear related to separation from his parents, the room being too dark, being hurt while in the hospital, and having many different staff members come into the room. Based on the nurse's knowledge of growth and development, the child is likely: 1. 7 to 12 months old (an infant). 29. A physician orders an antibiotic for a child, age 6, who has an upper respiratory tract infection. To avoid tooth discoloration, the nurse expects the physician to avoid prescribing which drug? 1. Penicillin 30. A nurse is reviewing her shift assignment. Which child should she assess first? 1. A 5-month-old infant with I.V. fluids infusing 31. A toddler is in the hospital. The parents tell the nurse they're concerned about the seriousness of the child's illness. Which response to the parents is most appropriate? 1. "Please try not to worry. Your child will be fine." 32. A 15-month-old toddler has just received his routine immunizations, including diphtheria, tetanus, and acellular pertussis; inactivated polio vaccine; measles, mumps, and rubella; varicella; and pneumococcal conjugate vaccine. What information should the nurse give to the parents before they leave the office? Select all that apply. 1. Minor symptoms can be treated with acetaminophen (Tylenol). 33. A mother of a 4-year-old child asks the nurse how to talk with her daughter about strangers. The little girl is very friendly and her mother is concerned that her child could be abducted. The nurse should tell the mother: 1. to talk with her daughter about what she should do if a stranger talks to
her. 34. A nurse is reviewing a care plan for an adolescent girl who's receiving chemotherapy for leukemia who was admitted for pneumonia. The adolescent's platelet count is 50,000 μl. Which item in the care plan should the nurse revise? 1. Keep a sign over the bed that reads "NO NEEDLE STICKS AND NOTHING PER RECTUM." 35. A nurse practicing in a nurse-managed clinic suspects that an 8-year-old child's chronic sinusitis and upper respiratory tract infections may result from allergies. She orders an immunoglobulin assay. Which immunoglobulin would the nurse expect to find elevated? 1. Immunoglobulin E 36. A 14-year-old male reports having right lower quadrant pain, nausea, vomiting, and a low-grade fever for the past 12 hours. A physical examination reveals rebound tenderness and a positive psoas sign. Based on these findings, what should the nurse suspect? 1. Appendicitis 37. When meeting with a family who'll learn that their 3-year-old is seriously ill, which action demonstrates the nurse's role as collaborator of care? 1. Providing the parents with information about financial assistance programs. 38. An 8-month-old infant is admitted with a febrile seizure. The infant weighs 17 lb (7.7 kg). The physician orders ceftriaxone (Rocephin), 270 mg I.M. every 12 hours. (The safe dosage range is 50 to 75 mg/kg daily.) The pharmacy sends a vial containing 500 mg, to which the nurse adds 2 ml of preservative-free normal saline solution. The nurse should administer how many milliliters? 1. None because this isn't a safe dosage 39. A child, age 15 months, is admitted to the health care facility. During the initial nursing assessment, which statement by the mother most strongly suggests that the child has a Wilms' tumor? 1. "My child has grown 3" in the past 6 months." 40. A child is diagnosed with pituitary dwarfism. Which pituitary agent will the physician most likely order to treat this condition? 1. Corticotropin zinc hydroxide (Cortrophin-Zinc) 41. A 4-year-old child is being treated for status asthmaticus. His arterial blood gas analysis reveals a pH of 7.28, PaCO2 of 55 mm Hg, and HCO3− of 26 mEq/L. What condition do these findings indicate? 1. Respiratory alkalosis 42. A nurse is teaching parents about accident prevention for a toddler. Which guideline is most appropriate? 1. Always make the toddler wear a seat belt when riding in a car. 43. An infant boy has just had surgery to repair his cleft lip. Which nursing intervention is important during the immediate postoperative period? 1. Cleaning the suture line carefully with a sterile solution after every feeding 44. Before performing an otoscopic examination on a child, where should the nurse palpate for tenderness? 1. Tragus, mastoid process, and helix 45. When assessing a child's cultural background, the nurse should keep in mind that: 1. cultural background usually has little bearing on a family's health practices. 46. A nurse is teaching the parents of a 6-month-old infant about usual growth and development. Which statements about infant development are true? Select all that apply. 1. A 6-month-old infant has difficulty holding objects. 47. How should a nurse position a 4-month-old infant when administering an oral medication? 1. Seated in a high chair 48. A 4-year-old child is having a sickle cell crisis. The initial nursing intervention should be to: 1. place ice packs on the client's painful joints. 49. A child with sickle cell anemia is being treated for a crisis. The physician orders morphine sulfate, 2 mg I.V. The concentration of the vial is 10 mg/1 ml of solution. How many milliliters of solution should the nurse administer? Record your answer using one decimal place. Answer: ____milliliters 50. Which relaxation strategy would be effective for a school-age child to use during a painful procedure? 1. Having the child keep his eyes shut at all times What would the nurse anticipate when assessing a school child according to Erikson's theory of development?According to Erikson, which should the nurse anticipate when assessing a school-aged child? (Select all that apply.) 1. This is correct. According to Erikson, the school-aged child should be engaged in tasks.
Which of these characteristics are found in an adolescent According to Erikson's?Which of these characteristics are found in an adolescent according to Erikson's theory of psychosocial development? Answer 1: The adolescent is concerned about his or her appearance and body image. Answer 2: The adolescent acquires a sense of identity by participating in decision-making.
Which developmental milestones with the nurse anticipate for a 15 month old child?There's so much going on in toddler development at 15-18 months. At this age, expect curiosity, strong attachments, new words, independent walking, small hand movements and more. Talking and listening, reading, moving, playing outside, working on everyday skills and playing with others are good for development.
Which characteristics develop in an adolescent According to Piaget?Cognitive theorist Jean Piaget describes adolescence as the stage of life in which the individual's thoughts start taking more of an abstract form and egocentric thoughts decrease. This allows an individual to think and reason with a wider perspective.
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