Questions and Answers
The nurse should avoid palpating the abdomen when bathing the child before surgery.
True
Which of the following clinical manifestations is suggestive of potential physical abuse?
What finding should be identified as an indication of the child developing Syndrome of Inappropriate Antidiuretic Hormone Secretion (SIADH) after a head injury?
What action should the nurse plan to take when administering immunizations to a toddler with an allergy to neomycin?
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Match the steps to discontinue IV fluids and catheter:
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Which menu item contains the highest amount of iron for an adolescent with iron deficiency anemia?
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What instruction should the nurse include to protect children from sunburns?
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What action should the nurse take to assess for peripheral edema in a child?
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Which action should the nurse take for a toddler with partial thickness burns?
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Which child should the nurse refer for further hearing evaluation?
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What dietary recommendation should the nurse make for a child with cystic fibrosis?
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Which food should a child with celiac disease be offered?
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What should the nurse teach the parents of a child taking Digoxin?
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What instruction should the nurse include for a parent giving oral Nystatin?
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Which characteristic behavior should a nurse expect from toddlers?
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Which laboratory finding indicates anemia in a school-age child?
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What nursing action should be included for an infant with an epidural hematoma?
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What priority finding should be reported for a 2-week old infant?
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What should the nurse instruct parents after a cheiloplasty for their infant?
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How should a nurse explain a mother's return time to a preschooler?
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What developmental activity should be planned for a 10-year-old with neutropenia?
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What action should a nurse take for a school-age child with epiglottitis?
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What finding indicates moderate to severe dehydration in an infant with rotavirus?
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How long should droplet precautions be maintained for an adolescent with bacterial meningitis?
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What behavior indicates possible physical abuse in an adolescent with burns?
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What finding indicates effectiveness of sodium polystyrene sulfonate in an adolescent?
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What action should be taken for a toddler with a serum lead level of 4 mcg/dL?
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What finding should a nurse expect immediately post-operative for a school-age child following appendix repair?
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What instruction should be included for parents of a toddler about toilet training?
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When will a child with varicella no longer be contagious?
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What clinical manifestation indicates medication effectiveness in a child with nephrotic syndrome?
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Which clinical manifestation should a nurse expect in a child with spastic cerebral palsy?
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What indicates early septic shock in a child post-burn injury?
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The nurse is preparing to administer an immunization to a four-year-old child. Which of the following actions should the nurse plan to take?
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A nurse is reviewing the laboratory report of an infant who is receiving treatment for severe dehydration. The nurse should identify which of the following laboratory values indicates effectiveness of the current treatment?
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The nurse is providing teaching about Social Development to the parents of a preschooler. Which of the following play activities should the nurse recommend for the child?
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A nurse is teaching the parents of a newborn about ways to prevent sudden infant death syndrome (SIDS). Which of the following instructions should the nurse include?
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A nurse is assessing an infant who has pneumonia. Which of the following findings is the priority for the nurse to report to the provider?
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A school nurse is assessing a school-age child’s blood pressure while he is seated in a chair. The child starts to experience a tonic-clonic seizure. Which of the following actions should the nurse take first?
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A nurse is receiving change-of-shift report on children. Which of the following children should the nurse assess first?
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A nurse in the emergency department is caring for an adolescent who has severe abdominal pain due to appendicitis. Which of the following locations should the nurse identify as McBurney's point?
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A nurse is providing teaching to the family of a school-age child who has juvenile idiopathic arthritis. Which of the following instructions should the nurse include in the teaching?
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A nurse is assessing a client who has a new diagnosis of celiac disease. Which of the following clinical manifestations should the nurse expect?
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A nurse is providing teaching to an adolescent about how to manage tinea pedis. Which of the following statements by the adolescent indicates an understanding of the teaching?
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A nurse is teaching the parents of a school-aged child who has a new diagnosis of osteomyelitis of the tibia. Which of the following statements by the parents indicates an understanding of the teaching?
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A nurse is auscultating the lungs of an adolescent who has asthma. The nurse should identify the sound as which of the following?
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A nurse in an emergency department is caring for a school-age child who is experiencing an anaphylactic reaction. Which of the following is the priority action by the nurse?
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A nurse at an urgent care clinic is assessing an adolescent client who has an upper respiratory tract infection. Which of the following findings should the nurse recognize as a manifestation of pertussis?
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A nurse is providing teaching about car seat use to the mother of a six-month-old infant. Which of the following statements by the mother indicates an understanding of the teaching?
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A nurse is assessing the pain level of a three-year-old toddler. Which of the following pain assessment scales should the nurse use?
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A nurse is caring for a preschooler who is scheduled for hydrotherapy treatment for wound debridement following a burn injury. Which of the following actions should the nurse take prior to the procedure?
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A nurse is caring for a 10-year-old child following a head injury. Which of the following findings should the nurse identify as an indication that the child is developing diabetes insipidus?
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A nurse is creating a plan of care for a toddler who has minimal change nephrotic syndrome (MCNS) and 3+ pitting edema. Which of the following interventions should the nurse include in the plan?
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A nurse is providing discharge teaching to the parent of a school-age child who has moderate persistent asthma. Which of the following instructions should the nurse include?
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A nurse is assessing a three-year-old toddler at a well-child visit. Which of the following manifestations should the nurse report to the provider?
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A nurse is preparing an adolescent for a lumbar puncture. Which of the following actions should the nurse take?
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A nurse is providing teaching to the parents of a toddler about the administration of prescribed eye drops and eye ointment. Which of the following instructions should the nurse include?
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The nurse is providing discharge teaching to the parent of an 18-month-old toddler who has dehydration as a result of acute diarrhea. Which of the following statements by the parent indicates an understanding of the teaching?
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A nurse is preparing to collect a sample from a toddler for a sickle turbidity test. Which of the following actions should the nurse plan to take?
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Which assessments should the nurse perform to confirm peripheral edema in a school-age child?
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Study Notes
Immunization Administration
- For immunizing a four-year-old, a 24-gauge needle should be used to reduce pain.
Laboratory Values in Dehydration
- A sodium level of 140 mEq/L indicates effective treatment for severe dehydration in infants.
Social Development Activities
- Playing dress-up is recommended for preschoolers to enhance social, mental, and physical development.
Prevention of SIDS
- Using a pacifier at bedtime can be a protective factor against Sudden Infant Death Syndrome (SIDS).
Priority Assessment in Pneumonia
- Nasal flaring in an infant indicates acute respiratory distress and requires immediate reporting to the provider.
Seizure Management
- During a tonic-clonic seizure, the child should be assisted to a side-lying position to prevent aspiration.
Urgent vs Non-Urgent Care
- A toddler with a concussion and forceful vomiting should be assessed first due to concerns of increased intracranial pressure.
McBurney's Point
- McBurney’s point is located in the lower right quadrant of the abdomen, between the umbilicus and the anterior iliac crest.
Juvenile Idiopathic Arthritis
- Encouraging independent self-care minimizes pain and maximizes mobility in children with juvenile idiopathic arthritis.
Clinical Manifestations of Celiac Disease
- Steatorrhea (fatty stools) is a key symptom due to malabsorption associated with celiac disease.
Tinea Pedis Management
- Sealing non-washable shoes in plastic bags for two weeks is an effective method for managing pediculosis, not tinea pedis.
Osteomyelitis Treatment
- Children with osteomyelitis will require prolonged antibiotic therapy, typically for several weeks.
Asthma Auscultation
- Tachypnea is identified during lung auscultation, indicating rapid breathing often associated with anxiety or other complications.
Anaphylactic Reaction Response
- Administering IM epinephrine is the priority action during an anaphylactic reaction to counteract bronchoconstriction and vasodilation.
Pertussis Symptoms
- A dry, hacking cough is a hallmark symptom of pertussis, which typically starts with upper respiratory infection signs.
Car Seat Safety
- Infants should be secured in car seats using the LATCH system for added safety, rather than seat belts when possible.
Pain Assessment in Toddlers
- The FACES Pain Rating Scale is appropriate for assessing pain levels in three-year-old toddlers.
Hydrotherapy for Burn Treatment
- Administering an analgesic prior to hydrotherapy is crucial to manage the pain associated with wound debridement.
Diabetes Insipidus After Head Injury
- Sodium levels above 145 mEq/L can indicate diabetes insipidus following head injury due to anti-diuretic hormone deficiency.
Treatment for Minimal Change Nephrotic Syndrome
- Corticosteroids are the primary treatment for toddlers with minimal change nephrotic syndrome and significant edema.
Asthma Management
- Pulmonary function tests for children with asthma should occur every 12 to 24 months to assess therapy effectiveness.
Toddler Respiratory Assessment
- A respiratory rate of 45 per minute is above normal and may indicate respiratory distress in a three-year-old.
Lumbar Puncture Preparation
- Applying a topical analgesic cream one hour prior to a lumbar puncture helps reduce discomfort during the procedure.
Eye Drop Administration in Toddlers
- Eye drops should be administered three minutes prior to eye ointment for effective medication absorption.
Monitoring Hydration in Toddlers
- Parents should monitor the number of wet diapers as a reliable indicator of hydration status in toddlers recovering from diarrhea.
Sickle Turbidity Test Sample Collection
- A finger stick is the method of choice for collecting samples for a sickle turbidity test in toddlers.
Confirming Peripheral Edema
- Palpating the dorsum of a child's feet is an effective method to assess for peripheral edema.
Caring for Partial Thickness Burns
- Mild soap and water should be used to cleanse burn areas to prevent infection.
Hearing Evaluation Referral
- Infants not making babbling sounds by 8 months should be referred for a comprehensive hearing evaluation.### Pediatric Nutrition and Dietary Considerations
- High protein meals and snacks are essential for children, especially those with cystic fibrosis, to meet increased energy needs and improve lung function.
- Dietary fat intake should be limited to less than 10% of total caloric intake in patients requiring specific dietary management.
- Sodium chloride supplementation of 1 gram daily is necessary for some children, depending on their health conditions.
- Carbohydrate needs must be tailored to a child's daily activity levels to ensure adequate energy intake.
Celiac Disease Dietary Management
- Children diagnosed with celiac disease must adhere to a strict gluten-free diet, eliminating wheat, barley, rye, and oats.
- Rice pudding is a gluten-free option recommended for children with celiac disease.
Medication Administration for Pediatric Patients
- After giving digoxin to a child, caregivers should brush the child's teeth to prevent decay from the sweetened liquid form of the medication.
- Administer Nystatin by ensuring the medication is well-shaken prior to giving it to ensure even distribution.
Toddler Behavioral Development
- Toddlers typically express their likes and dislikes, marking a stage of developing autonomy and self-concept.
- Caregivers should provide limits while allowing some control to facilitate learning from behavior.
Anemia Indicators
- A hematocrit level of 28% indicates anemia in school-age children, which can lead to symptoms such as fatigue and pallor.
Care for Pediatric Along Healthcare Needs
- For infants with epidural hematomas, implementing seizure precautions is critical for safety.
- Detecting substernal retractions in infants points to respiratory distress and should be addressed urgently.
- After surgical procedures, such as appendectomy, absence of peristalsis should be anticipated as the bowel function resumes.
Child Maltreatment and Behavior
- Signs of physical abuse can include an adolescent denying discomfort during injury assessments.
- Symmetric burns on the lower extremities can also suggest possible physical abuse.
Nutritional Treatment and Monitoring
- In cases of nephrotic syndrome, decreasing edema is a key indicator of the effectiveness of prednisone treatment.
- Annual screening for lead levels is appropriate for toddlers with a serum lead level of 4 mcg/dL.
Infectious Diseases and Immunization
- Children with varicella are contagious until their lesions have crusted over, approximately 6 days post-eruption.
- Allergies to neomycin necessitate withholding the MMR vaccine, as anaphylactic reactions indicate contraindications.
IV Therapy Procedure
- The correct sequence for discontinuing IV fluids includes turning off the pump, occluding the tubing, removing tape, and applying pressure to the insertion site.
Monitoring for Complications
- Mental confusion in a child with a head injury could indicate the development of SIADH, requiring vigilant monitoring of fluid status and serum sodium levels.### Nutrition and Iron Sources
- Raisins are identified as the food item with the highest non-heme iron content among the options provided.
- Non-heme iron is primarily found in plant-based foods and is less readily absorbed than heme iron from meat.
- Encouragement for adolescents to consume iron-rich foods is essential for preventing deficiencies, especially for growth and development.
Sunburn Protection Education
- A waterproof sunscreen with an SPF (Sun Protection Factor) of at least 15 is recommended for effective sunburn prevention.
- Sunscreen should be applied before sun exposure to ensure maximum effectiveness in protecting the skin.
- Infants over three months of age should have sunscreen applied liberally, emphasizing the importance of skin protection from an early age.
- Regular reapplication of sunscreen every four hours is crucial to maintain skin protection, particularly after swimming or sweating.
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Description
Test your knowledge with the 2023 PEDS ATI Proctored Exam flashcards. This quiz focuses on important nursing actions and protocols when administering immunizations to children. Ideal for nursing students and professionals preparing for pediatric nursing exams.
