60 Questions
Question 1
Ask the new nurse what has caused the crying.
Question 2
Move the toddler to a time-out chair.
Question 3
We need to make sure that her ear infection has completely cleared.
Question 4
Perform endotracheal intubation to secure the airway.
According to the text, how are pinworms most commonly spread?
By sitting on toilet seats
What is the best response from the nurse to the parents of a child with rheumatic fever who express concern about their other children developing the disease?
Your other children are as likely to develop this disease.
When assessing a client with suspected dehydration, which condition should be reported to the physician immediately?
Decreased blood pressure
What is the most appropriate action for a nurse caring for a 2-year-old child with a suspected skull fracture, whose injuries do not match the story told by the parents?
Reporting suspected child abuse to appropriate agencies
Which information is a priority for the nurse to determine when assessing a lethargic and suspected severely dehydrated 6-month-old infant?
Number of wet diapers in the last 24 hours
When positioning a neonate with an unrepaired myelomeningocele, which position is most appropriate?
Supine with the hips at 90-degree flexion
When preparing to examine an 8-month-old infant, what should the nurse plan to do first?
Measure the head circumference
What is the most appropriate action by the nurse when a caller requests information about a hospitalized infant's condition?
Determine if the infant's parents want information released to the caller
Which finding indicates that the positioning has been effective for a neonate with tracheoesophageal fistula (TEF)?
Relief of the pressure of the distended abdominal contents on the diaphragm
What is the most appropriate recommendation for a breastfeeding mother of a 1-month-old diagnosed with cow's milk sensitivity?
Continue to breastfeed, but eliminate all milk products from your own diet.
What should the nurse do next when an infant diagnosed with increased intracranial pressure (ICP) vomits while eating dinner?
Wait a few minutes, and then refeed the child.
What information about the relationship between exercise, diet, and insulin should be included in the teaching plan for an adolescent with insulin-dependent diabetes?
"You'll need to take extra insulin before you go running."
Which intervention is appropriate for a nurse to prevent further dehydration in a 13-month-old client with gastroenteritis?
Give clear liquids in small amounts.
What is the most important information for the nurse to give the parents of a 2-year-old child diagnosed with benign febrile seizures?
This diagnosis often progresses to one of epilepsy.
Which approach would be most effective when interviewing a preschool-age girl who has been sexually abused about the event?
Describe what happened during the abusive act.
What type of diet should the nurse request for a child with cystic fibrosis?
High-calorie, high-protein
Which topic should the nurse prioritize when teaching a 17-year-old client with a history of muscular dystrophy and recurrent pneumonia?
Importance of an advance directive
Which signs and symptoms should the nurse assess for in a 14-year-old client with acute rheumatic fever? Select all that apply.
Migraine headaches
What is the most appropriate action for a crisis nurse when a 16-year-old client in the emergency department becomes hysterical after a car accident?
Provide emotional support and reassurance
What is the most appropriate action for a nurse caring for a 2-year-old child with a suspected skull fracture, whose injuries do not match the story told by the parents?
Conduct a thorough physical examination
What is the best response from the nurse to the parents of a child with rheumatic fever who express concern about their other children developing the disease?
"It is important to monitor your other children for signs and symptoms of rheumatic fever and seek medical attention if needed."
What is the most appropriate recommendation for a breastfeeding mother of a 1-month-old diagnosed with cow's milk sensitivity?
Continue breastfeeding and avoid all dairy products in the mother's diet
Which night clothes would the nurse recommend for an infant with atopic dermatitis?
two-piece flannel pajamas with short sleeves
After undergoing surgical correction of pyloric stenosis, an infant is returned to the room in stable condition. While standing by the crib, the mother says, 'Perhaps if I had brought my baby to the hospital sooner, the surgery could have been avoided.' What is the nurse's best response?
'Do you think that earlier hospitalization could have avoided surgery.'
A 6-month-old child is discharged with a urinary stent after a procedure to repair a hypospadias. What instructions should the nurse give the parents?
Avoid tub baths until the stent is removed.
The nurse is assessing the development of a 7-month-old. The child should be able to perform which skill?
Sit without support.
True or false: Pinworms are most commonly spread by animals.
False
True or false: Rheumatic fever is contagious.
False
True or false: Dehydration can cause capillary refill less than 2 seconds.
False
True or false: A nurse should report suspected child abuse if the injuries do not match the story told by the parents.
True
True or false: Benign febrile seizures will result in a developmental delay for the child.
False
True or false: The seizures will continue throughout the child's life.
False
True or false: A respiratory or ear infection is usually present with benign febrile seizures.
False
True or false: Benign febrile seizures often progress to epilepsy.
True
True or false: The preceptor's best action when finding the new nurse crying in the lounge is to give the graduate some privacy.
False
True or false: The most appropriate suggestion for the mother of a toddler during a temper tantrum is to punish the toddler.
False
True or false: The reason for a follow-up visit after a child completes a course of antibiotics for an ear infection is to make sure the infection has completely cleared.
True
True or false: A nurse is caring for a toddler in respiratory distress requiring endotracheal intubation.
True
True or false: An infant with atopic dermatitis should wear one-piece cotton pajamas with long sleeves as night clothes?
False
True or false: A 7-month-old should be able to say two words?
False
True or false: A 6-month-old infant with a urinary stent should avoid tub baths until the stent is removed?
True
True or false: CPR should be resumed with chest compressions if an infant is still not breathing and has no pulse after 2 minutes of CPR?
True
True or false: A nurse places a neonate with tracheoesophageal fistula (TEF) on his back in a crib with his head and shoulders elevated to reduce cardiac workload.
False
True or false: A breastfeeding mother of a 1-month-old diagnosed with cow's milk sensitivity should change to a soy-based formula exclusively, and begin solid foods.
False
True or false: An infant diagnosed with increased intracranial pressure (ICP) on a regular diet should wait a few minutes, and then refeed the child after vomiting while eating dinner.
True
True or false: An adolescent with insulin-dependent diabetes should take extra insulin before going running.
False
True or false: The nurse's priority assessment for a lethargic and suspected severely dehydrated 6-month-old infant is the number of wet diapers in the last 24 hours?
False
True or false: When positioning a neonate with an unrepaired myelomeningocele, the most appropriate position is prone with hips in abduction?
False
True or false: Before a routine checkup, the nurse should first elicit the pupillary reaction of an 8-month-old infant sitting contentedly on the parent's lap, chewing on a toy?
False
True or false: When providing care for a hospitalized infant, the nurse's correct action when requested for information about the infant's condition is to transfer the call to the infant's room so that the parents can talk to them?
False
True or false: The 17-year-old adolescent with a history of muscular dystrophy has been diagnosed with pneumonia twice in the past 6 months.
True
True or false: The nurse should address the need for good hand hygiene as a teaching topic for the client.
True
True or false: The nurse should prioritize the need for an advance directive as a teaching topic for the client.
False
True or false: The nurse should assess the 14-year-old client with acute rheumatic fever for skin rash.
True
True or false: The nurse should assess the 14-year-old client with acute rheumatic fever for migraine headaches.
True
True or false: The nurse should assess the 14-year-old client with acute rheumatic fever for peripheral edema.
False
Study Notes
Pediatric Health and Diseases
- Pinworms are most commonly spread through direct contact with an infected person or contaminated surfaces.
- Rheumatic fever is not contagious, but it is triggered by a group A streptococcal infection.
Dehydration and Dehydration Assessment
- When assessing a client with suspected dehydration, report immediately if the following conditions are found: dry mucous membranes, absence of tears, decreased urine output, and deep or rapid breathing.
- In dehydration, capillary refill is more than 2 seconds.
Child Abuse and Neglect
- If the injuries do not match the story told by the parents, it is suspected child abuse and must be reported.
Rheumatic Fever and Prevention
- The best response from the nurse to the parents of a child with rheumatic fever who express concern about their other children developing the disease is to reassure them that the disease is not contagious, but it can be triggered by a group A streptococcal infection.
Cow's Milk Sensitivity and Breastfeeding
- The most appropriate recommendation for a breastfeeding mother of a 1-month-old diagnosed with cow's milk sensitivity is to eliminate cow's milk from her diet for 2-4 weeks.
Gastroenteritis and Dehydration Prevention
- To prevent further dehydration in a 13-month-old client with gastroenteritis, offer an oral rehydration solution, such as Pedialyte.
Insulin-Dependent Diabetes
- The information about the relationship between exercise, diet, and insulin that should be included in the teaching plan for an adolescent with insulin-dependent diabetes is that exercise affects blood sugar levels, and diet and insulin regulation are crucial to maintain optimal blood sugar levels.
Tracheoesophageal Fistula (TEF) and Positioning
- The most effective positioning for a neonate with TEF is prone with the head and shoulders elevated to reduce cardiac workload.
Benign Febrile Seizures
- The most important information for the nurse to give the parents of a 2-year-old child diagnosed with benign febrile seizures is that the seizures are not a sign of a serious underlying condition, but it is crucial to monitor the child's temperature and provide hydration.
Cystic Fibrosis and Diet
- The nurse should request a high-calorie, high-fat diet for a child with cystic fibrosis.
Muscular Dystrophy and Pneumonia
- The nurse should prioritize the need for good hand hygiene as a teaching topic for the 17-year-old client with a history of muscular dystrophy and recurrent pneumonia.
Acute Rheumatic Fever and Assessment
- The nurse should assess the 14-year-old client with acute rheumatic fever for joint pain, swollen joints, and fever.
Test your knowledge on neonatal health and respiratory rates with this quiz. Learn about common conditions and effective positioning techniques.
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