peds test 2 Flashcards
- The nurse is preparing to administer ear drops to a 6-year-old. To ensure that the medication is instilled properly, the nurse does which of the following?
D. Pulls the Pinna up and back
- A 3 month old is diagnosed with tetralogy of Fallot. When you walk into the room you assess that the baby’s color is extremely cyanotic. His respiratory rate is also increased. Which of the following action would you do first?
Place the baby in a knee chest position
- The nurse caring for infants in the neonatal intensive care unit (NICU) relies on the use of behavioral and physiological indicators for determining pain. Which of the following examples are behavioral indicators? (Select all answers that apply.)
A. The infant grimaces.
B. The infant flails his arms and legs.
C. The infant is crying uncontrollably.
- When the nurse is assessing a child’s pain, which of the following is most important?
Using the same tool to assess the child’s pain each time
- The nurse is caring for neonate who is suspected of having sepsis. Which of the following assessment findings would the nurse interpret as most indicative of sepsis?
Hypothermia
- Which of the following would lead the nurse to suspect that a child is beginning to develop increased intracranial pressure?
Vomiting possibly Projectile
- In teaching parents about risk factors for acute otitis media the nurse understands that further teaching is necessary when one of the parents states that a risk factor for otitis media is:
Being an only child.
- The parents of a boy diagnosed with Hirschsprung disease are anxious and fearful of the upcoming surgery. The mother states, “I’m worried about having to care for our son’s ostomy.” Which intervention would be most helpful for the parents?
Having a wound, ostomy, and continence nurse meet with them
- The nurse is examining an 8-year-old boy with tachycardia and tachypnea. The nurse anticipates which of the following as most helpful in determining the extent of the child’s hypoxia?
Pulse oximetry
- A child is brought to the emergency department by his parents because he suddenly developed a barking cough. Further assessment leads the nurse to suspect that he child is experiencing croup. Which of the following would the nurse have most likely assessed?
Inspiratory Stridor
11.After teaching a class about hemodynamic characteristics of congenital heart disease, the instructor determines that he teaching has been successful when the class identifies which defect as an example of a disorder involving increased pulmonary blood flow?
Atrial septal defect
- A group of nursing students are reviewing information about the variations in respiratory anatomy and physiology in children in comparison to adults. The students demonstrate understanding of the information when they identify which of the following?
Children develop hypoxemia more rapidly than adults do
- When conducting a physical examination of a child with suspected Kawasaki disease, which of the following would the nurse expect to assess?
Strawberry tongue
- The patient with suspected rheumatic fever, is admitted to the pediatric unit. When obtaining the child’s history, the nurse considers which information to be most important?
A recent episode of pharyngitis
- An 18-month old child presents with a significant clubbing of the fingers. Which of the following best describes the cause of this condition?
Clubbing implies chronic hypoxia due to severe congenital heart disease
- Within the first weeks of life this particular shunt typically closes, failure to close causes a connection between the aorta and pulmonary artery.
Patent ductus arteriosus
- Which of the following statements represent what happens to circulatory system as the infant transitions from intra-uterine to extra-uterine life?
The lungs inflate, reducing pulmonary vascular resistance to blood flow
- The fetus derives its oxygen from which of the following structure from conception to birth?
Placenta
- While assessing a newborn with cleft lip, the nurse would be alert that which of the following will most likely be compromised?
Sucking ability
- The nurse is auscultation the bowel sounds of a 4-year-old child and documents hypoactive bowel. What might this finding indicated?
Obstruction
- Which of the following can be described as an abnormal opening between the atria that causes an increased flow of oxygenation blood into the right side of the heart?
Atrial septal defect
- A nurse is conducting a health history for a 1-month-old with an infectious disorder. Which segment of the health history would be most helpful for the nurse when determining if the infant developed the infection from the mother?
Past medical history
- The nurse is preparing to perform a physical examination of a child with asthma. Which technique would the nurse be least likely to perform?
Sputum culture
- The nurse administering an antipyretic agent in children knows that the medication works by:
Decreasing the temperature set point by inhibiting prostaglandin production.
- A child hospitalized from influenza is in the convalescent stage and preparing for discharge. Which statement from the family indicates the need for further instruction?
We will maintain Air-Borne precautions in our home for the next month
- A nurse is caring for a child with severe pain receiving morphine. What is a priority nursing intervention?
Assess respiratory status frequently
- The nurse is educating a parent on medication administration. Which statement indicates a need for further instructions?
I can squirt the medication fast straight to the back of the mouth
- A 4-year old boy is admitted to the hospital due to first episode of febrile seizure. Which of the following is a priority to educate the parents on should the child have another seizure?
Protecting the child from harm during the seizure
- A group of parents ask what strabismus is. The nurses’ best response include all of the following except?
Most common cause vision less if left untreated in children and young adults.
- A group of students are reviewing information about the anatomic differences in the eyes and ears of a child in comparison to an adult. The students demonstrate a need for additional study when they identify which of the following?
The ability to discriminate colors is completed by birth
- After teaching a group of students about visual disorders, the instructor determines that the teaching was successful when the students identify which of the following as the most common cause of visual difficulties in children?
Refractive errors
- Which of the following assessment findings on a child’s eyes is indicative of increased intracranial pressure?
Sunsetting of the eyes
- The nurse knows that children have larger hands in relation to the body. When developing a teaching plan for parents, the nurse includes information about an increased risk for which of the following problems?
Head injury from falls
- Which of the following assessment findings on a child’s eyes is indicative of increased intracranial pressure?
Sunsetting of the eyes
- The nurse knows that children have larger hands in relation to the body. When developing a teaching plan for parents, the nurse includes information about an increased risk for which of the following problems?
Head injury from falls
- The nurse is providing home care for the family of an 8-year-old boy who is transitioning to hospice care. Which action will be most supportive to the parents of the child?
Advocating for the parents needs and respecting the commitments they have made to their child.
- A child weighs 10kg. The physician prescribes ampicillin 100-200 mg/kg/24 hrs divided into 4 doses. Calculate the individual does for ampicillin.
250-500 mg/dose
- A nurse is providing teaching to the parents of a child who has had a VP shunt inserted as treatment for hydrocephalus. The parents demonstrate understanding of the teaching when they make what statement?
He will need more surgeries to replace the shunt as he grows
- A 17 year old patient has been admitted with bacterial meningitis. Which one of the following would a nurse expect to find on physical exam?
Positive Kernig’s sign
- A child is admitted with gastroenteritis. To prevent the spread of the disease, which is priority nursing intervention.
Observe standard precautions
- The nurse is caring for a 4 year old boy with conjunctivitis. Which intervention would be least appropriate to include in the child’s plan of care?
Encouraging using Visine to get rid of redness
- What would the nurse include when teaching parents how to prevent otitis externa?
B. Wearing ear plugs when swimming
- Which of the following in the health history would alert the nurse to hearing loss in a child?
D. All of the above
Please look if you can find it on TB’s
- A child with an asthma exacerbation visits the school nurse. The nurse auscultates wheezing on physical exam and peak expiratory flow rate is at 80%. Which of the following would be the priority nursing intervention?
Give him his Albuterol and call parents and provider
45.A child is being assessed for allergic rhinitis and the nurse notes that she also has evidence of atopic dermatitis on her arms. What would be the most appropriate information to investigate during the health history?
Determine if the child has a history of asthma and if there is any family history of atopy.
46.Children that are diagnosed with hypertension are at an increased risk of cardiovascular disease. What would be an important part of nurse’s review of diagnostic testing children on this?
Echocardiogram showing left ventricular hypertrophy
- The nurse is providing care to a child with an intussusception. The child has a bowel movement and the nurse inspects the stool. The nurse would document the stool’s appearance most likely as which of the following?
Currant-jelly- like
- The nurse is aware that the most common assessment finding in a child with ulcerative colitis is:
Profuse diarrhea and abdominal pain
- A teenaged cystic fibrosis client presents to the clinic. The health care provider (HCP) knows that cystic fibrosis (CF) causes severe chronic respiratory disease in children. In addition, the HCP should also focus his or her assessment on which of the other body systems affected by CF?
Pancreatic
