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PED NURSING CARE OF CHILDREN PROC B EXAM QUESTIONS
WITH COMPLETE SOLUTIONS GUARANTEED PASS BRAND NEW
A nurse is caring for a child during a tonic-clonic seizure. Which of the following actions should the nurse take?(Select all that apply) A. Clear the area of hard objects B. Firmly Hold the child's arms to one side. C. Place a pillow under the child's head D. Insert a tongue blade into the child's mouth E. Loosen tight clothing around the child's neck - ANSWER>>>A. Clear the area of hard objects C. Place a pillow under the child's head E. Loosen tight clothing around the child's neck A nurse is preparing to perform venipuncture to collect a blood sample from an infant. Which of the following restraints should the nurse plan to use for this procedure? A. Elbow B. Mitten C. Jacket D. Mummy - ANSWER>>>D. Mummy A nurse is assessing a preschool child who is in immediate postoperative. Following a tonsillectomy. Which of the following assessment findings is the priority? A the child swallows frequently B the child refuses clear liquid's
C the child's throat pain increases D the child cries often - ANSWER>>>A The child swallows frequently A nurse is assessing a toddler who is 8 hours postoperative following a cardiac catheterization procedure. Which of the following findings should the nurse report to the provider? A weak pedal pulses distal to the site B bilateral cool extremities C serum glucose 90 milligrams per deciliter D blood pressure of 102 / 58 millimeters of mercury - ANSWER>>>B bilateral cool extremities A nurse is planning to care of a 8 month old infant who has bronchiolitis. Which of the following actions should the nurse include in a plan of care? A use bulb syringe to suction nares B placed the infant in a room with negative pressure airflow C administer menigicoccal vaccine upon admission D initiate IV antibiotic therapy - ANSWER>>>A use bulb syringe to suction nares A nurse is preparing a parent education class about nutrition for toddlers. The nurse should identify which of the following findings is an indication of protein deficiency? A dry, thinning hair B muscle twitching C dental caries D poor skin turgor - ANSWER>>>A dry, thinning hair
A nurse is assessing a preschool age child who has celiac disease. Which of the following findings should the nurse expect? A obesity B polyphasia C steatorrhea D chronic Constipation - ANSWER>>>C steatorrhea A nurse is assisting a 7-year-old student. The nurse should identify which of the following findings is a potential indicator of physical abuse? A bruising around the wrist B front deciduous teeth missing C abrasion on the knee D the weight in 45 percentile - ANSWER>>>A bruising around the wrist A nurse is planning care for a child who has osteomyelitis. Which of the following interventions should the nurse include in a plan of care? A provide high-calorie low-protein diet B encourage frequent physical activity to increase bone mass C initiate contact precautions for the child D maintaining a patent intravenous catheter - ANSWER>>>D maintaining a patent intravenous catheter A nurse is reviewing the laboratory results of a preschool age who has hematuria. Which of the following results should the nurse report to the provider?
A platelet count 170,000/mm^ B Hgb 12g/ dL C Hematocrit 36% D BUN 21 mg/dL - ANSWER>>>D BUN 21 mg/dL A nurse is preparing to administer immunizations to a 3-month-old infant. Which of the following is an appropriate action for the nurse to take to deliver atraumatic care? A apply a eutectic mixture of local anesthetics(EMLA) B provide a pacifier coded with oral sucrose solution prior to the injection C inject the immunization into the deltoid muscle D use a 20 gauge needle for the injection - ANSWER>>>B provide a pacifier coded with oral sucrose solution prior to the injection A nurse is conducting a well child visit with the parent of a two week old newborn. The nurse should inform the parents that their newborn should receive the measles mumps and rubella MMR are immunization at what age? A 12 months B nine months C four months D six months - ANSWER>>>A 12 months A nurse is admitting a school age child who has osteomyelitis. Which of the following action should the nurse take first? A administer antibiotics
A nurse is providing education to a parent of a toddler who is experiencing sickle cell crisis. Which of the following statement by the parents indicate an understanding of the teaching? A I should avoid massaging affected areas B I should expect my child to have altered mental status C I will apply cool compresses to painful areas D I will increase my childs fluid intake - ANSWER>>>D I will increase my childs fluid intake A nurse is caring for a child who has epiglottitis due to an infection with Haemophilus Influenzae type B. Which of the following actions should the nurse take? (Select all that apply) A initiate IV access B obtained throat culture C inspect epiglottis D begin droplet precautions E monitor oxygen saturation - ANSWER>>>A initiate IV access D begin droplet precautions E monitor oxygen saturation A nurse is teaching home care to the parents of a preschool age child who has heart failure. Which of the following information should the nurse include in the teaching? A withhold the Jackson if the child's pulse is greater than 100 beats per minute B provided for periods of rest C increase the chance oxygen flow rate until the child no longer has cyanosis
D weigh the child once a month - ANSWER>>>B provided for periods of rest A nurse is planning post operative care for adolescents following scoliosis repair with spinal instrument. Which of the following actions should the nurse include in the plan of care? A offer sips of water 4 hours following surgery B maintain ahead of the bed 30 degrees C assist adolescence to ambulate 12 hours following surgery D ensure 2 nurses logroll the adolescent every two hours - ANSWER>>>D ensure 2 nurses logroll the adolescent every two hours A nurse is providing teaching to a parent of an 11-month-old infant who has acute diarrhea and dehydration. Which of the following should the nurse instruct the parent to provide to the infant? A Glucose water B chicken broth C half-strength apple juice D oral electrolyte solution - ANSWER>>>D oral electrolyte solution A charge nurse is teaching a group of nurses about identifying child abuse. Which of the following findings should the nurse identify as a potential indicator of child abuse? A a mother is hesitant to comfort her six-month-old infant B an 8-month-old infant cries when his parents leave the room C a toddler has bruises on his knees
D slice chicken breast on whole wheat bread - ANSWER>>>A a cheese omelet orange juice A nurse is providing discharge teaching for the parents of a preschool age child who has heart failure and a new prescription for digoxin oral solution. Which of the following instructions should the nurse include? A rinse your child's mouth with water after giving the medication B mixed the medication with six ounces of your child's favorite juice C if your child vomits do not give the medication for 48 hours D if the dose is missed double the next dose - ANSWER>>>A rinse your child's mouth with water after giving the medication A nurse is providing teaching to the parents of a child who has varicella about management of the disease. Which of the following instructions should the nurse include in the teaching? A avoid giving the child a bath while vesicles are present B keep the child away from others until the skin is clear of scabs C applied calamine lotion to vesicles on the child skin D dress the child in warm clothing to promote healing of vesicles - ANSWER>>>C applied calamine lotion to vesicles on the child skin A nurse is teaching an adolescent who has medicine resistant Staphylococcus Arias infection. Which of the following statements by the adolescent indicates an understanding of the teaching? A I can continue to participate in wrestling matches B I will use a new razor each time I shave C I will soak in warm bath every evening
D I will wash the infected area first when I shower. - ANSWER>>>B I will use a new razor each time I shave A nurse in the emergency department is caring for a child who experienced a submersion injury. which of the following is the priority action for the nurse to take? A assist with intubation B obtain a abg sample C administer IV bolus D apply warming blankets - ANSWER>>>A assist with intubation A nurse is administering an opioid to an adolescent who is in sickle cell crisis. Which statement is true regarding opioid pain management? A oral opioid doses should be larger than parenteral doses B oral opioids should not be combined with other types of pain relievers C opioid doses should be used for mild pain D opioid doses should be titrated until sedation occurs. - ANSWER>>>A oral opioid doses should be larger than parenteral doses A nurse is providing teaching to the parents of a school age child who has ADHD. Which of the following instructions should the nurse include? A place the child daily activities on an organizational chart B instruct the child to study challenging subjects in the afternoon C administered a child's medication at Bedtime
D report the presence of titling fluid in the water seal chamber - ANSWER>>>A ensure continuous bubbling is present in the suction control chamber A nurse is providing teaching to a parent of an infant who has diaper rash. Which of the following statements by the parent indicates an understanding of the teaching? A I will keep the area warm and moist B I was sprinkling talcum powder over the affected area twice daily C I will use anti bacterial soap to wash the rash with each diaper change D I will use super absorbent disposable diapers - ANSWER>>>D I will use super absorbent disposable diapers A nurse is assessing a child who is 2 hours postoperative following cardiac catheterization and finds the dressing is saturated with blood. which of the following action should the nurse take first? A monitor pulse distal to the insertion site B administer acetaminophen C apply pressure just above the insertion site D check the child's blood glucose level - ANSWER>>>C apply pressure just above the insertion site A nurse is providing dietary teaching to the parents of a 10month- old infant who has PKU. Which of the following responses by the parents indicated an understanding of the teaching? A I will steam carrots and cut them into small pieces for her B my daughter can't drink orange juice
C I will switch her to hold milk now that she's old enough D I should ensure that my daughter eats one ounce of meat every day - ANSWER>>>A I will steam carrots and cut them into small pieces for her A nurse is providing teaching about medication administration to the parents of a toddler who has a new prescription for liquid ferrous sulfate. Which of the following instructions should the nurse include in the teaching? A Report tarry green stools to the provider B provide an antacid prior to administration C dilute the drops with water prior to administration D administered drops with milk - ANSWER>>>C dilute the drops with water prior to administration A nurse is reviewing laboratory results of school age child. Which of the following findings should the nurse report to the provider? A erythrocytes 4.5 million B platelets 110, C hemoglobin 12 grams D leucocytes 10,000 cells - ANSWER>>>B platelets 110, A nurse in a pack you is caring for a school age child immediately following a tonsillectomy. Which of the following actions should the nurse take? A place the child in a sideline position B instruct the child to drink fluids through a straw C encourage the child to deep breathe and cough
D The child reports thirst and hunger - ANSWER>>>C the nurse aucultates bowel sounds A nurse is planning to teach an adolescent who is lactose intolerant about dietary guidelines. Which of the following instructions should the nurse include in the teaching? A you should consume flavored yogurt instead of plain yogurt B you can drink milk on an empty stomach C you can replace milk with nondairy sources of calcium D you may tolerate plain milk Better than chocolate milk - ANSWER>>>C you can replace milk with nondairy sources of calcium A nurse in a family practice clinic is assessing a preschool age child who recently experienced the death of a sibling. Which of the following reactions is an age appropriate response to death? A the child can give a logical explanation for the siblings death B the child feels responsible for the siblings death C the child is curious about what happened to the siblings body D the child views the siblings death is permanent - ANSWER>>>B the child feels responsible for the siblings death A nurse is caring for a toddler who is postoperative following cleft palate repair period which of the following actions should the nurse take? A keep the toddler NPO for 24 hours postoperatively B use a bulb syringe to suction out oral secretions C changed oral packing every six hours
D administer opioids for mouth pain - ANSWER>>>B use a bulb syringe to suction out oral secretions The nurse is reviewing the results of a newborn screening for a newborn who is one week old period results include total T4 0. mcg/dL, phenylalanine 0.7 mg/dL and negative galactosemia. Which of the following interventions should the nurse include in the plan of care? A Monitor the newborns urine for ketones B instruct the newborns parents about how to administer levothyroxine C initiate a diet low in phenylalanine D obtain blood glucose levels every four hours - ANSWER>>>B instruct the newborns parents about how to administer levo thyroxine A nurse scan for a four year old child who has moderate dehydration. Which of the following findings should the nurse expect? A weight gain B heart rate of 70 beats per minute C orthostatic hypotension D the respiratory rate of 18 per minute - ANSWER>>>C orthostatic hypotension For a school age chow who is in the 90 degree/ 90 degree skeletal traction. Which of the following action should the nurse take? A ensure that the pulley mechanism is attached to the skin
A avoid giving your child lengthy baths B encourage mild activity daily C offer a diet rich in fresh fruits and vegetables D apply oil based lotion over the irradiated area twice per day E dress your child in loose fitting clothing - ANSWER>>>A avoid giving your child lengthy baths B encourage mild activity daily E dress your child in loose fitting clothing A nurse in an emergency department is assessing adolescent who reports inhalation of gasoline. Which of the following findings should the nurse expect? A hyperactive reflexes B ataxia C pinpoint pupils D hypothermia - ANSWER>>>B ataxia A nurse is caring for a newly admitted toddler who has acute diarrhea. Which of the following actions should the nurse take first? A Initiate contact precautions B obtain a stool specimen for culture C administer antibiotic D give 0.9% sodium chloride IV bolus - ANSWER>>>A Initiate contact precautions A nurse is assessing a child who has measles. Which of the following areas should the nurse inspect for KOPLIK spots? (This is a hotspot question) - ANSWER>>>Koplik are small, white spots (often on a reddened background) that occur on the inside of the cheeks early in the course of measles.
A nurse is caring for a child who is to receive the first dose of IV gentamicin. Which of the following actions should the nurse take? A initiate airborne precautions B monitor for Constipation C maintain strict I&O D encourage bed rest - ANSWER>>>C maintain strict I&O A nurse is providing teaching to the parents of an infant who is to undergo pilocarpine iontophoresis testing for cystic fibrosis. Which of the following statements should the nurse include in the teaching? A we will measure the amount of protein in your baby's urine over 24 hour. B your baby will need to fast for 8 hours prior to the test C a nurse will insert an IV prior to the test D the test will measure the amount of chloride in your baby's sweat - ANSWER>>>D the test will measure the amount of chloride in your baby's sweat A nurse is prioritizing care for four clients. Which of the following clients should the nurse assess first? A An adolescent who has sickle cell anemia and slurred speech B an adolescent who is in skin traction and reports of pain level of seven on the scale from zero to 10 C a toddler who has a new diagnosis of osteomyelitis and is to receive Ivy bolus of nafcillin
