NUR 2633 NUR2633 Pediatrics RN Nursing care of children Reviewed Exam...

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NUR 2633 NUR2633 Pediatrics RN Nursing care of children Reviewed Exam... RN Nursing care of children 2019 1. A nurse is providing teaching to the guardians of a school-age child who has a se... izure disorder. Which of the following factors should the nurse include as a common trigger that increases the risk of seizures? A. Lack of sleep B. Decreased temperature C. Exposure to secondhand smoke D. Prolonged headache 3. A nurse is caring for an infant who has rotavirus. Which of the following indicates that the infant is moderately dehydrated? A. Capillary refll 1 second B. Weight loss 7% C. Respiratory rate 28/min D. Bradycardia 4. A nurse is caring for an adolescent who is 1hr postoperatve following an appendectomy. Which of the following fndings should the nurse report to the provider? A. Heart rate 63/min B. Muscie rigidity C. Temperature 36.4˚c(97.5˚f) D. Abdominal pain 5. A nurse is planning care for an 8-month-old infant who has heart failure. Which of the following actons should the nurse include in the plan of care? A. Place the infant in a prone positon B. Repeat a digoxin humidifed oxygen via nasal cannula. C. Adiminster cool, humidifed oxygen via nasal cannula. D. Provide less frequent, higher volume feedings. 7. A nurse is planning care for an adolescent who has sickle cell anemia. Which of the following immunizaton should the nurse include in the plan? A. Measlues, mumps, and rubella ( MMR) B. Rocavirus C. Respiratory syncytal virus (RSV) D. Pneumococcal conjugate (PCV13)9. A charge nurse is planning for an infant who has failure to thrive. Which of the following acton should the nurse include in the plan of care? A. Give the infant fruit juice between feedings. B. Use half-strength formula when feeding the infant. C. Assign consistent nursing staff to care for the infant D. Keep the infant in a visually stmulatng environment. 10. A nurse is teaching the parent of a school-age child about safety. Which of the following instructons should the nurse include in the teaching? A. “Your child should ride the bicycle against the flow of trafc.” B. “Your child’s feet should be 3 to 6 inches off the ground when seated on the bicycle.” C. “Your child should walk the bicycle through intersecton.” D. “Your child should keep the bicycle at last 3 feet from the curd while riding in the street.” 11. A nurse is providing discharge teaching to the parents of an infant who is at risk for sudden infant death syndrome (SIDS). Which of the following statements by the parents indicates an understanding of the teaching? A. “I will lay my baby on her side to sleep for naps.” B. “I will move my baby’s stuffed animal to the corner of her crib while she sleep C. “I will dress my baby in lightweight clothing to sleep.” D. “I will have my baby sleep next to me in bed during the night.” 12. A nurse in a PACU is caring for a school-age child immediately following a tonsillectomy. Which of the following acton should the nurse take? A. Instruct the child to drink fluids through a straw B. Place the child in a side-lying positon. C. Offer the child ice cream when alert. D. Encourage the child to deep breathe and cough. 13. A nurse in the emergency depertment is caring for an adolescent who is requestng testng for STLs. Which of the following actons is appropriate for the nurse to take? A. Request verbal consent from the social worker. B. Contact the client’s parents to obtain phone consent. C. Postpone the testng untl the client’s parents are present.D. Obtain writen consent from the client. 14. A nurse is proving teaching about partcipatng in sports to a 12-year-old adolescent who has hemophilia. Which of the following sports should the nurse recommend to the child? A. Basketball B. Hockey C. Wrestng D. Swimming 15. A nurse is assessing a 5-month-old infant. Which of the following fndings should the nurse report to the provider? A. Exhibits head lag when pulled to a sitng positon B. Unable to roll from back to abdomen C. Absent grasp reflex D. Unable to hold a botle 16. A nurse is caring for a 10-month-old child who was brought to the emergency department by his parents following a head injury. Which of the following acton should the nurse take frst? A. Check pupil reactons B. Examine the scalp for laceraton C. Assess respiratory status D. Inspect for fluid leaking from the ears 17. A nurse is providing teaching to the parents of an infant who is to undergo pilocarpine iontophoresis testng for cystc fbrosis. Which of the following statements should the nurse include in the teaching? A. “The test will measure the amount of chloride in your baby’s sweat.” B. “A nurse will insert an IV prior to the test.” C. “We will measure the amount of protein in your baby’s urine over a 24hour period.” D. “Your baby will need to fast for 8 hours prior to the test.” 18. A nurse is planning care for a 6-month-old infant who has bacterial meningits. Which of the following interventons should the nurse include in the plan of care? A. Place the infant in a semiprivate room. B. Keep the television on the room to provide background noise. C. Pad the side rails of the crib.D. Provide frequent range of moton to the neck and shoulders. 19. A nurse is preparing to administer an IM injecton to a 3-year-old child. Which of the following statements should the nurse make? A. “This medicine will fx you to make you feel beter.” B. “If you don’t cry, you can pick out a prize.” C. “You will only feel a litle stck.” D. “You can choose which leg you get your medicine.” 20. A nurse is caring for an infant who has a patent ducts arteriosus. The nurse should identfy that the defect is at which of the following locatons of the heart? (You will fnd hot spots to select in the artwork below. Select only the corresponds to your answer) 21. A nurse is providing teaching to the parents of a 2-month-old infant who has developmental dysplasia of the hip and has a prescripton for a pavlik harness. Which of the following statements by the parents indicates an understanding of the teaching? A. “We should adjust the straps daily.” B. “We will apply loton to the skin under the straps.” C. “We will place the diper under the straps.” D. “We should expect our baby to wear this harness for 2week.” 22. A nurse is reviewing the medical record of a 15-month-old child who is scheduled to receive the measles, mumps,and rubella (MMR) vaccine. A. Temperature of 37.2˚C(99˚F) B. Upper respiratory infecton 2days ago C. Family history of seizures D. Allergy to neomycin 23. A nurse is discussing coping mechanisms with a parent of a 3-month-old infant. Which of the following therapeutc questons should the nurse ask the parent? A. “Are you willing to take new parentng classes?” B. “What do you do when your infant is fussy?” C. “Does parentng cause you stress?” D. “Is it over whelming when your infant is having a bad day?”24. A nurse is performing a cranial nerve assessment on a school-age child. Which of the following fndings indicates proper functoning of the child’s trigeminal nerve? A. The child has symmetrical jaw strength when bitng down. B. The child exhibits a gag reflex when stmulated with a tongue blade. C. The child maintains balance when standing with eyes closed. D. The child correctly identfes specifc scents 25. A nurse is providing teaching to the guardian of a 2-month-old infant who has acute viral nasopharyngits. Which of the following instructons should the nurse include? A. “Instll saline into your baby’s nose before suctoning with a bulb syringe.” B. “Restrict your baby’s fluid intake untl the fever subsides.” C. “Place your baby prone for sleeping untl the cold subsides.” D. “Administer pseudoephedrine every 4hours for the duraton of the cold.” 26. A nurse is preparing a school-age child for an invasive procedure. Which of the following acton should the nurse plan to take? A. Explain the procedure to the child when they are in the playroom. B. Plan for a 30min teaching session about the procedure. C. Demonstrate deep-breathing and countng exercises. D. Use vague language to describe the procedure. 27. A nurse is providing teaching to a 10-year-old child who is scheduled for an arterial cardiac cauterizaton. Which of the following informaton should the nurse include in the teaching? A. “You will be on bed rest for 2days afer the procedure.” B. “You will be on a clear liquid diet for 24hours following the procedure.” C. “You will have your dressing removed 12hours afer the procedure.” D. “You will need to keep your leg straight for 8hours following the procedure.’ 28. A nurse in a provider’s ofce is assessing the vital signs of a 2-year-old child at a well-child visit. Which of the following fndings should the nurse report to the provider? A. Respiratory rate 26/min B. Blood pressure 118/74mm Hg C. Pulse rate 98/minD. Temperature 37.2˚ C (99˚F) 29. A nurse is reviewing the laboratory results of a child who was recently admited for suspected rheumatc faver. The nurse should identfy that which of the following laboratory test can contribute to confrming this diagnosis? (select all that apply) A. Partal thromboplastn tme (PTT) B. Blood urea nitrogen (BUN) C. Antstreptolysin O (ASO) tter D. Erythrocyte sedimentaton rate(ESR) E. C-reactve protein (CRP) 30. A nurse is admitng a child who has acute epiglotts. Which of the following actons should the nurse take? A. Check oxygen saturaton every 4hr B. Initate droplet isolaton precautons C. Assist the child into supine positon D. Obtain a throat culture 31. A nurse is assessing an infant who has acute otts media. Which of the following fndings should the expect? (Select all that apply) A. Restlessness B. Fever C. Increased appette D. Crying E. Enlarged subclavicular lymph node 32. A nurse is planning care for a child who has osteomyelits. Which of the following interventons should the nurse include in the plan of care? A. Maintain a patent intravenous catheter. B. Encourage frequent physical actvity to increase bone mass C. Initate contact precautons for the child. D. Provide a high-calorie, low-protein diet 33. A nurse is providing teaching about home care to the parent of a child who has scabies. Which of the following instructons should the nurse include in the teaching?A. Soak combs and brushes in boiling water for 10min B. Apply petroleum jelly to the affected areas. C. Treat everyone who came into close contact with the child. D. Wash the child’s hair with shampoo containing ketoconazole 34. A nurse is reviewing the laboratory results of a school-age-child. Which of the following fnding is outside the expected the expected reference range? A. Platelets 500.000/mm³ B. Hematocrit 43% C. Hemoglobin 12g/dl D. WBC count 9.000/mm³ 35. A nurse is caring for a 3-month-old infant who has a clef of the palate. Which of the following actons should the nurse take? A. Postpone burping the infant untl afer completng each feeding. B. Feed the infant 177.4ml (6oz) of formula three tmes each day. C. Discontnue a feeding if the infant’s eyes become watery. D. Elevate the infant’s head to a 10˚ angle during feedings. 36. A nurse is administering albuterol by metered dose inhaler to a preschooler who is experiencing an asthma exacerbaton. Which of the following fndings should the nurse report to the provider? A. Peak flow rate of 80% B. Respiratory rate 24/min C. Hyperactvity D. Intercostal retractons 37. A nurse is planning care for a school-age child who was admited from the emergency department 2hr ago. Which of the following interventons should the nurse include to promote to adequate sleep for the child? A. Follow the child’s home sleep routne to reduce anxiety. B. Leave the lights on in the child’s room to promote safety. C. Provide the child with video games prior to bedtme to reduce stress D. Allow the child to adjust their bedtme to promote autonomy38. A nurse is assessing infant who has severe dehydraton due to gastroenterits. Which of the following fndings should the nurse expect? A. Increased respiratory rate B. Increased urine output C. Hypertension D. Capillary refll of 2 seconds 39. A nurse is preparing to administer a prescribed medicaton to a toddler whose parent is nearby. Which of the following actons should the nurse take to identfy the toddler? A. Ask anther nurse to confrm the toddler’s identty. B. Ask the parent to confrm the toddler’s identty. C. Check the toddler’s ID band against the medical record. D. Check the toddler’s room number against their ID band. 40. A nurse is caring for a school child following the applicaton of a cast to a fractured right tbia. Which of the following acton should the nurse take frst? A. Administer pain medicaton. B. Teach the child about cast care. C. Elevate the child’s leg. D. Petal the edges of the cast. 41. A nurse is planning care for a toddler who has developed oral ulcers in response to chemotherapy. Which of the following actons should the nurse include in the plan of care? A. Administer oral viscous lidocaine. B. Schedule routne oral care every 8hr C. Moisten the mucosa with lemon glycerin swabs. D. Cleanse the gums with saline soaked gauze. 42. A nurse teaching the parents of a preschooler who has a new diagnosis of legg-calve-perthes disease. Which of the following informaton should the nurse include in the teaching? A. “You will need to limit your child’s weight-bearing physical actvites.” B. “ Opioids will be needed around the clock for pain relief.” C. “ You should see an improvement in your child’s conditon within 6weeks.”D. “Do not allow your child to go school for 3month afer being discharged.” 43. A nurse is preparing to collect a urine specimen from a female infant using a urine collecton beg. Which of the following actons should the nurse take? A. Stretch the perineum taut applying the bag. B. Place a snug-ftng diaper over the drainage beg. C. Apply lidocaine gel to the perineum before ataching the beg. D. Positon the opening of the beg over the urethra and the anus. 44. A nurse in a padiatric clinic is providing teaching to the guardian of an infant who has a new prescripton for digoxin. Which of the following manifestaton should the nurse include as an indicaton of digoxin toxicity? A. Jaundice B. Bradycardia C. Diaphoresis D. Polyuria 45. A nurse in the emergency department is assessing a toddler who has hyperpyexia, severe dyspnea, and is drooling. Which of the following actons should the nurse take frst? A. Prepare the toddler for nasotracheal intubaton. B. Obtain a blood cultura from the toddler. C. Insert an IV catheter for the toddler. D. Administer an antbiotc to the toddler. 46. A nurse is planning care for a child who has varicella. Which of the following interventons should the nurse plan to include? A. Administer aspirin for fever. B. Assess the oral cavity for koplik spots. C. Initate airborne precautons. D. Provide the child with a warm blanket. 47. A nurse is teaching home care to the parents of a preschool-age child who has heart failure. Which for the following informaton should the nurse include in the teaching? A. Withhold digoxin if the child’s pulse is greater than 100/min. B. Increase the child’s oxygen flow rate untl the child no longer has cyanosis.C. Weigh the child once each month. D. Provide for periods of rest. 48. A nurse is preparing to administer an enteral feeding to an adolescent who has an NG tube. Which of the following actons should the nurse take frst? A. Atach the feeding beg tubing to the end of the NG tube. B. Flush the tube with water. C. Check the PH of the gastric secretons. D. Set the administraton rate on the feeling pump. 49. A nurse is providing discharge teaching to the guardian of a preschooler who had a tonsillectomy. Which of the following statements should the nurse include? A. “Notfy the provider if your child has dark brown blood between their teeth.” B. “ Encourage your child to drink liquids a straw.” C. “Encourage your child to clear their through as needed.” D. “Notfy the provider if your child is swallowing frequently.” 50. A nurse in a provider’s ofce is preparing to administer immunizatons to a 12-year-old client during a well-child visit. Which of the following immunizaton should the nurse plan to administer? A. Varicella B. Human papillomavirus (HPV) C. Hepatts A D. Diphtheria, tetanus, and pertussis (DTap) 51. A nurse is assessing a school-age child who has heart failure and is taking furosemide. Which of the following fnding should the nurse identfy as an indicaton that the medicaton is effectve? A. A decrease in cardiac output B. A decrease in peripheral edema C. An increase in venous pressure D. An increase in potassium leaves 52. A nurse is teaching a group of female adolescents health eatng. Which of the following instructon should the nurse include in the teaching? A. “ Decrease your vitamin D intake once you state to menstruate.”B. “Consume 1,500 to 1,700 calories per day.” C. “Limit your sodium intakes to 3,000 milligrams per day.” D. “Increase the amount of your dietary iron intake.” 53. A nurse in the emergency department is caring for a child who has a temperature of 39.1˚C (102.4˚F) and a suspected diagnosis of bacterial meningits. Which of the following actons should the nurse take frst? A. Prepare the child for a lumbar puncture. B. Administer an antpyretc to the child. C. Dim the lights in the child room D. Implement droplet precautons for the child. 54. A nurse is providing teaching to the guardians of a school-age child who has sickle call disease about management of the illness. Which of the following instructons should the nurse include? A. Limit fluids at bedtme. B. Encourage physical actvity as tolerated. C. Have the child wears a surgical mask to school. D. Apply cold compresses to painful areas. 55. A nurse is caring for 5-year-old child following a tonsillectomy any adenoidectomy. Which of the following fnding should the nurse identfy as an indicaton of hemorrhage? A. Flushing of the face. B. Blood pressure/56mm hg C. Contnuous swallowing D. Heart rate 54/min. 56. A nurse is assessing a school-age child’s nerve functon. which of the following actons should the nurse ask the child to take when assessing the accessory nerve? A. Follow a light in the six cardinal positons. B. Shrug their shoulders against mild pressure. C. Show their teeth while smiling. D. Move their tongue in all directons. 57. A nurse in an urgent care clinic is prioritzing care for four children. Which of the following children should the nurse assess frst?A. A preschool-age child who has a mufed voice and no spontaneous cough. B. A toddler who has nephritc syndrome and facial edema C. A school-age child who has diabetes mellitus and blood glucose of 200 mg/dl D. An adolescent who has crohn’s and a recent weight loss of 5kg (11 Ib) 58. A nurse is assessing a 4-year-old child. Which of the following motor skill should the nurse expect the child to exhibit? A. The child can jump rope. B. The child can write fve leters. C. The child can hop on one foot. D. The child can te shoelaces with a bow. 59. A nurse is caring for an infant who receives intermitent enteral feeding through a gastrostomy tube. Which of the following actons should the nurse take when administering a feeding? (Select all that apply) A. Instll the formula over a period of 30 to 45min. B. Check for residual volumes by aspiratng stomach contents. C. Heat the formule to 39˚C (102˚F) prior to administraton. D. Offer the infant a pacifer during feedings. E. Place the infant in supine positon. 60. A nurse is caring for 3-year-old toddler who has heart failure. Which of the following actons should the nurse take to promote rest for the toddler? A. Keep the television on the toddler’s room. B. Administer diuretcs with the toddler’s lunch. C. Establish a daily schedule with the toddler and their family. D. Allow the toddler to visit the playroom 30min prior to bedtme. 61. A nurse is assessing a toddler who has cystc fbrosis. which of the following fnding should the nurse expect? A.Weight gain B. Visible peristalsis C. Steatorrhea D. Rihinorrhea 62. A nurse is preparing to initate IV antbiotc therapy for a newly admited 12-month-old infant. Which of the following actons should the nurse plan to take?A. Start the IV in the infant’s foot. B. Cover the inserton site with an opaque dressing. C. Change the IV site every 3 days. D. Use 24-gauge catheter to start the IV. 63. A nurse is providing teaching about the effects of sun exposure to a parent of a toddler. Which of the following responses by the parent indicates an understanding of the teaching? A. “I should apply a 10 SPF sunscreen to my child’s entre body.” B. “I should dress ny child in loose-weave clothing.” C. “My child should wear a wide-brimmed hat.” D. “My child should remain under a beach umbrella during morning hours.” 64. A nurse is reviewing the laboratory results of a preschooler who has gastroenterits and notes the client’s potassium level is 3.2mEq/L . Which of the following assessment fndings should the nurse expect? A. Hypertension B. Hyporeflexia C. Hyperactve bowel sounds D. Oliguria 65. A nurse is providing support to a family whose infant diet from sudden infant death syndrome (SIDS). Which of the following actons should the nurse take? A. Avoid discussing details of the atempt to revive the infant. B. Provide a follow-up phone call 1 week following the infant’s death. C. Acknowledge the family member’s feeling of guilt. D. Discourage the parents from allowing to view the body. 66. A nurse is monitoring an infant who is receiving opioids for pain. Which of the following fnding should indicate to the medicaton is having a therapeutc effect? A. Relaxed facial expression B. Limb withdrawal C. Bradycardia D. Increased blood pressure67. A nurse is preparing to administer amoxicillin 80 mg/kg/day divided into two doses daily to a 2-year-old client who weighs 10kg (22 Ib). Available is amoxicillin suspension 400 mg/5 ml. how many ml of amoxicillin should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. do not use a trailing zero.) ML [Show More]

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