CHILDREN ONLINE PRACTICE
2019 A LATEST UPDATE
QUESTIONA nurse is caring for a toddler who has spastic
(pyramidal) cerebral palsy. Which of the following findings should
the nurse expect? (Select all the apply)
Negative Babinski reflex
Ankle clonus
Exaggerated stretch reflexes
Uncontrollable movements of the face
Contractures - answer-Ankle clonus
Exaggerated stretch reflexes
Contractures
QUESTIONA nurse is providing discharge teaching to the parent
of a child who is 1 week postoperative following a cleft palate
repair. For which of the following members of the inter
professional team should the nurse initiate a referral?
occupational therapist
speech therapist
respiratory therapist
physical therapist - answer-speech therapist
QUESTIONA nurse is creating a plan of care for an infant who
has an epidural hematoma from a head injury. Which of the
following interventions should the nurse include in the plan?
,Position the infant side-lying with their head at a 0° to 5° angle.
Perform a neurological assessment every 4 hr.
Suction the infant's naers to remove secretions.
Implement seizure precautions for the infant. - answer-Implement
seizure precautions for the infant.
A nurse is caring for a school-age child who is receiving cefazolin
via intermittent IV bolus. The child suddenly develops diffuse
flushing of the skin and angioedema. After discontinuing the
medication infusion, which of the following medications should the
nurse administer first?
prednisone
epinephrine
diphenhydramine
albuterol - answer-epinephrine
QUESTIONA nurse is teaching the parent of an infant about ways
to prevent sudden infant death syndrome (SIDS). Which of the
following instructions should the nurse include?
"Place the infant in a prone position to sleep."
"Allow the infant to sleep on a large pillow."
"Use a soft mattress in the infant's crib."
"Give the infant a pacifier at bedtime." - answer-"Give the infant a
pacifier at bedtime."
QUESTIONA nurse is preparing an adolescent for a lumbar
puncture. Which of the following actions should the nurse take?
Place a cardiac monitor on the adolescent prior to the procedure.
Apply topical analgesic cream to the site 1hr prior to the
procedure.
, Keep the adolescent in a semi-fowler's position for 4hrs following
the procedure.
Restrict fluids for 2hrs following procedure. - answer-Apply topical
analgesic cream to the site 1hr prior to the procedure.
QUESTIONA nurse is assessing a 3 year old toddler at a well-
child visit. Which of the following manifestations should the nurse
report to the provider?
Blood pressure 90/50 mm Hg
Respiratory rate 45/min
Weight 14.5 kg (32lbs)
Heart rate 110/min - answer-Respiratory rate 45/min
QUESTIONA nurse is reviewing the laboratory report of a school-
age child who is experiencing fatigue. Which of the following
findings should the nurse recognize as an indication of anemia?
Hematocrit 28%
Hemoglobin 13.5 g/dL
WBC count 8,000
Platelets 250,000 - answer-Hematocrit 28%
QUESTIONA nurse is planning care for a school-age child who is
in the oliguric phase of acute kidney injury (AKI) and has a
sodium level of 129 mEq/L. Which of the following interventions
should the nurse include in the plan?
Administer ibuprofen to the child for a temperature greater than
38° C (100.4° F).
Assess the child's blood pressure every 8hr.