PN_Nursing_Care_of_Children_Practice_A
A nurse is reinforcing teaching about home safety with the parent of a toddler. Which of the
following parent statements indicates an understanding of the teaching?
- The nurse should instruct the parent to place a screen in front of a fireplace or other
heating appliances to prevent burns
A nurse is reinforcing teaching with the parent of a child who has hemophilia and is
experiencing acute hemarthosis. Which of the following instructions should the nurse include in
the teaching?
- The nurse should reinforce with the parent to keep the child’s affected joints elevated
and immobilized to minimize bleeding. After the acute episode, the child should begin
active range-of-motion exercise.
A nurse is collecting data about the dietary habits of an adolescent client. The nurse should
identify that which of the following findings puts the client at risk for nutritional deficits?
- The nurse should identify that adolescents are often at risk for developing poor eating
habits. Skipping dinner twice each week puts this client at risk for nutritional deficits.
A nurse is assisting with the care of a child who has tonic-clonic seizures. Which of the following
actions should the nurse take?
- The nurse should have a suction canister and tubing available in the child’s room to keep
the child’s airway patent during a seizure.
A nurse is reinforcing home safety instructions with the parents of a toddler. Which of the
following parent statements indicates an understanding of the teaching?
- The nurse should instruct the parents to turn pot handles toward the back of the stove
to prevent the toddler from pulling a pot off the stove, resulting in a burn.
A nurse in a pediatric clinic is collecting data from an infant who recently started taking digoxin.
Which of the following manifestations should the nurse identify as an indication of digoxin
toxicity and report to the provider?
- The nurse should identify that vomiting, especially unrelated to feedings, is a
manifestation of digoxin toxicity and should be reported to the provider.
A nurse is caring for a school-age girl who is being treated for frequent, severe urinary tract
infections (UTIs). The nurse should recognize that which of the following statements by the
parent indicates a possible cause of the UTIs?
- My daughter has bowel movements every 4 to 5 days—the nurse should recognize that
this frequency indicates the child is constipated. Therefore, large stool masses might
prevent complete emptying of the bladder and lead to urinary stasis and infection.
, A nurse is caring for a school-age child who has been admitted to facility in sickle cell crisis.
The nurse is measuring the child’s oral intake for the shift. The child consumed 4 oz of juice at
breakfast. For lunch, the child consumed 6 oz of milk, 6 oz of gelatin, and drank 7 oz of water.
What is the child’s oral intake for this shit of milliliters. (Round to the nearest whole number.)
- 1oz = 30 mL
Client consumed 23 oz of fluids
23 oz X 30 mL = 690 mL
A nurse is reinforcing dietary teaching with the guardian of a school age child who has celiac
disease. Which of the following foods should the nurse recommend including in the child’s diet?
- White rice—the nurse should reinforce to the guardian that celiac disease is a genetic
autoimmune disorder in which eating gluten, even in a very small amounts, can damage
the child’s small intestine. Currently, the only treatment for the disease is a lifelong,
stick adherence to a gluten-free diet. The nurse should stress the importance of avoiding
foods containing wheat, rye, barley, and oats. The child should consume foods that are
gluten-free, such as milk, cheese, rise, corn, eggs, potatoes, fruits, vegetables, fresh
poultry, meats, fish and dried beans.
A nurse is reviewing the laboratory report of a preschooler. Which of the following laboratory
results should the nurse report to the provider?
- Lead 14 mcg/dL—the lead level is above the expected reference range for a
preschooler. Therefore, the nurse should report this result to the provider.
A nurse is reviewing the medical record of a female adolescent client who has primary
amenorrhea. Which of the following findings should the nurse identify as a risk factor for this
disorder?
- Hypothyroidism
- Cannabis
- Oral contraceptive
- Emotional stress
A nurse is reinforcing teaching with the guardian of child who has scabies and a new
prescription for permethrin 5% cream. Which of the following information should the nurse
include?
- The medication will eliminate your child’s itching within 2 to 3 weeks—the nurse should
instruct the guardian that, although the medication kills the mites, itching can continue
for 2 to 3 weeks following application of the medication.
A nurse is preparing to administer ophthalmic drops to a child. Which of the following actions
should the nurse take?
- Apply pressure to the lacrimal punctum for 1 min following administration—the nurse
should apply pressure to the lacrimal punctum to prevent the medication from entering
the nasopharynx.
A nurse is reinforcing teaching about home safety with the parent of a toddler. Which of the
following parent statements indicates an understanding of the teaching?
- The nurse should instruct the parent to place a screen in front of a fireplace or other
heating appliances to prevent burns
A nurse is reinforcing teaching with the parent of a child who has hemophilia and is
experiencing acute hemarthosis. Which of the following instructions should the nurse include in
the teaching?
- The nurse should reinforce with the parent to keep the child’s affected joints elevated
and immobilized to minimize bleeding. After the acute episode, the child should begin
active range-of-motion exercise.
A nurse is collecting data about the dietary habits of an adolescent client. The nurse should
identify that which of the following findings puts the client at risk for nutritional deficits?
- The nurse should identify that adolescents are often at risk for developing poor eating
habits. Skipping dinner twice each week puts this client at risk for nutritional deficits.
A nurse is assisting with the care of a child who has tonic-clonic seizures. Which of the following
actions should the nurse take?
- The nurse should have a suction canister and tubing available in the child’s room to keep
the child’s airway patent during a seizure.
A nurse is reinforcing home safety instructions with the parents of a toddler. Which of the
following parent statements indicates an understanding of the teaching?
- The nurse should instruct the parents to turn pot handles toward the back of the stove
to prevent the toddler from pulling a pot off the stove, resulting in a burn.
A nurse in a pediatric clinic is collecting data from an infant who recently started taking digoxin.
Which of the following manifestations should the nurse identify as an indication of digoxin
toxicity and report to the provider?
- The nurse should identify that vomiting, especially unrelated to feedings, is a
manifestation of digoxin toxicity and should be reported to the provider.
A nurse is caring for a school-age girl who is being treated for frequent, severe urinary tract
infections (UTIs). The nurse should recognize that which of the following statements by the
parent indicates a possible cause of the UTIs?
- My daughter has bowel movements every 4 to 5 days—the nurse should recognize that
this frequency indicates the child is constipated. Therefore, large stool masses might
prevent complete emptying of the bladder and lead to urinary stasis and infection.
, A nurse is caring for a school-age child who has been admitted to facility in sickle cell crisis.
The nurse is measuring the child’s oral intake for the shift. The child consumed 4 oz of juice at
breakfast. For lunch, the child consumed 6 oz of milk, 6 oz of gelatin, and drank 7 oz of water.
What is the child’s oral intake for this shit of milliliters. (Round to the nearest whole number.)
- 1oz = 30 mL
Client consumed 23 oz of fluids
23 oz X 30 mL = 690 mL
A nurse is reinforcing dietary teaching with the guardian of a school age child who has celiac
disease. Which of the following foods should the nurse recommend including in the child’s diet?
- White rice—the nurse should reinforce to the guardian that celiac disease is a genetic
autoimmune disorder in which eating gluten, even in a very small amounts, can damage
the child’s small intestine. Currently, the only treatment for the disease is a lifelong,
stick adherence to a gluten-free diet. The nurse should stress the importance of avoiding
foods containing wheat, rye, barley, and oats. The child should consume foods that are
gluten-free, such as milk, cheese, rise, corn, eggs, potatoes, fruits, vegetables, fresh
poultry, meats, fish and dried beans.
A nurse is reviewing the laboratory report of a preschooler. Which of the following laboratory
results should the nurse report to the provider?
- Lead 14 mcg/dL—the lead level is above the expected reference range for a
preschooler. Therefore, the nurse should report this result to the provider.
A nurse is reviewing the medical record of a female adolescent client who has primary
amenorrhea. Which of the following findings should the nurse identify as a risk factor for this
disorder?
- Hypothyroidism
- Cannabis
- Oral contraceptive
- Emotional stress
A nurse is reinforcing teaching with the guardian of child who has scabies and a new
prescription for permethrin 5% cream. Which of the following information should the nurse
include?
- The medication will eliminate your child’s itching within 2 to 3 weeks—the nurse should
instruct the guardian that, although the medication kills the mites, itching can continue
for 2 to 3 weeks following application of the medication.
A nurse is preparing to administer ophthalmic drops to a child. Which of the following actions
should the nurse take?
- Apply pressure to the lacrimal punctum for 1 min following administration—the nurse
should apply pressure to the lacrimal punctum to prevent the medication from entering
the nasopharynx.
