CAPSTONE NURSING CARE OF CHILDREN ASSESSMENT QUESTIONS WITH 100% CORRECT ANSWERS
a home health nurse is providing teaching about post-seizure management to the parents of a school-age child who has epilepsy, what should
be included ✔️- record the length and character of the child's postictal period following a seizure
- call for emergency medical services if the size of the child's pupils are unequal after the seizure
a nurse is assessing a 3yr old preschooler at a well-child visit, what developmental tasks should be expected uses ✔️primarily two-word phrases
a nurse is teaching the parents of a toddler about strategies to manage temper tantrums, what instructions should the nurse include in the
teaching to establish ✔️a structured daily routine for the child
a nurse in a pediatric clinic is discussing the physiology of Reye syndrome with a newly licensed nurse, what statements by the newly licensed
nurse indicate an understanding of the disorder ✔️Reye's syndrome causes fatty changes in the liver
a nurse is assessing a child who has received the first 50 mL of a blood transfusion, what findings indicate the child may be experiencing an air
embolism ✔️sharp pain in the middle of the chest
a school nurse is assessing the visual acuity of a school-age child, what finding indicates that the child should be evaluated for strabismus
✔️movement of the uncovered eye during a cover test
a nurse is assessing a 6-month-old infant during a well-child visit, what findings should the nurse report to the provider ✔️the infant does not
roll over from his abdomen to his back
a nurse is instilling otic drops into a toddler's ears, what method is used ✔️pull the pinna down and back
a nurse is providing teaching to the parent of an infant about care seat safety, what statement by the parent indicates an understanding of the
teaching ✔️I should place the car seat rear facing until my child is 2
a nurse is providing teaching to parents of a school-age child who has ADHD and a new prescription for methylphenidate ER capsules, what
responses by the parent indicate an understanding of the nurse's instruction ✔️I will inform my child's teacher that he is taking this medication
a nurse in a pediatric clinic is performing a history and physical for a toddler who is going to receive an MMR immunization, which indicates that
it should be withheld ✔️receiving prednisone for nephrotic syndrome
a nurse is providing teaching to a mother who plans to breastfeed her 3-day-old infant, what info should the nurse include in the teaching
✔️your baby will need a follow-up evaluation by her provider within the next 3 days
a nurse is assessing a toddler who is toilet-trained and has a temperature of 38.5/101.3, what findings should the nurse suspect ✔️a UTI
incontinence
a nurse is caring for a school-age child who has hemophilia and reports increased bruising, what lab values explain the finding ✔️plt count
120,000
a nurse is preparing a teaching plan for the parent of a school-age child who has asthma, the nurse should include what manifestation as an
"exacerbation" of asthma ✔️hacking, non-productive cough
a nurse is providing discharge teaching to the parents of a 6-month-old infant following a surgical procedure to repair hypospadias, what
instructions should the nurse include in the teaching ✔️avoid giving the infant a tub bath until the stent is removed
a nurse is assessing an infant who has intussusception, what manifestation is expected ✔️gelatinous red stool
a nurse is caring for a school-age child who has metastatic osteosarcoma, the child asks the nurse "am I going to die?", what should the nurse
respond ✔️"It sounds like you are worried. tell me what you have been told"
a nurse is caring for an infant who has GERD, what action should the nurse take to avoid regurgitation ✔️thicken the pt's formula and avoid
giving the pt citrus juices position the child with the head elevated after meals
a nurse is providing teaching to an adolescent who has a new prescription for cefazolin, what adverse effect should the nurse monitor for and
report to the physician ✔️urticaria
, a nurse is caring for a child who has cancer and is receiving chemo, the parent tells the nurse that she wants to d/c treatment and take the child
home, what responses should the nurse make ✔️tell me more about your reasons for making this decision today
a charge nurse is assisting a newly licensed nurse with the preoperative assessment of a 2-year-old child who has a Wilm's tumor, what actions
by the newly licensed nurse require intervention from the charge nurse ✔️palpating the child's abdomen
a nurse is assessing a child who has sickle cell anemia and is experiencing a Vaso occlusive crisis, what manifestations should the nurse expect
✔️pain
a nurse is providing teaching to the parents of a school-age child who has pediculosis capitis, what instruction should be included ✔️soak her
brushes in boiling water for 10min
a nurse is caring for a child who has acute glomerulonephritis without edema, what action should the nurse take to obtain ✔️daily weight
a nurse is reviewing the medical record of a 16 yr old brought in by his parents to receive a physical, the record indicates he received his last
immunization 10 years ago, what immunizations should the nurse expect to administer to the adolescent ✔️Tdap
a nurse is caring for a child who has a congenital heart defect, the nurse should recognize which of the following defects is associated with
increased pulmonary blood flow ✔️PDA
a nurse is providing teaching to the parent of a preschooler about health promotion, what response by the parent indicates an understanding
of the teaching I should encourage my child to have ✔️1 hour of physical activity each day
a nurse is admitting a child who has bacterial meningitis, what actions should the nurse take first ✔️initiate antibiotic therapy for the child
a nurse is assessing a toddler who has infective endocarditis, what findings should the nurse expect ✔️new heart murmur
a nurse is suctioning the tracheostomy of a child, what assessment findings indicate the effectiveness of the procedure ✔️clear breath sounds
a nurse is assessing a child who has acute renal failure, what clinical manifestations are expected ✔️edema
a nurse is developing a plan of care for a 4yr old who has hemophilia and is experiencing acute hemarthrosis, what interventions should the
nurse include in the plan ✔️place ice packs on the affected joints
a nurse is providing discharge teaching to the parent of a school-age child who has an infection of the throat caused by group A beta-hemolytic
streptococci, what instructions should the nurse give to the parent ✔️continue to administer the prescribed antibiotic for 10d give your child
acetaminophen or children ibuprofen for fever
a nurse is providing teaching to the parent of a child who has a new prescription for methylphenidate, what instruction should the nurse
include to administer ✔️the second dose of the medication at lunchtime
a nurse working on an outpatient surgical unit is providing discharge teaching to the parent of a preschooler following the placement of
tympanoplasty tubes. the parent asks, what should I do if the tubes fall out. What should the nurse instruct? ✔️notify the provider that the
tubes have fallen out
a nurse in the emergency department is caring for a preschooler who has epiglottitis, what action should the nurse take ✔️initiate droplet
precautions for the child
a nurse is providing discharge teaching to the parents of a child who has sickle cell anemia and was hospitalized after experiencing a Vaso
occlusive crisis. what instructions should the nurse include in the teaching ✔️increase your child's intake of oral fluids
a nurse is caring for a child who has bacterial meningitis, what action should the nurse take ✔️initiate seizure precautions
a nurse is assessing a 12m old infant who is immediately postop hernia repair surgery, what pain measurement tools should the nurse use to
determine if the infant is experiencing pain ✔️FLACC
a nurse is teaching a school-age child and her parents about managing diabetes mellitus during illness, the nurse determines teaching has been
effective when they indicate they will provide which of the following when the child is ill ✔️increase fluids
a nurse is caring for a toddler who drinks 950mL (32oz) of milk per day and has a poor appetite, the nurse should identify that the toddler is at
risk for ✔️iron deficiency anemia
a nurse is providing teaching to an adolescent who has type 2 diabetes mellitus and a new prescription for metformin, what instruction should
the nurse include ✔️take the medication at the same time each day
a home health nurse is providing teaching about post-seizure management to the parents of a school-age child who has epilepsy, what should
be included ✔️- record the length and character of the child's postictal period following a seizure
- call for emergency medical services if the size of the child's pupils are unequal after the seizure
a nurse is assessing a 3yr old preschooler at a well-child visit, what developmental tasks should be expected uses ✔️primarily two-word phrases
a nurse is teaching the parents of a toddler about strategies to manage temper tantrums, what instructions should the nurse include in the
teaching to establish ✔️a structured daily routine for the child
a nurse in a pediatric clinic is discussing the physiology of Reye syndrome with a newly licensed nurse, what statements by the newly licensed
nurse indicate an understanding of the disorder ✔️Reye's syndrome causes fatty changes in the liver
a nurse is assessing a child who has received the first 50 mL of a blood transfusion, what findings indicate the child may be experiencing an air
embolism ✔️sharp pain in the middle of the chest
a school nurse is assessing the visual acuity of a school-age child, what finding indicates that the child should be evaluated for strabismus
✔️movement of the uncovered eye during a cover test
a nurse is assessing a 6-month-old infant during a well-child visit, what findings should the nurse report to the provider ✔️the infant does not
roll over from his abdomen to his back
a nurse is instilling otic drops into a toddler's ears, what method is used ✔️pull the pinna down and back
a nurse is providing teaching to the parent of an infant about care seat safety, what statement by the parent indicates an understanding of the
teaching ✔️I should place the car seat rear facing until my child is 2
a nurse is providing teaching to parents of a school-age child who has ADHD and a new prescription for methylphenidate ER capsules, what
responses by the parent indicate an understanding of the nurse's instruction ✔️I will inform my child's teacher that he is taking this medication
a nurse in a pediatric clinic is performing a history and physical for a toddler who is going to receive an MMR immunization, which indicates that
it should be withheld ✔️receiving prednisone for nephrotic syndrome
a nurse is providing teaching to a mother who plans to breastfeed her 3-day-old infant, what info should the nurse include in the teaching
✔️your baby will need a follow-up evaluation by her provider within the next 3 days
a nurse is assessing a toddler who is toilet-trained and has a temperature of 38.5/101.3, what findings should the nurse suspect ✔️a UTI
incontinence
a nurse is caring for a school-age child who has hemophilia and reports increased bruising, what lab values explain the finding ✔️plt count
120,000
a nurse is preparing a teaching plan for the parent of a school-age child who has asthma, the nurse should include what manifestation as an
"exacerbation" of asthma ✔️hacking, non-productive cough
a nurse is providing discharge teaching to the parents of a 6-month-old infant following a surgical procedure to repair hypospadias, what
instructions should the nurse include in the teaching ✔️avoid giving the infant a tub bath until the stent is removed
a nurse is assessing an infant who has intussusception, what manifestation is expected ✔️gelatinous red stool
a nurse is caring for a school-age child who has metastatic osteosarcoma, the child asks the nurse "am I going to die?", what should the nurse
respond ✔️"It sounds like you are worried. tell me what you have been told"
a nurse is caring for an infant who has GERD, what action should the nurse take to avoid regurgitation ✔️thicken the pt's formula and avoid
giving the pt citrus juices position the child with the head elevated after meals
a nurse is providing teaching to an adolescent who has a new prescription for cefazolin, what adverse effect should the nurse monitor for and
report to the physician ✔️urticaria
, a nurse is caring for a child who has cancer and is receiving chemo, the parent tells the nurse that she wants to d/c treatment and take the child
home, what responses should the nurse make ✔️tell me more about your reasons for making this decision today
a charge nurse is assisting a newly licensed nurse with the preoperative assessment of a 2-year-old child who has a Wilm's tumor, what actions
by the newly licensed nurse require intervention from the charge nurse ✔️palpating the child's abdomen
a nurse is assessing a child who has sickle cell anemia and is experiencing a Vaso occlusive crisis, what manifestations should the nurse expect
✔️pain
a nurse is providing teaching to the parents of a school-age child who has pediculosis capitis, what instruction should be included ✔️soak her
brushes in boiling water for 10min
a nurse is caring for a child who has acute glomerulonephritis without edema, what action should the nurse take to obtain ✔️daily weight
a nurse is reviewing the medical record of a 16 yr old brought in by his parents to receive a physical, the record indicates he received his last
immunization 10 years ago, what immunizations should the nurse expect to administer to the adolescent ✔️Tdap
a nurse is caring for a child who has a congenital heart defect, the nurse should recognize which of the following defects is associated with
increased pulmonary blood flow ✔️PDA
a nurse is providing teaching to the parent of a preschooler about health promotion, what response by the parent indicates an understanding
of the teaching I should encourage my child to have ✔️1 hour of physical activity each day
a nurse is admitting a child who has bacterial meningitis, what actions should the nurse take first ✔️initiate antibiotic therapy for the child
a nurse is assessing a toddler who has infective endocarditis, what findings should the nurse expect ✔️new heart murmur
a nurse is suctioning the tracheostomy of a child, what assessment findings indicate the effectiveness of the procedure ✔️clear breath sounds
a nurse is assessing a child who has acute renal failure, what clinical manifestations are expected ✔️edema
a nurse is developing a plan of care for a 4yr old who has hemophilia and is experiencing acute hemarthrosis, what interventions should the
nurse include in the plan ✔️place ice packs on the affected joints
a nurse is providing discharge teaching to the parent of a school-age child who has an infection of the throat caused by group A beta-hemolytic
streptococci, what instructions should the nurse give to the parent ✔️continue to administer the prescribed antibiotic for 10d give your child
acetaminophen or children ibuprofen for fever
a nurse is providing teaching to the parent of a child who has a new prescription for methylphenidate, what instruction should the nurse
include to administer ✔️the second dose of the medication at lunchtime
a nurse working on an outpatient surgical unit is providing discharge teaching to the parent of a preschooler following the placement of
tympanoplasty tubes. the parent asks, what should I do if the tubes fall out. What should the nurse instruct? ✔️notify the provider that the
tubes have fallen out
a nurse in the emergency department is caring for a preschooler who has epiglottitis, what action should the nurse take ✔️initiate droplet
precautions for the child
a nurse is providing discharge teaching to the parents of a child who has sickle cell anemia and was hospitalized after experiencing a Vaso
occlusive crisis. what instructions should the nurse include in the teaching ✔️increase your child's intake of oral fluids
a nurse is caring for a child who has bacterial meningitis, what action should the nurse take ✔️initiate seizure precautions
a nurse is assessing a 12m old infant who is immediately postop hernia repair surgery, what pain measurement tools should the nurse use to
determine if the infant is experiencing pain ✔️FLACC
a nurse is teaching a school-age child and her parents about managing diabetes mellitus during illness, the nurse determines teaching has been
effective when they indicate they will provide which of the following when the child is ill ✔️increase fluids
a nurse is caring for a toddler who drinks 950mL (32oz) of milk per day and has a poor appetite, the nurse should identify that the toddler is at
risk for ✔️iron deficiency anemia
a nurse is providing teaching to an adolescent who has type 2 diabetes mellitus and a new prescription for metformin, what instruction should
the nurse include ✔️take the medication at the same time each day
