STUDY MATERIAL WITH CLINICAL SCENARIOS
AND PEDIATRIC NURSING PRACTICE
◉ a nurse is caring for a child following an open reduction and
internal fixation of a fractured femur and application of a cast. The
cast has a window cut in it for viewing of the incision. Which of the
following actions should the nurse take first?
Answer: Perform neurovascular checks of the affected extremity
(check for infection, color, capillary refill, redness)
◉ A nurse is an urgent care clinic is assisting with the care of a
toddler who ingested 30 tablets of aspirin. Which of the following
substances should the nurse administer to the toddler?
Answer: Activated charcoal (can work with toxin, poison. Given
through ng tube absorbs toxins)
◉ A nurse is caring for a 3 year old client who has persistent otitis
media. To help identify contributing factors, the nurse should ask the
parents which of the following questions?
Answer: Does anyone smoke in the same house as your daughter?
(smoking can cause irritation, cause mucus in respiratory and
causes otitis media?) (otitis media is purulent color)
,◉ A nurse is collecting data from a 2 year old toddler who has AIDS.
The nurse should inspect inside the toddler mouth for which of the
following opportunistic infections (fungus infections is usually
opportunistic infections)?
Answer: Candidiasis (also called oral thrush)
◉ A nurse is caring for a 4 year old child who has dehydration.
Which of the following findings should the nurse identify as the
priority?
Answer: Potassium 2.5 mEq/L
◉ A nurse is caring for a child who Is postoperative following the
insertion of a ventriculorperitoneal shunt. The nurse should place
the child in which of the following positions?
Answer: On the nonoperative side
◉ A nurse is caring for an infant who is dehydrated and requires IV
therapy. The nurse should monitor the infant response to therapy by
performing which of the following actions?
Answer: weighing the infants at the same time everyday
◉ A nurse is caring for a preschool age child who has croup. Which
of the following findings should the nurse report to the provider?
Answer: Drooling (that could mean it can mean there's an
epiglottitis causes obstruction of the airway)
, ◉ A nurse is collecting data from an infant who has hypertrophic
pyloric stenosis. Which of the following findings should the nurse
expect?
Answer: Projectile vomiting
◉ A school nurse is screening an 11-year-old child for idiopathic
scoliosis. Which of the following instructions should the nurse give
the child for this examination?
Answer: Bend forward from the waist with your head and arms
downward
◉ A nurse is collecting data from an infact. Which of the following
sites is the most reliable location to check the infats pulse ?
Answer: Apical
◉ A nurse is reinforcing teaching with a parent of a child who has
eczema. Which of th following instructions should the nurse include
in the teaching
Answer: Apply a cool wet compress to the affected area
◉ A nurse is caring for a child who has juvenile rheumatoid arthritis.
Which of the following actions should the nurse take?
Answer: Maintain night splints to the affected joint