NURSING -school-aged children EAQ EXAM 2022

school-aged children EAQ/NURSING -school-aged children EAQ EXAM 2022A 6-year-old boy is hospitalized with an exacerbation of nephrotic syndrome. The mother asks the nurse what she should bring for her son to play with during the hospitalization. What should the nurse suggest? Plastic bat, cloth ball, and a hula hoop Stuffed animals, large puzzles, and blocks Checkers, simple card games, and crayons Children's magazines, a model plane kit, and laptop computer A nurse is obtaining the health history of a 5-year-old child who has been admitted to the child health unit with acute glomerulonephritis. What does the nurse expect the child's mother to report? The child had a sore throat a few weeks ago. The child has just recovered from the measles. The child's father has a family history of urinary tract infections. The child's immunizations were administered at the start of school. A nurse is teaching the parents of a school-aged child with celiac disease about the nutrients that must be avoided in a gluten-free diet. What nutrients should the nurse teach the parents to avoid? Saturated oils and fats Milk and hard cheeses Corn and rice products Wheat and oat products What is the most appropriate approach for the school nurse to take regarding children who are to be given medications while in school? Assuring the children that their privacy will be respected Teaching each class about taking medications in the school setting Encouraging the children to tell their friends that they are taking a medication Asking teachers to answer questions when other students ask about medications given in school A nurse in the pediatric clinic is assessing an 8-year-old child who has had asthma since infancy. What clinical finding requires immediate intervention? Barrel chest Audible wheezing Heart rate of 105 beats/min Respiratory rate of 30 breaths/min The nurse is providing instruction to a parent of a child with influenza. Which statement by the parent indicates the need for further instruction? "I'll manage the fever with baby aspirin." "We'll make sure to get a flu shot next season." "Providing fluids will help relieve the symptoms." "Staying home from school will prevent transmission." The parents of a school-aged child with recently diagnosed leukemia ask the nurse why they were told that their child has too many white blood cells. How should the nurse respond? "The doctor is the best one to answer that question for you." "You seem to be focusing on your child's white blood cells." "You apparently don't understand what occurs in this disease." "The bone marrow is not controlling your child's white blood cell production as it should." A 7-year-old child is admitted for surgery. What is the prioritynursing action? Allowing a favorite toy to remain with the child Documenting the child's ASO titer and C-reactive protein level Inspecting the child's mouth for loose teeth and reporting the findings Encouraging a parent to stay until the child leaves for the operating room A school-aged child is to receive a blood transfusion. What should the nurse do first if an allergic reaction to the blood occurs? Shut off the infusion. Slow the rate of flow. Administer an antihistamine. Call the healthcare provider. What can a nurse do to help confirm a suspected diagnosis of intestinal infestation with pinworms in a 6-year-old child? Teach the mother the procedure for an anal cellophane tape test Ask the mother to collect stools for 3 consecutive days for culture Have the mother bring in the child's stools for visual examination for 3 days Help the mother schedule a hypersensitivity test of the child's blood serum A parent receives a note from school reporting that a student in class has head lice. The parent calls the school nurse to ask how to check for head lice. What instruction should the nurse provide? "Ask the child where it itches." "Check to see whether your dog has ear mites." "Look at your child's head along the scalp line for white dots." "Inspect your child's hands and look between the fingers for red lines." A child is found to be allergic to dust. The nurse is preparing a teaching plan for the parents. What should the nurse include in the plan? Housework must be done by professional housecleaners. Damp-dusting the house will help limit dust particles in the air. The condition must be accepted because dust cannot be limited. The house must be redecorated because the environment must be dust free. A school nurse is planning to teach the importance of hand washing to the children in first grade. What is the most effective approach for this age group? Showing a video of the correct hand washing technique Demonstrating hand washing and asking for return demonstrations Involving them in a discussion about the importance of hand washing Describing how germs cause illness and how hand washing prevents disease A mother brings her 6-year-old child to the pediatric clinic, stating that the child has not been feeling well, is weak and lethargic, and has a poor appetite, headaches, and smoky-colored urine. What additional information should the nurse obtain that will aid diagnosis? Rash on palms and feet Shoulder and knee pain Recent weight loss of 2 lb (0.9 kg) Strep throat in the past two weeks The nurse is providing discharge instructions to the parents of a child who has undergone surgical correction of hypospadias. What is the priority information for the nurse to include? Ensuring that the child's privacy is maintained Increasing the time that the catheter is clamped Maintaining the surgically implanted tension device Teaching parents how to care for the catheterization system A nurse is preparing a teaching plan for the parents of a child with celiac disease. What information on the basic problem in celiac disease does the nurse include? Green stools Intolerance of gluten Absence of intestinal villi Susceptibility to severe dehydration A 10-year-old child is admitted to the pediatric unit in vaso-occlusive sickle cell crisis. The nurse manager is planning to assign a room. Which child is the best roommate option for this client? Child with thalassemia Child with osteomyelitis Child with viral pneumonia Child with acute pharyngitis A nurse is counseling the family of a child with AIDS. What is the most important concern that the nurse should discuss with the parents? Risk for injury Susceptibility to infection Inadequate nutritional intake Altered growth and development A 6-year-old child with Reye syndrome is admitted to the pediatric intensive care unit. What clinical finding does the nurse deem the most significant when assessing this child? Increased vomiting Bleeding tendencies Spiking temperatures Altered consciousness A school nurse is teaching a group of teachers' aides about the cause of lead poisoning in children. What should be considered in terms of prevention? Lead poisoning is known to be caused by the ingestion of foods that are high in fat. Lead poisoning is attributed to an indigent and passive parent who fails to supervise the children. Environmental factors are involved because lead is available for ingestion and inhalation. Increasing milk intake will counteract the adverse effects of lead ingestion. A child returns to his room after left-side cardiac catheterization. What is involved in the postprocedure nursing care? Encouraging early ambulation Monitoring the insertion site for bleeding Comparing blood pressures in the two extremities Restricting fluids until the blood pressure has stabilized A 12-year-old child is to be bedridden at home for several weeks after orthopedic surgery. What activity should the nurse encourage the parents to plan? Drawing pictures Playing card games Watching television Continuing schoolwork A 9-year-old child with chronic kidney disease is undergoing peritoneal dialysis. For which associated complication should the nurse monitor the child? Petechiae Abdominal bruit Cloudy return dialysate Increased blood glucose level What is the first activity of daily living (ADL) that the nurse should help teach a developmentally disabled 8-year-old child? Dressing Toileting Self-feeding Combing hair A hospitalized 10-year-old child is apathetic about eating. What is the best nursing intervention to support the child's nutrition? Asking the parents to visit at mealtimes Having a nursing assistant feed the child Providing diversional activity at mealtimes Eliminating the child's between-meal snacks A child has cystic fibrosis. Which verbalization by the parents about their plan for the child's dietary regimen provides evidence that they understand the nurse's instructions? Restrict fluids during mealtimes. Discontinue the use of salt when cooking. Provide high-calorie foods between meals. Add whole-milk products from the diet. nurse is teaching a school-aged child with juvenile idiopathic arthritis (JIA) activities to prevent the loss of joint function. What should the nurse caution the child to avoid? Bicycle riding Walking to school Isometric exercises Sedentary activities An 8-year-old girl who is hospitalized for intravenous antibiotic therapy tells the nurse that she is bored. The nurse has a discussion with the father about appropriate activities. Which activity suggested by the father indicates a need for further teaching? "I'll bring a radio and CD player." "I'll bring homework and school supplies." "She'll enjoy having a rubber baseball and plastic bat." "She'll enjoy rubber stamps and a pretty box to keep them in." A school nurse is teaching a health class of 12-year-olds about hepatitis C. Which statement by a student indicates an understanding of the origin of the disease? "You can catch it while you're getting a tattoo." "You're more likely to get it in crowded living conditions." "The disease is passed from person to person by casual contact." "People working at restaurants can give it to you if they don't wash their hands." A preadolescent brings home a note from the school nurse informing the parents that the child should be evaluated for scoliosis. The mother calls the school nurse to ask for a description of scoliosis. Before responding, what does the nurse recall about scoliosis? The concave lumbar curvature is exaggerated. There are pathological changes in the vertebrae. There is a rotary deformity of the lateral curvature of the spine. The curvature of the thoracic spine has an increased convex angulation. A nurse is caring for a school-aged child with type 1 diabetes. There have been problems maintaining euglycemia. What laboratory test does the nurse expect to be prescribed that will reveal the effectiveness of the diabetic regimen over time? Serum glucose Glucose tolerance Fasting blood sugar Glycosylated hemoglobin he nurse anticipates that the family of a child with cerebral palsy is at risk for difficult parenting issues. What does the nurse conclude is the probable basis for this difficulty? Lack of social support Unrealistic expectations Loss of the expected healthy child Having a child with cognitive impairment The parents of an 11-year-old child with a terminal illness appear overwhelmed and anxious. What is the best response by the nurse? Explaining the diagnosis in a variety of ways Encouraging the parents to express their feelings Recommending that the parents talk with other parents Offering assurance that surgery will probably correct the problem What teaching must the nurse emphasize to the family when preparing a school-aged child with persistent asthma for discharge? A cold, dry environment is desirable. Limits should not be placed on the child's behavior. The health problem is gone when symptoms subside. Medications must be continued even when the child is asymptomatic. A nurse is planning to teach the four-point alternate crutch gait to a 9-year-old child with cerebral palsy. How does the nurse explain this choice to the parents? The child has minimal step ability in the lower extremities. It provides for two points of support on the floor at all times. It provides for equal but partial weight bearing on each limb. The child has more power in the upper extremities than in the lower extremities. Intestinal infestation with Enterobius vermicularis (pinworm) is suspected in a 6-year-old child. The nurse asks the parents to assist in confirming the child's diagnosis. What does the nurse instruct the parents to do? Collect stools for three consecutive days for culture. Perform an anal cellophane tape test early in the morning. Schedule hypersensitivity tests of the child's blood serum. Send a sample of the child's stools to the laboratory for testing. A nurse in a child health clinic is obtaining the health history of a 5-year-old boy who was just found to have type 1 diabetes. In planning care, what does the nurse anticipate concerning this child? Will feel different from friends and classmates Will initially deny the fact that he has diabetes Must develop skills to test blood glucose and report findings Must receive continual health teaching based on cognitive ability The parents of a child with spasmodic croup ask why their child is receiving humidified oxygen. What effect of humidified oxygen should the nurse include in the explanation? It helps prevent drying of membranes. It provides a mode of giving inhalant drugs. It increases the surface tension of the respiratory tract. It provides an environment free of pathogenic organisms. A 6-year-old child treated for acute glomerulonephritis has improved and is soon to be discharged. What should the nurse plan to offer the parents in preparation for the discharge? Samples of no-salt-added diets for the child to continue at home Suggestions about activities to keep the child mobile for longer periods Instructions about when the child should return for a workup for a kidney transplant Phone numbers to reach the nurse on the unit so the parents may call if there are any questions How can a school nurse help determine a young child's readiness to learn? By assessing the child's vision and hearing By making a referral for psychological and intelligence testing By ensuring that the teacher has an understanding of the child's needs By confirming that the parents understand the importance of homework A nurse in the pediatric unit is admitting an 8-year-old child with asthma after an exacerbation at home. The child is short of breath. In what position should the child be placed to facilitate breathing? Supine Left lateral High-Fowler Trendelenburg What should the nurse encourage the parents of a child with plumbism (lead poisoning) to do? Discourage the child's pica by providing nutritious snacks. Move the family away from areas that are next to gas stations. Assess the family's home environment for lead sources and have them removed. Have the child take repeat x-rays of the wrist and forearm for signs of a lead line. A nurse explains to the parents of a 6-year-old child with a pinworm infestation how pinworms are transmitted. What statement indicates that the teaching has been understood? "We need to keep the cat off the bed." "She needs to wash her hands before eating anything." "She needs to cover her mouth whenever she coughs." "We need to tell the school so that the cafeteria can be cleaned." An 8-year-old child has experienced the death of a sister. The child begins to ask many questions about what happens to the body after death. The parents wonder whether this is abnormal or morbid behavior picked up from playing video games. What is the best response by the nurse? "Playing video games can cause morbid behaviors." "Children handle the event of death more realistically than adults do." "School-aged children are inquisitive and ask a lot of questions about death." "Giggling, attracting attention, and playing are the usual ways of dealing with death." The nurse manager of the pediatric unit is notified that four children are going to be admitted to the unit. Which of the following children should be placed nearest the nurse's station? An infant with acute laryngotracheobronchitis A child with comminuted fractures of both legs An adolescent in sickle cell crisis who is using patient-controlled analgesia A child with idiopathic thrombocytopenic purpura who requires transmission-based precautions An infant needs emergency surgery. A nurse is aware that the child's mother is 13-years-old and that the father is 16-years-old. The father and the paternal grandmother, who both take care of the infant, are the only family members at the bedside. From whom should the nurse obtain the informed consent? The 16-year-old father The 13-year-old mother A hospital administrator The paternal grandmother What should nursing care for a child admitted with acute glomerulonephritis be directed toward? Enforcing bed rest Promoting diuresis Encouraging fluids Removing dietary salt A nurse in the emergency department is caring for a 9-year-old child with a suspected spinal cord injury sustained while falling off a bicycle. What is the initial nursing action? Placing the child's head on a pillow for support Immobilizing the child's spine to limit additional injury Log-rolling the child to check for lacerations on the back Moving the child onto a firm stretcher for transport to the radiography department A 6-year-old boy is undergoing chemotherapy to treat a neuroblastoma, stage IV, and had his first chemotherapy session last week. He arrives with his mother for this week's session. How should the nurse greet the child? "It's time for your next dose." "There are only three more sessions." "Did you get sick to your stomach last time?" "How did you feel after your last treatment?" A female client who physically abused her 9-year-old son is undergoing treatment to help her control her behavior. Which statement indicates that the client has developed a safe coping method to help her deescalate? "I promise that I won't get so angry when my son causes trouble again." "If my son gets straightened out, we shouldn't have these kinds of problems." "I think the root of the problem is when my husband comes home after drinking." "If I get angry at my son again, I'm going to need a pillow in the bedroom to punch." A 4-year-old child is brought to the pediatric clinic for a well-child visit. While entering the examination room the child bumps into the door jamb and then tilts his head to one side. The nurse suspects that the child has strabismus. What additional clinical finding supports this conclusion? Bloodshot sclera Excessive blinking Frequent squinting Continuous tearing An 8-year-old child with viral pneumonia is admitted to the pediatric unit. The admitting nurse reviews the instructions from the healthcare provider. Which prescription should the nurse question? Encourage oral fluids Chest physiotherapy twice a day Start IV fluids D5% 0.45% NS at 80 mL/hr Aspirin 325 mg every 4 hours prn for fever higher than 101.4° F (38.6° C) The parents of a boy with hypospadias with chordee ask a nurse why their child should undergo corrective surgery. What problem that may develop eventually should the nurse discuss with the parents? Renal failure Testicular cancer Testicular torsion Sexual difficulties A 6-year-old child comes to the school nurse reporting a sore throat, and the nurse verifies that the child has a fever and a red, inflamed throat. When a parent of the child arrives at school to take the child home, the nurse urges the parent to seek treatment. If the sore throat is not treated, what illness is of most concern to the nurse? Tetanus Influenza Scarlet fever Rheumatic fever A nurse is preparing a 10-year-old child for a tonsillectomy and adenoidectomy to be performed later in the day. What information should the nurse share with the child? How the surgical procedure will be performed The type of surgical equipment that will be used What the child will experience before and after the procedure The changes in the child's nose and throat during the procedure A child becomes cyanotic during a generalized tonic-clonic seizure. What is the most appropriate action by the nurse? Inserting an oral airway Administering oxygen by mask Continuing to observe the seizure Notifying the practitioner immediately A 5-year-old child is admitted to the pediatric intensive care unit with a diagnosis of acute asthma. A blood sample is obtained to measure the child's arterial blood gases. What finding does the nurse expect? High oxygen level Increased alkalinity Decreased bicarbonate Increased carbon dioxide level A 7-year-old boy who is about to have an intravenous line inserted cries out that he is afraid of IVs. What is the nurse's most therapeutic response? "Tell me what frightens you." "It's just a little prick in the arm." "You're a big boy; this will hardly hurt." "Come on—there's no reason to be afraid." A 5-year-old child is admitted to the pediatric unit complaining of colicky abdominal pain with guarding, nausea, anorexia, and a low-grade fever. Palpation of the right lower quadrant of the abdomen elicits pain. What is the most likely diagnosis the nurse should expect when planning care for this child? Ulcerative colitis Acute appendicitis Hirschsprung disease Hookworm infestation The nurse is caring for a school-aged child with cystic fibrosis. Which pathophysiologic factor has the greatest impact on the child's health status and is of priority in the care plan? Extremely thick mucus causes obstructed airways. There is acute inflammation of the lung parenchyma. Endocrine glands secrete increased levels of hormones. Increased irritability of the airways results in obstruction. A 6-year-old child who was rescued from a burning building is admitted to the burn unit with a diagnosis of smoke inhalation. For which priority complication should the nurse assess the child? Systemic infection Tracheobronchial edema Posttraumatic stress disorder Generalized adaptation to stress A mother with newly diagnosed ovarian cancer knows that she must tell her 8-year-old child about the diagnosis and how her upcoming treatment will affect their family life. She asks the nurse how she should answer if her child asks, "Are you going to die?" What should the nurse advise the mother to answer? "No, but why do you ask that?" "I might, but can we talk about this later?" "Everyone dies, but I'll be around for a long time." "I don't know, but I'm going to try very hard to stay alive." A nurse teaches the mother of a child with a pinworm infestation how pinworms are transmitted. Which statement indicates that the teaching has been effective? "I need to make sure the cat stays off her bed at night." "I'll have to reinforce her hand washing habits, especially before she handles food." "I need to be sure to disinfect the toilet seat after she has a bowel movement for the next few days." "I'll report to the school nurse that the school's dirty toilet seats caused my child to get pinworms." A 6-year-old child has a fractured arm and multiple old injuries. Child maltreatment is suspected. What parental characteristic supports this suspicion? Inquiring about the time of discharge Displaying signs of guilt about the injuries Expressing concern about the child's health Offering inconsistent stories about the injuries A nurse is caring for a 7-year-old child with severe burns who has extensive eschar formation on the arms. What is the prioritynursing intervention? Removing blisters Checking radial pulses Maintaining respiratory isolation Performing range-of-motion exercises Which nursing action should be included in the plan of care for a child with acute poststreptococcal glomerulonephritis? Encouraging fluids Monitoring for seizures Measuring abdominal girth Checking for pupillary reactions Obesity in children is an ever-worsening problem. What concept should a nurse consider when caring for school-aged children who are obese? Enjoyment of specific foods is inherited. There are familial influences on childhood eating habits. Childhood obesity is usually not a predictor of adult obesity. Children with obese parents are destined to become obese themselves. A school-aged child with cystic fibrosis has recurrent episodes of bronchitis, and the parents ask the nurse why this happens. What reason should the nurse include in the reply? Associated heart defects cause heart failure and respiratory depression. Neuromuscular irritability causes spasm and constriction of the bronchi. Tenacious secretions that obstruct the respiratory tract provide a favorable medium for growth of bacteria. The increased salt content in saliva irritates the mucous membranes, resulting in inflammation of the nasopharynx. The mother of a 5-year-old child recovering from varicella (chickenpox) calls the nurse in the pediatric clinic, asking how the child's itching can be relieved. What is the best response by the nurse? Have the child wear mittens. Rub an antibiotic ointment on the lesions. Use wet-to-dry saline dressings over the oozing vesicles. Pat the lesions while applying the prescribed calamine lotion. A child with a diagnosis of tuberculosis is admitted to the pediatric unit. Which location should the nurse select as the best placement for the child? Private room Isolation room Four-bed room Semiprivate room An 8-year-old child who is cognitively impaired and blind does not speak or respond to the nurse. What should the nurse do when entering the child's room? Blink the room's lights before starting care. Start care and explain actions as care is given. Nonverbally acknowledge the child before starting to give care. Say the child's name and touch the child's arm before starting care. A 9-year-old child who has had type 1 diabetes for several years is brought to the emergency department of a community hospital. The child is exhibiting deep, rapid respirations; flushed, dry cheeks; abdominal pain with nausea; and increased thirst. What blood pH and glucose level does the nurse expect the laboratory tests to reveal? 7.20 and 60 mg/dL (3.3 mmol/L) 7.50 and 60 mg/dL (3.3 mmol/L) 7.50 and 460 mg/dL (25.5 mmol/L) 7.20 and 460 mg/dL (25.5 mmol/L) A school nurse is teaching a group of parents about pediculosis capitis (head lice). What common secondary infection does the nurse teach the parents to identify? Eczema Impetigo Cellulitis Folliculitis A nurse is planning to provide preoperative teaching to a 12-year-old child who is to undergo ostomy surgery. What should the nurse do before formulating a teaching plan? Assess the child's developmental level. Determine the family's comprehension of the procedure. Provide a list of available community resources to the family. Collaborate with the school in ensuring the child's smooth return. A school-aged child is brought to the emergency department with partial- and full-thickness burns of the lower extremities. The practitioner writes multiple prescriptions. What is the nurse's priority intervention? Administering oxygen Inserting a urinary catheter Giving prescribed pain medication Starting an intravenous line with a large-bore catheter A school-aged child is admitted to the hospital with severe burns on the arms. Therapeutic escharotomy is planned. What is the priority nursing action at this time? Removing blisters Monitoring radial pulses Maintaining airborne precautions Performing passive range-of-motion exercises A 10-year-old child with recently diagnosed asthma is receiving information about the use of a peak expiratory flow meter (PEFM). The nurse knows that the child understands how to use the PEFM when she makes which statement? "I have to blow out as fast and hard into the machine as I can." "I can stand or sit to use the flow meter. I just can't lie down." "I have to take three readings and record the average on the flow sheet." "I'll use the meter whenever I can throughout the day—it doesn't really matter when." A 12-year-old boy with nephrotic syndrome is in remission for several months. One day the mother calls the clinic to report that for the past week her child's skin has a pale, muddy appearance; his appetite is poor; and he has been unusually tired after school. In light of the mother's description, what does the nurse suspect? Impending renal failure Excessive activity at school Development of a viral infection Nonadherence to the medication protocol A nurse is teaching parents about growth and development in preadolescent girls, and a mother asks at what age her daughter will have her first period. What is the most accurate response by the nurse? Before the pubic hair appears At the end of the growth spurt Near the age when their mothers did Around the time when the breasts develop What toy should a nurse offer two 6-year-old children in the playroom? Clay Checkers Board game Building set A 9-year-old child with type 1 diabetes is hospitalized for insulin dosage regulation. A nurse observes the child sneaking food and trying to talk family members into bringing candy. What action should the nurse take when the child complains of feeling hypoglycemic? Test the urine for ketones. Obtain a blood glucose level. Offer orange juice with sugar. Determine when the child ate last. nurse is caring for a school-aged child with AIDS. Which action is the nurse's priority of care? Maintaining optimal hydration Protecting the child from infection Promoting growth and development Ensuring adequate and balanced nutrition A 6-year-old child with acute spasmodic bronchitis who is receiving humidified air removes the mask, and while bathing the child the nurse notes increasing respiratory distress. What is the most appropriate nursing intervention? Stopping the bath and replacing the mask Performing postural drainage and clapping the chest Placing the child in the orthopneic position and calling the practitioner Suctioning the child's nasal passages and waiting for the dyspnea to subside The parent of a 9-year-old child who has undergone tonsillectomy is receiving discharge instructions. Which statement indicates to the nurse that the parent needs further teaching? "I won't let her use a straw to drink." "Cherry milkshakes will ease the pain." "I shouldn't let her gargle for at least 10 days." "She'll be able to play with friends in 1 week." A 6-year-old child is admitted to the pediatric unit with a tentative diagnosis of leukemia. What information is mostimportant for the nurse to obtain during the assessment? Parents' knowledge concerning the diagnosis Parents' ability to cope with stressful situations Child's experience with illness and hospitalization Child's growth percentile and developmental abilities A child with recently diagnosed idiopathic scoliosis has a mild structural curve. The child's mother asks whether the problem can be corrected with exercise. What should the nurse tell the mother concerning an exercise program? Exercise is used in conjunction with a brace. Exercise can be used if the child appears highly motivated. Exercise might exaggerate the curvature if the curve is severe. Exercise is needed to correct the curvature without the need for a brace. A child is brought to the emergency department after sustaining a blow to the head while playing football after school. The nurse performs a neurologic assessment to determine whether the child has an acute head injury. What should the nurse assess first? Ocular signs Muscle strength Level of consciousness Injuries to the scalp area Medication is prescribed for a 7-year-old child with attention deficit–hyperactivity disorder (ADHD). What information should the school nurse emphasize when discussing this child's treatment with the parents? Tutoring their child in the subjects that are troublesome Monitoring the effects of the drug on their child's behavior Explaining to their child that the behavior can be controlled if desired Avoiding imposing too many rules because these will frustrate the child The school nurse is assessing a 10-year-old boy with hemophilia who has fallen while playing in the schoolyard. At which site does the nurse expect to find internal bleeding? Joints Abdomen Cerebrum Epiphyses An 8-year-old child undergoes tonsillectomy. What is the priority action in the immediate postoperative period? Assisting with coughing and deep breathing Encouraging frequent intake of cool liquids Ensuring airway patency by placing the child in a side-lying position Promoting consciousness by encouraging caregivers to interact with the child A child is admitted to the pediatric intensive care unit after an accident at school. The mother, at the child's bedside, is visibly upset. What is the most therapeutic statement the nurse can make? "You must be full of emotions right now." "Let me give you a referral for social services." "Your child will get excellent care at this hospital." "It's a shame that your child has become ill so suddenly." A school nurse is teaching a group of parents about the early signs of rubeola (measles). What sign related to rubeola should alert the parents to seek medical help? Macular rashes Scaly skin patches Bald patches on the scalp Generalized vesicular skin lesions A nurse is preparing to discharge a school-aged child who has undergone splenectomy for βthalassemia (Cooley anemia). What information should the discharge teaching include? The child should avoid participation in contact sports. The hematologic problems have been cured by the splenectomy. A high fever should be reported to the child's healthcare provider. Blood transfusions will be needed more frequently than before the splenectomy. The parent of a 7-year-old child wants to improve the child's performance on schoolwork. What advice should the school nurse provide? "Praise your child's accomplishments." "Compare your child's work to that of more successful children." "Allow your child to play more and don't focus too much on academics." "Complete some of the harder tasks until your child gains comprehension." home health nurse teaches a father how to provide oral care for his 8-year-old child who is undergoing chemotherapy. The nurse observes a return demonstration and determines that he needs further teaching when he tries to use which dental hygiene product? A cotton swab Mild toothpaste Saline mouthwash An electric toothbrush An 8-year-old child is being discharged after recovery from a sickle cell vaso-occlusive (painful crisis) episode. The nurse teaches the parents the do's and don'ts of the child's care. What statement by the parents satisfies the nurse that they understand the principles of care? Have the child schooled by a private tutor Restrict the child's fluid intake during the night Permit the child to play with just one peer at a time Encourage the child to engage in low-intensity activities A child with meningitis suddenly assumes an opisthotonic position. In what position should the nurse position the child? Side-lying Knee-chest High-Fowler Trendelenburg A 10-year-old child has been working on earning all of the scouting badges. Which of Erikson's stages of psychosocial development is this child achieving? Identity Industry Intimacy Initiative A nurse is teaching the parents of a child with juvenile idiopathic arthritis how to prevent loss of joint function. Which activities should be encouraged? Select all that apply. Riding a bicycle Walking to school Watching videos after school Swimming in the community pool Playing computer games after school A nurse is teaching the parents of an 8-year-old child with recently diagnosed type 1 diabetes about their child's care. What significant complication associated with type 1 diabetes should the nurse include in the teaching plan? Obesity Ketoacidosis Resistance to treatment Hypersensitivity to other drugs The day after undergoing abdominal appendectomy a school-aged child is prepared for ambulation. Which nursing action would be most effective before the start of ambulation? Providing a rest period Offering a reward for walking Encouraging use of the spirometer Administering the prescribed pain medication One principle to be followed for children with type 1 diabetes is to provide for the variability of the child's activity. What should the nurse teach the child about how to compensate for increased physical activity? Eat more food when planning to exercise more than usual. Take insulin in the morning when extra exercise is anticipated. Eat foods that contain sugar to compensate for the extra exercise. Take an oral hypoglycemic, not injectable insulin, on days of heavy exercise. The nurse is caring for a child with spasmodic croup. The nurse knows that which symptom requires immediate nursing intervention? Irritability Hoarseness Barking cough Rapid respiration A 5-year-old child is returned to the pediatric intensive care unit after cardiac surgery. The child has a left chest tube attached to water-seal drainage, an intravenous line running of D5 ½ NS at 4 mL/hr, and a double-lumen nasogastric tube connected to continuous suction. A cardiac monitor is in place, as is a dressing on the left side of the chest dressing. What is the priority nursing intervention? Auscultating breath sounds Testing the level of consciousness Measuring drainage from both tubes Determining the suction pressure of the nasogastric tube A child has been admitted to the pediatric unit with a severe asthma attack. What type of acidbase imbalance should the nurse expect the child to develop? Metabolic alkalosis caused by excessive production of acid metabolites Respiratory alkalosis caused by accelerated respirations and loss of carbon dioxide Respiratory acidosis caused by impaired respirations and increased formation of carbonic acid Metabolic acidosis caused by the kidneys' inability to compensate for increased carbonic acid formation A nurse is teaching a class on immunizations to members of a grammar school's Parent-Teacher Association. Which childhood disease does the nurse describe as a viral disease that starts with malaise and a highly pruritic rash that begins on the abdomen and spreads to the face and proximal extremities and can result in grave complications? Rubella Rubeola Chickenpox Scarlet fever A nurse in the pediatric clinic is reviewing the health history of a 6-year-old child with celiac disease who has been on the dietary regimen for 6 months. What evaluation criterion does the nurse use to assess the child's adherence to the diet? Formed bowel movements Ability to handle stressful situations Understanding of the disease process Knowledge of foods allowed on the diet An 11-year-old boy who has stepped on a rusty nail is given tetanus immune globulin in the emergency department. The nurse knows that the immune globulin injection will confer what type of immunity? Longer-lasting active immunity Temporary passive acquired immunity Passive immunity throughout the child's life Active natural immunity throughout the child's life A nurse is caring for a 10-year-old boy who sustained a fractured cervical vertebra while playing football. When he is placed in cervical traction, what does the nurse teach him that the traction will achieve? Hyperextend the neck to maintain an open airway Flex the head to prevent stretching of the neck muscles Immobilize the area to minimize injury to the spinal cord Align the body to allow for cerebrospinal fluid to encircle the spinal cord A woman and her children, who have not received immunizations for childhood diseases, immigrate to the United States (Canada). Before being immunized, one of the school-aged children contracts varicella (chickenpox). What does the nurse teach the mother about varicella? Communicable until all vesicles are dry Still communicable even when dry scabs remain No longer communicable after the fever has subsided Not communicable while vesicles are surrounded by red areolas A nurse who works in a fertility clinic is discussing the inheritance pattern of sickle cell disease with the parents of a school-aged child with the disease. The parents are planning to have a second child. What does the nurse know is the parental genotypic makeup? Father heterozygous (sickle trait), mother heterozygous (sickle trait) Mother homozygous (no sickle trait), father heterozygous (sickle trait) Father homozygous (no sickle trait), mother heterozygous (sickle trait) Mother homozygous (has sickle cell disease), father is homozygous (no sickle trait) A 10-year-old child who has sustained a head injury is brought to the emergency department by his parents, and a diagnosis of a mild concussion is made. What instructions should the nurse include at the time of discharge? Withhold food and fluids for 24 hours. Encourage outdoor play and visits with friends. Arrange for a follow-up visit with the primary healthcare provider. Check for changes in responsiveness every 2 hours for 2 days. A nurse is caring for several school-aged children on the pediatric unit who are on prolonged bed rest and eating regular diets. Which breakfast should the nurse recommend to the children? Oatmeal with raisins and milk Pancakes with sausage and syrup Scrambled eggs with home fries and toast French toast with bacon and cinnamon sugar A school-aged child with acute glomerulonephritis has fluid intake restricted to the previous day's output plus 40 mL. The child's output over the past 24 hours was 140 mL. From 3:00 PM to 11:00 PM the child is to receive one-third of the total daily fluid permitted. How much fluid should the nurse provide for the evening intake? 60 mL 70 mL 80 mL 90 mL A 10-year-old child is diagnosed with lymphocytic thyroiditis (Hashimoto disease) and develops a goiter. What will the nurse explain to the parents and child about this condition? The goiter is chronic. Treatment is difficult. It is an inherited disorder. The child may need thyroid replacement. An 8-year-old child with a supracondylar fracture of the right humerus is being prepared for surgery. What clinical finding related to the fracture should the nurse report immediately? Bruise near the right elbow Restlessness and apprehension Weak radial pulse in the right wrist Pain at the affected elbow and along the humerus A 7-year-old child with juvenile idiopathic arthritis (JIA) complains of knee pain. What does the nurse expect to be prescribed to help relieve this discomfort? Application of moist heat Massage of the swollen areas Use of pillows under the knees Immobilization of the affected legs A 9-year-old boy is told that he must stay in the hospital for at least 2 weeks. The nurse finds him crying and unwilling to talk. What is the priority nursing care at this time? Assuring him that his illness is not permanent Distracting him to prevent further embarrassment Arranging for him to receive tutoring immediately Providing privacy to allow him to express his feelings A 6-year-old child who just completed a cycle of chemotherapy is to be discharged home. What is the priority teaching point at discharge? Purchasing a wig Ensuring adequate rest Offering sufficient fluids Performing thorough hand washing A 5-year-old child with a ventricular septal defect (VSD) is scheduled for cardiac catheterization. The parents ask the nurse why this test is being done. While formulating a reply, what does the nurse recall is the function of the test? Identifies the specific location of the defect Confirms the presence of a pansystolic murmur Reveals the degree of cardiomegaly that is present Establishes the presence of ventricular hypertrophy A nurse must restart a peripheral intravenous infusion on a hospitalized 5-year-old child. What should the nurse do to promote the child's sense of security? Inform the child that it will feel like a bee sting. Ask the child if the parents should leave the room. Take the child to the treatment room for the procedure. Tell the child that it is important to have a new IV started. A home health nurse is caring for school-aged children in a family that is economically deprived. Which characteristic is most common to those living in poverty? Open expression of anger Long-term feeling of powerlessness Willingness to postpone gratification Compliance with health recommendations What is the most appropriate lunch for the nurse to offer a child who is on a restricted-sodium diet? Hamburger on a bun, grapes, lemonade Macaroni and cheese, fresh pears, tomato juice Chicken nuggets, canned baked beans, apple juice Bacon-and-tomato sandwich, chicken noodle soup, low-sodium milk A 9-year-old child has been found to have Legg-Calvé-Perthes disease and is on bed rest. Why does the nurse encourage the parents to look for something creative for the child to do or a hobby for the child to begin? Relieving pain Stimulating the mind Encouraging the use of functional joints Meeting the developmental task of industry A nurse is caring for a school-aged child with Reye syndrome. For what complication should the nurse be particularly alert? Bladder distention and overflow Macular rash on the face and trunk Bleeding and ecchymoses from liver involvement Systemic and periorbital edema from renal shutdown An 8-year-old child with cerebral palsy is admitted to the hospital for a tendon-lengthening procedure. After the surgery the parents ask a nurse why their child must wear braces and shoes for at least 12 hours a day, even while in bed. What is the best response by the nurse? "Ambulation should be encouraged as soon as possible." "They maintain body alignment and help prevent foot drop." "They stretch your child's ligaments and strengthen muscle tone." "It helps your child accept the physical constraints of the condition." nurse is planning to teach a school-aged child with newly diagnosed type 1 diabetes about selfcare. After an assessment of what the child knows about diabetes, what is the next nursing intervention? Teaching the child how to perform blood glucose testing Developing a sequence of goals with the child and parents Instructing the child in how to administer insulin injections Establishing a trusting relationship with the child and parents A nurse in the pediatric clinic plans to administer a booster immunization for polio to a child. Which vaccine should the nurse administer? Hib IPV OPV DTaP