Contraindication to the pertussis immunization: known neurologic or seizure disorder
3-year-old who is postoperative following revision of a malfunctioning ventriculo peritoneal shunt: Use the FACES scale to rate
the pain
3-month-old infant admitted with suspected non-organic failure to thrive (FTT), which is true: Disruption in the parent-child
bond
18-month-old toddler who has been admitted for lead poisoning, collect urine specific gravity: Applying a pediatric urine
collector
8-year-old child’s psychosocial development, which finding should the nurse recognize as requiring further evaluation: The child
complains everyday about going to school
6-month-old infant in the well child clinic, which would indicate the infant needs further evaluation: Legs stay crossed at the
knees
A nurse is caring for a child who is dying. The child’s 4-year-old sibling is visiting, which of the following statements indicates a 4-
year-old’s perception of death? Select all: Death is the same as going to sleep, death is causes by magical thinking, death is the
result of a wish, death is a punishment
8-month-old infant and parent playing peek a boo: Object permanence
A nurse is providing education for a group of parents. A parent is concerned about the development of the 4-year-old child’s fine
motor skills. Which of the following should the nurse explain to be an expected skill for this age group: Copying a square and a
circle
Hospitalized 3-year-old child who the parents report is toilet trained. Since admission to the hospital, the child has experienced
bed wetting. Which of the following is an appropriate response by the nurse? Get you cleaned up so you can go to the playroom
A nurse is administering the MMR vaccine to a child. Which of the following statements by the parent indicates an
understanding of the vaccine: I can give my child Tylenol for discomfort associated with the vaccination
The nurse is taking a history during a routine physical examination. Which of the following would be appropriate to tell the
parent: Establish a set bedtime and follow a nightly routine
The nurse is caring for an infant who is crying. The nurse plans to administer a liquid medication. Which of the following
administration methods should the nurse use: place a needleless syringe in the buccal cavity
A nurse is performing a physical assessment on a 6-month-old. Which of the following reflexes should the nurse expect to find at
this age: Babinski
A nurse is caring for a 4-year-old child who has been admitted to the hospital. Which of the following would be the appropriate
toy for the 4-year-old child: plastic stethoscope?
A nurse is caring for a toddler who is scheduled for surgery. The parent asks the nurse for suggestions on how to prepare her
child for the upcoming surgery. Which of the following would be an appropriate statement by the nurse to the parent: You could
read books to your child about being hospitalized
A nurse is caring for a 2-year-old child with cystic fibrosis. The nurse is planning to take the child to the playroom. Which of the
following activities would be the most appropriate for the child: Building block towers
A nurse is caring for a 2-year-old child who was found by his parents crying and holding a container of toilet bowl cleaner. The
client’s lips are peeled and oozing, and he is drooling. Which of the following should be the nurse’s highest priority: Monitoring
the respiratory status of the child?
A nurse is teaching a new parent about infant nutrition. The nurse should realize teaching has been effective about food
allergens when the parent indicates which of the following food choices as a common allergen in infants: Cow’s milk
A nurse is educating a teenage mother about the care of her newborn. When giving safety information, which of the following
information should the nurse provide to the mother: select all: Move glass objects to a higher self, put a safety gate at the top of
the stairs, keep small objects out of reach
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