How can nurses help prevent severe asthma They can educate parents and children on the
exacerbations? proper use of an albuterol inhaler
How can the effectiveness of an albuterol An increase in HR
inhaler be demonstrated?
How can a nurse help an infant experiencing By suctioning the nares. (admin. of albuterol
decreased oxygenation with bronchiolitis? is not effective)
What are common sings of cystic fibrosis? Large loose stools, and thick, grey mucous
What is a sign of respiratory distress in an Respirations greater than 30
infant?
How do infants breathe and what should the Infants are obligatory nose breathers and the
nurse do to help them breathe better? nurse should provide frequent nasal
suctioning
What is hirschsprung disease? A congential anomaly resulting in mechanical
obstruction from inadequate motility of part
of the intestine
For a child with hirschsprung disease, is the No, it is temporary until the colon returns to
use of an ostomy bag lifelong? its normal size
What are three things the parents of a child They are taught to assess the stoma, ensure
with an ostomy bag are taught to do? that the appliance is secure, and to keep a
one peice outift on to protect the bag
How should the nurse prepare for a child The nurse should place the NG tube, and
getting ready for surgery with pyloric monitor for decompression of the stomach.
stenosis? The nurse should also correct any electrolyte
or fluid imbalance.
Where would a child with appendicitis In the RLQ
experience pain?
When can a child who has undergone the When the child starts passing flatus
repair of a ruptured appendix eat again?
What is the priority intervention for the child Oral rehydration (If unsuccessful IV
with gastroenteritis? rehydration with lactated ringers, NS, or D5w
and potassium.)
How should the nurse approach an The nurse should give a detailed explanation
adolescent who needs a foley catheter? and offer the opportunity to assent.
What kind of questions should be avoided yes/no questions
when speaking to a toddler?
What is an effective disciplinary strategy for a Time outs
preschool child?
What kind of questions should be avoided yes/no questions
when speaking to a toddler?
What is a good general nutritional guide for 1 TB of solid food per year of age.
parents of a toddler?
What is an effective disciplinary strategy for a Time outs
,preschool child?
How much milk should a toddler have every No more than 16 oz.
day?
What is a good general nutritional guide for 1 TB of solid food per year of age.
parents of a toddler?
Are popcorn, nuts or raisins a good snack for No they are a choking hazard.
a toddler?
How much milk should a toddler have every No more than 16 oz.
day?
How should the child with a repaired cleft lip In an upright sitting position
be positioned after surgery?
Are popcorn, nuts or raisins a good snack for No they are a choking hazard.
a toddler?
What age group would enjoy puppets as a Toddlers
play activity?
How should the child with a repaired cleft lip In an upright sitting position
be positioned after surgery?
How should severe diaper dermatitis be Gently remove skin barrier ointments, refrain
treated? from using a blow dryer, and avoid the use of
disinfecting commercial wipes.
What age group would enjoy puppets as a Toddlers
play activity?
How is strabismus treated? With an eye patch over the
stronger/unaffected eye/
How should severe diaper dermatitis be Gently remove skin barrier ointments, refrain
treated? from using a blow dryer, and avoid the use of
disinfecting commercial wipes.
What kind of room would children with The would be placed in a negative ariflow
varicalle or TB be placed in? room
How is strabismus treated? With an eye patch over the
stronger/unaffected eye/
What kind of room would children with The would be placed in a negative ariflow
varicalle or TB be placed in? room
Erythema migrans is a manifestation of what Lyme disease
disease?
What is a common sign in an adolescent with Spleenomegaly. Contact sports for 4 weeks.
mono? And what should be avoided?
How would the nurse evaluate the By their ability to take 3 oz. of formula every
effectiveness of treatment in a child with 3 hours.
aids?
When should lead levels be reported and If the lead level is above 10mcg/dl
environmental modifications made?
How is ringworm treated? A topical ointment for 1–2 weeks.
,How is lice treated? Manual removal of nits and sealing porous
non–washable toys in a bag for 2 weeks.
What is the specific gravity in a child with 1.005 to 1.030.
renal failure?
Would an adolescent with asthma know the Yes
daily use of their medication?
What is a s&s of a child receiving a blood Distended neck veins
transfusion experiencing fluid overload?
What would the heart sound like in a child A loud hard murmur
with a ventricular septal defect?
What symptom will be present in a child with Fatigue
an Hct <35% and/or a Hgb <11.5?
When feeding an infant with a congenital Between every 1–2 oz. They should be fed
heart disease, how often should they rest? with a soft nipple with a large opening.
How many Iv lines should be inserted in the Two one for NS, potassium and insulin, and
child presenting to the ED with a blood sugar one for D10W
of 410?
What is a risk for the child receiving growth Cancer.
hormone injections for hypopituitarism.
What will prevent spinal headache in the Having the child lay flat
child who has just received a lumbar
puncture?
What reflexes will be absent in a 15 mo. old? Babinski, moro, and palmar grasp
What are signs of increased ICP in a child drowsiness and irritablitiy
with hydrocephalus and a VP shunt?
Should the nurse ever adjust skeletal traction NO
weights?
How should the child with harrington rods be They should be log–rolled
repositioned?
When does a child with harrington rods begin 3–4 days post op
to walk again?
What can a nurse do for a child who is dying? The nurse can encourage the child to talk
How should the nurse treat a child who is Stop the infusion, and admin. epinephrine IV
experiencing an allergic reaction to PCN? push
What is a common side effect of a low grade fever 24–48 hours after the
vaccinations? vaccination
What can a nurse do for a child who is dying? The nurse can encourage the child to talk
Why should the child with a viral illness not Due to the possibility of Reyes syndrome
receive aspirin?
How should the nurse treat a child who is Stop the infusion, and admin. epinephrine IV
experiencing an allergic reaction to PCN? push
What is a common sign of a child poor school performance
experiencing sexual abuse?
, What is a common side effect of a low grade fever 24–48 hours after the
vaccinations? vaccination
What will be elevated in a child experiencing Lipids
nephrotic syndrome?
Why should the child with a viral illness not Due to the possibility of Reyes syndrome
receive aspirin?
T/F:Absent tears are a good thing in an infant. False. This shows that their tear ducts are not
well developed
What is a common sign of a child poor school performance
experiencing sexual abuse?
How are Hepatitis B and C transmitted? They are transmitted through the blood
What will be elevated in a child experiencing Lipids
nephrotic syndrome?
What is a nursing intervention for a closed Elevate the HOB 30 degrees
head injury?
T/F:Absent tears are a good thing in an infant. False. This shows that their tear ducts are not
well developed
What should be implemented for the child Seizure precautions.
who is unconscious with a closed head
injury?
How are Hepatitis B and C transmitted? They are transmitted through the blood
What is a nursing intervention for a closed Elevate the HOB 30 degrees
head injury?
What should be implemented for the child Seizure precautions.
who is unconscious with a closed head
injury?
When are the MMR vaccines given The first is given at 15 mo. and the second is
given between 4–6 years.
Why should growth hormone injections be To mimic the physiologic release of the
given at bedtime? hormone
Poor personal hygiene in a preschooler is a neglect
common sign of. . .
Which way should an infants car seat face? It should face towards the back of the car
Common manifestations of DKA: kussmaul respirations (respirations with an
increased rate and depth), nausea, vomitting,
abd. pain, polyuria, polydipsia, flushed, dry
skin
What is the normal HbA1c level? What Normal 4–6%\nChilds should be about 7.5%
should a child's with DM be?
T/F HbA1c levels have to be taken after the False. HbA1c levels can be taken at any time
child has been NPO for 8 hours. and without regard to food.
Why should a child recovering from Because it will not give them electrolytes or
dehydration not drink plain water? nutrients they need