Nursing care of children final
A nurse is providing education to a parent whose child has had a colostomy. Which of the
following is an appropriate method to determine understanding of the teaching?
- Observe the parents while they perform the procedure.
A nurse is educating the parent of a 9-month-old infant who has recently been diagnosed with
cerebral palsy. Which of the following statements by the parent should indicate to the nurse that
teaching has been effective?
- "I am hopeful that the early schooling will increase my child's ability for self-care."
A nurse is caring for a child who is in Buck's traction. Which of the following should the nurse
recognize as an appropriate intervention to prevent complications?
- Provide small meals with high fiber.
A nurse is providing diabetic teaching to a 12-year-old child who appears apprehensive during
the teaching. Which of the following actions should the nurse recognize as appropriate in this
situation?
- Teach the child to do her own fingersticks.
A nurse on the pediatric unit is caring for four clients who all have assessments ordered in the
morning. Which of the following values should the nurse report to a client's primary care
provider immediately?
- Sickle cell anemia and a urine specific gravity of 1.030
A nurse is caring for a 3 year old child who is scheduled for a nephrectomy. When preparing
preoperatively, which of the following actions should the nurse recognize as appropriate?
- Explain the procedure to the child in simple sentences just before administering the
preoperative sedation.
A nurse is caring for a child who is receiving chemotherapy with anorexia and nausea. Which of
the following interventions should the nurse recognize as the most appropriate for the child
experiencing these symptoms?
- Allow the client to eat whatever the client wants, at any time.
The parent of a toddler asks the nurse why the toddler's abdomen protrudes. Which of the
following statements would be an appropriate response by the nurse?
- "The muscles of the abdomen are weak, and therefore, the abdomen protrudes."
A nurse is caring for a child who will be receiving PE tubes in the morning. The nurse is teaching
the parents how to care for the tubes upon discharge. Which of the following statements should
indicate to the nurse that the teaching was understood?
- "I will keep water out of my child's ears."
A nurse is caring for a child who has cellulitis and a rectal temperature of 102.2° F (39° C). The
child has an order for acetaminophen (Tylenol) 280 mg by mouth. The label on the bottle reads
160 mg/5 mL. Which of the following is the correct dose the nurse should dispense to the child?
- 8.8 mL
Page 1 of 6
, A nurse is caring for a child who is a vegetarian and has sustained superficial partial-thickness
burns on her legs. Which of the following diet choices would be appropriate for this child?
- Peanut butter and jelly sandwich
A nurse is performing a yearly physical on an adolescent. The adolescent's parent asks about the
adolescent's developmental needs. Which of the following statements by the parent should the
nurse investigate further?
- "He spends several hours a day on the internet."
A nurse is caring for a child who has superficial partial-thickness burns over 50% of his body. In
planning for the nutritional needs of the child, which of the following should to nurse recognize
as an appropriate intervention?
- Perform dressing changes at least 1 hr before or after meals.
A nurse is caring for a child who has cystic fibrosis. Which of the following assessments should
the nurse recognize as a priority to report to the primary care provider?
- Inability to clear secretions
A nurse is preparing a 7 year old child for a tonsillectomy. Which of the following nursing
actions would be appropriate in this preparation?
- Schedule the child for a preoperative visit to the hospital.
A nurse is caring for a child who has tetralogy of Fallot preoperatively. Which of following
laboratory values should the nurse expect to find?
- Hematocrit of 58%
A school nurse is assisting a child who has been stung by a bee. The child's hand is swelling and
the nurse notes that the child has allergies to insect stings. Which of the following manifestations
should the nurse recognize with anaphylaxis? (Select all that apply.)
- Nausea is correct. A common gastrointestinal response to excessive histamine release
is nausea.
Hypertension is incorrect. Histamine is a potent vasodilator and the child will exhibit
hypotension.
Urticaria is correct. A common skin manifestation of excessive histamine release is hives
(urticaria).
Stridor is correct. A serious, life-threatening response to excessive histamine release is
airway narrowing, which presents as dyspnea and stridor.
A nurse is caring for a child who is undergoing a bone marrow aspiration. Which response by the
child should indicate to the nurse that the teaching has been effective?
- "I'll have to lie on my belly while it's done."
A nurse is preparing to administer an injection to a 2 month old infant. Which of the following is
an appropriate site for the nurse to give the injection?
- Vastus lateralis
Page 2 of 6
A nurse is providing education to a parent whose child has had a colostomy. Which of the
following is an appropriate method to determine understanding of the teaching?
- Observe the parents while they perform the procedure.
A nurse is educating the parent of a 9-month-old infant who has recently been diagnosed with
cerebral palsy. Which of the following statements by the parent should indicate to the nurse that
teaching has been effective?
- "I am hopeful that the early schooling will increase my child's ability for self-care."
A nurse is caring for a child who is in Buck's traction. Which of the following should the nurse
recognize as an appropriate intervention to prevent complications?
- Provide small meals with high fiber.
A nurse is providing diabetic teaching to a 12-year-old child who appears apprehensive during
the teaching. Which of the following actions should the nurse recognize as appropriate in this
situation?
- Teach the child to do her own fingersticks.
A nurse on the pediatric unit is caring for four clients who all have assessments ordered in the
morning. Which of the following values should the nurse report to a client's primary care
provider immediately?
- Sickle cell anemia and a urine specific gravity of 1.030
A nurse is caring for a 3 year old child who is scheduled for a nephrectomy. When preparing
preoperatively, which of the following actions should the nurse recognize as appropriate?
- Explain the procedure to the child in simple sentences just before administering the
preoperative sedation.
A nurse is caring for a child who is receiving chemotherapy with anorexia and nausea. Which of
the following interventions should the nurse recognize as the most appropriate for the child
experiencing these symptoms?
- Allow the client to eat whatever the client wants, at any time.
The parent of a toddler asks the nurse why the toddler's abdomen protrudes. Which of the
following statements would be an appropriate response by the nurse?
- "The muscles of the abdomen are weak, and therefore, the abdomen protrudes."
A nurse is caring for a child who will be receiving PE tubes in the morning. The nurse is teaching
the parents how to care for the tubes upon discharge. Which of the following statements should
indicate to the nurse that the teaching was understood?
- "I will keep water out of my child's ears."
A nurse is caring for a child who has cellulitis and a rectal temperature of 102.2° F (39° C). The
child has an order for acetaminophen (Tylenol) 280 mg by mouth. The label on the bottle reads
160 mg/5 mL. Which of the following is the correct dose the nurse should dispense to the child?
- 8.8 mL
Page 1 of 6
, A nurse is caring for a child who is a vegetarian and has sustained superficial partial-thickness
burns on her legs. Which of the following diet choices would be appropriate for this child?
- Peanut butter and jelly sandwich
A nurse is performing a yearly physical on an adolescent. The adolescent's parent asks about the
adolescent's developmental needs. Which of the following statements by the parent should the
nurse investigate further?
- "He spends several hours a day on the internet."
A nurse is caring for a child who has superficial partial-thickness burns over 50% of his body. In
planning for the nutritional needs of the child, which of the following should to nurse recognize
as an appropriate intervention?
- Perform dressing changes at least 1 hr before or after meals.
A nurse is caring for a child who has cystic fibrosis. Which of the following assessments should
the nurse recognize as a priority to report to the primary care provider?
- Inability to clear secretions
A nurse is preparing a 7 year old child for a tonsillectomy. Which of the following nursing
actions would be appropriate in this preparation?
- Schedule the child for a preoperative visit to the hospital.
A nurse is caring for a child who has tetralogy of Fallot preoperatively. Which of following
laboratory values should the nurse expect to find?
- Hematocrit of 58%
A school nurse is assisting a child who has been stung by a bee. The child's hand is swelling and
the nurse notes that the child has allergies to insect stings. Which of the following manifestations
should the nurse recognize with anaphylaxis? (Select all that apply.)
- Nausea is correct. A common gastrointestinal response to excessive histamine release
is nausea.
Hypertension is incorrect. Histamine is a potent vasodilator and the child will exhibit
hypotension.
Urticaria is correct. A common skin manifestation of excessive histamine release is hives
(urticaria).
Stridor is correct. A serious, life-threatening response to excessive histamine release is
airway narrowing, which presents as dyspnea and stridor.
A nurse is caring for a child who is undergoing a bone marrow aspiration. Which response by the
child should indicate to the nurse that the teaching has been effective?
- "I'll have to lie on my belly while it's done."
A nurse is preparing to administer an injection to a 2 month old infant. Which of the following is
an appropriate site for the nurse to give the injection?
- Vastus lateralis
Page 2 of 6
