Practice
A nurse is assisting the provider with a developmental assessment of a toddler. Which
of the following behaviors should the nurse recognize as an expected finding? - Answer
Stands on one foot for several seconds.
A nurse is contributing to the plan of care for a child who has sickle cell anemia and is
experiencing a vast-occlusive crisis. Which of the following is the priority intervention for
the nurse to recommend to include in the plan? - Answer Promote oxygen utilization.
A nurse is reinforcing teaching about home safety with the parent of a toddler. Which of
the following parent statements indicates an understanding of the teaching? - Answer "I
will place a screen in front of the fireplace."
A nurse is reinforcing teaching regarding immunization schedule of a newborn. Which of
the following statements made by the parent should the nurse recognize as an
understanding of the newborn's immunization schedule? - Answer "My baby will receive
his next immunization when he is 2 months old."
A nurse is preparing to administer the measles, mumps, and rubella (MMR) vaccine to a
preschooler. The nurse should recognize which of the following statements by the
parent as a contraindication to receive the immunization? - Answer "My child received
an immunoglobulin last month."
A nurse is reinforcing teaching with the parents of a child who has cystic fibrosis and is
taking pancrelipase as an enzyme replacement. The nurse should plan to inform the
child's parents that the therapeutic effects of this medication of this medication can be
evaluated by which of the following? - Answer Amount and consistency of stools.
A nurse is reinforcing teaching with the parent of a child who has hemophilia and is
experiencing acute hemarthrosis. Which of the following instructions should the nurse
include in the training? - Answer Keep the affected joints immobilized.
A nurse has just received change-of-shift report for four children in a pediatric unit.
Which of the following children should the nurse collect data from first? - Answer A child
who has a fever and nuchal rigidity
A nurse is assisting with scoliosis screenings for a group of school-age children. The
nurse should place the students in which of the following positions during the
screening? - Answer Bending forward with back parallel to the floor
A nurse is a pediatric clinic is observing for an anaphylactic reaction after administering
an IM antibiotic to a child 5 min ago. Which of the following manifestations should the
nurse expect to observe first? - Answer Hives
, PN Nursing Care of Children Online
Practice
A nurse is monitoring a preschooler following an abdominal CT scan with contrast dye.
The nurse should identify which of the following as an indication that the preschooler
experienced an allergic reaction to the contrast dye? - Answer Urticaria
A nurse is reinforcing teaching with the parents of a 7 year old female child about
behavioral expectations. Which of the following behaviors should the nurse include in
the teaching? - Answer Spends a lot of time by herself
A nurse is assisting with the care of an infant who has spina bifida and recently has a
ventriculoperitoneal shunt placed for hydrocephalus. Which of the following findings
should the nurse identify as an indication of increased intracranial pressure? - Answer
High pitched cry
A nurse is collecting data from a child who has iron deficiency anemia. Which of the
following data signifies that adherence to ferrous sulfate therapy has occurred? -
Answer Green, tarry stools
A nurse is collecting data from a 12 month old infant during a well child visit. The nurse
should identify which of the following findings as a deviation from expected growth and
development? - Answer Birth weight doubled
A nurse is collecting data about the dietary habits of an adolescent client. The nurse
should identify that which of the following findings puts the client at risk for nutritional
deficits? - Answer The client skips eating dinner for track practice three times per week.
A nurse is reinforcing teaching about injury prevention with the guardian of an infant.
Which of the following statements by the guardian indicates an understating of the
teaching? - Answer "I should make sure my baby's clothing does not have buttons on
it."
A nurse is collecting data from a 12 month old infant during a well-child visit. Which of
the following findings should the nurse report to the provider? - Answer BP 115/70
A nurse is reinforcing dietary teaching with the guardian of a school-age child who has
celiac disease. Which of the following food should the nurse recommend including in the
child's diet? - Answer White rice
A nurse is reinforcing teaching about glucose monitoring with the parent of a child who
has type 1 diabetes mellitus. Which of the following instructions should the nurse
include in the teaching? - Answer "Put your child's finger under warm, running water
prior to collecting blood."
A nurse is reinforcing teaching with the family of a preschooler whose parent has a
terminal diagnosis. which of the following statements should the nurse include when