A 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)
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)
