Care of Children 2019 B
A nurse is planning care for a newly admitted schole-age child who has generalized seizure disorder.
Which of the following interventions should the nurse plan to include? ans: Ensure the oxygen source is
functioning in the childs room
A nurse is providing dietary teaching to the guardian of a school-age child who has cystic fibrosis. Which
of the following statements should the nurse make? ans: "You should offer your child high-protein meals
and snacks throughout the day."; well-balanced and high in protein and calories. Children who have
cystic fibrosis require a higher percentage of the recommended dietary allowances of all nutrients to
meet their energy requirements.
A nurse is providing discharge teaching to the parents of a 6-month-old infant who is postoperative
following hypospadias repair with a stent placement. Which of the following instructions should the
nurse include in the teaching? ans: "Allow the stent to drain into your infants diaper."
A nurse is caring for a school-age child who has primary nephrotic syndrome and is taking prednisone.
Following 1 week of treatment, which of the following manifestations indicates to the nurse that the
medication is effective? ans: Decreased edema; experience edema due to the increased glomerular
permeability, which increases protein loss. Prednisone decreases glomerular permeability, which causes
fluid to shift from the extracellular spaces, resulting in decreased edema.
A nurse is receiving change-of-shift report for four children. Which of the following children should the
nurse assess first? ans: A toddler who has a concussion and an episode of forceful vomiting.; indication
of increased intracranial pressure in a toddler who has a concussion.
A nurse is providing discharge teaching to the guardians of a toddler who had lower leg cast applied 24
hr ago. The nurse should instruct the guardians to report which of the following finding to the provider?
ans: Restricted ability to move the toes.; restricted ability of the toddler to move their toes is an
indication of neurovascular compromise and requires immediate notification of the provider. Permanent
muscle and tissue damage can occur in just a few hours.
A nurse in an emergency department is auscultating the lungs of an adolescent who is experiencing
dyspnea. The nurse should identify the sound as which of the following? ans: Wheezes
A nurse is caring for a preschooler who has congestive heart failure. The nurse observes wide QRS
complexes and peaked T waves on the cardiac monitor. Which of the following prescriptions should the
nurse clarify with the provider? ans: Potassium Chloride
A nurse is planning an educational program for school-age children and their parents about bicycle
safety. Which of the following information should the nurse plan to include? ans: The child should be
able to stand on the balls of their feet when sitting on the bike.; To decrease the risk for injury, parents
should ensure that the bike is the correct size for the child
A nurse is monitoring the oxygen saturation level of an infant using pulse oximetry. The nurse should
secure the sensor to which of the following areas on the infant? ans: Great Toe
, A nurse is an emergency department is caring for a school-age child who has epiglottitis. Which of the
following actions should the nurse take? ans: Monitor the childs oxygen saturation
A nurse in an emergency department is caring for a school-age child who has sustained a minor
superficial burn from fireworks on their forearm. Which of the following actions should the nurse take?
ans: Apply an antimicrobial ointment to the affected area.
A nurse in a providers office is caring for a school-age child who has varicella. The parents asks the nurse
when their child will no longer be contagious. Which of the following responses should the nurse make?
ans: "When your childs lesions are crusted, usually 6 days after they appear."; the child is contagious 1
day prior to lesion eruption and until the vesicles have crusted over, which usually takes about 6 days.
A nurse is providing discharge teaching to the parent of a school-age child who has moderate persistant
asthma. Which of the following instructions should the nurse include? ans: "Pulmonary function tests
will be performed every 12 to 24 months to evaluate how your child is responding to therapy."
A nurse is admitting an infant who has intussusception. Which of the following findings should the nurse
expect? (Select all that apply.) ans: Vomiting; due to the obstruction that occurs when a segment of the
bowel telescopes within another segment of the bowel.
Lethargy; due to episodes of severe pain during which the infant cries inconsolably, leading to
exhaustion and decreased nutritional intake.
A nurse is reviewing the laboratory results of a school-age child who is 1 week postoperative following
an open fracture repair. Which of the following findings should the nurse identify as an indication of a
potential complication? ans: Erythrocyte sedimentation rate 18 mm/hr; bove the expected reference
range of up to 10 mm/hr and is an indication of osteomyelitis.
WBC Count Normal: 5,000 to 10,000/mm3
C-Reactive Protein Normal: Less than 10.0 mg/L
RBC Count Normal: 4.0 to 5.5 million/mm3
A nurse is providing discharge teaching to the parents of a 3-month old infant following a cheiloplasty.
Which of the following instructions should the nurse include? ans: "Apply a thin layer of antibiotic
ointment on the your babys suture line daily for the next 3 days."
A nurse is discussion organ donation with the parents of a school-age child who has sustained brain
death due to a bicycle crash. Which of the following actions should the nurse take first? ans: Explore the
parents feelings and wishes regarding organ donation.
A nurse is caring for a 1-month-old infant who is breastfeeding and requires a heel stick. Which of the
following actions should the nurse take to minimize the infants pain? ans: Allow the mother to
breastfeed while the sample is being obtained.
A nurse is assessing an adolescent who received a sodium polystyrene sulfonate enema. Which of the
following findings indicates effectiveness of the medication? ans: Serum potassium level 4.1 mEq/L; The
nurse should monitor the adolescent's serum potassium level following the administration of sodium
polystyrene sulfonate. This medication is used to treat hyperkalemia by exchanging sodium ions for
A nurse is planning care for a newly admitted schole-age child who has generalized seizure disorder.
Which of the following interventions should the nurse plan to include? ans: Ensure the oxygen source is
functioning in the childs room
A nurse is providing dietary teaching to the guardian of a school-age child who has cystic fibrosis. Which
of the following statements should the nurse make? ans: "You should offer your child high-protein meals
and snacks throughout the day."; well-balanced and high in protein and calories. Children who have
cystic fibrosis require a higher percentage of the recommended dietary allowances of all nutrients to
meet their energy requirements.
A nurse is providing discharge teaching to the parents of a 6-month-old infant who is postoperative
following hypospadias repair with a stent placement. Which of the following instructions should the
nurse include in the teaching? ans: "Allow the stent to drain into your infants diaper."
A nurse is caring for a school-age child who has primary nephrotic syndrome and is taking prednisone.
Following 1 week of treatment, which of the following manifestations indicates to the nurse that the
medication is effective? ans: Decreased edema; experience edema due to the increased glomerular
permeability, which increases protein loss. Prednisone decreases glomerular permeability, which causes
fluid to shift from the extracellular spaces, resulting in decreased edema.
A nurse is receiving change-of-shift report for four children. Which of the following children should the
nurse assess first? ans: A toddler who has a concussion and an episode of forceful vomiting.; indication
of increased intracranial pressure in a toddler who has a concussion.
A nurse is providing discharge teaching to the guardians of a toddler who had lower leg cast applied 24
hr ago. The nurse should instruct the guardians to report which of the following finding to the provider?
ans: Restricted ability to move the toes.; restricted ability of the toddler to move their toes is an
indication of neurovascular compromise and requires immediate notification of the provider. Permanent
muscle and tissue damage can occur in just a few hours.
A nurse in an emergency department is auscultating the lungs of an adolescent who is experiencing
dyspnea. The nurse should identify the sound as which of the following? ans: Wheezes
A nurse is caring for a preschooler who has congestive heart failure. The nurse observes wide QRS
complexes and peaked T waves on the cardiac monitor. Which of the following prescriptions should the
nurse clarify with the provider? ans: Potassium Chloride
A nurse is planning an educational program for school-age children and their parents about bicycle
safety. Which of the following information should the nurse plan to include? ans: The child should be
able to stand on the balls of their feet when sitting on the bike.; To decrease the risk for injury, parents
should ensure that the bike is the correct size for the child
A nurse is monitoring the oxygen saturation level of an infant using pulse oximetry. The nurse should
secure the sensor to which of the following areas on the infant? ans: Great Toe
, A nurse is an emergency department is caring for a school-age child who has epiglottitis. Which of the
following actions should the nurse take? ans: Monitor the childs oxygen saturation
A nurse in an emergency department is caring for a school-age child who has sustained a minor
superficial burn from fireworks on their forearm. Which of the following actions should the nurse take?
ans: Apply an antimicrobial ointment to the affected area.
A nurse in a providers office is caring for a school-age child who has varicella. The parents asks the nurse
when their child will no longer be contagious. Which of the following responses should the nurse make?
ans: "When your childs lesions are crusted, usually 6 days after they appear."; the child is contagious 1
day prior to lesion eruption and until the vesicles have crusted over, which usually takes about 6 days.
A nurse is providing discharge teaching to the parent of a school-age child who has moderate persistant
asthma. Which of the following instructions should the nurse include? ans: "Pulmonary function tests
will be performed every 12 to 24 months to evaluate how your child is responding to therapy."
A nurse is admitting an infant who has intussusception. Which of the following findings should the nurse
expect? (Select all that apply.) ans: Vomiting; due to the obstruction that occurs when a segment of the
bowel telescopes within another segment of the bowel.
Lethargy; due to episodes of severe pain during which the infant cries inconsolably, leading to
exhaustion and decreased nutritional intake.
A nurse is reviewing the laboratory results of a school-age child who is 1 week postoperative following
an open fracture repair. Which of the following findings should the nurse identify as an indication of a
potential complication? ans: Erythrocyte sedimentation rate 18 mm/hr; bove the expected reference
range of up to 10 mm/hr and is an indication of osteomyelitis.
WBC Count Normal: 5,000 to 10,000/mm3
C-Reactive Protein Normal: Less than 10.0 mg/L
RBC Count Normal: 4.0 to 5.5 million/mm3
A nurse is providing discharge teaching to the parents of a 3-month old infant following a cheiloplasty.
Which of the following instructions should the nurse include? ans: "Apply a thin layer of antibiotic
ointment on the your babys suture line daily for the next 3 days."
A nurse is discussion organ donation with the parents of a school-age child who has sustained brain
death due to a bicycle crash. Which of the following actions should the nurse take first? ans: Explore the
parents feelings and wishes regarding organ donation.
A nurse is caring for a 1-month-old infant who is breastfeeding and requires a heel stick. Which of the
following actions should the nurse take to minimize the infants pain? ans: Allow the mother to
breastfeed while the sample is being obtained.
A nurse is assessing an adolescent who received a sodium polystyrene sulfonate enema. Which of the
following findings indicates effectiveness of the medication? ans: Serum potassium level 4.1 mEq/L; The
nurse should monitor the adolescent's serum potassium level following the administration of sodium
polystyrene sulfonate. This medication is used to treat hyperkalemia by exchanging sodium ions for
