PN Nursing Care of Children Online Practice 2020 A
Questions and Answers (Verified Answers)
A nurse is reinforcing teaching about home safety with the parent of a toddler. Which of
the following parent statements indicated an understanding of the teaching?
"I will place a screen in front of the fireplace."
The nurse should instruct the parent to place a screen in front of a fireplace or other
heating appliances to prevent burns.
A nurse is reinforcing dietary teaching with the guardian of a school-age child who has
celiac disease. Which of the following foods should the nurse recommend including in
the child's diet?
White rice
(The nurse should reinforce to the guardian that celiac disease is a genetic autoimmune
disorder in which eating gluten, even in very small amounts, can damage the child's
small intestine. Currently, the only treatment for the disease is a lifelong, strict
adherence to a gluten-free diet. The nurse should stress the importance of avoiding
foods containing wheat, rye, barley, and oats. The child should consume foods that are
gluten-free, such as milk, cheese, rice, corn, eggs, potatoes, fruits, vegetables, fresh
poultry, meats, fish, and dried beans.)
A nurse in a clinic is collecting data from an adolescent who has received all
recommended immunizations through the age of 6 years. Which of the following
immunizations should the nurse paln to administer?
Tetanus, diptheria toxoids, and acellular pertussis (Tdap)
The Tdap vaccine is recommended between the ages of 11 and 12 years. Therefore,
this adolescent should receive the Tdap vaccine now.
A nurse is collecting data from a 6-month-old child who is experiencing a sickle cell
crisis. Which of the following areas should the nurse observe when monitoring for
manifestations of splenic sequestration?
Box B
(Anatomic position left side)
B is correct. The nurse should observe the location over the infant's spleen when
monitoring for manifestations of splenic sequestration. Splenic sequestration is an
enlargement of the spleen due to pooling of sickled cells in the blood.
A nurse is reviewing the medical record of a female adolescent client who has primary
amenorrhea. Which of the following findings should the nurse identify as a risk for this
disorder? (Select all)
Hypothyroidism is correct. The nurse should identify that hypothyroidism and other
endocrine disorders are risk factors for primary amenorrhea.
Cannabis use is correct. The nurse should identify that cannabis use is a risk factor for
primary amenorrhea.
, Oral contraceptive use is correct. The nurse should identify that oral contraceptive use
affects the estrogen and progesterone cycle and is a risk factor for primary amenorrhea.
Emotional stress is correct. The nurse should identify that emotional stress causes
hypothalamic suppression and is a risk factor for primary amenorrhea.
A nurse is assisting with the care of a child who has tonic-clonic seizures. Which of the
following actions should the nurse take?
Have a suction canister and tubing available in the room.
(The nurse should have a suction canister and tubing available in the child's room to
keep the child's airway patent during a seizure.)
A nurse in a pediatric clinic is observing for an anaphylactic reaction after administering
an IM antibiotic to a child 5 min ago. Which of the following manisfestations should the
nurse expect to observe first?
Hives
(The nurse should observe for hives first because this is an early manifestation of an
anaphylactic reaction.)
Wheezing is a later manifestation of an anaphylactic reaction.
Angioedema is a later manifestation of an anaphylactic reaction.
Hypotension is a later manifestation of an anaphylactic reaction.
A nurse is contributing to the plan of care for an adolescent who has human
immunodeficiency virus (HIV). Based on the adolescent's diagnosis, which of the
following actions should be included in the plan of care?
Inform the client regarding routes of transmission.
(The nurse should inform the client about the transmission of HIV and how to prevent its
spread.)
The nurse should include having visitors wear gowns when entering the room of a client
who is on contact precautions when there is a possibility of coming into contact with
contaminated objects. The nurse should also include having visitors wear masks when
coming within 1 m (3.3 feet) of a client who is on droplet precautions due to an illness
that is transmitted through the air via large-particle droplets.
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?
Urticaria
(The nurse should monitor the child for an allergic reaction to the contrast dye.
Manifestations of the allergic reaction include urticaria, itching, flushing of the skin, and
possible anaphylaxis.)
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?
"Put your child's finger under warm, running water prior to collecting blood."
(The nurse should instruct the parent that placing the child's finger under warm, running
Questions and Answers (Verified Answers)
A nurse is reinforcing teaching about home safety with the parent of a toddler. Which of
the following parent statements indicated an understanding of the teaching?
"I will place a screen in front of the fireplace."
The nurse should instruct the parent to place a screen in front of a fireplace or other
heating appliances to prevent burns.
A nurse is reinforcing dietary teaching with the guardian of a school-age child who has
celiac disease. Which of the following foods should the nurse recommend including in
the child's diet?
White rice
(The nurse should reinforce to the guardian that celiac disease is a genetic autoimmune
disorder in which eating gluten, even in very small amounts, can damage the child's
small intestine. Currently, the only treatment for the disease is a lifelong, strict
adherence to a gluten-free diet. The nurse should stress the importance of avoiding
foods containing wheat, rye, barley, and oats. The child should consume foods that are
gluten-free, such as milk, cheese, rice, corn, eggs, potatoes, fruits, vegetables, fresh
poultry, meats, fish, and dried beans.)
A nurse in a clinic is collecting data from an adolescent who has received all
recommended immunizations through the age of 6 years. Which of the following
immunizations should the nurse paln to administer?
Tetanus, diptheria toxoids, and acellular pertussis (Tdap)
The Tdap vaccine is recommended between the ages of 11 and 12 years. Therefore,
this adolescent should receive the Tdap vaccine now.
A nurse is collecting data from a 6-month-old child who is experiencing a sickle cell
crisis. Which of the following areas should the nurse observe when monitoring for
manifestations of splenic sequestration?
Box B
(Anatomic position left side)
B is correct. The nurse should observe the location over the infant's spleen when
monitoring for manifestations of splenic sequestration. Splenic sequestration is an
enlargement of the spleen due to pooling of sickled cells in the blood.
A nurse is reviewing the medical record of a female adolescent client who has primary
amenorrhea. Which of the following findings should the nurse identify as a risk for this
disorder? (Select all)
Hypothyroidism is correct. The nurse should identify that hypothyroidism and other
endocrine disorders are risk factors for primary amenorrhea.
Cannabis use is correct. The nurse should identify that cannabis use is a risk factor for
primary amenorrhea.
, Oral contraceptive use is correct. The nurse should identify that oral contraceptive use
affects the estrogen and progesterone cycle and is a risk factor for primary amenorrhea.
Emotional stress is correct. The nurse should identify that emotional stress causes
hypothalamic suppression and is a risk factor for primary amenorrhea.
A nurse is assisting with the care of a child who has tonic-clonic seizures. Which of the
following actions should the nurse take?
Have a suction canister and tubing available in the room.
(The nurse should have a suction canister and tubing available in the child's room to
keep the child's airway patent during a seizure.)
A nurse in a pediatric clinic is observing for an anaphylactic reaction after administering
an IM antibiotic to a child 5 min ago. Which of the following manisfestations should the
nurse expect to observe first?
Hives
(The nurse should observe for hives first because this is an early manifestation of an
anaphylactic reaction.)
Wheezing is a later manifestation of an anaphylactic reaction.
Angioedema is a later manifestation of an anaphylactic reaction.
Hypotension is a later manifestation of an anaphylactic reaction.
A nurse is contributing to the plan of care for an adolescent who has human
immunodeficiency virus (HIV). Based on the adolescent's diagnosis, which of the
following actions should be included in the plan of care?
Inform the client regarding routes of transmission.
(The nurse should inform the client about the transmission of HIV and how to prevent its
spread.)
The nurse should include having visitors wear gowns when entering the room of a client
who is on contact precautions when there is a possibility of coming into contact with
contaminated objects. The nurse should also include having visitors wear masks when
coming within 1 m (3.3 feet) of a client who is on droplet precautions due to an illness
that is transmitted through the air via large-particle droplets.
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?
Urticaria
(The nurse should monitor the child for an allergic reaction to the contrast dye.
Manifestations of the allergic reaction include urticaria, itching, flushing of the skin, and
possible anaphylaxis.)
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?
"Put your child's finger under warm, running water prior to collecting blood."
(The nurse should instruct the parent that placing the child's finger under warm, running
