RN Nursing Care of Children A, Verified
Solution
A nurse in an urgent care clinic is assessing an adolescent who has an upper
respiratory tract infection. Which of the following findings should the nurse
identify as a manifestation of pertussis?
dry, hacking cough
A nurse is caring for a school-age child who is receiving a blood transfusion.
Which of the following manifestations should alert the nurse to a possible
hemolytic transfusion reaction?
Flank pain
A nurse is caring for a school-age child who is receiving cefazolin via intermittent
IV bolus. The child suddenly develops diffuse flushing of the skin and
angioedema. After discontinuing the medication infusion, which of the following
medications should the nurse administer first?
epinephrine
A nurse is teaching the guardian of a 6-month-old infant about car seat use.
Which of the following statements by the guardian indicates an understanding of
the teaching?
" I should secure the car seat using the lower anchors and tethers instead of the seat
belt."
A nurse is planning care for a toddler who has a serum lead level of 4 mcg/dL.
Which of the following actions should the nurse plan to take?
Schedule the toddler for a yearly rescreening.
A nurse is caring for a toddler who has a spastic (pyramidal) cerebral palsy.
Which of the following findings should the nurse expect?
Ankle clonus
Exaggerated stretch reflexes
Contractures
a nurse is assessing a school-age child immediately following a perforated
appendix repair. Which of the following findings should the nurse expect?
absence of peristalsis
A nurse is planning care for a school-age child who is in the oliguric phase of
acute kidney injury (AKI) and has a sodium level of 129 mEq/L. Which of the
following interventions should the nurse include in the plan?
initiate seizure precautions
A nurse is teaching the parent of an infant who has a pavlik harness for the
treatment of developmental dysplasia of the hip. The nurse should identify that
which of the following statements by the parents indicates an understanding of
the teaching?
" I will place my infant's diapers under the harness straps."
A nurse is reviewing the laboratory report of school-age child who is
experiencing fatigue. Which of the following findings should the nurse recognize
as an indication of anemia?
, Hematocrit 28%
A nurse is assessing a 4-year-old child at a well-child visit. which of the following
developmental milestones should the nurse expect to observe?
cuts an outlined shape using scissors
A nurse is caring for a preschooler who is scheduled for hydrotherapy treatment
for wound debridement following a burn injury. Which of the following actions
should the nurse take prior to the procedure?
administer an analgesic to the child
a nurse is creating a plan of care for a school-age child who has heart disease
and has developed heart failure. Which of the following interventions should the
nurse include in the plan?
provide small, frequent meals for the child
a nurse is teaching the parents of a school age child who has a new diagnosis of
osteomyelitis of the tibia. Which of the following statements by a parent indicates
an understanding of the teaching?
"my child will receive antibiotics for several weeks"
a nurse is providing teaching to the parent of an infant who has diaper dermatitis.
The nurse should instruct the parents to apply which of the following to the
affected area?
zinc oxide
a school nurse is assessing an adolescent who has scoliosis. Which of the
following findings should the nurse expect?
a unilateral rib hump
a nurse is reviewing the laboratory report of an infant who is receiving treatment
for severe dehydration. The nurse should identify that which of the following
laboratory values indicates effectiveness of the current treatment?
sodium 140 mEq/L
a hospice nurse is caring for a preschooler who has a terminal illness. one of the
preschoolers parents tells the nurse that they cannot cope anymore and are
thinking about moving out of the house. Which of the following statements
should the nurse make?
" lets talk about some of the ways you have handled previous stressors in your life"
A school nurse is preparing to administer atomoxetine 1.2 mg/kg/day PO to a
school-age child who weighs 75 lb. Available is atomoxetine 40 mg/capsule. How
many capsules should the nurse administer per day?
1 capsule
a nurse is caring for a school age child who is receiving chemotherapy and is
severely immunocompromised. Which of the following actions should the nurse
take?
screen the child's visitors for indications of infection
a nurse is caring for a 15 year old client following a head injury. Which of the
following findings should the nurse identify as an indication that the child is
developing syndrome of inappropriate antidiuretic hormone secretion (SIADH)?
mental confusion
Solution
A nurse in an urgent care clinic is assessing an adolescent who has an upper
respiratory tract infection. Which of the following findings should the nurse
identify as a manifestation of pertussis?
dry, hacking cough
A nurse is caring for a school-age child who is receiving a blood transfusion.
Which of the following manifestations should alert the nurse to a possible
hemolytic transfusion reaction?
Flank pain
A nurse is caring for a school-age child who is receiving cefazolin via intermittent
IV bolus. The child suddenly develops diffuse flushing of the skin and
angioedema. After discontinuing the medication infusion, which of the following
medications should the nurse administer first?
epinephrine
A nurse is teaching the guardian of a 6-month-old infant about car seat use.
Which of the following statements by the guardian indicates an understanding of
the teaching?
" I should secure the car seat using the lower anchors and tethers instead of the seat
belt."
A nurse is planning care for a toddler who has a serum lead level of 4 mcg/dL.
Which of the following actions should the nurse plan to take?
Schedule the toddler for a yearly rescreening.
A nurse is caring for a toddler who has a spastic (pyramidal) cerebral palsy.
Which of the following findings should the nurse expect?
Ankle clonus
Exaggerated stretch reflexes
Contractures
a nurse is assessing a school-age child immediately following a perforated
appendix repair. Which of the following findings should the nurse expect?
absence of peristalsis
A nurse is planning care for a school-age child who is in the oliguric phase of
acute kidney injury (AKI) and has a sodium level of 129 mEq/L. Which of the
following interventions should the nurse include in the plan?
initiate seizure precautions
A nurse is teaching the parent of an infant who has a pavlik harness for the
treatment of developmental dysplasia of the hip. The nurse should identify that
which of the following statements by the parents indicates an understanding of
the teaching?
" I will place my infant's diapers under the harness straps."
A nurse is reviewing the laboratory report of school-age child who is
experiencing fatigue. Which of the following findings should the nurse recognize
as an indication of anemia?
, Hematocrit 28%
A nurse is assessing a 4-year-old child at a well-child visit. which of the following
developmental milestones should the nurse expect to observe?
cuts an outlined shape using scissors
A nurse is caring for a preschooler who is scheduled for hydrotherapy treatment
for wound debridement following a burn injury. Which of the following actions
should the nurse take prior to the procedure?
administer an analgesic to the child
a nurse is creating a plan of care for a school-age child who has heart disease
and has developed heart failure. Which of the following interventions should the
nurse include in the plan?
provide small, frequent meals for the child
a nurse is teaching the parents of a school age child who has a new diagnosis of
osteomyelitis of the tibia. Which of the following statements by a parent indicates
an understanding of the teaching?
"my child will receive antibiotics for several weeks"
a nurse is providing teaching to the parent of an infant who has diaper dermatitis.
The nurse should instruct the parents to apply which of the following to the
affected area?
zinc oxide
a school nurse is assessing an adolescent who has scoliosis. Which of the
following findings should the nurse expect?
a unilateral rib hump
a nurse is reviewing the laboratory report of an infant who is receiving treatment
for severe dehydration. The nurse should identify that which of the following
laboratory values indicates effectiveness of the current treatment?
sodium 140 mEq/L
a hospice nurse is caring for a preschooler who has a terminal illness. one of the
preschoolers parents tells the nurse that they cannot cope anymore and are
thinking about moving out of the house. Which of the following statements
should the nurse make?
" lets talk about some of the ways you have handled previous stressors in your life"
A school nurse is preparing to administer atomoxetine 1.2 mg/kg/day PO to a
school-age child who weighs 75 lb. Available is atomoxetine 40 mg/capsule. How
many capsules should the nurse administer per day?
1 capsule
a nurse is caring for a school age child who is receiving chemotherapy and is
severely immunocompromised. Which of the following actions should the nurse
take?
screen the child's visitors for indications of infection
a nurse is caring for a 15 year old client following a head injury. Which of the
following findings should the nurse identify as an indication that the child is
developing syndrome of inappropriate antidiuretic hormone secretion (SIADH)?
mental confusion
