NCLEX HURST REVIEW- PEDIATRICS
READINESS EXAM 1-WITH 100% VERIFIED
SOLUTIONS-2022-2024
for a child with a heart defect, would you give them something to do that will get them
excited and increase their heart rate? why? -CORRECT ANSWER--no, that would
increase the workload of the heart
*don't choose a "fun" toy
would you give a child in a croup tent their favorite teddy bear from home? why? -
CORRECT ANSWER--no, it would get wet and harbor bacteria
would it be appropriate or inappropriate for you to get into the croup tent to play with an
18 months old baby? -CORRECT ANSWER--unless they're asleep, you will probably
need to get into the croup tent with them to keep them in the tent and inhaling the
humidified oxygen
bring a change of clothes
what toy is most appropriate for an infant? -CORRECT ANSWER--rattle
when a baby is born, they all have an ___________ grasp reflex -CORRECT ANSWER-
-involuntary
when does the anterior fontanel close? -CORRECT ANSWER--12-18 months
when does the posterior fontanel close? -CORRECT ANSWER--2-3 months
why are new foods introduced to infants one at a time? -CORRECT ANSWER--worried
about allergies and immature GI tract
how is the earlobe positioned to view the auditory canal in a child under the age of two?
-CORRECT ANSWER--down and back
what is the most common reason for failed toilet training? -CORRECT ANSWER--they
are not ready
how many cups of milk should a 15 month old toddler consume daily? -CORRECT
ANSWER--2-3 cups
at what age does the best friend stage occur? -CORRECT ANSWER--9-10 years
what are the major causes of accidents in children up to 1 year of age? -CORRECT
ANSWER--falls, poison, and burns
between ages 6-12, what is the major cause of accidents? -CORRECT ANSWER--MVA
what happens to the growth rate between 6-12 years of age? -CORRECT ANSWER--
decreases
,a school age child requires, one average, how many calories per day? -CORRECT
ANSWER--2400 calories
how much earlier do girls experience the onset of puberty than boys? -CORRECT
ANSWER--about 1-2 years
talk to the _______ before you talk to the _________ -CORRECT ANSWER--parents,
child
what order should you take vital signs? -CORRECT ANSWER--respirations
HR
blood pressure/o2 sat
temp
always count RR and HR for ________ because of irregularities -CORRECT ANSWER-
-1 minute
if vital signs cannot be taken without disturbing the child then record the __________
with the measurements -CORRECT ANSWER--behavior
how should you take the temperature of a child less than 2 yrs? -CORRECT ANSWER--
rectal, axillary, or tympanic
when can you start doing oral temps? -CORRECT ANSWER--5-6 yrs
the pulse/waveform/intensity display on the oximeter machine should correlate with the
child's ________ pulse -CORRECT ANSWER--radial
what do newborns respond to? -CORRECT ANSWER--human voice, presence,
encourage parent's touch
how should you speak to an infant? -CORRECT ANSWER--high-pitched voice, cuddle,
pat, rub to calm
toddlers and preschoolers have a greater ______ than expressive language -
CORRECT ANSWER--receptive
toddlers and preschoolers use _______ and ______ thinking -CORRECT ANSWER--
concrete, literal
describe a toddlers/preschoolers cognitive development -CORRECT ANSWER--
egocentric, magical thinkers, animism
toddlers/preschoolers express themselves through dramatic _____ and ______ -
CORRECT ANSWER--play and drawing
describe a school age child's cognitive development -CORRECT ANSWER--able to use
logic, understands others point of view, understands cause and effect, understands
body functions
a school age child's receptive and expressive language is _________ -CORRECT
ANSWER--balanced
adolescents have ______ thinking without full _____ comprehension -CORRECT
ANSWER--abstract, adult
what are some nursing strategies for adolescents? -CORRECT ANSWER--
straightforward approach; talk in private area; conduct at least part of the interview
without parents present
what are some observable signs of respiratory dysfunction? -CORRECT ANSWER--
accessory muscle use
nasal flaring
, circumoral pallor
sternal retractions
capillary refill >3 seconds
what is laryngotracheobronchitis (LTB)? -CORRECT ANSWER--the most common type
of croup experienced by children admitted tot eh hospital
primarily affects children under 5 yrs; caused from a viral infection
what are some s/s of upper respiratory distress? -CORRECT ANSWER--slight to severe
dyspnea
barking or brassy cough
increased temperature
how do you treat LTB? -CORRECT ANSWER--manage children at home with mild
croup (steam, car rides with windows down, cool-temperature therapy)
if symptoms worsen, hospitalization is required (nebulized EPI, corticosteroids)
nebulized epi has a ______ onset and improvement is seen in _______ mins -
CORRECT ANSWER--rapid, 10-15 mins
corticosteroids _________ inflammation of the airway -CORRECT ANSWER--decrease
what is epiglottitis? -CORRECT ANSWER--a serious obstructive inflammatory process
that occurs in children 2-5 years of age
absence of cough, presence of dysphagia, rapid progression to severe respiratory
distress
________ kids look worse than they sound;
_________ kids sounds worse than they look -CORRECT ANSWER--epiglottitis, croup
what is RSV? -CORRECT ANSWER--an acute viral infection that affects the
bronchioles and includes RSV, bronchiolitis, and RSV pneumonia
what is the leading cause of lower respiratory tract illness in children less than 2 years?
-CORRECT ANSWER--RSV
what are some risk factors for RSV? -CORRECT ANSWER--prematurity
congenital disorders
smoke
what medications do children @ high risk for RSV get? -CORRECT ANSWER--
palivizumab (Synagis) & respiratory syncytial virus immune globulin (RespiGam)
what are some s/s of RSV? -CORRECT ANSWER--URI
nasal discharge
mild fever
READINESS EXAM 1-WITH 100% VERIFIED
SOLUTIONS-2022-2024
for a child with a heart defect, would you give them something to do that will get them
excited and increase their heart rate? why? -CORRECT ANSWER--no, that would
increase the workload of the heart
*don't choose a "fun" toy
would you give a child in a croup tent their favorite teddy bear from home? why? -
CORRECT ANSWER--no, it would get wet and harbor bacteria
would it be appropriate or inappropriate for you to get into the croup tent to play with an
18 months old baby? -CORRECT ANSWER--unless they're asleep, you will probably
need to get into the croup tent with them to keep them in the tent and inhaling the
humidified oxygen
bring a change of clothes
what toy is most appropriate for an infant? -CORRECT ANSWER--rattle
when a baby is born, they all have an ___________ grasp reflex -CORRECT ANSWER-
-involuntary
when does the anterior fontanel close? -CORRECT ANSWER--12-18 months
when does the posterior fontanel close? -CORRECT ANSWER--2-3 months
why are new foods introduced to infants one at a time? -CORRECT ANSWER--worried
about allergies and immature GI tract
how is the earlobe positioned to view the auditory canal in a child under the age of two?
-CORRECT ANSWER--down and back
what is the most common reason for failed toilet training? -CORRECT ANSWER--they
are not ready
how many cups of milk should a 15 month old toddler consume daily? -CORRECT
ANSWER--2-3 cups
at what age does the best friend stage occur? -CORRECT ANSWER--9-10 years
what are the major causes of accidents in children up to 1 year of age? -CORRECT
ANSWER--falls, poison, and burns
between ages 6-12, what is the major cause of accidents? -CORRECT ANSWER--MVA
what happens to the growth rate between 6-12 years of age? -CORRECT ANSWER--
decreases
,a school age child requires, one average, how many calories per day? -CORRECT
ANSWER--2400 calories
how much earlier do girls experience the onset of puberty than boys? -CORRECT
ANSWER--about 1-2 years
talk to the _______ before you talk to the _________ -CORRECT ANSWER--parents,
child
what order should you take vital signs? -CORRECT ANSWER--respirations
HR
blood pressure/o2 sat
temp
always count RR and HR for ________ because of irregularities -CORRECT ANSWER-
-1 minute
if vital signs cannot be taken without disturbing the child then record the __________
with the measurements -CORRECT ANSWER--behavior
how should you take the temperature of a child less than 2 yrs? -CORRECT ANSWER--
rectal, axillary, or tympanic
when can you start doing oral temps? -CORRECT ANSWER--5-6 yrs
the pulse/waveform/intensity display on the oximeter machine should correlate with the
child's ________ pulse -CORRECT ANSWER--radial
what do newborns respond to? -CORRECT ANSWER--human voice, presence,
encourage parent's touch
how should you speak to an infant? -CORRECT ANSWER--high-pitched voice, cuddle,
pat, rub to calm
toddlers and preschoolers have a greater ______ than expressive language -
CORRECT ANSWER--receptive
toddlers and preschoolers use _______ and ______ thinking -CORRECT ANSWER--
concrete, literal
describe a toddlers/preschoolers cognitive development -CORRECT ANSWER--
egocentric, magical thinkers, animism
toddlers/preschoolers express themselves through dramatic _____ and ______ -
CORRECT ANSWER--play and drawing
describe a school age child's cognitive development -CORRECT ANSWER--able to use
logic, understands others point of view, understands cause and effect, understands
body functions
a school age child's receptive and expressive language is _________ -CORRECT
ANSWER--balanced
adolescents have ______ thinking without full _____ comprehension -CORRECT
ANSWER--abstract, adult
what are some nursing strategies for adolescents? -CORRECT ANSWER--
straightforward approach; talk in private area; conduct at least part of the interview
without parents present
what are some observable signs of respiratory dysfunction? -CORRECT ANSWER--
accessory muscle use
nasal flaring
, circumoral pallor
sternal retractions
capillary refill >3 seconds
what is laryngotracheobronchitis (LTB)? -CORRECT ANSWER--the most common type
of croup experienced by children admitted tot eh hospital
primarily affects children under 5 yrs; caused from a viral infection
what are some s/s of upper respiratory distress? -CORRECT ANSWER--slight to severe
dyspnea
barking or brassy cough
increased temperature
how do you treat LTB? -CORRECT ANSWER--manage children at home with mild
croup (steam, car rides with windows down, cool-temperature therapy)
if symptoms worsen, hospitalization is required (nebulized EPI, corticosteroids)
nebulized epi has a ______ onset and improvement is seen in _______ mins -
CORRECT ANSWER--rapid, 10-15 mins
corticosteroids _________ inflammation of the airway -CORRECT ANSWER--decrease
what is epiglottitis? -CORRECT ANSWER--a serious obstructive inflammatory process
that occurs in children 2-5 years of age
absence of cough, presence of dysphagia, rapid progression to severe respiratory
distress
________ kids look worse than they sound;
_________ kids sounds worse than they look -CORRECT ANSWER--epiglottitis, croup
what is RSV? -CORRECT ANSWER--an acute viral infection that affects the
bronchioles and includes RSV, bronchiolitis, and RSV pneumonia
what is the leading cause of lower respiratory tract illness in children less than 2 years?
-CORRECT ANSWER--RSV
what are some risk factors for RSV? -CORRECT ANSWER--prematurity
congenital disorders
smoke
what medications do children @ high risk for RSV get? -CORRECT ANSWER--
palivizumab (Synagis) & respiratory syncytial virus immune globulin (RespiGam)
what are some s/s of RSV? -CORRECT ANSWER--URI
nasal discharge
mild fever
