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, A nurse is teaching the parent of a toddler about home safety. Which of the following
statements by the parent indicates an understanding of the teaching?
I lock my medications in the medicine cabinet
A nurse in the emergency department is caring for a 12-year-old child who has ingested
bleach. Which of the following statements by the nurse indicated an understanding of this
ingestion?
Injury by a corrosive liquid is more extensive than by a corrosive solid
A nurse is assessing a 30-month-old toddler during a well-child visit. Which of the following
findings requires further assessment by the nurse?
Birth weight is tripled
A nurse is caring for a 2-year-old child who has cystic fibrosis. The nurse is planning to take
the child to the playroom. Which of the following activities would be appropriate for the
child?
Building towers of blocks
A nurse in the emergency department is caring for a 2-year-old child who was found by his
parents crying and holding a container of toilet bowl cleaner. The child's lips are edematous
and inflamed, and he is drooling. Which of the following is the priority action by the nurse?
Check the child's respiratory status
A nurse is preparing to administer recommended immunizations to a 2-month-old infant.
Which of the following immunizations should the nurse plan to administer?
Haemophilus influenzae type B (Hib) and inactivated polio virus (IPV)
A nurse is teaching a parent of a 12-month old child about development during the toddler
years. Which of the following statements should the nurse include?
Your child should be able to scribble spontaneously using a crayon at the age of 15 months
A nurse at a pediatric clinic is assessing a 5-month-old infant during a well-child visit. Which
of the following findings should the nurse report to the provider?
Head lags when pulled form a lying to a sitting position
A nurse is assessing a 12-month-old male infant's vital signs during a well-child visit. The
infant is in the 90th percentile of height. Which of the following findings should the nurse
report to the provider?
Heart rate 175/min
, A nurse on a pediatric unit is reviewing the health record of a client who is demonstrating
increasing levels of stress after admission. The nurse should identify which of the following
findings as a risk factor for a stress-related reaction to hospitalization?
Male gender
A nurse is caring for a 15-month-old toddler who requires droplet precautions. Which of the
following actions should the nurse take?
Wear a mask when assisting the toddler with meals
A nurse is caring for an 18-year-old adolescent who is up-to-date on immunizations and is
planning to attend college. The nurse should inform the client that he should receive which of
the following immunizations prior to moving into a campus dormitory?
Meningococcal polysaccharide
A nurse in a pediatric clinic is assessing a toddler at a well-child visit. Which of the following
actions should the nurse take?
Minimize physical contact with the child initially
A nurse is developing a plan of care for a school-age child who underwent a surgical
procedure that resulted in temporary loss of vision. Which of the following interventions
should the nurse include in the plan of care?
Explain sounds the child is hearing
A nurse is preparing to administer a liquid medication to an infant. Which of the following
actions should the nurse take?
Give the medication at the side of the infant's mouth
A nurse is assessing a 9-month-old infant during a well-child visit. Which of the following
findings indicates that the infant has a developmental delay?
Inability to vocalize vowel sounds
A nurse is caring for a toddler and is preparing to administer 0.9% sodium chloride 100mL
IV to infuse over 4 hours. The drop factor of the manual IV tubing is 60 gtt/mL. The nurse
should set the manual IV infusion to deliver how many gtt/min?
25
A nurse is planning to implement relaxation strategies with a young child prior to a painful
procedure. Which of the following actions should the nurse take?
Rock the child in long rhythmic movements