Capstone Nursing Care of Children
a charge nurse is assisting a newly licensed nurse with the preoperative assessment of
a 2-year-old child who has a Wilm's tumor, what actions by the newly licensed nurse
require intervention from the charge nurse - correct answerpalpating the child's
abdomen
A clinic nurse is providing teaching to the parent of a 1-month-old infant who has
gastroesophageal reflux. Which of the following statements by the parent indicates an
understanding of the teaching? - correct answerI will add rice cereal to my baby's
feedings.
A home health nurse is developing a plan of care for the parents of a toddler who has
hemophilia. Which of the following instructions should the nurse include in the plan? -
correct answerInspect the toddler's toys for sharp edges
a home health nurse is providing teaching about post-seizure management to the
parents of a school-age child who has epilepsy, what should be included - correct
answer- record the length and character of the child's postictal period following a
seizure
- call for emergency medical services if the size of the child's pupils are unequal after
the seizure
a nurse in a pediatric clinic is discussing the physiology of Reye syndrome with a newly
licensed nurse, what statements by the newly licensed nurse indicate an understanding
of the disorder - correct answerReye's syndrome causes fatty changes in the liver
a nurse in a pediatric clinic is performing a history and physical for a toddler who is
going to receive an MMR immunization, which indicates that it should be withheld -
correct answerreceiving prednisone for nephrotic syndrome
A nurse in an emergency department is assessing a school-age child who is
experiencing an acute asthma exacerbation. Which of the following findings is the
priority for the nurse to report to the provider? - correct answerSudden decrease in
wheezing
A nurse in an emergency department is caring for a 4-year-old child who has burns to
the neck and face following a house fire. Which of the following actions should the nurse
take first? - correct answerDetermine the child's breathing pattern.
A nurse in an emergency department is caring for a toddler who is in acute respiratory
distress. Which of the following findings should alert the nurse to the possibility of
epiglottitis? - correct answerDrooling
, a nurse in the ED is creating a plan of care for a child who has an acute head injury
following a fall from playground equipment, what interventions should the nurse include
to initiate - correct answerseizure precautions for the child
a nurse in the emergency department is caring for a preschooler who has epiglottitis,
what action should the nurse take - correct answerinitiate droplet precautions for the
child
a nurse is admitting a child who has bacterial meningitis, what actions should the nurse
take first - correct answerinitiate antibiotic therapy for the child
A nurse is admitting a child who has Wilms' tumor. Which of the following actions should
the nurse take? - correct answerPut a "no abdominal palpation" sign over the child's
bed.
a nurse is assessing a 12m old infant who is immediately postop hernia repair surgery,
what pain measurement tools should the nurse use to determine if the infant is
experiencing pain - correct answerFLACC
A nurse is assessing a 2-month-old infant who has a ventricular septal defect. Which of
the following findings should the nurse report to the provider? - correct answerWeight
gain of 1.8 kg (4 lb)
a nurse is assessing a 3yr old preschooler at a well-child visit, what developmental
tasks should be expected uses - correct answerprimarily two-word phrases
a nurse is assessing a 5-month-old infant during a well-child visit, what finding should
the nurse report to the provider - correct answerthe infant does not make consonant
sounds
a nurse is assessing a 6-month-old infant during a well-child visit, what findings should
the nurse report to the provider - correct answerthe infant does not roll over from his
abdomen to his back
A nurse is assessing a 6-month-old infant following a cardiac catheterization. Which of
the following findings should the nurse report to the provider? - correct answerBP 86/40
mm Hg
A nurse is assessing a 6-month-old infant who was recently admitted with acute
vomiting and diarrhea. Which of the following findings indicates the infant has moderate
dehydration? - correct answerTachypnea
A nurse is assessing a child who has a ventricular septal defect. Which of the following
findings should the nurse expect? - correct answerMurmur at the left sternal border
a charge nurse is assisting a newly licensed nurse with the preoperative assessment of
a 2-year-old child who has a Wilm's tumor, what actions by the newly licensed nurse
require intervention from the charge nurse - correct answerpalpating the child's
abdomen
A clinic nurse is providing teaching to the parent of a 1-month-old infant who has
gastroesophageal reflux. Which of the following statements by the parent indicates an
understanding of the teaching? - correct answerI will add rice cereal to my baby's
feedings.
A home health nurse is developing a plan of care for the parents of a toddler who has
hemophilia. Which of the following instructions should the nurse include in the plan? -
correct answerInspect the toddler's toys for sharp edges
a home health nurse is providing teaching about post-seizure management to the
parents of a school-age child who has epilepsy, what should be included - correct
answer- record the length and character of the child's postictal period following a
seizure
- call for emergency medical services if the size of the child's pupils are unequal after
the seizure
a nurse in a pediatric clinic is discussing the physiology of Reye syndrome with a newly
licensed nurse, what statements by the newly licensed nurse indicate an understanding
of the disorder - correct answerReye's syndrome causes fatty changes in the liver
a nurse in a pediatric clinic is performing a history and physical for a toddler who is
going to receive an MMR immunization, which indicates that it should be withheld -
correct answerreceiving prednisone for nephrotic syndrome
A nurse in an emergency department is assessing a school-age child who is
experiencing an acute asthma exacerbation. Which of the following findings is the
priority for the nurse to report to the provider? - correct answerSudden decrease in
wheezing
A nurse in an emergency department is caring for a 4-year-old child who has burns to
the neck and face following a house fire. Which of the following actions should the nurse
take first? - correct answerDetermine the child's breathing pattern.
A nurse in an emergency department is caring for a toddler who is in acute respiratory
distress. Which of the following findings should alert the nurse to the possibility of
epiglottitis? - correct answerDrooling
, a nurse in the ED is creating a plan of care for a child who has an acute head injury
following a fall from playground equipment, what interventions should the nurse include
to initiate - correct answerseizure precautions for the child
a nurse in the emergency department is caring for a preschooler who has epiglottitis,
what action should the nurse take - correct answerinitiate droplet precautions for the
child
a nurse is admitting a child who has bacterial meningitis, what actions should the nurse
take first - correct answerinitiate antibiotic therapy for the child
A nurse is admitting a child who has Wilms' tumor. Which of the following actions should
the nurse take? - correct answerPut a "no abdominal palpation" sign over the child's
bed.
a nurse is assessing a 12m old infant who is immediately postop hernia repair surgery,
what pain measurement tools should the nurse use to determine if the infant is
experiencing pain - correct answerFLACC
A nurse is assessing a 2-month-old infant who has a ventricular septal defect. Which of
the following findings should the nurse report to the provider? - correct answerWeight
gain of 1.8 kg (4 lb)
a nurse is assessing a 3yr old preschooler at a well-child visit, what developmental
tasks should be expected uses - correct answerprimarily two-word phrases
a nurse is assessing a 5-month-old infant during a well-child visit, what finding should
the nurse report to the provider - correct answerthe infant does not make consonant
sounds
a nurse is assessing a 6-month-old infant during a well-child visit, what findings should
the nurse report to the provider - correct answerthe infant does not roll over from his
abdomen to his back
A nurse is assessing a 6-month-old infant following a cardiac catheterization. Which of
the following findings should the nurse report to the provider? - correct answerBP 86/40
mm Hg
A nurse is assessing a 6-month-old infant who was recently admitted with acute
vomiting and diarrhea. Which of the following findings indicates the infant has moderate
dehydration? - correct answerTachypnea
A nurse is assessing a child who has a ventricular septal defect. Which of the following
findings should the nurse expect? - correct answerMurmur at the left sternal border
