NR328 Exam 1 peds
What factors have been shown to increase the risk of SIDS? Select all that apply *** - recent illness
- sleeping with an adult (co-sleeping)
- smoking around the infant
An important milestone in the infant's life is the development of object permanence. This milestone is
represented by which of these statements? *** The infant turns & looks for the mother when she walks
out of his view
The type of play that infants engage in is called? *** Onlooker
What are the clinical manifestations of failure to thrive? Select all that apply *** - growth failure
- developmental delays
- avoidance of eye contact
What must the nurse teach the parents of the child with cystic fibrosis about the use of pancreatic
enzymes? *** Extra enzymes must be taken with high-fat foods
A nurse is teaching an adolescent about the appropriate use of his asthma medications. Which of the
following medications should the nurse instruct the adolescent to use before he participates in exercise?
*** Albuterol
A child with asthma is undergoing pulmonary function tests. What is the purpose of the peak expiratory
flow rate test? *** Used to assess the severity of asthma
a 5-year old is recovering from a tonsillectomy & adenoidectomy and is being discharged home with his
mother. Home care instructions should include which of the following? *** Observe the child for
continuous swallowing.
,What assessment finding does the nurse recognize as a manifestation of acute otitis media? ***
Presence of fever and otalgia (earache)
A 5-year-old is seen in the urgent care clinic with the following history and symptoms: sudden onset of
severe sore throat after going to bed, drooling and difficulty swallowing, axillary temperature of 102.2°F
(39.0°C), clear breath sounds, and absence of cough. The child appears anxious and is flushed. Based on
these symptoms and history, the nurse anticipates a diagnosis of *** Acute epiglottis
A 5-year-old child is brought to the emergency department with abrupt onset of sore throat, pain with
swallowing, fever, and sitting upright and forward. Acute epiglottitis is suspected. What are the most
appropriate nursing interventions? Select all that apply. *** -Vital signs
-Medical history
-Assessment of breath sounds
-Ready availability of emergency airway equipment
What is an important nursing intervention in the care of a child with bacterial conjunctivitis? ***
Intermittent warmth, moist compresses to remove crusts on the eye area
The school nurse is concerned about an outbreak of chickenpox, because two children at the school
have cancer and are immunodeficient as a result of chemotherapy. What is the most appropriate
recommendation the school nurse can give to the two children's parents? *** Administer varicella
zoster immune globulin (VZIG) to prevent chickenpox
An infant has a low-grade fever, is sneezing, has tearing eyes, and exhibits a short and rapid cough that
occurs mainly at night and is followed by a crowing sound. Which nursing actions are appropriate for
this patient? Select all that apply. *** - Provide humidified oxygenation and suction
- Place the patient on droplet precautions
Strict isolation is required for a child who is hospitalized with which infectious disease? *** Chickenpox
, How can the nurse prepare a child for a painful procedure? *** Involve the child in the use of
distraction, such as using bubbles, music, or playing games
The nurse works in a vaccination clinic. Which patients should receive the measles, mumps, and rubella
(MMR) vaccine? Select all that apply. *** - A 12-month-old baby with a cold
- A 14-month-old baby allergic to eggs
- A breastfeeding mother
Which childhood vaccine provides some protection against bacterial meningitis, epiglottitis, and
bacterial pneumonia? *** Hib vaccine
A nurse is preparing to assess a preschooler. Which of the following actions should the nurse take to
prepare the child? *** Allow the child to role play using mini equipment
An infant with a congenital heart defect is being given palivizumab. *** Prevent RSV infection
Two parents bring their 4-month-old infant in for a well-baby visit. They are describing the child's growth
and development to the nurse during the assessment interview. Which parent statement below
indicates a potential delay in milestone development? *** "Our child has not made attempts to speak
words yet, but he does coo and laugh"
Mr. Alls brings his 12 month old son, Keith, in for his regular well-infant exam. The nurse knows that the
best approach to the physical examination for this patient will be to *** Have the infant sit in the
parent's lap to complete as much of the exam as possible
How does the nurse demonstrate understanding family-centered care? *** Encouraging family visitation
What factors have been shown to increase the risk of SIDS? Select all that apply *** - recent illness
- sleeping with an adult (co-sleeping)
- smoking around the infant
An important milestone in the infant's life is the development of object permanence. This milestone is
represented by which of these statements? *** The infant turns & looks for the mother when she walks
out of his view
The type of play that infants engage in is called? *** Onlooker
What are the clinical manifestations of failure to thrive? Select all that apply *** - growth failure
- developmental delays
- avoidance of eye contact
What must the nurse teach the parents of the child with cystic fibrosis about the use of pancreatic
enzymes? *** Extra enzymes must be taken with high-fat foods
A nurse is teaching an adolescent about the appropriate use of his asthma medications. Which of the
following medications should the nurse instruct the adolescent to use before he participates in exercise?
*** Albuterol
A child with asthma is undergoing pulmonary function tests. What is the purpose of the peak expiratory
flow rate test? *** Used to assess the severity of asthma
a 5-year old is recovering from a tonsillectomy & adenoidectomy and is being discharged home with his
mother. Home care instructions should include which of the following? *** Observe the child for
continuous swallowing.
,What assessment finding does the nurse recognize as a manifestation of acute otitis media? ***
Presence of fever and otalgia (earache)
A 5-year-old is seen in the urgent care clinic with the following history and symptoms: sudden onset of
severe sore throat after going to bed, drooling and difficulty swallowing, axillary temperature of 102.2°F
(39.0°C), clear breath sounds, and absence of cough. The child appears anxious and is flushed. Based on
these symptoms and history, the nurse anticipates a diagnosis of *** Acute epiglottis
A 5-year-old child is brought to the emergency department with abrupt onset of sore throat, pain with
swallowing, fever, and sitting upright and forward. Acute epiglottitis is suspected. What are the most
appropriate nursing interventions? Select all that apply. *** -Vital signs
-Medical history
-Assessment of breath sounds
-Ready availability of emergency airway equipment
What is an important nursing intervention in the care of a child with bacterial conjunctivitis? ***
Intermittent warmth, moist compresses to remove crusts on the eye area
The school nurse is concerned about an outbreak of chickenpox, because two children at the school
have cancer and are immunodeficient as a result of chemotherapy. What is the most appropriate
recommendation the school nurse can give to the two children's parents? *** Administer varicella
zoster immune globulin (VZIG) to prevent chickenpox
An infant has a low-grade fever, is sneezing, has tearing eyes, and exhibits a short and rapid cough that
occurs mainly at night and is followed by a crowing sound. Which nursing actions are appropriate for
this patient? Select all that apply. *** - Provide humidified oxygenation and suction
- Place the patient on droplet precautions
Strict isolation is required for a child who is hospitalized with which infectious disease? *** Chickenpox
, How can the nurse prepare a child for a painful procedure? *** Involve the child in the use of
distraction, such as using bubbles, music, or playing games
The nurse works in a vaccination clinic. Which patients should receive the measles, mumps, and rubella
(MMR) vaccine? Select all that apply. *** - A 12-month-old baby with a cold
- A 14-month-old baby allergic to eggs
- A breastfeeding mother
Which childhood vaccine provides some protection against bacterial meningitis, epiglottitis, and
bacterial pneumonia? *** Hib vaccine
A nurse is preparing to assess a preschooler. Which of the following actions should the nurse take to
prepare the child? *** Allow the child to role play using mini equipment
An infant with a congenital heart defect is being given palivizumab. *** Prevent RSV infection
Two parents bring their 4-month-old infant in for a well-baby visit. They are describing the child's growth
and development to the nurse during the assessment interview. Which parent statement below
indicates a potential delay in milestone development? *** "Our child has not made attempts to speak
words yet, but he does coo and laugh"
Mr. Alls brings his 12 month old son, Keith, in for his regular well-infant exam. The nurse knows that the
best approach to the physical examination for this patient will be to *** Have the infant sit in the
parent's lap to complete as much of the exam as possible
How does the nurse demonstrate understanding family-centered care? *** Encouraging family visitation
