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Terms in this set (59)
A nurse is assessing the pain A. FACES
level of a 3 year old toddler.
Which of the following The nurse should use the FACES pain rating scale for pediatric
assessment scales should the clients who are 3 years old and older. this scale allows the
nurse use? toddler to point to the face that depicts their current level of
A. FACES pain. the nurse can then determine the need for pain
B. Numeric management.
C. CRIES
D. Visual analog
A nurse is planning an B. "choose a waterproof sunscreen with a minimum SPF of 15."
educational program to teach
parents about protecting their The nurse should instruct parents to apply a waterproof
children from sunburns. Which of sunscreen with a minimum SPF of 15 for children. the parents
the
should apply the sunscreen prior to sun exposure to reduce
following instructions should the
the risk of sunburn.
nurse plan to include?
A. "allow your child to play
outside during the hours
between 10:00am and
2:00pm."
B. "choose a waterproof sunscreen
with a minimum SPF of 15."
C. "dress you child in loose weave
polyester fabric prior to sun
exposure."
D. "reapply sunscreen every 4
hours."
,A nurse is performing hearing D. An 8-month-old who is not yet making babbling sounds.
screenings for children at a
community health fair. The nurse should refer an infant who is not making babbling
Which of the following children sounds by the age of 7 mo to a provider for amore extensive
should the nurse refer to a eval of hearing
provider for a more extensive
hearing evaluation?
A. an 18 month old toddler
who has unintelligible
speech
B. a 3 month old infant
who has exaggerated
startle response
C. a 4 year old preschooler
who prefers playing with
others rather than alone
D. an 8 month old infant who is
not yet
making babbling sounds
A nurse in an emergency C. sunken anterior fontanel
department is assessing a 3
month old infant who has The nurse should recognize that a sunken anterior fontanel is
rotavirus and is an indication of moderate to severe dehydration due to the
experiencing acute acute loss of fluid.
vomiting and diarrhea. Which of the
following manifestations
should the nurse identify as an
indication that the infant has
moderate to severe
dehydration?
A. HR 124
B. increased tear production
C. sunken anterior fontanel
D. capillary refill 2 seconds
A nurse is providing teaching to B. "encourage the child to perform independent self-care."
,the family of a school-age child
who has juvenile The nurse should teach the family the importance of
idiopathic arthrisis. Which of the encouraging the child to perform independent self-care. This
following instructions should the will minimize the child's pain while maximizing mobility.
nurse include in the teaching? encouraging an praising the child's effort for independence
A. "limit movement of the will also
child's large joints" increase their self-esteem.
B. "encourage the child to
perform independent
self-care."
C. "provide the child with a soft
mattress for sleeping."
D. "schedule a 2 hour daily nap for
the child
in the afternoon."
, A nurse is planning care for a D. use a semipermeable transparent depressing to cover the site
school age child who has a
tunneled central venous The nurse should cover the site with a semipermeable
access device. Which of the transparent dressing to reduce the risk of infection.
following
interventions should the
nurse include in the plan?
A. use sterile scissors to
remove the dressing from
the site
B. irrigate each lumen weekly
with 10 ml of 0.9% sodium
chloride solution when not in
use
C. access the site suing a
noncoring angle needle
D. use a semipermeable transparent
depressing to cover the site
A nurse is providing anticipatory D. expresses likes and dislikes
guidance to the parent of a
toddler. Which of the This is the time in life when a toddler is developing autonomy
following expected behavior and self-concept. they will try to assert themselves and
characteristics of toddlers should frequently refuse to comply. the parent should allow the child
the nurse include? to have some control, but also set limits for them so they
A. controls impulsive feelings
learn from their
B. understands right from wrong
behavior and learn to control their actions.
C. easily separates from
parents for long periods of
time
D. expresses likes and dislikes
A nurse is providing discharge C. "pulmonary function tests will be performed every 12-24
teaching to the parent of a months to evaluate how your child is responding to therapy."
school age child who has
moderate persistent asthma. AThe nurse should include this to evaluate the presence of lung
Which of the following disease and how the child is responding to the current
instructions should the nurse treatment regimen. as children grow, sometimes
include? their manifestations can improve or decline, and treatment needs