Archives

A 14-year-old with cystic fibrosis suddenly becomes noncompliant with the medication regimen. The intervention by the nurse that would most likely improve compliance would be to: 1. Give the child a computer-animated game that presents information on the management of […]

The nurse asks the parent during a clinic visit about the nutritional intake of her eight-year-old child. The mother tells the nurse she leaves early for work and her teen sibling takes care of the meals. What response by the […]

A child is scheduled for a kidney transplant. The nurse has completed the preoperative teaching to prepare the child and parents for the surgery and postoperative considerations. Which statement indicates that the parents understand the process involved with a kidney […]

Following a traumatic birth, an infant is admitted to the neonatal intensive care unit. When the grandparents arrive at the hospital, they question the nurse caring for the baby about its condition and plan of care. The nurse who provides […]

An infant returns to the unit following casting of the leg for talipes equinovarus. Standing orders include monitoring the neurovascular status. In addition to color, for what will the nurse monitor the infant’s foot? Standard Text: Select all that apply. […]

The nurse is caring for four clients in the neonatal intensive care unit. Which infant has the greatest risk of developing retinopathy of prematurity (ROP)? 1. 28-weeks’-gestation infant who has been on long-term oxygen and weighed 1,400 grams 2. 32-weeks’-gestation […]

For which complication(s) should the nurse observe during administration of Factor VIII to a child with hemophilia? 1. Fever and chills 2. Fat emboli 3. Nausea and vomiting 4. Congestive heart failure The mother of a toddler asks the nurse: […]

A parent is concerned about her eight-year-old child’s recent behavior and calls the nurse for advice. According to the parent, her child is constantly crying, is not sleeping well, and has withdrawn from activities. The nurse should recognize that this […]

The school health nurse is evaluating the home environments of several children as they relate to child safety. Which of these activities places a child at greatest risk for bodily harm? 1. The parents consume alcohol on a daily basis. […]

The physician has ordered the child to receive a unit of packed red blood cells. In preparing to administer the blood, the nurse will initiate an intravenous line and hang what fluid? 1. D5W 2. D5LR 3. D5 1/4NS 4. […]

An infant with tetralogy of Fallot (TOF) is having a hypercyanotic episode (“tet” spell). Which nursing interventions should the nurse implement? Standard Text: Select all that apply. 1. Administer oxygen. 2. Place the child in knee-chest position. 3. Administer morphine […]

The nurse is caring for a child who experiences an anaphylactic shock reaction. In which position will the nurse place the child? 1. In Trendelenburg position 2. Flat, with legs slightly elevated 3. In high Fowler’s position 4. In reverse […]

The child was diagnosed with phenylketonuria shortly after birth and has been treated by the endocrine clinic for the last four years. The mother has missed the last three appointments. When the child keeps the next appointment, the mother assures […]

There has been an outbreak of communicable diseases in the community. To reduce parental anxiety, the nurse presents information about disease at the school’s Parent Teacher Association meeting. The nurse explains that children cannot acquire vector-borne diseases from other children. […]

The nurse and a young mother are discussing ways to best prepare children for starting school. What would be the best suggestion for the nurse to make? 1. Teach the child the alphabet and how to count. 2. Encourage the […]

The nurse working in the clinic includes an adolescent history in every client intake interview. Which of these issues should the nurse address when the parents are not present? 1. The adolescent’s role in the family 2. Teen job responsibilities […]

A teenager is accompanied by his mother to the annual physical examination. The nurse is aware of privacy issues related to the teenager. While the mother is in the room, which topic should the nurse avoid? 1. School performance 2. […]

The nurse is evaluating the developmental skills of an eight-month-old child recently adopted from a foreign country. The nurse attempts to get the child to wave “bye-bye” and to play “patty-cake.” When the child is unable to perform either skill, […]

Immediately after delivery, the nurse prepares to give the newborn a vitamin K injection. The new father is watching and asks the nurse why the baby is receiving a ‘shot.” The nurse would explain that vitamin K injections are given […]

While assessing an eight-month-old infant, the best strategy for the nurse to use to promote communication with the infant would be to: 1. Use touch, patting, and cuddling the infant. 2. Speak to the infant in low-pitched, soft tones. 3. […]

A six-year-old child has been newly diagnosed with cystic fibrosis. During discharge teaching, the nurse is instructing the parents on nutritional requirements specifically related to the child’s decreased ability to absorb fats. The nurse teaches the family that the child […]

A parent questions how her toddler will interact with other toddlers. The nurse’s best description of the differences in play between the toddler and the preschooler is: 1. Toddlers play ‘side by side,” while preschoolers play cooperatively. 2. Toddlers play […]

The nurse is working on parenting skills with a group of mothers. Which style of parenting tends to produce adolescents who tend to be self-reliant and socially competent? 1. Authoritarian 2. Permissive 3. Indifferent 4. Authoritative When discussing injury prevention […]

The pediatric nurse works at a camp for children with diabetes. As a component of the job, the camp nurse works: 1. Directly under the supervision of the camp doctor. 2. With standard protocols to guide nursing interventions. 3. As […]

A child weighing 18.2 kg with a history of diabetes insipidus has been admitted to the hospital. Which of the physician’s orders would the nurse question? 1. Stat electrolytes 2. Urine specific gravity with each void 3. DDAVP (desmopressin) PO […]

A nurse is providing education to a group of young mothers. The nurse would explain that as children grow, they develop immunity through: 1. Immunization or exposure to the natural disease. 2. Acquiring diseases from family members who had the […]

A nasogastric tube to suction is ordered for a child newly diagnosed with a diaphragmatic hernia. The nurse notes that the surgeon has not ordered fluid replacement for the NG drainage. What might occur if large amounts of gastric drainage […]

What would be the best way for the nurse to teach adolescents regarding health promotion and health maintenance? 1. Contact the parents and ask what issues they have with their adolescents. 2. Have the adolescents identify a personal health goal. […]

An adolescent female with untreated Graves’ disease is admitted to the hospital. The nurse expects to find which signs and symptoms in this client? 1. Hyperglycemia, ketonuria, and glucosuria 2. Weight gain, hirsutism, and muscle weakness 3. Tachycardia, fatigue, and […]

All of the following adolescents are in the emergency room for treatment. Which adolescent would be an emancipated minor? 1. The 15-year-old adolescent who disagrees with the parents in regard to the medical plan of care 2. The 14-year-old adolescent […]

An infant born with an omphalocele defect is being admitted to the intensive care nursery. Which of the following should the nurse in charge instruct the nursing technician to prepare? 1. Radiant warmer 2. Crib 3. Bilirubin light 4. Formula […]

While the nurse is admitting a pediatric patient, the mother blurts out, “I think this hospital is the most disorganized, inefficient place I have ever been in!” The most therapeutic response for the nurse to make would be: 1. “This […]

A nurse is preparing for the delivery of a newborn with a known diaphragmatic hernia defect. Which equipment should the nurse prepare for use? 1. Appropriate bag-valve-mask system 2. Sterile gauze and saline 3. Soft arm restraints 4. Equipment for […]

An infant was born at 34 weeks’ gestation and is being treated in the NICU for apnea of prematurity. The infant is in an isolette with an apnea monitor and intravenous fluids. The apnea monitor sounds, and the nurse checks […]

The nurse recommends to the family of a child with severe cerebral palsy that they enroll their child in hippotherapy. The nurse would explain that hippotherapy includes: 1. Water exercises to increase muscular strength. 2. Use of braces and walkers […]

The nurse is caring for a child with a terminal illness. Physical care for the dying child would include which interventions? Standard Text: Select all that apply. 1. Providing oral care to moisten a dry mouth 2. Administering ordered laxatives […]