Pediatric Nursing Questions

Question Description

A 10-year-old who is receiving chemotherapy has received Odansetron ( Zofran) before this therapy session. About an hour later, the child tells the nurse that his mouth feels really dry. The child has urinated several times and his skin turgor is normal. Which response by the nurse would be most appropriate?
2. After teaching the parents of a 6-year-old child about caring for a sprained wrist, which statement by the parents indicates the need for additional teaching?
3. A grandparents of a 3-month old infant asks the nurse what kind of toys they should purchase to have in their home when the infant grandchild comes to visit. Which should the nurse not recommend for purchase at this time?

4. After returning from cardiac catheterization, the nurse determines that the pulse distal to the catheter insertion site is weaker. The nurse should do which of the following?
5. When planning care for a child with ketoacidosis, which consideration is highest in priority?
6.The nurse is discussing the risks and benefits of vaccines with a family, and must secure signed, informed consent for the children to be immunized. The nurse emphasizes that which of the following reactions to vaccines is very rare?
7. A child with rhabdomyosarcoma is to undergo radiation therapy after surgical removal of the tumor. The parents should be taught to:
8. The parent of a child with AIDS tells the nurse they are confused about whether or not their child can be immunized The nurse would be most correct in advising these parents that there child with AIDS:
9. When discussing alopecia with a child who is receiving chemotherapy, the nurse should instruct the child and family:
10. A healthcare provider tells the nurse that a certain medication will be prescribed for a client. After the prescription is written, the nurse notes that the provider has prescribed another medication that sounds similar to the medication that the provider and nurse originally discussed. What action should the nurse implement? .
11. When caring for a17- year old athlete who is scheduled for a leg amputation for treatment of osteosarcoma, what should the nurse’s approach include:
12. Which school related activity might the school nurse prohibit for a child with asthma ?
13. A 6-year-old child is being admitted with newly diagnosed acute lymphocytic leukemia. The multidisciplinary team is meeting to plan care for this child and family. Which statement by the parents should receive priority in the nursing planning process?
14. Probably the most important criterion on which to base the decision to report suspected child abuse is which of the following?
15. The nurse is teaching a adolescent diabetic client how to self-administer a subcutaneous injection. To help ensure sterility of the procedure, which subject is most important for the nurse to include in the teaching plan?
16. Provider’s Order: Procaine Penicillin G 180,000 Units IM x 1 dose, STATa. Child’s weight: 8 lbb. Dispensed as: Penicillin G 300,000 Units/mlc. Recommended daily dose: 50,000 Units/kg IM every 24 hoursBased on the recommended daily dose, is the order appropriate based on the child’s weight?If it is outside of the recommended daily dose range, what should you do, next?If the dosage is within the recommended range, how many milliliters will you administer?
17. A child had an appendectomy after a ruptured appendix. The nurse anticipates orders for which interventions? Select all that apply.
18. Following the administration of morphine sulfate 10 mg IV to a pediatric client in pain, the nurse determines that the client’s respirations are six breaths per minute. What action should the nurse take first?
19. A teenager is accompanied by the mother to the annual physical examination. The nurse is aware of privacy issues related to the teenager. While the mother is in the room, the nurse should avoid questions about which of the following? Select all that apply.
20. The RN observes a nursing student entering a toddler’s room to check vital signs and begins to take the child’s temperature first. The RN should:
21. The child with asthma reports to the school nurse, who checks the child’s peak expiratory flow rate and finds that it reads 84% of personal best. Which interpretation by the nurse would be best:
22. A child has been diagnosed with a Wilms’ tumor; preoperative nursing care would involve:
23. A school-age client that is morbidly obese is receiving an intramuscular injection at the ventrogluteal site. At what angle should the nurse insert the needle?
24. A female teen volunteer is assigned to the pediatric unit for the day and reports to the charge nurse for an assignment. Which of the following assignments is unsafe for the volunteer?
An inf An infant with Tetralogy of Fallot experiences a hypercyanotic spell during a IV insertion. While simultaneously administering 100% oxygen by face mask to the infant the nurse should also:A.B

Question 26

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25. A 7 year old has been admitted to the pediatric unit with a fractured femur. Which of the following behaviors would the nurse expect the client to exhibit? (Select all that apply.)
26. The nurse is planning to withdraw 10 ml of urine from the port on the tubing of a client’s indwelling catheter to obtain a urine specimen. In which order should the nurse implement these ctions? (Arrange from first on top to last on the bottom.)1) Place in a biohazard bag.2) Label the urine specimen.3) Clamp the drainage tubing.4) Document the procedure.
27. Which statement is most therapeutic for the nurse to offer to a family of a child who has just died?
28. The nurse is conducting discharge teaching with the parent of a 7-year-old with nephrotic syndrome. Which of the following statements by the parent would indicate a correct understanding of the teaching?
29. The mother of an 8-year-old child with a chronic illness and tracheotomy is rooming-in during this hospitalization. The mother insists on providing all of the child’s care and tells the nurse how to care for the child. The nurse should recognize that the mother plays which function when planning this child’s care?
30. The nurse is planning postoperative care for an infant after a cleft-lip repair. The plan should include
31. The nurse is caring for a client who is scheduled for surgery in 2 hours. The parent tells the nurse, The doctor came by to tell me a lot of stuff that I didn’t understand, but I signed the papers for my child to have surgery anyway.” To fulfill the role of advocate, which action should the nurse implement?
32. A adolescent client with Juvenile Rheumatoid Arthritis (JRA) is given a new prescription for a nonsteroidal anti-inflammatory drug (NSAID). The client asks the nurse, “How is this medication different from the acetaminophen33. I have been taking?” Which information about the therapeutic action of NSAIDs should the nurse provide?
34. A young adult female is brought to the emergency room by family members who report that she ingested a large quantity of acetaminophen (Tylenol). The nurse should prepare for which treatment to be implemented?
35. The 9-year-old is hospitalized for neutropenia and is placed in reverse isolation. The child asks the nurse, “Why do you have to wear a gown and mask when you are in my room?” How should the nurse respond?
36. The nurse observes a nursing student using lemon glycerin swabs for cleansing mucosal ulcers in a child receiving chemotherapy. The nurse should
37. An assistive personnel on the pediatric unit brings to the nurse’s attention several clients’ vital signs. Which of the following clients should the nurse plan to assess first?
38. The nurse should be aware postural drainage is useful for three of the following respiratory conditions Which condition is not usually treated with postural drainage?
39. The nurse is caring for a 9-month-old who just returned from the PACU after a shunt placement for hydrocephalus. Which of the following physician’s orders would the nurse question?
40. The normal dose range for erythromycin, an antibiotic, is 30-50 mg/kg po in divided doses q6h. The physician ordered 250 mg po q6h for a child who weighs 30 kg. Is this a safe dose for this child? ________.
41. A newborn with patent ductus arteriosus is scheduled to receive indomethacin. The nurse administers this medication to:
42. 6-year-old has had a viral infection for the past 5 days and is now having severe vomiting, confusion, and irritability, although he is now afebrile. During the assessment, the nurse should ask the parent which of the following questions?

43. The nurse is administering packed red blood cells to a child with sickle-cell disease (SCD). The nurse knows that a transfusion reaction will most likely occur:
44. A 2 year old postoperative patients IV has infiltrated, and has to be restarted immediately for medication There is no time for placing local anaesthetic cream on the skin. What other complementary therapies would be most helpful when placing this IV?
45.A nursing supervisor assigns a float nurse in an adult medical/surgical unit to work in a pediatric unit. This is the nurses first time in a pediatric setting. Which of the following is an appropriate assignment for the nurse?
46. A mother brings her 4-week-old infant for the first well-child visit and tells the nurse that the baby is not smiling. Which information should the nurse provide?
47. A toddler is scheduled for a myringotomy and tympanostomy tube insertion. Which statement by the mother would best indicate she has understood the surgeons explanation of this procedure ?
48. The parents of newborn with ventricular septal defect ask why their baby is sent home instead of undergoing immediate open heart surgery. The nurse’s best response is:
49. A nurse is caring for an 8-year-old client admitted to the hospital with a diagnosis of acute rheumatic fever. Which of the following nursing assessments is most important immediately after admission?
50. A 4-year-old has been diagnosed with amblyopia. The nurse who is providing the parents with information about this diagnosis should include which of the following items of information?
51.The prescriber ordered 68 mcg po of digoxin (Lanoxin). Is this a safe dose for an infant who weighs 6.8 kg, and the recommended dose is 10 mcg/kg?
52. A adolescent female client is angry due to separation from her infant at homewith relatives and is leaving the hospital against medical advice (AMA). However the client demands to take her chart with her and states the chart is “hers” and she doesn’t want any more contact with the hospital. How should the nurse respond?
53. The nurse is teaching the parents of a group of cardiac patients. Which of the following statements should the nurse include in her/his teaching session with the parents?
54. Which of the following would be included in the care of an infant in heart failure?
55. A child in the ED weighing 44 pounds is receiving a bolus of Ringer’s Lactate solution for fluid replacement at 20 ml/kg. How many ml should the nurse administer?
56. A graduate nurse (GN) tells the RN preceptor, “I need to insert a nasogastric tube, and though I was checked off on this procedure in my nursing school’s simulation lab, I have never inserted one on a real person.” How should the preceptor respond?
57. A graduate nurse (GN) tells the RN preceptor, “I need to insert a nasogastric tube, and though I was checked off on this procedure in my nursing school’s simulation lab, I have never inserted one on a real person.” How should the preceptor respond?
58. A school nurse identifies that a child has pediculosis capitis and educates the child’s parents about the
condition. Which of the following statements by the parents indicates an understanding of the teaching?

59. About mid-morning, a 10-year-old child reports to the school nurse complaining of nausea, dizziness, and chills. Further assessment reveals that this child is sweating profusely and has a blood glucose level of 57 mg/dl. Based on these assessment findings, which food is best for the nurse to encourage the child to eat?
60. The recommended dose of Dilantin for a child is 5 mg/kg/24 hours given every 12 hours (weight: 11 pounds). The medication is supplied in 250 mg/10 mL.How many milliliters will be administered for each dose? _______ml/dose
61. A child with a history of seizures arrives in the Emergency Department in status epilepticus. The nurse’s initial response is to:
62. A toddler with Kawasaki’s disease is ordered to receive aspirin therapy. The nurse knows that medication therapy with aspirin will follow which principle?
63. Which medication should the nurse expect to administer to a child admitted with sickle-cell pain?
64. A child with sickle cell anemia (SCA) develops severe chest and back pain, fever, a cough, and dyspnea. The first action by the nurse is to:
65. A nurse gives a patient a narcotic and now must leave the unit . To whom shouldlthe nurse delegate the task of evaluating the client’s response to the pain ?medication?
66. To avoid making a medication error when administering digoxin to a child, the nurse should always:
67. The nurse works in an oncology clinic. A preschool-age child is being seen in the clinic, and the nurse anticipates a diagnosis of cancer. The nurse prepares for which of the common reactions preschool-age children have following illnesses and hospitalizations?</P><NL><ITEM><P><INST></INST><ITEM><P><INST></P></ITEM>
68. Which of the following should the nurse include when teaching the mother of a 9-month-old infant about administering liquid iron preparations?
69.A charge nurse is making a room assignment for a client who has scabies. In which of the following rooms should the nurse place the client?
70. After years of treatment with chemotherapy and radiation, a child with a brain tumor is shown to be refractory to treatment, and a DNR (Do Not Resuscitate) has been obtained. The mother has reached the stage of acceptance; the father is angry that the medical and nursing team has not been able to “save” his child. How would the multidisciplinary team best .
71. The parents of infant with developmental dysplasia of the hip tell the nurse, “I know that the Pavlik harness is unbearable for our baby”. The nurse should reply”
72. The nurse determines that parents understood instructions about the care of the child with atopic dermatitis (eczema) after the parent states that the child should:
73.When caring for a child diagnosed with aplastic anemia, the nurse would educate the parents regarding which common symptoms?
74.What should the nurse recommend to prevent urinary tract infections in young girls?
75. The parents of a child with sickle cell anemia (SCA) are concerned about subsequent children having the disease. The nurse should know that:
76. The nurse is teaching the family of a child, age 8 years, with moderate hemophilia about home care. The initial therapy for a joint injury is:
77. Which nursing action is the most appropriate when applying a face mask to a child for oxygen therapy?
78. Which of the following best describes the primary goals of therapeutic management for a child with congestive heart failure?
79. Which task should the nurse have the AP perform first?
80. The nurse is caring for a 6-year-old child with acute lymphoblastic leukemia (ALL). The parent states, “My child has a low platelet count and we are being discharged this afternoon. What do I need to do at home?” Which of the following statements would be most appropriate for the nurse to make?
83. Which action should the nurse take first when performing tracheostomy care?
84.A child age 6 years has patient-controlled analgesia (PCA) for pain management after orthopedic surgery. The parents are worried that their child will be in pain. Your explanation to the parents should include:
85. The nurse is providing care for a 6-year-old boy who has a broken arm and multiple bruises. The boy tells the nurse that his father was mad and broke his arm so the boy remembers to be good. What is the best nursing action?
86. The nurse obtains the pulse rate of 80 beats/minute for an infant before administering digoxin (Lanoxin). Which action should the nurse take?
87. A child with suspected leukemia is scheduled for a bone marrow aspiration. The nurse should teach three of the following points about this procedure. Which should the nurse not teach the child?
86.A client is prescribed a STAT dose of IV insulin. Which vial should the nurse select to prepare the dose?
87. To treat UTI , a 14-day course of treatment with cephalexin (Ceclor) is prescribed for a child. Which action is most important for the nurse to take prior to administering the first dose of this medication?
88. In assessing a child with Kawasaki’s disease, the nurse should recognize that the childhood communicable disease that poses the greatest danger for this child is:
89. The parents of a 5-year-old are concerned because their child showed more outward grief when a pet died than when a sibling died from sudden infant death syndrome (SIDS). What response should the nurse provide?
90. During A newborn assessment, a systolic blood pressure that is higher in the legs than in the arms is suggestive of which of the following findings
91. Which documentation indicates that the nurse correctly evaluated a school -age child pain medication effectiveness after administration? The client
92. The nurse is teaching an adolescent girl with scoliosis about a Milwaukee brace which her healthcare provider has prescribed. Which instruction is accurate?
93. A 7-year-old with a head injury is hospitalized after losing consciousness when he was hit in the head with a bat at baseball practice. The child was not wearing a helmet. The last set of vital signs showed heart rate 48, BP 148/74, respiratory rate 28 and irregular. What does the nurse suspect these findings indicate
94. Parents are told that their infant has a hypoplastic left heart. What is the type of education that would be included for this family?
95.Physician’s order: Calcitriol (Rocaltrol) 0.04 mcg/kg po daily is order for your patient in Chronic Renal Failure:

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