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Peds

Quiz by Haley Rabold

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16 questions
Show answers
  • Q1
    A nurse cares for a school aged-child recently diagnosed with neuroblastoma. What is the best way for the nurse to assess if the client is experiencing pain?
    D. Assess the abdominal skin for lumps.
    C. Observe for changes in behavior.
    B. Use the Wong Faces Sale with vital signs.
    A. Monitor heart rate and blood pressure.
    20s
  • Q2
    A seven-year-old client has begun bedwetting again after the birth of a new sibling. The child's parents ask the nurse whether this is normal. The nurse teaches the parents about which ego defense mechanism?
    D. Dissociation
    A. Repression
    C. Regression
    B. Projection
    20s
  • Q3
    What is the best advice about nutrition for the toddler?
    c. Avoid sugar-sweetened fruit drinks and allow as much natural fruit juice as desired.
    a. Encourage cup drinking and give water between meals and snacks.
    b. Encourage unlimited milk intake, because toddlers need the protein for growth.
    d. Allow the toddler unlimited access to the sippy cup to ensure adequate hydration.
    20s
  • Q4
    The mother of a 4-year-old asks for advice on using time-out for discipline with her child. What advice should the nurse give the mother?
    a. If spanking is not working, then time-out is not likely to be helpful either.
    c. Use time-out only if removing privileges is unsuccessful.
    d. The child should stay in time-out until crying ceases.
    b. Place the child in time-out for 4 minutes.
    20s
  • Q5
    The successful resolution of developmental tasks for the school-age child, according to Erikson, would be identified by:
    b. Developing a sense of worth and competence
    c. Using fantasy and magical thinking to cope with problems
    a. Learning from repeating tasks
    d. Developing a sense of trust
    20s
  • Q6
    A sleeping 5-month-old girl is being held by the mother when the nurse comes in to do a physical examination. What assessment should be done initially?
    b. Counting the heart rate
    c. Checking the temperature
    a. Listening to the bowel sounds
    d. Looking in the ears
    20s
  • Q7
    The nurse is caring for an infant who weighs 8.2 kg and is NPO and receiving IV fluid therapy. What rate does the nurse calculate as meeting the child’s daily fluid requirements?
    b. 41 mL per hour
    a. 82 mL per hour
    d. 22 mL per hour
    c. 34 mL per hour
    20s
  • Q8
    What is the preferred injection site for an IM injection for infants?
    Rectus femoris
    Vastus Lateralis
    Dorsogluteal
    Deltoid
    20s
  • Q9
    At a well-child visit, hydrocephalus may be suspected in an infant if upon assessment the nurse finds:
    d. increase in weight since last visit
    a. narrow sutures
    b. sunken fontanels
    c. a rapid increase in head circumference
    20s
  • Q10
    A 10-year-old with seizure activity is having a seizure. What would be the priority nursing intervention related to prevention of injury?
    c. Restrain the child.
    d. Place the child on his side and opening his airway.
    a. Remove the child from his bed.
    b. Place a tongue blade in the child’s mouth.
    20s
  • Q11
    The nurse is caring for a child who has had diarrhea and vomiting for the past several days. What is the priority nursing assessment?
    a. Determine the child’s weight.
    d. Send a stool specimen to the lab.
    b. Ask if the family has traveled outside of the country.
    c. Assess circulation and perfusion.
    20s
  • Q12
    The nurse is caring for a child after a cardiac catheterization. What is the nursing priority?
    b. Check pulses above the catheter insertion site for strength and quality.
    d. Change the dressing to evaluate the site for infection.
    c. Assess extremity distal to the insertion site for temperature and color.
    a. Allow early ambulation to encourage activity participation.
    20s
  • Q13
    A 5-month-old infant with RSV bronchiolitis is in respiratory distress. The baby has copious secretions, increased work of breathing, cyanosis, and a respiratory rate of 78. What is the most appropriate initial nursing intervention?
    a. Attempt to calm the infant by placing him in his mother’s lap and offering him a bottle.
    c. Suction secretions, provide 100% oxygen via mask, and anticipate respiratory failure.
    d. Bring the emergency equipment to the room and begin bag-valve-mask ventilation.
    b. Alert the physician to the situation and ask for an order for a stat chest x-ray.
    20s
  • Q14
    3-year-old admitted to the hospital with croup has the following vital signs: heart rate 90, respiratory rate 44, blood pressure 100/52, and temperature 98.8°F (37.1°C). The parents ask the nurse if these vital signs are normal. The nurse’s best response is:
    “Your son’s respiratory rate is elevated, but the other vital signs are within the normal range.”
    “Your son’s blood pressure is elevated, but the other vital signs are within the normal range..”
    “Your son’s heart rate is elevated, but the other vital signs are within the normal range.”
    “Your son’s temperature is elevated, but the other vital signs are within the normal range..”
    30s
  • Q15
    Which intervention might the nurse anticipate in a 2-day-old infant diagnosed with maple syrup urine disease?
    High-protein, high-amino-acid diet.
    Low-protein, low-sodium diet.
    Phenylalanine-restricted diet.
    Low-protein, limited amino-acid diet.
    30s

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