GI & Nutrition
A child with celiac disease is discharged home. Which food should be avoided? (All oat cereals, wheat bread, or lactose?)
Wheat bread
What vaccine reduced the incidence of epiglottitis in children?
Hib vaccine
Which IM injection site is safest in infants?
Vastus lateralis
What is the primary stressor for infants (under 12 months) in the hospital? (Stranger danger, loss of control, or separation from caregivers?)
Separation from caregivers
At what age should children have their first dental visit? (6 months, 1 year, or 2 years?)
By 1 year
What infant sleep position is recommended to reduce the risk of SIDS?
Supine (on back)
A post-tonsillectomy child is frequently swallowing. What does this suggest?
Postoperative bleeding
What is the 24-hour fluid maintenance requirement for a pediatric patient weighing 52 kg? Round the answer to the nearest whole number.
2140 mL
Which Erikson stage is associated with preschoolers?
Initiative vs. Guilt
Which car seat position is safest for infants under 2 years?
Rear-facing in the back seat
Which symptom best indicates appendicitis in a school-age child?
Pain at McBurney's Point (RLQ) or periumbilical pain that migrates to RLQ
Which lab result confirms cystic fibrosis?
A sweat chloride test (>60mmol/L)
Which drug is used for acute asthma exacerbations?
Inhaled abuterol
Which coping strategy helps school-age children in the hospital? (Involve them in decision making, avoid telling them about procedures, or use role-play for explanations of procedures?)
Involved them in decision-making
What safety concern is highest for toddlers?
Poisoning
A physician plans to order an IV fluid bolus for a child with dehydration. The child weighs 22 kg. What is the anticipated bolus dose (in mL)?
440 mL
Which is an early sign of respiratory distress in children? (Nasal flaring, severe retraction, or bradycardia?)
Nasal flaring
A nurse prepares an acetaminophen suppository. The order is 160 mg, but the available is 120 mg each. How many suppositories should be given?
Which is the greatest concern for adolescents during hospitalization?
Loss of privacy and autonomy, social isolation, or body image
Which is a key anticipatory guidance for school-age children? (Suffocation education, helmet use for biking education, or educating on choking hazards around the house?)
Helmet use for biking
Which vitamin deficiency is most common in children consuming a high-milk diet?
Iron deficiency
What is the initial nursing action if a toddler suddenly begins choking while eating? (Assess ability to breathe/cough, do a blind sweep to get the item, or start chest compressions?)
Assess ability to breathe/cough
IV fluids of NS with 20KCl (potassium/chloride) are ordered for a 2-year-old admitted with dehydration from excessive vomiting. What must we first assess before starting the fluids?
Urine output (at least 1mL/kg/hr)
A preschooler says, “I’m sick because I was bad.” What concept is this?
Magical thinking
Which is the greatest safety concern for adolescents according to developmental stage anticipatory guidance?
Risk-taking behaviors, including motor vehicle accidents, substance use, and/or unsafe sexual activity