Pediatric Nursing

Growth & Development

100

How do you prepare a toddler for a procedure?

Give brief and simple explanations immediately before procedures.

200

The RN should expect a 3 year old to be able to perform the following task: A) roller skate B) tie shoe laces C) ride a tricycle D) jump rope

What is ride a tricycle.

300

Which of the following criteria is used in assessing readiness for toilet training? A) the child should be at least 2 yrs old before toilet training B) the child can demonstrate an awareness that she is urinating and defecating C) the child should have a dry diaper through the night D) the child should have resolved her fears about what might happen when she flushes the toilet

What is B. The child can demonstrate an awareness that she is urinating and defecating.

400

4 year old Juan is being admitted for a T&A. He is in Erickson's stage of:

What is Initiative vs Guilt

500

Which one of the following approaches would be best to use to ensure a receptive response from a toddler? A. Assume an eye-level position and talk quietly. B. Call the toddler's name while picking him or her up. C. Call the toddler's name and say, "I am your nurse." D. Stand by the toddler, addressing him or her by name.

What is assume eye level position and talk quietly.

Perfusion

100

Hole between the ventricles. Oxygenated blood shunts left to right, larger lesions may lead to Eisenmenger syndrome or CHF, requiring surgical closure. 

What is a ventricular septal defect (VSD)?

200

Components of fetal circulation that may remain open after birth. 

What is the foramen ovale and ductus arteriosus? 

300

Evaluate pulse rate and rhythm, ascultate heart sounds, listening for murmurs, rubs or gallops, note color of skin and mucous membranes, test capillary refill time, feel temperature of skin. 

What are components of cardiac/perfusion assessment? 

400

Has abnormal circulation with unoxygenated blood entering the systemic circulation. 

What is a cyanotic heart defect? 

500

An acute systemic vasculitis that can cause damage to vessels, including coronary arteries that supply blood flow to the heart. 

What is Kawasaki's disease? 

Oxygenation

100

An inflammatory reactive airway disease that is commonly chronic. 

What is asthma? 

200

Respiratory rate, rhythm, depth, use of accessory muscles and auscultation of breath sounds. 

What are components of a respiratory assessment? 

300

An autosomal recessive disease that causes dysfunction of the exocrine glands, manifesting in lung and pancreatic insufficiency. 

What is cystic fibrosis? 

400

Monitor respiratory status, observe for signs of hypoxia, clear airway of sections using bulb suction or suction catheter, maintain hydration, and administer oxygen. 

What are management techniques to promote oxygenation? 

500

Usually progresses rapidly causing acute airway obstruction, prepare for immediate intubation, usual etiology of infection of Haemophilus influenza type B.  

What is epiglottitis?

Inflammation

100

Cardiac monitoring. Symptom relief-skin discomfort, mouth care. High doses of aspirin. Strawberry tongue. Peeling skin on toes and fingers.

What is Kawasaki Disease.

200

Kimberly is having a checkup before starting kindergarten. The nurse asks her to do the "finger-to-nose test." The nurse is testing for which of the following? A. Deep tendon reflexes B. Cerebellar function C. Sensory discrimination D. Ability to follow directions

What is cerebellar function.

300

The nurse who has been closely monitoring a child who has been exhibiting decorticate posturing notes that the child suddenly exhibit decerebrate posture. The nurse interprets that this change in the child's posture indicates what? 

Deterioration in neurologic function

400

The nurse is caring for a boy with probable intussusception. He had diarrhea before admission, but while waiting for a barium enema, he passes a normal brown stool. The most appropriate nursing action is which of the following? A. Notify physician. B. Measure abdominal girth. C. Auscultate for bowel sounds. D. Take vital signs, including blood pressure.

What is notify the physican. Passage of a normal brown stool indicates that the intussusception has reduced itself. This is immediately reported to the practitioner, who may choose to alter the diagnostic and therapeutic care plan.

500

You are the community health RN performing well child assessments at the local health center. Mrs. Smith returns to the clinic to report a positive PPD result for her 15 month old son Roman. Which of the following statements is the most appropriate response to Mrs. Smith? A) "It is common to have a false positive result on the PPD test, so the first thing we should do is another PPD." B) "Roman has active TB. He needs to begin wearing a mask immediately." C) "Roman has active TB, but is likely not contagious. He should start antibiotics immediately." D) "Roman has been exposed to TB. He will need to get a chest x-ray as soon as possible to determine if his lungs show signs of the TB disease."

What is Roman has been exposed to TB. He will need to get a chest x-ray as soon as possible to determine if his lungs show signs of the TB disease.

Infection

100

For infants use a medicine dropper, bulb with a soft tip, bulb syringe, or a soft bottle nipple. For older children, progress diet from clear liquids. AVOID straws or sharp objects.

What is used for feeding a child during the post- op period following cleft palate surgery.

200

Keona has type 1 DM and takes NPH and regular insulin in the morning. What must be included in Keona's daily plan of care related to these medications? A) Check glucose level before going to sleep. B) Use lotion on the child's dry skin at the injection sites. C) Test the child's hgb A1c. D) Assure that the child eats a snack with carbs in the mid-afternoon.

What is assure that the child eats a snack with carbs in the mid-afternoon.

300

A proton pump inhibitor (PPI) is ordered for an infant with gastroesophageal reflux. The nurse should include in the drug teaching that: A. The drug should be given 30 minutes before bedtime. B. Three times a day dosing has maximum effect. C. The drug can be stopped once symptoms have resolved. D. Several days may pass before full effect is reached.

What is several days may pass before full effect is reached.

400

You are the Rn performing discharge instructions with the parents of a child newly diagnosed with nephrotic syndrome. You evaluate that the mother understands proper dietary guidelines for her child by which of the following statements: A) "I will give him foods that are high calorie, low protein, and high iron." B) "I will give him foods that are high calorie, high protein, and low salt." C) "I will give him foods that are low calorie, low protein, and low salt." D) "I will give him foods that are low calorie, high protein, low potassium."

What is "I will give him foods that are high calorie, high protein, and low salt."

500

A child who has been receiving morphine intravenously will now start receiving it orally. The nurse should anticipate that to achieve equianalgesia (equal analgesic effect), the oral dose will be which of the following? A. Same as the intravenous dose B. Greater than the intravenous dose C. One half of the intravenous dose D. One fourth of the intravenous dose

What is greater than the intravenous dose. The same dose given orally will provide less pain relief