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A child presents with a high fever and stiff neck. What is the nurse’s PRIORITY action?
What is initiate isolation precautions?
A child with vesicular lesions refuses to eat due to oral pain. What intervention is most appropriate?
What is provide cool fluids and pain control?
Which type of fracture warrants mandated reporting in a child?
What is spiral fracture?
A child with joint swelling reports stiffness that improves throughout the day. What condition is most consistent with this finding?
What is juvenile idiopathic arthritis (JIA)?
A adolescent stops playing and interacting with peers. What is the nurse’s concern?
What is depression or withdrawal?
A toddler with vomiting has dry lips and has not urinated in 8 hours. What is the nurse’s priority action?
What is initiate fluid replacement?
A child with a “slapped cheek” rash is most contagious when?
What is before the rash appears?
A child’s explanation of injury changes repeatedly. What is the nurse’s next step?
What is document and report findings?
During a newborn assessment, the nurse notes asymmetric thigh and gluteal folds. What condition should the nurse suspect?
What is developmental dysplasia of the hip (DDH)?
A child follows rules but shows no empathy or remorse. What disorder is most likely?
What is conduct disorder?
A postoperative child suddenly develops tachycardia and decreased blood pressure. What complication does the nurse suspect?
What is bleeding or hemorrhage?
A child presents with honey-colored crusted lesions around the mouth. What is the priority nursing action?
What is initiating contact precautions?
A child appears withdrawn, avoids eye contact, and flinches when approached. What is the nurse’s concern?
What is possible abuse or trauma?
A child presents after a fall with a bone that is bent and partially broken on one side. What type of fracture is this?
What is a greenstick fracture?
A child with ADHD frequently interrupts and cannot wait their turn. What deficit is present?
What is impulse control deficit?
A child with asthma is speaking in short phrases and appears anxious. What is the nurse’s FIRST action?
What is administer a bronchodilator?
A child develops a rash that appears in different stages (vesicles, crusts, papules). What infection is suspected?
What is varicella?
A caregiver delays bringing a child in despite worsening symptoms. The child is also unkept. What is the nurse’s interpretation?
What is possible neglect?
A child with a fracture begins to complain of increasing pain unrelieved by medication. What complication is suspected?
What is compartment syndrome?
A child becomes extremely distressed when away from parent and is afraid they will be harmed. The child is now exhibiting vomiting. What is suspected?
What is separation anxiety disorder?
A child with a severe allergic reaction develops swelling of the lips and tongue. What is the nurse’s priority action?
What is administer epinephrine?
A child with staphylococcal scalded skin syndrome (SSSS) has extensive skin sloughing. What are 2 priority nursing intervention needed?
What is IV antibiotics and IV fluids?
A toddler presents with bruising only over bony areas (knees, shins). What is the nurse’s interpretation?
What is likely normal injury pattern?
A nurse is caring for an infant placed in a Pavlik harness for developmental dysplasia of the hip (DDH). What is a priority to assess?
What is circulation, pulses, temp of extremities?
A child blames others for their mistakes and refuses responsibility. What disorder is most consistent?
What is oppositional defiant disorder?