Assessment
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.
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 physician. 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.
Which of the following sites is the most appropriate for administering an immunization to an infant?
A: Deltoid B: Ventrogluteal C: Vastus Lateralis D: Dorsogluteal
What is Vastus Lateralis
At what age do infants begin to smile?
A: 2-3 months / B: 4-5 months / C: 6-7 months / D: 8-9 months
A. 2-3 months
Which of the following approaches is the most appropriate when performing a physical assessment on a toddler? A. Demonstrate use of equipment. B. Perform traumatic procedures first. C. Use minimum physical contact initially. D. Always proceed in a head-to-toe direction.
What is use minimum physical contact initially.
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.
Which of the following is most likely to encourage parents to talk about their feelings related to their child's illness? A. Be sympathetic. B. Ask direct questions. C. Use open-ended questions. D. Avoid periods of silence.
What is use open ended questions.
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
A 2-year-old child has had three ear infections in the past 5 months. For which of the following long-term complications of otitis media with effusion should the nurse screen the child?
A. Balance difficulties B. Tinnitus C. Speech delays D. Pneumonia
What is C. Speech delays
The parents of a school age child with asthma express concern about letting the child participate in sports. What should the RN tell the parents about the relationship between exercise and asthma? A) Asthma attacks are triggered by allergens, not exercise. B) The child should avoid exercise because it may trigger asthma attacks. C) Continuous activities such as jogging are less likely to trigger asthma than intermittent activities. D) Using prophylactic bronchodialators before the activity can prevent asthma attacks and enable the child to engage in most sports.
What is using prophylactic broncho-dialators before the activity can prevent asthma attacks and enable the child to engage in most sports.
When instilling an otic solution into a 2 year old's ear, the nurse should pull the auricle...
What is DOWN and BACK.
What type of foods can infants eat at 4-5 months?
A. Iron-fortified or rice cereal
B. Pureed or soft vegetables
C. Sliced fruit
D. Meat
A. Iron-fortified or rice cereal
Mild, contagious viral infection that is common in young children include sores in the mouth and a rash on the hands and feet.
What is hand, foot, and mouth disease (HFMD)?
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.
Which of the following is true regarding cultural awareness? A) The RN's cultural background influences the manner in which care is delivered. B) The RN should rely on her own values and experiences to guide her when caring for a family from a different culture. C) It is most important for the family to adapt to the predominant culture within the hospital. D) It is easy for RNs to be non-judgemental when working with families of a different culture.
What is the RN's cultural background influences the manner in which care is delivered.
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.
This skin condition is common in children with family history of asthma, allergies, and immune deficiencies.
What is atopic dermatitis (eczema)?
Cardiac monitoring. Symptom relief-skin discomfort, mouth care. High doses of aspirin. Strawberry tongue. Peeling skin on toes and fingers.
What is Kawasaki Disease.
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."
Name 4 ways to prevent SIDS.
Could be: 1) infant sleeping position should be on back for sleep 2) prevent exposure to tobacco smoke 3) prevent overheating 4) use a firm, tight-fitting sheet in the infant's crib 5) remove pillows, quilts, toys, and sheepskins from the crib during sleep 6) ensure that the infant's head is kept uncovered during sleep 7) Avoid co-sleeping 8) Have appropriate crib rail spacing