YOU
A 4 year old child sometimes wakes her parents up at night, screaming, thrashing, sweating, and apparently frightened. Yet she is not aware of her parents’ presence when they check on her. She lies down and sleeps without any parental intervention. This most likely scenario is
A. nightmares.
B. sleep terrors.
C. seizure activity.
D. sleep apnea.
B. sleep terrors.
A parent calls the health clinic stating that her child was just exposed to poison ivy and asks what she should do to prevent further complications?
A. Have the parent contact the Health Department so they will be aware of a possible outbreak of this event.
B. Quarnetine the child until the rash disappears as the child is considered to be contagious.
C. Wash the exposed area of contact with cold water to neutralize effects of oil exposure.
D. Suggest to the parent that a tetanus booster is necessary to prevent further complications from this puncture exposure.
C. Wash the exposed area of contact with cold water to neutralize effects of oil exposure.
A child has ingested a non-food cleaning substance and the parents call the walk in clinic asking for instructions on what to do as they make their way to the clinic. The nurse responds by stating?
A. Try to induce vomiting.
B. Can you tell me what the name of the substance is?
C. Cover the child with a blanket.
D. Offer the child his/her favorite fluid.
B. Can you tell me what the name of the substance is?
What is a key factor that would alert the nurse to suspect potential child abuse for a child admitted with a knee injury?
A. Inconsistent information is provided about the event.
B. The child is not wearing a sports uniform.
C. Adults who are with the child seem attentive and concerned.
D. The child is asking questions about what types of testing he/she will have to undergo.
A. Inconsistent information is provided about the event.
The school nurse is seeing a child who brought poison ivy to school in a leaf collection. The child says that only hands touched it. The most appropriate nursing action is to
A. apply Burow solution compresses immediately.
B. soak hands in warm water.
C. rinse hands in cold, running water.
D. scrub hands thoroughly with antibacterial soap.
C. rinse hands in cold, running water.
A child is being treated for burns in the emergency room. The parents have provided information relative to the origin of the burn event but the patterns of injury are not consistent with their description. The nurse would suspect that
A. the parents are too upset to provide information at this time, so additional questions can be answered later.
B. the child may have not told the parents the truth about the event.
C. there may be a potential for abuse and as such requires follow up.
D. there is no real concern as the burn injuries are minimal and non life threatenning.
C. there may be a potential for abuse and as such requires follow up.
Which statement is correct about young children who report sexual abuse by one of their parents?
A. They may exhibit various behavioral manifestations.
B. In most cases, the child has fabricated the story.
C. Their stories are not believed unless other evidence is apparent.
D. They should be able to retell the story the same way to another person.
A. They may exhibit various behavioral manifestations.
Which observation is associated with nightmares as opposed to sleep terrors?
A. Child has no memory of the event or dream like state.
B. Has a hard time returning to sleep following the event.
C. Thrashing type behaviors continue when the child awakens.
D. Is not comforted by traditional methods of contact.
B. Has a hard time returning to sleep following the event.
A child is brought into the hospital following a fire at his home. The child appears to be sleeping on the stretcher bed. No observable burn injuries are noted based on preliminary survey. However, the nurse would place a priortiy observation on the possiblity of the child having?
A. Inhalation Injury
B. Thermal burns
C. Decreased metabolism leading to hypovolemic shock
D. Chemical burns
A. Inhalation Injury
A triage nurse is assessing a child brought into the Emergency Room (ER). The child has a series of past ER visits for similar complaints related for which previous diagnostic testing has been negative. The child is afebrile and denies any pain or discomfort. The child’s caregiver is insisting that diagnostic tests that were done previously be performed again. What priority action should the triage nurse take?
A. Perform a thorough physical assessment to clarify reported information.
B. Ask the physician to order the tests to rule out any suspected pathology.
C. Administer a pain scale to the child.
D. Ask the child when the last time he/she has eaten.
A. Perform a thorough physical assessment to clarify reported information.
The nurse is caring for a 12-year-old who sustained major burns when putting charcoal lighter on a campfire. The nurse observes that the child is “very brave” and appears to accept pain with little or no response. What is the most appropriate nursing action related to this?
A. Request a psychological consultation.
B. Ask the child why the child does not have pain.
C. Praise the child for the ability to withstand pain.
D. Encourage continued bravery as a coping strategy.
A. Request a psychological consultation.
Which statement by a student nurse indicates that additional observation is needed relative to abuse of a child?
A. The child appears well groomed.
B. The child has a low grade fever.
C. The child seems reluctant to go home with parents.
D. The child is active during the examination
C. The child seems reluctant to go home with parents.
What nursing actions should the nurse anticipate if caring for a child who has been sexually abused in the past and is now admitted to the hospital for a non-related hospital admission?
A. Offer supportive care and be observant of verbal and non-verbal cues.
B. No additional nursing actions required as this is unrelated to the prior event.
C. Provide brief descriptions and avoid any physical contact during delivery of care.
D. Limit the number of visitors that can be in the room at any given time.
A. Offer supportive care and be observant of verbal and non-verbal cues.
Which age group does the nurse identify to be at most risk for ingestion of poisonous substances?
A. Infants up to 12 months of age.
B. Ages 1 to 5.
C. Between ages 4 and 5.
D. 6 months of age.
B. Ages 1 to 5.
Based on the nurse’s knowledge of abusive head trauma (AHT), what impact can this cause on the developing child? (Select all that apply.)
A. There may be no obvious external physical signs and yet still be problematic.
B. May be prone to develop seizure activity.
C. Increased appetite leading to weight gain.
D. Deficits in hearing may occur.
E. Development of cardiac anomalies.
A. There may be no obvious external physical signs and yet still be problematic.
B. May be prone to develop seizure activity.
D. Deficits in hearing may occur.
A child is brought to the emergency department after falling down the basement stairs. On assessment, what findings may cause the nurse to suspect child abuse? (Select all that apply.)
A. The child’s bruises are located only on the right arm and leg.
B. The child is brought to the emergency department by an unrelated adult.
C. The child has a history of a broken arm last year from falling off a swing.
D. The child’s caregiver is anxious that the child get immediate medical attention.
E. The child has red, green, and yellow bruises on more than one plane of the body.
A. The child’s bruises are located only on the right arm and leg.
D. The child’s caregiver is anxious that the child get immediate medical attention.