Respiratory
A 2-year-old child is brought to the emergency room with a barking cough, inspiratory stridor, and a low-grade fever. The nurse suspects croup. Which intervention should the nurse anticipate?
Providing humidified air or mist
A 4-year-old child is brought to the clinic. The nurse records a respiratory rate of 38 breaths per minute. How should the nurse interpret this finding?
Mild tachypnea
A nurse is assessing pain in a 3-year-old child. Which pain scale is the most appropriate to use?
Wong-Baker FACES Pain Rating Scale
Which of the following is a common clinical finding in an infant with a ventricular septal defect (VSD)?
Loud, harsh murmur at the left sternal border
Name a modifiable risk factor for SIDS?
Sleeping on the stomach
A 6-month-old infant diagnosed with bronchiolitis is admitted to the pediatric unit. Which nursing action is the highest priority? What should be of constant monitoring?
Monitoring oxygen saturation continuously
During a routine checkup, the nurse records the blood pressure of a 10-year-old child as 130/85 mm Hg. What is the nurse’s best action?
Recheck blood pressure again
Which pain assessment tool is most appropriate for a nonverbal 6-month-old infant?
FLACC Scale
A 6-year-old with Kawasaki disease is in the acute phase. What is the priority nursing intervention?
Administer high-dose IV immunoglobulin (IVIG)
A nurse is teaching new parents about safe sleep practices to reduce SIDS risk. Which instruction is most important?
No soft bedding or toys in the crib
A child with asthma is experiencing an acute exacerbation. Which medication should the nurse expect to administer first?
Albuterol
The nurse is teaching parents about monitoring their newborn’s heart rate at home. Which instruction is most important?
A normal newborn heart rate is usually between 100 and 160 beats per minute
A nurse uses the FLACC scale to assess pain in a toddler. Which behaviors are included in this scale? (Select all that apply)
Face, Legs, Activity, Cry, Consolability
The nurse is assessing a 5-year-old with heart failure. Which assessment finding requires immediate intervention?
Crackles in the lungs
What is the safest sleep position for a baby to prevent SIDS?
On the back (supine)
Which 2 clinical signs indicates respiratory distress in a newborn?
Nasal flaring and grunting
What heart rate would be considered normal for a 12-year-old adolescent at rest? This is a range.
A normal resting heart rate for a 12-year-old is about 60-100 bpm
Parents of a 5-year-old child ask the nurse how their child will be asked to rate pain. Which response by the nurse is best?
“Your child will point to pictures of faces showing different pain levels.”
A nurse hears a soft systolic murmur while assessing a 2-day-old newborn who is feeding well and has normal vital signs. What is the priority nursing action?
Document the findings and continue to monitor
Parents ask about the best room arrangement for their newborn to reduce SIDS risk. What is your best advice?
Baby should sleep in a crib or bassinet in the parents’ room
A 3-month-old infant is admitted with respiratory syncytial virus (RSV) bronchiolitis. What is the primary mode of transmission the nurse should educate the parents about?
Direct contact with respiratory secretions
Which vital sign change is expected in a child experiencing fever?
Increased respiratory rate and heart rate
At what age is a child generally able to use the numeric pain rating scale (0-10) reliably?
8 years old
Which is a normal PR interval range for a 5-year-old child?
0.12–0.20 seconds
Which clothing choice is safest for a baby during sleep?
Onesie