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Routine Pediatric examinations
Illness in Children
Diseases in children
Care of Children
Diseases in children
100
A nurse in a family health clinic is collecting data as part of a routine physical examination of a client who is about to enter high school. The nurse observes an abnormal curvature of the spine. The nurse should expect the provider to document which of the following disorders?
What is scoliosis
100
A nurse who is bathing a 1-year-old child notices a large abdominal mass and pink-tinged urine on the diaper. Which of the following disorders should the nurse suspect?
What is . Wilms tumor
100
A nurse is instructing a mother on how to care for a child who has impetigo contagiosa. Which of the following should the nurse plan to include in her education of the mother?
What is Wash toys with soap and very hot water.
100
. A nurse is caring for a toddler scheduled to have a lumbar puncture (LP) to rule out meningitis. The nurse who is planning to assist with the procedure should
What is place the toddler in a side-lying, knee-chest position
100
A nurse is reinforcing teaching the mother of a child who has cystic fibrosis and is prescribed pancreatic enzymes three times per day. Which of the following statements indicates the mother understands the information
What is My child will take the enzymes to help digest the fat in foods
200
A nurse is caring for a 6-month-old child. The child's provider has ordered a diphtheria, tetanus, and pertussis (DTaP) vaccine to be administered. Which of the following should cause the nurse to question the Administration of this vaccine?
What is Temperature of 40.5 C (105) onset with in 48 hours after last DTaP
200
A nurse is preparing a 4-year-old client for discharge following a bilateral myringotomy with tympanostomy tube placement. The mother asks what to do if the tubes fall out. The nurse should give the parent which of the following instructions?
What is Call the health care clinic to report that the tubes have fallen out.
200
. A nurse is caring for a child diagnosed with tinea pedis. The nurse should respond with which of the following when asked by the parent what the common name for this disorder is?
What is Athlete’s foot
200
A nurse is caring for a child with a suspected diagnosis of bacterial meningitis. Which of the following is the priority action by the nurse
What is Administer antibiotics.
300
A nurse is caring for a newborn whose mother voices concerns about sudden infant death syndrome (SIDS). Which of the following would be appropriate to include in a discussion with the mother?
What is Placing her child on the back when sleeping will decrease the risk of SIDS.
300
A nurse is caring for a child that is having a tonic-clonic seizure and vomiting. Which of the following is the PRIORITY nursing action?
What is Position the child side-lying.
300
A school nurse is completing routine health evaluations for school-aged children. Which of the following should alert the nurse to the possibility of pediculosis?
What is Reports of scalp itchiness
300
A nurse is collecting data from an infant. Which of the following is a clinical manifestation of pyloric stenosis
What is Projectile vomiting after feedings
300
A nurse is reinforcing teaching with the parent of a child scheduled for the initial surgery to treat Hirschsprung's disease. The nurse knows that the parent understands the goal of the surgery when the parent states
What is I'm glad that the ostomy is only temporary."
400
A nurse is reinforcing teaching to an adolescent client regarding administration of Gardasil vaccine. For which of the following sexually transmitted infections does the vaccine provide immunity?
What is Human papillomavirus (HPV)
400
A nurse is reinforcing teaching a parent of a child who has a fracture of the epiphyseal plate. Which of the following is an appropriate statement by the nurse?
What is Normal bone growth can be affected
400
A nurse is caring for a child that is having a tonic-clonic seizure and vomiting. Which of the following is the priority nursing action?
What is Position the child side-lying.
400
A nurse is caring for a 2-year-old child hospitalized with vomiting and possible dehydration. Which of the following findings should concern the nurse
What is Potassium 2.5 mEq/L ( normal potassium 3-5.5
400
A nurse is collecting data from a child. Which of the following is a clinical manifestation of nephrotic syndrome
What is Facial edema
500
A nurse is attending a continuing education course about communicable diseases. During which of the following stages is a disease contagious?
What is Communicability period
500
A nurse is collecting data from an 4-month-old infant. Which of the following clinical manifestations is suggestive of a central nervous system infection?
What is Bulging fontanel
500
the following is an example of a neural tube defect
What is Spina bifida
500
. A nurse is caring for a child following an open reduction and internal fixation of a fractured femur and application of a cast. The cast has a window cut in it for viewing of the incision. Which of the following actions should the nurse take first
What is Perform neurovascular checks of the affected extremity
500
A nurse is caring for a 17-year-old client who has a relapse of leukemia and refuses treatment. The client's mother wants to proceed with treatment. Which of the following actions should the nurse take
What is Contact the charge nurse of the situation