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Communicable Diseases
Chronic Illness
Cognitive Health
Central Nervous System
Growth & Development
Musculoskeletal
100

A nurse is planning to administer vaccines and the mom is hesitant. What is the nurses best approach? 

educate the mom on benefits of vaccines

100

What are the principles of atraumatic care?

Measures to reduce pain/discomfort of procedure: allowing parents to be present, providing sucrose to infants and lidocaine to children prior to painful procedures.

100
The nurse is caring for an adolescent who has spina bifida and is paralyzed from the waist down. The adolescent informs the nurse he only needs to self-cath once a day. How should the nurse best respond to this?
Paralysis has impacted bowel and bladder continence. The bladder should be emptied every four hours. Infrequent emptying can result in urinary stasis and UTI.
100

A nurse is assessing a child at a well child visit. When should the nurse plan to examine the child's head?

At the end- most invasive last

100

The nurse is educating parents of a child placed in a cast. What must the nurse instruct the parents to do?

Assess neurovascular function several times daily.

200

A nurse is planning to administer a vaccine into the deltoid muscle of a pre-school-age child. What actions must the nurse take?

Provide distractions such as music or game.

200

A mother is concerned as her child does not speak but makes odd, repetitive movements. What should this child be evaluated for?

Autism

200
A nurse is caring for a child with suspected bacterial meningitis. What is the nurse's first action?
Place the child in isolation to avoid exposing other children on the unit.
200

A 3-year-old child has magical belief. What does this mean?

Magical belief (according to Piaget) is that all thoughts are powerful and can make things happen.

200

A child with DDH was placed in a Pavlik Harness. What education must the parents receive to care for this child at home?

The harness should adjusted every 2 weeks by the provider.

300

What vaccines must immunocompromised children not receive?

Live vaccines

300
Parents of chronically ill children tend to remain with the child when hospitalized and prefer to provide direct care. How should the nurse interpret this?
Parents are the experts on the care of the child.
300

The nurse is planning to assist with a lumbar puncture of a 6-month-old child. What should the nurse do to position this child during the procedure?

Bring the child's chin to his chest and knees flexed up toward the abdomen.

300

Infancy is known as a period of rapid growth. What other stage is known for rapid growth?

Adolescent

300
What is Adam's position?
This is the position used to assess clients for scoliosis.
400

A parent expresses concern over a possible vaccination reaction, as the child develops a mild fever and is fussy a few hours after administration. How should the nurse respond to this mother?

Localized redness, swelling and fussiness is an expected side effect of vaccinations. These symptoms are not an allergic reaction to immunization.

400
Parents of chronically ill children are often over-protective and don't want the child playing with others as a means of avoiding injury or infection. How should the nurse respond to this?
The child needs to interact and play with others, reaching developmental milestones.
400

What are the signs of increased intracranial pressure in infants?

Bulging fontanelles, dilated scalp veins, increased head circumference, dilated scalp veins.

400

Parents of a 5-year-old child express concern as their child still has an imaginary playmate. What should the nurse discuss with these parents?

It is perfectly normal for a child to still have an imaginary playmate. This often fills a void for the child.

400

Priority interventions for cerebral palsy

physical and occupational therapies

500
A nurse is assessing a child who has red marks on both cheeks. What should the nurse so next?
Assess the rest of the child's body for red marks or rash. Fifth's disease presents with erythema on the face, resembling slap marks.
500
What pain scales are used for children?
NIPS is used for neonates. FLACC is used for children ages 2 - 7 who are unable to report pain in any other manner. FACES is used for children who are able to point at the face to describe how they are feeling.
500

What are some possible complications for children who had a VP shunt placed?

Tubing kink, valve malfunction, infection. Any change in LOC warrants an immediate call to the provider and examination.

500

A nurse is caring for a 12-month-old child who is hospitalized with contact precautions in place. What toys can the nurse provide the child with?

Large building blocks.

500

A client has returned from the OR for repair of scoliosis. What must the nurse know when caring for this client?

Manage the client's pain and log-roll the client in bed.