Pediatric Study Materials

1. (NGN) A nurse is reviewing a child's medical record. B. Dornase alfa Which of the following medications should the nurse D. Water soluble vitamins expect the provider to prescribe or reconcile from the E. Pancreatic lipase child's home meds list? Scenario: Cystic fibrosis at 3 months, failure to thrive, has chronic obstructive pulmonary disease. Wheezing, rhonchi, paroxysmal cough, dyspnea. Parent reports large frothy, foul-smelling stool. Child has deficient levels of vitamins A, D, E and K Barrel shape chest, clubbed finger bilaterally, RR 40/min wheezing rhonchi, bilateral dyspnea, paroxysmal cough. Temp: 101.1 HR: 100 RR:40 BP: 100/57 Labs: sputum culture positive for pseudomonas aeruginosa Stool analysis: the presence of fat and enzymes. Chest x ray: obstructive emphysema WBC: 20,000mm3 A. Meperidine B. Dornase alfa C. Acetaminophen D. Water soluble vitamins E. Pancreatic lipase 2. (NGN) A nurse is caring for a 7-year-old child who has urinary incontinence. A 7-year-old client who weight is 18.1 kg (39.9 lb.) was admitted with a UTI. The child reports pain and burning upon urination and feeling like they need to go to the bathroom all the time. The child guardian reports client has been incontinent of urine the past 2 nights and the urine has very strong 1 / 26 - Anticipated: A. Educate the child about proper personal hygiene. B. Administer sulfamethoxazole and trimethronin. E. Advise child guardians odor. T: 100.4 HR 80 RR: 22 BP: 106/65 T: 101.1 F HR: 90 RR: 23 BP: 105/65 Indicate if the potential intervention is anticipated or contraindicated for the client. A. Educate the child about proper personal hygiene. B. Administer sulfamethoxazole and trimethronin. C. Administer salicylic acid for pain and fever. D. Ensure child receives a maximum of 1,200 mL/day of fluid. E. Advise child guardians about use of sunscreen. 3. (NGN) Child presents to ED guardian reports a child woke up coughing with a low-grade fever. Child alert restless in guardians' arms. RR easy. No cough noted. Child became agitated. Hoarse cry noted with audible inspiratory stridor. Barking non-productive cough present. 7:15 T: 100.6 98 o2 0800? T: 101 HR 112 RR: 24 o2 96 Assessment findings consistent with Acute Laryngotrancheobronchitis, or Pneumonia. A. Irritability B. Cough findings at 0800 C. Stridor D. Temperature 2 / 26 about use of sunscreen. - Contraindicated: C. Administer salicylic acid for pain and fever. D. Ensure child receives a maximum of 1,200 mL/day of fluid. - Acute Laryngotrancheobronchitis: A. Irritability B. Cough findings at 0800 C. Stridor D. Temperature - Pneumonia: B. Cough findings at 0800 D. Temperature 4. (NGN) Received the child awake, alert, and crying. A. Keep them NPO. Parent noticed battery on control toy missing parent D. Prepare for flexible endoscopy. states child was drooling more than usual and witnessed gaging periodically. 0930 The child is lying on the parent's chest with eyes open and requesting sippy cups. He continues to have expiratory wheeze in bilateral upper lobes. Preparing child for diagnostic testing. Nurse should ---- followed by ----. A. Keep them NPO. B. Teach parents importance of inspecting Childs gasp area? C. Obtain informed consent. D. Prepare for flexible endoscopy. E. Monitor for return of gag reflex. F. Encourage parents to inspect toys for easily removable parts. 5. The nurse is caring for a client who is postop following B. Reposition client using the placement of a halo vest to manage cervical frac- turning sheet. ture. Which actions should the nurse take? A. Tighten screws on halo device on-quarter turn every 48 hr. B. Reposition client using turning sheet. C. Encourage flexion and extension of neck. D. Assess pin sites for infection once every other day 6. ED preparing to discharge 3-year-old a. You should apply emolThe child's guardian states that the child has been un- lients in your child's skin 3 / 26 7. able to sleep recently and has been irritable. Guardian expresses concern about the child's atopic dermatitis worsening and the child scratching excessively, which results in the areas bleeding. Guardian states child has hx of allergic rhinitis. Pimecrolimus 1% cream applied to skin lesions daily. Assessment alert/ responsive. RR even unlabored 24/min. No adventitious sounds. Small clusters of reddish, scaly patches with lichenifications and depigmentation on the child's bilateral limbs and lower extremities. a. You should apply emollients in your child's skin after bathing. b. You should cut and file your child's fingernails frequently. c. Your child will experience occasional flare-ups of this condition. d. Your child condition is contagious when lesions are present. e. You can apply gloves to your child's hands. F. You can a after bathing. b. You should cut and file your child's fingernails frequently. c. Your child will experience occasional flare-ups of this condition. e. You can apply gloves to your child's hands. g. You should use a mild detergent for your child's laundry. A nurse is teaching the parent of a school-age child about bicycle safety. Which instruction should the nurse include in the teaching? C. Your child should walk the bicycle through intersections. A. Your child's feet should be 3-6 inches off the ground when seated on a tricycle. B. Your child should ride bicycle against flow of traffic. C. Your child should walk the bicycle through intersections. 4 / 26 D. Your child should keep bicycle at least 3 feet from the curb while riding the street. 8. A nurse is evaluating the pain level of a toddler who A. FLACC is cognitively impaired to a non-pharmacologic intervention. Which of the following pain scales should the nurse use to evaluate the toddler's pain level? A. FLACC B. visual analog C. Cries D. FACES 9. A nurse is teaching the parent of an infant who has a A. Implement 3 hr. feeding new diagnosis of heart failure about nutrition. Which schedule.. of the following instructions should the nurse include? A. Implement 3 hr. feeding schedule. B. Allow infant 45 min for each feed. C. Allow infant to self soothe by crying prior to feeding. D. Place infant in recumbent position during feeding. 10. Nurse is caring for an adolescent who is admitted with Vado occlusive crisis. 15 yr. old adolescent is admitted for Vaso occlusive Crisis. Parent reported that the adolescent has a low-grade fever and has vomited for three days. The adolescent reports having right sided and low back pain. They also report hands and right knee are painful and swollen. The climb reports pain as an 8 on a scale of 0 to 10. T:100. HR 100. BP 110/72. RR 20. O2 sat 95 %. Awake, alert oriented x 3. Yellow sclera of eyes bilateral 5 / 26 A. Instruct parents to ensure the pneumococcal vaccine is current. B. Monitor oxygen saturation continuously. D. Placed client on strict bedrest. E. Administer meperidine IV for pain. Right upper quadrant tender to palpation Client is tearful and grimacing during examine. Hct 25% (32-44) Hgb 6 (10-15.5) WBC 20,000 ALT 50 (4-36) AST 62 (10-40) Bilirubin 3.0 (0.3-1.0) Chest radiograph is exam cardio eagle systolic flow murmur. Select Five interventions. A. Instruct parents to ensure the pneumococcal vaccine is current. B. Monitor oxygen saturation continuously. C. Administer folic acid as prescrib 11. A nurse is assessing a child two hours post- op follow- C. Apply pressure just ing a cardiac catheterization and finds the dressing is above the insertion site. saturated with blood; which of the actions should the nurse take? A. Rainforest dressing B. Monitor the pulse distal to the insertion site. C. Apply pressure just above the insertion site. D. Obtained vital signs. 12. A nurse is planning care for a child with an acute stage A. Weight child once per of nephrotic syndrome; which of the following inter- day. ventions should the nurse include in the plan of care? A. Weight child once per day B. Limit caloric intake to 45/Cal/kg/day. 6 / 26 C. Increase fluid intake to 2 L a day. D. Position the child supine at bedtime. 13. Nurses caring for a newly admitted child with cystic A. Dietitian fibrosis, which of the following members of the interprofessional team should the nurse initiate a referral? A. Dietitian B. Physical therapist C. Speech language pathologist D. Occupational therapist 14. A nurse reviewing the lab results of a child who has recently been admitted for suspected rheumatic fever. The nurse should identify the which of the following lab test can contribute, confirming the diagnosis. A. Partial thromboplastin PTT B. Erythrocyte sedimentation rate ESR C. ASO Antistretolysin O titer D. C-reactive protein (CRF) E. Blood urine nitrogen (BUN) B. Erythrocyte sedimentation rate ESR. C. ASO Astistretolysin O titer D. C-reactive protein (CRF) 15. A nurse is planning care for a preschooler who has C. Establish a reward sysautism spectrum disorder, which of the following inter- tem. ventions should the nurse include in the plan? A. Maintain extended eye contact. B. Engage in cooperative play. C. Establish a reward system. D. Hold the child during assessments. 16. 7 / 26 A nurse is assessing a four-month-old infant during a well-baby visit for which of the following findings should the nurse notify the provider? A. Dolls eye reflex intact B. No head lag when pulled to a sitting position. C. Presence of tears when crying D. Positive Babinski reflex A. Dolls eye reflex intact. Rationale: The nurse should notify the provider if the Doll's eye reflex is still present in a 4-month-old infant. The Doll's eye reflex, also known as the oculocephalic reflex, is a normal reflex in newborns and infants up to approximately 2 months of age. It is a protective reflex that helps keep the eyes fixed on a point when the head is moved. After 2 months of age, this reflex should disappear as the baby starts to gain control over eye movements. If this reflex is still present after this age, it could indicate a problem with the development of the baby's nervous system. 17. Nurse is applying restraints to a child who was acting A. Secure the restraints aggressively towards staff which of the action should with a quick release, knot. the nurse take? A. Secure the restraints with a quick release, knot. B. Assess the child every 4 hours while in restraints. 8 / 26 C. Request at the provider, renew the prescription for restraints every four hours. D. Tie the restraints to the side rails of the child's bed. 18. A nurse was reviewing the complete blood count results of four-year-old child is receiving treatment for acute lymphoblastic leukemia which finding should indicate to the nurse that the treatment is having a therapeutic effect? D. RBC count 5 (4-5.5) A. Platelet count 98,000/mm (150,000-400,000) B. Hemoglobin 6.8 (9.5-14) C. WBC count 15,000 (5,000-10,000) D. RBC count 5 (4-5.5) 19. A nurse is caring for a five-year-old child who has cute C. Clear urine post-streptococcal glomerulonephritis. Which of the following findings should indicate to the nurse that treatment has been effective? A. Odorless l urine B. Temperature 99°F C. Clear urine D. No report of pain with voiding 20. A nurse is caring for a one-week-old newborn who A. Monitor the newborn has hyperbilirubinemia and is being treated with pho- every two hours. totherapy. Which action should the nurse take? A. Monitor the newborn every two hours. B. Place ___ on the newborn hands. C. Check the newborn eyes every eight hours. D. Apply lotion to the skin. 9 / 26 21. A nurse came for a five-year-old child following a ton- A. Continuous swallowing sillectomy and adenoidectomy, which of the following findings should the nurses identify as an indication of hemorrhage? A. Continuous swallowing B. Heart rate 54 C. Flushing of the face D. Blood pressure 95/56 22. A nurse is providing teaching to the guardian of a two-year-old child about typical toddler behavior. Which behavior should the nurse include? D. Frequent negative responses A. Increased dependency B. Less emotionally C. Resistance to routines D. Frequent negative responses 23. (NGN) Nurse is caring for a six-week-old infant. Infant was full-term at birth weight was 3.5 kg (7.7 pounds). The infant is not gaining weight as expected. One week ago, at an outpatient visit, weight was 3.6 kg (7.9 pounds). The Parent Reports that for the past two days, the infant has been breathing faster during feedings and does not finish feedings. The parent also reports decreased appetite and puffiness around the infant's eyes. The parent states that the last diaper was about 10 hours ago. The infant was admitted for diagnostic evaluation failure to thrive and nutritional fluid support. Admission: Vital Signs: Temperature 37.7C (99.9 F) Heart rate 174/min while sleeping Respiratory rate 10 / 26 C. Congestive heart failure Actions to Take: 1. Administer prescribed medications: Medications such as diuretics and ACE inhibitors may be prescribed to help the heart work more efficiently and reduce fluid buildup. 2. Provide nutritional/fluid support: The infant may need additional nutrition- 72/min while sleeping. Respirations: Tachypneic with moderate retractions and nasal flaring. Upon auscultation, crackles were heard in all lung fields. No nasal drainage noted. Dry cough noted periodically. Skin: Pallor, scalp al support due to poor feeding. This could include supplemental feedings or a special formula. Monitor the following parameters: 1. Input and output. 2. Presence of periorbital edema/or respiratory status 24. A nurse is reviewing safety measures with a group of C. Electrical wires hidden parents to prevent burn injuries for toddlers. Which from view. of the following safety measures Should the nurse include in the teaching? A. Turn pot handles to the front of the stove. B. Encourage outdoor activities between the hours of 1100 and 1300. C. Electrical wires hidden from view. D. Set the water heater to 140°F 25. A nurse is planning care for a child with varicella. Which C. Initiate airborne preintervention should the nurse plan to include? cautions. A. Assess oral activity for kolpik spots. B. Provide a child with a worm blanket. C. Initiate airborne precautions. D. Administer aspirin for fever. 26. A nurse is assessing a preschool child who is in the D. Child swallows freimmediate postoperative period following a tonsillec- quently tomy, which assessment finding is a priority? 11 / 26 A. Throat pain increases. B. Child refuses clear liquids C. Child cries often D. Child swallows frequently 27. Five-year-old male. 39.7 pounds. Admitted following a C. Compare child's pedal motor vehicle crash. Surgical procedure done: L open pulses. reduction and fixation. L arm closed reduction and fixation. A nurse is caring for a child who is two hours post- op which action should the nurse take first? A. Recheck the child's temperature. B. Determine the child's sedation level. C. Compare child's pedal pulses. D. Assess the child's pain level. 28. A nurse is preparing to perform a venipuncture on a C. Apply topical anesthetic four-year-old child which action should the nurse take cream, one hour prior to to ensure atraumatic care. the procedure. A. Ask the child's parents to leave the room during the procedure. B. Perform the procedure in the unit's playroom. C. Apply topical anesthetic cream, one hour prior to the procedure. D. Explain the procedure in detail to three hours prior to the procedure. 29. A Nurse is preparing to assess of four-year-old visual C. Use a tumbling E chart acuity. Which action should the nurse plant to take? for the assessment. A. Assess both eyes together first then each separate12 / 26 ly. B. Test the child without glasses before testing with glasses. C. Use a tumbling E chart for the assessment. D. Position 15 feet from the chart 30. A nurse caring for a child was receiving conditioning therapy for enuresis. Which of the following Statements by the child's parents indicates that treatment is effective? C. My child went to the bathroom two times when the alarm went off last night. A. My child has been doing Kegel exercises to strengthen their pelvic muscles. B. My child held their urine for about 15 minutes before going to the bathroom. C. My child went to the bathroom two times when the alarm went off last night. D. My child has been drinking a lot less since they started treatment. 31. A Nurse obtaining informed consent for an adolescent C. Notify the provider who was scheduled for cardiac catheterization. The adoles- is scheduled to perform cent states I don't understand why they need to do this the procedure. procedure which actions the nurse take? A. Witness the adolescent's signature on the informed consent form. B. Explain the procedure to the adolescent and guardian. C. Notify the provider who is scheduled to perform the procedure. 13 / 26 D. Request assistant from the anesthesiologist to clarify the misunderstanding. 32. A nurse Is caring for a child with epiglottitis due to A. Monitor oxygen saturaan infection with hemophilia influenza type B. Which tion. action should the nurse take? Select all that apply. B. Begin drop precaution. D. Initiate IV access. A. Monitor oxygen saturation. B. Begin drop precaution. C. Inspect the epiglottis. D. Initiate IV access. E. Obtained throat culture. 33. A nurse is planning care for a preschooler with neu- A. Avoid raw fruits and vegtropenia. Which intervention should the nurse include etables in the child's diet. in the plan? A. Avoid raw fruits and vegetables in the child's diet. B. Obtain child's rectal temperature once daily. C. Bathe the child every other day. D. Administer vaccines prior to discharge. 34. A nurse is caring for a child who has sickle cell anemia, D. Facial twitching which of the following finding is a priority for the nurse Rationale: Sickle cell aneto report? mia is a genetic disorder A. Constipation that affects the shape and B. Kyphosis function of the red blood C. Enuresis cells, leading to various D. Facial twitching complications. Among the options provided, facial twitching is the most concerning and should be 14 / 26 reported to the provider immediately. This is because facial twitching can be a sign of neurological complications, which can be life-threatening if not addressed promptly. Kyphosis (curvature of the spine), constipation, and enuresis (involuntary urination) are also potential complications of sickle cell anemia, but they are not as immediately life-threatening as neurological complications. Therefore, they would not be the priority to report to the provider. 35. A nurse is providing discharge teaching to the parents B. Monitor for pallor or of a school-age child following surgery and cast appli- swelling in the child affectcations to the right forearm. Which of the following ed hand. information is a priority for the nurse to include? A. Examine the child for skin irritation at the cast edges. B. Monitor for pallor or swelling in the child affected hand. C. Use a hair dryer on Cool setting to relieve itching. D. Restrict the child activities for three days. 36. A. Lateral 15 / 26 A nurse is preparing a child for a lumbar puncture in which of the following positions should the child be placed for the procedure? A. Lateral B. Semi- fowlers C. Prone D. Supine 37. A nurse is providing discharge teaching to a parent of D. Monitor your child for a child who has juvenile idiopathy and a new prescrip- indications of infection tion for Prednisone which of the following statements should the nurse include in the teaching? A. Discontinue the medication gastrointestinal upset occurs B. Limit your child's intake of potassium-rich foods C. Expected this medication will stimulate a growth spurt D. Monitor your child for indications of infection 38. A nurse is teaching the guardian of a newborn about D. Provide a doll for your how to prepare the three-year old child to meet their three-year old child to imnew sibling which of the following statements should itate parental behavior. the nurse make? A. Prepare your three-year old child for a change in all other routines B. Tell your three-year old child that they will now have a new playmate C. Wait for the newborn to come home before moving your three-year old child from the crib to a bed 16 / 26 D. Provide a doll for your three-year old child to imitate parental behavior. 39. A nurse is planning care for a child who has a preD. Infuse each unit of scription to transfuse 2 units of packed red blood cells. blood within four hours. which of the following interventions should the nurse include in the plan of care? A. Administer RBCs using non-filter IV tubing B. Store the second unit of blood at room temperature for up to two hours C. Infuse the trolls 5% in water during the infusion of packed RBCs D. Infuse each unit of blood within four hours 40. A nurse is assessing a school aged child who has heart D. A decrease in peripheral failure and is taking furosemide. Which of the follow- edema ing findings should the nurse identify as an indication that the medication is effective? A. A decrease in cardiac output B. An increase in venous pressure C. An increase in potassium levels D. A decrease in peripheral edema 41. A nurse is providing instructions about a 24-hour urine A. Discard the first voided collection to an adolescent client. Which of the follow- specimen. ing should the nurse include in the teaching? A. Discard the first voided specimen B. Cleanse the perineum with a povidone-iodine solution prior to voiding 17 / 26 C. Save the final specimen in a separate container D. Void every four hours 42. A nurse is caring for an infant who has heart failure and B. Administer the next vomits following an administration of digoxin. Which dose as prescribed. of the following actions should the nurse take? A. Increase fluid intake B. Administer the next dose as prescribed C. Given antiemetic D. Mix the medication with 8 ounces of formula 43. A nurse is providing teaching to a parent of a child D. I will ensure that my who has HIV. Which of the following statements by the child is tested for tubercuparent indicates an understanding of the teaching? losis every year. A. The risk of transmission decreases once my child is on zidovudine for two weeks B. My child will need to double his medication for the next 6 months C. My child will need to repeat his childhood immunizations once he is in remission D. I will ensure that my child is tested for tuberculosis every year. 44. A nurse is preparing to administer an IM injection to a three-year-old child. Which of the following statements should the nurse make? A. If you don't cry you can pick out a price B. This medication will fix you to make you feel better C. You will only feel a little sick D. You can choose which leg you get your medicine in. 18 / 26 D. You can choose which leg you get your medicine in. 45. A nurse caring for an infant who has necrotizing and B. Rounded abdomen enterocolitis. Which of the following findings should the nurse expect? A. Hypertension B. Rounded abdomen C. Vomiting D. Tachypnea 46. A nurse is preparing to administer immunization to B. Varicella A 5-year-old child who is up to date with the current immunization schedule. Which of the following immunizations should the nurse plan to administer? A. Hemophilia's influenza type b B. Varicella C. Hepatitis B D. Rotavirus 47. A nurse is assessing a child who has measles which of C the following areas should the nurse inspect for kolpik spots? 48. A nurse is providing teaching to the guardian of an B. Oral electrolyte solution 11-month-old infant who has acute diarrhea. Which of the following food items should the nurse instruct the parent to provide to the infant? A. Chicken soup 19 / 26 B. Oral electrolyte solution C. White grape juice D. Applesauce 49. (NGN) scenario: blood culture sensitivity positive for c. Place the child's head streptococcus pneumonia. Cerebral fluid analysis: wbc midline with the head of 50 cells/ mcl, glucose 40 mg/dl, 70. Mg, dl the bed at 30 degrees. A nurse in an emergency department is caring for a school age child. Which of the following actions should the nurse take? a. Provide sensory stimulation to keep the child awake b. Administer and antiviral medication c. Place the child's head midline with the head of the bed at 30 degrees D. Measure the child's head circumference every 8 hours 50. A nurse is caring for a one year old child who has been B. Bedside computer keyhospitalized which of the following items in the child's board room is a common source of health care-associated infection? A. Disposable diapers B. Bedside computer keyboard C. Protective plastic gowns D. Unopened bottles of formula 51. A nurse is caring for a group of toddlers receiving D. A toddler who has vomthe digoxin therapy period for which of the following ited 2 times in the last toddlers should the nurse revise the plan of care for? hour. 20 / 26 A. A toddler who has an apical pulse of 100 beats per minute B. A toddler who has a potassium level of 4.0 mEq/L (3.5-4.7) C. A toddler who has a digoxin level of 1.2 mg/ml (0.8-2mg/ml) D. A toddler who has vomited 2 times in the last hour - 12.5 mL 52. Math Question: A nurse is preparing to administer ibuprofen 10 mg/kg PO to a child. The child weighs 55 lb. Available is ibuprofen 100 mg/5 mL solution. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.) 53. A nurse is assessing A 7-year-old child who has C. Shakiness diabetes myelitis. Which of the following findings should the nurse identify as a manifestation of hypoglycemia? A. increase capillary refill B. Thirst C. Shakiness D. Decrease appetite 54. A nurse on a pediatric unit is caring for four children. C. A toddler who has seaThe nurse should use droplet precautions for which of sonal influenza. the following children? A. A school age child who has viral conjunctivitis B. A preschool age child who has pediculosis capitis C. A toddler who has seasonal influenza D. An adolescent who has hepatitis A 21 / 26 55. A nurse is assessing a school age child who is receiv- C. Prolong wound healing ing Prednisolone. For which of the following adverse effects should the nurse monitor? A. Renal failure B. Steven Johnson syndrome C. Prolong wound healing D. Hypotension 56. A nurse is providing teaching to the parents of a B. Offer a commercially 10-month-old infant who is having difficulty eating the prepared formula. parent is feeding their infant goat milk. Which of the following instructions should the nurse include? A. Reinitiate breastfeeding B. Offer a commercially prepared formula C. Warm the goat's milk before feeding D. Switch to soy milk B. Bradypnea 57. A nurse is assessing a school aged child who is receiving morphine. For which of the following adverse effects should the nurse monitor? A. Hypertension B. Bradypnea C. Steven Johnson syndrome D. Prolonged wound healing 58. A nurse planning post operative care for an adolesC. Ensure 2 nurses logroll cent following scoliosis repair which spinal instrumen- the adolescent every 2 tation. Which of the following actions should the nurse hours. include in the plan of care? 22 / 26 A. Maintain the head of the bed at 30° angle B. Offer sips of water 4 hours following surgery C. Ensure 2 nurses logroll the adolescent every 2 hours D. Assist adolescents to ambulate 12 hours following surgery 59. A nurse caring for a child who has impetigo contagions C. Initiate contact isolation precautions that develop in the hospital. Which of the following action should the nurse take? A. Report the disease to the state health department B. Administer amphotericin B IV C. Initiate contact isolation precautions D. Apply lidocaine ointment topically 60. A nurse is teaching a group of parents about childhood D. Varicella immunization. The nurse should identify that infants should receive the first dose of which of the following immunizations at 12 months of age? A. Inactivated polio virus B. Human papillomavirus C. Hepatitis B D. Varicella 61. (NGN) A nurse in the emergency department is caring ?? for a 10-year-old child. 0830 assessment pharyngitis 3 weeks ago prescribed 5-day course of azithromycin. Antibiotic discontinued on day three due to gastrointestinal upset, current on all recommended immuniza23 / 26 tions. The nurse is assessing the child which of the following findings requires follow up select five findings. A. Temperature B. Heart rate C. Report of pain D. Respiratory rate E. Tonsillar findings F. Oxygen saturation 62. Assessment Findings for Kawasaki disease, scarlet fever, and rheumatic fever. A. Recent diagnosis of pharyngitis. B. Nodules C. Cardiomegaly D. Polyarthralgia - Kawasaki Disease: B. Nodules D. Polyarthralgia - Scarlet fever: A. Recent diagnosis of pharyngitis. D. Polyarthralgia - Rheumatic fever: B. Nodules C. Cardiomegaly D. Polyarthralgia 63. The nurse suspects the child is experiencing rheumatic - Carditis due to Heart fever. The nurse should recognize the child is in great- muscle and the mitral valve est risk of developing ______ due to _____. being affected. D) "I will place my infant's 64. A nurse is teaching the parent of an infant who has a Pavlik harness to treat developmental dysplasia of diapers under the harness the hip. The nurse should identify that which of the straps." following statements by the parents indicates an understanding of the teaching? A) "I should remove the harness at night to allow my 24 / 26 infant to stretch her legs." B) "I will need to adjust the straps on the harness once each week." C) "I should apply baby powder to my infant's skin twice daily." D) "I will place my infant's diapers under the harness straps." D) "Your child will be on 65. A nurse is providing teaching to the parents of a preschool-age child who has celiac disease. Which of a gluten -free diet for the the following Instructions should the nurse include? rest of her life." A) " You should replace white flour with wheat flour when preparing meals for your child. B) " Your child will need to follow a low- protein diet temporarily. C) " You should place your child on a high - fiber diet when she has an exacerbation. " D) "Your child will be on a gluten -free diet for the rest of her life." 66. A nurse is planning care for a six-month-old infant C) Pad the side rails of the who has bacterial meningitis. Which of the following crib interventions should the nurse include in the plan of care? A) Place the infant in a semiprivate room B) Provide frequent range of motion to the neck and shoulder C) Pad the side rails of the crib D) Keep the television on in the room to provide background noise. 25 / 26 67. a nurse is caring for a school age child. Medical history - oxygen sat sickle cell anemia.. The child is restless and crying. - pain Swelling noted at the hand and joints. Capillary refill less than 3 seconds. Mucous membranes dry and stickly. Respiratory regular and unlabored. Abdomen soft and non distended. Tenderness with light palpation. Child reports pain as 8 on a scale of 0-10. complete the following sentences. The nurse should first address _____ followed by__. 68. A nurse is caring for a school-age child who has heart A. Cyanosis failure. Which of the following findings should the D. Dyspnea nurse expect? Select all that apply. E. Tachycardia A. Cyanosis B. Weight loss C. Bounding peripheral pulses D. Dyspnea E. Tachycardia 26 / 26