Pediatrics Cystic Fibrosis

1. A charge nurse is preparing to make a room assignment for a newly admitted school-age child. Which of the following considerations is the nurse's priority? Disease process 2. A community health nurse is assessing an 18-month-old toddler in a community day care. Which of the following findings should the nurse identify as a potential indication of physical neglect? Poor personal hygiene A nurse in a health department is caring for an emancipated adolescent who has an STI and is unaccompanied by a guardian. Which of the following actions should the nurse take? Have the adolescent sign a consent form for treatment. A nurse in an emergency department is assessing a 3-month-old infant who has rotavirus and is experiencing acute vomiting and diarrhea. Which of the following manifestations should the nurse identify as an indication that the infant has moderate to severe dehydration? Sunken anterior fontanel A nurse in an emergency department is assessing a toddler who has Kawasaki disease. Which of the following findings should the nurse expect? Increased temperature Xerophthalmia Cervical lymphadenopathy A nurse in an emergency department is auscultating the lungs of an adolescent who is experiencing dyspnea. The nurse should identify the sound as which of the following? Wheezes A nurse in an emergency department is caring for a school-age child who has epiglottitis. Which of the following actions should the nurse take? Monitor the child's oxygen saturation. A nurse in an emergency department is caring for a school-age child who has sustained a minor superficial burn from fireworks on their forearm. Which of the following actions should the nurse take? Apply an antimicrobial ointment to the affected area. A nurse in a provider's office is caring for a school-age child who has varicella. The parent asks the nurse when her child will no longer be contagious. Appropriate response by the nurse? "When your child's lesions are crusted, 6 days after they appear." 3. 4. 5. 6. 7. 8. 9. 10. A nurse is admitting a 4-month-old infant who has heart failure. Which of the following findings is the nurse's priority? Episodes of vomiting 11. A nurse is admitting an infant who has intussusception. Which of the following findings should the nurse expect? Vomiting Lethargy 12. A nurse is assessing a 6-month-old infant during a well-child visit. Which of the following findings should the nurse report to the provider? Presence of strabismus 13. A nurse is assessing an 8-year-old who has early indications of shock. After establishing an airway and stabilizing the child's respirations, which of the following actions should the nurse take next? Initiate IV access. 14. A nurse is assessing an adolescent who received a sodium polystyrene sulfonate enema. Which of the following indicates effectiveness of the medication? Serum potassium level 4.1 mEq/L 15. A nurse is assessing an infant who has pneumonia. Which of the following findings is the priority for the nurse to report to the provider? Nasal Flaring 16. A nurse is assessing a school-age child who has an acute spinal cord injury following a sports injury 1 week ago. Identify the area the nurse should tap to elicit the bicep reflex A 17. A nurse is assessing a school-age child who has an infratentorial brain tumor. Which of the following findings should the nurse identify as a manifestation of increased intracranial pressure? Difficulty concentrating 18. A nurse is assessing the pain level of a 3year-old toddler. Which of the following pain assessment scales should the nurse use? FACES 19. A nurse is caring for a 1-month-old infant who is breastfeeding and requires a heel stick. Which of the following actions should the nurse take to minimize the infant's pain? Allow the mother to breastfeed while the sample is being obtained. 20. A nurse is caring for a 10-year-old child following a head injury. Which of the following findings should the nurse identify as an indication that the child is developing diabetes insipidus? Sodium 155 29. A nurse is creating a plan of care for a newly-admitted adolescent who has bacterial meningitis. How long should the nurse plan to maintain the adolescent in droplet precautions? For 24 hr following initiation of antimicrobial therapy 21. A nurse is caring for a newly admitted school-age child who has hypopituitarism. Which of the following medications should the nurse expect the provider to prescribe? Levothyroxine 30. 22. A nurse is caring for an infant who is receiving IV fluids for the treatment of Tetralogy of Fallot and begins to have a hypercyanotic spell. Which of the following actions should the nurse take? Place the infant in a knee-chest position. A nurse is creating a plan of care for a preschooler who has WIlms' tumor and is scheduled for surgery. Which of the following interventions should the nurse include? Avoid palpating the abdomen when bathing the child before surgery. 31. A nurse is caring for a preschooler who has congestive heart failure. The nurse observes wide QRS complexes and peaked T waves on the cardiac monitor. Which of the following prescriptions should the nurse clarify with the provider? Potassium chloride A nurse is discussing organ donation with the parents of a school-age child who has sustained brain death due to a bicycle crash. Which of the following actions should the nurse take first? Explore the parents' feelings and wishes regarding organ donation. 32. A nurse is monitoring the oxygen saturation level of an infant using pulse oximetry. The nurse should secure the sensor to which of the following areas of the infant? Great toe 24. A nurse is caring for a school-age child who has diabetes mellitus and was admitted with a diagnosis of diabetic ketoacidosis. When performing the respiratory assessment, which of the following findings should the nurse expect? Deep respirations of 32/min 33. A nurse is performing hearing screenings for children at a community health fair. Which of the following children should the nurse refer to a provider for a more extensive hearing evaluation? An 8-month-old infant who is not yet making babbling sounds 34. 25. A nurse is caring for a school-age child who has peripheral edema. The nurse should identify that which of the following assessments should be performed to confirm peripheral edema? Palpate the dorsum of the child's feet. A nurse is planning an educational program for school-age children and their parents about bicycle safety. Which of the following information should the nurse plan to include? The child should be able to stand on the balls of their feet when sitting on the bike. 26. A nurse is caring for a school-age child who has primary nephrotic syndrome and is taking prednisone. Following 1 week of treatment, which of the following manifestations indicates to the nurse that the mediation is effective? Decreased edema 35. A nurse is planning an educational program to teach parents about protecting their children from sunburns. Which of the following instructions should the nurse plan to include? "Choose a waterproof sunscreen with a minimum SPF of 15." 36. 27. A nurse is caring for a toddler who has acute otitis media and a temperature of 40C (104F). After administering acetaminophen, which of the following actions should the nurse plan to take to reduce the toddler's temperature? Give the toddler a tepid bath. A nurse is planning care for a newly admitted school-age child who has generalized seizure disorder. Which of the following interventions should the nurse plan to include? Ensure the oxygen source is functioning in the child's room. 37. A nurse is creating a plan of care for a child who has varicella. Which of the following interventions should the nurse include? Initiate airborne precautions for the child. A nurse is planning care for a school-age child who has a tunneled central venous access device. Which of the following interventions should the nurse include in the plan? Use a semipermeable transparent dressing to cover the site. 23. 28. 38. A nurse is planning care to address nutritional needs for a preschooler who has cystic fiber. Which of the following interventions should the nurse include in the plan? Increase fat content in the child's diet to 40% of total calories. 39. A nurse is planning developmental activities for a newly admitted 10-year-old child who has neutropenia. Which of the following actions should the nurse plan to take? Provide the child with a book about adventure. 40. A nurse is preparing to administer ibuprofen 5 mg/kg every 6 hr PRN for a temp above 38C (100.5 F) to an infant who weighs 17.6 lb. Available is ibuprofen oral suspension 100 mg/5mL. How many mL should the nurse administer to the infant per dose? 10 41. A nurse is providing anticipatory guidance to the parent of a toddler. Which of the following expected behavior characteristics of toddlers should the nurse include? Expresses likes and dislikes 42. A nurse is providing dietary teaching to the guardian of a school-age child who has cystic fibrosis. Which of the following statements should the nurse take? "You should offer your child highprotein meals and snacks throughout the day." A nurse is providing discharge teaching to the guardian of a school-age child who has undergone a tonsillectomy. Which of the following statements by the guardian indicates an understanding the teaching? "I will notify the doctor if I notice that my child is swallowing frequently." 44. A nurse is providing discharge teaching to the guardians of a toddler who has a lower leg cast applied 24 hr ago. The nurse should instruct the guardians to report which of the following findings to the provider? Restricted ability to move the toes 45. A nurse is providing discharge teaching to the parent of 6-month-old infant who is postoperative following hypospadias repair with a stent placement. Which of the following instructions should the nurse include in the teaching? "Allow the stent to drain directly into your infant's diaper." 43. 46. A nurse is providing discharge teaching to the parent of an 18month-old toddler who has dehydration due to acute diarrhea. Which of the following statements by the parent indicates an understanding of the teaching? "I will monitor my child's number of wet diapers." 47. A nurse is providing discharge teaching to the parent of a schoolage child who has moderate persistent asthma. Which of the following instructions should the nurse include? "Pulmonary function tests will be performed every 12 to 24 months to evaluate how your child is responding to therapy." 48. A nurse is providing discharge teaching to the parents of a 3-monthold infant following a cheiloplasty. Which of the following instructions should the nurse include? "Apply a thin layer of antibiotic ointment on your baby's suture line daily for the next 3 days." 49. A nurse is providing teaching to an adolescent about how to manage tinea pedis. Which of the following statements by the adolescent indicates an understanding of the teaching? Use a semipermeable transparent dressing to cover the site. 50. A nurse is providing teaching to the family of a school-age child who has juvenile idiopathic arthritis. Which of the following instructions should the nurse include in the teaching? "Encourage the child to perform independent selfcare." 51. A nurse is providing teaching to the parents of a preschooler who has heart failure and a new prescription for digoxin twice daily. Which of the following instructions should the nurse include in the teaching? "Brush the child's teeth after giving the medication." 52. A nurse is receiving change-of-shift report for four children. Which of the following children should the nurse assess first? A toddler who has a concussion and an episode of forceful vomiting 53. A nurse is reviewing the dietary choices of an adolescent who has iron deficiency anemia. The nurse should identify that which of the following menu items has the highest amount of nonheme iron? ½ cup raisins 54. A nurse is reviewing the laboratory results of a school-age child who is 1 week postoperative following an open fracture repair. Which of the following findings should the nurse identify as an indication of a potential complication? Erythrocyte sedimentation rate 18 mm/hr 55. A nurse is teaching a group of parents about infectious mononucleosis. Which of the following statements by a parent indicates an understanding the teaching? "Mononucleosis is caused by an infection with the Epstein-Barr virus." 56. A nurse is teaching a school-age child and their parent about postoperative care following cardiac catheterization. Which of the following instructions should the nurse include? "Wait 3 days before taking a tub bath." 57. A nurse is teaching the guardian of a 6-month-old infant about teething. Which of the following statements should the nurse make? "Your baby might pull at their ears when they are teething." 58. A nurse is teaching the parents of a toddler who has a cognitive impairment about toilet training. Which of the following instructions should the nurse include in the teaching? "Award your child with a sticker when they sit on the potty chair." 59. A school nurse is caring for a child following a tonic-clonic seizure. Which of the following actions should the nurse take first? Check the child's respiratory rate. 60. A school nurse is providing an in-service for faculty about improving education for students who have ADHD. Which of the following statement by a faculty member indicates an understanding of the teaching? "I will teach challenging academic subjects to students who have ADHD in the morning."