Docsity
Log inSign up
Docsity
Prepare for your exams
Prepare for your exams

Study with the several resources on Docsity

Earn points to download
Earn points to download

Earn points by helping other students or get them with a premium plan

Guidelines and tips
Guidelines and tips
Sell on Docsity
Sell on Docsity
Log inSign up

Prepare for your exams

Study with the several resources on Docsity

Find documents

Prepare for your exams with the study notes shared by other students like you on Docsity

Search Store documents

The best documents sold by students who completed their studies

Search through all study resources
Docsity AINEW

Summarize your documents, ask them questions, convert them into quizzes and concept maps

Explore questions

Clear up your doubts by reading the answers to questions asked by your fellow students

Earn points to download

Earn points by helping other students or get them with a premium plan

Share documents
download point icon20 Points

For each uploaded document

Answer questions
download point icon5 Points

For each given answer (max 1 per day)

All the ways to get free points
Get points immediately

Choose a premium plan with all the points you need

Study Opportunities

Choose your next study program

Get in touch with the best universities in the world. Search through thousands of universities and official partners

Community

Ask the community

Ask the community for help and clear up your study doubts

University Rankings

Discover the best universities in your country according to Docsity users

Free resources

Our save-the-student-ebooks!

Download our free guides on studying techniques, anxiety management strategies, and thesis advice from Docsity tutors

From our blog

Exams and Study
Go to the blog

Peds Exam 1 And 2 Study Guide Exam Latest Update/detailed answers with rationales, Exams of Nursing

Cheyney University of PennsylvaniaNursing

Peds Exam 1 And 2 Study Guide Exam Latest Update/detailed answers with rationales

Typology: Exams

2024/2025

Available from 07/03/2025

tizian-mwangi
tizian-mwangi 🇺🇸

3.8

(6)

7.8K documents

1 / 35

Toggle sidebar

This page cannot be seen from the preview

Don't miss anything!

bg1
Peds Exam 1 And 2 Study Guide Exam Latest
Update/detailed answers with rationales
1. When assessing an adolescent for scoliosis, what should the nurse ask the client to do?
A. Bend at the waist with arm hanging freely
B. Lie flat on the floor and extend the legs straight from the trunk
C. Sit in a chair while lifting the feet and legs to a right angle with the trunk
D. Stand against the wall while pressing the length of the back against the wall
Rationale:
Scoliosis, a lateral deviation of the spine, is assessed by having the client bend forward
at the waist with arms hanging freely and then looking for lateral curvature of the spine
and a rib hump. The other positions will not reveal the deviation of the spine.
2. The nurse performing an admission assessment on a 2 year old who has been diagnosed
with nephrotic syndrome notes that which most common characteristic is associated
with this syndrome?
A. Hypertension
B. Generalized edema
C. Increased urinary output
D. Frank, bright red blood in the urine
Rationale:
Nephrotic syndrome is defined as a massive proteinuria, hypoalbuminemia, hyperlipemia and
edema. Other manifestation is weight gain, preorbital and facial edema that is most prominent
in the morning. Leg, ankle, labial or scrotal edema, decreased urine output and urine that is dark
and frothy. Abdominal swelling and blood pressure that is normal or slightly decreased.
3. After teaching the parents of an infant with clubfoot requiring application of a plaster cast how
to care for the cast, which statement would indicate that the parents have understood the
teaching?
A. “If the cast becomes soiled, we will clean it with soap and water.”
B. “We will elevate the leg with the cast on pillows so the leg is above heart level.”
C. “We will check the color and temperature of the toes of the casted leg frequently.”
D. “The petals on the edge of the cast can be removed after the first 24 hours.”
Rationale:
A cast that is too tight can cause a tourniquet effect, compromising the neurovascular
integrity of the extremity. Manifestations of neurovascular impairment include pain, edema,
pulselessness, coolness, altered sensation, and inability ito move the distal exposed
extremity. The toes of the casted extremity should be assessed frequently to evaluate for
changes in neurovascular integrity. Wetting a plaster cast with water and soap softens the
plaster, which may alter the cast’s effectiveness. There is no reason to elevate the casted
extremities when a child with clubfoot is being treated with nonsurgical measures. The legs
would be elevated if swelling were present. Petals, which are applied to cover the rough
edges of the cast, are to be left in place to minimize the risk for skin irritation from the cast
edges.
pf3
pf4
pf5
pf8
pf9
pfa
pfd
pfe
pff
pf12
pf13
pf14
pf15
pf16
pf17
pf18
pf19
pf1a
pf1b
pf1c
pf1d
pf1e
pf1f
pf20
pf21
pf22
pf23

Partial preview of the text

Download Peds Exam 1 And 2 Study Guide Exam Latest Update/detailed answers with rationales and more Exams Nursing in PDF only on Docsity!

Peds Exam 1 And 2 Study Guide Exam Latest

Update/detailed answers with rationales

  1. When assessing an adolescent for scoliosis, what should the nurse ask the client to do? A. Bend at the waist with arm hanging freely B. Lie flat on the floor and extend the legs straight from the trunk C. Sit in a chair while lifting the feet and legs to a right angle with the trunk D. Stand against the wall while pressing the length of the back against the wall Rationale: Scoliosis, a lateral deviation of the spine, is assessed by having the client bend forward at the waist with arms hanging freely and then looking for lateral curvature of the spine and a rib hump. The other positions will not reveal the deviation of the spine.
  2. The nurse performing an admission assessment on a 2 year old who has been diagnosed with nephrotic syndrome notes that which most common characteristic is associated with this syndrome? A. Hypertension B. Generalized edema C. Increased urinary output D. Frank, bright red blood in the urine Rationale: Nephrotic syndrome is defined as a massive proteinuria, hypoalbuminemia, hyperlipemia and edema. Other manifestation is weight gain, preorbital and facial edema that is most prominent in the morning. Leg, ankle, labial or scrotal edema, decreased urine output and urine that is dark and frothy. Abdominal swelling and blood pressure that is normal or slightly decreased.
  3. After teaching the parents of an infant with clubfoot requiring application of a plaster cast how to care for the cast, which statement would indicate that the parents have understood the teaching? A. “If the cast becomes soiled, we will clean it with soap and water.” B. “We will elevate the leg with the cast on pillows so the leg is above heart level.” C. “We will check the color and temperature of the toes of the casted leg frequently.” D. “The petals on the edge of the cast can be removed after the first 24 hours.” Rationale: A cast that is too tight can cause a tourniquet effect, compromising the neurovascular integrity of the extremity. Manifestations of neurovascular impairment include pain, edema, pulselessness, coolness, altered sensation, and inability ito move the distal exposed extremity. The toes of the casted extremity should be assessed frequently to evaluate for changes in neurovascular integrity. Wetting a plaster cast with water and soap softens the plaster, which may alter the cast’s effectiveness. There is no reason to elevate the casted extremities when a child with clubfoot is being treated with nonsurgical measures. The legs would be elevated if swelling were present. Petals, which are applied to cover the rough edges of the cast, are to be left in place to minimize the risk for skin irritation from the cast edges.
  1. The nurse is taking the blood pressure of a 3 year old child admitted to the hospital for mild dehydration from vomiting and diarrhea and obtains a reading of 90/50 mmHg. The nurse interprets this as indicating which finding? A. A normal finding B. A elevated finding C. A decreased finding based on the age of the child D. Significant, indicating possible fluid volume deficit Rationale : A normal blood pressure of a 3 year old child is ranges from 72 to 110 mm Hg systolic and 40- 73 mm Hg diastolic. The blood pressure obtained is a normal finding.
  2. A toddler receiving chemotherapy after surgery for a Wilms tumor has developed neutropenia. The parents are trying to encourage the child to eat by bringing extra foods to the room. Which foods would the nurse discourage this child from eating? Rationale: A. Fudge B. French Fries C. Fresh strawberries D. Milk Shakes When a client receiving chemotherapy develops neutropenia, eating uncooked fruits and vegetables may pose a health risk due to possible bacterial contamination. All other foods are either cooked or pasteurized and would not produce a health risk.
  3. A nurse is assessing a 3 year old at a routine wellness checkup. Which of the following findings should the nurse expect? A. Skips and hops on one foot B. Has a vocabulary of 1,500 words C. Walks backwards heel to toe D. Stands on one foot for few seconds Rationale: Page 210, 230 of the pediatric textbook.
  4. The nurse prepares a list of home care instructions for the parents of a child who has a cast applied to the left forearm. Which instructions should the nurse include in the list? Select all that apply? A. Use fingertips to lift the cast while it is drying B. Keep small toys and sharp objects away from the cast C. Use a padded ruler or another padded object to scratch the skin underneath the cast if it itches D. Place the heating pad on the lower end of the cast and over the fingers if the fingers feel cold E. Elevate the extremities on the pillow for the first 24 to 48 hours after casting to prevent swelling

A. Prone B. In car seat OR Infant seat C. Left side D. Right side

  1. A nurse in an emergency department is caring for an infant who has a 2 day history of vomiting and an elevated temperature. Which of the following should the nurse recognize as the most reliable indicator of fluid loss? A. Body weight B. Skin integrity C. Blood pressure D. Respiratory rate
  2. The nurse analyzes the laboratory results of a child with hemophilia. The nurse understands which result will most likely be abnormal in this child? A. Platelet count B. Hematocrit level C. Hemoglobin level D. Partial Thromboplastin time Rationale: Hemophilia refers to a group of bleeding disorders resulting from a deficiency of specific coagulation proteins. Results of that measure platelet function are normal; results of test that measure clotting factor function may be abnormal. Abnormal laboratory results in hemophilia indicate a prolonged partial thromboplastin time. The platelet count, hemoglobin level and hematocrit level are normal in hemophilia.
  3. The nurse conducts a developmental screening of a 15 month old child with cerebral palsy. Which milestones would the nurse expect a typically developing toddler of this age to have achieved? A. walking up steps B. using a spoon C. copying a circle D. putting a block in a cup Rationale: Delay in achieving developmental milestones is a characteristic of children with cerebral palsy. Ninety percent of typically developing 15-month-old children can put a block in a cup. Walking up steps typically is accomplished at 18 to 24 months. A child usually is able to use a spoon at 18 months. The ability to copy a circle is achieved at approximately 3 to 4 years of age.
  4. The parents of a child just diagnosed with juvenile idiopathic arthritis(JA) tell the nurse that the diagnosis frightens them because they know nothing about the prognosis. What information should the nurse include when teaching the parents about the disease? A. The more joint affected, the more severe the disease will be. B. Many affected children go into long remissions but have severe deformities. C. The disease usually progresses to crippling rheumatoid arthritis.

D. Most affected children recover completely within a few years. Rationale: With JIA, the more joints affected the more severe the disease is likely to be and the less likely the symptoms will totally resolve. Approximately one-third of the children will continue to have the disease into adulthood, and approximately one-sixth will experience severe, crippling deformities.

  1. A nurse is caring for a 6 month old infant who is postoperative following surgical repair of a cleft lip. Which of the following actions should the nurse take?
    • Assess for patency of the airway
    • Monitor respirations and heart rate
    • Suction nasopharynx gently as needed
    • Reposition the infant frequently – at least 2 hours to allow expansion of the lung fields
    • Reduce the risk for infection – by assessing the oral cavity frequently for sign of infection, cleaning suture line with normal saline, or sterile water, giving water to infant after each feeding to help prevent the accumulation of carbohydrate, not allowing pacifier and frequent hand hygiene.
    • Assess child’s pain level, and provide non pharma logical and pharma logical intervention.
    • Adequate pain relief is important to prevent crying which can cause stress to suture line leading to tear and altering tissue integrity. - Non pharma logical pain relief: providing dark, quite environment and minimizing interruption, allowing parents to hold and comfort the child, allowing the child to have toys, blanket and other comfort items within reach, providing massage or soft music, moistening the mouth with wet wash cloths or sponges regularly, moistening the mouth with ice chips if allowed, placing the child in a position of comfort, such as side lying on the right with knees bent or with the bed elevated, Soothe the baby→ parents should hold and rock the baby, Post surgery → protect the suture line, Keep baby on back, Elbow restraints so the baby doesn't touch face
    • Pharma logical treatment are: May be mild analgesics such as acetaminophen to narcotics such as morphine or fentanyl. *** Some answers I saw on quiz let and course hero are:
  2. Administer analgesia
  • Teach family to seek HCP if fever gets above 100.5 F or any signs of infection such as cough, sore throat etc.
  1. The nurse assesses the family’s ability to cope with the child’s cerebral palsy. Which action should alert the nurse to the possibility of their inability to cope with the disease? A. limiting interaction with extended family and friends B. learning measures to meet the child’s physical needs C. requesting teaching about cerebral palsy in general D. Seeking advice on coping on social media Rationale: Limited interaction or lack of interaction with friends and family may lead the nurse to suspect a possible problem with the family’s ability to cope with others’ reactions and responses to a child with cerebral palsy. Learning measures to meet the child’s physical needs demonstrates some understanding and acceptance of the disease. Requesting teaching about the disease suggests curiosity or a desire for understanding, thus demonstrating that the family is dealing with the situation. Participating in social media may serve as a form of support and can be a healthy coping mechanism.
  2. A nurse is providing discharge teaching about nutrition to the parents of a child who has cystic fibrosis (CF). Which of the following responses by the parents indicates an understanding of the teaching? “We will give our child pancreatic enzymes with snacks and meals.”
  • Test with sweat chloride test
  • High fat, high protein and high calorie diet
  1. The nurse is reviewing a health care provider’s prescriptions for a child with sickle cell anemia who was admitted to the hospital for the treatment of a vaso-occlusive crisis. Which prescription documented in the child’s chart should the nurse question? SATA 1.Restrict fluid intake. 2.Position for comfort. 3.Avoid strain on painful joints. 4.Apply nasal oxygen at 2 L per minute.
  2. Provide a high-calorie, high-protein diet. 6.Administer meperidine (Demerol) 25 mg for pain.

Rationale: Sickle cell anemia is one of a group of diseases called hemoglobinopathies in which hemoglobin A is partly or completely replaced by abnormal sickle hemoglobin S. It is caused by the inheritance of a gene for a structurally abnormal portion of the hemoglobin chain. Hemoglobin S is sensitive to changes in the oxygen content of the red blood cell, and insufficient oxygen causes the cells to assume a sickle shape; the cells become rigid and clumped together, thus obstructing capillary blood flow. Oral and intravenous fluids are important parts of treatment. Meperidine (Demerol) is not recommended for the child with sickle cell disease because of the risk for normeperidine-induced seizures. Normeperidine, which is a metabolite of meperidine, is a central nervous system stimulant that produces anxiety, tremors, myoclonus, and generalized seizures when it accumulates with repetitive dosing. Therefore, the nurse would question the prescriptions for restricted fluids and meperidine for pain control. Positioning for comfort, avoiding strain in painful joints, oxygen, and a high-calorie, high-protein diet are important parts of the treatment plan.

  1. The nurse is planning care for a child with bacterial meningitis. Based on the mode of transmission of the infection, which precautionary intervention should be included in the plan of care? A. Maintain enteric precaution B. Maintain neutropenic precaution C. No precaution are required as long as antibiotics are started D. Maintain respiratory isolation precaution for at least 24 hours after the initiation of antibiotics. Rationale: Meningitis is an infectious process of the central nervous system caused by bacteria and viruses. It may be acquired as a primary diseases or as a result of complication of neurosurgery, trauma, infection of the sinus, or ears or systemic infection. A major priority of nursing care for a child suspected of having meningitis is to administer prescribed antibiotics as soon as a culture is obtained. The child also is placed on respiratory isolation precaution for at least 24 hours while culture results are obtained and the antibiotics is having an effect. Enteric precaution and neutropenic precaution are not associated with the mode of transmission of meningitis. Enteric precaution are instituted when the mode of transmission is through gastrointestinal tract. Neutropenic precaution are instituted when a child has a low neutrophil count.
  2. A child is to receive IV antibiotics for osteomyelitis. Before the initial dose of antibiotics can be given, the nurse confirms that a blood sample for which test has been drawn? Rationale: A. Creatine B. Culture C. Hemoglobin D. White blood count Culture are used to determine exactly what organism is causing the inflammation. From the culture, sensitivities various antibiotics may be determined. If the antibiotics are given before obtaining the culture, the antibiotic may inhibit the growth of the organism in the culture medium. This may lead to a delay in the most appropriate treatment. Unless a child has known

later, once the child’s safety is ensured. During a seizure, the child should not be moved. Although providing privacy is important, the child’s safety is the priority. During a seizure, nothing should be forced into the client’s mouth because this can cause severe damage to the teeth and mouth.

- Place child on side to maintain airway (from final review)

  1. A nurse is caring for a 12 month old toddler who is hospitalized and confined to a room with contact precautions in place. Which of the following toys should the nurse recommend in order to meet the developmental needs of the client? A. Large building blocks B. Hanging crib toys C. Modeling clay D. Crayons and coloring book Rationale: Large building blocks are considered age-appropriate toys for 12-month-old toddlers. Building blocks are important for children aged 12-months because it helps them understand shapes, sizes, vocabularies, and math skills. At 12-months toddlers' motor skills are rapidly developing. 12-month-old toddlers can pick up and play with small toys. Large building blocks are suitable for 12-month-old toddlers. Modeling clay is not recommended for 12-months old toddlers because they will eat them. Modeling clay can compromise the safety of a 12-months-old toddler. Hanging crib toys are not recommended for a 12month-old toddlers because they prefer to hold their toys and play with them. Crayons and a coloring book are not recommended for a 12-montyhs old toddler because they to tear the papers and place them in their months.
  2. The nurse is preparing to care for a child with a diagnosis of intussusception. The nurse reviews the child’s record and expects to note which sign of this disorder documented? A. Watery diarrhea B. Ribbon like stools C. Profuse projectile vomiting D. Bright red blood and mucus in the stools Rationale: Intussusception is a telescopic of 1 portion of the bowel into another. The condition results in an obstruction to the passage of intestinal contents. A child with intussusception typically has severe abdominal pain that is crampy and intermittent, causing the child to draw in the knees to the chest. Vomiting may be present but it not projectile. Bright red blood and mucus in the stool are passed through the rectum and commonly are described as currant jelly like stool. Watery diarrhea and ribbon like stools are not manifestation of this disorder.
  3. In an initial screening for lead poisoning, a toddler is found to have minimally elevated lead level. What is the most important action the nurse should take? A. Arrange a follow-up appointment in 6 months. B. Obtain a consultation for chelation therapy. C. Educate parents on ways to reduce lead in the environment. D. Assure the parents this is not an unexpected finding.

Rationale: Treatment for children with minimally elevated lead levels should include family lead education, follow-up testing, and a social service consultation if needed. Waiting 6 months for a follow-up screening is too long because the effects of lead are irreversible. Oral chelation therapy is not begun until levels approach high levels, 45 mcg/dL (2.2 μmol/L). There is no such thing as a “normal” lead level because there is no beneficial action in the body. Ask questions about the child’s environment, assess signs and symptoms → confusion, regression (final review)

  1. An adolescent client has seen the school nurse several times with headache, vomiting and difficulty walking. The nurse suspects a brain tumor. When calling the adolescent’s mother about these symptoms, the nurse suggests the mother do which first? A. Schedule an appointment with the eye health care provider (HCP). B. Begin psychological counseling for her adolescent. C. Make an appointment with the adolescent’s health care provider (HCP). D. Meet with the adolescent’s teachers to determine academic progress. Rationale: A child who has symptoms of vomiting, headaches, and problems walking needs to be evaluated by a health care provider (HCP) to determine the cause. Unexplained headaches and vomiting along with difficulty walking (e.g., ataxia) may suggest a brain tumor. Evaluation by an eye HCP would be appropriate once a complete medical evaluation has been accomplished. Psychological counseling may be indicated for this
  2. A health care provider's prescription reads “ampicillin sodium 125 mg IV every 6 hours” the medication label reads when reconstituted with 7.4 mL of bacteriostatic water, the final concentration is 1g/7.4 ML. The nurse prepares to draw up how many millimeters to administer 1 dose? A. 1 mL B. 0.54 mL C. 7.425 mL D. 0.925 mL
  3. A child with a brain tumor has a decreased respiratory rate and is less responsive to verbal commands than he was when the nurse assessed the client the previous hour. What should the nurse do next? A. Raise the head of the bed. B. Notify the health care provider (HCP). C. Implement seizure precaution D. Obtain an oximeter reading. Rationale: A decreasing level of consciousness, decerebrate positioning, or Cushing’s triad (elevated systolic blood pressure, decreased pulse, and decreased respiratory rate) indicates that there is
  • Such as orange juice or crackers
  1. Which question should the nurse ask the parents of a child suspected of having glomerulonephritis? A. Did your child fall of a bike onto the handle bars? B. Has the child had persistence nausea and vomiting? C. Has the child been itching or had a rash any time in the last week? D. Has the child had a sore throat or a throat infection in the last few weeks? Rationale: Glomerulonephritis refers to a group of kidney disorders characterized by inflammatory injury in the glomerulus. Group A Beta hemolytic streptococcal infection is a cause of glomerulonephritis. Often a child becomes ill with streptococcal infection of the upper respiratory tract then develops symptoms of acute poststreptococcal glomerulonephritis after an interval of 1 -2 weeks. The assessment data answers 1, 2 and 3 are not related to symptoms associated with glomerulonephritis.
  2. A nurse is caring for a 6 month old infant who has a prescription for clear liquids by mouth after a repair of an intussusception. Which of the following fluids should the nurse select for the infant? A. Oral electrolyte solution B. Half-strength infant formula C. Half-strength orange juice D. Sterile water
  3. The nurse is providing care to a toddler age child. Which assessment finding is indicative of abuse? A. Parents indicating that they did not see the event occur B. Inconsistency of stories between caregivers C. Bruising noted on the knees and shins D. Acting out behavior of the child
  4. When the nurse is developing a plan of care for an infant with cleft lip before corrective surgery is performed, what should be a priority? A. Maintaining skin integrity in the oral cavity B. Using techniques to minimize crying C. Altering the usual methods of feeding D. Preventing the infant from putting fingers in the mouth Rationale: Before corrective surgery for a cleft lip, the infants needs to consume formula. Methods for feeding may need to be adjusted to fit the infant’s needs because the infant with a cleft lip experiences a decreased ability to suck, which interferes with the ability to compress the nipple. A rubber tipped syringe, medication dropper or special feeder is used to feed the infant to ensure adequate caloric intake. Problems with infection and skin integrity in the mouth are uncommon because the areas of defect are not open areas. Although crying may cause the infant to swallow

more air because of the defect, crying poses no harm to the infant. There is no need to keep the infant’s finger away from the mouth preoperatively. The finger will not harm the defect or cause infection.

  1. A nurse is caring for a school age child who has mild persistent asthma. Which of the following is an expected finding? SATA A. Symptoms continuous throughout day B. daytime symptoms occur more than twice a week C. nighttime symptoms occur approximately twice a month D. minor limitations occur with normal activity E. PEF is >or= 80% of predicted value
  2. During the initial assessment of a child admitted to the pediatric unit with osteomyelitis of the left tibia, when assessing the area over the tibia, which is an expected finding? A. diffuse tenderness B. decreased pain C. increased warmth D. localized edema Rationale: Findings associated with osteomyelitis commonly include pain over the area, increased warmth, localized tenderness, and diffuse swelling over the involved bone. The area over the affected bone is red.
  3. The mother of a preschool child with juvenile idiopathic arthritis(JA) is worried that her child will have to stop attending preschool because of this illness. Which response by the nurse would be most appropriate? A. “It may be difficult for your child to attend school because of the side effects of the medications he will be prescribed.” B. “Your child should be encouraged to attend school, but he will need extra time to work out early morning stiffness.” C. “You should keep your child at home from school whenever he experiences discomfort or pain in his joints.” D. “Your child will probably need to wear splints and braces so that his Rationale: Socialization is important for this preschool-age child, and activity is important to maintain function. Because children with JIA commonly experience most problems in the early morning after arising, they need more time to “warm up.” Adverse effects may or may not occur. The child’s normal routine needs to be maintained as much as possible.
  1. A child with a nut allergy presents with a severe reaction for the third time in 3 months. The parent says, “I am having trouble with food labels.” What should the nurse do first? A. Assess the parent’s ability to read. B. Refer the client to the dietician. C. Notify the health care provider (HCP). D. Obtain a social service consult. Rationale: Three severe reactions in 3 months indicate a serious problem with adhering to the prevention plan. The nurse should first determine if the parent can actually read the label. The underlying problem may be that the parent is visually impaired or unable to read. The parent’s reading level determines what additional support is needed. Referrals to social service or dietary may be indicated, but the nurse does not yet have enough information about the problem. The nurse would communicate with the HCP after assessing the situation to recommend referrals.
  2. A school age child with glomerulonephritis reports a headache and blurred vision. What immediate action should the nurse take? A. Put the client to bed. B. Obtain the child’s blood pressure. C. Notify the health care provider (HCP). D. Administer acetaminophen. Rationale: Hypertension occurs with acute glomerulonephritis. The symptoms of headache and blurred vision may indicate an elevated blood pressure. Hypertension in acute glomerulonephritis occurs due to the inability of the kidneys to remove fluid and sodium; the fluid is reabsorbed, causing fluid volume excess. The nurse must verify that these symptoms are due to hypertension. Calling the HCP before confirming the cause of the symptoms would not facilitate his treatment. Putting the client to bed may help treat an elevated blood pressure, but first, the nurse must establish that high blood pressure is the cause of the symptoms. Administering acetaminophen for high blood pressure is not recommended.
  3. A nurse is providing teaching to a parent of a child who has Hirschsprung disease and is scheduled for initial surgery. Which of the following statements by the parent indicates understanding of the teaching? “I’m glad that my child’s ostomy is only temporary.”
  4. The nurse is discharging a baby with clubfoot who has had a cast applied. The nurse should provide additional teaching to the parents if they make which statement? A. “I should call if I see changes in the color of the toes under the cast.” B. “I should use a pillow to elevate my child’s foot as he sleeps.” C. “My baby will need a series of casts to fix her foot.”

D. “Having a cast should not prevent me from holding my baby.” Rationale: Elevating the extremity at different points during the day is helpful to prevent edema, but pillows should not be used in the crib because they increase the risk of sudden infant death syndrome (SIDS). A change in the color of the toes is a sign of impaired circulation and requires medical evaluation. Children typically need a series of 5 to 10 casts to correct the deformity. Infants with clubfeet still need frequent holding like any other newborn.

  1. A child is admitted with a suspected diagnosis of Wilms Tumor. The nurse should place a sign with which of the following warnings over the child’s bed?
    • Do not palpate abdomen
  2. A 6 year old with leukemia is hospitalized and is receiving chemotherapy. Laboratory results indicate that the child is neutropenic, and protective isolation procedures are initiated. The grandmother of the child visits and brings a fresh bouquet of flowers picked from her garden, and asks the nurse for a vase for the flower. Which response should the nurse provide to the grandmother? A. "I have a vase in the utility room, and I will get it for you." B. "I will get the vase and wash it well before you put the flowers in it." C. "The flowers from your garden are beautiful, but should not be placed in the child's room at this time." D. "When you bring the flowers into the room, place them on the bedside stand as far away from the child as possible."
  3. When teaching parent workshops about measures to prevent lead poisoning, in children, the nurse should identify which preventative measure as the most effective? A. condemning old housing developments B. educating the public on common sources of lead C. conducting workshops on the importance of good nutrition D. keeping pregnant women out of old homes that are being remodeled Rationale: Public education about the sources of lead that could cause poisoning has been found to be the most effective measure to prevent lead poisoning. This includes recent efforts to alert the public to lead in certain types of window blinds. Condemning old housing developments has been ineffective because lead paint still exists in many other dwellings. Providing education about good nutrition, although important, is not an effective preventive measure. Pregnant women and children should not remain in an older home that is being remodeled because they may breathe in lead in the dust, but this is not the most effective preventive measure.

c. Lethargy d. Change in personality e. Intolerant to light and sound (from her final review)

  1. After the nurse teaches the parent of an infant with pyloric stenosis about the condition, which cause, if stated by the parent, indicates effective teaching? - An enlarged muscle below the stomach sphincter (QUIZLET)
  2. When teaching parent workshops about measures to prevent lead poisoning, in children, the nurse should identify which preventative measure as the most effective? - Educating the public on common sources of lead (QUIZLET)
  3. A 6 year old with leukemia is hospitalized and is receiving chemotherapy. Laboratory results indicate that the child is neutropenic, and protective isolation procedures are initiated. The grandmother of the child visits and brings a fresh bouquet of flowers picked from her garden, and asks the nurse for a vase for the flower. Which response should the nurse provide to the grandmother? - The flowers from your garden are beautiful, but should not be placed in the child’s room at this time
  4. A child is admitted with a suspected diagnosis of Wilms Tumor. The nurse should place a sign with which of the following warnings over the child’s bed? - Do not palpate abdomen
  5. The nurse is discharging a baby with clubfoot who has had a cast applied. The nurse should provide additional teaching to the parents if they make which statement? - I should use a pillow to elevate my child's foot as he sleeps ?? - Immunizations will have to be delayed until the cast comes off (quizlet)??
  6. A nurse is providing teaching to a parent of a child who has Hirschsprung disease and is scheduled for initial surgery. Which of the following statements by the parent indicates understanding of the teaching? - “I’m glad that my child’s ostomy is only temporary.”
  7. A school age child with glomerulonephritis reports a headache and blurred vision. What immediate action should the nurse take? - Obtain the child’s blood pressure (Hypertension)
  8. A child with a nut allergy presents with a severe reaction for the third time in 3 months. The parent says, “I am having trouble with food labels.” What should the nurse do first? - Assess the parents ability to read ???
  1. The mother of a preschool child with juvenile idiopathic arthritis(JA) is worried that her child will have to stop attending preschool because of this illness. Which response by the nurse would be most appropriate? - Keep as normal a possible and allow to stay in school
  2. During the initial assessment of a child admitted to the hospital to the pediatric unit with osteomyelitis of the left tibia, when assessing the area over the tibia, which is an expected finding?
    • swelling, redness and warmth(textbook)
    • Limited mobility(textbook)
    • Fever, chills, malaise and fatigue (textbook)
    • Complain of bone pain and difficulty bearing weight on the affected limb
    • Assess for decreased sensation (numbness and tingling)
  3. A nurse is caring for a school age child who has mild persistent asthma. Which of the following is an expected finding? (SATA)
    • Daytime symptoms occur more than twice a week
    • Peak expiratory flow (PEF) is greater than or equal to 80% of the predicted values
    • Nighttime symptoms occur approximately twice a month
  4. When the nurse is developing a plan of care for an infant with cleft lip before corrective surgery is performed, what should be a priority?
    • Altering the usual method of feeding (QUIZLET)
  5. The nurse is providing care to a toddler age child. Which assessment finding is indicative of abuse?
    • Inconsistency of stories between caregivers (QUIZLET)
    • Bruising, accidents that do not add up, discrepancies in chart (from final review)
  6. A nurse is caring for a 6 month old infant who has a prescription for clear liquids by mouth after a repair of an intussusception. Which of the following fluids should the nurse select for the infant?
    • Oral electrolyte solution (QUIZLET)
  7. Which question should the nurse ask the parents of a child suspected of having glomerulonephritis?
    • “Has the child had a sore throat or throat infection in the last weeks?
  8. The nurse is providing education to a pediatric client diagnosed with diabetes. The client will be playing soccer during summer vacation. Which change in the client’s management will the nurse explore during this education session?