click below
click below
Normal Size Small Size show me how
Pediatric #2
| Question | Answer |
|---|---|
| What is an important consideration for the nurse who is communicating with a preschooler child during hospitalization? | Use transition objects such as a doll. |
| When preparing to apply a restraint to a child, what would be most important for the nurse to do? | Explain that safety, not punishment, is the reason for the restraint. |
| A 5-year old client scheduled for a tonsillectomy asks the nurse if the operation is going to hurt. What is the best response by the nurse? | Yes, but we will give you medicine to stop the pain before it starts. |
| The nurse is developing a nursing care plan for a hospitalized 6-year old. Which a behavior would warrant nursing intervention due to a possible development delay? | the child does not want to play games with other children on the hospital ward. |
| Which of the following is not true regarding the varicella vaccine? | Give aspirin for any injection-related pain. |
| A seasoned pediatric nurse realizes that a hopitalized child 's need for identitiy is strongest in which of the following groups? | Adolescents |
| The nurse is implementing interventions to prevent physical stressors for a 9 yera ol child receiving chemotherapy in the hospital. How will the nurse provide atraumatic care for this child> | Insert a saline lock if the child will require multiple doeses of parental medications. |
| Immunization of children with haemophilus influenzae type B (Hib) vaccine decreases the incidence of which of the following conditions? | Epiglottis and meningitis |
| A nurse is giving follow-up instructions to the parents of a 12 month old child who just received the varicella vaccine. The nurse knows that the teaching is successful when the parent states that the next vaccine will be adminitered | When the child turns 4 to 6 yeras of age. |
| A nurse is conducting an initial interview during hospital admission of a 10 year old child. The nurse can establish rapport and credibility with the child by asking child about: | Interest & hobbies |
| 11. A mother brings her 2-month-old daughter to the clinic for a well child visit. Which of the following sets of immunizations should the nurse plan to discuss with the mother regarding her 2 month-old daughter? | . Rotavirus (RV), Diphtheria, tetanus and Pertussis (DTaP). Haemophilus influenzae (Hib), PCV (Pneumococcal), and inactivated polio (IPV) |
| The nurse is discussing vaccination for haemophilus influenzae type B (Hib) with the mother of a 6 month old child. Which comment provides the most compelling reason to get the vaccination? | “Young children are especially susceptible to these bacteria.” |
| The nurse is caring for a hospitalized 13-year old girl, who is questioning everything the medical staff is doing and is resistant to treatment. How should the nurse respond? | “Let’s work together to plan your day along with your treatments” |
| A 12-month old infant arrives at the pediatric clinic for an examination and scheduled immunizations. The nurse identifies which immunizations are recommended for a child this age? (Select all that apply.) | A. Measles , mumps, and rubella (MMR) B. Pneumococcal vaccine (PCV) , Varicella |
| 15. An 8-year old child is visiting the clinic for a well child checkup and scheduled immunizations. Which of the following should be a priority when planning to give an injection to this child? | B. Demonstrate injection on dull puppet |
| A nurse is preparing to administer vaccines to a 1-year old child. Which of the following vaccines should the nurse give? | C. Varicella vaccine D. Diphtheria, tetanus and acellular Pertussis (DTaP) vaccine |
| The nurse is performing a vision screening for a 4-year old child. Which screening chart would be best for determining the ch | Allen figures |
| A nurse is planning care for a 10-year old child who will be hospitalized for an extended period of time. Which of the following actions should the nurse include in the plan of care to meet the client’s psychosocial nee | Encourage the client to complete school work. |
| When administering an L.M injection to an infant, the nurse in charge should | Vastus lateralis |
| A nurse is caring for a toddler who is having difficulty sleeping during hospitalization. Which of the following actions should the nurse take to promote sleep? | Provide bedtime rituals |
| Which age-group fears body harm? | Preschooler |
| A nurse is caring for a 3-year old child whose parents report that she has an intense fear of painful procedures, such as injections. Which of the following strategies should the nurse add to the child’s plan of care? | Have a parent stay with the child during procedures Allow the child to keep a toy from home with her Perform the procedure as quickly as possible to decrease the child’s anxiety and fear |
| A nurse is administering vaccines at a county health immunization clinic. Which of the following clients should the nurse plan to administer the Human Papillomavirus (HPV) vaccine? | . An 11-year-old school-age child |
| A nurse is caring for a 16-year-old male with osteomyelitis and is hospitalized for IV antibiotic therapy. Which of the following will best enhance his psychosocial development? | Encourage the teens friends to visit him in the hospital |
| 25. What activity would best foster the sense of identity and offer reassurance to an adolescent who uses a wheelchair to ambulate? | Talking to another adolescent who has a similar situation |
| 6 y/o do it venipuncture? | look on your blood to see why are sick. |
| why my child need immunizations? | They born w/a immunity goes away at a year old. |
| 1. A nurse is administering vaccines at a county health immunization clinic. Which of the following clients should the nurse plan to administer the Human papillomavirus (HPV) vaccine? | - An 11-year-old school-age child |
| 2. An 8-year-old child is visiting the clinic for a well child checkup and scheduled immunizations. Which of the following should be priority when planning to give an injection to this child? | - Give factual information about the injection. |
| 3. What Is an important consideration for the nurse who is communicating with a preschooler child during hospitalization? | - Use transition objects such as a doll. |
| 4. Which age group fears body harm? | - Pre-schooler |
| 5. The nurse is implementing interventions to prevent physical stressors for a 9-year-old child receiving chemotherapy in the hospital. How will the nurse provide atraumatic care for this child? | - Insert a saline lock if the child will require multiple doses of parenteral medications. |
| 6. A mother brings her 2-month-old daughter to the clinic for a wall child visit. Which of the following sets of Immunizations should the nurse plan to discuss with the mother regarding her 2-month-old daughter? (Select all that apply) | - Rotavirus (RV) - Diphtheria - Tetanus - Pertussis (DTAP) - Hemophilus influenzae (Hib) - PCV (Pneumococcal) - Inactivate polio (IPV) |
| 7. The nurse is implementing interventions to prevent physical stressors for a 9-year-old child receiving chemotherapy in the hospital. How will the nurse provide atraumatic care for this child? | - Insert a saline lock if the child will require multiple doses of parenteral medications. |
| 8. The nurse is implementing Interventions to prevent physical stressors for a 9-year-old child receiving chemotherapy the hospital. How will the nurse provide pediatric care for this child? | - Allen figures |
| 9. A nurse is preparing to administer vaccines to a 1-year-old child. Which of the following vaccines should the nurse give? | - Varicella (VAR) vaccine |
| When preparing to apply a restraint to a child, what would be most important for the nurse to do? | - Explain that safety, no punishment is the reason for the restrain |
| The nurse is discussing vaccination for Hemophilus influenzae Type B (Hib) with the mother of a 6-month-old child. Which comment provides the most compelling reason to get the vaccination? | - Young children are especially susceptible to this bacteria. |
| 12. A nurse is caring for a 3-year-old child whose parents report that she has an intense fear of painful procedures. What could the nurse add to the child's plan of care? (Select all that apply) | - Have a parent stay with the child during procedures. - Allow the child to keep a toy from home with her. - Perform procedures as quickly as possible to decrease the child’s anxiety and fear. |
| 13. The public health nurse is discussing immunizations with a group of caregivers of infants. One of the mothers asks the nurse why the child will need. Which statement would be the most appropriate for the nurse to make to this mother? | - The infant is born with immunity to some diseases, but those immunities decrease over. |
| 14. The nurse is planning care for an 18-year-old child who will be hospitalized for an extended period of time. Which of the following actions should the nurse include in the lot care to meet the client's psychosocial needs according to Erikson? | - Encourage the client to complete schoolwork. |
| 15. A nurse is giving follow-up instructions to the parents of a 12-month-old child who just received the varicella vaccine. The nurse knows that the teaching is successful when the parent states that the next vaccine will be administered: | - When the child turns 4 to 6 years of age |
| 16. The nurse is caring for a 16-year-old male with osteomyelitis who is hospitalized for IV antibiotic therapy. Which of the following will best enhance his psychosocial development? | - Encourage the teen’s friends to visit him in the hospital. |
| 17. Immunization of children with Hemophilus Influenza type B (Hib) vaccine decreases the incidence of the following conditions? | - Epiglottitis and meningitis |
| 18. The nurse is caring for a child who has received possible medical care for cancer yet continues to experience relapse and metastasis. It’s time to make transition from curative care attempts to palliative care. What is the most important nursing consi | - Involve the family in the decision-making process about the shift to palliative care. |
| 19. The public health nurse is discussing immunizations with a group of caregivers of infants. One of the mothers asks the nurse why the child will need immunization. Which statement would be the most appropriate for the nurse to make to this mother? | - The infant is born with immunity to some diseases, but those immunities decrease over the first year of life. |
| 20. What can a nurse do to reinforce a 5-year-old's intellectual initiative when he asks about his upcoming surgery? | - Answer the child's questions about his upcoming surgery in simple terms. |
| 21. An African American woman notices some bruises on her newborn girl's buttocks. She asks the nurse who spanked her daughter. The nurse explains that these marks are called: | - Mongolian sports |
| 22. When teaching parents about mandatory newborn screening it is important for the nurse to explain that the main purpose is to: | - The child does not want to play games with other children on the hospital ward. |
| 24. What activity would best foster the sense of identity and offer reassurance to an adolescent who uses a wheelchair to ambulate? | Talking to another adolescent who has similiar situation |
| 25. The new graduate nurse is preparing to administer medication to a 3-year-old client. When would it be appropriate for the supervising nurse to intervene? The new graduate: | - Had two whole tablets to administer to the child. |
| 26. When caring for an adolescent, in which case must the nurse share information with the parents no matter which state the care is provided in? | - Tuberculosis |
| A nurse is caring for a child who has a suspected diagnosis of bacterial meningitis. which of the following actions is the nurse's priority | - Place the child in isolation. |
| When administering an IM injection to an infant, the nurse in charge should use which site? | - Vastus lateralis |
| Which of the following is not true regarding the varicella vaccine | - Give aspirin for any injection-related pain. |
| 30. A 6-month-old boy is brought to the doctor's office with a high fever. The physician diagnoses the child as having a viral infection and recommends acetaminophen to reduce the fever. After 3 days, the mother returns with the child. The fever is gone, | - Roseola |
| 31. What would be the priority when providing family-centered care for a medically fragile child? | - Providing care that minimizes the impact of the chronic. - Providing care that maximizes the child’s development. - Including family in all decisions regarding care for the child |
| 32. A nurse is caring for a child who has influenza. The nurse should identify which of the following statements by the parent indicates the child has an incident of Reye syndrome. | - I give my child aspirin to reduce his fever. |
| 33. A sear old client scheduled for a tonsillectomy asks the nurse if the operation is going to hurt. What is the best response by the nurse? | - Yes, but we will give you medicine to stop the pain before it starts. |
| 34. After teaching nursing students about childhood exanthems, the instructor determines that the teaching was successful when the students identify what as the primary cause. | - Viruses |
| 35. A young client in the clinic has a rash, cough, and fever that the parent says spiked on day 5 of the rash. The client also had conjunctivitis. What illness will expect the health care provider to diagnose? | - Rubeola (measles) |
| 36. A school-aged child is recovering from Varicella (Chickenpox). The parent calls the school nurse and states, “My child is feeling much better”, and asks when the child can return to school. What information does the nurse provide the parent? | - Your child may return to school when all of the lesions have crusted over. |
| 37. The nurse is assessing a child who presents with a history of fever, malaise, fatigue, and headache. The nurse notes a bull's eye rash (target-like) on the child’s right leg. Which action will the nurse take? | - Notify the primary healthcare provider. |
| 38. The experienced nurse is providing shift handoff to a graduate nurse. Which statement of pain management by the graduate nurse requires clarification by the expert nurse? | - Children should never be given morphine because they are at higher risk for respiratory depression. |
| 39. The nurse is caring for a hospitalized child diagnosed with varicella-zoster virus. The child's parents ask how to prevent the child's siblings from contracting the virus. Which response by the nurse is best? | - We will place your child on contact and airborne precautions. it is best for the other children not to visit. |
| 40. The nurse is caring for a 4-year-old child who requires a venipuncture. To prepare the child for the procedure, which explanation is most appropriate? The doctor will look at your blood to see why you are sick. | - The doctor will look at your blood to see why you are sick. |
| 41. The public health nurse is discussing immunizations with a group of caregivers of infants. One of the mothers asks the nurse why the child will need it. Which statement would be the most appropriate for the nurse to make to this mother? | - The infant is born with immunity to some diseases, but those immunities decrease over the first year of life. |
| 42. An appropriate approach to perform a physical assessment on a toddler is to: | - Use a minimal physical contact initially (less to more invasive techniques |
| 43. A seasoned pediatric nurse realizes that a hospitalized child’s need for identity is strongest in which of the following groups? | - Adolescents |
| 44. A nurse is conducting an initial interview during hospital admission of a 10-year-old child. The nurse can establish rapport and credibility with the child by asking child about: | - Interest & hobbies |
| 45. The nurse is caring for a hospitalized 13-year-oldgirl, who is questioning everything the medical staff is doing and is resistant to treatment. How should the nurse respond? | - “Let’s work together to plan your day along with your treatments.” |
| An 8-year-old child is visiting the clinic for a well child checkup and scheduled immunizations. Which of the following should be a priority when planning to give an injection to this child? | - Demonstrate injection on dull puppet. |
| 47. A nurse is caring for a toddler who is having difficulty sleeping during hospitalization. Which of the following actions should the nurse take to promote sleep? | - Provide bedtime rituals. |
| A nurse is preparing to administer vaccines to a 1-year-old child. Which of the following vaccines should the nurse give? | - Varicella vaccine - Diphtheria, Tetanus and acellular Pertussis (DTaP) vaccine |
| A 12-month-old infant arrives at the pediatric clinic for an examination and scheduled immunizations. The nurse identifies which immunizations are recommended for a child this age? (Select all that apply.) | - Measles, Mumps, and Rubella (MMR) - Pneumococcal vaccine (PCV) - Varicella |