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peds final
| Question | Answer |
|---|---|
| What is the priority assessment for a child with diarrhea? | Assess fluid balance. |
| Which finding is expected in a child with nephrotic syndrome? | Periorbital edema. |
| What is the priority action for a child with glomerulonephritis? | Check the child’s weight daily. |
| Which finding should the nurse expect in a child with Wilms tumor? | Abdominal mass. |
| What should the nurse avoid when caring for a child with Wilms tumor? | Palpating the abdomen. |
| A child has dysuria and urgency. What condition should the nurse suspect? | Urinary tract infection. |
| What should the nurse teach about immunizations for a child taking prednisone? | Immunizations should be delayed. |
| What is the treatment of choice for intussusception? | Barium enema. |
| What intervention is appropriate for a child with edema and reduced mobility? | Change the child’s position frequently. |
| Which statement from a child with suspected appendicitis is most concerning? | “My belly doesn’t hurt anymore.” |
| What action should the nurse recommend for a child with sickle cell disease? | Promote hydration with IV or oral fluids. |
| What stool change is expected when taking ferrous sulfate? | Dark, tarry stool. |
| How should oral iron be administered to prevent tooth staining? | through a straw |
| What is the cause of heat rash in infants? | Heat and moisture. |
| What is the priority for a child with burns on the face and chest? | Airway / respiratory status. |
| What should the nurse recommend for seborrheic dermatitis of the scalp? | Use petroleum to soften and remove patches. |
| What is the first action for a child with diarrhea for three days? | Initiate oral rehydration therapy. |
| Which instructions should the nurse include for a child with a UTI? (Select all that apply.) | ● Avoid bubble baths ● Empty bladder completely ● Watch for manifestations of infection ● Increase fiber intake |
| What intervention should be included in the plan of care for a child with a UTI? | Encourage frequent voiding. |
| What action should the nurse take for suspected pinworms? | Perform a tape test. |
| What instruction helps prevent reinfection of pinworms? | Keep the child’s nails short. |
| What finding should the nurse expect during a vaso‐occlusive crisis? | Pain. |
| What action should the nurse take for a child with epistaxis? | Sit upright, lean forward, and apply pressure for at least 10 minutes. |
| What diet is expected for a child with glomerulonephritis? | Low sodium, fluid‐restricted diet. |
| What should the nurse teach to prevent head lice? | Avoid sharing hats. |
| Which manifestation suggests pediculosis capitis? | Scalp itchiness. |
| Which actions should the nurse take for diaper dermatitis? (Select all that apply.) | ● Allow buttocks to air dry ● Use commercial baby wipes ● Change diapers frequently ● Apply zinc oxide ointment |
| What should the nurse tell parents of an infant with projectile vomiting? | Bring the infant to the clinic today to be seen. |
| Which finding is a manifestation of hypoglycemia? | Diaphoresis. |
| Which statement indicates a need for further teaching for a sick child with diabetes? | “I will continue to check his blood sugar two times every day.” |
| What should parents do when a diabetic child is sick? | Test the urine for ketones. |
| Which statement indicates additional teaching is needed for a child with diabetes? | “I should not take my regular insulin when I am sick.” |
| What teaching should the nurse include about insulin injections? | Rotate injection sites. |
| What is the first action when a diabetic child suddenly becomes weak, has a headache, and blurred vision? | Check the blood sugar. |
| What should the nurse check for in a child with nephrotic syndrome? | Protein in the urine. |
| Which question helps identify the cause of glomerulonephritis? | “Did your child recently complain of a sore throat?” |
| Which actions should the nurse take for a dehydrated infant? (Select all that apply.) | ● Weigh the infant ● Monitor intake and output ● Offer small, frequent feedings ● Evaluate serum electrolytes |
| What question might elicit information about the cause of glomerulonephritis? | Ask if the child recently had a sore throat. |
| A child receiving chemotherapy for leukemia — which needs should the nurse plan to address? | Fatigue, easy bruising, and infection risk. |
| What is a sign of head lice? | White sacs attached to the hair shafts in the occipital area. |
| Which parent statement during a 6‐year‐old well visit should be reported to the provider? | “My child has to squint to see the board.” |
| Adolescent with a plaster cast — what should the nurse check frequently? | Neurovascular checks. |
| Child with HIV being discharged — what instruction should the family receive? | Take the child’s temperature at least once a day. |
| What should the nurse do for a 4‐year‐old refusing medication? | Offer an ice pop before administering the medication. |
| Suspected otitis media — what symptom is expected? | Tugging on the affected earlobe. |
| Hirschsprung disease surgery — which parent statement shows understanding? | “I’m glad the ostomy is only temporary.” |
| Infant 1 day post‐op cleft palate repair — what should the nurse do? | Apply antibiotic ointment to the suture line. |
| Parent of child with cystic fibrosis — which statement shows understanding? | “I will make sure my child washes her hands before eating.” |
| Intradermal TB test — what action should the nurse take? | Pinch the skin with the nondominant hand before inserting the needle. |
| Adolescent paralyzed from waist down — which statement needs further teaching? | “I need to catheterize myself twice a day.” |
| Dehydration — which finding indicates dehydration? | Urine specific gravity of 1.034 |
| Post‐tonsillectomy — what can the nurse offer? | An orange ice pop (not red). |
| Post‐tracheostomy with thick secretions — what helps thin them? | Provide humidified oxygen. |
| 4‐year‐old reluctant to go to bed — what should parents do? | Keep a night light on. |
| Thalassemia — expected finding? | Fever. |
| 5‐year‐old who stutters — what should the parent do? | Look directly at the child when he is speaking. |
| Sickle cell disease — what should be included in discharge teaching? | Drink at least eight glasses of fluids per day. |
| Appropriate food for a 14‐month‐old? | Mashed potatoes. |
| VP shunt post‐op — which finding is priority? | Lethargy. |
| 4‐year‐old bedwetting — what is this? | Regression. |
| 8‐month‐old cries when parents leave — what should the nurse say? | This is normal; expect the child to be upset. |
| Vegetarian adolescent who eats dairy but dislikes beans — what protein source? | Peanut butter and jelly on enriched bread. |
| Child ingested 30 aspirin tablets — what should the nurse do? | Insert activated charcoal. |
| Suspected pyloric stenosis — expected finding? | Projectile vomiting. |
| Toddler temper tantrums — what should parents do? | Ignore the tantrums. |
| Preschooler with asthma taking Singular — teaching? | Chew the tablet every evening. |
| Definitive sign of head lice? | Firmly attached white particles on the hair. |
| 3‐year‐old with otitis media — what question should the nurse ask? | Does anyone smoke in the home? |
| Newborn — which finding should be reported? | Jaundice in a 4‐hour‐old. |
| Toddler with AIDS — what oral infection should the nurse assess for? | Candida (oral thrush). |
| NPH insulin given at 7:30 — when is the peak? | 4 to 14 hours after administration. |
| Diabetes teaching — what should the nurse instruct? | ● Check feet for sensation ● Monitor urination ● Check finger‐stick glucose |
| Hirschsprung disease — stool characteristics? | Ribbon‐like, foul‐smelling stools. |
| Intussusception — expected stool finding? | Mucus in the stools. |
| Appendicitis — where is McBurney’s point? | Between the navel and the anterior iliac crest. |
| Gastroenteritis — priority assessment? | Check if the child is voiding. |
| Infant GERD — which parent statement shows understanding? | Keep the baby upright after feeding. |
| Enema administration — correct sequence? | 1. Provide privacy 2. Confirm identity 3. Place in Sims position 4. Insert enema tubing |
Created by:
destiny638