Term
| While teaching the parents of a newborn about infant care and feeding, the nurse instructs the parents to: |
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Definition
| Delay supplemental foods until the infant is 4–6 months old. |
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Term
| A nurse is talking to the mother of an exclusively breastfed African-American 3-month-old infant who was born in late fall. The nurse would want to make sure that this child is receiving: |
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Definition
Vitamin D.
This infant will have limited exposure to sunlight, and thus vitamin D, because of the infant’s dark skin and decreased sun exposure in the fall and winter months. |
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Term
| While teaching parents of a newborn about normal growth and development, the nurse informs them that their child’s weight should: |
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Definition
| Double by 5 months of age. |
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Term
| During a well-child physical, a 16-year-old girl has a normal history and physical except for an excessive amount of tooth enamel erosion, a greater-than-normal number of filled cavities, and calluses on the back of her hand. Her body mass index is in the 50–75th percentile for her age. The nurse would be most concerned about: |
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Definition
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Term
| The anterior pituitary secretes: (Select all that apply.) |
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Definition
Growth hormone (somadotropin).
Thyroid-stimulating hormone (TSH).
Adrenocorticotropic hormone (ACTH). |
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Term
| What does the Parathyroid hormone do? |
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Definition
| Acts on the kidney to increase synthesis of vitamin D. |
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Term
| The home health nurse is visiting a 3-month-old who has been diagnosed with congenital hypothyroidism and is taking daily thyroxine. The baby is on soy formula, and is at the 50th percentile for height and weight. It is important that the mother understands that: |
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Definition
| Soy-based formula can interfere with the absorption of thyroxine. |
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Term
| The nurse teaches the teenager and his parents that the signs of diabetic ketoacidosis (DKA) include which of the following? Select all that apply. |
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Definition
Abdominal pain
Fruity breath odor
Change in mental status |
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Term
| A child weighing 18.2 kg with a history of diabetes insipidus has been admitted to the hospital. Which of the following physician’s orders would the nurse question? |
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Definition
Restrict oral fluids to 500 mL every 24 hours.
Fluid replacement, not fluid restriction, is necessary for child with DI. |
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Term
| The nurse is assessing a 6-week-old female admitted to the hospital with fever. The nurse notes the infant has a webbed neck and lymphedema of both hands and feet. The nurse suspects that this infant might have: |
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Definition
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Term
| Early signs of hypothyroidism: |
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Definition
| Early signs of hypothyroidism are prolonged jaundice, bradycardia, and hypothermia, and symptoms are not seen until the first few months of life. |
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Term
| A 5-year-old with a history of hypopituitarism comes to the physician with complaints of right hip and leg pain. The nurse understands that this symptom might be related to: |
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Definition
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Term
| An adolescent female with Graves’ disease is admitted to the hospital. The nurse expects to find which of the following signs and symptoms in this client? |
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Definition
| Tachycardia, fatigue, and heat intolerance |
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Term
| A hospitalized child has been diagnosed with SIADH (syndrome of inappropriate antidiuretic hormone), a complication of his meningitis. The nurse would expect this child’s labs to show: |
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Definition
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Term
| The nurse is caring for a child with hyperthyroidism. This child is on thiomide therapy, and is taking propranolol (Inderal) as adjunct therapy. The nurse knows that this child is taking the propranolol to relieve symptoms of: |
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Definition
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Term
| In a newborn with congenital adrenal hyperplasia, the nurse knows that a sign of acute adrenal insufficiency is: |
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Definition
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Term
| The nurse is giving discharge instructions to the parents of a child who has had removal of adrenal glands due to a tumor. The nurse knows that the mother needs more instructions when the mother states: |
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Definition
“If my child has vomiting and diarrhea, I will hold his hydrocortisone.”
If the child is ill, and can’t take hydrocortisone by mouth, the child would need to have an injection. Failure to give hydrocortisone could lead to severe illness and cardiovascular collapse |
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Term
| The nurse is caring for a child just admitted with diabetic ketoacidosis (DKA). The nurse should question which of the following physician’s orders? |
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Definition
| NPH insulin IV at 0.1 units/kg per hour. |
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Term
| A teenager has arrived in the Emergency Department (ED) with confusion. The physician suspects diabetic ketoacidosis (DKA). A stat serum glucose is done, and the result is 765mg/dL. The nurse expects that this teen has which of the following symptoms? |
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Definition
| Dry mucous membranes, blurred vision, and weakness |
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Term
| A 12-year-old has been selected to be a cheerleader for her middle school. This child has been recently diagnosed with type I diabetes. In teaching this child’s mother about care for her child, the nurse wants the mother to understand that with increased physical activity, the child will need: |
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Definition
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Term
| The nurse is doing discharge teaching with the parents of a newly diagnosed type I diabetic. The nurse knows that the mother needs more teaching when she states: |
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Definition
| “I will give my child insulin if she experiences shakiness, pallor, and sweating.” |
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Term
| Lipoatrophy can be avoided in the type I diabetic by: |
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Definition
| Rotating injection sites. |
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Term
| The nurse is teaching the caregiver of a newly diagnosed type I diabetic ways to minimize pain with insulin injections. The nurse teaches the caregiver that which of the following interventions is helpful to minimize pain? Select all that apply. |
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Definition
Do not reuse needles.
Remove all bubbles from the syringe before injecting.
Do not change the direction of the needle during insertion or withdrawal. |
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Term
| The mother asks the nurse why her newborn baby needs a blood test for phenylketonuria (PKU) before she could take her home. The nurse explains to the mother: |
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Definition
| “This test is done on in the U.S. on all babies who are 48 hours old.” |
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Term
| The nurse is caring for a hospitalized 3-year-old admitted with a history of syndrome of inappropriate antidiuretic hormone (SIADH). He has just received his breakfast tray. Which food should the nurse remove from his tray? |
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Definition
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Term
| The nurse is assessing a 4-year-old child with a possible alteration in mental health. Which of the following could indicate such an alteration? Select all that apply. |
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Definition
Eye contact
Appearance
Facial expressions
History of prenatal care and delivery |
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Term
| The mother of a 6-year-old has brought her son to the physician because his teacher thinks he might have attention-deficit hyperactivity disorder (ADHD). The nurse is interviewing the mother about the child’s history. The nurse knows that which of the following factors could be associated with ADHD? |
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Definition
| Prenatal exposure to smoke |
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Term
| The nurse is performing a developmental screening on a toddler. The nurse would expect this child to be able to express two-word phrases by: |
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Definition
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Term
Which of the following symptoms are commonly seen in an adolescent with depression?
Select all that apply.
1. Agoraphobia
2. Poor self-care
3. Focus on violence
4. Somatic complaints
5. Poor school performance |
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Definition
Poor self-care
Focus on violence
Poor school performance |
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Term
| The nurse is taking a history from the mother of a child who has been diagnosed with pediatric autoimmune neuropsychiatric disorder associated with streptococci (PANDAS). Which of the following might have led to this diagnosis? |
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Definition
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Term
| The nurse explains to parents of a child diagnosed with separation anxiety disorder that the peak age for this diagnosis is: |
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Definition
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Term
| The nurse knows that the mother of a 6-year-old needs more teaching about her son’s diagnosis of ADHD when she states: |
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Definition
| “I will let him do his homework while he is watching his favorite television show.” |
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Term
| A child with autism is being admitted to the hospital with dehydration. Upon admission, the nurse should: |
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Definition
| Orient the child to his single-bed hospital room. |
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Term
| A child with attention-deficit hyperactivity disorder (ADHD) wants to play soccer. Which of the following is appropriate for the school nurse to do? |
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Definition
| Encourage the child to play soccer. |
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Term
| Which of the following antidepressants is approved for use in pediatric patients with depression? |
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Definition
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Term
To which of the following would learning disabilities most likely be related?
1. Trisomy 21
2. Low birth weight
3. Maternal alcohol use
4. Prenatal exposure to smoke |
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Definition
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Term
| A 9-year-old has been diagnosed with a learning disorder that is characterized by problems with manual dexterity and coordination. The nurse teaches parents that this disorder is called: |
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Definition
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Term
| The nurse is assessing a child with Down syndrome. Which of the following is this child at a greater risk to develop when compared with children who do not have Down syndrome? |
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Definition
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Term
| A child admitted to the hospital with a diagnosis of pneumonia has a history of severe retardation. The nurse recognizes that the IQ of this child is: |
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Definition
20–35.
-IQ of 50–70 is mild mental retardation.
-IQ of 35–50 is moderate mental retardation.
-IQ of 20–35 is severe mental retardation.
-IQ below 20 is profound mental retardation. |
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Term
A nurse is performing a developmental assessment on several children in a clinic setting. Which children exhibit a delay in meeting developmental milestones? Select all that apply.
1. A 5-year-old who is unable to button his shirt
2. A 2-year-old who is unable to cut with scissors
3. A 2-year-old who cannot recite her phone number
4. A 6-year-old who is unable to sit still for a short story
5. An 18-month-old toddler who is unable to speak in sentences |
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Definition
-A 5-year-old who is unable to button his shirt
-A 6-year-old who is unable to sit still for a short story |
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Term
| The nurse in the newborn nursery is doing the admission assessment on a neonate. Congenital hip dysplasia will be suspected when the nurse observes: |
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Definition
| Asymmetry of the gluteal and thigh fat folds. |
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Term
| A school health nurse is screening for scoliosis. For what assessment findings would the nurse look? Select all that apply. |
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Definition
Uneven shoulders and hips
A one-sided rib hump
Prominent scapula |
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Term
| The nurse has completed parent education related to treatment for a child with congenital clubfoot. The nurse knows that parents need further teaching when they state: |
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Definition
| “We’re happy this is the only cast our baby will need.” |
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Term
| A child must wear a brace for correction of scoliosis. Which of the following nursing diagnoses takes priority at this time? |
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Definition
| Impaired Skin Integrity, risk for |
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Term
| An adolescent has just returned from surgery after spinal fusion surgery. Which of the following assessments would be priority at this time? |
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Definition
| Impaired color, sensitivity, and movement to lower extremities |
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Term
| A child has been admitted to the hospital with osteomyelitis. The nurse would expect to administer which intravenous antibiotic for this child? |
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Definition
| Vancomycin or clindamycin |
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Term
| The nurse has completed discharge teaching for the family of a child diagnosed with Legg-Calvé-Perthes disease. The nurse knows further teaching is needed about the condition if the family states: |
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Definition
“We’re glad this will only take about six weeks to correct.”
The treatment for Legg-Calvé-Perthes disease takes approximately two years. |
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Term
| A nurse notes blue sclera during a newborn assessment. The infant should be checked for: |
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Definition
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Term
| Which of the following would take priority when teaching the family how to care for an infant with osteogenesis imperfecta? |
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Definition
| The trunk and extremities should always be supported when moving this infant. |
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Term
| A 12-year-old boy with Duchenne’s muscular dystrophy is being seen in the clinic for a routine health visit. Which of the following would be an appropriate nursing diagnosis for this patient? |
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Definition
| Impaired Mobility, risk for related to hypertrophy of muscles |
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Term
| An infant has just returned from surgery for correction of bilateral congenital clubfeet. The infant has bilateral long-leg casts. The toes on both feet are edematous, but there is color, sensitivity, and movement to them. Which of the following should the nurse do first? |
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Definition
| Elevate the legs on pillows |
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Term
| The nurse is teaching a family how to care for their infant in a Pavlik harness to treat congenital developmental dysplasia of the hip. Which of the following is appropriate for the nurse to include in parental education in relation to the Pavlik harness? |
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Definition
| Check at least two or three times a day for red areas under the straps |
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Term
| . A child has experienced a sprain of the right ankle. The school nurse should: |
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Definition
| Apply ice to the extremity. |
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Term
| A nurse is assessing a child after an open reduction of a fractured femur. Which of the following are signs that compartment syndrome could be occurring? Select all that apply. |
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Definition
-Pain not relieved by pain medication
-Prolonged capillary refill time with paresthesia |
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Term
| The nurse is caring for a child in Bryant’s skin traction. Which of the following is an appropriate nursing intervention for this child? |
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Definition
| Check the traction frequently to ensure that proper alignment is maintained. |
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