Q&A Hero

Q: Which statement indicates that parents have understood the nurse's teaching with regard to colostomy stoma care for their toddler? 1. "We will change the colostomy bag with each wet diaper." 2. "We will expect a moderate amount of bleeding after cleansing the area around the stoma." 3. "We will watch for skin irritation around the stoma." 4. "We will use adhesive enhancers when we change the bag."

Q: The nurse is preparing to ambulate an 11-year-old child who has had an appendectomy. In addition to pharmacological pain management, which of the following nonpharmacologic, independent nursing pain management strategies would be appropriate for this child? 1. A warm, moist pack 2. EMLA cream to the incision site 3. An ice pack 4. A splint pillow against the abdomen when moving or coughing

Q: An infant born with an omphalocele defect is being admitted to the intensive care nursery. Which of the following should the nurse in charge instruct the nursing technician to prepare? 1. Radiant warmer 2. Crib 3. Bilirubin light 4. Formula for feeding

Q: An infant has been born with an esophageal atresia and tracheoesophageal fistula. What is a priority preoperative nursing diagnosis? 1. Ineffective tissue perfusion: gastrointestinal, related to decreased circulation 2. Ineffective infant feeding pattern related to uncoordinated suck and swallow 3. Acute pain related to esophageal defect 4. Aspiration, risk for related to regurgitation

Q: The nurse is planning postoperative care for an infant after a cleft lip repair. Which intervention should the nurse include in this infant's plan of care? 1. Suctioning with a tonsil tip (Yankauer) device 2. Using a pacifier to reduce straining the suture line with crying 3. Supine positioning 4. Frequent breast or bottle feeding

Q: The nurse is measuring an abdominal girth on a child with abdominal distension. Identify the area on the child's abdomen where the tape measure should be placed for an accurate abdominal girth. 1. Below the umbilicus 2. Just below the sternum 3. Just above the pubic bone 4. Just above the umbilicus, around the largest circumference of the abdomen

Q: An adolescent complains of recurrent abdominal pain with diarrhea and bloody stools. The nurse should recognize these as symptoms of which inflammatory bowel disease? 1. Necrotizing enterocolitis 2. Ulcerative colitis 3. Crohn's disease 4. Appendicitis

Q: A three-year-old child is suspected of having Hirschsprung's disease. Which assessment factors would support such a medical diagnosis? 1. Clay-colored stools and dark urine 2. History of early passage of meconium in the newborn period 3. History of chronic, progressive constipation and failure to gain weight 4. Continual bouts of foul-smelling diarrhea

Q: A child with inflammatory bowel disease is taking prednisone daily. The family should be taught to administer the prednisone at what time? 1. Between meals 2. At bedtime 3. One hour before meals 4. With meals

Q: Following diagnosis of Ewing's sarcoma, the physician orders chemotherapy for the 12-year-old child. After discussion with the physician, the parents refuse a central line so the chemotherapy will be administered by peripheral line. The nurse will prevent extravasation by: Standard Text: Select all that apply. 1. Ensuring that the intravenous line is a free flowing line. 2. Administering the medication by infusion pump. 3. Checking for blood return before and during chemotherapy administration. 4. Diluting the medication with normal saline. 5. Administering the vesicant drug last.

Q: The 10-year-old boy is admitted to the pediatric neurologic unit with a suspected craniopharyngioma. The nurse will assess the child with which symptoms related to this brain tumor? Standard Text: Select all that apply. 1. Evening nausea 2. Excessive urination leading to dehydration 3. Nystagmus 4. Headaches 5. Orbital ecchymosis

Q: The ten-year-old child was diagnosed with a medulloblastoma; following surgery the child is started on chemotherapy by intrathecal injection. While preparing the family for the start of chemotherapy, the nurse will explain that intrathecal administration was chosen because: 1. It reduces side effects. 2. It does not require the child being "stuck." 3. Many chemotherapy drugs do not cross the blood-brain barrier. 4. Intrathecal administration is less expensive than intravenous administration.

Q: A five-year-old child is on chemotherapy for rhabdomyosarcoma. Despite antiemetics, the child complains of nausea. The mother wants the child to eat and is pushing the child to eat the food. The nurse would talk with the mother and suggest that she not push the food on the nauseated child because: 1. The child does not need to eat as he is on intravenous fluids. 2. Forcing the child to eat may lead to a food aversion for the child. 3. Vomiting can lead to damage to the stomach. 4. Pushing the child to eat leads to a psychological conflict that may turn the child away from the parent.

Q: Following diagnosis of osteosarcoma, a 14-year-old girl has a below-the-knee amputation. The girl has had trouble accepting the reality of her amputation. Which behavior, when observed by the nurse, indicates she is beginning to accept the amputation? 1. The girl complains of pain in the missing leg. 2. When physical therapy comes, she is willing to have her temporary prosthetic applied and attempts crutch training. 3. Prior to visiting hours, she asks to be helped to a wheelchair with a blanket over her legs. 4. When the nurses change the dressing on the stump, she watches the dressing change.

Q: A child has been diagnosed with Ewing sarcoma and is being started on a chemotherapy protocol. The mother questions the nurse on why more than one drug is being used as it would seem that using fewer drugs would decrease the side effects. The best response by the nurse would include the information that: 1. The child's cancer is a severe form and needs additional drugs to remove the cancer. 2. A protocol is a proven means of treatment. 3. A protocol is used in children but not adults due to the chemotherapy's effect on growth. 4. A protocol involves a group of drugs that work in different modes and have different side effects.

Q: The nurse is explaining to the mother that her child with cancer will receive chemotherapy daily for one month and then no treatments for six weeks. Following the period of rest, chemotherapy will be administered again for another month. The mother asks why the child can"t receive the medication for two months straight. The nurse would explain that the rest period: 1. Prevents the child from having side effects from the drugs. 2. Is due to the scheduling requirements of the infusion center. 3. Is necessary because receiving the medication for more than one month can cause heart failure. 4. Allows normal cells to repair themselves while the cancer cells die.

Q: During rounds, the interdisciplinary team is discussing the care of a child with a newly diagnosed Wilms' tumor. The nurse describes the mother as being angry and upset that they are not caring properly for her child. What behavior probably is the cause of the mother's anger? 1. The mother is beginning the stages of grief over loss of her previously well child. 2. The mother is feeling guilty for not recognizing that the child was ill. 3. The nurses are negligent in providing safe care for the child. 4. The mother does not have adequate support from Social Services.

Q: After years of treatment with chemotherapy and radiation, a child with a brain tumor is shown to be refractory to treatment, and a DNR (Do Not Resuscitate) has been obtained. The mother has reached the stage of acceptance; the father is angry that the medical and nursing team has not been able to "save" his child. How would the multidisciplinary team best support this family? 1. Tell the father that he should have brought his child in earlier for treatment. 2. Continue to include the family in planning care and assure them that the child will be kept comfortable in the days to come. 3. Initiate a Social Services referral. 4. Contact the on-call chaplain for consultation with the entire family and ask him to take the father aside for additional assistance.

Q: The nurse works in an oncology clinic. A preschool-age child is being seen in the clinic, and the nurse anticipates a diagnosis of cancer. The nurse prepares for which of the common reactions preschool-age children have following illnesses and hospitalizations? 1. Unawareness of the illness and its severity 2. Acceptance, especially if able to discuss the disease with children their own age 3. Understanding of what cancer is and how it is treated 4. Thoughts that they caused their illness and are being punished

Q: The child has been admitted to the hospital unit newly diagnosed with retinoblastoma. What would the nurse expect to see when examining the child's eye? 1. A white reflex 2. Blue-tinged sclera 3. A red reflex 4. Yellow sclera

Q: A child with rhabdomyosarcoma is to undergo radiation therapy after surgical removal of the tumor. The parents should be taught to: 1. Apply lotion to the area before radiation therapy. 2. Apply sunscreen to the area when the child is exposed to sunlight. 3. Remove any markings left after each radiation treatment. 4. Vigorously scrub the area when bathing the child.

Q: A child with leukemia has a granulocyte count of 250/mm3 and a platelet count 150,000/mm3. Nursing intervention would include which of the following? 1. Fluid restriction 2. Avoidance of mouth care 3. Strict isolation 4. Good hand washing

Q: A child is receiving chemotherapy induction for acute lymphocytic leukemia (ALL). Taking common side effects into consideration, which nursing diagnoses would be appropriate during the induction chemotherapy? Standard Text: Select all that apply. 1. Risk for injury: hemorrhagic cystitis 2. Skin integrity: impaired mucous membrane 3. Fluid and electrolyte impairment: nausea and vomiting 4. Risk for infection 5. Impaired sleep pattern 6. Diarrhea

Q: A child has recently been diagnosed with leukemia. The child's sibling is expressing feelings of anger and guilt. This reaction by the sibling is: 1. Abnormal; the sibling should be referred to a psychologist. 2. Unexpected; the cancer is easily treated. 3. Unusual; the illness doesn't affect the sibling. 4. Normal; the sibling is affected, too, and anger and guilt are expected feelings.

Q: An adolescent is receiving methotrexate chemotherapy after undergoing limb-salvage surgery for osteogenic sarcoma. The nurse knows the teen understands what to expect for the schedule of administration for leucovorin therapy if the teen says: 1. "I don't have any pain, so I won't need to take the leucovorin this time." 2. "I don't have any nausea, so I won't need the leucovorin." 3. "I'm glad I only need one dose of the leucovorin." 4. "It is important that I receive my leucovorin on time as it protects my body from the methotrexate."

Q: The child is receiving chemotherapy for acute lymphocytic leukemia. The nurse recognizes that a potential oncological emergency for this child would be tumor lysis syndrome. For which symptoms should the nurse monitor this child? 1. Respiratory distress and cyanosis 2. Thrombocytopenia and leukocytosis 3. Oliguria and altered levels of consciousness 4. Upper-extremity edema and neck vein distension

Q: A child has thrombocytopenia secondary to chemotherapy treatments. Based on this finding, what should the nurse do? 1. Avoid administering intramuscular injections (IM). 2. Monitor intake and output. 3. Use palpation as a component of assessment. 4. Avoid performing oral hygiene.

Q: The antiemetic drug ondansetron (Zofran) is being administered to a child receiving chemotherapy. It should be administered: 1. Only if the child experiences nausea. 2. Before chemotherapy administration, as a prophylactic measure. 3. After the chemotherapy has been administered. 4. Never; this antiemetic is not effective for controlling nausea and vomiting associated with chemotherapy.

Q: The nurse is monitoring the urine specific gravity and pH on a child receiving chemotherapy. The nurse will try to maintain the urine values at what levels? 1. Specific gravity 1.030 and pH 7.5 2. Specific gravity 1.005 and pH 6 3. Specific gravity 1.030 and pH 6 4. Specific gravity 1.005 and pH 7.5

Q: A child has cancer and has been treated with chemotherapy. The most recent lab value indicates that the white blood cell count is very low. Based on this result, which would the nurse expect to administer? 1. Epoetin alfa (Epogen) 2. Ondansetron (Zofran) 3. Oprelvekin (Neumega) 4. Filgrastim (Neupogen)

Q: The parent of a child newly diagnosed with cancer verbalizes regret to the nurse for not seeking earlier medical attention for the child's symptoms. Which response would be most therapeutic? 1. "You may feel guilty, but you should not blame yourself." 2. "Most cancers can be treated easily." 3. "Many types of cancer are difficult to diagnose and might not show early symptoms." 4. "Early diagnosis is not significant in the diagnosis and management of cancer."

Q: Manifestations of cancer in the pediatric patient vary by type and location but typically include which of the following general manifestations? Standard Text: Select all that apply. 1. Infection 2. Weight gain 3. Polycythemia 4. Neurologic symptoms 5. Pain 6. Cachexia

Q: A child has been diagnosed with a Wilms' tumor and is being treated with chemotherapy. Prior to administering the chemotherapy, what will the nurse monitor to determine if the child has any capability of fighting infection? 1. Hemoglobin 2. Red blood cell count 3. Platelets 4. Absolute neutrophil count (ANC)

Q: Following treatment for iron deficiency anemia, the physician orders lab tests. Which lab value would indicate an improvement in the child's condition? 1. Low hemoglobin 2. Normal platelet count 3. High reticulocyte count 4. Low hematocrit

Q: A seven-year-old child is admitted in sickle-cell crisis. The nurse is concerned with reducing the child's pain. Recognizing that any activity that reduces the sickling will reduce the pain, nursing activities will include: Standard Text: Select all that apply. 1. Administration of narcotics. 2. Administration of NSAIDs. 3. Cold application. 4. Encouraging oral fluids. 5. Maintaining bed rest.

Q: The physician has ordered the child to receive a unit of packed red blood cells. In preparing to administer the blood, the nurse will initiate an intravenous line and hang what fluid? 1. D5W 2. D5LR 3. D5 1/4NS 4. NS

Q: The nurse is preparing to administer a blood transfusion to a child with a severe anemia. Which type of transfusion reaction may be within the nurse's realm of prevention? 1. Allergic 2. Hemolytic 3. Febrile 4. Septic

Q: The nurse recommends to the mother of a 10-month-old child that cow's milk not be introduced into the diet until after 12 months of age. The mother asks why she can"t switch to cow's milk earlier. The nurse explains that cow's milk can lead to iron deficiency anemia because: Standard Text: Select all that apply. 1. Cow's milk is a poor source of iron. 2. The child may be exposed to an antibiotic in processed milk. 3. Cow's milk has a high fat content. 4. In young children, cow's milk can lead to bleeding from the gastrointestinal tract. 5. Cow's milk contains no vitamin C, which is necessary for iron absorption.

Q: A ten-year-old boy with classic hemophilia is admitted to the hospital for hemorrhage into the knee joint. Treatment is instituted on admission. What would be an appropriate nursing diagnosis for this child? 1. Risk for impaired physical mobility related to joint stiffness and contractures 2. Risk for impaired tissue perfusion (cerebral) related to blood loss. 3. Activity intolerance related to bleeding 4. Disturbed body image related to swollen knee

Q: During a hurricane emergency, a child with hemophilia is injured and bleeding internally. The child is transported to the hospital. Due to the emergency, the appropriate factor is not available. What blood product would be the next best option to promote clotting? 1. Platelets 2. Whole blood 3. Packed cells 4. Fresh or fresh frozen plasma

Q: A child who has undergone a hematopoietic stem cell transplantation (HSCT) is ready for discharge. Which concepts are important for the nurse to include in discharge education? Standard Text: Select all that apply. 1. Keeping the child on a high-calcium diet 2. Practicing good hand washing 3. Avoiding live plants and fresh vegetables 4. Avoiding influenza vaccinations 5. Returning the child to school within six weeks

Q: Which of the following are major risks during the post-transplant phase of hematopoietic stem cell transplantation (HSCT)? Standard Text: Select all that apply. 1. Bleeding 2. Thrombosis 3. Pancytopenia 4. Infection 5. Fluid volume overload

Q: A nurse is planning to provide education for a family who has a child with sickle-cell anemia. For the prevention of a sickle-cell crisis, the nurse teaches the family the importance of avoiding which condition? 1. Respiratory infection and dehydration 2. Midrange altitudes 3. Weight loss without dehydration 4. Overhydration

Q: For which complication(s) should the nurse observe during administration of Factor VIII to a child with hemophilia? 1. Fever and chills 2. Fat emboli 3. Nausea and vomiting 4. Congestive heart failure

Q: During discharge teaching to parents of a child hospitalized with sickle-cell crisis, the nurse should emphasize which of the following as a priority home care intervention? 1. Rapid weaning of pain medications 2. Promotion of a diet high in protein 3. Encouraging adequate hydration 4. Restriction of activities

Q: A child with meningococcemia is being admitted to the pediatric intensive care unit. This child should be placed in which type of room? 1. Private room, in respiratory isolation 2. Private room, in protective isolation 3. Private room, but not in isolation 4. Semiprivate room

Q: Which of the following is a priority nursing diagnosis for the child with idiopathic thrombocytopenic purpura (ITP)? 1. Ineffective breathing pattern 2. Nausea 3. Fluid-volume deficit 4. Risk for injury

Q: The nurse is caring for a child with disseminated intravascular coagulation (DIC). Which would be a priority nursing intervention for this child? 1. Preparation for radiograph procedures 2. Monitoring of fluid restriction 3. Frequent ambulation 4. Monitoring of oxygen saturation and vital signs

Q: A child with hemophilia plans on participating in a bicycling club. Which recommendation should the nurse give to the child? 1. Wear kneepads, elbow pads, and a helmet while bicycling. 2. Consider a swim club instead of the bicycling club. 3. Do not join the club. 4. Participate only in the social activities of the club.

Q: A school-age child with hemophilia falls on the playground and goes to the nurse's office with superficial bleeding above the knee. The nurse should: 1. Apply pressure to the area for at least 15 minutes. 2. Apply a warm, moist pack to the area. 3. Perform some passive range-of-motion to the affected leg. 4. Keep the affected extremity in a dependent position.

Q: A child with hemophilia comes to the emergency department following an automobile accident. The child presents with multiple injuries. When prioritizing care for the child, the nurse would be most concerned with which injury? 1. Occipital hematoma 2. Radial fracture 3. Dislocated shoulder 4. Abdominal abrasions

Q: When caring for a child diagnosed with aplastic anemia, the nurse would educate the parents regarding which common symptoms? 1. Fatigue and fever 2. Runny nose and cough 3. Nausea and vomiting 4. Cyanosis and bradycardia

Q: A child is admitted to the hospital and diagnosed with aplastic anemia. The parents ask the nurse what aplastic anemia is. Which would be the best description of aplastic anemia? 1. Causes a proliferation of white blood cells 2. Is characterized by abnormally shaped red blood cells 3. Is characterized by failure of the bone marrow to produce adequate numbers of cells 4. Is a disorder that occurs following a viral illness

Q: A child who has Beta-thalassemia is receiving numerous blood transfusions. The child is also receiving deferoxamine (Desferal) therapy. The parents ask how the deferoxamine will help their child. Which is an action of deferoxamine that the nurse should convey? 1. Stimulates red blood cell production 2. Prevents iron overload 3. Provides vitamin supplementation 4. Prevents blood transfusion reactions

Q: The nurse is administering packed red blood cells to a child with sickle-cell disease (SCD). The nurse knows that a transfusion reaction will most likely occur: 1. Six hours after the transfusion is given. 2. At the end of the administration of the transfusion. 3. Within the first 20 minutes of administration of the transfusion. 4. Never; children with SCD do not have reactions.

Q: The nurse is teaching parents of the child with sickle-cell disease how to avoid precipitating factors that can contribute to a sickle-cell crisis. Which are precipitating factors that could contribute to a sickle-cell crisis? Standard Text: Select all that apply. 1. Regular exercise 2. Fever 3. Dehydration 4. Altitude 5. Increased fluid intake

Q: A child has been diagnosed with sickle-cell disease. Both parents deny having the disease themselves. The parents ask the nurse how their child got this disease. The nurse recognizes that the only possible explanation of the etiology is: 1. The father is not the biological father of the infant. 2. The mother of the child has the trait, but the father doesn't. 3. The father of the child has the trait, but the mother doesn't. 4. The mother and the father of the child have the sickle-cell trait.

Q: Which of the following parental demonstrations indicates that the parents understand the nurse's teaching with regard to prevention of iron-deficiency anemia? 1. The parents feed their infant with a formula that is not iron-fortified. 2. The child's vitamin C consumption is limited after one year of age. 3. The parents start iron-fortified infant cereal at four to six months of age. 4. Cow's milk is introduced into the child's diet at six months of age.

Q: Immediately after delivery, the nurse prepares to give the newborn a vitamin K injection. The new father is watching and asks the nurse why the baby is receiving a "shot." The nurse would explain that vitamin K injections are given to newborn infants to: 1. Activate clotting factors. 2. Break up blood clots. 3. Promote red blood cell function and assist in gas exchange. 4. Promote the production of hemoglobin.

Q: A two-month-old infant has been diagnosed with severe combined immunodeficiency disease (SCID). The physician talked with the parents about the planned treatment and prognosis for the infant. Which statement by the parents indicates the need for additional education? 1. "My child will receive intravenous immune globulins as a way to help him fight infection." 2. "Within days of receiving a stem cell transplant, my child will be cured." 3. "If my child needs a blood transfusion, it should be with irradiated blood cells." 4. "Antibiotics will be used as necessary to help my child fight infections."

Q: The nurse is discussing the immune protection of the newborn with a pregnant woman. The nurse tells the mother that her body will provide her baby with what type of antibodies? 1. IgM 2. IgA 3. IgD 4. IgG

Q: A child has an anaphylactic reaction to contrast dye used in an X-ray. After the emergency is over and the child is stable in the intensive care unit, the nurse explains to the parents what happens in anaphylaxis. The nurse explains that histamine is released during an anaphylactic reaction and that the action of histamine includes: Standard Text: Select all that apply. 1. Release of IgE antibodies. 2. Smooth muscle contraction. 3. Increased capillary permeability. 4. Vasoconstriction. 5. Red cell destructions

Q: The child is recovering from a bone marrow transplant. Which is the priority nursing concern in this early stage management? 1. Early recognition of symptoms of graft-versus-host disease. 2. Providing discharge instructions to the parents. 3. Avoiding latex products. 4. Monitoring the child for return of bone marrow function.

Q: The nurse is preparing the hospital room for admission of a child with multiple allergies including cow's milk, peanuts, and latex. The nurse's priority responsibility in preparing for this child would include: 1. Evaluating the hospital room for equipment containing latex. 2. Ordering an EpiPen for the child. 3. Notifying dietary of the milk and peanut allergy. 4. Placing a sign on the door which identifies all allergies.

Q: A teenage girl has recently been diagnosed with systemic lupus erythematosus (SLE). In teaching the girl about her disease, the nurse explains that the teenager needs to avoid which typical teenage activity? 1. Receiving a manicure and a pedicure 2. Daily hair shampoos 3. Using a tanning bed 4. Attending late night parties and dances

Q: After a severe allergic reaction, an EpiPen is prescribed for the 10-year-old child. Instructions to be given to the child and the family would include: Standard Text: Select all that apply. 1. The child should always have the EpiPen readily available. 2. The parents should learn to administer the EpiPen as the child is too young to self-administer. 3. Once an EpiPen has been administered, there is no need for additional follow-up. 4. The EpiPen has an expiration date that should be checked regularly, and the pen should be replaced as needed. 5. The child should wear a MedicAlert bracelet.

Q: A nurse has begun an infusion of intravenous immunogloblin (IVIG) to a child who has combined immunodeficiency disease. In which situation should this infusion be stopped? 1. The child complains of discomfort at the IV site. 2. The child develops severe shaking, chills, and fever. 3. The child complains of thirst. 4. The child experiences a mild headache.

Q: A child has been placed on an oral corticosteroid for a rash caused by graft-versus-host disease. The nurse will monitor the child for the common side effects of corticosteroids including: 1. Hyperglycemia. 2. Hepatic toxicity. 3. Seizures. 4. Renal toxicity.

Q: The nurse is caring for a child who experiences an anaphylactic shock reaction. In which position will the nurse place the child? 1. In Trendelenburg position 2. Flat, with legs slightly elevated 3. In high Fowler's position 4. In reverse Trendelenburg position

Q: The nurse is caring for a child with rheumatoid arthritis. Which is an appropriate nonpharmacologic measure to reduce the joint pain associated this disease? 1. Elevation of the extremity 2. Immobilization 3. Massage 4. Application of moist heat

Q: An 11-year-old boy with rheumatoid arthritis wants to participate in the school sports programs. The boy asks the nurse to recommend a sporting activity for him. Which activity would be the most appropriate for the nurse to recommend? 1. Baseball 2. Basketball 3. Football 4. Swimming

Q: An adolescent has systemic lupus erythematosus (SLE). Which action by the teen indicates acceptance of the body changes that occur because of SLE? 1. Attends school but doesn"t stay for after-school activities 2. Discusses the body changes with health care personnel only 3. Discusses the body changes with her best friend 4. Only attends small parties at friends' homes

Q: The nurse is planning to discharge a child newly diagnosed with HIV infection. Which discharge instruction should be included for this child and her family? 1. Eat raw fruits. 2. Avoid playing sports. 3. Restrict school attendance. 4. Cover open wounds.

Q: The nurse is planning care for a child with acquired immune deficiency syndrome (AIDS). Which vaccines should be avoided in the child with AIDS? 1. Inactivated polio vaccine (a killed virus vaccine) 2. Tetanus toxoid vaccination 3. Varicella vaccine (an attenuated virus vaccine) 4. Acellular pertussis vaccine

Q: A premature infant is at greater risk for infection than a full-term infant because of a reduced number of which immunoglobulin? 1. IgE 2. IgG 3. IgA 4. IgM

Q: A parent of a newborn asks the nurse why young children seem to become ill so often when compared with older children and adults. Which of the following does the nurse's best response address? 1. Lower numbers of natural killer cells in younger children 2. High levels of IgA in the newborn 3. Absent lymphoid tissue in the young child 4. Underdeveloped thymus glands in the infant

Q: The nurse is off-duty and watching a youth baseball game when one of the players gets hit in the chest with a ball. The child immediately drops to the ground and is unresponsive. What is the priority action for the nurse to initiate? 1. Initiate CPR. 2. Call 911. 3. Find the parents and offer them comfort. 4. Check the child for hemorrhage.

Q: A seven-year-old girl has been diagnosed with rheumatic fever. The physician has talked with the parents and child and explained the disease and the planned medical treatment. Which statement by the parents needs further clarification? 1. "I understand rheumatic fever is a strep infection of the heart." 2. "My child will be on bed rest for several weeks." 3. "My child will be treated with aspirin and/or corticosteroids." 4. "Once my child has recovered, she will still need to be monitored for sequelae to the disease."

Q: A child is admitted to the hospital unit with a diagnosis of Kawasaki disease. The physician writes the following orders. Which order would the nurse question? 1. Contact isolation 2. Oral aspirin (dose appropriate for weight) every eight hours 3. Echocardiogram 4. Vital signs every four hours

Q: A four-year-old child is being emotionally prepared for open heart surgery. The nurse will want to provide the child with which information? 1. Who will be performing the surgery 2. What the surgical procedure will entail 3. The purpose of the heart-lung machine 4. What the ICU will look and sound like when the child wakes up