Q&A Hero

Q: An infant with a congenital heart defect is being discharged home until the infant reaches an appropriate weight for the corrective surgery. The nurse would teach the parents infant feeding techniques including: Standard Text: Select all that apply. 1. Breastfeed if possible. 2. Complete each feeding within 30 minutes. 3. Position the infant flat to promote swallowing. 4. Dilute the formula with extra water to ensure adequate fluid intake. 5. Burp the infant frequently.

Q: A term infant is found to have a congenital heart defect. During a cardiac catheterization, a stent is inserted to maintain the ductus arteriosus. The parents ask the nurse to explain the purpose of this procedure. The nurse's response would include the information that the stent: 1. Will keep the ductus arteriosus open and oxygenated and unoxygenated blood mixed. 2. Is used to close the ductus arteriosus to prevent mixing of arterial and venous blood. 3. Will redirect the blood so that blood bypasses the right ventricle. 4. Connects the ventricle to the atrium.

Q: The nurse is explaining fetal circulation to a woman pregnant with a fetus with a congenital heart defect. The nurse explains that there are three fetal structures and explains that blood flow from the umbilical vein flows through the three fetal structures in the following order: Standard Text: Click and drag the options below to move them up or down. Choice 1. Ductus arteriosus Choice 2. Ductus venosus Choice 3. Foramen ovale

Q: Following an injury that led to hypovolemic shock, a child is being treated in the emergency department. Which treatment measures would be given the highest priority for this child with hypovolemic shock? 1. Assess the cause of bleeding. 2. Establish an open airway and administer oxygen. 3. Administer analgesics for control of pain. 4. Provide replacement of volume.

Q: Following an automobile accident, an eight-year-old child is admitted to the emergency department with injuries that lead to hemorrhaging. The nurse would recognize the early signs of hypovolemic shock would include: Standard Text: Select all that apply. 1. Increased work of breathing. 2. Pulse rate of 56. 3. Heart rate 130. 4. Capillary refill time greater than three seconds. 5. Blood pressure 72/42.

Q: A 10"month-old infant is seen in the emergency department for a heart rate of 226 beats per minute. Supraventricular tachycardia is diagnosed. The emergency department nurse will prepare to assist with which possible treatments? Standard Text: Select all that apply. 1. Administration of intravenous adenosine (Adenocard) 2. Administration of intravenous amiodarone (Cardarone) 3. Preparation for cardioversion 4. Application of ice to the face 5. Having the child perform a Valsalva maneuver

Q: Which athletic activity could the nurse recommend for a school-age child with pulmonary-artery hypertension? 1. Golf 2. Basketball 3. Cross-country running 4. Soccer

Q: A diagnosis of rheumatic fever is being ruled out for a child. The parents cannot remember the child having a recent streptococcal infection. Which lab test would confirm a recent streptococcal infection? 1. Erythrocyte sedimentation rate 2. Throat culture 3. C-reactive protein 4. Antistreptolysin-O (ASO) titer

Q: A child diagnosed with congestive heart failure is started on digoxin (Lanoxin) and spironolactone (Aldactone). The mother questions why the child was placed on spironolactone (Aldactone) instead of furosemide (Lasix), which her elderly grandmother uses. The nurse explains that spironolactone (Aldactone) is a diuretic that: 1. Produces rapid diuresis. 2. Blocks reabsorption of sodium and water in renal tubules. 3. Spares potassium. 4. Promotes vascular relaxation.

Q: A child has been admitted to the hospital unit in congestive heart failure (CHF). Symptoms related to this admission diagnosis would include: 1. Tachycardia. 2. Weight loss. 3. Increased blood pressure. 4. Bradycardia.

Q: A child has had a heart transplant. In preparation for discharge, the nurse provides teaching about home medications. The nurse recognizes that postoperative teaching has been successful when the parents state that the child is on cyclosporin A to: 1. Treat hypertension. 2. Reduce serum cholesterol level. 3. Prevent rejection. 4. Treat infections.

Q: The nurse is teaching the parents of a group of cardiac patients. The nurse includes in the information that any child who has undergone cardiac surgery: 1. Should not receive routine immunizations. 2. Should be restricted from most play activities. 3. Can be expected to have a fever for several weeks following the surgery. 4. Should receive prophylactic antibiotics for any dental, oral, or upper respiratory tract procedures.

Q: A toddler has been started on digoxin (Lanoxin) for cardiac failure. The nurse will teach the parents to monitor the child for signs of digoxin (Lanoxin) toxicity including: 1. Bradycardia. 2. Tinnitus. 3. Ataxia. 4. Lowered blood pressure.

Q: A two-month-old infant with a congenital heart defect has been admitted to the pediatric intensive care unit with congestive heart failure. Nursing care for this child should include which intervention? 1. Monitor respirations during active periods. 2. Give larger feedings less often to conserve energy. 3. Organize activities to allow for uninterrupted sleep. 4. Force fluids appropriate for age.

Q: An infant has been diagnosed with a mild heart defect. Surgery to correct the defect will not be performed for at least two years. The nurse teaches the parents that a child with a mild heart defect should: 1. Have a low-grade fever until the defect is repaired. 2. Maintain normal activity. 3. Not develop congestive heart failure. 4. Not be given antipyretics.

Q: An infant with tetralogy of Fallot (TOF) is having a hypercyanotic episode ("tet" spell). Which nursing interventions should the nurse implement? Standard Text: Select all that apply. 1. Administer oxygen. 2. Place the child in knee-chest position. 3. Administer morphine and propranolol intravenously as ordered. 4. Draw blood for a serum hemoglobin. 5. Administer Benadryl as ordered.

Q: The nurse finds that an infant has stronger pulses in the upper extremities than in the lower extremities and higher blood pressure readings in the arms than in the legs. This could be indicative of what heart defect? 1. Transposition of the great vessels 2. Patent ductus arteriosus 3. Coarctation of the aorta 4. Atrial septal defect

Q: The nurse has admitted a child with a ventricular septal defect (VSD) to the unit. Which nursing diagnosis is appropriate for this child? 1. Hypothermia related to decreased metabolic state 2. Acute pain related to the effects of a congenital heart defect 3. Ineffective tissue perfusion (peripheral) related to cyanosis secondary to congenital heart defect 4. Impaired gas exchange related to pulmonary congestion secondary to the increased pulmonary blood flow

Q: The nurse has admitted a child with a cyanotic heart defect. Which initial lab result will the nurse anticipate? 1. A low platelet count 2. A high white blood cell count 3. A high hemoglobin 4. A low hematocrit

Q: The nurse is checking peripheral perfusion to a child's extremity following a cardiac catheterization. If there is adequate peripheral circulation, the nurse would find that the extremity: 1. Has a capillary refill of greater than three seconds. 2. Is warm, with a capillary refill of less than three seconds. 3. Has decreased sensation with a weakened dorsalis pedis pulse. 4. Has a palpable dorsalis pedis pulse but a weak posterior tibial pulse.

Q: The nurse stops at the scene of an accident and finds a child conscious but with a sucking wound of the chest. The immediate action by the nurse would be to: 1. Place the child in trendelenburg. 2. Begin rescue breathing. 3. Begin cardiac resuscitation. 4. Cover the wound with an air occlusive dressing.

Q: A child is being discharged from the hospital following treatment of asthma. Discharge medications include cromolyn sodium (a mast cell stabilizer). Nursing instructions to the parents about this medication would include explaining: Standard Text: Select all that apply. 1. The medication works to prevent exacerbations. 2. The medication should be administered at the first symptom of an asthmatic attack. 3. The medication should be taken on a daily basis. 4. Avoid taking the medication if the child has symptoms of a cold. 5. The medication desensitizes the child against specific allergens.

Q: An infant was born at 34 weeks' gestation and is being treated in the NICU for apnea of prematurity. The infant is in an isolette with an apnea monitor and intravenous fluids. The apnea monitor sounds, and the nurse checks the infant to find the infant is not breathing. The initial intervention by the nurse would be to: 1. Administer oxygen. 2. Perform back blows and chest thrusts. 3. Call a code. 4. Stroke the infant's back.

Q: A two-month-old infant is a direct admission to the pediatric unit with a diagnosis of ALTE (apparent life-threatening event). The physician is to see the infant to write medical orders. The nurse completes the nursing history and performs an assessment and finds no abnormal findings. While waiting on the physician, which activity can the nurse perform independently? 1. Place the child on an apnea monitor. 2. Place the child on nasal cannula oxygen. 3. Draw blood for arterial blood gases. 4. Place the child on contact isolation.

Q: After a routine vaginal delivery, the infant transitions with the mother in the recovery room without difficulty. Prior to being discharged from the recovery room, it is noted that the infant's respiratory rate is 102 and the lungs are clear to auscultation. Based on these findings, an appropriate transfer for this infant would be to: 1. The newborn nursery for the first bath. 2. The NICU and placed under an over-bed warmer for observation. 3. To the mother's room to promote bonding with the parents. 4. The newborn nursery for its first feeding.

Q: Two hours after admission for asthma exacerbation, the 10-year-old boy is lethargic with mottled skin color. He has increased the use of accessory muscles and demonstrates nasal flaring. He is unable to speak and his respiratory rate has increased. The nurse would suspect: 1. Improvement in his condition is imminent. 2. Respiratory failure is imminent. 3. The medical diagnosis is incorrect and the child should be diagnosed with pneumonia. 4. The child may be receiving too much oxygen, which is a respiratory depressant.

Q: A premature infant develops acute respiratory distress syndrome (ARDS). How will the nurse position the baby? Standard Text: Select all that apply. 1. Upright 2. Semi-Fowler's position 3. Prone position 4. With his head hyperextended 5. With his head in a sniffing position

Q: A mother of a three-year-old tells the nurse that her child often puts small toys in his mouth and she is concerned about choking. She asks the nurse what she should do if the child chokes. In addition to recommending the mother take a CPR course, the best response by the nurse would be to: 1. Show the mother how to do cardiac compressions and rescue breathing. 2. Recommend the mother perform back blows and chest thrusts. 3. Teach the mother how to perform abdominal thrusts. 4. Tell the mother to do nothing until the child loses consciousness.

Q: The nurse is teaching the parents of a patient who is newly diagnosed with cystic fibrosis how to administer the pancreatic enzymes. The nurse will advise the parents to administer the enzymes: 1. qid (four times daily). 2. bid (twice daily). 3. With meals and snacks. 4. Every six hours around the clock.

Q: A newborn who is 24 hours old is suspected of having cystic fibrosis. As the child is being prepared for transfer to a pediatric hospital, the mother asks the nurse what symptoms made the physician suspect cystic fibrosis. The nurse would reply that the clinical manifestation of cystic fibrosis that is seen first is: 1. Rectal prolapse. 2. Constipation. 3. Steatorrheic stools. 4. Meconium ileus.

Q: The nurse is evaluating the parent's understanding of teaching related to environmental control for their child's asthma management. Which statement by the parents indicates that they understand the teaching? 1. "We're glad the dog can continue to sleep in our child's room." 2. "We'll keep the plants in our child's room dusted." 3. "We'll be sure to use the fireplace often to keep the house warm in the winter." 4. "We will replace the carpet in our child's bedroom with tile."

Q: A child is on rifampin (Rimactane) for treatment of tuberculosis. The parents call the clinic and report that the child's urine is orange. The nurse should advise the parents to: 1. Encourage the child to drink cranberry juice. 2. Expect orange-colored urine while the child is on rifampin. 3. Bring the child to the clinic for a urinalysis. 4. Bring the child to the clinic for a radiograph of the kidneys.

Q: The nurse is teaching a group of mothers of infants about the benefits of immunization. The nurse will explain that the life-threatening disease epiglottitis can be prevented by immunization against: 1. Hepatitis B. 2. Polio. 3. Measles, mumps, and rubella (MMR). 4. Haemophilus influenzae type B (HIB).

Q: The family rushes a four-month-old infant to the hospital after finding the infant not breathing. The child is diagnosed as a victim of sudden infant death syndrome. Supportive care for this family would include: 1. Sheltering parents from the grief by not giving them any personal items of the infant, such as footprints. 2. Allowing parents to hold, touch, and rock the dead infant. 3. Advising parents that an autopsy is not necessary. 4. Interviewing parents to determine the cause of the SIDS incident.

Q: A two-year-old male child arrived in the emergency department with complaints of sore throat, difficulty swallowing, and suspected diagnosis of acute epiglottitis. Which of the following interventions should not be included in the child's immediate care and assessment? 1. Throat culture 2. Medical history 3. Vital signs 4. Assessment of breath sounds

Q: A child is admitted to the hospital with pneumonia. The child's oximetry reading is 88% upon admission to the pediatric floor. The priority nursing activity for this child would be to: 1. Begin administration of intravenous fluids. 2. Obtain a blood sample to send to the lab for electrolyte analysis. 3. Begin oxygen per nasal cannula at 1 liter. 4. Medicate for pain.

Q: Which nursing diagnosis would be most appropriate for an infant with acute bronchiolitis due to respiratory syncytial virus (RSV)? 1. Activity intolerance 2. Tissue perfusion, ineffective (peripheral) 3. Pain, acute 4. Decreased cardiac output

Q: A child is admitted to the hospital with the diagnosis of laryngotracheobronchitis (LTB). The nurse should be prepared to perform which intervention? 1. Administer antibiotics and assist with possible intubation. 2. Obtain a sputum specimen. 3. Swab the throat for a throat culture. 4. Administer nebulized epinephrine and oral or IM dexamethasone.

Q: A toddler has had recurrent respiratory infections. The mother of the child expresses concern that her infant seems to be at increased risk for complications from respiratory infections in comparison with her older children. The best response from the nurse would be: 1. "You are incorrect in your assessment." 2. "The younger child's airways are smaller and more easily occluded." 3. "Air passages are more likely to become blocked with mucus because younger children make more mucus than older children." 4. "Toddlers do not breathe as deeply as do older children."

Q: The nurse has completed postoperative discharge teaching to the parents of a child who has had a tonsillectomy. Which statement indicates the parents have understood the teaching? 1. "We will call the physician for any indication of ear pain." 2. "We will be sure to give our child adequate amounts of citrus juices." 3. "We will plan on administering acetaminophen (Tylenol) for pain." 4. "We will keep our child on bed rest for ten days after the surgery."

Q: A child has epistaxis while at school. The school nurse appropriately intervenes by: 1. Lying the child down and applying a warm pack. 2. Tilting the child's head back, squeezing the bridge of the nose, and applying a warm moist pack to the nose. 3. Tilting the child's head forward, squeezing the nares below the nasal bone, and applying ice to the nose. 4. Immediately packing the nares with a cotton ball soaked with Neo-Synephrine.

Q: The nurse can assist a child who has a mild hearing loss and reads lips to adapt to hospitalization by: 1. Touching the child lightly before speaking. 2. Using a picture board as the main means of communication. 3. Speaking in a loud voice while facing the child. 4. Speaking directly to the parents for communication.

Q: The nurse has taught a group of parents how to care for their children who have just had tympanostomy tubes inserted. The nurse will know the parents understand how to care for their child's tympanostomy tubes if they: Standard Text: Select all that apply. 1. Limit their diets to soft, bland foods. 2. Restrict the children to quiet activities after surgery. 3. Administer a decongestant for one to two weeks following surgery. 4. Encourage the children to drink generous amounts of fluids. 5. Avoid getting water in their ears during bath time.

Q: An infant has acute otitis media. Which of the following would be the most important for the nurse to teach the parents? 1. Keep the baby in a flat position during sleep. 2. Administer a decongestant. 3. Place the baby to sleep with a pacifier. 4. Administer acetaminophen (Tylenol) to relieve discomfort.

Q: A nurse is caring for a visually impaired 10-year-old child. The nursing intervention with the highest priority for this child during the admission process would be: 1. Explaining playroom policies. 2. Orienting the child to where furniture is placed in the room. 3. Taking the child on a tour of the unit. 4. Letting the child touch equipment that will be used during the hospitalization.

Q: A nurse is caring for a visually impaired 20-month-old who has not begun to walk. Which nursing diagnosis would be appropriate for this child? 1. Self-care deficit 2. Impaired physical mobility 3. Impaired home maintenance 4. Delayed growth and development

Q: A neonate has been diagnosed with a herpes simplex viral infection of the eye. Which medication will the nurse prepare to administer? 1. Oral erythromycin 2. Fluoroquinolone eyedrops or ointment 3. Parenteral acyclovir (Zovirax) and vidarabine (VIRA-A) ophthalmic ointment 4. Intravenous penicillin

Q: The nurse is taking care of a child who had a tonsillectomy. During the postoperative period, the nurse should observe the child for which clinical manifestation? 1. Arrhythmias 2. Dehydration 3. Increased blood sugar 4. Increased urinary output

Q: The nurse is caring for four clients in the neonatal intensive care unit. Which infant has the greatest risk of developing retinopathy of prematurity (ROP)? 1. 28-weeks'-gestation infant who has been on long-term oxygen and weighed 1,400 grams 2. 32-weeks'-gestation infant of African heritage with a congenital heart defect who needed no oxygen and weighed 1,850 grams 3. 28-weeks'-gestation female infant who was on short-term oxygen, weighed 1,420 grams, and was treated with phototherapy 4. 36-weeks'-gestation, small-for-gestational-age infant who was in an oxyhood for 12 hours and weighed 1,800 grams

Q: The nurse is caring for a young child with otitis media. The parent asks the nurse why children seem to get otitis media frequently but adults do not. The nurse would explain that younger children get otitis media more often because: 1. The eustachian tube is shorter, wider, and horizontal in younger children. 2. The eustachian tube is shorter, more narrow, and horizontal in younger children. 3. The eustachian tube is longer, wider, and vertical in younger children. 4. The eustachian tube is longer, more narrow, and vertical in younger children.

Q: Following a facial injury of a 12-year-old youth during a baseball game, a nurse speaks with the league administrators about first aid for teeth that may be lost. The nurse will instruct the administration that appropriate first aid will include: Standard Text: Select all that apply. 1. Not worrying about the tooth loss, as children this age still have their "baby" teeth. 2. Only handling the lost tooth by the roots and avoiding touching the crown of the tooth. 3. Rinsing the lost tooth with sterile saline. 4. Placing the tooth back into its socket and taking the child to an emergency dental facility. 5. Keeping the tooth clean and dry during transport to an emergency dental facility.

Q: The nurse is reviewing discharge instructions for a child who has received a cochlear implant. In addition to encouraging speech therapy for the child, the nurse will instruct the parents to monitor the child for signs of: 1. Ringing in the ears. 2. Pharyngitis. 3. Hearing loss. 4. Bacterial meningitis.

Q: While screening children, the nurse notes that one child seems to have "crossed eyes." Which screening tool might the nurse utilize to further screen this child? 1. Examine the eye with an otoscope. 2. Check for the "red reflex" in the eyes. 3. Perform the cover-uncover test. 4. Use a tonometer to evaluate the eyes.

Q: A three-year-old child has been found to have a mild to moderate hearing loss. The mother tells the nurse: "The doctor told me I should put my child in day care but didn"t tell me why. Do you know why the doctor recommends day care?" The nurse's response will be based on the knowledge that day care will: 1. Help the child recognize his hearing deficit. 2. Increase the child's socialization skills. 3. Improve the child's immunity by increased exposure to organisms. 4. Teach other children that children are different.

Q: A 10-month-old infant has had numerous ear infections since birth. The nurse will discuss with the parents ways that might reduce the incidence of otitis media and will include which strategies? Standard Text: Select all that apply. 1. Prohibiting tobacco smoke in the home 2. Avoiding use of a pacifier while the child is sleeping 3. Breastfeeding the infant 4. Cleaning the child's ears nightly with peroxide 5. Avoiding use of wood-burning stoves

Q: The school nurse is screening all second graders for tonsillitis and pharyngitis. Which finding is a normal finding in this age group? 1. Tonsils are large and seem to fill the throat. 2. Child is complaining of sore throat and drooling 3. White patches are observed on the tonsils. 4. Throat appears red, and child has a low-grade fever

Q: A nurse who is planning to teach school-age children about the "common cold" should include what information? 1. Aspirin should be taken for alleviation of fever if the common cold is contracted. 2. Antibiotics will eliminate the nasopharyngitis virus. 3. Vaccinations can prevent contraction of a nasopharyngitis virus. 4. Proper hand washing can prevent the spread of the common cold.

Q: The nurse is evaluating an infant for dehydration. Which assessment provides the most accurate information on dehydration? 1. Urine output 2. Urine specific gravity 3. The infant's vital signs 4. Weight loss

Q: The nurse notes that the specific gravity of urine is lower in infants than in older children. The nurse recognizes that the rationale for this difference is related to: 1. The infant having a greater body surface area. 2. The infant having a higher basal metabolic rate. 3. The infant having a greater percentage of body weight that is water. 4. The infant's kidneys being less able to concentrate urine.

Q: As a result of opioid administration, a child's respirations are slow and shallow. The nurse would expect that lab changes that might be noted in response to the changes in the child's uncompensated respiratory pattern would include: 1. Increased PCO2 and respiratory acidosis. 2. Decreased PCO2 and respiratory alkalosis. 3. Low pH and low PCO2. 4. High pH and high PCO2.

Q: A nine-month-old infant is hospitalized with vomiting and diarrhea. The mother questions why her child needed hospitalization since her school-age nephew had the same symptoms and was treated at home. The nurse would explain that an infant is more at risk for dehydration than a school-age child because: 1. Infants have a lower proportion of their body weight as water. 2. The percentage of extra-cellular fluid is higher in the infant than the school-age child. 3. School-age children have a larger body surface area. 4. The school-age child's kidneys are more mature and better able to conserve water. 5. The metabolic rate of the school-age child is higher.

Q: A child is being treated for dehydration with intravenous fluids. The child currently weighs 13 kg and is estimated to have lost 7% of his normal body weight. The nurse is double-checking the IV rate the physician has ordered. The formula the physician used was for maintenance fluids: 1,000 mL for 10 kg of body weight plus 50 cc for every kg over 10 for 24 hours. Replacement fluid is the percentage of lost bodyweight x 10 per kg of body weight. According to the calculation for maintenance plus replacement fluid, what should this child's hourly IV rate for 24 hours be? 1. 88 2. 86 3. 81 4. 83

Q: The nurse is completing the intake and output record for a child admitted for fluid volume deficit. The child has had the following intake and output during the shift: Intake: 4 ounces of Pedialyte One-half of an 8 ounce cup of clear orange Jell-O Two graham crackers 200 cc of D 51/2 sodium chloride IV Output: 345 cc of urine 50 cc of loose stool How many milliliters should the nurse document as the client's total intake? Give numerical answer only. Do not include any units of measurement.

Q: A child is admitted to the hospital for hypercalcemia and is placed on diuretic therapy. Which diuretic would the nurse expect to give? 1. Furosemide (Lasix) 2. Hydrochlorothiazide (Aquazide) 3. Spironolactone (Aldactone) 4. Mannitol (Osmitrol)

Q: A six-year-old child is hypokalemic. The nurse is helping the child complete the menu. The nurse would encourage this child to select which menu items? 1. Pizza with a fruit plate 2. Chicken strips with chips 3. Fajita with rice 4. A hamburger with French fries

Q: The nurse is expecting the admission of a child with severe isotonic dehydration. Which intravenous fluid should the nurse anticipate the doctor to order initially to replace fluids?1. 0.9% normal saline (NS)2. D5 0.2% (¼) normal saline3. D5W4. Albumin

Q: A child with croup has an increased pCO2, a decreased pH, and a normal HCO3 blood gas value. The nurse interprets this as uncompensated: 1. Metabolic alkalosis. 2. Metabolic acidosis. 3. Respiratory acidosis. 4. Respiratory alkalosis.

Q: A nurse is planning care for a child with hyperkalemia. The nurse explains to the parents that an adverse outcome of hyperkalemia is: 1. Hyperthermia 2. Respiratory distress 3. Seizures 4. Cardiac arrhythmias

Q: A nurse is planning care for a child with hyponatremia. The nurse, delegating care of this child to a licensed vocational nurse (LVN), cautions the LVN to watch for which clinical manifestation? 1. Seizures 2. Respiratory distress 3. Hyperthermia 4. Bradycardia

Q: The nurse is caring for a child on bed rest who has severe edema in a left lower leg due to blocked lymphatic drainage. Which nursing diagnosis would take priority? 1. Risk for impaired skin integrity 2. Risk for altered body image 3. Risk for imbalanced nutrition: less than body requirements 4. Risk for activity intolerance

Q: In the morning, a nurse receives a report on four pediatric clients, each of whom has some form of fluid-volume excess. Which of the children should the nurse see first? 1. The child with tachypnea and pulmonary congestion 2. The child with hepatomegaly and normal respiratory rate 3. The child with dependent and sacral edema and regular pulse 4. The child with periorbital edema and normal respiratory rate

Q: The nurse is assessing an infant brought to the clinic because of diarrhea. The infant is alert but has dry mucous membranes. Which other sign indicates the infant is still in the early to moderate stage of dehydration? 1. Bradycardia 2. Tachycardia 3. Increased blood pressure 4. Normal fontanels

Q: The nurse has just finished a parent teaching session on preventing heat-related illnesses for children who exercise. Which statement by a parent indicates understanding of preventive techniques taught? 1. Wearing dark clothing during exercise is recommended 2. Water is the drink of choice to replenish fluids. 3. During activity, stop for fluids every 15 to 20 minutes. 4. Hydration should occur at the end of an exercise session.

Q: A nurse is taking care of four different pediatric clients. Which of the following children is at greatest risk for dehydration? 1. Seven-year-old child with migraine headaches 2. Four-year-old child with a broken arm 3. Two-year-old child with cellulitis of the left leg 4. 18-month-old child with tachypnea

Q: A four-year-old child is admitted to the hospital secondary to dehydration. Lab tests indicate a high hemoglobin and hematocrit, and the serum sodium is below normal levels. This fluid loss is indicative of which condition? 1. Hypernatremia 2. Metabolic acidosis 3. Hypotonic dehydration 4. Isotonic dehydration

Q: The school nurse wants to protect the students from Reye disease. To this end, the nurse creates a pamphlet that advises the parents to avoid giving which medication to a sick child? 1. Antibiotics 2. Acetaminophen 3. Ibuprofen 4. Aspirin

Q: There has been an outbreak of communicable diseases in the community. To reduce parental anxiety, the nurse presents information about disease at the school's Parent Teacher Association meeting. The nurse explains that children cannot acquire vector-borne diseases from other children. The nurse explains that vector-borne diseases include: Standard Text: Select all that apply. 1. Measles (Rubeola). 2. Pertussis (whooping cough). 3. Rocky Mountain Spotted Fever. 4. West Nile Virus. 5. Lyme disease.

Q: The nurse administers the flu vaccine to a school age child. After administering the vaccine, the nurse will document: Standard Text: Select all that apply. 1. The date of the last flu vaccine. 2. The site of the vaccination. 3. The lot and serial number of the vaccine. 4. The date and time of administration. 5. Who assisted in restraining the child.

Q: After her child receives a vaccination, the mother calls the clinic to report the child's reaction to the immunization. The nurse will recommend the mother call 911 when the mother reports: 1. A few hives are noted around the injection site. 2. The child is running a slight temperature. 3. The child has swelling of the face. 4. Fever and joint pains occurring within hours of the vaccination.

Q: The clinic nurse is checking the potency of the vaccine. Which finding may have rendered the vaccine ineffective? 1. The vaccine was frozen as labeled. 2. The vaccines have been stored in a refrigerator where the temperature has been maintained between 35 to 46F. 3. The vaccine's expiration date expires within the next month. 4. The vaccine is stored in the door of the refrigerator.