Pediatric Proctor

1. A nurse is providing discharge teaching to a parent of a child who has juvenile idiopathic arthritis and a new prescription of prednisone/etarnecept. Which of the following statement should the nurse include in the teaching?

2. A nurse on a pediatric unit is caring for four children. The nurse should use droplet precautions for which of the following children?

3.A nurse is providing teaching to an adolescent who has vulvovaginitis. Which of the following statements should the nurse include in the teaching?

4. A nurse is creating a plan of care for a school-age child who has nephrotic syndrome. Which of the following interventions should the nurse include? (Select all that apply)

5. A nurse in a pediatric unit is caring for a school-age child following a cardiac catheterization. Which of the following interventions would the nurse take?

6. A nurse is teaching a parent of a toddler about administering digoxin. Which of the following statements by the parent indicates understanding of the teaching?

7. A nurse is caring for a 9-year-old child who has major burns to her face and upper torso. Which of the following actions should the nurse take first?

8. A nurse is planning care for a toddler who has developed oral ulcers in response to chemotherapy. Which of the following should the nurse include in the plan of care?

9. A nurse in a community health clinic is assessing the needs of a single parent who has three young children and works full time. Which of the following resources should the nurse recommend?

10. A nurse is caring for a child who has a prescription for fluticasone and has developed white patches and sores in his mouth. Which of the following is an appropriate action for the nurse to take?

11. A nurse is providing teaching to the parents of a child who has impetigo. Which of the following instructions should the nurse include in the teaching?

12. A nurse in an emergency department is caring for a child who has epiglottis. Which of the following actions should the nurse take?

13. A nurse is planning care for a child who is placed in skin traction. Which of the following is the priority action for the nurse to take?

14. A nurse is preparing to administer ondansetron 0.15 mg/kg IV to a child who is receiving chemotherapy and weighs 29.4 kg. Available is ondansetron 4 mg/2 mL solution. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero)

15. A nurse is performing a physical assessment of a school-age child who has acute glomerulonephritis. Which of the following findings should the nurse expect?

16. A nurse in an emergency department is assessing an adolescent who reports inhalation of gasoline. Which of the following findings should the nurse expect?

17. A nurse in the emergency department is assessing a toddler who has hyperpyrexia, severe dyspnea, and is drooling. Which of the following actions should the nurse take first?

18. A nurse is caring for an infant who has a patent ductus arteriosus. The nurse should identify that the defect is at which of the following locations of the heart? (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your assessment)

19. A nurse is caring for an infant who has hydrocephalus and ventriculoperitoneal shunt malfunction. Which of the following assessment findings indicates that the infant is experiencing increased intracranial pressure?

20. A nurse is assessing an infant who has iron deficiency anemia. Which of the following findings should the nurse expect?

21. A nurse is caring for a child who received partial thickness burns to over 50% of his body 10 days ago and has splints over his joints to prevent contractions. Which of the  following actions should the nurse take? (Select all that apply)

22. A school nurse is assessing a 7-year-old student. The nurse should identify which of the following findings as a potential indicator of physical abuse?

23. A nurse is assessing an 18-month-old child during a well-child visit. Which of the following findings should the nurse report to the provider?

24. A nurse is caring for an infant who has rotavirus. Which of the following findings indicates that the infant is inadequately dehydrated?

25. A nurse is providing teaching about injury prevention to the parents of a toddler. Which of the following safety measures should the nurse include in the teaching?

26. A nurse is caring for a school-age child who is in 90°/90° skeletal traction. Which of the following actions should the nurse take?

27. A nurse is caring for a child who has increased intracranial pressure and is unconscious due to a closed head injury. Which of the following actions should the nurse take?

28. A nurse is providing teaching to the parents of a school-age child newly diagnosed with a seizure disorder. The nurse should teach the parents to take which of the following actions during a seizure?

29. A nurse is providing teaching to a parent of an infant who has diaper rash. Which of the following statements by the parent indicates an understanding of the teaching?

30. A nurse in a provider’s office is assessing the vital signs of a 1-year-old toddler. Which of the following findings should the nurse report to the provider?

31. A nurse is teaching about growth and development to a parent of a 12-year-old child. The nurse should instruct the parent to expect the child to exhibit which of the following characteristics during early adolescence?

 32. A nurse is caring for a child who is 2 hrs. postoperative. Which of the following actions should the nurse take first? (Click the “exhibit” button for additional information about the client. There are three tabs that contain separate categories of data)

33. A nurse is assessing an adolescent who has Cushing’s syndrome. Which of the following findings should the nurse expect?

34. A nurse is caring for a preschool-age child who is 2 hrs. postoperative following a tonsillectomy and adenoidectomy. Which of the following manifestations should the nurse report to the provider?

35. A nurse is assessing a 6-month old infant who has respiratory syncytial virus. The nurse should immediately report which of the findings to the provider?

36. A nurse is planning care for a child who is experiencing sickle cell crisis. Which of the following interventions should the nurse include in the plan of care?

37. A nurse is providing teaching to a parent of a child who has cystic fibrosis and a new prescription for dornase alfa. Which of the following instructions should the nurse include in the teaching?

38. A nurse is caring for a preschool-age child who has a terminal illness. Which of the following findings should the nurse expect?

39. A nurse is reviewing the laboratory values of a school-age child who has nephrotic syndrome. Which of the following laboratory results should the nurse expect?

40. A nurse is planning care for a school-age child who has autism spectrum disorder. Which of the following actions should the nurse include in the plan?

41. A nurse is preparing to administer morphine 0.2 mg/kg IV to a child who is postoperative and in pain. The child weighs 34 kg. Available is morphine 1 mg/mL solution. How many mL should the nurse administer? (round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero)

42. A nurse is providing teaching to a parent of an 11-month-old infant who has acute diarrhea and dehydration. Which of the following fluids should the nurse instruct the parent to provide to the infant?

43. A nurse is providing teaching to a parent of a child who has HIV. Which of the following statements by the parent indicates an understanding of the teaching?

44. A nurse is caring for a school-age child who has diabetes mellitus. Which of the following findings should the nurse recognize as being consistent with hyperglycemia?

45. A nurse in an urgent care clinic is prioritizing care for four children. Which of the following children should the nurse assess first?

46. A nurse is prioritizing care for four clients. Which of the following clients should the nurse assess first?

47. A nurse is preparing to administer immunizations to a 3-month-old infant. Which of the following is an appropriate method to take to deliver atraumatic care?

48. A nurse is reviewing the laboratory results of a child who was recently admitted for suspected rheumatic fever. The nurse should expect that which of the following laboratory tests can contribute to confirming this diagnosis? (Select all that apply)

49.A nurse is reviewing the laboratory report of a school-age child who has bacterial pneumonia. Which of the following laboratory values should the nurse expect?

50. A nurse is providing teaching about medication administration to the parents of a toddler who has a new prescription for liquid ferrous sulfate. Which of the following instructions should the nurse include in the teaching?

51. A nurse in an emergency department is caring for a child following an overdose of acetylsalicylic acid. Which of the following medications should the nurse plan to administer?

52. A nurse is planning care for a newly admitted child who has rotavirus. Which of the following precautions should be implemented?

53. A nurse is developing a plan of care for a child who is dying. Which of the following measures should the nurse implement to the child and his family?

54. A nurse is planning to perform tracheostomy care for a toddler. Which of the following is an appropriate action for the nurse to take?

55. A nurse in the emergency department is caring for a child who has a temperature of 39.1° C (102.4° F) and a suspected diagnosis of bacterial meningitis. Which of the following actions should the nurse take first?

56. A nurse is caring for a toddler who has a short leg cast. Which of the following findings should the nurse report to the provider?

57. A nurse is caring for a newly admitted toddler who has acute diarrhea. Which of the following actions should the nurse take first?

58. A nurse is planning to teach an adolescent who is lactose intolerant about dietary guidelines. Which of the following instructions should the nurse include in the teaching?

59. A nurse is providing discharge teaching to the parents of a school-age child following placement of a ventriculoperitoneal shunt. The nurse should determine that the teaching was effective when the parents identify which of the following as an indicator the shunt has been displaced?

60. A nurse is providing teaching to a parent of a 2-month-old infant about immunization schedules. Which of the following statements by the parent indicates an understanding of the teaching?

61. A nurse is performing a cranial nerve assessment on a school-age child. Which of the following findings indicates proper functioning of the child’s trigeminal nerve?

62. A nurse is planning care for a child immediately following the insertion of a chest tube for continuous suction with a closed drainage system. Which of the following interventions should the nurse include in the plan of care?

   

63. A nurse is educating an adolescent following the application of an arm cast. Which of the following statements by the client indicates an understanding of the teaching?

64. A nurse in a community center is providing an in-service for parents about nutritional guidelines. Which of the following guidelines should the nurse include in the teaching?

65. A nurse is caring for a school-age child who is experiencing pain. Which of the following assessment teachings would be the most accurate information regarding the child’s pain?

66. A nurse in an emergency department is assessing a school-age child who has asthma. Which of the following should the nurse identify as the priority?

67. A nurse is caring for a child who is postoperative following surgical correction of tetralogy of Fallot. Which of the following is a manifestation of heart failure?

68. A nurse is caring for a 4-year-old child who has meningitis and is receiving gentamycin. Which of the following laboratory results should the nurse report to the provider?

69. A nurse is providing teaching to the parents of a 2-month-old infant who has developmental dysplasia of the hip and has a prescription for a Pavlik harness. Which of the following statements by   by the parents indicates an understanding of the teaching?  

70. .A nurse is assessing a school aged child who has heart failure and is taking furosemide. Which of the following findings should the nurse identify as an indication that the medication is effective? 

71.A nurse is caring for a preschooler who refuses to take a stat dose of oral diphenhydramine. Which of the following statements should the nurse make? 

72. A nurse in the emergency department is caring for an adolescent who is requesting testing for STIs. Which of the following is appropriate for the nurse to take? 

73. a nurse is evaluating a 4-year-old child who has cystic fibrosis and has been receiving chest physiology treatments. The nurse should clarify which of the following findings as an indication that the therapy has been effective? 

74. A nurse is caring for a 3-month-old who has a cleft of the soft palate. Which of the following actions should the nurse take? 

75. .A nurse is reviewing the medical record of a 15-month-old child who is scheduled to receive the measles, mump, and rubella (MMR) vaccine. Which of the following fingsing should the nurse identify as a contraindication for receiving this vaccine?

76.A nurse is teaching the parent of a school age child about bicycle safety. Which of the following instructions should the nurse include in the teaching?

77. A nurse is assessing an infant who has acute otitis media. Which of the following findings should the nurse expect? (Select all that apply)

78. A nurse is planning care for a child who has osteomyelitis. Which of the following interventions should the nurse include in the plan of care?

79. A nurse is planning care for an adolescent who has sickle cell anemia. Which of the following immunization should the nurse include in the plan?