A 3-year-old has just been admitted to the hospital with bacterial meningitis. Which may make
the child the most afraid? - Masks worn by the staff
A 3-year-old male is diagnosed with intussusception. Which symptom reported by the parents
would have led the nurse to suspect this diagnosis? - Bloody mucus stool
A 7-year-old is diagnosed with type 1 diabetes mellitus. Of the many labs drawn at the time of
diagnosis, which test is specific to this type of diabetes? - Glycosylated hemoglobin
A 12-year-old experiences absence seizures. Which of the following is a typical manifestation of
this type of seizure? - Rapid blinking for 10 seconds
A child who has anemia requires a blood transfusion. Which form of blood product is most often
used in children? - Packed RBCs
A nurse is assessing a child who has short stature. Which of the following findings would
indicate a growth hormone deficiency? - proportional height and weight
A school-age boy has an emergency appendectomy. Which assessment should the nurse report to
his physician if noticed in the immediate postoperative period? - A rigid abdomen
An adolescent has migraine headaches. Which drug would the nurse expect to be prescribed for
him? - Ergotamine tartrate (Cafergot)
An insulin infusion was initiated on a child with diabetic ketoacidosis. What additional infusion
additive would the nurse possibly give? - Glucose
Autoimmune acquired hemolytic anemia can occur in any child. The nurse identifies which usual
cause of this disorder as important for team members to know? - Antibody production against
red blood cells
Barry has frequent bouts of vomiting. If the nurse is caring for Barry in a hospital setting after
repeated bouts of vomiting, the nurse would expect the diagnostic testing to reveal which health
problem? - Metabolic alkalosis
Barry's aunt and uncle adopted a toddler from a developing country. The nurse learns that a
dietitian has been working with the family because of the child's history of kwashiorkor. The
nurse would expect the dietitian to prioritize what nutrient in this child's diet? - Quality protein
Barry's family likes to celebrate family events by eating crab, lobster, and shrimp. The nurse
recognizes which form of hepatitis is most apt to be contracted by eating contaminated shellfish?
- Hepatitis A
Barry's mother is concerned her new baby will develop pyloric stenosis. To detect vomiting from
this, the nurse would assess the infant at what time? - Immediately after feeding
Barry's mother tells that the nurse she is anxious about the possibility of "food poisoning" and
that she particularly wants to prevent Salmonella poisoning in her family. Which actions would
the nurse suggest? - Don't cut vegetables on a cutting board used to cut raw chicken.
child with DM, administration teaching? - You should give 4-5 injections in one area before
switching sites.
Child with type 1 DM, which indicates understanding of teaching? - I should drink a glass of
milk when I am feelings irritable.
how long will the child need to take injections for growth delay? - continued until there is
evidence of epiphyseal closure.
Joey, who has sickle-cell anemia, is being treated for sickle-cell crisis. Which statement by his
father would best assure the nurse that Joey is receiving adequate nursing care? - "He says that
his pain is actually quite manageable now."
Lana develops idiopathic thrombocytopenic purpura (ITP) after a viral infection. The nurse
identifies which action as most important? - Caution Lana and her mother that she will bruise
easily.
Lana has received iron chelation therapy by deferoxamine in the past. Which statement by her
mother would best assure the nurse she understands the use and action of iron chelation therapy?
- "I know the drug acts to remove excess iron from my child."
Lana, who has thalassemia major, is scheduled for a bone marrow transplant, and her mother is
highly anxious about this upcoming procedure. The nurse recognizes which statement is most
accurate and best exemplifies patient-centered care? - We will go to great lengths to make sure
Lana doesn't develop an infection.
Rob has a cousin who has developed hyperthyroidism with puberty. Which of the effects of this
health problem might a school nurse need to support Rob's cousin in dealing with? - Jittery,
nervous mannerisms
Rob has his adrenal gland function assessed through diagnostic testing. What is the effect on a
child when sufficient aldosterone cannot be produced? - An excessive amount of sodium is lost
in urine.
Rob tells the nurse that he experienced a "honeymoon" period when he was first diagnosed with
diabetes mellitus. The nurse recognizes that this would be demonstrated by which of the
following signs? - His need for injected insulin was drastically reduced.
Tasha is diagnosed as having bacterial meningitis, and her plan of care is being amended in light
of this diagnostic finding. How long should the care team maintain respiratory precautions for
this condition after Tasha begins an antibiotic? - 24 hours
Tasha, 3 years old, is scheduled for a full neurologic examination. What explanation would best
prepare her for this? - "I'll be asking you to move in different ways, almost like a game."
Tasha's diagnostic workup will include a lumbar puncture. When collaborating with the
physician to perform this procedure, what nursing action should the nurse prioritize? - Explain
to Tasha that her back will be washed with a cold liquid.
Tasha's sister Wanda was diagnosed with CP as an infant. What information would the nurse
want her parents to know about her prognosis? - Symptoms may seem to grow worse as fine
motor skill is needed.
The nurse discovers that an infant is developing necrotizing enterocolitis. Which is the best
action? - Institute NPO status.
The nurse is preparing to teach the mother of a child with thalassemia minor. Which information
will help eliminate her deficient knowledge? - No treatment is indicated for her daughter's
disorder.
When asking health history questions about the child admitted with Reye syndrome, which
would be considered a common finding? - Recent influenza illness
Which of the following situations is likely to precipitate a hypoglycemic reaction in a child with
diabetes mellitus? - Participation in a soccer game
which should the nurse include when developing a plan of care for a child with cerebral palsy? evaluate the toddlers need for an evaluation of hearing ability