PEDS PROCTOR EXAM

RN Nursing care of children 2019 1. A nurse is providing teaching to the guardians of a school-age child who has a seizure disorder. Which of the following factors should the nurse include as a common trigger that incr ...

RN Nursing care of children 2019 1. A nurse is providing teaching to the guardians of a school-age child who has a seizure disorder. Which of the following factors should the nurse include as a common trigger that increases the risk of seizures? A. Lack of sleep B. Decreased temperature C. Exposure to secondhand smoke D. Prolonged headache 3. A nurse is caring for an infant who has rotavirus. Which of the following indicates that the infant is moderately dehydrated? A. Capillary refill 1 second B. Weight loss 7% C. Respiratory rate 28/min D. Bradycardia 4. A nurse is caring for an adolescent who is 1hr postoperative following an appendectomy. Which of the following findings should the nurse report to the provider? A. Heart rate 63/min B. Muscie rigidity C. Temperature 36.4˚c(97.5˚f) D. Abdominal pain 5. A nurse is planning care for an 8-month-old infant who has heart failure. Which of the following actions should the nurse include in the plan of care? A. Place the infant in a prone position B. Repeat a digoxin humidified oxygen via nasal cannula. C. Adiminster cool, humidified oxygen via nasal cannula. D. Provide less frequent, higher volume feedings. 7. 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? A. Measlues, mumps, and rubella ( MMR) B. Rocavirus C. Respiratory syncytial virus (RSV) D. Pneumococcal conjugate (PCV13) 9. A charge nurse is planning for an infant who has failure to thrive. Which of the following action should the nurse include in the plan of care? A. Give the infant fruit juice between feedings. B. Use half-strength formula when feeding the infant. C. Assign consistent nursing staff to care for the infant D. Keep the infant in a visually stimulating environment. 10. A nurse is teaching the parent of a school-age child about safety. Which of the following instructions should the nurse include in the teaching? A. “Your child should ride the bicycle against the flow of traffic.” B. “Your child’s feet should be 3 to 6 inches off the ground when seated on the bicycle.” C. “Your child should walk the bicycle through intersection.” D. “Your child should keep the bicycle at last 3 feet from the curd while riding in the street.” 11. A nurse is providing discharge teaching to the parents of an infant who is at risk for sudden infant death syndrome (SIDS). Which of the following statements by the parents indicates an understanding of the teaching? A. “I will lay my baby on her side to sleep for naps.” B. “I will move my baby’s stuffed animal to the corner of her crib while she sleep C. “I will dress my baby in lightweight clothing to sleep.” D. “I will have my baby sleep next to me in bed during the night.” 12. A nurse in a PACU is caring for a school-age child immediately following a tonsillectomy. Which of the following action should the nurse take? A. Instruct the child to drink fluids through a straw B. Place the child in a side-lying position. C. Offer the child ice cream when alert. D. Encourage the child to deep breathe and cough. 13. A nurse in the emergency depertment is caring for an adolescent who is requesting testing for STLs. Which of the following actions is appropriate for the nurse to take? A. Request verbal consent from the social worker. B. Contact the client’s parents to obtain phone consent. C. Postpone the testing until the client’s parents are present. D. Obtain written consent from the client. 14. A nurse is proving teaching about participating in sports to a 12-year-old adolescent who has hemophilia. Which of the following sports should the nurse recommend to the child? A. Basketball B. Hockey C. Wresting D. Swimming 15. A nurse is assessing a 5-month-old infant. Which of the following findings should the nurse report to the provider? A. Exhibits head lag when pulled to a sitting position B. Unable to roll from back to abdomen C. Absent grasp reflex D. Unable to hold a bottle 16. A nurse is caring for a 10-month-old child who was brought to the emergency department by his parents following a head injury. Which of the following action should the nurse take first? A. Check pupil reactions B. Examine the scalp for laceration C. Assess respiratory status D. Inspect for fluid leaking from the ears 17. A nurse is providing teaching to the parents of an infant who is to undergo pilocarpine iontophoresis testing for cystic fibrosis. Which of the following statements should th