Pediatric Nursing Questions

• A 10-year-old who is receiving chemotherapy has received Odansetron ( Zofran) before this therapy session. About an hour later, the child tells the nurse that his mouth feels really dry. The child has urinated several times and his skin turgor is normal. Which response by the nurse would be most appropriate?

2. After teaching the parents of a 6-year-old child about caring for a sprained wrist, which statement by the parents indicates the need for additional teaching?

3. A grandparents of a 3-month old infant asks the nurse what kind of toys they should purchase to have in their home when the infant grandchild comes to visit. Which should the nurse not recommend for purchase at this time?

4. After returning from cardiac catheterization, the nurse determines that the pulse distal to the catheter insertion site is weaker. The nurse should do which of the following?

5. When planning care for a child with ketoacidosis, which consideration is highest in priority?

6.The nurse is discussing the risks and benefits of vaccines with a family, and must secure signed, informed consent for the children to be immunized. The nurse emphasizes that which of the following reactions to vaccines is very rare?

7. A child with rhabdomyosarcoma is to undergo radiation therapy after surgical removal of the tumor. The parents should be taught to:

8. The parent of a child with AIDS tells the nurse they are confused about whether or not their child can be immunized The nurse would be most correct in advising these parents that there child with AIDS:

9. When discussing alopecia with a child who is receiving chemotherapy, the nurse should instruct the child and family:

10. A healthcare provider tells the nurse that a certain medication will be prescribed for a client. After the prescription is written, the nurse notes that the provider has prescribed another medication that sounds similar to the medication that the provider and nurse originally discussed. What action should the nurse implement? .

11. When caring for a17- year old athlete who is scheduled for a leg amputation for treatment of osteosarcoma, what should the nurse’s approach include:

12. Which school related activity might the school nurse prohibit for a child with asthma ?

13. A 6-year-old child is being admitted with newly diagnosed acute lymphocytic leukemia. The multidisciplinary team is meeting to plan care for this child and family. Which statement by the parents should receive priority in the nursing planning process?

14. Probably the most important criterion on which to base the decision to report suspected child abuse is which of the following?

15. The nurse is teaching a adolescent diabetic client how to self-administer a subcutaneous injection. To help ensure sterility of the procedure, which subject is most important for the nurse to include in the teaching plan?

16. Provider’s Order: Procaine Penicillin G 180,000 Units IM x 1 dose, STAT

a. Child’s weight: 8 lb

b. Dispensed as: Penicillin G 300,000 Units/ml

c. Recommended daily dose: 50,000 Units/kg IM every 24 hours

Based on the recommended daily dose, is the order appropriate based on the child’s weight?

If it is outside of the recommended daily dose range, what should you do, next?

If the dosage is within the recommended range, how many milliliters will you administer?

17. A child had an appendectomy after a ruptured appendix. The nurse anticipates orders for which interventions? Select all that apply.

18. Following the administration of morphine sulfate 10 mg IV to a pediatric client in pain, the nurse determines that the client’s respirations are six breaths per minute. What action should the nurse take first?

19. A teenager is accompanied by the mother to the annual physical examination. The nurse is aware of privacy issues related to the teenager. While the mother is in the room, the nurse should avoid questions about which of the following? Select all that apply.

20. The RN observes a nursing student entering a toddler’s room to check vital signs and begins to take the child’s temperature first. The RN should:

21. The child with asthma reports to the school nurse, who checks the child’s peak expiratory flow rate and finds that it reads 84% of personal best. Which interpretation by the nurse would be best:

22. A child has been diagnosed with a Wilms’ tumor; preoperative nursing care would involve:

23. A school-age client that is morbidly obese is receiving an intramuscular injection at the ventrogluteal site. At what angle should the nurse insert the needle?

24. A female teen volunteer is assigned to the pediatric unit for the day and reports to the charge nurse for an assignment. Which of the following assignments is unsafe for the volunteer?

An inf An infant with Tetralogy of Fallot experiences a hypercyanotic spell during a IV insertion. While simultaneously administering 100% oxygen by face mask to the infant the nurse should also:

A.

B

25. A 7 year old has been admitted to the pediatric unit with a fractured femur. Which of the following behaviors would the nurse expect the client to exhibit? (Select all that apply.)

26. The nurse is planning to withdraw 10 ml of urine from the port on the tubing of a client’s indwelling catheter to obtain a urine specimen. In which order should the nurse implement these ctions? (Arrange from first on top to last on the bottom.)

1) Place in a biohazard bag.

2) Label the urine specimen.

3) Clamp the drainage tubing.

4) Document the procedure.

27. Which statement is most therapeutic for the nurse to offer to a family of a child who has just died?

28. The nurse is conducting discharge teaching with the parent of a 7-year-old with nephrotic syndrome. Which of the following statements by the parent would indicate a correct understanding of the teaching?

29. The mother of an 8-year-old child with a chronic illness and tracheotomy is rooming-in during this hospitalization. The mother insists on providing all of the child’s care and tells the nurse how to care for the child. The nurse should recognize that the mother plays which function when planning this child’s care?

30. The nurse is planning postoperative care for an infant after a cleft-lip repair. The plan should include

31. The nurse is caring for a client who is scheduled for surgery in 2 hours. The parent tells the nurse, The doctor came by to tell me a lot of stuff that I didn’t understand, but I signed the papers for my child to have surgery anyway.” To fulfill the role of advocate, which action should the nurse implement?

32. A adolescent client with Juvenile Rheumatoid Arthritis (JRA) is given a new prescription for a nonsteroidal anti-inflammatory drug (NSAID). The client asks the nurse, “How is this medication different from the acetaminophen

33. I have been taking?” Which information about the therapeutic action of NSAIDs should the nurse provide?

34. A young adult female is brought to the emergency room by family members who report that she ingested a large quantity of acetaminophen (Tylenol). The nurse should prepare for which treatment to be implemented?

35. The 9-year-old is hospitalized for neutropenia and is placed in reverse isolation. The child asks the nurse, “Why do you have to wear a gown and mask when you are in my room?” How should the nurse respond?

36. The nurse observes a nursing student using lemon glycerin swabs for cleansing mucosal ulcers in a child receiving chemotherapy. The nurse should

37. An assistive personnel on the pediatric unit brings to the nurse’s attention several clients’ vital signs. Which of the following clients should the nurse plan to assess first?

38. The nurse should be aware postural drainage is useful for three of the following respiratory conditions Which condition is not usually treated with postural drainage?

39. The nurse is caring for a 9-month-old who just returned from the PACU after a shunt placement for hydrocephalus. Which of the following physician’s orders would the nurse question?

40. The normal dose range for erythromycin, an antibiotic, is 30-50 mg/kg po in divided doses q6h. The physician ordered 250 mg po q6h for a child who weighs 30 kg. Is this a safe dose for this child? ________.

41. A newborn with patent ductus arteriosus is scheduled to receive indomethacin. The nurse administers this medication to:

42. 6-year-old has had a viral infection for the past 5 days and is now having severe vomiting, confusion, and irritability, although he is now afebrile. During the assessment, the nurse should ask the parent which of the following questions?

43. 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:

44. A 2 year old postoperative patients IV has infiltrated, and has to be restarted immediately for medication There is no time for placing local anaesthetic cream on the skin. What other complementary therapies would be most helpful when placing this IV?

45.A nursing supervisor assigns a float nurse in an adult medical/surgical unit to work in a pediatric unit. This is the nurses first time in a pediatric setting. Which of the following is an appropriate assignment for the nurse?

46. A mother brings her 4-week-old infant for the first well-child visit and tells the nurse that the baby is not smiling. Which information should the nurse provide?

47. A toddler is scheduled for a myringotomy and tympanostomy tube insertion. Which statement by the mother would best indicate she has understood the surgeons explanation of this procedure ?

48. The parents of newborn with ventricular septal defect ask why their baby is sent home instead of undergoing immediate open heart surgery. The nurse’s best response is:

49. A nurse is caring for an 8-year-old client admitted to the hospital with a diagnosis of acute rheumatic fever. Which of the following nursing assessments is most important immediately after admission?

50. A 4-year-old has been diagnosed with amblyopia. The nurse who is providing the parents with information about this diagnosis should include which of the following items of information?