Exam 5 Review Squarecap Questions (Pediatric Illness & Management) Flashcards
A nurse is assessing a child who presents to the pediatric clinic, where the parent reports new bruising and petechiae. What question asked by the nurse would elicit the most helpful information?
A) “Do bleeding disorders run in your family?”
B) “Does your child have arthritis symptoms?”
C) “Has your child had a recent viral infection?”
D) “Has your child been exposed to heavy metals?”
C
A nurse is assessing an infant for the most common type of anemia worldwide. What action by the nurse is most helpful?
A) Assess if formula is iron-fortified.
B) Determine family history of anemia.
C) Look at mucous membranes for pallor.
D) Perform range of motion on the hips.
A
A pediatric nurse is caring for a 10-year-old patient on the pediatric unit who has been vomiting upon arising in the morning for the past 2 days. The nurse knows that this symptom is often associated with which condition?
A) Bowel blockage
B) Neurological involvement
C) Stomach cancer
D) Ulcerative colitis
B
A nurse is caring for an toddler waiting for surgical correction of intussusception. The child passes a stool. Which action by the nurse is the priority?
A) Document the child’s vital signs
B) Increase the IV fluid rate
C) Notify the provider
D) Ensure surgical consent in signed
C
A hospitalized diabetic child is sweating, nauseated, and has a headache. What action by the nurse takes priority?
A) Administer sliding-scale insulin.
B) Notify provider of symptoms.
C) Give the child some orange juice.
D) Use glucometer to check glucose.
D
A hospitalized child has been diagnosed with hypoparathyroidism and has a calcium level of 6.8 mg/dL. Which action by the nurse takes priority?
A) Administer calcium.
B) Apply telemetry.
C) Pad the side rails.
D) Start an IV.
B
A nurse admits a 5-year-old child with bacterial meningitis to the pediatric intensive care unit. Which information obtained by the nurse during the intake history is most helpful for the nurse to document?
A) History of recent sinus infection
B) Fell off swing hitting head 2 months ago
C) Mother with history of herpes simplex
D) Sibling with upper respiratory infection
A
A nurse is caring for a child who had a sudden onset of muscle weakness beginning in the legs and progressing in an ascending fashion, but who otherwise appears healthy. Which laboratory result would confirm the nurse’s suspicion about the origin of this problem?
A) Elevated CSF protein
B) Increased liver enzymes
C) Leukocytosis
D) Low hemoglobin
A
A nurse hears that a new admission to the hospital was recently diagnosed with the most common kind of childhood cancer. Which collaborative care does the nurse prepare to provide to this patient?
A) Antibiotic administration
B) Bone marrow transplant
C) Chemotherapy
D) Liver transplant
C
A neutropenic child is admitted to the hospital and placed in protective isolation. Which instruction does the nurse give the family to help maintain a safe environment for the child?
A) Do not let the child have chewing gum
B) Flowers, plants, and produce are not allowed
C) The child can only have one visitor at a time
D) Toys and items from home cannot be brought in
B
A 3 year old child has nausea after chemotherapy despite anti-emetics. However, the child complains that “my tummy is growling.” Which other action should the nurse take to promote comfort for this child?
A) Ask family to bring his favorite fast food meal.
B) Encourage a high fluid intake with meals.
C) Offer the child hard candy to suck on.
D) Provide bland items, such as plain mashed potatoes.
D
An acutely ill child is admitted for a suspected severe urinary tract infection (UTI). Which is the priority action by the nurse?
A) Administer broad-spectrum antibiotics as ordered.
B) Obtain a urine sample for culture and sensitivity.
C) Encourage fluid intake
D) Teach the parents how to prevent future UTIs.
B
A child is brought to the pediatric clinic, where the parent reports that the child has tea-colored urine and puffy eyes. Which diagnostic test does the nurse prepare the parent and child for based on the assessment findings?
A) BUN and creatinine
B) Intravenous pyelogram
C) Suprapubic aspiration
D) Voiding cystourethrogram (VCUG)
A
A school-age boy is in the emergency department with testicular torsion. Which action by the nurse takes priority for this patient?
A) Administer prophylactic antibiotics.
B) Assess and treat the child’s pain.
C) Pre-surgical checklist is completed
D) Ice and elevate the scrotum.
C
