Pediatrics

At a well-child visit, the nurse recommends which type of play to encourage development of the toddler’s gross motor skills?

Which tool does the nurse use to assess pain in the 4-year-old patient who sustained minor injuries on the playground? 

The nurse is caring for a 12-year-old female patient with newly acquired Lyme disease. Which of the following skin issues should the nurse expect to manage in the patient?

The nurse is assigned a 2-year-old patient who has severe periumbilical abdominal pain and hematochezia. On exam, a palpable mass is found in the right upper quadrant. Which of the following diagnostic tests would most likely confirm the diagnosis?

The 3-year-old patient is diagnosed with atopic dermatitis. The nurse provides information to the parents about which condition(s) the patient is likely to experience as he ages? Select all that apply. 

The nurse receives report about a neonate with an unrepaired meningocele and anticipates observing which assessment finding?

The nurse assessing the skull of the 6-month-old infant notes the sutures are approximated and cannot appreciate either the anterior or posterior fontanelle. Further investigation and intervention is warranted to prevent complications of which condition?

The magnetic resonance imaging (MRI) scan of a 2-month-old infant with severe seizures shows a brain that appears smooth and lacks normal gyri and sulci. The nurse anticipates which diagnosis?

The infant who weighs 3.8 kg has a total fluid order of 120 ml/kg/day. Continuous infusions include dexmedetomidine running at 0.38 mL/h, morphine running at 0.2 mL/h, dopamine at 0.4 mL/h, and midazolam at 1.2 mL/h. At what rate will the nurse program the patient’s total parenteral nutrition to meet the total fluid goal? Enter your rate in mL/h to the tenth decimal place.

The mother of a 6-month-old boy tells the nurse that her mother (the boy’s grandmother) keeps admonishing her to, “let the baby cry it out,” instead of calming the crying infant. The nurse advises the mother based on an understanding of which of Erikson’s developmental stages?

The nurse is assigned to care for an 8-year-old boy who presents with pneumonia. The nurse would determine the patient is developing appropriately if the boy is found to be in which of Erikson’s developmental stages?

The nurse assesses for which skill in the 6-month-old infant? 

Which assessment prompts the nurse to suspect intussusception in the 10-month-old patient? 

The 8-year-old presents with a generalized rash. The patient's mother reports that some areas of the rash have developed into pimples that are oozing clear fluid. The nurse places this patient on which type of precaution(s)? Select all that apply.

Which patient is at risk for failure to progress past the Industry vs. Inferiority stage of Erik Erikson’s developmental stages?

The nurse is providing education to the parents of a child with nephrotic syndrome. Which statement indicates an understanding of the teaching?

At delivery, the neonate is noted to have diffuse purple lesions over the entire body and is taken to the neonatal intensive care unit for further assessment and management. The nurse notes the toes have turned black; pedal pulses are palpable. The nurse anticipates testing will reveal a deficiency in which substance?

The 6-month-old infant is admitted to the pediatric intensive care unit with a diffuse purpuric rash and prolonged bleeding. The nurse notes the fingers on the right hand are pale and cool to the touch. Which question asked of the parents will be the most helpful in diagnosing this patient’s condition?

The neonate is diagnosed with purpura fulminans. Which order does the nurse anticipate first?

The full-term neonate is born via normal spontaneous vaginal delivery (NSVD). The neonate cries at the perineum and maintained flexion against gravity but is noted to be bluish gray. Which intervention is appropriate?

The 3-week-old neonate has failed to return to birth weight due to projectile vomiting partially-digested breast milk after most feedings. Upon assessment, an olive-shaped mass is palpated in the upper right abdominal quadrant. The nurse anticipates which diagnosis?

The neonate of 36 weeks estimated gestational age is born via emergency cesarean section, appears limp, blue, and apneic, and is brought to the warming table. He is warmed, dried, and stimulated, and a pulse oximeter is placed on his right wrist. At 30 seconds of life, his heart rate is 66 bpm and his oxygen saturation is 54%. Positive pressure ventilation is initiated via CPAP bag and mask. At one minute of life, the heart rate is 118 bpm, the extremities are still blue but the trunk is pink, and he begins to move and cry with stimulation. The nurse documents which number for the Apgar score? Enter your answer using a whole number.

Place the nursing interventions for a 16-year-old patient in the hospital for severe malnutrition and depression with a history of falls in order from highest priority to lowest priority.

The nurse is the first responder to a 3-year-old male who is with his mother, having recently ingested a large quantity of household cleaner. The patient is unconscious but is hemodynamically stable and breathing. An ambulance has already been called. Which action by the nurse is appropriate?

The nurse is counseling the parents of a 7-year-old child who are concerned because of a strong family history of type 2 diabetes mellitus. The nurse instructs the parents that the initial screening for type 2 diabetes mellitus will occur at which time? 

The nurse instructs parents on which type of diet to decrease the risk for lead poisoning in their children? 

The 5-day-old infant presents to the pediatrician's office for a well-baby visit. The parents report being happy that their child is a "good baby" who sleeps a lot and rarely cries. They also report the baby eats 4 times per day, sleeping for 8 hours at night. The nurse notes the baby is at the 70th percentile for weight. Upon assessment, the baby is minimally responsive. The nurse is most concerned about which condition? 

The nurse is caring for a 12-year-old being evaluated for juvenile rheumatoid arthritis (JRA). Which characteristic is required for the diagnosis? 

The parents of a 12-year-old girl with severe anemia decline a blood transfusion because it is against their religion. When responding to the parent's decision, the nurse utilizes which ethical principle?

The 5-year-old boy with measles cries when the nurse enters the room and turns on the lights. The nurse is most concerned about which reason behind the patient's behavior?

The 4-hour-old neonate in the nursery begins making rhythmic movements with the hands and smacking of the lips. An electroencephalogram is performed, and seizures are observed. The nurse prepares to administer which medication?

The nurse is assigned to a 4-year-old patient admitted with a vaso-occlusive crisis secondary to sickle cell anemia. The boy is in agonizing pain. He has apparently taken off his hospital wristband. Before administering the pain medication, the nurse should perform which of the following actions?

The 9-year-old patient presents to the clinic for a routine well-child visit. Which health screening does the nurse perform?

The nurse is evaluating a 9-month-old male infant who presents for a routine checkup. In obtaining the patient’s history from his mother, the nurse discovers they live in a home built in 1975. The nurse instructs the mother on which health screening schedule?

The nurse is providing disease management education to the parents of a 10-year-old patient newly diagnosed with type 1 diabetes mellitus. Which instruction is appropriate to give the family? 

Which developmental milestone is expected of the six-month-old infant who presents for a routine check-up?

At a routine check-up, the nurse expects the healthy 4-month-old to have met which milestone?

At a well-child visit, the mother of a 2-year-old child states, "My child is not keeping up with the other kids." Further evaluation reveals the patient can stack 6 cubes, walk backwards, and copy a line. The child exhibits separation anxiety and has a vocabulary of 10 words but cannot use symbols or use pronouns. Which assessment does the nurse make about the child's development?

The nurse instructs the mother at her child's 9-month well-child visit that patient will be screened for developmental delays and disabilities at which visits?

The nurse informs the parent of an 18-month-old patient at the well-child visit that screening for an autism spectrum disorder at which time(s)?

The surgeon is obtaining informed consent from the parents of a child in preparation for a bone biopsy. The nurse anticipates the surgeon to include which information in the discussion? Select all that apply.

Which condition qualifies the patient to be an emancipated minor?

Which punishment does the nurse report as child abuse?

The nurse notes inspiratory stridor upon auscultating the breath sounds of a 2-year-old child and suspects obstruction at which structure?

How frequently does the nurse clean the toys of a pediatric patient with measles?

Which error in the use of a child's car seat occurs most frequently?

The 10-year-old patient presents to the emergency room following a fever as high as 105°F for 5 days. The patient’s mother reports the child has had red, watery eyes, poor appetite, and has felt ill during this time. The child was brought to the emergency room upon the appearance of a red rash that started on the child’s face and spread to the neck and chest. Which question will be most helpful in order to determine the cause of this patient’s symptoms?

An infant has been admitted to the hospital for gastroenteritis. Friends of the family stayed in the room while the patient’s father talks to other family members in the lobby. The nurse prepares to remove an infiltrated IV line and place a new one. The visitor stops the nurse and insists that the nurse obtains consent from the parents. Which is the most appropriate response?

The family practice nurse is reviewing telephone messages from patients. Which call is to be returned first?

Which statement by a patient in the obstetrician's clinic is most concerning?