During a primary survey of a child with partial thickness burns over the upper body areas, what action should the nurse take first?
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Question 2 of 73
A child is being assessed for suspected intussusception. What clinical manifestation is the nurse likely to observe?
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Question 3 of 73
A 2-year-old child with a diagnosis of autism spectrum disorder is being discharged. What should the nurse include in the discharge teaching?
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Question 4 of 73
What should be included in the preoperative teaching for a 4-year-old child scheduled for a tonsillectomy?
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Question 5 of 73
What is important to include in discharge instructions for a child who has had a tonsillectomy?
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Question 6 of 73
What clinical manifestation of tetralogy of Fallot should the nurse expect when caring for children with this diagnosis?
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Question 7 of 73
What is the most common cause of shock (hypoperfusion) in infants and children?
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Question 8 of 73
Parents of a sick infant talk with a nurse about their baby. One parent says, "I am so upset; I didn't realize our baby was ill." What major indication of illness in an infant should the nurse explain to the parent?
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Question 9 of 73
A child with a cardiac malformation associated with left-to-right shunting is being cared for by a nurse. What does the nurse consider to be the major characteristic of this type of congenital disorder?
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Question 10 of 73
Why does a cleft lip predispose an infant to infection, concerning a nurse caring for the infant?
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Question 11 of 73
A school nurse is teaching parents of school-age children about the importance of immunizations for childhood communicable diseases. What preventable disease may cause the complication of encephalitis?
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Question 12 of 73
A parent tearfully tells a nurse, 'They think our child is developmentally delayed. We are thinking about investigating a preschool program for cognitively impaired children.' What is the nurse's most appropriate response?
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Question 13 of 73
When compensating for increased physical activity, what should the nurse teach a child with type 1 diabetes to do?
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Question 14 of 73
A child is brought to the clinic after tripping over a rock. The child states, 'I twisted my ankle,' and is given a diagnosis of a sprain. What intervention is most important for the nurse to include in the discharge instructions for this child?
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Question 15 of 73
When teaching a group of parents in the daycare center about accident prevention, the nurse explains that young toddlers are prone to injuries from falls. When receiving feedback, the nurse identifies that more teaching is needed when one parent states, 'I will:'
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Question 16 of 73
When a child with a diagnosis of asthma is prescribed a peak flow meter, what should the nurse teach the child and parents about using this device?
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Question 17 of 73
The nurse is reviewing the laboratory test results of a child diagnosed with disseminated intravascular coagulation (DIC). What would the nurse interpret as indicative of this disorder?
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Question 18 of 73
Your assessment of a mother in active labor reveals that a limb is protruding from the vagina. Management of this condition should include:
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Question 19 of 73
When working with a couple at risk of bearing a child with a genetic abnormality, what is most important for the nurse to incorporate into the plan of care?
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Question 20 of 73
What intervention best meets a major developmental need of a newborn in the immediate postoperative period?
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Question 21 of 73
After corrective surgery for hypertrophic pyloric stenosis (HPS), what should the nurse teach a parent to do immediately after a feeding to limit vomiting?
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Question 22 of 73
A child is admitted with extensive burns. The nurse notes burns on the child's lips and singed nasal hairs. The nurse should suspect that the child has a(n)
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Question 23 of 73
A healthcare provider is assessing a child with suspected bacterial meningitis. What clinical manifestation is the healthcare provider likely to observe?
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Question 24 of 73
The nurse is teaching a group of students about myelination in a child. Which statement by the students indicates that the teaching was successful?
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Question 25 of 73
A 6-month-old infant is diagnosed with cystic fibrosis. What explanation should the nurse provide to the parents about this condition?
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Question 26 of 73
A 13-year-old girl tells the nurse at the pediatric clinic that she took a pregnancy test and it was positive. She adds that her grandfather, with whom she, her younger sisters, and her mother live, has repeatedly molested her for the past 3 years. When the nurse asks the girl if she has told this to anyone, she replies, 'Yes, but my mother doesn't believe me.' Legally, who should the nurse notify?
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Question 27 of 73
A school nurse is educating parents of school-age children on the significance of immunizations for childhood communicable diseases. What preventable disease may lead to the complication of encephalitis?
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Question 28 of 73
What should be the priority action when caring for a child with acute laryngotracheobronchitis?
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Question 29 of 73
While waiting for the administration of air pressure to reduce the intussusception, the boy passes a normal brown stool. Which nursing action is the most appropriate for the nurse to take?
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Question 30 of 73
The instructor is educating a group of students about myelination in a child. Which statement by the students indicates that the teaching was successful?
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Question 31 of 73
What should parents be taught when a 7-year-old child with a history of seizures is being discharged from the hospital?
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Question 32 of 73
What is an important nursing consideration for a child with a diagnosis of juvenile idiopathic arthritis (JIA) being treated with methotrexate?
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Question 33 of 73
When counseling a couple who suspect they could have a child with a genetic abnormality, what would be most important for the nurse to incorporate into the plan of care when working with this family?
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Question 34 of 73
What is important to include in discharge instructions for parents of a child who has had a tonsillectomy?
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Question 35 of 73
Which of the following parameters would be LEAST reliable when assessing the perfusion status of a 2-year-old child with possible shock?
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Question 36 of 73
A group of students is reviewing information about the endocrine system in infants and children. The students demonstrate understanding of the information when they state:
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Question 37 of 73
The nurse is caring for a boy with probable intussusception. He had diarrhea before admission, but while waiting for the administration of air pressure to reduce the intussusception, he passes a normal brown stool. Which nursing action is the most appropriate?
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Question 38 of 73
What is the priority intervention for a 10-year-old girl in a foster family?
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Question 39 of 73
What is the appropriate therapeutic management for children with Hirschsprung disease?
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Question 40 of 73
When administering IV fluids to a dehydrated infant, what intervention is most important at this time?
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Question 41 of 73
A child with suspected Kawasaki disease is being assessed. What clinical manifestation is the nurse likely to observe?
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Question 42 of 73
A 10-year-old girl is living with a foster family. Which intervention is the priority for the child in this family structure?
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Question 43 of 73
A child is being assessed for suspected appendicitis. What clinical manifestation is the healthcare professional likely to observe?
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Question 44 of 73
After instituting ordered measures to reduce the fever in a 3-year-old with fever and vomiting, what nursing action is most important for the nurse in the emergency department to take?
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Question 45 of 73
What is the typical therapeutic management treatment for children with Hirschsprung disease?
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Question 46 of 73
Seizures in children most often result from
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Question 47 of 73
A 7-year-old child with a history of seizures is being discharged from the hospital. What should the nurse include in the discharge teaching for the parents?
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Question 48 of 73
The parent of a 2-year-old child is informed by the nurse that the toddler's negativism is expected at this age. What need is this behavior meeting?
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Question 49 of 73
A child with a cardiac malformation associated with left-to-right shunting. What does this type of congenital disorder lead to primarily?
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Question 50 of 73
A parent tells the nurse in the emergency department, 'My 3-year-old has had a fever for several days and has been vomiting.' After instituting ordered measures to reduce the fever, what nursing action is most important?
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Question 51 of 73
A child is being assessed for suspected intussusception. What clinical manifestation is the healthcare provider likely to observe?
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Question 52 of 73
A nurse is reviewing the immunization schedule of an 11-month-old infant. What immunizations does the nurse expect the infant to have previously received?
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Question 53 of 73
How is the diagnosis of Hirschsprung disease confirmed in a 1-month-old infant admitted to the pediatric unit?
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Question 54 of 73
The school nurse is presenting a class to a group of students about common overuse disorders. Which disorder would the school nurse include?
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Question 55 of 73
When caring for a 2-year-old girl who is wheezing and has difficulty breathing, which interview question would provide the most useful information related to the symptoms of the child?
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Question 56 of 73
In a case where a limb is protruding from a mother's vagina during active labor, how should this condition be managed?
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Question 57 of 73
What is the most common cause of seizures in children?
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Question 58 of 73
A nurse is teaching the parents of a toddler about the signs and symptoms of lead poisoning. Which symptom should the nurse emphasize?
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Question 59 of 73
What factor predisposes the urinary tract to infection in children?
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Question 60 of 73
When assessing a child with suspected bacterial meningitis, what clinical manifestation is the nurse likely to observe?
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Question 61 of 73
What definitive diagnostic procedure does the nurse expect to be used to confirm the diagnosis of Hirschsprung disease in a 1-month-old infant?
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Question 62 of 73
Why does a cleft lip predispose an infant to infection?
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Question 63 of 73
One principle to be followed for children with type 1 diabetes is to provide for the variability of the child's activity. What should the nurse teach the child about how to compensate for increased physical activity?
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Question 64 of 73
A healthcare professional is assessing a child with suspected appendicitis. What clinical manifestation is the healthcare professional likely to observe?
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Question 65 of 73
What is the priority nursing intervention for a child with a diagnosis of acute lymphoblastic leukemia (ALL) receiving chemotherapy?
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Question 66 of 73
The caregiver explains to the parent of a 2-year-old child that the toddler's negativism is expected at this age. What need is this behavior meeting?
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Question 67 of 73
After an infant has had corrective surgery for hypertrophic pyloric stenosis (HPS), what should the nurse teach a parent to do immediately after a feeding to limit vomiting?
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Question 68 of 73
What should the nurse include in the preoperative teaching for a 4-year-old child scheduled for a tonsillectomy?
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Question 69 of 73
A home care nurse is visiting a family for the first time. The 4-week-old infant had surgery for exstrophy of the bladder and creation of an ileal conduit soon after birth. When the nurse arrives, the mother appears tired, and the baby is crying. After an introduction, which is the most appropriate statement by the nurse?
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Question 70 of 73
What should be taught to the child and parents about using a peak flow meter for a child diagnosed with asthma?
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Question 71 of 73
A healthcare provider is assessing a child with suspected Kawasaki disease. What clinical manifestation is the healthcare provider likely to observe?
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Question 72 of 73
What explanation should the nurse provide to the parents of a 6-month-old infant diagnosed with cystic fibrosis?
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Question 73 of 73
When assessing the perfusion status of a 2-year-old child with possible shock, which of the following parameters would be LEAST reliable?
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