PN Nursing Care of Children Online
Practice 2020 (Form A)
- A nurse is reinforcing teaching about home safety with the parent of a toddler. Which of the following parent statements indicated an understanding of
the teaching?:
“I will place a screen in front of the fireplace.”
The nurse should instruct the parent to place a screen in front of a fireplace or other
heating appliances to prevent burns. - A nurse is reinforcing dietary teaching with the guardian of a school-age
child who has celiac disease.Which of the following foods should the nurse
recommend including in the child’s diet?:
White rice
(The nurse should reinforce to the guardian that celiac disease is a genetic
autoimmune disorder in which eating gluten, even in very small amounts, can
damage the child’s small intestine. Currently, the only treatment for the disease
is a lifelong, strict adherence to a gluten-free diet. The nurse should stress the
importance of avoiding foods containing wheat, rye, barley, and oats. The child
should consume foods that are gluten-free, such as milk, cheese, rice, corn, eggs,
potatoes, fruits, vegetables, fresh poultry, meats, fish, and dried beans.) - A nurse in a clinic is collecting data from an adolescent who has received all recommended immunizations through the age of 6 years.Which of
the following immunizations should the nurse paln to administer?:
Tetanus,diptheria toxoids, and acellular pertussis (Tdap)
The Tdap vaccine is recommended between the ages of 11 and 12 years. Therefore, this adolescent should receive the Tdap vaccine now. - A nurse is collecting data from a 6-month-old child who is experiencing
a sickle cell crisis. Which of the following areas should the nurse observe
when monitoring for manifestations of splenic sequestration?:
Box B (Anatomic position left side)
B is correct. The nurse should observe the location over the infant’s spleen when
monitoring for manifestations of splenic sequestration. Splenic sequestration is an
enlargement of the spleen due to pooling of sickled cells in the blood.
- A nurse is reviewing the medical record of a female adolescent client who
has primary amenorrhea. Which of the following findings should the nurse
identify as a risk for this disorder? (Select all):
Hypothyroidism is correct. Thenurse should identify that hypothyroidism and
other endocrine disorders are risk factors for primary amenorrhea.
Cannabis use is correct.The nurse should identify that cannabis use is a risk factor
for primary amenorrhea.
Oral contraceptive use is correct.The nurse should identify that oral contraceptive
use affects the estrogen and progesterone cycle and is a risk factor for primary
amenorrhea.
Emotional stress is correct.The nurse should identify that emotional stress causes
hypothalamic suppression and is a risk factor for primary amenorrhea. - A nurse is assisting with the care of a child who has tonic-clonic seizures.
Which of the following actions should the nurse take?:
Have a suction canisterand tubing available in the room.
(The nurse should have a suction canister and tubing available in the child’s room
to keep the child’s airway patent during a seizure.) - A nurse in a pediatric clinic is observing for an anaphylactic reaction after
administering an IM antibiotic to a child 5 min ago. Which of the following
manisfestations should the nurse expect to observe first?:
Hives
(The nurse should observe for hives first because this is an early manifestation of
an anaphylactic reaction.)
Wheezing is a later manifestation of an anaphylactic reaction.
Angioedema is a later manifestation of an anaphylactic reaction.
Hypotension is a later manifestation of an anaphylactic reaction.