Peds Exam 1 NCLEX QuestionsStudy online at While interviewing parents who have just arrived in the healthcare clinic, the nurse begins the interview. Which of the following statements involve therapeutic communication techniques? Select all that apply.A.

Peds Exam 1 NCLEX QuestionsStudy online at https://quizlet.com/_72qnkm1. While interviewing parents who have just arrived in the healthcare clinic, the nurse begins the interview. Which of the following statements involve therapeutic communication techniques? Select all that apply.A. Allow the parents to direct the conversation so that they feel comfortable and in controlB. use broad, open-ended questions so that parents can feel open to discuss issuesC. Redirect by asking guided questions to keep the parents on taskD. Use careful listening, which relies on the use of clues and verbal leads to help move the conversation alongE. Ask carefully worded, detailed questions to get accurate information: B, C, D2. A nurse looks over her assignment for the day that includes an infant, a preschool-age child, a third-grader, and a sophomore in high school. Which techniques take into consideration developmental stages when working with pediatric patients?A Being aware that infants will become agitated due to stranger anxiety around age 4 monthsB When a preschooler is getting blood drawn, giving a detailed explanation will be helpfulC Explaining and demonstrating what the blood pressure machine does to the third-grader before taking her blood pressureD Using a single consistent approach with the adolescent will help allay anger and hostility: C3. These general approaches can be helpful when performing a physical exam. Select all that apply.a. With toddlers, restraint may be necessary, and requesting a parent's assis-tance is appropriate.b. When examining a preschooler, giving a choice of which parts to examine may be helpful in gaining the child's cooperation.c. With a school-age child, it is always best to have the parents present when examining.d. Giving explanations about body systems can make adolescents nervous due to their egocentricities.e. An infant physical exam is done head to toe, similarly to the adult.: A, B4. When assessing blood pressure in a child:A. Knowledge of normal mean is important: newborn, 65/41. 1 month-2 years, 95/58. 2-5years, 101/57. 1 / 10

Peds Exam 1 NCLEX QuestionsStudy online at https://quizlet.com/_72qnkmB. Cuff size is the most important variable and should be measured using limb lengthsC. The child is considered normotensive if the BP is below the 95th percentileD. Check upper and lower extremity BP to look for abnormalities such as aortic stenosis, which causes lower-extremity BP to be higher than upper-extremity BP: A5. Growth measurement is a key element in children of their health status. One measurement for height is linear growth measurement. What should the nurse do to perfect this technique? Select all that apply.A Understand the difference in measurement for children who can stand alone and for those who must lie recumbent.B Use a length board and footboard or a standiometer, which is the best technique, or use a tape measure.C Two measurers are usually required for a recumbent child, although one measurer may be sufficient for a cooperative child.D Reposition the child and repeat the procedure. Measure at least twice (ideally three times). Average the measurements for the final value.E Demonstrate competency when measuring the growth of infants, children, and adolescents. Refresher sessions should be taken when a lack of stan-dardization occurs.: A, D, E6. When caring for their infant, a parents asks you, "Is Emily in a lot of pain? How would you know since she can't really tell you?" The best answer to this question is:A. "Infants don't feel pain as we do because their pain receptors are not fully developed yet"B. "The nurses give pain medication before she really feels the pain."C. "We assess her pain using an infant pain assessment tool and give the medicine as needed."D. "Although we try to give her medicine before she feels pain, we watch her very closely and use different techniques to help relieve the pain.": D7. Pain scales for infants and their uses include but are not limited to;A. CRIES: Crying, Requiring increased oxygen, Inability to console, Expres-sion, and SleeplessnessB. FLACC: child's face, legs, activity, cry, and consolability C. NCCPC: parents and health caregiver questionnaire assessing acute and chronic painD. NPASS: neonatal pain, agitation, and sedation scale for infants from 3-6 months: B2 / 10

Peds Exam 1 NCLEX QuestionsStudy online at https://quizlet.com/_72qnkm8. As the nurse is getting Nathan ready for surgery, his doctor asked you to explain preemptive analgesic to Nathan's mother. Which response leads you to believe his mother needs more teaching?a. "I understand that preemptive analgesia is giving Nathan pain medication before he has pain and could be given before surgery."b. "This medication will control Nathan's pain so he doesn't feel anything."c. "Giving this medicine early may help prevent complications after surgery."d. "By controlling Nathan's pain, he will be more comfortable and may be able to go home sooner.": B9. When teaching a 6-year-old child with sickle cell disease and his family about pain management, which of the following should the nurse discuss? Select all that apply.a. When pain medications are used, all pain will be eliminated.b. Nonpharmacologic methods of pain relief, including heat, massage, physi-cal therapy, humor, and distraction.c. It is helpful to use a "passport card" that includes information about the diagnosis, any previous complications, and the pain regimen.d. Only the physician can decide the best course of treatment, and the other health care providers follow that plan.e. Long-term medication use considers many factors.: B, C, D10. How can the nurse prepare a child for a painful procedure? Select all that apply.A. Be honest and use correct terms so that the child trusts the nurseB. Involve the child in the use of distraction, such as using bubbles, music, or playing a gameC. Kindly ask parents to leave the room so they don't have to watch the painful procedureD. Use positive self-talk such as "When I go home, I will feel better and be able to see my friends."E. Use guided imagery that involves recalling a previous pleasurable event: B, D, E11. A 12-year-old child is in the urgent care clinic with a complaint of fever, headache, and sore throat. A diagnosis of Group A B-hemolytic streptococ-cus pharyngitis is established with a rapid-strep test, and oral penicillin is prescribed. The nurse knows that which of the following statements about GABHS is correct?A. Children with a GABHS infection are less likely to contract the illness again 3 / 10

Peds Exam 1 NCLEX QuestionsStudy online at https://quizlet.com/_72qnkmafter the antibiotic regimen is completedB. A follow-up throat culture is recommended after the completion of antibiotic therapyC. Children with a GABHS infection are at increased risk for the development of rheumatic fever and glomerulonephritisD. Children with a GABHS infection are at increased risk for the development of rheumatoid arthritis in adulthood: C12. A 5-year-old is recovering from a tonsilectomy and adenoidectomy and is being discharged home with his mother. Home care instructions should include which of the following? Select all that apply.A. Observe the child for continuous swallowingB. Encourage the child to take sips of cool, clear liquidsC. Administer codeine elixir as necessary for throat painD. Observe the child for restlessness or difficulty breathingE. Encourage the child to cough every 4-5 hours to prevent pneumoniaF. Administer an analgesic such as acetaminophen for pain: A, B, D, F13. A 3-month-old infant is seen in the clinic with the following symptoms: irritability, crying, refusal to nurse for more than 2-3 minutes, rhinitis, and a rectal temperature of 101.8F. The labor, delivery, and postpartum history for this term infant is unremarkable. The nurse anticipates a diagnosis of: A: Acute otitis mediaB. Otitis media with effusionC. Otitis externaD. RSV: A14. A 5-year-old is seen in the urgent care clinic with the following history and symptoms: sudden onset of severe sore through after going to bed, drooling and difficulty swallowing, axillary temperature of 102.2F, clear breath sounds, and absence of cough. The child appears anxious and is flushed. Based on these symptoms and history, the nurse anticipates the diagnosis of:A. Group A B-Hemolytic StrepB. Acute Tracheitis C. Acute Epiglottitis D. Acute laryngotracheobronchitis: C15. A 2-month-old formerly healthy infant born at term is seen in the urgent care clinic with intercostal retractions, respiratory rate of 62, heart rate of 128, refusal to breastfeed, abundant nasal secretions, and a pulse oximeter reading of 88% in room air. The diagnosis of RSV is made. The infants O2 sat remains at 95% on room air, and the respiratory rate is 54, with intercostal retractions; heart rate is 120 beats per minute. After 2 hours of observation 4 / 10