Peds Exam 1 Review

A nurse is caring for a 4-year-old child who refuses to take his medication because of the bad taste. Which of the following strategies should the nurse use to elicit the child's cooperation?

• Tell the child the medicine tastes like candy.
  

• Offer the child an ice pop prior to administering the medication.

• Hide the medication in apple slices

• Inform the child that if he does not take the medication he will need a shot.

A nurse is planning care for a 4-year-old child who has been admitted to the hospital. Which of the following toys should the nurse plan to provide the child?

• Checkerboard and checkers

• 100-piece jigsaw puzzle

• Brightly-colored mobile

• Modeling clay

A parent asks a nurse about toys to provide for a 10-month-old infant. Which of the following toys should the nurse suggest?

• Push-pull toy

• Crib gym

• Large-piece puzzles

• Coloring book with crayons

A nurse is reinforcing teaching with the mother of a 14-month-old child about safe food choices. Which of the following food choices should the nurse recommend?

• Watermelon with seeds

• Popcorn

• Mashed potatoes

• Raw carrots

A nurse is caring for a 4-year-old child who had an incident of bedwetting during hospitalization. The child's parents expresses concern about the incident. Which of the following responses should the nurse make?

• "Children who are hospitalized often regress. The toileting skills will return when your child is feeling better."

• "I know this can be embarrassing. I have kids myself so I understand, and it doesn't bother me."

• Why is she wetting the bed in the hospital? She must wet the bed at home."

• "I will discuss your child's loss of bladder control with the provider."

A nurse is caring for an 8-month-old child who starts to cry when his parents leave. The nurse should make which of the following statements to the parents?

• "You should expect your child to be upset when you leave."

• "Your child is responding to an overstimulating environment."

• "Your child needs to rest."

• "I will notify the provider of his behavior."

A nurse in a clinic is preparing to administer pre-kindergarten vaccines to a 5-year-old child whose medical record indicates that his immunizations are up to date. Which of the following vaccines should the nurse plan to administer?

• Hepatitis B (HBV)

• Pneumococcal conjugate vaccine (PCV)

• Measles, mumps, and rubella (MMR)

• Haemophilus influenzae type B (Hib)

The father of a toddler asks a nurse at a well-child clinic what to do when his child kicks and screams during temper tantrums. Which of the following responses should the nurse make?

• "Tell your toddler that temper tantrums are not acceptable."
  

• "You should punish your toddler when the tantrum stops."
  

• "You should ignore your toddler's temper tantrums."
  

• "You should offer your child a reward if he stops the tantrum."
  

A nurse is talking with a 13-year-old female client who is having her annual health-screening visit. Which of the following comments by the client should concern the nurse?

• "There's a pimple on my face, and I worry that everyone will notice it."
  

• "I start taking ibuprofen a few days before my period starts."
  

• "My parents treat me like a baby sometimes."
  

• "None of the kids at my school like me, and I don't like them either."
  

A nurse is caring for a 17-year-old client who has a terminal illness and refuses treatment. The client's mother wants to proceed with treatment. Which of the following actions should the nurse take?

• Notify the charge nurse of the situation.
  

• Start the prescribed treatment per the parent's request.
  

• Administer a prescribed sedative to calm the client.
  

• Inform the adolescent that parental consent is required.