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WorksheetsVarious Peds
Total questions: 22
Worksheet time: 22mins
A 10 month old infant with tetralogy of fallout experiences a cyanotic episode or "blue" spell. To improve oxygenation during such an episode, the nurse should place the infant in what position?
Knee to chest
Fowlers
Trendelenburgs
Prone
Which of the following instructions would the nurse include in a teaching plan that focuses on initial prevention of rheumatic fever?
Using a corticosteroid to reduce inflammation
Treating a streptococcal throat infection with an antibiotic
Providing an antibiotic before dental work
Giving penicillin to clients with rheumatic fever?
A child, age 4, is admitted with a tentative diagnosis of congenital heart disease. When assessment reveals a bounding radial pulse coupled with a weak pedal pulse, the nurse suspects the child has?
Patent ductus arteriosus
Coarctation of the aorta
Ventricular septal defect
Truncus arteriosus
Which of the following would be most concerning in a child with a tonsillectomy?
Fever of 101
Increased swallowing
Pain score of 4/10
Pain score of 7/10
When planning care for a child with epiglottis, the nurse should assign highest priority to which of the following interventions?
Providing psychological support
Ensuring respiratory patency
Instituting infection control practices
Administering prescribed drug therapy
When is the best time to administer pancreatic enzymes for the child with cystic fibrosis?
30 minutes before meals
Immediately before meals
In the middle of a meal
30 minutes after a meal
Which of the following respiratory conditions is a medical emergency?
Asthma
Cystic fibrosis
Epiglottitis
Laryngotracheobronchitis
A child, age 15 months, is admitted to the hospital. During initial nursing assessment, which statement by the mother strongly suggests the child has Wilm's tumor?
My child has grown 3 inches in the past 6 months
My child seems to be napping for longer periods of time
My child's abdomen seems bigger and the diapers are much tighter
My child's appetite has increased so much
Chemotherapy is used to treat acute lymphocytic leukemia. A side effect of this treatment is:
Alopecia
Ischemia
Cardiac toxicity
Cererbral edema
The nurse is reviewing information about pediatric cancer. All of the following are true except:
Cancer is second only to accidental as a killer of children
Tumors of the central nervous system are the most common type of pediatric cancer
The incidence of cancer increases with age
Childhood cancers grow faster than adult cancers
A 10 month old child with recurrent otitis media is brought to the clinic for evaluation. To help determine the cause of the child's condition, the nurse should ask the parents:
Does water ever get into the baby's ears during shampooing?
Do you give the baby a bottle to take to bed?
Have you noticed a lot of wax in the baby's ears?
Can the baby combine two words when speaking?
You know that infants and children are more prone to otitis media because:
The ear canals are short & in a horizontal position
Children are always putting objects and fingers in their ears
They have immature immune systems
They eat by sucking, which increases susceptibility to ear infections
The nurse in the outpatient surgery center is caring for Amanda, a 6 year old who just had her tonsils removed. Amanda is awake & alert and has just received pain medication. The nurse brings her lunch tray to her. Which of the following should the nurse encourage Amanda to try first?
Vanilla ice cream
Cherry popsicle
Warm tea
Fruit punch
An infant undergoes surgery to repair a myelomeningocele. To detect increased intracranial pressure (ICP) as early as possible, the nurse should stay alert for which postoperative finding?
Decreased urine output
Increased heart rate
Bulging fontanel
Sunken eyeballs
What is the most important nursing intervention immediately following post-operative placement of a ventriculoperitoneal shunt?
Place the child in reverse trendelenburg position
Place the child on his non-operative side
Keep the child in a sitting position to assist drainage
Pump the shunt intermittently for 8 hours
The nurse is caring for a child with cerebral palsy (CP). Which of the following statements is correct?
CP is a progressive disorder characterized by abnormal coordination and muscle tone
The majority of children with CP have some degree of intellectual disability
CP is always caused by trauma that occurs at birth
Children with CP often have speech, vision, or hearing difficulties
The nurse is caring for 2 year old Cameron when his mom calls out that he's having a seizure. When the nurse enters the room, she sees Cameron lying in his crib having a generalized seizure. Which of the following should the nurse do?
Administer Cameron's scheduled dose of oral dilantin
Turn Cameron on his side & suction his mouth
Ensure the crib rails are up and go get additional help
Observe the seizure and call for help if necessary
The nurse is working in the ED when an ambulance arrives with a 10 year old child who is having a generalized seizure. The EMT tells the nurse that the patient has been having a seizure for 35 minutes. They were unable to establish an IV line. Which of the following should the nurse do first?
Administer rectal Diastat
Ask for assistance to hold Bobby's arm still and attempt to place an IV so anti-epileptics can be given emergently
Gather & prepare intubation equipment
Observe and record the seizure.
The nurse is caring for 8 year old Jacob who has been admitted with a diagnosis of Reye syndrome. When obtaining his history, Jacob's mom stated that she gave him aspirin while he was sick. The nurse inquires as to what type of illness Jacob had and expects his mother to reply with which of the follwoing
Strep throat
Pink eye
Influenza
Rocky Mountain Spotted Fever
Lead poisoning is suspected in 21-month old Luke. What might likely be the source of his lead ingestion?
Lives near a paint factory
He teethed on a 30 year old crib
His home has asbestos ceiling in poor repair
He ingested a crayon 2 months ago
What is the best approach to a 4 year old when drawing his blood?
Explain that it will make her feel better
Ambulate her in the hall afterwards
Offer a reward afterward
Try to distract her during the lab draw
The nursing is a caring for a 15 year old who is getting ready to be discharged following an amputation of the right leg for osteogenic sarcoma. AJ is very upset and tells the nurse "I don't want to go back to school". Which of the following is the best response?
AJ, I understand that you're feeling uncomfortable, lets talk about ways to make you feel better about this.
You know AJ, it could be so much worse, you're really very lucky.
I understand, this must be difficult, have you thought about home-schooling the rest of the year
Have you talked to your parents about how you're feeling?
