A nurse is assessing the pain level of a 3 year old toddler. Which of the following pain assessment scales should the nurse use?
a. FACES
b. Numeric
c. CRIES
d. Visual analog - ANS-A
A+
Peds
ATI
2024
Questions
and
Answers
A
nurse
is
assessing
the
pain
level
of
a
3
year
old
toddler .
Which
of
the
following
pain
assessment
scales
should
the
nurse
use?
a.
FACES
b.
Numeric
c.
CRIES
d.
Visual
analog
-
ANS-A
A
nurse
is
planning
an
educational
program
to
teach
parents
about
protecting
their
children
from
sunburns.
Which
of
the
following
instructions
should
the
nurse
plan
to
include?
a.
"allow
your
child
to
play
outside
during
the
hours
between
10:00am
and
2:00pm."
b.
"choose
a
waterproof
sunscreen
with
a
minimum
SPF
of
15."
c.
"dress
you
child
in
loose
weave
polyester
fabric
prior
to
sun
exposure."
d.
"reapply
sunscreen
every
4
hours."
-
ANS-B
A
nurse
is
performing
hearing
screenings
for
children
at
a
community
health
fair.
Which
of
the
following
children
should
the
nurse
refer
to
a
provider
for
a
more
extensive
hearing
evaluation?
a.
an
18
month
old
toddler
who
has
unintelligible
speech
b.
a
3
month
old
infant
who
has
exaggerated
startle
response
c.
a
4
year
old
preschooler
who
prefers
playing
with
others
rather
than
alone
d.
an
8
month
old
infant
who
is
not
yet
making
babbling
sounds
-
ANS-D
A
nurse
in
an
emergency
department
is
assessing
a
3
month
old
infant
who
has
rotavirus
and
is
experiencing
acute
vomiting
and
diarrhea.
Which
of
the
following
manifestations
should
the
nurse
identify
as
an
indication
that
the
infant
has
moderate
to
severe
dehydration?
a.
HR
124
b.
increased
tear
production
c.
sunken
anterior
fontanel
d.
capillary
refill
2
seconds
-
ANS-C A
nurse
is
providing
teaching
to
the
family
of
a
school-age
child
who
has
juvenile
idiopathic
arthrisis.
Which
of
the
following
instructions
should
the
nurse
include
in
the
teaching?
a.
"limit
movement
of
the
child's
large
joints"
b.
"encourage
the
child
to
perform
independent
self-care."
c.
"provide
the
child
with
a
soft
mattress
for
sleeping."
d.
"schedule
a
2
hour
daily
nap
for
the
child
in
the
afternoon."
-
ANS-B
A
nurse
is
planning
care
for
a
school
age
child
who
has
a
tunneled
central
venous
access
device.
Which
of
the
following
interventions
should
the
nurse
include
in
the
plan?
a.
use
sterile
scissors
to
remove
the
dressing
from
the
site
b.
irrigate
each
lumen
weekly
with
10
ml
of
0.9%
sodium
chloride
solution
when
not
in
use
c.
access
the
site
suing
a
noncoring
angle
needle
d.
use
a
semipermeable
transparent
depressing
to
cover
the
site
-
ANS-D
A
nurse
is
providing
anticipatory
guidance
to
the
parent
of
a
toddler .
Which
of
the
following
expected
behavior
characteristics
of
toddlers
should
the
nurse
include?
a.
controls
impulsive
feelings
b.
understands
right
from
wrong
c.
easily
separates
from
parents
for
long
periods
of
time
d.
expresses
likes
and
dislikes
-
ANS-D
A
nurse
is
providing
discharge
teaching
to
the
parent
of
a
school
age
child
who
has
moderate
persistent
asthma.
Which
of
the
following
instructions
should
the
nurse
include?
a.
"you
should
give
your
child
their
salmeterol
inhaler
every
4
hours
when
they
are
having
an
acute
episode
of
wheezing."
b.
"you
should
monitor
your
child's
weight
weekly
while
they
are
receiving
inhaled
corticosteroids
therapy ."
c.
"pulmonary
function
tests
will
be
performed
every
12-24
months
to
evaluate
how
your
child
is
responding
to
therapy ."
d.
"when
using
the
peak
expiratory
flow
meter ,
record
your
child's
average
of
three
readings."
-
ANS-C
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