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PEDIATRIC NR 328 Main Exam |400+ Questions with 100% Correct Solutions
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PEDIATRIC NR 328 Main Exam |400+ Questions with 100% Correct Solutions
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PEDIATRIC NR 328 Main Exam |400+Questions with 100% Correct Solutions
The practitioner has ordered a liquid oral antibiotic for a toddler with otitis media. The
prescription reads 1 1/2 tsp four times per day. What should the nurse consider in teaching the
mother how to give the medicine? - ✔✔A hollow-handled medication spoon is advisable,
and the medication should be equally spaced while the child is awake.
Guidelines for intramuscular administration of medication in school-age children include what
standard? - ✔✔Insert needle quickly, using a dartlike motion.
What is an advantage of the ventrogluteal muscle as an injection site in young children? -
✔✔Free of significant nerves and vascular structures
When teaching a mother how to administer eye drops, where should the nurse tell her to place
them? - ✔✔In the conjunctival sac when the lower eyelid is pulled down
What is the best method to verify the placement of a nasogastric tube before each use? -
✔✔Aspiration of stomach contents
Parents are being taught how to feed their infant using a newly placed gastrostomy tube (G-
tube). What is essential information for the parents to receive? - ✔✔Position the infant on
the right side during and after the feeding.
What is a priority intervention for an infant with a temporary colostomy for Hirschsprung
disease? - ✔✔Protecting the skin around the colostomy
A 1-month-old infant is admitted to the hospital. The infants mother is 17 years old and single
and lives with her parents. Who signs the informed consent for the 1-month-old infant? -
✔✔The infants mother
,A preschool child needs a dressing change. To prepare the child, what strategy should the nurse
implement? - ✔✔Give choices when possible but avoid delay.
The nurse on a pediatric unit is writing guidelines for age-specific preparation of children for
procedures based on developmental characteristics. What guideline is accurate? - ✔✔Use
simple diagrams of anatomy and physiology to explain a procedure to a school-age child.
A laboratory technician is performing a blood draw on a toddler. The toddler is holding still but
crying loudly. The nurse should take which action? - ✔✔Do nothing. Its Okay for a child to
cry during a painful procedure.
At which age should a nurse keep teaching time short (5 minutes)? - ✔✔Toddler
The nurse is preparing to give acetaminophen (Tylenol) to a child who has a fever. What nursing
action is appropriate? - ✔✔Check to be sure the Tylenol dose does not exceed 15 mg/kg.
The nurse is administering an IM injection into a vastus lateralis muscle of a 6-month-old infant.
What should the length of the needle and amount to be given be? - ✔✔5/8 to 1 inch; 0.5 to
1.0 ml
The nurse needs to start an intravenous (IV) line on an 8-year-old child to begin administering
intravenous antibiotics. The child starts to cry and tells the nurse, Do it later, okay? What action
should the nurse take? - ✔✔Start the IV line and then allow for expression of feelings.
The nurse is preparing to administer a liquid medication by a nasogastric feeding tube. What is
the first thing the nurse should do? - ✔✔Check the pH of the gastric aspirate.
To facilitate the administration of an oral medication to a preschool-age child, what action
should the nurse take? - ✔✔Set limits about the need to take medication and offer praise
immediately after the task is accomplished.
,A 2-year-old child has to receive Rocephin IM injections every 12 hours. What nursing
intervention should be implemented for the child? - ✔✔Hold the child while rocking in a
chair after each injection.
When checking the intravenous (IV) site on a child, the nurse should take which action? -
✔✔Look at the site while palpating the area.
The nurse is caring for a 12-year-old child who is on fall precautions secondary to seizures.
What interventions should be included in the childs care plan? - ✔✔-Place a call light and
desired items within reach.
-Have the child wear an appropriate-size gown and nonskid footwear.
. What methods should the nurse use to measure compliance to a treatment plan? - ✔✔Pill
counts
Chemical assays
Direct observation
Monitoring therapeutic response
What interventions should the nurse implement to prevent a pressure ulcer in a critically ill
child? - ✔✔Nutrition consult
Using skin moisturizers
Turning the child every 2 hours
Using draw sheets to minimize shear
The nurse is preparing to obtain a nasal washing from a child. What equipment should the
nurse gather for the procedure? - ✔✔Syringe with tubing
Sterile normal saline
, The clinic nurse is teaching parents about when to call the office immediately for a child with a
fever. What should the nurse include in the teaching session? - ✔✔The child has a stiff neck.
The fever is over 40.6 C (105 F).
The child is younger than 2 months.
A 16-year-old girl comes to the pediatric clinic for information on birth control. The nurse
knows that before this young woman can be examined, consent must be obtained from which
source? - ✔✔Herself
The nurse needs to take the blood pressure of a preschool boy for the first time. What action
would be best in gaining his cooperation? - ✔✔Permit him to handle the equipment and see
the cuff inflate and deflate before putting the cuff in place.
A 4-year-old girl is admitted to outpatient surgery for removal of a cyst on her back. Her mother
puts the hospital gown on her, but the child is crying because she wants to leave on her
underpants. What is the most appropriate nursing action at this time?? - ✔✔Allow her to
wear her underpants.
Using knowledge of child development, what approach is best when preparing a toddler for a
procedure? - ✔✔Demonstrate on a doll how the procedure will be done.
The nurse is preparing a 9-year-old boy before obtaining a blood specimen by venipuncture.
The child tells the nurse he does not want to lose his blood. What approach is best by the
nurse? - ✔✔Discuss with him how his body is always in the process of making blood.
A bone marrow biopsy will be performed on a 7-year-old girl. She wants her mother to hold her
during the procedure. How should the nurse respond? - ✔✔Holding may help your child
relax.
A 6-year-old child needs to drink 1 L of GoLYTELY in preparation for a computed tomography
scan of the abdomen. To encourage the child to drink, what should the nurse do? - ✔✔Use
little cups and make a game to reward him for each cup he drinks.
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