PN VATI NURSING CARE OF CHILDREN EXAM WITH COMPLETE ANSWERS 2024.
A nurse is reinforcing teaching with the parent of a child who has a bacterial upper respiratory infection. Which of the following statements by the parent indicates an understanding of the teaching?
A. "I will force my child to drink fluids when they have a fever."
B. "I will use a dehumidifier in my child's room."
C. "I will keep my child's towels separate from those of the rest of the family."
D. "I will make sure my child eats three meals a day, even though their appetite is not good right now." - correct answer ANSWER: C. "I will keep my child's towels separate from those of the rest of the family."
Rationale: The nurse should identify that a child who has an upper respiratory infection should use separate towels, utensils, and cups to prevent the infection from spreading.
A nurse is collecting data from a child who recently experienced a psychomotor seizure. Which of the following findings should the nurse expect? A. Hyperactivity
B. Nystagmus
C. Apnea
D. Amnesia - correct answer ANSWER: D. Amnesia.
Rationale: The nurse should identify that amnesia is an expected manifestation after a seizure. Children often do not remember the seizure activity.
A nurse is collecting data from a 7-year-old child. Which of the following findings indicates a developmental delay? A. Unable to verbalize the date
B. Unable to count backwards from 20 to 1
C. Unable to make change out of a quarter
D. Unable to tell the difference between right and left - correct answer ANSWER: D. Unable to tell the difference between right and left.
Rationale: The nurse should recognize that a child should know the difference between right and left by 6 years of age.
A nurse is contributing to the plan of care for a preschooler who has moderate partial-thickness burns on
both lower extremities. Which of the following interventions should the nurse recommend?
A. Maintain clean technique during the child's dressing change
B. Provide low-calorie snacks for the child three to four times each day between meals
C. Allow the child to set their own daily schedule for wound care
D. Ensure the child receives pain medication 30 to 45 min prior to therapy.- - correct answer ANSWER: D. Ensure the child receives pain medication 30 to 45 min prior to therapy.
Rationale: The nurse should ensure that the preschooler receives pain medication 30 to 45 min prior to physical therapy sessions. The nurse should monitor the child's pain levels and treat them as needed. This will minimize or eliminate pain from moving tight skin at joints, which will encourage the child to participate in physical therapy. If the child is in pain during therapy, it will be a challenge to get the child to participate in future sessions.
A nurse is contributing to the plan of care for a child who has nephrotic syndrome and a prescription for corticosteroids. Which of the following interventions should the nurse recommend?
A. Provide a low-sodium diet
B. Encourage increased fluid intake
C. Obtain urine ketone levels weekly
D. Administer pancreatic enzymes with meal - correct answer ANSWER: A. Provide a low-sodium diet. Rationale: The nurse should recommend providing the child with a low-sodium diet to decrease edema associated with nephrotic syndrome.
A nurse is reinforcing teaching with an adolescent client who has a prescription for lisinopril. Which of the following foods should the nurse instruct the client to avoid?
A. Foods high in fiber
B. High-potassium foods
C. Foods high in Vitamin K
D. Dairy products - correct answer ANSWER: B. High-potassium foods.
Rationale: The nurse should identify that lisinopril, an ACE inhibitor, can result in hyperKalemia. Therefore, the nurse should instruct the client to avoid foods high in potassium, which can increase the risk of hyperKalemia and lead to cardiac dysrhythmias.
A nurse is contributing to a plan of care for a 24-month-old toddler. Which of the following actions should the nurse take?
A. Allowing the toddler to button up their own shirt
B. Asking the toddler questions that have "yes" or "no" answers
C. Providing the toddler with opportunities to share toys with others
D. Making sure the toddler has at least one nap during the day - correct answer ANSWER: D. Making sure
the toddler has at least one nap during the day.
Rationale: Toddlers generally require at least one nap per day because of their high activity levels. At approximately 3 years of age, children have established a sleep pattern similar to that of an adult.
A nurse is caring for an adolescent client who has a terminal illness. Which of the following statements should the nurse make to the parent?
A nurse is reinforcing teaching with the parent of a child who has a bacterial upper respiratory infection. Which of the following statements by the parent indicates an understanding of the teaching?
A. "I will force my child to drink fluids when they have a fever."
B. "I will use a dehumidifier in my child's room."
C. "I will keep my child's towels separate from those of the rest of the family."
D. "I will make sure my child eats three meals a day, even though their appetite is not good right now." - correct answer ANSWER: C. "I will keep my child's towels separate from those of the rest of the family."
Rationale: The nurse should identify that a child who has an upper respiratory infection should use separate towels, utensils, and cups to prevent the infection from spreading.
A nurse is collecting data from a child who recently experienced a psychomotor seizure. Which of the following findings should the nurse expect? A. Hyperactivity
B. Nystagmus
C. Apnea
D. Amnesia - correct answer ANSWER: D. Amnesia.
Rationale: The nurse should identify that amnesia is an expected manifestation after a seizure. Children often do not remember the seizure activity.
A nurse is collecting data from a 7-year-old child. Which of the following findings indicates a developmental delay? A. Unable to verbalize the date
B. Unable to count backwards from 20 to 1
C. Unable to make change out of a quarter
D. Unable to tell the difference between right and left - correct answer ANSWER: D. Unable to tell the difference between right and left.
Rationale: The nurse should recognize that a child should know the difference between right and left by 6 years of age.
A nurse is contributing to the plan of care for a preschooler who has moderate partial-thickness burns on
both lower extremities. Which of the following interventions should the nurse recommend?
A. Maintain clean technique during the child's dressing change
B. Provide low-calorie snacks for the child three to four times each day between meals
C. Allow the child to set their own daily schedule for wound care
D. Ensure the child receives pain medication 30 to 45 min prior to therapy.- - correct answer ANSWER: D. Ensure the child receives pain medication 30 to 45 min prior to therapy.
Rationale: The nurse should ensure that the preschooler receives pain medication 30 to 45 min prior to physical therapy sessions. The nurse should monitor the child's pain levels and treat them as needed. This will minimize or eliminate pain from moving tight skin at joints, which will encourage the child to participate in physical therapy. If the child is in pain during therapy, it will be a challenge to get the child to participate in future sessions.
A nurse is contributing to the plan of care for a child who has nephrotic syndrome and a prescription for corticosteroids. Which of the following interventions should the nurse recommend?
A. Provide a low-sodium diet
B. Encourage increased fluid intake
C. Obtain urine ketone levels weekly
D. Administer pancreatic enzymes with meal - correct answer ANSWER: A. Provide a low-sodium diet. Rationale: The nurse should recommend providing the child with a low-sodium diet to decrease edema associated with nephrotic syndrome.
A nurse is reinforcing teaching with an adolescent client who has a prescription for lisinopril. Which of the following foods should the nurse instruct the client to avoid?
A. Foods high in fiber
B. High-potassium foods
C. Foods high in Vitamin K
D. Dairy products - correct answer ANSWER: B. High-potassium foods.
Rationale: The nurse should identify that lisinopril, an ACE inhibitor, can result in hyperKalemia. Therefore, the nurse should instruct the client to avoid foods high in potassium, which can increase the risk of hyperKalemia and lead to cardiac dysrhythmias.
A nurse is contributing to a plan of care for a 24-month-old toddler. Which of the following actions should the nurse take?
A. Allowing the toddler to button up their own shirt
B. Asking the toddler questions that have "yes" or "no" answers
C. Providing the toddler with opportunities to share toys with others
D. Making sure the toddler has at least one nap during the day - correct answer ANSWER: D. Making sure
the toddler has at least one nap during the day.
Rationale: Toddlers generally require at least one nap per day because of their high activity levels. At approximately 3 years of age, children have established a sleep pattern similar to that of an adult.
A nurse is caring for an adolescent client who has a terminal illness. Which of the following statements should the nurse make to the parent?
