RN Nursing Care of Children Online Practice

Question 1/11

What assessment should be performed to confirm peripheral edema in a child?

Right Answer

Peripheral edema is confirmed by palpating the dorsum (top) of the feet and checking for pitting edema, where an indentation remains after pressing on the skin. While temperature and color changes may accompany edema, they do not confirm its presence. Measuring circumference can help track changes over time but does not confirm edema immediately. Palpation is the most reliable initial assessment method for detecting edema.

Question 2/11

What should the nurse teach the parent of a dehydrated toddler to monitor for adequate hydration?

Right Answer

Urine output is one of the most reliable indicators of hydration status in infants and toddlers. A dehydrated toddler will have fewer wet diapers, while a well-hydrated child should have at least 6-8 wet diapers per day. Weight monitoring can also indicate hydration status, but changes occur more gradually. Counting meals or checking temperature does not directly reflect hydration levels.

Question 3/11

Where should the nurse secure the sensor when monitoring the oxygen saturation level of an infant using pulse oximetry?

Right Answer

The great toe is the preferred site for a pulse oximetry sensor in infants due to better blood flow and minimal movement. Fingers and thumbs are not ideal because infants often move their hands. The wrist does not provide an accurate reading, and earlobes are more commonly used for adults. Ensuring the sensor is secure and does not interfere with circulation is essential for accurate readings.

Question 4/11

What dietary intervention should the nurse include in the plan for a preschooler with cystic fibrosis?

Right Answer

Children with cystic fibrosis require a high-calorie, high-fat diet because their pancreatic insufficiency leads to malabsorption of nutrients. Fat should make up about 40% of total calories to compensate for malabsorption issues. Decreasing caloric intake is incorrect, as these children need extra energy to maintain weight and growth. Protein and carbohydrate intake are important, but fat intake is the primary focus.

Question 5/11

Which of the following findings should the nurse identify as an indication that the child is developing diabetes insipidus?

Right Answer

Diabetes insipidus is characterized by excessive urination (polyuria) and excessive thirst (polydipsia) due to insufficient antidiuretic hormone (ADH) production or response. Hypertension is not typically associated with diabetes insipidus. Hypoglycemia is related to diabetes mellitus, not diabetes insipidus. Hypokalemia is more commonly seen in conditions affecting potassium regulation, such as renal disorders.

Question 6/11

Which of the following children should the nurse refer to a provider for a more extensive hearing evaluation?

Right Answer

An infant who is not making babbling sounds may have a hearing impairment, which can affect speech and language development. A toddler who is startled by loud noises likely has normal hearing. A preschooler struggling with following instructions may have attention issues rather than hearing loss. A school-age child who speaks loudly could have hearing issues but should be assessed further before a referral.

Question 7/11

Which of the following information should the nurse plan to include in an educational program for children and their parents about bicycle safety?

Right Answer

Proper bike fit is essential for safety, and the child should be able to touch the ground with their feet while seated to maintain control. A properly fitted helmet should be snug, not loose, to provide maximum protection in case of an accident. Children should always ride in the same direction as traffic, not against it, to ensure visibility and safety. Reaching the handlebars without stretching is important, but standing on the balls of the feet is the best fit guideline.

Question 8/11

Which of the following instructions should the nurse include when providing discharge teaching to the parents of an infant following a cheiloplasty?

Right Answer

A thin layer of antibiotic ointment prevents infection and promotes healing without over-saturating the incision. A thick layer may trap bacteria and delay healing. Cold compresses are not recommended directly on the incision site, and avoiding all ointments could increase the risk of infection. Proper wound care minimizes complications and promotes faster recovery.

Question 9/11

A school nurse is caring for a child following a seizure. Which of the following actions should the nurse take first?

Right Answer

The priority after a seizure is ensuring the child is breathing adequately. Respiratory rate should be assessed first because seizures can cause airway obstruction or postictal respiratory depression. If the child is not breathing adequately, rescue breaths may be given, but it is not the first step. Checking consciousness and pulse are important but should follow after confirming breathing status.

Question 10/11

A nurse is preparing to administer ibuprofen every 6 hr PRN for temperatures above 100.4°F to an infant who weighs 17.6 lb. Available is ibuprofen oral suspension 100 mg/5 mL. How many mL should the nurse administer to the infant per dose?

Right Answer

1. Convert weight from pounds to kilograms: 17.6 lb ÷ 2.2 = 8 kg 2. Typical ibuprofen dosage for infants = 10 mg/kg 10 mg × 8 kg = 80 mg per dose 3. Using 100 mg/5 mL concentration: (80 mg ÷ 100 mg) × 5 mL = 4 mL per dose

Question 11/11

What assessment should be performed to confirm peripheral edema in a child?

Right Answer

Peripheral edema in children can result from conditions like asthma exacerbations, where bronchodilators help relieve airway obstruction. Corticosteroids may be needed for inflammation, but bronchodilators provide immediate relief. Intubation is not the first intervention unless severe respiratory distress is present. Antipyretics are for fever, not respiratory distress.