Erudiway

RN Nursing School · Pediatrics · 584 questions

Physiological Integrity practice questions

Every question below is free to read with its full rationale. For timed sets, the rest of the bank and progress tracking on Physiological Integrity, practise in the app.

Practise Physiological Integrity in the appAbout the RN Nursing School program →
  1. 1A nurse is preparing to perform an abdominal assessment on a child. Identify the sequence the nurse should follow. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)Answer →
  2. 2The nurse is providing teaching to a parent of a newborn with hypospadias. What should the nurse include in the teaching plan?Answer →
  3. 3The nurse is evaluating a child with nephrotic syndrome's response to treatment. Which finding indicates an expected outcome?Answer →
  4. 4A nurse in a pediatric clinic assesses an 8-year-old client with a history of recurrent epistaxis. The child develops a nosebleed while in the exam room. Which initial nursing action is the priority?Answer →
  5. 5The nurse is taking care of a child with streptococcal pharyngitis and is aware that untreated strep can lead to serious sequelae which includes?Answer →
  6. 6A nurse is teaching the guardians of a school-age child who has cystic fibrosis about dietary needs. Which of the following statements should the nurse make?Answer →
  7. 7A nurse is providing discharge teaching to the parent of a 13-year-old child who had surgical repair of unilateral cryptorchidism in early childhood. Which statement by the nurse is most appropriate?Answer →
  8. 8The nurse is counseling a young adult male patient who is gay about human immunodeficiency virus (HIV) prevention. Which statement by the patient indicates an understanding?Answer →
  9. 9A child diagnosed with seizure disorder is prescribed an antiseizure medication by the care provider. Which instructions should be included in the teaching plan for the child's parent?Answer →
  10. 10Click to highlight the findings that require immediate follow-up. To deselect a finding, click on the finding again.Answer →
  11. 11A nurse is assisting with care for an 11-year-old child who has beta thalassemia. The parents ask the nurse about other manifestations to watch for in their child. The nurse recognizes that children who have beta thalassemia have the potential for which of the following psychosocial diagnoses?Answer →
  12. 12A nurse is planning discharge teaching for a pediatric client with a greenstick fracture of the forearm. Which instruction should the nurse prioritize to ensure effective management of care and promote healing?Answer →
  13. 13A nurse is caring for a school-age child who has a systemic disorder and is receiving antibiotics, immunosuppressants, and corticosteroids. Both of the child's parents have a smoking history. The child reports soreness in his mouth and refuses to eat. Inspection of his mouth reveals a white, milky plaque that does not come off with rubbing. The nurse should suspect which of the following conditions?Answer →
  14. 14A nurse is providing education to the family of an infant who has a significant atrial septal defect (ASD). Which of the following is an accurate statement regarding clinical manifestations of ASD?Answer →
  15. 15What type of inheritance pattern does achondroplasia (dwarfism) follow?Answer →
  16. 16A nurse in a PACU is admitting a client who is postoperative following a tonsillectomy. Which of the following actions should the nurse plan to take to prevent aspiration?Answer →
  17. 17The neonatal nurse assesses newborns for iron-deficiency anemia. Which newborn is likely to have this disorder?Answer →
  18. 18The nurse is caring for a school-age child with a right arm fracture and a long arm cast. The child's fingers on the right hand are swollen, pale, and cool to touch. The child complains of pins and needles in their right hand and has a pain level of 8/10 (0-10). One hour ago the child reported their pain level as 3/10 (0-10). Which action by the nurse is appropriate?Answer →
  19. 19Click to highlight the findings that indicate the child is progressing as expected. To deselect a finding, click on the finding again.Answer →
  20. 20The nurse is caring for a child who is scheduled for hemodialysis in 1 hour. What action will prevent a potential complication?Answer →
  21. 21The RN is caring for a patient with appendicitis. The patient states that the pain was bad before and is now gone suddenly. Considering the rapid change in the patient's pain presentation, the RN most likely considers that:Answer →
  22. 22The RN is caring for a patient in Tetralogy of Fallot. Which of the following is true recommended in care of a patient with hypercyanotic spells?Answer →
  23. 23A nurse is preparing to administer amoxicillin 350 mg PO. Available is amoxicillin 250 mg/5 ml. How many ml should the nurse administer? (Round to the nearest whole number.)Answer →
  24. 24A nurse is completing an assessment of a newborn, including obtaining blood pressure measurements at each extremity. Which of the following findings suggests coarctation of the aorta?Answer →
  25. 25A child with asthma visits the school nurse with shortness of breath. The nurse auscultates inspiratory and expiratory wheezing. Which of the following would be the priority nursing intervention?Answer →
  26. 26A nurse is teaching a patient about their new diagnosis of bacterial conjunctivitis. Which instruction should the nurse emphasize as the priority to prevent the spread of the infection?Answer →
  27. 27A nurse is assessing a child who has bacterial pneumonia. Which of the following findings should the nurse identify as a potential risk for aspiration?Answer →
  28. 28Compute the amount of medication you will give to administer one dose of the following medication orders. Order: pediatric dose: Biaxin 100 mg p.o. q12h Supply: 100 mL of reconstituted Biaxin, 125 mg per 5 mL (Enter # of mL only. Use decimal if necessary). Give: _____ mLAnswer →
  29. 29A nurse is assisting with the plan of care for an 11-year-old child who has appendicitis. For which of the following complications should the nurse anticipate assisting with collecting data for the RN assessment of the client?Answer →
  30. 30The nurse is caring for a child who just returned from a coronary arteriogram in which the catheter was placed through the left femoral artery. Which nursing action(s) demonstrates knowledge of the procedure? Select all that apply.Answer →
  31. 31The nurse is caring for an infant with gastroesophageal reflux disease (GERD). What is the nurse's best action?Answer →
  32. 32The nurse will be administering an antitussive medication containing codeine to a patient. What is the priority assessment?Answer →
  33. 33The nurse is preparing to administer oral iron supplement drops to a child. What is the nurse's best action?Answer →
  34. 34The nurse notifies the health care provider of the lab values, blood pressure and pulse, and current intake and output. Which prescriptions does the nurse expect the healthcare provider to write based on the information? Select all that apply.Answer →
  35. 35The nurse is caring for a 3-year-old child with an acute renal disorder. The child's hourly urinary output is 15 mL and the child weighs 16 Kg. What is the nurse's best action?Answer →
  36. 36A nurse is reviewing the laboratory results of a school-age child who has glomerulonephritis. Which of the following laboratory findings should the nurse expect?Answer →
  37. 37A 5-year-old child with cystic fibrosis is admitted for poor weight gain and chronic productive cough. The nurse is reinforcing discharge teaching with the parents. Which statements indicate appropriate understanding of home management? (Select all that apply):Answer →
  38. 38A nurse assesses a child with a ventriculoperitoneal (VP) shunt who now has vomiting, irritability, and a bulging fontanel. Which intervention is the priority?Answer →
  39. 39Click to highlight the findings that require Immediate follow-up. To deselect a finding, click on the finding again.Answer →
  40. 40A nurse is assessing a client who has end-stage kidney disease and is receiving hemodialysis. Which of the following findings should the nurse identify as an indication the client is experiencing fluid overload?Answer →
  41. 41What explains physiologically the edema formation that occurs with burns?Answer →
  42. 42A nurse is caring for a child who has aplastic anemia and provides education to the child and their family regarding clinical manifestations of the condition. Which of the following statements provides accurate education? (Select All that Apply.)Answer →
  43. 43A nurse is providing education to the guardian of a child who has a prescription for nirsevimab for respiratory syncytial virus (RSV). Which of the following instructions should the nurse provide to the guardian?Answer →
  44. 44Which information should the nurse include when discussing the condition with the child's parents?Answer →
  45. 45A nurse is caring for a child who is suspected of having pertussis. The nurse should recognize that the pathophysiology of pertussis includes which of the following? (Select All that Apply.)Answer →
  46. 46A nurse is providing education to a family of a child who has Kawasaki disease. Which of the following statements made by the caregiver indicates an understanding of the education provided?Answer →
  47. 47An acute care nurse is caring for a pediatric client diagnosed with diabetes mellitus who receives insulin injections. Which of the following actions by the nurse demonstrates atraumatic care?Answer →
  48. 48A nurse is preparing to administer digoxin to a 6-month-old infant. Prior to administering the dose, the nurse measures the apical heart rate. The nurse should withhold the dose if the infant's apical heart rate is less than what rate?Answer →
  49. 49A nurse is managing the care of a pediatric client with cerebral palsy who uses a wheelchair and has well-controlled epilepsy. Which nursing action best supports the client's independence while ensuring safety during transfers?Answer →
  50. 50A nurse is caring for an 8-year-old child who has acute rheumatic fever. Which of the following assessments is the nurse's priority immediately after admission?Answer →
  51. 51A nurse is providing education to a 10-year-old child newly diagnosed with hemophilia and their parents. The parents state that they are withdrawing their child from participating in any sports or physical activities because they are worried the child will get injured. Which of the following statements made by the nurse is most appropriate?Answer →
  52. 52The nurse is providing education to the parents of a child diagnosed with pinworms. Which statement will the nurse include in the teaching?Answer →
  53. 53Young children are more likely to develop Diabetes Type 1 than Type 2. However, older children and teens could develop either type. Compared with the onset of Type 1 Diabetes, an older school-age child or adolescent with Type 2 Diabetes is more likely to have which of the following symptoms:Answer →
  54. 54A nurse in a pediatric clinic assesses a 15-year-old client with asthma during a follow-up visit. The client reports using an albuterol inhaler 4-5 times per week and awakening with shortness of breath once weekly. Which action should the nurse anticipate will be ordered in stepping up asthma treatment?Answer →
  55. 55The nurse is caring for a child receiving chemotherapy. Which situation requires immediate intervention by the nurse?Answer →
  56. 56A nurse is reinforcing the provider's explanation about treatment options to the parents of a 1-month-old who has coarctation of the aorta. Which of the following statements should the nurse include?Answer →
  57. 57Which of the following actions should the nurse plan to take based on the most recent assessment findings? (Select all that apply.)Answer →
  58. 58Based on the admission notes, what are the top three priority assessments that the nurse should assess? Select 3 of the choices below.Answer →
  59. 59A 5-month-old infant is brought to the pediatric clinic with an umbilical hernia. Which assessment finding requires immediate provider notification? Select all that applyAnswer →
  60. 60A nurse is providing care to a 2-year-old who has a strong family history of hypertension. At the clinic visit, the child's caregiver asks when it would be appropriate to monitor blood pressure. Which of the following statements made by the nurse is accurate?Answer →
  61. 61Complete the diagram by dragging from the choices below to specify what condition the infant is most likely experiencing, two actions the nurse should take to address the condition, and two parameters the nurse should monitor to assess the infant's progress.Answer →
  62. 62A nurse is caring for an infant diagnosed with meningitis. The parent of the infant asks how they can prevent the infection from being spread to their other children who are 2 and 4-years of age. Which of the following responses should the nurse make?Answer →
  63. 63The nurse is teaching the parent of a child with cystic fibrosis about respiratory and nutrition requirements for the child. What should be included in this teaching? (SELECT ALL THAT APPLY)Answer →
  64. 64The nurse is educating the parents of a child who has just undergone a tonsillectomy. Which statement by the parent indicates the parent understands the teaching:Answer →
  65. 65A nurse is assessing a child who has a suspected head injury. Which of the following actions should the nurse take to assess the child's cognitive status?Answer →
  66. 66A nurse is assessing an infant who is vomiting after feedings. Which of the assessment findings is most indicative of pyloric stenosis?Answer →
  67. 67The nurse is preparing to teach the parent of a school-age child about cast care. Which instructions are most important for the nurse to give the parent? Select all that apply.Answer →
  68. 68A nurse is caring for an adolescent who has spina bifida and is paralyzed from the waist down. Which of the following statements by the client should indicate to the nurse a need for further teaching?Answer →
  69. 69Which the following advice would be most helpful for the parents of a baby with gastroesophageal reflux during discharge planning from the pediatric unit.Answer →
  70. 70Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.Answer →
  71. 71A nurse in an emergency department is assessing a 3-year-old child who has a high fever, severe dyspnea, and is drooling. Which of the following actions is the nurse's priority?Answer →
  72. 72The babysitter of a 7-year-old who has type 1 diabetes mellitus (DM) calls the clinic to report that the child is very imitable perspiring, and shaking. Which instruction should the nurse provide to the babysitter?Answer →
  73. 73An adolescent with pelvic inflammatory disease (PID) is admitted to the hospital after 14 days of taking levofloxacin 500 mg PO daily and metronidazole 500 mg IV piggy back (IVBP) twice daily (BID). She asks the nurse. "Why do I have to be in the hospital? Why can't I get my treatment at home?" Which purpose should the nurse provide that supports an effective outcome?Answer →
  74. 74An 8-year-old with confirmed FXS has a short attention span and significant hyperactivity that interferes with school participation. Which medication approach is most appropriate to discuss with the provider?Answer →
  75. 75What is the most important nursing intervention to prevent skin breakdown in a child with a spica cast?Answer →
  76. 76The nurse is caring for 2-year-old child in a hip spica cast. What should the nurse include in the plan of care?Answer →
  77. 77A nurse is planning care for a child who has cystic fibrosis. Which of the following interventions should the nurse include to enhance airway patency?Answer →
  78. 78For each body system below, click to specify the potential nursing intervention that would be appropriate for the care of the child. Each body system may support more than 1 potential nursing intervention. (Each category must have at least 1 response option selected)Answer →
  79. 79Which of the following is the most likely cause of childhood self-limiting rashes?Answer →
  80. 80A nurse is reviewing data for four children. Which of the following children should the nurse assess first?Answer →
  81. 81The nurse is caring for a child with mononucleosis (Epstein Barr Virus EBV). Which statement by the parent causes concern?Answer →
  82. 82You are the nurse caring for a patient who is being discharged with several new medications. You would educate the patient on the need to have serum drug levels drawn for which of the following medications?Answer →
  83. 83A nurse is providing health promotion education to an adolescent diagnosed with dyslipidemia. Which of the following statements made by the adolescent indicates an understanding of the education? (Select all that apply.)Answer →
  84. 84A nurse is caring for a 2-year-old child in the emergency department who was diagnosed with foreign body aspiration. Which of the following clinical manifestations should the nurse expect to see when assessing the child? (Select All that Apply.)Answer →
  85. 85An infant with Down syndrome has hypotonia, chronic nasal congestion, and tires easily during feeds. Which nursing instruction to the parents is priority to improve feeding and reduce infection risk?Answer →
  86. 86The nurse is caring for a child with a short-leg cast. Which priority assessments are needed? Select all that apply.Answer →
  87. 87The nurse is caring for a child with a glomerular nephritis. Which care provider order should the nurse question?Answer →
  88. 88A nurse assesses a child with hypothyroidism who is increased fatigued, has cool, dry skin and a slowing heart rate. Which intervention is the priority?Answer →
  89. 89Which medication is an example of a long-acting beta-adrenergic agonist (LABA) medication?Answer →
  90. 90The nurse is performing an assessment of a school-age client and notices the client is requesting to use the bathroom often, has asked for water multiple times in the last couple of hours, and is requesting extra snacks following breakfast. The child's weight is trending down over the last few days. Based on this information, which of the following does the nurse suspect?Answer →
  91. 91A nurse assesses a 3-year-old client with suspected croup. Which finding indicates the child's condition is worsening and requires immediate intervention?Answer →
  92. 92After applying a splint for a suspected radius fracture, which action is priority?Answer →
  93. 93A nurse is caring for a 16-year-old adolescent who just received rescue medication for an asthma exacerbation. Prior to the medication administration, nursing assessment revealed tearfulness, a respiratory rate of 32/min, wheezing in all lobes, oxygen saturation level of 91% on room air, inability to speak, and nasal flaring. The nurse should recognize that which of the following manifestations would indicate the client's condition is improving?Answer →
  94. 94A newborn infant is diagnosed with hypospadias and the parents have requested a circumcision prior to discharge. Which response should the nurse provide?Answer →
  95. 95A nurse is caring for a child who has red marks across his cheeks. Which of the following actions should the nurse take?Answer →
  96. 96The nurse is admitting a child with a pruritic rash. The assessment reveals lesions in various stages of healing: macules, papules, vesicles, and crusts all present simultaneously. This finding is most consistent with which disease?Answer →
  97. 97Which of the following should the nurse anticipate the provider ordering to confirm the suspected diagnosis?Answer →
  98. 98A nurse is admitting a school-age child who has osteomyelitis. Which of the following actions should the nurse take first?Answer →
  99. 99The nurse is caring for an infant admitted with dehydration, irritability, signs of extreme hunger, and a palpable olive-like mass in the upper right abdominal quadrant. When feeding the infant, the nurse should monitor for which development?Answer →
  100. 100A nurse is caring for an infant diagnosed with tetralogy of Fallot. The infant's caregiver asks the nurse to explain this diagnosis. Which of the following is an accurate statement about this condition?Answer →
  101. 101The MD orders 10 mg/kg/day every 12 hours (2 times per day). The patient weighs 30 kg. What is the maximum dose in mg the patient will receive per dose?Answer →
  102. 102Based on patient re-assessment, which parental observations indicate a Tet spell may be occurring?Answer →
  103. 103A child with Grave's disease who is taking propranolol is seen in the clinic. The nurse should monitor the child for which therapeutic response?Answer →
  104. 104A nurse is caring for a child who is having a seizure. Which of the following is an appropriate action by the nurse? (Select all that apply.)Answer →
  105. 105A nurse is reviewing the medical record of a school-age child who has cystic fibrosis. Which of the following findings should the nurse report to the provider?Answer →
  106. 106A 6-year-old with heart failure (HF) gained 2 pounds (0.9 kg) in the last 24 hours. Which intervention is most important for the nurse to implement?Answer →
  107. 107A nurse is preparing to administer diphenhydramine 30 mg IM stat to a client who is having an allergic reaction. Available is diphenhydramine 50 mg/1 mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)Answer →
  108. 108For each body system below, click to specify the statement the nurse should include in the teaching. Choose the most likely response for the dropdown(s) in the table below by choosing from the lists of options. Note: Each drop down must have 1 response selected.Answer →
  109. 109The nurse has completed the child's admission assessment. Drag from the choices below to specify what condition the client is most likely experiencing [blank1], 2 actions the nurse should take to address that condition [blank2] and [blank3], and 2 parameters the nurse should monitor to assess the client's progress [blank4] and [blank5].Answer →
  110. 110A nurse is assessing a 2-month-old infant who has an acute respiratory tract infection. Which of the following findings should the nurse identify as requiring intervention? Select All that Apply.Answer →
  111. 111The nurse is caring for an infant with a ventriculoperitoneal shunt. Which finding requires immediate notification of the health care provider?Answer →
  112. 112A nurse is providing teaching to the parents of a child who has had a shunt inserted as a treatment for hydrocephalus. The parents demonstrate understanding of the teaching when they make which statement?Answer →
  113. 113A nurse is providing discharge instructions to the parent of a 3-year-old toddler who is in the emergency department for croup. Which of the following conditions should the nurse instruct the parent to monitor for to prevent spasmodic croup?Answer →
  114. 114Which patient should the nurse prioritize first? A. The patient with pneumonia and a temperature of 99.9°F that has intravenous antibiotics due in one hour B. The patient admitted with COPD complaining of wheezing and increased shortness of breath with a PRN albuterol order C. The patient admitted with an asthma exacerbation who has regularly scheduled nebulizer treatments D. The patient requesting a dose of PRN oral pain medication 2 days after lung surgeryAnswer →
  115. 115A child weighs 31.9 Kg. Based on the child's daily maintenance fluid requirement, at what rate (mL/hr) will the nurse administer the fluid? Round to the nearest tenth. Do not label just record the numberAnswer →
  116. 116Which finding indicates appropriate skeletal traction care?Answer →
  117. 117A nurse is caring for a school-age child who has a systemic disorder and is receiving antibiotics, immunosuppressants, and corticosteroids. Both of the child's parents have a smoking history. The child reports soreness in his mouth and refuses to eat. Inspection of his mouth reveals a white, milky plaque that does not come off with rubbing. The nurse should suspect which of the following conditions?Answer →
  118. 118A mother brings her 2-month-old to the well-baby clinic. She informs the nurse that when she kisses her baby, the infant's skin tastes salty. The nurse should prepare the mother for which standard diagnostic test to screen for cystic fibrosis (CF)?Answer →
  119. 119Which finding during the Adam's forward bend test requires further evaluation?Answer →
  120. 120The nurse is assessing a 5-year-old child who is anxious, has a high fever, speaks in a whisper, and sits up with their neck thrust forward. Based on these findings, what action will the nurse avoid?Answer →
  121. 121A nurse is teaching a class for mothers of premature infants, and is asked about, "a shot for respiratory virus." Which information about palivizumab is correct?Answer →
  122. 122A nurse is providing education regarding dental visits to the caregivers of a child who has a history of recurrent infectious endocarditis. Which of the following statements made by the caregivers indicates an understanding of the education provided?Answer →
  123. 123The nurse is caring for an infant prescribed oral digoxin. Which finding will cause the nurse to hold the dosage and notify the primary health care provider?Answer →
  124. 124A nurse is caring for an infant who weighs 12 lb and is prescribed cefuroxime sodium 15 mg/kg PO every 12 hr. Available is cefuroxime sodium oral solution 125 mg/5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)Answer →
  125. 125A nurse is providing education to the family of an infant who has a significant atrial septal defect (ASD). Which of the following is an accurate statement regarding clinical manifestations of ASD?Answer →
  126. 126A nurse is providing care to an infant who has tetralogy of Fallot. The infant's caregiver reports increased Irritability and a bluish discoloration of the infant's oral mucous membranes. Which of the following interventions is the nurse's priority?Answer →
  127. 127A mother brings her seven-month-old infant to the clinic and reports for the past couple of weeks the infant is no longer sitting and crawling and has been vomiting. Physical examination reveals that the infant's head circumference has markedly increased from the last visit and is at a much greater percentile than the infant's height or weight. The child is alert, but not playful. Which pathology does the nurse suspect?Answer →
  128. 128A 4-year-old child has a history of seizures and has been started on a ketogenic diet. Which food selection is appropriate for the child's lunch?Answer →
  129. 129A nurse is caring for a school-age child who has heart failure. Which of the following interventions should the nurse implement?Answer →
  130. 130A nurse is caring for a child who has increasing manifestations of fever, headache, stiff neck, and rash. Which of the following diagnostic tests should the nurse expect the health care provider to order?Answer →
  131. 131A nurse is reinforcing education to parents of an infant who has intussusception. Which of the following statements would the nurse provide to the parents?Answer →
  132. 132A nurse is caring for a toddler who has acute laryngotracheobronchitis and has been placed in a cool mist tent. Which of the following findings indicates that the treatment has been effective?Answer →
  133. 133The nurse reviewed an Asthma Action Plan with an 8-year-old child. Which medication should be used for an acute exacerbation of asthma?Answer →
  134. 134The nurse is examining an 8-year-old boy with tachycardia and tachypnea. The nurse anticipates which test as most helpful in determining the extent of the child's hypoxia:Answer →
  135. 135What factor predisposes an infant to fluid imbalances?Answer →
  136. 136A nurse is planning a staff in-service about infection control measures to prevent the spread of influenza in school-age children. Which of the following instructions should the nurse include?Answer →
  137. 137A nurse is providing discharge instructions to a parent and his school-age child who has juvenile idiopathic arthritis. Which of the following instructions should the nurse include?Answer →
  138. 138Assessment of the respiratory function is best determined when the child is sleeping or quietly awake, why?Answer →
  139. 139A nurse is providing teaching to the caregiver of an infant born with congenital talipes equinovarus (clubfoot). Which of the following statements should the nurse include in their teaching?Answer →
  140. 140A nurse is completing an assessment of a newborn, Including obtaining blood pressure measurements at each extremity. Which of the following findings suggests coarctation of the aorta?Answer →
  141. 141A nurse is providing education to the family of a school aged child who has a history of atrial septal defect (ASD) with surgical repair. The child's caregivers ask the nurse if their child can play sports. Which of the following statements made by the nurse is most appropriate?Answer →
  142. 142A nurse is preparing to administer a loading dose of phenytoin 5 mg/kg/day IV every 12 hr to an infant who weighs 10 lb 4 oz. How many mg should the nurse administer per dose? (Round the answer to the tenth.)Answer →
  143. 143A nurse is teaching a parent of an infant who has heart failure about meeting the infant's nutritional needs. Which of the following statements by the parent indicates an understanding of the teaching?Answer →
  144. 144The nurse is caring for an 8-year-old child diagnosed with scarlet fever who is prescribed penicillin V. Which statement by the parents indicates the need for further teaching about this treatment?Answer →
  145. 145A nurse is providing care to an infant who has tetralogy of Fallot. The infant's caregiver reports increased irritability and a bluish discoloration of the infant's skin and oral mucous membranes. Which of the following interventions is the nurse's priority?Answer →
  146. 146A nurse is caring for a child who is 2 hr postoperative following a tonsillectomy. Which of the following fluid items should the nurse offer the child at this time?Answer →
  147. 147A nurse is providing education to the parent of a 13-year-old adolescent who has a prescription for oseltamivir for influenza. The nurse should instruct the parent to monitor the adolescent for which of the following findings during treatment?Answer →
  148. 148The nurse is caring for an infant with unilateral clubfoot. Which information should the nurse include in parent education about long term outcomes?Answer →
  149. 149A nurse is teaching a parent of a child who has hemophilia how to control a minor bleeding episode. Which of the following statements by the parent indicates the need for further teaching and would not be helpful in stopping the bleeding?Answer →
  150. 150A nurse is admitting a developmentally appropriate 10-year-old child from Eastern Europe. Which pain scale will the nurse use to assess this child?Answer →
  151. 151A nurse is providing education regarding dental visits to the caregivers of a child who has a history of recurrent infectious endocarditis. Which of the following statements made by the caregivers indicates an understanding of the education provided?Answer →
  152. 152A 4-year-old child has a febrile seizure during a well-child visit. What action would be a priority?Answer →
  153. 153The nurse is caring for a pediatric patient with diabetes. The nurse notes new onset of diaphoresis, tremors and confusion. Which of the following actions would the nurse take first?Answer →
  154. 154For each finding, indicate whether it is Consistent or Not Consistent with a simple febrile seizure.Answer →
  155. 155A nurse in an emergency department is assessing a 3-year-old child who has a high fever, severe dyspnea, and is drooling. Which of the following actions is the nurse's priority?Answer →
  156. 156Which assessment finding on a patient taking pseudoephedrine alerts the nurse to notify the provider?Answer →
  157. 157Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.Answer →
  158. 158A nurse is preparing to administer erythromycin 50 mg/kg/day PO divided in equal doses every 6 hr to a client who weighs 29 lb. Available is erythromycin suspension 200 mg/5 ml. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth.)Answer →
  159. 159A nurse is caring for a pediatric client receiving radiation therapy to the abdominal area. Which of the following statements by the nurse promotes proper skin integrity for the client?Answer →
  160. 160For each potential condition, click to specify if the child's assessment findings are consistent with Hodgkin Lymphoma, Bacterial Meningitis, Acute Lymphoblastic Leukemia (ALL). Each finding may support more than 1 disease process. Note. Each category must have at least 1 response option selected.Answer →
  161. 161The nurse is caring for a school-age child who has laboratory results that reveal the presence of anti-gliadin and anti-endomysia immunoglobulin G and immunoglobulin A antibodies. The nurse should identify with the parent and child which food to avoid after discharge to home?Answer →
  162. 162A school-age child with acute diarrhea and mild dehydration is being given oral rehydration solutions (ORS). The child's mother calls the clinic nurse because he is also occasionally vomiting. The nurse should recommend which intervention?Answer →
  163. 163A 10-year-old child with persistent asthma presents to the school nurse with the following. Based on these findings, which action should the nurse take first?Answer →
  164. 164A toddler with signs and symptoms of acute epiglottitis is brought to the emergency department by the parents. Which action is most important for the nurse to take?Answer →
  165. 165Review history and physical, nurse's notes, and flow sheet. Click to highlight the findings that would indicate the client has measles.Answer →
  166. 166A nurse is providing discharge instructions to the parent of a 3-year-old toddler who is in the emergency department for croup. Which of the following conditions should the nurse instruct the parent to monitor for to prevent spasmodic croup?Answer →
  167. 167A nurse is assessing a preschooler who has a calcium level of 8.0 mg/dL. Which of the following findings should the nurse expect?Answer →
  168. 168The nurse is administering a secondary infusion of amikacin 600 mg IV in 100 mL of D5W over 45 minutes every 8 hours for a child who weighs 40 kg. The nurse should program the infusion pump to deliver how many mL/hour? (Enter numeric value only. If rounding is required, round to the nearest whole number.)Answer →
  169. 169A child is diagnosed with Wilms' tumor. During assessment, the nurse expects to detect:Answer →
  170. 170A newborn has a positive Ortolani maneuver. What is the nurse's priority action?Answer →
  171. 171A nurse is caring for a client who has neutropenia. Which of the following should the nurse identify as a risk that the client can develop?Answer →
  172. 172A nurse is providing education to a family of a child who has Kawasaki disease. Which of the following statements made by the caregiver indicates an understanding of the education provided?Answer →
  173. 173What laboratory value should be monitored at baseline and periodically in a patient taking a leukotriene modifier such as montelukast?Answer →
  174. 174A nurse is caring for a pediatric client diagnosed with bacterial meningitis who is exhibiting signs of increased irritability and sensitivity to stimuli. Which nursing intervention best supports comfort and promotes recovery?Answer →
  175. 175The nurse is caring for a 9-year-old who reports nocturnal enuresis. What should the nurse include in the plan of care for this child? Select all that apply.Answer →
  176. 176A nurse is preparing a presentation for an expectant parent group about neural tube defects and prevention. Which would the nurse emphasize?Answer →
  177. 177The nurse is caring for a child with a short-leg cast. Which priority assessments are needed? Select all that apply.Answer →
  178. 178The nurse is caring for a patient with mild dehydration. The provider orders oral rehydration solution 60cc PO. Which of the following is true of oral rehydration solution?Answer →
  179. 179A child with a suspected cardiovascular disorder is to undergo diagnostic testing and is scheduled for an echocardiogram. When explaining this test to the child, what will the nurse include?Answer →
  180. 180The nurse explains that because of an inadequate secretion of insulin:Answer →
  181. 181The RN is caring for an 8-year-old patient with Hemophilia A who is on the soccer team. Which statement by the parent indicates the teaching was effective?Answer →
  182. 182An infant is admitted for surgery who has a Wilms' tumor. Which nursing intervention should the nurse implement during the preoperative period?Answer →
  183. 183A newborn born at 30 weeks' gestation is diagnosed with respiratory distress syndrome (RDS). Which anatomical feature is underdeveloped or deficient in this condition, leading to respiratory compromise?Answer →
  184. 184The nurse is caring for a child that just returned from a coronary arteriogram in which the catheter was placed through the left femoral artery. Which nursing actions demonstrate knowledge of the procedure? Select all that apply.Answer →
  185. 185The nurse attended the delivery of a newborn with bladder exstrophy. What should the nurse prioritize in the plan of care?Answer →
  186. 186A nurse is assessing a 1-year-old toddler and notices a large abdominal mass and pink-tinged urine on the diaper. Which of the following disorders should the nurse suspect?Answer →
  187. 187A nurse is presenting an in-service about the use of postural drainage for infants who have cystic fibrosis. Which of the following positions should the nurse identify as being contraindicated for the infant?Answer →
  188. 188For each action, indicate whether it is Priority / Appropriate Not Priority / Not Appropriate.Answer →
  189. 189A nurse is assessing a child who has rubeola. Which of the following findings should the nurse expect?Answer →
  190. 190A nurse is caring for an 8-year-old child who has acute rheumatic fever. Which of the following assessments is the nurse's priority immediately after admission?Answer →
  191. 191The parent of a 2-year-old child calls the nurse triage line of the primary care office reporting that the child has signs of croup (laryngotracheobronchitis). Which instructions are most import for the nurse to give the parent?Answer →
  192. 192A nurse is providing education to the family of a school aged child who has a history of atrial septal defect (ASD) with surgical repair. The child's caregivers ask the nurse if their child can play sports. Which of the following statements made by the nurse is most appropriate?Answer →
  193. 193A nurse is caring for a 9-year-old boy with hemophilia who has come to the emergency department with a warm, swollen right knee following a fall. His skin is intact. Which care provider order should the nurse prioritize?Answer →
  194. 194A nurse is assigned a pediatric patient diagnosed with Diabetic Ketoacidosis. Which patient presentation would the nurse expect to see in DKA (SELECT ALL THAT APPLY):Answer →
  195. 195A child is being treated for dehydration. The provider prescribes 1.5 times the daily fluid requirement. The child weighs 37.5 Kg. Based on the child's daily maintenance fluid requirement, at what rate (mL/hr) will the nurse administer the fluid? ROUND YOUR ANSWER TO THE WHOLE NUMBER Do not label just record the number.Answer →
  196. 196A parent of a child asked the nurse the difference between phimosis and paraphimosis. Which response by the nurse is appropriate?Answer →
  197. 197The nurse completed teaching the parent of an infant with developmental dysplasia of the hip (DDH) about the Pavlik harness. Which statement by the parent indicates understanding?Answer →
  198. 198A pediatric nurse is providing care to a child with congenital heart disease. The nurse understands that this type of heart disease is different from acquired heart disease in what way? Select all that apply:Answer →
  199. 199The statement made by a parent indicating an understanding of the topical application of medications for a skin condition is:Answer →
  200. 200A nurse is caring for a child who is having a seizure. Which of the following is an appropriate action by the nurse? (Select all that apply.)Answer →
  201. 201When developing the plan of care for a child with cerebral palsy, which treatment would the nurse expect as least likely?Answer →
  202. 202Assessment of the child with respiratory infection is important and crucial. What is most important for the nurse to do?Answer →
  203. 203The nurse is caring for a 6-month-old child with rectal temperature is 103.4F, capillary refill is > 5 seconds, patient is difficult to arouse, blood pressure 60/30 mmHg, heart rate 180 BPM and pulse ox 98%. Which intervention is anticipated.Answer →
  204. 204When providing care to a newborn who was born at 29 weeks' gestation, the nurse integrates knowledge of potential complications, being alert for signs and symptoms of what condition?Answer →
  205. 205A child is admitted with a suspected diagnosis of Wilms' tumor. The nurse should place a sign with which of the following warnings over the child's bed?Answer →
  206. 206The care provider prescribes an intravenous fluid bolus of 20 mL/Kg over 20 minutes for a child who weighs 20 lb. At what rate (mL/hr) will the nurse administer the intravenous bolus? ROUND to the nearest tenth Do not label just record the number.Answer →
  207. 207The nurse observes a child's position is supine with his arms and legs rigidly extended and the hands pronated. The nurse recognizes this posture as:Answer →
  208. 208An adolescent has just had a generalized seizure and collapsed in the school nurse's office. The nurse should call 911 if the student:Answer →
  209. 209A nurse is screening a client at 16 weeks of gestation. Which of the following factors in the client's health history should the nurse identify as raising the risk for a myelomeningocele? (Select All that Apply.)Answer →
  210. 210The nurse is caring for a 3-day-old infant diagnosed with patent ductus arteriosus who is receiving indomethacin treatment. Which assessment finding should the nurse report immediately to the health care provider?Answer →
  211. 211A nurse is caring for a child who has red marks across his cheeks. Which of the following actions should the nurse take?Answer →
  212. 212A nurse is caring for a 3-year-old client who has been recently diagnosed with Wilms' tumor. Which of the following assessment parameters must be modified to properly care for this client before surgery?Answer →
  213. 213The nurse suspects that a 4-year-old child with type 1 diabetes is experiencing hypoglycemia based on which finding(s)? Select all that apply.Answer →
  214. 214A 2-year-old child has been diagnosed with hemophilia A. The information the nurse would include in a teaching plan about home care would be:Answer →
  215. 215A nurse is providing teaching about iron deficiency anemia to the parents of a toddler. Which of the following should the nurse recommend as a method of preventing iron deficiency anemia?Answer →
  216. 216The nurse is caring for a school-age child in an outpatient setting. The parent reports seeing the child frequently scratching the anal area. What should the nurse do next?Answer →
  217. 217A nurse is caring for an infant who has diaper dermatitis. Which of the following actions should the nurse take?Answer →
  218. 218A nurse is assessing a pediatric patient with systemic lupus erythematosus (SLE). Which finding should the nurse expect?Answer →
  219. 219A nurse is caring for a child who has a suspected diagnosis of cystic fibrosis. Which of the following diagnostic tests will confirm the diagnosis?Answer →
  220. 220A nurse is caring for a client with hypospadias. Which of the following is true of hypospadias?Answer →
  221. 221A nurse is caring for a child who is having a tonic-clonic seizure and vomiting. Which of the following actions is the nurse's priority?Answer →
  222. 222A nurse is teaching the caregiver of a child who has nocturnal enuresis. Which of the following statements should the nurse include in the teaching?Answer →
  223. 223Anaphylaxis is an acute syndrome which is an immediate, life-threatening situation. What sign and symptom should you look for?Answer →
  224. 224Which of the following conditions is the infant most likely experiencing?Answer →
  225. 225The nurse is caring for a 1-year-old child who is dehydrated and receiving intravenous fluid. What is the nurse's priority assessment?Answer →
  226. 226An infant presents to the clinic for a routine physical examination. The child has a history of Human Immunodeficiency Virus (HIV). Which of the following most likely represents manifestations of an opportunistic infection:Answer →
  227. 227The nurse is caring for an infant with candidal diaper rash. Which topical agent would the nurse expect the physician to order?Answer →
  228. 228A mother of a child diagnosed with Tetrology of Fallot and states she keeps hearing the term "cyanosis". The nurse explains that cyanotic heart defects involve abnormal blood flow defined by:Answer →
  229. 229A 9-year-old with juvenile idiopathic arthritis often refuses ROM exercises, becomes moody, and argues with caregivers. Which nursing intervention is highest priority to promote adaptive coping and function?Answer →
  230. 230The nurse is caring for a child diagnosed with transposition of the great vessels. Which care provider prescription does the nurse anticipate?Answer →
  231. 231The nurse is caring for a 9-year-old child newly diagnosed with type 1 diabetes. The child has polyuria, polydipsia, and weight loss. Which nursing intervention(s) should the nurse include in the care plan? Select all that apply.Answer →
  232. 232The nurse is caring for an unvaccinated child with 104F fever, photophobia, neck rigidity. The CBC reveals white blood cell (WBC) of 20. Which of the following presentations corresponds to meningitis and which of the following corresponds to general infection (Each presentation matches only 1)Answer →
  233. 233The nurse is caring for an 8-year-old male child who had a seizure and is admitted for observation. The nurse needs to intervene with this child while they are having a seizure. Complete the following sentence by choosing from the lists of options. The nurse's first action should be to ___.Answer →
  234. 234A nurse is reviewing the child's electronic medical record (EMR). Which of the following findings should the nurse identify as requiring immediate follow-up? Select the 5 findings that require immediate follow-up.Answer →
  235. 235The nurse is assessing a child with a recent viral illness who now has severe vomiting, confusion, and irritability. To evaluate for possible Reye's syndrome, which question should the nurse ask the guardian?Answer →
  236. 236A nurse is planning an in-service about communicable diseases for staff members. Which of the following diseases should the nurse identify as causing Koplik spots?Answer →
  237. 237A nurse on a pediatric unit is caring for a client who has a brain tumor. To help ensure the client's safety, which of the following actions should the nurse take?Answer →
  238. 238A nurse in a PACU is admitting a client who is postoperative following a tonsillectomy. Which of the following actions should the nurse plan to take to prevent aspiration?Answer →
  239. 239A 9-year-old child with severe persistent asthma is evaluated in the pulmonary clinic for frequent exacerbations requiring rescue inhaler use several times per week. During the health history, the nurse learns that both parents smoke two packs of cigarettes per day inside the home. Which nursing intervention is most appropriate to include in the plan of care?Answer →
  240. 240A nurse is providing education about physical activity to an adolescent who has beta thalassemia. Which of the following statements by the adolescent indicates that the education was effective?Answer →
  241. 241A nurse is teaching the guardian of a child who is suspected of having cystic fibrosis and is scheduled for a sweat chloride test. Which of the following statements should the nurse include?Answer →
  242. 242A nurse is assessing a preschooler who has a calcium level of 8.0 mg/dL. Which of the following findings should the nurse expect?Answer →
  243. 243The nurse acknowledges that which of the following conditions could occur when taking Furosemide (Lasix)?Answer →
  244. 244The nurse is caring for a 7-year-old male child brought to the emergency room with new-onset shortness of breath and wheezing. Complete the following sentence(s) by choosing from the lists of options. The child is at highest risk for developing (1) ___ as evidenced by (2) ___.Answer →
  245. 245A 2-year-old child with tetralogy of Fallot exhibits sudden cyanosis of the face and chest while playing. What is the priority action by the nurse?Answer →
  246. 246An 18-month-old toddler is admitted with acute gastroenteritis after two days of persistent vomiting and diarrhea. The child appears lethargic, has dry mucous membranes, and a capillary refill time of 3 seconds. The provider prescribes rehydration therapy. Which nursing interventions are appropriate to restore hydration and monitor perfusion? (Select all that apply.)Answer →
  247. 247Compute the amount of medication you will give to administer one dose of the following medication orders. Order: furosemide 80 mg p.o. b.i.d. Supply: Bottle containing 50 tablets of Lasix (furosemide), 80 mg per tablet (Enter # of tablet(s) only. Use decimal if necessary). Give: _____ tablet(s)Answer →
  248. 248Indicate whether each cue suggests Meningitis or Benign Febrile Seizure.Answer →
  249. 249A nurse is providing teaching about iron deficiency anemia to the parents of a toddler. Which of the following should the nurse recommend as a method of preventing iron deficiency anemia?Answer →
  250. 250A nurse is caring for a school-age child following a femoral venous cardiac catheterization. Which of the following actions should the nurse take?Answer →
  251. 251Prostaglandin is prescribed for an infant with Transposition of the Great Vessels. The mother of the child asks why the child needs the medication. The nurse explains that the role of the medicationAnswer →
  252. 252When the child receiving a transfusion complains of back pain and itching, the nurse's initial action would be to:Answer →
  253. 253A nurse is caring for an adolescent client who has pneumonia and a prescription for cefpodoxime 5 mg/kg PO every 12 hr for 5 days. The client weighs 88 lb. How many mg should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)Answer →
  254. 254A nurse assesses a pediatric client with Kawasaki disease who has fever, strawberry tongue, and skin peeling which intervention is the priority?Answer →
  255. 255A nurse is assessing a 2-year-old toddler who has bronchitis. For which of the following findings should the nurse anticipate a prescription for a chest x-ray?Answer →
  256. 256The nurse is caring for an infant with intussusception. The nurse knows which of the following should be prioritized as the treatment?Answer →
  257. 257A nurse is assessing a client suspected of having appendicitis. To accurately locate McBurney's point during the abdominal examination, where should the nurse palpate?Answer →
  258. 258The nurse is taking care of a patient 4-year-old patient immediately after a neurosurgery and notes urine output totaling 800cc in 4 hours. Which are most likely findings in a patient with Diabetes Insipidus:Answer →
  259. 259A nurse is planning an educational program about head lice for a group of preschool teachers. Which of the following information should the nurse include? (Select All that Apply.)Answer →
  260. 260A nurse is caring for a child receiving chemotherapy who has decreased platelet count. Which intervention is the priority?Answer →
  261. 261A nurse is assessing a 2-year-old toddler who has bronchitis. For which of the following findings should the nurse anticipate a prescription for a chest x-ray?Answer →
  262. 262A 9-year-old child is evaluated for ongoing hearing difficulties. The nurse notes that the child has a history of chronic otitis media with effusion and recently underwent audiologic testing. The results show reduced hearing acuity that improves when sound volume is increased, and the child demonstrates good speech discrimination when sounds are loud enough. The child has not yet tried hearing aids. Which type of hearing loss is most consistent with these findings?Answer →
  263. 263When developing the plan of care for a child with burns requiring fluid replacement therapy, what intervention does the nurse expect to include?Answer →
  264. 264A nurse is caring for an adolescent with Duchenne muscular dystrophy (DMD). Which finding is the highest priority?Answer →
  265. 265A 6-year-old child with asthma is experiencing an acute episode of bronchospasm. Which of the prescribed medications should the nurse administer to treat the bronchospasm?Answer →
  266. 266All of the following are considered side effects associated with the use of beta-2 agonists except:Answer →
  267. 267A nurse is providing discharge teaching to the parent of a 6-year-old girl who was treated for a urinary tract infection (UTI). The parent asks about UTI risks. Which statements by the parent indicate correct understanding of the teaching? Select all that apply.Answer →
  268. 268A 4-year-old child presents to the emergency department with a suspected fracture of the forearm. What is the nurse's best action?Answer →
  269. 269The nurse caring for a toddler is diagnosed with congenital hypothyroidism. Which of the following developmental delays should the nurse recognize as the priority concern if the condition is left untreated?Answer →
  270. 270The nurse suspects the child has bacterial meningitis. Drag words from the choices below to fill in each blank in the following sentence. The child is at greatest risk for developing [blank1] and [blank2].Answer →
  271. 271What information would the nurse most likely include in the plan of care for an infant with a myelomeningocele?Answer →
  272. 272An infant is hospitalized with RSV bronchiolitis. The priority nursing diagnosis is:Answer →
  273. 273A nurse is providing teaching to the guardian of a toddler who has scabies. Which of the following statements should the nurse include in the teaching?Answer →
  274. 274A nurse is caring for an infant who has otitis media and is to receive amoxicillin 30 mg/kg/day in divided doses every 12 hr. The child weighs 13 lb. How many mg should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) mgAnswer →
  275. 275A child is diagnosed with Kawasaki disease and is in the acute phase of the disorder. What would the nurse expect the physician to prescribe? Select all that applyAnswer →
  276. 276A nurse is providing education to the family of a child who has Kawasaki disease without an aneurysm. The caregivers ask how soon their child should be able to return to normal activity. Which of the following statements made by the nurse is appropriate?Answer →
  277. 277A child is admitted with a suspected diagnosis of Wilms' tumor. The nurse should place a sign with which of the following warnings over the child's bed?Answer →
  278. 278A parent asks about treatment for their 5-year-old with mild genu valgum. The nurse should respond:Answer →
  279. 279Which of the following would be an expected side effect of ipratropium inhalers?Answer →
  280. 280A nurse is preparing to administer digoxin 8 mcg/kg/day orally to divide equally every 12 hr for a preschooler who weighs 33 lb. Available is digoxin elixir 0.05 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the tenths place)Answer →
  281. 281The provider prescribed Penicillin V Potassium 110 mg PO q6h. The child weighs 20 lb. The recommended dosage for this medication is 25 to 50 mg/kg/day. Is this a safe dose?Answer →
  282. 282The nurse is assessing a 7-year-old child's ability to self-administer a growth hormone injection. Which action by the child indicates proper delivery of the medication?Answer →
  283. 283A nurse is assessing the skin of a child with cellulitis. What does the nurse expect to find?Answer →
  284. 284The care provider prescribes 25,000 IU/m² of Erwinaze (PEG asparaginase) IV three times per week for 6 doses. Available is Erwinaze (PEG asparaginase) 10,000 IU/2 mL. The child weighs 17 kg and is 107 cm tall. How many mL will the nurse administer to the child with each dose? Carry to the tenth place. Do not label; just record the number. BSA (m²)=Height (cm)×Weight (kg)3600Answer →
  285. 285An adolescent female is scheduled to have a blood test to check for anemia. Which finding would justify this laboratory test?Answer →
  286. 286The nurse is preparing to teach the family of a child newly diagnosed with iron deficiency anemia. Which food would be recommended for this child?Answer →
  287. 287A nurse is assessing a 10-year-old child diagnosed with Marfan syndrome. Which of the following best describes this condition?Answer →
  288. 288A nurse caring for a child who has chickenpox. Which of the following medications should the nurse anticipate for the child?Answer →
  289. 289A nurse is teaching a parent of a 4-month-old infant who has developmental dysplasia of the hip and is prescribed a Pavlik harness. Which of the following instructions on the use of a Pavlik harness should the nurse include in the teaching?Answer →
  290. 290The nurse, auscultating the breath sounds of a child hospitalized for an acute asthma attack, would expect to find the classic sign of:Answer →
  291. 291The nurse is providing education to the family of a 4-year-old child who has been recently diagnosed with type 1 diabetes. The caregivers demonstrate understanding of the information when they identify which insulin as having the longest duration of action?Answer →
  292. 292A nurse is caring for a 2-year-old child in the emergency department who was diagnosed with foreign body aspiration. Which of the following clinical manifestations should the nurse expect to see when assessing the child? (Select All that Apply)Answer →
  293. 293A nurse is providing teaching to the parent of a school-age child who has diabetes mellitus about managing diabetes during illness. Which of the following statements by the parent indicates an understanding of the teaching?Answer →
  294. 294The nurse is careful to apply only the prescribed amount of ointment to the skin of a 2-month-old because the infant's skin, compared to the adult's, has:Answer →
  295. 295A nurse is caring for an infant who has diaper dermatitis. Which of the following actions should the nurse take?Answer →
  296. 296The nurse is caring for a 7-year-old male child brought to the emergency room with new-onset shortness of breath and wheezing. The nurse reviews the health care provider's orders. Drag 4 of the orders from the choices below in the 'Possible orders' column to the 'Priority Orders' column. The nurse should perform the following four orders right away:Answer →
  297. 297The nurse is caring for a child with end-stage renal disease. Which assessment should the nurse prioritize?Answer →
  298. 298After teaching the parents of a child with central precocious puberty about medication therapy, which statement by the parents indicates successful teaching?Answer →
  299. 299The nurse is caring for a toddler with osteogenesis imperfecta (OI). What action will prevent a potential complication?Answer →
  300. 300A 3-month-old child is admitted to the unit for respiratory bronchiolitis. The infant's vitals are temperature 101.6, pulse 106 beats per minute, respiratory rate 70 beats per minute. The infant is irritable, fussy and coughs frequently. Fluids are given via peripheral venipuncture. Fluids by mouth are contraindicated. Why?Answer →
  301. 301The nurse is assessing a 7-year-old child in the post-anesthesia care unit (PACU) who had a tonsillectomy. Which situation requires immediate intervention?Answer →
  302. 302The nurse is assessing a child with suspected infective endocarditis. Which assessment finding does the nurse interpret as a sign of extracardiac emboli?Answer →
  303. 303While presenting a panel discussion to a group of parents about urinary tract infections (UTIs) in children, one of the parents asks the nurse, "Why would my daughter be more at risk than my son?" Which response by the nurse would be most appropriate?Answer →
  304. 304A nurse is caring for an 8-year-old child who has HIV. The child wants to play soccer with their friends. Which of the following statements should the nurse make?Answer →
  305. 305A nurse is teaching an adolescent how to manage his cystic fibrosis. Which of the following statements by the adolescent indicates an understanding of the teaching?Answer →
  306. 306A nurse is caring for an adolescent diagnosed with hemophilia who wants to be more actively involved in their own care. Which of the following statements made by the adolescent indicates an understanding of their treatment plan?Answer →
  307. 307The use of a decongestant such as pseudoephedrine would be contraindicated in a patient suffering from which medical diagnosis?Answer →
  308. 308A nurse is caring for an 8-year-old child who has acute rheumatic fever. Which of the following assessments is the nurse's priority immediately after admission?Answer →
  309. 309The nurse is caring for an infant with a Candida diaper rash. Which topical agent does the nurse expect to be prescribed?Answer →
  310. 310A nurse is assessing an adolescent who experienced blunt trauma to the abdomen. Which of the following findings is the nurse's priority?Answer →
  311. 311Which of the following complications is the infant at risk of developing? Select all that apply.Answer →
  312. 312A nurse in the emergency department assesses a 3-year-old unvaccinated client who presents with sudden onset high fever, excessive drooling, muffled voice, and difficulty swallowing. The child is sitting upright, leaning forward, and appears anxious with inspiratory stridor and cyanosis. Which action should the nurse take first?Answer →
  313. 313A nurse is assessing a child who has gastroenteritis with vomiting and diarrhea. Which of the following findings should the nurse identify as manifestations of moderate dehydration? (Select all that apply.)Answer →
  314. 314What would help the child with a serious burn meet nutritional needs during the subacute phase of recovery?Answer →
  315. 315A nurse is caring for a 12-year-old client with chronic kidney disease (CKD) secondary to Vesicoureteral Reflux (VUR). During assessment, the nurse notes the client's blood pressure is 146/94 mm Hg, and the client reports headaches. Which nursing action is the priority?Answer →
  316. 316A child with sickle cell anemia (SCA) develops severe chest and back pain, fever, a cough, and dyspnea. The first action by the nurse is to:Answer →
  317. 317A nurse is teaching the mother of a child who has cystic fibrosis and has a prescription for pancreatic enzymes three times per day. Which of the following statements indicates that the mother understands the teaching?Answer →
  318. 318For each assessment finding below, identify whether the finding supports either croup, epiglottitis, or asthma. (Each finding may support more than one condition. Select all that apply.)Answer →
  319. 319A nurse is providing care to a 2-year-old who has a strong family history of hypertension. At the clinic visit, the child's caregiver asks when it would be appropriate to monitor blood pressure. Which of the following statements made by the nurse is accurate?Answer →
  320. 320For each body system below, click to specify the potential nursing Intervention that would be appropriate for the care of the child. Each body system may support more than 1 potential nursing intervention. (Each category must have at least 1 response option selected)Answer →
  321. 321A nurse is assessing a school-age child. Which of the following findings should the nurse identify as an indication that the child may have a bleeding disorder?Answer →
  322. 322The nurse is speaking with the parents of a child who has a cast. The parents state that the child reports itching in the area of the cast. What is the best response by the nurse?Answer →
  323. 323A 10-year-old child is seen in the emergency department after falling down a flight of stairs and hitting their head. The child will be monitored overnight for complications. Which occurrence in the coming hours will warrant further assessment?Answer →
  324. 324A home health nurse is developing a plan of care for a child who has hemiplegic cerebral palsy. Which of the following goals is the priority for the nurse to include in the plan of care?Answer →
  325. 325The healthcare provider prescribes amoxicillin 500 mg every 8 hours for a child who weighs 88 pounds. The recommended maximum safe dose is 50 mg/kg/24 hour. The available suspension is labeled, "Amoxicillin Suspension 250 mg/5 ml.". Based on this child's weight, how many mL should the nurse administer each dose? (Enter numerical value only. If rounding is required, round to the whole number.)Answer →
  326. 326A nurse is providing teaching to the guardian of a school-age child who has acute diarrhea. Which of the following instructions should the nurse include in the teaching?Answer →
  327. 327A 3-year-old child with suspected Wilms tumor is admitted to the pediatric unit. Which nursing intervention is priority to prevent complications?Answer →
  328. 328Which additional finding would support a diagnosis of scarlet fever?Answer →
  329. 329A nurse is caring for a child who has been diagnosed with a concussion. Which of the following findings should the nurse identify as causing this type of Injury?Answer →
  330. 330A nurse is creating a plan of care for a child, who is recovering from an epidural hematoma following a car accident, to return to school. Which of the following statements should the nurse make to the school?Answer →
  331. 331The school nurse is caring for a child with type 1 diabetes who is about to eat lunch. The child weighs 45 lb. Their blood sugar before lunch is 152 with an expected intake of 40 carbohydrates at lunch and regular activity level the rest of the day. The sliding scale corrective dose order reads: Insulin aspart before meals: (blood sugar 120 divided by 70) + (total carbohydrate expected intake divided by 13 carbohydrates per unit). Calculate the insulin dose to be administered. Round to the nearest unit. Record the number only in your answer. Do not label.Answer →
  332. 332The child is admitted with acute laryngotracheobronchitis (LTB). The child will most likely be treated with which?Answer →
  333. 333A nurse is preparing a presentation on neural tube defects and preventing these defects for a group of expectant parents. Which information will the nurse emphasize?Answer →
  334. 334A nurse is assessing a pediatric client whose diagnostic results indicate that they may have osteosarcoma. Which of the following manifestations should the nurse expect to find? (Select All that Apply.)Answer →
  335. 335A nurse is providing care to an infant who has tetralogy of Fallot. The infant's caregiver reports increased irritability and a bluish discoloration of the infant's oral mucous membranes. Which of the following interventions is the nurse's priority?Answer →
  336. 336For each potential provider's prescription, click to specify if the potential prescription is anticipated or contraindicated for the client.Answer →
  337. 337A parent reports their 5-year-old has difficulty rising from floor and a waddling gait. Which additional sign supports concern for Duchenne muscular dystrophy?Answer →
  338. 338The nurse is in the outpatient clinic caring for a 6-month-old infant who has a fever. (1) The client is likely experiencing ___. The parent should be educated to ___. and ___.Answer →
  339. 339When caring for a newborn with Down syndrome, the nurse should be aware that the most common congenital anomaly associated with Down syndrome is:Answer →
  340. 340A three-year-old unvaccinated child presents with acute excessive drooling, high fevers, and cyanosis. Which of the following is the priority nursing intervention?Answer →
  341. 341Based on the most recent presentation, which of the following interventions should the nurse anticipate during a hypercyanotic spell?Answer →
  342. 342Which statement by a parent of a child with recurrent otitis media indicates the need for further teaching?Answer →
  343. 343The school nurse is caring for a child with type 1 diabetes. Their blood sugar before eating lunch was 210. The child's intake was 40 carbohydrates. The insulin order reads Insulin aspart correction factor + insulin to carbohydrate ratio: Correction factor: 1/50 > 140 blood sugar - 140/50 Insulin to carbohydrate ratio: 1:13 (carbohydrate/13) Calculate the total insulin dose to be administered. Round to the nearest unit. Do Not Label just Record NumberAnswer →
  344. 344Select all that apply of the following interventions that the nurse should apply to the management of a child with a seizure.Answer →
  345. 345The nurse is to administer Digoxin elixir to 6-month-old with a congenital heart defect. The nurse auscultates an apical pulse rate of 82. The nurse shouldAnswer →
  346. 346A nurse is educating the parents of a child with celiac disease about managing the condition. Which of the following foods should the nurse advise the parents to avoid?Answer →
  347. 347A nurse is monitoring a child closely with congestive heart failure (CHF). Which of the following assessments would she report to the physician immediately?Answer →
  348. 348A nurse is assessing an infant who is vomiting after feedings. Which of the assessment findings is most indicative of pyloric stenosis?Answer →
  349. 349The RN is assessing a 3-month-old pediatric patient with RSV. The patient is grunting, nasal flaring, using accessory muscles, having intercostal retractions, with a respiratory rate of 92. The infant is lethargic and difficult to awaken. The nurse knows that:Answer →
  350. 350To facilitate digestion and absorption of nutrients, the nurse teaches the child with cystic fibrosis that she needs to take:Answer →
  351. 351The parents of a child newly diagnosed with diabetes mellitus tell the nurse, "Our son's body is resistant to insulin." The nurse recognizes this description as consistent with:Answer →
  352. 352A nurse is providing teaching about iron deficiency anemia to the parents of a toddler. Which of the following should the nurse recommend as a method of preventing iron deficiency anemia?Answer →
  353. 353Complete the following sentence by using the lists of options. The nurse should anticipate a provider prescription for [blank1] due to the child's [blank2].Answer →
  354. 354A nurse is obtaining a health History from a pediatric client with a past surgical repair of cryptorchidism. Which anticipatory guidance should the nurse include?Answer →
  355. 355A nurse is caring for a child who has a suspected diagnosis of bacterial meningitis. Which of the following actions should the nurse do first?Answer →
  356. 356A nurse assesses a child with a firm unilateral abdominal mass and hematuria. Based on these findings, which intervention is the priority?Answer →
  357. 357A nurse is caring for an adolescent who has spina bifida and is paralyzed from the waist down. Which of the following statements by the client should indicate to the nurse a need for further teaching?Answer →
  358. 358The nurse is preparing to assist with a lumbar puncture. Which of the following actions should the nurse take? Select all that apply.Answer →
  359. 359When conducting a physical examination of a child with suspected Kawasaki disease, which finding does the nurse expect to assess?Answer →
  360. 360The parent of an 11-year-old client who has juvenile idiopathic arthritis tells the nurse, "I really don't want my child to become dependent on pain medication, so I only allow taking the medication when the pain is really bad." Which information is most important for the nurse to provide this parent?Answer →
  361. 361The RN is caring for a patient with late-stage chronic kidney disease with renal failure from Vesicoureteral Reflux (VUR). As a co-occurring presentation of CKD, the nurse most likely expects to administer:Answer →
  362. 362The nurse is educating the family of a child receiving an infusion of intravenous immunoglobulin (IVIG) and high-dose aspirin therapy during the acute phase of Kawasaki disease. Which statement(s) by the parent indicates additional teaching is needed? Select all that apply.Answer →
  363. 363A parent of an uncircumcised child asked the nurse about disorders of the foreskin and difference between phimosis and paraphimosis. The nurse's response should be:Answer →
  364. 364A nurse is providing teaching to a 14-year-old adolescent who has a new diagnosis of type 1 diabetes mellitus. Which of the following statements by the adolescent indicates an understanding of the teaching?Answer →
  365. 365To maintain patency of the ductus arteriosus, the nurse administers a prescribed dose of prostaglandin IV to a week-old infant diagnosed with transposition of the great vessels. Based on which assessment finding should the nurse stop the medication administration immediately?Answer →
  366. 366A 15-year-old adolescent is brought to the emergency department by their parents. The adolescent is febrile with chills that started suddenly. The adolescent states, "I had a sinus infection and sore throat a couple of days ago." The nurse suspects bacterial meningitis based on which finding(s)? Select all that apply.Answer →
  367. 367A nurse is reviewing data for four children. Which of the following children should the nurse assess first?Answer →
  368. 368A nurse is caring for a child who is having a tonic-clonic seizure and vomiting. Which of the following actions is the nurse's priority?Answer →
  369. 369A nurse is preparing to administer 1 mg vitamin K to a newborn. The medication is available in 1 mg/0.5 mL. How much should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero when applicable. Do not use a trailing zero.)Answer →
  370. 370A nurse is providing teaching to a client who has oral candidiasis and is prescribed nystatin. Which of the following statements should the nurse include in the teaching about administration and action of oral nystatin?Answer →
  371. 371The RN is caring for the pediatric patient admitted with Sickle Cell Crisis. Which interventions should the nurse include in the plan of care? (SELECT ALL THAT APPLY)Answer →
  372. 372Influenza vaccine is recommended yearly for children 6 months and older. The child presents with the flu and has been prescribed meds. The nurse will administer which medication within 48 hours of symptom onset?Answer →
  373. 373A 7-year-old child is brought to the clinic with multiple nodular tumors along peripheral nerves. The provider suspects what genetic disorder associated with nerve tumor growth, skeletal abnormalities, increased risk of malignancy and axillary and groin freckling?Answer →
  374. 374An infant with hydrocephalus is one day post ventroperitoneal shunt placement. Which finding requires immediate notification of the health care provider?Answer →
  375. 375A nurse is assessing an infant who has congestive heart failure. Which of the following findings should the nurse expect?Answer →
  376. 376A child with a food allergy to peanuts and history of anaphylaxis is accidentally exposed to the allergen. The child experiences stomach pain and vomits. Which action should the nurse take first?Answer →
  377. 377A pediatric client with a known congenital heart defect is admitted with signs of worsening heart failure, including edema, cool extremities, and poor perfusion. Which nursing intervention should the nurse prioritize to address the client's clinical status?Answer →
  378. 378The nurse is caring for a 2-month-old infant who has been diagnosed with acute heart failure. The nurse is providing teaching about nutrition. Which statement by the parent indicates a need for further teaching?Answer →
  379. 379A nurse is caring for a child who is 2 hr postoperative following a tonsillectomy. Which of the following fluid items should the nurse offer the child at this time?Answer →
  380. 380A nurse is caring for a 6-year-old client who is 4 hours postoperative following creation of an ileostomy. Which assessment finding requires the notification of the provider?Answer →
  381. 381The nurse is caring for a 10-month-old that has a history of vomiting and severe diarrhea for several days. When doing her intake assessment in the ER, the best assessment of her hydration status would be to assess:Answer →
  382. 382A nurse is caring for a 3-year-old client who has been recently diagnosed with Wilms' tumor. Which of the following assessment parameters must be modified to properly care for this client before surgery?Answer →
  383. 383A nurse is caring for an adolescent with Duchenne muscular dystrophy (DMD). Which finding is the highest priority?Answer →
  384. 384A nurse is preparing to administer meperidine 125 mg IM stat. Available is meperidine injection 75 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)Answer →
  385. 385A pediatric client with hemophilia is being prepared for discharge after treatment for a minor bleeding episode. Which action should the nurse prioritize to ensure safe and effective management of care at home?Answer →
  386. 386The nurse completed teaching the parent of an infant with developmental dysplasia of the hip (DDH) about the Pavlik harness. Which statement by the parent indicates understanding?Answer →
  387. 387A nurse is assessing a 10 month old infant who has possible cerebral palsy. Which of the following manifestations of cerebral palsy should the nurse expect to find?Answer →
  388. 388A 5-year-old post-operative patient is crying and reluctant to speak. The nurse needs to assess the child's pain level. Which pain assessment tool would be most appropriate to use?Answer →
  389. 389A nurse is caring for a toddler who has acute laryngotracheobronchitis and has been placed in a cool mist tent. Which of the following findings indicates that the treatment has been effective?Answer →
  390. 390An adolescent presents with hip and knee pain and limited movement. What is the priority intervention?Answer →
  391. 391The nurse is caring for a child with Meckel's diverticulum. What is the nurse's best action?Answer →
  392. 392The nurse is caring for a 16-year-old adolescent with a poison ivy rash. What instructions should the nurse provide to the parent and adolescent to prevent potential complications?Answer →
  393. 393A nurse is caring for a client who has manifestations of aplastic anemia. The nurse should recognize that which of the following is a diagnostic and/or laboratory test used for aplastic anemia? (Select all that apply.)Answer →
  394. 394During a routine clinic visit, the nurse determines that a 5-year-old girl's systolic blood pressure is greater than the 90th percentile. Which action should the nurse implement next?Answer →
  395. 395When reviewing the medical record of a child, what finding does the nurse interpret as the most sensitive indicator of intellectual disability?Answer →
  396. 396The nurse is examining an 8-year-old child admitted to the emergency department with tachycardia and tachypnea. Which follow-up assessment will the nurse recommend to determine the extent of the child's hypoxia?Answer →
  397. 397The nurse is caring for a patient with mild dehydration. The provider orders oral rehydration solution 60cc PO. Which of the following is true of oral rehydration solution?Answer →
  398. 398A home health nurse is developing a plan of care for a child who has hemiplegic cerebral palsy. Which of the following goals is the priority for the nurse to include in the plan of care?Answer →
  399. 399A nurse is planning care for an adolescent client. Which of the following actions should the nurse plan to take? (Select all that apply.)Answer →
  400. 400A nurse is providing teaching to a parent of a preschooler who has eczema (atopic dermatitis). Which of the following instructions should the nurse include in the teaching?Answer →
  401. 401The nurse is screening a child for scoliosis. Which finding indicates that the child needs further evaluation?Answer →
  402. 402A nurse is caring for an adolescent client who has pneumonia and a prescription for cefpodoxime 5 mg/kg/dose by mouth every 12 hr for 5 days. The client weighs 88 lb. How many mg should the nurse administer per dose?Answer →
  403. 403The provider diagnoses the patient with intussusception. In order to decompress or reduce "telescoping", which provider prescription should the nurse prioritize?Answer →
  404. 404There are different degrees of dehydration, mild, moderate and severe. The Nurse knows the child has severe dehydration if the degree is what percentage?Answer →
  405. 405The nurse is caring for a 2-year-old child with sickle cell anemia complicated by vaso-occlusive crises. What should the nurse include in the plan of care for this child? Select all that apply.Answer →
  406. 406Which is the priority nursing intervention for an unconscious child after a fall?Answer →
  407. 407The nurse takes into consideration that children who have been diagnosed with infantile eczema have an increased risk of:Answer →
  408. 408A client presents with suspected appendicitis. During assessment, where should the nurse palpate to check for tenderness most indicative of appendicitis?Answer →
  409. 409A child was sent to the school nurse because of a rash. The nurse noted the rash was present on the trunk, extremities, and face. The child's cheeks were bright red. The nurse is aware this type of rash is consistent with:Answer →
  410. 410A nurse is preparing to administer erythromycin 50 mg/kg/day PO divided in equal doses every 6 hr to a client who weighs 29 lb. Available is erythromycin suspension 200 mg/5 ml. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth.)Answer →
  411. 411A nurse is caring for a toddler who received radiation therapy 2 years ago for a brain tumor. Which of the following should the nurse identify as a late adverse effect of the radiation therapy?Answer →
  412. 412For each potential provider order, click to specify if the order is indicated or not indicated for the infant. There must be at least 1 selection in every row. There does not need to be a selection in every column.Answer →
  413. 413A child with hemophilia arrives at the clinic with a swollen knee after falling off a bicycle. Which action should the nurse implement first?Answer →
  414. 414Which pediatric patient should the nurse assess first?Answer →
  415. 415A child with Hirschsprung's disease is being evaluated in the emergency department. The caregiver reports fever for 2 days and watery explosive diarrhea. Which intervention should the nurse implement first?Answer →
  416. 416The nurse would observe a child for frequent swallowing following a tonsillectomy and adenoidectomy (T&A) because this is indicative of:Answer →
  417. 417A nurse is caring for a 6-year-old child who is experiencing an asthma exacerbation. The nurse is preparing to administer the prescribed aerosol rescue medication, which of the following items would the nurse need to administer the medication? (Select All that Apply)Answer →
  418. 418The nurse should recognize that the child is most likely experiencing [blank1] as evidenced by the [blank2].Answer →
  419. 419A child diagnosed with epilepsy had a generalized tonic-clonic seizure that lasted 90 seconds. After a generalized tonic-clonic seizure, the nurse would expect that the child might be:Answer →
  420. 420A nurse is assessing a 2-month-old infant who has an acute respiratory tract infection. Which of the following findings should the nurse identify as requiring intervention? (Select All that Apply.)Answer →
  421. 421A nurse is caring for a 6-year-old child who is experiencing an asthma exacerbation. The nurse is preparing to administer the prescribed aerosol rescue medication. Which of the following items would the nurse need to administer the medication? (Select All that Apply.)Answer →
  422. 422A client with iron deficiency anemia is advised to increase their dietary iron intake. Which of the following meal combinations should the nurse recommend to maximize iron absorption?Answer →
  423. 423A nurse is providing discharge instructions to a parent and his school-age child who has juvenile idiopathic arthritis. Which of the following instructions should the nurse include?Answer →
  424. 424A nurse is applying a cast to a 12-year-old boy with a simple fracture of the radius in the arm and a hard cast. What is the priority action for the nurse to take in order to assess for compartment syndrome or decreased perfusion?Answer →
  425. 425An 8-year-old male client with nephrotic syndrome is receiving salt-poor human albumin IV. Which findings indicate to the nurse that the child is manifesting a therapeutic response?Answer →
  426. 426A nurse is reviewing the medical record of a school-age child who has immune thrombocytopenia. Which of the following findings should the nurse identify as a potential cause for this disorder? (Select all that apply.)Answer →
  427. 427A nurse is caring for a 16-year-old adolescent who just received rescue medication for an asthma exacerbation. Prior to the medication administration nursing assessment revealed tearfulness, a respiratory rate of 32/min, wheezing in all lobes, oxygen saturation level of 91% on room air, inability to speak and nasal flaring. The nurse should recognize that which of the following manifestations would indicate the client's condition is improving?Answer →
  428. 428The nurse is performing a newborn screening for congenital hypothyroidism, and the thyroid function test results reveal elevated levels of thyroid-stimulating hormone (TSH) and low levels of thyroxine (T4). The client is asymptomatic at birth. Which of the following should the nurse anticipate as the priority action?Answer →
  429. 429The nurse is admitting a child with a diagnosis of untreated hypoparathyroidism. Which finding indicative of hypocalcemia should the nurse report to the healthcare provider?Answer →
  430. 430The nurse teaches a medication class on beta-2 agonist bronchodilators for patients with asthma. The nurse evaluates that learning has occurred when the patients make which statement?Answer →
  431. 431A parent brings a preschool age child, who has a history of asthma, to the emergency department with reports of wheezing that has increased over the past two days. The parent has been giving the child's medication using a metered dose inhaler (MDI). Which information is most important for the nurse to obtain?Answer →
  432. 432A nurse is providing education to the parent of a 13-year-old adolescent who has a prescription for oseltamivir for influenza. The nurse should instruct the parent to monitor the adolescent for which of the following findings during treatment?Answer →
  433. 433A nurse is caring for a child with measles (rubeola). Which action is most important?Answer →
  434. 434A nurse is providing care for an Infant who has heart failure and is being discharged from the hospital. When providing discharge education, which of the following clinical manifestations should the nurse ensure caregivers are able to identify as signs of worsening heart failure?Answer →
  435. 435Postoperative procedure of tonsillectomy the child is being assessed by the nurse. What sign should the nurse observe if the child is bleeding?Answer →
  436. 436A nurse is caring for an infant diagnosed with tetralogy of Fallot. The Infant's caregiver asks the nurse to explain this diagnosis. Which of the following is an accurate statement about this condition?Answer →
  437. 437The nurse inspects the eyes of a child and observes that the sclera is showing over the top of the iris. Which other assessment should the nurse perform in the context of this finding?Answer →
  438. 438A nurse is providing education to the family of a client who has infectious endocarditis. Which of the following statements made by the nurse is accurate regarding this condition?Answer →
  439. 439The nurse is providing discharge teaching to the parents of an infant with an umbilical hernia. Which should be included in the plan of care?Answer →
  440. 440The babysitter of a 7-year-old who has type 1 diabetes mellitus (DM) calls the clinic to report that the child is very irritable, perspiring, and shaking. Which instruction should the nurse provide to the babysitter?Answer →
  441. 441A nurse is assessing an adolescent who experienced blunt trauma to the abdomen. Which of the following findings is the nurse's priority?Answer →
  442. 442For each potential provider's prescription, click to specify if the potential prescription is anticipated or contraindicated for the client.Answer →
  443. 443A nurse is providing care to a 9-year-old child who has HIV. Which of the following nursing actions demonstrates an understanding of the comprehensive approach to managing HIV in children? (Select All that Apply.)Answer →
  444. 444The nurse is preparing to administer digoxin elixir to a 2-year-old with a congenital heart defect. The nurse notes that the child recently vomited, and their heart rate is 162. What is the nurse's best action?Answer →
  445. 445Click to highlight the findings that indicate an improvement in the infant's condition. To deselect a finding, click on the finding again.Answer →
  446. 446Which nursing intervention is the priority action to address the underlying infection?Answer →
  447. 447The nurse is assessing a 5-month-old infant brought to the clinic for a routine checkup. The infant has rhinorrhea, cough, respiratory rate is 70 breaths per minute. The patient was diagnosed with Respiratory Syncytial Virus (RSV). This finding is likely:Answer →
  448. 448Which of the following actions should the nurse plan to take based on the most recent assessment findings? (Select all that apply.)Answer →
  449. 449A nurse is caring for an infant who has diaper dermatitis. Which of the following actions should the nurse take?Answer →
  450. 450After 48 hours of treatment, the nurse evaluates the child's response. For each finding, indicate Improvement or Needs Further Intervention.Answer →
  451. 451A nurse is teaching a newly hired nurse about cystic fibrosis (CF). Which of the following statements should the nurse make?Answer →
  452. 452Which snack selected by a school-aged child with gastroesophageal reflux, indicates to the nurse that the child understands the dietary restrictions?Answer →
  453. 453Which assessment finding requires the nurse to stop the feeding immediately and further evaluate the infant for respiratory compromise?Answer →
  454. 454The provider orders an electroencephalogram (EEG). Which statement by the nurse best explains the purpose of this test to the child's parent?Answer →
  455. 455A nurse at an emergency department is caring for a child who was admitted with cystic fibrosis. The child's parent is given the following laboratory results sodium 128 mg/dL (136 to 145 mEq/dL), blood glucose 268 g/dL (70 to 100 g/dL), potassium 4.2 mq/L (3.4 to 4.7 mEq/L), and oxygen saturation 88% on 2 L/min via nasal canula (95% to 100%). The parent ask how the values relate to cystic fibrosis. Which of the following statements by the nurse is accurate?Answer →
  456. 456Which finding(s) indicate a child is beginning to develop increased intracranial pressure?Answer →
  457. 457A newborn is diagnosed with Hirschsprung's disease. Which of the following is the most consistent finding of this disease?Answer →
  458. 458A nurse is assessing an infant who has had vomiting and diarrhea for the past 24 hr. Which of the following findings should the nurse identify as an indication the infant is experiencing moderate dehydration?Answer →
  459. 459Drag from the choices below to specify what condition the client is most likely experiencing [blank1], 2 actions the nurse should take to address that condition [blank2] and [blank3], and 2 parameters the nurse should monitor to assess the client's progress [blank4] and [blank5].Answer →
  460. 460What information is essential for the nurse to include in the discharge instructions for the family of a child with infective endocarditis?Answer →
  461. 461A nurse is caring for a pediatric client with Duchenne muscular dystrophy who has developed scoliosis and decreased pulmonary function. Which nursing intervention should the nurse prioritize to enhance the client's basic care and comfort?Answer →
  462. 462The nurse is providing education to the infant's parent. Select the 2 statements the nurse should include in the teaching.Answer →
  463. 463A 12-year-old has a Salter-Harris fracture. What is the priority nursing concern?Answer →
  464. 464What common side effect would the nurse expect to see in the patient taking the nasal decongestant pseudoephedrine?Answer →
  465. 465A nurse is providing education regarding oral antibiotics to the family of a child with infectious endocarditis. Which of the following statements by the client's caregivers indicates an understanding of the education?Answer →
  466. 466A child has been prescribed growth hormone. When collecting data from this child, which report is of the greatest concern?Answer →
  467. 467A nurse is caring for a client with hypospadias. Which of the following is true of hypospadias?Answer →
  468. 468A nurse is providing care to an infant newly diagnosed with sickle cell anemia. The infant's parents ask the nurse to describe what sickled red blood cells are and how they affect blood flow. Which of the following statements should the nurse include in the discussion? (Select all that apply.)Answer →
  469. 469The RN is assessing a 5-month-old pediatric patient with RSV. Identify which findings are consistent with severe respiratory distress versus mild/moderate respiratory distress.Answer →
  470. 470The nurse is caring for a child with hemolytic uremic syndrome (HUS). Which infection control guideline is of greatest importance?Answer →
  471. 471Which exercise would the nurse suggest as most helpful to maintain mobility in a child with juvenile idiopathic arthritis?Answer →
  472. 472Which type of seizure should the nurse suspect?Answer →
  473. 473A 4-year-old child presents with a fever, cough, and conjunctivitis. The nurse assesses tiny, white spots with a red halo on the buccal mucosa. The nurse recognizes this finding as characteristic of which condition?Answer →
  474. 474A nurse is assessing an infant in the cardiology clinic. Which of the following sets of clinical manifestations is consistent with a large ventricular septal defect?Answer →
  475. 475The nurse is evaluating a child's response to mannitol. Which finding indicates an expected outcome?Answer →
  476. 476The nurse is caring for a neonate who is suspected of having sepsis. Which assessment finding is indicative of sepsis?Answer →
  477. 477A nurse assesses a pediatric client with Kawasaki disease who has fever, strawberry tongue, and skin peeling. Which intervention is the priority in care of the patient with Kawasaki disease?Answer →
  478. 478A child in skin traction reports itching. What should the nurse do first?Answer →
  479. 479A nurse is assessing a 10-year-old client admitted to the emergency department with suspected appendicitis. The client reports abdominal pain that started near the umbilicus and is now localized to the right lower quadrant. The nurse notes guarding and a temperature of 38.4°C (101.1°F). Which assessment finding should the nurse report immediately to the primary health care provider?Answer →
  480. 480The nurse knows that the patient who has recently been prescribed corticosteroids should be closely monitored for:Answer →
  481. 481A nurse assesses a 14-year-old client with sudden scrotal pain that began 1 hour ago. Which assessment finding most strongly supports testicular torsion?Answer →
  482. 482The nurse is reviewing the Admission Notes from 1230. Highlight the relevant clinical findings in the scenario that require nursing intervention.Answer →
  483. 483The nurse is assessing a preschool-aged child who presents with flank pain, dysuria, and low-grade fever. Which additional information should the nurse gather from the parent to determine a possible urinary tract infection?Answer →
  484. 484A nurse is planning care for a child who has cystic fibrosis and a prescription to receive chest physiotherapy (CPT). Which of the following actions should the nurse plan to take?Answer →
  485. 485A nurse is assessing a toddler who has heart failure. Which of the following findings should the nurse expect?Answer →
  486. 486A nurse is assessing a school-age child. Which of the following findings should the nurse identify as an indication that the child may have a bleeding disorder?Answer →
  487. 487A nurse is providing teaching to an adolescent who has vulvovaginitis. Which of the following statements should the nurse include in the teaching?Answer →
  488. 488A nurse is assessing a toddler who has heart failure. Which of the following findings should the nurse expect?Answer →
  489. 489A mother is concerned about her child's recent history of tripping and falling. To assess for the possibility of Duchenne muscular dystrophy (DMD), which action(s) should the nurse take? Select all that apply.Answer →
  490. 490An infant who is developmentally delayed has a ventricular peritoneal (VP) shunt for hydrocephalus. The nurse makes a postoperative home visit to assess the child's progress. During the visit, the mother tells the nurse, "When the shunt is removed, the pressure in my baby's head will be gone." Which response should the nurse provide?Answer →
  491. 491The nurse is assessing a child who was just admitted to the hospital for observation after a head injury. Which is the most essential part of the nursing assessment to detect early signs of a worsening condition?Answer →
  492. 492The nurse is caring for a child with dystonic cerebral palsy (CP). What should the nurse prioritize in the plan of care?Answer →
  493. 493A nurse is caring for a child who recently underwent a cardiac catheterization. Which finding is the highest priority?Answer →
  494. 494A nurse is caring for an adolescent who is postoperative following epidural anesthesia. Which of the following findings should the nurse expect?Answer →
  495. 495While assessing children for cardiac disorders, the nurse recognizes that which of the following is true regarding innocent murmursAnswer →
  496. 496A nurse is assessing the birth record for a 2-day-old newborn who presents with manifestations of pneumonia. The nurse should recognize that which of the following findings is most likely the cause of the pneumonia?Answer →
  497. 497A nurse is caring for a 6-month-old infant who has a subdural hematoma. Which of the following findings should the nurse expect?Answer →
  498. 498The nurse is assessing a 3-week-old with suspected bacterial meningitis. Isolation and respiratory precautions have already been initiated. Which clinical assessment by the nurse would warrant immediate intervention?Answer →
  499. 499A nurse is assessing a school-age child prior to administering digoxin. For which of the following findings should the nurse withhold the medication?Answer →
  500. 500Which of the following is true of Tetrology of Fallot (TOF)?Answer →
  501. 501The nurse completed teaching the parent of a 13-year-old child with Duchenne muscular dystrophy (DMD). Which statement by the parent causes concern?Answer →
  502. 502A patient is requesting a medication to help suppress a cough. The nurse knows which medication class will likely be prescribed?Answer →
  503. 503A nurse is talking with the parents of a child who has had a febrile seizure. The nurse integrates an understanding of what information into the discussion?Answer →
  504. 504The nurse is performing a neurologic assessment on a child. The previous examination noted the child to be alert but answering questions inappropriately. In this examination, the child only responds to vigorous stimuli. Which action should the nurse take first?Answer →
  505. 505A nurse is caring for a preschooler who has a new diagnosis of celiac disease. Which of the following findings should the nurse expect?Answer →
  506. 506An 18-month-old child is brought to the emergency department by their parents with the sudden onset of a barking cough. Which other assessment finding by the nurse supports the suspected diagnosis of croup?Answer →
  507. 507An 8-year-old child was diagnosed with a closed fracture of the radius at approximately 1400. The fracture was reduced in the emergency department and the arm placed in a cast. At 2300, the child's parent brings them back to the emergency department due to unrelenting pain that has not been relieved by the prescribed opioids. Which action is the priority?Answer →
  508. 508The parents bring the child in for a follow-up visit and show the nurse the results. Based on the results, the nurse will need to obtain additional information from the parents and child about which day?Answer →
  509. 509The nurse is caring for a toddler with osteogenesis imperfecta (OI). What action will prevent a potential complication?Answer →
  510. 510Which of the following characteristics are used to assess a heart murmur? Select all that apply:Answer →
  511. 511A nurse is assessing a pediatric client who reports sudden scrotal pain. Which findings should the cause the nurse the most concern for testicular torsion?Answer →
  512. 512A 6-year-old child recently diagnosed with celiac disease is being discharged home. The nurse is reviewing dietary modifications with the parents. Which meal selection by the parents indicates a need for further teaching about a gluten-free diet?Answer →
  513. 513The nurse is administering 10 units of NPH insulin to a child at 0800. The nurse expects this insulin to begin acting at which time?Answer →
  514. 514Click to highlight the findings the nurse should report to the provider. To deselect a finding, click on the finding again.Answer →
  515. 515A newborn is diagnosed with clubfoot. What is the initial treatment?Answer →
  516. 516A nurse assesses a child with a ventriculoperitoneal (VP) shunt who now has projectile vomiting, irritability, and a bulging fontanel. Which intervention is the priority?Answer →
  517. 517A nurse is providing care to an infant newly diagnosed with sickle cell anemia. The infant's parents ask the nurse to describe what sickled red blood cells are and how they affect blood flow. Which of the following statements should the nurse include in the discussion? (Select all that apply.)Answer →
  518. 518The nurse is assessing the adolescent 24 hr after the initial visit. How should the nurse interpret the findings? For each finding, click to specify whether the finding is an indication of potential improvement or an indication of potential worsening condition. There must be at least 1 selection in every row. There does not need to be a selection in every column.Answer →
  519. 519A nurse is caring for a child who has cystic fibrosis and is experiencing difficulty breathing due to thick mucous secretions. Which of the following medications should the nurse anticipate administering?Answer →
  520. 520The nurse is caring a 12-year-old child that is in 99th percentiles for height, with long arms, legs, fingers, and toes (arachnodactyly). The child is diagnosed with Marfan syndrome. Which of the following patient presentations would be the highest priority for the nurse to assess in a patient with Marfan syndrome?Answer →
  521. 521A nurse working in a pediatric inpatient unit is teaching the parents of a 10-year-old child who has suspected appendicitis about non-pharmacological pain control measures. Which statement by the parents indicates an understanding of the teaching?Answer →
  522. 522The nurse is caring for a 4-year-old with acute lymphoblastic leukemia (ALL). Which assessment should the nurse prioritize?Answer →
  523. 523Which of the following characteristics are used to assess a heart murmur? Select all that apply:Answer →
  524. 524The nurse is caring for a 2-year-old child with sickle cell anemia complicated by vaso-occlusive crises. What should the nurse include in the plan of care for this child?Answer →
  525. 525oses the patient with Hirschsprung's Disease. The RN most likely expects:Answer →
  526. 526A nurse is presenting an in-service about the use of postural drainage for infants who have cystic fibrosis. Which of the following positions should the nurse identify as being contraindicated for the infant?Answer →
  527. 527A nurse is assessing a 1-year-old toddler and notices a large abdominal mass and pink-tinged urine on the diaper. Which of the following disorders should the nurse suspect?Answer →
  528. 528A nurse is preparing a school-aged child for a lumbar puncture. How will the nurse position the child?Answer →
  529. 529A nurse is reviewing the plan of care for a child who was recently diagnosed with celiac disease. Which of the following laboratory results should the nurse expect?Answer →
  530. 530A child has Tetralogy of Fallot while you are caring for him in the ER he becomes upset, crying and trashing around when he is admitted after an injury. The child's color becomes blue and respiratory rate increases to 54. What action should the nurse do first?Answer →
  531. 531The physician has ordered 1200 ml of a D5 0.45 NS with 20 mEq KCI/liter IV solution over the next 24 hours. An IV pump is being used that allows you to set a rate in ml per hour. At what rate in ml would you set the IV pump? Just include the number in your answer, do not label.Answer →
  532. 532The nurse completed teaching a school-age child with growth hormone deficiency about growth hormone therapy. What statement made by the child requires further teaching by the nurse?Answer →
  533. 533The nurse is caring for an 8-year-old child who has chronic epilepsy. What information will the nurse address when teaching the child and parents about living with this condition?Answer →
  534. 534The nursing student is teaching an elderly patient how to properly use an inhaler, knowing that medication compliance can be an issue due to which possible issues? (Select all that apply.)Answer →
  535. 535A nurse is caring for a child who is suspected of having pertussis. The nurse should recognize that the pathophysiology of pertussis includes which of the following? (Select All that Apply.)Answer →
  536. 536A nurse is providing discharge teaching about nutrition to the parents of a child who has cystic fibrosis (CF). Which of the following responses by the parents indicates an understanding of the teaching?Answer →
  537. 537A nurse is assessing a child who has nephrotic syndrome. Which of the following findings should the nurse expect?Answer →
  538. 538Complete the following sentence by using the lists of options. The nurse should recognize that the child is most likely experiencing [blank1] as evidenced by their [blank2].Answer →
  539. 539A 6-year-old child has been diagnosed with growth hormone deficiency. The child's parent requests more information about this condition and treatment. Which statement(s) should be included in the nurse's response? (Select all that apply.)Answer →
  540. 540A nurse in an emergency department is caring for an infant who has a 2-day history of vomiting and an elevated temperature. Which of the following should the nurse recognize as the most reliable indicator of fluid loss?Answer →
  541. 541A pediatric client with hydrocephalus who recently had a ventriculoperitoneal (VP) shunt placed is now exhibiting irritability, vomiting, and a bulging fontanelle. As the nurse managing the care of this client, what is the priority action to take?Answer →
  542. 542The nurse is aware that which factor(s) activate the herpes simplex virus type I? Select all that apply.Answer →
  543. 543A nurse is assessing pain in a 6-month-old infant. Which of the following assessment tools should the nurse use?Answer →
  544. 544A 4-year-old child presents to the emergency department with excessive drooling, fever, restlessness, and tripod positioning. The child has a muffled voice and inspiratory stridor. What is the nurse's best action?Answer →
  545. 545The nurse received each of these care provider orders for a newly admitted child with acute poststreptococcal glomerulonephritis (APSGN). Which prescription should the nurse implement first?Answer →
  546. 546A nurse in an emergency department is caring for an infant who has a 2-day history of vomiting and an elevated temperature. Which of the following should the nurse recognize as the most reliable indicator of fluid loss?Answer →
  547. 547The nurse is to administer Digoxin elixir to a 6-month-old with a congenital heart defect. The nurse auscultates an apical pulse rate of 119. The nurse shouldAnswer →
  548. 548The nurse is providing care to a 10-year-old who has new diagnosis of dyslipidemia. The caregivers ask the nurse about the initial treatment for dyslipidemia. Which of the following responses made by the nurse is appropriate?Answer →
  549. 549A 14-year-old adolescent with ulcerative colitis is receiving discharge teaching following a hospitalization for an acute flare up. Which statement by the patient indicates understanding of long-term disease management?Answer →
  550. 550The most common type of circulatory failure in children is hypovolemic shock. What is the most frequent cause of hypovolemic shock?Answer →
  551. 551The nurse is monitoring a 6-year-old child who sustained a closed head injury. Which finding requires immediate intervention?Answer →
  552. 552The physician orders Drug A 60 mg/kg/day in 4 divided doses by mouth for a child weighing 44 lb. The pharmacy sends 150 mg scored tablets of Drug A. How many tablet(s) should the nurse administer for this child for a single dose? How many total tablets will the child receive per day?Answer →
  553. 553What type of inheritance pattern does cystic fibrosis follow?Answer →
  554. 554The healthcare provider is admitting a patient with a diagnosis of iron-deficiency anemia. The patient's skin and conjunctiva are pale, the tongue is smooth and red, and there are sores on the corners of the mouth. Which additional assessment finding will the healthcare provider identify as related to the iron-deficiency anemia?Answer →
  555. 555The nurse is discussing treatment for a child diagnosed with scoliosis. Which statement indicates the parents understand the nurse's education?Answer →
  556. 556The nurse is preparing to teach a child and family about radiation therapy. Which priority instructions should the nurse include in the teaching plan?Answer →
  557. 557Which nursing diagnosis is most relevant in the first 12 hours of life for a neonate born with a myelomeningocele?Answer →
  558. 558A 7-year-old child is admitted to the emergency department after a motor vehicle accident. On assessment, the child is sleeping soundly and is only arousable to vigorous and repeated shaking and shouting. The child makes incomprehensible sounds and returns to sleep immediately after the stimulation stops. The nurse would correctly document the child's level of consciousness as:Answer →
  559. 559What is a component of teaching for the patient who is using an inhaled corticosteroid for lung disease?Answer →
  560. 560A nurse is preparing to administer 250 mg of an antibiotic IM. Available is 3 g/5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.) mLAnswer →
  561. 561A nurse is providing education to the family of a client who has infectious endocarditis. Which of the following statements made by the nurse is accurate regarding this condition?Answer →
  562. 562A nurse is caring for a child who has influenza. The nurse should identify which of the following statements by the parent indicates the child has an increased risk for Reye syndrome?Answer →
  563. 563A nurse is providing care to a school-aged child with tetralogy of Fallot. The caregivers ask the nurse if there are any mental health concerns associated with this condition that they should be aware of. Which of the following statements made by the nurse is appropriate?Answer →
  564. 564Drag 1 condition and 1 client finding to fill in each blank in the following sentence. The nurse should anticipate a provider's prescription for [blank1] due to the child's [blank2].Answer →
  565. 565A nurse is providing education to the family of a child who has Kawasaki disease without an aneurysm. The caregivers ask how soon the child should be able to return to normal activity. Which of the following statements made by the nurse is appropriate?Answer →
  566. 566An adolescent girl is going to be treated for a severe case of acne vulgaris. A pregnancy test should be done prior to the adolescent starting treatment with:Answer →
  567. 567A nurse is assessing a 7-year-old client brought to the clinic for facial swelling noticed upon waking. The parent reports the child's urine has appeared frothy for several days. Assessment findings include periorbital edema and mild ankle swelling. Urinalysis reveals significant proteinuria. Which condition should the nurse suspect?Answer →
  568. 568A nurse is planning care for a pediatric client recently diagnosed with idiopathic scoliosis. Which intervention should the nurse prioritize to ensure effective management and optimal outcomes for this client?Answer →
  569. 569A nurse is providing education to a 10-year-old child newly diagnosed with hemophilia and their parents. The parents state that they are withdrawing their child from participating in any sports or physical activities because they are worried the child will get injured. Which of the following statements made by the nurse is most appropriate?Answer →
  570. 570When caring for children with water intoxication or water overload which signs and symptoms should nurses assess for?Answer →
  571. 571The nurse is caring for a child with a fractured femur in traction. Which action will the nurse complete while caring for this client?Answer →
  572. 572A nurse is caring for an infant who has a tracheoesophageal fistula. Which of the following findings should the nurse expect? (Select all that apply.)Answer →
  573. 573A nurse is caring for an 11-year-old child who presents to the emergency department with a mild cough and malaise that have been present for 1 week and an oral temperature of 38.1° C (100.6° F). After gathering a history, the nurse suspects pertussis. Which of the following should the nurse anticipate the healthcare provider to prescribe to aid in the rapid diagnosis of pertussis?Answer →
  574. 574The nurse is caring for a child with human immunodeficiency virus (HIV). Which new finding is the greatest concern?Answer →
  575. 575A nurse is assessing a school-age child who is receiving cefazolin. For which of the following adverse effects should the nurse monitor?Answer →
  576. 576The nurse notes an absent pulse on a newborn. Which of the following is the correct technique to administer 2-person CPR?Answer →
  577. 577A 15-year-old adolescent has pallor and fatigue. The CBC results are consistent with iron deficiency anemia. What would be appropriate information to the adolescent?Answer →
  578. 578The doctor writes an order for a child who weighs 23 pounds to receive 15 mg/kg of medication every 8 hours. The medication comes in an oral liquid that is labeled 30 mg/mL. It is to be given in an oral syringe that is marked in tenths. How many mL should be drawn up for a single dose? How many mL of medication will the child receive per day? (Round both answers to the nearest tenth.)Answer →
  579. 579A 3-year-old child arrives at the clinic. The nurse observes the child continuously scratching the skin around the wrists and suspects scabies. Which discovery further supports this suspicion?Answer →
  580. 580The nurse is caring for a pediatric patient admitted with notable facial edema. Which of the following diagnoses most likely corresponds with the patient's presentation?Answer →
  581. 581The mother of a recently diagnosed 9-year-old child with precautious puberty. The RN is aware that which of the following best describes precocious puberty?Answer →
  582. 582A nurse is caring for an infant who has a tracheoesophageal fistula. Which of the following findings should the nurse expect? (Select all that apply.)Answer →
  583. 583A nurse is caring for an 11-year-old child who has type 1 diabetes mellitus and receives insulin injections. The child is experiencing an altered mental status, diaphoresis, and tremors. Which of the following actions should the nurse take?Answer →
  584. 584A nurse is providing care to a child who has a new diagnosis of immune thrombocytopenia. Which of the following information regarding implications of the diagnosis should the nurse include in the discharge instructions?Answer →