Exam 2: Child Health

A nurse in a pediatric clinic is performing a physical examination of a 30-month-old child.  Which finding requires further evaluation?

The nurse is providing discharge instructions to the parent of a child with Kawasaki disease.  The nurse informs the parent that the presence of which symptom should be immediately reported to the health care provider?

The parent of a 1-year-old says to the nurse, "I would like to start toilet training my child as soon as possible."  What information does the nurse provide to the parent that correctly describes a child's readiness for toilet training?

A nurse is teaching the parent of an 8-month-old infant who had a febrile seizure about management of future fevers.  Which instruction is appropriate to include in the teaching?

The emergency nurse is triaging four clients.  Which client should the nurse assess first?

The clinic nurse cares for a 4-year-old who has been diagnosed with a pinworm infection.  Which client symptom supports this diagnosis?

The nurse is assessing a 4-week-old infant during a routine office visit.  Which assessment finding is most likely to alert the nurse to the presence of right hip developmental dysplasia?

The clinic nurse supervises a student nurse who is preparing to administer routine vaccinations to a child diagnosed with hemophilia.  Which instructions should the clinic nurse provide to the student?  Select all that apply.

The nurse assesses a child with intussusception.  Which assessment findings require priority intervention?

A newborn is being evaluated for possible esophageal atresia with tracheoesophageal fistula.  Which finding is the nurse most likely to observe?

A 14-year-old is scheduled for surgery to treat scoliosis.  The child will be hospitalized for about a week and then discharged home to recuperate for 3-4 weeks before returning to school.  What is the best activity the nurse can recommend to promote age-specific growth and development during this time?

A nurse is assessing a 1-month-old infant with an atrial septal defect (ASD).  Which assessment finding does the nurse expect?

The nurse is discussing child safety with the parents of a 12-month-old who is just beginning to walk.  Which statement by the parents indicates a need for further instruction?

When monitoring an infant with a left-to-right-sided heart shunt, which findings would the nurse expect during the physical assessment?  Select all that apply.

The nurse just administered routine immunizations to a healthy 15-month-old.  What information should the nurse provide the caregivers before they leave the clinic?

A parent calls the nurse telehealth triage line with concerns about an allergic reaction to something a child ate.  Which symptoms should the nurse instruct the parent to assess for to determine if the child is having an anaphylactic reaction?  Select all that apply.

What is the priority when caring for a 6-month-old diagnosed with atopic dermatitis?

The nurse is caring for a 10-year-old diagnosed with osteomyelitis.  What is the best activity the nurse can suggest to promote age-specific growth and development during hospitalization?

The nurse assessing a 2-year-old should expect the child to be able to perform which actions?  Select all that apply.

The nurse is caring for an infant diagnosed with Hirschsprung disease who is awaiting surgery.  Which assessment finding requires the nurse's immediate action?