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Questions and Answers
Molly. with suspected rheumatic fever. is admitted to the pediatric unit. When obtaining the child’s history. the nurse considers which information to be most important?
A fever that started 3 days ago
Lack of interest in food
A recent episode of pharyngitis
Vomiting for 2 days
Nurse Analiza is administering a medication via the intraosseous route to a child. Intraosseous drug administration is typically used when a child is:
Under age 3
Over age 3
Critically ill and under age 3
Critically ill and over age 3
When assessing a child’s cultural background. the nurse in charge should keep in mind that:
Cultural background usually has little bearing on a family’s health practices
Physical characteristics mark the child as part of a particular culture
Heritage dictates a group’s shared values
Behavioral patterns are passed from one generation to the next
While examining a 2-year-old child. the nurse in charge sees that the anterior fontanel is open. The nurse should:
Notify the doctor
Look for other signs of abuse
Recognize this as a normal finding
Ask about a family history of Tay-Sachs disease
The nurse is aware that the most common assessment finding in a child with ulcerative colitis is:
Intense abdominal cramps
When administering an I.M. injection to an infant. the nurse in charge should use which site?
A child with a poor nutritional status and weight loss is at risk for a negative nitrogen balance. To help diagnose this problem. the nurse in charge anticipates that the doctor will order which laboratory test?
Total iron-binding capacity
When developing a plan of care for a male adolescent. the nurse considers the child’s psychosocial needs. During adolescence. psychosocial development focuses on:
Establishing an identity
When developing a plan care for a hospitalized child. nurse Mica knows that children in which age group is most likely to view illness as a punishment for misdeeds?
Nurse Sunshine suspects that a child. age 4. is being neglected physically. To best assess the child’s nutritional status. the nurse should ask the parents which question?
Questions: 8 | Attempts: 1975 | Last updated: Mar 22, 2022
A mother brings her six-month-old son to see you in the emergency department in January. The child
had an uneventful prenatal course, and growth and development have been normal to this point. The child is
primarily breast fed, but his mother did begin to introduce solids at 4 months of age. The child now presents
with emesis and diarrhea of two days duration. She has noted no blood in his stools. In addition, the patient has
had several episodes of emesis, and does not seem to have tolerated any oral intake. You inquire about urine
output, and the patient s mother reports one wet diaper yesterday and none today. She denies any fevers. The
patient does attend day care, and according to his mother, there have been several other children there with a
On physical examination, heart rate is 165, and the remainder of the vital signs are within normal limits. Weight
is 6.3 kg. The patient weighed 7 kg at his pediatrician s office earlier this week. The patient is crying but
consolable with the examination. He appears ill and listless. Eyes appear sunken and lips are dry. The patient
is not producing tears with his crying. Anterior fontanel is sunken. The patient s lungs are clear, and
auscultation of the heart reveals no murmurs. Capillary refill is 3-4 seconds, but skin turgor appears normal.
Examination of the rectal area reveals redness and excoriation.
Given the patient s history, you suspect gastroenteritis. You give the pts mother a bottle of oral rehydration
solution and instruct her to give the child a teaspoon every 5 minutes. While explaining the instructions to his
mother, the child drinks several ounces from his bottle and promptly vomits on you.
Of the following, the next best step in this patient s management is: