Question 1

As a pediatric nurse, you should be aware that neonates require which of the following to dilate their pulmonary vessels for ventilation and closure of the three fetal shunts?

Accepted Answer

Inspired environmental oxygen is crucial for neonates as it helps to dilate pulmonary vessels, facilitating ventilation and aiding in the closure of fetal shunts.

Question 2

What anticipatory guidance can you give parents regarding administering medications to infants?

Accepted Answer

Using the smallest amount of fluid possible ensures that the infant receives the entire dose of medication. Mixing medications in bottles can lead to incomplete ingestion of the dose if the infant does not finish the bottle. Mixing with flavored syrup is not universally recommended due to potential allergies, interactions, or the infant's refusal. While topical medications are less invasive, they are not always preferred or effective for conditions requiring systemic treatment.

Question 3

As a pediatric nurse, you should expect that it may take as many as three adults to perform what procedure on a toddler?

Accepted Answer

The answer of As a pediatric nurse, you should expect...

Question 4

As a pediatric nurse, how can you avoid a toddler having a temper tantrum when attempting to administer oral medications?

Accepted Answer

The answer of As a pediatric nurse, how can you...

Question 5

The varicella vaccine is given as a subcutaneous injection that is first administered during the toddler period, between 12 and 15 months of age. Which of the following is the best time for the vaccine to be repeated?

Accepted Answer

The varicella vaccine is typically given in two doses. The first dose is administered between 12 and 15 months of age, and the second dose is recommended between the ages of 4 and 6 years, before the child enters school.

Question 6

For what reason is it important that a full "time-out" be performed prior to administering a medication to a toddler?

Accepted Answer

The answer of For what reason is it important that...

Question 7

For which of the following reasons should unplanned snacking be discouraged and monitored for preschoolers?

Accepted Answer

The answer of For which of the following reasons should...

Question 8

As a pediatric nurse, what action can you take to limit a child's anticipatory distress when receiving vaccinations?

Accepted Answer

The answer of As a pediatric nurse, what action can...

Question 9

Because preschoolers are too big for a hospital crib with rails and a topper, the preschooler must be educated in what action?

Accepted Answer

Preschoolers need to be taught how to use the call light as a safety measure to ensure they can alert staff if they need assistance, especially since they are too big for a crib with rails and may have more mobility and independence.

Question 10

For which reason should supervision for playground and after-school activities on school grounds continue throughout the school-age period?

Accepted Answer

The answer of For which reason should supervision for playground...

Question 11

As a pediatric nurse, why should you advise parents to make sure their child consumes the daily required quantity(400 IU) of vitamin D?

Accepted Answer

Vitamin D is crucial for calcium absorption in the bones, preventing conditions like osteoporosis and rickets in children. Additionally, some studies suggest a link between vitamin D and a lower risk of type I diabetes mellitus, though the evidence is less clear for preventing anemia, obesity, heart disease, or type II diabetes directly through vitamin D supplementation.

Question 12

As a pediatric nurse, what anticipatory guidance would you give to parents who wish to limit and restrict electronics, gaming, social media, and television?

Accepted Answer

The answer of As a pediatric nurse, what anticipatory guidance...

Question 13

As a pediatric nurse, what can provide you with a foundation for referral and rapid intervention for teens at risk for depression, anxiety, or other mental health issues?

Accepted Answer

Early screenings for depression can help identify teens at risk for mental health issues, allowing for timely referral and intervention.

Question 14

Regardless of how mature a teen might appear to an external audience, as a pediatric nurse, you should plan for what activities as an important part of a teen's healing process?

Accepted Answer

Recreation and distraction are important for a teen's healing process because they help manage stress, improve mood, and maintain a sense of normalcy during hospitalization or treatment, which can be particularly beneficial for their mental and emotional well-being.

Question 15

A tetanus, diphtheria, and acellular pertussis (Tdap) vaccine booster is required during adolescence. As a pediatric nurse, what advice would you give to patients once the booster is administered?

Accepted Answer

After receiving the Tdap booster, it is recommended to receive a tetanus and diphtheria (Td) booster every 10 years to maintain immunity. Pertussis (whooping cough) booster is not routinely recommended every 10 years, but specific situations may warrant it, such as during pregnancy or in close contact with infants.

Question 16

When assessing a child for fatigue, you should assess for which other medical condition as well?

Accepted Answer

The answer of When assessing a child for fatigue, you...

Question 17

You are caring for a child who has repeated emetogenic experiences from chemotherapy and is enduring anticipatory nausea and vomiting. What type of medication would be most effective in treating this child?

Accepted Answer

Anxiolytics are most effective in treating anticipatory nausea and vomiting because they help manage the anxiety that triggers this condition before chemotherapy sessions.

Question 18

While assessing a child for fatigue, it is revealed that the fatigue is associated directly with a mental health issue or physical disorder. Which of the following is the best diagnosis for this child?

Accepted Answer

The answer of While assessing a child for fatigue, it...

Question 19

As a pediatric nurse, what is your role when dealing with families experiencing stress?

Accepted Answer

Securing a state of immediate safety is the primary role of a pediatric nurse when dealing with families experiencing stress.

Question 20

If a family and child present with evidence of severe neglect or abuse, once the child is in a state of safety, what is the next priority?

Accepted Answer

Once the child is in a state of safety, the next priority is to assess the severity and symptoms of the child's and family's stress. This helps in understanding the impact of the neglect or abuse and in planning appropriate interventions.

Quiz 31: Strategies for Goal-Setting, Cultural Sensitivity, and Error-Prevention