Question 1

As a pediatric nurse, what advice would you give to a parent whose toddler is throwing &#34;temper tantrums&#34;?&#10;A) Just give the child what they want&#10;B) Give the child a &#34;time-out&#34;&#10;C) Withhold his or her favorite toys until he or she behaves properly&#10;D) Ensure safety and then ignore the behavior

Accepted Answer

Ignoring the behavior allows the child to learn that tantrums are not an effective way to get what they want.

Question 2

As a pediatric nurse, what advice would you give to a parent regarding initiating toilet training?&#10;A) Start with bladder training, then move on to bowel training.&#10;B) Do not initiate toilet training until the child is at least 2 years old.&#10;C) Do not initiate toilet training until the child can stay dry in their diaper for at least 4 hours.&#10;D) Toilet training should be initiated as soon as possible to avoid urinary tract infections.

Accepted Answer

C

Question 3

Iron-deficiency anemia is a medical diagnosis directly related to the quality of the young child's diet. What laboratory values should you obtain to assess for anemia in a young child?&#10;A) Complete blood count, iron, and sedimentation rate&#10;B) Iron, hemoglobin, and hematocrit&#10;C) Complete blood count, hemoglobin, and hematocrit&#10;D) Complete blood count, sedimentation rate, and hemoglobin

Accepted Answer

Iron, hemoglobin, and hematocrit are the laboratory values that should be obtained to assess for anemia in a young child.

Question 4

As a pediatric nurse, what advice would you give to parents in order to prevent tooth decay in a toddler?&#10;A) Allow them to drink only skim milk&#10;B) Transition from bottle to sippy cup&#10;C) Rinse the toddler's mouth with fluoridated mouthwash&#10;D) Brush the toddler's teeth three times a day, after mealtime

Accepted Answer

Transitioning from a bottle to a sippy cup can help prevent tooth decay by reducing prolonged exposure to sugary liquids that can occur with bottle feeding.

Question 5

As a pediatric nurse, what is your first action if a toddler presents with adventitious breath sounds?&#10;A) Immediately start oxygen therapy&#10;B) Immediately obtain a sputum culture&#10;C) Immediately evaluate for respiratory distress&#10;D) Immediately initiate rescue breathing

Accepted Answer

Adventitious breath sounds in a toddler indicate an abnormality in breathing, which could be a sign of respiratory distress. The first action should be to evaluate the child for signs of respiratory distress to determine the severity of the condition and the appropriate next steps. Starting oxygen therapy, obtaining a sputum culture, or initiating rescue breathing without first assessing the child's respiratory status could delay necessary care or provide inappropriate treatment.

Question 6

The DTaP vaccine covers three bacterial infections: diphtheria, tetanus, and pertussis. What symptoms should you tell the parents to expect of their child following this vaccine?&#10;A) Fever, tenderness in the area, local skin reactions&#10;B) Fever, irritability, transient skin rash&#10;C) Fever, lethargy, irritability&#10;D) Lethargy, irritability, transient skin rash

Accepted Answer

The DTaP vaccine can cause mild side effects such as fever, tenderness at the injection site, and local skin reactions.

Question 7

If you are asked to administer oral medication to a toddler, which of the following actions will give you a greater chance of a successful administration?&#10;A) Giving the child advanced warning of administration&#10;B) Offering the child a choice between two flavors of syrup&#10;C) Never allowing the child to self-administer the medication&#10;D) Always using a medicine cup, never a tablespoon or teaspoon

Accepted Answer

Offering the child a choice between two flavors of syrup can make the child feel more in control and cooperative, increasing the likelihood of successful administration.

Question 8

Because toddlers are notorious for taking off their identification tags/bands, what action is appropriate if you must administer medication to a child without an I.D. tag?&#10;A) Confirm the name on the patient's chart coincides with the name on the medication&#10;B) Ask the toddler to confirm his or her name, spelling, and date of birth&#10;C) Ask the parents to confirm the patient's name, spelling, and, date of birth&#10;D) Go ahead with the administration if you recognize the patient

Accepted Answer

Asking the parents to confirm the patient's name, spelling, and date of birth is the most reliable method to ensure correct patient identification when a toddler does not have an I.D. tag. Toddlers are not reliable for providing accurate personal information, and recognizing a patient does not ensure correct identification due to the possibility of similar appearances among children.

Question 9

As a pediatric nurse performing a physical assessment, which of the following actions should you take if any rash is found on a toddler?&#10;A) Treat the rash with a topical ointment&#10;B) Assess for presence of communicable disease&#10;C) Assess for signs of child maltreatment&#10;D) Treat the rash with oral corticosteroids

Accepted Answer

If a rash is found on a toddler, it is important to assess for the presence of a communicable disease, as rashes can be a symptom of such illnesses.

Question 10

The first dose of the measles vaccine is administered during the toddler period, between 12 and 15 months of age. What route of administration should be used to administer this vaccine?&#10;A) Oral administration&#10;B) Subcutaneous administration&#10;C) Intramuscular administration&#10;D) Intravenous administration

Accepted Answer

The measles vaccine is typically administered via the subcutaneous route, which involves injecting the vaccine into the tissue layer between the skin and the muscle. This method is used for the measles vaccine to ensure proper absorption and immune response.

Deck 7: Caring for Toddlers