Question

1.    A child with sickle cell anemia is being treated for a crisis. The physician orders morphine sulfate (Duramorph) 2mg I.V. The concentration of the vial is 10mg/1ml of solution. How many milliliters of solution should the nurse administer? (Do not round)

Order: Ritalin 0.75 mg/kg for a child weighing 26.6 kg. How many mg should be administered

3.    A child is receiving I.V. gamma globulin for Kawasaki disease. The order is for 5g of gamma globulin over 10 hours. The concentration is 5g in 100ml of normal saline. How many milliliters per hour should this child receive?

4.    You are administering a dose of IV antibiotics via buretrol with mic drop tubing (drop factor 60 gtt/mL). The instructions read to administer the medication mixed in 50 mL over 60 minutes. What is the flow rate for this infusion?

5.    A 10-year old admitted with asthma. The physician orders an aminophylline infusion. A loading dose of 6mg/kg is ordered. The client weighs 30kg. How much aminophylline is contained in the loading dose?

6.    A bolus of 10mL/kg IV fluid is ordered for a 2-year-old who weighs 30kg. How many milliliters should be administered?

7.    A child prescribed aspirin for Kawasaki disease. The order is for 80mg/kg/day orally in 4 divided doses. The child weighs 25kg. How much is given in one dose?

8.    The following IV orders will be regulated manually. Calculate the flow rate of the IV fluid in gtt/min. 50 mL NS with antibiotics IV to infuse in 20 minutes

The drop factor is 20 gtt/mL.

9.    A 3-year-old child is to receive 500ml of dextrose 5% in normal saline solution over 8 hours. At what rate should the nurse set the infusion pump? (round to the nearest mL)

10. Ceftazidime (Fortaz) 750 mg IVPB q 8 hrs has been ordered for your 4 year old client with cystic fibrosis. The child weighs 17.5kg. When you check your drug guide you see the following: Children age 1 mo to 12 years: 33.3mg-50mg/kg/dose every 8 hours. What is the safe dosage range per dose for this child? (Don't round)

11. A 2-year old is diagnosed with epiglottitis. Ampicillin is ordered 50mg/kg/day in 6 divided doses. The client weighs 12kg. How much ampicillin is given per dose?

12. What manifestation differentiates chronic otitis media with effusion (OME) from otitis media (AOM)?

13. Which drug is usually the best choice for patient-controlled analgesia (PCA) for a child in the immediate postoperative period?

14. The nurse is examining a 5-year-old boy. Which sign or symptom is a reliable first indication of respiratory illness in children?

15. The physician has ordered rectal diazepam for a 2-year-old boy with status epilepticus. Which instruction is essential for the nurse to teach the parents?

16. An infant weighing 8kg is to receive ampicillin 25mg/kg I.V. every 6 hours. How many mg should the nurse administer per dose?

17. Erythromycin is ordered for an 8-year-old before dental work. The child weighs 66 pounds. The order is for 20 mg/kg by mouth before the procedure> According to the label the available dosage strength is 400 mg/5mL. How many mL should the child receive?

18. The nurse is monitoring a patient for side effects associated with opioid analgesics. Which side effects should the nurse expect to monitor for ?

19. The nurse is preparing a plan of care for a 5-year-old with chickenpox. Which nursing intervention should be questioned?

20. The nurse knows that children have larger heads in relation to the body and a higher center of gravity. When developing a teaching plan for parents, the nurse includes information about an increased risk for which problem ?

21. Which statement best describes why children have fewer respiratory tract infections as they grow older?

22. Which type of croup is always considered a medical emergency?

23. Which drug would be used to treat a child who has increased intracranial pressure (ICP) resulting from cerebral edema?

24. When is it generally recommended that a child with acute streptococcal pharyngitis can return to school?

25. Bacterial pneumonia is suspected in a 4-year-old boy with fever, headache, and chest pain. Which assessment finding would most likely indicate the need for this child to be hospitalized?

26. What does the Glasgow Coma Scale consists of an assessment of?

27. The nurse is assessing a 7-year-old boy with pharyngitis. What assessment finding would suggest the child has developed a peritonsillar abscess?

28. The mother of a 1-month-old infant tells the nurse that she worries that her baby will get meningitis like her oldest son did when he was an infant.Appon what knowledge should the nurse base her response?

29. What does the nurse caring for a child in pain understand about the use of distraction?

30. The nurse is monitoring an infant for signs of increased intracranial pressure (ICP). Which are late signs of ICP in an infant?

31. A group of nursing students are reviewing the six links in the chain of infection and the nursing implications for each. The students demonstrate understanding of the information when they identify which precaution as helping to break the chain of infection to the susceptible host?

32. A father calls the emergency department nurse saying that his daughter's eyes burn after getting some dishwasher detergent. The nurse recommends that the child be seen in the emergency department or by an ophthalmologist. What should the nurse recommend before the child is transported?

33. What is the major consideration when selecting toys for a child who is cognitively impaired?

34. An infant has developed staphylococcal pneumonia. Nursing care of the child with pneumonia includes which of the following which of the following?

35. Which of the following would lead a nurse to suspect possible visual impairment in a child?

36. What would be most important to include in the teaching plan of a child pinworm?

37. After teaching a mother how to remove a tick from her 6-year-old boy's arm, the nurse determines that additional teaching is needed when the mother makes what statement?

38. What important consideration in providing atraumatic care should the nurse consider when performing a venipuncture on a 6-year-old child?

39. Which clinical manifestation should the nurse expect when a child diagnosed with sickle cell anemia experiences an acute asco-occlusive crisis?

40. What is an appropriate nursing intervention when caring for a child interaction?

41. The nurse gives an injection in a patient's room. Which method should the nurse use to dispose of the needle?

42. An infant is brought to the emergency department with poor skin turgor, sunken fontanel, lethargy, and tachycardia. This is suggestive of which condition?

43. One of the clinical manifestations of chronic renal failure is uremic frost.WHich best 1describes this term?

44. Because of their striving for independence and productivity, which age group of children is particularly vulnerable to events that may lessen their feeling of control and power?

45. What intervention should the nurse share with parents on how to prevent iron deficiency anemia in a healthy, term, breastfed infant?

46. Which interventions should the nurse include in the plan of care for the infant awaiting surgical closure of a myelomeningocele sac?

47. (THIS QUESTION USES AN IMAGE)

48. The parents of a child born with disabilities asked the nurse for advice about discipline. The nurse's response should be based on what knowledge concerning discipline?

49. The nurse is caring for a hospitalized 5 year old. The parents tell the nurse that they will be back to visit at 6 PM.When the child asks the nurse, "when my parents are coming", what is the nurse's best response?

50. Which of the following assessment findings in a child would cause a nurse to suspect possible visual impairment?

51. A child is admitted with acute glomerulonephritis. What would the nurse would expect the urinalysis during this acute phase to show?

52. What common signs of digoxin toxicity?

53. Chelation therapy is begun on a child with B-thalassemia major with what expected result?

54. What is the major consideration when selecting toys for a child who is cognitively impared?