Nokea
After teaching a group of parents of preschoolers attending a well-child clinic about oral hygiene and tooth brushing, the nurse determines that the teaching has been successful when the parents state that children can begin to brush their teeth without help at which of the following ages?
- A. 3 years.
- B. 5 years.
- C. 7 years.
- D. 9 years.
Correct Answer: C
Rationale: Children can brush their teeth independently around 7 years, when fine motor skills are developed.
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The nurse is assessing a neonate with suspected tracheoesophageal fistula. Which of the following findings would be most concerning?
- A. Excessive drooling.
- B. Mild cyanosis during feeding.
- C. Heart rate of 140 bpm.
- D. Temperature of 37°C.
Correct Answer: B
Rationale: Mild cyanosis during feeding indicates potential airway compromise, a critical concern in TEF.
A 16-month-old child diagnosed with Kawasaki disease (KD) is very irritable, refuses to eat, and exhibits peeling skin on the hands and feet. The nurse should do which of the following first?
- A. Apply lotion to the hands and feet.
- B. Offer foods the toddler likes.
- C. Place the toddler in a quiet environment.
- D. Encourage the parents to get some rest.
Correct Answer: C
Rationale: Irritability in Kawasaki disease is often due to discomfort and inflammation. A quiet environment reduces stimulation and promotes comfort, addressing the primary issue first.
A male adolescent who underwent repair of an inguinal hernia earlier today and is getting ready to go home receives instructions about resuming physical activities. Which of the following statements would indicate that he has understood the instructions?
- A. I can start riding my bike next week.
- B. I have to skip physical education classes for 2 weeks.
- C. I can start wrestling again in 3 weeks.
- D. I can return to my weight-lifting class in 2 weeks.
Correct Answer: B
Rationale: Avoiding strenuous activities like PE for 2 weeks prevents strain on the surgical site.
When developing the discharge teaching plan for the parents of a child who has undergone a cardiac catheterization for ventricular septal defect, which of the following should the nurse expect to include?
- A. Restriction of the child's activities for the next 3 weeks.
- B. Use of sponge baths until the stitches are removed.
- C. Use of prophylactic antibiotics before receiving any dental work.
- D. Maintenance of a pressure dressing until a return visit with the physician.
Correct Answer: C
Rationale: Prophylactic antibiotics are recommended before dental procedures for children with ventricular septal defects to prevent endocarditis. Activity restrictions are typically shorter, stitches are not always used, and pressure dressings are removed sooner.
Which procedures can the nurse working on a pediatric floor safely delegate to the licensed practical nurse (LPN). Select all that apply.
- A. Refilling a baclofen pump.
- B. Administering gastrostomy tube feedings.
- C. Administering gastrostomy medications.
- D. Giving an IV push medication.
- E. Calling the AM blood sugars to the physician.
Correct Answer: B,C,E
Rationale: LPNs can safely administer gastrostomy feedings and medications and report blood sugar results, as these tasks are within their scope of practice.