1.

Femoral venipuncture on a toddler position: supine

2. Cystic fibrosis: admin pancreatic within 30 mins of meals and snacks, if they have
steatorrhea they should get pancreatic enzyme, increase fat content in the child’s diet to
40 percent of total cal, their diet is high protein meal and snacks
3. Kawasaki disease in toddler expect: increased temperature, xerophthalmia, cervical
lymphadenopathy, strawberry tongue, cracked lips and edema in the oral mucosa and
pharynx, tachycardiac (not bradycardia)
4. Tunneled central venous access device intervention: use a semipermeable transparent
dressing to cover the site, avoid scissors, flush lumen with heparin not a sodium chloride
5. 10 year old with neutropenia: give a book about adventure to challenge them???
6. Preschool: large puzzle
7. Juvenile idiopathic arthritis: encourage them to perform independent self care!
8. Lumbar puncture: side lying/ or supine for 30 min to 1 hr after lumbar puncture
9. Semi recumbent: gavage feeding
10. DKA with a current glucose of 250 mg/dl: administer 5% dextrose in 0.9% sodium
chloride by continuous IV infusion 250 to 300 must be given that. If not, they might get
hypoglycemia
11. Lower leg cast 24 hours, what you report? Restricted ability to move the toes.
12. SO A PHYSICAL NEGLECT FOR 18 MONTH OLD IS POOR PERSONAL HYGIENE.
Multiple bruises on knees is normal because they run and fall all the time.
13. Cheiloplasty: lip surgery, apply antibiotic ointment on their suture line for 3 days, report
excessive swallowing, avoid placing objects in mouth, use sterile water in sutures
nothing else
14. Hypopituitarism: prescribe RECOMBINANT GROWTH HORMONE
15. Hyposecretion of Antidiuretic hormone: desmopressin
16. Hypothyroid: levothyroxine
17. Cardiac cath: wait 3 days before taking a bath, they can attend school but just avoid
strenuous activities, resume regular diet, remove pressure dressing day after procedure
and put bandage strip daily for the next 2 days
18. Epiglottitis: ABC first so monitor o2 sat
19. Abdominal trauma- mononucleosis should avoid activities because they might result in
trauma
20. Pulse oximetry for infant secure sensor : great toe
21. If you have a superficial burn: DO NOT LEAVE IT OPEN TO AIR, apply antimicrobial to
the affected area, do not ice it
22. Tinea pedis: the sweating in the feet, so wear sandals or something open
23. The nurse should inform the guardian that teething can result in discomfort for the
infant. Therefore, the guardian should look for indications such as pulling on the ears,
difficulty sleeping, increased drooling, or increased fussiness.
24. The nurse should use the FACES pain rating scale for pediatric clients who are 3 years
old and older.
25. Mama can breastfeed while sample heel stick is being obtained
26. Nonheme iron: raisins (juice is vit c, milk is calcium, carrots does not have iron)
27. Bacterial meningitis: The nurse should plan to maintain the adolescent on droplet
precautions for at least 24 hr following initiation of antimicrobial therapy. This
practice will ensure that the adolescent is no longer contagious, which protects family
members and the personnel caring for the client.
28. Faculty should plan to teach challenging academic subjects in the morning when
students who have ADHD are most able to focus and their medication is most likely to
be effective.
29. Sunburn protection: avoid playing outside between 10am to 2pm, choose waterproof
sunscreen min of spf 15, dress in cotton, reapply sunscreen more often like 2 hrs instead
of 4 hrs
30. The nurse should identify that irritability, inability to follow commands, and difficulty
concentrating are manifestations of increased intracranial pressure due to
decreased blood flow within the brain and pressure on the brainstem.
31. The nurse should monitor the adolescent's serum potassium level following the
administration of sodium polystyrene sulfonate. This medication is used to treat
hyperkalemia by exchanging sodium ions for potassium ions in the intestine.
32. The nurse should instruct the parents to brush the child's teeth after administering
digoxin to prevent tooth decay caused by the medication, which comes as a
sweetened liquid to enhance the taste. Do not double the dose. Do not repeat dose if
child vomits. Use calibrate device to measure medication, not a teaspoon!
33. Following surgical repair of a hypospadias, the infant is at increased risk for infection at
the operative site. The nurse should instruct the parents to administer a prophylactic
antibiotic as prescribed to help prevent infection. Not a hydrocortisone
34. HYpospadias: The nurse should instruct the parents to ensure that the stent drains
directly into the infant's diaper to prevent kinking or twisting that can interfere
with urine flow.
35. Controlling impulsive feelings is an expected behavior of school-age children. A
toddler is more likely to have difficulty controlling strong and impulsive feelings as they
try to assert their independence and gain control of situations. The nurse should include
that expressing likes and dislikes is an expected behavior of toddlers. This is the
time in life when a toddler is developing autonomy and self-concept. They will try to
assert themselves and frequently refuse to comply. The parent should allow the child to
have some control, but also set limits for them so they learn from their behavior and
learn to control their actions.
36. The nurse should expect Kussmaul respirations in a child who has diabetic
ketoacidosis. These deep and rapid respirations are the body's attempt to eliminate
excess carbon dioxide and achieve a state of homeostasis.
37. HR 106 to 186/min for a 3- to 5-month-old infant.
38. When using the urgent vs. nonurgent approach to client care, the nurse should assess
this child first. An episode of forceful vomiting is an indication of increased intracranial
pressure in a toddler who has a concussion.
39. After establishing an airway and stabilizing the child's respirations, the next action the
nurse should take when using the airway, breathing, and circulation approach to client
care is to establish IV access to maintain the child's circulatory volume.
40. The nurse should identify that an erythrocyte sedimentation rate of 18 mm/hr is above
the expected reference range of up to 10 mm/hr and is an indication of osteomyelitis.
41. Bicycle safety: The child should be able to stand on the balls of their feet when sitting on
the bike and wear light colored clothing duh!
42. To assess peripheral edema: palpate DORSUM OF FEET
43. Generalized edema assessment: observe for periorbital swelling
44. Impetigo contagiosa is a bacterial infection: apply topical antibacterial ointment to the
lesion, wash the bed linen daily with hot water, wash hands before and after contact with
affected area. Dont let the crust to remain intact, you have to wash it.
45. Up and back- children 3 yr and up
46. Down and back- children younger than 3
47. Severe dehydration? ABSENCE OF TEARS (If decreased only, that’s moderate.) Deep,
rapid respirations
48. To feed infant with cleft palate, use A CUP for 7 to 10 days. At least BURP THEM 2 to 3
times during feeding because baby might swallow air. They are expected to feed noisily.
49. Intussusception: prepare barium enema, they may have VOMITING AND LETHARGY
50. Infant risk for electrolyte imbalance and dehydration is because they have LONGER
INTESTINAL TRACT
51. Pancreatic enzyme: cystic fibrosis
52. Calcium and iron: lead poisoned
53. If 4 month old baby, play with them by allowing them to splash in bathtub. If they are 9 to
12 month old, show them a board book with large pics or imitate sounds of animals or
push pull toys
54. Ileostomy: check bag for stool every 4 hours, they can lie on abdomen, tuck the
appliance into the diaper, replace appliance once a week
55. If patient has idiopathic juvenile arthritis, still encourage them to attend school regularly.
APPLY MOIST HEAT TO RELIEVE JOINT PAIN NOT COLD COMPRESS OK? TAKE
NSAIDS not OPIOIDS, THERE IS NO DIET FOR THIS ONE
56. For enema on infant, do not administer tap water, and if you insert the tubing it should be
2.5cm or 1 inch into the rectum, also be placed in supine position. Hold the buttocks
together after administering fluid
57. Jack in the box for infants
58. VP shunt complication: abdominal distention
59. 24 month old baby what you expect: they can build a tower of 6 blocks, they have
slightly bowed or curved leg appearance, 16 teeth, vocab will be 300 words and speak in
2 to 3 phrases, head circum is equal to chest
60. 3 year old? Coloring book and crayons
61. Snellen chart: position 10 ft away from the chart, wear prescribed glasses
62. Tumbling E: have them point the direction the E is facing
63. Teaching about measures to reduce risk of choking for toddlers: hot dog, grape, bagel,
marshmallow
64. Teaching about managing asthma and using a peak expiratory flow meter, which is an
understanding? “I will continue to take meds when my peak flow rate is in the green
zone”
65. Cerebral palsy teaching: “your child will need BOTULINUM TOXIN A INJECTION to
reduce muscle spasticity” , they can eat by mouth, they can participate in recreational
activities, do not use throw rugs
66. Infant who is breastfed and receiving amoxicillin for upper resp infection. Whitish
patches on the tongue that will not scrape off. : Administer an antifungal medication after
feeding to ensure oral mucosa and tongue safety ambot, no water
67. 6 year old child tx for pneumococcal pneumonia 4 days ago. What findings is indication
tx is treatment? HR 118 is expected for 6 yr old (75 to 118) . 18 to 25 respiratory rate for
6 to 11 yrs old
68. A nurse is creating a plan for a 6 mon old infant who requires continuous pulse oximetry
monitoring. Which intervention? COVER THE OXIMETRY SENSOR WITH CLOTHING
daw...to prevent false reading! Move the sensor every 4 to 8 hours. And place sensor
around the hand or foot for accurate reading. No conduction gel!
69. School aged child who has sickle cell anemia. What to do to help decrease risk of vaso
occlusive crisis? Provide fluid throughout the day. Oxygen not needed for anemia. Blood
transfusion is not for a crisis.
70. IM injection to a 2mon old infant, which site should the nurse plan to administer
injection? Vastus lateralis
71. Physical assessment on a 12 mon old. What do you report? Current weight is double. 12
mon is triple. 6 mos is double. Posterior fonatel should be closed at about 2 mos of age.
15 mos they can walk without assistance. 6 to 8 teeth present
72. Child overdose of acetaminophen- acetylcysteine
73. Opioid respiratory depression: naloxone
74. Allergy to medication: diphenhydramine
75. Hypoglycemia: glucagon
76. Acute asthma attack, what you administer? Albuterol
77. Assess 2 mon old infant with ventricular septal defect. What you report? Weight gain of
1.8 kg (4lb) . This is too much weight so report! - systemic murmur, hr 125, soft flat
fontanel are all normal and expected
78. Sickle cell anemia pt experiencing vaso-occlusive crisis PRIORITY- monitor the child’s
o2 sat level ABC is always PRIORITY
79. 6 mon old with moderate dehydration. What findings do you expect? Dry mucous
membranes
80. Severe dehydration: weight loss more than 10%, absent tears, lethargy
81. Child abuse. What example illustrate suggestive finding? Arm cast for a spiral fracture
on forearm. Not vague headache or stomach ache or bruising on knees coz this is
normal for children
82. Discharge teaching to guardians of adolescents with postoperative following a
tonsillectomy. What manifestations should you report? Constant clearing of the throat!!
Old dry brown blood is normal, bad odor is normal, low grade fever is normal
83. Lab values for 6 month old infants with acute renal failure. What do you expect? Sodium
125 is bad so report. Bun level 5 is normal for infants. (infant bun is 5 to 18, newborn is 3
to 12 *google)
84. 4 month old with acute otitis media and a fever of 38.3 (101.1). What do you
administer? Amoxicillin,
85. Diphenhydramine is for allergic reactions
86. Furosemide is a diuretic to decrease edema
87. Ibuprofen are not for children under 6 months old. Acetaminophen is preferred
88. 1 year old with chronic otitis media. Risk of a delay in development? Speech patterns
89. School aged child who has hemophilia and fell on the playground. Pain is 4 to 10. What
you do? Apply an ice pack to the joint. Avoid giving aspirin or NSAID for hemophilia
patients.
90. Type 1 diabetes mellitus managing hypoglycemia. Teaching? 4oz OJ why OJ for
hypoglycemia. Research this! Also correct: 4 glucose tablets, 2 tsp of sugar, 6 oz of
regular soft drink
91. HIV preschool. Manifestations to expect? Chronic diarrhea, failure to thrive, weight loss
92. Preop education for 8 year old before cardiac surgery: USE A DOLL
93. Glomerulonephritis, school age child, BP of 160.78, receiving hydralazine, lunch choice:
3oz grilled chick, 1 cup pear slice, 120 or 4oz apple juice
94. Preop teaching for preschooler who is scheduled tonsillectomy. Intervention? Encourage
to bring toy
95. Ped unit child with autism. What you do? Ensure the staff visits with the child are kept
short. Because they have difficulty adjusting to new situations.
96. Schoolage child reports horseback riding 3 times per week and has injuries reportedly
related to falls from a horse: thin, frail extremities
97. Lab results fr children with manifestations of influenza. What you report? You report
WBC of 24 (5 to 10)
98. 1month old infant with gastroesophageal reflux. What is an understanding? Add rice
cereal to baby feeding
99. Give infant meds 30 mins before feeding, put them in an infant seat or at 30 degrees
angle 1 hour after feeding, avoid feeding before bedtime, rice cereal thickens the feeding
and prevent vomit
100. Preschool with terminal illness. What you expect? Believes that her own thoughts
can cause death. Because they are overacting!
101. Child maltreatment. What teaching? Premature kids are most maltreated
102. Body mass is 21.2. What is this? Healthy! (overweight is 25 to 29, 30 is obese,
under 18.5 is underweight)
103. 18 month old toddler otic meds: pull ear DOWN AND BACK!
104. “My child is suddenly not interested in certain food” what you do? KEEP A DIARY
OF THE FOOD THEY EAT!
105. Cystic fibrosis. What you do? HIGH FAT!
106. Otitis media and temperature is 39.1 or 102.4 = URGENT! administer an
antipyretic
107. FLACC 2months to 7 year old
108. FACES 3 year and older
109. Allergy, histamine, anaphylaxis: nausea, urticaria (hives), stridor (hoarse voice)
110. Parasitic disease: keep fingernails trimmed short.
111. Mild gastroesophageal reflux GER feeding therapy to recommend: thicken
feedings with rice cereal, keep clothing and diaper loose, hold infant upright at least 30
mins after each feeding
112. Toddler language development. What to expect in 18 month old? Vocabulary of
10 or more words, 2 years old they can say their name and complete simple commands,
they cannot name a color until 30 months of age
113. Glomerulophrenitis: weight once each day, check BP every 4 hours, no salt, bed
rest not required (that’s for nephrotic) , potassium restrict
114. Nosebleed what you do? Apply pressure to nose using thumb and forefinger,
keep child calm, seat forward, cold cloth to bridge of nose
115. Intussusception: abdominal ultrasound will confirm the pocket in the intestine
116. Encopresis is caused by stress or changes in environment
117. Infant who has tetralogy of fallout experiencing hypercyanotic episode: place in
knee chest position, also admin morphine not acetaminophen, face mask also and iv
fluid is good
118. When caring for a child with tracheostomy, remove the catheter while applying
intermittent suction
119. 5-4 yr old: copy a square , 2-3 yr old: copy a circle
120. 5 yr old : tie shoes, draw stick figure with 7 parts, print letters of name
121. Preschooler: large pieces puzzle, building blocks
122. School age: chapter books, painting
123. Toddler: finger paint
124. When applying urine collection bag, always wash and dry genitalia, perineum
and surrounding skin FIRST
125. Anemia is for iron
126. Low platelet is encourage quiet play to children to prevent risk for injury and
excessive bleeding
127. If you have hypospadias: avoid tub bath, avoid clamping catheter any time,
increase fluid intake, and apply antibacterial ointment in penis
128. Nephrotic: provide thorough skin care, fluid restriction, diet requires protein
sodium fat restriction, AVOID INFECTED PEOPLE , corticosteroids first line treatment,
weight daily
129. Otitis media: ear infection, smoking is bad for this
130. Hyperopia: farsightedness should be reported
131. Dtap 5 years old
132. If an infant has acute gastroenteritis, report cap refill 5 seconds. The heart rate of
150 is expected in them
133. Google: Newborns 0 to 1 month old: 70 to 190 beats per minute. Infants 1 to 11
months old: 80 to 160 beats per minute. Children 1 to 2 years old: 80 to 130 beats per
minute. Children 3 to 4 years old: 80 to 120 beats per minute