The child is presenting with burn injuries. What should be the nurse’s priority during the initial assessment?

The preschool-aged child who has purulent, foul-smelling drainage from both nares is brought to an urgent care clinic- What action should be taken by the nurse first?

The HCP has just removed a peanut from the ear of the preschool child. What information is most important for the nurse to include when completing discharge teaching with the parent and child?

The nurse is counseling the parents of the infant who was born blind. Which statement indicates that the parents need additional teaching?

The nurse is presenting information about conjunctivitis to parents of preschool children. Which statement from a parent indicates understanding of the most important point about bacterial conjunctivitis?

The child is being seen in the clinic after bumping into objects, stating seeing halos around objects, and sometimes having diplopia. A referral is made for a tonometry test. The nurse should explain to the parents that a tonometry test is used to test for which problem?

When the nurse is preparing to assess the infant, the infant’s mother tells the nurse that she herself has a history of eczema. Knowing this, it is most important for the nurse to assess the infant for which problems?

The toddler with eczema is being seen in the clinic. What information should the nurse include when teaching the parent?

The nurse is collecting information and preparing to assess the toddler with eczema. Which component is most important for the nurse to assess?

The child with a bum injury has had a skin graft. During the child’s dressing change, the new nurse asks the experienced nurse why the skin appears lattice-like and is not smooth like the unburned areas of the child’s body. Which is the experienced nurse’s best response?

The nurse is planning the discharge of the pediatric bum victim to the child’s home. The child is able to ambulate with assistance but is cognitively and developmentally unable to function at the age-appropriate milestones due to asphyxiation. Which intervention is most important to include in the discharge planning of this child?

The child has a tentative diagnosis of Albright’s disease (neurotibromatosis). When assisting the child to disrobe prior to a physical exam, what should the nurse expect to observe?

The nurse is developing an educational program about bum prevention for parents of toddlers. Which most common cause of burns in toddlers should the nurse be sure to address?

The infant with burn injuries caused by the ingestion of a strong alkali is intubated and has been sedated. The parents, who have limited English, ask through an interpreter what will happen to their baby. Based on the protocol for this emergency situation, which intervention is most important for the nurse to address with the parents?

The nurse is presenting an educational session to parents of young children. Which is the most accurate statement that the nurse can make regarding hearing loss and deafness?

The child is prescribed hydrocortisone ointment 1% for treatment of atopic dermatitis. Which statement by the child’s parent indicates understanding of the intended effect of the topical corticosteroid?

The mother tells the nurse that her 1-month-old infant does not react to light. Which response to the parent is best?

The parents of the 2-year-old child have myopia. They ask the nurse if their child should have a traditional eye examination because they often observe their child excessively blinking, squinting, and tearing. Which response by the nurse is correct?

The nurse is assessing four 2- to 3-year-old children presenting with burn injuries. Which injuries would least likely trigger the need for further follow- up for potential child abuse and mandatory reporting?

The 2-year—old child has a bulky dressing in place over 60% of the child’s body following a skin grafting procedure for a severe burn injury. The parents arrive to visit the child and are shocked to see the child’s appearance. Which is the nurse’s most caring action?

The nurse is caring for the 3-year-old burn victim who is the only child of a single parent. The parent has not visited the child for 2 days, and the child is crying and says, “I want my mommy!” The nurse telephones the parent, who says, “I cannot stand to see my baby in so much pain knowing that I am responsible for this.” Which is the best response by the nurse?

The nurse assesses the hospitalized child with severe burn injuries on the lower extremities. Findings include weak distal pulses in the right leg with capillary refill >3 seconds, and the child reports feeling numbness and tingling in the right leg. What should be the nurse’s conclusions regarding this information?

The school nurse completed a second visual screen for preschool and school-aged children. For which child should the nurse plan to complete a referral for follow-up evaluation of the child’s vision?

The 4-year-old is brought to the ED alter being hit in the side of the head. Ear trauma is suspected, but the child is turning away from the nurse and burrowing against the parent, crying, and not allowing anyone near. Which nursing action is best to enable examination of the child's ear?

The nurse is developing the plan of care for the 4-year-old who is to have eye surgery. Which intervention should the nurse most definitely include in the plan to prepare the child for surgery?

The nurse is preparing to care for the 4-year-old hospitalized for moderate burns. Which response from the child should the nurse anticipate based on the child’s developmental age?

The nurse is assessing the vision of the 4-year-old and notes the child has difficulty adjusting to seeing an object as it is brought from a distance of 12 inches toward the child’s eyes. What is the nurse’s correct documentation of this finding?

The parent of the 6-year—old brings the child to the clinic after being hit in the eye by a baseball. The nurse assesses gross hyphema (hemorrhage into the anterior chamber) and a visible fluid meniscus across the iris. Which intervention by the HCP should the nurse anticipate?

The nurse is caring for the toddler 8 hours post injury. The toddler has second- and third-degree burns over 20% of the body. Which is the most critical nursing problem that the nurse should ensure is included in the child’s plan of care?

The nurse is reviewing the HCP orders for the newly admitted child with second- and third-degree burns over 10% of the total body surface area (TBSA). The child weighs 20 kg. Which order should the nurse clarify?

The nurse takes a telephone call from the parent of the child who has a nosebleed that is not stopping. Which direction should the nurse provide to the parent?

The ED nurse is assessing the adolescent who has burns over 25% of the body. Which assessment finding should be most concerning to the nurse?

The nurse is caring for the child with secondary burns over 40% of the body. The child has just been diagnosed with DIC. Which priority nursing problem, based on the most recent condition, should the nurse add to the child’s plan of care?

The malnourished child has cheilosis of the lips, burning and itching eyes, and seborrheic dermatitis. The child is diagnosed with a vitamin 82 (riboflavin) deficiency. Which additional findings on the assessment should the nurse consider consistent with the diagnosis?

The parent of a toddler telephones the ED nurse and, sobbing hysterically, states, “My baby just put an electrical cord in her mouth! What should I do?” Which statement by the nurse is priority?