Advanced Pediatric Nursing Exam Review
Course Introduction
Advanced Pediatric Nursing is a specialized course that prepares nursing students to deliver comprehensive care to infants, children, and adolescents with complex health needs. The curriculum emphasizes advanced assessment, clinical reasoning, and evidence-based interventions tailored to unique pediatric populations. Students will explore growth and development, family-centered care, management of acute and chronic illnesses, and strategies for health promotion and disease prevention. The course also addresses communication with families, interprofessional collaboration, ethical and legal considerations, and the psychosocial impact of illness on children and their families, equipping nurses with the critical skills necessary for leadership roles in pediatric healthcare settings.
Recommended Textbook
Child Health Nursing Partnering with Children and Families 3rd Edition by Jane W. Ball
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36 Chapters
680 Verified Questions
680 Flashcards
Source URL: https://quizplus.com/study-set/3920 Page 2
Chapter 1: Child Health Nursing: Concepts, Roles, and Issues
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/78204
Sample Questions
Q1) The nursing supervisor is observing the staff on the pediatric unit. Which nurse is providing family-centered care?
A)The nurse who delays morning care until after the family has visited the child
B)The nurse who suggests the mother take a break and get breakfast while the nurse changes the child's dressings
C)While admitting a new client, the nurse explains the visitation rules of the unit to the parents and grandparents.
D)During discharge planning, the nurse recognizes the mother is unable to perform wound care on the client, so the nurse works with the family to determine which family member will be available to meet this child's health care needs.
Answer: D
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3
Chapter 2: Family-Centered Care: Theory and Applications
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/78203
Sample Questions
Q1) The nurse is working on parenting skills with a group of mothers. Which style of parenting tends to produce adolescents who tend to be self-reliant and socially competent?
A)Authoritarian
B)Permissive
C)Indifferent
D)Authoritative
Answer: D
Q2) Several children arrived at the emergency department accompanied only by their fathers. The nurse knows that the father who legally may sign emergency medical consent for treatment is:
A)The non-biologic one from the heterosexual cohabitating family.
B)The divorced one from the binuclear family.
C)The divorced one when the single-parent mother has custody.
D)The stepfather from the blended or reconstituted family.
Answer: B
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4
Chapter 3: Cultural Influences
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/78202
Sample Questions
Q1) The nurse is working in the respiratory clinic. In assessing children for cystic fibrosis, the nurse recognizes that children from which genetic and biologic racial background are more likely to have assessment findings characteristic of cystic fibrosis?
A)Asian
B)White
C)Hispanic
D)Black
Answer: B
Q2) A nurse is working with a pediatric client who is overweight. Which diseases are associated with pediatric obesity? Standard Text: Select all that apply.
A)Cardiovascular disease
B)Asthma
C)Infant mortality
D)Diabetes
Answer: A,D
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Page 5
Chapter 4: Genetic and Hereditary Influences
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/78201
Sample Questions
Q1) All five of the children in a family were born with a genetic disorder. The disorder is inherited as autosomal dominant. If this is not a statistical rarity, the likelihood would be that:
A)One parent has both chromosomes with the affected gene.
B)Both parents are carriers.
C)One parent is a carrier and the other parent is unaffected.
D)One parent has one chromosome affected and the other parent has none.
Q2) A couple has been referred for genetic counseling. Prior to making the appointment, the couple should understand that:
A)The cost of genetic counseling will be covered by their health insurance.
B)Genetic counseling and testing is voluntary.They have a right to decide not to seek the information.
C)Once genetic counseling has been completed, the physician may require sterilization of the man or woman.
D)Their extended family will benefit from the knowledge the couple gains.
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Chapter 5: Concepts of Growth and Development
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/78200
Sample Questions
Q1) As children grow and develop, their style of play changes. Place the following descriptions of play styles in order from infancy to school-age. Standard Text: Click and drag the options below to move them up or down.
A)Plays beside but not with other children
B)Plays games with other children and is able to follow the rules of the game
C)Plays alone with play directed by others
D)Plays with others in loose groups
Q2) Two three-year-olds are playing in a hospital playroom together. One is working on a puzzle, while the other is stacking blocks. The mother of one of the children scolds them for not sharing their toys. The nurse counsels this mother that this is normal developmental behavior for this age, and the term for it is:
A)Cooperative play.
B)Solitary play.
C)Parallel play.
D)Associative play.
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Chapter 6: Child and Family Communication
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/78199
Sample Questions
Q1) While assessing an eight-month-old infant, the best strategy for the nurse to use to promote communication with the infant would be to:
A)Use touch, patting, and cuddling the infant.
B)Speak to the infant in low-pitched, soft tones.
C)Place the infant out of the parents' view to decrease distraction.
D)Lean over the infant's face and talk with forceful tones.
Q2) Following a car accident, a four-year-old child was admitted to the pediatric intensive care unit. Both parents were injured in the accident and have been unable to visit. The child's condition has stabilized, and the child is transferred to the surgical unit for the remainder of her hospitalization. The child has not expressed any feelings during the hospitalization. Which interventions might help the child express her feelings?
A)Asking the hospital chaplain to talk with the child
B)Use play therapy including mother, father, and child dolls.
C)Use journaling to allow the child to express herself.
D)Using humor by telling knock-knock jokes
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Chapter 7: Pediatric and Newborn Assessment
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/78198
Sample Questions
Q1) The nurse is assessing a new admission to the newborn nursery. Which physical findings suggest the infant was preterm? Standard Text: Select all that apply.
A)The ear pinna quickly returns to original position after being bent manually.
B)The infant's resting position is tightly flexed.
C)Labia widely separated with clitoris prominent.
D)Breast area barely perceptible with flat areola, no bud.
E)Sole creases do not extend the length of the foot.
Q2) While evaluating development of children, the nurse notes that the development of secondary sexual characteristics follows a typical pattern. Place the appearance of secondary sexual characteristics in the female in order of appearance from earliest to latest. Standard Text: Click and drag the options below to move them up or down.
A)Appearance of pubic hair
B)Menarche
C)Breast budding
D)Breast Tanner stage 5, areola strongly pigmented
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Chapter 8: Concepts of Health Promotion and Health Maintenance
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/78197
Sample Questions
Q1) The nurse wants to perform developmental screenings on a five-year-old child. Which screening tools would be appropriate for this purpose? Standard Text: Select all that apply.
A)Denver II
B)Bayley Infant Neurodevelopmental Screener
C)McCarthy Scales of Children's Abilities
D)Denver Articulation Screening Exam
E)Early Language Milestone Scale
Q2) A parent asks a nurse, "How do you know when my child needs these screening tests the doctor just mentioned?" How should the nurse respond to the parent?
A)"Screening tests are done at each office visit."
B)"Screening tests are done in the newborn nursery, and from these results, additional screening tests are ordered throughout the first two years of life."
C)"Screening tests are administered at the ages when a child is most likely to develop a condition."
D)"Screening tests are most often done when the doctor suspects something is wrong with the child."
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Chapter 9: Health Promotion and Maintenance of the Newborn
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/78196
Sample Questions
Q1) A nurse observes an infant in a crib lying still, without facial movements except for occasional sucking movements. At this time, the nurse will avoid:
A)Assessing heart and respiratory rate.
B)Attempts to feed the infant.
C)Skin assessment.
D)Repositioning the head of the infant.
Q2) The recommendation for an infant's sleeping position is now "back to sleep." Which nursing intervention is needed to prevent flattening of the occipital bones?
A)Place an infant hat on the head of the infant during sleep for the first three months of life.
B)Allow the infant to sleep on his abdomen while an adult is present and observing the infant during sleep.
C)Alternate the head position from left to right during sleep.
D)Wrap the occipital portion of the infant's head with an ace bandage for 20 minutes each day.
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11
Chapter 10: Health Promotion and Maintenance of the Infant
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/78195
Sample Questions
Q1) An infant is born at 24 weeks' gestational age. Which of these interventions should the nurse plan when the infant is discharged home?
A)Instructing the parents that infants need warmed milk and to heat the milk in a microwave for no more than 15 seconds
B)Giving the parents information on HIV screening that is necessary for infants born at this gestational age
C)Referring the infant for developmental screening
D)No particular instructions are necessary because discharge teaching is completed immediately after the birth of the infant.
Q2) The nurse is working with first-time parents. Which of these activities will the nurse suggest to encourage the development of good muscle tone?
A)Placing the infant in an infant seat rather than lying down in a crib
B)Surrounding the infant with toys and other stimulating items to encourage motor movement
C)Swaddling the infant
D)Putting the infant to bed each night at 8 p.m., even if the infant protests with crying
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12
Chapter 11: Health Promotion and Maintenance of the
Toddler and Preschooler
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/78194
Sample Questions
Q1) The home health nurse is observing the home environment for safety issues to discuss with the mother. Which observation creates a risk of injury for the toddler?
A)The mother fills the mop bucket and places it on the floor.She then leaves the room to obtain the mop.
B)When cooking, the mother only uses the back burners of the stove.
C)The mother straps her child into the high chair.
D)The mother has child-proof latches only on the cabinets containing household chemicals, medications, and poisons.
Q2) The nurse is explaining the primary purpose of performing health maintenance activities at each pediatric visit. The best explanation touches on:
A)Planning appropriate disciplinary measures for control of behavior.
B)Reviewing developmental milestones with the parents.
C)Prevention of disease and injury.
D)Teaching growth and development to the parents.
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Chapter 12: Health Promotion and Maintenance of the School-Age Child
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/78193
Sample Questions
Q1) While teaching the parent of school-age children about self-esteem, the nurse instructs the parents to:
A)Limit the amount of compliments given to the child.
B)Point out the child's deficiencies in a nice way while providing suggestions for improvement.
C)Establish the goals they want the child to achieve at a predetermined time.
D)Build on the child's strengths and talents.
Q2) While teaching the parents of a school-age child about coping with divorce, the nurse instructs the parents to:
A)Explain to the child why their marriage fell apart, being sure to identify each partner's role in the divorce.
B)Be sure the child understands the divorce is not the child's fault.
C)Spend less time with the child so he doesn't feel the tension between the parents.
D)Allow the child to stay with only one parent until the divorce becomes final.
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Chapter 13: Health Promotion and Maintenance of the Adolescent
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/78192
Sample Questions
Q1) The nurse is preparing to see an adolescent patient to assess his relationships with others. What should the nurse do when conducting this assessment?
A)Let the parents know the nurse will share the information with them after the exam.
B)Provide separate time to communicate with both the adolescent and the parents.
C)Avoid asking the parents their opinions of the adolescent's friends.
D)Tell the parents they are not allowed to come into the examination room.
Q2) The nurse working in the clinic includes an adolescent history in every client intake interview. Which of these issues should the nurse address when the parents are not present?
A)The adolescent's role in the family
B)Teen job responsibilities
C)Possible domestic violence
D)Activities done as a family
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Chapter 14: Nursing Care of the Child in the Community
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/78191
Sample Questions
Q1) A pediatric nurse has accepted a position in a pediatric office. What nursing functions would the nurse expect to perform in this setting?
A)Performing minor surgical procedures
B)Providing medical care to chronically ill children
C)Planning hospital admissions
D)Identifying children in need of urgent care or isolation
Q2) The nurse is applying for a job as a pediatric telephone advisor. Skills the nurse should have to be effective in this position would include: Standard Text: Select all that apply.
A)Good listening skills.
B)Extensive pediatric experience.
C)Internet experience.
D)Psychiatric experience.
E)Teaching and verbal communication skills
Q3) An important goal for pediatric nurses in the office or healthcare setting is:
A)Develop a positive relationship with the child and family.
B)Develop a plan of care with the physician for the family.
C)Tell the family immediately what's wrong with the child.
D)Tell the family "Everything will be okay."
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Page 16
Chapter 15: Nursing Care of the Hospitalized Child
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/78190
Sample Questions
Q1) Prior to discharging the child from the hospital, what routine discharge instructions should the nurse discuss with the family?
A)Monitoring signs and symptoms specific to condition
B)Instruction on performing a medical exam on the child
C)No instructions are needed; the family is familiar with the child.
D)A list of all diagnostic tests obtained during the hospitalization and their results
Q2) A five-year-old is in the playroom when the respiratory therapist arrives on the pediatric unit to give the child a scheduled breathing treatment. The nurse should:
A)Escort the child to his room and ask the child life specialist to bring toys to the bedside.
B)Reschedule the treatment for a later time.
C)Assist the child back to his room for the treatment but reassure him that he may return when the procedure is completed.
D)Show the respiratory therapist to the playroom so the treatment can be performed.
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Chapter 16: Nursing Care of the Child With a Chronic Condition
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/78189
Sample Questions
Q1) The nurse works in a clinic for medically fragile children who require constant home care. The nurse has noticed that a high percentage of the families wind up divorcing. In an attempt to reduce the divorce rate among the parents, the nurse creates an educational session for parents of medically fragile children that focuses on the need for:
A)Communication.
B)Financial stability.
C)Meeting the child's physical needs.
D)The state laws that have relevance to the medically fragile child.
Q2) All of the following children are inpatients on the pediatric unit. Which child is likely to be left with a developmental disability?
A)An 18-month-old admitted with a diagnosis of near drowning
B)A school-age child newly diagnosed with type 1 diabetes mellitus
C)A toddler with sepsis
D)A two-year-old child with a fractured femur
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Chapter 17: Nursing Care of the Child With a Life-Threatening Illness or Injury
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/78188
Sample Questions
Q1) A young child is admitted to the hospital following a serious injury while on a field trip with his school class. When the parents arrive at the emergency room, the nurse recognizes that the parents have only limited English. The nurse will:
A)Speak slowly and clearly so the parents can understand.
B)Have a translator/interpreter present when the nurse and physician describe the child's condition to the parents.
C)Have a family member who speaks English translate for the family
D)Give the parents a pamphlet written in their primary language that describes the hospital routine.
Q2) Complementary activities that may reduce stress for the child and parents in the Pediatric Intensive Care Unit include: Standard Text: Select all that apply.
A)Prayer.
B)Maintaining silence in the PICU.
C)Maintaining a sterile-appearing hospital room.
D)Music playing softly.
E)Encouraging the parents to read age-appropriate books to the child.
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Chapter 18: End-Of-Life Care and Bereavement
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/78187
Sample Questions
Q1) The nurse is having difficulty coping with the impending death of a child. Which would most likely be the best resource for the nurse at this time?
A)Co-workers
B)Hospice nurses
C)Unit manager
D)Spouse
Q2) The nurse is speaking with a preschool-age child whose sibling recently died. The nurse understands that preschool-age siblings might feel that the death was due to:
A)The child's being bad, and the sibling is being punished.
B)The child's having a fight with their sibling.
C)The child's having thoughts about their sibling dying.
D)Their parents' not liking that sibling.
Q3) The nurse is providing postmortem care to a child. Along with following the facility's guidelines, what else should the nurse consider?
A)Identifying the family's wishes for postmortem care before performing care
B)Avoiding delay in moving the body to the morgue
C)Removing all articles from patient's body
D)Leaving all equipment in the room during postmortem care
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Chapter 19: Infant, Child, and Adolescent Nutrition
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/78186
Sample Questions
Q1) The nurse is presenting a program on healthy eating habits to the parents of children attending the clinic. In the discussion period of the program, parents make the following comments. Which parent needs more information about safe food preparation?
A)"We always wash our hands well before any food preparation."
B)"We use separate utensils for preparing raw meat and for preparing fruits, vegetables, and other foods."
C)"We take the meat out of the freezer and then allow it to thaw on the counter for two to three hours before cooking it thoroughly."
D)"If our baby doesn't drink all the formula in his bottle, we throw the rest out."
Q2) During a four-month-old infant's well-child checkup, the nurse discusses introduction of solid foods into the infant's diet. Although the nurse recommends delaying the introduction of many foods into the diet, which food(s) will the nurse discuss delaying because they increase the risk for food allergy?
A)Honey
B)Carrots, beets, and spinach
C)Pork
D)Cow's milk, eggs, and peanuts
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Page 21
Chapter 20: Social and Environmental Influences on Child and
Adolescent Health
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/78185
Sample Questions
Q1) The nurse works in a pediatric unit. In working with a parent who is suspected of Munchausen syndrome by proxy, it is very important for the nurse to:
A)Try to keep the parent separated from the child as much as possible.
B)Explain to the child that the parent is causing the illness and that the health care team will prevent the child from being harmed
C)Carefully document parent-child interactions.
D)Confront the parent with concerns of possible abuse.
Q2) A seven-year-old child has been seen in the pediatric clinic three times in the last two months for complaints of abdominal pain. On each occasion, the physical exam and all ordered lab work have been normal. The most important information to assess at this time would be:
A)The child's normal eating habits.
B)Recent viral illnesses or other infectious symptoms.
C)Review of the child's immunization history.
D)Changes in school or home life.
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Page 22
Chapter 21: Pain Assessment and Management
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/78184
Sample Questions
Q1) The nurse is working in a pediatric surgical unit. The nurse would expect that patient-controlled analgesia would be most appropriate for which patient?
A)Twelve-year-old who is postoperative for spinal fusion for scoliosis
B)Ten-year-old who has a fractured femur and concussion from a bike accident
C)Five-year-old who is postoperative for tonsillectomy
D)Developmentally delayed 16-year-old who is postoperative for bone surgery.
Q2) In responding to the needs of pediatric patients in pain, the nurse has numerous nonpharmacologic interventions available. These interventions include: Standard Text: Select all that apply.
A)Regional nerve block.
B)Cutaneous stimulation.
C)Application of heat.
D)Electroanalgesia.
E)Use of EMLA cream.
Q3) A child who has chronic pain of long duration will exhibit which behavior?
A)Increased respiratory rate
B)Normal temperature
C)Normal heart rate
D)Decreased blood pressure
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Page 23
Chapter 22: Immunizations and Communicable Diseases
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/78183
Sample Questions
Q1) The school nurse is trying to prevent the spread of a flu virus through the school.
Infection-control strategies that could be employed include:
A)Sanitizing toys, telephones, and doorknobs to kill pathogens.
B)Teaching parents safe food preparation and storage.
C)Withholding immunizations for children with compromised immune systems.
D)Not separating children with infections from well children.
Q2) The nurse is preparing to administer a vaccine to a 14-month-old infant. Which finding would require that the nurse delay the vaccination until the next well-child visit?
A)The child is allergic to a substance in the vaccine.
B)The child has a low-grade fever and a runny nose.
C)The child received a dose of immune globulin two months ago.
D)The child is on antibiotics.
Q3) Which should the nurse use when reconstituting vaccines?
A)The diluents provided
B)Normal saline
C)Any solution available
D)Sterile water
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Chapter 23: Alterations in Fluid, Electrolyte, and Acid-Base Balance
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/78182
Sample Questions
Q1) The nurse notes that the specific gravity of urine is lower in infants than in older children. The nurse recognizes that the rationale for this difference is related to:
A)The infant having a greater body surface area.
B)The infant having a higher basal metabolic rate.
C)The infant having a greater percentage of body weight that is water.
D)The infant's kidneys being less able to concentrate urine.
Q2) The nurse has just finished a parent teaching session on preventing heat-related illnesses for children who exercise. Which statement by a parent indicates understanding of preventive techniques taught?
A)Wearing dark clothing during exercise is recommended
B)Water is the drink of choice to replenish fluids.
C)During activity, stop for fluids every 15 to 20 minutes.
D)Hydration should occur at the end of an exercise session.
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25
Chapter 24: Alterations in Eye, Ear, Nose, and Throat
Function
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/78181
Sample Questions
Q1) The nurse has taught a group of parents how to care for their children who have just had tympanostomy tubes inserted. The nurse will know the parents understand how to care for their child's tympanostomy tubes if they: Standard Text: Select all that apply.
A)Limit their diets to soft, bland foods.
B)Restrict the children to quiet activities after surgery.
C)Administer a decongestant for one to two weeks following surgery.
D)Encourage the children to drink generous amounts of fluids.
E)Avoid getting water in their ears during bath time.
Q2) The nurse can assist a child who has a mild hearing loss and reads lips to adapt to hospitalization by:
A)Touching the child lightly before speaking.
B)Using a picture board as the main means of communication.
C)Speaking in a loud voice while facing the child.
D)Speaking directly to the parents for communication.
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26
Chapter 25: Alterations in Respiratory Function
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/78180
Sample Questions
Q1) The nurse is teaching the parents of a patient who is newly diagnosed with cystic fibrosis how to administer the pancreatic enzymes. The nurse will advise the parents to administer the enzymes:
A)qid (four times daily).
B)bid (twice daily).
C)With meals and snacks.
D)Every six hours around the clock.
Q2) Which nursing diagnosis would be most appropriate for an infant with acute bronchiolitis due to respiratory syncytial virus (RSV)?
A)Activity intolerance
B)Tissue perfusion, ineffective (peripheral)
C)Pain, acute
D)Decreased cardiac output
Q3) A child is admitted to the hospital with the diagnosis of laryngotracheobronchitis (LTB). The nurse should be prepared to perform which intervention?
A)Administer antibiotics and assist with possible intubation.
B)Obtain a sputum specimen.
C)Swab the throat for a throat culture.
D)Administer nebulized epinephrine and oral or IM dexamethasone.
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Page 27
Chapter 26: Alterations in Cardiovascular Function
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/78179
Sample Questions
Q1) A child diagnosed with congestive heart failure is started on digoxin (Lanoxin) and spironolactone (Aldactone). The mother questions why the child was placed on spironolactone (Aldactone) instead of furosemide (Lasix), which her elderly grandmother uses. The nurse explains that spironolactone (Aldactone) is a diuretic that:
A)Produces rapid diuresis.
B)Blocks reabsorption of sodium and water in renal tubules.
C)Spares potassium.
D)Promotes vascular relaxation.
Q2) The nurse is checking peripheral perfusion to a child's extremity following a cardiac catheterization. If there is adequate peripheral circulation, the nurse would find that the extremity:
A)Has a capillary refill of greater than three seconds.
B)Is warm, with a capillary refill of less than three seconds.
C)Has decreased sensation with a weakened dorsalis pedis pulse.
D)Has a palpable dorsalis pedis pulse but a weak posterior tibial pulse.
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28
Chapter 27: Alterations in Immune Function
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/78178
Sample Questions
Q1) An 11-year-old boy with rheumatoid arthritis wants to participate in the school sports programs. The boy asks the nurse to recommend a sporting activity for him. Which activity would be the most appropriate for the nurse to recommend?
A)Baseball
B)Basketball
C)Football
D)Swimming
Q2) A premature infant is at greater risk for infection than a full-term infant because of a reduced number of which immunoglobulin?
A)IgE
B)IgG
C)IgA
D)IgM
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Chapter 28: Alterations in Hematologic Function
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/78177
Sample Questions
Q1) Following treatment for iron deficiency anemia, the physician orders lab tests. Which lab value would indicate an improvement in the child's condition?
A)Low hemoglobin
B)Normal platelet count
C)High reticulocyte count
D)Low hematocrit
Q2) Which of the following are major risks during the post-transplant phase of hematopoietic stem cell transplantation (HSCT)? Standard Text: Select all that apply.
A)Bleeding
B)Thrombosis
C)Pancytopenia
D)Infection
E)Fluid volume overload
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Chapter 29: The Child With Cancer
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/78176
Sample Questions
Q1) A child with leukemia has a granulocyte count of 250/mm<sup>3</sup> and a platelet count 150,000/mm<sup>3</sup>. Nursing intervention would include which of the following?
A)Fluid restriction
B)Avoidance of mouth care
C)Strict isolation
D)Good hand washing
Q2) During rounds, the interdisciplinary team is discussing the care of a child with a newly diagnosed Wilms' tumor. The nurse describes the mother as being angry and upset that they are not caring properly for her child. What behavior probably is the cause of the mother's anger?
A)The mother is beginning the stages of grief over loss of her previously well child.
B)The mother is feeling guilty for not recognizing that the child was ill.
C)The nurses are negligent in providing safe care for the child.
D)The mother does not have adequate support from Social Services.
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Chapter 30: Alterations in Gastrointestinal Function
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19 Flashcards
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Sample Questions
Q1) An infant has been born with an esophageal atresia and tracheoesophageal fistula. What is a priority preoperative nursing diagnosis?
A)Ineffective tissue perfusion: gastrointestinal, related to decreased circulation
B)Ineffective infant feeding pattern related to uncoordinated suck and swallow
C)Acute pain related to esophageal defect
D)Aspiration, risk for related to regurgitation
Q2) At delivery, it was discovered that the newborn had a bilateral cleft lip. The parents are distressed about the appearance of their infant. Nursing behaviors that can help the parents bond to the infant include: Standard Text: Select all that apply.
A)Calling the infant by name when referring to the infant.
B)Keeping the infant's lower face covered with the blanket.
C)Smiling at the infant and talking to the infant in the parents' presence.
D)Showing the parents before and after pictures of other children with cleft lips.
E)Discussing positive features of their baby.
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Chapter 31: Alterations in Genitourinary Function
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17 Flashcards
Source URL: https://quizplus.com/quiz/78174
Sample Questions
Q1) A child with nephritic syndrome is severely edematous. The primary health care provider has placed the child on bed rest. An important nursing intervention for this child would be to:
A)Monitor BP every 30 minutes.
B)Reposition the child every two hours.
C)Limit visitors.
D)Encourage fluids.
Q2) A child is admitted with acute glomerulonephritis. The nurse would expect the urinalysis during this acute phase to show which of the following?
A)Bacteriuria and increased specific gravity
B)Hematuria and proteinuria
C)Proteinuria and decreased specific gravity
D)Bacteriuria and hematuria
Q3) A four-year-old has acute glomerulonephritis (AGN) and is admitted to the hospital. The priority nursing diagnosis for this child would be:
A)Risk for injury related to hypertension.
B)Altered growth and development related to a chronic disease.
C)Risk for infection related to hypertension.
D)Fluid volume excess related to decreased plasma filtration.
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Page 33
Chapter 32: Alterations in Endocrine and Metabolic Function
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Sample Questions
Q1) An adolescent female with untreated Graves' disease is admitted to the hospital. The nurse expects to find which signs and symptoms in this client?
A)Hyperglycemia, ketonuria, and glucosuria
B)Weight gain, hirsutism, and muscle weakness
C)Tachycardia, fatigue, and heat intolerance
D)Dehydration, metabolic acidosis, and hypertension
Q2) A 12-year-old has been selected to be a cheerleader for her middle school. This child has been recently diagnosed with type 1 diabetes. In teaching this child's mother about care for her child, the nurse wants the mother to understand that with increased physical activity, the child will need:
A)Decreased food intake.
B)Increased doses of insulin.
C)Increased food intake.
D)Decreased doses of insulin.
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Chapter 33: Alterations in Neurologic Function
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Sample Questions
Q1) A baby just born with a meningomyelocele is to have surgery in the morning. The nurse knows the care of this newborn includes:
A)Applying a diaper to prevent contamination of sac.
B)Positioning the newborn in a side-lying position.
C)Encouraging the mother to hold the newborn, because she will not be able to pick him up after surgery.
D)Positioning the newborn in a prone position.
Q2) Following an outbreak of chicken pox in the school, the school nurse is concerned that children are at risk for Reye syndrome. The nurse sends home letters reminding the parents not to administer aspirin and describes the initial symptoms of Reye syndrome which are:
A)Nausea, vomiting, and confusion.
B)Headache, vomiting, and seizures.
C)Sore throat, moist respirations, and cough.
D)Fever, rash, and photophobia.
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Chapter 34: Alterations in Mental Health and Cognition
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Source URL: https://quizplus.com/quiz/78171
Sample Questions
Q1) A nurse is performing a developmental assessment on several children in a clinic setting. Which children exhibit a delay in meeting developmental milestones? Standard Text: Select all that apply.
A)An 18-month-old toddler who is unable to speak in sentences
B)A two-year-old who is unable to cut with scissors
C)A two-year-old who cannot recite her phone number
D)A six-year-old who is unable to sit still for a short story
E)A five-year-old who is unable to button his shirt
Q2) The nurse is assessing a four-year-old child with a possible alteration in mental health. Which findings indicate a need for further investigation? Standard Text: Select all that apply.
A)Fails to make eye contact
B)Flinches when touched on the arm
C)History of limited prenatal care and precipitant delivery
D)Head circumference has not changed in over one year
E)Flat facial expressions
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Chapter 35: Alterations in Musculoskeletal Function
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Sample Questions
Q1) A child must wear a brace for correction of scoliosis. Which nursing diagnosis takes priority at this time?
A)Impaired gas exchange, risk for
B)Altered growth and development, risk for
C)Impaired skin integrity, risk for
D)Impaired mobility, risk for
Q2) A school health nurse is screening for scoliosis. For what assessment findings would the nurse look? Standard Text: Select all that apply.
A)Lordosis
B)Prominent scapula
C)Pain
D)A one-sided rib hump
E)Uneven shoulders and hips
Q3) A two-year-old child is placed in balanced Bryant's traction for a fractured right femur. Which finding by the nurse should be reported to the surgeon?
A)The child keeps trying to turn and lay on his belly.
B)The ropes are unequal in length.
C)The child's buttocks are resting on the bed.
D)The ace bandage wrapping the legs is wrinkled.
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Page 37
Chapter 36: Alterations in Skin Integrity
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Source URL: https://quizplus.com/quiz/78169
Sample Questions
Q1) While preparing for the day in the integument clinic, the nurse notices that a number of the patients being seen that day have conditions with a genetic component. Which skin conditions have a genetic or inherited component? Standard Text: Select all that apply.
A)Atopic dermatitis
B)Seborrheic dermatitis
C)Epidermolysis bullosa
D)Molluscum contagiosum
E)Psoriasis
Q2) Parents understand the teaching a nurse has done with regard to care of their child with tinea capitis (ringworm of the scalp) if they state:
A)"We will give the griseofulvin with milk or peanut butter."
B)"We're glad ringworm isn't transmitted from person to person."
C)"Once the lesion is gone, we can stop the griseofulvin."
D)"Well, at least we don't have to worry about the family cat getting the ringworm."
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