Advanced Pediatric Nursing
Exam Solutions
Course Introduction
Advanced Pediatric Nursing is designed to deepen the knowledge and clinical skills of registered nurses in the care of infants, children, and adolescents with complex health conditions. The course covers advanced assessment techniques, evidence-based interventions, and the management of both acute and chronic pediatric illnesses within diverse healthcare settings. Emphasis is placed on family-centered care, developmental considerations, communication strategies, and ethical issues unique to pediatric populations. Students also explore current trends and research in pediatric nursing, preparing them to deliver holistic and culturally competent care, advocate for children and families, and collaborate effectively within multidisciplinary healthcare teams.
Recommended Textbook
Wongs Essentials of Pediatric Nursing 10th Edition by Hockenberry
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30 Chapters
1126 Verified Questions
1126 Flashcards
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Chapter 1: Perspectives of Pediatric Nursing
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) Which leading cause of death topic should the nurse emphasize to a group of African-American boys ranging in age from 15 to 19 years?
A) Suicide
B) Cancer
C) Firearm homicide
D) Occupational injuries
Answer: C
Q2) Which is the major cause of death for children older than 1 year?
A) Cancer
B) Heart disease
C) Unintentional injuries
D) Congenital anomalies
Answer: C
Q3) Which is the leading cause of death from unintentional injuries for females ranging in age from 1 to 14?
A) Mechanical suffocation
B) Drowning
C) Motor vehicle-related fatalities
D) Fire- and burn-related fatalities
Answer: C
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Chapter 2: Family, Social, Cultural, and Religious Influences on Child Health Promotion
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) Which term best describes a group of people who share a set of values, beliefs, practices, social relationships, law, politics, economics, and norms of behavior?
A) Race
B) Culture
C) Ethnicity
D) Social group
Answer: B
Q2) Which family theory explains how families react to stressful events and suggests factors that promote adaptation to these events?
A) Interactional theory
B) Developmental systems theory
C) Family stress theory
D) Duvall's developmental theory
Answer: C
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Chapter 3: Developmental and Genetic Influences on Child
Health Promotion
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37 Verified Questions
37 Flashcards
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Sample Questions
Q1) Turner syndrome is suspected in an adolescent girl with short stature. What is the cause of this syndrome?
A) Absence of one of the X chromosomes
B) Presence of an incomplete Y chromosome
C) Precocious puberty in an otherwise healthy child
D) Excess production of both androgens and estrogens
Answer: A
Q2) An infant gains head control before sitting unassisted. The nurse recognizes that this is which type of development?
A) Cephalocaudal
B) Proximodistal
C) Mass to specific
D) Sequential
Answer: A
Q3) By what age does birth length usually double?
A) 1 year
B) 2 years
C) 4 years
D) 6 years
Answer: C
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Chapter 4: Communication and Physical Assessment of the Child and Family
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61 Verified Questions
61 Flashcards
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Sample Questions
Q1) The nurse must check vital signs on a 2-year-old boy who is brought to the clinic for his 24-month checkup. What criteria should the nurse use in determining the appropriate-size blood pressure cuff? (Select all that apply.)
A) The cuff is labeled "toddler."
B) The cuff bladder width is approximately 40% of the circumference of the upper arm.
C) The cuff bladder length covers 80% to 100% of the circumference of the upper arm.
D) The cuff bladder covers 50% to 66% of the length of the upper arm.
Q2) Which of the following data would be included in a health history? (Select all that apply.)
A) Review of systems
B) Physical assessment
C) Sexual history
D) Growth measurements
E) Nutritional assessment
F) Family medical history
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6
Chapter 5: Pain Assessment and Management in Children
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) A nurse recognizes which physiologic responses as a manifestation of pain in a neonate? (Select all that apply.)
A) Decreased respirations
B) Diaphoresis
C) Decreased SaO<sub>2</sub>
D) Decreased blood pressure
E) Increased heart rate
Q2) Surgery has informed a nurse that the patient returning to the floor after spinal surgery has an opioid epidural catheter for pain management. The nurse should prepare to monitor the patient for which side effects of an opioid epidural catheter? (Select all that apply.)
A) Urinary frequency
B) Nausea
C) Itching
D) Respiratory depression
Q3) Nonpharmacologic strategies for pain management:
A) may reduce pain perception.
B) make pharmacologic strategies unnecessary.
C) usually take too long to implement.
D) trick children into believing they do not have pain.
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Chapter 6: Childhood Communicable and Infectious Diseases
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39 Verified Questions
39 Flashcards
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Sample Questions
Q1) Acyclovir (Zovirax) is given to children with chickenpox to:
A) minimize scarring.
B) decrease the number of lesions.
C) prevent aplastic anemia.
D) prevent spread of the disease.
Q2) The nurse is teaching nursing students about childhood skin lesions. Which is an elevated, circumscribed skin lesion that is less than 1 cm in diameter and filled with serous fluid?
A) Cyst
B) Papule
C) Pustule
D) Vesicle
Q3) The nurse is examining 12-month-old Amy, who was brought to the clinic for persistent diaper rash. The nurse finds perianal inflammation with satellite lesions that cross the inguinal folds. What is most likely the cause of the diaper rash?
A) Impetigo
B) Candida albicans
C) Urine and feces
D) Infrequent diapering
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Chapter 7: Health Promotion of the Newborn and Family
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46 Verified Questions
46 Flashcards
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Sample Questions
Q1) At the time of birth, what is the grayish white, cheeselike substance that normally covers the newborn's skin called?
A) Miliaria
B) Meconium
C) Amniotic fluid
D) Vernix caseosa
Q2) A nurse is preparing to administer a prescribed phytonadione (vitamin K) injection 0.5 mg intramuscularly to a newborn. The phytonadione (vitamin K) ampule is labeled 1 mg equals 0.5 ml. How many milliliters will the nurse administer? Record your answer using two decimal places.
Q3) The nurse is assessing a 3-day-old, breastfed newborn who weighed 7 pounds, 8 ounces at birth. The newborn's mother is now concerned that the newborn weighs 6 pounds, 15 ounces. Which is the most appropriate nursing intervention?
A) Recommend supplemental feedings of formula.
B) Explain that this weight loss is within normal limits.
C) Assess child further to determine cause of excessive weight loss.
D) Encourage mother to express breast milk for bottle feeding the newborn.
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Chapter 8: Health Problems of Newborns
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69 Verified Questions
69 Flashcards
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Sample Questions
Q1) A nurse is assessing for jaundice in a dark-skinned newborn. Where is the best place to assess for jaundice in this newborn?
A) Buttocks
B) Tip of nose and sclera
C) Sclera, conjunctiva, and oral mucosa
D) Palms of hands and soles of feet
Q2) The nurse is caring for a newborn receiving an exchange transfusion for hemolytic disease. Assessment of the newborn reveals slight respiratory distress and tachycardia. Which should the nurse's first action be?
A) Notify practitioner.
B) Stop the transfusion.
C) Administer calcium gluconate.
D) Monitor vital signs electronically.
Q3) A healthy, stable, preterm newborn will soon be discharged. The nurse should recommend which position for sleep?
A) Prone
B) Supine
C) Side lying
D) Position of comfort
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Chapter 9: Health Promotion of the Infant and Family
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39 Verified Questions
39 Flashcards
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Sample Questions
Q1) A 4-month-old was born at 35 weeks of gestation. She seems to be developing normally, but her parents are concerned because she is a "more difficult" baby than their other child, who was term. What should the nurse's explanation include?
A) Infants' temperaments are part of their unique characteristics.
B) Infants become less difficult if they are not kept on scheduled feedings and structured routines.
C) The infant's behavior is suggestive of failure to bond completely with her parents.
D) The infant's difficult temperament is the result of painful experiences in the neonatal period.
Q2) The parent of a 2-week-old infant, exclusively breastfed, asks the nurse if fluoride supplements are needed. What is the nurse's best response?
A) "She needs to begin taking them now."
B) "They are not needed if you drink fluoridated water."
C) "She may need to begin taking them at age 4 months."
D) "She can have infant cereal mixed with fluoridated water instead of supplements."
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11
Chapter 10: Health Problems of Infants
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) Which interventions should the nurse implement when caring for a family of a sudden infant death syndrome (SIDS) infant? (Select all that apply.)
A) Allow parents to say goodbye to their infant.
B) Once parents leave the hospital, no further follow-up is required.
C) Arrange for someone to take the parents home from the hospital.
D) Avoid requesting an autopsy of the deceased infant.
E) Conduct a debriefing session with the parents before they leave the hospital.
Q2) A nurse is preparing to accompany a medical mission's team to a third world country. Marasmus is seen frequently in children 6 months to 2 years in this country. Which symptoms should the nurse expect for this condition?
A) Loose, wrinkled skin
B) Edematous skin
C) Depigmentation of the skin
D) Dermatoses
Q3) Parent guidelines for relieving colic in an infant include:
A) avoiding touching abdomen.
B) avoiding using a pacifier.
C) changing infant's position frequently.
D) placing infant where family cannot hear the crying.
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Page 12
Chapter 11: Health Promotion of the Toddler and Family
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36 Verified Questions
36 Flashcards
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Sample Questions
Q1) At what age should the nurse expect a child to give both first and last names when asked?
A) 15 months
B) 18 months
C) 24 months
D) 30 months
Q2) The parents of a 2-year-old tell the nurse that they are concerned because the toddler has started to use "baby talk" since the arrival of their new baby. The nurse should recommend which intervention?
A) Ignore the "baby talk."
B) Explain to the toddler that "baby talk" is for babies.
C) Tell the toddler frequently, "You are a big kid now."
D) Encourage the toddler to practice more advanced patterns of speech.
Q3) The child of 15 to 30 months is likely to be struggling with which developmental task?
A) Trust
B) Initiative
C) Autonomy
D) Intimacy
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13
Chapter 12: Health Promotion of the Preschooler and Family
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) The nurse is guiding parents in selecting a daycare facility for their child. Which is especially important to consider when making the selection?
A) Structured learning environment
B) Socioeconomic status of children
C) Cultural similarities of children
D) Teachers knowledgeable about development
Q2) Which accurately describes the speech of the preschool child?
A) Dysfluency in speech patterns is normal.
B) Sentence structure and grammatic usage are limited.
C) By age 5 years, child can be expected to have a vocabulary of about 1000 words.
D) Rate of vocabulary acquisition keeps pace with the degree of comprehension of speech.
Q3) By which age should the nurse expect that most children could obey prepositional phrases such as "under," "on top of," "beside," and "behind"?
A) 18 months
B) 24 months
C) 3 years
D) 4 years
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Chapter 13: Health Problems of Toddlers and Preschoolers
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) Which is probably the most important criterion on which to base the decision to report suspected child abuse?
A) Inappropriate parental concern for the degree of injury
B) Absence of parents for questioning about child's injuries
C) Inappropriate response of child
D) Incompatibility between the history and injury observed
Q2) Which describes a child who is abused by the parent(s)?
A) Unintentionally contributes to the abusing situation
B) Belongs to a low socioeconomic population
C) Is healthier than the nonabused siblings
D) Abuses siblings in the same way as child is abused by the parent(s)
Q3) Which is a common characteristic of those who sexually abuse children?
A) Pressure victim into secrecy
B) Are usually unemployed and unmarried
C) Are unknown to victims and victims' families
D) Have many victims that are each abused once only
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15
Chapter 14: Health Promotion of the School-Age Child and Family
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) An 8-year-old girl tells the nurse that she has cancer because God is punishing her for "being bad." She shares her concern that if she dies, she will go to hell. How should the nurse interpret this statement?
A) A common belief at this age
B) A belief that forms the basis for most religions
C) Suggestive of excessive family pressure
D) Suggestive of a failure to develop a conscience
Q2) Parents of a 12-year-old child ask the clinic nurse, "How many hours of sleep should our child get?" The nurse should respond that 12-year-old children need how many hours of sleep at night?
A) 8
B) 9
C) 10
D) 11
Q3) What is the earliest age at which puberty begins?
A) 9
B) 10
C) 11
D) 12
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Chapter 15: Health Promotion of the Adolescent and Family
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) An adolescent boy tells the nurse that he has recently had homosexual feelings. What knowledge should the nurse's response be based on?
A) This indicates the adolescent is homosexual.
B) This indicates the adolescent will become homosexual as an adult.
C) The adolescent should be referred for psychotherapy.
D) The adolescent should be encouraged to share his feelings and experiences.
Q2) The school nurse tells adolescents in the clinic that confidentiality and privacy will be maintained unless a life-threatening situation arises. How should this practice be interpreted?
A) Not appropriate in a school setting
B) Never appropriate because adolescents are minors
C) Important in establishing trusting relationships
D) Suggestive that the nurse is meeting his or her own needs
Q3) Which predisposes the adolescent to feel an increased need for sleep?
A) An inadequate diet
B) Rapid physical growth
C) Decreased activity that contributes to a feeling of fatigue
D) The lack of ambition typical of this age group
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Chapter 16: Health Problems of School-Age Children and Adolescents
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41 Verified Questions
41 Flashcards
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Sample Questions
Q1) Which is an important consideration when the nurse is discussing enuresis with the parents of a young child?
A) Enuresis is more common in girls than in boys.
B) Enuresis is neither inherited nor has a familial tendency.
C) Organic causes that may be related to enuresis should be considered first.
D) Psychogenic factors that cause enuresis persist into adulthood.
Q2) How are young people with anorexia nervosa often described?
A) Independent
B) Disruptive
C) Conforming
D) Low achieving
Q3) An adolescent asks the nurse what causes primary dysmenorrhea. The nurse's response should be based on which statement?
A) It is an inherited problem.
B) Excessive estrogen production causes uterine pain.
C) There is no physiologic cause; it is a psychological reaction.
D) There is a relation between prostaglandins and uterine contractility.
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Page 18
Chapter 17: Quality of Life for Children Living with Chronic and Complex Diseases
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43 Verified Questions
43 Flashcards
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Sample Questions
Q1) Which is most descriptive of a school-age child's reaction to death?
A) Is very interested in funerals and burials
B) Has little understanding of words such as forever
C) Imagines the deceased person to be still alive
D) Has an idealistic view of the world and criticizes funerals as barbaric
Q2) A common parental reaction to a child with special needs is parental overprotection. What parental behavior is suggestive of this behavior?
A) Giving inconsistent discipline
B) Providing consistent, strict discipline
C) Forcing child to help self, even when not capable
D) Encouraging social and educational activities not appropriate to child's level of capability
Q3) Which intervention will encourage a sense of autonomy in a toddler with disabilities?
A) Avoid separation from family during hospitalizations.
B) Encourage independence in as many areas as possible.
C) Expose child to pleasurable experiences as much as possible.
D) Help parents learn special care needs of their child.
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Page 19
Chapter 18: Impact of Cognitive or Sensory Impairment on the Child
and Family
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39 Verified Questions
39 Flashcards
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Sample Questions
Q1) Which of the following is the most common clinical manifestation of retinoblastoma?
A) Glaucoma
B) Amblyopia
C) Cat's eye reflex
D) Sunken eye socket
Q2) Prevention of hearing impairment in children is a major goal for the nurse. This can be achieved through which intervention?
A) Being involved in immunization clinics for children
B) Assessing a newborn for hearing loss
C) Answering parents' questions about hearing aids
D) Participating in hearing screening in the community
Q3) Which assessment findings indicate to the nurse a child has Down syndrome? (Select all that apply.)
A) High arched narrow palate
B) Protruding tongue
C) Long, slender fingers
D) Transverse palmar crease
E) Hypertonic muscle tone
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Chapter 19: Family-Centered Care of the Child During
Illness and Hospitalization
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) A 10-year-old girl needs to have another intravenous (IV) line started. She keeps telling the nurse, "Wait a minute" and "I'm not ready." The nurse should recognize this as which description?
A) This is normal behavior for a school-age child.
B) The behavior is not seen past the preschool years.
C) The child thinks the nurse is punishing her.
D) The child has successfully manipulated the nurse in the past.
Q2) What is a common initial reaction of parents to illness or injury and hospitalization in their child?
A) Anger
B) Fear
C) Depression
D) Helplessness
Q3) When a preschool child is hospitalized without adequate preparation, how does the child often react to the hospitalization?
A) Sees it as a punishment
B) A threat to child's self-image
C) An opportunity for regression
D) Loss of companionship with friends
Page 21
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Chapter 20: Pediatric Variations of Nursing Interventions
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48 Flashcards
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Sample Questions
Q1) A venipuncture will be performed on a 7-year-old girl. She wants her mother to hold her during the procedure. What information should the nurse include in her response to the child?
A) It is unsafe.
B) It is helpful to relax the child.
C) It is against hospital policy.
D) It is unnecessary because of child's age.
Q2) A child is receiving total parenteral nutrition (TPN; hyperalimentation). At the end of 8 hours, the nurse observes the solution and notes that 200 ml/8 hr is being infused rather than the ordered amount of 300 ml/8 hr. The nurse should adjust the rate so that how much will infuse during the next 8 hours?
A) 200 ml
B) 300 ml
C) 350 ml
D) 400 ml
Q3) A physician's prescription reads, "ampicillin sodium 125 mg IV every 6 hours." The medication label reads, "1 g = 7.4 ml." A nurse prepares to draw up _____ milliliters to administer one dose. (Round your answer to two decimal places.)
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Chapter 21: The Child with Respiratory Dysfunction
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51 Verified Questions
51 Flashcards
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Sample Questions
Q1) The nurse enters a room and finds a 6-year-old child who is unconscious. After calling for help and before being able to use an automatic external defibrillator, which steps should the nurse take? Place in correct order. Provide answer using lowercase letters separated by commas (e.g., a, b, c, d, e, f).
A) Place on a hard surface.
B) Administer 30 chest compressions with two breaths.
C) Feel carotid pulse while maintaining head tilt with the other hand.
D) Use the head tilt-chin lift maneuver and check for breathing.
E) Place heel of one hand on lower half of sternum with other hand on top.
F) Give two rescue breaths.
Q2) A nurse is interpreting the results of a tuberculin skin test (TST) on an adolescent who is HIV positive. Which induration size indicates a positive result for this child 48 to 72 hours after the test?
A) ?5 mm
B) ?10 mm
C) ?15 mm
D) ?20 mm
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Page 23
Chapter 22: The Child with Gastrointestinal Dysfunction
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Sample Questions
Q1) The nurse is explaining to a parent how to care for a school-age child with vomiting associated with a viral illness. Which action should the nurse include?
A) Avoid carbohydrate-containing liquids.
B) Give nothing by mouth for 24 hours.
C) Brush teeth or rinse mouth after vomiting.
D) Give plain water until vomiting ceases for at least 24 hours.
Q2) A nurse is receiving report on a newborn admitted yesterday after a gastroschisis repair. In the report, the nurse is told the newborn has a physician's prescription for an NG tube to low intermittent suction. The reporting nurse confirms that the NG tube is to low intermittent suction and draining light green stomach contents. Upon initial assessment, the nurse notes that the newborn has pulled the NG tube out. Which is the priority action the nurse should take?
A) Replace the NG tube and continue the low intermittent suction.
B) Leave the NG tube out and notify the physician at the end of the shift.
C) Leave the NG tube out and monitor for bowel sounds.
D) Replace the NG tube, but leave to gravity drainage instead of low wall suction.
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24
Chapter 23: The Child with Cardiovascular Dysfunction
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Sample Questions
Q1) An 8-month-old infant has a hypercyanotic spell while blood is being drawn. What is the priority nursing action?
A) Assess for neurologic defects
B) Place the child in the knee-chest position
C) Begin cardiopulmonary resuscitation
D) Prepare family for imminent death
Q2) The nurse is talking to a parent of an infant with heart failure about feeding the infant. Which statement about feeding the child is correct?
A) "You may need to increase the caloric density of your infant's formula."
B) "You should feed your baby every 2 hours."
C) "You may need to increase the amount of formula your infant eats with each feeding."
D) "You should place a nasal oxygen cannula on your infant during and after each feeding."
Q3) Which is the leading cause of death after heart transplantation?
A) Infection
B) Rejection
C) Cardiomyopathy
D) Heart failure
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Chapter 24: The Child with Hematologic or Immunologic Dysfunction
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Sample Questions
Q1) What is a possible cause of acquired aplastic anemia in children?
A) Drugs
B) Injury
C) Deficient diet
D) Congenital defect
Q2) Which immunization should be given with caution to children infected with human immunodeficiency virus (HIV)?
A) Influenza
B) Varicella
C) Pneumococcal
D) Inactivated poliovirus (IPV)
Q3) A school-age child is admitted in vasoocclusive sickle cell crisis. What should be included in the child's care?
A) Correction of acidosis
B) Adequate hydration and pain management
C) Pain management and administration of heparin
D) Adequate oxygenation and replacement of factor VIII
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Page 26
Chapter 25: The Child with Cancer
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Sample
Questions
Q1) The home health nurse asks a child's mother many questions as part of the assessment. The mother answers many questions and then stops and says, "I don't know why you ask me all this. Who gets to know this information?" The nurse should take which action?
A) Determine why the mother is so suspicious.
B) Determine what the mother does not want to tell.
C) Explain who will have access to the information.
D) Explain that everything is confidential and that no one else will know what is said.
Q2) When communicating with other professionals, it is important for home care nurses to:
A) ask others what they want to know.
B) share everything known about the family.
C) restrict communication to clinically relevant information.
D) recognize that confidentiality is not possible.
Q3) Which is most descriptive of the pathophysiology of leukemia?
A) Increased blood viscosity occurs.
B) Thrombocytopenia (excessive destruction of platelets) occurs.
C) Unrestricted proliferation of immature white blood cells (WBCs) occurs.
D) First stage of coagulation process is abnormally stimulated.
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Page 27
Chapter 26: The Child with Genitourinary Dysfunction
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Sample Questions
Q1) When a child has chronic renal failure, the progressive deterioration produces a variety of clinical and biochemical disturbances that eventually are manifested in the clinical syndrome known as:
A) uremia.
B) oliguria.
C) proteinuria.
D) pyelonephritis.
Q2) A hospitalized child with minimal change nephrotic syndrome is receiving high doses of prednisone. Which is an appropriate nursing goal related to this?
A) Prevent infection
B) Stimulate appetite
C) Detect evidence of edema
D) Ensure compliance with prophylactic antibiotic therapy
Q3) The nurse is conducting an assessment on a school-age child with urosepsis. Which assessment finding should the nurse expect?
A) Fever with a positive blood culture
B) Proteinuria and edema
C) Oliguria and hypertension
D) Anemia and thrombocytopenia
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28
Chapter 27: The Child with Cerebral Dysfunction
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Sample Questions
Q1) The nurse is caring for a neonate with suspected meningitis. Which clinical manifestations should the nurse prepare to assess if meningitis is confirmed? (Select all that apply.)
A) Headache
B) Photophobia
C) Bulging anterior fontanel
D) Weak cry
E) Poor muscle tone
Q2) The nurse is performing a Glasgow Coma Scale on a school-age child with a head injury. The child opens eyes spontaneously, obeys commands, and is oriented to person, time, and place. Which is the score the nurse should record?
A) 8
B) 11
C) 13
D) 15
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Chapter 28: The Child with Endocrine Dysfunction
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39 Verified Questions
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Sample Questions
Q1) The nurse is implementing care for a school-age child admitted to the pediatric intensive care in diabetic ketoacidosis (DKA). Which prescribed intervention should the nurse implement first?
A) Begin 0.9% saline solution intravenously as prescribed.
B) Administer regular insulin intravenously as prescribed.
C) Place child on a cardiac monitor.
D) Place child on a pulse oximetry monitor.
Q2) A neonate born with ambiguous genitalia is diagnosed with congenital adrenogenital hyperplasia. What does therapeutic management include?
A) Administration of vitamin D
B) Administration of cortisone
C) Administration of stool softeners
D) Administration of calcium carbonate
Q3) The nurse is conducting a staff in-service on childhood endocrine disorders. Diabetes insipidus is a disorder of:
A) anterior pituitary.
B) posterior pituitary.
C) adrenal cortex.
D) adrenal medulla.
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Chapter 29: The Child with Musculoskeletal or Articular Dysfunction
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32 Verified Questions
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Sample Questions
Q1) Which can result from the bone demineralization associated with immobility?
A) Osteoporosis
B) Urinary retention
C) Pooling of blood
D) Susceptibility to infection
Q2) An adolescent with juvenile idiopathic arthritis (JIA) is prescribed abatacept (Orencia). Which should the nurse teach the adolescent regarding this medication?
(Select all that apply.)
A) Avoid receiving live immunizations while taking the medication.
B) Before beginning this medication, a tuberculin screening test will be done.
C) You will be getting a twice-a-day dose of this medication.
D) This medication is taken orally.
Q3) Four-year-old David is placed in Buck extension traction for Legg-Calvé-Perthes disease. He is crying with pain as the nurse assesses that the skin of his right foot is pale with an absence of pulse. Which action should the nurse take first?
A) Notify the practitioner of the changes noted.
B) Give the child medication to relieve the pain.
C) Reposition the child and notify physician.
D) Chart the observations and check the extremity again in 15 minutes.
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Chapter 30: The Child with Neuromuscular or Muscular Dysfunction
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Sample Questions
Q1) The parents of a child with cerebral palsy ask the nurse whether any drugs can decrease their child's spasticity. The nurse's response should be based on which statement?
A) Anticonvulsant medications are sometimes useful for controlling spasticity.
B) Medications that would be useful in reducing spasticity are too toxic for use with children.
C) Many different medications can be highly effective in controlling spasticity.
D) Implantation of a pump to deliver medication into the intrathecal space to decrease spasticity has recently become available.
Q2) The nurse is caring for an infant with myelomeningocele scheduled for surgical closure in the morning. Which intervention should the nurse plan for the care of the myelomeningocele sac?
A) Open to air
B) Covered with a sterile, moist, nonadherent dressing
C) Reinforcement of the original dressing if drainage noted
D) A diaper secured over the dressing
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