Child Health Nursing Exam Bank
Course Introduction
Child Health Nursing is a comprehensive course that explores the principles and practices essential for providing nursing care to infants, children, and adolescents. The course emphasizes growth and development stages, common pediatric illnesses, preventive health care, and family-centered approaches. Students learn to assess, plan, implement, and evaluate nursing interventions aimed at promoting optimal physical, emotional, and psychosocial well-being in children. The course also covers communication strategies with children and families, immunizations, nutrition, and the handling of pediatric emergencies, preparing nurses to deliver compassionate and effective care in various 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) Following a traumatic birth, an infant is admitted to the neonatal intensive care unit. When the grandparents arrive at the hospital, they the nurse caring for the baby about its condition and plan of care. The nurse who provides this information without permission from the parents would be committing:
A)Negligence
B)A breach of privacy
C)Malpractice
D)A breach of ethics
Answer: B
Q2) A 7-year-old child has been admitted for acute appendicitis. The parents are questioning the nurse about expectations during the child's recovery. Which information tool would be most useful in answering a parent's questions about timing of key events?
A)Healthy People 2020
B)National clinical practice guidelines
C)Child mortality statistics
D)Critical clinical pathways
Answer: D
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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) 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
Q2) During assessment of a child's biological family history, it is especially important that the nurse asking the mother for information uses the term "child's father" instead of "your husband" in the situation of a:
A)Traditional nuclear family.
B)Two-income nuclear family.
C)Traditional extended family.
D)Heterosexual cohabitating family.
Answer: D
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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 with a child newly enrolled in an English as a Second Language class. The nurse wants to teach the child about the importance of hand washing before meals and to not eat food dropped on the exam room floor. The best way to evaluate the child's understanding of hygienic nutrition is to:
A)Have the child repeat his interpretation of the information that was taught.
B)Schedule a medical interpreter to accompany the patient to his next visit.
C)Provide written materials in English about hygiene and diet for the client to take home.
D)Have the nurse model proper hand washing before examining the child, and throw out the dropped cookie.
Answer: A
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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) During genetic testing, one parent is found to have a chromosomal abnormality without any physical or mental disability; however, the offspring has inherited physical and/or mental disability. During patient education, the nurse explains that the type of individual who can have a chromosomal abnormality without any disability but can cause his offspring to receive chromosomal alterations and disability is the parent with:
A)Dominant-gene structural chromosomal inversions.
B)Mosaicism.
C)Dominant-gene structural chromosomal balanced translocations.
D)Dominant-gene structural chromosomal deletions.
Q2) A couple is evaluated in the genetics clinic, and the male is found to be a carrier of an X-linked dominant disorder. The couple asks the nurse what this means in regard to their future children. The nurse's response will include the information that:
A)All girls born to the family will be affected.
B)About 25% of the boys born to the family will be affected.
C)About 25% of the girls born to the family will be affected.
D)All boys born to the family will be affected.
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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) The mother of a six-year-old boy who has recently had surgery for the removal of his tonsils and adenoids complains that he has begun sucking his thumb again. The nurse caring for the child should assure the mother that this is a normal response for a child who has undergone surgery and that it is a coping mechanism that children sometimes use called:
A)Repression.
B)Rationalization.
C)Fantasy.
D)Regression.
Q2) The parents of a one-month-old infant are concerned that their baby seems different from their other child, and they ask the nurse if this is normal. The nurse informs them that it is normal for babies to have different temperaments and that according to the "temperament theory" of Chess and Thomas, one of the characteristics of the "slow-to-warm-up" child is that he:
A)Initially reacts to new situations by withdrawing.
B)Commonly has intense reactions to the environment.
C)Displays a predominately negative mood.
D)Shows a regularity in patterns of eating.
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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) In order to prepare a six-year-old client for an intravenous catheter insertion, the nurse's best response would be:
A)"If I were you, I would hold very still so that it will only take one stick."
B)"It is okay to cry.I know that this hurts."
C)"Why are you crying? I thought that you were a tough kid."
D)"Don't worry a bit; this is just like a little mosquito bite."
Q2) The nurse is working with a 14-year-old adolescent with an intellectual disability. The adolescent's mental age is four. In explaining an X-ray to the adolescent, the nurse should explain:
A)To the adolescent in terms appropriate to a teenager.
B)To the parents and have them explain to their child.
C)As little as possible because the child will not understand anyway.
D)Using words that are in the vocabulary of a four-year-old without talking down to the adolescent.
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8
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) While assessing newborns, the nurse should differentiate normal findings from findings which require further evaluation and intervention. Which would be normal newborn findings? Standard Text: Select all that apply.
A)Swelling over the occiput that crosses suture lines
B)Tiny white papules located primarily on the nose and chin
C)Tiny red macules and pustules that come and go, primarily on the trunk and extremities
D)When the Moro reflex is elicited, the right arm extends and returns to the body.The left arm remains resting against the chest.
E)Greenish discoloration of skin over the entire body that is not removed by the initial bath
Q2) 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.
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9
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) A four-year-old child is seen in the pediatric clinic for a well-child visit. During this visit, the nurse recognizes that appropriate assessments that should be completed at this time include: Standard Text: Select all that apply.
A)Height and weight.
B)Head circumference.
C)Four-year-old required immunizations.
D)Developmental assessment.
E)Safety counseling.
Q2) A mother says to a nurse, "I am so concerned about my 14-year-old daughter because she has been caught stealing small articles of clothing and jewelry from stores on several occasions." The nurse begins a discussion on strategies for improving ethical behavior. This plan of care is part of:
A)Moral conditioning.
B)Health maintenance.
C)Behavioral discipline.
D)Health promotion.
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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) The nurse is providing anticipatory guidance instructions to the parents of a newborn. Which of these instructions should the nurse give as disease/injury prevention strategies? Standard Text: Select all that apply.
A)SIDS risk reduction
B)Fall prevention
C)Formula safety
D)Immunization schedule
E)Risk of poisoning
Q2) A mother asks the nurse about feeding her infant. The nurse's best response that includes the recommendation made by the American Academy of Pediatrics (AAP) concerning feeding infants is:
A)Introduce solid foods beginning at four months of age.
B)Introduce table foods only after tooth eruption.
C)Breastfeed exclusively for the first year of life.
D)Following birth, begin exclusive breastfeeding with no water, juice, or other foods.
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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) Which parental behavior presents a risk for the infant in the home?
A)The father admits smoking cigarettes in the home but says he never smokes around the baby.
B)The parents have parties once a month in the home and serve alcoholic beverages.
C)The parents allow their other children, ages six and 10, to supervise the infant while the parents are working in another room.
D)The mother is a diabetic and has insulin and syringes in the household.
Q2) The home health nurse visits a home with an eight-month-old baby. Which observation is a safety issue that should be discussed with the mother?
A)The infant crib mattress has been lowered to its lowest level.
B)The mother cuts hot dogs into pieces for the baby to "gum."
C)The cords to the window blinds have been shortened and do not hang below the window.
D)The mother has placed infant barriers around the gas heat stove.
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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) A 27-month-old toddler who is in the pediatric office for a well-child visit begins to cry the moment he is placed on the examination table. The parent attempts to comfort the toddler, but nothing is effective. Which would be the most appropriate action for the nurse to take?
A)Instruct the father to hold the toddler down tightly to complete the examination.
B)Allow the toddler to sit on the parent's lap and begin the assessment.
C)Ask another nurse in the office to hold the toddler, since the parent is not able to control the toddler's behavior.
D)Allow the toddler to stand on the floor until the crying stops.
Q2) A parent questions how her toddler will interact with other toddlers. The nurse's best description of the differences in play between the toddler and the preschooler is:
A)Toddlers play "side by side," while preschoolers play cooperatively.
B)Toddlers play cooperatively, while preschoolers play interactive games.
C)Toddlers play house and imitate adult roles, while preschoolers become the "mom or dad" while playing house.
D)There are no differences between toddlers and preschoolers because both play cooperatively.
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Page 13
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) During a well-child visit, the mother tells the nurse that her 11-year-old child is having problems controlling his temper. The mother states that when he gets mad, he often destroys things including his own possessions. The child recently smashed his bicycle, and the mother wonders how she should handle him. The nurse would suggest:
A)Spanking him when he displays this behavior because he knows better.
B)Not replacing the bike and explaining to him that when he breaks something, it will not be replaced.
C)When the child gets angry, the mother will need to yell at the child in order for the child to hear her response.
D)Discussing the child's behavior with the pediatrician so that the child can be placed on mood-altering medications.
Q2) The nurse is caring for a young child in the clinic. The mother tells the nurse the child sleepwalks every night. Which statement by the nurse is appropriate?
A)"Are you concerned the child is not getting enough sleep?"
B)"What time does your child go to bed at night?"
C)"What do you know about children who sleepwalk?"
D)"Is the child experiencing any stress at home?"
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Page 14
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) An adolescent is being seen in the clinic to discuss health promotion behaviors. The nurse develops and implements a health promotion plan. What will the nurse include in the evaluation of the plan?
A)The effectiveness of the health promotion plan and methods to expand and sustain successful approaches
B)Instruction on what is considered healthy behavior
C)Advice to the adolescent that promoting health behaviors will maintain a healthy lifestyle
D)Information on the adolescent's attitude toward health
Q2) 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.
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15
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) Which aspect of an Emergency Medical Services (EMS) system is most indicative that EMS providers are prepared to provide emergency care to children?
A)Lists of hospitals in the area that treat children
B)Staff education related to assessment and treatment of children of all ages
C)Placement of small stretchers in emergency vehicles
D)Size-appropriate equipment and supplies
Q2) As the new school year begins, the school nurse evaluates several children to determine their healthcare needs. Which child would the nurse consider to be medically fragile?
A)The child with a casted right arm due to a fracture
B)The child who wears hearing aids due to hearing loss secondary to meningitis as an infant
C)The child requiring oxygen and tube feedings secondary to a congenital heart defect
D)The child with a developmental delay
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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) A child is being prepared for surgery. The parent requests to be present during anesthesia induction. How should the nurse respond?
A)The nurse should tell the parent the names of all the medications the child will receive.
B)The nurse should explain what the parent will see and hear when present during induction.
C)The nurse should tell the parent he will be upset to see his child under anesthesia.
D)The nurse should ignore the request and focus on the child.
Q2) The physician has ordered the toddler to receive an oral medication. The toddler has fought medication administration in the past. Strategies the nurse will use to administer the medication would include: Standard Text: Select all that apply.
A)Request the medication in liquid form and draw the medication in an oral syringe.
B)Put the medication in a favorite drink in the child's sippy cup.
C)Allow the mother to administer the medication to the child.
D)Notify the physician to change the route to intravenous.
E)Hold the child down and squirt the medication in the corner of his mouth.
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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) An adolescent has recently been diagnosed with type 1 diabetes mellitus and is on dietary restrictions and daily insulin. The nurse is teaching the adolescent's family members about the disease and treatment. The nurse will warn the family that the adolescent, upon returning to school, may:
A)Recognize that there is no difference between her and her classmates.
B)Not experience social stigma.
C)Acknowledge her condition to her classmates.
D)Not adhere to dietary recommendations.
Q2) In working with parents of children with chronic diseases, the nurse is concerned with helping the parents to protect themselves from compassion fatigue. The nurse would encourage which activities? Standard Text: Select all that apply.
A)Fostering social relationships
B)Exercising
C)Developing a hobby
D)Moving away
E)Sleeping more than 9 hours per 24-hour period
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18
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) An adolescent with a gunshot wound presents to the emergency department with his distraught parents. He states that he saw a classmate shoot his teacher and several other students. As a result of the shooting incident, the nurse expects this adolescent to be at risk for which disorder?
A)Conduct disorder
B)Depression
C)Post-traumatic stress disorder
D)School phobia
Q2) The hospital recently changed its policy and now allows families members to be present during resuscitation of their child. The benefits expected from this policy change include: Standard Text: Select all that apply.
A)Positive patient outcomes increase due to the patient hearing family voices during the resuscitation.
B)Parents are reassured that everything possible is being done.
C)Professional behavior by the healthcare team improves.
D)Parental feelings of helplessness decrease.
E)Grieving and closure are facilitated.
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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) A three-year-old child has a brain tumor and is now dying. The child has an Allow Natural Death order (AND order). Which of the following care and interventions are allowed for a child with an AND order? Standard Text: Select all that apply.
A)Oxygen
B)Suctioning
C)Use of a ventilator if respiratory failure occurs
D)Pain control
E)Cardiac compressions
Q2) The nurse is counseling some parents on how they will feel after the death of a child. The nurse understands that the parents might feel which of the following? Standard Text: Select all that apply.
A)Loneliness
B)Guilt
C)Anger
D)High energy
E)Depression
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20
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) A nurse is talking to the mother of an exclusively breastfed, African American infant who is three months old and was born in late fall. The nurse would want to make sure that this child is receiving:
A)Iron
B)Vitamin D
C)Calcium
D)Fluoride
Q2) The mother of a six-week-old infant tells the nurse that her baby has had colic for several days, crying for up to three hours and drawing his legs up on his abdomen. The mother says she is at "wits end" and wonders what she can do. The nurse learns that the infant is formula fed and gaining weight satisfactorily. The nurse would recommend:
Standard Text: Select all that apply.
A)Breastfeeding the infant.
B)Switching to a bottle that has a collapsible bag inside.
C)Putting the infant in a baby swing after feeding.
D)Burping the baby more frequently.
E)Giving the baby a suppository once each morning.
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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 recognizes that the person guilty of child abuse may have which symptoms?
A)Physical illness
B)Alcoholism
C)Many friends and families nearby
D)Unrealistic expectations for their child
E)The abuser has no relationship to the child.
Q2) During a well-child exam, the parents of a four-year-old child inform the nurse that they are thinking of buying a television for their child's bedroom and ask for advice as to whether this is appropriate. The best response from the nurse would be:
A)"It is okay for children to have a television in their room as long as you limit the amount of time they watch it to less than two hours per day."
B)"Research has shown that watching educational television shows improves a child's performance in school."
C)"Don't buy a television for your child's room; he is much too young for that."
D)"Research has shown that children with a television in their bedroom spend significantly less time playing outside than other children."
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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 taking care of a seven-year-old child who is postoperative. The child's mother requests that the child not receive narcotics in the postoperative period because she is afraid the child will become addicted. The nurse would explain to the mother that children who do not receive adequate pain control will be at risk for:
A)Respiratory complications.
B)Urinary complications.
C)Cardiac complications.
D)Bowel complications.
Q2) The nurse is caring for a two-year-old child in the postoperative period. The pain assessment tool most appropriate for assessment of pain intensity in a two-year-old is the:
A)Poker Chip Tool.
B)Oucher Scale.
C)Faces Pain Rating Scale.
D)FLACC Behavioral Pain Assessment Scale.
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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) A mother brings her four-month-old infant in for a routine checkup and vaccinations. The mother reports that the four-month-old was exposed to a brother who has the flu. In this case, the nurse will:
A)Withhold the DTaP vaccination but give the others as scheduled.
B)Give the infant the flu vaccination but withhold the others.
C)Give the vaccinations as scheduled.
D)Withhold the vaccinations.
Q2) The nurse is teaching a child care class for mothers of young children. The nurse tells the parent that the most common mode of transmission of infectious disease is:
A)Children who are playing with the same toy.
B)Children who are coughing.
C)Children who are sitting together eating meals.
D)Children who are playing board games.
Q3) The nurse is teaching a class on infectious disease; the nurse understands that zoonosis is only transmitted by:
A)Person to person.
B)Animals to person.
C)Adult to child.
D)Person to insects.
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Page 24
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) A six-year-old child is hypokalemic. The nurse is helping the child complete the menu. The nurse would encourage this child to select which menu items?
A)Pizza with a fruit plate
B)Chicken strips with chips
C)Fajita with rice
D)A hamburger with French fries
Q2) A nurse is taking care of four different pediatric clients. Which of the following children is at greatest risk for dehydration?
A)Seven-year-old child with migraine headaches
B)Four-year-old child with a broken arm
C)Two-year-old child with cellulitis of the left leg
D)18-month-old child with tachypnea
Q3) A child with croup has an increased pCO<sub>2</sub>, a decreased pH, and a normal HCO<sub>3</sub> blood gas value. The nurse interprets this as uncompensated:
A)Metabolic alkalosis.
B)Metabolic acidosis.
C)Respiratory acidosis.
D)Respiratory alkalosis.
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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) A child has epistaxis while at school. The school nurse appropriately intervenes by:
A)Lying the child down and applying a warm pack.
B)Tilting the child's head back, squeezing the bridge of the nose, and applying a warm moist pack to the nose.
C)Tilting the child's head forward, squeezing the nares below the nasal bone, and applying ice to the nose.
D)Immediately packing the nares with a cotton ball soaked with Neo-Synephrine.
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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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) A child is admitted to the hospital with pneumonia. The child's oximetry reading is 88% upon admission to the pediatric floor. The priority nursing activity for this child would be to:
A)Begin administration of intravenous fluids.
B)Obtain a blood sample to send to the lab for electrolyte analysis.
C)Begin oxygen per nasal cannula at 1 liter.
D)Medicate for pain.
Q2) An infant was born at 34 weeks' gestation and is being treated in the NICU for apnea of prematurity. The infant is in an isolette with an apnea monitor and intravenous fluids. The apnea monitor sounds, and the nurse checks the infant to find the infant is not breathing. The initial intervention by the nurse would be to:
A)Administer oxygen.
B)Perform back blows and chest thrusts.
C)Call a code.
D)Stroke the infant's back.
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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) Which athletic activity could the nurse recommend for a school-age child with pulmonary-artery hypertension?
A)Golf
B)Basketball
C)Cross-country running
D)Soccer
Q2) An infant with a congenital heart defect is being discharged home until the infant reaches an appropriate weight for the corrective surgery. The nurse would teach the parents infant feeding techniques including: Standard Text: Select all that apply.
A)Breastfeed if possible.
B)Complete each feeding within 30 minutes.
C)Position the infant flat to promote swallowing.
D)Dilute the formula with extra water to ensure adequate fluid intake.
E)Burp the infant frequently.
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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) 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
Q2) An adolescent has systemic lupus erythematosus (SLE). Which action by the teen indicates acceptance of the body changes that occur because of SLE?
A)Attends school but doesn't stay for after-school activities
B)Discusses the body changes with health care personnel only
C)Discusses the body changes with her best friend
D)Only attends small parties at friends' homes
Q3) The child is recovering from a bone marrow transplant. Which is the priority nursing concern in this early stage management?
A)Early recognition of symptoms of graft-versus-host disease.
B)Providing discharge instructions to the parents.
C)Avoiding latex products.
D)Monitoring the child for return of bone marrow function.
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Chapter 28: Alterations in Hematologic Function
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Source URL: https://quizplus.com/quiz/78177
Sample Questions
Q1) A child who has Beta-thalassemia is receiving numerous blood transfusions. The child is also receiving deferoxamine (Desferal) therapy. The parents ask how the deferoxamine will help their child. Which is an action of deferoxamine that the nurse should convey?
A)Stimulates red blood cell production
B)Prevents iron overload
C)Provides vitamin supplementation
D)Prevents blood transfusion reactions
Q2) Which of the following parental demonstrations indicates that the parents understand the nurse's teaching with regard to prevention of iron-deficiency anemia?
A)The parents feed their infant with a formula that is not iron-fortified.
B)The child's vitamin C consumption is limited after one year of age.
C)The parents start iron-fortified infant cereal at four to six months of age.
D)Cow's milk is introduced into the child's diet at six months of age.
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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 has recently been diagnosed with leukemia. The child's sibling is expressing feelings of anger and guilt. This reaction by the sibling is:
A)Abnormal; the sibling should be referred to a psychologist.
B)Unexpected; the cancer is easily treated.
C)Unusual; the illness doesn't affect the sibling.
D)Normal; the sibling is affected, too, and anger and guilt are expected feelings.
Q2) The 10-year-old boy is admitted to the pediatric neurologic unit with a suspected craniopharyngioma. The nurse will assess the child with which symptoms related to this brain tumor? Standard Text: Select all that apply.
A)Evening nausea
B)Excessive urination leading to dehydration
C)Nystagmus
D)Headaches
E)Orbital ecchymosis
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Chapter 30: Alterations in Gastrointestinal Function
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Sample Questions
Q1) The nurse is measuring an abdominal girth on a child with abdominal distension. Identify the area on the child's abdomen where the tape measure should be placed for an accurate abdominal girth.
A)Below the umbilicus
B)Just below the sternum
C)Just above the pubic bone
D)Just above the umbilicus, around the largest circumference of the abdomen
Q2) A child returns from exploratory abdominal surgery following a gunshot wound to the abdomen. Which nursing intervention would the nurse omit from the plan of care for this child?
A)NPO status until bowel sounds return
B)Frequent assessment of the surgical site
C)Avoiding narcotics to prevent depression of the respiratory system
D)Allow parents at the bedside as soon as possible.
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Chapter 31: Alterations in Genitourinary Function
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Sample Questions
Q1) The surgeon is discussing plans for orchiopexy with the parents of an infant born with cryptorchidism. The parents are overwhelmed and do not hear much of the discussion. The nurse will clarify the surgeon's explanation by discussing that the risk of undescended testes include: Standard Text: Select all that apply.
A)Sperm production will be affected after puberty.
B)Abdominal testes are subject to injury.
C)Abdominal testes have a higher risk of developing cancer.
D)Hormonal production will be affected.
E)The testes are at greater risk of torsion.
Q2) A child is undergoing hemodialysis. The child should be monitored closely for: Standard Text: Select all that apply.
A)Migraines.
B)Hypotension.
C)Infections.
D)Fluid overload.
E)Shock.
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Chapter 32: Alterations in Endocrine and Metabolic Function
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Sample Questions
Q1) A teenager has arrived in the emergency department (ED) with confusion. The physician suspects diabetic ketoacidosis (DKA). A stat serum glucose is done, and the result is 76l5 mg/dL. The nurse expects that this teen has which symptoms?
A)Tachycardia, dehydration, and abdominal pain
B)Sweating, photophobia, and tremors
C)Dry mucous membranes, blurred vision, and weakness
D)Dry skin, shallow rapid breathing, and dehydration
Q2) The child was diagnosed with phenylketonuria shortly after birth and has been treated by the endocrine clinic for the last four years. The mother has missed the last three appointments. When the child keeps the next appointment, the mother assures the nurse that the child has followed the dietary restrictions. Which finding would make the nurse this statement?
A)The child's body has a musty odor.
B)This child is a blue-eyed blond.
C)The child appears sleepy and uninterested in the surroundings.
D)The child has a sunburn over his entire body.
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Page 34
Chapter 33: Alterations in Neurologic Function
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Sample Questions
Q1) A child has been diagnosed with a basilar skull fracture. The nurse should monitor this child for:
A)Periorbital ecchymosis.
B)Subdural hematoma.
C)Protruding bone.
D)Epidural hematoma.
Q2) In caring for a hospitalized eight-year-old child with myelodysplasia, the nurse should remember to: Standard Text: Select all that apply.
A)Expect the child to have normal intelligence.
B)Use latex precautions.
C)Allow the child to do her own self-catheterization.
D)Ensure that the child has a low-fiber diet.
E)Encourage the child to shift positions hourly when in her wheelchair.
Q3) The nurse is doing an assessment on a four-month-old infant. Which assessment finding would the nurse consider abnormal?
A)The posterior fontanel is open.
B)The infant has good head control when held upright.
C)The infant is able to roll only from abdomen to back.
D)The anterior fontanel is open and soft.
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Page 35
Chapter 34: Alterations in Mental Health and Cognition
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Sample Questions
Q1) The mother of a six-year-old brings her son to the physician because his teacher thinks he might have attention deficit/hyperactivity disorder (ADHD). The nurse is interviewing the mother about the child's history. The nurse knows that which factors could be associated with ADHD?
A)Measles, mumps, and rubella vaccine
B)Advanced parental age
C)Prenatal exposure to smoke
D)Immune response
Q2) The waiting room of the mental health clinic is full of children with various mental health issues. The nurse watches the children and notes that which child is displaying symptoms of autism?
A)Four-year-old girl who doesn't make eye contact with mother and resists the mother's touch
B)Three-year-old boy who joins one group of children then moves to another group of children without joining their activities
C)18-month-old child who walks around the area using the furniture to provide balance
D)Six-year-old boy who chatters constantly to anyone who will listen
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Chapter 35: Alterations in Musculoskeletal Function
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Sample Questions
Q1) 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.
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 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
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Page 37
Chapter 36: Alterations in Skin Integrity
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Sample Questions
Q1) There has been an outbreak of tinea pedis among the high school football team. The school nurse meets with the team and discusses preventative activities to reduce spread of the organism. The nurse will instruct the team members to: Standard Text: Select all that apply.
A)Wear 100% white cotton socks, changed twice a day.
B)Use talc on feet daily.
C)Use an over-the-counter corticosteroid cream to treat the area.
D)Wear foot covers such as flip flops in the locker room and shower.
E)Apply heat to the area twice a day.
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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