Child Health Nursing Exam Review
Course Introduction
Child Health Nursing is a comprehensive course designed to equip nursing students with the knowledge and skills necessary to provide holistic care to infants, children, and adolescents within a family and community context. The course covers growth and development milestones, common pediatric illnesses, nursing interventions, health promotion, and disease prevention strategies. Emphasis is placed on the unique physiological and psychological needs of children at different developmental stages, effective communication with children and families, and culturally sensitive nursing practices. Students will learn to assess, plan, implement, and evaluate care while fostering supportive environments that promote optimal health outcomes for pediatric populations.
Recommended Textbook
Child Health Nursing Partnering with Children and Families 3rd Edition by Jane
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36 Chapters
680 Verified Questions
680 Flashcards
Source URL: https://quizplus.com/study-set/3920
Page 2
W. Ball
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) A nurse is working with pediatric clients in a research facility. The nurse recognizes that federal guidelines are in place to delineate which pediatrics clients must give assent for participation in research trials. Based upon the client's age, the nurse would seek assent from which children? Standard Text: Select all that apply.
A)The 13-year-old client beginning participation in a research program for ADHD treatments
B)The precocious four-year-old starting as a cystic fibrosis research study participant
C)The 10-year-old starting in an investigative study for clients with precocious puberty
D)The seven-year-old leukemia client electing to receive a newly developed medication being researched
Answer: A,C,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 camp nurse is assessing a group of children attending summer camp. Which child will be most likely to have problems perceiving a sense of belonging?
A)The child whose parents divorced recently
B)The child recently placed into foster care
C)The child whose mother remarried and who gained a stepparent recently
D)The child adopted as an infant
Answer: B
Q2) The nurse is working with a mother of three children on parenting skills. The nurse demonstrates a strategy that uses reward to increase positive behavior. This strategy is called:
A)Time-out.
B)Experiencing consequences of misbehavior.
C)Reasoning.
D)Behavior modification.
Answer: D
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Page 4
Chapter 3: Cultural Influences
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/78202
Sample Questions
Q1) During the assessment, the nurse notices that a Black baby has a darker, slightly bluish-hued patch about 5 × 7 cm on the buttocks and lower back. What is the nurse's next action?
A)Ask the mother about the cause of the bruise.
B)Call the Department of Social Services (DSS) to report this as a sign of abuse.
C)Confer with the physician the possibility of a bleeding tendency.
D)Chart the presence of a Mongolian spot.
Answer: D
Q2) The oncology nurse is working with patients from many cultural backgrounds. When assessing pain, the nurse should recall that members of which cultural group are more likely to remain quiet when experiencing severe pain?
A)Hispanic
B)Asian
C)Italian
D)Jewish
Answer: B
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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 a sports physical, a client is found to have myopia, long digits, tall stature, an arm span greater than his height, scoliosis, and a hollow chest. The nurse should suspect:
A)Phenylketonuria.
B)Turner's syndrome.
C)Huntington's chorea.
D)Marfan's syndrome.
Q2) The nurse in the genetics clinic is working with families undergoing testing for genetic disease. If the initial testing is positive, more extensive testing is required to confirm:
A)Prenatal diagnostic testing.
B)Carrier screening.
C)Newborn screening.
D)Pre-implantation genetic diagnosis.
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6
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) Utilizing Bronfenbrenner's ecologic theory of development, the nurse caring for a child would discuss the parents' work environment as part of an assessment of that child's:
A)Chronosystem.
B)Mesosystem.
C)Macrosystem.
D)Exosystem.
Q2) A nurse is assessing language development in all the infants presenting at the physician's office for well-child visits. The nurse would want to evaluate the child further who is not able to verbalize the words "dada" and "mama" by the age of:
A)18 months.
B)8 months.
C)5 months.
D)12 months.
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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) A nurse is working with a child who is a pediatric trauma victim. The nurse is planning nursing interventions to facilitate rapport and effective communication with this child and family. The nurse will utilize which interventions? Standard Text: Select all that apply.
A)Closing the door to the room when speaking to the family or child
B)Avoiding the use of medical jargon
C)Inviting the family out to a movie to decrease their anxiety
D)Introducing self to the child and family
E)Sitting in a chair facing the family and child
Q2) While caring for an adolescent with cystic fibrosis, the nurse would best demonstrate friendliness and interest by engaging in which nonverbal behavior?
A)Sitting at eye level and leaning forward while speaking with the client.
B)Crossing the legs and leaning back slightly in the chair while talking with the client.
C)Making eye contact with the client only when necessary.
D)Standing over the client's bed while talking with him.
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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) 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
Q2) The nurse is caring for an infant diagnosed with "failure to thrive." The nurse observes the physician taking blood pressures in all four extremities and recognizes that the physician suspects which congenital cardiac defect?
A)Tetralogy of Fallot
B)Ventricular septal defect
C)Pulmonary atresia
D)Coarctation of the aorta
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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) During a well-child visit, the nurse asks the mother of a six-month-old infant, "Does your baby sit without assistance?" and "Is the baby crawling?" Which process is the nurse using in this interaction?
A)Disease surveillance
B)Health promotion
C)Health maintenance
D)Developmental surveillance
Q2) A nurse in the outpatient pediatric clinic is reviewing the records of a preschool-age child and notes that the parents have missed the last two health care visits. The nurse also notes that the child has not received the second measles, mumps, and rubella (MMR) vaccine. The nurse should:
A)Plan to discuss the principles of health supervision at the next scheduled visit.
B)Call the parents and encourage them to bring the child for recommended care.
C)Notify the physician that the child's immunizations are no longer up to date.
D)Speak firmly with the parents at the next health care visit about the importance of being compliant.
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10
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 newborn is admitted to the nursery from the delivery room. All of the activities must be performed. Place the activities in order of performance from first to last. Standard Text: Click and drag the options below to move them up or down.
A)Administer a vitamin K injection
B)Take vital signs.
C)Place in an overbed warmer.
D)Administer eye prophylaxis.
E)Administer an admission bath.
Q2) A mother who is bottle-feeding her newborn requests to be discharged 24 hours post-delivery, because the mother also has twin two-year-olds at home. The nurse should schedule the follow-up visit for the newborn on which of these days?
A)Within 48 hours of discharge
B)When the infant is one month old
C)Within two weeks of discharge
D)Within one week of discharge
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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) A nurse asks the mother to undress her four-month-old infant. The nurse observes the mother taking off several layers of clothing, knowing that the outdoor temperature is 70°F. Which of these statements should the nurse make to the mother?
A)"When you leave the office, only put one layer of clothing on your baby."
B)"My, you are dressing your infant warmly today."
C)"Did you think it was it cold when you left your home this morning?"
D)"I see that you have many layers of clothing on your baby.This could cause your baby's temperature to rise."
Q2) 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.
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Page 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) A nurse who is the manager of an ambulatory pediatric health care center is planning protocols for the routine health care visits of the children. Children within the catchment area of this care center have a high incidence of obesity. The most important assessment data in monitoring the two-year-old child with obesity is:
A)Weight alone.
B)The child's percentile score of height and weight and weight on the growth chart.
C)Changes in the child's percentile on the growth chart from birth to the present.
D)The child's body mass index.
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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) The school nurse is teaching a class about safety. The nurse will teach the children that they should wear protective athletic gear when participating in selected activities. Which of these activities requires protective athletic gear?
A)Gymnastics
B)Swimming
C)Skateboarding
D)Basketball
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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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) What would be the best way for the nurse to teach adolescents regarding health promotion and health maintenance?
A)Contact the parents and ask what issues they have with their adolescents.
B)Have the adolescents identify a personal health goal.
C)Ask the advice of the counselors at school.
D)Tell the adolescents what you will include in the lecture.
Q2) An adolescent who recently moved to a new school in a different town presents to an ambulatory care center and describes the following: "I have no friends in my new school, and I no longer want to go to college. I know I will be lonely there, too." Which takes priority when speaking with the adolescent?
A)Stressing the importance of remaining in a close parent-child relationship during these stressful times
B)Promoting healthy mental health outcomes
C)Acknowledging the fact that it takes several months to make new friends at a new school due to adolescent exclusion behaviors
D)Helping the adolescent realize the value of postsecondary education
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Page 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) 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) Prior to accepting an assignment as a home health nurse, the nurse must realize that:
A)The family will adapt their lifestyle to the needs of the nurse.
B)The family is in charge.
C)Independent decisions regarding emergency care of the child will be made by the nurse.
D)All decisions will be made by the healthcare provider.
Q3) The community health nurse is planning an education session for recently hired teachers at a childcare center. It is most important that the nurse teach the staff:
A)The schedule for immunizations.
B)How to interpret health records.
C)Principles of infection control.
D)How to take a temperature.
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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) A child is being discharged from the hospital after a three-week stay following a motor vehicle collision. The mother expresses concern about caring for the child's wounds at home. She has demonstrated appropriate technique with medication administration and wound care. What is the priority nursing diagnosis?
A)Parental anxiety related to care of the child at home
B)Family processes, altered related to hospitalization
C)Infection, risk for related to presence of healing wounds
D)Knowledge deficient home care
Q2) The pediatric unit manager is making changes to the unit to reduce the stress of the hospitalized children. Which changes have been shown to reduce stress for the children?
A)Having only female nurses on the unit
B)Assigning nurses one-on-one with patients
C)Allowing the nurses to wear colored scrubs in place of white uniforms
D)Having the nurses avoid entering the patient room unless a procedure is to 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 is working with a 20-year-old who is medically fragile. It is the policy of the clinic to only see patients from birth to 21 years of age. The nurse is responsible for assisting the individual and family to transition to adult health care. The nurse recognizes that the individual may face difficulties related to: Standard Text: Select all that apply.
A)No longer qualifying for the state's child health insurance program and becoming uninsured.
B)Wanting to start fresh with the new healthcare provider and refusing to allow transfer of their records to the new agency.
C)Adult clinics being unwilling to accept this chronically ill individual into their practice.
D)The parents choosing an adult clinic that is not the one the individual would like to attend.
E)Being unwilling to transition to the adult clinic due to the relationships they have with the pediatric clinic.
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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 new pediatric hospital is under development. A suggestion that has been shown to improve the psychological comfort of children in the Pediatric Intensive Care Unit would be:
A)Limiting the number of visitors to allow the child to rest.
B)Allowing the parents to visit every two hours for 10 to 15 minutes.
C)Planning all rooms to be two-patient rooms so each child will have another child for comfort and support.
D)Providing a bed for a parent to stay with the child in the PICU.
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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Page 19
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 doing a follow-up home visit to a family who lost their three-month-old infant to SIDS eight weeks ago. The mother answers the door in her nightgown with hair uncombed. During the interview, the mother states: "I don't see the point of getting dressed each day." The nurse recognizes that the mother is demonstrating which stage of grief behavior?
A)Recovery
B)Yearning, pining
C)Hostile
D)Disorganization
Q2) 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
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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) While teaching the parents of a newborn about infant care and feeding, the nurse instructs the parents to:
A)Delay supplemental foods until the infant is four to six months old.
B)Begin diluted fruit juice at two months of age, but wait three to five days before trying a new food.
C)Add rice cereal to the nighttime feeding if the infant is having difficulty sleeping after two months of age.
D)Delay supplemental foods until the infant reaches 15 pounds or greater.
Q2) A six-year-old recently diagnosed with asthma also has a peanut allergy. The nurse instructs the family not only to avoid peanuts, but also to check food label ingredients carefully for peanut products and to make sure dishes and utensils are adequately washed prior to food preparation. The mother asks why this is specific for her child. The nurse should reply that in comparison with other children, this child has a higher risk for:
A)Urticaria.
B)Anaphylaxis.
C)Diarrhea.
D)Headache.
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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) A child is brought to the emergency department in a coma. The mother thinks the child may have ingested a poison. The nurse will assess: Standard Text: Select all that apply.
A)For burns around the mouth.
B)The child's breath.
C)The child's vomitus.
D)Hair samples.
E)Blood and urine toxicology screens.
Q2) 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.
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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) During shift report, the night nurse reports that the child who is terminally ill has developed tolerance to the morphine that the child has been receiving. The oncoming nurse realizes that the child:
A)Is physically dependent on morphine.
B)Is addicted to morphine.
C)Is showing physical signs of withdrawal.
D)Will need more medication to achieve the same effect.
Q2) 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.
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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 nurse is providing information to a group of new mothers. The nurse would explain that newborns and young infants are more susceptible to infection because they have:
A)Low levels of antibodies.
B)High levels of maternal antibodies to diseases to which the mother has been exposed.
C)Passive transplacental immunity from maternal immunoglobulin G.
D)Been exposed to microorganisms during the birth process.
Q2) The school nurse wants to protect the students from Reye disease. To this end, the nurse creates a pamphlet that advises the parents to avoid giving which medication to a sick child?
A)Antibiotics
B)Acetaminophen
C)Ibuprofen
D)Aspirin
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
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/78182
Sample Questions
Q1) A nine-month-old infant is hospitalized with vomiting and diarrhea. The mother questions why her child needed hospitalization since her school-age nephew had the same symptoms and was treated at home. The nurse would explain that an infant is more at risk for dehydration than a school-age child because: Standard Text: Select all that apply.
A)Infants have a lower proportion of their body weight as water.
B)The percentage of extra-cellular fluid is higher in the infant than the school-age child.
C)School-age children have a larger body surface area.
D)The school-age child's kidneys are more mature and better able to conserve water.
E)The metabolic rate of the school-age child is higher.
Q2) In the morning, a nurse receives a report on four pediatric clients, each of whom has some form of fluid-volume excess. Which of the children should the nurse see first?
A)The child with tachypnea and pulmonary congestion
B)The child with hepatomegaly and normal respiratory rate
C)The child with dependent and sacral edema and regular pulse
D)The child with periorbital edema and normal respiratory rate
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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 school nurse is screening all second graders for tonsillitis and pharyngitis. Which finding is a normal finding in this age group?
A)Tonsils are large and seem to fill the throat.
B)Child is complaining of sore throat and drooling
C)White patches are observed on the tonsils.
D)Throat appears red, and child has a low-grade fever
Q2) The nurse has completed postoperative discharge teaching to the parents of a child who has had a tonsillectomy. Which statement indicates the parents have understood the teaching?
A)"We will call the physician for any indication of ear pain."
B)"We will be sure to give our child adequate amounts of citrus juices."
C)"We will plan on administering acetaminophen (Tylenol) for pain."
D)"We will keep our child on bed rest for ten days after the surgery."
Q3) A nurse is caring for a visually impaired 20-month-old who has not begun to walk. Which nursing diagnosis would be appropriate for this child?
A)Self-care deficit
B)Impaired physical mobility
C)Impaired home maintenance
D)Delayed growth and development
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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) The family rushes a four-month-old infant to the hospital after finding the infant not breathing. The child is diagnosed as a victim of sudden infant death syndrome. Supportive care for this family would include:
A)Sheltering parents from the grief by not giving them any personal items of the infant, such as footprints.
B)Allowing parents to hold, touch, and rock the dead infant.
C)Advising parents that an autopsy is not necessary.
D)Interviewing parents to determine the cause of the SIDS incident.
Q2) A child is being discharged from the hospital following treatment of asthma. Discharge medications include cromolyn sodium (a mast cell stabilizer). Nursing instructions to the parents about this medication would include explaining: Standard Text: Select all that apply.
A)The medication works to prevent exacerbations.
B)The medication should be administered at the first symptom of an asthmatic attack.
C)The medication should be taken on a daily basis.
D)Avoid taking the medication if the child has symptoms of a cold.
E)The medication desensitizes the child against specific allergens.
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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) A diagnosis of rheumatic fever is being ruled out for a child. The parents cannot remember the child having a recent streptococcal infection. Which lab test would confirm a recent streptococcal infection?
A)Erythrocyte sedimentation rate
B)Throat culture
C)C-reactive protein
D)Antistreptolysin-O (ASO) titer
Q2) The nurse is teaching the parents of a group of cardiac patients. The nurse includes in the information that any child who has undergone cardiac surgery:
A)Should not receive routine immunizations.
B)Should be restricted from most play activities.
C)Can be expected to have a fever for several weeks following the surgery.
D)Should receive prophylactic antibiotics for any dental, oral, or upper respiratory tract procedures.
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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) The nurse is planning care for a child with acquired immune deficiency syndrome (AIDS). Which vaccines should be avoided in the child with AIDS?
A)Inactivated polio vaccine (a killed virus vaccine)
B)Tetanus toxoid vaccination
C)Varicella vaccine (an attenuated virus vaccine)
D)Acellular pertussis vaccine
Q2) The nurse is preparing the hospital room for admission of a child with multiple allergies including cow's milk, peanuts, and latex. The nurse's priority responsibility in preparing for this child would include:
A)Evaluating the hospital room for equipment containing latex.
B)Ordering an EpiPen for the child.
C)Notifying dietary of the milk and peanut allergy.
D)Placing a sign on the door which identifies all allergies.
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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Page 29
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) The nurse is administering packed red blood cells to a child with sickle-cell disease (SCD). The nurse knows that a transfusion reaction will most likely occur:
A)Six hours after the transfusion is given.
B)At the end of the administration of the transfusion.
C)Within the first 20 minutes of administration of the transfusion.
D)Never; children with SCD do not have reactions.
Q2) 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
Q3) A child with hemophilia plans on participating in a bicycling club. Which recommendation should the nurse give to the child?
A)Wear kneepads, elbow pads, and a helmet while bicycling.
B)Consider a swim club instead of the bicycling club.
C)Do not join the club.
D)Participate only in the social activities of the club.
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Chapter 29: The Child With Cancer
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Sample Questions
Q1) The parent of a child newly diagnosed with cancer verbalizes regret to the nurse for not seeking earlier medical attention for the child's symptoms. Which response would be most therapeutic?
A)"You may feel guilty, but you should not blame yourself."
B)"Most cancers can be treated easily."
C)"Many types of cancer are difficult to diagnose and might not show early symptoms."
D)"Early diagnosis is not significant in the diagnosis and management of cancer."
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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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) 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
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Chapter 31: Alterations in Genitourinary Function
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Sample Questions
Q1) Following a hypospadias repair, the 10-month-old child returns from the operating room with a urethral stent. It is now four hours since the child's surgery. Which assessment finding should be reported to the surgeon?
A)The infant has bloody urine.
B)The infant has voided one time since returning from surgery.
C)The infant seems to be having bladder spasms that respond favorably to anticholinergic medications.
D)Double diapering the infant has resulted in the stent being free from stool contamination.
Q2) A teenage girl sees the school nurse to ask about a vaginal discharge that she has had for a month. The nurse suspects a sexually transmitted disease. What is the nurse's next step?
A)Notify the girl's parents.
B)Determine the girl's sexual partners.
C)Encourage the girl to go to the free clinic or her private health care provider for an examination and possible treatment.
D)Notify the health department of the sexually transmitted disease.
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Chapter 32: Alterations in Endocrine and Metabolic Function
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Sample Questions
Q1) 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.
Q2) 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
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Page 34
Chapter 33: Alterations in Neurologic Function
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Q1) The nurse is caring for a nine-month-old who just returned from the PACU after a shunt placement for hydrocephalus. Which of the physician's orders would the nurse question?
A)Vital signs and neuro checks hourly
B)Small, frequent formula feedings
C)Elevate head of bed
D)Daily head circumference
Q2) A seven-year-old with a head injury is hospitalized after losing consciousness when he was hit in the head with a bat at baseball practice. The child was not wearing a helmet. The last set of vital signs showed heart rate 48, BP 148/74, respiratory rate 28 and irregular. The nurse suspects that these vital signs are:
A)A sign that this child has a spinal cord injury.
B)A sign of increased intracranial pressure.
C)Typical for a sleeping child at this age.
D)A sign that the child's condition is improving.
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Chapter 34: Alterations in Mental Health and Cognition
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Q1) A mother brings her 22-month-old child to the well-child clinic for an evaluation. The mother states that this child does not seem to be developing like her sister's child of the same age. The nurse will perform which screening test that may provide information about the child's development?
A)MRI of the head
B)An EEG
C)A Denver II
D)Chromosomal study
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) The nurse has completed parent education related to treatment for a child with congenital clubfoot. The nurse knows that parents need further teaching when they state:
A)"We're getting a special car seat to accommodate the casts."
B)"We'll watch for any swelling of the feet while the casts are on."
C)"We'll keep the casts dry."
D)"We're happy this is the only cast our baby will need."
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
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Chapter 36: Alterations in Skin Integrity
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Sample Questions
Q1) The school nurse is conducting pediculosis capitis (head lice) checks. Which finding would indicate a "positive" head check?
A)White, flaky particles throughout the entire scalp region
B)Lesions on the scalp that extend to the hairline or neck
C)Maculopapular lesions behind the ears
D)Silver/white sacs attached to the hair shafts in the occipital area
Q2) Following an automobile accident, a teenager is left paraplegic. The child is being prepared for discharge. The nurse is reviewing instructions to avoid decubitus ulcers on the buttocks and instructs the teenager to:
A)Contract the buttock muscles five times every two hours.
B)Increase fat in the diet to provide a protective coating over the boney prominences.
C)Do wheelchair push-ups every 15 to 30 minutes.
D)Avoid use of sheepskin as it prevents air from reaching the area.
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