Child Health Nursing
Final Test Solutions
Course Introduction
Child Health Nursing is a comprehensive course designed to equip students with the knowledge and skills necessary to provide effective nursing care to infants, children, and adolescents. The course covers the principles of growth and development, common pediatric illnesses, preventive health care, immunizations, and the psychological aspects of caring for young patients and their families. Emphasis is placed on family-centered care, communication strategies, and advocacy, as well as on the importance of health promotion and education in both acute and community settings. Students also learn to assess, plan, implement, and evaluate evidence-based nursing interventions tailored to the unique needs of children at different developmental stages.
Recommended Textbook
Child Health Nursing Partnering with Children and Families 3rd Edition by Jane W. Ball
Available Study Resources on Quizplus
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) With regard to infant mortality statistics, which nursing intervention would be most effective in decreasing post-neonatal mortality?
A)Teaching parents about "baby-proofing" their home
B)Educating parents on acceptable feeding techniques
C)Providing support for first-time mothers
D)Educating parents on the importance of positioning the baby on his back whenever sleeping
Answer: D
Q2) When discussing injury prevention with the parents of a toddler, which statement indicates teaching has been successful? "The leading cause of death in children is:
A)Unintentional injury."
B)Infectious disease."
C)Congenital anomalies."
D)Cancer."
Answer: A
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Page 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) A nurse is working with the family of a pediatric client. The nurse is planning to obtain an accurate family assessment. The initial step would be to:
A)Select the most relevant family assessment tool.
B)Establish a trusting relationship with the family.
C)Focus primarily on the mother, learning her greatest concern.
D)Observe the family in the home setting, since this step always proves indispensable.
Answer: B
Q2) The community health nurse is making an initial visit to a family. The most effective and efficient way for the nurse to assess the parenting style in use is to:
A)Ask the parents, "What rule is hardest for your child to obey?"
B)Ask the children what happens when they break the rules.
C)Ask the parents, "How often do you hug or kiss your children?"
D)Observe the parent interacting with the child for five minutes.
Answer: B
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4
Chapter 3: Cultural Influences
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/78202
Sample Questions
Q1) After reading a magazine article on complementary medicine methods, a teenager diagnosed with cancer asks the nurse about the possibility of adding CAM to the medical treatment plan. The nurse would explain to the child that prior to deciding on a CAM method, the adolescent must discuss:
A)The cost of the CAM with her parents.
B)The availability of CAM leaders with the hospital social worker.
C)The safety of the chosen CAM modality with her primary physician.
D)Alternative CAM methods with the nurse.
Answer: C
Q2) Access to health care often is less accessible to many groups of children and parents. Which factors can contribute to reducing access to health care? Standard Text: Select all that apply.
A)Transportation problems
B)Lack of community healthcare facilities
C)Lack of health insurance among low-income families
D)Overload of clients resulting in inability to be seen in a timely fashion
E)Communication difficulties if the family is unable to speak or read English
Answer: A,C,E
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Page 5
Chapter 4: Genetic and Hereditary Influences
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/78201
Sample Questions
Q1) When a parent reports multiple male miscarriages, the nurse should confer with the health care provider about a possible genetics referral for which type of conditions?
A)Anticipation autosomal dominant conditions
B)X-linked recessive conditions
C)X-linked dominant conditions
D)Autosomal recessive conditions
Q2) Which parent statement shows understanding of the cause of the child's genetic condition in such a way that the nurse can document that no further teaching about the cause is needed?
A)"I was angry on the day he was conceived; that is why he got this sickness."
B)"My nephews had chickenpox in my seventh month of pregnancy with my son, so that is how he got this way."
C)"My child has this disease because the code in the genes just changed, and it is no one's fault."
D)"Our child is like this because I sunbathed too much during the pregnancy when I carried him."
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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) A neonatal nurse who encourages parents to hold their baby and provides opportunities for kangaroo care most likely is demonstrating concern for which aspect of the infant's psychosocial development?
A)Attachment
B)Assimilation
C)Resilience
D)Centration
Q2) As children grow and develop, their style of play changes. Place the following descriptions of play styles in order from infancy to school-age. Standard Text: Click and drag the options below to move them up or down.
A)Plays beside but not with other children
B)Plays games with other children and is able to follow the rules of the game
C)Plays alone with play directed by others
D)Plays with others in loose groups
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Chapter 6: Child and Family Communication
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/78199
Sample Questions
Q1) While assessing an eight-month-old infant, the best strategy for the nurse to use to promote communication with the infant would be to:
A)Use touch, patting, and cuddling the infant.
B)Speak to the infant in low-pitched, soft tones.
C)Place the infant out of the parents' view to decrease distraction.
D)Lean over the infant's face and talk with forceful tones.
Q2) Following a car accident, a four-year-old child was admitted to the pediatric intensive care unit. Both parents were injured in the accident and have been unable to visit. The child's condition has stabilized, and the child is transferred to the surgical unit for the remainder of her hospitalization. The child has not expressed any feelings during the hospitalization. Which interventions might help the child express her feelings?
A)Asking the hospital chaplain to talk with the child
B)Use play therapy including mother, father, and child dolls.
C)Use journaling to allow the child to express herself.
D)Using humor by telling knock-knock jokes
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Chapter 7: Pediatric and Newborn Assessment
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/78198
Sample Questions
Q1) 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 newborn while the new parents watch. The nurse uses an ophthalmoscope to examine the back of the eye (the retina) and notes a positive red reflex. The nurse would explain to the parents that the red reflex indicates:
A)The absence of congenital cataracts.
B)The presence of intraocular hemorrhage.
C)The optic nerve has been traumatized during delivery.
D)Presence of amblyopia.
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Page 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 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 in the newborn nursery is admitting a neonate. In order to determine the health and development of the newborn, what will the nurse assess? Standard Text: Select all that apply.
A)Head and chest circumference
B)Weight and length
C)Body fat determination
D)Presence of newborn reflexes
E)Gestational age of the infant
Q2) Prior to discharge from the birth hospital, the new mother asks the nurse about the use of a mobile over the crib. The nurse would explain to the mother that the mobile should be placed about 10 inches above the level of the baby. The nurse would explain that this placement:
A)Is based on the fact that newborns can focus at a distance of 8 to 12 inches.
B)Will prevent the infant from being injured by the mobile.
C)Is most convenient for the parents.
D)Is for decoration only.The newborn does not have vision sufficient to see the mobile.
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11
Chapter 10: Health Promotion and Maintenance of the Infant
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/78195
Sample Questions
Q1) An infant is born at 24 weeks' gestational age. Which of these interventions should the nurse plan when the infant is discharged home?
A)Instructing the parents that infants need warmed milk and to heat the milk in a microwave for no more than 15 seconds
B)Giving the parents information on HIV screening that is necessary for infants born at this gestational age
C)Referring the infant for developmental screening
D)No particular instructions are necessary because discharge teaching is completed immediately after the birth of the infant.
Q2) 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.
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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) During a well-child visit, the nurse questions the mother about a toddler's food habits. The mother expresses concern that her child, who used to be a good eater and would eat all types of vegetables, now refuses all but three types of vegetables. Which is the appropriate response for the nurse to make to the mother?
A)"This is a serious concern, and we need to address this with the physician."
B)"Toddlers often go on food jags.Just continue to offer all types of vegetables without making it an issue."
C)"Don't make an issue over it.Just stop offering those favorite vegetables and the child will start eating other vegetables."
D)"Have you thought about adding a multivitamin to the child's daily routine?"
Q2) Which of these developmental milestones should the nurse expect to find in children who are between two and three years old? Standard Text: Select all that apply.
A)Always feeds self
B)Throws ball overhand
C)Kicks a ball
D)Goes up and down stairs
E)Scribbles and draws on paper
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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) The nurse asks the parent during a clinic visit about the nutritional intake of her eight-year-old child. The mother tells the nurse she leaves early for work and her teen sibling takes care of the meals. What response by the nurse regarding nutrition is appropriate?
A)Provide information about healthy meals and snacks that are easy for school-age children and teens to prepare.
B)Provide a meal plan for the mother to take to her daughter.
C)Provide sample recipes for the mother.
D)Provide coupons for the mother when going to the grocery store.
Q2) The school health nurse is evaluating the home environments of several children as they relate to child safety. Which of these activities places a child at greatest risk for bodily harm?
A)The parents consume alcohol on a daily basis.
B)The child is permitted to participate, unsupervised, in target practice with a revolver.
C)The child is a latchkey child.
D)The parents are in a methadone program.
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Chapter 13: Health Promotion and Maintenance of the Adolescent
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/78192
Sample Questions
Q1) The school nurse is performing health screenings during the physical education class. The nurse plans to weigh, measure, and determine body mass index of the adolescents. The scale has been set up in the open gym to speed the process. What should the nurse do to maintain confidentiality of the findings?
A)Have a student worker record the screening findings on the appropriate adolescent's record.
B)Have a volunteer weigh and measure the adolescents and verbally give the findings to the nurse to calculate the body mass index and record.
C)Provide a privacy screen and have the health aid record the findings directly on the record.The nurse will then calculate body mass index.
D)Use a buddy system with the students, having the students measure each other and record the findings.
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Chapter 14: Nursing Care of the Child in the Community
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/78191
Sample Questions
Q1) A 16-year-old client has a long leg cast secondary to a fractured tibia. The child will require a wheelchair for mobility. To effectively facilitate the adolescent's return to school, the school nurse should:
A)Meet with all of the other students prior to the student's return to school to emphasize the special needs of the injured teen.
B)Meet with teachers and administrators at the school to discuss modifications in the student's school routine.
C)Develop an individualized health plan (IHP) focusing on long-term needs of the adolescent.
D)Meet with parents of the injured student to encourage homebound schooling until a short leg cast is applied.
Q2) A child is being discharged after an extended hospitalization. Prior to discharge from a hospital, home health care nurses should assess which aspect of the home setting?
A)Parents' insurance
B)Parents' income
C)Readiness of the home for the child who is returning home from the hospital
D)Parents' home location
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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 nurse is taking care of a child in the ICU. The parent appears very angry and tells the nurse no one is giving her information about her child. How should the nurse respond?
A)Inform the parent she will be asked to leave if she continues this behavior.
B)Apologize for the parent's perception and assure the parent that the staff will keep her informed.Inform the parent of any change in the child's condition as soon as possible.
C)Offer to ask the doctor to come and talk with her.
D)Tell the parent her behavior will upset the child.
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Page 17
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 premature infant is admitted to the Neonatal Intensive Care Unit. The infant is in critical condition, and the outcome is questionable. Nursing behaviors that will promote visitation include:
A)Explaining to the parents that everything possible is being done for their infant.
B)Smiling at the parents and making them welcome when they come to visit.
C)Allowing alone time with their infant when they visit.
D)Introducing the parents to the other parents visiting their babies.
Q2) A six-year-old child is in the pediatric intensive care unit (PICU) with a fractured femur and head trauma. The child was not wearing a helmet while riding his new bicycle on the highway, and he collided with a car. The parents appear lost and unable to take in the medical discussion. Which nursing diagnosis is most appropriate for the parents of this child?
A)Parental role conflict related to child's wellness vs.illness
B)Guilt related to buying a bicycle for the child
C)Family coping: compromised, related to the critical injury of the child
D)Knowledge deficit home care of fractured femur
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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) 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) A child's understanding of death changes as the child matures. When describing the adolescent's understanding of death, which of the following concepts puts the adolescent at risk for driving under the influence (drunk driving) accidents?
A)A sense of invincibility
B)The idea that death is universal
C)The understanding that death is permanent
D)An understanding that death has an effect on survivors
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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) A two-month-old infant is admitted to the hospital with a diagnosis of "failure to thrive" (FTT). The nurse recognizes that the infant will be evaluated for: Standard Text: Select all that apply.
A)Over-dilution of formula concentrate.
B)Parental neglect.
C)Rumination.
D)Malabsorption syndromes.
E)Pica
Q2) While teaching parents of a newborn about normal growth and development, the nurse informs them that their child's weight should:
A)Triple by nine months of age.
B)Double by five months of age.
C)Triple by six months of age.
D)Double by one year of age.
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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 admitted for scald burns to his buttocks and thighs. According to the mother, she was preparing the child's bath and before she could test the water, the child fell in and was scalded. The nurse would suspect child abuse because:
A)The burns are uneven, with some burns deeper than others.
B)The child's hands and feet are free of burns.
C)In addition to the main burn site, there are splash burns surrounding the area.
D)The mother was home alone with the child.
Q2) A seven-year-old child has been seen in the pediatric clinic three times in the last two months for complaints of abdominal pain. On each occasion, the physical exam and all ordered lab work have been normal. The most important information to assess at this time would be:
A)The child's normal eating habits.
B)Recent viral illnesses or other infectious symptoms.
C)Review of the child's immunization history.
D)Changes in school or home life.
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Page 22
Chapter 21: Pain Assessment and Management
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/78184
Sample Questions
Q1) An analgesic is ordered for a post-surgical patient to be given every three to four hours. The nurse knows that a delay in giving the medication will cause a(n):
A)Decrease in the chance of withdrawal symptoms.
B)Decrease in the chance of addiction.
C)Increase in the chance of breakthrough pain.
D)Increase in the child's pain tolerance.
Q2) A hospitalized three-year-old needs to have an IV restarted. The child begins to cry when carried into the treatment room by the mother. Which is the most appropriate nursing diagnosis?
A)Knowledge deficit of the procedure
B)Fear related to the unfamiliar environment
C)Anxiety related to anticipated painful procedure
D)Ineffective individual coping related to an invasive procedure
Q3) A child who has chronic pain of long duration will exhibit which behavior?
A)Increased respiratory rate
B)Normal temperature
C)Normal heart rate
D)Decreased blood pressure
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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 two-year-old child with a fever is prescribed amoxicillin clavulanate 250 mg/5 ml three times daily by mouth for ten days for otitis media. To guard against antibiotic resistance, the nurse instructs the parent to:
A)Give the antibiotic for the full ten days.
B)Measure the prescribed dose in a household teaspoon.
C)Spread the dose evenly during daylight hours.
D)Stop the antibiotic when the child is afebrile.
Q2) Which should the nurse use when reconstituting vaccines?
A)The diluents provided
B)Normal saline
C)Any solution available
D)Sterile water
Q3) The school nurse is trying to prevent the spread of a flu virus through the school. Infection-control strategies that could be employed include:
A)Sanitizing toys, telephones, and doorknobs to kill pathogens.
B)Teaching parents safe food preparation and storage.
C)Withholding immunizations for children with compromised immune systems.
D)Not separating children with infections from well children.
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Chapter 23: Alterations in Fluid, Electrolyte, and Acid-Base Balance
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/78182
Sample Questions
Q1) The nurse is assessing an infant brought to the clinic because of diarrhea. The infant is alert but has dry mucous membranes. Which other sign indicates the infant is still in the early to moderate stage of dehydration?
A)Bradycardia
B)Tachycardia
C)Increased blood pressure
D)Normal fontanels
Q2) The nurse has just finished a parent teaching session on preventing heat-related illnesses for children who exercise. Which statement by a parent indicates understanding of preventive techniques taught?
A)Wearing dark clothing during exercise is recommended
B)Water is the drink of choice to replenish fluids.
C)During activity, stop for fluids every 15 to 20 minutes.
D)Hydration should occur at the end of an exercise session.
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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 three-year-old child has been found to have a mild to moderate hearing loss. The mother tells the nurse: "The doctor told me I should put my child in day care but didn't tell me why. Do you know why the doctor recommends day care?" The nurse's response will be based on the knowledge that day care will:
A)Help the child recognize his hearing deficit.
B)Increase the child's socialization skills.
C)Improve the child's immunity by increased exposure to organisms.
D)Teach other children that children are different.
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) The nurse is evaluating the parent's understanding of teaching related to environmental control for their child's asthma management. Which statement by the parents indicates that they understand the teaching?
A)"We're glad the dog can continue to sleep in our child's room."
B)"We'll keep the plants in our child's room dusted."
C)"We'll be sure to use the fireplace often to keep the house warm in the winter."
D)"We will replace the carpet in our child's bedroom with tile."
Q2) Two hours after admission for asthma exacerbation, the 10-year-old boy is lethargic with mottled skin color. He has increased the use of accessory muscles and demonstrates nasal flaring. He is unable to speak and his respiratory rate has increased. The nurse would suspect:
A)Improvement in his condition is imminent.
B)Respiratory failure is imminent.
C)The medical diagnosis is incorrect and the child should be diagnosed with pneumonia.
D)The child may be receiving too much oxygen, which is a respiratory depressant.
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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 10-month-old infant is seen in the emergency department for a heart rate of 226 beats per minute. Supraventricular tachycardia is diagnosed. The emergency department nurse will prepare to assist with which possible treatments? Standard Text: Select all that apply.
A)Administration of intravenous adenosine (Adenocard)
B)Administration of intravenous amiodarone (Cardarone)
C)Preparation for cardioversion
D)Application of ice to the face
E)Having the child perform a Valsalva maneuver
Q2) 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
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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) A child has been placed on an oral corticosteroid for a rash caused by graft-versus-host disease. The nurse will monitor the child for the common side effects of corticosteroids including:
A)Hyperglycemia.
B)Hepatic toxicity.
C)Seizures.
D)Renal toxicity.
Q2) 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
Q3) The nurse is caring for a child who experiences an anaphylactic shock reaction. In which position will the nurse place the child?
A)In Trendelenburg position
B)Flat, with legs slightly elevated
C)In high Fowler's position
D)In reverse Trendelenburg position
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Chapter 28: Alterations in Hematologic Function
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Sample Questions
Q1) For which complication(s) should the nurse observe during administration of Factor VIII to a child with hemophilia?
A)Fever and chills
B)Fat emboli
C)Nausea and vomiting
D)Congestive heart failure
Q2) 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.
Q3) The nurse is preparing to administer a blood transfusion to a child with a severe anemia. Which type of transfusion reaction may be within the nurse's realm of prevention?
A)Allergic
B)Hemolytic
C)Febrile
D)Septic
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Chapter 29: The Child With Cancer
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) An adolescent is receiving methotrexate chemotherapy after undergoing limb-salvage surgery for osteogenic sarcoma. The nurse knows the teen understands what to expect for the schedule of administration for leucovorin therapy if the teen says:
A)"I don't have any pain, so I won't need to take the leucovorin this time."
B)"I don't have any nausea, so I won't need the leucovorin."
C)"I'm glad I only need one dose of the leucovorin."
D)"It is important that I receive my leucovorin on time as it protects my body from the methotrexate."
Q2) The nurse is explaining to the mother that her child with cancer will receive chemotherapy daily for one month and then no treatments for six weeks. Following the period of rest, chemotherapy will be administered again for another month. The mother asks why the child can't receive the medication for two months straight. The nurse would explain that the rest period:
A)Prevents the child from having side effects from the drugs.
B)Is due to the scheduling requirements of the infusion center.
C)Is necessary because receiving the medication for more than one month can cause heart failure.
D)Allows normal cells to repair themselves while the cancer cells die.
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Chapter 30: Alterations in Gastrointestinal Function
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) The nurse is preparing to ambulate an 11-year-old child who has had an appendectomy. In addition to pharmacological pain management, which of the following nonpharmacologic, independent nursing pain management strategies would be appropriate for this child?
A)A warm, moist pack
B)EMLA cream to the incision site
C)An ice pack
D)A splint pillow against the abdomen when moving or coughing
Q2) The woman has a normal pregnancy except for polyhydramnios. The delivery goes well and the baby is born and receives APGAR scores of seven and nine. Upon admission to the newborn nursery, the nurse is unsuccessful in inserting a nasogastric tube. The infant is suspected of having an esophageal atresia/tracheoesophageal fistula. While waiting for the pediatrician to see the infant, the nurse should:
A)Position the infant in semi-Fowler position.
B)Allow the infant to be taken to the mother's room for bonding.
C)Offer the infant formula feeding instead of breastfeeding.
D)Wrap the infant in blankets and place in a crib by the viewing window.
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Chapter 31: Alterations in Genitourinary Function
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Sample Questions
Q1) A child is admitted to the hospital with a diagnosis of "rule out" urinary tract infection. A clean-catch urine specimen is submitted to the lab. When the results return, the nurse evaluates the findings. Which finding would the nurse question?
A)2+ White blood cells
B)1+ red blood cells
C)Urine appearance: cloudy
D)Specific gravity: 1009
Q2) A four-year-old girl has been treated for three urinary tract infections (UTI) in the last two years. Which instructions can the nurse give to the mother to help reduce the child's risk of acquiring another UTI? Standard Text: Select all that apply.
A)Wear only nylon underwear for better air flow.
B)Teach the child to wipe from front to back.
C)Encourage the child to take long baths by allowing the child bubbles and toys in the tub.
D)Encourage the child to drink additional fluids throughout the day.
E)Plan potty breaks every two hours throughout the day.
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Chapter 32: Alterations in Endocrine and Metabolic Function
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Sample Questions
Q1) The school nurse has noticed an increase in the number of children in the school being diagnosed with type 2 diabetes. Which changes could the nurse implement at school to help reduce students' risk for developing type 2 diabetes? Standard Text: Select all that apply.
A)Increase the amount of daily physical activity.
B)Meet with all parents and explain the risk that is associated with obesity.
C)Test each child's urine monthly.
D)Teach the parents to avoid administering aspirin to their children.
E)Work with the cafeteria to decrease the amount of fat in the foods served.
Q2) During the hospital stay in the newborn nursery, the infant is tested for galactosemia. When the test is positive, the parents are educated about treatment for galactosemia. The infant will be placed on what type of infant feeding?
A)Goat's milk formula
B)Breast milk
C)Cow's milk-based formula
D)Meat-based formula such as Nutramigen
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Chapter 33: Alterations in Neurologic Function
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) The mother brings her five-month-old infant to the clinic for a well-child visit. The mother tells the nurse that the baby's father had febrile seizures when he was an infant. The mother says she is concerned her baby will have a febrile seizure and wants to know what she should do to prevent it. The nurse explains: Standard Text: Select all that apply.
A)That the baby has no more risk of febrile seizures than any other baby.
B)When the infant has a fever, the mother should give the baby dose-appropriate aspirin.
C)That the baby should be sponged with cold water.
D)The mother should increase the child's fluid intake.
E)That after the tepid bath, the child should be patted dry.
Q2) A nine-month-old who is not sitting independently has been diagnosed with ataxic cerebral palsy (CP). Which clinical manifestations would the nurse expect to see in the baby?
A)Hypotonia and muscle instability
B)Hypertonia and persistence primitive reflexes
C)Tremors and exaggerated posturing
D)Hemiplegia and hypertonia
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Chapter 34: Alterations in Mental Health and Cognition
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15 Verified Questions
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Sample Questions
Q1) A seven-year-old girl has been clinging to her mother and refusing to go to school. The child is diagnosed with separation anxiety disorder, and the treatment plan will include cognitive-behavioral therapy (CBT). The nurse would explain to the parents that CBT will include: Standard Text: Select all that apply.
A)Self-talking.
B)Relaxation.
C)Hypnosis.
D)Anti-depressant medications.
E)Recognition of feelings.
Q2) The school nurse notices a sixth-grade girl with bald patches in her hair. The hair itself is clean and shiny. Prior to referring the girl to her healthcare provider for alopecia, the nurse would want to watch the child for signs of:
A)Lice.
B)Dietary imbalances.
C)Schizophrenia.
D)Trichotillomania.
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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) The nurse is teaching a family how to care for their infant in a Pavlik harness to treat congenital developmental dysplasia of the hip. Which instruction is appropriate for the nurse to include in parental education in relation to the Pavlik harness?
A)Apply lotion or powder to minimize skin irritation.
B)Check at least two or three times a day for red areas under the straps.
C)Put clothing over the harness for maximum effectiveness of the device.
D)Place a diaper over the harness, preferably using a thin, superabsorbent, disposable diaper.
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Chapter 36: Alterations in Skin Integrity
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19 Verified Questions
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Sample Questions
Q1) The mother of several children is talking with the nurse. She asks the nurse why her younger child seems to sunburn easier than her older children. The nurse would explain that the skin of younger children:
A)Is thinner than that of adolescents.
B)Has less melanin.
C)Has smaller, nonfunctional apocrine sweat glands.
D)More readily absorbs chemicals.
Q2) 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
Q3) An infant has a severe case of oral thrush (Candida albicans). Which is the priority nursing diagnosis for this infant?
A)Ineffective infant feeding pattern related to discomfort
B)Ineffective breathing pattern related to oral thrush
C)Activity intolerance related to oral thrush
D)Ineffective airway clearance related to mucus
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