Child Health Nursing
Midterm Exam
Course Introduction
Child Health Nursing focuses on the principles and practices involved in the care of infants, children, and adolescents within family and community settings. The course emphasizes growth and development, health promotion, prevention of illness, and management of common pediatric health challenges. Students will learn about nursing interventions tailored to the physical, emotional, and social needs of children, as well as strategies for effective communication with both pediatric patients and their families. The curriculum also covers the roles of the pediatric nurse in various healthcare environments and the application of evidence-based practice to support optimal health outcomes for children.
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) A supervisor is reviewing the documentation of the nurses in the unit. The documentation that most accurately and correctly contains all the required parts for a narrative entry is the entry that reads:
A)"1630 catheterized using an 8 French catheter, 45 ml clear yellow urine obtained, specimen sent to lab, squirmed and cried softly during insertion of catheter.Quiet in mother's arms following catheter removal.M.May RN"
B)"1/9/05 2 p.m.g-tube accessed, positive air gurgle over stomach: 5 ml air injected, 10 ml residual stomach contents returned to stomach, PediaSure formula hung on Kangaroo pump infusing at 60 ml/hr for 1 hour.Child grunting intermittently throughout procedure.K.Earnst RN"
C)"Feb.'05 Portacath assessed with Huber needle.Blood return present.Flushed with NaCl sol., IV gamma globulins hung and infusing at 30 ml/hr.Child smiling and playful throughout the procedure.P.Potter, RN"
D)"4:00 Trach dressing removed with dime-size stain of dry serous exudate.Site cleansed with normal saline.Dried with sterile gauze.New sterile trach sponge and trach ties applied.F.Luck RN"
Answer: B
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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) As a component of the family assessment, the family assists the nurse in developing an ecomap. Prior to beginning the ecomap, the nurse explains that the ecomap:
A)Provides information about the family structure including family life events, health, and illness.
B)Illustrates family relationships and interactions with community activities including school, parental jobs, and children's activities.
C)Is a short questionnaire of five questions that measures family growth, affection, and resolve.
D)Is a family assessment that consists of three categories of information about the family's strengths and problems.
Answer: B
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Chapter 3: Cultural Influences
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) The nurse is working in the respiratory clinic. In assessing children for cystic fibrosis, the nurse recognizes that children from which genetic and biologic racial background are more likely to have assessment findings characteristic of cystic fibrosis?
A)Asian
B)White
C)Hispanic
D)Black
Answer: B
Q2) 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
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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) Advances in genetic screening provide information with high levels of certainty about genetic disorders a fetus might have. Which is an ethical implication of these advances?
A)The nurse must participate in actions that are completely contradictory to his personal ethics.
B)The nurse must be aware of his own personal feelings about the actions taken after the screening tests are completed.
C)The nurse must be aware of parent feelings regarding the information available to them.
D)The parents must be aware of the nurse's feelings regarding the information available about the fetus.
Q2) 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.
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6
Chapter 5: Concepts of Growth and Development
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) A 10-year-old child has been struggling with his self-esteem. Which activity would best help this child have a positive resolution of Erikson's Industry versus Inferiority stage?
A)Playing sports with his older brother and the brother's friends.
B)Have his mother compliment him when he completes his homework.
C)Encourage the child to participate in boy scouts and earn badges.
D)Suggest to the mother that she allow the child to babysit his younger siblings.
Q2) Two three-year-olds are playing in a hospital playroom together. One is working on a puzzle, while the other is stacking blocks. The mother of one of the children scolds them for not sharing their toys. The nurse counsels this mother that this is normal developmental behavior for this age, and the term for it is:
A)Cooperative play.
B)Solitary play.
C)Parallel play.
D)Associative play.
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Chapter 6: Child and Family Communication
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/78199
Sample Questions
Q1) The nurse caring for a nine-year-old child with extensive burns needs to prepare the child for going to whirlpool therapy for the first time. The most effective response to promote communication with this child would be:
A)"Have you been to the playroom yet? Maybe when you get back from whirlpool we can check it out together."
B)"Before you leave for whirlpool, I will give you a shot that will relax you, and you probably won't even remember going downstairs at all."
C)"I am going to be taking you downstairs to whirlpool.Do you have any questions?"
D)"Some of the children I have worked with have told me that they worried about the whirlpool hurting them."
Q2) A nurse working with Japanese American adolescents should be aware of nonverbal communication patterns in their culture. While working with these clients, the nurse should:
A)Touch them often during the communication to reassure them.
B)Stand very close to them while talking with them.
C)Shake their hands upon greeting them.
D)Look directly at them while talking with them.
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Page 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) Put the following nursing assessments of a toddler in the best order for the nurse to proceed (from first assessment to last assessment). Standard Text: Click and drag the options below to move them up or down.
A)Auscultation of chest
B)Examination of eyes, ears, and throat
C)Palpation of abdomen
D)General appearance
Q2) The nurse is taking a health history from the family of a three-year-old child. Which statement or by the nurse would be most likely to establish rapport and elicit an accurate response from the family?
A)"Tell me about the concerns that brought you to the clinic today."
B)"Does any member of your family have a history of asthma, heart disease, or diabetes?"
C)"Hello, I would like to talk with you and get some information about you and your child."
D)"You will need to fill out these forms; make sure that the information is as complete as possible."
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Chapter 8: Concepts of Health Promotion and Health Maintenance
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) The nurse working in the pediatric clinic performs many activities. Which of these nursing activities can be classified promoting health promotion and maintenance?
Standard Text: Select all that apply.
A)Administering the flu vaccine to infants from 6 to 23 months of age
B)Administering an antibiotic to a child with a diagnosis of acute otitis media
C)Teaching parents how to perform pulmonary drainage and cupping on their child with a respiratory infection
D)Instructing adolescents how to use dental floss
E)Discussing of daily feeding schedules for infants
Q2) 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
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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) During the visit to the pediatric office, a nurse observes the mother frequently looking at and massaging her infant. Based on these observations, the nurse's conclusion should be:
A)That the mother is displaying positive maternal-infant attachment.
B)That the mother is trying to show the nurse that she can be affectionate to the infant.
C)That there is insufficient data to assess the mother-infant relationship.
D)That the mother might be overwhelmed by the demands of infant care.
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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Chapter 10: Health Promotion and Maintenance of the Infant
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) A six-month-old infant has been hospitalized several times with diarrhea. The nurse evaluates home care to determine the cause of the repeated illnesses. Which is the most likely cause of the repeated gastroenteritis?
A)The infant is allowed to drink from her parents' drinks at meal time.
B)If the infant doesn't finish her bottle, the mother returns it to the refrigerator to be used later in the day.
C)There are three school-age children in the family.
D)The infant often wears only a diaper around the house.
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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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 pediatric clinic is scheduled to be remodeled. The charge nurse has been asked to design the new well-child waiting area. In planning the area, the nurse will want to include: Standard Text: Select all that apply.
A)Subdued colors to help calm the children.
B)A separate area where parents can sit and not be disturbed by the children's noise.
C)Avoiding carpet and draperies which cannot be readily cleaned.
D)Coloring books, crayons, and story books that are stored on a low shelf for easy child access.
E)All wall decorations securely fastened to the walls.
Q2) A nurse is preparing to perform a physical assessment on a toddler. Which of these actions should the nurse take?
A)Explain each part of the examination to the child before performing it.
B)Ask the mother to tell the child not to be afraid.
C)Perform the assessment from head to toe.
D)Leave intrusive procedures, such as ear and eye examinations, until the end.
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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) As children grow and develop, their interests and activities change. Place the following childhood activities in order from interests of a 5-year-old to interests of a 12-year-old. Standard Text: Click and drag the options below to move them up or down.
A)Hass-defined hobbies such as model building, building with wood, needlepoint
B)Colors in coloring book, mostly staying inside the lines
C)Learns to ride a two-wheel bicycle without training wheels; reads first readers
D)Belongs to the basketball team or cheerleading squad at school
Q2) While teaching the parents of a school-age child about coping with divorce, the nurse instructs the parents to:
A)Explain to the child why their marriage fell apart, being sure to identify each partner's role in the divorce.
B)Be sure the child understands the divorce is not the child's fault.
C)Spend less time with the child so he doesn't feel the tension between the parents.
D)Allow the child to stay with only one parent until the divorce becomes final.
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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) The school nurse recognizes that an adolescent comes from a family with limited financial resources. The nurse is developing a nursing care plan to assist the adolescent with his needs. An appropriate nursing diagnosis would be:
A)Altered financial support related to inadequate parental support.
B)Imbalanced nutrition: Less than body requirements related to familial financial difficulties.
C)Knowledge deficit related to sources of financial support.
D)Risk for injury related to imbalanced nutrition.
Q2) 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.
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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) The nurse is applying for a job as a pediatric telephone advisor. Skills the nurse should have to be effective in this position would include: Standard Text: Select all that apply.
A)Good listening skills.
B)Extensive pediatric experience.
C)Internet experience.
D)Psychiatric experience.
E)Teaching and verbal communication skills
Q2) The nurse working in a pediatric clinic will have many duties. Included in the nurse's responsibilities will be: Standard Text: Select all that apply.
A)Prescribing over-the-counter medications.
B)Collecting health history information.
C)Performing diagnostic tests, such as the TB skin test.
D)Performing developmental screening tests.
E)Administering immunizations.
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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 nurse is giving instructions to a family whose first language is not English. In order for the teaching to be effective, what type of discussion should the nurse have with the family?
A)Give the family instruction booklets written in their first language.
B)Give verbal instruction in English and written instructions in the family's first language.
C)Obtain an interpreter to assist the nurse in presenting the instructions and verifying the families' understanding of the instructions.
D)Provide the instructions in English and ask the family to repeat the instructions to you.
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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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 three-year-old child with cystic fibrosis has just been discharged from the hospital following a two-week stay due to a respiratory infection. The child has a post-discharge office visit the next day. During the office visit, the mother mentions that the child was toilet trained before hospitalization but now is having accidents. Which response by the nurse would be most appropriate?
A)"This is probably a reaction to the antibiotics and will disappear when the antibiotics are finished."
B)"Urinary incontinence is a common symptom of progression of cystic fibrosis.Be sure to notify the physician of this change."
C)"The child may have a urinary tract infection and needs to be evaluated."
D)"Children often regress after hospitalization.Be patient and remind him to go to the bathroom frequently."
Q2) All of the following children are inpatients on the pediatric unit. Which child is likely to be left with a developmental disability?
A)An 18-month-old admitted with a diagnosis of near drowning
B)A school-age child newly diagnosed with type 1 diabetes mellitus
C)A toddler with sepsis
D)A two-year-old child with a fractured femur
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Chapter 17: Nursing Care of the Child With a Life-Threatening Illness or Injury
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/78188
Sample Questions
Q1) A 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) An adolescent with cystic fibrosis is intubated with an endotracheal tube. Which is the most appropriate nursing diagnosis for the adolescent?
A)Impaired social interaction related to hospitalization and separation from peers
B)Delayed growth and development related to prolonged hospitalization and life-threatening condition
C)Powerlessness (moderate) related to inability to speak to or communicate
D)Potential for imbalanced nutrition, more than body requirements related to inactivity
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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 providing postmortem care to a child. Along with following the facility's guidelines, what else should the nurse consider?
A)Identifying the family's wishes for postmortem care before performing care
B)Avoiding delay in moving the body to the morgue
C)Removing all articles from patient's body
D)Leaving all equipment in the room during postmortem care
Q2) The nurse is taking care of a child who is terminally ill. The nurse notices the child is having periods of shallow breathing followed by short periods of apnea. The nurse recognizes that this is:
A)Normal respiratory function of a young child.
B)Cheyne-Stokes respiration, which is a sign of imminent death.The child should be assessed for other signs of imminent death.
C)Dyspnea secondary to muscle relaxation.
D)A sign of air hunger.
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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 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.
Q2) The nurse is teaching the parents of a four-month-old infant about good feeding habits. The nurse emphasizes the importance of holding the baby during feedings and not letting the infant go to sleep with the bottle, as this is most likely to increase the incidence of both dental caries and:
A)Aspiration.
B)Otitis media.
C)Malocclusion problems.
D)Sleeping disorders.
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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) The school nurse in the high school recognizes that teenage pregnancy is a major problem in the school. The nurse recognizes that many high school girls hide their pregnancy to prevent adults from knowing they are pregnant. Therefore, it is important that the nurse insure that all pregnant teenagers are aware of:
A)Safe haven laws.
B)Birth control available to all teenagers.
C)Domestic abuse protection.
D)The father's financial responsibility for the infant.
Q2) 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.
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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) A six-year-old postoperative patient IV has infiltrated and has to be restarted immediately for medication. There is no time for placing local anesthetic cream on the skin. What other complementary therapies would be most helpful when placing this IV?
A)Restraints
B)Moderate sedation
C)Anesthesia
D)Distraction
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.
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) The nurse is explaining the importance of hand washing after using the toilet to parents of young children. Which is the most important reason for this practice?
A)Children's immune systems are not fully developed.
B)Hand washing is the main way to limit the transmission of disease.
C)Not all bathrooms are clean.
D)Children do not like to have dirty hands.
Q2) The hospital has instructed its nurses that they must participate in disease surveillance associated with infectious agents. The nurses are warned that which of the following disease(s) are likely to be the weapons of terrorists?
A)Rocky Mountain spotted fever and Lyme disease
B)Plague, anthrax, and smallpox
C)Rubella, mumps, and chickenpox
D)Severe acute respiratory syndrome (SARS)
Q3) Which should the nurse use when reconstituting vaccines?
A)The diluents provided
B)Normal saline
C)Any solution available
D)Sterile water
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Chapter 23: Alterations in Fluid, Electrolyte, and Acid-Base Balance
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/78182
Sample Questions
Q1) The nurse is evaluating an infant for dehydration. Which assessment provides the most accurate information on dehydration?
A)Urine output
B)Urine specific gravity
C)The infant's vital signs
D)Weight loss
Q2) A nurse is planning care for a child with hyperkalemia. The nurse explains to the parents that an adverse outcome of hyperkalemia is:
A)Hyperthermia
B)Respiratory distress
C)Seizures
D)Cardiac arrhythmias
Q3) 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
25
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Chapter 24: Alterations in Eye, Ear, Nose, and Throat
Function
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) 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.
Q2) A 10-month-old infant has had numerous ear infections since birth. The nurse will discuss with the parents ways that might reduce the incidence of otitis media and will include which strategies? Standard Text: Select all that apply.
A)Prohibiting tobacco smoke in the home
B)Avoiding use of a pacifier while the child is sleeping
C)Breastfeeding the infant
D)Cleaning the child's ears nightly with peroxide
E)Avoiding use of wood-burning stoves
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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) Which nursing diagnosis would be most appropriate for an infant with acute bronchiolitis due to respiratory syncytial virus (RSV)?
A)Activity intolerance
B)Tissue perfusion, ineffective (peripheral)
C)Pain, acute
D)Decreased cardiac output
Q2) A child is on rifampin (Rimactane) for treatment of tuberculosis. The parents call the clinic and report that the child's urine is orange. The nurse should advise the parents to:
A)Encourage the child to drink cranberry juice.
B)Expect orange-colored urine while the child is on rifampin.
C)Bring the child to the clinic for a urinalysis.
D)Bring the child to the clinic for a radiograph of the kidneys.
Q3) A child is admitted to the hospital with the diagnosis of laryngotracheobronchitis (LTB). The nurse should be prepared to perform which intervention?
A)Administer antibiotics and assist with possible intubation.
B)Obtain a sputum specimen.
C)Swab the throat for a throat culture.
D)Administer nebulized epinephrine and oral or IM dexamethasone.
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Chapter 26: Alterations in Cardiovascular Function
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) A two-month-old infant with a congenital heart defect has been admitted to the pediatric intensive care unit with congestive heart failure. Nursing care for this child should include which intervention?
A)Monitor respirations during active periods.
B)Give larger feedings less often to conserve energy.
C)Organize activities to allow for uninterrupted sleep.
D)Force fluids appropriate for age.
Q2) 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
Q3) A child has been admitted to the hospital unit in congestive heart failure (CHF). Symptoms related to this admission diagnosis would include:
A)Tachycardia.
B)Weight loss.
C)Increased blood pressure.
D)Bradycardia.
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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 two-month-old infant has been diagnosed with severe combined immunodeficiency disease (SCID). The physician talked with the parents about the planned treatment and prognosis for the infant. Which statement by the parents indicates the need for additional education?
A)"My child will receive intravenous immune globulins as a way to help him fight infection."
B)"Within days of receiving a stem cell transplant, my child will be cured."
C)"If my child needs a blood transfusion, it should be with irradiated blood cells."
D)"Antibiotics will be used as necessary to help my child fight infections."
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
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Chapter 28: Alterations in Hematologic Function
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/78177
Sample Questions
Q1) During discharge teaching to parents of a child hospitalized with sickle-cell crisis, the nurse should emphasize which of the following as a priority home care intervention?
A)Rapid weaning of pain medications
B)Promotion of a diet high in protein
C)Encouraging adequate hydration
D)Restriction of activities
Q2) 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
Q3) A child with meningococcemia is being admitted to the pediatric intensive care unit. This child should be placed in which type of room?
A)Private room, in respiratory isolation
B)Private room, in protective isolation
C)Private room, but not in isolation
D)Semiprivate room
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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) 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) A child has cancer and has been treated with chemotherapy. The most recent lab value indicates that the white blood cell count is very low. Based on this result, which would the nurse expect to administer?
A)Epoetin alfa (Epogen)
B)Ondansetron (Zofran)
C)Oprelvekin (Neumega)
D)Filgrastim (Neupogen)
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Chapter 30: Alterations in Gastrointestinal Function
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/78175
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) Which statement indicates that parents have understood the nurse's teaching with regard to colostomy stoma care for their toddler?
A)"We will change the colostomy bag with each wet diaper."
B)"We will expect a moderate amount of bleeding after cleansing the area around the stoma."
C)"We will watch for skin irritation around the stoma."
D)"We will use adhesive enhancers when we change the bag."
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Chapter 31: Alterations in Genitourinary Function
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/78174
Sample Questions
Q1) A nurse is preparing to admit a child with possible obstructive uropathy. What labs should the nurse expect to draw on this child?
A)Platelet count
B)Blood urea nitrogen (BUN) and creatinine
C)Partial thromboplastin time (PTT)
D)Blood culture
Q2) A child has been admitted to the hospital unit with a diagnosis of minimal change nephrotic syndrome (MCNS). The clinical manifestations will include which of the following?
A)Massive proteinuria, hypoalbuminemia, and edema
B)Hematuria, bacteriuria, and weight gain
C)Urine-specific gravity decreased and urinary output increased
D)Gross hematuria, albuminuria, and fever
Q3) Which sets of symptoms are characteristic of a preschool-age child with a urinary tract infection?
A)Headache, hematuria, and vertigo
B)Foul-smelling urine, elevated blood pressure, and hematuria
C)Urgency, dysuria, and fever
D)Severe flank pain, nausea, and headache
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Chapter 32: Alterations in Endocrine and Metabolic Function
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/78173
Sample Questions
Q1) The nurse is providing information to a teenager newly diagnosed with diabetes and his parents. The nurse teaches them that the signs of diabetic ketoacidosis (DKA) include: Standard Text: Select all that apply.
A)Change in mental status.
B)Tachycardia.
C)Fruity breath odor.
D)Rapid, shallow respirations.
E)Abdominal pain.
Q2) The nurse is teaching a teenage client newly diagnosed with type 1diabetes about complications of the disease. The nurse explains that clients with type 1 diabetes can avoid lipoatrophy by:
A)Rotating injection sites.
B)Checking blood sugars at mealtime and bedtime.
C)Using a sliding scale for additional coverage.
D)Administration of insulin via insulin pump.
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Chapter 33: Alterations in Neurologic Function
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/78172
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) The teacher is speaking to the school nurse about one of the girls in the fifth grade. The girl has always been a good student but lately seems to be daydreaming a lot. The teacher says, "Sometimes when I ask her a question, she will just stare at me for 15 seconds, then blink and ask me to repeat the question. What do you think is going on with her?" Based on this data, the nurse will suspect:
A)The girl has a crush on a boy in the class.
B)The girl has increased intracranial pressure.
C)The child may have had a head injury.
D)The girl is experiencing absence seizures.
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Chapter 34: Alterations in Mental Health and Cognition
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/78171
Sample Questions
Q1) A mother brings her 11-year-old son to the pediatric clinic for investigation of stomach complaints. The mother says that for the last two months, the child has complained of abdominal pain three to four mornings per week. The mother states the child usually complains on school days and always seems to be better by afternoon. The child was able to attend a weekend Boy Scout camp without difficulty but has missed several days of school due to complaints. The nurse would suspect which mental health disorder?
A)Separation anxiety
B)Depression
C)School phobia
D)Bipolar disorder
Q2) 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
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Chapter 35: Alterations in Musculoskeletal Function
Available Study Resources on Quizplus for this Chatper
17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/78170
Sample Questions
Q1) 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.
Q2) An adolescent has just returned from surgery after spinal fusion surgery. Which assessment finding would take priority at this time?
A)Sleeps when not bothered but arouses easily with stimuli
B)Impaired color, sensitivity, and movement to lower extremities
C)Nausea
D)Pain
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Chapter 36: Alterations in Skin Integrity
Available Study Resources on Quizplus for this Chatper
19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/78169
Sample Questions
Q1) A nurse is applying a 5% permethrin lotion to a toddler with scabies. Which instruction describes the best way to apply this lotion?
A)Apply the lotion over the entire body from the chin down, as well as on the scalp and forehead.
B)Apply the lotion only on the areas with evidence of scabies activity.
C)Apply the lotion only to the hands.
D)Apply the lotion to the scalp only.
Q2) A child has sustained a minor burn. Which of the following should be included in increased amounts in the child's diet?
A)Protein
B)Minerals
C)Carbohydrates
D)Fats
Q3) A three-year-old is admitted to the hospital unit with cellulitis of the neck. The nurse will expect medical treatment to include:
A)Topical antibiotics.
B)Intravenous antibiotics.
C)Incision and drainage.
D)Intravenous corticosteroids.
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