Child Health Nursing Review Questions
Course Introduction
Child Health Nursing focuses on the principles and practices essential for promoting and maintaining the health and well-being of children from infancy through adolescence. The course covers key topics such as growth and development, health assessment, common childhood illnesses, nutrition, immunization, and family-centered care. Students will explore strategies for disease prevention, health promotion, and management of acute and chronic pediatric conditions, considering physical, emotional, and developmental needs of children. Emphasis is placed on effective communication with children and families, application of evidence-based interventions, and interdisciplinary collaboration to ensure holistic care in diverse healthcare settings.
Recommended Textbook Wongs Nursing Care of Infants and Children 11th Edition by Marilyn J. Hockenberry
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35 Chapters
1814 Verified Questions
1814 Flashcards
Source URL: https://quizplus.com/study-set/2827 Page 2
Chapter 1: Perspectives of Pediatric Nursing
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41 Verified Questions
41 Flashcards
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Sample Questions
Q1) Development of a care plan
A)Assessment
B)Diagnosis
C)Outcomes identification
D)Planning
E)Implementation
F)Evaluation
Answer: D
Q2) Problem identification
A)Assessment
B)Diagnosis
C)Outcomes identification
D)Planning
E)Implementation
F)Evaluation
Answer: B
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Chapter 2: Social,cultural,religious,and Family Influences on
Child Health Promotion
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41 Verified Questions
41 Flashcards
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Sample Questions
Q1) A 3-year-old child was adopted immediately after birth.The parents have just asked the nurse how they should tell the child that she is adopted.Which guideline concerning adoption should the nurse use in planning a response?
A) It is best to wait until the child asks about it.
B) The best time to tell the child is between the ages of 7 and 10 years.
C) It is not necessary to tell a child who was adopted so young.
D) Telling the child is an important aspect of their parental responsibilities.
Answer: D
Q2) The parents of a 5-year-old child ask the nurse how they can minimize misbehavior.Which responses should the nurse give?
A) Set clear and reasonable goals.
B) Praise your child for desirable behavior.
C) Don't call attention to unacceptable behavior.
D) Teach desirable behavior through your own example.
E) Don't provide an opportunity for your child to have any control.
Answer: A,B,D
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Chapter 3: Hereditary Influences on Health Promotion of the Child and
Family
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42 Verified Questions
42 Flashcards
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Sample Questions
Q1) A hospitalized school-age child with phenylketonuria (PKU)is choosing foods from the hospital's menu.Which food choice should the nurse discourage the child from choosing?
A) Banana
B) Milkshake
C) Fruit juice
D) Corn on the cob
Answer: B
Q2) Which genetic term refers to a person who possesses one copy of an affected gene and one copy of an unaffected gene and is clinically unaffected?
A) Allele
B) Carrier
C) Pedigree
D) Multifactorial
Answer: B
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Page 5
Chapter 4: Communication, physical, and Developmental Assessment
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49 Verified Questions
49 Flashcards
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Sample Questions
Q1) With the National Center for Health Statistics criteria,which body mass index (BMI)-for-age percentiles should indicate the patient is at risk for being overweight?
A) 10th percentile
B) 75th percentile
C) 85th percentile
D) 95th percentile
Q2) Where in the health history does a record of immunizations belong?
A) History
B) Present illness
C) Review of systems
D) Physical assessment
Q3) The nurse needs to take the blood pressure of a small child.Of the cuffs available,one is too large and one is too small.The best nursing action is which?
A) Use the small cuff.
B) Use the large cuff.
C) Use either cuff using the palpation method.
D) Wait to take the blood pressure until a proper cuff can be located.
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Page 6
Chapter 5: Pain Assessment and Management in Children
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40 Verified Questions
40 Flashcards
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Sample Questions
Q1) Alternative medical system
A)Vitamins
B)Massage
C)Reiki
D)Hypnosis
E)Homeopathy
Q2) The nurse is teaching the parents of a child with recurrent headaches methods to modify behavior patterns that increase the risk of headache.Which statement by the parents indicates understanding the teaching?
A) "We will allow the child to miss school if a headache occurs."
B) "We will respond matter-of-factly to requests for special attention."
C) "We will be sure to give much attention to our child when a headache occurs."
D) "We will be sure our child doesn't have to perform at a band concert if a headache occurs."
Q3) Biologically based
A)Vitamins
B)Massage
C)Reiki
D)Hypnosis
E)Homeopathy
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Chapter 6: Childhood Communicable and Infectious Diseases
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47 Verified Questions
47 Flashcards
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Sample Questions
Q1) Which serious reaction should the nurse be alert for when administering vaccines?
A) Fever
B) Skin irritation
C) Allergic reaction
D) Pain at injection site
Q2) The nurse is teaching a nursing student about standard precautions.Which statement made by the student indicates a need for further teaching?
A) "I will use precautions when I give an infant oral care."
B) "I will use precautions when I change an infant's diaper."
C) "I will use precautions when I come in contact with blood and body fluids."
D) "I will use precautions when administering oral medications to a school-age child."
Q3) Which is usually the only symptom of pediculosis capitis (head lice)?
A) Itching
B) Vesicles
C) Scalp rash
D) Localized inflammatory response
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8
Chapter 7: Health Promotion of the Newborn and Family
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40 Verified Questions
40 Flashcards
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Sample Questions
Q1) The Apgar score of an infant 5 minutes after birth is 8.Which is the nurse's best interpretation of this?
A) Resuscitation is likely to be needed.
B) Adjustment to extrauterine life is adequate.
C) Additional scoring in 5 more minutes is needed.
D) Maternal sedation or analgesia contributed to the low score.
Q2) Which is true regarding an infant's kidney function?
A) Conservation of fluid and electrolytes occurs.
B) Urine has color and odor similar to the urine of adults.
C) The ability to concentrate urine is less than that of adults.
D) Normally, urination does not occur until 24 hours after delivery.
Q3) The nurse is assessing the reflexes of a newborn.Stroking the outer sole of the foot assesses which reflex?
A) Grasp
B) Perez
C) Babinski
D) Dance or step
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Chapter 8: Health Problems of Newborns
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37 Verified Questions
37 Flashcards
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Sample Questions
Q1) Rh hemolytic disease is suspected in a mother's second baby,a son.Which factor is important in understanding how this could develop?
A) The first child was a girl.
B) The first child was Rh positive.
C) Both parents have type O blood.
D) She was not immunized against hemolysis.
Q2) A pregnant client asks the nurse to explain the meaning of "cephalopelvic disproportion." Which explanation should the nurse give to the client?
A) "It means a large for gestational age fetus."
B) "It is the narrow opening between the ischial spines."
C) "There is an uneven size between the fetus' presenting part and the pelvis."
D) "The shape of the pelvis is an android shape and is unfavorable for vaginal delivery."
Q3) What is an important nursing intervention for a full-term infant receiving phototherapy?
A) Observing for signs of dehydration
B) Using sunscreen to protect the infant's skin
C) Keeping the infant diapered to collect frequent stools
D) Informing the mother why breastfeeding must be discontinued
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Chapter 9: The High-Risk Newborn and Family
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56 Verified Questions
56 Flashcards
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Sample Questions
Q1) What signs should the nurse expect when a pneumothorax occurs in an infant on mechanical ventilation?
A) Tachycardia
B) Clear, distinct heart tones
C) Widened pulse pressure
D) Abrupt duskiness or cyanosis
Q2) A preterm neonate has begun breastfeeding,but the infant tires easily and has weak sucking and swallowing reflexes.What is the most appropriate nursing intervention?
A) Encourage the mother to breastfeed.
B) Resume orogastric feedings of formula.
C) Try nipple feeding the preterm infant formula.
D) Feed the remainder of breast milk by the orogastric route.
Q3) Which statement best describes the characteristics of preterm infants?
A) Thermoregulation is well established.
B) Extremities remain in attitude of flexion.
C) Sucking reflex is absent, weak, or ineffectual.
D) The head is proportionately small in relation to the body.
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11
Chapter 10: Health Promotion of the Infant and Family
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49 Verified Questions
49 Flashcards
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Sample Questions
Q1) By which age should the nurse expect that an infant will be able to pull to a standing position?
A) 5 to 6 months
B) 7 to 8 months
C) 11 to 12 months
D) 14 to 15 months
Q2) At which age should the nurse expect most infants to begin to say "mama" and "dada" with meaning?
A) 4 months
B) 6 months
C) 10 months
D) 14 months
Q3) The mother of a 3-month-old breastfed infant asks about giving her baby water because it is summer and very warm.What should the nurse tell her?
A) Fluids in addition to breast milk are not needed.
B) Water should be given if the infant seems to nurse longer than usual.
C) Clear juices are better than water to promote adequate fluid intake.
D) Water once or twice a day will make up for losses resulting from environmental temperature.
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Page 12
Chapter 11: Health Problems of the Infant
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50 Verified Questions
50 Flashcards
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Sample Questions
Q1) The nurse is teaching parents strategies to manage their child's refusal to go to sleep.Which should the nurse include in the teaching session?
A) Keep bedtime early.
B) Enforce consistent limits.
C) Use a reward system with the child.
D) Have a consistent before bedtime routine.
Q2) Which term refers to the relative lactase deficiency observed in preterm infants of less than 34 weeks of gestation?
A) Congenital lactase deficiency
B) Primary lactase deficiency
C) Secondary lactase deficiency
D) Developmental lactase deficiency
Q3) The nurse is helping parents achieve a more nutritionally adequate vegetarian diet for their children.Which is most likely lacking in their particular diet?
A) Fat
B) Protein
C) Vitamins C and A
D) Iron and calcium
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13
Chapter 12: Health Promotion of the Toddler and Family
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49 Verified Questions
49 Flashcards
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Sample Questions
Q1) A toddler is in the sensorimotor,tertiary circular reactions stage of cognitive development.What behavior should the nurse expect to assess?
A) Refers to self by pronoun
B) Gestures "up" and "down"
C) Able to insert round object into a hole
D) Can find hidden objects but only in the first location
E) Uses future-oriented words, such as "tomorrow"
Q2) What child behavior indicates to the nurse that temper tantrums have become a problem?
A) The child is 2 to 3 years old
B) Tantrums occur at bedtime
C) Tantrums occur past 5 years of age
D) Tantrums last longer than 15 minutes
E) Tantrums occur more than five times a day
Q3) What is a characteristic of a toddler's language development at age 18 months?
A) Vocabulary of 25 words
B) Use of holophrases
C) Increasing level of understanding
D) Approximately one third of speech understandable
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Page 14
Chapter 13: Health Promotion of the Preschooler and Family
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39 Verified Questions
39 Flashcards
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Sample Questions
Q1) A boy age 4 1/2 years has been having increasingly frequent angry outbursts in preschool.He is aggressive toward the other children and the teachers.This behavior has been a problem for approximately 8 to 10 weeks.His parent asks the nurse for advice.What is the most appropriate intervention?
A) Refer the child for a professional psychosocial assessment.
B) Explain that this is normal in preschoolers, especially boys.
C) Encourage the parent to try more consistent and firm discipline.
D) Talk to the preschool teacher to obtain validation for behavior parent reports.
Q2) Parents of a preschool child tell the nurse,"Our child seems to have many imaginary fears." What suggestion should the nurse give to the parents to help their child resolve the fears?
A) Ignore the fears; they will go away.
B) Explain to your child the fears are not real.
C) Give your child some new toys to allay the fears.
D) Help your child to resolve the fears through play activities.
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15
Chapter 14: Health Problems of Early Childhood
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39 Verified Questions
39 Flashcards
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Sample Questions
Q1) When only one child is abused in a family,the abuse is usually a result of what?
A) The child is the firstborn.
B) The child is the same gender as the abusing parent.
C) The parent abuses the child to avoid showing favoritism.
D) The parent is unable to deal with the child's behavioral style.
Q2) What do inflicted immersion burns often appear as?
A) Partial-thickness, asymmetrical burns
B) Splash pattern burns on hands or feet
C) Any splash burn with dry linear marks
D) Sharply demarcated, symmetrical burns
Q3) What can the nurse suggest to families to reduce blood lead levels?
A) Do not store food in open cans.
B) Ensure the child eats regular meals.
C) Mix formula with hot water from the tap.
D) Vacuum hard-surfaced floors and window wells.
E) Wash and dry the child's hands and face frequently.
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Chapter 15: Health Promotion of the School-Age Child and Family
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42 Verified Questions
42 Flashcards
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Sample Questions
Q1) What do nursing interventions to promote health during middle childhood include?
A) Stress the need for increased calorie intake to meet increased demands.
B) Instruct parents to defer questions about sex until the child reaches adolescence.
C) Advise parents that the child will need increasing amounts of rest toward the end of this period.
D) Educate parents about the need for good dental hygiene because these are the years in which permanent teeth erupt.
Q2) The parents of 9-year-old twin children tell the nurse,"They have filled up their bedroom with collections of rocks,shells,stamps,and bird nests." The nurse should recognize that this is which?
A) Indicative of giftedness
B) Indicative of typical twin behavior
C) Characteristic of cognitive development at this age
D) Characteristic of psychosocial development at this age
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17
Chapter 16: Health Problems of the School-Age Child
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48 Verified Questions
48 Flashcards
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Sample Questions
Q1) The school nurse is seeing a child who collected some poison ivy leaves during recess.He says only his hands touched it.What is the most appropriate nursing action?
A) Soak his hands in warm water.
B) Apply Burow's solution compresses.
C) Rinse his hands in cold running water.
D) Scrub his hands thoroughly with antibacterial soap.
Q2) The school nurse is reviewing the process of wound healing.What is the initial response at the site of injury?
A) Contraction
B) Maturation
C) Fibroplasia
D) Inflammation
Q3) The school nurse is assessing a child's severely scraped knee for infection.What are signs of a wound infection?
A) Odor
B) Edema
C) Dry scab
D) Purulent exudate
E) Decreased temperature
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Page 18
Chapter 17: Health Promotion of the Adolescent and Family
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34 Verified Questions
34 Flashcards
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Sample Questions
Q1) The nurse is assessing the Tanner stage in an adolescent male.The nurse recognizes that the stages are based on what?
A) Hair growth on the face and chest
B) Changes in the voice to a deeper timbre
C) Muscle growth in the arms, legs, and shoulders
D) Size and shape of the penis and scrotum and distribution of pubic hair
Q2) What guidelines should the nurse use when interviewing adolescents?
A) Ensure privacy.
B) Use open-ended questions.
C) Share your thoughts and assumptions.
D) Explain that all interactions will be confidential.
E) Begin with less sensitive issues and proceed to more sensitive ones.
Q3) What are characteristics of late adolescence (18-20 years)with regard to sexuality?
A) Exploration of "self-appeal"
B) Limited dating, usually group
C) Intimacy involves commitment
D) Growing capacity for mutuality and reciprocity
E) May publicly identify as gay, lesbian, or bisexual
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Chapter 18: Health Problems of the Adolescent
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60 Verified Questions
60 Flashcards
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Sample Questions
Q1) A sexually active adolescent asks the school nurse about prevention of sexually transmitted infections (STIs).What should the nurse recommend?
A) Use of condoms
B) Prophylactic antibiotics
C) Any type of contraception method
D) Withdrawal method of contraception
Q2) What is the usual presenting symptom for testicular cancer?
A) Solid, painful mass
B) Hard, painless mass
C) Scrotal swelling and pain
D) Epididymis easily palpated
Q3) A health care provider prescribes danazol (Danocrine),PO,200 mg,once a day,for an adolescent with endometriosis.The medication label states: "Danazol (Danocrine),100 mg/1 tablet." The nurse prepares to administer one dose.How many tab(s)should the nurse prepare to administer one dose? Fill in the blank.Record your answer as a whole number.
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Chapter 19: Family-Centered Care of the Child With Chronic Illness
or Disability
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48 Verified Questions
48 Flashcards
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Sample Questions
Q1) A child with a serious chronic illness will soon go home.The case manager requests that the family provide total care for the child for a couple of days while the child is still hospitalized.How should the request be viewed?
A) Improper because of legal issues
B) Supportive because families are usually eager to get involved
C) Unacceptable because the family will have to assume the care soon enough
D) Important because it can be beneficial to the transition from hospital to home
Q2) A feeling of guilt that the child "caused" the disability or illness is especially common in which age group?
A) Toddler
B) Preschooler
C) School-age child
D) Adolescent
Q3) What finding by the nurse is most characteristic of chronic sorrow?
A) Lack of acceptance of child's limitation
B) Lack of available support to prevent sorrow
C) Periods of intensified sorrow when experiencing anger and guilt
D) Periods of intensified sorrow at certain landmarks of the child's development
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Chapter 20: Family-Centered Palliative Care
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38 Verified Questions
38 Flashcards
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Sample Questions
Q1) The nurse is providing support to a family that is experiencing anticipatory grief related to their child's imminent death.What statement by the nurse is therapeutic?
A) "Your other children need you to be strong."
B) "You have been through a very tough time."
C) "His suffering is over; you should be happy."
D) "God never gives us more than we can handle."
Q2) A 12-year-old boy is in the final phase of dying from leukemia.He tells the nurse who is giving him opiates for pain that his grandfather is waiting for him.How should the nurse interpret this situation?
A) The boy is experiencing side effects of the opiates.
B) The boy is making an attempt to comfort his parents.
C) He is experiencing hallucinations resulting from brain anoxia.
D) He is demonstrating readiness and acceptance that death is near.
Q3) What statement is most descriptive of a school-age child's reaction to death?
A) Very interested in funerals and burials
B) Little understanding of words such as "forever"
C) Imagine the deceased person to be still alive
D) Can explain death from a religious or spiritual point of view
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Chapter 21: The Child With Cognitive, sensory, or Communication Impairment
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48 Verified Questions
48 Flashcards
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Sample Questions
Q1) The nurse is teaching feeding strategies to a parent of a 12-month-old infant with Down syndrome.What statement made by the parent indicates a need for further teaching?
A) "If the food is thrust out, I will reefed it."
B) "I will use a small, long, straight-handled spoon."
C) "I will place the food on the top of the tongue."
D) "I know the tongue thrust doesn't indicate a refusal of the food."
Q2) A child has a slight (26-40 dB)degree of hearing loss.The nurse recognizes this amount of hearing loss can have what effect?
A) No speech defects
B) Difficulty hearing faint speech
C) Usually is unaware of the hearing difficulty
D) Can distinguish vowels but not consonants
E) Unable to understand conversational speech
Q3) Different refractive strength in each eye
A)Myopia
B)Hyperopia
C)Astigmatism
D)Anisometropia
E)Amblyopia
Page 23
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Chapter 22: Family-Centered Care of the Child During
Illness and Hospitalization
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43 Verified Questions
43 Flashcards
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Sample Questions
Q1) What are signs and symptoms of the stage of detachment in relation to separation anxiety in young children?
A) Appears happy
B) Lacks interest in the environment
C) Regresses to an earlier behavior
D) Forms new but superficial relationships
E) Interacts with strangers or familiar caregivers
Q2) The psychosexual conflicts of preschool children make them extremely vulnerable to which threat?
A) Loss of control
B) Loss of identity
C) Separation anxiety
D) Bodily injury and pain
Q3) A 10-year-old girl needs to have another intravenous (IV)line started.She keeps telling the nurse,"Wait a minute," and,"I'm not ready." How should the nurse interpret this behavior?
A) IV insertions are viewed as punishment.
B) This is expected behavior for a school-age child.
C) Protesting like this is usually not seen past the preschool years.
Page 24
D) The child has successfully manipulated the nurse in the past.
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Chapter 23: Pediatric Nursing Interventions and Skills
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Sample Questions
Q1) The nurse needs to take the blood pressure of a preschool boy for the first time.What action would be best in gaining his cooperation?
A) Tell him that this procedure will help him get well faster.
B) Take his blood pressure when a parent is there to comfort him.
C) Explain to him how the blood flows through the arm and why the blood pressure is important.
D) Permit him to handle the equipment and see the cuff inflate and deflate before putting the cuff in place.
Q2) To facilitate the administration of an oral medication to a preschool-age child,what action should the nurse take?
A) Dilute the medication in a large amount of favorite liquid and allow the child to hold the cup.
B) Set limits about the need to take medication and offer praise immediately after the task is accomplished.
C) Mix the medication in a moderate amount of the child's favorite food.
D) Explain the purpose of the medication and allow the child time to express resistance before giving the medication.
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Chapter 24: The Child With Fluid and Electrolyte Imbalance
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65 Verified Questions
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Sample Questions
Q1) What type of shock is characterized by a hypersensitivity reaction causing massive vasodilation and capillary leaks,which may occur with drug or latex allergy?
A) Neurogenic shock
B) Cardiogenic shock
C) Hypovolemic shock
D) Anaphylactic shock
Q2) A school-age child with acute diarrhea and mild dehydration is being given oral rehydration solutions (ORS).The child's mother calls the clinic nurse because he is also occasionally vomiting.The nurse should recommend which intervention?
A) Bring the child to the hospital for intravenous fluids.
B) Alternate giving ORS and carbonated drinks.
C) Continue to give ORS frequently in small amounts.
D) Keep child NPO (nothing by mouth) for 8 hours and resume ORS if vomiting has subsided.
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Chapter 25: The Child With Renal Dysfunction
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67 Verified Questions
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Sample Questions
Q1) In teaching the parent of a newly diagnosed 2-year-old child with pyelonephritis related to vesicoureteral reflux (VUR),the nurse should include which information?
A) Limit fluids to reduce reflux.
B) Give cranberry juice twice a day.
C) Have siblings examined for VUR.
D) Surgery is indicated to reverse scarring.
Q2) What statement is an advantage of peritoneal dialysis compared with hemodialysis?
A) Protein loss is less extensive.
B) Dietary limitations are not necessary.
C) It is easy to learn and safe to perform.
D) It is needed less frequently than hemodialysis.
Q3) What dietary instructions should the nurse give to parents of a child with minimal change nephrotic syndrome with massive edema?
A) Soft diet
B) High protein
C) Fluid restricted
D) No salt added at the table
E) Restriction of foods high in sodium
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Page 27
Chapter 26: The Child With Gastrointestinal Dysfunction
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72 Verified Questions
72 Flashcards
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Sample Questions
Q1) An infant with short bowel syndrome is receiving total parenteral nutrition (TPN).The practitioner has added continuous enteral feedings through a gastrostomy tube.The nurse recognizes this as important for which reason?
A) Wean the infant from TPN the next day
B) Stimulate adaptation of the small intestine
C) Give additional nutrients that cannot be included in the TPN
D) Provide parents with hope that the child is close to discharge
Q2) A 6-month-old infant with Hirschsprung disease is scheduled for a temporary colostomy.What should postoperative teaching to the parents include?
A) Dilating the stoma
B) Assessing bowel function
C) Limitation of physical activities
D) Measures to prevent prolapse of the rectum
Q3) What intervention is contraindicated in a suspected case of appendicitis?
A) Enemas
B) Palpating the abdomen
C) Administration of antibiotics
D) Administration of antipyretics for fever
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Chapter 27: Overview of Oxygen and Carbon Dioxide Exchange
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Sample Questions
Q1) What intervention is necessary when weaning a child from the ventilator?
A) Light sedation before scheduled extubation
B) No suctioning before scheduled extubation
C) Cool mist begun immediately after extubation
D) Vigorous chest physiotherapy and suctioning performed immediately after extubation
Q2) The continuous administration of mist,or aerosolized water,for the treatment of inflammatory conditions of the airways is a common practice that functions in which manner?
A) Has no proven benefit
B) Decreases the viscosity of mucus
C) Decreases bronchoconstriction
D) Reduces the inflammation of the lower airways
Q3) The nurse is analyzing an arterial blood gas of pH,7.50; PCO<sub>2</sub>,50; and HCO<sub>3</sub>,29.What result should the nurse document for this blood gas?
A) Fully compensated metabolic alkalosis
B) Partially compensated metabolic alkalosis
C) Fully compensated respiratory alkalosis
D) Partially compensated respiratory alkalosis
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Chapter 28: The Child With Respiratory Dysfunction
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Sample Questions
Q1) The nurse is preparing to admit a 7-year-old child with acute laryngotracheobronchitis (LTB).What clinical manifestations should the nurse expect to observe?
A) Dysphagia
B) Brassy cough
C) Low-grade fever
D) Toxic appearance
E) Slowly progressive
Q2) A 6-year-old child is in the hospital for status asthmaticus.Nursing care during this acute period includes which prescribed interventions?
A) Prednisolone (Pediapred) PO every day, IV fluids, cromolyn (Intal) inhaler bid
B) Salmeterol (Serevent) PO bid, vital signs every 4 hours, spot check pulse oximetry
C) Triamcinolone (Azmacort) inhaler bid, continuous pulse oximetry, vital signs once a shift
D) Methylprednisolone (Solumedrol) IV every 12 hours, continuous pulse oximetry, albuterol nebulizer treatments every 4 hours and prn
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Chapter 29: The Child With Cardiovascular Dysfunction
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Q1) The nurse notices that a child is increasingly apprehensive and has tachycardia after heart surgery.The chest tube drainage is now 8 ml/kg/hr.What should be the nurse's initial intervention?
A) Apply warming blankets.
B) Notify the practitioner of these findings.
C) Give additional pain medication per protocol.
D) Encourage child to cough, turn, and deep breathe.
Q2) A child is recovering from Kawasaki disease (KD).The child should be monitored for which?
A) Anemia
B) Electrocardiograph (ECG) changes
C) Elevated white blood cell count
D) Decreased platelets
Q3) A child with heart failure is on Lanoxin (digoxin).The laboratory value a nurse must closely monitor is which?
A) Serum sodium
B) Serum potassium
C) Serum glucose
D) Serum chloride
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Chapter 30: The Child With Hematologic or Immunologic Dysfunction
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Q1) Care for the child with acute idiopathic thrombocytopenic purpura (ITP)includes which therapeutic intervention?
A) Splenectomy
B) Intravenous administration of anti-D antibody
C) Use of nonsteroidal anti-inflammatory drugs (NSAIDs)
D) Helping child participate in sports
Q2) A child with hemophilia A will have which abnormal laboratory result?
A) PT (ProTime)
B) Platelet count
C) Fibrinogen level
D) PTT (partial thromboplastin time)
Q3) The nurse is planning care for an adolescent with acquired immunodeficiency syndrome.What is the priority nursing goal?
A) Prevent infection.
B) Prevent secondary cancers.
C) Identify source of infection.
D) Restore immunologic defenses.
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Chapter 31: The Child With Cancer
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Q1) The nurse is collecting a 24-hour urine sample on a child with suspected diagnosis of neuroblastoma.What finding in the urine is expected with neuroblastomas?
A) Ketones
B) Catecholamines
C) Red blood cells
D) Excessive white blood cells
Q2) The nurse is preparing a child for possible alopecia from chemotherapy.What information should the nurse include?
A) Wearing hats or scarves is preferable to a wig.
B) Expose head to sunlight to stimulate hair regrowth.
C) Hair may have a slightly different color or texture when it regrows.
D) Regrowth of hair usually begins 12 months after chemotherapy ends.
Q3) A child with cancer being treated with chemotherapy is receiving a platelet transfusion.The nurse understands that the transfused platelets should survive the body for how many days?
A) 1 to 3 days
B) 4 to 6 days
C) 7 to 9 days
D) 10 to 12 days
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Chapter 32: The Child With Cerebral Dysfunction
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Sample Questions
Q1) A child is admitted for revision of a ventriculoperitoneal shunt for noncommunicating hydrocephalus.What is a common reason for elective revision of this shunt?
A) Meningitis
B) Gastrointestinal upset
C) Hydrocephalus resolution
D) Growth of the child since the initial shunting
Q2) The nurse is teaching the parents of a 3-year-old child who has been diagnosed with tonic-clonic seizures.What statement by the parent should indicate a correct understanding of the teaching?
A) "I should attempt to restrain my child during a seizure."
B) "My child will need to avoid contact sports until adulthood."
C) "I should place a pillow under my child's head during a seizure."
D) "My child will need to be taken to the emergency department [ED] after each seizure."
Q3) What statement is descriptive of a concussion?
A) Petechial hemorrhages cause amnesia.
B) Visible bruising and tearing of cerebral tissue occur.
C) It is a transient and reversible neuronal dysfunction.
D) It is a slight lesion that develops remote from the site of trauma.
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Chapter 33: The Child With Endocrine Dysfunction
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Q1) The parents of a child who has just been diagnosed with type 1 diabetes ask about exercise.What effect does exercise have on a type 1 diabetic?
A) Exercise increases blood glucose.
B) Extra insulin is required during exercise.
C) Additional snacks are needed before exercise.
D) Excessive physical activity should be restricted.
Q2) The nurse is preparing a community outreach program for adolescents about the characteristic differences between type 1 and type 2 diabetes mellitus (DM).What concepts should the nurse include?
A) Type 1 DM has an abrupt onset.
B) Type 1 DM is often controlled with oral glucose agents.
C) Type 1 DM occurs primarily in whites.
D) Type 2 DM always requires insulin therapy.
E) Type 2 DM frequently has a familial history.
F) Type 2 DM occurs in people who are overweight.
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Chapter 34: The Child With Musculoskeletal or Articular Dysfunction
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Sample Questions
Q1) After spinal fusion surgery the nurse should check for signs of what?
A) Seizure activity
B) Increased intracranial pressure
C) Impaired color, sensitivity, and movement to the lower extremities
D) Impaired pupillary response during neurologic checks
Q2) Slanting but straight between a horizontal and a perpendicular direction
A)Transverse
B)Oblique
C)Spiral
D)Comminuted
Q3) A neonate is born with mild clubfeet.When the parents ask the nurse how this will be corrected,what should the nurse explain?
A) Traction is tried first.
B) Surgical intervention is needed.
C) Frequent, serial casting is tried first.
D) Children outgrow this condition when they learn to walk.
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Chapter 35: The Child With Neuromuscular or Muscular Dysfunction
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Q1) What type of cerebral palsy (CP)is the most common type?
A) Ataxic
B) Spastic
C) Dyskinetic
D) Mixed type
Q2) An adolescent with a spinal cord injury is admitted to a rehabilitation center.Her parents describe her as being angry,hostile,and uncooperative.The nurse should recognize that this is suggestive of which psychosocial state?
A) Normal phase of adolescent development
B) Severe depression that will require long-term counseling
C) Normal response to her situation that can be redirected in a healthy way
D) Denial response to her situation that makes rehabilitative efforts more difficult
Q3) What is a major goal of therapy for children with cerebral palsy (CP)?
A) Cure the underlying defect causing the disorder.
B) Reverse the degenerative processes that have occurred.
C) Prevent the spread to individuals in close contact with the child.
D) Recognize the disorder early and promote optimum development.
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