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Child Health Nursing Study Guide Questions - 580 Verified Questions

Page 1


Child Health Nursing Study Guide Questions

Course Introduction

Child Health Nursing focuses on the holistic care and well-being of infants, children, and adolescents within their families and communities. The course covers growth and development milestones, common pediatric diseases and disorders, health promotion, and disease prevention strategies. Emphasis is placed on family-centered care, effective communication with children and caregivers, and the application of evidence-based practices in pediatric assessment and interventions. Students also learn about immunization, nutrition, child safety, acute and chronic illness management, and ethical and cultural considerations unique to pediatric nursing.

Recommended Textbook

Principles of Pediatric Nursing Caring for Children 7th Edition by Ball

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31 Chapters

580 Verified Questions

580 Flashcards

Source URL: https://quizplus.com/study-set/3539

Page 2

Chapter 1: Nurses Role in Care of the Child: Hospital, Community, and Home

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17 Verified Questions

17 Flashcards

Source URL: https://quizplus.com/quiz/70277

Sample Questions

Q1) A 12-year-old pediatric client is in need of surgery. Which member of the healthcare team is legally responsible for obtaining informed consent for an invasive procedure?

A) Nurse

B) Physician

C) Unit secretary

D) Social worker

Answer: B

Q2) A child is being prepared for an invasive procedure. The mother of the child has legal custody but is not present. After details of the procedure are explained, who can provide legal consent on behalf of a minor child for treatment?

A) The divorced parent without custody

B) A cohabitating boyfriend of the child's mother

C) A grandparent who lives in the home with the child

D) A babysitter with written proxy

Answer: D

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Chapter 2: Family-Centered Care and Cultural Considerations

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18 Verified Questions

18 Flashcards

Source URL: https://quizplus.com/quiz/70278

Sample Questions

Q1) The nurse is assessing a family's effective coping strategies and ineffective defensive strategies. Which family-social-system theory is the nurse using in this assessment of the family?

A) Family-stress theory

B) Family-development theory

C) Family-systems theory

D) Family life-cycle theory

Answer: A

Q2) A nurse and the family of an 8-year-old with acute renal failure are reviewing family strengths helpful in managing stressors. Which family strengths should the nurse recommend this family utilize? Select all that apply.

A) Meeting member needs

B) Support by extended family

C) Effective communication

D) Receiving and giving love

E) Prior life experiences

Answer: B,C,E

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Chapter 3: Genetic and Genomic Influences

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17 Verified Questions

17 Flashcards

Source URL: https://quizplus.com/quiz/70279

Sample Questions

Q1) A three-generation pedigree is constructed around the designated "index" patient. Based on this knowledge, which explanation of the term proband is the most accurate?

A) The "index" patient has the disorder of interest.

B) One parent of the "index" patient has the disorder of interest.

C) The "index" patient does not have the disorder of interest.

D) Siblings of the "index" patient do not have the disorder of interest.

Answer: A

Q2) The nurse is preparing a three-generation family pedigree. A student asks the nurse the significance of the darkened circles. Which response by the nurse is the most appropriate?

A) "Males unaffected by the disease."

B) "Males affected by the disease."

C) "Females unaffected by the disease."

D) "Females affected by the disease."

Answer: D

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5

Chapter 4: Growth and Development

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19 Verified Questions

19 Flashcards

Source URL: https://quizplus.com/quiz/70280

Sample Questions

Q1) Which statement by the nurse is most appropriate prior to giving an intramuscular injection to a 2-1/2-year-old child?

A) "We will give you your shot when your mommy comes back."

B) "This is medicine that will make you better. First we will hold your leg, then I will wipe it off with this magic cloth that kills the germs on your leg right here, then I will hold the needle like this and say 'one, two, three . . . go' and give you your shot. Are you ready?"

C) "It is all right to cry, I know that this hurts. After we are done you can go to the box and pick out your favorite sticker."

D) "This is a magic sword that will give you your medicine and make you all better."

Q2) The nurse is counseling the parents of a 6-1/2-month-old infant. Which age-appropriate toy is most appropriate for the nurse to suggest to these parents?

A) Soft, fluid-filled ring that can be chilled in the refrigerator

B) Colorful rattle

C) Jack-in-the-box toy

D) Push-and-pull toy

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6

Chapter 5: Pediatric Assessment

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18 Verified Questions

18 Flashcards

Source URL: https://quizplus.com/quiz/70281

Sample Questions

Q1) The nurse is measuring an abdominal girth on a child with abdominal distension. Identify the area on the child's abdomen where the tape measure should be placed for an accurate abdominal girth.

A) Just above the umbilicus, around the largest circumference of the abdomen

B) Below the umbilicus

C) Just below the sternum

D) Just above the pubic bone

Q2) The nurse is preparing to assess a toddler client. Which activities would gain cooperation from the toddler? Select all that apply.

A) Asking the parents to wait outside

B) Allowing the client to sit in the parent's lap

C) Administering vaccinations prior to the assessment

D) Handing the client a stethoscope while taking the health history

E) Making a game out of the assessment process

Q3) Place the nursing assessments of a toddler in the best order.

A) Examination of eyes, ears, and throat

B) Auscultation of chest

C) Palpation of abdomen

D) Developmental assessment

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Page 7

Chapter 6: Introduction to Health Promotion and Maintenance

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17 Verified Questions

17 Flashcards

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Sample Questions

Q1) A parent says to a nurse, "How do you know when my child needs these screening tests the doctor just mentioned?" Which response by the nurse is the most appropriate?

A) "Screening tests are administered at the ages when a child is most likely to develop a condition."

B) "Screening tests are done in the newborn nursery and from these results, additional screening tests are ordered throughout the first two years of life."

C) "Screening tests are most often done when the doctor suspects something is wrong with the child."

D) "Screening tests are done at each office visit."

Q2) A nurse is helping the parents of 2-year-old twins cope with the daily demands of life in an active household. Which strategy is most appropriate for the nurse to use?

A) Health maintenance

B) Health promotion

C) Health protection

D) Health supervision

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Chapter 7: Health Promotion and Maintenance for the

Newborn and Infant

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18 Verified Questions

18 Flashcards

Source URL: https://quizplus.com/quiz/70283

Sample Questions

Q1) Injury prevention is an important aspect of parent teaching. Which injury prevention strategy would reduce the risk of suffocation?

A) Measure crib slat spacing at 2-3/8 inches or less.

B) Never leave an infant alone in a bath.

C) Position the infant on her back to sleep.

D) Use only approved restraint systems.

Q2) A follow-up visit for a newborn client is scheduled with the pediatric nurse practitioner 3 days after discharge. What will the nurse include in the assessment during the scheduled visit for this newborn? Select all that apply.

A) Feeding pattern

B) Jaundice

C) Length

D) Vision screen

E) Sleep pattern

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Chapter 8: Health Promotion and Maintenance for the

Toddler and Preschooler

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20 Verified Questions

20 Flashcards

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Sample Questions

Q1) The nurse is evaluating the car seat of a 3-year-old who weighs 42 pounds. Which recommendation should the nurse make about the car seat to the parents?

A) Convertible, rear-facing seat

B) Belt-positioning booster seat

C) A car seat with a harness approved for higher weights and heights

D) A regular seat with lap and shoulder strap

Q2) A mother of an 18-month old asks the nurse whether she can begin to introduce low-fat milk like the rest of the family drinks. The nurse answers the mother based on the knowledge that low-fat milk can safely be introduced at what age?

A) 18 months

B) 24 months

C) 3 years

D) 4 years

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10

Chapter 9: Health Promotion and Maintenance for the

School-Age Child and Adolescent

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20 Verified Questions

20 Flashcards

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Sample Questions

Q1) A school-age client who recently moved to a new school in a different town presents to an ambulatory care center and describes the following: "I have no friends in my new school and I no longer want to play soccer. I know I will be lonely there, too." Which of these takes priority when speaking with the school-age client?

A) Helping the school-age client realize the value of soccer

B) Promoting healthy mental-health outcomes

C) Acknowledging the fact that it takes several months to make new friends at a new school

D) Stressing the importance of remaining in a close parent-child relationship during these stressful times

Q2) When examining a 7-year-old, which action by the nurse would be most appropriate?

A) Allow the child to participate in the exam.

B) Ask the parent what kind of food the child likes to eat.

C) Ask the child whether he plays outside for at least 30 minutes a day.

D) Allow the child to decide whether he is ready for his next immunization.

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Page 11

Chapter 10: Nursing Considerations for the Child in the Community

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17 Verified Questions

17 Flashcards

Source URL: https://quizplus.com/quiz/70286

Sample Questions

Q1) A young school-age client who has had a tracheostomy for several years is scheduled to begin school in the fall. The teacher is concerned about this child's being in her class and consults the school nurse. Which action by the nurse is the most appropriate?

A) Make arrangements for the child to go to a special school.

B) Ask the parents of the child to provide a caregiver during school hours.

C) Recommend that the child be home schooled.

D) Teach the teacher how to care for the child in the classroom.

Q2) Which aspect of an Emergency Medical Services (EMS) system is most indicative that EMS providers are prepared to provide emergency care to children?

A) Placement of small stretchers in emergency vehicles

B) Lists of hospitals in the area that treat children

C) Staff education related to assessment and treatment of children of all ages

D) Pediatric-sized equipment and supplies

Q3) Which would be an acceptable community-health diagnosis?

A) Risk for Injury Related to Lack of Safe Bicycle Paths in High-Traffic Areas

B) Ineffective Family Coping Related to Lack of Time Together

C) Alterations in Nutrition Related to Use of Fast Food Restaurants

D) Ineffective Communication Related to Lack of Community Newsletter

Page 12

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Chapter 11: Nursing Considerations for the Hospitalized Child

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18 Verified Questions

18 Flashcards

Source URL: https://quizplus.com/quiz/70287

Sample Questions

Q1) The child was just transferred to the postanesthesia unit (PACU) and report given. The nurse has performed baseline vital signs, the child is stable and pain is under control. What should the nurse do next?

A) Document

B) Allow the parents to visit the child

C) Discharge the child

D) Look for signs of infection

E) Offer clear liquids

Q2) The nurse is providing care to a school-age client who is admitted to the hospital after a motor vehicle accident. Which interventions are appropriate to prepare this client and family for their hospital stay? Select all that apply.

A) A hospital tour

B) A health fair brochure

C) An orientation to the unit

D) An age-appropriate explanation of procedures

E) A child life program consultation

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Chapter 12: The Child With a Chronic Condition

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17 Verified Questions

17 Flashcards

Source URL: https://quizplus.com/quiz/70288

Sample Questions

Q1) The school nurse completes an assessment of a school-age client to determine the services this child will need in the classroom. The client is a newly diagnosed with type I diabetes mellitus. Based on this information, which special healthcare need category is the most appropriate?

A) Dependent on medication or special diet

B) Dependent on medical technology

C) Increase use of healthcare services

D) Functional limitations

Q2) The nurse is working in an adolescent medical clinic. What can the nurse anticipate when comparing adolescents in the clinic with chronic conditions to their peers?

A) A high level self-esteem

B) A concern for their parents

C) An altered body image

D) A decreased concern about their appearance

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14

Chapter 13: The Child With a Life-Threatening Condition and End-Of-Life Care

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20 Verified Questions

20 Flashcards

Source URL: https://quizplus.com/quiz/70289

Sample Questions

Q1) Which intervention is considered supportive care for a family whose infant has died from sudden infant death syndrome (SIDS)?

A) Interviewing parents to determine the cause of the SIDS incident

B) Allowing parents to hold, touch, and rock the infant

C) Sheltering parents from the grief by not giving them any personal items of the infant, such as footprints

D) Advising parents that an autopsy is not necessary

Q2) Parents of a child in the pediatric intensive care unit (PICU) have been experiencing shock and disbelief regarding their situation. Which statement by the parents indicates they are moving forward into the next stage of coping?

A) "Why not me instead of my child?"

B) "It is hard for me to have others take care of my child."

C) "I feel like life is suspended in time."

D) "I am glad I can help with his care."

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Chapter 14: Infant, Child, and Adolescent Nutrition

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19 Verified Questions

19 Flashcards

Source URL: https://quizplus.com/quiz/70290

Sample Questions

Q1) The parents of a toddler are concerned about their child's finicky eating habits. While counseling the parents, which statements by the nurse are the most appropriate? Select all that apply.

A) "The child is experiencing physiologic anorexia, which is normal for this age group."

B) "A general guideline for food quantity at a meal is one-quarter cup of each food per year of age."

C) "It is more appropriate to assess a toddler's nutritional demands over a 1-week period rather than a 24-hour one."

D) "Nutritious foods should be made available at all times of the day so that she is able to 'graze' whenever she is hungry."

E) "The toddler should drink 16 to 24 ounces of milk daily."

Q2) The nurse is providing care to a pediatric client recently diagnosed with celiac disease. Which food choice indicates appropriate understanding of the material presented?

A) Pizza with milk

B) Spaghetti and meat sauce with juice

C) Hot dog on a bun with a shake

D) Fruit plate with Gatorade

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Page 16

Chapter 15: Pain Assessment and Management in Children

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18 Verified Questions

18 Flashcards

Source URL: https://quizplus.com/quiz/70291

Sample Questions

Q1) A young school-age client is hospitalized with a fractured femur. Which assessment tools are appropriate for this client? Select all that apply.

A) FACES pain scale

B) Oucher scale

C) Visual Analog Scale

D) CRIES Scale

E) Poker-chip tool

Q2) A hospitalized toddler-age client needs to have an IV restarted. The child begins to cry when carried into the treatment room by the mother. Which nursing diagnosis is most appropriate?

A) Ineffective Individual Coping Related to an Invasive Procedure

B) Anxiety Related to Anticipated Painful Procedure

C) Fear Related to the Unfamiliar Environment

D) Knowledge Deficit of the Procedure

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Chapter 16: Immunizations and Communicable Diseases

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18 Verified Questions

18 Flashcards

Source URL: https://quizplus.com/quiz/70292

Sample Questions

Q1) A nurse working in a pediatric clinic is responsible for monitoring and maintaining the vaccinations on site. Which actions are appropriate for this nurse to implement? Select all that apply.

A) Fluctuate refrigerator and freezer temperatures each day.

B) Store vaccines in the center of the unit.

C) Check and record the temperature of the unit twice each day.

D) Have a plan for power outages.

E) Place bottles of water in each unit to help keep temperatures consistent.

Q2) A mother refuses to have her child be immunized with measles, mumps, and rubella (MMR) vaccine because she believes that letting her infant get these diseases will help him fight off other diseases later in life. Which response by the nurse is most appropriate?

A) Honor her request because she is the parent.

B) Explain that antibodies can fight many diseases.

C) Tell her that not immunizing her infant may protect pregnant women.

D) Explain that if her child contracts measles, mumps, or rubella, there could be very serious and permanent complications from these diseases.

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18

Chapter 17: Social and Environmental Influences on the Child

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20 Verified Questions

20 Flashcards

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Sample Questions

Q1) The pediatric nurse is working with a parent who is suspected of Münchausen Syndrome by Proxy. Which action by the nurse is the priority?

A) Confront the parent with concerns of possible abuse.

B) Carefully document parent-child interactions.

C) Try to keep the parent separated from the child as much as possible.

D) Explain to the child that the parent is causing the illness and that the health team will prevent the child from being harmed.

Q2) Concerned parents call the school nurse because of changes in their 15-year-old adolescent's behavior. Which behavior would the nurse indicate as indicative of adolescent substance abuse?

A) Buying baggy, oversized clothing at thrift shops and dying her hair black

B) Becoming very involved with friends and in activities related to the basketball team that she is on; never seeming to be home; and, when she is home, preferring to be in her room with the door shut

C) Receiving numerous detentions lately from teachers for sleeping in class

D) Becoming very moody, dramatically crying and weeping one minute and then being cheerful and excited the next

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Page 19

Chapter 18: Alterations in Fluid, Electrolyte, and Acid-Base Balance

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18 Verified Questions

18 Flashcards

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Sample Questions

Q1) The nurse is assessing an infant brought to the clinic with diarrhea. The infant is alert but has dry mucous membranes. Which other sign indicates the infant is still in the early or mild stage of dehydration?

A) Tachycardia

B) Bradycardia

C) Increased blood pressure

D) Decreased blood pressure

Q2) A nurse is planning care for a child with hyperkalemia. Which clinical manifestation will the nurse plan to assessment this child for based on the diagnosis?

A) Seizures

B) Bradycardia

C) Respiratory distress

D) Hyperthermia

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Chapter 19: Alterations in Eye, Ear, Nose, and Throat

Function

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17 Verified Questions

17 Flashcards

Source URL: https://quizplus.com/quiz/70295

Sample Questions

Q1) An infant is diagnosed with acute otitis media. Which intervention is most appropriate for the nurse to teach the infant's parents?

A) Keep the baby in a flat lying position during sleep.

B) Administer acetaminophen (Tylenol) to relieve discomfort.

C) Administer a decongestant.

D) Place baby to sleep with a pacifier.

Q2) The child who had a tonsillectomy earlier today is now awake and tolerating fluids. The child asks for something to eat. Which food choice is most appropriate for this client?

A) Orange slices

B) Lemonade

C) Grapefruit juice

D) Applesauce

Q3) A child is diagnosed with group A beta-hemolytic streptococcus (GABHS) infection of the throat. Which item will the nurse include in the teaching plan for the parents?

A) Complete the entire course of antibiotics.

B) Keep the child NPO (nothing by mouth).

C) Continue normal activities.

D) Do not allow the child to gargle with saltwater.

Page 21

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Chapter 20: Alterations in Respiratory Function

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21 Verified Questions

21 Flashcards

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Sample Questions

Q1) The nurse is teaching the parents of a newly diagnosed cystic fibrosis patient how to administer the pancreatic enzymes. How often will the nurse teach the parents to administer the enzymes?

A) Two times per day

B) With meals and snacks

C) Every 6 hours around the clock

D) Four times per day

Q2) A child is prescribed rifampicin for treatment of tuberculosis. For which length of time will the nurse tell the parents that this child must remain on the medication?

A) 2 months

B) 4 months

C) 6 months

D) 8 months

Q3) A child is showing signs of acute respiratory distress. Which position will the nurse place this child?

A) Upright

B) Side-lying

C) Flat

D) In semi-Fowler's

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Page 22

Chapter 21: Alterations in Cardiovascular Function

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19 Verified Questions

19 Flashcards

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Sample Questions

Q1) A child has been admitted to the hospital unit in congestive heart failure (CHF). Which symptom would the nurse anticipate upon assessment of the child?

A) Weight loss

B) Bradycardia

C) Tachycardia

D) Increased blood pressure

Q2) A child is admitted with infective endocarditis. Which nursing intervention is most appropriate for this child?

A) Start an intravenous line.

B) Place the child in contact isolation.

C) Place the child on seizure precautions.

D) Assist with a lumbar puncture.

Q3) The nurse is checking peripheral perfusion to a child's extremity following a cardiac catheterization. Which assessment finding indicates adequate peripheral circulation to the affected extremity?

A) A capillary refill of greater than three seconds

B) A palpable dorsalis pedis pulse but a weak posterior tibial pulse

C) A decrease in sensation with a weakened dorsalis pedis pulse

D) A capillary refill of less than three seconds with palpable warmth

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Page 23

Chapter 22: Alterations in Immune Function

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18 Verified Questions

18 Flashcards

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Sample Questions

Q1) A nurse is administering an intramuscular vaccination to an infant diagnosed with Wiskott-Aldrich syndrome (WAS). Which reaction is the infant more at risk for due to the diagnosis of WAS?

A) Pain at injection site

B) Bleeding at injection site

C) Redness and swelling at injection site

D) Mild rash at injection site

Q2) Parents of a child who experienced a moderately severe allergic reaction after eating peanuts ask the nurse what they can do to help if it happens again. Which response by the nurse is the most appropriate?

A) "If it happens again, I will teach you what to do."

B) "You should have an antihistamine like Benadryl with you at all times."

C) "We can start a desensitization process to take the allergy away."

D) "I will teach you how to use an Epi-Pen."

Q3) A child with the diagnosis of Wiskott-Aldrich syndrome has been ordered an IV infusion of gamma globulin. The child weighs 20 pounds. The healthcare provider orders: gamma globulin 2 g/kg IV over 12 hours.

Calculate how many grams of gamma globulin will be given IV.

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Chapter 23: Alterations in Hematologic Function

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Sample Questions

Q1) The nurse is providing care to a school-age client with neutropenia. Which clinical manifestations does the nurse anticipate when assessing this client? Select all that apply.

A) Fever

B) Fatigue

C) Tachycardia

D) Hypertension

E) Tachypnea

Q2) A child who has undergone a hematopoietic stem cell transplantation (HSCT) is ready for discharge. Which items will the nurse include in the discharge teaching for this child and family? Select all that apply.

A) Recognize the signs of graft-versus-host disease.

B) Return the child to school within six weeks.

C) Practice good handwashing.

D) Avoid obtaining influenza vaccinations.

E) Avoid live plants and fresh vegetables.

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Chapter 24: The Child With Cancer

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Sample Questions

Q1) The nurse is teaching a 10-year-old and family about the diagnosis of Ewing sarcoma. The nurse knows that instruction has been successful when the child and family indicate which is a common site?

A) Bone marrow

B) Head

C) Shaft

D) Growth plate

E) Bursae

Q2) A preschool child is seen in the clinic, and the nurse anticipates a diagnosis of leukemia. Which reaction does the nurse anticipate this child will exhibit upon diagnosis?

A) Acceptance, especially if able to discuss the disease with children their own age

B) Thoughts that they caused their illness and are being punished

C) Understanding of what cancer is and how it is treated

D) Unawareness of the illness and its severity

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Chapter 25: Alterations in Gastrointestinal Function

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Sample Questions

Q1) The nurse educator is preparing an in-service on the basic functions of the gastrointestinal (GI) system. Which statements will the nurse educator include in the in-service? Select all that apply.

A) "The GI system is responsible for the ingestion of fluids and nutrients."

B) "The GI system is responsible for the excretion of fluids and nutrients."

C) "The GI system is responsible for the metabolism of nutrients."

D) "As infants grow, their stomach capacity increases, decreasing the frequency with which they need to be fed."

E) "By the second year of life, digestive processes are still developing."

Q2) A child experienced a lacerated spleen in a motor vehicle accident. Which is the highest-priority nursing intervention on admission to the pediatric intensive care unit (PICU) following surgery?

A) Observing for signs of hypovolemic shock

B) Maintaining IV fluids

C) Implementing strict bedrest

D) Administering blood products as ordered

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Chapter 26: Alterations in Genitourinary Function

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Sample Questions

Q1) A school-age client diagnosed with nephrotic syndrome is severely edematous. The primary healthcare provider has placed the child on bed rest. Which nursing intervention is a priority for this client?

A) Reposition the child every 2 hours.

B) Monitor BP every 30 minutes.

C) Encourage fluids.

D) Limit visitors.

Q2) A child, in renal failure, is diagnosed with hyperkalemia. Which food choices will the nurse teach the parents and child to avoid?

A) Carrots and green, leafy vegetables

B) Chips, cold cuts, and canned foods

C) Spaghetti and meat sauce, breadsticks

D) Hamburger on a bun, cherry gelatin

Q3) A 10-year-old diagnosed with chronic renal failure is seen at the dialysis center for dialysis treatment three times a week. The child weighs 35 pounds after dialysis.

Physician's order: Epogen 50 U/kg three times weekly after dialysis. Medication on hand: Epogen 2000 U/mL

Calculate how many ml of Epogen the child should receive three times a week.

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Chapter 27: Alterations in Neurologic Function

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Sample Questions

Q1) A school-age client sustains a basilar skull fracture. Which symptom is a priority for this nurse to assess for when providing care to this client?

A) Cerebral spinal fluid leakage from the nose or ears

B) Headache

C) Transient confusion

D) Periorbital ecchymosis

Q2) The nurse educator is describing the pediatric differences associated with the anatomy and physiology of the neurologic system to a group of nursing students. Which statements made by the class indicate appropriate understanding of this topic after the teaching session? Select all that apply.

A) The bones of the cranium are connected by connective tissue to allow for brain growth.

B) The spine of infants is excessively mobile due to immature neck muscles and incompletely developed vertebral bodies.

C) Maturation of the nerves continues until age 10.

D) Myelination is complete at birth,

E) Myelination proceeds in a cephalocaudal direction.

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Chapter 28: Alterations in Mental Health and Cognitive Function

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17 Verified Questions

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Source URL: https://quizplus.com/quiz/70304

Sample Questions

Q1) The nurse is conducting a health history for a school-age client. The parents of the client tell the nurse that their child has the following behaviors: excessive handwashing, counting objects, and hoarding substances. Based on these assessment findings, which diagnosis does the nurse anticipate for this client?

A) Depression

B) Separation anxiety disorder

C) Obsessive-compulsive disorder

D) Bipolar disorder

Q2) A nurse is caring for four pediatric clients in the hospital. Which client should the nurse refer for play therapy?

A) An adolescent with asthma

B) A preschool-age child with a fractured femur

C) A school-age child having an appendectomy

D) An infant with sepsis

Q3) A nurse is calculating the maximum recommended dose that a school-age client diagnosed with depression can receive for sertraline (Zoloft). The recommended pediatric dose for sertraline (Zoloft) is 1.5 to 3 mg/kg/day. If the child weighs 31 kg, the maximum recommended dose for this child would be ________ mg. Round answer to the nearest whole number.

Page 30

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Chapter 29: Alterations in Musculoskeletal Function

Available Study Resources on Quizplus for this Chatper

17 Verified Questions

17 Flashcards

Source URL: https://quizplus.com/quiz/70305

Sample Questions

Q1) The nurse in the newborn nursery is performing the admission assessment on a neonate. Which assessment finding indicates the neonate may have congenital hip dysplasia?

A) Asymmetry of the gluteal and thigh fat folds

B) Trendelenburg sign

C) Telescoping of the affected limb

D) Lordosis

Q2) The nurse is teaching family members how to care for their infant in a Pavlik harness to treat congenital developmental dysplasia of the hip. Which statement will the nurse include in the teaching session?

A) "Apply lotion or powder to minimize skin irritation."

B) "Put clothing over the harness for maximum effectiveness of the device."

C) "Check at least 2 or 3 times a day for red areas under the straps."

D) "Place a diaper over the harness, preferably using a thin, superabsorbent, disposable diaper."

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Chapter 30: Alterations in Endocrine Function

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20 Verified Questions

20 Flashcards

Source URL: https://quizplus.com/quiz/70306

Sample Questions

Q1) The nurse is planning care for a pediatric client diagnosed with adrenal hyperplasia. Which nursing diagnosis is most appropriate for this client?

A) Impaired Social Interaction Related to Unnatural Facial Features

B) Nutrition: Less than Body Requirements due to Nausea and Vomiting

C) Depression Related to Inability to Take in Oral Fluids

D) Risk for Deficient Fluid Volume Related to Failure of Regulatory Mechanisms

Q2) The nurse is administering a dose of rapid-acting insulin at 0800 to an insulin-dependent pediatric client. Based on when the insulin peaks, when will the client be at greatest risk for a hypoglycemic episode?

A) At about noon

B) Between bedtime and breakfast the next morning

C) Between lunch and dinner

D) Around 0930

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Chapter 31: Alterations in Skin Integrity

Available Study Resources on Quizplus for this Chatper

20 Verified Questions

20 Flashcards

Source URL: https://quizplus.com/quiz/70307

Sample Questions

Q1) The nurse explains to the parents of a child with a severe burn that wearing of an elastic pressure garment (Jobst stocking) during the rehabilitative stage can help with the prevention of which complication?

A) Poor circulation

B) Hypertrophic scarring

C) Pain

D) Formation of thrombus in the burn area

Q2) A child is prescribed cephalexin for treatment of cellulitis. The child weighs 15 kg. The pediatrician orders: cephalexin 40 mg/kg/day PO, give twice a day.

Medication on hand: 250 mg/5 mL

Calculate how many mLs the nurse must draw up for each dose.

Q3) The nurse is planning care for a 3-month-old infant diagnosed with eczema. Which should be the focus of the nurse's care for this infant?

A) Maintaining adequate nutrition

B) Keeping the baby content

C) Preventing infection of lesions

D) Applying antibiotics to lesions

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