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Child Health Nursing focuses on the principles and practices of providing nursing care to infants, children, and adolescents across various healthcare settings. The course covers growth and development milestones, common pediatric illnesses, and health promotion strategies, placing a strong emphasis on family-centered care, communication, and cultural sensitivity. Students learn to perform comprehensive assessments, develop individualized care plans, and administer age-appropriate interventions while considering physiological, psychological, and emotional needs. The course also explores the impact of hospitalization on young patients, strategies for supporting families, and approaches to health education and disease prevention in pediatric populations.
Recommended Textbook
Wongs Essentials of Pediatric Nursing 10th Edition by Hockenberry
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30 Chapters
1126 Verified Questions
1126 Flashcards
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Sample Questions
Q1) Which is now referred to as the "new morbidity"?
A) Limitations in the major activities of daily living
B) Unintentional injuries that cause chronic health problems
C) Discoveries of new therapies to treat health problems
D) Behavioral, social, and educational problems that alter health
Answer: D
Q2) A nurse is admitting a toddler to the hospital. The toddler is with both parents and is currently sitting comfortably on a parent's lap. The parents state they will need to leave for a brief period. Which type of nursing diagnosis should the nurse formulate for this child?
A) Risk for anxiety
B) Anxiety
C) Readiness for enhanced coping
D) Ineffective coping
Answer: A
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Q1) The nurse is teaching a group of new parents about the experience of role transition. Which statement by a parent would indicate a correct understanding of the teaching?
A) "My marital relationship can have a positive or negative effect on the role transition."
B) "If an infant has special care needs, the parents' sense of confidence in their new role is strengthened."
C) "Young parents can adjust to the new role easier than older parents."
D) "A parent's previous experience with children makes the role transition more difficult."
Answer: A
Q2) Which term best describes the emotional attitude that one's own ethnic group is superior to others?
A) Culture
B) Ethnicity
C) Superiority
D) Ethnocentrism
Answer: D
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Health Promotion
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Q1) What should the nurse consider when discussing language development with parents of toddlers?
A) Sentences by toddlers include adverbs and adjectives.
B) The toddler expresses himself or herself with verbs or combination words.
C) The toddler uses simple sentences.
D) Pronouns are used frequently by the toddler.
Answer: B
Q2) An infant gains head control before sitting unassisted. The nurse recognizes that this is which type of development?
A) Cephalocaudal
B) Proximodistal
C) Mass to specific
D) Sequential
Answer: A
Q3) By what age does birth length usually double?
A) 1 year
B) 2 years
C) 4 years
D) 6 years
Answer: C

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Sample Questions
Q1) A nurse is performing an otoscopic exam on a school-age child. Which direction should the nurse pull the pinna for this age of child?
A) Up and back
B) Down and back
C) Straight back
D) Straight up
Q2) At what age should the nurse expect the anterior fontanel to close?
A) 2 months
B) 2 to 4 months
C) 6 to 8 months
D) 12 to 18 months
Q3) When doing a nutritional assessment on a Hispanic family, the nurse learns that their diet consists mainly of vegetables, legumes, and starches. How should the nurse assess this diet?
A) Indicates they live in poverty
B) Is lacking in protein
C) May provide sufficient amino acids
D) Should be enriched with meat and milk
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Q1) A 2-year-old child has been returned to the nursing unit after an inguinal hernia repair. Which pain assessment tool should the nurse use to assess this child for the presence of pain?
A) FACES pain rating tool
B) Numeric scale
C) Oucher scale
D) FLACC tool
Q2) A nurse is gathering a history on a school-age child admitted for a migraine headache. The child states, "I have been getting a migraine every 2 or 3 months for the last year." The nurse documents this as which type of pain?
A) Acute
B) Chronic
C) Recurrent
D) Subacute
Q3) A nurse is using the FLACC scale to evaluate pain in a preverbal child. The nurse makes the following assessment: Face: occasional grimace; Leg: relaxed; Activity: squirming, tense; Cry: no cry; Consolability: content, relaxed. The nurse records the FLACC assessment as which number? (Record your answer as a whole number.)
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Q1) The school nurse is conducting a class for school-age children on Lyme disease. Which is characteristic of Lyme disease?
A) Difficult to prevent
B) Treated with oral antibiotics in stages 1, 2, and 3
C) Caused by a spirochete that enters the skin through a tick bite
D) Common in geographic areas where the soil contains the mycotic spores that cause the disease
Q2) Herpes zoster is caused by the varicella virus and has an affinity for:
A) sympathetic nerve fibers.
B) parasympathetic nerve fibers.
C) posterior root ganglia and posterior horn of the spinal cord.
D) lateral and dorsal columns of the spinal cord.
Q3) The nurse should implement which prescribed treatment for a child with warts?
A) Vaccination
B) Local destruction
C) Corticosteroids
D) Specific antibiotic therapy
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Q1) A nurse is planning a teaching session for parents of a newborn who plan to bottle-feed. Which should the nurse include in the teaching session? (Select all that apply.)
A) Limiting the feeding to 15 minutes
B) Propping the bottle for night feedings is acceptable
C) Proper technique for cleansing the bottles and nipples
D) Feeding infant on alternate sides of the lap
E) Use of bottled water without fluoride should be avoided to mix powdered formula.
Q2) A nurse has completed an assessment on a newborn. Which finding is considered abnormal?
A) Nystagmus
B) Profuse drooling
C) Dark green or black stools
D) Slight vaginal reddish discharge
Q3) Which is the most critical physiologic change required of the newborn?
A) Closure of fetal shunts in the heart
B) Stabilization of fluid and electrolytes
C) Body-temperature maintenance
D) Onset of breathing
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Q1) Which is an important nursing consideration in preventing the complications of congenital hypothyroidism (CH)?
A) Assess for family history of CH.
B) Assess mother for signs of hypothyroidism.
C) Be certain appropriate screening is done prenatally.
D) Be certain appropriate screening is done on newborn.
Q2) Which is characteristic of newborns whose mothers smoked during pregnancy?
A) Large for gestational age
B) Preterm, but size appropriate for gestational age
C) Growth retardation in weight only
D) Growth retardation in weight, length, and head circumference
Q3) The nurse is caring for a high-risk newborn with an umbilical catheter in a radiant warmer. The nurse notes blanching of the feet. Which is the most appropriate nursing action?
A) Elevate feet 15 degrees.
B) Place socks on newborn.
C) Wrap feet loosely in prewarmed blanket.
D) Report findings immediately to the practitioner.
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Q1) Which would be the best play activity for a 6-month-old infant to provide tactile stimulation?
A) Allow to splash in bath.
B) Give various colored blocks.
C) Play music box, tapes, or CDs.
D) Use infant swing or stroller.
Q2) Place in order the expected sequence of fine motor developmental milestones for an infant beginning with the first milestone achieved and ending with the last milestone achieved. Provide answer using lowercase letters separated by commas (e.g., a, b, c, d, e).
A) Voluntary palmar grasp
B) Reflex palmar grasp
C) Puts objects into a container
D) Neat pincer grasp
E) Builds a tower of two blocks, but fails
Q3) What is the best age for solid food to be introduced into the infant's diet?
A) 2 to 3 months
B) 4 to 6 months
C) When birth weight has tripled
D) When tooth eruption has started
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Q1) A nurse is preparing to feed a 12-month-old infant with failure to thrive. Which intervention should the nurse implement?
A) Provide stimulation during feeding.
B) Avoid being persistent during feeding time.
C) Limit feeding time to 10 minutes.
D) Maintain a face-to-face posture with the infant during feeding.
Q2) Clinical manifestations of failure to thrive caused by behavioral problems resulting in inadequate intake of calories include:
A) avoidance of eye contact.
B) an associated malabsorption defect.
C) weight that falls below the 15th percentile.
D) normal achievement of developmental landmarks.
Q3) The nurse is helping parents achieve a more nutritionally adequate vegetarian diet for their child. Which is most likely lacking in their particular diet?
A) Fat
B) Protein
C) Vitamins C and A
D) Complete protein
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Q1) A parent of an 18-month-old boy tells the nurse that he says "no" to everything and has rapid mood swings. If he is scolded, he shows anger and then immediately wants to be held. The nurse's best interpretation of this behavior is included in which statement?
A) This is normal behavior for his age.
B) This is unusual behavior for his age.
C) He is not effectively coping with stress.
D) He is showing he needs more attention.
Q2) A toddler's parent asks the nurse for suggestions on dealing with temper tantrums. Which is the most appropriate recommendation?
A) Punish the child.
B) Leave the child alone until the tantrum is over.
C) Remain close by the child but without eye contact.
D) Explain to child that this is wrong.
Q3) Which factor is most important in predisposing toddlers to frequent infections?
A) Respirations are abdominal.
B) Pulse and respiratory rates are slower than those in infancy.
C) Defense mechanisms are less efficient than those during infancy.
D) Toddlers have a short, straight internal ear canal and large lymph tissue.
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Q1) In terms of language and cognitive development, a 4-year-old child would be expected to have which traits? (Select all that apply.)
A) Think in abstract terms.
B) Follow directional commands.
C) Understand conservation of matter.
D) Use sentences of eight words.
E) Tell exaggerated stories.
F) Comprehend another person's perspective.
Q2) Parents tell the nurse that they found their 3-year-old daughter and a male cousin of the same age inspecting each other closely as they used the bathroom. Which is the most appropriate recommendation the nurse should make?
A) Punish children so this behavior stops.
B) Neither condone nor condemn the curiosity.
C) Allow children unrestricted permission to satisfy this curiosity.
D) Get counseling for this unusual and dangerous behavior.
Q3) The recommendation for calcium for children 1 to 3 years of age is _____ milligrams. (Record your answer in a whole number.)
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Q1) Which describes a child who is abused by the parent(s)?
A) Unintentionally contributes to the abusing situation
B) Belongs to a low socioeconomic population
C) Is healthier than the nonabused siblings
D) Abuses siblings in the same way as child is abused by the parent(s)
Q2) The home health nurse is planning care for a 3-year-old boy who has Down syndrome and is receiving continuous oxygen. He recently began walking around furniture. He is spoon-fed by his parents and eats some finger foods. Which is the most appropriate goal to promote normal development?
A) Encourage mobility.
B) Encourage assistance in self-care.
C) Promote oral-motor development.
D) Provide opportunities for socialization.
Q3) What is the result of acute salicylate (ASA, aspirin) poisoning?
A) Chemical pneumonitis
B) Hepatic damage
C) Retractions and grunting
D) Disorientation and loss of consciousness
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Q1) Which is characteristic of dishonest behavior in children ages 8 to 10 years?
A) Cheating during games is now more common.
B) Lying results from the inability to distinguish between fact and fantasy.
C) They may steal because their sense of property rights is limited.
D) They may lie to meet expectations set by others that they have been unable to attain.
Q2) Which statement characterizes moral development in the older school-age child?
A) They are able to judge an act by the intentions that prompted it rather than just by the consequences.
B) Rules and judgments become more absolute and authoritarian.
C) They view rule violations in an isolated context.
D) They know the rules but cannot understand the reasons behind them.
Q3) Bullying can be common during the school-age years. The nurse should recognize that which applies to bullying?
A) Can have a lasting effect on children
B) Is not a significant threat to self-concept
C) Is rarely based on anything that is concrete
D) Is usually ignored by the child who is being bullied
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Q1) An adolescent boy tells the nurse that he has recently had homosexual feelings. What knowledge should the nurse's response be based on?
A) This indicates the adolescent is homosexual.
B) This indicates the adolescent will become homosexual as an adult.
C) The adolescent should be referred for psychotherapy.
D) The adolescent should be encouraged to share his feelings and experiences.
Q2) A 14-year-old adolescent never had chickenpox as a child. What should the nurse expect the health care provider to recommend?
A) One dose of the varicella vaccination
B) Two doses of the varicella vaccination 4 weeks apart
C) One dose of the varicella immune globulin
D) No vaccinations-the child is past the age to receive it
Q3) A 14-year-old boy seems to be always eating, although his weight is appropriate for his height. What is the best explanation for this?
A) This is normal because of increase in body mass.
B) This is abnormal and suggestive of future obesity.
C) His caloric intake would have to be excessive.
D) He is substituting food for unfilled needs.
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Q1) Which is the most significant factor in distinguishing those who commit suicide from those who make suicidal attempts or threats?
A) Social isolation
B) Level of stress
C) Degree of depression
D) Desire to punish others
Q2) An adolescent teen has bulimia. Which assessment finding should the nurse expect to assess?
A) Diarrhea
B) Amenorrhea
C) Cold intolerance
D) Erosion of tooth enamel
Q3) Which statement regarding chlamydia infection is correct?
A) Treatment of choice is oral penicillin.
B) Treatment of choice is nystatin or miconazole.
C) Clinical manifestations include dysuria and urethral itching in males.
D) Clinical manifestations include small, painful vesicles on genital areas.
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Q1) The nurse is talking with the parents of a child who died 6 months ago. They sometimes still "hear" the child's voice and have trouble sleeping. They describe feeling "empty" and depressed. How should the nurse interpret these feelings?
A) These are normal grief responses
B) The pain of the loss is usually less by this time
C) These grief responses are more typical of the early stages of grief
D) This grieving is essential until the pain is gone and the child is gradually forgotten.
Q2) A common parental reaction to a child with special needs is parental overprotection. What parental behavior is suggestive of this behavior?
A) Giving inconsistent discipline
B) Providing consistent, strict discipline
C) Forcing child to help self, even when not capable
D) Encouraging social and educational activities not appropriate to child's level of capability
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Q1) A nurse is preparing to perform a dressing change on a 6-year-old child with mild cognitive impairment (CI) who sustained a minor burn. Which strategy should the nurse use to prepare the child for this procedure?
A) Verbally explain what will be done.
B) Have the child watch a video on dressing changes.
C) Demonstrate a dressing change on a doll.
D) Explain the importance of keeping the burn area clean.
Q2) Autism is a complex developmental disorder. The diagnostic criteria for autism include delayed or abnormal functioning in which areas with onset before age 3 years? (Select all that apply.)
A) Language as used in social communication
B) Parallel play
C) Gross motor development
D) Growth below the 5th percentile for height and weight
E) Symbolic or imaginative play
F) Social interaction
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Q1) Kimberly, age 3 years, is being admitted for about 1 week of hospitalization. Her parents tell the nurse that they are going to buy her "a lot of new toys, because she will be in the hospital." The nurse's reply should be based on an understanding of which concept?
A) New toys make hospitalization easier.
B) New toys are usually better than older ones for children of this age.
C) At this age, children often need the comfort and reassurance of familiar toys from home.
D) Buying new toys for a hospitalized child is a maladaptive way to cope with parental guilt.
Q2) A child has just been unexpectedly admitted to the intensive care unit after abdominal surgery. The nursing staff has completed the admission process, and the child's condition is beginning to stabilize. When speaking with the parents, the nurses should expect which stressors to be evident? (Select all that apply.)
A) Unfamiliar environment
B) Usual day-night routine
C) Strange smells
D) Provision of privacy
E) Inadequate knowledge of condition and routine
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Q1) The nurse is preparing to insert a nasogastric tube into a 4-year-old child for intermittent suctioning after abdominal surgery. Place in correct sequence the steps for inserting a nasogastric tube. Provide the answer using lowercase letters separated by commas (e.g., a, b, c, d, e, f).
A) Lubricate the nasogastric tube with water-soluble lubricant.
B) Tape the nasogastric tube securely to the child's face.
C) Check the placement of the tube by aspirating stomach contents.
D) Place the child in the supine position with head slightly hyperflexed.
E) Insert the nasogastric tube through the nares.
F)Measure the tube from the tip of the nose to the ear lobe to midpoint between the xiphoid process and the umbilicus.
Q2) When teaching a mother how to administer eye drops, where should the nurse tell her to place them?
A) In the conjunctival sac that is formed when the lower lid is pulled down
B) Carefully under the eye lid while it is gently pulled upward
C) On the sclera while the child looks to the side
D) Anywhere as long as drops contact the eye's surface
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Q1) A school-age child had an upper respiratory tract infection for several days and then began having a persistent dry, hacking cough that was worse at night. The cough has become productive in the past 24 hours. This is most suggestive of which diagnosis?
A) Bronchitis
B) Bronchiolitis
C) Viral-induced asthma
D) Acute spasmodic laryngitis
Q2) A nurse is caring for a school-age child with left unilateral pneumonia and pleural effusion. A chest tube has been inserted to promote continuous closed chest drainage. Which interventions should the nurse implement when caring for this child? (Select all that apply.)
A) Positioning child on the right side
B) Assessing the chest tube and drainage device for correct settings
C) Administering prescribed doses of analgesia
D) Clamping the chest tube when child ambulates
E) Monitoring for need of supplemental oxygen
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Q1) A nurse is admitting an infant with dehydration caused from water loss in excess of electrolyte loss. Which type of dehydration is this infant experiencing?
A) Isotonic
B) Isosmotic
C) Hypotonic
D) Hypertonic
Q2) The nurse is preparing to care for an infant returning from pyloromyotomy surgery. Which prescribed orders should the nurse anticipate implementing? (Select all that apply.)
A) NPO for 24 hours
B) Administration of analgesics for pain
C) Ice bag to the incisional area
D) IV fluids continued until tolerating PO
E) Clear liquids as the first feeding
Q3) What is the best description of pyloric stenosis?
A) Dilation of the pylorus
B) Hypertrophy of the pyloric muscle
C) Hypotonicity of the pyloric muscle
D) Reduction of tone in the pyloric muscle
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Q1) The nurse is teaching nursing students about shock that occurs in children. What is one of the most frequent causes of hypovolemic shock in children?
A) Sepsis
B) Blood loss
C) Anaphylaxis
D) Congenital heart disease
Q2) The parents of a young child with heart failure tell the nurse that they are "nervous" about giving digoxin (Lanoxin). The nurse's response should be based on which statement?
A) It is a safe, frequently used drug.
B) It is difficult to either overmedicate or undermedicate with digoxin.
C) Parents lack the expertise necessary to administer digoxin.
D) Parents must learn specific, important guidelines for administration of digoxin.
Q3) Which defect results in increased pulmonary blood flow?
A) Pulmonic stenosis
B) Tricuspid atresia
C) Atrial septal defect
D) Transposition of the great arteries
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Q1) Which child should the nurse document as being anemic?
A) 7-year-old child with a hemoglobin of 11.5 g/dl
B) 3-year-old child with a hemoglobin of 12 g/dl
C) 14-year-old child with a hemoglobin of 10 g/dl
D) 1-year-old child with a hemoglobin of 13 g/dl
Q2) The nurse is conducting a staff in-service on inherited childhood blood disorders. Which statement describes severe combined immunodeficiency syndrome (SCIDS)?
A) There is a deficit in both the humoral and cellular immunity with this disease.
B) Production of red blood cells is affected with this disease.
C) Adult hemoglobin is replaced by abnormal hemoglobin in this disease.
D) There is a deficiency of T and B lymphocyte production with this disease.
Q3) An 8-year-old girl is receiving a blood transfusion when the nurse notes that she has developed precordial pain, dyspnea, distended neck veins, slight cyanosis, and a dry cough. Of what are these manifestations most suggestive?
A) Air emboli
B) Allergic reaction
C) Hemolytic reaction
D) Circulatory overload
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Q1) The home care nurse has been visiting an adolescent with recently acquired tetraplegia. The teen's mother tells the nurse, "I'm sick of providing all the care while my husband does whatever he wants to, whenever he wants to do it." Which should be the initial action of the nurse?
A) Refer mother for counseling.
B) Listen and reflect mother's feelings.
C) Ask father, in private, why he does not help.
D) Suggest ways the mother can get her husband to help.
Q2) The treatment of brain tumors in children consists of which therapies? (Select all that apply.)
A) Surgery
B) Bone marrow transplantation
C) Chemotherapy
D) Stem cell transplantation
E) Radiation
F) Myelography
Q3) A toddler with leukemia is on intravenous chemotherapy treatments. The toddler's lab results are WBC: 1000; neutrophils: 7%; nonsegmented neutrophils (bands): 7%. What is this child's absolute neutrophil count (ANC)? (Record your answer in a whole number.)
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Q1) Which is a major complication in a child with chronic renal failure?
A) Hypokalemia
B) Metabolic alkalosis
C) Water and sodium retention
D) Excessive excretion of blood urea nitrogen
Q2) The nurse is conducting a staff in-service on newborn defects of the genitourinary system. Which describes the narrowing of the preputial opening of the foreskin?
A) Chordee
B) Phimosis
C) Epispadias
D) Hypospadias
Q3) A school-age child is admitted to the hospital with acute glomerulonephritis and oliguria. Which dietary menu items should be allowed for this child? (Select all that apply.)
A) Apples
B) Bananas
C) Cheese
D) Carrot sticks
E) Strawberries
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Q1) Which type of seizure involves both hemispheres of the brain?
A) Focal
B) Partial
C) Generalized
D) Acquired
Q2) A child is brought to the emergency department after experiencing a seizure at school. There is no previous history of seizures. The father tells the nurse that he cannot believe the child has epilepsy. What is the nurse's best response?
A) "Epilepsy is easily treated."
B) "Very few children have actual epilepsy."
C) "The seizure may or may not mean that your child has epilepsy."
D) "Your child has had only one convulsion; it probably won't happen again."
Q3) What are the vector reservoirs for agents causing viral encephalitis in the United States?
A) Tarantula spiders
B) Mosquitoes
C) Carnivorous wild animals
D) Domestic and wild animals
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Q1) A nurse is planning care for a school-age child with type 1 diabetes. Which insulin preparations are rapid and short acting? (Select all that apply.)
A) Novolin N
B) Lantus
C) NovoLog
D) Novolin R
Q2) The nurse should teach parents of a preschool child with type 1 diabetes that which can raise the blood glucose level?
A) Exercise
B) Steroids
C) Decreased food intake
D) Lantus insulin
Q3) The nurse is caring for an 8-year-old child with type 1 diabetes. The nurse should teach the child to monitor for which manifestation of hypoglycemia?
A) Lethargy
B) Thirst
C) Nausea and vomiting
D) Shaky feeling and dizziness
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Sample Questions
Q1) A nurse is conducting discharge teaching for parents of an infant with osteogenesis imperfecta (OI). Further teaching is indicated if the parents make which statement?
A) "We will be very careful handling the baby."
B) "We will lift the baby by the buttocks when diapering."
C) "We're glad there is a cure for this disorder."
D) "We will schedule follow-up appointments as instructed."
Q2) The nurse is conducting a staff in-service on casts. Which is an advantage to using a fiberglass cast instead of a plaster of Paris cast?
A) Cheaper
B) Dries rapidly
C) Molds closely to body parts
D) Smooth exterior
Q3) Which type of traction uses skin traction on the lower leg and a padded sling under the knee?
A) Dunlop
B) Bryant
C) Russell
D) Buck extension
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/4160
Sample Questions
Q1) The parents of a child with cerebral palsy ask the nurse whether any drugs can decrease their child's spasticity. The nurse's response should be based on which statement?
A) Anticonvulsant medications are sometimes useful for controlling spasticity.
B) Medications that would be useful in reducing spasticity are too toxic for use with children.
C) Many different medications can be highly effective in controlling spasticity.
D) Implantation of a pump to deliver medication into the intrathecal space to decrease spasticity has recently become available.
Q2) The nurse is conducting discharge teaching to parents of a preschool child with myelomeningocele, repaired at birth, being discharged from the hospital after a urinary tract infection (UTI). Which should the nurse include in the discharge instructions related to management of the child's genitourinary function? (Select all that apply.)
A) Continue to perform the clean intermittent catheterizations (CIC) at home.
B) Administer the oxybutynin chloride (Ditropan) as prescribed.
C) Reduce fluid intake in the afternoon and evening hours.
D) Monitor for signs of a recurrent urinary tract infection.
E) Administer furosemide (Lasix) as prescribed.
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