Clinical Pediatric Nursing Exam
Materials
Course Introduction
Clinical Pediatric Nursing focuses on the specialized care of infants, children, and adolescents in a variety of healthcare settings. The course emphasizes the assessment, planning, implementation, and evaluation of nursing interventions to meet the unique needs of pediatric patients and their families. Core topics include growth and development principles, common pediatric diseases and disorders, family-centered care, communication techniques appropriate for children, and strategies for managing acute and chronic health problems. Students gain practical experience in clinical environments, developing skills in medication administration, health promotion, and coordination with multidisciplinary teams to ensure safe and effective pediatric nursing care.
Recommended Textbook
Wongs Essentials of Pediatric Nursing 9th Edition by Marilyn J. Hockenberry
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32 Chapters
1176 Verified Questions
1176 Flashcards
Source URL: https://quizplus.com/study-set/1141 Page 2
Chapter 1: Perspectives of Pediatric Nursing
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) Which is most descriptive of clinical reasoning?
A)A simple developmental process
B)Purposeful and goal-directed
C)Based on deliberate and irrational thought
D)Assists individuals in guessing what is most appropriate
Answer: B
Q2) A nurse is planning a teaching session for parents of preschool children.Which statement explains why the nurse should include information about morbidity and mortality?
A)Life-span statistics are included in the data.
B)It explains effectiveness of treatment.
C)Cost-effective treatment is detailed for the general population.
D)High-risk age groups for certain disorders or hazards are identified.
Answer: D
Q3) Which action by the nurse demonstrates use of evidence-based practice (EBP)?
A)Gathering equipment for a procedure
B)Documenting changes in a patient's status
C)Questioning the use of daily central line dressing changes
D)Clarifying a physician's prescription for morphine
Answer: C
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Chapter 2: Community-Based Nursing Care of the Child and Family
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7 Verified Questions
7 Flashcards
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Sample Questions
Q1) A nurse is collecting subjective and objective information about target populations to diagnose problems based on community needs.This describes which step in the community nursing process?
A)Planning
B)Diagnosis
C)Assessment
D)Establishing objectives
Answer: C
Q2) A school nurse is conducting vision and hearing testing on fifth-grade children.Which level of prevention is the nurse demonstrating?
A)Primary
B)Secondary
C)Tertiary
D)Health promotion
Answer: B
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Page 4
Chapter 3: Family Influences on Child Health Promotion
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) Which family theory explains how families react to stressful events and suggests factors that promote adaptation to these events?
A)Interactional theory
B)Developmental systems theory
C)Family stress theory
D)Duvall's developmental theory
Answer: C
Q2) Divorced parents of a preschool child are asking whether their child will display any feelings or behaviors related to the effect of the divorce.The nurse is correct when explaining that the parents should be prepared for which type of behaviors? (Select all that apply.)
A)Displaying fears of abandonment
B)Verbalizing that he or she "is the reason for the divorce"
C)Displaying fear regarding the future
D)Ability to disengage from the divorce proceedings
E)Engaging in fantasy to understand the divorce
Answer: A,B,E
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Chapter 4: Social,Cultural,and Religious Influences on Child
Health Promotion
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) 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
Q2) The nurse observes that the families who do not show up for scheduled clinic appointments are usually from minority cultural groups.The best explanation for this is that these families often differ from the dominant culture because they:
A)lack education.
B)avoid health care.
C)are more forgetful.
D)view time differently.
Q3) Currently,the fastest-growing segment of the homeless population in the United States consists of:
A)families.
B)"runaway" adolescents.
C)migrant farm workers.
D)individuals with mental disorders.
Page 6
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Chapter 5: Developmental and Genetic Influences on Child
Health Promotion
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) A nurse observes a toddler playing with sand and water.The nurse appropriately documents this type of play as _____ play.
A)skill
B)dramatic
C)social-affective
D)sense-pleasure
Q2) The nurse is recording a normal interpretation of a Denver II assessment.The nurse understands that the maximum number of cautions determined for a normal interpretation is _____.(Record your answer in a whole number.)
Q3) An infant who weighs 7 pounds at birth would be expected to weigh how many pounds at age 1 year?
A)14
B)16
C)18
D)21
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Chapter 6: Communication and Physical Assessment of the Child
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62 Verified Questions
62 Flashcards
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Sample Questions
Q1) Where in the health history should the nurse describe all details related to the chief complaint?
A)Past history
B)Chief complaint
C)Present illness
D)Review of systems
Q2) The nurse has determined the rate of both the child's radial pulse and heart.When comparing the two rates,the nurse should expect that normally they:
A)are the same.
B)differ, with heart rate faster.
C)differ, with radial pulse faster.
D)differ, depending on quality and intensity.
Q3) A nurse is preparing to test a school-age child's vision.Which eye chart should the nurse use?
A)Denver Eye Screening Test
B)Allen picture card test
C)Ishihara vision test
D)Snellen letter chart
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Chapter 7: Pain Assessment and Management in Children
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) Surgery has informed a nurse that the patient returning to the floor after spinal surgery has an opioid epidural catheter for pain management.The nurse should prepare to monitor the patient for which side effects of an opioid epidural catheter? (Select all that apply.)
A)Urinary frequency
B)Nausea
C)Itching
D)Respiratory depression
Q2) Physiologic measurements in children's pain assessment are:
A)the best indicator of pain in children of all ages.
B)essential to determine whether a child is telling the truth about pain.
C)of most value when children also report having pain.
D)of limited value as sole indicator of pain.
Q3) 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
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Chapter 8: Health Promotion of the Newborn and Family
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46 Verified Questions
46 Flashcards
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Sample Questions
Q1) The nurse notes the first stool of a newborn is black and tarry.Which term is used to describe this type of stool?
A)Meconium
B)Transitional
C)Miliaria
D)Milk stool
Q2) The nurse is presenting an in-service session on assessing gestational age in newborns.Which information should be included?
A)The newborn's length and weight are the most accurate indicators of gestational age.
B)The newborn's Apgar score and the mother's estimated date of confinement (EDC) are combined to determine gestational age.
C)The newborn's posture at rest and arm recoil are two physical signs used to determine gestational age.
D)The newborn's chest circumference compared to the head circumference is the determinant for gestational age.
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10
Chapter 9: Health Problems of Newborns
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71 Verified Questions
71 Flashcards
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Sample Questions
Q1) Which is a bright red,rubbery nodule with a rough surface and a well-defined margin that may be present at birth?
A)Port-wine stain
B)Juvenile melanoma
C)Cavernous hemangioma
D)Strawberry hemangioma
Q2) Which should the nurse anticipate in the newborn whose mother used cocaine during pregnancy?
A)Seizures
B)Hyperglycemia
C)Cardiac and respiratory problems
D)Neurobehavioral depression or excitability
Q3) Which is an important nursing consideration in the care of the newborn with PKU?
A)Suggest ways to make formula more palatable.
B)Teach proper administration of phenylalanine hydroxylase.
C)Encourage the breastfeeding mother to adhere to low-phenylalanine diet.
D)Give reassurance that dietary restrictions are a temporary inconvenience.
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Chapter 10: Health Promotion of the Infant and Family
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44 Verified Questions
44 Flashcards
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Sample Questions
Q1) A nurse is conducting a teaching session for parents of infants.The nurse explains that which behavior indicates that an infant has developed object permanence?
A)Recognizes familiar face, such as mother
B)Recognizes familiar object, such as bottle
C)Actively searches for a hidden object
D)Secures objects by pulling on a string
Q2) A parent asks the nurse whether her infant is susceptible to pertussis.The nurse's response should be based on which statement concerning susceptibility to pertussis?
A)Neonates will be immune the first few months.
B)If the mother has had the disease, the infant will receive passive immunity.
C)Children younger than 1 year seldom contract this disease.
D)Most children are highly susceptible from birth.
Q3) The nurse should teach parents that which age is safe to give infants whole milk instead of commercial infant formula?
A)6 months
B)9 months
C)12 months
D)18 months
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12
Chapter 11: Health Problems of Infants
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) 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.
Q2) To prevent plagiocephaly,the nurse should teach parents to:
A)place infant prone for 30 to 60 minutes per day.
B)buy a soft mattress.
C)allow infant to nap in the car safety seat.
D)have infant sleep with the parents.
Q3) An infant has been diagnosed with cow's milk allergy.What are the clinical manifestations the nurse expects to assess? (Select all that apply.)
A)Pink mucous membranes
B)Vomiting
C)Rhinitis
D)Abdominal pain
E)Moist skin
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Chapter 12: Health Promotion of the Toddler and Family
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) The nurse recommends to parents that peanuts are not a good snack food for toddlers.The nurse's rationale for this action is that they:
A)are low in nutritive value.
B)are high in sodium.
C)cannot be entirely digested.
D)can be easily aspirated.
Q2) Which statement is correct about toilet training?
A)Bladder training is usually accomplished before bowel training.
B)Wanting to please the parent helps motivate the child to use the toilet.
C)Watching older siblings use the toilet confuses the child.
D)Children must be forced to sit on the toilet when first learning.
Q3) Parents tell the nurse that their toddler daughter eats little at mealtime,only sits at the table with the family briefly,and wants snacks "all the time." Which intervention should the nurse recommend?
A)Give her nutritious snacks.
B)Offer rewards for eating at mealtimes.
C)Avoid snacks so she is hungry at mealtimes.
D)Explain to her in a firm manner what is expected of her.
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Chapter 13: Health Promotion of the Preschooler and Family
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24 Verified Questions
24 Flashcards
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Sample Questions
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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15
Chapter 14: Health Problems of Toddlers and Preschoolers
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) A nurse is teaching parents about caring for their child with chickenpox.The nurse should let the parents know that the child is considered to be no longer contagious when which occurs?
A)When fever is absent
B)When lesions are crusted
C)24 hours after lesions erupt
D)8 days after onset of illness
Q2) Chelation therapy for lead poisoning is initiated when a child's blood level is _____ g/dl.
A)10 to 14
B)15 to 19
C)20 to 44
D)>45
Q3) 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)
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16
Chapter 15: Health Promotion of the School-Age Child and Family
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) A school nurse observes school-age children playing at recess.Which is descriptive of the play the nurse expects to observe?
A)Individuality in play is better tolerated than at earlier ages.
B)Knowing the rules of a game gives an important sense of belonging.
C)They like to invent games, making up the rules as they go.
D)Team play helps children learn the universal importance of competition and winning.
Q2) A 9-year-old girl often comes to the school nurse complaining of stomach pains.Her teacher says she is completing her school work satisfactorily but lately has been somewhat aggressive and stubborn in the classroom.The school nurse should recognize this as:
A)signs of stress.
B)developmental delay.
C)physical problem causing emotional stress.
D)lack of adjustment to school environment.
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Chapter 16: Health Promotion of the Adolescent and Family
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) Which aspect of cognition develops during adolescence?
A)Capability to use a future time perspective
B)Ability to place things in a sensible and logical order
C)Ability to see things from the point of view of another
D)Progress from making judgments based on what they see to making judgments based on what they reason
Q2) A 14-year-old adolescent never had chickenpox as a child.Which should the nurse 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) The estimated average requirement of calcium for an adolescent is _____ milligrams.(Record your answer in a whole number.)
Q4) The most common cause of death in the adolescent age group involves:
A)drownings.
B)firearms.
C)drug overdoses.
D)motor vehicles.
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Chapter 17: Health Problems of School-Age Children and Adolescents
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43 Verified Questions
43 Flashcards
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Sample Questions
Q1) An adolescent asks the nurse what causes primary dysmenorrhea.The nurse's response should be based on which statement?
A)It is an inherited problem.
B)Excessive estrogen production causes uterine pain.
C)There is no physiologic cause; it is a psychological reaction.
D)There is a relation between prostaglandins and uterine contractility.
Q2) Parents have a concern that their child is depressed.The nurse relates that which characteristic best describes children with depression?
A)Increased range of affective response
B)Preoccupation with need to perform well in school
C)Change in appetite, resulting in weight loss or gain
D)Tendency to prefer play instead of schoolwork
Q3) A nurse is conducting a class for adolescent girls about pelvic inflammatory disease (PID).Why should the nurse emphasize the importance of preventing pelvic inflammatory disease (PID)?
A)PID can be sexually transmitted.
B)PID cannot be treated.
C)PID can have devastating effects on the reproductive tract.
D)PID can cause serious defects in future children of affected adolescents.
Page 19
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Chapter 18: Quality of Life for Children Living with Chronic or Complex Diseases
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40 Flashcards
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Sample Questions
Q1) A 16-year-old boy with a chronic illness has recently become rebellious and is taking risks such as missing doses of his medication.The nurse should explain to his parents that:
A)he needs more discipline.
B)he needs more socialization with peers.
C)this is part of normal adolescence.
D)this is how he is asking for more parental control.
Q2) Which is most descriptive of a school-age child's reaction to death?
A)Is very interested in funerals and burials
B)Has little understanding of words such as forever
C)Imagines the deceased person to be still alive
D)Has an idealistic view of world and criticizes funerals as barbaric
Q3) At what developmental period do children have the most difficulty coping with death,particularly if it is their own?
A)Toddlerhood
B)Preschool
C)School-age
D)Adolescence
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Chapter 19: Impact of Cognitive or Sensory Impairment on the Child and Family
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38 Verified Questions
38 Flashcards
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Sample Questions
Q1) When a child with mild cognitive impairment reaches the end of adolescence,which characteristic should be expected?
A)Achieves a mental age of 5 to 6 years
B)Achieves a mental age of 8 to 12 years
C)Unable to progress in functional reading or arithmetic
D)Acquires practical skills and useful reading and arithmetic to an eighth-grade level
Q2) A child has just been diagnosed with fragile X syndrome.The nurse recognizes that fragile X syndrome is:
A)a chromosomal defect affecting females only.
B)a chromosomal defect that follows the pattern of X-linked recessive disorders.
C)the second most common genetic cause of mental retardation.
D)the most common cause of noninherited mental retardation.
Q3) What is one of the major physical characteristics of the child with Down syndrome?
A)Excessive height
B)Spots on the palms
C)Inflexibility of the joints
D)Hypotonic musculature
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Page 21
Chapter 20: Family-Centered Home Care
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) The home health nurse is caring for a child who requires complex care.The family expresses frustration related to obtaining accurate information about their child's illness and its management.Which is the best action for the nurse?
A)Determine why family is easily frustrated.
B)Refer family to child's primary care practitioner.
C)Clarify family's request, and provide information they want.
D)Answer only questions that family needs to know about.
Q2) The home health nurse asks a child's mother many questions as part of the assessment.The mother answers many questions,then stops and says,"I don't know why you ask me all this.Who gets to know this information?" The nurse should take which action?
A)Determine why the mother is so suspicious.
B)Determine what the mother does not want to tell.
C)Explain who will have access to the information.
D)Explain that everything is confidential and that no one else will know what is said.
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Chapter 21: Family-Centered Care of the Child During
Illness and Hospitalization
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) Four-year-old Brian appears to be upset by hospitalization.Which is an appropriate intervention?
A)Let him know it is all right to cry.
B)Give him time to gain control of himself.
C)Show him how other children are cooperating.
D)Tell him what a big boy he is to be so quiet.
Q2) A nurse is preparing to complete an admission assessment on a 2-year-old child.The child is sitting on the parent's lap.Which technique should the nurse implement to complete the physical exam?
A)Ask the parent to place the child in the hospital crib.
B)Take the child and parent to the exam room.
C)Perform the exam while the child is on the parent's lap.
D)Ask the child to stand by the parent while completing the exam.
Q3) Which age group should the pediatric nurse recognize as being vulnerable to events that lessen their feeling of control and power?
A)Infants
B)Toddlers
C)Preschoolers
D)School-age children
Page 23
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Chapter 22: Pediatric Variations of Nursing Interventions
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Sample Questions
Q1) A 3-year-old child has a fever associated with a viral illness.Her mother calls the nurse,reporting a fever of 102° F even though she had acetaminophen 2 hours ago.The nurse's action should be based on which statement?
A)Fevers such as this are common with viral illnesses.
B)Seizures are common in children when antipyretics are ineffective.
C)Fever over 102° F indicates greater severity of illness.
D)Fever over 102° F indicates a probable bacterial infection.
Q2) Which is the preferred site for intramuscular injections in infants?
A)Deltoid
B)Dorsogluteal
C)Rectus femoris
D)Vastus lateralis
Q3) A 2-year-old child comes to the emergency department with dehydration and hypovolemic shock.Which best explains why an intraosseous infusion is started?
A)It is less painful for small children.
B)Rapid venous access is not possible.
C)Antibiotics must be started immediately.
D)Long-term central venous access is not possible.
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Chapter 23: The Child with Respiratory Dysfunction
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Sample Questions
Q1) Pancreatic enzymes are administered to the child with cystic fibrosis (CF).Nursing considerations should include to:
A)not administer pancreatic enzymes if child is receiving antibiotics.
B)decrease dose of pancreatic enzymes if child is having frequent, bulky stools.
C)administer pancreatic enzymes between meals if at all possible.
D)pancreatic enzymes can be swallowed whole or sprinkled on a small amount of food taken at the beginning of a meal.
Q2) It is generally recommended that a child with acute streptococcal pharyngitis can return to school:
A)when sore throat is better.
B)if no complications develop.
C)after taking antibiotics for 24 hours.
D)after taking antibiotics for 3 days.
Q3) A child is being admitted to the hospital to be tested for cystic fibrosis (CF).Which tests should the nurse expect?
A)Sweat chloride test, stool for fat, chest radiograph films
B)Stool test for fat, gastric contents for hydrochloride, chest radiograph films
C)Sweat chloride test, bronchoscopy, duodenal fluid analysis
D)Sweat chloride test, stool for trypsin, biopsy of intestinal mucosa
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Page 25
Chapter 24: The Child with Gastrointestinal Dysfunction
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Sample Questions
Q1) Which is a high-fiber food that the nurse should recommend for a child with chronic constipation?
A)Popcorn
B)Pancakes
C)Muffins
D)Ripe bananas
Q2) An infant with pyloric stenosis experiences excessive vomiting that can result in:
A)hyperchloremia.
B)hypernatremia.
C)metabolic acidosis.
D)metabolic alkalosis.
Q3) An infant is brought to the emergency department with dehydration.Which physical assessment finding does the nurse expect?
A)Weight gain
B)Bradycardia
C)Poor skin turgor
D)Brisk capillary refill
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26
Chapter 25: The Child with Cardiovascular Dysfunction
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Sample Questions
Q1) The nurse is preparing an adolescent for discharge after a cardiac catheterization.Which statement by the adolescent would indicate a need for further teaching?
A)"I should avoid tub baths but may shower."
B)"I have to stay on strict bed rest for 3 days."
C)"I should remove the pressure dressing the day after the procedure."
D)"I may attend school but should avoid exercise for several days."
Q2) Which painful,tender,pea-sized nodules may appear on the pads of the fingers or toes in bacterial endocarditis?
A)Osler nodes
B)Janeway lesions
C)Subcutaneous nodules
D)Aschoff nodes
Q3) Clinical manifestations of toxic shock syndrome include:
A)severe hypertension.
B)subnormal temperature.
C)erythematous macular rash.
D)papular rash over extremities.
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Chapter 26: The Child with Hematologic or Immunologic Dysfunction
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Sample Questions
Q1) A young child with leukemia has anorexia and severe stomatitis.The nurse should suggest that the parents try which intervention?
A)Relax any eating pressures.
B)Firmly insist that child eat normally.
C)Begin gavage feedings to supplement diet.
D)Serve foods that are either hot or cold.
Q2) The nurse has initiated a blood transfusion on a preschool child.The child begins to exhibit signs of a transfusion reaction.Place in order the interventions the nurse should implement sequencing from the highest priority to the lowest.Provide answer using lowercase letters separated by commas (e.g.,a,b,c,d).
a. Take the vital signs.
b. Stop the transfusion.
c. Notify the practitioner.
d. Maintain a patent IV line with normal saline.
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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Page 28
Chapter 27: The Child with Genitourinary Dysfunction
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Sample Questions
Q1) Which is a common side effect of short-term corticosteroid therapy?
A)Fever
B)Hypertension
C)Weight loss
D)Increased appetite
Q2) The nurse is conducting an admission assessment on a school-age child with acute renal failure.Which are the primary clinical manifestations the nurse expects to find with this condition?
A)Oliguria and hypertension
B)Hematuria and pallor
C)Proteinuria and muscle cramps
D)Bacteriuria and facial edema
Q3) Which should the nurse recommend for the diet of a child with chronic renal failure?
A)High in protein
B)Low in vitamin D
C)Low in phosphorus
D)Supplemented with vitamins A, E, and K
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Chapter 28: The Child with Cerebral Dysfunction
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50 Verified Questions
50 Flashcards
Source URL: https://quizplus.com/quiz/22394
Sample Questions
Q1) The nurse is teaching nursing students about childhood fractures.Which describes a compound skull fracture?
A)Involves the basilar portion of the occipital bone
B)Bone is exposed through the skin
C)Traumatic separations of the cranial sutures
D)Bone is pushed inward, causing pressure on the brain
Q2) The nurse is performing a Glasgow Coma Scale on a school-age child with a head injury.The child opens eyes spontaneously,obeys commands,and is oriented to person,time,and place.Which is the score the nurse should record?
A)8
B)11
C)13
D)15
Q3) The nurse is taking care of a child who is alert but showing signs of increased intracranial pressure.Which test is contraindicated in this case?
A)Oculovestibular response
B)Doll's head maneuver
C)Funduscopic examination for papilledema
D)Assessment of pyramidal tract lesions
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Chapter 29: The Child with Endocrine Dysfunction
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/22395
Sample Questions
Q1) A neonate born with ambiguous genitalia is diagnosed with congenital adrenogenital hyperplasia.Therapeutic management includes administration of: A)vitamin D.
B)cortisone.
C)stool softeners.
D)calcium carbonate.
Q2) To help the adolescent deal with diabetes,the nurse must consider which characteristic of adolescence?
A)Desire to be unique
B)Preoccupation with the future
C)Need to be perfect and similar to peers
D)Need to make peers aware of the seriousness of hypoglycemic reactions
Q3) The nurse is implementing care for a school-age child admitted to the pediatric intensive care in diabetic ketoacidosis (DKA).Which prescribed intervention should the nurse implement first?
A)Begin 0.9% saline solution intravenously as prescribed.
B)Administer regular insulin intravenously as prescribed.
C)Place child on a cardiac monitor.
D)Place child on a pulse oximetry monitor.
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Chapter 30: The Child with Integumentary Dysfunction
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58 Verified Questions
58 Flashcards
Source URL: https://quizplus.com/quiz/22396
Sample Questions
Q1) A child experiences frostbite of the fingers after prolonged exposure to the cold.Which intervention should the nurse implement first?
A)Rapid rewarming of the fingers by placing in warm water
B)Placing the hand in cool water
C)Slow rewarming by wrapping in warm cloth
D)Using an ice pack to keep cold until medical intervention is possible
Q2) Which should the nurse include when teaching parents about preventing childhood burn injuries? (Select all that apply.)
A)Keep hot liquids out of reach.
B)Baby-proof electrical outlets.
C)Turn water heater thermostats to a maximum of 150° F.
D)Heat infant formula in the microwave.
E)Test water temperature before placing your child in the tub bath.
Q3) A young child has sustained a minor burn to the foot.Which is recommended for treatment of a minor burn?
A)Apply ice to foot.
B)Apply cortisone ointment.
C)Apply an occlusive dressing.
D)Cleanse the wound with a mild soap and tepid water.
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Chapter 31: The Child with Musculoskeletal or Articular Dysfunction
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37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/22397
Sample Questions
Q1) An adolescent with juvenile idiopathic arthritis (JIA)is prescribed abatacept (Orencia).Which should the nurse teach the adolescent regarding this medication? (Select all that apply.)
A)Avoid receiving live immunizations while taking the medication.
B)Before beginning this medication, a tuberculin screening test will be done.
C)You will be getting a twice-a-day dose of this medication.
D)This medication is taken orally.
Q2) An adolescent with a fractured femur is in Russell's traction.Surgical intervention to correct the fracture is scheduled for the morning.Nursing actions should include which action?
A)Maintaining continuous traction until 1 hour before the scheduled surgery
B)Maintaining continuous traction and checking position of traction frequently
C)Releasing traction every hour to perform skin care
D)Releasing traction once every 8 hours to check circulation
Q3) A nurse is conducting a staff in-service on childhood cancers.Which is the primary site of osteosarcoma?
A)Femur
B)Humerus
C)Pelvis
D)Tibia
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Chapter 32: The Child with Neuromuscular or Muscular Dysfunction
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/22398
Sample Questions
Q1) Latex allergy is suspected in a child with spina bifida.Appropriate nursing interventions include which action?
A)Avoid using any latex product.
B)Use only nonallergenic latex products.
C)Administer medication for long-term desensitization.
D)Teach family about long-term management of asthma.
Q2) Which should the nurse expect to find in the cerebral spinal fluid (CSF)results of a child with Guillain-Barré syndrome (GBS)? (Select all that apply.)
A)Decreased protein concentration
B)Normal glucose
C)Fewer than 10 white blood cells (WBCs/mm3)
D)Elevated red blood cell (RBC) count
Q3) How much folic acid is recommended for women of childbearing age?
A)1.0 mg
B)0.4 mg
C)1.5 mg
D)2.0 mg
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