Clinical Pediatrics
Final Test Solutions
Course Introduction
Clinical Pediatrics is a comprehensive course that focuses on the diagnosis, management, and prevention of diseases in infants, children, and adolescents. Students will gain hands-on experience in pediatric patient assessments, understanding developmental milestones, and recognizing the unique physiological and psychological needs of children at different stages of growth. Emphasis is placed on common pediatric illnesses, well-child care, emergency conditions, and communication with both pediatric patients and their families. The course integrates theoretical knowledge with clinical practice, preparing students for effective, compassionate care in a variety of healthcare settings.
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
Source URL: https://quizplus.com/quiz/22367
Sample Questions
Q1) A nurse is planning a class on accident prevention for parents of toddlers.Which safety topic is the priority for this class?
A)Appropriate use of car seat restraints
B)Safety crossing the street
C)Helmet use when riding a bicycle
D)Poison control numbers
Answer: A
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
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Chapter 2: Community-Based Nursing Care of the Child and Family
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7 Verified Questions
7 Flashcards
Source URL: https://quizplus.com/quiz/22368
Sample Questions
Q1) Which term best describes the identification of the distribution and causes of disease,injury,or illness?
A)Nursing process
B)Epidemiologic process
C)Community-based statistics
D)Mortality and morbidity statistics
Answer: B
Q2) A nurse is establishing several health programs,such as bicycle safety,to improve the health status of a target population.This describes which step in the community nursing process?
A)Planning
B)Evaluation
C)Assessment
D)Implementation
Answer: D
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Page 4
Chapter 3: Family Influences on Child Health Promotion
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/22369
Sample Questions
Q1) When assessing a family,the nurse determines that the parents exert little or no control over their children.This style of parenting is called:
A)permissive.
B)dictatorial.
C)democratic.
D)authoritarian.
Answer: A
Q2) A 35-year-old client is currently on fertility treatments.When responding to a question from the client about multiple births,which statement by the nurse is accurate?
A)Use of fertility treatments has been associated with an increase in multiple births.
B)Your chance of having multiple births is at the same rate as all women of childbearing age.
C)There is not enough evidence about the use of fertility treatments increasing the rate of multiple births.
D)Because of your age and the fertility treatments, you have almost a 100% chance of a multiple birth.
Answer: A
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Chapter 4: Social,Cultural,and Religious Influences on Child
Health Promotion
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/22370
Sample Questions
Q1) A parent of a 12-year-old child states to the nurse,"My 12-year-old watches TV constantly while at home-is this OK?" The nurse should recommend to the parent that television viewing should be limited to _____ hours a day? (Record your answer in a whole number.)
Q2) The nurse discovers welts on the back of a Vietnamese child during a home health visit.The child's mother says she has rubbed the edge of a coin on her child's oiled skin.What explanation should the nurse recognize about this?
A)Child abuse
B)Cultural practice to rid the body of disease
C)Cultural practice to treat enuresis or temper tantrums
D)Child discipline measure common in the Vietnamese culture
Q3) A young child from Mexico is hospitalized for a serious illness.The father tells the nurse that the child is being punished by God for being bad.The nurse should recognize that this is a(n):
A)health belief common in this culture.
B)early indication of potential child abuse.
C)misunderstanding of the family's common beliefs.
D)belief common when fortune tellers have been used.
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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) 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
Q2) 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
Q3) Which refers to those times in an individual's life when he or she is more susceptible to positive or negative influences?
A)Sensitive period
B)Sequential period
C)Terminal points
D)Differentiation points
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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) The nurse is using calipers to measure skin-fold thickness over the triceps muscle in a school-age child.What is the purpose of doing this?
A)To measure body fat
B)To measure muscle mass
C)To determine arm circumference
D)To determine accuracy of weight measurement
Q2) What is the single most important factor to consider when communicating with children?
A)The child's physical condition
B)Presence or absence of the child's parent
C)The child's developmental level
D)The child's nonverbal behaviors
Q3) A nurse notes that a 10-month-old infant has a larger head circumference than chest.The nurse interprets this as a normal finding because the head and chest circumference become equal at which age?
A)1 month
B)6 to 9 months
C)1 to 2 years
D)2 1/2 to 3 years
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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) A nurse is monitoring a patient for side effects associated with opioid analgesics.Which side effects should the nurse expect to monitor for? (Select all that apply.)
A)Diarrhea
B)Respiratory depression
C)Hypertension
D)Pruritus
E)Sweating
Q3) A dose of oxycodone (OxyContin)2 mg/kg has been ordered for a child weighing 33 lb.How many milligrams of OxyContin should the nurse administer? (Record your answer as a whole number.)
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Chapter 8: Health Promotion of the Newborn and Family
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46 Verified Questions
46 Flashcards
Source URL: https://quizplus.com/quiz/22374
Sample Questions
Q1) The nurse is assessing a 3-day-old,breast-fed newborn who weighed 7 pounds,8 ounces at birth.The newborn's mother is now concerned that the newborn weighs 6 pounds,15 ounces.Which is the most appropriate nursing intervention?
A)Recommend supplemental feedings of formula.
B)Explain that this weight loss is within normal limits.
C)Assess child further to determine cause of excessive weight loss.
D)Encourage mother to express breast milk for bottle feeding the newborn.
Q2) Where would nonpathologic cyanosis normally be present in the newborn shortly after birth?
A)Feet and hands
B)Bridge of nose
C)Circumoral area
D)Mucous membranes
Q3) What term describes irregular areas of deep blue pigmentation seen predominantly in newborns of African,Asian,Native American,or Hispanic descent?
A)Acrocyanosis
B)Erythema toxicum
C)Mongolian spots
D)Harlequin color changes
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Page 10
Chapter 9: Health Problems of Newborns
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71 Verified Questions
71 Flashcards
Source URL: https://quizplus.com/quiz/22375
Sample Questions
Q1) A blood sample for measurement of bilirubin is required from a newborn receiving phototherapy.In what environment should this blood sample be drawn?
A)While phototherapy lights are turned off
B)While newborn remains under phototherapy lights
C)When newborn is covered with a blanket
D)When newborn has been off phototherapy for 30 to 60 minutes
Q2) Which is most descriptive of the clinical manifestations observed in neonatal sepsis?
A)Seizures and sunken fontanels
B)Sudden hyperthermia and profuse sweating
C)Decreased urinary output and frequent stools
D)Nonspecific physical signs with hypothermia
Q3) A newborn is diagnosed with retinopathy of prematurity.The nurse should know that:
A)blindness cannot be prevented.
B)no treatment is currently available.
C)cryotherapy and laser therapy are effective treatments.
D)long-term administration of oxygen will be necessary.
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11
Chapter 10: Health Promotion of the Infant and Family
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44 Verified Questions
44 Flashcards
Source URL: https://quizplus.com/quiz/22376
Sample Questions
Q1) The nurse is assessing a 6-month-old healthy infant who weighed 7 pounds at birth.The nurse should expect the infant to now weigh approximately how many pounds?
A)10
B)15
C)20
D)25
Q2) According to Piaget,the 6-month-old infant should be in which developmental stage?
A)Use of reflexes
B)Primary circular reactions
C)Secondary circular reactions
D)Coordination of secondary schemata
Q3) A mother tells the nurse that she is discontinuing breastfeeding her 5-month-old infant.The nurse should recommend that the infant be given:
A)skim milk.
B)whole cow's milk.
C)commercial iron-fortified formula.
D)commercial formula without iron.
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Chapter 11: Health Problems of Infants
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/22377
Sample Questions
Q1) Recent studies indicate that a deficiency of which vitamin correlates with increased morbidity and mortality in children with measles?
A)A
B)C
C)Niacin
D)Folic acid
Q2) 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
Q3) Which vitamin is recommended for all women of childbearing age to reduce the risk of neural tube defects such as spina bifida?
A)A
B)C
C)Niacin
D)Folic acid
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Chapter 12: Health Promotion of the Toddler and Family
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/22378
Sample Questions
Q1) The parents of a 2-year-old tell the nurse that they are concerned because the toddler has started to use "baby talk" since the arrival of their new baby.The nurse should recommend which intervention?
A)Ignore the "baby talk."
B)Explain to the toddler that "baby talk" is for babies.
C)Tell the toddler frequently, "You are a big kid now."
D)Encourage the toddler to practice more advanced patterns of speech.
Q2) The parent of a 16-month-old toddler asks,"What is the best way to keep our son from getting into our medicines at home?" The nurse's best advice is:
A)"All medicines should be locked securely away."
B)"The medicines should be placed in high cabinets."
C)"The child just needs to be taught not to touch medicines."
D)"Medicines should not be kept in the homes of small children."
Q3) Which characteristic best describes the gross motor skills of a 24-month-old child?
A)Skips and can hop in place on one foot
B)Rides tricycle and broad jumps
C)Jumps with both feet and stands on one foot momentarily
D)Walks up and down stairs and runs with a wide stance
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Chapter 13: Health Promotion of the Preschooler and Family
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/22379
Sample Questions
Q1) A 4-year-old child tells the nurse that she does not want another blood sample drawn because "I need all my insides,and I don't want anyone taking them out." Which is the nurse's best interpretation of this?
A)Child is being overly dramatic.
B)Child has a disturbed body image.
C)Preschoolers have poorly defined body boundaries.
D)Preschoolers normally have a good understanding of their bodies.
Q2) Which is a useful skill that the nurse should expect a 5-year-old child to be able to master?
A)Tie shoelaces.
B)Use knife to cut meat.
C)Hammer a nail.
D)Make change out of a quarter.
Q3) Which play is most typical of the preschool period?
A)Solitary
B)Parallel
C)Associative
D)Team
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Chapter 14: Health Problems of Toddlers and Preschoolers
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/22380
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) Place in order the correct sequence for emergency treatment of poisoning in a child.Provide answer using lowercase letters separated by commas (e.g.,a,b,c,d).
A)Locate the poison.
B)Assess the child.
C)Prevent absorption of poison.
D)Terminate exposure to the toxic substance.
Q3) Vitamin A supplementation may be recommended for the young child who has which disease?
A)Mumps
B)Rubella
C)Measles (rubeola)
D)Erythema infectiosum
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Page 16
Chapter 15: Health Promotion of the School-Age Child and Family
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/22381
Sample Questions
Q1) Which describes the cognitive abilities of school-age children?
A)Have developed the ability to reason abstractly
B)Are capable of scientific reasoning and formal logic
C)Progress from making judgments based on what they reason to making judgments based on what they see
D)Are able to classify, to group and sort, and to hold a concept in their minds while making decisions based on that concept
Q2) When teaching injury prevention during the school-age years,what should the nurse include?
A)Teach children to fear strangers.
B)Teach basic rules of water safety.
C)Avoid letting child cook in microwave ovens.
D)Caution child against engaging in competitive sports.
Q3) A school nurse is teaching dental health practices to a group of sixth-grade children.How often should the nurse recommend the children brush their teeth?
A)Twice a day
B)Three times a day
C)After meals
D)After meals, snacks, and bedtime
Page 17
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Chapter 16: Health Promotion of the Adolescent and Family
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/22382
Sample Questions
Q1) The nurse should teach the adolescent that the long-term effects of tanning can cause which conditions? (Select all that apply.)
A)Phototoxic reactions
B)Increased number of moles
C)Premature aging
D)Striae
E)Increased risk of skin cancer
Q2) The estimated average requirement of calcium for an adolescent is _____ milligrams.(Record your answer in a whole number.)
Q3) The school nurse tells adolescents in the clinic that confidentiality and privacy will be maintained unless a life-threatening situation arises.This practice is:
A)not appropriate in a school setting.
B)never appropriate because adolescents are minors.
C)important in establishing trusting relationships.
D)suggestive that the nurse is meeting his or her own needs.
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18
Chapter 17: Health Problems of School-Age Children and Adolescents
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43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/22383
Sample Questions
Q1) A nurse is recommending strategies to a group of school-age children for prevention of obesity.Which should the nurse include? (Select all that apply.)
A)Eat breakfast daily.
B)Limit fruits and vegetables.
C)Have frequent family meals with parents present.
D)Eat frequently at restaurants.
E)Limit television viewing to 2 hours a day.
Q2) The nurse is teaching the parents of a child recently diagnosed with ADHD who has been prescribed methylphenidate (Ritalin).Which should the nurse include in teaching about the side effects of methylphenidate?
A)"Your child may experience a sense of nervousness."
B)"You may see an increase in your child's appetite."
C)"Your child may experience daytime sleepiness."
D)"You may see a decrease in your child's blood pressure."
Q3) The psychological effects of being obese during adolescence include:
A)sexual promiscuity.
B)poor body image.
C)feelings of contempt for thin peers.
D)accurate body image but self-deprecating attitude.
Page 19
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Chapter 18: Quality of Life for Children Living with Chronic or Complex Diseases
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/22384
Sample Questions
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.The nurse should recognize that:
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) Which describes avoidance behaviors parents may exhibit when learning that their child has a chronic condition? (Select all that apply.)
A)Refuses to agree to treatment
B)Shares burden of disorder with others
C)Verbalizes possible loss of child
D)Withdraws from outside world
E)Punishes self because of guilt and shame
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20
Chapter 19: Impact of Cognitive or Sensory Impairment on the Child and Family
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38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/22385
Sample Questions
Q1) Which expected appearance will the nurse explain to parents of an infant returning from surgery after an enucleation was performed to treat retinoblastoma? (Select all that apply.)
A)A lot of drainage will come from the affected socket.
B)The face may be edematous or ecchymotic.
C)The eyelids will be sutured shut for the first week.
D)There will be an eye pad dressing taped over the surgical site.
E)The implanted sphere is covered with conjunctiva and resembles the lining of the mouth.
Q2) A young child has an intelligence quotient (IQ)of 45.The nurse should document this finding as:
A)within the lower limits of the range of normal intelligence.
B)mild cognitive impairment but educable.
C)moderate cognitive impairment but trainable.
D)severe cognitive impairment and completely dependent on others for care.
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Chapter 20: Family-Centered Home Care
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) A priority intervention the home-care nurse should teach parents to do to maintain infection control is:
A)sterilize equipment.
B)reuse equipment to decrease costs.
C)use proper hand hygiene.
D)use gloves when repositioning the child.
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) When communicating with other professionals,it is important for home care nurses to:
A)ask others what they want to know.
B)share everything known about the family.
C)restrict communication to clinically relevant information.
D)recognize that confidentiality is not possible.
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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
Source URL: https://quizplus.com/quiz/22387
Sample Questions
Q1) A child is being discharged from an ambulatory care center after an inguinal hernia repair.Which discharge interventions should the nurse implement? (Select all that apply.)
A)Discuss dietary restrictions.
B)Hold any analgesic medications until the child is home.
C)Send a pain scale home with the family.
D)Suggest the parents fill the prescriptions on the way home.
E)Discuss complications that may occur.
Q2) When a preschool child is hospitalized without adequate preparation,the nurse should recognize that the child may likely see hospitalization as:
A)punishment.
B)threat to child's self-image.
C)an opportunity for regression.
D)loss of companionship with friends.
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23
Chapter 22: Pediatric Variations of Nursing Interventions
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48 Verified Questions
48 Flashcards
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Sample Questions
Q1) The nurse is preparing a 12-year-old girl for a bone marrow aspiration.The girl tells the nurse she wants her mother with her "like before." The most appropriate nursing action is to:
A)grant her request.
B)explain why this is not possible.
C)identify an appropriate substitute for her mother.
D)offer to provide support to her during the procedure.
Q2) In some genetically susceptible children,anesthetic agents can trigger malignant hyperthermia.The nurse should be alert in observing that,in addition to an increased temperature,an early sign of this disorder is:
A)apnea.
B)bradycardia.
C)muscle rigidity.
D)decreased blood pressure.
Q3) A child with congestive heart failure is placed on a maintenance dosage of digoxin (Lanoxin).The dosage is 0.07 mg/kg/day,and the child's weight is 7.2 kg.The physician prescribes the digoxin to be given once a day by mouth.Each dose will be _____ milligrams.(Record your answer below using one decimal place.)
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Chapter 23: The Child with Respiratory Dysfunction
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50 Verified Questions
50 Flashcards
Source URL: https://quizplus.com/quiz/22389
Sample Questions
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) The nurse enters a room and finds a 6-year-old child who is unconscious.After calling for help and before being able to use an automatic external defibrillator,which steps should the nurse take? Place in correct order.Provide answer using lowercase letters separated by commas (e.g., a,b,c,d,e,f).
A) Place on a hard surface.
B) Administer 30 chest compressions with two breaths.
C) Feel carotid pulse while maintaining head tilt with the other hand.
D) Use the head tilt-chin lift maneuver and check for breathing.
E) Place heel of one hand on lower half of sternum with other hand on top.
F)Give two rescue breaths.
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Chapter 24: The Child with Gastrointestinal Dysfunction
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56 Verified Questions
56 Flashcards
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Sample Questions
Q1) An infant with short bowel syndrome will be discharged home on total parenteral nutrition (TPN)and gastrostomy feedings.Nursing care should include:
A)preparing family for impending death.
B)teaching family signs of central venous catheter infection.
C)teaching family how to calculate caloric needs.
D)securing TPN and gastrostomy tubing under diaper to lessen risk of dislodgment.
Q2) During the first few days after surgery for cleft lip,which intervention should the nurse do?
A)Leave infant in crib at all times to prevent suture strain.
B)Keep infant heavily sedated to prevent suture strain.
C)Remove restraints periodically to cuddle infant.
D)Alternate position from prone to side-lying to supine.
Q3) A mother who intended to breastfeed has given birth to an infant with a cleft palate.Nursing interventions should include:
A)giving medication to suppress lactation.
B)encouraging and helping mother to breastfeed.
C)teaching mother to feed breast milk by gavage.
D)recommending use of a breast pump to maintain lactation until infant can suck.
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Chapter 25: The Child with Cardiovascular Dysfunction
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53 Verified Questions
53 Flashcards
Source URL: https://quizplus.com/quiz/22391
Sample Questions
Q1) The nurse is teaching nursing students about shock that occurs in children.One of the most frequent causes of hypovolemic shock in children is:
A)sepsis.
B)blood loss.
C)anaphylaxis.
D)congenital heart disease.
Q2) The nurse is caring for an infant with congestive heart disease (CHD).The nurse should plan which intervention to decrease cardiac demands?
A)Organize nursing activities to allow for uninterrupted sleep.
B)Allow the infant to sleep through feedings during the night.
C)Wait for the infant to cry to show definite signs of hunger.
D)Discourage parents from rocking the infant
Q3) Which is an important nursing consideration when chest tubes will be removed from a child?
A)Explain that it is not painful.
B)Explain that only a Band-Aid will be needed.
C)Administer analgesics before procedure.
D)Expect bright red drainage for several hours after removal.
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27
Chapter 26: The Child with Hematologic or Immunologic Dysfunction
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50 Verified Questions
50 Flashcards
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Sample Questions
Q1) Which immunization should not be given to a child receiving chemotherapy for cancer?
A)Tetanus vaccine
B)Inactivated poliovirus vaccine
C)Diphtheria, pertussis, tetanus (DPT)
D)Measles, rubella, mumps
Q2) 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.)
Q3) A young child with human immunodeficiency virus (HIV)is receiving several antiretroviral drugs.The purpose of these drugs is to:
A)cure the disease.
B)delay disease progression.
C)prevent spread of disease.
D)treat Pneumocystis carinii pneumonia.
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Chapter 27: The Child with Genitourinary Dysfunction
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41 Verified Questions
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Sample Questions
Q1) The nurse is teaching the parent about the diet of a child experiencing severe edema associated with acute glomerulonephritis.Which information should the nurse include in the teaching?
A)"You will need to decrease the number of calories in your child's diet."
B)"Your child's diet will need an increased amount of protein."
C)"You will need to avoid adding salt to your child's food."
D)"Your child's diet will consist of low-fat, low-carbohydrate foods."
Q2) Which clinical manifestation would be seen in a child with chronic renal failure?
A)Hypotension
B)Massive hematuria
C)Hypokalemia
D)Unpleasant "uremic" breath odor
Q3) The nurse is admitting a child with a Wilms tumor.Which is the initial assessment finding associated with this tumor?
A)Abdominal swelling
B)Weight gain
C)Hypotension
D)Increased urinary output
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Chapter 28: The Child with Cerebral Dysfunction
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Sample Questions
Q1) Which clinical manifestations would suggest hydrocephalus in a neonate?
A)Bulging fontanel and dilated scalp veins
B)Closed fontanel and high-pitched cry
C)Constant low-pitched cry and restlessness
D)Depressed fontanel and decreased blood pressure
Q2) 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
Q3) Which position should the nurse place a 10-year-old child after a large tumor was removed through a supratentorial craniotomy?
A)On the inoperative side with the bed flat
B)On the inoperative side with the head of bed elevated 20 to 30 degrees
C)On the operative side with the bed flat and pillows behind the head
D)On the operative side with the head of bed elevated 45 degrees
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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) Chronic adrenocortical insufficiency is also referred to as:
A)Graves disease.
B)Addison disease.
C)Cushing syndrome.
D)Hashimoto disease.
Q2) Glucocorticoids,mineralocorticoids,and sex steroids are secreted by the:
A)thyroid gland.
B)parathyroid glands.
C)adrenal cortex.
D)anterior pituitary.
Q3) Nursing care of a child diagnosed with a syndrome of inappropriate ADH should include which of the following? (Select all that apply.)
A)Weigh daily
B)Encourage fluids
C)Turn frequently
D)Maintain nothing by mouth (NPO)
E)Restrict fluids
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Chapter 30: The Child with Integumentary Dysfunction
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Sample Questions
Q1) Which explains physiologically the edema formation that occurs with burns?
A)Vasoconstriction
B)Decreased capillary permeability
C)Increased capillary permeability
D)Decreased hydrostatic pressure within capillaries
Q2) The nurse is examining 12-month-old Amy,who was brought to the clinic for persistent diaper rash.The nurse finds perianal inflammation with satellite lesions that cross the inguinal folds.This is most likely caused by:
A)impetigo.
B)Candida albicans.
C)urine and feces.
D)infrequent diapering.
Q3) Biologic dressings are applied to a child with partial-thickness burns of both legs.Which nursing intervention should be implemented?
A)Observing wounds for bleeding
B)Observing wounds for signs of infection
C)Monitoring closely for signs of shock
D)Splinting legs to prevent movement
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Chapter 31: The Child with Musculoskeletal or Articular Dysfunction
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Sample Questions
Q1) The nurse is conducting teaching to parents of a 7-year-old child who fractured an arm and is being discharged with a cast.Which instruction should be included in the teaching?
A)Swelling of the fingers is to be expected for the next 48 hours.
B)Immobilize the shoulder to decrease pain in the arm.
C)Allow the affected limb to hang down for 1 hour each day.
D)Elevate casted arm when resting and when sitting up.
Q2) A young girl has just injured her ankle at school.In addition to calling the child's parents,the most appropriate,immediate action by the school nurse is to:
A)apply ice.
B)observe for edema and discoloration.
C)encourage child to assume a position of comfort.
D)obtain parental permission for administration of acetaminophen or aspirin.
Q3) Which term is used to describe a type of fracture that does not produce a break in the skin?
A)Simple
B)Compound
C)Complicated
D)Comminuted
Page 33
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Chapter 32: The Child with Neuromuscular or Muscular Dysfunction
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Sample Questions
Q1) The nurse is conducting a staff in-service on common problems associated with myelomeningocele.Which common problem is associated with this defect?
A)Hydrocephalus
B)Craniosynostosis
C)Biliary atresia
D)Esophageal atresia
Q2) Which assessment findings should the nurse note in a school-age child with Duchenne muscular dystrophy (DMD)? (Select all that apply.)
A)Lordosis
B)Gower sign
C)Kyphosis
D)Scoliosis
E)Waddling gait
Q3) 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.
Page 34
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