Community and Family Health Nursing
Final Exam Questions
Course Introduction
Community and Family Health Nursing focuses on the principles and practices of nursing within the context of families and communities. The course explores the role of the nurse in promoting, maintaining, and restoring health at the community and family level, emphasizing health education, disease prevention, and public health initiatives. Students learn to assess the health needs of diverse populations, develop care plans, and collaborate with other health professionals and community organizations. Key topics include epidemiology, maternal and child health, communicable disease control, environmental health, and the impact of social determinants on health. Through practical experiences and case studies, students gain skills necessary for effective advocacy and culturally competent care in varied community settings.
Recommended Textbook
Child Health Nursing Partnering with Children and Families 3rd Edition by Jane W. Ball
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36 Chapters
680 Verified Questions
680 Flashcards
Source URL: https://quizplus.com/study-set/3920
Page 2
Chapter 1: Child Health Nursing: Concepts, Roles, and Issues
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/78204
Sample Questions
Q1) Despite the availability of the Children's Health Insurance Program (CHIP), families often fail to obtain coverage for eligible children because:
A)They do not see the importance of insurance coverage.
B)Families do not have adequate time to complete the enrollment process.
C)They do not know their child is eligible.
D)Parents do not value medical interventions for their children.
Answer: C
Q2) When discussing injury prevention with the parents of a toddler, which statement indicates teaching has been successful? "The leading cause of death in children is:
A)Unintentional injury."
B)Infectious disease."
C)Congenital anomalies."
D)Cancer."
Answer: A
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3
Chapter 2: Family-Centered Care: Theory and Applications
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14 Verified Questions
14 Flashcards
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Sample Questions
Q1) The camp nurse is assessing a group of children attending summer camp. Which child will be most likely to have problems perceiving a sense of belonging?
A)The child whose parents divorced recently
B)The child recently placed into foster care
C)The child whose mother remarried and who gained a stepparent recently
D)The child adopted as an infant
Answer: B
Q2) During assessment of a child's biological family history, it is especially important that the nurse asking the mother for information uses the term "child's father" instead of "your husband" in the situation of a:
A)Traditional nuclear family.
B)Two-income nuclear family.
C)Traditional extended family.
D)Heterosexual cohabitating family.
Answer: D
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Chapter 3: Cultural Influences
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/78202
Sample Questions
Q1) During the assessment, the nurse notices that a Black baby has a darker, slightly bluish-hued patch about 5 × 7 cm on the buttocks and lower back. What is the nurse's next action?
A)Ask the mother about the cause of the bruise.
B)Call the Department of Social Services (DSS) to report this as a sign of abuse.
C)Confer with the physician the possibility of a bleeding tendency.
D)Chart the presence of a Mongolian spot.
Answer: D
Q2) A Southern, nominally Pentecostal, African American pediatric client is being assessed during admission. He has braided, black, kinky hair, and he celebrates Kwanzaa. The nurse should document his ethnicity and race on the nursing admission form as:
A)Ethnicity African American, race Black
B)Ethnicity Black, race African American
C)Ethnicity Pentecostal, race African American
D)Ethnicity Southern, race Black
Answer: A
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Page 5
Chapter 4: Genetic and Hereditary Influences
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/78201
Sample Questions
Q1) A nurse is reviewing the charts of children in the pediatric units to determine which parents would benefit from referral to the genetics clinic. The nurse recognizes that the parents of children with genetic and chromosomal disorders would benefit most from this referral. Therefore, the nurse refers the parents of the: Standard Text: Select all that apply.
A)Neonate born at 28 weeks with respiratory distress syndrome.
B)Two-year-old child who is terminally ill with a brain tumor.
C)Child diagnosed at age six with cystic fibrosis.
D)Four-year-old child with nephrotic syndrome.
E)Child with Duchenne muscular dystrophy being treated for respiratory symptoms.
Q2) A child has been diagnosed as having a genetic disorder based on a mosaic trisomy. The nurse recognizes that the mother understands the significance of this diagnosis when she states:
A)"Because my child has a mosaic trisomy, he will have some normal cells in his body, which means his disorder may not be as severe as in other children."
B)"Children born with mosaic trisomy do not pass the disorder on to their children."
C)"Mosaic trisomies are inherited from the father's side of the family."
D)"Mosaic trisomies occur in an ovum from an older woman."
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Chapter 5: Concepts of Growth and Development
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) Utilizing Bronfenbrenner's ecologic theory of development, the nurse caring for a child would discuss the parents' work environment as part of an assessment of that child's:
A)Chronosystem.
B)Mesosystem.
C)Macrosystem.
D)Exosystem.
Q2) While trying to inform a five-year-old girl about what will occur during an upcoming CT scan, the nurse notices that the child is engaged in a collective monologue, talking about a new puppy. The nurse's best response would be:
A)"You must be so excited to have a new puppy! They are so much fun.Now let me tell you again about going downstairs in a wheelchair to a special room."
B)"Please stop talking about your puppy.I need to tell you about your CT scan."
C)"I'll come back when you are ready to talk with me more about your CT scan."
D)Ignore the child's responses and continue discussing the procedure.
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Chapter 6: Child and Family Communication
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14 Verified Questions
14 Flashcards
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Sample Questions
Q1) The nurse caring for a Chinese American child should be aware that acceptable nonverbal communication patterns to use when giving information to the child's father include: Standard Text: Select all that apply.
A)Handshakes between men only.
B)The father prefers not to be touched by strangers.
C)Avoiding direct eye contact when listening.
D)Distant personal space is preferred.
E)Touch is common with family members and close friends.
Q2) The nurse is working with a 14-year-old adolescent with an intellectual disability. The adolescent's mental age is four. In explaining an X-ray to the adolescent, the nurse should explain:
A)To the adolescent in terms appropriate to a teenager.
B)To the parents and have them explain to their child.
C)As little as possible because the child will not understand anyway.
D)Using words that are in the vocabulary of a four-year-old without talking down to the adolescent.
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Chapter 7: Pediatric and Newborn Assessment
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/78198
Sample Questions
Q1) The nurse is completing a physical examination of a four-year-old child. The best position in which to place the child for assessment of the genitalia would be:
A)Supine, with legs at a 50-degree angle.
B)Right side-lying.
C)In prone position, with knees drawn up under the body.
D)Frog-leg position.
Q2) While inspecting a five-year-old child's ears with an otoscope, the nurse notes that the right membrane is red and there is an absence of light reflex. In view of these findings, which vital sign parameter would most concern the nurse?
A)Heart rate
B)Temperature
C)Blood pressure
D)Respirations
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9
Chapter 8: Concepts of Health Promotion and Health Maintenance
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) A nurse in the outpatient pediatric clinic is reviewing the records of a preschool-age child and notes that the parents have missed the last two health care visits. The nurse also notes that the child has not received the second measles, mumps, and rubella (MMR) vaccine. The nurse should:
A)Plan to discuss the principles of health supervision at the next scheduled visit.
B)Call the parents and encourage them to bring the child for recommended care.
C)Notify the physician that the child's immunizations are no longer up to date.
D)Speak firmly with the parents at the next health care visit about the importance of being compliant.
Q2) A mother says to a nurse, "I am so concerned about my 14-year-old daughter because she has been caught stealing small articles of clothing and jewelry from stores on several occasions." The nurse begins a discussion on strategies for improving ethical behavior. This plan of care is part of:
A)Moral conditioning.
B)Health maintenance.
C)Behavioral discipline.
D)Health promotion.
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Page 10
Chapter 9: Health Promotion and Maintenance of the Newborn
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14 Verified Questions
14 Flashcards
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Sample Questions
Q1) While breastfeeding is recommended by the American Academy of Pediatrics, there are maternal and infant conditions that should be evaluated as being possible contraindications to breastfeeding. Some of these contraindications include: Standard Text: Select all that apply.
A)The mother has heart disease.
B)The mother is infected with HIV.
C)The infant has been diagnosed with galactosemia.
D)The mother has small breasts.
E)The mother takes medications for a chronic health condition.
Q2) A pregnant woman is planning to breastfeed. The nursing intervention that will promote breastfeeding in the new mother is:
A)Facilitating breastfeeding within the first 30 to 60 minutes of life.
B)Telling the mother that the physician strongly advises new mothers to breastfeed their newborns.
C)Encouraging the mother to attend breastfeeding classes before discharge from the hospital.
D)Giving the woman literature on breastfeeding as soon as she enters the labor room.
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Chapter 10: Health Promotion and Maintenance of the Infant
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) A six-month-old infant has been hospitalized several times with diarrhea. The nurse evaluates home care to determine the cause of the repeated illnesses. Which is the most likely cause of the repeated gastroenteritis?
A)The infant is allowed to drink from her parents' drinks at meal time.
B)If the infant doesn't finish her bottle, the mother returns it to the refrigerator to be used later in the day.
C)There are three school-age children in the family.
D)The infant often wears only a diaper around the house.
Q2) The new mother tells the nurse that sometimes her infant seems to become frantic when crying and asks what she can do when this happens. Which actions would the nurse recommend? Standard Text: Select all that apply.
A)Offer breast or bottle if it has been two hours or longer since the last feeding.
B)If the infant is not hungry or wet, allow the infant to cry it out.
C)Swaddle the infant in a blanket and rock the infant.
D)Try patting the infant on the back to help the baby expel gas.
E)Take the infant to a different room or outside to distract the infant.
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12
Chapter 11: Health Promotion and Maintenance of the
Toddler and Preschooler
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) A nurse who is the manager of an ambulatory pediatric health care center is planning protocols for the routine health care visits of the children. Children within the catchment area of this care center have a high incidence of obesity. The most important assessment data in monitoring the two-year-old child with obesity is:
A)Weight alone.
B)The child's percentile score of height and weight and weight on the growth chart.
C)Changes in the child's percentile on the growth chart from birth to the present.
D)The child's body mass index.
Q2) A nurse is preparing to perform a physical assessment on a toddler. Which of these actions should the nurse take?
A)Explain each part of the examination to the child before performing it.
B)Ask the mother to tell the child not to be afraid.
C)Perform the assessment from head to toe.
D)Leave intrusive procedures, such as ear and eye examinations, until the end.
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Chapter 12: Health Promotion and Maintenance of the School-Age Child
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/78193
Sample Questions
Q1) The teacher has referred a 10-year-old boy to the school nurse. The school nurse knows that the child is an only child with a single mother who works full time and is going to school. Which additional finding would the nurse identify as putting the child at risk for mental health issues?
A)The child is well nourished, wears glasses, and wears clothing styles that matches the other boys in his class.
B)The boy has a grandmother, aunts, and several cousins living nearby.
C)The family attends church on a regular basis.
D)The child is not involved in community social activities and does not play sports.The child states he plays video games at home after school.
Q2) The school nurse is teaching a class about safety. The nurse will teach the children that they should wear protective athletic gear when participating in selected activities. Which of these activities requires protective athletic gear?
A)Gymnastics
B)Swimming
C)Skateboarding
D)Basketball
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Page 14
Chapter 13: Health Promotion and Maintenance of the Adolescent
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/78192
Sample Questions
Q1) The school nurse is working with an adolescent who reports that he gets six hours or less of sleep at night. The nurse explains to the adolescent that some of the common consequences of inadequate sleep include: Standard Text: Select all that apply.
A)Hyperactivity.
B)Increased nocturnal emissions.
C)Increased risk of automobile accidents when driving.
D)Moodiness.
E)Being unable to perform well at school.
Q2) An adolescent who recently moved to a new school in a different town presents to an ambulatory care center and describes the following: "I have no friends in my new school, and I no longer want to go to college. I know I will be lonely there, too." Which takes priority when speaking with the adolescent?
A)Stressing the importance of remaining in a close parent-child relationship during these stressful times
B)Promoting healthy mental health outcomes
C)Acknowledging the fact that it takes several months to make new friends at a new school due to adolescent exclusion behaviors
D)Helping the adolescent realize the value of postsecondary education
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Chapter 14: Nursing Care of the Child in the Community
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) The nurse is applying for a job as a pediatric telephone advisor. Skills the nurse should have to be effective in this position would include: Standard Text: Select all that apply.
A)Good listening skills.
B)Extensive pediatric experience.
C)Internet experience.
D)Psychiatric experience.
E)Teaching and verbal communication skills
Q2) The nurse has recommended respite care for the family of a two-year-old child who is medically fragile. The mother asks what respite can do for them. The nurse's response will be based on the knowledge that:
A)Respite care will admit the child for an evaluation of the child's medical condition.
B)Respite care gives the family a break from the daily demands of caring for a child who is medically fragile.
C)Respite care can provide support for the child during local disasters.
D)Respite care will admit the child and family to their facility and provide the whole family a vacation experience.
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Page 16
Chapter 15: Nursing Care of the Hospitalized Child
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/78190
Sample Questions
Q1) The parents of a child who is critically injured wish to stay in the room while the child is receiving emergency care. The nurse should:
A)Ask the physician if the parents can stay with the child.
B)Allow the parents to stay with the child.
C)Escort the parents to the waiting room and assure them that they can see their child soon.
D)Tell the parents that they do not need to stay with the child.
Q2) A group of children on one hospital unit are all suffering separation anxiety. When determining the stages of separation anxiety, the nurse recognizes that the child in the "despair" phase is the child who:
A)Lies quietly in bed.
B)Does not cry if his parents return and leave again.
C)Appears to be happy and content with staff.
D)Screams and cries when his parents leave.
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Chapter 16: Nursing Care of the Child With a Chronic Condition
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) A family actively participates in school functions with all their children, one of whom is paraplegic and requires a wheelchair for mobility. The nurse evaluates this family to be working on the process of:
A)Stagnation.
B)Isolation.
C)Normalization.
D)Interaction.
Q2) The nurse can instruct parents to expect children in which age group to begin to assume more independent responsibility for their own management of a chronic condition, such as blood glucose monitoring, insulin administration, intermittent self-catheterization, and appropriate inhaler use?
A)Preschoolers
B)School-age children
C)Adolescents
D)Toddlers
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Chapter 17: Nursing Care of the Child With a Life-Threatening Illness or Injury
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) A young child is admitted to the hospital following a serious injury while on a field trip with his school class. When the parents arrive at the emergency room, the nurse recognizes that the parents have only limited English. The nurse will:
A)Speak slowly and clearly so the parents can understand.
B)Have a translator/interpreter present when the nurse and physician describe the child's condition to the parents.
C)Have a family member who speaks English translate for the family
D)Give the parents a pamphlet written in their primary language that describes the hospital routine.
Q2) In which settings is the nurse most likely to work with parents experiencing shock and disbelief related to the sudden onset of a life-threatening illness for their child? Standard Text: Select all that apply.
A)Emergency departments
B)Pediatric Intensive Care Unit
C)Operating room
D)Neonatal Intensive Care Unit
E)Pediatric cancer clinics
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Page 19
Chapter 18: End-Of-Life Care and Bereavement
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) The nurse is taking care of a child who is showing signs of imminent death. What changes should the nurse expect to see related to the cardiovascular system?
A)An increase in the volume of Korotkoff's sounds
B)Mottling, cool and clammy skin
C)Peripheral pulses will remain when the heart beat is not heard on auscultation.
D)Increase in cardiac output
Q2) The nurse is having difficulty coping with the impending death of a child. Which would most likely be the best resource for the nurse at this time?
A)Co-workers
B)Hospice nurses
C)Unit manager
D)Spouse
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20
Chapter 19: Infant, Child, and Adolescent Nutrition
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14 Verified Questions
14 Flashcards
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Sample Questions
Q1) The nurse is presenting a program on healthy eating habits to the parents of children attending the clinic. In the discussion period of the program, parents make the following comments. Which parent needs more information about safe food preparation?
A)"We always wash our hands well before any food preparation."
B)"We use separate utensils for preparing raw meat and for preparing fruits, vegetables, and other foods."
C)"We take the meat out of the freezer and then allow it to thaw on the counter for two to three hours before cooking it thoroughly."
D)"If our baby doesn't drink all the formula in his bottle, we throw the rest out."
Q2) A two-month-old infant is admitted to the hospital with a diagnosis of "failure to thrive" (FTT). The nurse recognizes that the infant will be evaluated for: Standard Text: Select all that apply.
A)Over-dilution of formula concentrate.
B)Parental neglect.
C)Rumination.
D)Malabsorption syndromes.
E)Pica
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Chapter 20: Social and Environmental Influences on Child and
Adolescent Health
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) The school nurse is planning a smoking prevention program for middle school students. All of the following activities will be utilized. Which is likely to be the most effective in preventing middle school children from smoking?
A)A demonstration of the pathophysiology of the effects of smoking tobacco on the body given by the school's biology teacher
B)A talk on the importance of not smoking given by a local high school basketball star
C)Colorful posters with catchy slogans displayed throughout the school
D)A pledge campaign during which students sign contracts saying that they will not use tobacco products
Q2) While the nurse is taking the history of a 10-year-old child, the parents admit to owning firearms. An appropriate safety measure for the nurse to suggest would be which of the following?
A)Keeping all the guns put away and out of the child's reach
B)Taking the child to a shooting range for lessons on how to use a gun properly
C)Storing the guns and ammunition in the same place
D)Using a gun lock on all firearms in the house
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Chapter 21: Pain Assessment and Management
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) A nurse is taking care of a patient in the ICU who has been on opioids for an extended period of time. The nurse understands that the child has to slowly wean from the medication over a period of time. While weaning, the nurse will observe the child for symptoms of too rapid withdrawal, including:
A)Hyperactive deep tendon reflexes, vomiting, and abdominal cramps.
B)Bradycardia and pallor.
C)Decreased blood pressure and drowsiness.
D)Voracious appetite and hypotonicity.
Q2) The nurse is preparing to perform a heel stick on a neonate. The most appropriate complementary therapy for the nurse to plan to use in the neonate to decrease pain during this quick but painful procedure is:
A)Holding the infant.
B)Sucrose pacifier.
C)Massage.
D)Swaddling.
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23
Chapter 22: Immunizations and Communicable Diseases
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) The nurse is teaching a child care class for mothers of young children. The nurse tells the parent that the most common mode of transmission of infectious disease is:
A)Children who are playing with the same toy.
B)Children who are coughing.
C)Children who are sitting together eating meals.
D)Children who are playing board games.
Q2) The hospital admitting nurse is taking a history on a child's illness from the parents. The nurse concludes that the parents treated their six-year-old child appropriately for a fever related to otitis media when they report that they:
A)Put the child in a tub of cold water to reduce the fever.
B)Alternated acetaminophen with ibuprofen every two hours.
C)Offered generous amounts of fluids frequently.
D)Used aspirin every four hours to reduce the fever.
Q3) Which should the nurse use when reconstituting vaccines?
A)The diluents provided
B)Normal saline
C)Any solution available
D)Sterile water
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Chapter 23: Alterations in Fluid, Electrolyte, and Acid-Base Balance
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14 Flashcards
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Sample Questions
Q1) The nurse has just finished a parent teaching session on preventing heat-related illnesses for children who exercise. Which statement by a parent indicates understanding of preventive techniques taught?
A)Wearing dark clothing during exercise is recommended
B)Water is the drink of choice to replenish fluids.
C)During activity, stop for fluids every 15 to 20 minutes.
D)Hydration should occur at the end of an exercise session.
Q2) The nurse is assessing an infant brought to the clinic because of diarrhea. The infant is alert but has dry mucous membranes. Which other sign indicates the infant is still in the early to moderate stage of dehydration?
A)Bradycardia
B)Tachycardia
C)Increased blood pressure
D)Normal fontanels
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Chapter 24: Alterations in Eye, Ear, Nose, and Throat
Function
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Sample Questions
Q1) A neonate has been diagnosed with a herpes simplex viral infection of the eye. Which medication will the nurse prepare to administer?
A)Oral erythromycin
B)Fluoroquinolone eyedrops or ointment
C)Parenteral acyclovir (Zovirax) and vidarabine (VIRA-A) ophthalmic ointment
D)Intravenous penicillin
Q2) A three-year-old child has been found to have a mild to moderate hearing loss. The mother tells the nurse: "The doctor told me I should put my child in day care but didn't tell me why. Do you know why the doctor recommends day care?" The nurse's response will be based on the knowledge that day care will:
A)Help the child recognize his hearing deficit.
B)Increase the child's socialization skills.
C)Improve the child's immunity by increased exposure to organisms.
D)Teach other children that children are different.
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Chapter 25: Alterations in Respiratory Function
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) The nurse stops at the scene of an accident and finds a child conscious but with a sucking wound of the chest. The immediate action by the nurse would be to:
A)Place the child in trendelenburg.
B)Begin rescue breathing.
C)Begin cardiac resuscitation.
D)Cover the wound with an air occlusive dressing.
Q2) The nurse is teaching a group of mothers of infants about the benefits of immunization. The nurse will explain that the life-threatening disease epiglottitis can be prevented by immunization against:
A)Hepatitis B.
B)Polio.
C)Measles, mumps, and rubella (MMR).
D)Haemophilus influenzae type B (HIB).
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Chapter 26: Alterations in Cardiovascular Function
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Sample Questions
Q1) The nurse is teaching the parents of a group of cardiac patients. The nurse includes in the information that any child who has undergone cardiac surgery:
A)Should not receive routine immunizations.
B)Should be restricted from most play activities.
C)Can be expected to have a fever for several weeks following the surgery.
D)Should receive prophylactic antibiotics for any dental, oral, or upper respiratory tract procedures.
Q2) A diagnosis of rheumatic fever is being ruled out for a child. The parents cannot remember the child having a recent streptococcal infection. Which lab test would confirm a recent streptococcal infection?
A)Erythrocyte sedimentation rate
B)Throat culture
C)C-reactive protein
D)Antistreptolysin-O (ASO) titer
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Chapter 27: Alterations in Immune Function
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) The nurse is discussing the immune protection of the newborn with a pregnant woman. The nurse tells the mother that her body will provide her baby with what type of antibodies?
A)IgM
B)IgA
C)IgD
D)IgG
Q2) A parent of a newborn asks the nurse why young children seem to become ill so often when compared with older children and adults. Which of the following does the nurse's best response address?
A)Lower numbers of natural killer cells in younger children
B)High levels of IgA in the newborn
C)Absent lymphoid tissue in the young child
D)Underdeveloped thymus glands in the infant
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29
Chapter 28: Alterations in Hematologic Function
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26 Verified Questions
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Sample Questions
Q1) During discharge teaching to parents of a child hospitalized with sickle-cell crisis, the nurse should emphasize which of the following as a priority home care intervention?
A)Rapid weaning of pain medications
B)Promotion of a diet high in protein
C)Encouraging adequate hydration
D)Restriction of activities
Q2) Immediately after delivery, the nurse prepares to give the newborn a vitamin K injection. The new father is watching and asks the nurse why the baby is receiving a "shot." The nurse would explain that vitamin K injections are given to newborn infants to:
A)Activate clotting factors.
B)Break up blood clots.
C)Promote red blood cell function and assist in gas exchange.
D)Promote the production of hemoglobin.
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Chapter 29: The Child With Cancer
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21 Flashcards
Source URL: https://quizplus.com/quiz/78176
Sample Questions
Q1) The child is receiving chemotherapy for acute lymphocytic leukemia. The nurse recognizes that a potential oncological emergency for this child would be tumor lysis syndrome. For which symptoms should the nurse monitor this child?
A)Respiratory distress and cyanosis
B)Thrombocytopenia and leukocytosis
C)Oliguria and altered levels of consciousness
D)Upper-extremity edema and neck vein distension
Q2) The child has been admitted to the hospital unit newly diagnosed with retinoblastoma. What would the nurse expect to see when examining the child's eye?
A)A white reflex
B)Blue-tinged sclera
C)A red reflex
D)Yellow sclera
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Chapter 30: Alterations in Gastrointestinal Function
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Sample Questions
Q1) A toddler is admitted to the surgical unit for planned closure of the temporary colostomy. The nurse completes the admission assessment and reviews the medical orders. Which order should the nurse question?
A)Clear liquids today.NPO tomorrow
B)Type and cross-match for one unit of packed red blood cells.
C)Rectal temperatures every four hours
D)Start an intravenous line with D5NS at 20 ml per hour.
Q2) An infant born with an omphalocele defect is being admitted to the intensive care nursery. Which of the following should the nurse in charge instruct the nursing technician to prepare?
A)Radiant warmer
B)Crib
C)Bilirubin light
D)Formula for feeding
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Chapter 31: Alterations in Genitourinary Function
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Sample Questions
Q1) A child in renal failure has hyperkalemia. The nurse plans to instruct the child and her parents to avoid which foods?
A)Carrots and green, leafy vegetables
B)Spaghetti and meat sauce with breadsticks
C)Hamburger on a bun and cherry gelatin
D)Chips, cold cuts, and canned foods
Q2) A child is undergoing hemodialysis. The child should be monitored closely for: Standard Text: Select all that apply.
A)Migraines.
B)Hypotension.
C)Infections.
D)Fluid overload.
E)Shock.
Q3) A four-year-old has acute glomerulonephritis (AGN) and is admitted to the hospital. The priority nursing diagnosis for this child would be:
A)Risk for injury related to hypertension.
B)Altered growth and development related to a chronic disease.
C)Risk for infection related to hypertension.
D)Fluid volume excess related to decreased plasma filtration.
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Page 33
Chapter 32: Alterations in Endocrine and Metabolic Function
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Sample Questions
Q1) A three-year-old child was born with congenital adrenal insufficiency and is being treated with oral hydrocortisone. When the child develops pneumonia and is admitted to the hospital, the nurse would expect the dose of hydrocortisone to be:
A)Stopped.
B)Reduced by 50%.
C)Continued as previously prescribed.
D)Increased.
Q2) The nurse is caring for a hospitalized three-year-old admitted with a history of syndrome of inappropriate antidiuretic hormone (SIADH). He has just received his breakfast tray. Which food should the nurse remove from his tray?
A)Oatmeal
B)Yogurt
C)Biscuit
D)Cantaloupe
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Chapter 33: Alterations in Neurologic Function
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Sample Questions
Q1) When the home health nurse visits the home of a 10-month-old child, she observes the environment for risks for injury to the child. Which observation will the nurse discuss with the mother?
A)The mother leaves the filled mop bucket on the floor while in another room.
B)The mother turns all pan handles to the back of the stove.
C)The mother fills the bath tub before bringing the baby into the bathroom.
D)When riding in a car, the child is in a car seat in the middle of the back seat.
Q2) The nurse is doing an assessment on a four-month-old infant. Which assessment finding would the nurse consider abnormal?
A)The posterior fontanel is open.
B)The infant has good head control when held upright.
C)The infant is able to roll only from abdomen to back.
D)The anterior fontanel is open and soft.
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Chapter 34: Alterations in Mental Health and Cognition
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Sample Questions
Q1) The nurse at a high school is screening students for mental health issues. The nurse would want to refer the adolescent for depression if the child shows which symptoms of depression? Standard Text: Select all that apply.
A)Agoraphobia
B)Somatic complaints
C)Focus on violence
D)Poor self-care
E)Poor school performance
Q2) A nurse is performing a developmental assessment on several children in a clinic setting. Which children exhibit a delay in meeting developmental milestones? Standard Text: Select all that apply.
A)An 18-month-old toddler who is unable to speak in sentences
B)A two-year-old who is unable to cut with scissors
C)A two-year-old who cannot recite her phone number
D)A six-year-old who is unable to sit still for a short story
E)A five-year-old who is unable to button his shirt
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Chapter 35: Alterations in Musculoskeletal Function
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Sample Questions
Q1) While at recess, a child falls and hurts his arm. The school nurse is called and suspects a fractured arm. The nurse will apply a splint before transporting the child to the hospital. The nurse will ensure that:
A)The splint is applied firmly enough to prevent swelling.
B)The arm is fully extended in the splint.
C)The splint is fully padded to prevent skin damage.
D)The joints above and below the suspected fracture are immobilized.
Q2) The nurse is teaching a family how to care for their infant in a Pavlik harness to treat congenital developmental dysplasia of the hip. Which instruction is appropriate for the nurse to include in parental education in relation to the Pavlik harness?
A)Apply lotion or powder to minimize skin irritation.
B)Check at least two or three times a day for red areas under the straps.
C)Put clothing over the harness for maximum effectiveness of the device.
D)Place a diaper over the harness, preferably using a thin, superabsorbent, disposable diaper.
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Chapter 36: Alterations in Skin Integrity
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Source URL: https://quizplus.com/quiz/78169
Sample Questions
Q1) Parents understand the teaching a nurse has done with regard to care of their child with tinea capitis (ringworm of the scalp) if they state:
A)"We will give the griseofulvin with milk or peanut butter."
B)"We're glad ringworm isn't transmitted from person to person."
C)"Once the lesion is gone, we can stop the griseofulvin."
D)"Well, at least we don't have to worry about the family cat getting the ringworm."
Q2) A three-year-old is admitted to the hospital unit with cellulitis of the neck. The nurse will expect medical treatment to include:
A)Topical antibiotics.
B)Intravenous antibiotics.
C)Incision and drainage.
D)Intravenous corticosteroids.
Q3) An infant has a severe case of oral thrush (Candida albicans). Which is the priority nursing diagnosis for this infant?
A)Ineffective infant feeding pattern related to discomfort
B)Ineffective breathing pattern related to oral thrush
C)Activity intolerance related to oral thrush
D)Ineffective airway clearance related to mucus
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