Community and Family Health Nursing
Textbook Exam Questions
Course Introduction
Community and Family Health Nursing explores the principles and practices of nursing within the context of communities and families as units of care. The course covers health promotion, disease prevention, and the management of common acute and chronic conditions across diverse populations. Students learn to assess community health needs, develop and implement nursing interventions, and collaborate with other health professionals and organizations. Emphasis is placed on cultural sensitivity, advocacy, and ethical considerations in addressing health disparities and promoting holistic well-being within families and communities.
Recommended Textbook
Child Health Nursing Partnering with Children and Families 3rd Edition by Jane W. Ball
Available Study Resources on Quizplus
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
Available Study Resources on Quizplus for this Chatper
24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/78204
Sample Questions
Q1) A child is being prepared for an invasive procedure in the presence of the child's babysitter. The single mother of the child has legal custody but is not present. After details of the procedure are explained, the legal informed consent for treatment on behalf of a minor child will be obtained from:
A)The divorced parent without custody.
B)The babysitter with written proxy consent.
C)A grandparent who lives in the home with the child.
D)The cohabitating unmarried boyfriend of the child's mother.
Answer: B
Q2) 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
To view all questions and flashcards with answers, click on the resource link above.
3
Chapter 2: Family-Centered Care: Theory and Applications
Available Study Resources on Quizplus for this Chatper
14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/78203
Sample Questions
Q1) A new pediatric hospital will open soon. While planning nursing care, the hospital administration is considering two models of providing health care: family-focused care and family-centered care. The best example of a nursing action in the family-centered care approach would be when the nurse:
A)Assumes the role of an expert professional to direct the health care.
B)Encourages the parents to stay with and comfort the child during an invasive procedure.
C)Assumes the role of a healthcare authority and intervenes for the child and family as a unit.
D)Tells the family what must be done for the family's health.
Answer: B
To view all questions and flashcards with answers, click on the resource link above.
4
Chapter 3: Cultural Influences
Available Study Resources on Quizplus for this Chatper
18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/78202
Sample Questions
Q1) The nurse working in a multicultural clinic recognizes that when the purpose of teaching is to promote the health of individual children, this effort should be directed to the authority responsible for the health care decisions. In certain cultural groups, health care decisions typically are made by the father. Therefore, the nurse should direct teaching efforts to the fathers in which cultures?
A)European American
B)African American
C)Native American
D)Appalachian
Answer: D
Q2) A nurse is working with a pediatric client who is overweight. Which diseases are associated with pediatric obesity? Standard Text: Select all that apply.
A)Cardiovascular disease
B)Asthma
C)Infant mortality
D)Diabetes
Answer: A,D
To view all questions and flashcards with answers, click on the resource link above.
Page 5
Chapter 4: Genetic and Hereditary Influences
Available Study Resources on Quizplus for this Chatper
17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/78201
Sample Questions
Q1) All five of the children in a family were born with a genetic disorder. The disorder is inherited as autosomal dominant. If this is not a statistical rarity, the likelihood would be that:
A)One parent has both chromosomes with the affected gene.
B)Both parents are carriers.
C)One parent is a carrier and the other parent is unaffected.
D)One parent has one chromosome affected and the other parent has none.
Q2) The nurse is discussing autosomal recessive inheritance with a patient. The nurse will include which statements in the discussion? Standard Text: Select all that apply.
A)"The disorder may appear to skip generations."
B)"Boys and girls are affected in equal numbers."
C)"The disorder passes from mother to son but not from father to daughter."
D)"Daughters that are affected will be more severely involved than sons."
E)"Both parents must be carriers for the disorder."
To view all questions and flashcards with answers, click on the resource link above.
Chapter 5: Concepts of Growth and Development
Available Study Resources on Quizplus for this Chatper
15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/78200
Sample Questions
Q1) The mother of a six-year-old boy who has recently had surgery for the removal of his tonsils and adenoids complains that he has begun sucking his thumb again. The nurse caring for the child should assure the mother that this is a normal response for a child who has undergone surgery and that it is a coping mechanism that children sometimes use called:
A)Repression.
B)Rationalization.
C)Fantasy.
D)Regression.
Q2) A neonatal nurse who encourages parents to hold their baby and provides opportunities for kangaroo care most likely is demonstrating concern for which aspect of the infant's psychosocial development?
A)Attachment
B)Assimilation
C)Resilience
D)Centration
To view all questions and flashcards with answers, click on the resource link above.
Chapter 6: Child and Family Communication
Available Study Resources on Quizplus for this Chatper
14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/78199
Sample Questions
Q1) In order to prepare a six-year-old client for an intravenous catheter insertion, the nurse's best response would be:
A)"If I were you, I would hold very still so that it will only take one stick."
B)"It is okay to cry.I know that this hurts."
C)"Why are you crying? I thought that you were a tough kid."
D)"Don't worry a bit; this is just like a little mosquito bite."
Q2) The nurse caring for a nine-year-old child with extensive burns needs to prepare the child for going to whirlpool therapy for the first time. The most effective response to promote communication with this child would be:
A)"Have you been to the playroom yet? Maybe when you get back from whirlpool we can check it out together."
B)"Before you leave for whirlpool, I will give you a shot that will relax you, and you probably won't even remember going downstairs at all."
C)"I am going to be taking you downstairs to whirlpool.Do you have any questions?"
D)"Some of the children I have worked with have told me that they worried about the whirlpool hurting them."
To view all questions and flashcards with answers, click on the resource link above.
8
Chapter 7: Pediatric and Newborn Assessment
Available Study Resources on Quizplus for this Chatper
19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/78198
Sample Questions
Q1) The policy of the pediatric clinic is that head circumferences are performed at each visit, if appropriate. The nurse should plan to check head circumferences on which of the children being seen today? Standard Text: Select all that apply.
A)One-month-old child who is coming for his first well-child visit
B)Two-month-old child with failure to thrive
C)Nine-month-old child with otitis media
D)18-month-old well-child visit for a child with Down's syndrome
Q2) A nurse working in the newborn nursery notes that an infant is having frequent episodes of apnea lasting 10 to15 seconds without any changes in color or decreases in heart rate. Which intervention would be the most appropriate?
A)Continue to observe the infant and call the physician if the apnea lasts longer than 20 seconds.
B)Suction the infant's mouth and nares.
C)Call the physician immediately.
D)Turn the infant on its right side.
To view all questions and flashcards with answers, click on the resource link above. Page 9
Chapter 8: Concepts of Health Promotion and Health Maintenance
Available Study Resources on Quizplus for this Chatper
16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/78197
Sample Questions
Q1) A new patient is admitted to the pediatric clinic. The nurse wants to partner with the parents in creating a health care home. The first step for the nurse in becoming an effective partner with the parents would be to:
A)Develop a relationship with the parents with open supportive communication and display an interest and a concern for the family's goals.
B)Determine the family's financial stability and identify community resources.
C)Provide the parents with the nurse's home phone number so the parents can call when they need information.
D)Remind the parents that it is necessary for the child to receive health supervision on a regular basis.
Q2) The nurse wants to perform developmental screenings on a five-year-old child. Which screening tools would be appropriate for this purpose? Standard Text: Select all that apply.
A)Denver II
B)Bayley Infant Neurodevelopmental Screener
C)McCarthy Scales of Children's Abilities
D)Denver Articulation Screening Exam
E)Early Language Milestone Scale
To view all questions and flashcards with answers, click on the resource link above. Page 10
Chapter 9: Health Promotion and Maintenance of the Newborn
Available Study Resources on Quizplus for this Chatper
14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/78196
Sample Questions
Q1) A mother who is bottle-feeding her newborn requests to be discharged 24 hours post-delivery, because the mother also has twin two-year-olds at home. The nurse should schedule the follow-up visit for the newborn on which of these days?
A)Within 48 hours of discharge
B)When the infant is one month old
C)Within two weeks of discharge
D)Within one week of discharge
Q2) The nurse is providing anticipatory guidance instructions to the parents of a newborn. Which of these instructions should the nurse give as disease/injury prevention strategies? Standard Text: Select all that apply.
A)SIDS risk reduction
B)Fall prevention
C)Formula safety
D)Immunization schedule
E)Risk of poisoning
To view all questions and flashcards with answers, click on the resource link above. Page 11
Chapter 10: Health Promotion and Maintenance of the Infant
Available Study Resources on Quizplus for this Chatper
15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/78195
Sample Questions
Q1) The nurse working with a family has observed that the older children have a large number of dental caries, so the nurse plans to provide the mother with information to prevent the development of dental caries in her new infant. What instructions will the nurse include in the teaching provided to the mother? Standard Text: Select all that apply.
A)Wiping the infant's gums with soft, moist gauze once or twice daily
B)Giving foods high in sugar only at breakfast time
C)Not allowing the infant to sleep with a bottle in the bed
D)Reminding the mother that dental care is not needed until the permanent teeth erupt
E)Using a topical anesthetic daily, beginning as soon as the first tooth begins to erupt
Q2) The home health nurse visits a home with an eight-month-old baby. Which observation is a safety issue that should be discussed with the mother?
A)The infant crib mattress has been lowered to its lowest level.
B)The mother cuts hot dogs into pieces for the baby to "gum."
C)The cords to the window blinds have been shortened and do not hang below the window.
D)The mother has placed infant barriers around the gas heat stove.
To view all questions and flashcards with answers, click on the resource link above.
Page 12
Chapter 11: Health Promotion and Maintenance of the
Toddler and Preschooler
Available Study Resources on Quizplus for this Chatper
15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/78194
Sample Questions
Q1) Parents of a preschool-age child report that they find it necessary to spank the child at least once a day. Which response should the nurse make to the parents?
A)"Spanking is one form of discipline; however, you want to be certain that you do not leave any marks on the child."
B)"Let's talk about other forms of discipline that have a more positive effect on the child."
C)"I think you are not parenting your child properly, so let's talk about ways to improve your parenting skills."
D)"Can you try only spanking the child every other day for one week and see how that affects the child's behavior?"
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.
To view all questions and flashcards with answers, click on the resource link above.
Page 13
Chapter 12: Health Promotion and Maintenance of the School-Age Child
Available Study Resources on Quizplus for this Chatper
21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/78193
Sample Questions
Q1) A nine-year-old child who has been followed in the same pediatric health care home since birth has come in for a well-child visit. A nurse who measures the height and weight of the child documents 35th percentile for height and 90th percentile for weight. How should the nurse interpret these data?
A)The child is obese and needs dietary counseling.
B)The child is beginning a growth spurt.
C)As soon as the child begins the adolescent growth spurt, the height and weight measurements will normalize.
D)The parents are most likely below the 50th percentile for height and weight.
Q2) Which of these aspects of developmental health supervision should be included in each health care visit of young children?
A)Discussions of discipline with the parents
B)Toilet training guidelines
C)Referrals to community agencies
D)Patient and family education
To view all questions and flashcards with answers, click on the resource link above.
14
Chapter 13: Health Promotion and Maintenance of the Adolescent
Available Study Resources on Quizplus for this Chatper
24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/78192
Sample Questions
Q1) A school nurse is performing annual height and weight screening. The nurse notes that three females who are close friends each lost 15 pounds over the past year. The priority nursing action is to:
A)Obtain a nutritional history for each of these adolescents.
B)Refer these adolescents to the school psychologist.
C)Call the respective parents to discuss the eating patterns of each adolescent.
D)Speak with the girls in a group to discuss the problems associated with anorexia nervosa.
Q2) The eating disorders clinic sees a number of overweight adolescent girls. In addition to monitoring these adolescents for the health problems related to obesity, the nurse will monitor the girls for which mental health problem?
A)Substance abuse
B)School phobia
C)Spiritual distress
D)Negative self-esteem
To view all questions and flashcards with answers, click on the resource link above. Page 15
Chapter 14: Nursing Care of the Child in the Community
Available Study Resources on Quizplus for this Chatper
23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/78191
Sample Questions
Q1) A child is being discharged from the hospital on home antibiotic infusions for two more weeks. The intravenous line is in place, and the medication will be delivered by the pharmacy and ready to administer on the infusion pump. The home health nurse will visit once a day, but the family will be responsible for administering the medication. The home health nurse will want to educate the family on: Standard Text: Select all that apply.
A)How to initiate an intravenous line.
B)How to operate the infusion pump.
C)The side effects of the medication.
D)Actions to take in case of anaphylaxis.
E)Signs of infection.
Q2) A child is being discharged after an extended hospitalization. Prior to discharge from a hospital, home health care nurses should assess which aspect of the home setting?
A)Parents' insurance
B)Parents' income
C)Readiness of the home for the child who is returning home from the hospital
D)Parents' home location
To view all questions and flashcards with answers, click on the resource link above.
Page 16
Chapter 15: Nursing Care of the Hospitalized Child
Available Study Resources on Quizplus for this Chatper
27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/78190
Sample Questions
Q1) The pediatric unit manager is making changes to the unit to reduce the stress of the hospitalized children. Which changes have been shown to reduce stress for the children?
A)Having only female nurses on the unit
B)Assigning nurses one-on-one with patients
C)Allowing the nurses to wear colored scrubs in place of white uniforms
D)Having the nurses avoid entering the patient room unless a procedure is to be performed
Q2) A four-year-old is seen in the clinic for a sore throat. In the child's mind, the most likely causative agent is that the child:
A)Was exposed to someone else with a sore throat.
B)Yelled at his brother.
C)Did not eat the right foods.
D)Did not take his vitamins.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 16: Nursing Care of the Child With a Chronic Condition
Available Study Resources on Quizplus for this Chatper
22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/78189
Sample Questions
Q1) Shortly after birth, all newborns are tested for phenylketonuria. The test results are not available before mother and baby are discharged from the hospital. When the diagnosis of PKU is made, the most appropriate means of informing the parents would be:
A)Immediately in a phone call requesting a follow-up office visit
B)In a certified letter explaining the diagnosis and requesting the parents make a pediatric office appointment.
C)In a group meeting of all parents whose children tested positive for phenylketonuria during the last two months.
D)In person with the physician and both parents present.
Q2) An adolescent has recently been diagnosed with type 1 diabetes mellitus and is on dietary restrictions and daily insulin. The nurse is teaching the adolescent's family members about the disease and treatment. The nurse will warn the family that the adolescent, upon returning to school, may:
A)Recognize that there is no difference between her and her classmates.
B)Not experience social stigma.
C)Acknowledge her condition to her classmates.
D)Not adhere to dietary recommendations.
To view all questions and flashcards with answers, click on the resource link above. Page 18
Chapter 17: Nursing Care of the Child With a Life-Threatening Illness or Injury
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/78188
Sample Questions
Q1) A baby is born at 32 weeks' gestation and is admitted to the NICU. After 4 difficult weeks, the child's condition has improved and survival seems guaranteed. The mother comes every day to feed the infant. Between feedings, the mother sits alone in the waiting room. The mother tells the nurse that she feels her life is in a holding pattern, not yet being a parent but no longer anticipating the excitement of the planned delivery. The nurse recognizes that the mother's reaction could be defined as:
A)Shock and disbelief.
B)Anticipatory waiting.
C)Readjustment.
D)Mourning.
Q2) Twenty-four hours after being transferred from the pediatric intensive care unit to the regular pediatrics floor, the seven-year-old child is asked about his experience in the PICU. The child says he was not in the PICU but came directly to the floor from the ambulance ride. The nurse recognizes this is a coping behavior for the child known as:
A)Repression.
B)Regression.
C)Amnesia.
D)Developmental delay.
To view all questions and flashcards with answers, click on the resource link above. Page 19
Chapter 18: End-Of-Life Care and Bereavement
Available Study Resources on Quizplus for this Chatper
19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/78187
Sample Questions
Q1) The nurse is doing a follow-up home visit to a family who lost their three-month-old infant to SIDS eight weeks ago. The mother answers the door in her nightgown with hair uncombed. During the interview, the mother states: "I don't see the point of getting dressed each day." The nurse recognizes that the mother is demonstrating which stage of grief behavior?
A)Recovery
B)Yearning, pining
C)Hostile
D)Disorganization
Q2) The nurse has been working with the parents of a dying child. The nurse has explained signs of imminent death. Which statement by the parents indicates that they understand the teaching?
A)"I understand that my child can see me until the very end."
B)"Dying children always lose consciousness a few hours before they pass."
C)"My child may become flushed as his heart slows down."
D)"My child may see visions that I cannot see."
To view all questions and flashcards with answers, click on the resource link above.
Chapter 19: Infant, Child, and Adolescent Nutrition
Available Study Resources on Quizplus for this Chatper
14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/78186
Sample Questions
Q1) The nurse is teaching the parents of a four-month-old infant about good feeding habits. The nurse emphasizes the importance of holding the baby during feedings and not letting the infant go to sleep with the bottle, as this is most likely to increase the incidence of both dental caries and:
A)Aspiration.
B)Otitis media.
C)Malocclusion problems.
D)Sleeping disorders.
Q2) 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."
To view all questions and flashcards with answers, click on the resource link above.
Page 21
Chapter 20: Social and Environmental Influences on Child and
Adolescent Health
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/78185
Sample Questions
Q1) A seven-year-old child has been seen in the pediatric clinic three times in the last two months for complaints of abdominal pain. On each occasion, the physical exam and all ordered lab work have been normal. The most important information to assess at this time would be:
A)The child's normal eating habits.
B)Recent viral illnesses or other infectious symptoms.
C)Review of the child's immunization history.
D)Changes in school or home life.
Q2) The nurse works in a pediatric unit. In working with a parent who is suspected of Munchausen syndrome by proxy, it is very important for the nurse to:
A)Try to keep the parent separated from the child as much as possible.
B)Explain to the child that the parent is causing the illness and that the health care team will prevent the child from being harmed
C)Carefully document parent-child interactions.
D)Confront the parent with concerns of possible abuse.
To view all questions and flashcards with answers, click on the resource link above.
Page 22
Chapter 21: Pain Assessment and Management
Available Study Resources on Quizplus for this Chatper
21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/78184
Sample Questions
Q1) A five-year-old is hospitalized with a fractured femur. Which assessment tool is appropriate for this child?
A)CRIES Scale
B)Faces Pain Rating Scale
C)SUN Scale
D)PIPP Scale
Q2) An analgesic is ordered for a post-surgical patient to be given every three to four hours. The nurse knows that a delay in giving the medication will cause a(n):
A)Decrease in the chance of withdrawal symptoms.
B)Decrease in the chance of addiction.
C)Increase in the chance of breakthrough pain.
D)Increase in the child's pain tolerance.
Q3) A child who has chronic pain of long duration will exhibit which behavior?
A)Increased respiratory rate
B)Normal temperature
C)Normal heart rate
D)Decreased blood pressure
To view all questions and flashcards with answers, click on the resource link above.
23
Chapter 22: Immunizations and Communicable Diseases
Available Study Resources on Quizplus for this Chatper
27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/78183
Sample Questions
Q1) The nurse prepares a DTaP (diphtheria, tetanus toxoid, and acellular pertussis) immunization for a six-month-old infant. To administer this injection safely, the nurse chooses which of the following needles (size and length), injection type, and injection site?
A)25-gauge, <sup>5</sup>/<sub>8</sub>-inch needle; IM (intramuscular); anterolateral thigh
B)25-gauge, <sup>5</sup>/<sub>8</sub>-inch needle; ID (intradermal); deltoid
C)22-gauge, <sup>1</sup>/<sub>2</sub>-inch needle; IM (intramuscular); dorsogluteal
D)25-gauge, <sup>3</sup>/<sub>4</sub>-inch needle; SQ (subcutaneous); anterolateral thigh
Q2) The nurse is teaching parents how to prevent the spread of infectious disease. Which of the following is the most important health promotion strategy for all age groups of children?
A)Keeping child free from colds
B)Proper hand hygiene
C)Keeping all toys clean and free from germs
D)Keeping child away from sick adults
To view all questions and flashcards with answers, click on the resource link above.
Chapter 23: Alterations in Fluid, Electrolyte, and Acid-Base Balance
Available Study Resources on Quizplus for this Chatper
14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/78182
Sample Questions
Q1) The nurse is caring for a child on bed rest who has severe edema in a left lower leg due to blocked lymphatic drainage. Which nursing diagnosis would take priority?
A)Risk for impaired skin integrity
B)Risk for altered body image
C)Risk for imbalanced nutrition: less than body requirements
D)Risk for activity intolerance
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
To view all questions and flashcards with answers, click on the resource link above.
25
Chapter 24: Alterations in Eye, Ear, Nose, and Throat
Function
Available Study Resources on Quizplus for this Chatper
18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/78181
Sample Questions
Q1) A nurse is caring for a visually impaired 20-month-old who has not begun to walk. Which nursing diagnosis would be appropriate for this child?
A)Self-care deficit
B)Impaired physical mobility
C)Impaired home maintenance
D)Delayed growth and development
Q2) A child has epistaxis while at school. The school nurse appropriately intervenes by:
A)Lying the child down and applying a warm pack.
B)Tilting the child's head back, squeezing the bridge of the nose, and applying a warm moist pack to the nose.
C)Tilting the child's head forward, squeezing the nares below the nasal bone, and applying ice to the nose.
D)Immediately packing the nares with a cotton ball soaked with Neo-Synephrine.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 25: Alterations in Respiratory Function
Available Study Resources on Quizplus for this Chatper
19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/78180
Sample Questions
Q1) A mother of a three-year-old tells the nurse that her child often puts small toys in his mouth and she is concerned about choking. She asks the nurse what she should do if the child chokes. In addition to recommending the mother take a CPR course, the best response by the nurse would be to:
A)Show the mother how to do cardiac compressions and rescue breathing.
B)Recommend the mother perform back blows and chest thrusts.
C)Teach the mother how to perform abdominal thrusts.
D)Tell the mother to do nothing until the child loses consciousness.
Q2) A child is on rifampin (Rimactane) for treatment of tuberculosis. The parents call the clinic and report that the child's urine is orange. The nurse should advise the parents to:
A)Encourage the child to drink cranberry juice.
B)Expect orange-colored urine while the child is on rifampin.
C)Bring the child to the clinic for a urinalysis.
D)Bring the child to the clinic for a radiograph of the kidneys.
To view all questions and flashcards with answers, click on the resource link above. Page 27
Chapter 26: Alterations in Cardiovascular Function
Available Study Resources on Quizplus for this Chatper
22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/78179
Sample Questions
Q1) The nurse finds that an infant has stronger pulses in the upper extremities than in the lower extremities and higher blood pressure readings in the arms than in the legs. This could be indicative of what heart defect?
A)Transposition of the great vessels
B)Patent ductus arteriosus
C)Coarctation of the aorta
D)Atrial septal defect
Q2) An infant with tetralogy of Fallot (TOF) is having a hypercyanotic episode ("tet" spell). Which nursing interventions should the nurse implement? Standard Text: Select all that apply.
A)Administer oxygen.
B)Place the child in knee-chest position.
C)Administer morphine and propranolol intravenously as ordered.
D)Draw blood for a serum hemoglobin.
E)Administer Benadryl as ordered.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 27: Alterations in Immune Function
Available Study Resources on Quizplus for this Chatper
17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/78178
Sample Questions
Q1) The nurse is planning to discharge a child newly diagnosed with HIV infection. Which discharge instruction should be included for this child and her family?
A)Eat raw fruits.
B)Avoid playing sports.
C)Restrict school attendance.
D)Cover open wounds.
Q2) The nurse is caring for a child who experiences an anaphylactic shock reaction. In which position will the nurse place the child?
A)In Trendelenburg position
B)Flat, with legs slightly elevated
C)In high Fowler's position
D)In reverse Trendelenburg position
Q3) The nurse is caring for a child with rheumatoid arthritis. Which is an appropriate nonpharmacologic measure to reduce the joint pain associated this disease?
A)Elevation of the extremity
B)Immobilization
C)Massage
D)Application of moist heat
To view all questions and flashcards with answers, click on the resource link above.
Chapter 28: Alterations in Hematologic Function
Available Study Resources on Quizplus for this Chatper
26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/78177
Sample Questions
Q1) Which of the following parental demonstrations indicates that the parents understand the nurse's teaching with regard to prevention of iron-deficiency anemia?
A)The parents feed their infant with a formula that is not iron-fortified.
B)The child's vitamin C consumption is limited after one year of age.
C)The parents start iron-fortified infant cereal at four to six months of age.
D)Cow's milk is introduced into the child's diet at six months of age.
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.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 29: The Child With Cancer
Available Study Resources on Quizplus for this Chatper
21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/78176
Sample Questions
Q1) During rounds, the interdisciplinary team is discussing the care of a child with a newly diagnosed Wilms' tumor. The nurse describes the mother as being angry and upset that they are not caring properly for her child. What behavior probably is the cause of the mother's anger?
A)The mother is beginning the stages of grief over loss of her previously well child.
B)The mother is feeling guilty for not recognizing that the child was ill.
C)The nurses are negligent in providing safe care for the child.
D)The mother does not have adequate support from Social Services.
Q2) A child has been diagnosed with a Wilms' tumor and is being treated with chemotherapy. Prior to administering the chemotherapy, what will the nurse monitor to determine if the child has any capability of fighting infection?
A)Hemoglobin
B)Red blood cell count
C)Platelets
D)Absolute neutrophil count (ANC)
To view all questions and flashcards with answers, click on the resource link above.
Chapter 30: Alterations in Gastrointestinal Function
Available Study Resources on Quizplus for this Chatper
19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/78175
Sample Questions
Q1) A nurse is preparing for the delivery of a newborn with a known diaphragmatic hernia defect. Which equipment should the nurse prepare for use?
A)Appropriate bag-valve-mask system
B)Sterile gauze and saline
C)Soft arm restraints
D)Equipment for intubation
Q2) A child with inflammatory bowel disease is taking prednisone daily. The family should be taught to administer the prednisone at what time?
A)Between meals
B)At bedtime
C)One hour before meals
D)With meals
Q3) A three-year-old child is suspected of having Hirschsprung's disease. Which assessment factors would support such a medical diagnosis?
A)Clay-colored stools and dark urine
B)History of early passage of meconium in the newborn period
C)History of chronic, progressive constipation and failure to gain weight
D)Continual bouts of foul-smelling diarrhea
To view all questions and flashcards with answers, click on the resource link above.
Chapter 31: Alterations in Genitourinary Function
Available Study Resources on Quizplus for this Chatper
17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/78174
Sample Questions
Q1) A four-year-old girl has been treated for three urinary tract infections (UTI) in the last two years. Which instructions can the nurse give to the mother to help reduce the child's risk of acquiring another UTI? Standard Text: Select all that apply.
A)Wear only nylon underwear for better air flow.
B)Teach the child to wipe from front to back.
C)Encourage the child to take long baths by allowing the child bubbles and toys in the tub.
D)Encourage the child to drink additional fluids throughout the day.
E)Plan potty breaks every two hours throughout the day.
Q2) A child has undergone a kidney transplant and is receiving cyclosporine. The parents ask the nurse about the reason for the cyclosporine. The nurse should explain that the drug is given to:
A)Suppress rejection.
B)Decrease pain.
C)Improve circulation.
D)Boost immunity.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 32: Alterations in Endocrine and Metabolic Function
Available Study Resources on Quizplus for this Chatper
18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/78173
Sample Questions
Q1) A five-year-old with a history of being treated for hypopituitarism comes to the physician with complaints of right hip and leg pain. The nurse understands that this symptom might be related to which medication that is used to treat hypopituitarism?
A)Daily growth hormone
B)Insulin before meals and bedtime
C)DDAVP (desmopressin acetate) at HS
D)Cortisone injections
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
To view all questions and flashcards with answers, click on the resource link above.
Chapter 33: Alterations in Neurologic Function
Available Study Resources on Quizplus for this Chatper
19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/78172
Sample Questions
Q1) The teacher is speaking to the school nurse about one of the girls in the fifth grade. The girl has always been a good student but lately seems to be daydreaming a lot. The teacher says, "Sometimes when I ask her a question, she will just stare at me for 15 seconds, then blink and ask me to repeat the question. What do you think is going on with her?" Based on this data, the nurse will suspect:
A)The girl has a crush on a boy in the class.
B)The girl has increased intracranial pressure.
C)The child may have had a head injury.
D)The girl is experiencing absence seizures.
Q2) A four-year-old with intractable seizures has been on a ketogenic diet for the last six months, with a decrease in seizure activity. This child is now admitted to the pediatric unit with left-sided pain. The nurse knows that possible complications of the ketogenic diet include:
A)Appendicitis.
B)Bowel obstruction.
C)Urinary tract infection.
D)Kidney stones.
To view all questions and flashcards with answers, click on the resource link above.
Page 35
Chapter 34: Alterations in Mental Health and Cognition
Available Study Resources on Quizplus for this Chatper
15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/78171
Sample Questions
Q1) A nine-year-old has been diagnosed with a learning disorder that is characterized by problems with manual dexterity and coordination. The nurse teaches parents that this disorder is called:
A)Dysgraphia.
B)Dyscalculia.
C)Dyspraxia.
D)Dyslexia.
Q2) 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
To view all questions and flashcards with answers, click on the resource link above.
36
Chapter 35: Alterations in Musculoskeletal Function
Available Study Resources on Quizplus for this Chatper
17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/78170
Sample Questions
Q1) A school health nurse is screening for scoliosis. For what assessment findings would the nurse look? Standard Text: Select all that apply.
A)Lordosis
B)Prominent scapula
C)Pain
D)A one-sided rib hump
E)Uneven shoulders and hips
Q2) The nurse in the newborn nursery is doing the admission assessment on a neonate. Which assessment finding would lead the nurse to suspect unilateral congenital hip dysplasia?
A)Lordosis
B)Trendelenburg sign
C)Asymmetry of the gluteal and thigh fat folds
D)Telescoping of the affected limb
To view all questions and flashcards with answers, click on the resource link above.
Chapter 36: Alterations in Skin Integrity
Available Study Resources on Quizplus for this Chatper
19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/78169
Sample Questions
Q1) The 10-year-old child is admitted to the hospital following an accident at school that resulted in a puncture wound of the abdomen. Two days after the injury, the child continues in the inflammation phase of healing. What would the nurse expect to see while changing the child's dressing and assessing the wound?
A)The wound is contracting, and the edges are growing together.
B)A blood clot has formed, sealing the wound.
C)Epithelial cells are growing into the wound.
D)The wound is pale and weepy.
Q2) 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
To view all questions and flashcards with answers, click on the resource link above.