Community and Pediatric Nursing Final Exam
Course Introduction
Community and Pediatric Nursing focuses on the principles and practices of health promotion, disease prevention, and nursing care for individuals, families, and groups within diverse communities, with a special emphasis on pediatric populations. The course explores the unique physiological, psychological, and developmental needs of children from infancy through adolescence, as well as the roles and responsibilities of nurses in delivering holistic care in community settings. Topics include immunization, growth and development, family-centered care, health education, advocacy, and the management of common pediatric and community health problems. Students develop skills in assessment, planning, implementation, and evaluation of care to promote the well-being of children and strengthen community health systems.
Recommended Textbook
Wongs Essentials of Pediatric Nursing 10th Edition by Hockenberry
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30 Chapters
1126 Verified Questions
1126 Flashcards
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Page 2
Chapter 1: Perspectives of Pediatric Nursing
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) 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
Q2) Which leading cause of death topic should the nurse emphasize to a group of African-American boys ranging in age from 15 to 19 years?
A) Suicide
B) Cancer
C) Firearm homicide
D) Occupational injuries
Answer: C
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Chapter 2: Family, Social, Cultural, and Religious Influences on Child Health Promotion
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) The nurse is teaching a group of new parents about the experience of role transition. Which statement by a parent would indicate a correct understanding of the teaching?
A) "My marital relationship can have a positive or negative effect on the role transition."
B) "If an infant has special care needs, the parents' sense of confidence in their new role is strengthened."
C) "Young parents can adjust to the new role easier than older parents."
D) "A parent's previous experience with children makes the role transition more difficult."
Answer: A
Q2) Which is the term for a family in which the paternal grandmother, the parents, and two minor children live together?
A) Blended
B) Nuclear
C) Binuclear
D) Extended Answer: D
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Chapter 3: Developmental and Genetic Influences on Child
Health Promotion
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37 Verified Questions
37 Flashcards
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Sample Questions
Q1) An infant who weighs 7 pounds at birth would be expected to weigh how many pounds at age 1 year?
A) 14
B) 16
C) 18
D) 21
Answer: D
Q2) A 13-year-old girl asks the nurse how much taller she will get. She has been growing about 2 inches per year but grew 4 inches this past year. Menarche recently occurred. The nurse should base her response on which statement?
A) Growth cannot be predicted.
B) Pubertal growth spurt lasts about 1 year.
C) Mature height is achieved when menarche occurs.
D) Approximately 95% of mature height is achieved when menarche occurs.
Answer: D
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Chapter 4: Communication and Physical Assessment of the Child and Family
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61 Verified Questions
61 Flashcards
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Sample Questions
Q1) Which following parameters correlates best with measurements of the body's total protein stores?
A) Height
B) Weight
C) Skinfold thickness
D) Upper arm circumference
Q2) During a routine health assessment, the nurse notes that an 8-month-old infant has significant head lag. Which is the nurse's most appropriate action?
A) Teach parents appropriate exercises.
B) Recheck head control at next visit.
C) Refer child for further evaluation.
D) Refer child for further evaluation if anterior fontanel is still open.
Q3) Which is most important to document about immunizations in the child's health history?
A) Dosage of immunizations received
B) Occurrence of any reaction after an immunization
C) The exact date the immunizations were received
D) Practitioner who administered the immunizations
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Chapter 5: Pain Assessment and Management in Children
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) Nonpharmacologic strategies for pain management:
A) may reduce pain perception.
B) make pharmacologic strategies unnecessary.
C) usually take too long to implement.
D) trick children into believing they do not have pain.
Q2) The nurse is caring for a 6-year-old girl who had surgery 12 hours ago. The child tells the nurse that she does not have pain, but a few minutes later she tells her parents that she does. Which should the nurse consider when interpreting this?
A) Truthful reporting of pain should occur by this age.
B) Inconsistency in pain reporting suggests that pain is not present.
C) Children use pain experiences to manipulate their parents.
D) Children may be experiencing pain even though they deny it to the nurse.
Q3) Fentanyl and midazolam (Versed) are given before débridement of a child's burn wounds. Which is the rationale for administration of these medications?
A) Promote healing
B) Prevent infection
C) Provide pain relief
D) Limit amount of débridement that will be necessary
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Chapter 6: Childhood Communicable and Infectious Diseases
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39 Verified Questions
39 Flashcards
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Sample Questions
Q1) What is cellulitis often caused by?
A) Herpes zoster
B) Candida albicans
C) Human papillomavirus
D) Streptococcus or Staphylococcus organisms
Q2) A mother tells the nurse that she does not want her infant immunized because of the discomfort associated with injections. What should the nurse explain?
A) This cannot be prevented.
B) Infants do not feel pain as adults do.
C) This is not a good reason for refusing immunizations.
D) A topical anesthetic, EMLA, can be applied before injections are given.
Q3) Which nursing consideration is important when caring for a child with impetigo contagiosa?
A) Apply topical corticosteroids to decrease inflammation.
B) Carefully remove dressings so as not to dislodge undermined skin, crusts, and debris.
C) Carefully wash hands and maintain cleanliness when caring for an infected child.
D) Examine child under a Wood lamp for possible spread of lesions.
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Page 8
Chapter 7: Health Promotion of the Newborn and Family
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46 Verified Questions
46 Flashcards
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Sample Questions
Q1) The stump of the umbilical cord usually separates in how many days?
A) 3
B) 10 to 14
C) 16 to 20
D) 28
Q2) Which characteristic is representative of the newborn's gastrointestinal tract?
A) Stomach capacity is approximately 90 ml.
B) Peristaltic waves are relatively slow.
C) Overproduction of pancreatic amylase occurs.
D) Intestines are shorter in relation to body size.
Q3) What are distended sebaceous glands that appear as tiny white papules on cheeks, chin, and nose in the newborn period called?
A) Milia
B) Lanugo
C) Mongolian spots
D) Cutis marmorata
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Chapter 8: Health Problems of Newborns
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Sample Questions
Q1) The nurse is planning care for a low birth weight newborn. Which is an appropriate nursing intervention to promote adequate oxygenation?
A) Place in Trendelenburg position periodically.
B) Suction at least every 2 to 3 hours.
C) Maintain neutral thermal environment.
D) Hyperextend neck with nose pointing to ceiling.
Q2) Which is an important nursing consideration in preventing the complications of congenital hypothyroidism (CH)?
A) Assess for family history of CH.
B) Assess mother for signs of hypothyroidism.
C) Be certain appropriate screening is done prenatally.
D) Be certain appropriate screening is done on newborn.
Q3) When is the best time for the neonatal intensive care unit (NICU) nurse to initiate an individualized stimulation program for the preterm newborn?
A) As soon as possible after newborn is born
B) As soon as parent is available to provide stimulation
C) When newborn is over 38 weeks of gestation
D) When developmental organization and stability are sufficient
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10
Chapter 9: Health Promotion of the Infant and Family
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Sample Questions
Q1) In terms of gross motor development, which should the nurse expect a 5-month-old infant to do? (Select all that apply.)
A) Roll from abdomen to back.
B) Put feet in mouth when supine.
C) Roll from back to abdomen.
D) Sit erect without support.
E) Move from prone to sitting position.
F) Adjust posture to reach an object.
Q2) At what age should the nurse expect an infant to begin smiling in response to pleasurable stimuli?
A) 1 month
B) 2 months
C) 3 months
D) 4 months
Q3) Which would be the best play activity for a 6-month-old infant to provide tactile stimulation?
A) Allow to splash in bath.
B) Give various colored blocks.
C) Play music box, tapes, or CDs.
D) Use infant swing or stroller.
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Chapter 10: Health Problems of Infants
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) An infant experienced an apparent life-threatening event (ALTE) and is being placed on home apnea monitoring. Parents have understood the instructions for use of a home apnea monitor when they state?
A) "We can adjust the monitor to eliminate false alarms."
B) "We should sleep in the same bed as our monitored infant."
C) "We will check the monitor several times a day to be sure the alarm is working."
D) "We will place the monitor in the crib with our infant."
Q2) A nurse is conducting education classes for parents of infants. The nurse plans to discuss sudden infant death syndrome (SIDS). Which risk factors should the nurse include as increasing an infant's risk of a sudden infant death syndrome incident? (Select all that apply.)
A) Breastfeeding
B) Low Apgar scores
C) Male sex
D) Birth weight in the 50th or higher percentile
E) Recent viral illness
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Chapter 11: Health Promotion of the Toddler and Family
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36 Verified Questions
36 Flashcards
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Sample Questions
Q1) Two toddlers are playing in a sandbox when one child suddenly grabs a toy from the other child. Which is the best interpretation of this behavior?
A) This is typical behavior because toddlers are aggressive.
B) This is typical behavior because toddlers are egocentric.
C) Toddlers should know that sharing toys is expected of them.
D) Toddlers should have the cognitive ability to know right from wrong.
Q2) Which statement is correct about toilet training?
A) Bladder training is usually accomplished before bowel training.
B) Wanting to please the parent helps motivate the child to use the toilet.
C) Watching older siblings use the toilet confuses the child.
D) Children must be forced to sit on the toilet when first learning.
Q3) A father tells the nurse that his daughter wants the same plate and cup used at every meal, even if they go to a restaurant. What should the nurse explain to the father?
A) A sign the child is spoiled
B) A way to exert unhealthy control
C) Regression, common at this age
D) Ritualism, common at this age
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Page 13
Chapter 12: Health Promotion of the Preschooler and Family
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24 Flashcards
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Sample Questions
Q1) A nurse, instructing parents of a hospitalized preschool child, explains that which is descriptive of the preschooler's understanding of time?
A) Has no understanding of time
B) Associates time with events
C) Can tell time on a clock
D) Uses terms like "yesterday" appropriately
Q2) Parents tell the nurse that they found their 3-year-old daughter and a male cousin of the same age inspecting each other closely as they used the bathroom. Which is the most appropriate recommendation the nurse should make?
A) Punish children so this behavior stops.
B) Neither condone nor condemn the curiosity.
C) Allow children unrestricted permission to satisfy this curiosity.
D) Get counseling for this unusual and dangerous behavior.
Q3) Which should the nurse expect of a healthy 3-year-old child?
A) Jump rope
B) Ride a two-wheel bicycle
C) Skip on alternate feet
D) Balance on one foot for a few seconds
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Chapter 13: Health Problems of Toddlers and Preschoolers
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Sample Questions
Q1) Which is the most frequent source of acute childhood lead poisoning?
A) Folk remedies
B) Unglazed pottery
C) Lead-based paint
D) Cigarette butts and ashes
Q2) A nurse is beginning chelation therapy on a child for lead poisoning. Which intervention should the nurse implement during the time the child is receiving chelation therapy?
A) Calorie counts
B) Strict intake and output
C) Telemetry monitoring
D) Contact isolation
Q3) A 3-month-old infant dies shortly after arrival to the emergency department. The infant has subdural and retinal hemorrhages but no external signs of trauma. What should the nurse suspect?
A) Unintentional injury
B) Shaken-baby syndrome
C) Sudden infant death syndrome (SIDS)
D) Congenital neurologic problem
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Page 15
Chapter 14: Health Promotion of the School-Age Child and Family
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) Which is characteristic of dishonest behavior in children ages 8 to 10 years?
A) Cheating during games is now more common.
B) Lying results from the inability to distinguish between fact and fantasy.
C) They may steal because their sense of property rights is limited.
D) They may lie to meet expectations set by others that they have been unable to attain.
Q2) A nurse planning care for a school-age child should take into account that which thought process is seen at this age?
A) Animism
B) Magical thinking
C) Ability to conserve
D) Thoughts are all-powerful
Q3) The school nurse has been asked to begin teaching sex education in the fifth grade. What should the nurse recognize about this age group?
A) Children in fifth grade are too young for sex education.
B) Children should be discouraged from asking too many questions.
C) Correct terminology should be reserved for children who are older.
D) Sex can be presented as a normal part of growth and development.
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Page 16
Chapter 15: Health Promotion of the Adolescent and Family
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) A nurse is planning a teaching session for a group of adolescents. The nurse understands that by adolescence the individual is in which stage of cognitive development?
A) Formal operations
B) Concrete operations
C) Conventional thought
D) Postconventional thought
Q2) Parents are concerned about the number of hours their teenage daughter spends with peers. The nurse explains that peer relationships are important during adolescence for which reason?
A) Adolescents dislike their parents.
B) Adolescents no longer need parental control.
C) They provide adolescents with a feeling of belonging.
D) They promote a sense of individuality in adolescents.
Q3) Which aspect of cognition develops during adolescence?
A) Capability to use a future time perspective
B) Ability to place things in a sensible and logical order
C) Ability to see things from the point of view of another
D) Progress from making judgments based on what they see to making judgments based on what they reason
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Chapter 16: Health Problems of School-Age Children and Adolescents
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Sample Questions
Q1) An adolescent has been diagnosed with Chlamydia infection. Which medication should the nurse expect to be prescribed for this condition?
A) Ceftriaxone (Rocephin) IM
B) Azithromycin (Zithromax) PO
C) Acyclovir (Zovirax) PO
D) Penicillin G benzathine (Bicillin) IV
Q2) Which statement regarding chlamydia infection is correct?
A) Treatment of choice is oral penicillin.
B) Treatment of choice is nystatin or miconazole.
C) Clinical manifestations include dysuria and urethral itching in males.
D) Clinical manifestations include small, painful vesicles on genital areas.
Q3) Tretinoin (Retin-A) is a topical agent commonly used to treat acne. Nursing considerations with this drug should include:
A) teaching to avoid use of sunscreen agents.
B) applying generously to the skin.
C) explaining that medication should not be applied until at least 20 to 30 minutes after washing.
D) explaining that erythema and peeling are indications of toxicity.
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Chapter 17: Quality of Life for Children Living with Chronic and Complex Diseases
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Sample Questions
Q1) Which nursing intervention is especially helpful in assessing parental guilt when a disability or chronic illness is diagnosed?
A) Ask the parents if they feel guilty.
B) Discuss guilt only after the parents mention it.
C) Discuss the meaning of the parents' religious and cultural background.
D) Observe for signs of overprotectiveness.
Q2) Which are adaptive coping patterns used by children with special needs? (Select all that apply.)
A) Feels different and withdraws
B) Is irritable, moody, and acts out
C) Seeks support
D) Develops optimism
Q3) The nurse observes that a seriously ill child passively accepts all painful procedures. What should the nurse recognize this child is most likely experiencing?
A) A sense of hopefulness
B) A sense of chronic sorrow
C) A belief that procedures are a deserved punishment
D) A belief that procedures are an important part of care
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Chapter 18: Impact of Cognitive or Sensory Impairment on the Child and Family
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Sample Questions
Q1) Many of the physical characteristics of Down syndrome present nursing problems. Care of the child should include which intervention?
A) Delay feeding solid foods until the tongue thrust has stopped.
B) Modify diet as necessary to minimize the diarrhea that often occurs.
C) Provide calories appropriate to child's age.
D) Use a cool-mist vaporizer to keep mucous membranes moist.
Q2) When should children with cognitive impairment be referred for stimulation and educational programs?
A) As young as possible
B) As soon as they have the ability to communicate in some way
C) At age 3 years, when schools are required to provide services
D) At age 5 or 6 years, when schools are required to provide services
Q3) Which genetic term refers to the transfer of all or part of a chromosome to a different chromosome after chromosome breakage?
A) Trisomy
B) Monosomy
C) Translocation
D) Nondisjunction
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Chapter 19: Family-Centered Care of the Child During
Illness and Hospitalization
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28 Verified Questions
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Sample Questions
Q1) The nurse is caring for an adolescent who had an external fixator placed after suffering a fracture of the wrist during a bicycle accident. Which statement by the adolescent should be expected about separation anxiety?
A) "I wish my parents could spend the night with me while I am in the hospital."
B) "I think I would like for my siblings to visit me but not my friends."
C) "I hope my friends don't forget about visiting me."
D) "I will be embarrassed if my friends come to the hospital to visit."
Q2) When a preschool child is hospitalized without adequate preparation, how does the child often react to the hospitalization?
A) Sees it as a punishment
B) A threat to child's self-image
C) An opportunity for regression
D) Loss of companionship with friends
Q3) Samantha, age 5 years, tells the nurse that she "needs a Band-Aid" where she had an injection. Which is the best nursing action?
A) Apply a Band-Aid.
B) Ask her why she wants a Band-Aid.
C) Explain why a Band-Aid is not needed.
D) Show her that the bleeding has already stopped.
Page 21
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Chapter 20: Pediatric Variations of Nursing Interventions
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Sample Questions
Q1) The nurse is doing a pre-hospitalization orientation for a 7-year-old child who is scheduled for cardiac surgery. As part of the preparation, the nurse explains that she will not be able to talk because of an endotracheal tube but that she will be able to talk when it is removed. This explanation is:
A) unnecessary.
B) the surgeon's responsibility.
C) too stressful for a young child.
D) an appropriate part of the child's preparation.
Q2) How should the nurse administer a gavage feeding to a school-age child?
A) Lubricate the tip of the feeding tube with Vaseline to facilitate passage.
B) Check the placement of the tube by inserting 20 ml of sterile water.
C) Administer feedings over 5 to 10 minutes.
D) Position the patient on the right side after administering feeding.
Q3) Several types of long-term central venous access devices are used. Which is considered an advantage of a Hickman-Broviac catheter?
A) No need to keep exit site dry
B) Easy to use for self-administered infusions
C) Heparinized only monthly and after each infusion
D) No limitations on regular physical activity, including swimming
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Page 22
Chapter 21: The Child with Respiratory Dysfunction
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Sample Questions
Q1) An infant has developed staphylococcal pneumonia. Nursing care of the child with pneumonia includes which interventions? (Select all that apply.)
A) Cluster care to conserve energy
B) Round-the-clock administration of antitussive agents
C) Strict intake and output to avoid congestive heart failure
D) Administration of antibiotics
Q2) b-Adrenergic agonists and methylxanthines are often prescribed for a child with an asthma attack. Which describes their action?
A) Liquefy secretions
B) Dilate the bronchioles
C) Reduce inflammation of the lungs
D) Reduce infection
Q3) The nurse is caring for a child with carbon monoxide poisoning associated with smoke inhalation. Which is essential in this child's care?
A) Monitor pulse oximetry.
B) Monitor arterial blood gases.
C) Administer oxygen if respiratory distress develops.
D) Administer oxygen if child's lips become bright, cherry red.
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Chapter 22: The Child with Gastrointestinal Dysfunction
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Sample Questions
Q1) The nurse is caring for a child admitted with acute abdominal pain and possible appendicitis. Which is appropriate to relieve the abdominal discomfort?
A) Place in Trendelenburg position.
B) Allow to assume position of comfort.
C) Apply moist heat to the abdomen.
D) Administer a saline enema to cleanse bowel.
Q2) The nurse is caring for an infant with suspected pyloric stenosis. Which clinical manifestation would indicate pyloric stenosis?
A) Abdominal rigidity and pain on palpation
B) Rounded abdomen and hypoactive bowel sounds
C) Visible peristalsis and weight loss
D) Distention of lower abdomen and constipation
Q3) A histamine-receptor antagonist such as cimetidine (Tagamet) or ranitidine (Zantac) is ordered for an infant with GER. What is the purpose of this medication?
A) Prevent reflux
B) Prevent hematemesis
C) Reduce gastric acid production
D) Increase gastric acid production
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24
Chapter 23: The Child with Cardiovascular Dysfunction
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Sample Questions
Q1) The nurse is conducting a staff in-service on congenital heart defects. Which structural defect constitutes tetralogy of Fallot?
A) Pulmonic stenosis, ventricular septal defect, overriding aorta, right ventricular hypertrophy
B) Aortic stenosis, ventricular septal defect, overriding aorta, right ventricular hypertrophy
C) Aortic stenosis, atrial septal defect, overriding aorta, left ventricular hypertrophy
D) Pulmonic stenosis, ventricular septal defect, aortic hypertrophy, left ventricular hypertrophy
Q2) Which is best described as the inability of the heart to pump an adequate amount of blood to the systemic circulation at normal filling pressures?
A) Pulmonary congestion
B) Congenital heart defect
C) Heart failure
D) Systemic venous congestion
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Chapter 24: The Child with Hematologic or Immunologic Dysfunction
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Sample Questions
Q1) A young child with human immunodeficiency virus (HIV) is receiving several antiretroviral drugs. What is the purpose of these drugs?
A) Cure the disease
B) Delay disease progression
C) Prevent spread of disease
D) Treat Pneumocystis carinii pneumonia
Q2) In which of the conditions are all the formed elements of the blood simultaneously depressed?
A) Aplastic anemia
B) Sickle cell anemia
C) Thalassemia major
D) Iron-deficiency anemia
Q3) Which should the nurse include when teaching the mother of a 9-month-old infant about administering liquid iron preparations?
A) They should be given with meals.
B) They should be stopped immediately if nausea and vomiting occur.
C) Adequate dosage will turn the stools a tarry green color.
D) Allow preparation to mix with saliva and bathe the teeth before swallowing.
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Chapter 25: The Child with Cancer
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Sample Questions
Q1) A clinic nurse is conducting a staff in-service for other clinic nurses about signs and symptoms of a rhabdomyosarcoma tumor. Which should be included in the teaching session? (Select all that apply.)
A) Bone fractures
B) Abdominal mass
C) Sore throat and ear pain
D) Headache
E) Ecchymosis of conjunctiva
Q2) A school-age child with leukemia experienced severe nausea and vomiting when receiving chemotherapy for the first time. Which is the most appropriate nursing action to prevent or minimize these reactions with subsequent treatments?
A) Encourage drinking large amounts of favorite fluids.
B) Encourage child to take nothing by mouth (remain NPO) until nausea and vomiting subside.
C) Administer an antiemetic before chemotherapy begins.
D) Administer an antiemetic as soon as child has nausea.
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Chapter 26: The Child with Genitourinary Dysfunction
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Sample Questions
Q1) A preschool child is being admitted to the hospital with dehydration and a urinary tract infection (UTI). Which urinalysis result should the nurse expect with these conditions?
A) WBC <1; specific gravity 1.008
B) WBC <2; specific gravity 1.025
C) WBC >2; specific gravity 1.016
D) WBC >2; specific gravity 1.030
Q2) Which is an objective of care for a 10-year-old child with minimal change nephrotic syndrome?
A) Reduce blood pressure.
B) Reduce excretion of urinary protein.
C) Increase excretion of urinary protein.
D) Increase ability of tissues to retain fluid.
Q3) Which best describes acute glomerulonephritis?
A) Occurs after a urinary tract infection
B) Occurs after a streptococcal infection
C) Associated with renal vascular disorders
D) Associated with structural anomalies of genitourinary tract
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Chapter 27: The Child with Cerebral Dysfunction
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Sample Questions
Q1) Which drug should the nurse expect to administer to a preschool child who has increased intracranial pressure (ICP) resulting from cerebral edema?
A) Mannitol (Osmitrol)
B) Epinephrine hydrochloride (Adrenalin)
C) Atropine sulfate (Atropine)
D) Sodium bicarbonate (Sodium bicarbonate)
Q2) When should the nurse recommend medical attention for a child with a slight head injury?
A) Experiences sleepiness
B) Vomits
C) Has a headache
D) Is confused or has abnormal behavior
Q3) What is an important nursing intervention when caring for a child who is experiencing a seizure?
A) Describe and record the seizure activity observed.
B) Restrain the child when seizure occurs to prevent bodily harm.
C) Place a tongue blade between the teeth if they become clenched.
D) Suction the child during a seizure to prevent aspiration.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 28: The Child with Endocrine Dysfunction
Available Study Resources on Quizplus for this Chatper
39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/4158
Sample Questions
Q1) A child will start treatment for precocious puberty. The nurse recognizes that this will involve the injection of which synthetic medication?
A) Thyrotropin
B) Gonadotropins
C) Somatotropic hormone
D) Luteinizing hormone-releasing hormone
Q2) The nurse is caring for a preschool child with suspected diabetes insipidus. Which clinical manifestation should the nurse expect to observe?
A) Oliguria
B) Glycosuria
C) Nausea and vomiting
D) Polyuria and polydipsia
Q3) Which clinical manifestation may occur in the child who is receiving too much methimazole (Tapazole) for the treatment of hyperthyroidism (Graves disease)?
A) Seizures
B) Enlargement of all lymph glands
C) Pancreatitis or cholecystitis
D) Lethargy and somnolence
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Chapter 29: The Child with Musculoskeletal or Articular Dysfunction
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/4159
Sample Questions
Q1) The nurse should monitor for which effect on the cardiovascular system when a child is immobilized?
A) Venous stasis
B) Increased vasopressor mechanism
C) Normal distribution of blood volume
D) Increased efficiency of orthostatic neurovascular reflexes
Q2) Which type of traction uses skin traction on the lower leg and a padded sling under the knee?
A) Dunlop
B) Bryant
C) Russell
D) Buck extension
Q3) Which is an appropriate nursing intervention when caring for a child in traction?
A) Remove adhesive traction straps daily to prevent skin breakdown.
B) Assess for tightness, weakness, or contractures in uninvolved joints and muscles.
C) Provide active range-of-motion exercises to affected extremity three times a day.
D) Keep the child in one position to maintain good alignment.
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Chapter 30: The Child with Neuromuscular or Muscular Dysfunction
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/4160
Sample Questions
Q1) Which should the nurse expect to find in the cerebral spinal fluid (CSF) results of a child with Guillain-Barré syndrome (GBS)? (Select all that apply.)
A) Decreased protein concentration
B) Normal glucose
C) Fewer than 10 white blood cells (WBCs/mm³)
D) Elevated red blood cell (RBC) count
Q2) A 4-year-old child has just been diagnosed with pseudohypertrophic (Duchenne) muscular dystrophy. The management plan should include which action?
A) Recommend genetic counseling.
B) Explain that the disease is easily treated.
C) Suggest ways to limit use of muscles.
D) Assist family in finding a nursing facility to provide child's care.
Q3) How much folic acid is recommended for women of childbearing age?
A) 1.0 mg
B) 0.4 mg
C) 1.5 mg
D) 2.0 mg
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