Community Health Nursing
Solved Exam Questions
Course Introduction
Community Health Nursing explores the roles and responsibilities of nurses in promoting and protecting the health of populations and communities. The course emphasizes the application of nursing, public health, and social science principles to assess community health needs, plan and implement interventions, and evaluate outcomes. Students learn about epidemiology, health education, disease prevention, and the management of community-based health services. Special topics include emerging health issues, cultural competence, environmental health, and policy advocacy, preparing students to address diverse health concerns in a variety of community settings.
Recommended Textbook
Child Health Nursing Partnering with Children and Families 3rd Edition by Jane
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36 Chapters
680 Verified Questions
680 Flashcards
Source URL: https://quizplus.com/study-set/3920
Page 2
W. Ball
Chapter 1: Child Health Nursing: Concepts, Roles, and Issues
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) A registered nurse has been asked to join the ethics committee of the hospital. In considering this appointment, the nurse would recognize that the committee might be considering ethical situations including: Standard Text: Select all that apply.
A)Issuance of a "Do Not Resuscitate" (allow natural death) order on a child who has been determined brain dead against the wishes of the parents.
B)Determining if a minor child who disagrees with the parents about the treatment plan can make an informed decision.
C)Determining if a non-salvageable newborn can be used as an organ donor.
D)Investigating a medication error.
E)Consulting and intervening when parents are not in agreement on decisions of health care for their child.
Answer: A,C
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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) 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
Q2) A pediatric clinic serves several children who were adopted. The clinic nurse recognizes that the adopted child who is most likely to blame himself for being "given away" by the biologic parents is the:
A)Adopted child entering high school.
B)Child under three who was adopted as an infant.
C)Preschooler whose skin color is different from the adopted parents.
D)Child entering kindergarten.
Answer: D
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Chapter 3: Cultural Influences
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) Unhappy with the treatment progress for their child with cancer, the parents choose to add dietary supplements, including megavitamins, as complementary medicine to the treatment plan. What would be the priority nursing diagnosis for this child?
A)Impaired gas exchange
B)Risk for injury
C)Altered family processes
D)Altered parenting
Answer: B
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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5
Chapter 4: Genetic and Hereditary Influences
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) During a sports physical, a client is found to have myopia, long digits, tall stature, an arm span greater than his height, scoliosis, and a hollow chest. The nurse should suspect:
A)Phenylketonuria.
B)Turner's syndrome.
C)Huntington's chorea.
D)Marfan's syndrome.
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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6
Chapter 5: Concepts of Growth and Development
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) As children grow and develop, their style of play changes. Place the following descriptions of play styles in order from infancy to school-age. Standard Text: Click and drag the options below to move them up or down.
A)Plays beside but not with other children
B)Plays games with other children and is able to follow the rules of the game
C)Plays alone with play directed by others
D)Plays with others in loose groups
Q2) A 10-year-old child has been struggling with his self-esteem. Which activity would best help this child have a positive resolution of Erikson's Industry versus Inferiority stage?
A)Playing sports with his older brother and the brother's friends.
B)Have his mother compliment him when he completes his homework.
C)Encourage the child to participate in boy scouts and earn badges.
D)Suggest to the mother that she allow the child to babysit his younger siblings.
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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 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."
Q2) While assessing an eight-month-old infant, the best strategy for the nurse to use to promote communication with the infant would be to:
A)Use touch, patting, and cuddling the infant.
B)Speak to the infant in low-pitched, soft tones.
C)Place the infant out of the parents' view to decrease distraction.
D)Lean over the infant's face and talk with forceful tones.
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8
Chapter 7: Pediatric and Newborn Assessment
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) The nurse is caring for an infant diagnosed with "failure to thrive." The nurse observes the physician taking blood pressures in all four extremities and recognizes that the physician suspects which congenital cardiac defect?
A)Tetralogy of Fallot
B)Ventricular septal defect
C)Pulmonary atresia
D)Coarctation of the aorta
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.
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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) Student nurses are observing in the pediatric well-child clinic. The students observe that prior to administering an immunization to a child, a nurse explains the reason for the immunization series to the mother. While discussing the incident in post-conference, the students report that this activity was:
A)Health screening.
B)Health promotion.
C)Health maintenance.
D)Health assessment.
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
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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) During a prenatal visit, the pregnant mother asks the nurse if she should have her baby's cord blood collected and stored. The best response by the nurse would be:
A)"If I were pregnant, I would certainly bank by baby's cord blood."
B)"You wonder if you should have your baby's cord blood banked?"
C)"Let's discuss the pros and cons of cord blood banking."
D)"What does the baby's father think about cord blood banking?"
Q2) Prior to discharge from the birth hospital, the new mother asks the nurse about the use of a mobile over the crib. The nurse would explain to the mother that the mobile should be placed about 10 inches above the level of the baby. The nurse would explain that this placement:
A)Is based on the fact that newborns can focus at a distance of 8 to 12 inches.
B)Will prevent the infant from being injured by the mobile.
C)Is most convenient for the parents.
D)Is for decoration only.The newborn does not have vision sufficient to see the mobile.
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11
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) 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.
Q2) The home health nurse is concerned that the teenage mother tends to watch television while feeding the baby rather than talking and playing with her baby. Which statement by the nurse will most likely encourage the mother to talk and play with the baby more?
A)"Babies who are talked to more have higher IQs later on."
B)"You should talk to your baby more."
C)"Watch how I talk to the baby and see if you can follow my lead."
D)"Have you noticed how your baby looks at you when you speak? You can see how he knows your voice."
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Chapter 11: Health Promotion and Maintenance of the
Toddler and Preschooler
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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) Which of these developmental milestones should the nurse expect to find in children who are between two and three years old? Standard Text: Select all that apply.
A)Always feeds self
B)Throws ball overhand
C)Kicks a ball
D)Goes up and down stairs
E)Scribbles and draws on paper
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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) 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
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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14
Chapter 13: Health Promotion and Maintenance of the Adolescent
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) The nurse will want to screen all adolescents for problems associated with the primary developmental task of adolescents. In that area, the nurse will ask questions about:
A)The adolescent's adaptation to high school.
B)Establishing positive peer relationships.
C)Finding a life career.
D)Developing a healthy lifestyle.
Q2) The school nurse performs screenings on all students in the high school. In addition, the nurse will perform selected screenings on individual teenagers. When planning the screenings for the year, the nurse will include which screening for all teenagers?
A)Respiratory rate
B)Hepatitis B profile
C)Chest X-ray
D)Scoliosis
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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) As the new school year begins, the school nurse evaluates several children to determine their healthcare needs. Which child would the nurse consider to be medically fragile?
A)The child with a casted right arm due to a fracture
B)The child who wears hearing aids due to hearing loss secondary to meningitis as an infant
C)The child requiring oxygen and tube feedings secondary to a congenital heart defect
D)The child with a developmental delay
Q2) A major goal of home health care nurses working with families is:
A)Maximizing the dependency of the child on the family.
B)Curing the chronic illness of the child.
C)Prescribing and administering medication needed by the child.
D)Promoting or restoring the child's health.
Q3) The pediatric nurse works at a camp for children with diabetes. As a component of the job, the camp nurse works:
A)Directly under the supervision of the camp doctor.
B)With standard protocols to guide nursing interventions.
C)As an emergency medical technician.
D)Only in emergency situations.
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Page 16
Chapter 15: Nursing Care of the Hospitalized Child
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) A child is being prepared for surgery. The parent requests to be present during anesthesia induction. How should the nurse respond?
A)The nurse should tell the parent the names of all the medications the child will receive.
B)The nurse should explain what the parent will see and hear when present during induction.
C)The nurse should tell the parent he will be upset to see his child under anesthesia.
D)The nurse should ignore the request and focus on the child.
Q2) The nurse is taking care of a child in the ICU. The parent appears very angry and tells the nurse no one is giving her information about her child. How should the nurse respond?
A)Inform the parent she will be asked to leave if she continues this behavior.
B)Apologize for the parent's perception and assure the parent that the staff will keep her informed.Inform the parent of any change in the child's condition as soon as possible.
C)Offer to ask the doctor to come and talk with her.
D)Tell the parent her behavior will upset the child.
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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) The school nurse is reviewing the records of all incoming kindergarten students. The nurse recognizes that an individualized education plan (IEP) will be required for which children? Standard Text: Select all that apply.
A)The child with diabetes controlled with insulin
B)The child with a casted arm due to a fracture
C)The child with a hearing deficit
D)The child with autism
E)The child with an IQ of 60
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 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) A 16-year-old boy has a stiff neck, a headache, a fever of 103° Fahrenheit, and purpuric lesions on his legs. He is admitted to the hospital for treatment of suspected meningococcemia. Although the adolescent's physical needs take priority at the present time, the nurse can expect which of the following to be the most significant psychological stressor for this adolescent?
A)Fear of getting behind in schoolwork
B)Fear of painful procedures and bodily mutilation
C)Separation from friends and permanent changes in appearance
D)Separation from parents and home
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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 working in a PICU with several children with life-threatening illnesses. The children come from a variety of cultural and religious groups. Because of their religious beliefs, the parents of which religious group should not be contacted regarding organ and tissue donation?
A)Jehovah's Witness
B)Islam
C)Hinduism
D)Buddhism
Q2) A child's understanding of death changes as the child matures. When describing the adolescent's understanding of death, which of the following concepts puts the adolescent at risk for driving under the influence (drunk driving) accidents?
A)A sense of invincibility
B)The idea that death is universal
C)The understanding that death is permanent
D)An understanding that death has an effect on survivors
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Chapter 19: Infant, Child, and Adolescent Nutrition
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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) While teaching parents of a newborn about normal growth and development, the nurse informs them that their child's weight should:
A)Triple by nine months of age.
B)Double by five months of age.
C)Triple by six months of age.
D)Double by one year of age.
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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) A young infant is admitted to the hospital unit with physical injuries. The nurse is taking the child's history. The statement by the parent that would be most suspicious for abuse is:
A)"I was walking up the steps and slipped on the ice, falling while carrying my baby."
B)"The baby's 18-month-old brother was trying to pull the baby out of the crib and dropped the baby on the floor."
C)"I placed the baby in the infant swing.His six-year-old brother was running through the house and tripped over the swing, causing it to fall."
D)"I did not realize that my baby was able to roll over yet, and I was just gone a minute to check on dinner when the baby rolled off of the couch and onto our tile floor."
Q2) The nurse is providing care to homeless teens at an outreach clinic. Which of the following is most important for the nurse to understand?
A)Teens who are homeless will get a job and somewhere to live.
B)Teens who are homeless will seek help when needed.
C)Teens who are homeless will not be fearful of authority figures.
D)Teens who are homeless are most likely to have unprotected sex.
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Page 22
Chapter 21: Pain Assessment and Management
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) The nurse is caring for a two-year-old child in the postoperative period. The pain assessment tool most appropriate for assessment of pain intensity in a two-year-old is the:
A)Poker Chip Tool.
B)Oucher Scale.
C)Faces Pain Rating Scale.
D)FLACC Behavioral Pain Assessment Scale.
Q2) The nurse administered morphine intravenously to a four-year-old postoperative patient. Thirty minutes later, the nurse assesses the child. Which assessment finding requires further evaluation?
A)Pulse decreased from 136 to 104
B)Blood pressure dropped from 110/72 to 90/55
C)Respiratory rate went from 42 to 16
D)Child pulls away from nurse who wants to assess surgical site
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
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Page 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 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
Q2) The nurse is evaluating the immunization status of a child. The nurse recognizes that the child can acquire active immunity against a disease by: Standard Text: Select all that apply.
A)Receiving a dose of immunoglobulins.
B)Immunization with a killed virus vaccine.
C)Immunization with a toxoid.
D)Antibiotic therapy.
E)Acquiring the disease.
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 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/78182
Sample Questions
Q1) A nurse is planning care for a child with hyperkalemia. The nurse explains to the parents that an adverse outcome of hyperkalemia is:
A)Hyperthermia
B)Respiratory distress
C)Seizures
D)Cardiac arrhythmias
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
Q3) The nurse is evaluating an infant for dehydration. Which assessment provides the most accurate information on dehydration?
A)Urine output
B)Urine specific gravity
C)The infant's vital signs
D)Weight loss
25
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Chapter 24: Alterations in Eye, Ear, Nose, and Throat
Function
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Sample Questions
Q1) The nurse can assist a child who has a mild hearing loss and reads lips to adapt to hospitalization by:
A)Touching the child lightly before speaking.
B)Using a picture board as the main means of communication.
C)Speaking in a loud voice while facing the child.
D)Speaking directly to the parents for communication.
Q2) While screening children, the nurse notes that one child seems to have "crossed eyes." Which screening tool might the nurse utilize to further screen this child?
A)Examine the eye with an otoscope.
B)Check for the "red reflex" in the eyes.
C)Perform the cover-uncover test.
D)Use a tonometer to evaluate the eyes.
Q3) The nurse has completed postoperative discharge teaching to the parents of a child who has had a tonsillectomy. Which statement indicates the parents have understood the teaching?
A)"We will call the physician for any indication of ear pain."
B)"We will be sure to give our child adequate amounts of citrus juices."
C)"We will plan on administering acetaminophen (Tylenol) for pain."
D)"We will keep our child on bed rest for ten days after the surgery."
Page 26
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Chapter 25: Alterations in Respiratory Function
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19 Flashcards
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Sample Questions
Q1) After a routine vaginal delivery, the infant transitions with the mother in the recovery room without difficulty. Prior to being discharged from the recovery room, it is noted that the infant's respiratory rate is 102 and the lungs are clear to auscultation. Based on these findings, an appropriate transfer for this infant would be to:
A)The newborn nursery for the first bath.
B)The NICU and placed under an over-bed warmer for observation.
C)To the mother's room to promote bonding with the parents.
D)The newborn nursery for its first feeding.
Q2) A two-month-old infant is a direct admission to the pediatric unit with a diagnosis of ALTE (apparent life-threatening event). The physician is to see the infant to write medical orders. The nurse completes the nursing history and performs an assessment and finds no abnormal findings. While waiting on the physician, which activity can the nurse perform independently?
A)Place the child on an apnea monitor.
B)Place the child on nasal cannula oxygen.
C)Draw blood for arterial blood gases.
D)Place the child on contact isolation.
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Chapter 26: Alterations in Cardiovascular Function
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22 Flashcards
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Sample Questions
Q1) A four-year-old child is being emotionally prepared for open heart surgery. The nurse will want to provide the child with which information?
A)Who will be performing the surgery
B)What the surgical procedure will entail
C)The purpose of the heart-lung machine
D)What the ICU will look and sound like when the child wakes up
Q2) A term infant is found to have a congenital heart defect. During a cardiac catheterization, a stent is inserted to maintain the ductus arteriosus. The parents ask the nurse to explain the purpose of this procedure. The nurse's response would include the information that the stent:
A)Will keep the ductus arteriosus open and oxygenated and unoxygenated blood mixed.
B)Is used to close the ductus arteriosus to prevent mixing of arterial and venous blood.
C)Will redirect the blood so that blood bypasses the right ventricle.
D)Connects the ventricle to the atrium.
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Chapter 27: Alterations in Immune Function
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/78178
Sample Questions
Q1) The nurse is preparing the hospital room for admission of a child with multiple allergies including cow's milk, peanuts, and latex. The nurse's priority responsibility in preparing for this child would include:
A)Evaluating the hospital room for equipment containing latex.
B)Ordering an EpiPen for the child.
C)Notifying dietary of the milk and peanut allergy.
D)Placing a sign on the door which identifies all allergies.
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) A premature infant is at greater risk for infection than a full-term infant because of a reduced number of which immunoglobulin?
A)IgE
B)IgG
C)IgA
D)IgM
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Chapter 28: Alterations in Hematologic Function
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/78177
Sample Questions
Q1) For which complication(s) should the nurse observe during administration of Factor VIII to a child with hemophilia?
A)Fever and chills
B)Fat emboli
C)Nausea and vomiting
D)Congestive heart failure
Q2) The physician has ordered the child to receive a unit of packed red blood cells. In preparing to administer the blood, the nurse will initiate an intravenous line and hang what fluid?
A)D5W
B)D5LR
C)D5 1/4NS
D)NS
Q3) A child with hemophilia plans on participating in a bicycling club. Which recommendation should the nurse give to the child?
A)Wear kneepads, elbow pads, and a helmet while bicycling.
B)Consider a swim club instead of the bicycling club.
C)Do not join the club.
D)Participate only in the social activities of the club.
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Chapter 29: The Child With Cancer
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/78176
Sample Questions
Q1) The 10-year-old boy is admitted to the pediatric neurologic unit with a suspected craniopharyngioma. The nurse will assess the child with which symptoms related to this brain tumor? Standard Text: Select all that apply.
A)Evening nausea
B)Excessive urination leading to dehydration
C)Nystagmus
D)Headaches
E)Orbital ecchymosis
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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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/78175
Sample Questions
Q1) The nurse is preparing to ambulate an 11-year-old child who has had an appendectomy. In addition to pharmacological pain management, which of the following nonpharmacologic, independent nursing pain management strategies would be appropriate for this child?
A)A warm, moist pack
B)EMLA cream to the incision site
C)An ice pack
D)A splint pillow against the abdomen when moving or coughing
Q2) 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.
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Chapter 31: Alterations in Genitourinary Function
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/78174
Sample Questions
Q1) A nurse is preparing to admit a child with possible obstructive uropathy. What labs should the nurse expect to draw on this child?
A)Platelet count
B)Blood urea nitrogen (BUN) and creatinine
C)Partial thromboplastin time (PTT)
D)Blood culture
Q2) 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
Q3) Which sets of symptoms are characteristic of a preschool-age child with a urinary tract infection?
A)Headache, hematuria, and vertigo
B)Foul-smelling urine, elevated blood pressure, and hematuria
C)Urgency, dysuria, and fever
D)Severe flank pain, nausea, and headache
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Chapter 32: Alterations in Endocrine and Metabolic Function
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/78173
Sample Questions
Q1) A 12-year-old has been selected to be a cheerleader for her middle school. This child has been recently diagnosed with type 1 diabetes. In teaching this child's mother about care for her child, the nurse wants the mother to understand that with increased physical activity, the child will need:
A)Decreased food intake.
B)Increased doses of insulin.
C)Increased food intake.
D)Decreased doses of insulin.
Q2) The nurse is teaching the caregiver of a child who is newly diagnosed with type 1 diabetes mellitus how to minimize pain with insulin injections. Which interventions to minimize pain will the nurse include in the teaching? Standard Text: Select all that apply.
A)Do not reuse needles.
B)Remove all bubbles from the syringe before injecting.
C)Have the child flex the muscle during injection.
D)Inject insulin when it is cold.
E)Do not change the direction of the needle during insertion or withdrawal.
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Chapter 33: Alterations in Neurologic Function
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/78172
Sample Questions
Q1) Following an outbreak of chicken pox in the school, the school nurse is concerned that children are at risk for Reye syndrome. The nurse sends home letters reminding the parents not to administer aspirin and describes the initial symptoms of Reye syndrome which are:
A)Nausea, vomiting, and confusion.
B)Headache, vomiting, and seizures.
C)Sore throat, moist respirations, and cough.
D)Fever, rash, and photophobia.
Q2) The nurse has received a child from the emergency department with a diagnosis of decreased level of consciousness secondary to increased intracranial pressure. Which physician's order would the nurse question?
A)Passive range-of-motion exercises
B)Oxygen at 2L nasal cannula to keep saturation above 95%
C)Hourly vital signs and neuro checks
D)Elevate head of bed 30 degrees
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Chapter 34: Alterations in Mental Health and Cognition
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/78171
Sample Questions
Q1) The school nurse notices a sixth-grade girl with bald patches in her hair. The hair itself is clean and shiny. Prior to referring the girl to her healthcare provider for alopecia, the nurse would want to watch the child for signs of:
A)Lice.
B)Dietary imbalances.
C)Schizophrenia.
D)Trichotillomania.
Q2) A mother brings her 22-month-old child to the well-child clinic for an evaluation. The mother states that this child does not seem to be developing like her sister's child of the same age. The nurse will perform which screening test that may provide information about the child's development?
A)MRI of the head
B)An EEG
C)A Denver II
D)Chromosomal study
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36
Chapter 35: Alterations in Musculoskeletal Function
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/78170
Sample Questions
Q1) A nurse is assessing a child after an open reduction of a fractured femur. Which signs indicate that compartment syndrome could be occurring? Standard Text: Select all that apply.
A)Pink, warm extremity
B)Dorsalis pedis pulse present
C)Prolonged capillary refill time
D)Pain not relieved by pain medication
E)Paresthesia of the leg
Q2) A two-year-old child is placed in balanced Bryant's traction for a fractured right femur. Which finding by the nurse should be reported to the surgeon?
A)The child keeps trying to turn and lay on his belly.
B)The ropes are unequal in length.
C)The child's buttocks are resting on the bed.
D)The ace bandage wrapping the legs is wrinkled.
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Chapter 36: Alterations in Skin Integrity
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/78169
Sample Questions
Q1) The nurse is teaching strategies to prevent insect bites and stings to the parents of a small child. Which statement made by the parents indicates a need for further teaching?
A)"If my child wears bright colors and floral prints when outdoors, she will blend in with the surroundings, and the stinging insects will not sting her."
B)"We should remove any items with standing water from our yard and surrounding area to prevent mosquito reproduction."
C)"My child can use insect repellent containing DEET of 10% or less."
D)"My child should avoid heavy colognes, perfumes, and soaps so that insects are not attracted to them."
Q2) Which would be the priority nursing diagnosis during the acute phase of burn injury for a child who has a third-degree circumferential burn of the right arm?
A)Altered tissue perfusion, risk for
B)Infection, risk for
C)Impaired physical mobility
D)Altered nutrition: less than body requirements, risk for
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