Community Pediatrics
Pre-Test Questions
Course Introduction
Community Pediatrics focuses on the health and well-being of children within the context of their families and communities. This course covers population-based child health issues, preventive strategies, early identification of health problems, and the impact of social determinants such as environment, education, and socio-economic factors. Students will learn principles of advocacy, health promotion, immunization programs, and the role of healthcare providers in multidisciplinary teams. Emphasis is placed on developing culturally competent approaches, understanding public health policies, and engaging with community resources to achieve optimal health outcomes for all children.
Recommended Textbook
Wongs Nursing Care of Infants and Children 11th Edition by Marilyn J. Hockenberry
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35 Chapters
1814 Verified Questions
1814 Flashcards
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Chapter 1: Perspectives of Pediatric Nursing
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Sample Questions
Q1) The nurse is planning a teaching session to adolescents about deaths by unintentional injuries.Which should the nurse include in the session with regard to deaths caused by injuries?
A) More deaths occur in males.
B) More deaths occur in females.
C) The pattern of deaths does not vary according to age and sex.
D) The pattern of deaths does not vary widely among different ethnic groups.
Answer: A
Q2) The nurse is conducting a teaching session for parents on nutrition.Which characteristics of families should the nurse consider that can cause families to struggle in providing adequate nutrition?
A) Homelessness
B) Lower income
C) Migrant status
D) Working parents
E) Single parent status
Answer: A,B,C
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Chapter 2: Social,cultural,religious,and Family Influences on Child Health Promotion
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41 Verified Questions
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Sample Questions
Q1) The nurse is explaining different parenting styles to a group of parents.The nurse explains that an authoritative parenting style can lead to which child behavior?
A) Shyness
B) Self-reliance
C) Submissiveness
D) Self-consciousness
Answer: B
Q2) Which is an accurate description of homosexual (or gay-lesbian)families?
A) A nurturing environment is lacking.
B) The children become homosexual like their parents.
C) The stability needed to raise healthy children is lacking.
D) The quality of parenting is equivalent to that of nongay parents.
Answer: D
Q3) Which is a consequence of the physical punishment of children,such as spanking?
A) The psychologic impact is usually minimal.
B) The child's development of reasoning increases.
C) Children rarely become accustomed to spanking.
D) Misbehavior is likely to occur when parents are not present.
Answer: D
Page 4
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Chapter 3: Hereditary Influences on Health Promotion of the Child
and Family
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42 Verified Questions
42 Flashcards
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Sample Questions
Q1) The nurse is reviewing a client's prenatal history.Which prescribed medication does the nurse understand is not considered a teratogen and prescribed during pregnancy?
A) Phenytoin (Dilantin)
B) Warfarin (Coumadin)
C) Isotretinoin (Accutane)
D) Heparin sodium (Heparin)
Answer: D
Q2) The nurse is teaching student nurses about newborn screening.Which statement made by the student indicates understanding of the teaching?
A) "The newborn screening is not mandatory but voluntary."
B) "It is acceptable to 'layer' the blood on the Guthrie paper."
C) "The initial specimen should be collected as close to discharge as possible."
D) "It is best to collect the specimen before the newborn takes the first feeding."
Answer: C
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5
Chapter 4: Communication, physical, and Developmental Assessment
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49 Verified Questions
49 Flashcards
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Sample Questions
Q1) The nurse needs to take the blood pressure of a small child.Of the cuffs available,one is too large and one is too small.The best nursing action is which?
A) Use the small cuff.
B) Use the large cuff.
C) Use either cuff using the palpation method.
D) Wait to take the blood pressure until a proper cuff can be located.
Q2) The nurse understands that blocks to therapeutic communication include what?
A) Socializing
B) Use of silence
C) Using clichés
D) Defending a situation
E) Using open-ended questions
Q3) Which is the most frequently used test for measuring visual acuity?
A) Snellen letter chart
B) Ishihara vision test
C) Allen picture card test
D) Denver eye screening test
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Page 6
Chapter 5: Pain Assessment and Management in Children
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40 Verified Questions
40 Flashcards
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Sample Questions
Q1) The nurse is planning pain control for a child.Which is the advantage of administering pain medication by the intravenous (IV)bolus route?
A) Less expensive than oral medications
B) Produces a first-pass effect through the liver
C) Does not need to be administered frequently
D) Provides most rapid onset of effect, usually in about 5 minutes
Q2) A preterm infant has just been admitted to the neonatal intensive care unit.The infant's parents ask the nurse about anesthesia and analgesia when painful procedures are necessary.What should the nurse's explanation be?
A) Nerve pathways of neonates are not sufficiently myelinated to transmit painful stimuli.
B) The risks accompanying anesthesia and analgesia are too great to justify any possible benefit of pain relief.
C) Neonates do not possess sufficiently integrated cortical function to interpret or recall pain experiences.
D) Pain pathways and neurochemical systems associated with pain transmission are intact and functional in neonates.
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Chapter 6: Childhood Communicable and Infectious Diseases
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47 Verified Questions
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Sample Questions
Q1) What is the primary treatment for warts?
A) Vaccination
B) Local destruction
C) Corticosteroids
D) Specific antibiotic therapy
Q2) Herpes zoster is caused by the varicella virus and has an affinity for which?
A) Sympathetic nerve fibers
B) Parasympathetic nerve fibers
C) Lateral and dorsal columns of the spinal cord
D) Posterior root ganglia and posterior horn of the spinal cord
Q3) 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 can be applied before injections are given.
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8
Chapter 7: Health Promotion of the Newborn and Family
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Sample Questions
Q1) Why are rectal temperatures not recommended in newborns?
A) They are inaccurate.
B) They do not reflect core body temperature.
C) They can cause perforation of rectal mucosa.
D) They take too long to obtain an accurate reading.
Q2) The nurse is teaching a class on breastfeeding to expectant parents.Which is a contraindication for breastfeeding?
A) Mastitis
B) Twin births
C) Inverted nipples
D) Maternal cancer therapy
Q3) What is most descriptive of the shape of the anterior fontanel in a newborn?
A) Circle
B) Square
C) Triangle
D) Diamond
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Chapter 8: Health Problems of Newborns
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Sample Questions
Q1) What is an infant with severe jaundice at risk for developing?
A) Encephalopathy
B) Bullous impetigo
C) Respiratory distress
D) Blood incompatibility
Q2) Displacement of the chin as a result of micrognathia
A)Crouzon syndrome
B)Apert syndrome
C)Treacher Collins syndrome
D)Pierre Robin sequence
Q3) What is an important nursing intervention for a full-term infant receiving phototherapy?
A) Observing for signs of dehydration
B) Using sunscreen to protect the infant's skin
C) Keeping the infant diapered to collect frequent stools
D) Informing the mother why breastfeeding must be discontinued
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Chapter 9: The High-Risk Newborn and Family
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Sample Questions
Q1) What explains why a neutral thermal environment is essential for a high-risk neonate?
A) The neonate produces heat by increasing activity and shivering.
B) Metabolism slows dramatically in the neonate experiencing cold stress.
C) It permits the neonate to maintain a normal core temperature with minimum oxygen consumption.
D) It permits the neonate to maintain a normal core temperature with increased caloric consumption.
Q2) A preterm neonate has begun breastfeeding,but the infant tires easily and has weak sucking and swallowing reflexes.What is the most appropriate nursing intervention?
A) Encourage the mother to breastfeed.
B) Resume orogastric feedings of formula.
C) Try nipple feeding the preterm infant formula.
D) Feed the remainder of breast milk by the orogastric route.
Q3) Which statement is true concerning the nutritional needs of preterm infants?
A) The secretion of lactase is low.
B) Carbohydrates and fats are better tolerated than protein.
C) The demand for nutrients is less than in full-term infants.
D) Breast milk lacks the proper concentration of nutrients.
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Page 11
Chapter 10: Health Promotion of the Infant and Family
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49 Verified Questions
49 Flashcards
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Sample Questions
Q1) The nurse is evaluating a 7-month-old infant's cognitive development.Which behaviors should the nurse anticipate evaluating?
A) Imitates sounds
B) Shows interest in a mirror image
C) Comprehends simple commands
D) Actively searches for a hidden object
E) Attracts attention by methods other than crying
Q2) The parent of 2-week-old infant asks the nurse if fluoride supplements are necessary because the infant is exclusively breastfed.What is the nurse's best response?
A) "The infant needs to begin taking them now."
B) "Supplements are not needed if you drink fluoridated water."
C) "The infant may need to begin taking them at age 6 months."
D) "The infant can have infant cereal mixed with fluoridated water instead of supplements."
Q3) At which age do most infants begin to fear strangers?
A) 2 months
B) 4 months
C) 6 months
D) 12 months
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Page 12
Chapter 11: Health Problems of the Infant
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50 Verified Questions
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Sample Questions
Q1) A new parent relates to the nurse that the family has many known food allergies.Which is considered a primary strategy for feeding the infant with many family food allergies?
A) Using soy formula for feeding
B) Maternal avoidance of cow's milk protein
C) Exclusive breastfeeding for 4 to 6 months
D) Delaying the introduction of highly allergenic foods past 6 months
Q2) A food elicits a reproducible adverse reaction but does not have an established immunologic mechanism
A)Food allergy
B)Food allergen
C)Food intolerance
D)Sensitization
E)Atopy
Q3) What is an appropriate action when an infant becomes apneic?
A) Shake vigorously.
B) Roll the infant's head to the side.
C) Gently stimulate the trunk by patting or rubbing.
D) Hold the infant by the feet upside down with the head supported.
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Page 13
Chapter 12: Health Promotion of the Toddler and Family
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Sample Questions
Q1) A toddler,age 16 months,falls down a few stairs.He gets up and "scolds" the stairs as if they caused him to fall.What is this an example of?
A) Animism
B) Ritualism
C) Irreversibility
D) Delayed cognitive development
Q2) What child behavior indicates to the nurse that temper tantrums have become a problem?
A) The child is 2 to 3 years old
B) Tantrums occur at bedtime
C) Tantrums occur past 5 years of age
D) Tantrums last longer than 15 minutes
E) Tantrums occur more than five times a day
Q3) A parent asks the nurse,"When will I know my child is ready for toilet training?" The nurse should include what in the response?
A) The child should be able to stay dry for 1 hour.
B) The child should be able to sit, walk, and squat.
C) The child should have regular bowel movements.
D) The child should express a willingness to please.
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Page 14
Chapter 13: Health Promotion of the Preschooler and Family
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39 Verified Questions
39 Flashcards
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Sample Questions
Q1) The nurse is teaching parents of a 3-year-old child about language developmental milestones.What milestones should the nurse include in the teaching session?
A) Asks many questions
B) Names one or more colors
C) Repeats sentence of six syllables
D) Uses primarily "telegraphic" speech
E) Has a vocabulary of 1500 words or more
Q2) The nurse is explaining the preconventional stage of moral development to a group of nursing students.What characterizes this stage?
A) Children in this stage focus on following the rules.
B) Children in this stage live up to social expectations and roles.
C) Children in this stage have a concrete sense of justice and fairness.
D) Children in this stage have little, if any, concern for why something is wrong.
Q3) According to Piaget,magical thinking is the belief of which?
A) Thoughts are all powerful.
B) God is an imaginary friend.
C) Events have cause and effect.
D) If the skin is broken, the insides will come out.
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Chapter 14: Health Problems of Early Childhood
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Sample Questions
Q1) What are classified as hydrocarbon poisons?
A) Bleach
B) Gasoline
C) Turpentine
D) Lighter fluid
E) Oven cleaners
Q2) A child has been admitted to the hospital with a blood lead level of 72 mcg/dL.What treatment should the nurse anticipate?
A) Referral to social services
B) Initiation of chelation therapy
C) Follow-up testing within 1 month
D) Aggressive environmental intervention
Q3) What is an important nursing consideration when a child is hospitalized for chelation therapy to treat lead poisoning?
A) Maintain bed rest.
B) Maintain isolation precautions.
C) Keep an accurate record of intake and output.
D) Institute measures to prevent skeletal fracture.
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16
Chapter 15: Health Promotion of the School-Age Child and Family
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Sample Questions
Q1) What statement accurately describes physical development during the school-age years?
A) The child's weight almost triples.
B) Muscles become functionally mature.
C) Boys and girls double strength and physical capabilities.
D) Fat gradually increases, which contributes to children's heavier appearance.
Q2) The school nurse has been asked to begin teaching sex education in the fifth grade.What should the nurse recognize?
A) Questions need to be discouraged in this setting.
B) Most children in the fifth grade are too young for sex education.
C) Sexuality is presented as a normal part of growth and development.
D) Correct terminology should be reserved for children who are older.
Q3) What are the goals of organized athletics for preadolescent children?
A) Physical fitness
B) Basic motor skills
C) A positive self-image
D) Commitment to winning
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Page 17
Chapter 16: Health Problems of the School-Age Child
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Sample Questions
Q1) What is characteristic of children with posttraumatic stress disorder (PTSD)?
A) Denial as a defense mechanism is unusual.
B) Traumatic effects cannot remain indefinitely.
C) Previous coping strategies and defense mechanisms are not useful.
D) Children often play out the situation over and over again.
Q2) Deficiency of which vitamin or mineral results in an inadequate inflammatory response?
A) A
B) B<sub>1</sub>
C) C
D) Zinc
Q3) The school nurse is seeing a child who collected some poison ivy leaves during recess.He says only his hands touched it.What is the most appropriate nursing action?
A) Soak his hands in warm water.
B) Apply Burow's solution compresses.
C) Rinse his hands in cold running water.
D) Scrub his hands thoroughly with antibacterial soap.
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18
Chapter 17: Health Promotion of the Adolescent and Family
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Sample Questions
Q1) How does the onset of the pubertal growth spurt compare in girls and boys?
A) In girls, it occurs about 1 year before it appears in boys.
B) In girls, it occurs about 3 years before it appears in boys.
C) In boys. it occurs about 1 year before it appears in girls.
D) It is about the same in both boys and girls.
Q2) According to Erikson,the psychosocial task of adolescence is developing what?
A) Identity
B) Intimacy
C) Initiative
D) Independence
Q3) What is true concerning masturbation during adolescence?
A) Homosexuality is encouraged by the practice of masturbation.
B) Many girls do not begin masturbation until after they have intercourse.
C) Masturbation at an early age leads to sexual intercourse at an earlier age.
D) Development of intimate relationships is delayed when masturbation is regularly practiced.
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19
Chapter 18: Health Problems of the Adolescent
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Sample Questions
Q1) A 13-year-old boy comes to the school nurse complaining of sudden and severe scrotal pain.He denies any trauma to the scrotum.What is the most appropriate nursing action?
A) Refer him for immediate medical evaluation.
B) Administer analgesics and recommend scrotal support.
C) Apply an ice bag and observe for increasing pain.
D) Reassure the adolescent that occasional pain is common with the changes of puberty.
Q2) What best describes central nervous system (CNS)stimulants?
A) Acute intoxication can lead to coma.
B) They produce strong physical dependence.
C) Withdrawal symptoms are life threatening.
D) They can result in strong psychologic dependence.
Q3) An adolescent girl tells the nurse that she is very suicidal.The nurse asks her if she has a specific plan.How should asking about a specific plan be viewed?
A) Not a critical part of the assessment
B) An appropriate part of the assessment
C) Suggesting that adolescent needs a plan
D) Encouraging adolescent to devise a plan
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Page 20
Chapter 19: Family-Centered Care of the Child With Chronic Illness
or Disability
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Sample Questions
Q1) The nurse is planning care for a 3-year-old boy who has Down syndrome and is on continuous oxygen.He recently began walking around furniture.He is spoon fed by his parents and eats some finger foods.What goal is the most appropriate to promote normal development?
A) Encourage mobility.
B) Encourage assistance in self-care.
C) Promote oral-motor development.
D) Provide opportunities for socialization.
Q2) The nurse is teaching coping strategies to parents of a child with a chronic illness.What coping strategies should the nurse include?
A) Listen to the child.
B) Accept the child's illness.
C) Establish a support system.
D) Learn to care for the child's illness one day at a time.
E) Do not share information with the child about the illness.
Q3) What finding by the nurse is most characteristic of chronic sorrow?
A) Lack of acceptance of child's limitation
B) Lack of available support to prevent sorrow
C) Periods of intensified sorrow when experiencing anger and guilt
Page 21
D) Periods of intensified sorrow at certain landmarks of the child's development
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Chapter 20: Family-Centered Palliative Care
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Sample Questions
Q1) What characterizes an infant's concept of death?
A) Death is seen as temporary.
B) Death is seen as a departure, a kind of sleep.
C) Death has no significance before 6 months of age.
D) They believe that death is a consequence of their thoughts.
E) Anxiety is not created by death but by loss, even temporary, of the parent.
Q2) The nurse is often the individual who is in the optimum position to suggest tissue donation to a family (after consultation with the practitioner).What will occur if a family chooses organ or tissue donation?
A) The funeral will be delayed.
B) Cremation is the preferred method of burial.
C) Written consent is required for tissue or organ donation.
D) An open casket cannot be used subsequent to this procedure.
Q3) What characterizes a preschooler's concept of death?
A) Belief their thoughts can cause death.
B) They have a concrete understanding of death.
C) Death is seen as temporary and gradual.
D) Death is seen as a departure, a kind of sleep.
E) They usually have some sense of the meaning of death.
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Page 22
Chapter 21: The Child With Cognitive, sensory, or Communication Impairment
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Sample Questions
Q1) The nurse is teaching a preschool child with a cognitive impairment how to throw a ball overhand.What teaching strategy should the nurse use for this child?
A) Demonstrate how to throw a ball overhand.
B) Explain the reason for throwing a ball overhand.
C) Show pictures of children throwing balls overhand.
D) Explain to the child how to throw the ball overhand.
Q2) A child has a slight (26-40 dB)degree of hearing loss.The nurse recognizes this amount of hearing loss can have what effect?
A) No speech defects
B) Difficulty hearing faint speech
C) Usually is unaware of the hearing difficulty
D) Can distinguish vowels but not consonants
E) Unable to understand conversational speech
Q3) What suggestion by the nurse for parents regarding stuttering in children is most helpful?
A) Offer rewards for proper speech.
B) Encourage the child to take it easy and go slow when stuttering.
C) Help the child by supplying words when he or she is experiencing a block.
D) Give the child plenty of time and the impression that you are not in a hurry.
Page 23
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Chapter 22: Family-Centered Care of the Child During
Illness and Hospitalization
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Sample Questions
Q1) The nurse is providing support to parents adapting to the hospitalization of their child to the pediatric intensive care unit.The nurse notices that the parents keep asking the same questions.What should the nurse do?
A) Patiently continue to answer questions, trying different approaches.
B) Kindly refer them to someone else for answering their questions.
C) Recognize that some parents cannot understand explanations.
D) Suggest that they ask their questions when they are not upset.
Q2) The nurse is assessing a child's functional self-care level for feeding,bathing and hygiene,dressing,and grooming and toileting.The child requires assistance or supervision from another person and equipment or device.What code does the nurse assign for this child?
A) I
B) II
C) III
D) IV
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Chapter 23: Pediatric Nursing Interventions and Skills
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Q1) The nurse is caring for a 12-year-old child who is on fall precautions secondary to seizures.What interventions should be included in the child's care plan?
A) Place a call light and desired items within reach.
B) Keep the bed in the highest position with the two side rails up.
C) Turn off the lights and television at night.
D) Keep personal belongings and clutter contained in one area of the floor.
E) Have the child wear an appropriate-size gown and nonskid footwear.
Q2) A 2-year-old child is being admitted to the hospital for possible bacterial meningitis.When preparing for a lumbar puncture,what should the nurse do?
A) Set up a tray with equipment the same size as for adults.
B) Apply EMLA to the puncture site 15 minutes before the procedure.
C) Prepare the child for conscious sedation being used for the procedure.
D) Reassure the parents that the test is simple, painless, and risk free.
Q3) What are the advantages of an implanted port (Port-a-Cath)?
A) Reduced risk of infection
B) Reduced cost for the family
C) Placed completely under the skin
D) Easy to use for self-administered infusions
E) Removal does not require a surgical procedure
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Page 25
Chapter 24: The Child With Fluid and Electrolyte Imbalance
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Sample Questions
Q1) A health care provider prescribes midazolam (Versed)syrup 0.5 mg/kg per mouth (PO)30 minutes before a burn wound dressing change on a child.The medication label states: "Versed 2 mg/1 ml." The child weighs 8 kg.The nurse prepares to administer the dose.How many milliliters will the nurse prepare to administer the dose? Fill in the blank.Record your answer in a whole number.
Q2) The nurse suspects fluid overload in an infant receiving intravenous fluids.What clinical manifestation is suggestive of water intoxication?
A) Oliguria
B) Weight loss
C) Irritability and seizures
D) Muscle weakness and cardiac dysrhythmias
Q3) What clinical manifestations should be observed in a 2-year-old child with hypotonic dehydration?
A) Thick, doughy feel to the skin
B) Slightly moist mucous membranes
C) Absent tears
D) Very rapid pulse
E) Hyperirritability
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Page 26
Chapter 25: The Child With Renal Dysfunction
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Sample Questions
Q1) The parents of a child born with ambiguous genitalia tell the nurse that family and friends are asking what caused the baby to be this way.Tests are being done to assist in gender assignment.What should the nurse's intervention include?
A) Explain the disorder so they can explain it to others.
B) Help parents understand that this is a minor problem.
C) Suggest that parents avoid family and friends until the gender is assigned.
D) Encourage parents not to worry while the tests are being done.
Q2) Inflammation of the urethra
A)Persistent urinary tract infection
B)Cystitis
C)Urethritis
D)Pyelonephritis
E)Urosepsis
Q3) A parent asks the nurse what would be the first indication that acute glomerulonephritis was improving.What would be the nurse's best response?
A) Blood pressure will stabilize.
B) Your child will have more energy.
C) Urine will be free of protein.
D) Urine output will increase.
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Page 27
Chapter 26: The Child With Gastrointestinal Dysfunction
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Q1) What procedure is most appropriate for assessment of an abdominal circumference related to a bowel obstruction?
A) Measuring the abdomen after feedings
B) Marking the point of measurement with a pen
C) Measuring the circumference at the symphysis pubis
D) Using a new tape measure with each assessment to ensure accuracy
Q2) Indicates active infection
A)HBsAg
B)Anti-HBs
C)HBcAg
D)HBeAg
Q3) What intervention is contraindicated in a suspected case of appendicitis?
A) Enemas
B) Palpating the abdomen
C) Administration of antibiotics
D) Administration of antipyretics for fever
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28
Chapter 27: Overview of Oxygen and Carbon Dioxide Exchange
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Sample Questions
Q1) What respiratory condition or disease results in both increased compliance and increased resistance?
A) Asthma
B) Atelectasis
C) Surfactant deficiency
D) Bronchopulmonary dysplasia
Q2) The nurse is evaluating arterial blood gas results.What condition can cause an increase in PCO<sub>2</sub>?
A) Hypoxia
B) Hyperventilation
C) Pulmonary embolism
D) Obstructive lung disease
Q3) How much oxygen is contained in ambient air (room air)?
A) 15%
B) 21%
C) 30%
D) 42%
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Page 29
Chapter 28: The Child With Respiratory Dysfunction
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Sample Questions
Q1) A child with cystic fibrosis (CF)receives aerosolized bronchodilator medication.When should this medication be administered?
A) After chest physiotherapy (CPT)
B) Before chest physiotherapy (CPT)
C) After receiving 100% oxygen
D) Before receiving 100% oxygen
Q2) A 3-year-old child is experiencing pain after a tonsillectomy.The child has not taken in any fluids and does not want to drink anything,saying,"My tummy hurts." The following health care prescriptions are available: acetaminophen (Tylenol)PO (orally)or PR (rectally)PRN,ice chips,clear liquids.What should the nurse implement to relieve the child's pain?
A) Ice chips
B) Tylenol PO
C) Tylenol PR
D) Popsicle
Q3) What diagnostic test for allergies involves the injection of specific allergens?
A) Phadiatop
B) Skin testing
C) Radioallergosorbent tests (RAST)
D) Blood examination for total immunoglobulin E (IgE)
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Chapter 29: The Child With Cardiovascular Dysfunction
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Q1) The health care provider suggests surgery be performed for ventricular septal defect to prevent what complication?
A) Pulmonary hypertension
B) Right-to-left shunt of blood
C) Pulmonary embolism
D) Left ventricular hypertrophy
Q2) The nurse is caring for a child after cardiac surgery.What interventions should the nurse implement with regard to chest tubes placed to a water-seal drainage system?
A) Maintain sterility.
B) Check for tube patency.
C) Do not interrupt the water-seal drainage system.
D) Clamp the chest tube when ambulating the child.
E) Measure the drainage by emptying the collection chamber every shift.
Q3) Represents atrial depolarization
A)P wave
B)QRS complex
C)T wave
D)Q-T interval
E)ST segment
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Page 31
Chapter 30: The Child With Hematologic or Immunologic Dysfunction
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Q1) What condition precipitates polycythemia?
A) Dehydration
B) Severe infections
C) Immunosuppression
D) Prolonged tissue hypoxia
Q2) What statement best describes iron deficiency anemia in infants?
A) It is caused by depression of the hematopoietic system.
B) Diagnosis is easily made because of the infant's emaciated appearance.
C) It results from a decreased intake of milk and the premature addition of solid foods.
D) Clinical manifestations are related to a reduction in the amount of oxygen available to tissues.
Q3) What condition is an acquired hemorrhagic disorder that is characterized by excessive destruction of platelets?
A) Aplastic anemia
B) Thalassemia major
C) Idiopathic thrombocytopenic purpura
D) Disseminated intravascular coagulation
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Page 32
Chapter 31: The Child With Cancer
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Q1) A health care provider prescribes ondansetron (Zofran)0.15 mg/kg intravenously (IV)30 minutes before chemotherapy for a child with acute lymphoblastic leukemia.The child weighs 22 kg.The medication label states: "Ondansetron (Zofran)2 mg/1 ml." The nurse prepares to administer the dose.How many milliliters will the nurse prepare to administer the dose? Fill in the blank.Round your answer to one decimal place.
Q2) The nurse is preparing a child for possible alopecia from chemotherapy.What information should the nurse include?
A) Wearing hats or scarves is preferable to a wig.
B) Expose head to sunlight to stimulate hair regrowth.
C) Hair may have a slightly different color or texture when it regrows.
D) Regrowth of hair usually begins 12 months after chemotherapy ends.
Q3) What are the most common clinical manifestations of brain tumors in children?
A) Headaches and vomiting
B) Blurred vision and ataxia
C) Hydrocephalus and clumsy gait
D) Fever and poor fine motor control
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Page 33
Chapter 32: The Child With Cerebral Dysfunction
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Q1) What is important to incorporate in the plan of care for a child who is experiencing a seizure?
A) Describe and record the seizure activity observed.
B) Suction the child during a seizure to prevent aspiration.
C) Place a tongue blade between the teeth if they become clenched.
D) Restrain the child when seizures occur to prevent bodily harm.
Q2) The nurse is caring for a 10-year-old child who has an acute head injury,has a pediatric Glasgow Coma Scale score of 9,and is unconscious.What intervention should the nurse include in the child's care plan?
A) Elevate the head of the bed 15 to 30 degrees with the head maintained in midline.
B) Maintain an active, stimulating environment.
C) Perform chest percussion and suctioning every 1 to 2 hours.
D) Perform active range of motion and nontherapeutic touch every 8 hours.
Q3) What is the initial clinical manifestation of generalized seizures?
A) Confusion
B) Feeling frightened
C) Loss of consciousness
D) Seeing flashing lights
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34
Chapter 33: The Child With Endocrine Dysfunction
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Q1) The nurse is planning to admit a 10-year-old child with syndrome of inappropriate antidiuretic hormone (SIADH).What clinical manifestations should the nurse expect to observe in this child?
A) Polyuria
B) Anorexia
C) Polydipsia
D) Irritability
E) Stomach cramps
Q2) Intranasal administration of desmopressin acetate (DDAVP)is used to treat which condition?
A) Hypopituitarism
B) Diabetes insipidus (DI)
C) Syndrome of inappropriate antidiuretic hormone (SIADH)
D) Acute adrenocortical insufficiency
Q3) The health care provider has prescribed levothyroxine (Synthroid)4 mcg/kg/day PO for a child with hypothyroidism.The child weighs 77 lb.The nurse is preparing to administer the daily dose.Calculate the dose the nurse should administer in micrograms.Record your answer below in a whole number.
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Page 35
Chapter 34: The Child With Musculoskeletal or Articular Dysfunction
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Sample Questions
Q1) In teaching a 16-year-old adolescent who was recently diagnosed with systemic lupus erythematosus (SLE),what statements should the nurse include?
A) "You should use a moisturizer with a sun protection factor (SPF) of 30."
B) "You should avoid pregnancy because this can cause a flare-up."
C) "You should not receive any immunizations in the future."
D) "You may need to be on a low-protein, high-carbohydrate diet."
E) "You should expect to lose weight while taking steroids."
F) "You may need to modify your daily recreational activities."
Q2) An infant is born with one lower limb deficiency.When is the optimum time for the child to be fitted with a functional prosthetic device?
A) As soon as possible after birth
B) When the infant is developmentally ready to stand up
C) At about ages 12 to 15 months, when most children are walking
D) At about 4 years, when the healthy limb is not growing so rapidly
Q3) What is the recommended drink for athletes during practice and competition?
A) Sports drinks to replace carbohydrates
B) Cold water for gastrointestinal tract rapid absorption
C) Carbonated beverages to help with acid-base balance
D) Enhanced performance carbohydrate-electrolyte drinks
Page 36
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Chapter 35: The Child With Neuromuscular or Muscular Dysfunction
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Q1) A 12-year-old child with Guillain-Barré syndrome (GBS)is admitted to the pediatric intensive care unit.She tells you that yesterday her legs were weak and that this morning she was unable to walk.After the nurse determines the current level of paralysis,which should the next priority assessment be?
A) Swallowing ability
B) Parental involvement
C) Level of consciousness
D) Antecedent viral infections
Q2) The parents of a child with spastic cerebral palsy (CP)state that their child seems to have significant pain.In addition to systemic pharmacologic management,the nurse includes which teaching?
A) Patterning
B) Positions to reduce spasticity
C) Stretching exercises after meals
D) Topical analgesics for muscle spasms
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