Contemporary Issues in Pediatric Nursing Test Preparation
Course Introduction
This course explores current trends and challenges in pediatric nursing, focusing on evidence-based practices for the care of infants, children, and adolescents within diverse healthcare settings. Topics include childhood chronic illnesses, mental health concerns, legal and ethical issues, family-centered care, health promotion, emerging infectious diseases, advances in treatments and technology, and sociocultural factors affecting pediatric health. Emphasis is placed on developing critical thinking and clinical judgment skills to address complex health needs while advocating for best practices and outcomes in pediatric populations.
Recommended Textbook
Principles of Pediatric Nursing Caring for Children 7th Edition by Ball
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31 Chapters
580 Verified Questions
580 Flashcards
Source URL: https://quizplus.com/study-set/3539
Page 2
Chapter 1: Nurses Role in Care of the Child: Hospital, Community, and
Home
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/70277
Sample Questions
Q1) Pediatric nurses have foundational knowledge obtained in nursing school and add specific competencies related to the pediatric client. Which would be considered an additional specific expected competency of the pediatric nurse?
A) Physical assessment
B) Anatomical and developmental differences
C) Nursing process
D) Management of healthcare conditions
Answer: B
Q2) What is the pediatric nurse's best defense against an accusation of malpractice or negligence?
A) Following the physician's written orders
B) Meeting the scope and standards of practice for pediatric nursing
C) Being a nurse practitioner or clinical nurse specialist
D) Acting on the advice of the nurse manager
Answer: B
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Page 3
Chapter 2: Family-Centered Care and Cultural
Considerations
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/70278
Sample Questions
Q1) The community health nurse is assessing several families for various strengths and needs in regard to after-school and backup childcare arrangements. Which family type will benefit the most from this assessment and subsequent interventions?
A) The binuclear family
B) The extended family
C) The single-parent family
D) The traditional nuclear family
Answer: C
Q2) The nurse is assessing a group of children attending summer camp. The nurse will expect which children to most likely have problems perceiving a sense of belonging?
A) Children whose parents divorced recently
B) Children who gained a stepparent recently
C) Children recently placed into foster care
D) Children adopted as infants
Answer: C
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Page 4
Chapter 3: Genetic and Genomic Influences
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/70279
Sample Questions
Q1) A family desires genetic testing for their adolescent. What response by the clinic nurse is appropriate?
A) "The child is a minor and cannot give consent."
B) "It is not advisable because insurance does not pay for this test."
C) "Let me discuss this with the adolescent and then we can discuss it more fully."
D) "There is a chance the adolescent might be discriminated against because of the test."
Answer: C
Q2) A family with a child who had a cleft lip and palate at birth are planning another pregnancy. What intervention should be recommended prior to conception?
A) A genetic family history
B) A family pedigree
C) A genetic physical assessment
D) A maternal health history
Answer: A
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Chapter 4: Growth and Development
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/70280
Sample Questions
Q1) While assessing the development of a 9-month-old infant, the nurse asks the mother if the child actively looks for toys when they are placed out of sight. Which developmental task is the nurse assessing this infant for?
A) Object permanence
B) Centration
C) Transductive reasoning
D) Conservation
Q2) The nurse educator is presenting a lecture about risks to developmental progression. Which items will the educator include in the lecture? Select all that apply.
A) Family support
B) Access to the Internet
C) Recent loss of employment
D) Terminal illness of a family member
E) Hazards within the home environment
Q3) A child with hives weighing 40 pounds is prescribed diphenhydramine (Benadryl), 5 mg/kg/day in four divided doses. How many milligrams should the nurse give for each dose?
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6
Chapter 5: Pediatric Assessment
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/70281
Sample Questions
Q1) During an examination, a nurse asks a 5-year-old child to repeat his address. What is the nurse evaluating with this action?
A) Recent memory
B) Language development
C) Remote memory
D) Social-skill development
Q2) During the newborn examination, the nurse assesses the infant for signs of developmental dysplasia of the hip. A finding that would strongly indicate this disorder would be:
A) soles are flat with prominent fat pads.
B) positive Babinski reflex.
C) metatarsus varus.
D) asymmetric thigh and gluteal folds.
Q3) The nurse notes a history of a grade III heart murmur in a small infant. When assessing the heart, the nurse would expect to:
A) Auscultate a quiet but easily heard murmur.
B) Auscultate a moderately loud murmur without a palpable thrill.
C) Auscultate a very loud murmur with easily palpable thrill.
D) Listen without a stethoscope and hear a murmur at chest wall.
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Page 7
Chapter 6: Introduction to Health Promotion and Maintenance
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/70282
Sample Questions
Q1) In the pediatric well-child clinic, the nurse explains the reason for an immunization series to the child's mother. This action represents which item?
A) Health assessment
B) Health promotion
C) Health maintenance
D) Health screening
Q2) Which assessment would not be included with a 17-year-old's screening during a routine health supervision visit?
A) STI evaluation
B) Autism screening
C) Hemoglobin test
D) Vision screening
Q3) A nurse is helping the parents of 2-year-old twins cope with the daily demands of life in an active household. Which strategy is most appropriate for the nurse to use?
A) Health maintenance
B) Health promotion
C) Health protection
D) Health supervision
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Chapter 7: Health Promotion and Maintenance for the
Newborn and Infant
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/70283
Sample Questions
Q1) The nurse is assessing an infant client and parents during a routine health supervision visit at 2 months of age. Which items will the nurse assess to determine if the infant's mental health needs are being addressed? Select all that apply.
A) Immunization record
B) Newborn screen results
C) Temperament during the visit
D) Feeding schedule
E) Sleep-wake patterns
Q2) A nurse asks the mother of a 4-month-old infant to undress the infant. The nurse observes the mother taking off several layers of clothing and knows that the outdoor temperature is 70 degrees Fahrenheit. Which statement by the nurse is most appropriate in this situation?
A) "My, you are dressing your infant warmly today."
B) "Did you think it was cold when you left your home this morning?"
C) "I see that you have many layers of clothing on your baby. This may cause your baby's temperature to rise."
D) "When you leave the office, only put one layer of clothing on your baby."
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Page 9
Chapter 8: Health Promotion and Maintenance for the
Toddler and Preschooler
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/70284
Sample Questions
Q1) The nurse is performing a well-child exam on a child who turned 4 years old 3 months ago. What can the nurse ask the child to do to assess appropriate milestones for this age?
A) Jump up and down
B) Throw a ball
C) Stack three or more blocks
D) Draw lines on paper
Q2) 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) "Can you try only spanking the child every other day for one week and see how that affects the child's behavior?"
D) "I think you are not parenting your child properly, so let's talk about ways to improve your parenting skills."
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10
Chapter 9: Health Promotion and Maintenance for the
School-Age Child and Adolescent
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/70285
Sample Questions
Q1) A mother reports that her adolescent is always late. The mother states, "She was born late and has been late every day of her life." Which response should the nurse make to this mother?
A) "You need to establish specific time frames for your adolescent and be certain she adheres to them."
B) "You should not expect your adolescent to be an 'on-time' individual unless you set specific alarms and then reinforce the value of being 'on-time.'"
C) "You should not expect your adolescent to be on time. Teenagers are always late."
D) "You have a major problem. There must be a lot of screaming in your home."
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 require protective athletic gear? Select all that apply.
A) Skateboarding
B) Playing football
C) Swimming
D) Playing lacrosse
E) Performing acrobatic tricks
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Chapter 10: Nursing Considerations for the Child in the Community
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/70286
Sample Questions
Q1) The community-health nurse visits the child-care center. Which finding indicates the need for staff education?
A) A group of 2-year-olds are eating a snack of Cheerios.
B) Several 4-year-olds are outside playing on a slide.
C) An 18-month-old is pushing a toy truck.
D) A 2-month-old is sleeping in a crib on his stomach.
Q2) What must a home-health nurse realize prior to accepting an assignment?
A) All decisions will be made by the healthcare provider.
B) The family will adapt their lifestyle to the needs of the nurse.
C) Independent decisions regarding emergency care of the child will be made by the nurse.
D) The family is in charge.
Q3) The school nurse is preparing a plan of care specific to several children in the school who have asthma. What is the initial action on the plan of care?
A) Call 911 to request emergency medical assistance.
B) Call the child's parents to come and pick up the child.
C) Have the child use his or her metered-dose inhaler.
D) Have the child lie down to see if the symptoms subside.
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Chapter 11: Nursing Considerations for the Hospitalized Child
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/70287
Sample Questions
Q1) The nurse needs to administer a medication to a preschool-age child. The medication is only available in tablet form. Which action by the nurse is the most appropriate?
A) Place the tablet on the child's tongue and give the child a drink of water.
B) Break the tablet in small pieces and ask the child to swallow the pieces one by one.
C) Crush the tablet and mix it in a teaspoon of applesauce.
D) Crush the table and mix it in a cup of juice.
Q2) A child is being discharged from the hospital after a 3-week stay following a motor vehicle accident. The mother expresses concern about caring for the child's wounds at home. She has demonstrated appropriate technique with medication administration and wound care. Which nursing diagnosis is the priority in this situation?
A) Knowledge Deficit of Home Care
B) Altered Family Processes Related to Hospitalization
C) Parental Anxiety Related to Care of the Child at Home
D) Risk for Infection Related to Presence of Healing Wounds
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Page 13
Chapter 12: The Child With a Chronic Condition
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/70288
Sample Questions
Q1) In working with parents of children with chronic diseases, the nurse is concerned with helping the parents to protect themselves from compassion fatigue. Which activities are appropriate for the nurse to encourage? Select all that apply.
A) Sleeping more than 9 hours per 24-hour period
B) Exercising
C) Fostering social relationships
D) Developing a hobby
E) Moving away
Q2) It is important that parents of adolescents with special needs transition care of the adolescent so they can learn to make good decisions on their own. Which items are considered transitional needs? Select all that apply.
A) Attending school
B) Discussing sexual matters
C) Letting most friends know of the medical condition
D) Socialization beyond the family
E) To write his or her own individualized healthcare plan
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14
Chapter 13: The Child With a Life-Threatening Condition and
End-Of-Life Care
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/70289
Sample Questions
Q1) A school-aged child is admitted with pneumococcal meningitis. The child weighs 44 pounds. The physician orders: ceftriaxone (Rocephin) 50 mg/kg/dose IV every 12 hours three times and then every 24 hours. Calculate how many mg/dose of ceftriaxone the child will receive and then calculate mL/hr to infuse via pump. Supply on hand is: a premix of ceftriaxone 1 g/50 mL, administer over 30 minutes.
Q2) Which nursing interventions would be best for the nursing diagnosis of Powerlessness Related to Relinquishing Control to the Healthcare Team? Select all that apply.
A) Provide a primary nursing care model.
B) Prepare the child in advance for procedures.
C) Provide optimal pain relief.
D) Explain procedures in developmentally appropriate terms.
E) Incorporate home rituals when possible.
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Chapter 14: Infant, Child, and Adolescent Nutrition
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/70290
Sample Questions
Q1) Celiac disease presents many challenges for a family. What should the nurse emphasize when educating the parents of a newly diagnosed child?
A) Ice cream is a safe dessert on a gluten-free diet.
B) The child's weight and height should reach normal levels in about 1 year.
C) Processed foods are usually gluten-free.
D) Insurance pays only a small amount of the cost of celiac diets.
Q2) While teaching the parents of a newborn about infant care and feeding, which instruction by the nurse is the most appropriate?
A) Delay supplemental foods until the infant is 4 to 6 months old.
B) Delay supplemental foods until the infant reaches 15 pounds or greater.
C) Begin diluted fruit juice at 2 months of age, but wait 3 to 5 days before trying a new food.
D) Add rice cereal to the nighttime feeding if the infant is having difficulty sleeping after 2 months of age.
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Chapter 15: Pain Assessment and Management in Children
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/70291
Sample Questions
Q1) The nurse is caring for a child who has a long leg cast. The child complains of increasing pain in the toes of the casted foot. Which initial action by the nurse is the most appropriate?
A) Call the healthcare provider to report increasing pain
B) Administer pain medication
C) Reposition the child in bed
D) Check to see if the cast is too tight
Q2) The nurse is caring for a toddler client in the postoperative period. Which pain assessment tool is most appropriate for this client?
A) FLACC Behavioral Pain Assessment Scale
B) FACES pain scale
C) Oucher scale
D) Poker-chip tool
Q3) A toddler is hospitalized with a fractured femur. In addition to pain medication, which will best provide pain relief for this child?
A) Parents' presence at the bedside
B) Age-appropriate toys
C) Deep-breathing exercises
D) Videos for the child to watch
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Page 17
Chapter 16: Immunizations and Communicable Diseases
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/70292
Sample Questions
Q1) The hospital has just provided its nurses with information about biologic threats and terrorism. After completing the course, a group of nurses is discussing its responsibility in relation to bioterrorism. Which statement by the nurse indicates a correct understanding of the concepts presented?
A) "It is important to separate clients according to age and illness to prevent the spread of disease."
B) "It is important to dispose blood-contaminated needles in the lead-lined container."
C) "I will notify the Centers for Disease Control (CDC) if a large number of persons with the same life-threatening infection present to the emergency room."
D) "I will initiate isolation precautions for a hospitalized client with methicillin-resistant staphylococcus aureus (MRSA)."
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Chapter 17: Social and Environmental Influences on the Child
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/70293
Sample Questions
Q1) A high school student calls to ask the nurse for advice on how to care for a new navel piercing. Which response by the nurse is the most appropriate?
A) "Apply warm soaks to the area for the first two days to minimize swelling."
B) "Do not move or turn the jewelry for the first 3 days."
C) "Avoid contact with another person's bodily fluids until the area is well healed."
D) "Apply lotion to the area, rubbing gently, to prevent skin from becoming dry and irritated."
Q2) The nurse teaches a group of parents' strategies to reduce the risk of lead exposure for their children. Which statements indicate an appropriate understanding of the content presented? Select all that apply.
A) "We will provide our child with frequent snacks high in iron and calcium."
B) "We will wash any surfaces that have peeling paint."
C) "We will store leftovers in a ceramic pot."
D) "We can continue to use our traditional-medicine treatment, Azarcon, for any GI upset."
E) "We will sand the windowsills to remove the lead-based paint."
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Chapter 18: Alterations in Fluid, Electrolyte, and Acid-Base Balance
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/70294
Sample Questions
Q1) A child is admitted to the hospital for hypercalcemia and is placed on diuretic therapy. Which diuretic would the nurse expect to give?
A) Hydrochlorothiazide (Aquazide)
B) Spironolactone (Aldactone)
C) Furosemide (Lasix)
D) Mannitol (Osmitrol)
Q2) A preschool-aged client, diagnosed with croup, has an increased pCO<sub>2</sub>, a decreased pH, and a normal HCO<sub>3</sub> blood-gas value. Which documentation in the medical record is the most appropriate?
A) Uncompensated respiratory acidosis
B) Uncompensated respiratory alkalosis
C) Uncompensated metabolic acidosis
D) Uncompensated metabolic alkalosis
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Chapter 19: Alterations in Eye, Ear, Nose, and Throat
Function
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/70295
Sample Questions
Q1) A neonate has been diagnosed with a herpes simplex viral infection of the eye. Which medication will the nurse prepare to administer?
A) Fluoroquinolone eye drops or ointment
B) Intravenous penicillin
C) Oral erythromycin
D) Parenteral acyclovir (Zovirax) and vidarabine (VIRA-A) ophthalmic ointment
Q2) A school-age child has epistaxis. Which intervention by the school nurse is the most appropriate?
A) Tilting the child's head forward, squeezing the nares below the nasal bone, and applying ice to the nose
B) Tilting the child's head back, squeezing the bridge of the nose, and applying a warm, moist pack to the nose
C) Lying the child down and applying no pressure, ice, or warm pack
D) Immediately packing the nares with a cotton ball soaked with Neo-Synephrine
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Chapter 20: Alterations in Respiratory Function
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/70296
Sample Questions
Q1) A nurse delegates the task of neonatal vital-sign assessment to a nurse technician. Which instruction will the nurse give to the technician prior to assign care?
A) Report any neonate using abdominal muscles to breathe.
B) Report any neonate with apnea for 10 seconds.
C) Count respirations for 15 seconds and multiply by 4 to get the rate for 1 minute.
D) Report any neonate with a breathing pause that lasts 20 seconds or longer.
Q2) A child is prescribed rifampicin for treatment of tuberculosis. For which length of time will the nurse tell the parents that this child must remain on the medication?
A) 2 months
B) 4 months
C) 6 months
D) 8 months
Q3) The toddler is admitted to the hospital during an acute asthma attack. The physician orders: methylprednisolone 80 mg infused IV push every 3 hours. Medication on hand: methylprednisolone 125 mg/2 mL
Calculate how many ml of methylprednisolone the patient will receive.
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Chapter 21: Alterations in Cardiovascular Function
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/70297
Sample Questions
Q1) A child recently had a heart transplant and the nurse teaches the parents the importance of administering cyclosporine A. Which statement by the parents indicates an appropriate understanding of the teaching session?
A) "Cyclosporin A reduces serum-cholesterol level."
B) "Cyclosporin A prevents rejection."
C) "Cyclosporin A treats hypertension."
D) "Cyclosporin A treats infections."
Q2) A toddler is started on digoxin (Lanoxin) for cardiac failure. Which is the initial symptom the nurse would assess if the child develops digoxin (Lanoxin) toxicity?
A) Lowered blood pressure
B) Tinnitus
C) Ataxia
D) A change in heart rhythm
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Chapter 22: Alterations in Immune Function
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/70298
Sample Questions
Q1) A school-age child diagnosed with rheumatoid arthritis asks the nurse to recommend an exercise activity. Which activity is most appropriate for this child?
A) Softball
B) Football
C) Swimming
D) Basketball
Q2) A child is prescribed Didanosine (Videx), a nucleoside reverse transcriptase inhibitor, for human immunodeficiency virus (HIV). Which lab value will the nurse monitor closely for this child?
A) Potassium
B) Sodium
C) RBC count
D) Glucose
Q3) A child with the diagnosis of Wiskott-Aldrich syndrome has been ordered an IV infusion of gamma globulin. The child weighs 20 pounds. The healthcare provider orders: gamma globulin 2 g/kg IV over 12 hours.
Calculate how many grams of gamma globulin will be given IV.
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24
Chapter 23: Alterations in Hematologic Function
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/70299
Sample Questions
Q1) Which action by the parents demonstrates an understanding of the nurse's teaching with regard to prevention of iron-deficient anemia?
A) Feeding their infant with a formula that is not iron fortified
B) Starting iron-fortified infant cereal at 4 to 6 months of age
C) Introducing cow's milk at 6 months of age
D) Limiting vitamin C consumption after 1 year of age
Q2) The nurse is caring for a child who is in a sickle cell crisis and has severe pain. Which nursing intervention is the most appropriate for this child?
A) Giving comfort measures, such as back rubs
B) Suggesting diversional activities, such as coloring
C) Administering pain medication
D) Preparing the child for painful procedures
Q3) The nurse is administering packed RBCs to a child with sickle cell disease (SCD). The nurse is monitoring for a transfusion reaction and knows it is most likely to occur during which time frame?
A) Six hours after the transfusion is given
B) Within the first 20 minutes of administration of the transfusion
C) At the end of the administration of the transfusion
D) Never; children with SCD do not have reactions.
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Page 25
Chapter 24: The Child With Cancer
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/70300
Sample Questions
Q1) A child is diagnosed with a Wilms tumor. Which nursing action is most appropriate prior to surgery?
A) Careful bathing and handling
B) Monitoring of behavioral status
C) Maintenance of strict isolation
D) Administration of packed RBCs
Q2) The child is admitted to the hospital after being diagnosed with retinoblastoma. Which assessment finding does the nurse anticipate for this child?
A) A red reflex
B) Yellow sclera
C) A white pupil
D) Blue-tinged sclera
Q3) A child is diagnosed with rhabdomyosarcoma. Which nursing intervention is most appropriate for this child?
A) Position the child with the head elevated
B) Monitor for hematuria
C) Demonstrate the use of a conformer
D) Administer oxygen
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Chapter 25: Alterations in Gastrointestinal Function
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/70301
Sample Questions
Q1) The nurse is caring for a school-age client who had an appendectomy after a ruptured appendix. Which orders does the nurse anticipate for this client? Select all that apply.
A) Antibiotics
B) A clear liquid diet
C) NG tube
D) Vital signs every 4 hours
E) Frequent monitoring of bowel sounds
Q2) A 3-day-old preterm infant is diagnosed with necrotizing enterocolitis. The nurse plans care around the frequent radiographs. How frequently should the nurse anticipate that the radiology staff will bring the portable machine to the nursery?
A) Every 6 hours
B) Every 12 hours
C) Every 24 hours
D) Every 48 hours
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Chapter 26: Alterations in Genitourinary Function
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) The nurse educator is teaching a group of nursing students the pathophysiologic reasons related to genitourinary (GU) disorders in the pediatric population. Which statements are appropriate for the nurse educator to include in the teaching session? Select all that apply.
A) "Incomplete organ development during fetal development is the cause of many GU disorders."
B) "Improper placement of the urethra in vagina is one cause of GU disorders."
C) "GU disorders in the pediatric population can be caused by hydronephrosis."
D) "GU disorders in the pediatric population are not caused by infections."
E) "Anatomic obstruction or incomplete nerve innervation can cause GU disorders."
Q2) A child is prescribed hemodialysis for the treatment of kidney failure. When providing care for this child, what will the nurse monitor for during the assessment? Select all that apply.
A) Shock
B) Hypotension
C) Infections
D) Migraines
E) Fluid overload
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28
Chapter 27: Alterations in Neurologic Function
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/70303
Sample Questions
Q1) A child is diagnosed with epilepsy and is prescribed daily phenytoin (Dilantin). Which topic is most appropriate for the nurse to include in the discharge teaching?
A) Increasing fluid intake
B) Performing good dental hygiene
C) Decreasing intake of vitamin D
D) Taking the medication with milk
Q2) The nurse is performing an admission assessment on an infant diagnosed with hydrocephalus and a malfunctioning shunt. Which assessment findings should the nurse expect? Select all that apply.
A) Vomiting
B) Fever
C) Irritability
D) Poor appetite
E) Decreased level of consciousness
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Chapter 28: Alterations in Mental Health and Cognitive Function
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/70304
Sample Questions
Q1) A nurse is conducting developmental assessments on several children in the day-care setting. Which child(ren) does the nurse identify as having development delays? Select all that apply.
A) An 18-month-old toddler who is unable to phrase sentences
B) A 5-year-old who is unable to button his shirt
C) A 6-year-old who is unable to sit still for a short story
D) A 2-year-old who is unable to cut with scissors
E) A 2-year-old who cannot recite her phone number
Q2) A child with a profound intellectual disability is admitted to the hospital for an appendectomy. Which IQ does the nurse anticipate to see documented when reviewing this child's medical record?
A) Between 50 and 70
B) Below 20
C) Between 35 and 50
D) Between 20 and 35
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Chapter 29: Alterations in Musculoskeletal Function
Available Study Resources on Quizplus for this Chatper
17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/70305
Sample Questions
Q1) A child returns from spinal-fusion surgery. Which item is the priority assessment for this child?
A) Increased intracranial pressure
B) Seizure activity
C) Impaired pupillary response during neurological checks
D) Impaired color, sensitivity, and movement to lower extremities
Q2) A school-age client is admitted to the hospital with osteomyelitis. Which statement regarding the treatment of osteomyelitis is most appropriate for the nurse to share with the parents?
A) "Cultures should be done immediately after the first dose of antibiotic infuses."
B) "Antibiotics are ineffective against this virus."
C) "Methicillin is the antibiotic of choice."
D) "Antibiotic therapy should continue for 3 to 6 weeks."
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Chapter 30: Alterations in Endocrine Function
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/70306
Sample Questions
Q1) The nurse is teaching the parent of a type 1 diabetic preschool-age client about management of the disease. Which teaching point is appropriate for the nurse to include in this session?
A) Allowing the client to administer all the insulin injections
B) Allowing the client to choose which finger to stick for glucose testing
C) Allowing the client to draw up the insulin dose
D) Allowing the client to test blood glucose
Q2) A pediatric client is diagnosed with type 1 diabetes. The nurse teaches the client the difference between insulin shock and diabetic hyperglycemia. The nurse evaluates that the client understands the teaching when the client states which characteristics of diabetic hyperglycemia?
A) Tremors and lethargy
B) Hunger and hypertension
C) Thirst and flushed skin
D) Shakiness and pallor
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Chapter 31: Alterations in Skin Integrity
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/70307
Sample Questions
Q1) The nurse is teaching a group of students about wound healing. Which items will the nurse include as occurring during the hemostasis and inflammation stage of wound healing? Select all that apply.
A) Clot formation to seal the wound
B) Production of collagen and granulation tissue
C) Scar formation and strengthening
D) Release of inflammatory mediators by platelets
E) Swelling as a result of increased capillary permeability
Q2) The nurse is examining a 12-month-old who is brought to the clinic for persistent diaper rash. The nurse finds perianal inflammation with bright red scaly plaques and small papules. Satellite lesions are also present. What is the most likely cause of this client's diaper rash?
A) Impetigo (staph)
B) Candida albicans (yeast)
C) Urine and feces
D) Infrequent diapering
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