Family and Child Nursing Exam Materials
Course Introduction
Family and Child Nursing focuses on the holistic care of children and their families, addressing health promotion, disease prevention, and management of common pediatric illnesses. The course emphasizes the developmental, psychological, and social aspects of child health, as well as family dynamics and cultural influences. Students will learn to apply evidence-based nursing interventions, communicate effectively with children and families, conduct growth and development assessments, and support families during health challenges. By integrating theory and clinical practice, the course prepares students to provide compassionate and competent care to children and enhance the well-being of families across diverse healthcare settings.
Recommended Textbook
Wongs Nursing Care of Infants and Children 10th Edition by Hockenberry
Available Study Resources on Quizplus
35 Chapters
1814 Verified Questions
1814 Flashcards
Source URL: https://quizplus.com/study-set/256 Page 2
Chapter 1: Perspectives of Pediatric Nursing
Available Study Resources on Quizplus for this Chatper
41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/4161
Sample Questions
Q1) Which actions by the nurse demonstrate clinical reasoning? (Select all that apply.)
A) Basing decisions on intuition
B) Considering alternative action
C) Using formal and informal thinking to gather data
D) Giving deliberate thought to a patient's problem
E) Developing an outcome focused on optimum patient care
Answer: B, C, D, E
Q2) The nurse is evaluating research studies according to the GRADE criteria and has determined the quality of evidence on the subject is moderate. Which type of evidence does this determination indicate?
A) Strong evidence from unbiased observational studies
B) Evidence from randomized clinical trials showed inconsistent results
C) Consistent evidence from well-performed randomized clinical trials
D) Evidence for at least one critical outcome from randomized clinical trials had serious flaws
Answer: B
To view all questions and flashcards with answers, click on the resource link above.
3
Chapter 2: Social, Cultural, Religious, and Family Influences on Child Health Promotion
Available Study Resources on Quizplus for this Chatper
41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/4162
Sample Questions
Q1) How is family systems theory best described?
A) The family is viewed as the sum of individual members.
B) A change in one family member cannot create a change in other members.
C) Individual family members are readily identified as the source of a problem.
D) When the family system is disrupted, change can occur at any point in the system.
Answer: D
Q2) The nurse is planning care for a patient with a different ethnic background. Which should be an appropriate goal?
A) Adapt, as necessary, ethnic practices to health needs.
B) Attempt, in a nonjudgmental way, to change ethnic beliefs.
C) Encourage continuation of ethnic practices in the hospital setting.
D) Strive to keep ethnic background from influencing health needs.
Answer: A
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
To view all questions and flashcards with answers, click on the resource link above.
Chapter 3: Hereditary Influences on Health Promotion of the Child
and Family
Available Study Resources on Quizplus for this Chatper
42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/4163
Sample Questions
Q1) An environmental agent capable of producing a birth defect
A)Concordant
B)Congenital
C)Cytogenetics
D)Genome
E)Teratogen
Answer: E
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
To view all questions and flashcards with answers, click on the resource link above. Page 5
Chapter 4: Communication, Physical, and Developmental Assessment
Available Study Resources on Quizplus for this Chatper
49 Verified Questions
49 Flashcards
Source URL: https://quizplus.com/quiz/4164
Sample Questions
Q1) During a routine health assessment, the nurse notes that an 8-month-old infant has a significant head lag. Which is the most appropriate action?
A) Recheck head control at next visit.
B) Teach the parents appropriate exercises.
C) Schedule the child for further evaluation.
D) Refer the child for further evaluation if the anterior fontanel is still open.
Q2) 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.
Q3) When the nurse interviews an adolescent, which is especially important?
A) Focus the discussion on the peer group.
B) Allow an opportunity to express feelings.
C) Use the same type of language as the adolescent.
D) Emphasize that confidentiality will always be maintained.
To view all questions and flashcards with answers, click on the resource link above.
Page 6
Chapter 5: Pain Assessment and Management in Children
Available Study Resources on Quizplus for this Chatper
40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/4165
Sample Questions
Q1) A health care provider prescribes naproxen (Naprosyn), 7 mg/kg PO every 12 hours for pain. The child weighs 25 kg. The medication label states: "Naproxen 125 mg/5 mL." The nurse prepares to administer one dose. How many milliliters will the nurse prepare to administer one dose? Fill in the blank. Record your answer in a whole number.
Q2) Which drug is usually the best choice for patient-controlled analgesia (PCA) for a child in the immediate postoperative period?
A) Codeine sulfate (Codeine)
B) Morphine (Roxanol)
C) Methadone (Dolophine)
D) Meperidine (Demerol)
Q3) Which are components of the FLACC scale? (Select all that apply.)
A) Color
B) Capillary refill time
C) Leg position
D) Facial expression
E) Activity
To view all questions and flashcards with answers, click on the resource link above. Page 7
Chapter 6: Childhood Communicable and Infectious Diseases
Available Study Resources on Quizplus for this Chatper
47 Verified Questions
47 Flashcards
Source URL: https://quizplus.com/quiz/4166
Sample Questions
Q1) Which is described as an elevated, circumscribed skin lesion that is less than 1 cm in diameter and filled with serous fluid?
A) Cyst
B) Papule
C) Pustule
D) Vesicle
Q2) The nurse is preparing to administer a measles, mumps, rubella, and varicella (MMRV) vaccine. Which is a contraindication associated with administering this vaccine?
A) The child has recently been exposed to an infectious disease.
B) The child has symptoms of a cold but no fever.
C) The child is having intermittent episodes of diarrhea.
D) The child has a disorder that causes a deficient immune system.
Q3) A child has been diagnosed with giardiasis. Which prescribed medication should the nurse expect to administer?
A) Acyclovir (Zovirax)
B) Metronidazole (Flagyl)
C) Erythromycin (Pediazole)
D) Azithromycin (Zithromax)
Page 8
To view all questions and flashcards with answers, click on the resource link above.
Chapter 7: Health Promotion of the Newborn and Family
Available Study Resources on Quizplus for this Chatper
40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/4167
Sample Questions
Q1) Which is true regarding an infant's kidney function?
A) Conservation of fluid and electrolytes occurs.
B) Urine has color and odor similar to the urine of adults.
C) The ability to concentrate urine is less than that of adults.
D) Normally, urination does not occur until 24 hours after delivery.
Q2) Which should the nurse use when assessing the physical maturity of a newborn?
A) Length
B) Apgar score
C) Posture at rest
D) Chest circumference
Q3) Which characteristic is representative of a full-term newborn's gastrointestinal tract?
A) Transit time is diminished.
B) Peristaltic waves are relatively slow.
C) Pancreatic amylase is overproduced.
D) Stomach capacity is very limited.
To view all questions and flashcards with answers, click on the resource link above. Page 9
Chapter 8: Health Problems of Newborns
Available Study Resources on Quizplus for this Chatper
37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/4168
Sample Questions
Q1) The nurse is preparing to administer a topical application of 1 ml of nystatin (Mycostatin) to an infant with oral thrush. Which actions should the nurse plan to implement? (Select all that apply.)
A) Administer after a feeding.
B) Use a sponge applicator to swab the oral mucosa and tongue.
C) Administer after warming the medication under running warm water.
D) If white patches are no longer present, hold the medication.
E) Deposit the remainder of the dose in the mouth with a syringe so the infant swallows a small amount.
Q2) What should nursing care of an infant with oral candidiasis (thrush) include?
A) Avoid use of a pacifier.
B) Continue medication for the prescribed number of days.
C) Remove the characteristic white patches with a soft cloth.
D) Apply medication to the oral mucosa, being careful that none is ingested.
Q3) Shallow orbits and underdevelopment of the middle third of the face
A)Crouzon syndrome
B)Apert syndrome
C)Treacher Collins syndrome
D)Pierre Robin sequence
To view all questions and flashcards with answers, click on the resource link above.
Page 10
Chapter 9: The High-Risk Newborn and Family
Available Study Resources on Quizplus for this Chatper
56 Verified Questions
56 Flashcards
Source URL: https://quizplus.com/quiz/4169
Sample Questions
Q1) What can stroking infants who are physiologically unstable result in?
A) Fewer sleep periods
B) Increased weight gain
C) Shortened hospital stay
D) Decreased oxygen saturation
Q2) Which is a characteristic of postmature infants?
A) Abundant lanugo
B) Lack of scalp hair
C) Plump appearance
D) Parchment-like skin
Q3) The home care nurse is visiting a 6-month-old infant with bronchopulmonary dysplasia (BPD). The nurse assesses the child for which signs of overhydration? (Select all that apply.)
A) Edema
B) Serum sodium of 140 mEq/L
C) Urine specific gravity of 1.008
D) Weight gain of 1 lb in 1 week
To view all questions and flashcards with answers, click on the resource link above.
Chapter 10: Health Promotion of the Infant and Family
Available Study Resources on Quizplus for this Chatper
49 Verified Questions
49 Flashcards
Source URL: https://quizplus.com/quiz/4170
Sample Questions
Q1) The nurse is interviewing the father of a 10-month-old girl. The child is playing on the floor when she notices an electrical outlet and reaches up to touch it. Her father says "no" firmly and moves her away from the outlet. The nurse should use this opportunity to teach the father what?
A) That the child should be given a time-out
B) That the child is old enough to understand the word "no"
C) That the child will learn safety issues better if she is spanked
D) That the child should already know that electrical outlets are dangerous
Q2) The nurse is discussing development and play activities with the parent of a 2-month-old boy. Which statement by the parent would indicate a correct understanding of the teaching?
A) "I can give my baby a ball of yarn to pull apart or different textured fabrics to feel."
B) "I can use a music box and soft mobiles as appropriate play activities for my baby."
C) "I should introduce a cup and spoon or push-pull toys for my baby at this age."
D) "I do not have to worry about appropriate play activities at this age."
To view all questions and flashcards with answers, click on the resource link above.
12
Chapter 11: Health Problems of the Infant
Available Study Resources on Quizplus for this Chatper
50 Verified Questions
50 Flashcards
Source URL: https://quizplus.com/quiz/4171
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) The community health nurse is reviewing risk factors for vitamin D deficiency. Which children are at high risk for vitamin D deficiency? (Select all that apply.)
A) Children with fair pigmentation
B) Children who are overweight or obese
C) Children who are exclusively bottle fed
D) Children with diets low in sources of vitamin D
E) Children of families who use milk products not supplemented with vitamin D
Q3) What is most descriptive of atopic dermatitis (AD) (eczema) in an infant?
A) Easily cured
B) Worse in humid climates
C) Associated with hereditary allergies
D) Related to upper respiratory tract infections
To view all questions and flashcards with answers, click on the resource link above.
Page 13
Chapter 12: Health Promotion of the Toddler and Family
Available Study Resources on Quizplus for this Chatper
49 Verified Questions
49 Flashcards
Source URL: https://quizplus.com/quiz/4172
Sample Questions
Q1) Which is an appropriate recommendation in preventing tooth decay in young children?
A) Substitute raisins for candy.
B) Substitute sugarless gum for regular gum.
C) Use honey or molasses instead of refined sugar.
D) When sweets are to be eaten, select a time not during meals.
Q2) A toddler's parent asks the nurse for suggestions on dealing with temper tantrums. What is the most appropriate recommendation?
A) Punish the child.
B) Explain to child that this is wrong.
C) Leave the child alone until the tantrum is over.
D) Remain close by the child but without eye contact.
Q3) What preventive measures should the nurse teach parents of toddlers to prevent early childhood caries? (Select all that apply.)
A) Avoid using a bottle as a pacifier.
B) Eliminate bedtime bottles completely.
C) Place juice in a bottle for the child to drink.
D) Wean from the bottle by 18 months of age.
E) Avoid coating pacifiers in a sweet substance.
To view all questions and flashcards with answers, click on the resource link above.
Page 14
Chapter 13: Health Promotion of the Preschooler and Family
Available Study Resources on Quizplus for this Chatper
39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/4173
Sample Questions
Q1) The parent of a 4-year-old boy tells the nurse that the child believes "monsters and bogeymen" are in his bedroom at night. What is the nurse's best suggestion for coping with this problem?
A) Let the child sleep with his parents.
B) Keep a night light on in the child's bedroom.
C) Help the child understand that these fears are illogical.
D) Tell the child that monsters and bogeymen do not exist.
Q2) The nurse is planning to bring a preschool child a toy from the playroom. What toy is appropriate for this age group?
A) Building blocks
B) A 500-piece puzzle
C) Paint by number picture
D) Farm animals and equipment
Q3) In terms of cognitive development, a 5-year-old child should be expected to do which?
A) Think abstractly.
B) Use magical thinking.
C) Understand conservation of matter.
D) Understand another person's perspective.
To view all questions and flashcards with answers, click on the resource link above.
Page 15
Chapter 14: Health Problems of Early Childhood
Available Study Resources on Quizplus for this Chatper
39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/4174
Sample Questions
Q1) A parent asks the nurse about the "characteristics of a nightmare." What response should the nurse give to the parent? (Select all that apply.)
A) Nightmares are scary dreams.
B) The child can describe the nightmare.
C) The child is reassured by your presence.
D) Nightmares occur usually 1 to 4 hours after falling asleep.
E) Nightmares take place during non-rapid eye movement sleep
Q2) What is a significant secondary prevention nursing activity for lead poisoning?
A) Chelation therapy
B) Screening children for blood lead levels
C) Removing lead-based paint from older homes
D) Questioning parents about ethnic remedies containing lead
Q3) A father calls the clinic because he found his young daughter squirting Visine eyedrops into her mouth. What is the most appropriate nursing action?
A) Reassure the father that Visine is harmless.
B) Direct him to seek immediate medical treatment.
C) Recommend inducing vomiting with ipecac.
D) Advise him to dilute Visine by giving his daughter several glasses of water to drink.
To view all questions and flashcards with answers, click on the resource link above. Page 16
Chapter 15: Health Promotion of the School-Age Child and Family
Available Study Resources on Quizplus for this Chatper
42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/4175
Sample Questions
Q1) A 9-year-old girl often comes to the school nurse complaining of stomach pains. Her teacher says she is completing her school work satisfactorily but lately has been somewhat aggressive and stubborn in the classroom. The school nurse should recognize this as which?
A) Signs of stress
B) Developmental delay
C) Lack of adjustment to school environment
D) Physical problem that needs medical intervention
Q2) What is characteristic of dishonest behavior in children ages 8 to 10 years?
A) Cheating during games is now more common.
B) Stealing can occur because their sense of property rights is limited.
C) Lying is used to meet expectations set by others that they have been unable to attain.
D) Dishonesty results from the inability to distinguish between fact and fantasy.
Q3) What is descriptive of the social development of school-age children?
A) Identification with peers is minimum.
B) Children frequently have "best friends."
C) Boys and girls play equally with each other.
D) Peer approval is not yet an influence for the child to conform.
To view all questions and flashcards with answers, click on the resource link above. Page 17
Chapter 16: Health Problems of the School-Age Child
Available Study Resources on Quizplus for this Chatper
48 Verified Questions
48 Flashcards
Source URL: https://quizplus.com/quiz/4176
Sample Questions
Q1) The nurse is explaining the purpose of using a vacuum-assisted closure (VAC) device to assist in the healing of a wound. What should the nurse explain as the purpose of using a VAC device?
A) The device will decrease capillary flow.
B) The device applies gentle continuous suction.
C) The device will allow the wound to remain open.
D) The device will prevent the formation of granulation tissue.
Q2) Parents phone the nurse and say that their child just knocked out a permanent tooth. What should the nurse's instructions to the parents include?
A) Place the tooth in dry container for transport.
B) Hold the tooth by the crown and not by the root area.
C) Transport the child and tooth to a dentist within 18 hours.
D) Take the child to hospital emergency department if his or her mouth is bleeding.
Q3) 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.
To view all questions and flashcards with answers, click on the resource link above.
18
Chapter 17: Health Promotion of the Adolescent and Family
Available Study Resources on Quizplus for this Chatper
34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/4177
Sample Questions
Q1) What is true concerning the development of autonomy during adolescence?
A) Development of autonomy typically involves rebellion.
B) Development of autonomy typically involves parent-child conflicts.
C) Parent and peer influences are opposing forces in the development of autonomy.
D) Conformity to both parents and peers gradually declines toward the end of adolescence.
Q2) The nurse is preparing a pamphlet for parents of adolescents about guidance during the adolescent years. What suggestion should the nurse include in the pamphlet?
A) Provide criticism when mistakes are made or when views are different.
B) Use comparisons with older siblings or extended family to promote good outcomes.
C) Begin to disengage from school functions to allow the adolescent to gain independence.
D) Provide clear, reasonable limits and define consequences when rules are broken.
To view all questions and flashcards with answers, click on the resource link above.
19
Chapter 18: Health Problems of the Adolescent
Available Study Resources on Quizplus for this Chatper
60 Verified Questions
60 Flashcards
Source URL: https://quizplus.com/quiz/4178
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) A health care provider prescribes leuprolide (Lupron), 3.75 mg, IM, monthly, for a patient with endometriosis. The medication label states: "Leuprolide (Lupron) 5 mg/1 ml." The nurse prepares to administer the monthly dose. How many milliliters will the nurse prepare to administer the dose? Fill in the blank. Record your answer using two decimal places.
Q3) What is a major physical risk for young adolescents during pregnancy?
A) Osteoporosis frequently develops.
B) Fetopelvic disproportion is a common problem.
C) Delivery is usually precipitous in this age group.
D) Pregnancy will adversely affect the adolescent's development.
To view all questions and flashcards with answers, click on the resource link above.
Page 20
Chapter 19: Family-Centered Care of the Child with Chronic Illness
or Disability
Available Study Resources on Quizplus for this Chatper
48 Verified Questions
48 Flashcards
Source URL: https://quizplus.com/quiz/4179
Sample Questions
Q1) The nurse is assessing coping behaviors of a family with a child with a chronic illness. What indicates avoidance coping behaviors? (Select all that apply.)
A) Refuses to agree to treatment
B) Avoids staff, family members, or child
C) Is unable to discuss possible loss of the child
D) Recognizes own growth through a passage of time
E) Makes no change in lifestyle to meet the needs of other family members
Q2) The parents of a child on a ventilator tell the nurse that their insurance company wants the child to be discharged. They explain that they do not want the child home "under any circumstances." What principle should the nurse consider when working with this family?
A) Desire to have the child home is essential to effective home care.
B) Parents should not be expected to care for a technology-dependent child.
C) Having a technology-dependent child at home is better for both the child and the family.
D) Parents are not part of the decision-making process because of the costs of hospitalization.
To view all questions and flashcards with answers, click on the resource link above.
Page 21
Chapter 20: Family-Centered Palliative Care
Available Study Resources on Quizplus for this Chatper
38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/4180
Sample Questions
Q1) The nurse is making a home visit 48 hours after the death of an infant from sudden infant death syndrome (SIDS). What intervention is an appropriate objective for this visit?
A) Give contraceptive information.
B) Provide information on the grief process.
C) Reassure parents that SIDS is not likely to occur again.
D) Thoroughly investigate the home situation to verify SIDS as the cause of death.
Q2) The family and child have decided that hospice care best meets their needs during the terminal phase of illness. The nurse recognizes that the parents understand the principles of this care when they make which statement?
A) "It will be good to be at home and care for our child."
B) "What a relief it will be not to need any more medicines."
C) "We are going to miss the support of the hospice team when our child dies."
D) "We know that once hospice care starts, we will not be able to return to the hospital if the care is difficult."
To view all questions and flashcards with answers, click on the resource link above.
22
Chapter 21: The Child with Cognitive, Sensory, or Communication Impairment
Available Study Resources on Quizplus for this Chatper
48 Verified Questions
48 Flashcards
Source URL: https://quizplus.com/quiz/4181
Sample Questions
Q1) Secondary prevention for cognitive impairment includes what activity?
A) Genetic counseling
B) Avoidance of prenatal rubella infection
C) Preschool education and counseling services
D) Newborn screening for treatable inborn errors of metabolism
Q2) Autism is a complex developmental disorder. The diagnostic criteria for autism include delayed or abnormal functioning in which area with onset before age 3 years?
A) Parallel play
B) Gross motor development
C) Ability to maintain eye contact
D) Growth below the fifth percentile
Q3) 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.
To view all questions and flashcards with answers, click on the resource link above.
Page 23
Chapter 22: Family-Centered Care of the Child During
Illness and Hospitalization
Available Study Resources on Quizplus for this Chatper
43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/4182
Sample Questions
Q1) The nurse is caring for a 3-year-old child during a long hospitalization. The parent is concerned about how to support the child's siblings during the hospitalization. What statement is appropriate for the nurse to make?
A) "You should choose one parent to spend every night in the hospital while the other parent stays at home with the other children."
B) "You could leave your hospitalized child for periods at night to be at home with the other children."
C) "You should discourage the siblings from visiting because this could upset everyone in the family."
D) "You could encourage a nightly phone call between the siblings as part of the bedtime routine."
Q2) A 10-year-old girl needs to have another intravenous (IV) line started. She keeps telling the nurse, "Wait a minute," and, "I'm not ready." How should the nurse interpret this behavior?
A) IV insertions are viewed as punishment.
B) This is expected behavior for a school-age child.
C) Protesting like this is usually not seen past the preschool years.
D) The child has successfully manipulated the nurse in the past.
To view all questions and flashcards with answers, click on the resource link above. Page 24
Chapter 23: Pediatric Nursing Interventions and Skills
Available Study Resources on Quizplus for this Chatper
53 Verified Questions
53 Flashcards
Source URL: https://quizplus.com/quiz/4183
Sample Questions
Q1) A 6-year-old boy is hospitalized for intravenous antibiotic therapy. He eats very little on his "regular diet" trays. He tells the nurse that all he wants to eat is pizza, tacos, and ice cream. What nursing action is the most appropriate?
A) Request these favorite foods for him.
B) Identify healthier food choices that he likes.
C) Explain that he needs fruits and vegetables.
D) Reward him with ice cream at the end of every meal that he eats.
Q2) A toddler is being sent to the operating room for surgery at 9 AM. As the nurse prepares the child, what is the priority intervention?
A) Administering preoperative antibiotic
B) Verifying that the child and procedure are correct
C) Ensuring that the toddler has been NPO since midnight
D) Informing the parents where they can wait during the procedure
Q3) What is the best method to verify the placement of a nasogastric tube before each use?
A) Radiologic confirmation
B) Auscultation of injected air
C) Aspiration of stomach contents
D) Verification of tape placement on tube
To view all questions and flashcards with answers, click on the resource link above.
Page 25
Chapter 24: The Child with Fluid and Electrolyte Imbalance
Available Study Resources on Quizplus for this Chatper
65 Verified Questions
65 Flashcards
Source URL: https://quizplus.com/quiz/4184
Sample Questions
Q1) Nurses should be alert for increased fluid requirements in which circumstance?
A) Fever
B) Mechanical ventilation
C) Congestive heart failure
D) Increased intracranial pressure
Q2) Histocompatible tissue obtained from genetically identical individuals
A)Allografts
B)Xenografts
C)Autografts
D)Isografts
Q3) A health care provider prescribes dopamine (Intropin), 5 mcg/kg/min in a continuous intravenous (IV) infusion for a child in shock. The child weighs 25 kg. The medication is available as dopamine 400 mg in 250 ml. The nurse prepares to calculate the rate. How many milliliters per hour will the nurse set the IV infusion pump to deliver 5 mcg/kg/min? Fill in the blank. Round to one decimal place.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 25: The Child with Renal Dysfunction
Available Study Resources on Quizplus for this Chatper
67 Verified Questions
67 Flashcards
Source URL: https://quizplus.com/quiz/4185
Sample Questions
Q1) A health care provider prescribes Osmitrol (mannitol), 0.5 g/kg intravenously (IV) now, for a child with minimal change nephrotic syndrome. The child weighs 10 kg. The medication label states: "Osmitrol (mannitol) 20 g/100 ml." 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 is preparing to admit a child to the hospital with a diagnosis of minimal change nephrotic syndrome. The nurse understands that the peak age at onset for this disease is what?
A) 2 to 3 years
B) 4 to 5 years
C) 6 to 7 years
D) 8 to 9 years
Q3) Inflammation of the bladder
A)Persistent urinary tract infection
B)Cystitis
C)Urethritis
D)Pyelonephritis
E)Urosepsis
To view all questions and flashcards with answers, click on the resource link above.
Page 27
Chapter 26: The Child with Gastrointestinal Dysfunction
Available Study Resources on Quizplus for this Chatper
72 Verified Questions
72 Flashcards
Source URL: https://quizplus.com/quiz/4186
Sample Questions
Q1) The nurse is preparing to admit a 2-month-old child with hypertrophic pyloric stenosis. What clinical manifestations should the nurse expect to observe? (Select all that apply.)
A) Weight loss
B) Bilious vomiting
C) Abdominal pain
D) Projectile vomiting
E) The infant is hungry after vomiting
Q2) What is a high-fiber food that the nurse should recommend for a child with chronic constipation?
A) White rice
B) Popcorn
C) Fruit juice
D) Ripe bananas
Q3) The health care provider has prescribed clarithromycin (Biaxin) 20 mg/kg/day divided bid for a child with peptic ulcer disease. The child weighs 77 lb. The nurse is preparing to administer the 0900 dose. Calculate the dose the nurse should administer in milligrams. Record your answer in a whole number.
To view all questions and flashcards with answers, click on the resource link above. Page 28
Chapter 27: Overview of Oxygen and Carbon Dioxide Exchange
Available Study Resources on Quizplus for this Chatper
45 Verified Questions
45 Flashcards
Source URL: https://quizplus.com/quiz/4187
Sample Questions
Q1) A series of subdiaphragmatic abdominal thrusts (the Heimlich maneuver) is recommended for airway obstruction in children older than which age?
A) 1 year
B) 4 years
C) 8 years
D) 12 years
Q2) The nurse is caring for a 4-year-old child who is receiving 2 L of oxygen per nasal cannula. What disadvantage should the nurse consider when planning care for the child?
A) The child may need to have high humidity administered with the oxygen.
B) The child may not be able to eat and drink comfortably.
C) A nasal cannula may cause an accumulation of moisture on the face.
D) A nasal cannula may cause abdominal distention.
Q3) The nurse is reviewing factors that affect lung development. What factor delays surfactant production and maturation of alveolar cells?
A) Thyroxine
B) Prolactin
C) Glucocorticosteroids
D) Excess of endogenous insulin
To view all questions and flashcards with answers, click on the resource link above. Page 29
Chapter 28: The Child with Respiratory Dysfunction
Available Study Resources on Quizplus for this Chatper
72 Verified Questions
72 Flashcards
Source URL: https://quizplus.com/quiz/4188
Sample Questions
Q1) The nurse encourages the mother of a toddler with acute laryngotracheobronchitis to stay at the bedside as much as possible. What is the primary rationale for this action?
A) Mothers of hospitalized toddlers often experience guilt.
B) The mother's presence will reduce anxiety and ease the child's respiratory efforts.
C) Separation from the mother is a major developmental threat at this age.
D) The mother can provide constant observations of the child's respiratory efforts.
Q2) A 1-year-old child has acute otitis media (AOM) and is being treated with oral antibiotics. What should the nurse include in the discharge teaching to the infant's parents?
A) A follow-up visit should be done after all medicine has been given.
B) After an episode of acute otitis media, hearing loss usually occurs.
C) Tylenol should not be given because it may mask symptoms.
D) The infant will probably need a myringotomy procedure and tubes.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 29: The Child with Cardiovascular Dysfunction
Available Study Resources on Quizplus for this Chatper
74 Verified Questions
74 Flashcards
Source URL: https://quizplus.com/quiz/4189
Sample Questions
Q1) A chest radiography examination is ordered for a child with suspected cardiac problems. The child's parent asks the nurse, "What will the x-ray show about the heart?" The nurse's response should be based on knowledge that the radiograph provides which information?
A) Shows bones of the chest but not the heart
B) Evaluates the vascular anatomy outside of the heart
C) Shows a graphic measure of electrical activity of the heart
D) Supplies information on heart size and pulmonary blood flow patterns
Q2) What nutritional component should be altered in the infant with heart failure (HF)?
A) Decrease in fats
B) Increase in fluids
C) Decrease in protein
D) Increase in calories
Q3) What type of drug reduces hypertension by interfering with the production of angiotensin II?
A) Diuretics
B) Vasodilators
C) Beta-blockers
D) Angiotensin-converting enzyme (ACE) inhibitors
To view all questions and flashcards with answers, click on the resource link above.
Page 31
Chapter 30: The Child with Hematologic or Immunologic Dysfunction
Available Study Resources on Quizplus for this Chatper
65 Verified Questions
65 Flashcards
Source URL: https://quizplus.com/quiz/4190
Sample Questions
Q1) The nurse is administering a unit of blood to a child. What are signs and symptoms of a transfusion reaction? (Select all that apply.)
A) Chills
B) Shaking
C) Flank pain
D) Hypothermia
E) Sudden severe headache
Q2) The nurse is teaching a parent of an infant to limit the amount of formula to encourage the intake of iron-rich food. What amount should the nurse teach to the parent?
A) 500 ml
B) 750 ml
C) 1000 ml
D) 1250 ml
Q3) What explanation provides the rationale for why iron-deficiency anemia is common during infancy?
A) Cow's milk is a poor source of iron.
B) Iron cannot be stored during fetal development.
C) Fetal iron stores are depleted by 1 month of age.
Page 32
D) Dietary iron cannot be started until 12 months of age.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 31: The Child with Cancer
Available Study Resources on Quizplus for this Chatper
62 Verified Questions
62 Flashcards
Source URL: https://quizplus.com/quiz/4191
Sample Questions
Q1) What chemotherapeutic agent can cause an anaphylactic reaction?
A) Prednisone (Deltasone)
B) Vincristine (Oncovin)
C) L-Asparaginase (Elspar)
D) Methotrexate (Trexall)
Q2) A child has an absolute neutrophil count (ANC) of 500/mm³. The nurse should expect to be administering which prescribed treatment?
A) Platelets
B) Packed red blood cells
C) Zofran (ondansetron)
D) G-CSF (Neupogen) daily
Q3) Chemotherapeutic agents are classified according to what feature?
A) Side effects
B) Effectiveness
C) Mechanism of action
D) Route of administration
Q4) Calculate the absolute neutrophil count for a child with a WBC = 15,000/mm³, neutrophils = 29%, and nonsegmented neutrophils (bands) = 29%. Record your answer in a whole number.
Page 33
To view all questions and flashcards with answers, click on the resource link above.
Chapter 32: The Child with Cerebral Dysfunction
Available Study Resources on Quizplus for this Chatper
73 Verified Questions
73 Flashcards
Source URL: https://quizplus.com/quiz/4192
Sample Questions
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) A school-age child has sustained a head injury and multiple fractures after being thrown from a horse. The child's level of consciousness is variable. The parents tell the nurse that they think their child is in pain because of periodic crying and restlessness. What is the most appropriate nursing action?
A) Explain that analgesia is contraindicated with a head injury.
B) Have the parents describe the child's previous experiences with pain.
C) Consult with a practitioner about what analgesia can be safely administered.
D) Teach the parents that analgesia is unnecessary when the child is not fully awake and alert.
To view all questions and flashcards with answers, click on the resource link above.
34
Chapter 33: The Child with Endocrine Dysfunction
Available Study Resources on Quizplus for this Chatper
62 Verified Questions
62 Flashcards
Source URL: https://quizplus.com/quiz/4193
Sample Questions
Q1) What clinical manifestation occurs with hypoglycemia?
A) Lethargy
B) Confusion
C) Nausea and vomiting
D) Weakness and dizziness
Q2) The nurse is teaching the family of a child with type 1 diabetes about insulin. What should the nurse include in the teaching session? (Select all that apply.)
A) Unopened vials are good for 60 days.
B) Diabetic supplies should not be left in a hot environment.
C) Insulin can be placed in the freezer if not used every day.
D) After it has been opened, insulin is good for up to 28 to 30 days.
E) Insulin bottles that have been opened should be stored at room temperature or refrigerated.
Q3) What nursing care should be included for a child diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH)?
A) Maintain the child NPO (nothing by mouth).
B) Turn the child frequently.
C) Restrict fluids.
D) Encourage fluids.
To view all questions and flashcards with answers, click on the resource link above.
Page 35
Chapter 34: The Child with Musculoskeletal or Articular Dysfunction
Available Study Resources on Quizplus for this Chatper
65 Verified Questions
65 Flashcards
Source URL: https://quizplus.com/quiz/4194
Sample Questions
Q1) What is a physiologic effect of immobilization on children?
A) Metabolic rate increases.
B) Venous return improves because the child is in the supine position.
C) Circulatory stasis can lead to thrombus and embolus formation.
D) Bone calcium increases, releasing excess calcium into the body (hypercalcemia).
Q2) Parents are considering treatment options for their 5-year-old child with Legg-Calvé-Perthes disease. Both surgical and conservative therapies are appropriate. They are able to verbalize the differences between the therapies when they make what statement?
A) "All therapies require extended periods of bed rest."
B) "Conservative therapy will be required until puberty."
C) "Our child cannot attend school during the treatment phase."
D) "Surgical correction requires a 3- to 4-month recovery period."
Q3) What is a major goal for the therapeutic management of juvenile idiopathic arthritis (JIA)?
A) Control pain and preserve joint function.
B) Minimize use of joint and achieve cure.
C) Prevent skin breakdown and relieve symptoms.
D) Reduce joint discomfort and regain proper alignment.
Page 36
To view all questions and flashcards with answers, click on the resource link above.
Chapter 35: The Child with Neuromuscular or Muscular Dysfunction
Available Study Resources on Quizplus for this Chatper
59 Verified Questions
59 Flashcards
Source URL: https://quizplus.com/quiz/4195
Sample Questions
Q1) A recommendation to prevent neural tube defects (NTDs) is the supplementation of what?
A) Vitamin A throughout pregnancy
B) Folic acid for all women of childbearing age
C) Folic acid during the first and second trimesters of pregnancy
D) Multivitamin preparations as soon as pregnancy is suspected
Q2) A child, age 3 years, has cerebral palsy (CP) and is hospitalized for orthopedic surgery. His mother says he has difficulty swallowing and cannot hold a utensil to feed himself. He is slightly underweight for his height. What is the most appropriate nursing action related to feeding this child?
A) Bottle or tube feed him a specialized formula until he gains sufficient weight.
B) Stabilize his jaw with caregiver's hand (either from a front or side position) to facilitate swallowing.
C) Place him in a well-supported, semireclining position.
D) Place him in a sitting position with his neck hyperextended to make use of gravity flow.
To view all questions and flashcards with answers, click on the resource link above.
Page 37