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Family and Child Nursing focuses on the holistic care of families, children, and adolescents within diverse healthcare settings. This course explores the unique physiological, psychological, and developmental needs of children, the dynamics of family systems, and the pivotal role of nurses in promoting health, preventing illness, and providing support during acute and chronic health challenges. Emphasis is placed on evidence-based practices, growth and development assessment, family-centered care, cultural competence, and effective communication strategies. Students will also examine common pediatric health conditions, parenting support, health promotion, and the ethical and legal considerations in family and child nursing.
Recommended Textbook
Principles of Pediatric Nursing Caring for Children 7th Edition by Ball
Available Study Resources on Quizplus
31 Chapters
580 Verified Questions
580 Flashcards
Source URL: https://quizplus.com/study-set/3539 Page 2

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17 Verified Questions
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Source URL: https://quizplus.com/quiz/70277
Sample Questions
Q1) A child is being prepared for an invasive procedure. The mother of the child has legal custody but is not present. After details of the procedure are explained, who can provide legal consent on behalf of a minor child for treatment?
A) The divorced parent without custody
B) A cohabitating boyfriend of the child's mother
C) A grandparent who lives in the home with the child
D) A babysitter with written proxy
Answer: D
Q2) Which nursing intervention is most appropriate when providing education to the pediatric client and family?
A) Giving primary care for high-risk children who are in hospital settings
B) Giving primary care for healthy children
C) Working toward the goal of informed choices with the family
D) Obtaining a physician consultation for any technical procedures at delivery
Answer: C
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18 Flashcards
Source URL: https://quizplus.com/quiz/70278
Sample Questions
Q1) The nurse is planning care for an adolescent client who will be hospitalized for several weeks following a traumatic brain injury. Which interventions will enhance family-centered care for this client and family? Select all that apply.
A) Making all ADL decisions for the adolescent and family
B) Asking the adolescent what foods to include during meal time
C) Allowing the family time to pray each day with the adolescent
D) Encouraging the adolescent's friends to visit during visiting hours
E) Leaving all questions for the healthcare provider
Answer: B,C,D
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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Sample Questions
Q1) A nurse is planning an education session on genetic testing. What would not concern the nurse when planning the session?
A) Cultural beliefs
B) Religious beliefs
C) Family values
D) Insurance reimbursement
Answer: D
Q2) When conducting a health history on a late school-age client, what would the nurse document as a dysmorphic feature?
A) A repaired cleft palate
B) A 10 percent burn to the face
C) A severed finger
D) A flat anterior fontanel
Answer: A
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Sample Questions
Q1) The nurse, talking with the parents of a toddler who is struggling with toilet training, reassures them that their child is demonstrating a typical developmental stage. According to Erikson, which developmental stage will the nurse document in the medical record for this toddler?
A) Trust versus mistrust
B) Autonomy versus shame and doubt
C) Initiative versus guilt
D) Industry versus inferiority
Q2) The nurse is performing an assessment of the ecological systems of childhood. What will the nurse include when assessing mesosystems? Select all that apply.
A) Parental involvement in school
B) Local political influences
C) Libraries in the community
D) Influences of the religious community
E) Age of each family member
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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Sample Questions
Q1) The nurse is taking a health history from a family of a 3-year-old child. Which statement by the nurse would most likely establish rapport and elicit an accurate response from the family?
A) "Does any member of your family have a history of asthma, heart disease, or diabetes?"
B) "Hello, I would like to talk with you and get some information on you and your child."
C) "Tell me about the concerns that brought you to the clinic today."
D) "You will need to fill out these forms; make sure that the information is as complete as possible."
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.
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Sample Questions
Q1) The nurse is preparing to perform a hearing screening on a 6-year-old child. The nurse knows this screening is what level of prevention?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Quaternary prevention
Q2) A nurse says to the mother of a 6-month-old infant, "Does the baby sit without assistance, and is the baby crawling?" Which process is the nurse using in this interaction?
A) Health promotion
B) Health maintenance
C) Disease surveillance
D) Developmental surveillance
Q3) A mother brings a child to the pediatric office for a sick visit. Which action by the nurse is the most appropriate?
A) Focus exclusively on the reported illness.
B) Review health-promotion and health-maintenance activities.
C) Ask the mother to leave the room after obtaining the history.
D) Obtain a comprehensive history, including sociodemographic data.
Page 8
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Q1) The nurse is providing anticipatory guidance instructions to the parents of a newborn. Which instruction should the nurse give as a strategy for illness/disease prevention?
A) Don't allow visitors for the first month
B) Smoke outside only
C) Take the newborn to weekly child-stimulation classes
D) SIDS risk-reduction measures
Q2) A follow-up visit for a newborn client is scheduled with the pediatric nurse practitioner 3 days after discharge. What will the nurse include in the assessment during the scheduled visit for this newborn? Select all that apply.
A) Feeding pattern
B) Jaundice
C) Length
D) Vision screen
E) Sleep pattern
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Source URL: https://quizplus.com/quiz/70284
Q1) The nurse is asked to teach injury prevention measures to a classroom of 4-year-old preschoolers. Which teaching points are most appropriate at this age? Select all that apply.
A) Stop, drop and roll if clothes catch fire
B) Never go into the road alone.
C) Acceptable places for climbing
D) Safe meeting place outside the house in case of fire
E) Car seat safety
Q2) Which of these developmental milestones should the nurse expect to find in children who are between 2 and 3 years old? Select all that apply.
A) Always feeds self
B) Scribbles and draws on paper
C) Kicks a ball
D) Throws ball overhand
E) Goes up and down stairs
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Sample Questions
Q1) An adolescent reports participating in an exercise program at school each Wednesday throughout the school year. Further history reveals that the adolescent does not participate in any other physical activities. Which outcome is most appropriate for this adolescent?
A) The adolescent is reporting information consistent with what 60 percent of adolescents report as participation in physical activities.
B) The adolescent is not meeting the recommendations of the Healthy People 2020 initiative.
C) The adolescent should be encouraged to continue this program of exercise, since something is better than nothing.
D) The adolescent should be encouraged to vigorously exercise for at least 5 minutes each day.
Q2) The nurse working in the clinic includes an adolescent history in every client intake interview. Which issue should the nurse address when the parents are not present?
A) Possible domestic violence
B) Teen job responsibilities
C) Activities that are done as a family
D) The adolescent's role in the family
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Sample Questions
Q1) A child who is dependent on a ventilator is being discharged from the hospital. Prior to discharge, the home-health nurse discusses development of an emergency plan of care with the family. Which is the most essential part of the plan?
A) Acquisition of a backup generator
B) Designation of an emergency shelter site
C) Provision for an alternate heating source if power is lost
D) Notifying the power company that the child is on life support
Q2) A young school-age client who has had a tracheostomy for several years is scheduled to begin school in the fall. The teacher is concerned about this child's being in her class and consults the school nurse. Which action by the nurse is the most appropriate?
A) Make arrangements for the child to go to a special school.
B) Ask the parents of the child to provide a caregiver during school hours.
C) Recommend that the child be home schooled.
D) Teach the teacher how to care for the child in the classroom.
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Page 12
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Sample Questions
Q1) The child was just transferred to the postanesthesia unit (PACU) and report given. The nurse has performed baseline vital signs, the child is stable and pain is under control. What should the nurse do next?
A) Document
B) Allow the parents to visit the child
C) Discharge the child
D) Look for signs of infection
E) Offer clear liquids
Q2) The charge nurse is concerned with reducing the stressors of hospitalization. Which nursing intervention is most helpful in decreasing the stressors for the toddler-age client?
A) Assign the same nurse to the toddler as much as possible.
B) Let the child listen to an audiotape of the mother's voice.
C) Place a picture of the family at the bedside.
D) Encourage a parent to stay with the child.
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Sample Questions
Q1) Which stressor is common in the hospitalized toddler with a chronic disorder? Select all that apply.
A) Fear of painful procedures
B) Self-concept
C) Interruption of normal routines
D) Unfamiliarity of caregivers
E) Isolation
Q2) The nurse is working in an adolescent medical clinic. What can the nurse anticipate when comparing adolescents in the clinic with chronic conditions to their peers?
A) A high level self-esteem
B) A concern for their parents
C) An altered body image
D) A decreased concern about their appearance
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Sample Questions
Q1) A school-age client is admitted to the pediatric intensive care unit (PICU) in critical condition after a motor vehicle accident. Which intervention should be implemented at this time?
A) Maintain consistent caregivers.
B) Turn the lights off at night.
C) Keep alarm levels low.
D) Consult the hospital play therapist.
Q2) A school-age child with congenital heart block codes in the emergency department (ED). The parents witness this and stare at the resuscitation scene unfolding before them. Which nursing intervention is most appropriate in this situation?
A) Ask the parents to leave until the child has stabilized.
B) Ask the parents to call the family to come into watch the resuscitation.
C) Ask the parents to sit near the child's face and hold her hand.
D) Ask the parents to stand at the foot of the cart to watch.
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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) The nurse is assessing a 14-year-old and notes signs and symptoms of bulimia nervosa. Which assessments led the nurse to this conclusion? Select all that apply.
A) Pale skin
B) Dry, splitting hair
C) Erosion of tooth enamel
D) Calluses on back of hand
E) Gum recession
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Sample Questions
Q1) 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
Q2) A preschool-age client is hospitalized following surgery for a ruptured appendix. During assessment of the child, the nurse notes that the child is sleeping. Vital signs are as follows: temperature 97.8 degrees F axillary, pulse 90, respirations 12, and blood pressure 100/60. Which conclusion by the nurse is appropriate based on the assessment findings?
A) The client is comfortable and the pain is controlled.
B) The client is in shock secondary to blood loss during surgery.
C) The client is experiencing respiratory depression secondary to opioid administration for postoperative pain.
D) The client is sleeping to avoid pain associated with surgery.
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Sample Questions
Q1) A parent brings her school-age child to the clinic because the child has a temperature of100.2°F. The child remains active without other symptoms. Which statement by the nurse to the parents is most appropriate?
A) "Take the child's temperature every 2 hours and call the clinic if it reaches 102°F or above."
B) "Unless the fever bothers the child, it is best to let the natural body defenses respond to the infection."
C) "Keep the child warm, because shivering often occurs with fever."
D) "Alternate acetaminophen and ibuprofen to help keep the fever down and keep the child comfortable."
Q2) A nurse working in a pediatric clinic is responsible for monitoring and maintaining the vaccinations on site. Which actions are appropriate for this nurse to implement?
Select all that apply.
A) Fluctuate refrigerator and freezer temperatures each day.
B) Store vaccines in the center of the unit.
C) Check and record the temperature of the unit twice each day.
D) Have a plan for power outages.
E) Place bottles of water in each unit to help keep temperatures consistent.
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Sample Questions
Q1) 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."
Q2) A recently divorced mother who must return to work is concerned about the effects of placing her child in day care full time. In counseling the mother, which factor does the nurse share as the most influential in determining whether or not day care has a positive or negative effect on the child?
A) The ratio of day-care workers to children
B) The closeness of the parent-child relationship
C) The amount of time that the children spend playing outside
D) The cleanliness of the facility
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Sample Questions
Q1) A 1-month-old client is admitted to the emergency room with severe diarrhea. Which assessment suggests the client is severely dehydrated?
A) Skin moist and flushed; mucous membranes dry
B) Low specific gravity of urine; skin color pale
C) Fontanels depressed; capillary refill greater than three seconds
D) High specific gravity of urine; moist mucous membranes
Q2) The nurse educator is preparing an in-service for new RNs hired on a general pediatric unit regarding normal fluid and electrolyte status for children at various ages. Which statements will the educator include about normal fluid and electrolyte status of an infant? Select all that apply.
A) The infant has 75 percent total body water.
B) The extracellular fluid accounts for 25 percent of total body water in the infant.
C) A high metabolic rate requires generous fluid intake for the infant.
D) The infant's kidneys are mature and able to conserve water and electrolytes.
E) The infant's high body surface area promotes fluid loss.
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Q1) An infant is diagnosed with acute otitis media. Which intervention is most appropriate for the nurse to teach the infant's parents?
A) Keep the baby in a flat lying position during sleep.
B) Administer acetaminophen (Tylenol) to relieve discomfort.
C) Administer a decongestant.
D) Place baby to sleep with a pacifier.
Q2) During an admission assessment, the nurse notes that the child has impaired oral mucous membranes. Which intervention is most appropriate for the nurse to implement for this child?
A) Administering topical analgesics
B) Promoting an adequate intake of nutrients
C) Administering antibiotics as ordered
D) Using lemon and glycerin for oral hygiene
Q3) 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
Page 21
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Q1) The nurse is providing care to an infant who is diagnosed with bronchiolitis. Which breath sounds indicate the infant is experiencing respiratory distress? Select all that apply.
A) Tachypnea
B) Wheezing
C) Grunting
D) Retractions
E) Eupnea
Q2) A school nurse is planning care for a school-age child recently diagnosed with asthma. Which items will the school nurse include in the plan of care at the school? Select all that apply.
A) Maintain a log of quick-relief medication administration.
B) Call the parents if quick-relief medications work appropriately.
C) Assess for symptoms of exercise-induced bronchospasm.
D) Coordinate education of the child's teachers.
E) Conduct a support group for all children with asthma.
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Q1) The nurse has admitted a child with tricuspid atresia. The nurse would expect which initial lab result?
A) A high hemoglobin
B) A low hematocrit
C) A high WBC count
D) A low platelet count
Q2) The nurse is performing the initial assessment of a child newly diagnosed Kawasaki disease. Which symptoms would the nurse expect to assess with this child?
A) Dry, swollen, fissured lips
B) Nonpalpable lymph nodes
C) Conjunctivitis with exudates
D) Cyanosis of the hands and feet
Q3) 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."
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Sample Questions
Q1) The nurse is providing care to a school-age client with a documented immunodeficiency who is admitted to the general pediatric unit for intravenous medication administration. Which interventions are appropriate for this client? Select all that apply.
A) Institute droplet precautions.
B) Place in a positive-pressure room.
C) Avoid live vaccines.
D) Perform frequent handwashing.
E) Recommend fresh fruits brought in by the family.
Q2) A child with human immunodeficiency virus (HIV) also has oral candidiasis. Which type of mouth care solution will the nurse teach the child to use?
A) Normal saline
B) Listerine
C) Scope
D) Viscous lidocaine
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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Sample Questions
Q1) A child recently diagnosed with aplastic anemia is being prepared for discharge. When planning support for the family, which service should the nurse plan to include in the discharge plan?
A) Referrals to support groups and social services
B) Short-term support
C) Genetic counseling
D) Nutrition counseling
Q2) A child diagnosed with hemophilia plans on participating in a bicycling club. Which recommendation by the nurse is the most appropriate?
A) Consider a swim club instead of the bicycling club.
B) Wear kneepads, elbow pads, and a helmet while bicycling.
C) Participate only in the social activities of the club.
D) Not join the club.
Q3) The nurse is caring for a child with disseminated intravascular coagulation (DIC). Which nursing intervention is a priority for this child?
A) Frequent ambulation
B) Maintenance of skin integrity
C) Monitoring of fluid restriction
D) Preparation for x-ray procedures
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Sample Questions
Q1) The pediatric nurse educator is conducting an in-service for novice nurses who will begin working on the pediatric oncology unit. The educator wants to include the common clinical manifestations of cancer. Which manifestation will the educator include in the presentation? Select all that apply.
A) Cachexia
B) Anemia
C) Gene abnormalities
D) Palpable mass
E) Chromosomal abnormalities
Q2) An adolescent is receiving methotrexate chemotherapy after undergoing limb-salvage surgery for osteogenic sarcoma. Which statement by the adolescent indicates understanding of the purpose of leucovorin therapy after the methotrexate?
A) "I'm glad I only need one dose of the leucovorin."
B) "I don't have any pain so I won't need to take the leucovorin this time."
C) "I know I will be taking the leucovorin every 6 hours for about the next 3 days."
D) "I don't have any nausea so I won't need the leucovorin."
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Q1) The nurse is caring for a 5-month-old with biliary atresia. The mother asks why the healthcare provider wants her child to take the medication, cholestyramine. What would the nurse's response be?
A) Decrease itching
B) Increase WBCs
C) Decrease use of antibiotics
D) Increase appetite
Q2) A newborn is diagnosed with Hirschsprung disease. Which clinical manifestations found on assessment support this newborn's diagnosis?
A) Acute diarrhea; dehydration
B) Failure to pass meconium; abdominal distension
C) Currant jelly; gelatinous stools; pain
D) Projectile vomiting; altered electrolytes
Q3) The nurse is evaluating an infant's tolerance of feedings after a pyloromyotomy. Which finding indicates that the infant is not tolerating the feeding?
A) Need for frequent burping
B) Irritability during feeding
C) The passing of gas
D) Emesis after two feedings
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Q1) A school-age client diagnosed with nephrotic syndrome is severely edematous. The primary healthcare provider has placed the child on bed rest. Which nursing intervention is a priority for this client?
A) Reposition the child every 2 hours.
B) Monitor BP every 30 minutes.
C) Encourage fluids.
D) Limit visitors.
Q2) The nurse teaches parents that the anticholinergic drug oxybutynin is used to treat enuresis. The parents ask the nurse why the medication is being prescribed. Which response by the nurse is the most appropriate?
A) "It's an antidepressant that is used to help the child relax."
B) "It will help decrease the spasms sometimes associated with enuresis."
C) "It has an antidiuretic effect, so your child can attend sleepovers."
D) "It will slow the production of urine, so your child does not have to urinate as frequently."
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Q1) The nurse educator is describing the pediatric differences associated with the anatomy and physiology of the neurologic system to a group of nursing students. Which statements made by the class indicate appropriate understanding of this topic after the teaching session? Select all that apply.
A) The bones of the cranium are connected by connective tissue to allow for brain growth.
B) The spine of infants is excessively mobile due to immature neck muscles and incompletely developed vertebral bodies.
C) Maturation of the nerves continues until age 10.
D) Myelination is complete at birth,
E) Myelination proceeds in a cephalocaudal direction.
Q2) 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
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Q1) The nurse is conducting a health history for a school-age client. The parents of the client tell the nurse that their child has the following behaviors: excessive handwashing, counting objects, and hoarding substances. Based on these assessment findings, which diagnosis does the nurse anticipate for this client?
A) Depression
B) Separation anxiety disorder
C) Obsessive-compulsive disorder
D) Bipolar disorder
Q2) The parents of a client recently diagnosed with Down syndrome relate to the nurse that they "feel guilty about causing the condition." Which response by the nurse is the most appropriate?
A) "Down syndrome is a condition caused by an extra chromosome; the cause of it is unknown."
B) "Down syndrome is a condition that is genetically transmitted from both the father and the mother."
C) "Down syndrome is a condition that is carried on the X chromosome, so it came from the mother."
D) "Down syndrome is caused by birth trauma, not by genetics."
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Q1) The nurse is teaching family members how to care for their infant in a Pavlik harness to treat congenital developmental dysplasia of the hip. Which statement will the nurse include in the teaching session?
A) "Apply lotion or powder to minimize skin irritation."
B) "Put clothing over the harness for maximum effectiveness of the device."
C) "Check at least 2 or 3 times a day for red areas under the straps."
D) "Place a diaper over the harness, preferably using a thin, superabsorbent, disposable diaper."
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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Sample Questions
Q1) A pediatric client diagnosed with Turner syndrome tells the nurse, "I feel different from my peers." Which response by the nurse is the most appropriate?
A) "Tell me more about the feelings you are experiencing."
B) "These feelings are not unusual and should pass soon."
C) "You'll start to grow soon, so don't worry."
D) "You seem to be upset about your disease."
Q2) The nurse is planning care for pediatric clients who have diagnoses that impact the endocrine system. Which changes occurring during the school-age and adolescence have a direct impact on the endocrine system? Select all that apply.
A) Puberty
B) Adrenarche
C) Menarche
D) Sexual exploration
E) Risk-taking behavior
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Source URL: https://quizplus.com/quiz/70307
Sample Questions
Q1) The nurse is providing teaching to a community group regarding preventative strategies to reduce the risk of burn injury. Which topics will the nurse include in the teaching session? Select all that apply.
A) Avoid contact with unknown animals and wild animals.
B) Layer children's clothing for warmth.
C) Keep infants and toddlers off the lap when drinking hot beverages or eating soup.
D) Lower the temperature settings for hot water heaters.
E) Wear light-colored clothes and avoid eating sweetened foods and beverages when outside.
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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