Family-Centered Nursing Care
Mock Exam
Course Introduction
Family-Centered Nursing Care explores the holistic approach to nursing that emphasizes collaboration with families as essential partners in health care. The course examines the dynamics of family systems, cultural influences, and the psychosocial aspects affecting patient care. Students learn effective communication strategies, assessment tools, and care planning methods to support diverse families across the lifespan. Emphasis is placed on respecting family preferences, enhancing family strengths, and promoting positive health outcomes through supportive, individualized, and evidence-based nursing interventions.
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) The nurse manager is compiling a report for a hospital committee on the quality of nursing-sensitive indicators for a nursing unit. Which does the nurse manager include in the report?
A) The average age of the nurses on the unit
B) The salary ranges for the nurses on the unit
C) The education and certification of the nurses on the unit
D) The number of nurses who have applied but were not hired for the unit
Answer: C
Q2) An adolescent patient wants to make decisions about treatment options, along with his parents. Which moral value is the nurse displaying when supporting the adolescent to make decisions?
A) Justice
B) Autonomy
C) Beneficence
D) Nonmaleficence
Answer: B
To view all questions and flashcards with answers, click on the resource link above. Page 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) The nurse is aware that if patients' different cultures are implied to be inferior, the emotional attitude the nurse is displaying is what?
A) Acculturation
B) Ethnocentrism
C) Cultural shock
D) Cultural sensitivity
Answer: B
Q2) Which family theory is described as a series of tasks for the family throughout its life span?
A) Exchange theory
B) Developmental theory
C) Structural-functional theory
D) Symbolic interactional theory
Answer: B
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
To view all questions and flashcards with answers, click on the resource link above. Page 4
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) Which can be directly attributed to a single-gene disorder? (Select all that apply.)
A) Cleft lip
B) Cystic fibrosis
C) Turner syndrome
D) Klinefelter syndrome
E) Neurofibromatosis
Answer: B, E
Q2) Which genetic term refers to the transfer of all or part of a chromosome to a different chromosome after chromosome breakage?
A) Trisomy
B) Monosomy
C) Translocation
D) Nondisjunction
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) The nurse is preparing to assess a 10-month-old infant. He is sitting on his father's lap and appears to be afraid of the nurse and of what might happen next. Which initial actions by the nurse should be most appropriate?
A) Initiate a game of peek-a-boo.
B) Ask the infant's father to place the infant on the examination table.
C) Talk softly to the infant while taking him from his father.
D) Undress the infant while he is still sitting on his father's lap.
Q2) Where in the health history does a record of immunizations belong?
A) History
B) Present illness
C) Review of systems
D) Physical assessment
Q3) What is the appropriate placement of a tongue blade for assessment of the mouth and throat?
A) On the lower jaw
B) Side of the tongue
C) Against the soft palate
D) Center back area of the tongue
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) The nurse is using the CRIES pain assessment tool on a preterm infant in the neonatal intensive care unit. Which are the components of this tool? (Select all that apply.)
A) Color
B) Moro reflex
C) Oxygen saturation
D) Posture of arms and legs
E) Sleeplessness
F) Facial expression
Q2) A health care provider prescribes acetaminophen (Tylenol) gtt, 10 mg/kg/dose PO every 4 to 6 hours as needed for pain. The infant weighs 8 kg. The medication label states: "Acetaminophen 80 mg/0.8 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 to one decimal place.
Q3) What describes nonpharmacologic techniques for pain management?
A) They may reduce pain perception.
B) They usually take too long to implement.
C) They make pharmacologic strategies unnecessary.
D) They trick children into believing they do not have pain.
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) When giving instructions to a parent whose child has scabies, what should the nurse include?
A) Treat all family members if symptoms develop.
B) Be prepared for symptoms to last 2 to 3 weeks.
C) Carefully treat only areas where there is a rash.
D) Notify practitioner so an antibiotic can be prescribed.
Q2) What causes warts?
A) A virus
B) A fungus
C) A parasite
D) Bacteria
Q3) The nurse is planning to administer immunizations to a 6-month-old infant. Which interventions should the nurse implement to minimize local reactions from the vaccines? (Select all that apply.)
A) Select a needle length of 1 inch.
B) Administer in the deltoid muscle.
C) Inject the vaccine into the vastus lateralis.
D) Draw the vaccine up from a vial with a filter needle.
E) Change the needle on the syringe after drawing up the vaccine and before injecting.
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) The parents of an infant plan to have him circumcised. They ask the nurse about pain associated with this procedure. The nurse's response should be based on which?
A) That infants experience pain with circumcision
B) That infants are too young for anesthesia or analgesia
C) That infants do not experience pain with circumcision
D) That infants quickly forget about the pain of circumcision
Q2) A health care provider prescribes vitamin K intramuscular 1 mg one time within 1 hour of birth. The medication label states: "Vitamin K 2 mg/1 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 to one decimal place.
Q3) The nurse should expect the apical heart rate of a stabilized newborn to be in which range?
A) 60 to 80 beats/min
B) 80 to 100 beats/min
C) 120 to 140 beats/min
D) 160 to 180 beats/min
To view all questions and flashcards with answers, click on the resource link above.
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 nursery nurse is aware that which are risk factors for hyperbilirubinemia? (Select all that apply.)
A) An infant born prematurely
B) An infant born to a mother with diabetes
C) An infant born to a white mother
D) An infant fed exclusively with formula
E) An infant born with a metabolic disease
Q2) Which term is defined as a vaguely outlined area of edematous tissue situated over the portion of the scalp that presents in a vertex delivery?
A) Hydrocephalus
B) Cephalhematoma
C) Caput succedaneum
D) Subdural hematoma
Q3) An infant requires surgery for repair of a cleft lip. An important priority of the preoperative nursing care is which?
A) Initiating discharge teaching
B) Performing baseline physical and behavioral assessment
C) Observing for allergic reactions to preoperative antibiotics
D) Determining whether this defect exists in other family members
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 are possible premature infant complications from oxygen therapy and mechanical ventilation?
A) Bronchopulmonary dysplasia and retinopathy of prematurity
B) Anemia and necrotizing enterocolitis
C) Cerebral palsy and persistent patent ductus arteriosus
D) Congestive heart failure and cerebral edema
Q2) Women who smoke during pregnancy are most likely to have infants who are what?
A) Large for gestational age
B) Preterm but size appropriate for gestational age
C) Growth restricted in weight only
D) Growth restricted in weight, length, and chest and head circumference
Q3) The nurse is placing an infant in a servocontrol radiant warmer. The nurse should attach the temperature probe to which area of the infant's body?
A) Scapula
B) Sternum
C) Abdomen
D) Front of the lower leg
To view all questions and flashcards with answers, click on the resource link above.
11
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) Turning the hips and shoulders to one side causes all the other body parts to follow.
A)Labyrinth righting
B)Body righting
C)Otolith righting
D)Landau
E)Parachute
Q2) The clinic nurse is assessing a 6-month-old infant during a well-child appointment. The nurse should use which approaches to alleviate the infant's stranger anxiety? (Select all that apply.)
A) Talk in a loud voice.
B) Meet the infant at eye level.
C) Avoid sudden intrusive gestures.
D) Maintain a safe distance initially.
E) Pick up the infant and hold him or her closely.
Q3) At which age do most infants begin to fear strangers?
A) 2 months
B) 4 months
C) 6 months
D) 12 months
To view all questions and flashcards with answers, click on the resource link above.
Page 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) The nurse is helping parents achieve a more nutritionally adequate vegetarian diet for their children. Which is most likely lacking in their particular diet?
A) Fat
B) Protein
C) Vitamins C and A
D) Iron and calcium
Q2) A food elicits a reproducible adverse reaction but does not have an established immunologic mechanism
A)Food allergy
B)Food allergen
C)Food intolerance
D)Sensitization
E)Atopy
Q3) What is 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) A parent tells the nurse, "My toddler tries to undo the car seat harness and climb out of the seat." What strategies should the nurse recommend to the parent to encourage the child to stay in the seat? (Select all that apply.)
A) Allow your child to hold a favorite toy.
B) Allow your child out of the seat occasionally.
C) Avoid using rewards to encourage cooperative behavior.
D) When child tries to unbuckle the seat harness, firmly say, "No."
E) It may be necessary to stop the car to reinforce the expected behavior.
Q2) Parents tell the nurse that their toddler eats little at mealtime, only sits at the table with the family briefly, and wants snacks "all the time." What should the nurse recommend?
A) Give her nutritious snacks.
B) Offer rewards for eating at mealtimes.
C) Avoid snacks so she is hungry at mealtimes.
D) Explain to her in a firm manner what is expected of her.
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) At a seminar for parents with preschool-age children, the nurse has discussed anticipatory tasks during the preschool years. Which statement by a parent should indicate a correct understanding of the teaching?
A) "I should be worried if my 4-year-old child has an increase in sexual curiosity because this is a sign of sexual abuse."
B) "I should expect my 5-year-old to change from a tranquil child to an aggressive child when school starts."
C) "I should be concerned if my 4-year-old child starts telling exaggerated stories and has an imaginary playmate, since these could be signs of stress."
D) "I should expect my 3-year-old child to have a more stable appetite and an increase in food selections."
Q2) What should the nurse suggest to parents of preschoolers about sensitive questions regarding sex?
A) Distract your child from the topic.
B) Offer complete factual information.
C) Dismiss the topic until the child is older.
D) Find out what your child knows or thinks.
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) What is the most common form of child maltreatment?
A) Sexual abuse
B) Child neglect
C) Physical abuse
D) Emotional abuse
Q2) What do inflicted immersion burns often appear as?
A) Partial-thickness, asymmetrical burns
B) Splash pattern burns on hands or feet
C) Any splash burn with dry linear marks
D) Sharply demarcated, symmetrical burns
Q3) A child with diazepam (Valium) poisoning has been admitted to the emergency department. What antidote does the nurse anticipate being prescribed?
A) Succimer (Chemet)
B) EDTA (Versenate)
C) Flumazenil (Romazicon)
D) Octreotide acetate (Sandostatin)
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) What statement accurately describes physical development during the school-age years?
A) The child's weight almost triples.
B) Muscles become functionally mature.
C) Boys and girls double strength and physical capabilities.
D) Fat gradually increases, which contributes to children's heavier appearance.
Q2) When teaching injury prevention during the school-age years, what should the nurse include?
A) Teach children about the need to fear strangers.
B) Teach basic rules of water safety.
C) Avoid letting children cook in microwave ovens.
D) Caution children against engaging in competitive sports.
Q3) The school nurse is teaching male school-age children about the average age of puberty. What is the average age of puberty for boys?
A) 12 years
B) 13 years
C) 14 years
D) 15 years
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 emergency department nurse is admitting a child with a temperature of 35° C (95° F). What physical effects of hypothermia should the nurse expect to observe in this child? (Select all that apply.)
A) Bradycardia
B) Vigorous shivering
C) Decreased respiratory rate
D) Decreased intestinal motility
E) Task performance is impaired
Q2) An occlusive dressing is applied to a large abrasion. This is advantageous because the dressing will accomplish what?
A) Deliver vitamin C to the wound.
B) Provide an antiseptic for the wound.
C) Maintain a moist environment for healing.
D) Promote mechanical friction for healing.
Q3) Absence of sensation
A)Pruritus
B)Anesthesia
C)Hyperesthesia
D)Hypesthesia
E)Paresthesia
To view all questions and flashcards with answers, click on the resource link above. Page 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 are characteristics of dating relationships in early adolescence? (Select all that apply.)
A) One-on-one dating
B) Follow ritualized "scripts"
C) Are psychosocially intimate
D) Involve playing stereotypic roles
E) Participating in mixed-gender group activities
Q2) The school nurse teaches adolescents that the detrimental long-term effects of tanning are what? (Select all that apply.)
A) Vitamin D deficiency
B) Premature aging of the skin
C) Exacerbates acne outbreaks
D) Increased risk for skin cancer
E) Possible phototoxic reactions
Q3) In boys, what is the initial indication of puberty?
A) Voice changes
B) Growth of pubic hair
C) Testicular enlargement
D) Increased size of penis
To view all questions and flashcards with answers, click on the resource link above.
Page 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) What behavior is the nurse most likely to assess in an adolescent with anorexia nervosa (AN)?
A) Eats in secrecy
B) Uses food as a coping mechanism
C) Has a marked preoccupation with food
D) Lacks awareness of how eating affects weight loss
Q2) What factor is most likely to increase the likelihood that an adolescent will misuse alcohol?
A) Female gender
B) Regular school attendance
C) Rural environment
D) Unconventional behavior
Q3) The nurse is teaching a class on obesity prevention to parents in the community. What is a contributing factor to childhood obesity?
A) Birth weight
B) Parental overweight
C) Age at the onset of puberty
D) Asian ethnic background
To view all questions and flashcards with answers, click on the resource link above.
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) A condition requiring assistance for disabilities that may be medical, mental, or psychological
A)Chronic illness
B)Congenital disability
C)Developmental disability
D)Impairment
E)Special needs
Q2) The nurse is assessing coping behaviors of a family with a child with a chronic illness. What indicates approach coping behaviors? (Select all that apply.)
A) Plans realistically for the future
B) Verbalizes possible loss of the child
C) Uses magical thinking and fantasy
D) Realistically perceives the child's condition
E) Does not share the burden of the disorder with others
Q3) What finding by the nurse is most characteristic of chronic sorrow?
A) Lack of acceptance of child's limitation
B) Lack of available support to prevent sorrow
C) Periods of intensified sorrow when experiencing anger and guilt
D) Periods of intensified sorrow at certain landmarks of the child's development
Page 21
To view all questions and flashcards with answers, click on the resource link above.
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) How might the quality of life for a terminally ill child and his family be enhanced by nurses?
A) Tell the family what is best.
B) Leave the family alone to deal with their tragedy.
C) Remain objective and uninvolved with family grieving.
D) Advocate for and implement pain and symptom relief measures.
Q2) A health care provider prescribes morphine sulfate (Roxanol), 10 mg PO every 4 h as needed for pain for a child with a terminal illness. The medication label states: "Morphine sulfate (Roxanol) 20 mg/1 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 using one decimal place.
Q3) The nurse is often the individual who is in the optimum position to suggest tissue donation to a family (after consultation with the practitioner). What will occur if a family chooses organ or tissue donation?
A) The funeral will be delayed.
B) Cremation is the preferred method of burial.
C) Written consent is required for tissue or organ donation.
D) An open casket cannot be used subsequent to this procedure.
To view all questions and flashcards with answers, click on the resource link above.
Page 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) The nurse is performing a physical assessment on a 3-year-old child. The parents state that the child excessively rubs the eyes and often tilts the head to one side. What visual impairment should the nurse suspect?
A) Strabismus
B) Astigmatism
C) Hyperopia, or farsightedness
D) Myopia, or nearsightedness
Q2) The parents of a child with cognitive impairment ask the nurse for guidance with discipline. What should the nurse's recommendation be based on?
A) Discipline is ineffective with cognitively impaired children.
B) Cognitively impaired children do not require discipline.
C) Behavior modification is an excellent form of discipline.
D) Physical punishment is the most appropriate form of discipline.
Q3) Different refractive strength in each eye
A)Myopia
B)Hyperopia
C)Astigmatism
D)Anisometropia
E)Amblyopia
Page 23
To view all questions and flashcards with answers, click on the resource link above.
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 parents of a 3-year-old admitted for recurrent diarrhea are upset that the practitioner has not told them what is going on with their child. What is the priority intervention for this family?
A) Answer all of the parents' questions about the child's illness.
B) Immediately page the practitioner to come to the unit to speak with the family.
C) Help the family develop a written list of specific questions to ask the practitioner.
D) Inform the family of the time that hospital rounds are made so that they can be present.
Q2) The nurse is doing a prehospitalization orientation for a girl, age 7 years, who is scheduled for cardiac surgery. As part of the preparation, the nurse explains that after the surgery, the child will be in the intensive care unit. How might the explanation by the nurse be viewed?
A) Unnecessary
B) The surgeon's responsibility
C) Too stressful for a young child
D) An appropriate part of the child's preparation
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) The nurse needs to start an intravenous (IV) line on an 8-year-old child to begin administering intravenous antibiotics. The child starts to cry and tells the nurse, "Do it later, okay?" What action should the nurse take?
A) Postpone starting the IV until the next shift.
B) Start the IV line and then allow for expression of feelings.
C) Change the route of the antibiotics to PO.
D) Postpone starting the IV line until the child is ready.
Q2) Guidelines for intramuscular administration of medication in school-age children include what standard?
A) Inject medication as rapidly as possible.
B) Insert needle quickly, using a dartlike motion.
C) Have the child stand if at all possible and if the child is cooperative.
D) Penetrate the skin immediately after cleansing the site while the skin is moist.
Q3) At which age should a nurse keep teaching time short (5 minutes)?
A) Infant
B) Toddler
C) Preschool
D) School age
To view all questions and flashcards with answers, click on the resource link above.
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) What is a systemic response to severe burns in a child?
A) Metabolic alkalosis
B) Decreased metabolic rate
C) Increased renal plasma flow
D) Abrupt drop in cardiac output
Q2) The nurse is preparing a presentation on compensated, decompensated, and irreversible shock in children. What clinical manifestations related to decompensated shock should the nurse include? (Select all that apply.)
A) Tachypnea
B) Oliguria
C) Confusion
D) Pale extremities
E) Hypotension
F) Thready pulse
Q3) Histocompatible tissue obtained from genetically identical individuals
A)Allografts
B)Xenografts
C)Autografts
D)Isografts
To view all questions and flashcards with answers, click on the resource link above.
Page 26
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) What measure of fluid balance status is most useful in a child with acute glomerulonephritis?
A) Proteinuria
B) Daily weight
C) Specific gravity
D) Intake and output
Q2) The nurse is caring for an adolescent who has just started dialysis. The child always seems angry, hostile, or depressed. The nurse should recognize that this is most likely related to what underlying cause?
A) Physiologic manifestations of renal disease
B) The fact that adolescents have few coping mechanisms
C) Neurologic manifestations that occur with dialysis
D) Resentment of the control and enforced dependence imposed by dialysis
Q3) What condition is the most common cause of acute renal failure in children?
A) Pyelonephritis
B) Tubular destruction
C) Severe dehydration
D) Upper tract obstruction
To view all questions and flashcards with answers, click on the resource link above.
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) A child who has just had definitive repair of a high rectal malformation is to be discharged. What should the nurse address in the discharge preparation of this family?
A) Safe administration of daily enemas
B) Necessity of firm stools to keep suture line clean
C) Bowel training beginning as soon as the child returns home
D) Changes in stooling patterns to report to the practitioner
Q2) What should preoperative care of a newborn with an anorectal malformation include?
A) Frequent suctioning
B) Gastrointestinal decompression
C) Feedings with sterile water only
D) Supine position with head elevated
Q3) Indicates active infection
A)HBsAg
B)Anti-HBs
C)HBcAg
D)HBeAg
To view all questions and flashcards with answers, click on the resource link above.
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) Cardiopulmonary resuscitation is begun on a toddler. What pulse is usually palpated because it is the most central and accessible?
A) Radial
B) Carotid
C) Femoral
D) Brachial
Q2) Effective cardiopulmonary resuscitation (CPR) on a 5-year-old child should include what technique?
A) Provide one breath to every five chest compressions.
B) Provide two breaths to every 30 chest compressions.
C) Reassess the child every 10 minutes while CPR continues.
D) Evaluate the child after 50 cycles of compression and ventilation.
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 is preparing to admit a 7-year-old child with pulmonary edema. What clinical manifestations should the nurse expect to observe? (Select all that apply.)
A) Fever
B) Bradycardia
C) Diaphoresis
D) Pink frothy sputum
E) Respiratory crackles
Q2) The clinic nurse is administering influenza vaccinations. Which children should not receive the live attenuated influenza vaccine (LAIV)? (Select all that apply.)
A) A child with asthma
B) A child with diabetes
C) A child with hemophilia A
D) A child with cancer receiving chemotherapy
E) A child with gastroesophageal reflux disease
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) Heart failure (HF) is a problem after the child has had a congenital heart defect repaired. The nurse knows a sign of HF is what?
A) Wheezing
B) Increased blood pressure
C) Increased urine output
D) Decreased heart rate
Q2) A cardiac defect that allows blood to shunt from the (high pressure) left side of the heart to the (lower pressure) right side can result in which condition?
A) Cyanosis
B) Heart failure
C) Decreased pulmonary blood flow
D) Bounding pulses in upper extremities
Q3) What term is defined as the volume of blood ejected by the heart in 1 minute?
A) Afterload
B) Cardiac cycle
C) Stroke volume
D) Cardiac output
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) What condition precipitates polycythemia?
A) Dehydration
B) Severe infections
C) Immunosuppression
D) Prolonged tissue hypoxia
Q2) What pain medication is contraindicated in children with sickle cell disease (SCD)?
A) Meperidine (Demerol)
B) Hydrocodone (Vicodin)
C) Morphine sulfate
D) Ketorolac (Toradol)
Q3) A mother states that she brought her child to the clinic because the 3-year-old girl was not keeping up with her siblings. During physical assessment, the nurse notes that the child has pale skin and conjunctiva and has muscle weakness. The hemoglobin on admission is 6.4 g/dl. After notifying the practitioner of the results, what nursing priority intervention should occur next?
A) Reduce environmental stimulation to prevent seizures.
B) Have the laboratory repeat the analysis with a new specimen.
C) Minimize energy expenditure to decrease cardiac workload.
D) Administer intravenous fluids to correct the dehydration.
Page 32
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) Daily toothbrushing and flossing can be encouraged for the child on chemotherapy when the platelet count is above which?
A) 10,000/mm<sup>3</sup>
B) 20,000/mm<sup>3</sup>
C) 30,000/mm<sup>3</sup>
D) 40,000/mm<sup>3</sup>
Q2) A child with leukemia is receiving intrathecal chemotherapy to prevent which condition?
A) Infection
B) Brain tumor
C) Central nervous system (CNS) disease
D) Drug side effects
Q3) 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
To view all questions and flashcards with answers, click on the resource link above.
33
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) If an intramuscular (IM) injection is administered to a child who has Reye syndrome, the nurse should monitor for what?
A) Bleeding
B) Infection
C) Poor absorption
D) Itching at the injection site
Q2) A child develops syndrome of inappropriate antidiuretic hormone secretion (SIADH) as a complication to meningitis. What action should be verified before implementing?
A) Forcing fluids
B) Daily weights with strict input and output (I and O)
C) Strict monitoring of urine volume and specific gravity
D) Close observation for signs of increasing cerebral edema
Q3) What term refers to seizures that involve both hemispheres of the brain?
A) Absence
B) Acquired
C) Generalized
D) Complex partial
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) The nurse is planning to admit a 14-year-old adolescent with Cushing syndrome. What clinical manifestations should the nurse expect to observe in this child? (Select all that apply.)
A) Truncal obesity
B) Decreased pubic hair
C) Petechial hemorrhage
D) Hyperpigmentation of elbows
E) Facial plethora
F) Headache and weakness
Q2) The nurse is preparing to admit a 7-year-old child with type 2 diabetes. What clinical features of type 2 diabetes should the nurse recognize? (Select all that apply.)
A) Oral agents are effective.
B) Insulin is usually needed.
C) Ketoacidosis is infrequent.
D) Diet only is often effective.
E) Chronic complications frequently occur.
To view all questions and flashcards with answers, click on the resource link above.
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) A 17-year-old patient is returning to the surgical unit after Luque instrumentation for scoliosis repair. In addition to the usual postoperative care, what additional intervention will be needed?
A) Position changes are made by log rolling.
B) Assistance is needed to use the bathroom.
C) The head of the bed is elevated to minimize spinal headache.
D) Passive range of motion is instituted to prevent neurologic injury.
Q2) The health care provider has prescribed cyclosporin (Sandimmune) 5 mg/kg/day PO divided twice daily for a child with juvenile arthritis. The child weighs 110 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.
Q3) The health care provider has prescribed sulfasalazine (Azulfidine) 5 mg/kg PO per dose twice a day for a child with juvenile arthritis. The child weighs 55 lb. The nurse is preparing to administer the 0900 dose. Calculate the dose the nurse should administer in milligrams. Record your answer below in a whole number.
To view all questions and flashcards with answers, click on the resource link above.
Page 36
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) The nurse is preparing to admit a 10-year-old child with Duchenne muscular dystrophy. What clinical features of Duchenne muscular dystrophy should the nurse recognize? (Select all that apply.)
A) Calf muscle hypertrophy
B) Late onset, usually between 6 and 8 years of age
C) Progressive muscular weakness, wasting, and contractures
D) Loss of independent ambulation by 9 to 12 years of age
E) Slowly progressive, generalized weakness during adolescence
Q2) The nurse should suspect a child has cerebral palsy (CP) if the parent says what?
A) "My 6-month-old baby is rolling from back to prone now."
B) "My 4-month-old doesn't lift his head when on his tummy."
C) "My 8-month-old can sit without support."
D) "My 10-month-old is not walking."
Q3) What is a major goal of therapy for children with cerebral palsy (CP)?
A) Cure the underlying defect causing the disorder.
B) Reverse the degenerative processes that have occurred.
C) Prevent the spread to individuals in close contact with the child.
D) Recognize the disorder early and promote optimum development.
To view all questions and flashcards with answers, click on the resource link above. Page 37