Introduction to Pediatric Nursing Chapter
Exam Questions
Course Introduction
Introduction to Pediatric Nursing provides an overview of the specialized care required to meet the health needs of infants, children, and adolescents in a variety of healthcare settings. This course covers growth and development theories, common pediatric diseases and conditions, communication and family-centered care, as well as age-appropriate assessment and nursing interventions. Emphasis is placed on health promotion, illness prevention, safety, and the psychosocial aspects of caring for children and their families, integrating evidence-based practices to ensure optimal patient outcomes.
Recommended Textbook
Wongs Essentials of Pediatric Nursing 10th Edition by Hockenberry
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Page 2
Chapter 1: Perspectives of Pediatric Nursing
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Sample Questions
Q1) Which is the major cause of death for children older than 1 year?
A) Cancer
B) Heart disease
C) Unintentional injuries
D) Congenital anomalies
Answer: C
Q2) Which leading cause of death topic should the nurse emphasize to a group of African-American boys ranging in age from 15 to 19 years?
A) Suicide
B) Cancer
C) Firearm homicide
D) Occupational injuries
Answer: C
Q3) Which is now referred to as the "new morbidity"?
A) Limitations in the major activities of daily living
B) Unintentional injuries that cause chronic health problems
C) Discoveries of new therapies to treat health problems
D) Behavioral, social, and educational problems that alter health
Answer: D
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Page 3
Chapter 2: Family, Social, Cultural, and Religious Influences on Child Health Promotion
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Sample Questions
Q1) Which term best describes the emotional attitude that one's own ethnic group is superior to others?
A) Culture
B) Ethnicity
C) Superiority
D) Ethnocentrism
Answer: D
Q2) Dunst, Trivette, and Deal identified the qualities of strong families that help them function effectively. Which qualities are included? (Select all that apply.)
A) Ability to stay connected without spending time together
B) Clear set of family values, rules, and beliefs
C) Adoption of one coping strategy that always promotes positive functioning in dealing with life events
D) Sense of commitment toward growth of individual family members as opposed to that of the family unit
E) Ability to engage in problem-solving activities
F) Sense of balance between the use of internal and external family resources
Answer: B, E, F
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Chapter 3: Developmental and Genetic Influences on Child
Health Promotion
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Sample Questions
Q1) A visitor arrives at a daycare center during lunchtime. The preschool children think that every time they have lunch a visitor will arrive. Which preoperational characteristic is being displayed?
A) Egocentrism
B) Transductive reasoning
C) Intuitive reasoning
D) Conservation
Answer: B
Q2) According to Kohlberg, children develop moral reasoning as they mature. Which statement is most characteristic of a preschooler's stage of moral development?
A) Obeying the rules of correct behavior is important.
B) Showing respect for authority is important behavior.
C) Behavior that pleases others is considered good.
D) Actions are determined as good or bad in terms of their consequences.
Answer: D
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5
Chapter 4: Communication and Physical Assessment of the Child and Family
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Sample Questions
Q1) Which following parameters correlates best with measurements of the body's total protein stores?
A) Height
B) Weight
C) Skinfold thickness
D) Upper arm circumference
Q2) The nurse is taking a health history on an adolescent. Which best describes how the chief complaint should be determined?
A) Ask for detailed listing of symptoms.
B) Ask adolescent, "Why did you come here today?"
C) Use what adolescent says to determine, in correct medical terminology, what the problem is.
D) Interview parent away from adolescent to determine chief complaint.
Q3) Which approach would be best to use to ensure a positive response from a toddler?
A) Assume an eye-level position and talk quietly.
B) Call the toddler's name while picking him or her up.
C) Call the toddler's name and say, "I'm your nurse."
D) Stand by the toddler, addressing him or her by name.
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Chapter 5: Pain Assessment and Management in Children
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Sample Questions
Q1) A lumbar puncture is needed on a school-age child. What should the nurse apply to provide the most appropriate analgesia during this procedure?
A) TAC (tetracaine-adrenaline-cocaine) 15 minutes
B) Transdermal fentanyl (Duragesic) patch immediately
C) EMLA (eutectic mixture of local anesthetics) 1 hour
D) EMLA (eutectic mixture of local anesthetics) 30 minutes
Q2) Which drug is usually the best choice for patient-controlled analgesia (PCA) for a child in the immediate postoperative period?
A) Codeine
B) Morphine
C) Methadone
D) Meperidine
Q3) Fentanyl and midazolam (Versed) are given before débridement of a child's burn wounds. Which is the rationale for administration of these medications?
A) Promote healing
B) Prevent infection
C) Provide pain relief
D) Limit amount of débridement that will be necessary
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Chapter 6: Childhood Communicable and Infectious Diseases
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Sample Questions
Q1) Acyclovir (Zovirax) is given to children with chickenpox to:
A) minimize scarring.
B) decrease the number of lesions.
C) prevent aplastic anemia.
D) prevent spread of the disease.
Q2) A mother tells the nurse that she does not want her infant immunized because of the discomfort associated with injections. What should the nurse explain?
A) This cannot be prevented.
B) Infants do not feel pain as adults do.
C) This is not a good reason for refusing immunizations.
D) A topical anesthetic, EMLA, can be applied before injections are given.
Q3) Parents tell the nurse that their child keeps scratching the areas where he has poison ivy. The nurse's response should be based on which knowledge?
A) Poison ivy does not itch and needs further investigation.
B) Scratching the lesions will not cause a problem.
C) Scratching the lesions will cause the poison ivy to spread.
D) Scratching the lesions may cause them to become secondarily infected.
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Page 8
Chapter 7: Health Promotion of the Newborn and Family
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Sample Questions
Q1) The nurse observes that a new mother avoids making eye contact with her newborn. The nurse should perform which action?
A) Examine newborn's eyes for ability to focus.
B) Assess for other attachment behaviors.
C) Recognize this as a common reaction in new mothers.
D) Ask mother why she won't look at newborn.
Q2) A nurse is planning a teaching session for parents of a newborn who plan to bottle-feed. Which should the nurse include in the teaching session? (Select all that apply.)
A) Limiting the feeding to 15 minutes
B) Propping the bottle for night feedings is acceptable
C) Proper technique for cleansing the bottles and nipples
D) Feeding infant on alternate sides of the lap
E) Use of bottled water without fluoride should be avoided to mix powdered formula.
Q3) A nurse is preparing to administer a prescribed phytonadione (vitamin K) injection 0.5 mg intramuscularly to a newborn. The phytonadione (vitamin K) ampule is labeled 1 mg equals 0.5 ml. How many milliliters will the nurse administer? Record your answer using two decimal places.
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9
Chapter 8: Health Problems of Newborns
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Sample Questions
Q1) The newborn with severe jaundice is at risk for developing:
A) encephalopathy.
B) bullous impetigo.
C) respiratory distress.
D) blood incompatibility.
Q2) The nurse is caring for a high-risk newborn with an umbilical catheter in a radiant warmer. The nurse notes blanching of the feet. Which is the most appropriate nursing action?
A) Elevate feet 15 degrees.
B) Place socks on newborn.
C) Wrap feet loosely in prewarmed blanket.
D) Report findings immediately to the practitioner.
Q3) A nurse is assessing for jaundice in a dark-skinned newborn. Where is the best place to assess for jaundice in this newborn?
A) Buttocks
B) Tip of nose and sclera
C) Sclera, conjunctiva, and oral mucosa
D) Palms of hands and soles of feet
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10
Chapter 9: Health Promotion of the Infant and Family
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Sample Questions
Q1) The nurse is assessing a 6-month-old healthy infant who weighed 7 pounds at birth. The nurse should expect the infant to now weigh approximately how many pounds?
A) 10
B) 15
C) 20
D) 25
Q2) In terms of fine motor development, what should the infant of 7 months be able to do?
A) Transfer objects from one hand to the other and bang cubes on a table.
B) Use thumb and index finger in crude pincer grasp and release an object at will.
C) Hold a crayon between the fingers and make a mark on paper.
D) Release cubes into a cup and build a tower of two blocks.
Q3) Which is an appropriate play activity for a 7-month-old infant to encourage visual stimulation?
A) Playing peek-a-boo
B) Playing pat-a-cake
C) Imitating animal sounds
D) Showing how to clap hands
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11
Chapter 10: Health Problems of Infants
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Sample Questions
Q1) A nurse is conducting education classes for parents of infants. The nurse plans to discuss sudden infant death syndrome (SIDS). Which risk factors should the nurse include as increasing an infant's risk of a sudden infant death syndrome incident? (Select all that apply.)
A) Breastfeeding
B) Low Apgar scores
C) Male sex
D) Birth weight in the 50th or higher percentile
E) Recent viral illness
Q2) An infant has been pronounced dead from sudden infant death syndrome (SIDS) in the emergency department. Which is an appropriate question to ask the parents?
A) "Did you hear the infant cry out?"
B) "Why didn't you check on the infant earlier?"
C) "What time did you find the infant?"
D) "Was the head buried in a blanket?"
Q3) An infant is having an anaphylactic reaction, and the nurse is preparing to administer epinephrine 0.001 mg/kg. The child weighs 22 pounds. What is the epinephrine dose the nurse should administer? (Record your answer using two decimal places.)
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Page 12
Chapter 11: Health Promotion of the Toddler and Family
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Sample Questions
Q1) Which should the nurse expect for a toddler's language development at age 18 months?
A) Vocabulary of 25 words
B) Increasing level of comprehension
C) Use of holophrases
D) Approximately one third of speech understandable
Q2) Steven, 16 months old, falls down a few stairs. He gets up and "scolds" the stairs as if they caused him to fall. This is an example of which of the following?
A) Animism
B) Ritualism
C) Irreversibility
D) Delayed cognitive development
Q3) A father tells the nurse that his daughter wants the same plate and cup used at every meal, even if they go to a restaurant. What should the nurse explain to the father?
A) A sign the child is spoiled
B) A way to exert unhealthy control
C) Regression, common at this age
D) Ritualism, common at this age
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Chapter 12: Health Promotion of the Preschooler and Family
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Q1) The nurse is guiding parents in selecting a daycare facility for their child. Which is especially important to consider when making the selection?
A) Structured learning environment
B) Socioeconomic status of children
C) Cultural similarities of children
D) Teachers knowledgeable about development
Q2) Preschoolers' fears can best be dealt with by which intervention?
A) Actively involving them in finding practical methods to deal with the frightening experience
B) Forcing them to confront the frightening object or experience in the presence of their parents
C) Using logical persuasion to explain away their fears and help them recognize how unrealistic the fears are
D) Ridiculing their fears so that they understand that there is no need to be afraid
Q3) The recommendation for calcium for children 1 to 3 years of age is _____ milligrams. (Record your answer in a whole number.)
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14
Chapter 13: Health Problems of Toddlers and Preschoolers
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Sample Questions
Q1) At what blood level is chelation therapy for lead poisoning initiated in a child?
A) 10 to 14 g/dl
B) 15 to 19 g/dl
C) 20 to 44 g/dl
D) ³45 g/dl
Q2) Which is a common characteristic of those who sexually abuse children?
A) Pressure victim into secrecy
B) Are usually unemployed and unmarried
C) Are unknown to victims and victims' families
D) Have many victims that are each abused once only
Q3) The home health nurse is planning care for a 3-year-old boy who has Down syndrome and is receiving continuous oxygen. He recently began walking around furniture. He is spoon-fed by his parents and eats some finger foods. Which is the most appropriate goal to promote normal development?
A) Encourage mobility.
B) Encourage assistance in self-care.
C) Promote oral-motor development.
D) Provide opportunities for socialization.
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15
Chapter 14: Health Promotion of the School-Age Child and Family
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Sample Questions
Q1) Which describes moral development in younger school-age children?
A) The standards of behavior now come from within themselves.
B) They do not yet experience a sense of guilt when they misbehave.
C) They know the rules and behaviors expected of them but do not understand the reasons behind them.
D) They no longer interpret accidents and misfortunes as punishment for misdeeds.
Q2) When teaching injury prevention during the school-age years, what should the nurse include?
A) Teach children to fear strangers.
B) Teach basic rules of water safety.
C) Avoid letting child cook in microwave ovens.
D) Caution child against engaging in competitive sports.
Q3) Which is characteristic of dishonest behavior in children ages 8 to 10 years?
A) Cheating during games is now more common.
B) Lying results from the inability to distinguish between fact and fantasy.
C) They may steal because their sense of property rights is limited.
D) They may lie to meet expectations set by others that they have been unable to attain.
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Page 16
Chapter 15: Health Promotion of the Adolescent and Family
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Sample Questions
Q1) A nurse is reviewing hormone changes that occur during adolescence. What is the hormone responsible for the growth of beard, mustache, and body hair in the male?
A) Estrogen
B) Pituitary
C) Androgen
D) Progesterone
Q2) What is the initial indication of puberty in girls?
A) Menarche
B) Growth spurt
C) Growth of pubic hair
D) Breast development
Q3) Parents are concerned about the number of hours their teenage daughter spends with peers. The nurse explains that peer relationships are important during adolescence for which reason?
A) Adolescents dislike their parents.
B) Adolescents no longer need parental control.
C) They provide adolescents with a feeling of belonging.
D) They promote a sense of individuality in adolescents.
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17
Chapter 16: Health Problems of School-Age Children and Adolescents
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Sample Questions
Q1) What is a psychological effect of being obese during adolescence?
A) Sexual promiscuity
B) Poor body image
C) Feelings of contempt for thin peers
D) Accurate body image but self-deprecating attitude
Q2) Which is descriptive of attention deficit hyperactivity disorder (ADHD)?
A) Manifestations exhibited are so bizarre that the diagnosis is fairly easy.
B) Manifestations affect every aspect of the child's life but are most obvious in the classroom.
C) Learning disabilities associated with ADHD eventually disappear when adulthood is reached.
D) Diagnosis of ADHD requires that all manifestations of the disorder be present.
Q3) What is smokeless tobacco?
A) Not addicting
B) Proven to be carcinogenic
C) Easy to stop using
D) A safe alternative to cigarette smoking
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Page 18
Chapter 17: Quality of Life for Children Living with Chronic and Complex Diseases
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Sample Questions
Q1) The feeling of guilt that the child "caused" the disability or illness is especially critical in which child?
A) Toddler
B) Preschooler
C) School-age child
D) Adolescent
Q2) Which is most descriptive of a school-age child's reaction to death?
A) Is very interested in funerals and burials
B) Has little understanding of words such as forever
C) Imagines the deceased person to be still alive
D) Has an idealistic view of the world and criticizes funerals as barbaric
Q3) At the time of a child's death, the nurse tells his mother, "We will miss him so much." What is the best interpretation of this statement?
A) Pretending to be experiencing grief
B) Expressing personal feelings of loss
C) Denying the mother's sense of loss
D) Talking when listening would be better
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Page 19
Chapter 18: Impact of Cognitive or Sensory Impairment on the Child
and Family
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Q1) Mark, a 9-year-old with Down syndrome, is mainstreamed into a regular third-grade class for part of the school day. His mother asks the school nurse about programs, such as Cub Scouts, that he might join. The nurse's recommendation should be based on which statement?
A) Programs like Cub Scouts are inappropriate for children who are cognitively impaired.
B) Children with Down syndrome have the same need for socialization as other children. C) Children with Down syndrome socialize better with children who have similar disabilities.
D) Parents of children with Down syndrome encourage programs, such as scouting, because they deny that their children have disabilities.
Q2) When should children with cognitive impairment be referred for stimulation and educational programs?
A) As young as possible
B) As soon as they have the ability to communicate in some way
C) At age 3 years, when schools are required to provide services
D) At age 5 or 6 years, when schools are required to provide services
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Chapter 19: Family-Centered Care of the Child During
Illness and Hospitalization
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Q1) Which is an effective strategy to reduce the stress of burn dressing procedures?
A) Give the child as many choices as possible.
B) Reassure the child that dressing changes are not painful.
C) Explain to the child why analgesics cannot be used.
D) Encourage the child to master stress with controlled passivity.
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." The nurse should recognize this as which description?
A) This is normal behavior for a school-age child.
B) The behavior is not seen past the preschool years.
C) The child thinks the nurse is punishing her.
D) The child has successfully manipulated the nurse in the past.
Q3) Samantha, age 5 years, tells the nurse that she "needs a Band-Aid" where she had an injection. Which is the best nursing action?
A) Apply a Band-Aid.
B) Ask her why she wants a Band-Aid.
C) Explain why a Band-Aid is not needed.
D) Show her that the bleeding has already stopped.
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Chapter 20: Pediatric Variations of Nursing Interventions
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Q1) The nurse has just collected blood by venipuncture in the antecubital fossa. Which should the nurse do next?
A) Keep the arm extended while applying a bandage to the site.
B) Keep the arm extended, and apply pressure to the site for a few minutes.
C) Apply a bandage to the site, and keep the arm flexed for 10 minutes.
D) Apply a gauze pad or cotton ball to the site, and keep the arm flexed for several minutes.
Q2) Which should the nurse consider when having consent forms signed for surgery and procedures on children?
A) Only a parent or legal guardian can give consent.
B) The person giving consent must be at least 18 years old.
C) The risks and benefits of a procedure are part of the consent process.
D) A mental age of 7 years or older is required for a consent to be considered "informed."
Q3) What should the nurse do when caring for a child with an intravenous infusion?
A) Use a macrodropper to facilitate reaching the prescribed flow rate.
B) Avoid restraining the child to prevent undue emotional stress.
C) Change the insertion site every 24 hours.
D) Observe the insertion site frequently for signs of infiltration.
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22
Chapter 21: The Child with Respiratory Dysfunction
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Q1) Parents of a child with cystic fibrosis ask the nurse about genetic implications of the disorder. Which statement, made by the nurse, expresses accurately the genetic implications?
A) If it is present in a child, both parents are carriers of this defective gene.
B) It is inherited as an autosomal dominant trait.
C) It is a genetic defect found primarily in non-Caucasian population groups.
D) There is a 50% chance that siblings of an affected child also will be affected.
Q2) A nurse is caring for a school-age child with left unilateral pneumonia and pleural effusion. A chest tube has been inserted to promote continuous closed chest drainage. Which interventions should the nurse implement when caring for this child? (Select all that apply.)
A) Positioning child on the right side
B) Assessing the chest tube and drainage device for correct settings
C) Administering prescribed doses of analgesia
D) Clamping the chest tube when child ambulates
E) Monitoring for need of supplemental oxygen
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23
Chapter 22: The Child with Gastrointestinal Dysfunction
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Q1) What is invagination of one segment of bowel within another called?
A) Atresia
B) Stenosis
C) Herniation
D) Intussusception
Q2) A child who has just had definitive repair of a high rectal malformation is to be discharged. Which should the nurse address in the discharge preparation of this family? (Select all that apply.)
A) Perineal and wound care
B) Necessity of firm stools to keep suture line clean
C) Bowel training beginning as soon as child returns home
D) Reporting any changes in stooling patterns to practitioner
E) Use of diet modification to prevent constipation
Q3) What should be included in caring for the newborn with a cleft lip and palate before surgical repair?
A) Gastrostomy feedings
B) Keeping infant in near-horizontal position during feedings
C) Allowing little or no sucking
D) Providing satisfaction of sucking needs
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Page 24
Chapter 23: The Child with Cardiovascular Dysfunction
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Q1) A child is brought to the emergency department experiencing an anaphylactic reaction to a bee sting. Once the airway is established, the nurse should do which action? Place in correct sequence. Provide the answer using lowercase letters separated by commas (e.g., a, b, c).
A) Administer epinephrine.
B) Keep the child warm and calm.
C) Obtain vascular access.
Q2) The parents of a young child with heart failure tell the nurse that they are "nervous" about giving digoxin (Lanoxin). The nurse's response should be based on which statement?
A) It is a safe, frequently used drug.
B) It is difficult to either overmedicate or undermedicate with digoxin.
C) Parents lack the expertise necessary to administer digoxin.
D) Parents must learn specific, important guidelines for administration of digoxin.
Q3) Which occurs in septic shock?
A) Hypothermia
B) Increased cardiac output
C) Vasoconstriction
D) Angioneurotic edema
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Page 25
Chapter 24: The Child with Hematologic or Immunologic Dysfunction
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Sample Questions
Q1) Which immunization should be given with caution to children infected with human immunodeficiency virus (HIV)?
A) Influenza
B) Varicella
C) Pneumococcal
D) Inactivated poliovirus (IPV)
Q2) A school-age child is admitted in vasoocclusive sickle cell crisis. What should be included in the child's care?
A) Correction of acidosis
B) Adequate hydration and pain management
C) Pain management and administration of heparin
D) Adequate oxygenation and replacement of factor VIII
Q3) The nurse is conducting a staff in-service on sickle cell anemia. Which describes the pathologic changes of sickle cell anemia?
A) Sickle-shaped cells carry excess oxygen.
B) Sickle-shaped cells decrease blood viscosity.
C) Increased red blood cell destruction occurs.
D) Decreased adhesion of sickle-shaped cells occurs.
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Chapter 25: The Child with Cancer
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Q1) A young child with leukemia has anorexia and severe stomatitis. The nurse should suggest that the parents try which intervention?
A) Relax any eating pressures.
B) Firmly insist that child eat normally.
C) Begin gavage feedings to supplement diet.
D) Serve foods that are either hot or cold.
Q2) Which is most descriptive of the pathophysiology of leukemia?
A) Increased blood viscosity occurs.
B) Thrombocytopenia (excessive destruction of platelets) occurs.
C) Unrestricted proliferation of immature white blood cells (WBCs) occurs.
D) First stage of coagulation process is abnormally stimulated.
Q3) The nurse is monitoring a 7-year-old child post surgical resection of an infratentorial brain tumor. Which vital sign findings indicate Cushing's triad?
A) Increased temperature, tachycardia, tachypnea
B) Decreased temperature, bradycardia, bradypnea
C) Bradycardia, hypertension, irregular respirations
D) Bradycardia, hypotension, tachypnea
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Chapter 26: The Child with Genitourinary Dysfunction
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Q1) A preschool child is being admitted to the hospital with dehydration and a urinary tract infection (UTI). Which urinalysis result should the nurse expect with these conditions?
A) WBC <1; specific gravity 1.008
B) WBC <2; specific gravity 1.025
C) WBC >2; specific gravity 1.016
D) WBC >2; specific gravity 1.030
Q2) Which is the most common cause of acute renal failure in children?
A) Pyelonephritis
B) Tubular destruction
C) Urinary tract obstruction
D) Inadequate perfusion
Q3) A hospitalized child with minimal change nephrotic syndrome is receiving high doses of prednisone. Which is an appropriate nursing goal related to this?
A) Prevent infection
B) Stimulate appetite
C) Detect evidence of edema
D) Ensure compliance with prophylactic antibiotic therapy
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Chapter 27: The Child with Cerebral Dysfunction
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44 Verified Questions
44 Flashcards
Source URL: https://quizplus.com/quiz/4157
Sample Questions
Q1) The nurse is teaching nursing students about childhood fractures. Which describes a compound skull fracture?
A) Involves the basilar portion of the occipital bone
B) Bone is exposed through the skin
C) Traumatic separations of the cranial sutures
D) Bone is pushed inward, causing pressure on the brain
Q2) Which of the following types of seizures may be difficult to detect?
A) Absence
B) Generalized
C) Simple partial
D) Complex partial
Q3) The nurse has documented that a child's level of consciousness is obtunded. Which describes this level of consciousness?
A) Slow response to vigorous and repeated stimulation
B) Impaired decision making
C) Arousable with stimulation
D) Confusion regarding time and place
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Chapter 28: The Child with Endocrine Dysfunction
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/4158
Sample Questions
Q1) A child with hypopituitarism is being started on growth hormone (GH) therapy. Nursing considerations should be based on which knowledge?
A) Treatment is most successful if it is started during adolescence.
B) Treatment is considered successful if children attain full stature by adulthood.
C) Replacement therapy requires daily subcutaneous injections.
D) Replacement therapy will be required throughout the child's lifetime.
Q2) Parents of a toddler with hypopituitarism ask the nurse, "What can we expect with this condition?" The nurse should respond with which statement?
A) Growth is normal during the first 3 years of life.
B) Weight is usually more retarded than height.
C) Skeletal proportions are normal for age.
D) Most of these children have subnormal intelligence.
Q3) To help the adolescent deal with diabetes, the nurse must consider which characteristic of adolescence?
A) Desire to be unique
B) Preoccupation with the future
C) Need to be perfect and similar to peers
D) Need to make peers aware of the seriousness of hypoglycemic reactions
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Chapter 29: The Child with Musculoskeletal or Articular Dysfunction
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/4159
Sample Questions
Q1) The nurse is conducting teaching to parents of a 7-year-old child who fractured an arm and is being discharged with a cast. Which instruction should be included in the teaching?
A) Swelling of the fingers is to be expected for the next 48 hours.
B) Immobilize the shoulder to decrease pain in the arm.
C) Allow the affected limb to hang down for 1 hour each day.
D) Elevate casted arm when resting and when sitting up.
Q2) A school-age child is diagnosed with systemic lupus erythematosus (SLE). The nurse should plan to implement which interventions for this child? (Select all that apply.)
A) Instructions to avoid exposure to sunlight
B) Teaching about body changes associated with SLE
C) Preparation for home schooling
D) Restricted activity
Q3) Which type of traction uses skin traction on the lower leg and a padded sling under the knee?
A) Dunlop
B) Bryant
C) Russell
D) Buck extension
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Chapter 30: The Child with Neuromuscular or Muscular Dysfunction
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/4160
Sample Questions
Q1) A child steps on a nail and sustains a puncture wound of the foot. Which is the most appropriate method for cleansing this wound?
A) Wash wound thoroughly with chlorhexidine.
B) Wash wound thoroughly with povidone-iodine.
C) Soak foot in warm water and soap.
D) Soak foot in solution of 50% hydrogen peroxide and 50% water.
Q2) The nurse is caring for an intubated infant with botulism in the pediatric intensive care unit. Which health care provider prescription should the nurse clarify with the health care provider before implementing?
A) Administer 250 mg botulism immune globulin intravenously (BIG-IV) one time.
B) Provide total parenteral nutrition (TPN) at 25 ml/hr intravenously.
C) Titrate oxygen to keep pulse oximetry saturations greater than 92.
D) Administer gentamicin sulfate (Garamycin) 10 mg per intravenous piggyback every 12 hours.
Q3) How much folic acid is recommended for women of childbearing age?
A) 1.0 mg
B) 0.4 mg
C) 1.5 mg
D) 2.0 mg
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