Introduction to Pediatric Nursing Exam Bank
Course Introduction
Introduction to Pediatric Nursing provides students with foundational knowledge and skills necessary for the care of infants, children, and adolescents within a family-centered framework. The course explores growth and development, health promotion, disease prevention, and the management of common pediatric illnesses and conditions. Emphasis is placed on effective communication with children and families, age-appropriate assessment techniques, and understanding the unique physical, emotional, and social needs of pediatric patients. Students also learn about ethical and cultural considerations pertinent to pediatric nursing practice, as well as principles of safety, medication administration, and advocacy for children's health and well-being.
Recommended Textbook
Principles of Pediatric Nursing Caring for Children 7th Edition by Ball
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31 Chapters
580 Verified Questions
580 Flashcards
Source URL: https://quizplus.com/study-set/3539 Page 2
Chapter 1: Nurses Role in Care of the Child: Hospital, Community, and
Home
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/70277
Sample Questions
Q1) Pediatric nurses have foundational knowledge obtained in nursing school and add specific competencies related to the pediatric client. Which would be considered an additional specific expected competency of the pediatric nurse?
A) Physical assessment
B) Anatomical and developmental differences
C) Nursing process
D) Management of healthcare conditions
Answer: B
Q2) Which nursing role is not directly involved when providing family-centered approach to the pediatric population?
A) Advocacy
B) Case management
C) Patient education
D) Researcher
Answer: D
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Page 3
Chapter 2: Family-Centered Care and Cultural
Considerations
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/70278
Sample Questions
Q1) There are several tools that help with obtaining a cultural assessment of a client and his family. Which tool would be appropriate to gather 12 major concepts of cultural assessment?
A) Sunrise enabler
B) Model for cultural competence
C) Transcultural assessment model
D) Health traditions model
Answer: B
Q2) The community health nurse is assessing several families for various strengths and needs in regard to after-school and backup childcare arrangements. Which family type will benefit the most from this assessment and subsequent interventions?
A) The binuclear family
B) The extended family
C) The single-parent family
D) The traditional nuclear family
Answer: C
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Chapter 3: Genetic and Genomic Influences
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/70279
Sample Questions
Q1) A 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 completing a pedigree, which factors should be included? Select all that apply.
A) Full siblings only
B) Begin with the proband
C) Mark each generation with a Roman numeral
D) Include at least three generations
E) Use only standard pedigree symbols
Answer: B,C,D,E
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Page 5
Chapter 4: Growth and Development
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/70280
Sample Questions
Q1) The parents of an 8-year-old state that their son seems very interested in trying new activities. When the parents ask for suggested activities for this age child, the nurse recommends scouts as an activity that will foster growth and development. In which stage of Erikson's "psychosocial stages of development" is this child?
A) Trust versus mistrust
B) Initiative versus guilt
C) Industry versus inferiority
D) Identity versus role confusion
Q2) A new parent group inquires about the stages through which their children will progress as they grow older. The nurse is discussing Piaget's developmental stages. In what order would the nurse expect the child to progress through Piaget's stages of development?
A) Sensorimotor
B) Formal operational
C) Preoperational
D) Concrete operational
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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Page 6
Chapter 5: Pediatric Assessment
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/70281
Sample Questions
Q1) A nurse caring for a school-age client notices some swelling in the child's ankles. The nurse presses against the ankle bone for five seconds, then releases the pressure and notices a markedly slow disappearance of the indentation. Which priority nursing assessment is appropriate?
A) Skin integrity, especially in the lower extremities
B) Urine output
C) Level of consciousness
D) Range of motion and ankle mobility
Q2) The nurse notes a history of a grade III heart murmur in a small infant. When assessing the heart, the nurse would expect to:
A) Auscultate a quiet but easily heard murmur.
B) Auscultate a moderately loud murmur without a palpable thrill.
C) Auscultate a very loud murmur with easily palpable thrill.
D) Listen without a stethoscope and hear a murmur at chest wall.
Q3) Place the nursing assessments of a toddler in the best order.
A) Examination of eyes, ears, and throat
B) Auscultation of chest
C) Palpation of abdomen
D) Developmental assessment
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Page 7
Chapter 6: Introduction to Health Promotion and Maintenance
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17 Verified Questions
17 Flashcards
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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) The nurse educator is teaching a group of students about the key concepts of a medical home during the developmental years of the pediatric client. Which items should the educator include in the teaching session? Select all that apply.
A) Financial accessibility
B) Consistent, ongoing care
C) Coordination of care
D) No individualization of care
E) A paternalistic view of care
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Chapter 7: Health Promotion and Maintenance for the
Newborn and Infant
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/70283
Sample Questions
Q1) A nursery nurse is planning care for the newborns currently in the newborn nursery. Which activities does the nurse plan for the first 48 hours of life? Select all that apply.
A) Monitor feeding behaviors
B) Perform a hearing screening
C) Perform a heel stick to obtain blood for the newborn screen
D) Monitor the mother as she performs the first newborn bath to remove blood and amniotic fluids
E) Administer folic-acid injection to the infant to prevent bleeding
Q2) A nurse assesses the height and weight measurements on an infant and documents these measurements at the 75th<sup> </sup>percentile. The nurse notes that the previous measurements two months ago were at the 25th percentile. Which interpretation by the nurse is the most accurate?
A) The infant is not gaining enough weight.
B) The infant has gained a significant amount of weight.
C) The previous measurements were most likely inaccurate.
D) These measurements are most likely inaccurate.
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Chapter 8: Health Promotion and Maintenance for the
Toddler and Preschooler
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) Which health promotion activities can the nurse recommend to the parents of a preschool-age child in order to enhance the child's self-concept? Select all that apply.
A) Encourage a play date with a school-age child.
B) Praise the child for staying dry at night.
C) Tell the child there will be a punishment for bathroom accidents.
D) Set aside time for the child each day.
E) Discuss appropriate activities to engage in with the daycare provider.
Q2) The nurse is planning care for a preschool-age child and family. In order to assess the family, what should the nurse plan to do during each health supervision visit? Select all that apply.
A) Discuss the child's developmental status
B) Observe interactions among the family members
C) Discuss concerns with the parents
D) Administer age appropriate vaccinations
E) Record height and weight
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10
Chapter 9: Health Promotion and Maintenance for the
School-Age Child and Adolescent
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/70285
Sample Questions
Q1) When examining a 7-year-old, which action by the nurse would be most appropriate?
A) Allow the child to participate in the exam.
B) Ask the parent what kind of food the child likes to eat.
C) Ask the child whether he plays outside for at least 30 minutes a day.
D) Allow the child to decide whether he is ready for his next immunization.
Q2) The school nurse is teaching a class about safety. The nurse will teach the children that they should wear protective athletic gear when participating in selected activities. Which of these activities require protective athletic gear? Select all that apply.
A) Skateboarding
B) Playing football
C) Swimming
D) Playing lacrosse
E) Performing acrobatic tricks
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Chapter 10: Nursing Considerations for the Child in the Community
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) The nurse is providing care for several pediatric clients. Which client would require an Individualized Health Plan (IHP) prior to returning to school?
A) A school-age client who has recently developed a penicillin allergy
B) An adolescent client newly diagnosed with insulin-dependent diabetes mellitus
C) A school-age client who has been treated for head lice
D) An adolescent client who has missed two weeks of school due to mononucleosis
Q2) The community-health nurse visits the child-care center. Which finding indicates the need for staff education?
A) A group of 2-year-olds are eating a snack of Cheerios.
B) Several 4-year-olds are outside playing on a slide.
C) An 18-month-old is pushing a toy truck.
D) A 2-month-old is sleeping in a crib on his stomach.
Q3) The number of serious injuries in children has doubled in the past year. Based on this information, which is the most appropriate community nursing diagnosis?
A) Noncompliance Related to Inappropriate Use of Child Safety Seats
B) Risk for Injury Related to Inadequate Use of Bicycle Helmets
C) Altered Family Processes Related to Hospitalization of an Injured Child
D) Knowledge Deficit Related to Injury Prevention in Children
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Chapter 11: Nursing Considerations for the Hospitalized Child
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/70287
Sample Questions
Q1) The nurse is working with a school-age child who is hospitalized. Which action by the nurse will promote a sense of industry in this child?
A) Allow the child to assist with her care.
B) Encourage parents to participate in the child's care.
C) Give the child a detailed scientific explanation of the illness.
D) Speak to the child in a high-pitched voice.
Q2) A toddler recently diagnosed with a seizure disorder will be discharged home on an anticonvulsant. Which action by the mother best demonstrates understanding of how to give the medication?
A) Verbalizing how to give the medication
B) Acknowledging understanding of written instructions
C) Drawing up the medication correctly in an oral syringe and administering it to the child
D) Observing the nurse draw up the medication and administering it to the child.
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Chapter 12: The Child With a Chronic Condition
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) It is important that parents of adolescents with special needs transition care of the adolescent so they can learn to make good decisions on their own. Which items are considered transitional needs? Select all that apply.
A) Attending school
B) Discussing sexual matters
C) Letting most friends know of the medical condition
D) Socialization beyond the family
E) To write his or her own individualized healthcare plan
Q2) The nurse is working with a group of parents who have children with chronic conditions. Which statement by a parent would indicate a risk for a caregiver burden that could become overwhelming?
A) "My mother moved in and helped us take our quadruplets home."
B) "Our health insurance sent us a rejection letter for my child's brand-name medication, and we must fill out forms to get the generic."
C) "I chose to quit my job to be home with my child, and my husband helps in the evening when he can."
D) "I have to care for my child day and night, which leaves little time for me."
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Page 14
Chapter 13: The Child With a Life-Threatening Condition and
End-Of-Life Care
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/70289
Sample Questions
Q1) The emergency-room nurse receives a preschool-age child who was hit by a car. Which nursing interventions are a priority for this child? Select all that apply.
A) Performing a rapid head-to-toe assessment
B) Recording the parents' insurance information
C) Assessing airway, breathing, and circulation
D) Asking the parents about organ donation
E) Asking the parents if anyone witnessed the accident
Q2) The parents of a toddler-age child who sustained severe head trauma from falling out a second-story window are arguing in the pediatric intensive-care unit (PICU) and blaming each other for the child's accident. Which nursing diagnosis is most appropriate for this family?
A) Parental Role Conflict Related to Protecting the Child
B) Hopelessness Related to the Child's Deteriorating Condition
C) Anxiety Related to the Critical-Care-Unit Environment
D) Family Coping: Compromised, Related to the Child's Critical Injury
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Page 15
Chapter 14: Infant, Child, and Adolescent Nutrition
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/70290
Sample Questions
Q1) The mother of a toddler is concerned because her child does not seem interested in eating. The child is drinking 5 to 6 cups of whole milk per day and one cup of fruit juice. When the weight-to-height percentile is calculated, the child is in the 90th to 95th percentile. What is the best advice the nurse can provide to the mother?
A) Eliminate the fruit juice from the child's diet.
B) Offer healthy snacks, presented in a creative manner, and let the child choose what he wants to eat without pressure from the parents.
C) Change from whole milk to 2 percent milk and decrease milk consumption to three to four cups per day and the fruit juice to a half cup per day, offering water if the child is still thirsty in between.
D) Make sure that the child is getting adequate opportunities for exercise, as this will increase his appetite and help lower the child's weight-to-height percentile.
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16
Chapter 15: Pain Assessment and Management in Children
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) A school-age client has been receiving morphine every two hours for postoperative pain as ordered. The medication relieves the pain for approximately 90 minutes, and then the pain returns. Which action by the nurse is the most appropriate?
A) Tell the child that pain medication cannot be administered more frequently than every two hours.
B) Reposition the child and quietly leave the room.
C) Inform the parents that the child is dependent on the medication.
D) Call the healthcare provider to see if the child's orders for pain medication can be changed.
Q2) The nurse is working in a pediatric surgical unit. In discussing patient-controlled analgesia (PCA) in a preoperative parental meeting, which client would be a candidate for PCA?
A) Developmentally delayed 16-year-old, postoperative bone surgery
B) A 5-year-old, postoperative tonsillectomy
C) A 10-year-old who has a fractured femur and concussion from a bike accident
D) A 12-year-old, postoperative spinal fusion for scoliosis
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Chapter 16: Immunizations and Communicable Diseases
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) The hospital admitting nurse is taking a history of a child's illness from the parents. The nurse concludes that the parents treated their 6-year-old child appropriately for a fever related to otitis media. Which action by the parents brought the nurse to this conclusion?
A) Used aspirin every four hours to reduce the fever
B) Alternated acetaminophen with ibuprofen every two hours
C) Put the child in a tub of cold water to reduce the fever
D) Offered generous amounts of fluids frequently
Q2) A mother refuses to have her child be immunized with measles, mumps, and rubella (MMR) vaccine because she believes that letting her infant get these diseases will help him fight off other diseases later in life. Which response by the nurse is most appropriate?
A) Honor her request because she is the parent.
B) Explain that antibodies can fight many diseases.
C) Tell her that not immunizing her infant may protect pregnant women.
D) Explain that if her child contracts measles, mumps, or rubella, there could be very serious and permanent complications from these diseases.
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Page 18
Chapter 17: Social and Environmental Influences on the Child
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) The school nurse is implementing a program to decrease bullying. Which interventions are appropriate for the school nurse to implement? Select all that apply.
A) Train teachers about the behaviors
B) Ensure adult supervision in the hallways
C) Teach children to report behaviors
D) Ensure that immunizations are up-to-date
E) Set up anti-hazing policies
Q2) The nurse is providing care to a toddler-age child. Which assessment finding is indicative of abuse?
A) Parents indicating that they did not see the event occur
B) Inconsistency of stories between caregivers
C) Bruising noted on the knees and shins
D) Acting out behavior of the child
Q3) In counseling an adolescent female about safe sex practices, which question is the most appropriate for the nurse to ask?
A) "Do you and your boyfriend use a condom every time you have sex?"
B) "Do you have a boyfriend, and if so, are you sexually active?"
C) "Do you have one or more sexual partners?"
D) "Have you and your boyfriend ever had unprotected sex?"
Page 19
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Chapter 18: Alterations in Fluid, Electrolyte, and Acid-Base Balance
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) In the morning, a nurse receives a report on four pediatric clients who have some form of fluid-volume excess. Which client should the nurse assess first?
A) A client with periorbital edema, normal respiratory rate
B) A client with tachypnea and pulmonary congestion
C) A client with dependent and sacral edema, regular pulse
D) A client with hepatomegaly, normal respiratory rate
Q2) The school-age child is admitted to the hospital with dehydration. The child weighs 30 pounds. <u>The physician orders:</u> 50 mL/kg
0.9 percent NSS with 5 percent dextrose IV over 4 hours. <u>Calculate the IV pump</u> to infuse 50 mL/kg/4hrs. <u>Supply on hand:</u> 1000 mL
0.9 percent NSS/ 2.5 percent dextrose
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Chapter 19: Alterations in Eye, Ear, Nose, and Throat
Function
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) A neonate has been diagnosed with a herpes simplex viral infection of the eye. Which medication will the nurse prepare to administer?
A) Fluoroquinolone eye drops or ointment
B) Intravenous penicillin
C) Oral erythromycin
D) Parenteral acyclovir (Zovirax) and vidarabine (VIRA-A) ophthalmic ointment
Q2) A child is diagnosed with group A beta-hemolytic streptococcus (GABHS) infection of the throat. Which item will the nurse include in the teaching plan for the parents?
A) Complete the entire course of antibiotics.
B) Keep the child NPO (nothing by mouth).
C) Continue normal activities.
D) Do not allow the child to gargle with saltwater.
Q3) Which action by the nurse can assist a child who has a mild hearing loss and reads lips to adapt to hospitalization?
A) Speaking directly to the parents for communication
B) Speaking in a loud voice while facing the child
C) Using a picture board as the main means of communication
D) Touching the child lightly before speaking
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Chapter 20: Alterations in Respiratory Function
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) A newborn is suspected of having cystic fibrosis. As the child is being prepared for transfer to a pediatric hospital, the mother asks the nurse which symptoms made the practitioner suspect cystic fibrosis. Which response by the nurse is the most appropriate?
A) Steatorrheic stools
B) Constipation
C) Meconium ileus
D) Rectal prolapse
Q2) A nurse is assessing a neonate. Which assessment finding indicates that the neonate's respiratory status is worsening?
A) Acrocyanosis
B) Arterial CO<sub>2</sub> of 40
C) Periorbital edema
D) Grunting respirations with nasal flaring
Q3) A child with asthma will be receiving an oral dose of prednisone. The order reads prednisone 2 mg/kg per day. The child weighs 50 lbs. The child will receive ________ milligrams daily. (Round the answer.)
Round the answer to the nearest whole number.
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22
Chapter 21: Alterations in Cardiovascular Function
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) A toddler is started on digoxin (Lanoxin) for cardiac failure. Which is the initial symptom the nurse would assess if the child develops digoxin (Lanoxin) toxicity?
A) Lowered blood pressure
B) Tinnitus
C) Ataxia
D) A change in heart rhythm
Q2) The nurse finds that an infant has stronger pulses in the upper extremities than in the lower extremities, and higher blood pressure readings in the arms than in the legs. Which assessment will the nurse perform next on this infant?
A) Pedal pulses
B) Pulse oximetry level
C) Hemoglobin and hematocrit values
D) Blood pressure of the four extremities
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23
Chapter 22: Alterations in Immune Function
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Sample Questions
Q1) 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.
Q2) A nurse is administering an intramuscular vaccination to an infant diagnosed with Wiskott-Aldrich syndrome (WAS). Which reaction is the infant more at risk for due to the diagnosis of WAS?
A) Pain at injection site
B) Bleeding at injection site
C) Redness and swelling at injection site
D) Mild rash at injection site
Q3) A child with human immunodeficiency virus is started on sulfamethoxazole and trimethoprim (Bactrim) for Pneumocystis carinii pneumonia (PCP) prophylaxis. The recommended dose is based on the trimethoprim (TMP) component and is 15 to 20 mg TMP/kg/day in divided doses every 6 to 8 hours. The child weighs 6.8 kg. The highest dose of TMP the child can receive a day is ________. Round your answer to the nearest whole number.
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Chapter 23: Alterations in Hematologic Function
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Sample Questions
Q1) 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.
Q2) 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
Q3) The nurse is administering packed RBCs to a child with sickle cell disease (SCD). The nurse is monitoring for a transfusion reaction and knows it is most likely to occur during which time frame?
A) Six hours after the transfusion is given
B) Within the first 20 minutes of administration of the transfusion
C) At the end of the administration of the transfusion
D) Never; children with SCD do not have reactions.
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Page 25
Chapter 24: The Child With Cancer
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Sample Questions
Q1) The pediatric nurse is providing care to a school-age child receiving chemotherapy to treat cancer. Which interventions are appropriate to include in the plan of care in order to monitor for oncologic emergencies? Select all that apply.
A) Monitor complete blood count (CBC).
B) Document intake and output.
C) Observe for behavioral changes.
D) Refer for psychosocial support.
E) Implement neutropenic precautions.
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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Chapter 25: Alterations in Gastrointestinal Function
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Sample Questions
Q1) 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
Q2) A 3-day-old preterm infant is diagnosed with necrotizing enterocolitis. The nurse plans care around the frequent radiographs. How frequently should the nurse anticipate that the radiology staff will bring the portable machine to the nursery?
A) Every 6 hours
B) Every 12 hours
C) Every 24 hours
D) Every 48 hours
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Chapter 26: Alterations in Genitourinary Function
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Sample Questions
Q1) The nurse educator is teaching a group of nursing students the pathophysiologic reasons related to genitourinary (GU) disorders in the pediatric population. Which statements are appropriate for the nurse educator to include in the teaching session? Select all that apply.
A) "Incomplete organ development during fetal development is the cause of many GU disorders."
B) "Improper placement of the urethra in vagina is one cause of GU disorders."
C) "GU disorders in the pediatric population can be caused by hydronephrosis."
D) "GU disorders in the pediatric population are not caused by infections."
E) "Anatomic obstruction or incomplete nerve innervation can cause GU disorders."
Q2) A child, in renal failure, is diagnosed with hyperkalemia. Which food choices will the nurse teach the parents and child to avoid?
A) Carrots and green, leafy vegetables
B) Chips, cold cuts, and canned foods
C) Spaghetti and meat sauce, breadsticks
D) Hamburger on a bun, cherry gelatin
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28
Chapter 27: Alterations in Neurologic Function
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Sample Questions
Q1) A child sustains a traumatic brain injury and is monitored in the pediatric intensive-care unit (PICU). The nurse is using the Glasgow Coma Scale to assess the child. Which items will the nurse assess when using this tool? Select all that apply.
A) Eye opening
B) Verbal response
C) Motor response
D) Head circumference
E) Pulse oximetry
Q2) Which nursing intervention is most appropriate when caring for an infant with a myelomeningocele in the preoperative stage?
A) Placing infant supine to decrease pressure on the sac
B) Appling a heat lamp to facilitate drying and toughening of the sac
C) Measuring head circumference every shift to identify developing hydrocephalus
D) Appling a diaper to prevent contamination of the sac
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Chapter 28: Alterations in Mental Health and Cognitive Function
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Sample Questions
Q1) A nurse is conducting developmental assessments on several children in the day-care setting. Which child(ren) does the nurse identify as having development delays? Select all that apply.
A) An 18-month-old toddler who is unable to phrase sentences
B) A 5-year-old who is unable to button his shirt
C) A 6-year-old who is unable to sit still for a short story
D) A 2-year-old who is unable to cut with scissors
E) A 2-year-old who cannot recite her phone number
Q2) A school-age client is evaluated for depression. Which assessment tool does the nurse anticipate will be used by the psychologist?
A) Denver Developmental Screening tool
B) Revised Children's Manifest Anxiety Scale
C) Parent Developmental Questionnaire
D) Disruptive Behavior Disorder Scale
Q3) A nurse is calculating the maximum recommended dose that a school-age client diagnosed with depression can receive for sertraline (Zoloft). The recommended pediatric dose for sertraline (Zoloft) is 1.5 to 3 mg/kg/day. If the child weighs 31 kg, the maximum recommended dose for this child would be ________ mg. Round answer to the nearest whole number.
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Chapter 29: Alterations in Musculoskeletal Function
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Sample Questions
Q1) The nurse is caring for a pediatric client in Bryant skin traction. Which nursing intervention is most appropriate for this client?
A) Remove the adhesive traction straps daily to prevent skin breakdown.
B) Check the traction frequently to ensure that proper alignment is maintained.
C) Place the child in a prone position to maintain good alignment.
D) Move the child as infrequently as possible to maintain traction.
Q2) A nurse is assessing a child after an open reduction of a fractured femur. Which assessment findings would indicate that the child is experiencing compartment syndrome? Select all that apply.
A) Pink, warm extremity
B) Pain not relieved by pain medication
C) Dorsalis pedis pulse present
D) Prolonged capillary-refill time with paresthesia
E) Skin appears tense.
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Chapter 30: Alterations in Endocrine Function
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Sample Questions
Q1) A pediatric client is seen in the clinic with a possible diagnosis of type 2 diabetes. The mother asks what the healthcare provider uses to make the diagnosis. The nurse explains that type 2 diabetes is suspected if the child has obesity, acanthosis nigricans, and two non-fasting blood-glucose levels above which level?
A) 120
B) 80
C) 200
D) 50
Q2) A school-age client diagnosed with diabetes insipidus (DI) is admitted to the pediatric unit. Which laboratory value does the nurse anticipate for this client based on the diagnosis?
A) Hyperglycemia
B) Hypernatremia
C) Hypercalcemia
D) Hypoglycemia
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Chapter 31: Alterations in Skin Integrity
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Sample Questions
Q1) 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
Q2) A 2-month-old client has a candidal diaper rash. Which medication does the nurse anticipate will be prescribed for this client?
A) Bacitracin ointment
B) Hydrocortisone ointment
C) Desitin
D) Nystatin given topically and orally
Q3) A child is prescribed cephalexin for treatment of cellulitis. The child weighs 15 kg.
The pediatrician orders: cephalexin 40 mg/kg/day PO, give twice a day. Medication on hand: 250 mg/5 mL
Calculate how many mLs the nurse must draw up for each dose.
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