Introduction to Pediatric Nursing Exam Review
Course Introduction
Introduction to Pediatric Nursing provides students with foundational knowledge and skills necessary for nursing care of infants, children, and adolescents. The course covers growth and development stages, common pediatric diseases, health promotion, and family-centered care. Emphasis is placed on effective communication with children and families, assessment techniques specific to pediatric patients, medication administration, and principles of safety and advocacy. Students also explore ethical and cultural considerations, pain management, and the impact of illness and hospitalization on both the child and family to prepare for evidence-based, compassionate pediatric nursing practice.
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) A supervisor is reviewing documentation of the nurses in the unit. Which client documentation is the most accurate and contains all the required part for a narrative entry?
A) "2/2/05 1630 Catheterized using an 8 French catheter, 45 mL clear yellow urine obtained, specimen sent to lab, squirmed and cried softly during insertion of catheter. Quiet in mother's arms following catheter removal. M. May RN"
B) "1/9/05 2 pm nasogastric tube placement confirmed and irrigated with 30 ml sterile water. Suction set at low, intermittent. Oxygen via nasal canal at 2 L/min. Nares patent, pink, and nonirritated. K. Earnst RN"
C) "4:00 tracheostomy dressing removed with dime-size stain of dry serous exudate. Site cleansed with normal saline. Dried with sterile gauze. New sterile tracheostomy sponge and trach ties applied. Respirations regular and even throughout the procedure. F. Luck RN"
D) "Feb. '05 Port-A-Cath assessed with Huber needle. Blood return present. Flushed with NaCl solution, IV gamma globulins hung and infusing at 30 cc/hr. Child smiling and playful throughout the procedure. P. Potter, RN"
Answer: A
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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) A nurse is working with a pediatric client. When obtaining an accurate family assessment, which initial step is the most appropriate?
A) Establish a trusting relationship with the family.
B) Select the most relevant family-assessment tool.
C) Focus primarily upon the mother, while learning her greatest concern.
D) Observe the family in the home setting, since this step always proves indispensable.
Answer: A
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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 conducting a health history on a late school-age client, what would the nurse document as a dysmorphic feature?
A) A repaired cleft palate
B) A 10 percent burn to the face
C) A severed finger
D) A flat anterior fontanel
Answer: A
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Chapter 4: Growth and Development
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/70280
Sample Questions
Q1) While in the pediatrician's office for their child's 12-month well-child exam, the parents ask the nurse for advice on age-appropriate toys for their child. Based on the child's developmental level, which types of toys would the nurse suggest? Select all that apply.
A) Soft toys that can be manipulated
B) Small toys that can pop apart and go back together
C) Jack-in-the-box toys
D) Toys with black and white patterns
E) Push-and-pull toys
Q2) 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
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Chapter 5: Pediatric Assessment
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/70281
Sample Questions
Q1) The nurse is taking a health history from a family of a 3-year-old child. Which statement by the nurse would most likely establish rapport and elicit an accurate response from the family?
A) "Does any member of your family have a history of asthma, heart disease, or diabetes?"
B) "Hello, I would like to talk with you and get some information on you and your child."
C) "Tell me about the concerns that brought you to the clinic today."
D) "You will need to fill out these forms; make sure that the information is as complete as possible."
Q2) During an examination, a nurse asks a 5-year-old child to repeat his address. What is the nurse evaluating with this action?
A) Recent memory
B) Language development
C) Remote memory
D) Social-skill development
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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) In the pediatric well-child clinic, the nurse explains the reason for an immunization series to the child's mother. This action represents which item?
A) Health assessment
B) Health promotion
C) Health maintenance
D) Health screening
Q3) Which of these strategies would be most effective for a teachable moment during a routine office visit for the parents of a 6-year-old child?
A) Select one topic and present a brief amount of information on the topic.
B) Review all 6-year-old anticipatory guidelines with the parents.
C) Review 7-year-old anticipatory guidelines with the parents.
D) Discuss signs of malnutrition with the parents.
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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 mother who is bottle feeding her newborn asks to be discharged 24 hours post-delivery, because she also has twin 2-year-old children at home. When should the nurse schedule the first office visit for this newborn?
A) Within 48 hours of discharge
B) Within 1 week of discharge
C) Within 2 weeks of discharge
D) When the infant is 1-month old
Q2) 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
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Chapter 8: Health Promotion and Maintenance for the
Toddler and Preschooler
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/70284
Sample Questions
Q1) Which of these developmental milestones should the nurse expect to find in children who are between 2 and 3 years old? Select all that apply.
A) Always feeds self
B) Scribbles and draws on paper
C) Kicks a ball
D) Throws ball overhand
E) Goes up and down stairs
Q2) A mother of an 18-month old asks the nurse whether she can begin to introduce low-fat milk like the rest of the family drinks. The nurse answers the mother based on the knowledge that low-fat milk can safely be introduced at what age?
A) 18 months
B) 24 months
C) 3 years
D) 4 years
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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 reviewing the adolescent health record, which immunizations should the nurse encourage? Select all that apply.
A) Varicella
B) Human papillomavirus
C) HIV
D) Cholesterol
E) Hepatitis B
Q2) A mother reports that her adolescent is always late. The mother states, "She was born late and has been late every day of her life." Which response should the nurse make to this mother?
A) "You need to establish specific time frames for your adolescent and be certain she adheres to them."
B) "You should not expect your adolescent to be an 'on-time' individual unless you set specific alarms and then reinforce the value of being 'on-time.'"
C) "You should not expect your adolescent to be on time. Teenagers are always late."
D) "You have a major problem. There must be a lot of screaming in your home."
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Chapter 10: Nursing Considerations for the Child in the Community
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/70286
Sample Questions
Q1) The telephone triage nurse receives a call from a parent who states that her 18-month-old is making a crowing sound when he breathes and is hard to wake up.
Which action by the nurse is the most appropriate?
A) Obtain the history of the illness from the parent.
B) Advise the parent to hang up and call 9-1-1
C) Make an appointment for the child to see the healthcare provider.
D) Reassure the parent and provide instructions on home care for the child.
Q2) 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
Q3) Which would be an acceptable community-health diagnosis?
A) Risk for Injury Related to Lack of Safe Bicycle Paths in High-Traffic Areas
B) Ineffective Family Coping Related to Lack of Time Together
C) Alterations in Nutrition Related to Use of Fast Food Restaurants
D) Ineffective Communication Related to Lack of Community Newsletter
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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 providing care to a school-age client who is admitted to the hospital after a motor vehicle accident. Which interventions are appropriate to prepare this client and family for their hospital stay? Select all that apply.
A) A hospital tour
B) A health fair brochure
C) An orientation to the unit
D) An age-appropriate explanation of procedures
E) A child life program consultation
Q2) A group of children on one hospital unit are all suffering separation anxiety. Which child is experiencing the despair stage of separation anxiety?
A) Does not cry if parents return and leave again
B) Screams and cries when parents leave
C) Appears to be happy and content with staff
D) Lies quietly in bed
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13
Chapter 12: The Child With a Chronic Condition
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/70288
Sample Questions
Q1) 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."
Q2) The nurse is working in an adolescent medical clinic. What can the nurse anticipate when comparing adolescents in the clinic with chronic conditions to their peers?
A) A high level self-esteem
B) A concern for their parents
C) An altered body image
D) A decreased concern about their appearance
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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 nurse must prepare parents to see their adolescent daughter in the pediatric intensive-care unit (PICU). The child arrived by life flight after experiencing multiple traumas in a car accident involving a suspected drunk driver. At this time, which statement by the nurse to the family is the most appropriate?
A) "Don't worry; everything will be okay. We will take excellent care of your child."
B) "You should press charges against the drunk driver."
C) "Your child's leg was crushed and may have to be amputated."
D) "Your child's condition is very critical; her face is swollen, and she may not look like herself."
Q2) Parents of a child in the pediatric intensive care unit (PICU) have been experiencing shock and disbelief regarding their situation. Which statement by the parents indicates they are moving forward into the next stage of coping?
A) "Why not me instead of my child?"
B) "It is hard for me to have others take care of my child."
C) "I feel like life is suspended in time."
D) "I am glad I can help with his care."
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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) While teaching a health promotion class to a group of parents of children in a Head Start class, which information should the nurse include to help decrease the risk of dental caries?
A) Delay introducing cow's milk until at least 1 year of age.
B) Offer drinking cups only at meal and snack times.
C) Encourage use of homemade baby food without preservatives.
D) Offer juices diluted 50 percent with water.
Q2) The nurse is providing nutritional guidance to the parents of a toddler. Which comment by the parent would prompt the nurse to provide additional education?
A) "I should not give my child raw oysters."
B) "It is safe to leave my meat red in the center as long as there are no juices running."
C) "We always wash our hands well before any food preparation."
D) "We use separate utensils for preparing raw meat and preparing fruits, vegetables, and other foods."
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Chapter 15: Pain Assessment and Management in Children
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/70291
Sample Questions
Q1) A preschool-age client is hospitalized following surgery for a ruptured appendix. During assessment of the child, the nurse notes that the child is sleeping. Vital signs are as follows: temperature 97.8 degrees F axillary, pulse 90, respirations 12, and blood pressure 100/60. Which conclusion by the nurse is appropriate based on the assessment findings?
A) The client is comfortable and the pain is controlled.
B) The client is in shock secondary to blood loss during surgery.
C) The client is experiencing respiratory depression secondary to opioid administration for postoperative pain.
D) The client is sleeping to avoid pain associated with surgery.
Q2) The nurse is preparing to perform a heel stick on a neonate. Which complementary therapy is appropriate for the nurse to use decrease pain during this quick but painful procedure?
A) Swaddling
B) Sucrose pacifier
C) Massage
D) Holding the infant
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Chapter 16: Immunizations and Communicable Diseases
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/70292
Sample Questions
Q1) The nurse prepares a DTaP (diphtheria, tetanus toxoid, and acellular pertussis) immunization for a 6-month-old infant. To administer this injection safely, the nurse chooses which needle, size and length, injection type, and injection site?
A) 25-gauge, 5/8-inch needle; IM (intramuscular); anterolateral thigh.
B) 22-gauge, 1/2-inch needle; IM (intramuscular); ventrogluteal.
C) 25-gauge, 5/8-inch needle; ID (intradermal); deltoid.
D) 25-gauge, 3/4-inch needle; SQ (subcutaneous); anterolateral thigh.
Q2) The nurse is teaching a prenatal class about infant care. Under which circumstances should the nurse emphasize that parents should call their healthcare provider immediately? Select all that apply.
A) Child 4 months old, received a DTaP immunization yesterday, and has a temperature of 38.0°C (100.4°F)
B) Child under 3 months old and has a temperature over 40.1°C (104.2°F)
C) Child difficult to awaken and has a pulsing fontanel
D) Child has purple spots on the skin and is lethargic.
E) Child has a stiff neck and has been irritable for three days.
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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 nurse is conducting a health promotion class for adolescents. In counseling an adolescent about lifestyle choices, what should the adolescent eliminate in order to decrease the risk of the most preventable cause of adult death?
A) Alcohol use
B) Obesity
C) Tobacco use
D) Cocaine use
Q2) Concerned parents call the school nurse because of changes in their 15-year-old adolescent's behavior. Which behavior would the nurse indicate as indicative of adolescent substance abuse?
A) Buying baggy, oversized clothing at thrift shops and dying her hair black
B) Becoming very involved with friends and in activities related to the basketball team that she is on; never seeming to be home; and, when she is home, preferring to be in her room with the door shut
C) Receiving numerous detentions lately from teachers for sleeping in class
D) Becoming very moody, dramatically crying and weeping one minute and then being cheerful and excited the next
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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) The nurse is planning an in-service for new RNs who will be working on a general pediatric unit. Which statements are appropriate to include when discussing normal acid-base balance? Select all that apply.
A) The lungs are responsible for excreting excess carbonic acid from body.
B) The lungs reabsorb filtered bicarbonate.
C) The kidneys form bicarbonate if needed to restore balance.
D) The liver forms bicarbonate if needed to restore balance.
E) The liver synthesizes proteins needed to maintain osmotic pressure in the fluid compartments.
Q2) 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
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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) 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
Q2) A nurse is planning to teach school-age children about the common cold. Which information should the nurse include in the teaching session?
A) Vaccinations can prevent contraction of a nasopharyngitis virus.
B) Antibiotics will eliminate the nasopharyngitis virus.
C) Proper handwashing can prevent the spread of the infection.
D) Aspirin should be taken for alleviation of fever if the "common cold" is contracted.
Q3) A neonate has been diagnosed with a herpes simplex viral infection of the eye. Which medication will the nurse prepare to administer?
A) Fluoroquinolone eye drops or ointment
B) Intravenous penicillin
C) Oral erythromycin
D) Parenteral acyclovir (Zovirax) and vidarabine (VIRA-A) ophthalmic ointment
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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 school nurse is planning care for a school-age child recently diagnosed with asthma. Which items will the school nurse include in the plan of care at the school? Select all that apply.
A) Maintain a log of quick-relief medication administration.
B) Call the parents if quick-relief medications work appropriately.
C) Assess for symptoms of exercise-induced bronchospasm.
D) Coordinate education of the child's teachers.
E) Conduct a support group for all children with asthma.
Q2) The nurse is providing care to an infant who is diagnosed with bronchiolitis. Which breath sounds indicate the infant is experiencing respiratory distress? Select all that apply.
A) Tachypnea
B) Wheezing
C) Grunting
D) Retractions
E) Eupnea
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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 is admitting an infant diagnosed with supraventricular tachycardia. Which intervention is the priority for this infant?
A) Apply ice to the face.
B) Perform Valsalva's maneuver.
C) Administer a beta blocker.
D) Prepare for cardioversion.
Q3) The nurse has admitted a child with tricuspid atresia. The nurse would expect which initial lab result?
A) A high hemoglobin
B) A low hematocrit
C) A high WBC count
D) A low platelet count
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23
Chapter 22: Alterations in Immune Function
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/70298
Sample Questions
Q1) A nurse begins an infusion of intravenous immune globulin (IVIG) to a child who has combined immunodeficiency disease. Which assessment finding indicates that the nurse should stop the infusion?
A) A mild headache
B) Clear yellow urine
C) Severe shaking, chills, and fever
D) Complaints of being "thirsty"
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 the diagnosis of Wiskott-Aldrich syndrome has been ordered an IV infusion of gamma globulin. The child weighs 20 pounds. The healthcare provider orders: gamma globulin 2 g/kg IV over 12 hours.
Calculate how many grams of gamma globulin will be given IV.
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24
Chapter 23: Alterations in Hematologic Function
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20 Verified Questions
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Sample Questions
Q1) The adolescent is admitted to the hospital in sickle cell crisis with a pain level of 10/10. The physician orders:
Morphine sulfate 5 mg IV q 2 hr prn
Medication on hand: morphine sulfate 10 mg/mL
Calculate how many ml of morphine sulfate will be given IV.
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 providing care for an adolescent client who is experiencing pain related to a sickle cell crisis. Which medication does the nurse prepare to administer to this client?
A) Morphine sulfate
B) Meperidine
C) Acetaminophen
D) Ibuprofen
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Chapter 24: The Child With Cancer
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Sample Questions
Q1) A child is diagnosed with a Wilms tumor. Which nursing action is most appropriate prior to surgery?
A) Careful bathing and handling
B) Monitoring of behavioral status
C) Maintenance of strict isolation
D) Administration of packed RBCs
Q2) The pediatric nurse educator is conducting an in-service for novice nurses who will begin working on the pediatric oncology unit. The educator wants to include the common clinical manifestations of cancer. Which manifestation will the educator include in the presentation? Select all that apply.
A) Cachexia
B) Anemia
C) Gene abnormalities
D) Palpable mass
E) Chromosomal abnormalities
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Chapter 25: Alterations in Gastrointestinal Function
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) The nurse is planning postoperative care for an infant after a cleft-lip repair. Which nursing intervention is most appropriate for this infant?
A) Prone positioning
B) Suctioning with a Yankauer device
C) Supine or side-lying positioning
D) Avoidance of soft elbow restraints
Q2) A neonate is fed 20 mL of formula every three hours by orogastric lavage. At the beginning of this feeding, the nurse aspirates 15 mL of gastric residual. Which action by the nurse is the most appropriate?
A) Withhold the feeding and notify the healthcare provider.
B) Replace the residual and continue with the full feeding.
C) Replace the residual but only give 5 mL of the feeding.
D) Withhold the feeding and check the residual in three hours.
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Chapter 26: Alterations in Genitourinary Function
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Sample Questions
Q1) The nurse is preparing to discharge a toddler-age client who just had an orchiopexy. Which discharge instruction is appropriate for this client?
A) Information to the parents about the child's resuming normal vigorous activities
B) Discussion with the parents about the low incidence of testicular malignancy and no further need for any follow-up
C) Explanation to the parents about the need for loose, nonrestrictive clothing
D) Reassurance to the parents that infertility is not a future risk
Q2) A 10-year-old diagnosed with chronic renal failure is seen at the dialysis center for dialysis treatment three times a week. The child weighs 35 pounds after dialysis.
Physician's order: Epogen 50 U/kg three times weekly after dialysis. Medication on hand: Epogen 2000 U/mL
Calculate how many ml of Epogen the child should receive three times a week.
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Chapter 27: Alterations in Neurologic Function
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Sample Questions
Q1) The nurse educator is describing the pediatric differences associated with the anatomy and physiology of the neurologic system to a group of nursing students. Which statements made by the class indicate appropriate understanding of this topic after the teaching session? Select all that apply.
A) The bones of the cranium are connected by connective tissue to allow for brain growth.
B) The spine of infants is excessively mobile due to immature neck muscles and incompletely developed vertebral bodies.
C) Maturation of the nerves continues until age 10.
D) Myelination is complete at birth,
E) Myelination proceeds in a cephalocaudal direction.
Q2) A child is diagnosed with epilepsy and is prescribed daily phenytoin (Dilantin). Which topic is most appropriate for the nurse to include in the discharge teaching?
A) Increasing fluid intake
B) Performing good dental hygiene
C) Decreasing intake of vitamin D
D) Taking the medication with milk
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Chapter 28: Alterations in Mental Health and Cognitive Function
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) A nurse is caring for four pediatric clients in the hospital. Which client should the nurse refer for play therapy?
A) An adolescent with asthma
B) A preschool-age child with a fractured femur
C) A school-age child having an appendectomy
D) An infant with sepsis
Q2) 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.
Q3) 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
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Page 30
Chapter 29: Alterations in Musculoskeletal Function
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) A nurse notes blue sclera during a newborn assessment. Which item will the newborn require further assessment for based on this finding?
A) Marfan syndrome
B) Achondroplasia
C) Osteogenesis imperfecta
D) Muscular dystrophy
Q2) The parents of a child with Duchenne muscular dystrophy are in the clinic after diagnosis and ask the nurse if the family should have genetic testing completed. Who should the nurse suggest to have genetic testing? Select all that apply.
A) Female cousins
B) Aunts
C) Sisters
D) Brothers
E) Uncles and male cousins
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Chapter 30: Alterations in Endocrine Function
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) An adolescent is admitted to the intensive care unit (ICU) with diabetic ketoacidosis. The client weighs 115 pounds.
The healthcare provider orders: Regular insulin 0.15 units/kg bolus via IVF, then regular insulin 0.1 units/kg/hr in 0.9 percent NSS
Medication on hand: 250 mL 0.9 percent NSS with 250 units of regular insulin. Calculate the mL/hr for the continuous infusion of regular insulin at 0.1 unit/kg/hr in 0.9 percent NSS.
Q2) The nurse is caring for a pediatric client diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH) disorder. Which interventions should the nurse implement for this child? Select all that apply.
A) Encouragement of fluids
B) Strict intake and output
C) Administration of ordered diuretics
D) Specific gravity of urine
E) Weight only on admission but not daily
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Chapter 31: Alterations in Skin Integrity
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/70307
Sample Questions
Q1) A nurse is caring for a toddler client who is diagnosed with scabies and prescribed a 5 percent permethrin lotion. How will the nurse apply this lotion when administering it to the toddler?
A) To the scalp only
B) Over the entire body from the chin down, as well as on the scalp and forehead
C) Only on the areas with evidence of scabies activity
D) Only on the hands
Q2) The nurse is providing care for a pediatric client who has a third-degree circumferential burn of the right arm. Which nursing diagnosis is the priority for this client?
A) Risk for Infection
B) Risk for Altered Tissue Perfusion
C) Risk for Altered Nutrition: Less than Body Requirements
D) Impaired Physical Mobility
Q3) An infant has a severe case of oral thrush (Candida albicans). Which nursing diagnosis is the priority for this infant?
A) Activity Intolerance Related to Oral Thrush
B) Ineffective Airway Clearance Related to Mucus
C) Ineffective Infant Feeding Pattern Related to Discomfort
D) Ineffective Breathing Pattern Related to Oral Thrush
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