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Introduction to Pediatric Nursing Review Questions - 1176 Verified Questions

Page 1


Introduction to Pediatric Nursing Review Questions

Course Introduction

Introduction to Pediatric Nursing provides students with foundational knowledge and skills necessary to care for infants, children, and adolescents within healthcare settings. The course explores normal growth and development, common pediatric diseases, and health promotion strategies while emphasizing family-centered care and age-appropriate communication. Through lectures, case studies, and clinical simulations, students learn assessment techniques, medication administration, safety considerations, and the psychosocial aspects unique to pediatric populations. Ethical and cultural factors influencing child health, as well as legal considerations, are also discussed to prepare students for competent and compassionate pediatric nursing practice.

Recommended Textbook

Wongs Essentials of Pediatric Nursing 9th Edition by Marilyn

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32 Chapters

1176 Verified Questions

1176 Flashcards

Source URL: https://quizplus.com/study-set/1141

Page 2

Chapter 1: Perspectives of Pediatric Nursing

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19 Verified Questions

19 Flashcards

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Sample Questions

Q1) A nurse is planning a teaching session for parents of preschool children.Which statement explains why the nurse should include information about morbidity and mortality?

A)Life-span statistics are included in the data.

B)It explains effectiveness of treatment.

C)Cost-effective treatment is detailed for the general population.

D)High-risk age groups for certain disorders or hazards are identified.

Answer: D

Q2) Which leading cause of death topic should the nurse emphasize to a group of African-American boys ranging in ages 15 to 19 years?

A)Suicide

B)Cancer

C)Firearm homicide

D)Occupational injuries

Answer: C

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Chapter 2: Community-Based Nursing Care of the Child and Family

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7 Verified Questions

7 Flashcards

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Sample Questions

Q1) A community nurse at the health department is trying to identify how many new cases of acquired immunodeficiency syndrome (AIDS)disease have occurred in the city this past year.Which statistic should the nurse examine?

A)Mortality

B)Morbidity

C)Incidence

D)Prevalence

Answer: C

Q2) Which term best describes the identification of the distribution and causes of disease,injury,or illness?

A)Nursing process

B)Epidemiologic process

C)Community-based statistics

D)Mortality and morbidity statistics

Answer: B

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Chapter 3: Family Influences on Child Health Promotion

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20 Verified Questions

20 Flashcards

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Sample Questions

Q1) A nurse is admitting a child,in foster care,to the hospital.The nurse recognizes that foster parents care for the child _____ hours a day.(Record your answer as a whole number.)

Answer: 24

The term foster care is defined as 24-hour substitute care for children outside of their own homes.

Q2) Which is considered characteristic of children who are the youngest in their family?

A)More dependent than firstborn children

B)More outgoing than firstborn children

C)Identify more with parents than with peers

D)Are subject to greater parental expectations

Answer: B

Q3) Which is most characteristic of the physical punishment of children,such as spanking?

A)Psychological impact is usually minimal.

B)Children rarely become accustomed to spanking.

C)Children's development of reasoning increases.

D)Misbehavior is likely to occur when parents are not present.

Answer: D

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Chapter 4: Social,Cultural,and Religious Influences on Child

Health Promotion

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22 Verified Questions

22 Flashcards

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Sample Questions

Q1) Which term best describes a group of people who share a set of values,beliefs,practices,social relationships,law,politics,economics,and norms of behavior?

A)Race

B)Culture

C)Ethnicity

D)Social group

Q2) When minority groups immigrate to another country,a certain degree of cultural or ethnic blending occurs through the involuntary process of: A)acculturation.

B)ethnocentrism.

C)culture shock.

D)cultural sensitivity.

Q3) Poverty has serious implications for children and families.Social and cultural deprivation,including limited employment opportunities,inferior educational opportunities,inferior or no access to health care,and a lack of public services,is referred to as the _______________ type of poverty.

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Page 6

Chapter 5: Developmental and Genetic Influences on Child

Health Promotion

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35 Verified Questions

35 Flashcards

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Sample Questions

Q1) A nurse is planning play activities for school-age children.Which type of a play activity should the nurse plan?

A)Solitary

B)Parallel

C)Associative

D)Cooperative

Q2) A nurse is counseling an adolescent,in her second month of pregnancy,about the risk of teratogens.The adolescent has understood the teaching if she makes which statement?

A)"I will be able to continue taking isotretinoin (Accutane) for my acne."

B)"I can continue to clean my cat's litter box."

C)"I should avoid any alcoholic beverages."

D)"I will ask my physician to adjust my phenytoin (Dilantin) dosage."

Q3) A father tells the nurse that his child is "filling up the house with collections" like seashells,bottle caps,baseball cards,and pennies.The nurse should recognize that the child is developing:

A)object permanence.

B)preoperational thinking.

C)concrete operational thinking.

D)ability to use abstract symbols.

Page 7

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Chapter 6: Communication and Physical Assessment of the Child

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62 Verified Questions

62 Flashcards

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Sample Questions

Q1) The nurse must assess a child's capillary refill time.This can be accomplished by:

A)inspecting the chest.

B)auscultating the heart.

C)palpating the apical pulse.

D)palpating the skin to produce a slight blanching.

Q2) A nurse is counseling parents of a child beginning to show signs of being overweight.The nurse accurately relates which body mass index (BMI)-for-age percentile indicates a risk for being overweight?

A)10th percentile

B)9th percentile

C)85th percentile

D)95th percentile

Q3) When the nurse interviews an adolescent,which is especially important?

A)Focus the discussion on the peer group.

B)Allow an opportunity to express feelings.

C)Emphasize that confidentiality will always be maintained.

D)Use the same type of language as the adolescent.

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Page 8

Chapter 7: Pain Assessment and Management in Children

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16 Verified Questions

16 Flashcards

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Sample Questions

Q1) A lumbar puncture is needed on a school-age child.The most appropriate action to provide analgesia during this procedure is to apply _____ before the 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) Surgery has informed a nurse that the patient returning to the floor after spinal surgery has an opioid epidural catheter for pain management.The nurse should prepare to monitor the patient for which side effects of an opioid epidural catheter? (Select all that apply.)

A)Urinary frequency

B)Nausea

C)Itching

D)Respiratory depression

Q3) Nonpharmacologic strategies for pain management:

A)may reduce pain perception.

B)make pharmacologic strategies unnecessary.

C)usually take too long to implement.

D)trick children into believing they do not have pain.

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Page 9

Chapter 8: Health Promotion of the Newborn and Family

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46 Verified Questions

46 Flashcards

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Sample Questions

Q1) A nurse is teaching a class on breastfeeding to expectant parents.Which are contraindications for breastfeeding? (Select all that apply.)

A)Human immunodeficiency virus (HIV) in mother

B)Mastitis

C)Inverted nipples

D)Maternal cancer therapy

E)Twin births

Q2) A nurse has completed an assessment on a newborn.Which finding is considered abnormal?

A)Nystagmus

B)Profuse drooling

C)Dark green or black stools

D)Slight vaginal reddish discharge

Q3) The nurse is careful to place the incubator away from cold windows or air-conditioning units.This is to conserve the newborn's body heat by preventing heat loss through:

A)radiation.

B)conduction.

C)convection.

D)evaporation.

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Chapter 9: Health Problems of Newborns

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71 Verified Questions

71 Flashcards

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Sample Questions

Q1) Nursing care of the newborn with oral candidiasis (thrush)includes:

A)avoiding use of pacifier.

B)removing characteristic white patches with a soft cloth.

C)continuing medication for a prescribed number of days.

D)applying medication to oral mucosa, being careful that none is ingested.

Q2) Newborns are highly susceptible to infection as a result of:

A)excessive levels of immunoglobulin A (IgA) and immunoglobulin M (IgM).

B)diminished nonspecific and specific immunity.

C)increased humoral immunity.

D)overwhelming anti-inflammatory response.

Q3) The nurse has been caring for a newborn who just died.The parents are present but say they are "afraid" to hold the dead newborn.Which is the most appropriate nursing intervention?

A)Tell them there is nothing to fear.

B)Insist that they hold newborn "one last time."

C)Respect their wishes and release body to morgue.

D)Keep newborn's body available for a few hours in case they change their minds.

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Chapter 10: Health Promotion of the Infant and Family

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44 Verified Questions

44 Flashcards

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Sample Questions

Q1) A parent asks the nurse "at what age do most infants begin to fear strangers?" The nurse should give which response?

A)2 months

B)4 months

C)6 months

D)12 months

Q2) The nurse should teach parents that which age is safe to give infants whole milk instead of commercial infant formula?

A)6 months

B)9 months

C)12 months

D)18 months

Q3) A nurse is conducting a teaching session for parents of infants.The nurse explains that which behavior indicates that an infant has developed object permanence?

A)Recognizes familiar face, such as mother

B)Recognizes familiar object, such as bottle

C)Actively searches for a hidden object

D)Secures objects by pulling on a string

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Chapter 11: Health Problems of Infants

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29 Verified Questions

29 Flashcards

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Sample Questions

Q1) Cow's milk allergy (CMA)is diagnosed in a 6-month-old infant.Which should the nurse recommend as a substitute formula?

A)Nutramigen

B)Goat's milk

C)Similac

D)Enfamil

Q2) Recent studies indicate that a deficiency of which vitamin correlates with increased morbidity and mortality in children with measles?

A)A

B)C

C)Niacin

D)Folic acid

Q3) Clinical manifestations of failure to thrive caused by behavioral problems resulting in inadequate intake of calories include:

A)avoidance of eye contact.

B)an associated malabsorption defect.

C)weight that falls below the 15th percentile.

D)normal achievement of developmental landmarks.

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13

Chapter 12: Health Promotion of the Toddler and Family

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35 Verified Questions

35 Flashcards

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Sample Questions

Q1) Which should the nurse teach to parents of toddlers about accidental poison prevention? (Select all that apply.)

A)Keep toxic substances in the garage.

B)Discard empty poison containers.

C)Know the number of the nearest poison control center.

D)Remove colorful labels from containers of toxic substances.

E)Caution child against eating nonedible items, such as plants.

Q2) The most effective way to clean a toddler's teeth is for the:

A)child to brush regularly with a toothpaste of his or her choice.

B)parent to stabilize the chin with one hand and brush with the other.

C)parent to brush the mandibular occlusive surfaces, leaving the rest for the child.

D)parent to brush the front labial surfaces, leaving the rest for the child.

Q3) Which are characteristic of physical development of a 30-month-old child? (Select all that apply.)

A)Birth weight has doubled.

B)Primary dentition is complete.

C)Sphincter control is achieved.

D)Anterior fontanel is open.

E)Length from birth is doubled.f. Left or right handedness is established.

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Chapter 13: Health Promotion of the Preschooler and Family

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24 Verified Questions

24 Flashcards

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Sample Questions

Q1) A 4-year-old child tells the nurse that she does not want another blood sample drawn because "I need all my insides,and I don't want anyone taking them out." Which is the nurse's best interpretation of this?

A)Child is being overly dramatic.

B)Child has a disturbed body image.

C)Preschoolers have poorly defined body boundaries.

D)Preschoolers normally have a good understanding of their bodies.

Q2) 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

Q3) Which should the nurse expect of a healthy 3-year-old child?

A)Jump rope.

B)Ride a two-wheel bicycle.

C)Skip on alternate feet.

D)Balance on one foot for a few seconds.

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Chapter 14: Health Problems of Toddlers and Preschoolers

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30 Verified Questions

30 Flashcards

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Sample Questions

Q1) Which may be given to high-risk children after exposure to chickenpox to prevent varicella?

A)Acyclovir (Zovirax)

B)Varicella globulin

C)Diphenhydramine hydrochloride (Benadryl)

D)VCZ immune globulin (VariZIG)

Q2) Airborne isolation is required for a child who is hospitalized with: A)mumps.

B)chickenpox.

C)exanthema subitum (roseola).

D)erythema infectiosum (fifth disease).

Q3) 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.

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Chapter 15: Health Promotion of the School-Age Child and Family

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24 Verified Questions

24 Flashcards

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Sample Questions

Q1) A nurse teaches parents that team play is important for school-age children.Which can children develop by experiencing team play? (Select all that apply.)

A)Achieve personal goals over group goals.

B)Learn complex rules.

C)Experience competition.

D)Learn about division of labor.

Q2) A school nurse is teaching dental health practices to a group of sixth-grade children.How often should the nurse recommend the children brush their teeth?

A)Twice a day

B)Three times a day

C)After meals

D)After meals, snacks, and bedtime

Q3) A child has an evulsed (knocked-out)tooth.Which medium should the nurse instruct the parents to place the tooth in for transport to the dentist?

A)In cold milk

B)In cold water

C)In warm salt water

D)In a dry, clean jar

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Chapter 16: Health Promotion of the Adolescent and Family

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23 Verified Questions

23 Flashcards

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Sample Questions

Q1) Which predisposes the adolescent to feel an increased need for sleep?

A)An inadequate diet

B)Rapid physical growth

C)Decreased activity that contributes to a feeling of fatigue

D)The lack of ambition typical of this age group

Q2) An adolescent boy tells the nurse that he has recently had homosexual feelings.The nurse's response should be based on knowledge that:

A)this indicates the adolescent is homosexual.

B)this indicates the adolescent will become homosexual as an adult.

C)the adolescent should be referred for psychotherapy.

D)the adolescent should be encouraged to share his feelings and experiences.

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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Chapter 17: Health Problems of School-Age Children and Adolescents

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43 Verified Questions

43 Flashcards

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Sample Questions

Q1) Turner syndrome is suspected in an adolescent girl with short stature.This is caused by:

A)absence of one of the X chromosomes.

B)presence of an incomplete Y chromosome.

C)precocious puberty in an otherwise healthy child.

D)excess production of both androgens and estrogens.

Q2) Which strategies should the school nurse recommend implementing in the classroom for a child with attention deficit hyperactive disorder (ADHD)? (Select all that apply.)

A)Schedule heavier subjects to be taught in the afternoon.

B)Accompany verbal instructions by written format.

C)Limit number of breaks taken during instructional periods.

D)Allow more time for testing.

E)Reduce homework and classroom assignments.

Q3) Which is the most significant factor in distinguishing those who commit suicide from those who make suicidal attempts or threats?

A)Social isolation

B)Level of stress

C)Degree of depression

D)Desire to punish others

Page 19

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Chapter 18: Quality of Life for Children Living with Chronic or Complex Diseases

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40 Verified Questions

40 Flashcards

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Sample Questions

Q1) Which nursing intervention is especially helpful in assessing parental guilt when a disability or chronic illness is diagnosed?

A)Ask the parents if they feel guilty.

B)Discuss guilt only after the parents mention it.

C)Discuss the meaning of the parents' religious and cultural background.

D)Observe for signs of overprotectiveness.

Q2) The nurse is providing support to a family who is experiencing anticipatory grief related to their child's imminent death.Which of the following is an appropriate nursing intervention?

A)Be available to family.

B)Attempt to "lighten the mood."

C)Suggest activities to cheer up the family.

D)Discourage crying until actual time of death.

Q3) 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

Page 20

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Chapter 19: Impact of Cognitive or Sensory Impairment on the Child

and Family

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38 Verified Questions

38 Flashcards

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Sample Questions

Q1) Which is an implanted ear prosthesis for children with sensorineural hearing loss?

A)Hearing aid

B)Cochlear implant

C)Auditory implant

D)Amplification device

Q2) Which term refers to the ability to see objects clearly at close range but not at a distance?

A)Myopia

B)Amblyopia

C)Cataract

D)Glaucoma

Q3) A young child has an intelligence quotient (IQ)of 45.The nurse should document this finding as:

A)within the lower limits of the range of normal intelligence.

B)mild cognitive impairment but educable.

C)moderate cognitive impairment but trainable.

D)severe cognitive impairment and completely dependent on others for care.

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Page 21

Chapter 20: Family-Centered Home Care

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Sample Questions

Q1) Home care is being considered for a young child who is ventilator-dependent.Which factor is most important in deciding whether home care is appropriate?

A)Level of parents' education

B)Presence of two parents in the home

C)Preparation and training of family

D)Family's ability to assume all health care costs

Q2) One of the supervisors for a home health agency asks the nurse to give the family a survey evaluating the nurses and other service providers.The nurse should recognize this as:

A)inappropriate, unless nurses are able to evaluate family.

B)appropriate to improve quality of care.

C)inappropriate, unless nurses and other providers agree to participate.

D)inappropriate, because family lacks knowledge necessary to evaluate professionals.

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22

Chapter 21: Family-Centered Care of the Child During

Illness and Hospitalization

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Sample Questions

Q1) Amy,age 6 years,needs to be hospitalized again because of a chronic illness.The clinic nurse overhears her school-age siblings tell her,"We are sick of Mom always sitting with you in the hospital and playing with you.It isn't fair that you get everything and we have to stay with the neighbors." Which is the nurse's best assessment of this situation?

A)The siblings are immature and probably spoiled.

B)Jealousy and resentment are common reactions to the illness or hospitalization of a sibling.

C)Family has ineffective coping mechanisms to deal with chronic illness.

D)The siblings need to better understand their sister's illness and needs.

Q2) The nurse is caring for an adolescent who had an external fixator placed after suffering a fracture of the wrist during a bicycle accident.Which statement by the adolescent should be expected about separation anxiety?

A)"I wish my parents could spend the night with me while I am in the hospital."

B)"I think I would like for my siblings to visit me but not my friends."

C)"I hope my friends don't forget about visiting me."

D)"I will be embarrassed if my friends come to the hospital to visit."

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Page 23

Chapter 22: Pediatric Variations of Nursing Interventions

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Sample Questions

Q1) The nurse is preparing to insert a nasogastric tube into a 4-year-old child for intermittent suctioning after abdominal surgery.Place in correct sequence the steps for inserting a nasogastric tube.Provide answer using lowercase letters separated by commas (e.g.,a,b,c,d,e,f).

A) Lubricate the nasogastric tube with water-soluble lubricant.

B) Tape the nasogastric tube securely to the child's face.

C) Check the placement of the tube by aspirating stomach contents.

D) Place the child in the supine position with head slightly hyperflexed.

E) Insert the nasogastric tube through the nares. f. Measure the tube from the tip of the nose to the ear lobe to midpoint between the xiphoid process and the umbilicus

Q2) The Allen test is performed as a precautionary measure before which procedure?

A)Heel stick

B)Venipuncture

C)Arterial puncture

D)Lumbar puncture

Q3) A physician's prescription reads,"ampicillin sodium 125 mg IV every 6 hours." The medication label reads,"1 g = 7.4 ml." A nurse prepares to draw up _____ milliliters to administer one dose.(Round your answer to two decimal places.)

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Chapter 23: The Child with Respiratory Dysfunction

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Sample Questions

Q1) A nurse is admitting an infant with asthma.The nurse understands that asthma in infants is usually triggered by:

A)medications.

B)a viral infection.

C)exposure to cold air.

D)allergy to dust or dust mites.

Q2) An infant has developed staphylococcal pneumonia.Nursing care of the child with pneumonia includes which interventions? (Select all that apply.)

A)Cluster care to conserve energy

B)Round-the-clock administration of antitussive agents

C)Strict intake and output to avoid congestive heart failure

D)Administration of antibiotics

Q3) Which consideration is the most important in managing tuberculosis (TB)in children?

A)Skin testing annually

B)Pharmacotherapy

C)Adequate nutrition

D)Adequate hydration

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Chapter 24: The Child with Gastrointestinal Dysfunction

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Sample Questions

Q1) The nurse is explaining to a parent how to care for a school-age child with vomiting associated with a viral illness.Which action should the nurse include?

A)Avoid carbohydrate-containing liquids.

B)Give nothing by mouth for 24 hours.

C)Brush teeth or rinse mouth after vomiting.

D)Give plain water until vomiting ceases for at least 24 hours.

Q2) The nurse is caring for an infant with suspected pyloric stenosis.Which clinical manifestation would indicate pyloric stenosis?

A)Abdominal rigidity and pain on palpation

B)Rounded abdomen and hypoactive bowel sounds

C)Visible peristalsis and weight loss

D)Distention of lower abdomen and constipation

Q3) Which therapeutic management should the nurse prepare to initiate first for a child with acute diarrhea and moderate dehydration?

A)Clear liquids

B)Adsorbents, such as kaolin and pectin

C)Oral rehydration solution (ORS)

D)Antidiarrheal medications such as paregoric

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Chapter 25: The Child with Cardiovascular Dysfunction

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53 Verified Questions

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Sample Questions

Q1) The nurse is caring for a school-age child who has had a cardiac catheterization.The child tells the nurse that the bandage is "too wet." The nurse finds the bandage and bed soaked with blood.The most appropriate initial nursing action is to:

A)notify physician.

B)apply new bandage with more pressure.

C)place the child in Trendelenburg position.

D)apply direct pressure above catheterization site.

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 is the acceptable mg/dl level,or below this level,low density lipoprotein (LDL)cholesterol for a child from a family with heart disease? (Record your answer in a whole number.)

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27

Chapter 26: The Child with Hematologic or Immunologic Dysfunction

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Sample Questions

Q1) A school-age child with leukemia experienced severe nausea and vomiting when receiving chemotherapy for the first time.Which is the most appropriate nursing action to prevent or minimize these reactions with subsequent treatments?

A)Encourage drinking large amounts of favorite fluids.

B)Encourage child to take nothing by mouth (remain NPO) until nausea and vomiting subside.

C)Administer an antiemetic before chemotherapy begins.

D)Administer an antiemetic as soon as child has nausea.

Q2) The nurse is preparing to give oral care to a school-age child with mucositis secondary to chemotherapy administered to treat leukemia.Which preparations should the nurse use for oral care on this child? (Select all that apply.)

A)Chlorhexidine gluconate (Peridex)

B)Lemon glycerin swabs

C)Antifungal troches (lozenges)

D)Lip balm (Aquaphor)

E)Hydrogen peroxide

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28

Chapter 27: The Child with Genitourinary Dysfunction

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Sample Questions

Q1) Calcium carbonate is given with meals to a child with chronic renal disease.The purpose of this is to:

A)prevent vomiting.

B)bind phosphorus.

C)stimulate appetite.

D)increase absorption of fat-soluble vitamins.

Q2) The nurse is performing a pH dipstick test on a urine specimen.Which is the average pH expected for this test? (Record your answer in a whole number.)

Q3) The nurse is admitting a newborn with hypospadias to the nursery.The nurse expects which finding in this newborn?

A)Absence of a urethral opening is noted.

B)Penis appears shorter than usual for age.

C)The urethral opening is along the dorsal surface of the penis.

D)The urethral opening is along the ventral surface of the penis.

Q4) Which is a major complication in a child with chronic renal failure?

A)Hypokalemia

B)Metabolic alkalosis

C)Water and sodium retention

D)Excessive excretion of blood urea nitrogen

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Chapter 28: The Child with Cerebral Dysfunction

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Sample Questions

Q1) The most common clinical manifestation(s)of brain tumors in children is/are:

A)irritability.

B)seizures.

C)headaches and vomiting.

D)fever and poor fine motor control.

Q2) The nurse has received report on four children.Which child should the nurse assess first?

A)A school-age child in a coma with stable vital signs

B)A preschool child with a head injury and decreasing level of consciousness

C)An adolescent admitted after a motor vehicle accident is oriented to person and place

D)A toddler in a persistent vegetative state with a low-grade fever

Q3) The nurse is taking care of a child who is alert but showing signs of increased intracranial pressure.Which test is contraindicated in this case?

A)Oculovestibular response

B)Doll's head maneuver

C)Funduscopic examination for papilledema

D)Assessment of pyramidal tract lesions

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Chapter 29: The Child with Endocrine Dysfunction

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Sample Questions

Q1) The nurse is caring for a school-age child with hyperthyroidism (Graves disease).Which clinical manifestations should the nurse monitor that may indicate a thyroid storm? (Select all that apply.)

A)Constipation

B)Hypotension

C)Hyperthermia

D)Tachycardia

E)Vomiting

Q2) The nurse should expect to assess which clinical manifestations in an adolescent with Cushing syndrome? (Select all that apply.)

A)Hyperglycemia

B)Hyperkalemia

C)Hypotension

D)Cushingoid features

E)Susceptibility to infections

Q3) The clinic nurse is reviewing hemoglobin A?c levels on several children with type 1 diabetes.Hemoglobin A?c levels of less than _____% is a goal for children with type 1 diabetes.(Record your answer in a whole number.)

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Chapter 30: The Child with Integumentary Dysfunction

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Sample Questions

Q1) The nurse should expect to assess which causative agent in a child with warts?

A)Bacteria

B)Fungus

C)Parasite

D)Virus

Q2) The nurse is caring for a school-age child with a tinea capitis (ringworm)infection.The nurse should expect that therapeutic management for this child includes:

A)administering oral griseofulvin.

B)administering topical or oral antibiotics.

C)applying topical sulfonamides.

D)applying Burow solution compresses to affected area.

Q3) Which is usually the only symptom of pediculosis capitis (head lice)?

A)Itching

B)Vesicles

C)Scalp rash

D)Localized inflammatory response

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Chapter 31: The Child with Musculoskeletal or Articular Dysfunction

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Sample Questions

Q1) The nurse is preparing an adolescent with scoliosis for a Luque-rod segmental spinal instrumentation procedure.Which consideration should the nurse include?

A)Nasogastric intubation and urinary catheter may be required.

B)Ambulation will not be allowed for up to 3 months.

C)Surgery eliminates the need for casting and bracing.

D)Discomfort can be controlled with nonpharmacologic methods.

Q2) 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.

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

Page 33

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Chapter 32: The Child with Neuromuscular or Muscular Dysfunction

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Sample Questions

Q1) A 14-year-old girl is in the intensive care unit after a spinal cord injury 2 days ago.Nursing care for this child includes which action(s)? (Select all that apply.)

A)Monitoring and maintaining systemic blood pressure

B)Administering corticosteroids

C)Minimizing environmental stimuli

D)Discussing long-term care issues with the family

E)Monitoring for respiratory complications

Q2) The nurse is reviewing prenatal vitamin supplements with an expectant client.Which supplement should be included in the teaching?

A)Vitamin A throughout pregnancy

B)Multivitamin preparations as soon as pregnancy is suspected

C)Folic acid for all women of childbearing age

D)Folic acid during the first and second trimesters of pregnancy

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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