Nursing Care Across the Lifespan
Midterm Exam
Course Introduction
This course explores the principles and practices of nursing care for individuals at all stages of life, from infancy through old age. Emphasizing a holistic and family-centered approach, students will learn to assess health needs, address developmental milestones, and respond to common health challenges across different age groups. The course covers health promotion, disease prevention, and management of acute and chronic conditions, incorporating evidence-based interventions and patient education. Cultural, ethical, and psychosocial considerations are integrated to prepare students for providing compassionate and effective care in diverse healthcare settings.
Recommended Textbook
Wongs Nursing Care of Infants and Children 10th Edition by Hockenberry
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35 Chapters
1814 Verified Questions
1814 Flashcards
Source URL: https://quizplus.com/study-set/256 Page 2
Chapter 1: Perspectives of Pediatric Nursing
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/4161
Sample Questions
Q1) The nurse is planning a teaching session to adolescents about deaths by unintentional injuries. Which should the nurse include in the session with regard to deaths caused by injuries?
A) More deaths occur in males.
B) More deaths occur in females.
C) The pattern of deaths does not vary according to age and sex.
D) The pattern of deaths does not vary widely among different ethnic groups.
Answer: A
Q2) Purposeful collection of data
A)Assessment
B)Diagnosis
C)Outcomes identification
D)Planning
E)Implementation
F)Evaluation
Answer: A
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3
Chapter 2: Social, Cultural, Religious, and Family Influences on Child Health Promotion
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41 Verified Questions
41 Flashcards
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Sample Questions
Q1) Incorporates levels of education, occupation, income, and access to resources
A)Race
B)Gender
C)Ethnicity
D)Social class
E)Socialization
Answer: D
Q2) The nurse is caring for an adolescent hospitalized for asthma. The adolescent belongs to a large family. The nurse recognizes that the adolescent is likely to relate to which group?
A) Peers
B) Parents
C) Siblings
D) Teachers
Answer: A
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Page 4
Chapter 3: Hereditary Influences on Health Promotion of the
Child and Family
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42 Verified Questions
42 Flashcards
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Sample Questions
Q1) A woman, age 43 years, is 6 weeks pregnant. It is important that she be informed of which?
A) The need for a therapeutic abortion
B) Increased risk for Down syndrome
C) Increased risk for Turner syndrome
D) The need for an immediate amniocentesis
Answer: B
Q2) Chromosome analysis of the fetus is usually accomplished through the testing of which?
A) Fetal serum
B) Maternal urine
C) Amniotic fluid
D) Maternal serum
Answer: C
Q3) Which abnormality is a common sex chromosome defect?
A) Down syndrome
B) Turner syndrome
C) Marfan syndrome
D) Hemophilia
Answer: B
Page 5
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Chapter 4: Communication, Physical, and Developmental Assessment
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49 Verified Questions
49 Flashcards
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Sample Questions
Q1) What is the appropriate placement of a tongue blade for assessment of the mouth and throat?
A) On the lower jaw
B) Side of the tongue
C) Against the soft palate
D) Center back area of the tongue
Q2) During a funduscopic examination of a school-age child, the nurse notes a brilliant, uniform red reflex in both eyes. The nurse should recognize that this is which?
A) A normal finding
B) A sign of a possible visual defect and a need for vision screening
C) An abnormal finding requiring referral to an ophthalmologist
D) A sign of small hemorrhages, which usually resolve spontaneously
Q3) When doing a nutritional assessment on a Hispanic family, the nurse learns that their diet consists mainly of vegetables, legumes, and starches. The nurse should recognize that this diet is which?
A) Lacking in protein
B) Indicating they live in poverty
C) Providing sufficient amino acids
D) Needing enrichment with meat and milk
Page 6
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Chapter 5: Pain Assessment and Management in Children
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40 Verified Questions
40 Flashcards
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Sample Questions
Q1) Alternative medical system
A)Vitamins
B)Massage
C)Reiki
D)Hypnosis
E)Homeopathy
Q2) A health care provider prescribes acetaminophen (Tylenol) gtt, 10 mg/kg/dose PO every 4 to 6 hours as needed for pain. The infant weighs 8 kg. The medication label states: "Acetaminophen 80 mg/0.8 mL." The nurse prepares to administer one dose. How many milliliters will the nurse prepare to administer one dose? Fill in the blank. Record your answer to one decimal place.
Q3) Which are components of the FLACC scale? (Select all that apply.)
A) Color
B) Capillary refill time
C) Leg position
D) Facial expression
E) Activity
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Chapter 6: Childhood Communicable and Infectious Diseases
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47 Verified Questions
47 Flashcards
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Sample Questions
Q1) Which serious reaction should the nurse be alert for when administering vaccines?
A) Fever
B) Skin irritation
C) Allergic reaction
D) Pain at injection site
Q2) The nurse is assessing a child suspected of having pinworms. Which is the most common symptom the nurse expects to assess?
A) Restlessness
B) Distractibility
C) Rectal discharge
D) Intense perianal itching
Q3) The nurse is administering the first hepatitis A vaccine to an 18-month-old child. When should the child return to the clinic for the second dose of hepatitis A vaccination?
A) After 2 months
B) After 3 months
C) After 4 months
D) After 6 months
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Page 8
Chapter 7: Health Promotion of the Newborn and Family
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40 Verified Questions
40 Flashcards
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Sample Questions
Q1) The nurse is teaching a class on breastfeeding to expectant parents. Which is a contraindication for breastfeeding?
A) Mastitis
B) Twin births
C) Inverted nipples
D) Maternal cancer therapy
Q2) The nurse is completing a physical and gestational age assessment on an infant who is 12 hours old. Which components are included in the gestational age assessment? (Select all that apply.)
A) Arm recoil
B) Popliteal angle
C) Motor performance
D) Primitive reflexes
E) Square window
F) Scarf sign
Q3) Which is most important in the immediate care of the newborn?
A) Maintain a patent airway.
B) Administer prophylactic eye care.
C) Maintain a stable body temperature.
D) Establish identification of the mother and baby.
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Chapter 8: Health Problems of Newborns
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37 Verified Questions
37 Flashcards
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Sample Questions
Q1) The nurse is planning care for an infant receiving calcium gluconate for treatment of hypocalcemia. Which route of administration should be used?
A) Oral
B) Intramuscular
C) Intravenous
D) Intraosseous
Q2) An infant requires surgery for repair of a cleft lip. An important priority of the preoperative nursing care is which?
A) Initiating discharge teaching
B) Performing baseline physical and behavioral assessment
C) Observing for allergic reactions to preoperative antibiotics
D) Determining whether this defect exists in other family members
Q3) Which finding on a newborn assessment should the nurse recognize as suggestive of a clavicle fracture?
A) Positive scarf sign
B) Asymmetric Moro reflex
C) Swelling of fingers on affected side
D) Paralysis of affected extremity and muscles
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Chapter 9: The High-Risk Newborn and Family
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56 Verified Questions
56 Flashcards
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Sample Questions
Q1) The nurse is caring for a newborn who was born at 35 weeks of gestation and is considered a late preterm infant. What intervention should be included in the infant's care plan?
A) Feed the infant dextrose water as the first feeding after 12 hours.
B) Promote skin-to-skin care in the immediate postpartum period.
C) Avoid administration of the hepatitis B vaccine until after discharge.
D) Delay the newborn screening and hearing test until the infant is at 40 weeks' corrected age.
Q2) A preterm infant of 33 weeks of gestation is admitted to the neonatal intensive care unit. Approximately 2 hours after birth, the neonate begins having difficulty breathing, with grunting, tachypnea, and nasal flaring. What should the nurse recognize?
A) This is a normal finding.
B) Further evaluation is needed.
C) Improvement should occur within 24 hours.
D) This is not significant unless cyanosis is present.
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11
Chapter 10: Health Promotion of the Infant and Family
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49 Verified Questions
49 Flashcards
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Sample Questions
Q1) When the infant is suspended in a horizontal prone position and suddenly thrust downward, the hands and fingers extend forward as if to protect against falling.
A)Labyrinth righting
B)Body righting
C)Otolith righting
D)Landau
E)Parachute
Q2) The mother of a 6-month-old infant has returned to work and is expressing breast milk to be frozen. She asks for directions on how to safely thaw the breast milk in the microwave. What should the nurse recommend?
A) Heat only 10 oz or more.
B) Do not thaw or heat breast milk in a microwave oven.
C) Always leave the bottle top uncovered to allow heat to escape.
D) Shake the bottle vigorously for at least 30 seconds after heating.
Q3) At which age can most infants sit steadily unsupported?
A) 4 months
B) 6 months
C) 8 months
D) 12 months
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Page 12
Chapter 11: Health Problems of the Infant
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50 Verified Questions
50 Flashcards
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Sample Questions
Q1) What may a clinical manifestations of failure to thrive (FTT) in a 13-month-old include?
A) Irregularity in activities of daily living
B) Preferring solid food to milk or formula
C) Weight that is at or below the 10th percentile
D) Appropriate achievement of developmental landmarks
Q2) Which one of the following strategies might be recommended for an infant with failure to thrive (FTT) to increase caloric intake?
A) Vary the schedule for routine activities on a daily basis.
B) Be persistent through 10 to 15 minutes of food refusal.
C) Avoid solids until after the bottle is well accepted.
D) Use developmental stimulation by a specialist during feedings.
Q3) A new parent relates to the nurse that the family has many known food allergies. Which is considered a primary strategy for feeding the infant with many family food allergies?
A) Using soy formula for feeding
B) Maternal avoidance of cow's milk protein
C) Exclusive breastfeeding for 4 to 6 months
D) Delaying the introduction of highly allergenic foods past 6 months
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Page 13
Chapter 12: Health Promotion of the Toddler and Family
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49 Verified Questions
49 Flashcards
Source URL: https://quizplus.com/quiz/4172
Sample Questions
Q1) What child behavior indicates to the nurse that temper tantrums have become a problem? (Select all that apply.)
A) The child is 2 to 3 years old
B) Tantrums occur at bedtime
C) Tantrums occur past 5 years of age
D) Tantrums last longer than 15 minutes
E) Tantrums occur more than five times a day
Q2) A toddler, age 16 months, falls down a few stairs. He gets up and "scolds" the stairs as if they caused him to fall. What is this an example of?
A) Animism
B) Ritualism
C) Irreversibility
D) Delayed cognitive development
Q3) Parents ask the nurse for strategies to help their toddler adjust to a new baby. What should the nurse suggest?
A) Start talking about the baby very early in the pregnancy.
B) Move the toddler to a new bed after the baby comes home.
C) Tell the toddler that a new playmate will be coming home soon.
D) Alert visitors to the new baby to include the toddler in the visit.
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Page 14
Chapter 13: Health Promotion of the Preschooler and Family
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39 Verified Questions
39 Flashcards
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Sample Questions
Q1) A child age 4 1/2 years sometimes wakes her parents up at night screaming, thrashing, sweating, and apparently frightened, yet she is not aware of her parents' presence when they check on her. She lies down and sleeps without any parental intervention. This is most likely what?
A) Nightmare
B) Sleep terror
C) Sleep apnea
D) Seizure activity
Q2) What dysfunctional speech pattern is a normal characteristic of the language development of a preschool child?
A) Lisp
B) Echolalia
C) Stammering
D) Repetition without meaning
Q3) Which type of play is most typical of the preschool period?
A) Team
B) Parallel
C) Solitary
D) Associative
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Page 15
Chapter 14: Health Problems of Early Childhood
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/4174
Sample Questions
Q1) A 3-month-old infant dies shortly after arrival to the emergency department. The infant has subdural and retinal hemorrhages but no external signs of trauma. What should the nurse suspect?
A) Unintentional injury
B) Shaken baby syndrome
C) Congenital neurologic problem
D) Sudden infant death syndrome (SIDS)
Q2) What is a clinical manifestation of acetaminophen poisoning?
A) Hyperpyrexia
B) Hepatic involvement
C) Severe burning pain in stomach
D) Drooling and inability to clear secretions
Q3) A health care provider prescribes naloxone (Narcan), 0.01 mg/kg IV times one, stat, for an opioid overdose. The child weighs 16 kg. The medication label states: "Naloxone (Narcan), 0.4 mg/1 ml." The nurse prepares to administer the dose. How many milliliters will the nurse prepare to administer one dose? Fill in the blank. Record your answer to one decimal place.
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16
Chapter 15: Health Promotion of the School-Age Child and Family
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42 Verified Questions
42 Flashcards
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Sample Questions
Q1) What is an important consideration for the school nurse who is planning a class on bicycle safety?
A) Most bicycle injuries involve collision with an automobile.
B) Head injuries are the major causes of bicycle-related fatalities.
C) Children should wear a bicycle helmet if they ride on paved streets.
D) Children should not ride double unless the bicycle has an extra large seat.
Q2) The nurse is planning strategies to assist difficult or easily distracted children when they participate in activities. What strategies should the nurse plan? (Select all that apply.)
A) Role-play before the activity.
B) Handle behavior with firmness.
C) Acquaint them with what to expect.
D) Be patient with inappropriate behavior.
E) Don't give them much information about the activity.
Q3) What statement best describes fear in school-age children?
A) Increasing concerns about bodily safety overwhelm them.
B) They should be encouraged to hide their fears to prevent ridicule by peers.
C) Most of the new fears that trouble them are related to school and family.
D) Children with numerous fears need continuous protective behavior by parents to eliminate these fears.
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Chapter 16: Health Problems of the School-Age Child
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48 Verified Questions
48 Flashcards
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Sample Questions
Q1) A parent calls the clinic nurse because his 7-year-old child was bitten by a black widow spider. What action should the nurse advise the parent to take?
A) Apply warm compresses.
B) Carefully scrape off the stinger.
C) Take the child to the emergency department.
D) Apply a thin layer of corticosteroid cream.
Q2) What is an important consideration in the diagnosis of attention deficit hyperactivity disorder (ADHD)?
A) Learning disabilities are apparent at an early age.
B) The child will always be distracted by external stimuli.
C) Parental observations of the child's behavior are most relevant.
D) It must be determined whether the child's behavior is age appropriate or problematic.
Q3) Removal of the superficial layers of skin by rubbing or scraping
A)Abrasion
B)Avulsion
C)Laceration
D)Incision
E)Puncture
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18
Chapter 17: Health Promotion of the Adolescent and Family
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34 Verified Questions
34 Flashcards
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Sample Questions
Q1) The school nurse recognizes that adolescents should get how many hours of sleep each night?
A) 6 hours
B) 7 hours
C) 8 hours
D) 9 hours
Q2) In girls, what is the initial indication of puberty?
A) Menarche
B) Growth spurt
C) Breast development
D) Growth of pubic hair
Q3) According to Erikson, the psychosocial task of adolescence is developing what?
A) Identity
B) Intimacy
C) Initiative
D) Independence
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Page 19
Chapter 18: Health Problems of the Adolescent
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60 Verified Questions
60 Flashcards
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Sample Questions
Q1) What statement is true about gonorrhea?
A) It is caused by Treponema pallidum.
B) Treatment of all sexual contacts is essential.
C) Topical application of medication to the lesions is necessary.
D) Therapeutic management includes multidose administration of penicillin.
Q2) What statement regarding chlamydial infections is correct?
A) The treatment of choice is oral penicillin.
B) The treatment of choice is nystatin or miconazole.
C) Both men and women may have asymptomatic infections.
D) Clinical manifestations include small, painful vesicles on the genital areas.
Q3) What best describes central nervous system (CNS) stimulants?
A) Acute intoxication can lead to coma.
B) They produce strong physical dependence.
C) Withdrawal symptoms are life threatening.
D) They can result in strong psychologic dependence.
Q4) What statement is true about smoking in college students?
A) The rate of smoking cigarettes is declining.
B) Smokeless tobacco use is rising dramatically.
C) Regular cigar use is becoming more common.
D) Students in the health professions do not smoke.
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Chapter 19: Family-Centered Care of the Child with Chronic Illness or Disability
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48 Verified Questions
48 Flashcards
Source URL: https://quizplus.com/quiz/4179
Sample Questions
Q1) What is the major health concern of children in the United States?
A) Acute illness
B) Chronic illness
C) Congenital disabilities
D) Nervous system disorders
Q2) A 5-year-old child will be starting kindergarten next month. She has cerebral palsy, and it has been determined that she needs to be in a special education classroom. Her parents are tearful when telling the nurse about this and state that they did not realize her disability was so severe. What is the best interpretation of this situation?
A) This is a sign the parents are in denial.
B) This is a normal anticipated time of parental stress.
C) The parents need to learn more about cerebral palsy.
D) The parents' expectations are too high.
Q3) What nursing intervention is especially helpful in assessing feelings of parental guilt when a disability or chronic illness is diagnosed?
A) Ask the parents if they feel guilty.
B) Observe for signs of overprotectiveness.
C) Talk about guilt only after the parents mention it.
D) Discuss the meaning of the parents' religious and cultural background.
Page 21
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Chapter 20: Family-Centered Palliative Care
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38 Verified Questions
38 Flashcards
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Sample Questions
Q1) What factor is most important for parents implementing do not resuscitate (DNR) orders?
A) Parents' beliefs about euthanasia
B) Presence of other children in the home
C) Experiences of the health care team with other children in this situation
D) Acknowledgment by health care team that child has no realistic chance for cure
Q2) What statement is most descriptive of a school-age child's reaction to death?
A) Very interested in funerals and burials
B) Little understanding of words such as "forever"
C) Imagine the deceased person to be still alive
D) Can explain death from a religious or spiritual point of view
Q3) What are common respiratory symptoms dying children experience? (Select all that apply.)
A) Cough
B) Eupnea
C) Wheezing
D) Shortness of breath
E) Decrease in secretions
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Chapter 21: The Child with Cognitive, Sensory, or Communication Impairment
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48 Verified Questions
48 Flashcards
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Sample Questions
Q1) What condition is defined as reduced visual acuity in one eye despite appropriate optical correction?
A) Myopia
B) Hyperopia
C) Amblyopia
D) Astigmatism
Q2) The nurse is teaching parents of a child with cataracts about the upcoming treatment. The nurse should give the parents what information about the treatment of cataracts?
A) "The treatment may require more than one surgery."
B) "It is corrected with biconcave lenses that focus rays on the retina."
C) "Cataracts require surgery to remove the cloudy lens and replace it."
D) "Treatment is with a corrective lenses; no surgery is necessary."
Q3) The mother of a young child with cognitive impairment asks for suggestions about how to teach her child to use a spoon for eating. The nurse should make which recommendation?
A) Do a task analysis first.
B) Do not expect this task to be learned.
C) Continue to spoon feed the child until the child tries to do it alone.
Page 23
D) Offer only finger foods so spoon feeding is unnecessary.
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Chapter 22: Family-Centered Care of the Child During
Illness and Hospitalization
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43 Verified Questions
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Sample Questions
Q1) The nurse is admitting a 7-year-old child to the pediatric unit for abdominal pain. To determine what the child understands about the reason for hospitalization, what should the nurse do?
A) Find out what the parents have told the child.
B) Review the note from the admitting practitioner.
C) Ask the child why he came to the hospital today.
D) Question the parents about why they brought the child to the hospital.
Q2) The nurse is assessing a family's use of complementary medicine practices. What practices are classified as mind-body control therapies? (Select all that apply.)
A) Relaxation
B) Acupuncture
C) Prayer therapy
D) Guided imagery
E) Herbal medicine
Q3) What choice of words or phrases would be inappropriate to use with a child?
A) "Rolling bed" for "stretcher"
B) "Special medicine" for "dye"
C) "Make sleepy" for "deaden"
D) "Catheter" for "intravenous"
Page 24
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Chapter 23: Pediatric Nursing Interventions and Skills
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53 Verified Questions
53 Flashcards
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Sample Questions
Q1) When teaching a mother how to administer eye drops, where should the nurse tell her to place them?
A) At the lacrimal duct
B) On the sclera while the child looks to the outside
C) In the conjunctival sac when the lower eyelid is pulled down
D) Carefully under the eyelid while it is gently pulled upward
Q2) A 16-year-old girl comes to the pediatric clinic for information on birth control. The nurse knows that before this young woman can be examined, consent must be obtained from which source?
A) Herself
B) Her mother
C) Court order
D) Legal guardian
Q3) A preschool child needs a dressing change. To prepare the child, what strategy should the nurse implement?
A) Explain the procedure using medical terminology.
B) Plan a 30-minute teaching session.
C) Give choices when possible but avoid delay.
D) Allow time after the procedure for questions and discussion.
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Page 25
Chapter 24: The Child with Fluid and Electrolyte Imbalance
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65 Verified Questions
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Sample Questions
Q1) What clinical manifestation(s) should the nurse expect to see as shock progresses in a child and becomes decompensated shock?
A) Thirst
B) Irritability
C) Apprehension
D) Confusion and somnolence
Q2) What laboratory finding should the nurse expect in a child with an excess of water?
A) Decreased hematocrit
B) High serum osmolality
C) High urine specific gravity
D) Increased blood urea nitrogen
Q3) What condition is often associated with severe diarrhea?
A) Metabolic acidosis
B) Metabolic alkalosis
C) Respiratory acidosis
D) Respiratory alkalosis
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26
Chapter 25: The Child with Renal Dysfunction
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67 Verified Questions
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Sample Questions
Q1) What are signs and symptoms of a possible kidney transplant rejection in a child? (Select all that apply.)
A) Fever
B) Hypotension
C) Diminished urinary output
D) Decreased serum creatinine
E) Swelling and tenderness of graft area
Q2) What signs and symptoms are indicative of a urinary tract disorder in the childhood period (2 to 14 years)? (Select all that apply.)
A) Fatigue
B) Dehydration
C) Hypotension
D) Growth failure
E) Blood in the urine
Q3) Calculate the 24-hour maintenance fluid requirement for a child weighing 25 kg. Fill in the blank with ml/day. Record your answer in a whole number.
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Chapter 26: The Child with Gastrointestinal Dysfunction
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72 Verified Questions
72 Flashcards
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Sample Questions
Q1) One of the major differences in clinical presentation between Crohn disease (CD) and ulcerative colitis (UC) is that UC is more likely to cause which clinical manifestation?
A) Pain
B) Rectal bleeding
C) Perianal lesions
D) Growth retardation
Q2) The nurse is preparing to care for a newborn with an omphalocele. The nurse should understand that care of the infant should include what intervention?
A) Initiating breast- or bottle-feedings to stabilize the blood glucose level
B) Maintaining pain management with an intravenous opioid
C) Covering the intact bowel with a nonadherent dressing to prevent injury
D) Performing immediate surgery
Q3) An infant is born with a gastroschisis. Care preoperatively should include which priority intervention?
A) Prone position
B) Sterile water feedings
C) Monitoring serum laboratory electrolytes
D) Covering the defect with a sterile bowel bag
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Chapter 27: Overview of Oxygen and Carbon Dioxide Exchange
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45 Verified Questions
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Sample Questions
Q1) The nurse must suction a 6-month-old infant with a tracheostomy. What intervention should be included?
A) Encourage the child to cough to raise the secretions before suctioning.
B) Perform each pass of the suction catheter for no longer than 5 seconds.
C) Allow the child to rest after every five times the suction catheter is passed.
D) Select a catheter with a diameter three quarters of the diameter of the tracheostomy tube.
Q2) A child is in uncompensated respiratory alkalosis. What should the nurse expect the arterial blood gas to be?
A) CO<sub>2</sub>, 30; pH, 7.50
B) CO<sub>2</sub>, 55; pH, 7.30
C) CO<sub>2</sub>, 35; pH, 7.28
D) CO<sub>2</sub>, 54; pH, 7.35
Q3) Arterial blood gases have just been drawn on a child. What should the nurse do next?
A) Take the sample to the laboratory immediately.
B) Pack the sample in ice and take it to the laboratory immediately.
C) Place the sample in a brown bag until it can be taken to laboratory.
D) Refrigerate the sample until it can be taken to the laboratory.
Page 29
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Chapter 28: The Child with Respiratory Dysfunction
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Q1) What statement is the most descriptive of asthma?
A) It is inherited.
B) There is heightened airway reactivity.
C) There is decreased resistance in the airway.
D) The single cause of asthma is an allergic hypersensitivity.
Q2) The mother of a 20-month-old boy tells the nurse that he has a barking cough at night. His temperature is 37° C (98.6° F). The nurse suspects mild croup and should recommend which intervention?
A) Admit to the hospital and observe for impending epiglottitis.
B) Provide fluids that the child likes and use comfort measures.
C) Control fever with acetaminophen and call if cough gets worse tonight.
D) Try over-the-counter cough medicine and come to the clinic tomorrow if no improvement.
Q3) The nurse is giving discharge instructions to the parents of a 5-year-old child who had a tonsillectomy 4 hours ago. What statement by the parent indicates a correct understanding of the teaching?
A) "I can use an ice collar on my child for pain control along with analgesics."
B) "My child should clear the throat frequently to clear the secretions."
C) "I should allow my child to be as active as tolerated."
D) "My child should gargle and brush teeth at least three times per day."
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Chapter 29: The Child with Cardiovascular Dysfunction
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Q1) What sign/symptom is a major clinical manifestation of rheumatic fever (RF)?
A) Fever
B) Polyarthritis
C) Osler nodes
D) Janeway spots
Q2) Represents atrial depolarization
A)P wave
B)QRS complex
C)T wave
D)Q-T interval
E)ST segment
Q3) The nurse is teaching an adolescent with elevated triglycerides foods that should be decreased. What foods should the nurse include in the teaching? (Select all that apply.)
A) Avocados
B) Canola oil
C) White flour
D) White rice
E) Sugary cereals
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Chapter 30: The Child with Hematologic or Immunologic Dysfunction
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Q1) What information should the nurse include when teaching the mother of a 9-month-old infant about administering liquid iron preparations?
A) Give with meals.
B) Stop immediately if nausea and vomiting occur.
C) Adequate dosage will turn the stools a tarry green color.
D) Allow preparation to mix with saliva and bathe the teeth before swallowing.
Q2) A health care provider prescribes OxyContin (Oxycodone), 7.5 mg PO every 4 to 6 hours as needed for pain for a child with sickle cell disease. The medication label states: "OxyContin 5 mg/1 ml." The nurse prepares to administer one dose. How many milliliters will the nurse prepare to administer one dose? Fill in the blank. Record your answer using one decimal place.
Q3) The nurse is planning care for an adolescent with acquired immunodeficiency syndrome. What is the priority nursing goal?
A) Prevent infection.
B) Prevent secondary cancers.
C) Identify source of infection.
D) Restore immunologic defenses.
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Chapter 31: The Child with Cancer
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Q1) The nurse is administering an intravenous chemotherapeutic agent to a child with leukemia. The child suddenly begins to wheeze and have severe urticaria. What nursing action is most appropriate to initiate?
A) Recheck the rate of drug infusion.
B) Stop the drug infusion immediately.
C) Observe the child closely for next 10 minutes.
D) Explain to the child that this is an expected side effect.
Q2) Essential postoperative nursing management of a child after removal of a brain tumor includes which nursing care?
A) Turning and positioning every 2 hours
B) Measuring all fluid intake and output
C) Changing the dressing when it becomes soiled
D) Using maximum lighting to ensure accurate observations
Q3) Postoperative positioning for a child who has had a medulloblastoma brain tumor (infratentorial) removed should be which?
A) Trendelenburg
B) Head of bed elevated above heart level
C) Flat on operative side with pillows behind the head
D) Flat, on either side with pillows behind the back
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Page 33
Chapter 32: The Child with Cerebral Dysfunction
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Q1) A child has a seizure disorder. What test should be done to gather the most specific information about the type of seizure the child is having?
A) Sleep study
B) Skull radiography
C) Serum electrolytes
D) Electroencephalogram (EEG)
Q2) An injury to which part of the brain will cause a coma?
A) Brainstem
B) Cerebrum
C) Cerebellum
D) Occipital lobe
Q3) A 5-year-old girl sustained a concussion when she fell out of a tree. In preparation for discharge, the nurse is discussing home care with her mother. What sign or symptom is considered a manifestation of postconcussion syndrome and does not necessitate medical attention?
A) Vomiting
B) Blurred vision
C) Behavioral changes
D) Temporary loss of consciousness
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Chapter 33: The Child with Endocrine Dysfunction
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Q1) Glucocorticoids, mineralocorticoids, and sex steroids are secreted by which gland?
A) Thyroid gland
B) Adrenal cortex
C) Anterior pituitary
D) Parathyroid glands
Q2) What is a common clinical manifestation of juvenile hypothyroidism?
A) Insomnia
B) Diarrhea
C) Dry skin
D) Rapid growth
Q3) The nurse is taking care of a child who had a thyroidectomy. The nurse recognizes what as a positive Chvostek sign?
A) Paresthesia occurring in feet and toes
B) Frequent sharp flexion of wrist and ankle joints
C) Carpal spasm elicited by pressure applied to the nerves of the upper arm
D) Facial muscle spasm elicited by tapping the facial nerve in the region of the parotid gland
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35
Chapter 34: The Child with Musculoskeletal or Articular Dysfunction
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Q1) The health care provider has prescribed hydroxychloroquine (Plaquenil) 5 mg/kg/day PO divided bid for a child with systemic lupus erythematosus. The child weighs 66 lb. The nurse is preparing to administer the 0900 dose. Calculate the dose the nurse should administer in milligrams. Record your answer below in a whole number.
Q2) The health care provider has prescribed cyclosporin (Sandimmune) 5 mg/kg/day PO divided twice daily for a child with juvenile arthritis. The child weighs 110 lb. The nurse is preparing to administer the 0900 dose. Calculate the dose the nurse should administer in milligrams. Record your answer in a whole number.
Q3) The nurse is teaching the girls' varsity sports teams about the "female athlete triad." What is essential information to include?
A) They should take low to moderate calcium to avoid hypercalcemia.
B) They have strong bones because of the athletic training.
C) Pregnancy can occur in the absence of menstruation.
D) A diet high in carbohydrates accommodates increased training.
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Chapter 35: The Child with Neuromuscular or Muscular Dysfunction
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Q1) The health care provider has prescribed gabapentin (Neurontin) 30 mg/kg/day divided q 8 hours for a child with cerebral palsy having seizures. The child weighs 110 lb. The nurse is preparing to administer the 1200 dose. Calculate the dose the nurse should administer in milligrams. Record your answer below in a whole number.
Q2) The nurse is preparing to admit a 2-year-old child with spina bifida occulta. What clinical manifestations of spina bifida occulta should the nurse expect to observe?
(Select all that apply.)
A) Dark tufts of hair
B) Skin depression or dimple
C) Port-wine angiomatous nevi
D) Soft, subcutaneous lipomas
E) Bladder and sphincter paralysis
Q3) What is the rationale for orthopedic surgery for a child with cerebral palsy?
A) To cure spasticity
B) To improve function
C) For cosmetic purposes
D) To prevent the need of physical therapy
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