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Nursing Care of Children Chapter Exam Questions - 1126 Verified Questions

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Nursing Care of Children

Chapter Exam Questions

Course Introduction

Nursing Care of Children is a comprehensive course that focuses on the provision of holistic, family-centered care to pediatric patients from infancy through adolescence. Students explore the physical, emotional, developmental, and social needs of children in both acute and community health settings. The course emphasizes health promotion, disease prevention, and therapeutic communication, as well as the management of common and complex pediatric conditions. Clinical decision-making, advocacy, and ethical considerations are integrated, preparing students to support children and their families while collaborating with interdisciplinary healthcare teams.

Recommended Textbook

Wongs Essentials of Pediatric Nursing 10th Edition by Hockenberry

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30 Chapters

1126 Verified Questions

1126 Flashcards

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Page 2

Chapter 1: Perspectives of Pediatric Nursing

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26 Verified Questions

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Sample Questions

Q1) Which factor most impacts the type of injury a child is susceptible to, according to the child's age?

A) Physical health of the child

B) Developmental level of the child

C) Educational level of the child

D) Number of responsible adults in the home

Answer: B

Q2) Which is the major cause of death for children older than 1 year?

A) Cancer

B) Heart disease

C) Unintentional injuries

D) Congenital anomalies

Answer: C

Q3) Which is the leading cause of death in infants younger than 1 year?

A) Congenital anomalies

B) Sudden infant death syndrome

C) Respiratory distress syndrome

D) Bacterial sepsis of the newborn

Answer: A

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Page 3

Chapter 2: Family, Social, Cultural, and Religious Influences on Child Health Promotion

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Sample Questions

Q1) 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) When assessing a family, the nurse determines that the parents exert little or no control over their children. What is this style of parenting called?

A) Permissive

B) Dictatorial

C) Democratic

D) Authoritarian

Answer: A

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4

Chapter 3: Developmental and Genetic Influences on Child

Health Promotion

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37 Verified Questions

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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

Answer: D

Q2) The nurse is recording a normal interpretation of a Denver II assessment. The nurse understands that the maximum number of cautions determined for a normal interpretation is _____. (Record your answer in a whole number.)

Answer: 1

Interpretation of normal for a Denver II is no delays and a maximum of one caution.

Q3) By what age does birth length usually double?

A) 1 year

B) 2 years

C) 4 years

D) 6 years

Answer: C

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Chapter 4: Communication and Physical Assessment of the Child and Family

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Sample Questions

Q1) A nurse is preparing to assess a 3-year-old child. What communication technique should the nurse use for this child?

A) Focus communication on child.

B) Explain experiences of others to child.

C) Use easy analogies when possible.

D) Assure child that communication is private.

Q2) Which is the most appropriate vision acuity test for a child who is in preschool?

A) Cover test

B) Ishihara test

C) HOTV chart

D) Snellen letter chart

Q3) The nurse has a 2-year-old boy sit in "tailor" position during palpation for the testes. What is the rationale for this position?

A) It prevents cremasteric reflex.

B) Undescended testes can be palpated.

C) This tests the child for an inguinal hernia.

D) The child does not yet have a need for privacy.

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Page 6

Chapter 5: Pain Assessment and Management in Children

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Sample Questions

Q1) Which dietary recommendations should a nurse make to an adolescent patient to manage constipation related to opioid analgesic administration? (Select all that apply.)

A) Bran cereal

B) Decrease fluid intake

C) Prune juice

D) Cheese

E) Vegetables

Q2) The nurse is caring for a child receiving intravenous (IV) morphine for severe postoperative pain. The nurse observes a slower respiratory rate, and the child cannot be aroused. What is the priority nursing action?

A) Administer naloxone (Narcan)

B) Discontinue IV infusion

C) Discontinue morphine until child is fully awake

D) Stimulate child by calling name, shaking gently, and asking to breathe deeply

Q3) Physiologic measurements in children's pain assessment are:

A) the best indicator of pain in children of all ages.

B) essential to determine whether a child is telling the truth about pain.

C) of most value when children also report having pain.

D) of limited value as sole indicator of pain.

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Page 7

Chapter 6: Childhood Communicable and Infectious Diseases

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Sample Questions

Q1) The single parent of a 3-year-old child who has just been diagnosed with chickenpox tells the nurse that she cannot afford to stay home with the child and miss work. The parent asks the nurse if some medication will shorten the course of the illness. Which is the most appropriate nursing intervention?

A) Reassure the parent that it is not necessary to stay home with the child.

B) Explain that no medication will shorten the course of the illness.

C) Explain the advantages of the medication acyclovir (Zovirax) to treat chickenpox.

D) Explain the advantages of the medication VCZ immune globulin (VariZIG) to treat chickenpox.

Q2) The school nurse is conducting a class for school-age children on Lyme disease. Which is characteristic of Lyme disease?

A) Difficult to prevent

B) Treated with oral antibiotics in stages 1, 2, and 3

C) Caused by a spirochete that enters the skin through a tick bite

D) Common in geographic areas where the soil contains the mycotic spores that cause the disease

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Page 8

Chapter 7: Health Promotion of the Newborn and Family

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Sample Questions

Q1) Recommendations for hepatitis B (HBV) vaccine include which statement?

A) First dose is given between birth and age 2 days.

B) First dose is given between ages 12 and 15 months.

C) It is not recommended for neonates who are at low risk for hepatitis B.

D) It is not recommended for neonates whose mothers are positive for HBV surface antigen.

Q2) Which characteristic is representative of the newborn's gastrointestinal tract?

A) Stomach capacity is approximately 90 ml.

B) Peristaltic waves are relatively slow.

C) Overproduction of pancreatic amylase occurs.

D) Intestines are shorter in relation to body size.

Q3) Which is the name of the suture separating the parietal bones at the top center of a newborn's head?

A) Frontal

B) Coronal

C) Sagittal

D) Occipital

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9

Chapter 8: Health Problems of Newborns

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Sample Questions

Q1) The nurse is caring for a newborn whose mother is diabetic. Which clinical manifestations should the nurse expect to see?

A) Hypoglycemic, large for gestational age

B) Hyperglycemic, large for gestational age

C) Hypoglycemic, small for gestational age

D) Hyperglycemic, small for gestational age

Q2) Which is the most appropriate nursing intervention for the newborn who is jittery and twitching and has a high-pitched cry?

A) Monitor blood pressure closely.

B) Obtain urine sample to detect glycosuria.

C) Obtain serum glucose and serum calcium levels.

D) Administer oral glucose or, if newborn refuses to suck, IV dextrose.

Q3) What causes meconium aspiration syndrome?

A) Hypoglycemia

B) Carbon dioxide retention

C) Bowel obstruction with meconium

D) Aspiration of meconium in utero or at birth

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Chapter 9: Health Promotion of the Infant and Family

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Sample Questions

Q1) At what age should the nurse expect an infant to begin smiling in response to pleasurable stimuli?

A) 1 month

B) 2 months

C) 3 months

D) 4 months

Q2) The parent of a 2-week-old infant, exclusively breastfed, asks the nurse if fluoride supplements are needed. What is the nurse's best response?

A) "She needs to begin taking them now."

B) "They are not needed if you drink fluoridated water."

C) "She may need to begin taking them at age 4 months."

D) "She can have infant cereal mixed with fluoridated water instead of supplements."

Q3) Which is an appropriate play activity for a 7-month-old infant to encourage visual stimulation?

A) Playing peek-a-boo

B) Playing pat-a-cake

C) Imitating animal sounds

D) Showing how to clap hands

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Chapter 10: Health Problems of Infants

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Sample Questions

Q1) The nurse is helping parents achieve a more nutritionally adequate vegetarian diet for their child. Which is most likely lacking in their particular diet?

A) Fat

B) Protein

C) Vitamins C and A

D) Complete protein

Q2) Which describes marasmus?

A) Deficiency of protein with an adequate supply of calories

B) Not confined to geographic areas where food supplies are inadequate

C) Syndrome that results solely from vitamin deficiencies

D) Characterized by thin, wasted extremities and a prominent abdomen resulting from edema (ascites)

Q3) Parents report that they have been giving a multivitamin to their 1-year-old infant. The nurse counsels the parents that which vitamin can cause a toxic reaction at a low dose?

A) Niacin

B) B<sub>6</sub>

C) D

D) C

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Page 12

Chapter 11: Health Promotion of the Toddler and Family

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36 Verified Questions

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Sample Questions

Q1) Which is an appropriate recommendation for preventing tooth decay in young children?

A) Substitute raisins for candy.

B) Substitute sugarless gum for regular gum.

C) Use honey or molasses instead of refined sugar.

D) When sweets are to be eaten, select a time not during meals.

Q2) A nurse places some x-ray contrast the toddler is to drink in a small cup instead of a large cup. Which concept of a toddler's preoperational thinking is the nurse using?

A) Inability to conserve

B) Magical thinking

C) Centration

D) Irreversibility

Q3) Steven, 16 months old, falls down a few stairs. He gets up and "scolds" the stairs as if they caused him to fall. This is an example of which of the following?

A) Animism

B) Ritualism

C) Irreversibility

D) Delayed cognitive development

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13

Chapter 12: Health Promotion of the Preschooler and Family

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Sample Questions

Q1) Which characteristic best describes the language of a 3-year-old child?

A) Asks meanings of words

B) Follows directional commands

C) Describes an object according to its composition

D) Talks incessantly regardless of whether anyone is listening

Q2) Parents tell the nurse that they found their 3-year-old daughter and a male cousin of the same age inspecting each other closely as they used the bathroom. Which is the most appropriate recommendation the nurse should make?

A) Punish children so this behavior stops.

B) Neither condone nor condemn the curiosity.

C) Allow children unrestricted permission to satisfy this curiosity.

D) Get counseling for this unusual and dangerous behavior.

Q3) Which is a useful skill that the nurse should expect a 5-year-old child to be able to master?

A) Tie shoelaces

B) Use knife to cut meat

C) Hammer a nail

D) Make change out of a quarter

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14

Chapter 13: Health Problems of Toddlers and Preschoolers

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Sample Questions

Q1) A young child has just arrived at the emergency department after ingestion of aspirin at home. The practitioner has ordered activated charcoal. The nurse administers charcoal in which way?

A) Administer through a nasogastric tube because the child will not drink it because of the taste.

B) Serve in a clear plastic cup so the child can see how much has been drunk.

C) Give half of the solution, and then give the other half in 1 hour.

D) Serve in an opaque container with a straw.

Q2) What is the result of acute salicylate (ASA, aspirin) poisoning?

A) Chemical pneumonitis

B) Hepatic damage

C) Retractions and grunting

D) Disorientation and loss of consciousness

Q3) Which is a common characteristic of those who sexually abuse children?

A) Pressure victim into secrecy

B) Are usually unemployed and unmarried

C) Are unknown to victims and victims' families

D) Have many victims that are each abused once only

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15

Chapter 14: Health Promotion of the School-Age Child and Family

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Sample Questions

Q1) A group of boys ages 9 and 10 years have formed a "boys-only" club that is open to neighborhood and school friends who have skateboards. How should this be interpreted?

A) Behavior that encourages bullying and sexism

B) Behavior that reinforces poor peer relationships

C) Characteristic of social development at this age

D) Characteristic of children who later are at risk for membership in gangs

Q2) When teaching injury prevention during the school-age years, what should the nurse include?

A) Teach children to fear strangers.

B) Teach basic rules of water safety.

C) Avoid letting child cook in microwave ovens.

D) Caution child against engaging in competitive sports.

Q3) A school nurse observes school-age children playing at recess. Which is descriptive of the play the nurse expects to observe?

A) Individuality in play is better tolerated than at earlier ages.

B) Knowing the rules of a game gives an important sense of belonging.

C) They like to invent games, making up the rules as they go.

D) Team play helps children learn the universal importance of competition and winning.

Page 16

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Chapter 15: Health Promotion of the Adolescent and Family

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Sample Questions

Q1) A nurse is reviewing hormone changes that occur during adolescence. What is the hormone responsible for the growth of beard, mustache, and body hair in the male?

A) Estrogen

B) Pituitary

C) Androgen

D) Progesterone

Q2) What is the initial indication of puberty in girls?

A) Menarche

B) Growth spurt

C) Growth of pubic hair

D) Breast development

Q3) Parents are concerned about the number of hours their teenage daughter spends with peers. The nurse explains that peer relationships are important during adolescence for which reason?

A) Adolescents dislike their parents.

B) Adolescents no longer need parental control.

C) They provide adolescents with a feeling of belonging.

D) They promote a sense of individuality in adolescents.

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17

Chapter 16: Health Problems of School-Age Children and

Adolescents

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Sample Questions

Q1) Which is an important consideration when the nurse is discussing enuresis with the parents of a young child?

A) Enuresis is more common in girls than in boys.

B) Enuresis is neither inherited nor has a familial tendency.

C) Organic causes that may be related to enuresis should be considered first.

D) Psychogenic factors that cause enuresis persist into adulthood.

Q2) Parents have a concern that their child is depressed. The nurse relates that which characteristic best describes children with depression?

A) Increased range of affective response

B) Preoccupation with need to perform well in school

C) Change in appetite, resulting in weight loss or gain

D) Tendency to prefer play instead of schoolwork

Q3) Which is descriptive of central nervous system stimulants?

A) They produce strong physical dependence.

B) They can result in strong psychological dependence.

C) Withdrawal symptoms are life threatening.

D) Acute intoxication can lead to coma.

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Page 18

Chapter 17: Quality of Life for Children Living with Chronic and Complex Diseases

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Sample Questions

Q1) Parents are asking about an early intervention program for their child who has special needs. The nurse relates that this program is for which age of child?

A) Birth to 1 year of age

B) Birth to 3 years of age

C) Ages 1 to 4

D) Ages 4 and 5

Q2) Which nursing intervention should the nurse include to help the siblings of a child with special needs cope?

A) Explain to the siblings that embarrassment is unhealthy

B) Encourage the parents not to expect siblings to help them care for the child with special needs

C) Provide information to the siblings about the child's condition only as they request it

D) Suggest to the parents ways of showing gratitude to the siblings who help care for the child with special needs

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Chapter 18: Impact of Cognitive or Sensory Impairment on the Child

and Family

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Sample Questions

Q1) The school nurse is caring for a child with a penetrating eye injury. Emergency treatment includes which intervention?

A) Apply a regular eye patch.

B) Apply a Fox shield to affected eye and any type of patch to the other eye.

C) Apply ice until the physician is seen.

D) Irrigate eye copiously with a sterile saline solution.

Q2) The nurse should suspect a hearing impairment in an infant who demonstrates which behavior?

A) Absence of the Moro reflex

B) Absence of babbling by age 7 months

C) Lack of eye contact when being spoken to

D) Lack of gesturing to indicate wants after age 15 months

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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Chapter 19: Family-Centered Care of the Child During

Illness and Hospitalization

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Sample Questions

Q1) Matthew, age 18 months, has just been admitted with croup. His parent is tearful and tells the nurse, "This is all my fault. I should have taken him to the doctor sooner so he wouldn't have to be here." Which is appropriate in the care plan for this parent who is experiencing guilt?

A) Clarify misconception about the illness.

B) Explain to the parent that the illness is not serious.

C) Encourage the parent to maintain a sense of control.

D) Assess further why the parent has excessive guilt feelings.

Q2) Which is an important consideration for the nurse when changing dressings and applying topical medication to a child's abdomen and leg burns?

A) Apply topical medication with clean hands.

B) Wash hands and forearms before and after dressing change.

C) If dressings adhere to the wound, soak in hot water before removal.

D) Apply dressing so that movement is limited during the healing process.

Q3) Which is an effective strategy to reduce the stress of burn dressing procedures?

A) Give the child as many choices as possible.

B) Reassure the child that dressing changes are not painful.

C) Explain to the child why analgesics cannot be used.

D) Encourage the child to master stress with controlled passivity.

Page 21

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Chapter 20: Pediatric Variations of Nursing Interventions

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Sample Questions

Q1) Which should the nurse consider when having consent forms signed for surgery and procedures on children?

A) Only a parent or legal guardian can give consent.

B) The person giving consent must be at least 18 years old.

C) The risks and benefits of a procedure are part of the consent process.

D) A mental age of 7 years or older is required for a consent to be considered "informed."

Q2) The nurse wore gloves during a dressing change. What should the nurse do after the gloves are removed?

A) Wash hands thoroughly

B) Check the gloves for leaks

C) Rinse gloves in disinfectant solution

D) Apply new gloves before touching the next patient

Q3) Which is the preferred site for intramuscular injections in infants?

A) Deltoid

B) Dorsogluteal

C) Rectus femoris

D) Vastus lateralis

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22

Chapter 21: The Child with Respiratory Dysfunction

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Sample Questions

Q1) It is now recommended that children with asthma who are taking long-term inhaled steroids should be assessed frequently because which disease or assessment findings may develop?

A) Cough

B) Osteoporosis

C) Slowed growth

D) Cushing syndrome

Q2) A school-age child had an upper respiratory tract infection for several days and then began having a persistent dry, hacking cough that was worse at night. The cough has become productive in the past 24 hours. This is most suggestive of which diagnosis?

A) Bronchitis

B) Bronchiolitis

C) Viral-induced asthma

D) Acute spasmodic laryngitis

Q3) A nurse is interpreting the results of a child's peak expiratory flow rate. Which percentage, either at this number or less than this number, is considered to be a red zone? (Record your answer in a whole number.)

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23

Chapter 22: The Child with Gastrointestinal Dysfunction

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Sample Questions

Q1) What should be included in caring for the newborn with a cleft lip and palate before surgical repair?

A) Gastrostomy feedings

B) Keeping infant in near-horizontal position during feedings

C) Allowing little or no sucking

D) Providing satisfaction of sucking needs

Q2) A school-age child with diarrhea has been rehydrated. The nurse is discussing the child's diet with the family. Which statement by the parent would indicate a correct understanding of the teaching?

A) "I will keep my child on a clear liquid diet for the next 24 hours."

B) "I should encourage my child to drink carbonated drinks but avoid food for the next 24 hours."

C) "I will offer my child bananas, rice, applesauce, and toast for the next 48 hours."

D) "I should have my child eat a normal diet with easily digested foods for the next 48 hours."

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Chapter 23: The Child with Cardiovascular Dysfunction

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Sample Questions

Q1) The nurse is caring for a child with persistent hypoxia secondary to a cardiac defect. The nurse recognizes that a risk exists of cerebrovascular accidents (strokes). Which is an important objective to decrease this risk?

A) Minimize seizures

B) Prevent dehydration

C) Promote cardiac output

D) Reduce energy expenditure

Q2) The nurse is conducting discharge teaching about signs and symptoms of heart failure to parents of an infant with a repaired tetralogy of Fallot. Which signs and symptoms should the nurse include? (Select all that apply.)

A) Warm flushed extremities

B) Weight loss

C) Decreased urinary output

D) Sweating (inappropriate)

E) Fatigue

Q3) Which is the highest acceptable mg/dl level of 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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Chapter 24: The Child with Hematologic or Immunologic Dysfunction

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Sample Questions

Q1) A school-age child is admitted in vasoocclusive sickle cell crisis. What should be included in the child's care?

A) Correction of acidosis

B) Adequate hydration and pain management

C) Pain management and administration of heparin

D) Adequate oxygenation and replacement of factor VIII

Q2) Which is caused by a virus that primarily infects a specific subset of T lymphocytes, the CD4? T cells?

A) Wiskott-Aldrich syndrome

B) Idiopathic thrombocytopenic purpura

C) Acquired immunodeficiency syndrome (AIDS)

D) Severe combined immunodeficiency disease

Q3) Iron dextran is ordered for a young child with severe iron-deficiency anemia. What nursing considerations should be included?

A) Administer with meals

B) Administer between meals

C) Inject deeply into a large muscle

D) Massage injection site for 5 minutes after administration of drug

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Chapter 25: The Child with Cancer

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Sample Questions

Q1) The home health nurse is caring for a child who requires complex care. The family expresses frustration related to obtaining accurate information about their child's illness and its management. Which is the best action for the nurse?

A) Determine why family is easily frustrated.

B) Refer family to child's primary care practitioner.

C) Clarify family's request, and provide information they want.

D) Answer only questions that family needs to know about.

Q2) The nurse is monitoring a 7-year-old child post surgical resection of an infratentorial brain tumor. Which vital sign findings indicate Cushing's triad?

A) Increased temperature, tachycardia, tachypnea

B) Decreased temperature, bradycardia, bradypnea

C) Bradycardia, hypertension, irregular respirations

D) Bradycardia, hypotension, tachypnea

Q3) When communicating with other professionals, it is important for home care nurses to:

A) ask others what they want to know.

B) share everything known about the family.

C) restrict communication to clinically relevant information.

D) recognize that confidentiality is not possible.

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Page 27

Chapter 26: The Child with Genitourinary Dysfunction

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Sample Questions

Q1) A 6-year-old child is scheduled for an IV urography (IVP) in the morning. Which preparatory interventions should the nurse plan to implement? (Select all that apply.)

A) Clear liquids in the morning before the procedure

B) Cathartic in the evening before the procedure

C) Soapsuds enema the morning of the procedure

D) Insertion of a Foley catheter before the procedure

E) Teaching with regard to insertion of an intravenous catheter before the procedure

Q2) One of the clinical manifestations of chronic renal failure is uremic frost. Which best describes this term?

A) Deposits of urea crystals in urine

B) Deposits of urea crystals on skin

C) Overexcretion of blood urea nitrogen

D) Inability of body to tolerate cold temperatures

Q3) 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 27: The Child with Cerebral Dysfunction

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Sample Questions

Q1) The nurse is caring for a child with severe head trauma after a car accident. Which is an ominous sign that often precedes death?

A) Papilledema

B) Delirium

C) Doll's head maneuver

D) Periodic and irregular breathing

Q2) A toddler fell out of a second-story window. She had a brief loss of consciousness and vomited four times. Since admission, she has been alert and oriented. Her mother asks why a computed tomography (CT) scan is required when she "seems fine." Which explanation should the nurse give?

A) Your child may have a brain injury and the CT can rule one out.

B) The CT needs to be done because of your child's age.

C) Your child may start to have seizures and a baseline CT should be done.

D) Your child probably has a skull fracture and the CT can confirm this diagnosis.

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Chapter 28: The Child with Endocrine Dysfunction

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Sample Questions

Q1) The parent of a child with diabetes mellitus asks the nurse when urine testing will be necessary. The nurse should explain that urine testing is necessary for which?

A) Glucose is needed before administration of insulin.

B) Glucose is needed four times a day.

C) Glycosylated hemoglobin is required.

D) Ketonuria is suspected.

Q2) A child with growth hormone (GH) deficiency is receiving GH therapy. When is the best time for the GH to be administered?

A) At bedtime

B) After meals

C) Before meals

D) On arising in the morning

Q3) The nurse is implementing care for a school-age child admitted to the pediatric intensive care in diabetic ketoacidosis (DKA). Which prescribed intervention should the nurse implement first?

A) Begin 0.9% saline solution intravenously as prescribed.

B) Administer regular insulin intravenously as prescribed.

C) Place child on a cardiac monitor.

D) Place child on a pulse oximetry monitor.

To view all questions and flashcards with answers, click on the resource link above.

Page 30

Chapter 29: The Child with Musculoskeletal or Articular Dysfunction

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Sample Questions

Q1) Which can result from the bone demineralization associated with immobility?

A) Osteoporosis

B) Urinary retention

C) Pooling of blood

D) Susceptibility to infection

Q2) A nurse is conducting discharge teaching for parents of an infant with osteogenesis imperfecta (OI). Further teaching is indicated if the parents make which statement?

A) "We will be very careful handling the baby."

B) "We will lift the baby by the buttocks when diapering."

C) "We're glad there is a cure for this disorder."

D) "We will schedule follow-up appointments as instructed."

Q3) The nurse is caring for a 12-year-old child with a left leg below-the-knee amputation (BKA). The child had the surgery 1 week ago. Which intervention should the nurse plan to implement for this child?

A) Elevate the left stump on a pillow.

B) Place an ice pack on the stump.

C) Encourage the child to use an overhead bed trapeze when repositioning.

D) Replace the ace wrap covering the stump with a gauze dressing.

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Chapter 30: The Child with Neuromuscular or Muscular Dysfunction

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Sample Questions

Q1) The parents of a child with cerebral palsy ask the nurse whether any drugs can decrease their child's spasticity. The nurse's response should be based on which statement?

A) Anticonvulsant medications are sometimes useful for controlling spasticity.

B) Medications that would be useful in reducing spasticity are too toxic for use with children.

C) Many different medications can be highly effective in controlling spasticity.

D) Implantation of a pump to deliver medication into the intrathecal space to decrease spasticity has recently become available.

Q2) The nurse is caring for an infant with myelomeningocele scheduled for surgical closure in the morning. Which intervention should the nurse plan for the care of the myelomeningocele sac?

A) Open to air

B) Covered with a sterile, moist, nonadherent dressing

C) Reinforcement of the original dressing if drainage noted

D) A diaper secured over the dressing

To view all questions and flashcards with answers, click on the resource link above.

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