Nursing Care of Children
Chapter Exam Questions
Course Introduction
Nursing Care of Children focuses on the principles and practices essential for providing holistic nursing care to infants, children, and adolescents. This course covers growth and development milestones, family-centered care, communication techniques, common pediatric illnesses, and health promotion strategies. Students will learn to assess, plan, implement, and evaluate nursing care based on the physical and psychological needs of children, while taking into account cultural, ethical, and legal considerations. Emphasis is placed on interdisciplinary collaboration, patient safety, and evidence-based practices to ensure optimal health outcomes for pediatric patients in diverse healthcare settings.
Recommended Textbook
Wongs Essentials of Pediatric Nursing 10th Edition by Hockenberry
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Chapter 1: Perspectives of Pediatric Nursing
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Sample Questions
Q1) A nurse is admitting a toddler to the hospital. The toddler is with both parents and is currently sitting comfortably on a parent's lap. The parents state they will need to leave for a brief period. Which type of nursing diagnosis should the nurse formulate for this child?
A) Risk for anxiety
B) Anxiety
C) Readiness for enhanced coping
D) Ineffective coping
Answer: A
Q2) Which is most suggestive that a nurse has a nontherapeutic relationship with a patient and family?
A) Staff is concerned about the nurse's actions with the patient and family.
B) Staff assignments allow the nurse to care for same patient and family over an extended time.
C) Nurse is able to withdraw emotionally when emotional overload occurs but still remains committed.
D) Nurse uses teaching skills to instruct patient and family rather than doing everything for them.
Answer: A
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3
Chapter 2: Family, Social, Cultural, and Religious Influences on Child Health Promotion
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Sample Questions
Q1) Which term best describes the emotional attitude that one's own ethnic group is superior to others?
A) Culture
B) Ethnicity
C) Superiority
D) Ethnocentrism
Answer: D
Q2) Dunst, Trivette, and Deal identified the qualities of strong families that help them function effectively. Which qualities are included? (Select all that apply.)
A) Ability to stay connected without spending time together
B) Clear set of family values, rules, and beliefs
C) Adoption of one coping strategy that always promotes positive functioning in dealing with life events
D) Sense of commitment toward growth of individual family members as opposed to that of the family unit
E) Ability to engage in problem-solving activities
F) Sense of balance between the use of internal and external family resources
Answer: B, E, F
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Chapter 3: Developmental and Genetic Influences on Child
Health Promotion
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Sample Questions
Q1) The nurse is observing parents playing with their 10-month-old child. Which should the nurse recognize as evidence that the child is developing object permanence?
A) Looks for the toy that parents hide under the blanket
B) Returns the blocks to the same spot on the table
C) Recognizes that a ball of clay is the same when flattened out
D) Bangs two cubes held in her hands
Answer: A
Q2) In which type of play are children engaged in similar or identical activity, without organization, division of labor, or mutual goal?
A) Solitary
B) Parallel
C) Associative
D) Cooperative
Answer: C
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Chapter 4: Communication and Physical Assessment of the Child and Family
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Sample Questions
Q1) What type of breath sound is normally heard over the entire surface of the lungs except for the upper intrascapular area and the area beneath the manubrium?
A) Vesicular
B) Bronchial
C) Adventitious
D) Bronchovesicular
Q2) The nurse is having difficulty communicating with a hospitalized 6-year-old child. What technique might be most helpful?
A) Suggest that the child keep a diary.
B) Suggest that the parent read fairy tales to the child.
C) Ask the parent if the child is always uncommunicative.
D) Ask the child to draw a picture.
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 6
Chapter 5: Pain Assessment and Management in Children
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Sample Questions
Q1) The nurse is caring for a 6-year-old girl who had surgery 12 hours ago. The child tells the nurse that she does not have pain, but a few minutes later she tells her parents that she does. Which should the nurse consider when interpreting this?
A) Truthful reporting of pain should occur by this age.
B) Inconsistency in pain reporting suggests that pain is not present.
C) Children use pain experiences to manipulate their parents.
D) Children may be experiencing pain even though they deny it to the nurse.
Q2) 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.
Q3) 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
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Page 7
Chapter 6: Childhood Communicable and Infectious Diseases
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Sample Questions
Q1) 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
Q2) Which bite causes Rocky Mountain spotted fever?
A) Flea
B) Tick
C) Mosquito
D) Mouse or rat
Q3) Airborne isolation is required for a child who is hospitalized with:
A) mumps.
B) chickenpox.
C) exanthema subitum (roseola).
D) erythema infectiosum (fifth disease).
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Chapter 7: Health Promotion of the Newborn and Family
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Sample Questions
Q1) The stump of the umbilical cord usually separates in how many days?
A) 3
B) 10 to 14
C) 16 to 20
D) 28
Q2) A nurse notes that a 12-hour-old newborn has not had the first meconium stool. The nurse documents this finding and continues to monitor the newborn because, in term newborns, the first meconium stool occurs within how many hours of birth?
A) 6 to 8
B) 8 to 12
C) 12 to 24
D) 24 to 48
Q3) Which is most important in the immediate care of the newborn?
A) Maintain patent airway.
B) Maintain stable body temperature.
C) Administer prophylactic eye care.
D) Establish identification of mother and baby.
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Chapter 8: Health Problems of Newborns
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Sample Questions
Q1) A preterm newborn of 36 weeks of gestation is admitted to the NICU. Approximately 2 hours after birth, the newborn begins having difficulty breathing, with grunting, tachypnea, and nasal flaring. Which is important for the nurse to recognize?
A) This is a normal finding.
B) This is not significant unless cyanosis is present.
C) Improvement should occur within 24 hours.
D) Further evaluation is needed.
Q2) A nurse is reviewing acid-base laboratory data on a newborn admitted to the NICU for meconium aspiration. Which laboratory values should the nurse report to the physician? (Select all that apply.)
A) pH: 7.35
B) PCO<sub>2</sub>: 49
C) HCO<sub>3</sub>-: 30
D) PaO<sub>2</sub>: 96
Q3) Which is the most common cause of anemia in preterm newborns?
A) Frequent blood sampling
B) Respiratory distress syndrome
C) Meconium aspiration syndrome
D) Persistent pulmonary hypertension
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Page 10
Chapter 9: Health Promotion of the Infant and Family
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Sample Questions
Q1) The parents of a 3-month-old infant report that their infant sleeps supine (face up) but is often prone (face down) while awake. What knowledge should the nurse's response should be based?
A) Unacceptable because of the risk of sudden infant death syndrome (SIDS)
B) Unacceptable because it does not encourage achievement of developmental milestones
C) Acceptable to encourage fine motor development
D) Acceptable to encourage head control and turning over
Q2) The clinic is lending a federally approved car seat to an infant's family. The nurse should explain that the safest place to put the car seat is:
A) front facing in back seat.
B) rear facing in back seat.
C) front facing in front seat with air bag on passenger side.
D) rear facing in front seat if an air bag is on the passenger side.
Q3) What is the best age for solid food to be introduced into the infant's diet?
A) 2 to 3 months
B) 4 to 6 months
C) When birth weight has tripled
D) When tooth eruption has started
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Page 11
Chapter 10: Health Problems of Infants
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Sample Questions
Q1) What should the nurse suggest to the parents of an infant who has a prolonged need for middle-of-the-night feedings?
A) Decrease daytime feedings.
B) Allow child to go to sleep with a bottle.
C) Offer last feeding as late as possible at night.
D) Put infant to bed after asleep from rocking.
Q2) To prevent plagiocephaly, the nurse should teach parents to:
A) place infant prone for 30 to 60 minutes per day.
B) buy a soft mattress.
C) allow infant to nap in the car safety seat.
D) have infant sleep with the parents.
Q3) A nurse is preparing to administer an oral iron supplement to a hospitalized infant. Which should not be given simultaneously with the iron supplement?
A) Milk
B) Multivitamin
C) Fruit juice
D) Meat, fish, poultry
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Chapter 11: Health Promotion of the Toddler and Family
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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) What is the most effective way to clean a toddler's teeth?
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 gross motor milestones should the nurse assess in an 18-month-old child? (Select all that apply.)
A) Jumps in place with both feet
B) Takes a few steps on tiptoe
C) Throws ball overhand without falling
D) Pulls and pushes toys
E) Stands on one foot momentarily
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Page 13
Chapter 12: Health Promotion of the Preschooler and Family
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Sample Questions
Q1) The recommendation for calcium for children 1 to 3 years of age is _____ milligrams. (Record your answer in a whole number.)
Q2) 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
Q3) 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
Q4) What should injury prevention efforts emphasize during the preschool period?
A) Constant vigilance and protection
B) Punishment for unsafe behaviors
C) Education for safety and potential hazards
D) Limitation of physical activities
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Chapter 13: Health Problems of Toddlers and Preschoolers
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Sample Questions
Q1) The home health nurse is planning care for a 3-year-old boy who has Down syndrome and is receiving continuous oxygen. He recently began walking around furniture. He is spoon-fed by his parents and eats some finger foods. Which is the most appropriate goal to promote normal development?
A) Encourage mobility.
B) Encourage assistance in self-care.
C) Promote oral-motor development.
D) Provide opportunities for socialization.
Q2) 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) Sudden infant death syndrome (SIDS)
D) Congenital neurologic problem
Q3) Which describes a child who is abused by the parent(s)?
A) Unintentionally contributes to the abusing situation
B) Belongs to a low socioeconomic population
C) Is healthier than the nonabused siblings
D) Abuses siblings in the same way as child is abused by the parent(s)
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Chapter 14: Health Promotion of the School-Age Child and Family
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Sample Questions
Q1) A nurse is planning care for a 7-year-old child hospitalized with osteomyelitis. Which activities should the nurse plan to bring from the playroom for the child? (Select all that apply.)
A) Paper and some paints
B) Board games
C) Jack-in-the-box
D) Stuffed animals
E) Computer games
Q2) Parents of a 12-year-old child ask the clinic nurse, "How many hours of sleep should our child get?" The nurse should respond that 12-year-old children need how many hours of sleep at night?
A) 8
B) 9
C) 10
D) 11
Q3) What is the earliest age at which puberty begins?
A) 9
B) 10
C) 11
D) 12
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Chapter 15: Health Promotion of the Adolescent and Family
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Sample Questions
Q1) The school nurse tells adolescents in the clinic that confidentiality and privacy will be maintained unless a life-threatening situation arises. How should this practice be interpreted?
A) Not appropriate in a school setting
B) Never appropriate because adolescents are minors
C) Important in establishing trusting relationships
D) Suggestive that the nurse is meeting his or her own needs
Q2) A nurse is caring for an adolescent hospitalized for cellulitis. The nurse notes that the adolescent experiences many "mood swings" throughout the day. How should the nurse interpret this behavior?
A) Requires a referral to a mental health counselor
B) Requires some further lab testing
C) It is normal behavior
D) Related to feelings of depression
Q3) 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
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Page 17
Chapter 16: Health Problems of School-Age Children and Adolescents
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Sample Questions
Q1) A sexually active female adolescent asks the nurse about the contraceptive Depo-Provera. What should the nurse explain regarding the contraceptive?
A) Requires injections every 3 months
B) Requires daily administration of medication by mouth
C) Provides long-term continuous protection, up to 5 years
D) Prevents pregnancy if given within 72 hours of unprotected sex
Q2) An adolescent girl asks the school nurse for advice because she has dysmenorrhea. She says that a friend recommended she try an over-the-counter nonsteroidal anti-inflammatory drug (NSAID). The nurse's response should be based on which statement?
A) Aspirin is the drug of choice for the treatment of dysmenorrhea.
B) Over-the-counter NSAIDs are rarely strong enough to provide adequate pain relief.
C) NSAIDs are effective because of their analgesic effect.
D) NSAIDs are effective because they inhibit prostaglandins, leading to reduction in uterine activity.
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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) 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
Q2) The nurse comes into the room of a child who was just diagnosed with a chronic disability. The child's parents begin to yell at the nurse about a variety of concerns. Which is the nurse's best response?
A) "What is really wrong?"
B) "Being angry is only natural."
C) "Yelling at me will not change things."
D) "I will come back when you settle down."
Q3) The nurse observes that a seriously ill child passively accepts all painful procedures. What should the nurse recognize this child is most likely experiencing?
A) A sense of hopefulness
B) A sense of chronic sorrow
C) A belief that procedures are a deserved punishment
D) A belief that procedures are an important part of care
Page 19
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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 nurse is discussing sexuality with the parents of an adolescent girl with moderate cognitive impairment. Which should the nurse consider when dealing with this issue?
A) Sterilization is recommended for any adolescent with cognitive impairment.
B) Sexual drive and interest are limited in individuals with cognitive impairment.
C) Individuals with cognitive impairment need a well-defined, concrete code of sexual conduct.
D) Sexual intercourse rarely occurs unless the individual with cognitive impairment is sexually abused.
Q2) Which genetic term refers to the transfer of all or part of a chromosome to a different chromosome after chromosome breakage?
A) Trisomy
B) Monosomy
C) Translocation
D) Nondisjunction
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Chapter 19: Family-Centered Care of the Child During
Illness and Hospitalization
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Sample Questions
Q1) 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."
Q2) A nurse plans therapeutic play time for a hospitalized child. What are the benefits of play? (Select all that apply.)
A) Serves as method to assist disturbed children
B) Allows the child to express feelings
C) The nurse can gain insight into the child's feelings.
D) The child can deal with concerns and feelings.
E) Gives the child a structured play environment
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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Q1) What is a nursing consideration related to the administration of oxygen in an infant?
A) Humidify oxygen if the infant can tolerate it.
B) Assess the infant to determine how much oxygen should be given.
C) Ensure uninterrupted delivery of the appropriate oxygen concentration.
D) Direct oxygen flow so that it blows directly into the infant's face in a hood.
Q2) Several types of long-term central venous access devices are used. Which is considered an advantage of a Hickman-Broviac catheter?
A) No need to keep exit site dry
B) Easy to use for self-administered infusions
C) Heparinized only monthly and after each infusion
D) No limitations on regular physical activity, including swimming
Q3) A venipuncture will be performed on a 7-year-old girl. She wants her mother to hold her during the procedure. What information should the nurse include in her response to the child?
A) It is unsafe.
B) It is helpful to relax the child.
C) It is against hospital policy.
D) It is unnecessary because of child's age.
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Chapter 21: The Child with Respiratory Dysfunction
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Q1) A child is admitted to the hospital with asthma. Which assessment findings support this diagnosis?
A) Nonproductive cough, wheezing
B) Fever, general malaise
C) Productive cough, rales
D) Stridor, substernal retractions
Q2) A school-age child has been admitted with an acute asthma episode. The child is receiving oxygen by nasal prongs at 2 liters. How often should the nurse plan to monitor the child's pulse oximetry status?
A) Continuous
B) Every 30 minutes
C) Every hour
D) Every 2 hours
Q3) A nurse is charting that a hospitalized child has labored breathing. Which describes labored breathing?
A) Dyspnea
B) Tachypnea
C) Hypopnea
D) Orthopnea
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Page 23
Chapter 22: The Child with Gastrointestinal Dysfunction
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Q1) A nurse is conducting dietary teaching on high-fiber foods for parents of a child with constipation. Which foods should the nurse include as being high in fiber? (Select all that apply.)
A) White rice
B) Avocados
C) Whole grain breads
D) Bran pancakes
E) Raw carrots
Q2) During the first few days after surgery for cleft lip, which intervention should the nurse do?
A) Leave infant in crib at all times to prevent suture strain.
B) Keep infant heavily sedated to prevent suture strain.
C) Remove restraints periodically to cuddle infant.
D) Alternate position from prone to side-lying to supine.
Q3) Which vaccine is now recommended for the immunization of all newborns?
A) Hepatitis A vaccine
B) Hepatitis B vaccine
C) Hepatitis C vaccine
D) Hepatitis A, B, and C vaccines
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Page 24
Chapter 23: The Child with Cardiovascular Dysfunction
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Q1) Which is an important nursing consideration when suctioning a young child who has had heart surgery?
A) Perform suctioning at least every hour.
B) Suction for no longer than 30 seconds at a time.
C) Administer supplemental oxygen before and after suctioning.
D) Expect symptoms of respiratory distress when suctioning.
Q2) Parents of a 3-year-old child with congenital heart disease are afraid to let their child play with other children because of possible overexertion. The nurse's reply should be based on which statement?
A) The child needs opportunities to play with peers.
B) The child needs to understand that peers' activities are too strenuous.
C) Parents can meet all of the child's needs.
D) Constant parental supervision is needed to avoid overexertion.
Q3) Seventy-two hours after cardiac surgery, a young child has a temperature of 101° F. Which action should the nurse take?
A) Keep child warm with blankets.
B) Apply a hypothermia blanket.
C) Record temperature on nurses' notes.
D) Report findings to physician.
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Page 25
Chapter 24: The Child with Hematologic or Immunologic Dysfunction
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Q1) The nurse is conducting a staff in-service on inherited childhood blood disorders. Which statement describes severe combined immunodeficiency syndrome (SCIDS)?
A) There is a deficit in both the humoral and cellular immunity with this disease.
B) Production of red blood cells is affected with this disease.
C) Adult hemoglobin is replaced by abnormal hemoglobin in this disease.
D) There is a deficiency of T and B lymphocyte production with this disease.
Q2) The nurse is planning care for a school-age child admitted to the hospital with hemophilia. Which interventions should the nurse plan to implement for this child? (Select all that apply.)
A) Finger sticks for blood work instead of venipunctures
B) Avoidance of IM injections
C) Acetaminophen (Tylenol) for mild pain control
D) Soft tooth brush for dental hygiene
E) Administration of packed red blood cells
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Chapter 25: The Child with Cancer
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Q1) Which is often administered to prevent or control hemorrhage in a child with cancer?
A) Nitrosoureas
B) Platelets
C) Whole blood
D) Corticosteroids
Q2) Which expected appearance will the nurse explain to parents of an infant returning from surgery after an enucleation was performed to treat retinoblastoma? (Select all that apply.)
A) A lot of drainage will come from the affected socket.
B) The face may be edematous or ecchymotic.
C) The eyelids will be sutured shut for the first week.
D) There will be an eye pad dressing taped over the surgical site.
E) The implanted sphere is covered with conjunctiva and resembles the lining of the mouth.
Q3) Which is a common clinical manifestation of Hodgkin disease?
A) Petechiae
B) Bone and joint pain
C) Painful, enlarged lymph nodes
D) Enlarged, firm, nontender lymph nodes
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Page 27
Chapter 26: The Child with Genitourinary Dysfunction
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Q1) Which best describes acute glomerulonephritis?
A) Occurs after a urinary tract infection
B) Occurs after a streptococcal infection
C) Associated with renal vascular disorders
D) Associated with structural anomalies of genitourinary tract
Q2) Which is an objective of care for a 10-year-old child with minimal change nephrotic syndrome?
A) Reduce blood pressure.
B) Reduce excretion of urinary protein.
C) Increase excretion of urinary protein.
D) Increase ability of tissues to retain fluid.
Q3) The nurse is conducting teaching for an adolescent being discharged to home after a renal transplant. The adolescent needs further teaching if which statement is made?
A) "I will report any fever to my primary health care provider."
B) "I am glad I only have to take the immunosuppressant medication for two weeks."
C) "I will observe my incision for any redness or swelling."
D) "I won't miss doing kidney dialysis every week."
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Chapter 27: The Child with Cerebral Dysfunction
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Sample Questions
Q1) The nurse is caring for a neonate with suspected meningitis. Which clinical manifestations should the nurse prepare to assess if meningitis is confirmed? (Select all that apply.)
A) Headache
B) Photophobia
C) Bulging anterior fontanel
D) Weak cry
E) Poor muscle tone
Q2) 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. Which statement made by the mother indicates a correct understanding of the teaching?
A) "I should expect my child to have a few episodes of vomiting."
B) "If I notice sleep disturbances, I should contact the physician immediately."
C) "I should expect my child to have some behavioral changes after the accident."
D) "If I notice diplopia, I will have my child rest for 1 hour."
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Chapter 28: The Child with Endocrine Dysfunction
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/4158
Sample Questions
Q1) The nurse should teach parents of a preschool child with type 1 diabetes that which can raise the blood glucose level?
A) Exercise
B) Steroids
C) Decreased food intake
D) Lantus insulin
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 nurse is conducting a staff in-service on childhood endocrine disorders. Diabetes insipidus is a disorder of:
A) anterior pituitary.
B) posterior pituitary.
C) adrenal cortex.
D) adrenal medulla.
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Page 30
Chapter 29: The Child with Musculoskeletal or Articular Dysfunction
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/4159
Sample Questions
Q1) The nurse is caring for a school-age child diagnosed with juvenile idiopathic arthritis (JIA). Which intervention should be a priority?
A) Apply ice packs to relieve stiffness and pain.
B) Administer acetaminophen to reduce inflammation.
C) Teach the child and family correct administration of medications.
D) Encourage range-of-motion exercises during periods of inflammation.
Q2) The nurse is teaching a family how to care for their infant in a Pavlik harness to treat developmental dysplasia of the hip. Which should be included?
A) Apply lotion or powder to minimize skin irritation.
B) Remove harness several times a day to prevent contractures.
C) Return to clinic every 1 to 2 weeks.
D) Place diaper over harness, preferably using a superabsorbent disposable diaper that is relatively thin.
Q3) The nurse uses the palms of the hands when handling a wet cast for which reason?
A) To assess dryness of the cast
B) To facilitate easy turning
C) To keep the patient's limb balanced
D) To avoid indenting the cast
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Chapter 30: The Child with Neuromuscular or Muscular Dysfunction
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/4160
Sample Questions
Q1) The nurse is conducting reflex testing on infants at a well-child clinic. Which reflex finding should be reported as abnormal and considered as a possible sign of cerebral palsy?
A) Tonic neck reflex at 5 months of age
B) Absent Moro reflex at 8 months of age
C) Moro reflex at 3 months of age
D) Extensor reflex at 7 months of age
Q2) The nurse is caring for an intubated infant with botulism in the pediatric intensive care unit. Which health care provider prescription should the nurse clarify with the health care provider before implementing?
A) Administer 250 mg botulism immune globulin intravenously (BIG-IV) one time.
B) Provide total parenteral nutrition (TPN) at 25 ml/hr intravenously.
C) Titrate oxygen to keep pulse oximetry saturations greater than 92.
D) Administer gentamicin sulfate (Garamycin) 10 mg per intravenous piggyback every 12 hours.
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