Nursing Care of Children
Midterm Exam
Course Introduction
This course focuses on the principles and practices of nursing care for infants, children, and adolescents within diverse healthcare settings. Emphasizing growth and development, pediatric health promotion, and family-centered care, students will explore common pediatric diseases, assessment techniques, and evidence-based interventions for acute and chronic conditions. The curriculum integrates case studies and clinical scenarios to foster critical thinking, communication skills, and cultural sensitivity, preparing students to deliver safe, compassionate, and effective nursing care tailored to the unique needs of children and their families.
Recommended Textbook
Child Health Nursing Partnering with Children and Families 3rd Edition by Jane
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36 Chapters
680 Verified Questions
680 Flashcards
Source URL: https://quizplus.com/study-set/3920
Page 2
W. Ball
Chapter 1: Child Health Nursing: Concepts, Roles, and Issues
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/78204
Sample Questions
Q1) The nurse in a pediatric acute care unit is assigned the following tasks. Based on recognition that the action defined requires training beyond the preparation of a registered nurse, the nurse would refuse to:
A)Diagnose a six-year-old with diversional activity deficit related to placement in isolation.
B)Listen to the concerns of an adolescent about being out of school for a lengthy surgical recovery.
C)Diagnose an eight-year-old with acute otitis media and prescribe an antibiotic.
D)Provide information to a mother of a newly diagnosed four-year-old diabetic about local support group options.
Answer: C
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Chapter 2: Family-Centered Care: Theory and Applications
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14 Verified Questions
14 Flashcards
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Sample Questions
Q1) A new pediatric hospital will open soon. While planning nursing care, the hospital administration is considering two models of providing health care: family-focused care and family-centered care. The best example of a nursing action in the family-centered care approach would be when the nurse:
A)Assumes the role of an expert professional to direct the health care.
B)Encourages the parents to stay with and comfort the child during an invasive procedure.
C)Assumes the role of a healthcare authority and intervenes for the child and family as a unit.
D)Tells the family what must be done for the family's health.
Answer: B
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4
Chapter 3: Cultural Influences
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) During the assessment, the nurse notices that a Black baby has a darker, slightly bluish-hued patch about 5 × 7 cm on the buttocks and lower back. What is the nurse's next action?
A)Ask the mother about the cause of the bruise.
B)Call the Department of Social Services (DSS) to report this as a sign of abuse.
C)Confer with the physician the possibility of a bleeding tendency.
D)Chart the presence of a Mongolian spot.
Answer: D
Q2) The nurse is reviewing the charts from a multicultural health clinic. The nurse needs to know that for three cultures, the listed first name is actually the family name, while the individual's given name is placed last. The three cultures with this variation are:
A)French, German, and Irish.
B)Cambodian, Filipino, and Korean.
C)Canadian, Egyptian, and Haitian.
D)Brazilian, English, and Jewish.
Answer: B
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Chapter 4: Genetic and Hereditary Influences
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/78201
Sample Questions
Q1) A couple is evaluated in the genetics clinic, and the male is found to be a carrier of an X-linked dominant disorder. The couple asks the nurse what this means in regard to their future children. The nurse's response will include the information that:
A)All girls born to the family will be affected.
B)About 25% of the boys born to the family will be affected.
C)About 25% of the girls born to the family will be affected.
D)All boys born to the family will be affected.
Q2) During a sports physical, a client is found to have myopia, long digits, tall stature, an arm span greater than his height, scoliosis, and a hollow chest. The nurse should suspect:
A)Phenylketonuria.
B)Turner's syndrome.
C)Huntington's chorea.
D)Marfan's syndrome.
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Chapter 5: Concepts of Growth and Development
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) A neonatal nurse who encourages parents to hold their baby and provides opportunities for kangaroo care most likely is demonstrating concern for which aspect of the infant's psychosocial development?
A)Attachment
B)Assimilation
C)Resilience
D)Centration
Q2) While assessing the development of a nine-month-old infant, the nurse asks the mother if the child actively looks for toys when they are placed out of sight. The nurse is trying to determine whether the infant has developed:
A)Transductive reasoning
B)Conservation
C)Centration
D)Object permanence
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7
Chapter 6: Child and Family Communication
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/78199
Sample Questions
Q1) A non-Spanish-speaking nurse is working with a seven-year-old client who is able to speak English but whose family speaks only Spanish. The nurse needs to give discharge instructions regarding the client's oral antibiotics. There are no Spanish-speaking interpreters available presently, but one will be able to come in about one hour. The nurse's most appropriate intervention would be:
A)To give the discharge instructions to the parents, with the child acting as interpreter.
B)To give the discharge instructions to the child.
C)To obtain an English/Spanish translation book and use this to aid in giving discharge instructions to the parents.
D)To have the parents wait until an interpreter can be found to translate the discharge instructions.
Q2) While assessing an eight-month-old infant, the best strategy for the nurse to use to promote communication with the infant would be to:
A)Use touch, patting, and cuddling the infant.
B)Speak to the infant in low-pitched, soft tones.
C)Place the infant out of the parents' view to decrease distraction.
D)Lean over the infant's face and talk with forceful tones.
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Page 8
Chapter 7: Pediatric and Newborn Assessment
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/78198
Sample Questions
Q1) The nurse is assessing a new admission to the newborn nursery. Which physical findings suggest the infant was preterm? Standard Text: Select all that apply.
A)The ear pinna quickly returns to original position after being bent manually.
B)The infant's resting position is tightly flexed.
C)Labia widely separated with clitoris prominent.
D)Breast area barely perceptible with flat areola, no bud.
E)Sole creases do not extend the length of the foot.
Q2) While evaluating development of children, the nurse notes that the development of secondary sexual characteristics follows a typical pattern. Place the appearance of secondary sexual characteristics in the female in order of appearance from earliest to latest. Standard Text: Click and drag the options below to move them up or down.
A)Appearance of pubic hair
B)Menarche
C)Breast budding
D)Breast Tanner stage 5, areola strongly pigmented
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Chapter 8: Concepts of Health Promotion and Health Maintenance
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/78197
Sample Questions
Q1) Student nurses are observing in the pediatric well-child clinic. The students observe that prior to administering an immunization to a child, a nurse explains the reason for the immunization series to the mother. While discussing the incident in post-conference, the students report that this activity was:
A)Health screening.
B)Health promotion.
C)Health maintenance.
D)Health assessment.
Q2) The nurse at an outpatient clinic is sitting with the parents while their adolescent goes for a test. The parents are complaining about their child's behavior. Which response by the nurse would promote family-centered communication?
A)"I agree with you; discipline is an important part of parenting."
B)"Tell me how you feel when your adolescent is aggressive with you."
C)"You are so right.Adolescents function in the me-first mode all the time."
D)"I know just how you feel.I had the same experience with my children."
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Chapter 9: Health Promotion and Maintenance of the
Newborn
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/78196
Sample Questions
Q1) During the visit to the pediatric office, a nurse observes the mother frequently looking at and massaging her infant. Based on these observations, the nurse's conclusion should be:
A)That the mother is displaying positive maternal-infant attachment.
B)That the mother is trying to show the nurse that she can be affectionate to the infant.
C)That there is insufficient data to assess the mother-infant relationship.
D)That the mother might be overwhelmed by the demands of infant care.
Q2) The nurse in the newborn nursery is admitting a neonate. In order to determine the health and development of the newborn, what will the nurse assess? Standard Text: Select all that apply.
A)Head and chest circumference
B)Weight and length
C)Body fat determination
D)Presence of newborn reflexes
E)Gestational age of the infant
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Chapter 10: Health Promotion and Maintenance of the Infant
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/78195
Sample Questions
Q1) The home health nurse is concerned that the teenage mother tends to watch television while feeding the baby rather than talking and playing with her baby. Which statement by the nurse will most likely encourage the mother to talk and play with the baby more?
A)"Babies who are talked to more have higher IQs later on."
B)"You should talk to your baby more."
C)"Watch how I talk to the baby and see if you can follow my lead."
D)"Have you noticed how your baby looks at you when you speak? You can see how he knows your voice."
Q2) The nurse is teaching a group of parents about car safety. Which statement by a parent requires additional teaching?
A)"The safest place in the car for the baby is the middle of the back seat."
B)"I will use a rear facing car seat for my baby."
C)"I will take the car seat to the local police station for them to check placement and safety."
D)"For the trip home from the birth hospital, I will bucket myself in the back seat and hold the baby carefully.I am borrowing a car seat and should have it by my next trip out."
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Page 12
Chapter 11: Health Promotion and Maintenance of the
Toddler and Preschooler
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/78194
Sample Questions
Q1) The nurse is teaching a group of mothers of toddlers and preschoolers about oral care and the prevention of caries. Which statements should the nurse include in the presentation? Standard Text: Select all that apply.
A)"The tendency toward dental caries is inherited."
B)"Fruit juice is an excellent source of vitamin C, so allow your child to drink as much fruit juice a day as desired."
C)"If your child is under two, you should use toothpaste without fluoride."
D)"Three-year-old children are mature enough to be able to brush their teeth independently."
E)"The child should see a dentist by one year of age."
Q2) At a routine health care visit, a nurse measures a toddler and plots the height and weight on the growth charts. The nurse documents that the toddler is above the 95th percentile for weight and is at the 5th percentile for height. How should the nurse interpret these data?
A)The toddler is proportionate for age.
B)The height and weight are disproportionate, and the toddler needs further evaluation.
C)The toddler needs to eat more at each feeding.
D)The family most likely is short.
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Chapter 12: Health Promotion and Maintenance of the School-Age Child
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/78193
Sample Questions
Q1) An 11-year-old child tells the nurse that she is having trouble falling asleep at night. What recommendations will the nurse make? Standard Text: Select all that apply.
A)"Drink a cup of warm tea at nighttime to induce sleep."
B)"Try to follow a nighttime routine."
C)"Avoid sleeping late in the morning or taking a nap."
D)"Exercise 30 minutes before bedtime to tire the body out."
E)"Darken the room at bedtime."
Q2) A nine-year-old child who has been followed in the same pediatric health care home since birth has come in for a well-child visit. A nurse who measures the height and weight of the child documents 35th percentile for height and 90th percentile for weight.
How should the nurse interpret these data?
A)The child is obese and needs dietary counseling.
B)The child is beginning a growth spurt.
C)As soon as the child begins the adolescent growth spurt, the height and weight measurements will normalize.
D)The parents are most likely below the 50th percentile for height and weight.
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Chapter 13: Health Promotion and Maintenance of the Adolescent
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/78192
Sample Questions
Q1) Nurses working with adolescents should encourage the adolescents to assume more of the responsibility for their healthy behaviors. To promote this personal responsibility, the nurse will want to provide adolescents with information about which health promotion activities?
A)Self-breast exams for girls and self-testicular exams for the boys
B)Immunizations that need to be updated
C)Communicable diseases that are prevalent in the community
D)The importance of eating together as a family several times a week
Q2) What would be the best way for the nurse to teach adolescents regarding health promotion and health maintenance?
A)Contact the parents and ask what issues they have with their adolescents.
B)Have the adolescents identify a personal health goal.
C)Ask the advice of the counselors at school.
D)Tell the adolescents what you will include in the lecture.
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15
Chapter 14: Nursing Care of the Child in the Community
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/78191
Sample Questions
Q1) Prior to accepting an assignment as a home health nurse, the nurse must realize that:
A)The family will adapt their lifestyle to the needs of the nurse.
B)The family is in charge.
C)Independent decisions regarding emergency care of the child will be made by the nurse.
D)All decisions will be made by the healthcare provider.
Q2) As the new school year begins, the school nurse evaluates several children to determine their healthcare needs. Which child would the nurse consider to be medically fragile?
A)The child with a casted right arm due to a fracture
B)The child who wears hearing aids due to hearing loss secondary to meningitis as an infant
C)The child requiring oxygen and tube feedings secondary to a congenital heart defect
D)The child with a developmental delay
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Chapter 15: Nursing Care of the Hospitalized Child
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/78190
Sample Questions
Q1) A six-year-old child is hospitalized for a surgical procedure. The parents ask if the child's four siblings can visit. The best response by the nurse would be:
A)"Let's plan their visit for a time when the child has received pain medication."
B)"Only those siblings over 16 will be allowed to visit."
C)"I don't think the other children should visit because it might scare them to see their sibling so sick."
D)"Very young children shouldn't visit as they may carry germs."
Q2) A group of children on one hospital unit are all suffering separation anxiety. When determining the stages of separation anxiety, the nurse recognizes that the child in the "despair" phase is the child who:
A)Lies quietly in bed.
B)Does not cry if his parents return and leave again.
C)Appears to be happy and content with staff.
D)Screams and cries when his parents leave.
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Chapter 16: Nursing Care of the Child With a Chronic Condition
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) The nurse in the long-term care clinic is reviewing the charts of a group of children being seen for follow-up visits in the pediatric clinic. The nurse recognizes that chronic limitations might result from which diagnosis?
A)Pneumonia from Haemophilus influenzae virus
B)Respiratory syncytial virus
C)Streptococcus pneumoniae, a gram-positive diplococcus
D)Congenital heart defect
Q2) The nurse is conducting an educational program for parents of children with chronic conditions. Which statement by a parent requires additional nursing interventions?
A)"I know my child will get better and not have to take any more medication."
B)"I know my child will need assistance with activities of daily living."
C)"I know my child may need specialized education."
D)"I know my child will have to stay on a special diet."
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Chapter 17: Nursing Care of the Child With a
Life-Threatening Illness or Injury
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) Following a tornado destroying the family home and injuring all family members, the four-year-old child is admitted to the Pediatric Intensive Care Unit. All other family members are hospitalized at a different hospital. The nursing staff can provide the four-year-old with a sense of security by:
A)Providing new toys for the child.
B)Asking a hospital volunteer to visit the child daily and stay as long as possible.
C)Explaining to the child that mom and dad also are sick and cannot come to visit.
D)Keeping the child's security blanket with the child at all times.
Q2) A new pediatric hospital is under development. A suggestion that has been shown to improve the psychological comfort of children in the Pediatric Intensive Care Unit would be:
A)Limiting the number of visitors to allow the child to rest.
B)Allowing the parents to visit every two hours for 10 to 15 minutes.
C)Planning all rooms to be two-patient rooms so each child will have another child for comfort and support.
D)Providing a bed for a parent to stay with the child in the PICU.
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Chapter 18: End-Of-Life Care and Bereavement
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/78187
Sample Questions
Q1) The nurse is leading a recovery group made up of parents who have lost a child. As the opening topic for the night's discussion, the nurse has again reviewed information about the grief process to the parents and talked about how different people grieve. During the discussion phase, several fathers speak. The nurse recognizes that the father who needs more time to understand the grief process is the father who says:
A)"I understand that everyone grieves differently."
B)"Looking back, I realize why I became so angry when the doctors didn't cure my daughter."
C)"It's been six months since my son died, so why isn't my wife ready to move on with our lives?"
D)"I'm glad you described some common grief reactions.I thought I was going crazy for a while."
Q2) The nurse is providing postmortem care to a child. Along with following the facility's guidelines, what else should the nurse consider?
A)Identifying the family's wishes for postmortem care before performing care
B)Avoiding delay in moving the body to the morgue
C)Removing all articles from patient's body
D)Leaving all equipment in the room during postmortem care
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20
Chapter 19: Infant, Child, and Adolescent Nutrition
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/78186
Sample Questions
Q1) The parents of a two-and-a-half-year-old are concerned about their child's finicky eating habits. While counseling the parents, which statements by the nurse would be accurate? Standard Text: Select all that apply.
A)"Nutritious foods should be made available at all times of the day so that the child is able to 'graze' whenever he is hungry."
B)"The child is experiencing physiologic anorexia, which is normal for this age group."
C)"A general guideline for food quantity at a meal is one-quarter cup of each food per year of age."
D)"It is more appropriate to assess a toddler's nutritional demands over a one-week period rather than a 24-hour one."
E)"The toddler should drink sixteen to twenty-four ounces of milk daily."
Q2) While teaching parents of a newborn about normal growth and development, the nurse informs them that their child's weight should:
A)Triple by nine months of age.
B)Double by five months of age.
C)Triple by six months of age.
D)Double by one year of age.
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Page 21
Chapter 20: Social and Environmental Influences on Child and
Adolescent Health
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/78185
Sample Questions
Q1) The pediatric public health nurse visits a facility for the homeless. The nurse would evaluate the children staying at the facility for what type of medical/health issues?
Standard Text: Select all that apply.
A)Dental caries
B)Infections secondary to tattoos
C)Lack of immunizations
D)Nutritional deficits
E)Munchausen syndrome by proxy
Q2) The nurse recognizes that the person guilty of child abuse may have which symptoms?
A)Physical illness
B)Alcoholism
C)Many friends and families nearby
D)Unrealistic expectations for their child
E)The abuser has no relationship to the child.
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Chapter 21: Pain Assessment and Management
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/78184
Sample Questions
Q1) The nurse is caring for a four-year-old child who is intellectually disabled and is scheduled for surgery tomorrow. The nurse wants to plan postoperative care and pain relief. The nurse will determine the best pain assessment tool by observing the child's:
Standard Text: Select all that apply.
A)Language skills.
B)Understanding of the concept of more and less or otherwise has the ability to quantify pain.
C)Ability to sit for a ten minute evaluation.
D)Ability to perceive pain.
E)Ability to understand pain.
Q2) The postoperative unit of the pediatric hospital has several children who had surgery this morning. While making rounds, the nurse observes all of the following behaviors. Which child should be further evaluated as to postoperative pain?
A)The six-month-old in deep sleep
B)The two-year-old who is cooperative when the nurse takes his vital signs
C)The four-year-old who is actively watching cartoons
D)The 14-month-old who is thrashing his arms and legs
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Page 23
Chapter 22: Immunizations and Communicable Diseases
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/78183
Sample Questions
Q1) The nurse is explaining the importance of hand washing after using the toilet to parents of young children. Which is the most important reason for this practice?
A)Children's immune systems are not fully developed.
B)Hand washing is the main way to limit the transmission of disease.
C)Not all bathrooms are clean.
D)Children do not like to have dirty hands.
Q2) The nurse explains to new parents that as healthy children are exposed to more infections, they:
A)Naturally develop antibodies.
B)Are found to be healthier.
C)Will acquire terminal illnesses.
D)Will weaken their immune systems.
Q3) Which should the nurse use when reconstituting vaccines?
A)The diluents provided
B)Normal saline
C)Any solution available
D)Sterile water
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Chapter 23: Alterations in Fluid, Electrolyte, and Acid-Base
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14 Verified Questions
14 Flashcards
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Sample Questions
Q1) A six-year-old child is hypokalemic. The nurse is helping the child complete the menu. The nurse would encourage this child to select which menu items?
A)Pizza with a fruit plate
B)Chicken strips with chips
C)Fajita with rice
D)A hamburger with French fries
Q2) The nurse is caring for a child on bed rest who has severe edema in a left lower leg due to blocked lymphatic drainage. Which nursing diagnosis would take priority?
A)Risk for impaired skin integrity
B)Risk for altered body image
C)Risk for imbalanced nutrition: less than body requirements
D)Risk for activity intolerance
Q3) A nurse is taking care of four different pediatric clients. Which of the following children is at greatest risk for dehydration?
A)Seven-year-old child with migraine headaches
B)Four-year-old child with a broken arm
C)Two-year-old child with cellulitis of the left leg
D)18-month-old child with tachypnea
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Chapter 24: Alterations in Eye, Ear, Nose, and Throat
Function
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) The nurse is caring for a young child with otitis media. The parent asks the nurse why children seem to get otitis media frequently but adults do not. The nurse would explain that younger children get otitis media more often because:
A)The eustachian tube is shorter, wider, and horizontal in younger children.
B)The eustachian tube is shorter, more narrow, and horizontal in younger children.
C)The eustachian tube is longer, wider, and vertical in younger children.
D)The eustachian tube is longer, more narrow, and vertical in younger children.
Q2) The nurse has taught a group of parents how to care for their children who have just had tympanostomy tubes inserted. The nurse will know the parents understand how to care for their child's tympanostomy tubes if they: Standard Text: Select all that apply.
A)Limit their diets to soft, bland foods.
B)Restrict the children to quiet activities after surgery.
C)Administer a decongestant for one to two weeks following surgery.
D)Encourage the children to drink generous amounts of fluids.
E)Avoid getting water in their ears during bath time.
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Chapter 25: Alterations in Respiratory Function
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19 Flashcards
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Sample Questions
Q1) A child is admitted to the hospital with the diagnosis of laryngotracheobronchitis (LTB). The nurse should be prepared to perform which intervention?
A)Administer antibiotics and assist with possible intubation.
B)Obtain a sputum specimen.
C)Swab the throat for a throat culture.
D)Administer nebulized epinephrine and oral or IM dexamethasone.
Q2) Two hours after admission for asthma exacerbation, the 10-year-old boy is lethargic with mottled skin color. He has increased the use of accessory muscles and demonstrates nasal flaring. He is unable to speak and his respiratory rate has increased. The nurse would suspect:
A)Improvement in his condition is imminent.
B)Respiratory failure is imminent.
C)The medical diagnosis is incorrect and the child should be diagnosed with pneumonia.
D)The child may be receiving too much oxygen, which is a respiratory depressant.
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Chapter 26: Alterations in Cardiovascular Function
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) An infant with a congenital heart defect is being discharged home until the infant reaches an appropriate weight for the corrective surgery. The nurse would teach the parents infant feeding techniques including: Standard Text: Select all that apply.
A)Breastfeed if possible.
B)Complete each feeding within 30 minutes.
C)Position the infant flat to promote swallowing.
D)Dilute the formula with extra water to ensure adequate fluid intake.
E)Burp the infant frequently.
Q2) The nurse has admitted a child with a cyanotic heart defect. Which initial lab result will the nurse anticipate?
A)A low platelet count
B)A high white blood cell count
C)A high hemoglobin
D)A low hematocrit
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Chapter 27: Alterations in Immune Function
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17 Flashcards
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Sample Questions
Q1) A child has an anaphylactic reaction to contrast dye used in an X-ray. After the emergency is over and the child is stable in the intensive care unit, the nurse explains to the parents what happens in anaphylaxis. The nurse explains that histamine is released during an anaphylactic reaction and that the action of histamine includes: Standard Text: Select all that apply.
A)Release of IgE antibodies.
B)Smooth muscle contraction.
C)Increased capillary permeability.
D)Vasoconstriction.
E)Red cell destructions
Q2) A parent of a newborn asks the nurse why young children seem to become ill so often when compared with older children and adults. Which of the following does the nurse's best response address?
A)Lower numbers of natural killer cells in younger children
B)High levels of IgA in the newborn
C)Absent lymphoid tissue in the young child
D)Underdeveloped thymus glands in the infant
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Chapter 28: Alterations in Hematologic Function
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26 Flashcards
Source URL: https://quizplus.com/quiz/78177
Sample Questions
Q1) A ten-year-old boy with classic hemophilia is admitted to the hospital for hemorrhage into the knee joint. Treatment is instituted on admission. What would be an appropriate nursing diagnosis for this child?
A)Risk for impaired physical mobility related to joint stiffness and contractures
B)Risk for impaired tissue perfusion (cerebral) related to blood loss.
C)Activity intolerance related to bleeding
D)Disturbed body image related to swollen knee
Q2) A school-age child with hemophilia falls on the playground and goes to the nurse's office with superficial bleeding above the knee. The nurse should:
A)Apply pressure to the area for at least 15 minutes.
B)Apply a warm, moist pack to the area.
C)Perform some passive range-of-motion to the affected leg.
D)Keep the affected extremity in a dependent position.
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Chapter 29: The Child With Cancer
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/78176
Sample Questions
Q1) The 10-year-old boy is admitted to the pediatric neurologic unit with a suspected craniopharyngioma. The nurse will assess the child with which symptoms related to this brain tumor? Standard Text: Select all that apply.
A)Evening nausea
B)Excessive urination leading to dehydration
C)Nystagmus
D)Headaches
E)Orbital ecchymosis
Q2) An adolescent is receiving methotrexate chemotherapy after undergoing limb-salvage surgery for osteogenic sarcoma. The nurse knows the teen understands what to expect for the schedule of administration for leucovorin therapy if the teen says:
A)"I don't have any pain, so I won't need to take the leucovorin this time."
B)"I don't have any nausea, so I won't need the leucovorin."
C)"I'm glad I only need one dose of the leucovorin."
D)"It is important that I receive my leucovorin on time as it protects my body from the methotrexate."
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Chapter 30: Alterations in Gastrointestinal Function
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/78175
Sample Questions
Q1) Following hospital discharge for treatment of gastroesophageal reflux, the home health nurse visits the family. Which finding made by the nurse during the visit requires the nurse to intervene?
A)The infant's formula has rice cereal added.
B)The mother hold the infant is a high Fowler's position while feeding.
C)After feeding, the infant is placed in an infant seat.
D)The mother draws up the ranitidine (Zantac) in a syringe for oral administration.
Q2) A toddler is admitted to the surgical unit for planned closure of the temporary colostomy. The nurse completes the admission assessment and reviews the medical orders. Which order should the nurse question?
A)Clear liquids today.NPO tomorrow
B)Type and cross-match for one unit of packed red blood cells.
C)Rectal temperatures every four hours
D)Start an intravenous line with D5NS at 20 ml per hour.
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Chapter 31: Alterations in Genitourinary Function
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Sample Questions
Q1) A child has been admitted to the hospital unit with a diagnosis of minimal change nephrotic syndrome (MCNS). The clinical manifestations will include which of the following?
A)Massive proteinuria, hypoalbuminemia, and edema
B)Hematuria, bacteriuria, and weight gain
C)Urine-specific gravity decreased and urinary output increased
D)Gross hematuria, albuminuria, and fever
Q2) A child is admitted with acute glomerulonephritis. The nurse would expect the urinalysis during this acute phase to show which of the following?
A)Bacteriuria and increased specific gravity
B)Hematuria and proteinuria
C)Proteinuria and decreased specific gravity
D)Bacteriuria and hematuria
Q3) A baby is born with bladder exstrophy. Immediate care for this infant will include which intervention?
A)Measuring intake and output
B)Inserting a Foley catheter
C)Covering the defect with sterile plastic wrap
D)Palpating the bladder mass to ensure urine is expelled
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Page 33
Chapter 32: Alterations in Endocrine and Metabolic Function
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Sample Questions
Q1) The nurse is caring for a hospitalized three-year-old admitted with a history of syndrome of inappropriate antidiuretic hormone (SIADH). He has just received his breakfast tray. Which food should the nurse remove from his tray?
A)Oatmeal
B)Yogurt
C)Biscuit
D)Cantaloupe
Q2) The home health nurse is visiting a three-month-old who has been diagnosed with congenital hypothyroidism and is taking daily thyroxine. The baby is on soy formula and is at the 50<sup>th</sup> percentile for height and weight. It is important that the mother understands that:
A)Parents may stop the thyroxine as long as the baby remains in the 50<sup>th</sup> percentile for height and weight.
B)Soy-based formula can interfere with the absorption of thyroxine.
C)Dairy-based formula is contraindicated when an infant is taking thyroxine.
D)As long as the baby is growing along the same growth curve, no interventions are necessary.
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Page 34
Chapter 33: Alterations in Neurologic Function
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19 Flashcards
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Sample Questions
Q1) The teacher is speaking to the school nurse about one of the girls in the fifth grade. The girl has always been a good student but lately seems to be daydreaming a lot. The teacher says, "Sometimes when I ask her a question, she will just stare at me for 15 seconds, then blink and ask me to repeat the question. What do you think is going on with her?" Based on this data, the nurse will suspect:
A)The girl has a crush on a boy in the class.
B)The girl has increased intracranial pressure.
C)The child may have had a head injury.
D)The girl is experiencing absence seizures.
Q2) A nine-month-old who is not sitting independently has been diagnosed with ataxic cerebral palsy (CP). Which clinical manifestations would the nurse expect to see in the baby?
A)Hypotonia and muscle instability
B)Hypertonia and persistence primitive reflexes
C)Tremors and exaggerated posturing
D)Hemiplegia and hypertonia
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Chapter 34: Alterations in Mental Health and Cognition
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Sample Questions
Q1) The school nurse and teacher are working on a plan to improve the behavior and learning of a child recently diagnosed with attention deficit/hyperactivity disorder (ADHD). Which activities will the nurse suggest be included in the plan? Standard Text: Select all that apply.
A)Asking the mother to seek a prescription for methylphenidate (Ritalin) for the child
B)Placing the child's desk at the back of the room to reduce distractions
C)Developing a consistent routine for the classroom
D)Limiting the decorations in the classroom
E)Determining areas where the child performs well and using these areas to promote self-esteem
Q2) The nurse knows that the mother of a six-year-old needs more teaching about her son's diagnosis of ADHD when she states:
A)"I will develop a reward system for desired behaviors."
B)"I will take my child to the physician every three months for a weight and height check."
C)"I will let him do his homework while he is watching his favorite television show."
D)"I will stick to the same routine each day after school."
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Chapter 35: Alterations in Musculoskeletal Function
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Source URL: https://quizplus.com/quiz/78170
Sample Questions
Q1) An 18-month-old child is admitted to the hospital unit for weakness of the lower extremities. Duchenne muscular dystrophy is suspected. Which assessment finding on the admission history and physical is indicative of this disorder?
A)Infant was post-mature by almost two weeks.
B)The child seems very muscular.
C)The child walked early and without support at 10 months.
D)The child's older sister developed scoliosis in the fourth grade.
Q2) A school health nurse is screening for scoliosis. For what assessment findings would the nurse look? Standard Text: Select all that apply.
A)Lordosis
B)Prominent scapula
C)Pain
D)A one-sided rib hump
E)Uneven shoulders and hips
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Chapter 36: Alterations in Skin Integrity
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19 Verified Questions
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Source URL: https://quizplus.com/quiz/78169
Sample Questions
Q1) Parents understand the teaching a nurse has done with regard to care of their child with tinea capitis (ringworm of the scalp) if they state:
A)"We will give the griseofulvin with milk or peanut butter."
B)"We're glad ringworm isn't transmitted from person to person."
C)"Once the lesion is gone, we can stop the griseofulvin."
D)"Well, at least we don't have to worry about the family cat getting the ringworm."
Q2) Following an automobile accident, a teenager is left paraplegic. The child is being prepared for discharge. The nurse is reviewing instructions to avoid decubitus ulcers on the buttocks and instructs the teenager to:
A)Contract the buttock muscles five times every two hours.
B)Increase fat in the diet to provide a protective coating over the boney prominences.
C)Do wheelchair push-ups every 15 to 30 minutes.
D)Avoid use of sheepskin as it prevents air from reaching the area.
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