Nursing Care of Children Practice Questions
Course Introduction
This course provides a comprehensive overview of the principles and practices involved in the nursing care of children from infancy through adolescence. Emphasizing family-centered care, students will explore growth and development, common pediatric health conditions, and strategies for communicating effectively with children and their families. The course covers assessment techniques, pain management, medication administration, and interventions for both acute and chronic pediatric health issues. Students will also examine the nurses role in health promotion, disease prevention, and advocacy within diverse pediatric populations, preparing them to deliver empathetic, evidence-based care in a variety of healthcare settings.
Recommended Textbook
Wongs Essentials of Pediatric Nursing 9th Edition by Marilyn J. Hockenberry
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32 Chapters
1176 Verified Questions
1176 Flashcards
Source URL: https://quizplus.com/study-set/1141 Page 2
Chapter 1: Perspectives of Pediatric Nursing
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/22367
Sample Questions
Q1) Which behaviors by the nurse indicate a therapeutic relationship with children and families? (Select all that apply.)
A)Spending off-duty time with children and families
B)Asking questions if families are not participating in the care
C)Clarifying information for families
D)Buying toys for a hospitalized child
E)Learning about the family's religious preferences
Answer: B,C,E
Q2) 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
Q3) 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
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Chapter 2: Community-Based Nursing Care of the Child and Family
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7 Verified Questions
7 Flashcards
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Sample Questions
Q1) A community nurse at the health department is trying to identify how many new cases of acquired immunodeficiency syndrome (AIDS)disease have occurred in the city this past year.Which statistic should the nurse examine?
A)Mortality
B)Morbidity
C)Incidence
D)Prevalence
Answer: C
Q2) A nurse is establishing several health programs,such as bicycle safety,to improve the health status of a target population.This describes which step in the community nursing process?
A)Planning
B)Evaluation
C)Assessment
D)Implementation
Answer: D
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Chapter 3: Family Influences on Child Health Promotion
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) A 3-year-old girl was adopted immediately after birth.The parents have just asked the nurse how they should tell the child that she is adopted.Which guidelines concerning adoption should the nurse use in planning a response?
A)Telling the child is an important aspect of their parental responsibilities.
B)The best time to tell the child is between ages 7 and 10 years.
C)It is not necessary to tell the child who was adopted so young.
D)It is best to wait until the child asks about it.
Answer: A
Q2) Divorced parents of a preschool child are asking whether their child will display any feelings or behaviors related to the effect of the divorce.The nurse is correct when explaining that the parents should be prepared for which type of behaviors? (Select all that apply.)
A)Displaying fears of abandonment
B)Verbalizing that he or she "is the reason for the divorce"
C)Displaying fear regarding the future
D)Ability to disengage from the divorce proceedings
E)Engaging in fantasy to understand the divorce
Answer: A,B,E
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Page 5
Chapter 4: Social,Cultural,and Religious Influences on Child
Health Promotion
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/22370
Sample Questions
Q1) The father of a hospitalized child tells the nurse,"He can't have meat.We are Buddhist and vegetarians." The nurse's best intervention is to:
A)order the child a meatless tray.
B)ask a Buddhist priest to visit.
C)explain that hospital patients are exempt from dietary rules.
D)help the parent understand that meat provides protein needed for healing.
Q2) Research is being done on the development of assets in children.A community that is supportive of children has which external assets? (Select all that apply.)
A)Unstructured environments to allow for freedom of choice
B)Social competencies to make positive choices
C)Empowerment to feel safe and secure
D)Positive values to direct choice
E)Boundaries to set expectations and actions
Q3) Currently,the fastest-growing segment of the homeless population in the United States consists of:
A)families.
B)"runaway" adolescents.
C)migrant farm workers.
D)individuals with mental disorders.
Page 6
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Chapter 5: Developmental and Genetic Influences on Child
Health Promotion
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) A nurse has completed a teaching session for adolescents regarding lymphoid tissue growth.Which statement,by the adolescents,indicates understanding of the teaching?
A)The tissue reaches adult size by age 1 year.
B)The tissue quits growing by 6 years of age.
C)The tissue is poorly developed at birth.
D)The tissue is twice the adult size by ages 10 to 12 years.
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.)
Q3) A nurse is preparing to administer a Denver II.Which is a correct statement about the Denver II? (Select all that apply.)
A)All items intersected by the age line should be administered.
B)There is no correction for a child born prematurely.
C)The tool is an intelligence test.
D)Toddlers and preschoolers should be prepared by presenting the test as a game.
E)Presentation of the toys from the kit should be done one at a time.
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Page 7
Chapter 6: Communication and Physical Assessment of the Child
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62 Verified Questions
62 Flashcards
Source URL: https://quizplus.com/quiz/22372
Sample Questions
Q1) The nurse must assess 10-month-old infant.The infant is sitting on the father's lap and appears to be afraid of the nurse and of what might happen next.Which initial action by the nurse would be most appropriate?
A)Initiate a game of peek-a-boo.
B)Ask father to place the infant on the examination table.
C)Undress the infant while he is still sitting on his father's lap.
D)Talk softly to the infant while taking him from his father.
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) A nurse is performing an otoscopic exam on a school-age child.Which direction should the nurse pull the pinna for this age of child?
A)Up and back
B)Down and back
C)Straight back
D)Straight up
Page 8
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Chapter 7: Pain Assessment and Management in Children
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16 Verified Questions
16 Flashcards
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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) 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) A 2-year-old child has been returned to the nursing unit after an inguinal hernia repair.Which pain assessment tool should the nurse use to assess this child for the presence of pain?
A)FACES pain rating tool
B)Numeric scale
C)Oucher scale
D)FLACC tool
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Chapter 8: Health Promotion of the Newborn and Family
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46 Verified Questions
46 Flashcards
Source URL: https://quizplus.com/quiz/22374
Sample Questions
Q1) A nurse is doing an assessment on a newborn.Which is characteristic of a newborn's vision at birth and an expected finding during the assessment?
A)Ciliary muscles are mature.
B)Blink reflex is absent.
C)Tear glands function.
D)Pupils react to light.
Q2) The nurse is assessing a 3-day-old,breast-fed newborn who weighed 7 pounds,8 ounces at birth.The newborn's mother is now concerned that the newborn weighs 6 pounds,15 ounces.Which is the most appropriate nursing intervention?
A)Recommend supplemental feedings of formula.
B)Explain that this weight loss is within normal limits.
C)Assess child further to determine cause of excessive weight loss.
D)Encourage mother to express breast milk for bottle feeding the newborn.
Q3) 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.
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Chapter 9: Health Problems of Newborns
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71 Verified Questions
71 Flashcards
Source URL: https://quizplus.com/quiz/22375
Sample Questions
Q1) A newborn is diagnosed with retinopathy of prematurity.The nurse should know that:
A)blindness cannot be prevented.
B)no treatment is currently available.
C)cryotherapy and laser therapy are effective treatments.
D)long-term administration of oxygen will be necessary.
Q2) The screening test for PKU is most reliable if the blood sample is:
A)from cord blood.
B)taken 14 days after birth.
C)taken before oral feedings are initiated.
D)fresh blood from the heel.
Q3) Which finding on a newborn assessment should the nurse recognize as suggestive of a clavicle fracture?
A)Negative scarf sign
B)Asymmetric Moro reflex
C)Swelling of fingers on affected side
D)Paralysis of affected extremity and muscles
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11
Chapter 10: Health Promotion of the Infant and Family
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44 Verified Questions
44 Flashcards
Source URL: https://quizplus.com/quiz/22376
Sample Questions
Q1) Which would be the best play activity for a 6-month-old infant to provide tactile stimulation?
A)Allow to splash in bath.
B)Give various colored blocks.
C)Play music box, tapes, or CDs.
D)Use infant swing or stroller.
Q2) In terms of gross motor development,which should the nurse expect a 5-month-old infant to do? (Select all that apply.)
A)Roll from abdomen to back.
B)Put feet in mouth when supine.
C)Roll from back to abdomen.
D)Sit erect without support.
E)Move from prone to sitting position.f. Adjust posture to reach an object.
Q3) The nurse notices that a 10-month-old infant being seen in the clinic is wearing expensive,inflexible,high-top shoes.The nurse should explain that:
A)soft and flexible shoes are generally better.
B)high-top shoes are necessary for support.
C)inflexible shoes are necessary to prevent in-toeing and out-toeing.
D)this type of shoe will encourage the infant to walk sooner.
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Page 12
Chapter 11: Health Problems of Infants
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/22377
Sample Questions
Q1) An infant has been diagnosed with cow's milk allergy.What are the clinical manifestations the nurse expects to assess? (Select all that apply.)
A)Pink mucous membranes
B)Vomiting
C)Rhinitis
D)Abdominal pain
E)Moist skin
Q2) Which interventions should the nurse implement when caring for a family of a sudden infant death syndrome (SIDS)infant? (Select all that apply.)
A)Allow parents to say goodbye to their infant.
B)Once parents leave the hospital, no further follow-up is required.
C)Arrange for someone to take the parents home from the hospital.
D)Avoid requesting an autopsy of the deceased infant.
E)Conduct a debriefing session with the parents before they leave the hospital.
Q3) An infant is having an anaphylactic reaction,and the nurse is preparing to administer epinephrine 0.001 mg/kg.The child weighs 22 pounds.What is the epinephrine dose the nurse should administer? (Record your answer using two decimal places.)
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Page 13
Chapter 12: Health Promotion of the Toddler and Family
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/22378
Sample Questions
Q1) Which play item should the nurse bring from the playroom to a hospitalized toddler in isolation?
A)Small plastic Lego
B)Set of large plastic building blocks
C)Brightly colored balloon
D)Coloring book and crayons
Q2) Which technique is best for dealing with the negativism of the toddler?
A)Offer the child choices.
B)Remain serious and intent.
C)Provide few or no choices for child.
D)Quietly and calmly ask the child to comply.
Q3) A toddler's parent asks the nurse for suggestions on dealing with temper tantrums.Which is the most appropriate recommendation?
A)Punish the child.
B)Leave the child alone until the tantrum is over.
C)Remain close by the child but without eye contact.
D)Explain to child that this is wrong.
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14
Chapter 13: Health Promotion of the Preschooler and Family
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) The parent of a 4-year-old boy tells the nurse that the child believes that monsters and boogeymen are in his bedroom at night.The nurse's best suggestion for coping with this problem is to:
A)let the child sleep with his parents.
B)keep a night-light on in the child's bedroom.
C)help the child understand that these fears are illogical.
D)tell the child frequently that monsters and boogeymen do not exist.
Q2) A 4-year-old child tells the nurse that she does not want another blood sample drawn because "I need all my insides,and I don't want anyone taking them out." Which is the nurse's best interpretation of this?
A)Child is being overly dramatic.
B)Child has a disturbed body image.
C)Preschoolers have poorly defined body boundaries.
D)Preschoolers normally have a good understanding of their bodies.
Q3) The recommendation for calcium for children 1 to 3 years of age is _____ milligrams.(Record your answer in a whole number.)
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Page 15
Chapter 14: Health Problems of Toddlers and Preschoolers
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/22380
Sample Questions
Q1) A 3-month-old infant dies shortly after arrival to the emergency department.The infant has subdural and retinal hemorrhages but no external signs of trauma.The nurse should suspect:
A)unintentional injury.
B)shaken-baby syndrome.
C)sudden infant death syndrome (SIDS).
D)congenital neurologic problem.
Q2) Acyclovir (Zovirax)is given to children with chickenpox to:
A)minimize scarring.
B)decrease the number of lesions.
C)prevent aplastic anemia.
D)prevent spread of the disease.
Q3) A nurse is assessing a child and notes Koplik spots.In which of these communicable diseases are Koplik spots present?
A)Rubella
B)Measles (rubeola)
C)Chickenpox (varicella)
D)Exanthema subitum (roseola)
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Chapter 15: Health Promotion of the School-Age Child and Family
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) A school nurse is teaching dental health practices to a group of sixth-grade children.How often should the nurse recommend the children brush their teeth?
A)Twice a day
B)Three times a day
C)After meals
D)After meals, snacks, and bedtime
Q2) 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.This should be interpreted as:
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.
Q3) A nurse planning care for a school-age child should take into account that which thought process is seen at this age?
A)Animism
B)Magical thinking
C)Ability to conserve
D)Thoughts are all-powerful
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Chapter 16: Health Promotion of the Adolescent and Family
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) A 14-year-old adolescent never had chickenpox as a child.Which should the nurse recommend?
A)One dose of the varicella vaccination
B)Two doses of the varicella vaccination 4 weeks apart
C)One dose of the varicella immune globulin
D)No vaccinations-the child is past the age to receive it
Q2) A school nurse is teaching a group of preadolescent girls about puberty.Which is the mean age of menarche for girls in the United States?
A)11 1/2 years
B)12 3/4 years
C)13 1/2 years
D)14 years
Q3) A nurse is planning a teaching session for a group of adolescents.The nurse understands that by adolescence the individual is in which stage of cognitive development?
A)Formal operations
B)Concrete operations
C)Conventional thought
D)Post-conventional thought
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Page 18
Chapter 17: Health Problems of School-Age Children and Adolescents
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43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/22383
Sample Questions
Q1) An adolescent tells the school nurse that she is pregnant.Her last menstrual period was 4 months ago.She has not received any medical care.She smokes but denies any other substance use.The priority nursing action is to:
A)notify her parents.
B)refer for prenatal care.
C)explain the importance of not smoking.
D)discuss dietary needs for adequate fetal growth.
Q2) A 12-year-old male has short stature because of a constitutional growth delay.The nurse should be the most concerned about which of the following?
A)Proper administration of thyroid hormone
B)Proper administration of human growth hormones
C)Child's self-esteem and sense of competence
D)Helping child understand that his height is most likely caused by chronic illness and is not his fault
Q3) Which statement regarding chlamydia infection is correct?
A)Treatment of choice is oral penicillin.
B)Treatment of choice is nystatin or miconazole.
C)Clinical manifestations include dysuria and urethral itching in males.
D)Clinical manifestations include small, painful vesicles on genital areas.
Page 19
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Chapter 18: Quality of Life for Children Living with Chronic or Complex Diseases
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40 Verified Questions
40 Flashcards
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Sample Questions
Q1) A preschooler is found digging up a pet bird that was recently buried after it died.The best explanation for this behavior is that:
A)he has a morbid preoccupation with death.
B)he is looking to see whether a ghost took it away.
C)the loss is not yet resolved, and professional counseling is needed.
D)reassurance is needed that the pet has not gone somewhere else.
Q2) Kelly,an 8-year-old girl,will soon be able to return to school after an injury that resulted in several severe,chronic disabilities.Which is the most appropriate action by the school nurse?
A)Recommend that the child's parents attend school at first to prevent teasing.
B)Prepare the child's classmates and teachers for changes they can expect.
C)Refer the child to a school where the children have chronic disabilities similar to hers.
D)Discuss with the child and her parents the fact that her classmates will not accept her as they did before.
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Chapter 19: Impact of Cognitive or Sensory Impairment on the Child and Family
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38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/22385
Sample Questions
Q1) Which is an implanted ear prosthesis for children with sensorineural hearing loss?
A)Hearing aid
B)Cochlear implant
C)Auditory implant
D)Amplification device
Q2) When should children with cognitive impairment be referred for stimulation and educational programs?
A)As young as possible
B)As soon as they have the ability to communicate in some way
C)At age 3 years, when schools are required to provide services
D)At age 5 or 6 years, when schools are required to provide services
Q3) Which should be the major consideration when selecting toys for a child who is cognitively impaired?
A)Safety
B)Age appropriateness
C)Ability to provide exercise
D)Ability to teach useful skills
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Page 21
Chapter 20: Family-Centered Home Care
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) The home care nurse has been visiting an adolescent with recently acquired quadriplegia.The teen's mother tells the nurse,"I'm sick of providing all the care while my husband does whatever he wants to,whenever he wants to do it." Which should be the initial action of the nurse?
A)Refer mother for counseling.
B)Listen and reflect mother's feelings.
C)Ask father, in private, why he does not help.
D)Suggest ways the mother can get her husband to help.
Q2) Home care is being considered for a young child who is ventilator-dependent.Which factor is most important in deciding whether home care is appropriate?
A)Level of parents' education
B)Presence of two parents in the home
C)Preparation and training of family
D)Family's ability to assume all health care costs
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Chapter 21: Family-Centered Care of the Child During
Illness and Hospitalization
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) A previously "potty-trained" 30-month-old child has reverted to wearing diapers while hospitalized.The nurse should reassure the parents that this is normal because of which reason?
A)Regression is seen during hospitalization.
B)Developmental delays occur because of the hospitalization.
C)The child is experiencing urinary urgency because of hospitalization.
D)The child was too young to be "potty-trained."
Q2) A nurse is caring for four patients; three are toddlers and one is a preschooler.Which represents the major stressor of hospitalization for these four patients?
A)Separation anxiety
B)Loss of control
C)Fear of bodily injury
D)Fear of pain
Q3) Which age group should the pediatric nurse recognize as being vulnerable to events that lessen their feeling of control and power?
A)Infants
B)Toddlers
C)Preschoolers
D)School-age children
Page 23
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Chapter 22: Pediatric Variations of Nursing Interventions
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48 Verified Questions
48 Flashcards
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Sample Questions
Q1) When caring for a child with an intravenous infusion,the nurse should:
A)use a macrodropper to facilitate reaching the prescribed flow rate.
B)avoid restraining the child to prevent undue emotional stress.
C)change the insertion site every 24 hours.
D)observe the insertion site frequently for signs of infiltration.
Q2) The emergency department nurse is cleaning multiple facial abrasions on a 9-year-old child whose mother is present.The child is crying and screaming loudly.The nurse's action should be to:
A)ask the child to be quieter.
B)have the child's mother give instructions about relaxation.
C)tell the child it is okay to cry and scream.
D)remove the mother from the room.
Q3) Katie,4 years old,is admitted to outpatient surgery for removal of a cyst on her foot.Her mother puts the hospital gown on her,but Katie is crying because she wants to leave on her underpants.The most appropriate nursing action is to:
A)allow her to wear her underpants.
B)discuss with her mother why this is important to Katie.
C)ask her mother to explain to her why she cannot wear them.
D)explain in a kind, matter-of-fact manner that this is hospital policy.
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Page 24
Chapter 23: The Child with Respiratory Dysfunction
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50 Verified Questions
50 Flashcards
Source URL: https://quizplus.com/quiz/22389
Sample Questions
Q1) A nurse is interpreting the results of a tuberculin skin test (TST)on an adolescent who is HIV positive.Which induration size indicates a positive result for this child 48-72 hours after the test?
A)\( \geq \)5 mm
B)\( \geq \)10 mm
C)\( \geq \)15 mm
D)\( \geq \) 20 mm
Q2) The nurse is caring for a child with carbon monoxide poisoning associated with smoke inhalation.Which is essential in this child's care?
A)Monitor pulse oximetry.
B)Monitor arterial blood gases.
C)Administer oxygen if respiratory distress develops.
D)Administer oxygen if child's lips become bright, cherry red.
Q3) An infant has developed staphylococcal pneumonia.Nursing care of the child with pneumonia includes which interventions? (Select all that apply.)
A)Cluster care to conserve energy
B)Round-the-clock administration of antitussive agents
C)Strict intake and output to avoid congestive heart failure
D)Administration of antibiotics
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Page 25
Chapter 24: The Child with Gastrointestinal Dysfunction
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56 Verified Questions
56 Flashcards
Source URL: https://quizplus.com/quiz/22390
Sample Questions
Q1) Which type of dehydration is defined as "dehydration that occurs in conditions in which electrolyte and water deficits are present in approximately balanced proportion"?
A)Isotonic dehydration
B)Hypotonic dehydration
C)Hypertonic dehydration
D)All types of dehydration in infants and small children
Q2) Which statement best characterizes hepatitis A?
A)Incubation period is 6 weeks to 6 months.
B)Principal mode of transmission is through the parenteral route.
C)Onset is usually rapid and acute.
D)There is a persistent carrier state.
Q3) A nurse is admitting an infant with dehydration caused from water loss in excess of electrolyte loss.Which type of dehydration is this infant experiencing?
A)Isotonic
B)Isosmotic
C)Hypotonic
D)Hypertonic
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Chapter 25: The Child with Cardiovascular Dysfunction
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53 Verified Questions
53 Flashcards
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Sample Questions
Q1) 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)Child needs opportunities to play with peers.
B)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.
Q2) Which type of shock is characterized by a hypersensitivity reaction causing massive vasodilation and capillary leaks,which may occur with drug or latex allergy?
A)Neurogenic
B)Cardiogenic
C)Hypovolemic
D)Anaphylactic
Q3) Which is a common,serious complication of rheumatic fever?
A)Seizures
B)Cardiac arrhythmias
C)Pulmonary hypertension
D)Cardiac valve damage
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Chapter 26: The Child with Hematologic or Immunologic Dysfunction
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50 Verified Questions
50 Flashcards
Source URL: https://quizplus.com/quiz/22392
Sample Questions
Q1) A young child with leukemia has anorexia and severe stomatitis.The nurse should suggest that the parents try which intervention?
A)Relax any eating pressures.
B)Firmly insist that child eat normally.
C)Begin gavage feedings to supplement diet.
D)Serve foods that are either hot or cold.
Q2) A school-age child is admitted in vasoocclusive sickle cell crisis.The child's care should include:
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.
Q3) Myelosuppression,associated with chemotherapeutic agents or some malignancies such as leukemia,can cause bleeding tendencies because of a(n):
A)decrease in leukocytes.
B)increase in lymphocytes.
C)vitamin C deficiency.
D)decrease in blood platelets.
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Chapter 27: The Child with Genitourinary Dysfunction
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/22393
Sample Questions
Q1) The nurse is performing a pH dipstick test on a urine specimen.Which is the average pH expected for this test? (Record your answer in a whole number.)
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) Which is the most appropriate nursing diagnosis for the child with acute glomerulonephritis?
A)Risk for Injury related to malignant process and treatment
B)Fluid Volume Deficit related to excessive losses
C)Fluid Volume Excess related to decreased plasma filtration
D)Fluid Volume Excess related to fluid accumulation in tissues and third spaces
Q4) 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
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Chapter 28: The Child with Cerebral Dysfunction
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50 Verified Questions
50 Flashcards
Source URL: https://quizplus.com/quiz/22394
Sample Questions
Q1) 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.
Q2) Which neurologic diagnostic test gives a visualized horizontal and vertical cross-section of the brain at any axis?
A)Nuclear brain scan
B)Echoencephalography
C)CT scan
D)Magnetic resonance imaging (MRI)
Q3) Which of the following types of seizures may be difficult to detect?
A)Absence
B)Generalized
C)Simple partial
D)Complex partial
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Chapter 29: The Child with Endocrine Dysfunction
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/22395
Sample Questions
Q1) Chronic adrenocortical insufficiency is also referred to as:
A)Graves disease.
B)Addison disease.
C)Cushing syndrome.
D)Hashimoto disease.
Q2) An adolescent is being seen in the clinic for evaluation of acromegaly.The nurse understands that which occurs with acromegaly?
A)There is a lack of growth hormone (GH) being produced.
B)There is excess growth hormone (GH) after closure of the epiphyseal plates.
C)There is an excess of growth hormone (GH) before the closure of the epiphyseal plates.
D)There is a lack of thyroid hormone being produced.
Q3) A nasal spray of desmopressin acetate (DDAVP)is used to treat which disorder?
A)Hypopituitarism
B)Diabetes insipidus
C)Acute adrenocortical insufficiency
D)Syndrome of inappropriate antidiuretic hormone
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Chapter 30: The Child with Integumentary Dysfunction
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58 Verified Questions
58 Flashcards
Source URL: https://quizplus.com/quiz/22396
Sample Questions
Q1) A father calls the clinic nurse because his 2-year-old child was bitten by a black widow spider.The nurse should advise which to the father?
A)Apply warm compresses.
B)Carefully scrape off stinger.
C)Take child to emergency department.
D)Apply a thin layer of corticosteroid cream.
Q2) Fentanyl and midazolam (Versed)are given before débridement of a child's burn wounds.Which is the rationale for administration of these medications?
A)Promote healing.
B)Prevent infection.
C)Provide pain relief.
D)Limit amount of débridement that will be necessary.
Q3) A toddler sustains a minor burn on the hand from hot coffee.Which is the first action the nurse should recommend in treating this burn?
A)Apply ice to burned area.
B)Hold burned area under cool running water.
C)Break any blisters with a sterile needle.
D)Cleanse wound with soap and warm water.
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Chapter 31: The Child with Musculoskeletal or Articular Dysfunction
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37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/22397
Sample Questions
Q1) The nurse is caring for an infant with developmental dysplasia of the hip.Which clinical manifestations should the nurse expect to observe? (Select all that apply.)
A)Positive Ortolani click
B)Unequal gluteal folds
C)Negative Babinski sign
D)Trendelenburg sign
E)Telescoping of the affected limb f. Lordosis
Q2) A clinic nurse is conducting a staff in-service for other clinic nurses about signs and symptoms of a rhabdomyosarcoma tumor.Which should be included in the teaching session? (Select all that apply.)
A)Bone fractures
B)Abdominal mass
C)Sore throat and ear pain
D)Headache
E)Ecchymosis of conjunctiva
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Chapter 32: The Child with Neuromuscular or Muscular Dysfunction
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/22398
Sample Questions
Q1) Therapeutic management of a child with tetanus includes the administration of:
A)nonsteroidal anti-inflammatory drugs (NSAIDs) to reduce inflammation.
B)muscle stimulants to counteract muscle weakness.
C)bronchodilators to prevent respiratory complications.
D)tetanus immunoglobulin therapy.
Q2) Latex allergy is suspected in a child with spina bifida.Appropriate nursing interventions include which action?
A)Avoid using any latex product.
B)Use only nonallergenic latex products.
C)Administer medication for long-term desensitization.
D)Teach family about long-term management of asthma.
Q3) A toddler is admitted to the hospital with a possible diagnosis of tetanus.The health care provider has prescribed lorazepam (Ativan)intravenously 0.05 mg/kg/dose every 6 hours prn as a muscle relaxant.The child weighs 22 lb.How many milligrams of Ativan should the nurse administer per dose? (Record your answer using one decimal place.)
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