Nursing Care of Families Final Exam
Course Introduction
This course explores the foundations of nursing care for families across the lifespan, emphasizing holistic and culturally competent approaches. Students learn to assess and address the unique needs of families in diverse settings, including health promotion, disease prevention, and management of acute and chronic conditions. Key topics include family dynamics, communication, developmental stages, and the impact of illness on family systems. Evidence-based interventions and collaborative practices are emphasized to support positive health outcomes within the context of family-centered care.
Recommended Textbook
Child Health Nursing Partnering with Children and Families 3rd Edition by Jane W. Ball
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36 Chapters
680 Verified Questions
680 Flashcards
Source URL: https://quizplus.com/study-set/3920
Page 2
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) All of the following adolescents are in the emergency room for treatment. Which adolescent would be an emancipated minor?
A)The 15-year-old adolescent who disagrees with the parents in regard to the medical plan of care
B)The 14-year-old adolescent who understands the risks and benefits of treatment
C)The 17-year-old adolescent who is self-supporting and maintains her own apartment
D)The 16-year-old adolescent who ran away from home and is living with a friend
Answer: C
Q2) Despite the availability of the Children's Health Insurance Program (CHIP), families often fail to obtain coverage for eligible children because:
A)They do not see the importance of insurance coverage.
B)Families do not have adequate time to complete the enrollment process.
C)They do not know their child is eligible.
D)Parents do not value medical interventions for their children.
Answer: C
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Chapter 2: Family-Centered Care: Theory and Applications
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/78203
Sample Questions
Q1) While performing a family assessment, the nurse identifies which symptoms associated with dysfunctional family coping strategies? Standard Text: Select all that apply.
A)Father acknowledges an addiction to alcohol.
B)The mother is a stay-at-home mother, and the father works two jobs to make ends meet.
C)The family has deep religious beliefs.
D)The father makes all of the decisions for the family, and the mother is compliant with the father's decisions.
E)Direct, open communication among family members is observed.
Answer: A,D
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4
Chapter 3: Cultural Influences
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/78202
Sample Questions
Q1) Access to health care often is less accessible to many groups of children and parents. Which factors can contribute to reducing access to health care? Standard Text: Select all that apply.
A)Transportation problems
B)Lack of community healthcare facilities
C)Lack of health insurance among low-income families
D)Overload of clients resulting in inability to be seen in a timely fashion
E)Communication difficulties if the family is unable to speak or read English
Answer: A,C,E
Q2) Unhappy with the treatment progress for their child with cancer, the parents choose to add dietary supplements, including megavitamins, as complementary medicine to the treatment plan. What would be the priority nursing diagnosis for this child?
A)Impaired gas exchange
B)Risk for injury
C)Altered family processes
D)Altered parenting
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) When a parent reports multiple male miscarriages, the nurse should confer with the health care provider about a possible genetics referral for which type of conditions?
A)Anticipation autosomal dominant conditions
B)X-linked recessive conditions
C)X-linked dominant conditions
D)Autosomal recessive conditions
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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) The home health nurse is visiting a family at home when the toddler has an "accident" and has a bowel movement in his diaper. The mother becomes angry with the child and calls him a baby for messing himself. The nurse considers Erikson's theory and recognizes that the mother's behavior may have an effect on the child's:
A)Cognitive development.
B)Sense of independence.
C)Conscience.
D)Development of superego.
Q2) Utilizing Bronfenbrenner's ecologic theory of development, the nurse caring for a child would discuss the parents' work environment as part of an assessment of that child's:
A)Chronosystem.
B)Mesosystem.
C)Macrosystem.
D)Exosystem.
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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) In order to prepare a six-year-old client for an intravenous catheter insertion, the nurse's best response would be:
A)"If I were you, I would hold very still so that it will only take one stick."
B)"It is okay to cry.I know that this hurts."
C)"Why are you crying? I thought that you were a tough kid."
D)"Don't worry a bit; this is just like a little mosquito bite."
Q2) The nurse caring for a nine-year-old child with extensive burns needs to prepare the child for going to whirlpool therapy for the first time. The most effective response to promote communication with this child would be:
A)"Have you been to the playroom yet? Maybe when you get back from whirlpool we can check it out together."
B)"Before you leave for whirlpool, I will give you a shot that will relax you, and you probably won't even remember going downstairs at all."
C)"I am going to be taking you downstairs to whirlpool.Do you have any questions?"
D)"Some of the children I have worked with have told me that they worried about the whirlpool hurting them."
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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 policy of the pediatric clinic is that head circumferences are performed at each visit, if appropriate. The nurse should plan to check head circumferences on which of the children being seen today? Standard Text: Select all that apply.
A)One-month-old child who is coming for his first well-child visit
B)Two-month-old child with failure to thrive
C)Nine-month-old child with otitis media
D)18-month-old well-child visit for a child with Down's syndrome
Q2) While assessing newborns, the nurse should differentiate normal findings from findings which require further evaluation and intervention. Which would be normal newborn findings? Standard Text: Select all that apply.
A)Swelling over the occiput that crosses suture lines
B)Tiny white papules located primarily on the nose and chin
C)Tiny red macules and pustules that come and go, primarily on the trunk and extremities
D)When the Moro reflex is elicited, the right arm extends and returns to the body.The left arm remains resting against the chest.
E)Greenish discoloration of skin over the entire body that is not removed by the initial bath
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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) The nurse wants to perform developmental screenings on a five-year-old child. Which screening tools would be appropriate for this purpose? Standard Text: Select all that apply.
A)Denver II
B)Bayley Infant Neurodevelopmental Screener
C)McCarthy Scales of Children's Abilities
D)Denver Articulation Screening Exam
E)Early Language Milestone Scale
Q2) Which of these strategies would be most effective for a "teachable moment" for the parents of a four-year-old child during a routine office visit?
A)Discuss with the parents preparation for school because the child will start kindergarten next year
B)Review five-year-old anticipatory guidelines with the parents.
C)Select one topic that is a common problem or concern for parents of four-year-olds and present a brief amount of information on the topic.
D)Review all four-year-old anticipatory guidelines with the parents.
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Chapter 9: Health Promotion and Maintenance of the Newborn
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14 Verified Questions
14 Flashcards
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Sample Questions
Q1) The nurse is providing anticipatory guidance instructions to the parents of a newborn. Which of these instructions should the nurse give as disease/injury prevention strategies? Standard Text: Select all that apply.
A)SIDS risk reduction
B)Fall prevention
C)Formula safety
D)Immunization schedule
E)Risk of poisoning
Q2) A newborn is admitted to the nursery from the delivery room. All of the activities must be performed. Place the activities in order of performance from first to last. Standard Text: Click and drag the options below to move them up or down.
A)Administer a vitamin K injection
B)Take vital signs.
C)Place in an overbed warmer.
D)Administer eye prophylaxis.
E)Administer an admission bath.
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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 nurse working with a family has observed that the older children have a large number of dental caries, so the nurse plans to provide the mother with information to prevent the development of dental caries in her new infant. What instructions will the nurse include in the teaching provided to the mother? Standard Text: Select all that apply.
A)Wiping the infant's gums with soft, moist gauze once or twice daily
B)Giving foods high in sugar only at breakfast time
C)Not allowing the infant to sleep with a bottle in the bed
D)Reminding the mother that dental care is not needed until the permanent teeth erupt
E)Using a topical anesthetic daily, beginning as soon as the first tooth begins to erupt
Q2) The home health nurse visits a home with an eight-month-old baby. Which observation is a safety issue that should be discussed with the mother?
A)The infant crib mattress has been lowered to its lowest level.
B)The mother cuts hot dogs into pieces for the baby to "gum."
C)The cords to the window blinds have been shortened and do not hang below the window.
D)The mother has placed infant barriers around the gas heat stove.
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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) A 27-month-old toddler who is in the pediatric office for a well-child visit begins to cry the moment he is placed on the examination table. The parent attempts to comfort the toddler, but nothing is effective. Which would be the most appropriate action for the nurse to take?
A)Instruct the father to hold the toddler down tightly to complete the examination.
B)Allow the toddler to sit on the parent's lap and begin the assessment.
C)Ask another nurse in the office to hold the toddler, since the parent is not able to control the toddler's behavior.
D)Allow the toddler to stand on the floor until the crying stops.
Q2) The nurse is explaining the primary purpose of performing health maintenance activities at each pediatric visit. The best explanation touches on:
A)Planning appropriate disciplinary measures for control of behavior.
B)Reviewing developmental milestones with the parents.
C)Prevention of disease and injury.
D)Teaching growth and development to the parents.
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Page 13
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) 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.
Q2) The parents of a school-age child report that they allow their child to eat anything because the child is a "picky" eater. Which is the best response the nurse should make to the parent?
A)"Continue to allow this, because he eventually will begin to eat properly."
B)"Can you try allowing this to continue but only every other day?"
C)"I think you must not be good role models, so let's talk about your eating habits."
D)"Let's talk about what types of food are consumed when your child chooses."
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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) A teenager is accompanied by his mother to the annual physical examination. The nurse is aware of privacy issues related to the teenager. While the mother is in the room, which topic should the nurse avoid?
A)School performance
B)Cigarette smoking
C)School friends
D)Seatbelt use
Q2) The nurse working in the clinic includes an adolescent history in every client intake interview. Which of these issues should the nurse address when the parents are not present?
A)The adolescent's role in the family
B)Teen job responsibilities
C)Possible domestic violence
D)Activities done as a family
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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) A majority of pediatric health care occurs in community-based settings. Community-based health care settings include: Standard Text: Select all that apply.
A)The local community hospital.
B)Outpatient surgical facilities.
C)The public health clinic.
D)An inpatient mental health center.
E)A pediatrician's office
Q2) The community health nurse is planning an education session for recently hired teachers at a childcare center. It is most important that the nurse teach the staff:
A)The schedule for immunizations.
B)How to interpret health records.
C)Principles of infection control.
D)How to take a temperature.
Q3) A major goal of home health care nurses working with families is:
A)Maximizing the dependency of the child on the family.
B)Curing the chronic illness of the child.
C)Prescribing and administering medication needed by the child.
D)Promoting or restoring the child's health.
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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) When a parent asks to be present during a procedure, the nurse should understand that:
A)The parent wants to support his child before, during, and immediately after the procedure.
B)The parent wants to ensure that nothing goes wrong with the child.
C)The parent is interested because he is also in the medical field.
D)The parent wants to ensure that the correct medication is being used.
Q2) The nurse is teaching family members of a child getting ready for discharge how to administer medication to the child via a G-tube. The nurse created a nursing care plan with the diagnosis: knowledge deficit medication administration per G-tube. The most appropriate outcome for this goal would be that prior to discharge, the family:
A)Understands how to administer the medication.
B)Is able to give a return demonstration.
C)Repeats the instructions.
D)Administers the medication through the G-tube.
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Chapter 16: Nursing Care of the Child With a Chronic Condition
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/78189
Sample Questions
Q1) The school nurse completes an assessment of a six-year-old child to determine the services this child will need in the classroom. The child needs respiratory support with oxygen. The child requires enteral tube feedings and intravenous medications during the school day. With these needs, the school nurse evaluates the child to be:
A)Medically fragile.
B)Developmentally delayed.
C)Mentally retarded.
D)Socially withdrawn.
Q2) The nurse is working with a child with a chronic condition. The nurse observes that over time, the parents have experienced a pattern of periodic grieving alternating with denial. The nurse would recognize this pattern as:
A)Pathologic grieving.
B)Compassion fatigue.
C)Chronic sorrow.
D)Dysfunctional parenting.
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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) In caring for a child with a life-threatening illness, the nurse should anticipate the parent's reaction to the child illness. Which response should the nurse anticipate the parent will experience? Standard Text: Select all that apply.
A)Anticipatory waiting
B)Post-traumatic stress disorder
C)Deprivation and loss
D)Anger and guilt
E)Readjustment and mourning
Q2) The nurse is caring for an eight-year-old child who has been in a car accident, has a head injury, and is in the ICU. The nurse sees the child pulling on the IV line. What action should the nurse take?
A)Sedate the child as needed.
B)Place soft wrist restraints on the child.
C)Ask the parents to watch the child closely at all times.
D)Tell the child not to pull on the IV line.
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Chapter 18: End-Of-Life Care and Bereavement
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) The nurse is caring for a child with a terminal illness. Physical care for the dying child would include which interventions? Standard Text: Select all that apply.
A)Providing oral care to moisten a dry mouth
B)Administering ordered laxatives to counter the effects of opioids
C)Encouraging a favorite food
D)Keeping the child pain-free
E)Taking vital signs and blood pressure every two hours
Q2) The nurse working on a pediatric unit is speaking to a child who is terminally ill. The child is describing her illness in terms of mutilation to her body. The nurse understands this to be representative of the development of which age group?
A)Adolescents
B)Preschoolers
C)School-age children
D)Infants
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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) During a four-month-old infant's well-child checkup, the nurse discusses introduction of solid foods into the infant's diet. Although the nurse recommends delaying the introduction of many foods into the diet, which food(s) will the nurse discuss delaying because they increase the risk for food allergy?
A)Honey
B)Carrots, beets, and spinach
C)Pork
D)Cow's milk, eggs, and peanuts
Q2) A nurse is talking to the mother of an exclusively breastfed, African American infant who is three months old and was born in late fall. The nurse would want to make sure that this child is receiving:
A)Iron
B)Vitamin D
C)Calcium
D)Fluoride
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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 mother tells the nurse that her maternity leave is almost over and she will be returning to work soon. She will need to place her infant in a day care, and she asks the nurse how to know which day care is best. The nurse will tell the mother to investigate day care programs that: Standard Text: Select all that apply.
A)Are close to her work in the event of an emergency
B)Require all staff have criminal background checks
C)Are attractive in appearance, with bright colors and interesting visual stimulation
D)Provide regular training of the staff and administration
E)Have policies regarding child health and emergencies, such as immunization requirements and emergency medical forms
Q2) A seven-year-old child has been seen in the pediatric clinic three times in the last two months for complaints of abdominal pain. On each occasion, the physical exam and all ordered lab work have been normal. The most important information to assess at this time would be:
A)The child's normal eating habits.
B)Recent viral illnesses or other infectious symptoms.
C)Review of the child's immunization history.
D)Changes in school or home life.
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Chapter 21: Pain Assessment and Management
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) The nurse is preparing to perform a heel stick on a neonate. The most appropriate complementary therapy for the nurse to plan to use in the neonate to decrease pain during this quick but painful procedure is:
A)Holding the infant.
B)Sucrose pacifier.
C)Massage.
D)Swaddling.
Q2) A nurse is taking care of a patient in the ICU who has been on opioids for an extended period of time. The nurse understands that the child has to slowly wean from the medication over a period of time. While weaning, the nurse will observe the child for symptoms of too rapid withdrawal, including:
A)Hyperactive deep tendon reflexes, vomiting, and abdominal cramps.
B)Bradycardia and pallor.
C)Decreased blood pressure and drowsiness.
D)Voracious appetite and hypotonicity.
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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 prepares a DTaP (diphtheria, tetanus toxoid, and acellular pertussis) immunization for a six-month-old infant. To administer this injection safely, the nurse chooses which of the following needles (size and length), injection type, and injection site?
A)25-gauge, <sup>5</sup>/<sub>8</sub>-inch needle; IM (intramuscular); anterolateral thigh
B)25-gauge, <sup>5</sup>/<sub>8</sub>-inch needle; ID (intradermal); deltoid
C)22-gauge, <sup>1</sup>/<sub>2</sub>-inch needle; IM (intramuscular); dorsogluteal
D)25-gauge, <sup>3</sup>/<sub>4</sub>-inch needle; SQ (subcutaneous); anterolateral thigh
Q2) 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 Balance
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14 Flashcards
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Sample Questions
Q1) 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
Q2) A child with croup has an increased pCO<sub>2</sub>, a decreased pH, and a normal HCO<sub>3</sub> blood gas value. The nurse interprets this as uncompensated:
A)Metabolic alkalosis.
B)Metabolic acidosis.
C)Respiratory acidosis.
D)Respiratory alkalosis.
Q3) A child is admitted to the hospital for hypercalcemia and is placed on diuretic therapy. Which diuretic would the nurse expect to give?
A)Furosemide (Lasix)
B)Hydrochlorothiazide (Aquazide)
C)Spironolactone (Aldactone)
D)Mannitol (Osmitrol)
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Chapter 24: Alterations in Eye, Ear, Nose, and Throat
Function
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Sample Questions
Q1) The school nurse is screening all second graders for tonsillitis and pharyngitis. Which finding is a normal finding in this age group?
A)Tonsils are large and seem to fill the throat.
B)Child is complaining of sore throat and drooling
C)White patches are observed on the tonsils.
D)Throat appears red, and child has a low-grade fever
Q2) A 10-month-old infant has had numerous ear infections since birth. The nurse will discuss with the parents ways that might reduce the incidence of otitis media and will include which strategies? Standard Text: Select all that apply.
A)Prohibiting tobacco smoke in the home
B)Avoiding use of a pacifier while the child is sleeping
C)Breastfeeding the infant
D)Cleaning the child's ears nightly with peroxide
E)Avoiding use of wood-burning stoves
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Chapter 25: Alterations in Respiratory Function
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) Which nursing diagnosis would be most appropriate for an infant with acute bronchiolitis due to respiratory syncytial virus (RSV)?
A)Activity intolerance
B)Tissue perfusion, ineffective (peripheral)
C)Pain, acute
D)Decreased cardiac output
Q2) A two-month-old infant is a direct admission to the pediatric unit with a diagnosis of ALTE (apparent life-threatening event). The physician is to see the infant to write medical orders. The nurse completes the nursing history and performs an assessment and finds no abnormal findings. While waiting on the physician, which activity can the nurse perform independently?
A)Place the child on an apnea monitor.
B)Place the child on nasal cannula oxygen.
C)Draw blood for arterial blood gases.
D)Place the child on contact isolation.
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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) Following an injury that led to hypovolemic shock, a child is being treated in the emergency department. Which treatment measures would be given the highest priority for this child with hypovolemic shock?
A)Assess the cause of bleeding.
B)Establish an open airway and administer oxygen.
C)Administer analgesics for control of pain.
D)Provide replacement of volume.
Q2) A toddler has been started on digoxin (Lanoxin) for cardiac failure. The nurse will teach the parents to monitor the child for signs of digoxin (Lanoxin) toxicity including:
A)Bradycardia.
B)Tinnitus.
C)Ataxia.
D)Lowered blood pressure.
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Chapter 27: Alterations in Immune Function
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17 Flashcards
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Sample Questions
Q1) An adolescent has systemic lupus erythematosus (SLE). Which action by the teen indicates acceptance of the body changes that occur because of SLE?
A)Attends school but doesn't stay for after-school activities
B)Discusses the body changes with health care personnel only
C)Discusses the body changes with her best friend
D)Only attends small parties at friends' homes
Q2) A nurse has begun an infusion of intravenous immunogloblin (IVIG) to a child who has combined immunodeficiency disease. In which situation should this infusion be stopped?
A)The child complains of discomfort at the IV site.
B)The child develops severe shaking, chills, and fever.
C)The child complains of thirst.
D)The child experiences a mild headache.
Q3) The nurse is planning care for a child with acquired immune deficiency syndrome (AIDS). Which vaccines should be avoided in the child with AIDS?
A)Inactivated polio vaccine (a killed virus vaccine)
B)Tetanus toxoid vaccination
C)Varicella vaccine (an attenuated virus vaccine)
D)Acellular pertussis vaccine
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Page 29
Chapter 28: Alterations in Hematologic Function
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26 Verified Questions
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Sample Questions
Q1) During discharge teaching to parents of a child hospitalized with sickle-cell crisis, the nurse should emphasize which of the following as a priority home care intervention?
A)Rapid weaning of pain medications
B)Promotion of a diet high in protein
C)Encouraging adequate hydration
D)Restriction of activities
Q2) A child with meningococcemia is being admitted to the pediatric intensive care unit. This child should be placed in which type of room?
A)Private room, in respiratory isolation
B)Private room, in protective isolation
C)Private room, but not in isolation
D)Semiprivate room
Q3) Which of the following parental demonstrations indicates that the parents understand the nurse's teaching with regard to prevention of iron-deficiency anemia?
A)The parents feed their infant with a formula that is not iron-fortified.
B)The child's vitamin C consumption is limited after one year of age.
C)The parents start iron-fortified infant cereal at four to six months of age.
D)Cow's milk is introduced into the child's diet at six months of age.
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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) A child has recently been diagnosed with leukemia. The child's sibling is expressing feelings of anger and guilt. This reaction by the sibling is:
A)Abnormal; the sibling should be referred to a psychologist.
B)Unexpected; the cancer is easily treated.
C)Unusual; the illness doesn't affect the sibling.
D)Normal; the sibling is affected, too, and anger and guilt are expected feelings.
Q2) The child is receiving chemotherapy for acute lymphocytic leukemia. The nurse recognizes that a potential oncological emergency for this child would be tumor lysis syndrome. For which symptoms should the nurse monitor this child?
A)Respiratory distress and cyanosis
B)Thrombocytopenia and leukocytosis
C)Oliguria and altered levels of consciousness
D)Upper-extremity edema and neck vein distension
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Chapter 30: Alterations in Gastrointestinal Function
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Sample Questions
Q1) An infant born with an omphalocele defect is being admitted to the intensive care nursery. Which of the following should the nurse in charge instruct the nursing technician to prepare?
A)Radiant warmer
B)Crib
C)Bilirubin light
D)Formula for feeding
Q2) A three-year-old child is suspected of having Hirschsprung's disease. Which assessment factors would support such a medical diagnosis?
A)Clay-colored stools and dark urine
B)History of early passage of meconium in the newborn period
C)History of chronic, progressive constipation and failure to gain weight
D)Continual bouts of foul-smelling diarrhea
Q3) The nurse is planning postoperative care for an infant after a cleft lip repair. Which intervention should the nurse include in this infant's plan of care?
A)Suctioning with a tonsil tip (Yankauer) device
B)Using a pacifier to reduce straining the suture line with crying
C)Supine positioning
D)Frequent breast or bottle feeding
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Page 32
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 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
Q3) 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
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Page 33
Chapter 32: Alterations in Endocrine and Metabolic Function
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Sample Questions
Q1) The nurse is providing information to a teenager newly diagnosed with diabetes and his parents. The nurse teaches them that the signs of diabetic ketoacidosis (DKA) include: Standard Text: Select all that apply.
A)Change in mental status.
B)Tachycardia.
C)Fruity breath odor.
D)Rapid, shallow respirations.
E)Abdominal pain.
Q2) Based on physical findings, including a webbed neck and low hairline, the newborn female infant is suspected of having Turner's syndrome. The baby is in the newborn nursery while preparations are made for further evaluation including karyotyping. The nurse will want to monitor this baby for common associated conditions including:
A)Club foot (talipes equinovarus).
B)Congenital heart anomalies.
C)Hyperbilirubinemia due to liver abnormalities.
D)Diaphragmatic hernia.
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Chapter 33: Alterations in Neurologic Function
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Sample Questions
Q1) 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
Q2) A baby just born with a meningomyelocele is to have surgery in the morning. The nurse knows the care of this newborn includes:
A)Applying a diaper to prevent contamination of sac.
B)Positioning the newborn in a side-lying position.
C)Encouraging the mother to hold the newborn, because she will not be able to pick him up after surgery.
D)Positioning the newborn in a prone position.
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Chapter 34: Alterations in Mental Health and Cognition
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Sample Questions
Q1) A child with autism is being admitted to the hospital with dehydration. Upon admission, the nurse should:
A)Encourage the parents to avoid bringing favorite toys from home that might be lost.
B)Take the child on a tour of the pediatric unit.
C)Assign the child to his single-bed hospital room.
D)Take the child to the playroom for arts and crafts.
Q2) The nurse is working with the mother of a child with autism. The goal of the session is to plan strategies to increase the child's socialization. The nurse is explaining behavior modification as a treatment process. The nurse will encourage the mother to:
A)Create a reward system when the child interacts with a person.
B)Punish the child when the child's social behaviors are inappropriate.
C)Use dolls to demonstrate appropriate social interactions to the child.
D)Enroll the child in a day care to encourage interaction with other children.
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Chapter 35: Alterations in Musculoskeletal Function
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Sample Questions
Q1) An infant has just returned from surgery for correction of bilateral congenital clubfeet. The infant has bilateral long-leg casts. The toes on both feet are edematous, but there is color, sensitivity, and movement to them. What should the nurse do first?
A)Apply a warm, moist pack to the feet.
B)Elevate the infant's legs on pillows.
C)Encourage movement of the toes.
D)Call the physician to report the edema.
Q2) A six-year-old boy is admitted to the hospital with a diagnosis of osteomyelitis of the left femur. The plan of care includes a two-week round of intravenous antibiotics. The father questions why the child must be hospitalized and why the child cannot receive oral antibiotics. The nurse explains:
A)The antibiotic of choice is not available in oral form.
B)Blood flow to bones is limited, and parenteral administration is necessary to get appropriate blood levels.
C)Because the child is older now, it is harder to get the child to cooperate with oral antibiotics.
D)Because two weeks of therapy is necessary, the intravenous route will produce fewer side effects.
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Chapter 36: Alterations in Skin Integrity
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Sample Questions
Q1) The 10-year-old child is admitted to the hospital following an accident at school that resulted in a puncture wound of the abdomen. Two days after the injury, the child continues in the inflammation phase of healing. What would the nurse expect to see while changing the child's dressing and assessing the wound?
A)The wound is contracting, and the edges are growing together.
B)A blood clot has formed, sealing the wound.
C)Epithelial cells are growing into the wound.
D)The wound is pale and weepy.
Q2) A three-year-old is admitted to the hospital unit with cellulitis of the neck. The nurse will expect medical treatment to include:
A)Topical antibiotics.
B)Intravenous antibiotics.
C)Incision and drainage.
D)Intravenous corticosteroids.
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