Nursing Care of Families Question
Bank
Course Introduction
This course explores the principles and practices of nursing care as applied to families across the lifespan, with an emphasis on holistic, family-centered approaches. Students will learn to assess family dynamics, cultural backgrounds, and developmental stages, and how these factors influence health and wellness. The curriculum covers strategies for supporting families during health transitions, chronic illness, crisis situations, and end-of-life care. Through case studies and clinical experiences, students develop critical thinking and communication skills to collaborate with families, advocate for their needs, and promote optimal health outcomes.
Recommended Textbook
Child Health Nursing Partnering with Children and Families 3rd Edition by Jane W. Ball
Available Study Resources on Quizplus
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
Available Study Resources on Quizplus for this Chatper
24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/78204
Sample Questions
Q1) A 7-year-old child has been admitted for acute appendicitis. The parents are questioning the nurse about expectations during the child's recovery. Which information tool would be most useful in answering a parent's questions about timing of key events?
A)Healthy People 2020
B)National clinical practice guidelines
C)Child mortality statistics
D)Critical clinical pathways
Answer: D
Q2) When discussing injury prevention with the parents of a toddler, which statement indicates teaching has been successful? "The leading cause of death in children is:
A)Unintentional injury."
B)Infectious disease."
C)Congenital anomalies."
D)Cancer."
Answer: A
To view all questions and flashcards with answers, click on the resource link above.
Page 3
Chapter 2: Family-Centered Care: Theory and Applications
Available Study Resources on Quizplus for this Chatper
14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/78203
Sample Questions
Q1) The nurse is assigned to a child in a spica cast for a fractured femur suffered in an automobile accident. The child's teenage brother was driving the car, which was totaled. The nurse learns that the father lost his job three weeks ago and that the mother has just accepted a temporary waitress job. An appropriate diagnosis for this family is:
A)Interrupted Family Processes related to a child with significant disability requiring alteration in family functioning.
B)Risk for Caregiver Role Strain related to a child with a newly acquired disability and the associated financial burden.
C)Impaired Social Interaction (parent and child) related to the lack of family or respite support.
D)Compromised Family Coping related to multiple simultaneous stressors.
Answer: D
To view all questions and flashcards with answers, click on the resource link above.
4
Chapter 3: Cultural Influences
Available Study Resources on Quizplus for this Chatper
18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/78202
Sample Questions
Q1) The nurse in a multicultural health clinic recognizes that many cultures use non-Western means in combination with Western health care prescriptions to treat illness. The nurse needs to recognize that the individuals most likely to combine curanderismo with Western health care prescriptions are:
A)African Americans
B)Native Americans
C)Asian Americans
D)Mexican Americans
Answer: D
Q2) The oncology nurse is working with patients from many cultural backgrounds. When assessing pain, the nurse should recall that members of which cultural group are more likely to remain quiet when experiencing severe pain?
A)Hispanic
B)Asian
C)Italian
D)Jewish
Answer: B
To view all questions and flashcards with answers, click on the resource link above.
Page 5
Chapter 4: Genetic and Hereditary Influences
Available Study Resources on Quizplus for this Chatper
17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/78201
Sample Questions
Q1) Advances in genetic screening provide information with high levels of certainty about genetic disorders a fetus might have. Which is an ethical implication of these advances?
A)The nurse must participate in actions that are completely contradictory to his personal ethics.
B)The nurse must be aware of his own personal feelings about the actions taken after the screening tests are completed.
C)The nurse must be aware of parent feelings regarding the information available to them.
D)The parents must be aware of the nurse's feelings regarding the information available about the fetus.
Q2) The nurse teaches children with genetic disorders ways to maintain health and avoid complications. The nurse will teach children with which genetic disorder to follow medical guidelines and maintain penicillin prophylaxis?
A)Sickle-cell disease
B)Hereditary idiopathic scoliosis
C)Klinefelter's syndrome
D)Recklinghausen's disease
To view all questions and flashcards with answers, click on the resource link above.
Chapter 5: Concepts of Growth and Development
Available Study Resources on Quizplus for this Chatper
15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/78200
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) The parents of a one-month-old infant are concerned that their baby seems different from their other child, and they ask the nurse if this is normal. The nurse informs them that it is normal for babies to have different temperaments and that according to the "temperament theory" of Chess and Thomas, one of the characteristics of the "slow-to-warm-up" child is that he:
A)Initially reacts to new situations by withdrawing.
B)Commonly has intense reactions to the environment.
C)Displays a predominately negative mood.
D)Shows a regularity in patterns of eating.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 6: Child and Family Communication
Available Study Resources on Quizplus for this Chatper
14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/78199
Sample Questions
Q1) 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."
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.
To view all questions and flashcards with answers, click on the resource link above.
8
Chapter 7: Pediatric and Newborn Assessment
Available Study Resources on Quizplus for this Chatper
19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/78198
Sample Questions
Q1) To accurately access blood pressure on a child, the nurse would select a cuff:
A)By the cuff label-infant, child, adult.
B)That covers 2/3 of the upper arm with a bladder that wraps around at least 80% of the circumference of the arm.
C)Based on availability as the size of the cuff will not influence the blood pressure.
D)That extends up to 50 % of the upper arm and the bladder covers 1/4 of the circumference of the arm.
Q2) A seven-year-old presents to the clinic with an exacerbation of asthma symptoms. On physical exam, the nurse would expect which of the following findings? Standard Text:
Select all that apply.
A)Increased tactile fremitus
B)Decreased vocal resonance
C)Bronchophony
D)Decreased tactile fremitus
E)Wheezing
To view all questions and flashcards with answers, click on the resource link above.
9
Chapter 8: Concepts of Health Promotion and Health Maintenance
Available Study Resources on Quizplus for this Chatper
16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/78197
Sample Questions
Q1) 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.
Q2) A four-year-old child is seen in the pediatric clinic for a well-child visit. During this visit, the nurse recognizes that appropriate assessments that should be completed at this time include: Standard Text: Select all that apply.
A)Height and weight.
B)Head circumference.
C)Four-year-old required immunizations.
D)Developmental assessment.
E)Safety counseling.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 9: Health Promotion and Maintenance of the
Newborn
Available Study Resources on Quizplus for this Chatper
14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/78196
Sample Questions
Q1) A nurse observes an infant in a crib lying still, without facial movements except for occasional sucking movements. At this time, the nurse will avoid:
A)Assessing heart and respiratory rate.
B)Attempts to feed the infant.
C)Skin assessment.
D)Repositioning the head of the infant.
Q2) A mother who is bottle-feeding her newborn requests to be discharged 24 hours post-delivery, because the mother also has twin two-year-olds at home. The nurse should schedule the follow-up visit for the newborn on which of these days?
A)Within 48 hours of discharge
B)When the infant is one month old
C)Within two weeks of discharge
D)Within one week of discharge
To view all questions and flashcards with answers, click on the resource link above.
11
Chapter 10: Health Promotion and Maintenance of the Infant
Available Study Resources on Quizplus for this Chatper
15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/78195
Sample Questions
Q1) A six-month-old infant has been hospitalized several times with diarrhea. The nurse evaluates home care to determine the cause of the repeated illnesses. Which is the most likely cause of the repeated gastroenteritis?
A)The infant is allowed to drink from her parents' drinks at meal time.
B)If the infant doesn't finish her bottle, the mother returns it to the refrigerator to be used later in the day.
C)There are three school-age children in the family.
D)The infant often wears only a diaper around the house.
Q2) 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."
To view all questions and flashcards with answers, click on the resource link above.
Page 12
Chapter 11: Health Promotion and Maintenance of the
Toddler and Preschooler
Available Study Resources on Quizplus for this Chatper
15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/78194
Sample Questions
Q1) A nurse is preparing to perform a physical assessment on a toddler. Which of these actions should the nurse take?
A)Explain each part of the examination to the child before performing it.
B)Ask the mother to tell the child not to be afraid.
C)Perform the assessment from head to toe.
D)Leave intrusive procedures, such as ear and eye examinations, until the end.
Q2) A nurse who is the manager of an ambulatory pediatric health care center is planning protocols for the routine health care visits of the children. Children within the catchment area of this care center have a high incidence of obesity. The most important assessment data in monitoring the two-year-old child with obesity is:
A)Weight alone.
B)The child's percentile score of height and weight and weight on the growth chart.
C)Changes in the child's percentile on the growth chart from birth to the present.
D)The child's body mass index.
To view all questions and flashcards with answers, click on the resource link above. Page 13
Chapter 12: Health Promotion and Maintenance of the School-Age Child
Available Study Resources on Quizplus for this Chatper
21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/78193
Sample Questions
Q1) The teacher has referred a 10-year-old boy to the school nurse. The school nurse knows that the child is an only child with a single mother who works full time and is going to school. Which additional finding would the nurse identify as putting the child at risk for mental health issues?
A)The child is well nourished, wears glasses, and wears clothing styles that matches the other boys in his class.
B)The boy has a grandmother, aunts, and several cousins living nearby.
C)The family attends church on a regular basis.
D)The child is not involved in community social activities and does not play sports.The child states he plays video games at home after school.
Q2) While teaching the parent of school-age children about self-esteem, the nurse instructs the parents to:
A)Limit the amount of compliments given to the child.
B)Point out the child's deficiencies in a nice way while providing suggestions for improvement.
C)Establish the goals they want the child to achieve at a predetermined time.
D)Build on the child's strengths and talents.
To view all questions and flashcards with answers, click on the resource link above.
Page 14
Chapter 13: Health Promotion and Maintenance of the Adolescent
Available Study Resources on Quizplus for this Chatper
24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/78192
Sample Questions
Q1) 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
Q2) An obese adolescent who adamantly denies sexual activity has a positive pregnancy test. Which statements would be most appropriate for the nurse to make to this adolescent?
A)"When was your last menstrual period (LMP)?"
B)"Tell me how you feel about your body image."
C)"Let's discuss some activities that you have done within the past few months that could possibly lead to pregnancy."
D)"Why are you denying sexual intercourse?"
To view all questions and flashcards with answers, click on the resource link above. Page 15
Chapter 14: Nursing Care of the Child in the Community
Available Study Resources on Quizplus for this Chatper
23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/78191
Sample Questions
Q1) The number of serious injuries of children in a community has doubled in the past year. Based on this information, the most appropriate nursing diagnosis for the community would be:
A)Altered Family Processes related to hospitalization of an injured child.
B)Noncompliance related to inappropriate use of child safety seats.
C)Injury, risk for related to inadequate use of bicycle helmets.
D)Knowledge, Deficit injury prevention in children.
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
To view all questions and flashcards with answers, click on the resource link above.
Chapter 15: Nursing Care of the Hospitalized Child
Available Study Resources on Quizplus for this Chatper
27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/78190
Sample Questions
Q1) A four-year-old is seen in the clinic for a sore throat. In the child's mind, the most likely causative agent is that the child:
A)Was exposed to someone else with a sore throat.
B)Yelled at his brother.
C)Did not eat the right foods.
D)Did not take his vitamins.
Q2) The charge nurse on a hospital unit is developing plans of care related to separation anxiety. The charge nurse recognizes that the hospitalized child who is at greatest risk for experiencing separation anxiety when parents cannot stay is the:
A)Six-month-old.
B)18-month-old.
C)Four-year-old.
D)Six-year-old.
Q3) In addition to separation anxiety, infants between six and 18 months of age also might display:
A)Fear of disfigurement.
B)Fear of death.
C)Stranger anxiety.
D)Fear of bodily injury.
To view all questions and flashcards with answers, click on the resource link above.
Page 17
Chapter 16: Nursing Care of the Child With a Chronic Condition
Available Study Resources on Quizplus for this Chatper
22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/78189
Sample Questions
Q1) The nurse is working with a 20-year-old who is medically fragile. It is the policy of the clinic to only see patients from birth to 21 years of age. The nurse is responsible for assisting the individual and family to transition to adult health care. The nurse recognizes that the individual may face difficulties related to: Standard Text: Select all that apply.
A)No longer qualifying for the state's child health insurance program and becoming uninsured.
B)Wanting to start fresh with the new healthcare provider and refusing to allow transfer of their records to the new agency.
C)Adult clinics being unwilling to accept this chronically ill individual into their practice.
D)The parents choosing an adult clinic that is not the one the individual would like to attend.
E)Being unwilling to transition to the adult clinic due to the relationships they have with the pediatric clinic.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 17: Nursing Care of the Child With a Life-Threatening Illness or Injury
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/78188
Sample Questions
Q1) A premature infant is admitted to the Neonatal Intensive Care Unit. The infant is in critical condition, and the outcome is questionable. Nursing behaviors that will promote visitation include:
A)Explaining to the parents that everything possible is being done for their infant.
B)Smiling at the parents and making them welcome when they come to visit.
C)Allowing alone time with their infant when they visit.
D)Introducing the parents to the other parents visiting their babies.
Q2) An adolescent with a gunshot wound presents to the emergency department with his distraught parents. He states that he saw a classmate shoot his teacher and several other students. As a result of the shooting incident, the nurse expects this adolescent to be at risk for which disorder?
A)Conduct disorder
B)Depression
C)Post-traumatic stress disorder
D)School phobia
To view all questions and flashcards with answers, click on the resource link above.
Chapter 18: End-Of-Life Care and Bereavement
Available Study Resources on Quizplus for this Chatper
19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/78187
Sample Questions
Q1) The nurse is having difficulty coping with the impending death of a child. Which would most likely be the best resource for the nurse at this time?
A)Co-workers
B)Hospice nurses
C)Unit manager
D)Spouse
Q2) A three-year-old child has a brain tumor and is now dying. The child has an Allow Natural Death order (AND order). Which of the following care and interventions are allowed for a child with an AND order? Standard Text: Select all that apply.
A)Oxygen
B)Suctioning
C)Use of a ventilator if respiratory failure occurs
D)Pain control
E)Cardiac compressions
To view all questions and flashcards with answers, click on the resource link above. Page 20
Chapter 19: Infant, Child, and Adolescent Nutrition
Available Study Resources on Quizplus for this Chatper
14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/78186
Sample Questions
Q1) The mother of a six-week-old infant tells the nurse that her baby has had colic for several days, crying for up to three hours and drawing his legs up on his abdomen. The mother says she is at "wits end" and wonders what she can do. The nurse learns that the infant is formula fed and gaining weight satisfactorily. The nurse would recommend: Standard Text: Select all that apply.
A)Breastfeeding the infant.
B)Switching to a bottle that has a collapsible bag inside.
C)Putting the infant in a baby swing after feeding.
D)Burping the baby more frequently.
E)Giving the baby a suppository once each morning.
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
To view all questions and flashcards with answers, click on the resource link above. Page 21
Chapter 20: Social and Environmental Influences on Child and
Adolescent Health
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/78185
Sample Questions
Q1) The school nurse is planning a smoking prevention program for middle school students. All of the following activities will be utilized. Which is likely to be the most effective in preventing middle school children from smoking?
A)A demonstration of the pathophysiology of the effects of smoking tobacco on the body given by the school's biology teacher
B)A talk on the importance of not smoking given by a local high school basketball star
C)Colorful posters with catchy slogans displayed throughout the school
D)A pledge campaign during which students sign contracts saying that they will not use tobacco products
Q2) A high school student calls to ask the nurse for advice on how to care for a new navel piercing. How should the nurse respond?
A)"Avoid contact with another person's bodily fluids until the area is well healed."
B)"Do not move or turn the jewelry for the first three days."
C)"Apply lotion to the area, rubbing gently, to prevent skin from becoming dry and irritated."
D)"Apply warm soaks to the area for the first two days to minimize swelling."
To view all questions and flashcards with answers, click on the resource link above.
Page 22
Chapter 21: Pain Assessment and Management
Available Study Resources on Quizplus for this Chatper
21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/78184
Sample Questions
Q1) The mother of a child who is recovering from surgery says to the nurse, "I don't understand why that other nurse told me to stroke his forehead when he is in pain. Why will that make him feel better?" The nurse's response will be based on the knowledge that:
A)Stroking the child's forehead reminds the child of the mother's continued presence, which is reassuring to the child.
B)Stroking causes a non-pain transmission to the brain that competes with the pain transmission and inhibits the pain message from reaching the brain.
C)Stroking causes the release of biochemicals, such as prostaglandins, which block pain transmission.
D)Stroking causes the release of endorphins, which reduce the perception of pain.
Q2) A five-year-old is hospitalized with a fractured femur. Which assessment tool is appropriate for this child?
A)CRIES Scale
B)Faces Pain Rating Scale
C)SUN Scale
D)PIPP Scale
To view all questions and flashcards with answers, click on the resource link above.
Page 23
Chapter 22: Immunizations and Communicable Diseases
Available Study Resources on Quizplus for this Chatper
27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/78183
Sample Questions
Q1) The nurse is teaching a child care class for mothers of young children. The nurse tells the parent that the most common mode of transmission of infectious disease is:
A)Children who are playing with the same toy.
B)Children who are coughing.
C)Children who are sitting together eating meals.
D)Children who are playing board games.
Q2) A two-year-old child with a fever is prescribed amoxicillin clavulanate 250 mg/5 ml three times daily by mouth for ten days for otitis media. To guard against antibiotic resistance, the nurse instructs the parent to:
A)Give the antibiotic for the full ten days.
B)Measure the prescribed dose in a household teaspoon.
C)Spread the dose evenly during daylight hours.
D)Stop the antibiotic when the child is afebrile.
Q3) 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.
To view all questions and flashcards with answers, click on the resource link above.
Page 24
Chapter 23: Alterations in Fluid, Electrolyte, and Acid-Base Balance
Available Study Resources on Quizplus for this Chatper
14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/78182
Sample Questions
Q1) 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
Q2) The nurse has just finished a parent teaching session on preventing heat-related illnesses for children who exercise. Which statement by a parent indicates understanding of preventive techniques taught?
A)Wearing dark clothing during exercise is recommended
B)Water is the drink of choice to replenish fluids.
C)During activity, stop for fluids every 15 to 20 minutes.
D)Hydration should occur at the end of an exercise session.
Q3) A nurse is planning care for a child with hyperkalemia. The nurse explains to the parents that an adverse outcome of hyperkalemia is:
A)Hyperthermia
B)Respiratory distress
C)Seizures
D)Cardiac arrhythmias
Page 25
To view all questions and flashcards with answers, click on the resource link above.
Chapter 24: Alterations in Eye, Ear, Nose, and Throat
Function
Available Study Resources on Quizplus for this Chatper
18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/78181
Sample Questions
Q1) A nurse is caring for a visually impaired 20-month-old who has not begun to walk. Which nursing diagnosis would be appropriate for this child?
A)Self-care deficit
B)Impaired physical mobility
C)Impaired home maintenance
D)Delayed growth and development
Q2) The nurse is taking care of a child who had a tonsillectomy. During the postoperative period, the nurse should observe the child for which clinical manifestation?
A)Arrhythmias
B)Dehydration
C)Increased blood sugar
D)Increased urinary output
Q3) The nurse can assist a child who has a mild hearing loss and reads lips to adapt to hospitalization by:
A)Touching the child lightly before speaking.
B)Using a picture board as the main means of communication.
C)Speaking in a loud voice while facing the child.
D)Speaking directly to the parents for communication.
To view all questions and flashcards with answers, click on the resource link above. Page 26
Chapter 25: Alterations in Respiratory Function
Available Study Resources on Quizplus for this Chatper
19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/78180
Sample Questions
Q1) After a routine vaginal delivery, the infant transitions with the mother in the recovery room without difficulty. Prior to being discharged from the recovery room, it is noted that the infant's respiratory rate is 102 and the lungs are clear to auscultation. Based on these findings, an appropriate transfer for this infant would be to:
A)The newborn nursery for the first bath.
B)The NICU and placed under an over-bed warmer for observation.
C)To the mother's room to promote bonding with the parents.
D)The newborn nursery for its first feeding.
Q2) 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.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 26: Alterations in Cardiovascular Function
Available Study Resources on Quizplus for this Chatper
22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/78179
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) An infant with tetralogy of Fallot (TOF) is having a hypercyanotic episode ("tet" spell). Which nursing interventions should the nurse implement? Standard Text: Select all that apply.
A)Administer oxygen.
B)Place the child in knee-chest position.
C)Administer morphine and propranolol intravenously as ordered.
D)Draw blood for a serum hemoglobin.
E)Administer Benadryl as ordered.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 27: Alterations in Immune Function
Available Study Resources on Quizplus for this Chatper
17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/78178
Sample Questions
Q1) The nurse is caring for a child with rheumatoid arthritis. Which is an appropriate nonpharmacologic measure to reduce the joint pain associated this disease?
A)Elevation of the extremity
B)Immobilization
C)Massage
D)Application of moist heat
Q2) The nurse is preparing the hospital room for admission of a child with multiple allergies including cow's milk, peanuts, and latex. The nurse's priority responsibility in preparing for this child would include:
A)Evaluating the hospital room for equipment containing latex.
B)Ordering an EpiPen for the child.
C)Notifying dietary of the milk and peanut allergy.
D)Placing a sign on the door which identifies all allergies.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 28: Alterations in Hematologic Function
Available Study Resources on Quizplus for this Chatper
26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/78177
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 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
To view all questions and flashcards with answers, click on the resource link above.
Chapter 29: The Child With Cancer
Available Study Resources on Quizplus for this Chatper
21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/78176
Sample Questions
Q1) A child with leukemia has a granulocyte count of 250/mm<sup>3</sup> and a platelet count 150,000/mm<sup>3</sup>. Nursing intervention would include which of the following?
A)Fluid restriction
B)Avoidance of mouth care
C)Strict isolation
D)Good hand washing
Q2) A five-year-old child is on chemotherapy for rhabdomyosarcoma. Despite antiemetics, the child complains of nausea. The mother wants the child to eat and is pushing the child to eat the food. The nurse would talk with the mother and suggest that she not push the food on the nauseated child because:
A)The child does not need to eat as he is on intravenous fluids.
B)Forcing the child to eat may lead to a food aversion for the child.
C)Vomiting can lead to damage to the stomach.
D)Pushing the child to eat leads to a psychological conflict that may turn the child away from the parent.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 30: Alterations in Gastrointestinal Function
Available Study Resources on Quizplus for this Chatper
19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/78175
Sample Questions
Q1) Which statement indicates that parents have understood the nurse's teaching with regard to colostomy stoma care for their toddler?
A)"We will change the colostomy bag with each wet diaper."
B)"We will expect a moderate amount of bleeding after cleansing the area around the stoma."
C)"We will watch for skin irritation around the stoma."
D)"We will use adhesive enhancers when we change the bag."
Q2) The woman has a normal pregnancy except for polyhydramnios. The delivery goes well and the baby is born and receives APGAR scores of seven and nine. Upon admission to the newborn nursery, the nurse is unsuccessful in inserting a nasogastric tube. The infant is suspected of having an esophageal atresia/tracheoesophageal fistula. While waiting for the pediatrician to see the infant, the nurse should:
A)Position the infant in semi-Fowler position.
B)Allow the infant to be taken to the mother's room for bonding.
C)Offer the infant formula feeding instead of breastfeeding.
D)Wrap the infant in blankets and place in a crib by the viewing window.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 31: Alterations in Genitourinary Function
Available Study Resources on Quizplus for this Chatper
17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/78174
Sample Questions
Q1) A child has undergone a kidney transplant and is receiving cyclosporine. The parents ask the nurse about the reason for the cyclosporine. The nurse should explain that the drug is given to:
A)Suppress rejection.
B)Decrease pain.
C)Improve circulation.
D)Boost immunity.
Q2) A four-year-old girl has been treated for three urinary tract infections (UTI) in the last two years. Which instructions can the nurse give to the mother to help reduce the child's risk of acquiring another UTI? Standard Text: Select all that apply.
A)Wear only nylon underwear for better air flow.
B)Teach the child to wipe from front to back.
C)Encourage the child to take long baths by allowing the child bubbles and toys in the tub.
D)Encourage the child to drink additional fluids throughout the day.
E)Plan potty breaks every two hours throughout the day.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 32: Alterations in Endocrine and Metabolic Function
Available Study Resources on Quizplus for this Chatper
18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/78173
Sample Questions
Q1) During the hospital stay in the newborn nursery, the infant is tested for galactosemia. When the test is positive, the parents are educated about treatment for galactosemia. The infant will be placed on what type of infant feeding?
A)Goat's milk formula
B)Breast milk
C)Cow's milk-based formula
D)Meat-based formula such as Nutramigen
Q2) A five-year-old with a history of being treated for hypopituitarism comes to the physician with complaints of right hip and leg pain. The nurse understands that this symptom might be related to which medication that is used to treat hypopituitarism?
A)Daily growth hormone
B)Insulin before meals and bedtime
C)DDAVP (desmopressin acetate) at HS
D)Cortisone injections
To view all questions and flashcards with answers, click on the resource link above.
Chapter 33: Alterations in Neurologic Function
Available Study Resources on Quizplus for this Chatper
19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/78172
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 four-year-old with intractable seizures has been on a ketogenic diet for the last six months, with a decrease in seizure activity. This child is now admitted to the pediatric unit with left-sided pain. The nurse knows that possible complications of the ketogenic diet include:
A)Appendicitis.
B)Bowel obstruction.
C)Urinary tract infection.
D)Kidney stones.
To view all questions and flashcards with answers, click on the resource link above.
Page 35
Chapter 34: Alterations in Mental Health and Cognition
Available Study Resources on Quizplus for this Chatper
15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/78171
Sample Questions
Q1) The nurse at a high school is screening students for mental health issues. The nurse would want to refer the adolescent for depression if the child shows which symptoms of depression? Standard Text: Select all that apply.
A)Agoraphobia
B)Somatic complaints
C)Focus on violence
D)Poor self-care
E)Poor school performance
Q2) A nurse is performing a developmental assessment on several children in a clinic setting. Which children exhibit a delay in meeting developmental milestones? Standard Text: Select all that apply.
A)An 18-month-old toddler who is unable to speak in sentences
B)A two-year-old who is unable to cut with scissors
C)A two-year-old who cannot recite her phone number
D)A six-year-old who is unable to sit still for a short story
E)A five-year-old who is unable to button his shirt
To view all questions and flashcards with answers, click on the resource link above.
Chapter 35: Alterations in Musculoskeletal Function
Available Study Resources on Quizplus for this Chatper
17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/78170
Sample Questions
Q1) The nurse is teaching a family how to care for their infant in a Pavlik harness to treat congenital developmental dysplasia of the hip. Which instruction is appropriate for the nurse to include in parental education in relation to the Pavlik harness?
A)Apply lotion or powder to minimize skin irritation.
B)Check at least two or three times a day for red areas under the straps.
C)Put clothing over the harness for maximum effectiveness of the device.
D)Place a diaper over the harness, preferably using a thin, superabsorbent, disposable diaper.
Q2) 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.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 36: Alterations in Skin Integrity
Available Study Resources on Quizplus for this Chatper
19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/78169
Sample Questions
Q1) An infant has a severe case of oral thrush (Candida albicans). Which is the priority nursing diagnosis for this infant?
A)Ineffective infant feeding pattern related to discomfort
B)Ineffective breathing pattern related to oral thrush
C)Activity intolerance related to oral thrush
D)Ineffective airway clearance related to mucus
Q2) The school nurse is conducting pediculosis capitis (head lice) checks. Which finding would indicate a "positive" head check?
A)White, flaky particles throughout the entire scalp region
B)Lesions on the scalp that extend to the hairline or neck
C)Maculopapular lesions behind the ears
D)Silver/white sacs attached to the hair shafts in the occipital area
Q3) The nurse is planning care for a three-month-old infant with eczema. Which intervention would take top priority in this infant's care?
A)Applying antibiotics to lesions
B)Keeping the baby content
C)Maintaining adequate nutrition
D)Preventing infection of lesions
To view all questions and flashcards with answers, click on the resource link above. Page 38