Nursing Care of Infants, Children, and Adolescents
Exam Review
Course Introduction
This course provides an in-depth exploration of nursing principles and practices for delivering holistic, family-centered care to infants, children, and adolescents. Students will integrate developmental, physiological, and psychosocial knowledge to address the unique health needs and responses of pediatric patients across varied health care settings. Emphasis is placed on assessing growth and development, promoting health and wellness, managing acute and chronic pediatric conditions, communicating with children and families, and performing age-appropriate nursing interventions. Ethical, cultural, and legal considerations pertinent to pediatric care are discussed, preparing students for evidence-based practice in the evolving field of pediatric nursing.
Recommended Textbook
Wongs Nursing Care of Infants and Children 10th Edition by Hockenberry
Available Study Resources on Quizplus
35 Chapters
1814 Verified Questions
1814 Flashcards
Source URL: https://quizplus.com/study-set/256 Page 2
Chapter 1: Perspectives of Pediatric Nursing
Available Study Resources on Quizplus for this Chatper
41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/4161
Sample Questions
Q1) The nurse is describing clinical reasoning to a group of nursing students. Which is most descriptive of clinical reasoning?
A) Purposeful and goal directed
B) A simple developmental process
C) Based on deliberate and irrational thought
D) Assists individuals in guessing what is most appropriate
Answer: A
Q2) Which situation denotes a nontherapeutic nurse-patient-family relationship?
A) The nurse is planning to read a favorite fairy tale to a patient.
B) During shift report, the nurse is criticizing parents for not visiting their child.
C) The nurse is discussing with a fellow nurse the emotional draw to a certain patient.
D) The nurse is working with a family to find ways to decrease the family's dependence on health care providers.
Answer: B
To view all questions and flashcards with answers, click on the resource link above.
3
Chapter 2: Social, Cultural, Religious, and Family Influences on Child
Health Promotion
Available Study Resources on Quizplus for this Chatper
41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/4162
Sample Questions
Q1) A Hispanic toddler has pneumonia. The nurse notices that the parent consistently feeds the child only the broth that comes on the clear liquid tray. Food items, such as Jell-O, Popsicles, and juices, are left. Which statement best explains this?
A) The parent is trying to feed the child only what the child likes most.
B) Hispanics believe the "evil eye" enters when a person gets cold.
C) The parent is trying to restore normal balance through appropriate "hot" remedies.
D) Hispanics believe an innate energy called chi is strengthened by eating soup.
Answer: C
Q2) An individual's self-identification as man or woman
A)Race
B)Gender
C)Ethnicity
D)Social class
E)Socialization
Answer: B
To view all questions and flashcards with answers, click on the resource link above.
Page 4
Chapter 3: Hereditary Influences on Health Promotion of the Child
and Family
Available Study Resources on Quizplus for this Chatper
42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/4163
Sample Questions
Q1) An environmental agent capable of producing a birth defect
A)Concordant
B)Congenital
C)Cytogenetics
D)Genome
E)Teratogen
Answer: E
Q2) The inheritance of which is X-linked recessive?
A) Hemophilia A
B) Marfan syndrome
C) Neurofibromatosis
D) Fragile X syndrome
Answer: A
Q3) Early diagnosis of congenital hypothyroidism (CH) and phenylketonuria (PKU) is essential to prevent which?
A) Obesity
B) Diabetes
C) Cognitive impairment
D) Respiratory distress
Answer: C
Page 5
To view all questions and flashcards with answers, click on the resource link above.
Chapter 4: Communication, Physical, and Developmental Assessment
Available Study Resources on Quizplus for this Chatper
49 Verified Questions
49 Flashcards
Source URL: https://quizplus.com/quiz/4164
Sample Questions
Q1) When auscultating an infant's lungs, the nurse detects diminished breath sounds. What should the nurse interpret this as?
A) Suggestive of chronic pulmonary disease
B) Suggestive of impending respiratory failure
C) An abnormal finding warranting investigation
D) A normal finding in infants younger than 1 year of age
Q2) Which is the single most important factor to consider when communicating with children?
A) Presence of the child's parent
B) Child's physical condition
C) Child's developmental level
D) Child's nonverbal behaviors
Q3) An 8-year-old girl asks the nurse how the blood pressure apparatus works. The most appropriate nursing action is which?
A) Ask her why she wants to know.
B) Determine why she is so anxious.
C) Explain in simple terms how it works.
D) Tell her she will see how it works as it is used.
To view all questions and flashcards with answers, click on the resource link above. Page 6
Chapter 5: Pain Assessment and Management in Children
Available Study Resources on Quizplus for this Chatper
40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/4165
Sample Questions
Q1) Which coanalgesics should the nurse expect to be prescribed for pruritus? (Select all that apply.)
A) Naloxone (Narcan)
B) Inapsine (Droperidol)
C) Hydroxyzine (Atarax)
D) Promethazine (Phenergan)
E) Diphenhydramine (Benadryl)
Q2) What describes nonpharmacologic techniques for pain management?
A) They may reduce pain perception.
B) They usually take too long to implement.
C) They make pharmacologic strategies unnecessary.
D) They trick children into believing they do not have pain.
Q3) Children as young as age 3 years can use facial scales for discrimination. What are some suggested anchor words for the preschool age group?
A) "No hurt."
B) "Red pain."
C) "Zero hurt."
D) "Least pain."
To view all questions and flashcards with answers, click on the resource link above.
7
Chapter 6: Childhood Communicable and Infectious Diseases
Available Study Resources on Quizplus for this Chatper
47 Verified Questions
47 Flashcards
Source URL: https://quizplus.com/quiz/4166
Sample Questions
Q1) The clinic nurse is instructing parents about caring for a toddler with ascariasis (common roundworm). Which statement made by the parents indicates a need for further teaching?
A) "We will wash our hands often, especially after diaper changes."
B) "We know that roundworm can be transmitted from person to person."
C) "We will be sure to continue the nitazoxanide (Alinia) orally for 3 days."
D) "We will bring a stool sample to the clinic for examination in 2 weeks."
Q2) An infant with respiratory syncytial virus (RSV) is being admitted to the hospital. The nurse should plan to place the infant on which precaution?
A) Enteric
B) Airborne
C) Droplet
D) Contact
Q3) What is the primary treatment for warts?
A) Vaccination
B) Local destruction
C) Corticosteroids
D) Specific antibiotic therapy
To view all questions and flashcards with answers, click on the resource link above. Page 8
Chapter 7: Health Promotion of the Newborn and Family
Available Study Resources on Quizplus for this Chatper
40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/4167
Sample Questions
Q1) The nurse quickly dries the newborn after delivery. This is to conserve the newborn's body heat by preventing heat loss through which method?
A) Radiation
B) Conduction
C) Convection
D) Evaporation
Q2) What should nursing interventions to maintain a patent airway in a newborn include?
A) Positioning the newborn supine after feedings.
B) Wrapping the newborn as snugly as possible.
C) Placing the newborn to sleep in the prone (on abdomen) position.
D) Using a bulb syringe to suction as needed, suctioning the nose first and then the pharynx.
Q3) Why are rectal temperatures not recommended in newborns?
A) They are inaccurate.
B) They do not reflect core body temperature.
C) They can cause perforation of rectal mucosa.
D) They take too long to obtain an accurate reading.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 8: Health Problems of Newborns
Available Study Resources on Quizplus for this Chatper
37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/4168
Sample Questions
Q1) The nurse is caring for a breastfed full-term infant who was born after an uneventful pregnancy and delivery. The infant's blood glucose level is 36 mg/dL. Which action should the nurse implement?
A) Bring the infant to the mother and initiate breastfeeding.
B) Place a nasogastric tube and administer 5% dextrose water.
C) Start a peripheral intravenous line and administer 10% dextrose.
D) Monitor the infant in the nursery and obtain a blood glucose level in 4 hours.
Q2) The parents of an infant with a cleft palate ask the nurse, "What follow-up care will our infant need after the repair?" Which is an accurate response by the nurse?
A) "Your infant will not need any subsequent follow-up care."
B) "Your infant will only need to be evaluated by an audiologist."
C) "Your infant will only need follow-up with a speech pathologist."
D) "Your infant will need follow-up with audiologists and orthodontists."
Q3) What is an infant with severe jaundice at risk for developing?
A) Encephalopathy
B) Bullous impetigo
C) Respiratory distress
D) Blood incompatibility
To view all questions and flashcards with answers, click on the resource link above.
10
Chapter 9: The High-Risk Newborn and Family
Available Study Resources on Quizplus for this Chatper
56 Verified Questions
56 Flashcards
Source URL: https://quizplus.com/quiz/4169
Sample Questions
Q1) The neonatal intensive care nurse is planning care for an infant in an incubator. Which interventions should the nurse plan to assure therapeutic visual stimulation for the neonate?
A) Use an incubator cover.
B) Keep lights bright in the unit.
C) Place a cloth over the infant's face.
D) Leave a visual stimulus at the head of the infant's bed.
Q2) Which is a central factor responsible for respiratory distress syndrome in a newborn?
A) Absence of alveoli
B) Immature bronchioles
C) Overdeveloped alveoli
D) Deficient surfactant production
Q3) Which statement is true concerning the nutritional needs of preterm infants?
A) The secretion of lactase is low.
B) Carbohydrates and fats are better tolerated than protein.
C) The demand for nutrients is less than in full-term infants.
D) Breast milk lacks the proper concentration of nutrients.
To view all questions and flashcards with answers, click on the resource link above.
11
Chapter 10: Health Promotion of the Infant and Family
Available Study Resources on Quizplus for this Chatper
49 Verified Questions
49 Flashcards
Source URL: https://quizplus.com/quiz/4170
Sample Questions
Q1) A breastfed infant is being seen in the clinic for a 6-month checkup. The mother tells the nurse that the infant recently began to suck her thumb. Which is the best nursing intervention?
A) Reassure the mother that this is normal at this age.
B) Recommend the mother substitute a pacifier for her thumb.
C) Assess the infant for other signs of sensory deprivation.
D) Suggest the mother breastfeed the infant more often to satisfy her sucking needs.
Q2) Which characteristic best describes the fine motor skills of an infant at age 5 months?
A) Neat pincer grasp
B) Strong grasp reflex
C) Builds a tower of two cubes
D) Able to grasp object voluntarily
Q3) By which age should the nurse expect that an infant will be able to pull to a standing position?
A) 5 to 6 months
B) 7 to 8 months
C) 11 to 12 months
D) 14 to 15 months
To view all questions and flashcards with answers, click on the resource link above.
Page 12
Chapter 11: Health Problems of the Infant
Available Study Resources on Quizplus for this Chatper
50 Verified Questions
50 Flashcards
Source URL: https://quizplus.com/quiz/4171
Sample Questions
Q1) At a well-child check-up, the nurse notes that an infant with a previous diagnosis of failure to thrive (FTT) is now steadily gaining weight. The nurse should recommend that fruit juice intake be limited to no more than how much?
A) 4 oz/day
B) 6 oz/day
C) 8 oz/day
D) 12 oz/day
Q2) The parent of an infant with colic tells the nurse, "All this baby does is scream at me; it is a constant worry." What is the nurse's best action?
A) Encourage the parent to verbalize feelings.
B) Encourage the parent not to worry so much.
C) Assess the parent for other signs of inadequate parenting.
D) Reassure the parent that colic rarely lasts past age 9 months.
Q3) Which statement best describes colic?
A) Periods of abdominal pain resulting in weight loss
B) Usually the result of poor or inadequate mothering
C) Periods of abdominal pain and crying occurring in infants older than age 6 months
D) A paroxysmal abdominal pain or cramping manifested by episodes of loud crying
To view all questions and flashcards with answers, click on the resource link above. Page 13
Chapter 12: Health Promotion of the Toddler and Family
Available Study Resources on Quizplus for this Chatper
49 Verified Questions
49 Flashcards
Source URL: https://quizplus.com/quiz/4172
Sample Questions
Q1) The nurse is providing guidance strategies to a group of parents with toddlers at a community outreach program. Which statement by a parent indicates a correct understanding of the teaching?
A) "I should expect my 24-month-old child to express some signs of readiness for toilet training."
B) "I should be firm and structured when disciplining my 18-month-old child."
C) "I should expect my 12-month-old child to start to develop a fear of darkness and to need a security blanket."
D) "I should expect my 36-month-old child to understand time and proximity of events."
Q2) Parents of an 18-month-old boy tells the nurse that he says "no" to everything and has rapid mood swings. If he is scolded, he shows anger and then immediately wants to be held. What is the nurse's best interpretation of this behavior?
A) This is normal behavior for his age.
B) This is unusual behavior for his age.
C) He is not effectively coping with stress.
D) He is showing he needs more attention.
To view all questions and flashcards with answers, click on the resource link above.
Page 14
Chapter 13: Health Promotion of the Preschooler and Family
Available Study Resources on Quizplus for this Chatper
39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/4173
Sample Questions
Q1) The nurse is teaching parents about instilling a positive body image for the preschool age. What statement made by the parents indicates the teaching is understood?
A) "We will make sure our child is praised about his or her looks."
B) "We will help our child compare his or her size with other children."
C) "We understand our child will have well-defined body boundaries."
D) "We will be sure our child understands about being little for his or her age."
Q2) What characteristic best describes the language skills of a 3-year-old child?
A) Asks meanings of words
B) Follows directional commands
C) Can describe an object according to its composition
D) Talks incessantly regardless of whether anyone is listening
Q3) The nurse is conducting an assessment of fine motor development in a 3-year-old child. Which is the expected drawing skill for this age?
A) Can draw a complete stick figure
B) Holds the instrument with the fist
C) Can copy a triangle and diamond
D) Can copy a circle and imitate a cross
To view all questions and flashcards with answers, click on the resource link above.
Page 15
Chapter 14: Health Problems of Early Childhood
Available Study Resources on Quizplus for this Chatper
39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/4174
Sample Questions
Q1) What statement is correct about young children who report sexual abuse?
A) They may exhibit various behavioral manifestations.
B) In more than half the cases, the child has fabricated the story.
C) Their stories should not be believed unless other evidence is apparent.
D) They should be able to retell the story the same way to another person.
Q2) A parent asks the nurse about the "characteristics of a sleep terror." What response should the nurse give to the parent? (Select all that apply.)
A) The child screams during the sleep terror.
B) Return to sleep is delayed because of persistent fear.
C) The night terror occurs during the second half of night.
D) The child has no memory of the dream with a sleep terror.
E) The child is not aware of another's presence during a sleep terror.
Q3) When only one child is abused in a family, the abuse is usually a result of what?
A) The child is the firstborn.
B) The child is the same gender as the abusing parent.
C) The parent abuses the child to avoid showing favoritism.
D) The parent is unable to deal with the child's behavioral style.
To view all questions and flashcards with answers, click on the resource link above. Page 16
Chapter 15: Health Promotion of the School-Age Child and Family
Available Study Resources on Quizplus for this Chatper
42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/4175
Sample Questions
Q1) What statement best describes the relationship school-age children have with their families?
A) Ready to reject parental controls
B) Desire to spend equal time with family and peers
C) Need and want restrictions placed on their behavior by the family
D) Peer group replaces the family as the primary influence in setting standards of behavior and rules
Q2) What do nursing interventions to promote health during middle childhood include?
A) Stress the need for increased calorie intake to meet increased demands.
B) Instruct parents to defer questions about sex until the child reaches adolescence.
C) Advise parents that the child will need increasing amounts of rest toward the end of this period.
D) Educate parents about the need for good dental hygiene because these are the years in which permanent teeth erupt.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 16: Health Problems of the School-Age Child
Available Study Resources on Quizplus for this Chatper
48 Verified Questions
48 Flashcards
Source URL: https://quizplus.com/quiz/4176
Sample Questions
Q1) The school nurse is assessing a child's severely scraped knee for infection. What are signs of a wound infection? (Select all that apply.)
A) Odor
B) Edema
C) Dry scab
D) Purulent exudate
E) Decreased temperature
Q2) The nurse is facilitating a conference between the teachers and parents of a 7-year-old child newly diagnosed with attention deficit hyperactivity disorder (ADHD).
What does the nurse stress?
A) Academic subjects should be taught in the afternoon.
B) Low-interest activities in the classroom should be minimized.
C) Visual references should accompany verbal instruction.
D) The child's environment should be visually stimulating.
Q3) What is characteristic of children with posttraumatic stress disorder (PTSD)?
A) Denial as a defense mechanism is unusual.
B) Traumatic effects cannot remain indefinitely.
C) Previous coping strategies and defense mechanisms are not useful.
D) Children often play out the situation over and over again.
To view all questions and flashcards with answers, click on the resource link above.
Page 18
Chapter 17: Health Promotion of the Adolescent and Family
Available Study Resources on Quizplus for this Chatper
34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/4177
Sample Questions
Q1) The school nurse recognizes that adolescents should get how many hours of sleep each night?
A) 6 hours
B) 7 hours
C) 8 hours
D) 9 hours
Q2) The nurse is explaining to an adolescent the rationale for administering a Tdap (tetanus, diphtheria, acellular pertussis) vaccine 3 years after the last Td (tetanus) booster. What should the nurse tell the adolescent?
A) "It is time for a booster vaccine."
B) "It is past the time for a booster vaccine."
C) "This vaccine will provide pertussis immunity."
D) "This vaccine will be the last booster you will need."
Q3) The nurse is assessing the Tanner stage in an adolescent female. The nurse recognizes that the stages are based on which?
A) The stages of vaginal changes
B) The progression of menstrual cycles to regularity
C) Breast size and the shape and distribution of pubic hair
D) The development of fat deposits around the hips and buttocks
To view all questions and flashcards with answers, click on the resource link above.
Page 19
Chapter 18: Health Problems of the Adolescent
Available Study Resources on Quizplus for this Chatper
60 Verified Questions
60 Flashcards
Source URL: https://quizplus.com/quiz/4178
Sample Questions
Q1) The clinic nurse is assessing an adolescent on a topical antibacterial agent. The nurse should assess for which side effects that can be seen with topical antibacterial agents? (Select all that apply.)
A) Burning
B) Dryness
C) Dry eyes
D) Erythema
E) Nasal irritation
Q2) During a well-child visit, the nurse plots the child's BMI on the health record. What is the purpose of the BMI?
A) To determine medication dosages
B) To predict adult height and weight
C) To identify coping strategies used by the child
D) To provide a consistent measure of obesity
Q3) What strategy is considered one of the best for preventing smoking in teenagers?
A) Large-scale printed information campaigns
B) Emphasis on the long-term effects of smoking on health
C) Threatening the social norms of groups most likely to smoke
D) Peer-led programs emphasizing the social consequences of smoking
To view all questions and flashcards with answers, click on the resource link above.
Page 20
Chapter 19: Family-Centered Care of the Child with Chronic Illness
or Disability
Available Study Resources on Quizplus for this Chatper
48 Verified Questions
48 Flashcards
Source URL: https://quizplus.com/quiz/4179
Sample Questions
Q1) For case management to be most effective, who should be recognized as the most appropriate case manager?
A) Nurse
B) Panel of experts
C) Multidisciplinary team
D) Insurance company
Q2) The potential effects of chronic illness or disability on a child's development vary at different ages. What developmental alteration is a threat to a toddler's normal development?
A) Hindered mobility
B) Limited opportunities for socialization
C) Child's sense of guilt that he or she caused the illness or disability
D) Limited opportunities for success in mastering toilet training
Q3) What behavior seen in children should be addressed by the nurse who is providing care to a child with a chronic illness?
A) An infant who is uncooperative
B) A toddler who expresses loneliness
C) A preschooler who refuses to participate in self-care
D) An adolescent who is showing independence
To view all questions and flashcards with answers, click on the resource link above. Page 21
Chapter 20: Family-Centered Palliative Care
Available Study Resources on Quizplus for this Chatper
38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/4180
Sample Questions
Q1) A health care provider prescribes morphine sulfate, 0.2 mg/kg IV every 2 to 4 h as needed for pain for a child with a terminal illness. The child weighs 10 kg. The medication label states: "Morphine sulfate 5 mg/ml." The nurse prepares to administer one dose. How many milliliters will the nurse prepare to administer one dose? Fill in the blank. Record your answer using one decimal place.
Q2) What characterizes a preschooler's concept of death? (Select all that apply.)
A) Belief their thoughts can cause death.
B) They have a concrete understanding of death.
C) Death is seen as temporary and gradual.
D) Death is seen as a departure, a kind of sleep.
E) They usually have some sense of the meaning of death.
Q3) What statement is most descriptive of a school-age child's reaction to death?
A) Very interested in funerals and burials
B) Little understanding of words such as "forever"
C) Imagine the deceased person to be still alive
D) Can explain death from a religious or spiritual point of view
To view all questions and flashcards with answers, click on the resource link above.
Page 22
Chapter 21: The Child with Cognitive, Sensory, or Communication Impairment
Available Study Resources on Quizplus for this Chatper
48 Verified Questions
48 Flashcards
Source URL: https://quizplus.com/quiz/4181
Sample Questions
Q1) The nurse should plan which actions to assist the stuttering child? (Select all that apply.)
A) Ask the child to stop and start over.
B) Promise a reward for proper speech.
C) Set a good example by speaking clearly.
D) Give the child plenty of time to finish sentences.
E) Look directly at the child while he or she is speaking.
Q2) What technique facilitates lip reading by a hearing-impaired child?
A) Speak at an even rate.
B) Avoid using facial expressions.
C) Exaggerate pronunciation of words.
D) Repeat in exactly the same way if child does not understand.
Q3) What are indications for a referral regarding a communication impairment in a school-age child? (Select all that apply.)
A) Barely audible voice quality
B) Vocal pitch inappropriate for age
C) Intonation noted during speaking
D) Maintains a rhythm while speaking
E) Distortion of sounds after age 7 years
Page 23
To view all questions and flashcards with answers, click on the resource link above.
Chapter 22: Family-Centered Care of the Child During
Illness and Hospitalization
Available Study Resources on Quizplus for this Chatper
43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/4182
Sample Questions
Q1) The parents of a 3-year-old admitted for recurrent diarrhea are upset that the practitioner has not told them what is going on with their child. What is the priority intervention for this family?
A) Answer all of the parents' questions about the child's illness.
B) Immediately page the practitioner to come to the unit to speak with the family.
C) Help the family develop a written list of specific questions to ask the practitioner.
D) Inform the family of the time that hospital rounds are made so that they can be present.
Q2) The nurse needs to assess a 15-month-old child who is sitting quietly on his father's lap. What initial action by the nurse would be most appropriate?
A) Ask the father to place the child on the exam table.
B) Undress the child while he is still sitting on his father's lap.
C) Talk softly to the child while taking him from his father.
D) Begin the assessment while the child is in his father's lap.
To view all questions and flashcards with answers, click on the resource link above.
24
Chapter 23: Pediatric Nursing Interventions and Skills
Available Study Resources on Quizplus for this Chatper
53 Verified Questions
53 Flashcards
Source URL: https://quizplus.com/quiz/4183
Sample Questions
Q1) A 6-year-old child needs to drink 1 L of GoLYTELY in preparation for a computed tomography scan of the abdomen. To encourage the child to drink, what should the nurse do?
A) Give him a large cup with ice so it tastes better.
B) Restrict him to his room until he drinks the GoLYTELY.
C) Use little cups and make a game to reward him for each cup he drinks.
D) Tell him that if he does not finish drinking by a set time, the practitioner will be angry.
Q2) Guidelines for intramuscular administration of medication in school-age children include what standard?
A) Inject medication as rapidly as possible.
B) Insert needle quickly, using a dartlike motion.
C) Have the child stand if at all possible and if the child is cooperative.
D) Penetrate the skin immediately after cleansing the site while the skin is moist.
Q3) At which age should a nurse keep teaching time short (5 minutes)?
A) Infant
B) Toddler
C) Preschool
D) School age
To view all questions and flashcards with answers, click on the resource link above. Page 25
Chapter 24: The Child with Fluid and Electrolyte Imbalance
Available Study Resources on Quizplus for this Chatper
65 Verified Questions
65 Flashcards
Source URL: https://quizplus.com/quiz/4184
Sample Questions
Q1) What is the required number of milliliters of fluid needed per day for a 14-kg child?
A) 800
B) 1000
C) 1200
D) 1400
Q2) What flush solution is recommended for intravenous catheters larger than 24 gauge?
A) Saline
B) Heparin
C) Alteplase
D) Heparin and saline combination
Q3) When caring for a child with an intravenous (IV) infusion, what is an appropriate nursing action?
A) Change the insertion site every 24 hours.
B) Check the insertion site frequently for signs of infiltration.
C) Use a macrodropper to facilitate reaching the prescribed flow rate.
D) Avoid restraining the child to prevent undue emotional stress.
To view all questions and flashcards with answers, click on the resource link above. Page 26
Chapter 25: The Child with Renal Dysfunction
Available Study Resources on Quizplus for this Chatper
67 Verified Questions
67 Flashcards
Source URL: https://quizplus.com/quiz/4185
Sample Questions
Q1) What is the narrowing of preputial opening of foreskin called?
A) Chordee
B) Phimosis
C) Epispadias
D) Hypospadias
Q2) Febrile urinary tract infection coexisting with systemic signs of bacterial illness
A)Persistent urinary tract infection
B)Cystitis
C)Urethritis
D)Pyelonephritis
E)Urosepsis
Q3) A child is admitted for minimal change nephrotic syndrome (MCNS). The nurse recognizes that the child's prognosis is related to what factor?
A) Admission blood pressure
B) Creatinine clearance
C) Amount of protein in urine
D) Response to steroid therapy
To view all questions and flashcards with answers, click on the resource link above.
Chapter 26: The Child with Gastrointestinal Dysfunction
Available Study Resources on Quizplus for this Chatper
72 Verified Questions
72 Flashcards
Source URL: https://quizplus.com/quiz/4186
Sample Questions
Q1) The nurse is assisting a child with celiac disease to select foods from a menu. What foods should the nurse suggest?
A) Hamburger on a bun
B) Spaghetti with meat sauce
C) Corn on the cob with butter
D) Peanut butter and crackers
Q2) What should the nurse consider when providing support to a family whose infant has just been diagnosed with biliary atresia?
A) The prognosis for full recovery is excellent.
B) Death usually occurs by 6 months of age.
C) Liver transplantation may be needed eventually.
D) Children with surgical correction live normal lives.
Q3) What immunization is recommended for all newborns?
A) Hepatitis A vaccine
B) Hepatitis B vaccine
C) Hepatitis C vaccine
D) Hepatitis A, B, and C vaccines
To view all questions and flashcards with answers, click on the resource link above.
Chapter 27: Overview of Oxygen and Carbon Dioxide Exchange
Available Study Resources on Quizplus for this Chatper
45 Verified Questions
45 Flashcards
Source URL: https://quizplus.com/quiz/4187
Sample Questions
Q1) It is important to make certain that sensory connectors and oximeters are compatible because incompatible wiring can cause which condition?
A) Hyperthermia
B) Electrocution
C) Pressure necrosis
D) Burns under sensors
Q2) The nurse is caring for a child on oxygen being delivered by a nasal cannula. What is the advantage of delivering oxygen in this manner?
A) It can deliver mist if desired.
B) It is less likely to cause abdominal distention.
C) The child is able to eat and talk while getting oxygen.
D) This method can deliver a higher concentration of oxygen.
Q3) Cardiopulmonary resuscitation is begun on a toddler. What pulse is usually palpated because it is the most central and accessible?
A) Radial
B) Carotid
C) Femoral
D) Brachial
To view all questions and flashcards with answers, click on the resource link above. Page 29
Chapter 28: The Child with Respiratory Dysfunction
Available Study Resources on Quizplus for this Chatper
72 Verified Questions
72 Flashcards
Source URL: https://quizplus.com/quiz/4188
Sample Questions
Q1) An infant's parents ask the nurse about preventing otitis media (OM). What information should be provided?
A) Avoid tobacco smoke.
B) Use nasal decongestants.
C) Avoid children with OM.
D) Bottle- or breastfeed in a supine position.
Q2) What interventions can the nurse teach parents to do to ease respiratory efforts for a child with a mild respiratory tract infection? (Select all that apply.)
A) Cool mist
B) Warm mist
C) Steam vaporizer
D) Keep child in a flat, quiet position
E) Run a shower of hot water to produce steam
Q3) The nurse is calculating the amount of expected urinary output for a 24-hour period on a child with bacterial pneumonia who weighs 22 lb. The nurse recognizes the formula to be used is 1 ml/kg/hr. What is the expected 24-hour urinary output for this child in milliliters? Record your answer below in a whole number.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 29: The Child with Cardiovascular Dysfunction
Available Study Resources on Quizplus for this Chatper
74 Verified Questions
74 Flashcards
Source URL: https://quizplus.com/quiz/4189
Sample Questions
Q1) The nurse is teaching parents about administering digoxin (Lanoxin). What instructions should the nurse tell the parents?
A) If the child vomits, give another dose.
B) Give the medication at regular intervals.
C) If a dose is missed, give a give an extra dose.
D) Give the medication mixed with the child's formula.
Q2) After returning from cardiac catheterization, the nurse determines that the pulse distal to the catheter insertion site is weaker. How should the nurse respond?
A) Elevate the affected extremity.
B) Notify the practitioner of the observation.
C) Record data on the assessment flow record.
D) Apply warm compresses to the insertion site.
Q3) What cardiovascular defect results in obstruction to blood flow?
A) Aortic stenosis
B) Tricuspid atresia
C) Atrial septal defect
D) Transposition of the great arteries
To view all questions and flashcards with answers, click on the resource link above.
Chapter 30: The Child with Hematologic or Immunologic Dysfunction
Available Study Resources on Quizplus for this Chatper
65 Verified Questions
65 Flashcards
Source URL: https://quizplus.com/quiz/4190
Sample Questions
Q1) What statement best describes b-thalassemia major (Cooley anemia)?
A) It is an acquired hemolytic anemia.
B) Inadequate numbers of red blood cells (RBCs) are present.
C) Increased incidence occurs in families of Mediterranean extraction.
D) It commonly occurs in individuals from West Africa.
Q2) The nurse is administering a unit of blood to a child. What are signs and symptoms of a transfusion reaction? (Select all that apply.)
A) Chills
B) Shaking
C) Flank pain
D) Hypothermia
E) Sudden severe headache
Q3) A health care provider prescribes OxyContin (Oxycodone), 7.5 mg PO every 4 to 6 hours as needed for pain for a child with sickle cell disease. The medication label states: "OxyContin 5 mg/1 ml." The nurse prepares to administer one dose. How many milliliters will the nurse prepare to administer one dose? Fill in the blank. Record your answer using one decimal place.
To view all questions and flashcards with answers, click on the resource link above. Page 32
Chapter 31: The Child with Cancer
Available Study Resources on Quizplus for this Chatper
62 Verified Questions
62 Flashcards
Source URL: https://quizplus.com/quiz/4191
Sample Questions
Q1) What is a common clinical manifestation of Hodgkin disease?
A) Petechiae
B) Bone and joint pain
C) Painful, enlarged lymph nodes
D) Nontender enlargement of lymph nodes
Q2) A 5-year-old child is being prepared for surgery to remove a brain tumor.
Preparation for surgery should be based on which information?
A) Removal of the tumor will stop the various signs and symptoms.
B) Usually the postoperative dressing covers the entire scalp.
C) He is not old enough to be concerned about his head being shaved.
D) He is not old enough to understand the significance of the brain.
Q3) A child has been diagnosed with a Wilms tumor. What should preoperative nursing care include?
A) Careful bathing and handling
B) Monitoring of behavioral status
C) Maintenance of strict isolation
D) Administration of packed red blood cells
To view all questions and flashcards with answers, click on the resource link above.
33
Chapter 32: The Child with Cerebral Dysfunction
Available Study Resources on Quizplus for this Chatper
73 Verified Questions
73 Flashcards
Source URL: https://quizplus.com/quiz/4192
Sample Questions
Q1) The health care provider has prescribed valproic acid (Depakene) 30 mg/kg/day
divided bid for a child with a seizure disorder. The child weighs 77 lb. The nurse is preparing to administer the 0900 dose. Calculate the dose the nurse should administer in milligrams. Record your answer below in a whole number.
Q2) What cerebrospinal fluid (CSF) analysis should the nurse expect with viral meningitis? (Select all that apply.)
A) Color is turbid.
B) Protein count is normal.
C) Glucose is decreased.
D) Gram stain findings are negative.
E) White blood cell (WBC) count is slightly elevated.
Q3) The health care provider has prescribed carbamazepine (Tegretol) 20 mg/kg/day
divided bid for a child with a seizure disorder. The child weighs 33 lb. The nurse is preparing to administer the 0900 dose. Calculate the dose the nurse should administer in milligrams. Record your answer below in a whole number.
To view all questions and flashcards with answers, click on the resource link above. Page 34
Chapter 33: The Child with Endocrine Dysfunction
Available Study Resources on Quizplus for this Chatper
62 Verified Questions
62 Flashcards
Source URL: https://quizplus.com/quiz/4193
Sample Questions
Q1) Glucocorticoids, mineralocorticoids, and sex steroids are secreted by which gland?
A) Thyroid gland
B) Adrenal cortex
C) Anterior pituitary
D) Parathyroid glands
Q2) The nurse is planning care for a child recently diagnosed with diabetes insipidus (DI). What intervention should be included?
A) Encourage the child to wear medical identification.
B) Discuss with the child and family ways to limit fluid intake.
C) Teach the child and family how to do required urine testing.
D) Reassure the child and family that this is usually not a chronic or life-threatening illness.
Q3) What blood glucose measurement is most likely associated with diabetic ketoacidosis?
A) 185 mg/dl
B) 220 mg/dl
C) 280 mg/dl
D) 330 mg/dl
To view all questions and flashcards with answers, click on the resource link above.
Chapter 34: The Child with Musculoskeletal or Articular Dysfunction
Available Study Resources on Quizplus for this Chatper
65 Verified Questions
65 Flashcards
Source URL: https://quizplus.com/quiz/4194
Sample Questions
Q1) A young girl has just injured her ankle at school. In addition to notifying the child's parents, what is the most appropriate, immediate action by the school nurse?
A) Apply ice.
B) Observe for edema and discoloration.
C) Encourage child to assume a position of comfort.
D) Obtain parental permission for administration of acetaminophen or aspirin.
Q2) What is a physiologic effect of immobilization on children?
A) Metabolic rate increases.
B) Venous return improves because the child is in the supine position.
C) Circulatory stasis can lead to thrombus and embolus formation.
D) Bone calcium increases, releasing excess calcium into the body (hypercalcemia).
Q3) The nurse uses the five Ps to assess ischemia in a child with a fracture. What finding is considered a late and ominous sign?
A) Petaling
B) Posturing
C) Paresthesia
D) Positioning
To view all questions and flashcards with answers, click on the resource link above.
Page 36
Chapter 35: The Child with Neuromuscular or Muscular Dysfunction
Available Study Resources on Quizplus for this Chatper
59 Verified Questions
59 Flashcards
Source URL: https://quizplus.com/quiz/4195
Sample Questions
Q1) An 8-year-old child is hospitalized with infectious polyneuritis (Guillain-Barré syndrome [GBS]). When explaining this disease process to the parents, what should the nurse consider?
A) Paralysis is progressive with little hope for recovery.
B) Disease is inherited as an autosomal, sex-linked, recessive gene.
C) Disease results from an apparently toxic reaction to certain medications.
D) Muscle strength slowly returns, and most children recover.
Q2) An adolescent has just been brought to the emergency department with a spinal cord injury and paralysis from a diving accident. The parents keep asking the nurse, "How bad is it?" The nurse's response should be based on which knowledge?
A) Families adjust better to life-threatening injuries when information is given over time.
B) Immediate loss of function is indicative of the long-term consequences of the injury.
C) Extent and severity of damage cannot be determined for several weeks or even months.
D) Numerous diagnostic tests will be done immediately to determine extent and severity of damage.
To view all questions and flashcards with answers, click on the resource link above. Page 37