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This course provides an in-depth exploration of the principles and practices of nursing care for infants, children, and adolescents within various healthcare settings. It emphasizes the unique developmental, physiological, and psychosocial needs of pediatric patients, as well as family-centered care approaches. Topics covered include growth and development assessment, common pediatric illnesses and conditions, pain management, health promotion, communication with children and families, and the role of the nurse in acute and chronic care situations. The course also highlights evidence-based interventions, ethical considerations, and strategies for supporting children and families during health challenges.
Recommended Textbook
Wongs Essentials of Pediatric Nursing 10th Edition by Hockenberry
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30 Chapters
1126 Verified Questions
1126 Flashcards
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/4131
Sample Questions
Q1) Which is most descriptive of clinical reasoning?
A) A simple developmental process
B) Purposeful and goal-directed
C) Based on deliberate and irrational thought
D) Assists individuals in guessing what is most appropriate
Answer: B
Q2) A nurse is planning a teaching session for parents of preschool children. Which statement explains why the nurse should include information about morbidity and mortality?
A) Life span statistics are included in the data.
B) It explains effectiveness of treatment.
C) Cost-effective treatment is detailed for the general population.
D) High-risk age groups for certain disorders or hazards are identified.
Answer: D
Q3) Which action by the nurse demonstrates use of evidence-based practice (EBP)?
A) Gathering equipment for a procedure
B) Documenting changes in a patient's status
C) Questioning the use of daily central line dressing changes
D) Clarifying a physician's prescription for morphine
Answer: C
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/4132
Sample Questions
Q1) A parent of a school-age child is going through a divorce. The parent tells the school nurse the child has not been doing well in school and sometimes has trouble sleeping. The nurse should recognize this as which implication?
A) Indication of maladjustment
B) Common reaction to divorce
C) Lack of adequate parenting
D) Unusual response that indicates need for referral
Answer: B
Q2) Which is the term for a family in which the paternal grandmother, the parents, and two minor children live together?
A) Blended
B) Nuclear
C) Binuclear
D) Extended Answer: D
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Page 4

Health Promotion
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37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/4133
Sample Questions
Q1) What factors indicate parents should seek genetic counseling for their child? (Select all that apply.)
A) Abnormal newborn screen
B) Family history of a hereditary disease
C) History of hypertension in the family
D) Severe colic as an infant
E) Metabolic disorder
Answer: A, B, E
Q2) Which statement is true about the basal metabolic rate (BMR) in children?
A) It is reduced by fever.
B) It is slightly higher in boys than in girls at all ages.
C) It increases with age of child.
D) It decreases as proportion of surface area to body mass increases.
Answer: B
Q3) By what age does birth length usually double?
A) 1 year
B) 2 years
C) 4 years
D) 6 years
Answer: C
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61 Verified Questions
61 Flashcards
Source URL: https://quizplus.com/quiz/4134
Sample Questions
Q1) The nurse is interviewing the mother of an infant. She reports, "I had a difficult delivery, and my baby was born preterm." This information should be recorded under which of the following headings?
A) Past history
B) Present illness
C) Chief complaint
D) Review of systems
Q2) Where in the health history should the nurse describe all details related to the chief complaint?
A) Past history
B) Chief complaint
C) Present illness
D) Review of systems
Q3) Pulses can be graded according to certain criteria. Which is a description of a normal pulse?
A) 0
B) +1
C) +2
D) +3
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) Surgery has informed a nurse that the patient returning to the floor after spinal surgery has an opioid epidural catheter for pain management. The nurse should prepare to monitor the patient for which side effects of an opioid epidural catheter? (Select all that apply.)
A) Urinary frequency
B) Nausea
C) Itching
D) Respiratory depression
Q2) The nurse is caring for a child receiving intravenous (IV) morphine for severe postoperative pain. The nurse observes a slower respiratory rate, and the child cannot be aroused. What is the priority nursing action?
A) Administer naloxone (Narcan)
B) Discontinue IV infusion
C) Discontinue morphine until child is fully awake
D) Stimulate child by calling name, shaking gently, and asking to breathe deeply
Q3) A dose of oxycodone (OxyContin) 2 mg/kg has been ordered for a child weighing 33 lb. How many milligrams of OxyContin should the nurse administer? (Record your answer as a whole number.)
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39 Verified Questions
39 Flashcards
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Sample Questions
Q1) A nurse is assessing a child and notes Koplik spots. In which of these communicable diseases are Koplik spots present?
A) Rubella
B) Measles (rubeola)
C) Chickenpox (varicella)
D) Exanthema subitum (roseola)
Q2) The nurse is taking care of a child with scabies. Which primary clinical manifestation should the nurse expect to assess with this disease?
A) Edema
B) Redness
C) Pruritus
D) Maceration
Q3) A nurse is teaching parents about caring for their child with chickenpox. The nurse should let the parents know that the child is considered to be no longer contagious when which occurs?
A) When fever is absent
B) When lesions are crusted
C) 24 hours after lesions erupt
D) 8 days after onset of illness
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46 Flashcards
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Sample Questions
Q1) Where would nonpathologic cyanosis normally be present in the newborn shortly after birth?
A) Feet and hands
B) Bridge of nose
C) Circumoral area
D) Mucous membranes
Q2) The nurse observes that a new mother avoids making eye contact with her newborn. The nurse should perform which action?
A) Examine newborn's eyes for ability to focus.
B) Assess for other attachment behaviors.
C) Recognize this as a common reaction in new mothers.
D) Ask mother why she won't look at newborn.
Q3) In the newborn, intramuscular phytonadione (vitamin K) is administered into which muscle?
A) Deltoid
B) Dorsogluteal
C) Vastus medialis
D) Vastus lateralis
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69 Verified Questions
69 Flashcards
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Sample Questions
Q1) The newborn with severe jaundice is at risk for developing:
A) encephalopathy.
B) bullous impetigo.
C) respiratory distress.
D) blood incompatibility.
Q2) What is the Guthrie blood test use to diagnose in the newborn?
A) Down syndrome
B) Isoimmunization
C) PKU
D) Congenital hypothyroidism (CH)
Q3) Which statement best describes the clinical manifestations of the preterm newborn?
A) Head is proportionately small in relation to the body.
B) Sucking reflex is absent, weak, or ineffectual.
C) Thermostability is well established.
D) Extremities remain in attitude of flexion.
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39 Verified Questions
39 Flashcards
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Sample Questions
Q1) The parents of a 3-month-old infant report that their infant sleeps supine (face up) but is often prone (face down) while awake. What knowledge should the nurse's response should be based?
A) Unacceptable because of the risk of sudden infant death syndrome (SIDS)
B) Unacceptable because it does not encourage achievement of developmental milestones
C) Acceptable to encourage fine motor development
D) Acceptable to encourage head control and turning over
Q2) Which would be the best play activity for a 6-month-old infant to provide tactile stimulation?
A) Allow to splash in bath.
B) Give various colored blocks.
C) Play music box, tapes, or CDs.
D) Use infant swing or stroller.
Q3) At what age should the nurse expect an infant to begin smiling in response to pleasurable stimuli?
A) 1 month
B) 2 months
C) 3 months
D) 4 months
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32 Flashcards
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Sample Questions
Q1) What should the nurse suggest to the parents of an infant who has a prolonged need for middle-of-the-night feedings?
A) Decrease daytime feedings.
B) Allow child to go to sleep with a bottle.
C) Offer last feeding as late as possible at night.
D) Put infant to bed after asleep from rocking.
Q2) The nurse is helping parents achieve a more nutritionally adequate vegetarian diet for their child. Which is most likely lacking in their particular diet?
A) Fat
B) Protein
C) Vitamins C and A
D) Complete protein
Q3) A nurse is preparing to administer an oral iron supplement to a hospitalized infant. Which should not be given simultaneously with the iron supplement?
A) Milk
B) Multivitamin
C) Fruit juice
D) Meat, fish, poultry
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/4141
Sample Questions
Q1) A parent asks the nurse about negativism in toddlers. Which is the most appropriate recommendation?
A) Punish the child.
B) Provide more attention.
C) Ask child not always to say "no."
D) Reduce the opportunities for a "no" answer.
Q2) Which should the nurse expect for a toddler's language development at age 18 months?
A) Vocabulary of 25 words
B) Increasing level of comprehension
C) Use of holophrases
D) Approximately one third of speech understandable
Q3) Kimberly's parents have been using a rearward-facing, convertible car seat since she was born. Most car seats can be safely switched to the forward-facing position when the child reaches which age?
A) 1
B) 2
C) 3
D) 4
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/4142
Sample Questions
Q1) By which age should the nurse expect that most children could obey prepositional phrases such as "under," "on top of," "beside," and "behind"?
A) 18 months
B) 24 months
C) 3 years
D) 4 years
Q2) Which is a useful skill that the nurse should expect a 5-year-old child to be able to master?
A) Tie shoelaces
B) Use knife to cut meat
C) Hammer a nail
D) Make change out of a quarter
Q3) Which play is most typical of the preschool period?
A) Solitary
B) Parallel
C) Associative
D) Team
Q4) The recommendation for calcium for children 1 to 3 years of age is _____ milligrams. (Record your answer in a whole number.)
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16 Flashcards
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Sample Questions
Q1) A nurse is teaching parents methods to reduce lead levels in their home. Which should the nurse include in the teaching? (Select all that apply.)
A) Plant bushes around the outside of the house.
B) Ensure your child eats frequent meals.
C) Use hot water from the tap when boiling vegetables.
D) Food can be stored in ceramic in the refrigerator.
E) Ensure that your child's diet contains sufficient iron and calcium.
Q2) Which is probably the most important criterion on which to base the decision to report suspected child abuse?
A) Inappropriate parental concern for the degree of injury
B) Absence of parents for questioning about child's injuries
C) Inappropriate response of child
D) Incompatibility between the history and injury observed
Q3) What is the result of acute salicylate (ASA, aspirin) poisoning?
A) Chemical pneumonitis
B) Hepatic damage
C) Retractions and grunting
D) Disorientation and loss of consciousness
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25 Flashcards
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Sample Questions
Q1) Which statement best describes fear in the school-age child?
A) They are increasingly fearful for body safety.
B) Most of the new fears that trouble them are related to school and family.
C) They should be encouraged to hide their fears to prevent ridicule by peers.
D) Those who have numerous fears need continuous protective behavior by parents to eliminate these fears.
Q2) Which is characteristic of dishonest behavior in children ages 8 to 10 years?
A) Cheating during games is now more common.
B) Lying results from the inability to distinguish between fact and fantasy.
C) They may steal because their sense of property rights is limited.
D) They may lie to meet expectations set by others that they have been unable to attain.
Q3) A child has an evulsed (knocked-out) tooth. Which medium should the nurse instruct the parents to place the tooth in for transport to the dentist?
A) In cold milk
B) In cold water
C) In warm salt water
D) In a dry, clean jar
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/4145
Sample Questions
Q1) A nurse is planning a teaching session for a group of adolescents. The nurse understands that by adolescence the individual is in which stage of cognitive development?
A) Formal operations
B) Concrete operations
C) Conventional thought
D) Postconventional thought
Q2) Place in order the sequence of maturational changes for girls. Begin with the first change seen, sequencing to the last change. Provide answer in using lowercase letters, separated by commas (e.g., a, b, c, d, e).
A) Growth of pubic hair
B) Rapid increase in height and weight
C) Breast changes
D) Menstruation
E) Appearance of axillary hair
Q3) The estimated average requirement of calcium for an adolescent is _____ milligrams. (Record your answer in a whole number.)
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/4146
Sample Questions
Q1) Which is descriptive of bulimia during adolescence?
A) Strong sense of control over eating behavior
B) Feelings of elation after the binge-purge cycle
C) Profound lack of awareness that the eating pattern is abnormal
D) Weight that can be normal, slightly above normal, or below normal
Q2) A mother calls the school nurse saying that her daughter has developed a school phobia. She has been out of school 3 days. The nurse's recommendations should include which intervention?
A) Immediately return the child to school.
B) Explain to the child that this is the last day she can stay home.
C) Determine the cause of phobia before returning the child to school.
D) Seek professional counseling before forcing the child to return to school.
Q3) An adolescent has been diagnosed with Chlamydia infection. Which medication should the nurse expect to be prescribed for this condition?
A) Ceftriaxone (Rocephin) IM
B) Azithromycin (Zithromax) PO
C) Acyclovir (Zovirax) PO
D) Penicillin G benzathine (Bicillin) IV
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43 Flashcards
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Sample Questions
Q1) A child dependent on medical technology is preparing to be discharged from the hospital to home. Which predischarge assessments should the nurse ensure? (Select all that apply.)
A) Emergency care and transport plan
B) Reliance on private duty nurses to teach the family infection control practices
C) Financial arrangements
D) Individualized home plan to be completed within the first month of the child's discharge
Q2) Parents are asking about an early intervention program for their child who has special needs. The nurse relates that this program is for which age of child?
A) Birth to 1 year of age
B) Birth to 3 years of age
C) Ages 1 to 4
D) Ages 4 and 5
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/4148
Sample Questions
Q1) Which assessment findings indicate to the nurse a child has Down syndrome? (Select all that apply.)
A) High arched narrow palate
B) Protruding tongue
C) Long, slender fingers
D) Transverse palmar crease
E) Hypertonic muscle tone
Q2) Mark, a 9-year-old with Down syndrome, is mainstreamed into a regular third-grade class for part of the school day. His mother asks the school nurse about programs, such as Cub Scouts, that he might join. The nurse's recommendation should be based on which statement?
A) Programs like Cub Scouts are inappropriate for children who are cognitively impaired.
B) Children with Down syndrome have the same need for socialization as other children.
C) Children with Down syndrome socialize better with children who have similar disabilities.
D) Parents of children with Down syndrome encourage programs, such as scouting, because they deny that their children have disabilities.
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Sample Questions
Q1) A previously "potty-trained" 30-month-old child has reverted to wearing diapers while hospitalized. The nurse should reassure the parents that this is normal because of which reason?
A) Regression is seen during hospitalization.
B) Developmental delays occur because of the hospitalization.
C) The child is experiencing urinary urgency because of hospitalization.
D) The child was too young to be "potty-trained."
Q2) A child is being discharged from an ambulatory care center after an inguinal hernia repair. Which discharge interventions should the nurse implement? (Select all that apply.)
A) Discuss dietary restrictions.
B) Hold any analgesic medications until the child is home.
C) Send a pain scale home with the family.
D) Suggest the parents fill the prescriptions on the way home.
E) Discuss complications that may occur.
Q3) Which is an effective strategy to reduce the stress of burn dressing procedures?
A) Give the child as many choices as possible.
B) Reassure the child that dressing changes are not painful.
C) Explain to the child why analgesics cannot be used.
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D) Encourage the child to master stress with controlled passivity.
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48 Verified Questions
48 Flashcards
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Sample Questions
Q1) The nurse gives an injection in a patient's room. The nurse should perform which intervention with the needle for disposal?
A) Dispose of syringe and needle in a rigid, puncture-resistant container in the patient's room.
B) Dispose of syringe and needle in a rigid, puncture-resistant container in an area outside of the patient's room.
C) Cap needle immediately after giving injection and dispose of in a proper container.
D) Cap needle, break from syringe, and dispose of in a proper container.
Q2) An 8-month-old infant is restrained to prevent interference with the IV infusion. How should the nurse appropriately care for this child?
A) Remove the restraints once a day to allow movement.
B) Keep the restraints on constantly.
C) Keep the restraints secure so the infant remains supine.
D) Remove restraints whenever possible.
Q3) A physician's prescription reads, "ampicillin sodium 125 mg IV every 6 hours." The medication label reads, "1 g = 7.4 ml." A nurse prepares to draw up _____ milliliters to administer one dose. (Round your answer to two decimal places.)
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51 Verified Questions
51 Flashcards
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Sample Questions
Q1) A nurse is interpreting the results of a tuberculin skin test (TST) on an adolescent who is HIV positive. Which induration size indicates a positive result for this child 48 to 72 hours after the test?
A) ?5 mm
B) ?10 mm
C) ?15 mm
D) ?20 mm
Q2) The parent of an infant with nasopharyngitis should be instructed to notify the health professional if the infant displays which clinical manifestation?
A) Fussiness
B) Coughing
C) A fever over 99° F
D) Signs of an earache
Q3) A child with cystic fibrosis (CF) receives aerosolized bronchodilator medication. When should this medication be administered?
A) Before chest physiotherapy (CPT)
B) After CPT
C) Before receiving 100% oxygen
D) After receiving 100% oxygen
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59 Verified Questions
59 Flashcards
Source URL: https://quizplus.com/quiz/4152
Sample Questions
Q1) What is invagination of one segment of bowel within another called?
A) Atresia
B) Stenosis
C) Herniation
D) Intussusception
Q2) A nurse is admitting an infant with biliary atresia. Which is the earliest clinical manifestation of biliary atresia the nurse should expect to assess?
A) Jaundice
B) Vomiting
C) Hepatomegaly
D) Absence of stooling
Q3) Enemas are ordered to empty the bowel preoperatively for a child with Hirschsprung disease. What enema solution should be used?
A) Tap water
B) Normal saline
C) Oil retention
D) Phosphate preparation
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53 Verified Questions
53 Flashcards
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Sample Questions
Q1) A chest radiograph film is ordered for a child with suspected cardiac problems. The child's parent asks the nurse, "What will the radiograph show about the heart?" What knowledge about the x-ray should the nurse include in the response to the parents?
A) Bones of chest but not the heart
B) Measurement of electrical potential generated from heart muscle
C) Permanent record of heart size and configuration
D) Computerized image of heart vessels and tissues
Q2) Which should the nurse consider when preparing a school-age child and the family for heart surgery?
A) Unfamiliar equipment should not be shown.
B) Let the child hear the sounds of an ECG monitor.
C) Avoid mentioning postoperative discomfort and interventions.
D) Explain that an endotracheal tube will not be needed if the surgery goes well.
Q3) Which is the most common causative agent of bacterial endocarditis?
A) Staphylococcus albus
B) Streptococcus hemolyticus
C) Staphylococcus albicans
D) Streptococcus viridans
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Sample Questions
Q1) The nurse is conducting a staff in-service on inherited childhood blood disorders. Which statement describes severe combined immunodeficiency syndrome (SCIDS)?
A) There is a deficit in both the humoral and cellular immunity with this disease.
B) Production of red blood cells is affected with this disease.
C) Adult hemoglobin is replaced by abnormal hemoglobin in this disease.
D) There is a deficiency of T and B lymphocyte production with this disease.
Q2) Parents of a hemophiliac child ask the nurse, "Can you describe hemophilia to us?"
Which response by the nurse is descriptive of most cases of hemophilia?
A) Autosomal dominant disorder causing deficiency in a factor involved in the blood-clotting reaction
B) X-linked recessive inherited disorder causing deficiency of platelets and prolonged bleeding
C) X-linked recessive inherited disorder in which a blood-clotting factor is deficient
D) Y-linked recessive inherited disorder in which the red blood cells become moon-shaped
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Q1) Which is the most effective pain-management approach for a child who is having a bone marrow aspiration?
A) Relaxation techniques
B) Administration of an opioid
C) EMLA cream applied over site
D) Conscious or unconscious sedation
Q2) The nurse is administering an IV chemotherapeutic agent to a child with leukemia. The child suddenly begins to wheeze and have severe urticaria. Which is the most appropriate nursing action?
A) Stop drug infusion immediately.
B) Recheck rate of drug infusion.
C) Observe child closely for next 10 minutes.
D) Explain to child that this is an expected side effect.
Q3) What is the most common clinical manifestation(s) of brain tumors in children?
A) Irritability
B) Seizures
C) Headaches and vomiting
D) Fever and poor fine motor control
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Sample Questions
Q1) Which is the most common cause of acute renal failure in children?
A) Pyelonephritis
B) Tubular destruction
C) Urinary tract obstruction
D) Inadequate perfusion
Q2) Which is an objective of care for a 10-year-old child with minimal change nephrotic syndrome?
A) Reduce blood pressure.
B) Reduce excretion of urinary protein.
C) Increase excretion of urinary protein.
D) Increase ability of tissues to retain fluid.
Q3) Which best describes acute glomerulonephritis?
A) Occurs after a urinary tract infection
B) Occurs after a streptococcal infection
C) Associated with renal vascular disorders
D) Associated with structural anomalies of genitourinary tract
Q4) The nurse is performing a pH dipstick test on a urine specimen. Which is the average pH expected for this test? (Record your answer in a whole number.)
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Q1) The nurse is taking care of a child who is alert but showing signs of increased intracranial pressure. Which test is contraindicated in this case?
A) Oculovestibular response
B) Doll's head maneuver
C) Funduscopic examination for papilledema
D) Assessment of pyramidal tract lesions
Q2) When should the nurse recommend medical attention for a child with a slight head injury?
A) Experiences sleepiness
B) Vomits
C) Has a headache
D) Is confused or has abnormal behavior
Q3) A young child's parents call the nurse after their child was bitten by a raccoon in the woods. The nurse's recommendation should be based on which statement?
A) The child should be hospitalized for close observation.
B) No treatment is necessary if thorough wound cleaning is done.
C) Antirabies prophylaxis must be initiated.
D) Antirabies prophylaxis must be initiated if clinical manifestations appear.
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Sample Questions
Q1) The nurse is admitting a toddler with the diagnosis of juvenile hypothyroidism. Which is a common clinical manifestation of this disorder?
A) Insomnia
B) Diarrhea
C) Dry skin
D) Accelerated growth
Q2) The nurse is caring for an 8-year-old child with type 1 diabetes. The nurse should teach the child to monitor for which manifestation of hypoglycemia?
A) Lethargy
B) Thirst
C) Nausea and vomiting
D) Shaky feeling and dizziness
Q3) What condition may cause exophthalmos (protruding eyeballs) in children?
A) Hypothyroidism
B) Hyperthyroidism
C) Hypoparathyroidism
D) Hyperparathyroidism
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Sample Questions
Q1) The nurse is conducting teaching to parents of a 7-year-old child who fractured an arm and is being discharged with a cast. Which instruction should be included in the teaching?
A) Swelling of the fingers is to be expected for the next 48 hours.
B) Immobilize the shoulder to decrease pain in the arm.
C) Allow the affected limb to hang down for 1 hour each day.
D) Elevate casted arm when resting and when sitting up.
Q2) The nurse is caring for a 4-year-old child immobilized by a fractured hip. Which complication should the nurse monitor related to the child's immobilization status?
A) Metabolic rate increases
B) Increased joint mobility leading to contractures
C) Bone calcium increases, releasing excess calcium into the body (hypercalcemia)
D) Venous stasis leading to thrombi or emboli formation
Q3) The nurse uses the palms of the hands when handling a wet cast for which reason?
A) To assess dryness of the cast
B) To facilitate easy turning
C) To keep the patient's limb balanced
D) To avoid indenting the cast
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Available Study Resources on Quizplus for this Chatper
26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/4160
Sample Questions
Q1) A toddler is admitted to the hospital with a possible diagnosis of tetanus. The health care provider has prescribed lorazepam (Ativan) intravenously 0.05 mg/kg/dose every 6 hours prn as a muscle relaxant. The child weighs 22 pounds. How many milligrams of Ativan should the nurse administer per dose? (Record your answer using one decimal place.)
Q2) The nurse is caring for an infant with myelomeningocele scheduled for surgical closure in the morning. Which intervention should the nurse plan for the care of the myelomeningocele sac?
A) Open to air
B) Covered with a sterile, moist, nonadherent dressing
C) Reinforcement of the original dressing if drainage noted
D) A diaper secured over the dressing
Q3) The nurse is reviewing prenatal vitamin supplements with an expectant client. Which supplement should be included in the teaching?
A) Vitamin A throughout pregnancy
B) Multivitamin preparations as soon as pregnancy is suspected
C) Folic acid for all women of childbearing age
D) Folic acid during the first and second trimesters of pregnancy
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