

Nursing Care of Pediatric Clients
Test Questions
Course Introduction
This course provides students with comprehensive knowledge and skills necessary for the nursing care of pediatric clients across various healthcare settings. Emphasizing a family-centered approach, it explores the unique physiological, psychological, and developmental needs of infants, children, and adolescents. Topics include health promotion, disease prevention, common pediatric conditions, assessment techniques, and evidence-based interventions. Students will also learn effective communication strategies for interacting with pediatric clients and their families, as well as ethical and legal considerations relevant to pediatric nursing practice. Through theoretical instruction and practical application, this course prepares students to deliver safe, compassionate, and culturally-competent care to pediatric populations.
Recommended Textbook
Principles of Pediatric Nursing Caring for Children 7th Edition by Ball
Available Study Resources on Quizplus
31 Chapters
580 Verified Questions
580 Flashcards
Source URL: https://quizplus.com/study-set/3539

Page 2

Chapter 1: Nurses Role in Care of the Child: Hospital, Community, and Home
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/70277
Sample Questions
Q1) Which of the following are components of family-centered care? Select all that apply.
A) Recognizing and building on family strengths
B) Meeting the emotional, social, and developmental needs of the child and family
C) Respect all parenting practices
D) Support all cultural practices
E) Encourage parent-to-parent support
Answer: A,B,E
Q2) Pediatric nurses have foundational knowledge obtained in nursing school and add specific competencies related to the pediatric client. Which would be considered an additional specific expected competency of the pediatric nurse?
A) Physical assessment
B) Anatomical and developmental differences
C) Nursing process
D) Management of healthcare conditions
Answer: B
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Chapter 2: Family-Centered Care and Cultural
Considerations
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/70278
Sample Questions
Q1) There are several tools that help with obtaining a cultural assessment of a client and his family. Which tool would be appropriate to gather 12 major concepts of cultural assessment?
A) Sunrise enabler
B) Model for cultural competence
C) Transcultural assessment model
D) Health traditions model
Answer: B
Q2) The nurse is assessing a group of children attending summer camp. The nurse will expect which children to most likely have problems perceiving a sense of belonging?
A) Children whose parents divorced recently
B) Children who gained a stepparent recently
C) Children recently placed into foster care
D) Children adopted as infants
Answer: C
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Page 4
Chapter 3: Genetic and Genomic Influences
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/70279
Sample Questions
Q1) A student nurse asks, "What is carrier testing?" Which response by the nurse educator is most appropriate to answer the student nurse's question?
A) "Carrier testing involves testing an asymptomatic individual for carrier status for a genetic condition."
B) "Carrier testing is used to establish a diagnosis of a genetic disorder in an individual who is symptomatic or has had a positive screening test."
C) "Carrier testing is testing to identify a fetus with a genetic disease or condition. Some prenatal testing is offered routinely; other testing may be initiated due to family history or maternal factors."
D) "Carrier testing follows in vitro fertilization (IVF) testing to identify embryos with a particular genetic condition."
Answer: A
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5

Chapter 4: Growth and Development
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/70280
Sample Questions
Q1) The parents of an 8-year-old state that their son seems very interested in trying new activities. When the parents ask for suggested activities for this age child, the nurse recommends scouts as an activity that will foster growth and development. In which stage of Erikson's "psychosocial stages of development" is this child?
A) Trust versus mistrust
B) Initiative versus guilt
C) Industry versus inferiority
D) Identity versus role confusion
Q2) The nurse is assessing a toddler's development of communication skills. The nurse recognizes that a toddler communicates in what ways? Select all that apply.
A) Expressive jargon
B) Interpersonal skills and contact with other children
C) Uses all parts of speech
D) Temper tantrums
E) Enjoys talking
Q3) A child with hives weighing 40 pounds is prescribed diphenhydramine (Benadryl), 5 mg/kg/day in four divided doses. How many milligrams should the nurse give for each dose?
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Chapter 5: Pediatric Assessment
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/70281
Sample Questions
Q1) During an examination, a nurse asks a 5-year-old child to repeat his address. What is the nurse evaluating with this action?
A) Recent memory
B) Language development
C) Remote memory
D) Social-skill development
Q2) When assessing the cognitive development, which technique would be appropriate to test the remote memory of a 5-year-old?
A) Say the name of an object and after 5 minutes ask the child to tell you what you said the object was.
B) Ask the child to repeat his address.
C) Ask the child to say a poem and listen to the child's speech articulation.
D) Have the child point to various parts of the body as you name them.
Q3) Place the nursing assessments of a toddler in the best order.
A) Examination of eyes, ears, and throat
B) Auscultation of chest
C) Palpation of abdomen
D) Developmental assessment
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Chapter 6: Introduction to Health Promotion and Maintenance
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/70282
Sample Questions
Q1) A pediatric nurse who is employed in a busy ambulatory clinic setting is informed by the nurse manager that average nursing time allocated for each child and family is being reduced to 10 minutes to more efficiently manage the clinic. The nursing activities must include a nursing assessment and discussion on anticipatory guidance. Which of these strategies should the nurse utilize in the plan of care delivery?
A) Attempt to complete the assessment and education in 10 minutes, but extend the time whenever the nurse deems necessary.
B) Plan to do the anticipatory guidance first since either the nurse practitioner or the physician can perform the assessment of the child.
C) Encourage the parent to ask for specific time to talk with the nurse privately at each office visit.
D) Focus anticipatory guidance strategies on topics that the parent or child have expressed as an area of interest.
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8

Chapter 7: Health Promotion and Maintenance for the
Newborn and Infant
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/70283
Sample Questions
Q1) A mother who is bottle feeding her newborn asks to be discharged 24 hours post-delivery, because she also has twin 2-year-old children at home. When should the nurse schedule the first office visit for this newborn?
A) Within 48 hours of discharge
B) Within 1 week of discharge
C) Within 2 weeks of discharge
D) When the infant is 1-month old
Q2) A follow-up visit for a newborn client is scheduled with the pediatric nurse practitioner 3 days after discharge. What will the nurse include in the assessment during the scheduled visit for this newborn? Select all that apply.
A) Feeding pattern
B) Jaundice
C) Length
D) Vision screen
E) Sleep pattern
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Chapter 8: Health Promotion and Maintenance for the
Toddler and Preschooler
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/70284
Sample Questions
Q1) The nurse is performing a well-child exam on a child who turned 4 years old 3 months ago. What can the nurse ask the child to do to assess appropriate milestones for this age?
A) Jump up and down
B) Throw a ball
C) Stack three or more blocks
D) Draw lines on paper
Q2) A nurse observes the parent/child interaction during the 4-year-old well-child checkup and notes that the parent speaks harshly to the child and uses negative remarks when speaking with the nurse. Which statement by the nurse would be most beneficial?
A) "Perhaps you should leave the room so that I can speak with your child privately."
B) "I am going to refer you for counseling since your interactions with your child seem so negative."
C) "Let's talk privately. Let's discuss the way you speak with your child and possible ways to be more positive."
D) Addressing the child, the nurse says, "Are you unhappy when Mommy talks to you like this?"
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Chapter 9: Health Promotion and Maintenance for the School-Age Child and Adolescent
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/70285
Sample Questions
Q1) An adolescent is accompanied by the mother for an annual physical examination. The nurse is aware of privacy issues related to the adolescent. While the mother is in the room, the nurse should avoid which questions? Select all that apply.
A) Sexual activity
B) Cigarette smoking
C) School performance
D) Use of alcohol
E) Car seatbelt use
Q2) The school nurse performs screenings on all students in the middle school. In addition, the nurse will perform selected screenings on individual school-age children. When planning the screenings for the year, which screenings will the nurse include for all school-age children? Select all that apply.
A) Hearing
B) Height and weight
C) Blood-pressure measurement
D) Hepatitis B profile serology
E) Chest x-ray
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11

Chapter 10: Nursing Considerations for the Child in the Community
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/70286
Sample Questions
Q1) A child who is dependent on a ventilator is being discharged from the hospital. Prior to discharge, the home-health nurse discusses development of an emergency plan of care with the family. Which is the most essential part of the plan?
A) Acquisition of a backup generator
B) Designation of an emergency shelter site
C) Provision for an alternate heating source if power is lost
D) Notifying the power company that the child is on life support
Q2) The nurse manager is assisting the organization to open a healthcare center. What items must the manager include in pediatric inventory? Select all that apply.
A) Preprinted drug dosage chart
B) Oxygen face masks
C) Pediatric chairs and litters
D) Length-based resuscitation tape
E) Oral and NG airways and laryngoscope blades
Q3) Which would be an acceptable community-health diagnosis?
A) Risk for Injury Related to Lack of Safe Bicycle Paths in High-Traffic Areas
B) Ineffective Family Coping Related to Lack of Time Together
C) Alterations in Nutrition Related to Use of Fast Food Restaurants
D) Ineffective Communication Related to Lack of Community Newsletter
Page 12
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Chapter 11: Nursing Considerations for the Hospitalized Child
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/70287
Sample Questions
Q1) The nurse is working with an adolescent client who will be admitted to the hospital in two days. Which nursing approach is most appropriate to prepare this client for hospitalization?
A) Have teens who have had similar experiences talk to the adolescent about hospitalization.
B) Provide an opportunity for the child to talk with an adult who has had a similar experience.
C) Teach parents what to expect so the information can be shared with the adolescent.
D) Provide an opportunity for the teen to try on surgical attire.
Q2) The nurse needs to administer a medication to a preschool-age child. The medication is only available in tablet form. Which action by the nurse is the most appropriate?
A) Place the tablet on the child's tongue and give the child a drink of water.
B) Break the tablet in small pieces and ask the child to swallow the pieces one by one.
C) Crush the tablet and mix it in a teaspoon of applesauce.
D) Crush the table and mix it in a cup of juice.
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13

Chapter 12: The Child With a Chronic Condition
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/70288
Sample Questions
Q1) A 5-year-old sibling of a 9-year-old child with cystic fibrosis tells the nurse, "I wish I had a breathing disease, too." The nurse knows the parents strive to spend quality time with each child and with both children together. What is the sibling currently experiencing?
A) Jealousy
B) Isolation
C) Loneliness
D) Anger
Q2) At the conclusion of teaching parents about cerebral palsy, the nurse asks, "What is your hope for your toddler with cerebral palsy?" Which reply from a parent best indicates an understanding of a realistic achievement for the child?
A) "I hope my child qualifies for the Winter Olympics like I did."
B) "I hope my child just enjoys life."
C) "I hope my child will attend our neighborhood school."
D) "I hope my child is liked and accepted by other children."
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Chapter 13: The Child With a Life-Threatening Condition and
End-Of-Life Care
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/70289
Sample Questions
Q1) A toddler-age client is in end-stage renal failure. Which nursing intervention will assist this child most?
A) Maintain the child's normal routines.
B) Explain body changes that will take place.
C) Encourage friends to visit.
D) Allow the child to talk about the illness.
Q2) A school-aged child is admitted with pneumococcal meningitis. The child weighs 44 pounds. The physician orders: ceftriaxone (Rocephin) 50 mg/kg/dose IV every 12 hours three times and then every 24 hours.
Calculate how many mg/dose of ceftriaxone the child will receive and then calculate mL/hr to infuse via pump. Supply on hand is: a premix of ceftriaxone 1 g/50 mL, administer over 30 minutes.
Q3) A child is on a ventilator in the pediatric intensive care unit (PICU). Which nursing intervention would best meet the psychosocial needs of this child?
A) Allow the parents to remain at the bedside.
B) Touch and talk to the child often.
C) Provide the child with a blanket from home.
D) Provide consistent caregivers.
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Chapter 14: Infant, Child, and Adolescent Nutrition
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/70290
Sample Questions
Q1) The parents of a toddler are concerned about their child's finicky eating habits. While counseling the parents, which statements by the nurse are the most appropriate? Select all that apply.
A) "The child is experiencing physiologic anorexia, which is normal for this age group."
B) "A general guideline for food quantity at a meal is one-quarter cup of each food per year of age."
C) "It is more appropriate to assess a toddler's nutritional demands over a 1-week period rather than a 24-hour one."
D) "Nutritious foods should be made available at all times of the day so that she is able to 'graze' whenever she is hungry."
E) "The toddler should drink 16 to 24 ounces of milk daily."
Q2) Celiac disease presents many challenges for a family. What should the nurse emphasize when educating the parents of a newly diagnosed child?
A) Ice cream is a safe dessert on a gluten-free diet.
B) The child's weight and height should reach normal levels in about 1 year.
C) Processed foods are usually gluten-free.
D) Insurance pays only a small amount of the cost of celiac diets.
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Page 16

Chapter 15: Pain Assessment and Management in Children
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/70291
Sample Questions
Q1) A school-age client has been receiving morphine every two hours for postoperative pain as ordered. The medication relieves the pain for approximately 90 minutes, and then the pain returns. Which action by the nurse is the most appropriate?
A) Tell the child that pain medication cannot be administered more frequently than every two hours.
B) Reposition the child and quietly leave the room.
C) Inform the parents that the child is dependent on the medication.
D) Call the healthcare provider to see if the child's orders for pain medication can be changed.
Q2) The nurse is preparing to perform a heel stick on a neonate. Which complementary therapy is appropriate for the nurse to use decrease pain during this quick but painful procedure?
A) Swaddling
B) Sucrose pacifier
C) Massage
D) Holding the infant
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Chapter 16: Immunizations and Communicable Diseases
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/70292
Sample Questions
Q1) A mother refuses to have her child be immunized with measles, mumps, and rubella (MMR) vaccine because she believes that letting her infant get these diseases will help him fight off other diseases later in life. Which response by the nurse is most appropriate?
A) Honor her request because she is the parent.
B) Explain that antibodies can fight many diseases.
C) Tell her that not immunizing her infant may protect pregnant women.
D) Explain that if her child contracts measles, mumps, or rubella, there could be very serious and permanent complications from these diseases.
Q2) A nurse working in a pediatric clinic is responsible for monitoring and maintaining the vaccinations on site. Which actions are appropriate for this nurse to implement? Select all that apply.
A) Fluctuate refrigerator and freezer temperatures each day.
B) Store vaccines in the center of the unit.
C) Check and record the temperature of the unit twice each day.
D) Have a plan for power outages.
E) Place bottles of water in each unit to help keep temperatures consistent.
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18
Chapter 17: Social and Environmental Influences on the Child
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/70293
Sample Questions
Q1) A social service coordinator is consulted to arrange for a phototherapy blanket at discharge for an infant/family with multiple social difficulties. Which social difficulty is more than likely to have the greatest influence on discharge?
A) Cultural practices and rituals
B) Financial difficulties
C) The family is homeless
D) The family does not have a healthcare provider
E) Religious beliefs
Q2) The school nurse is implementing a program to decrease bullying. Which interventions are appropriate for the school nurse to implement? Select all that apply.
A) Train teachers about the behaviors
B) Ensure adult supervision in the hallways
C) Teach children to report behaviors
D) Ensure that immunizations are up-to-date
E) Set up anti-hazing policies
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19

Chapter 18: Alterations in Fluid, Electrolyte, and Acid-Base Balance
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/70294
Sample Questions
Q1) A nurse is planning care for a child with hyperkalemia. Which clinical manifestation will the nurse plan to assessment this child for based on the diagnosis?
A) Seizures
B) Bradycardia
C) Respiratory distress
D) Hyperthermia
Q2) A school-age client is hypokalemic. The nurse is helping the client complete her menu. Which food selection will the nurse encourage for this client?
A) A hamburger with French fries
B) Pizza with a fruit plate
C) Chicken strips with chips
D) A fajita with rice
Q3) The nurse is caring for a child on bed rest who has severe edema in a left lower leg due to blocked lymphatic drainage. Which is the priority diagnosis for this child?
A) Risk for Imbalanced Nutrition: Less Than Body Requirements
B) Risk for Impaired Skin Integrity
C) Risk for Altered Body Image
D) Risk for Activity Intolerance
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Chapter 19: Alterations in Eye, Ear, Nose, and Throat
Function
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/70295
Sample Questions
Q1) A nurse is assessing infants for visually related developmental milestones. Which infant is showing a delay in meeting an expected milestone?
A) A 4-month-old who has a social smile
B) An 8-month-old who has just begun to inspect her own hand
C) A 12-month-old who stacks blocks
D) A 7-month-old who picks up a raisin by raking
Q2) During an admission assessment, the nurse notes that the child has impaired oral mucous membranes. Which intervention is most appropriate for the nurse to implement for this child?
A) Administering topical analgesics
B) Promoting an adequate intake of nutrients
C) Administering antibiotics as ordered
D) Using lemon and glycerin for oral hygiene
Q3) A nurse is caring for a visually impaired 20-month-old who has not begun to walk. Which nursing diagnosis is the most appropriate for this client?
A) Delayed growth and development
B) Impaired physical mobility
C) Self-care deficit
D) Impaired home maintenance

Page 21
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Chapter 20: Alterations in Respiratory Function
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/70296
Sample Questions
Q1) A child is prescribed rifampicin for treatment of tuberculosis. For which length of time will the nurse tell the parents that this child must remain on the medication?
A) 2 months
B) 4 months
C) 6 months
D) 8 months
Q2) The nurse is teaching a group of mothers of infants about the benefits of immunization. Which immunization will the nurse teach to the mothers that can assist in preventing the life-threatening disease epiglottitis?
A) Measles, mumps, and rubella (MMR)
B) Haemophilus influenzae type B (HIB)
C) Hepatitis B
D) Polio
Q3) A child with asthma will be receiving an oral dose of prednisone. The order reads prednisone 2 mg/kg per day. The child weighs 50 lbs. The child will receive ________ milligrams daily. (Round the answer.) Round the answer to the nearest whole number.
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22

Chapter 21: Alterations in Cardiovascular Function
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/70297
Sample Questions
Q1) An infant with tetralogy of Fallot is having a hypercyanotic episode ("tet" spell). Which nursing interventions are appropriate for the nurse to implement for this infant? Select all that apply.
A) Place the child in knee-chest position.
B) Draw blood for a serum hemoglobin.
C) Administer oxygen.
D) Administer morphine and propranolol intravenously as ordered.
E) Administer Benadryl as ordered.
Q2) Which athletic activity can the nurse recommend for a school-age client with pulmonary-artery hypertension?
A) Cross-country running
B) Soccer
C) Golf
D) Basketball
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Chapter 22: Alterations in Immune Function
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/70298
Sample Questions
Q1) The nurse is providing discharge teaching to a school-age client who was recently diagnosed with a latex allergy. Which product will the nurse educate the client and family to avoid?
A) Plastic bottles
B) Footballs
C) Chewing gum
D) Paper bags
Q2) A school-age child diagnosed with rheumatoid arthritis asks the nurse to recommend an exercise activity. Which activity is most appropriate for this child?
A) Softball
B) Football
C) Swimming
D) Basketball
Q3) A child with the diagnosis of Wiskott-Aldrich syndrome has been ordered an IV infusion of gamma globulin. The child weighs 20 pounds. The healthcare provider orders: gamma globulin 2 g/kg IV over 12 hours.
Calculate how many grams of gamma globulin will be given IV.
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Chapter 23: Alterations in Hematologic Function
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/70299
Sample Questions
Q1) A child with meningococcemia is being admitted to the pediatric intensive-care unit. Which room assignment is the most appropriate for this child?
A) Semiprivate room
B) Private room, but not in isolation
C) Private room, in protective isolation
D) Private room, in respiratory isolation
Q2) A school-age child with hemophilia falls on the playground and goes to the nurse's office with superficial bleeding above the knee. Which action by the nurse is the most appropriate?
A) Apply a warm, moist pack to the area.
B) Perform some passive range of motion to the affected leg.
C) Apply pressure to the area for at least 15 minutes.
D) Keep the affected extremity in a dependent position.
Q3) The adolescent is admitted to the hospital in sickle cell crisis with a pain level of 10/10. The physician orders:
Morphine sulfate 5 mg IV q 2 hr prn
Medication on hand: morphine sulfate 10 mg/mL
Calculate how many ml of morphine sulfate will be given IV.
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Chapter 24: The Child With Cancer
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/70300
Sample Questions
Q1) A preschool-age child is brought to the clinic by the mother, who says the child has been lethargic and anorexic lately and complains of bone pain. On exam, the nurse notes petechiae, joint pain, and an enlarged liver. Which diagnosis does the nurse anticipate for this child?
A) Hodgkin disease
B) Leukemia
C) Rhabdomyosarcoma
D) Ewing sarcoma
Q2) A child undergoing chemotherapeutic treatment for cancer is being admitted to the hospital for fever of 102 degrees F and possible sepsis. Cultures, antibiotics, and acetaminophen (Tylenol) along with bed rest have been ordered for this child. Place the following steps in order from first to last.
<b>Response 1 </b>Administer the antibiotics.
<b>Response 2</b> Administer the acetaminophen (Tylenol).
<b>Response 3</b> Obtain the cultures.
<b>Response 4</b> Ensure the child has bed rest.
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Chapter 25: Alterations in Gastrointestinal Function
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/70301
Sample Questions
Q1) The nurse is providing instruction to the parents of an infant with a colostomy. Which statement by the parents indicates appropriate understanding of the teaching session?
A) "We will change the colostomy bag with each wet diaper."
B) "We will use adhesive enhancers when we change the bag."
C) "We will watch for skin irritation around the stoma."
D) "We will expect a moderate amount of bleeding after cleansing the area around the stoma."
Q2) The nurse is caring for a school-age client who had an appendectomy after a ruptured appendix. Which orders does the nurse anticipate for this client? Select all that apply.
A) Antibiotics
B) A clear liquid diet
C) NG tube
D) Vital signs every 4 hours
E) Frequent monitoring of bowel sounds
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Chapter 26: Alterations in Genitourinary Function
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) The nurse is providing care to a male infant who is diagnosed with hypospadias. Which clinical manifestation does the nurse anticipate when assessing this infant?
A) A urethral meatus that is located on the ventral surface of the penis
B) The presence of foreskin
C) A small opening or a fissure that extends the entire length of the penis
D) An opening on the dorsal surface of the penis
Q2) A child recently had a kidney transplant and is prescribed cyclosporine. The parents ask the nurse about the reason for the cyclosporine. Which reason will the nurse include in the response for why this medication is prescribed?
A) To boost immunity
B) To suppress rejection
C) To decrease pain
D) To improve circulation
Q3) A 10-year-old diagnosed with chronic renal failure is seen at the dialysis center for dialysis treatment three times a week. The child weighs 35 pounds after dialysis. Physician's order: Epogen 50 U/kg three times weekly after dialysis.
Medication on hand: Epogen 2000 U/mL
Calculate how many ml of Epogen the child should receive three times a week.
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Chapter 27: Alterations in Neurologic Function
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/70303
Sample Questions
Q1) A child sustains a traumatic brain injury and is monitored in the pediatric intensive-care unit (PICU). The nurse is using the Glasgow Coma Scale to assess the child. Which items will the nurse assess when using this tool? Select all that apply.
A) Eye opening
B) Verbal response
C) Motor response
D) Head circumference
E) Pulse oximetry
Q2) A 5-year-old child is admitted to the hospital with increased intracranial pressure after a motor vehicle struck the child. The child weighs 15 kg.
The neurosurgeon orders: Mannitol 0.5 g/kg/10 minutes IV first, followed by Mannitol 0.25 g/kg IV every 4 hours.
Medication on hand: Mannitol 100 g/500mL D5W.
Calculate how many mL/hr to set the IV pump to infuse the Mannitol ordered every 4 hours.
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Chapter 28: Alterations in Mental Health and Cognitive Function
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/70304
Sample Questions
Q1) A school-age client is prescribed Adderall (amphetamine mixed salts) for attention deficit hyperactivity disorder (ADHD). At which time is it most appropriate for the nurse to teach the parents to administer this medication?
A) At bedtime
B) Before lunch
C) With the evening meal
D) Early in the morning
Q2) The nurse is conducting a health history for a school-age client. The parents of the client tell the nurse that their child has the following behaviors: excessive handwashing, counting objects, and hoarding substances. Based on these assessment findings, which diagnosis does the nurse anticipate for this client?
A) Depression
B) Separation anxiety disorder
C) Obsessive-compulsive disorder
D) Bipolar disorder
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Chapter 29: Alterations in Musculoskeletal Function
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/70305
Sample Questions
Q1) The nurse is teaching family members how to care for their infant in a Pavlik harness to treat congenital developmental dysplasia of the hip. Which statement will the nurse include in the teaching session?
A) "Apply lotion or powder to minimize skin irritation."
B) "Put clothing over the harness for maximum effectiveness of the device."
C) "Check at least 2 or 3 times a day for red areas under the straps."
D) "Place a diaper over the harness, preferably using a thin, superabsorbent, disposable diaper."
Q2) The nurse is providing care to a toddler client who is diagnosed with osteogenesis imperfecta. Which nursing intervention is appropriate for this client?
A) Support of the trunk and extremities when moving
B) Traction care
C) Cast care
D) Postop spinal surgery care
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Chapter 30: Alterations in Endocrine Function
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/70306
Sample Questions
Q1) A pediatric client is seen in the clinic with a possible diagnosis of type 2 diabetes. The mother asks what the healthcare provider uses to make the diagnosis. The nurse explains that type 2 diabetes is suspected if the child has obesity, acanthosis nigricans, and two non-fasting blood-glucose levels above which level?
A) 120
B) 80
C) 200
D) 50
Q2) A pediatric client diagnosed with Turner syndrome tells the nurse, "I feel different from my peers." Which response by the nurse is the most appropriate?
A) "Tell me more about the feelings you are experiencing."
B) "These feelings are not unusual and should pass soon."
C) "You'll start to grow soon, so don't worry."
D) "You seem to be upset about your disease."
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Chapter 31: Alterations in Skin Integrity
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/70307
Sample Questions
Q1) An infant has a severe case of oral thrush (Candida albicans). Which nursing diagnosis is the priority for this infant?
A) Activity Intolerance Related to Oral Thrush
B) Ineffective Airway Clearance Related to Mucus
C) Ineffective Infant Feeding Pattern Related to Discomfort
D) Ineffective Breathing Pattern Related to Oral Thrush
Q2) The nurse is providing care to a pediatric client who is diagnosed with psoriasis. Which clinical manifestations does the nurse anticipate upon assessment of this client? Select all that apply.
A) Thick, silvery, scaly erythematous plaque
B) Pruritus
C) Dry skin, likely to crack and fissure
D) Fragile skin and blisters
E) Irregular border surrounded by normal skin
Q3) A child is prescribed cephalexin for treatment of cellulitis. The child weighs 15 kg. The pediatrician orders: cephalexin 40 mg/kg/day PO, give twice a day.
Medication on hand: 250 mg/5 mL
Calculate how many mLs the nurse must draw up for each dose.
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