Nursing Practice with Children and Families
Exam Questions
Course Introduction
This course explores the principles and practices of nursing care for children and their families across various healthcare settings. It emphasizes family-centered care, developmentally appropriate interventions, and strategies for communicating and collaborating with families to promote optimal health outcomes. Students will gain knowledge in pediatric assessment, common childhood illnesses, chronic conditions, injury prevention, and the psychosocial aspects of health and illness. Through case studies and evidence-based approaches, the course prepares nursing students to provide compassionate, culturally sensitive, and holistic care to children and their families, supporting both physical and emotional well-being.
Recommended Textbook
Child Health Nursing Partnering with Children and Families 3rd Edition by Jane W. Ball
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36 Chapters
680 Verified Questions
680 Flashcards
Source URL: https://quizplus.com/study-set/3920 Page 2
Chapter 1: Child Health Nursing: Concepts, Roles, and Issues
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/78204
Sample Questions
Q1) With regard to infant mortality statistics, which nursing intervention would be most effective in decreasing post-neonatal mortality?
A)Teaching parents about "baby-proofing" their home
B)Educating parents on acceptable feeding techniques
C)Providing support for first-time mothers
D)Educating parents on the importance of positioning the baby on his back whenever sleeping
Answer: D
Q2) When discussing injury prevention with the parents of a toddler, which statement indicates teaching has been successful? "The leading cause of death in children is:
A)Unintentional injury."
B)Infectious disease."
C)Congenital anomalies."
D)Cancer."
Answer: A
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Page 3
Chapter 2: Family-Centered Care: Theory and Applications
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14 Verified Questions
14 Flashcards
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Sample Questions
Q1) The nurse is working on parenting skills with a group of mothers. Which style of parenting tends to produce adolescents who tend to be self-reliant and socially competent?
A)Authoritarian
B)Permissive
C)Indifferent
D)Authoritative
Answer: D
Q2) The camp nurse is assessing a group of children attending summer camp. Which child will be most likely to have problems perceiving a sense of belonging?
A)The child whose parents divorced recently
B)The child recently placed into foster care
C)The child whose mother remarried and who gained a stepparent recently
D)The child adopted as an infant
Answer: B
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Chapter 3: Cultural Influences
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/78202
Sample Questions
Q1) A child has been admitted to the hospital for treatment of otitis media. When explaining to the mother that the child will be treated for an ear infection, the mother states: "Oh, it is important that my child receives hot foods to help my child." Recognizing that this is a cultural preference and that ear infections are "cold conditions," the nurse will include which of the following in the child's diet?
A)Cheese and eggs
B)Chicken and fish
C)Fresh fruits and vegetables
D)Goat meat and raisins
Answer: A
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Chapter 4: Genetic and Hereditary Influences
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) During a sports physical, a client is found to have myopia, long digits, tall stature, an arm span greater than his height, scoliosis, and a hollow chest. The nurse should suspect:
A)Phenylketonuria.
B)Turner's syndrome.
C)Huntington's chorea.
D)Marfan's syndrome.
Q2) Advances in genetic screening provide information with high levels of certainty about genetic disorders a fetus might have. Which is an ethical implication of these advances?
A)The nurse must participate in actions that are completely contradictory to his personal ethics.
B)The nurse must be aware of his own personal feelings about the actions taken after the screening tests are completed.
C)The nurse must be aware of parent feelings regarding the information available to them.
D)The parents must be aware of the nurse's feelings regarding the information available about the fetus.
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Chapter 5: Concepts of Growth and Development
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) Prior to giving an intramuscular injection to a two-and-a-half-year-old child, the most appropriate statement by the nurse would be:
A)"It is all right to cry.I know that this hurts.After we are done, you can go to the box and pick out your favorite sticker."
B)"We will give you your shot when your mommy comes back."
C)"This is medicine that will make you better.First we will hold your leg, then I will wipe it off with this magic cloth that kills the germs on your leg right here.Then I will hold the needle like this and say 'one, two, three, go' and give you your shot.After the shot is over with, I will hold the cotton ball until it stops bleeding and then put the Band-Aid on.Are you ready?"
D)"This is a magic sword that will give you your medicine and make you all better."
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Chapter 6: Child and Family Communication
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14 Verified Questions
14 Flashcards
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Sample Questions
Q1) While assessing an eight-month-old infant, the best strategy for the nurse to use to promote communication with the infant would be to:
A)Use touch, patting, and cuddling the infant.
B)Speak to the infant in low-pitched, soft tones.
C)Place the infant out of the parents' view to decrease distraction.
D)Lean over the infant's face and talk with forceful tones.
Q2) A non-Spanish-speaking nurse is working with a seven-year-old client who is able to speak English but whose family speaks only Spanish. The nurse needs to give discharge instructions regarding the client's oral antibiotics. There are no Spanish-speaking interpreters available presently, but one will be able to come in about one hour. The nurse's most appropriate intervention would be:
A)To give the discharge instructions to the parents, with the child acting as interpreter.
B)To give the discharge instructions to the child.
C)To obtain an English/Spanish translation book and use this to aid in giving discharge instructions to the parents.
D)To have the parents wait until an interpreter can be found to translate the discharge instructions.
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Page 8
Chapter 7: Pediatric and Newborn Assessment
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) A nurse caring for a nine-year-old notices some swelling in the child's ankles. The nurse presses against the ankle bone for five seconds, then releases the pressure, noticing a markedly slow disappearance of the indentation. Based on these physical findings, the nurse would be most concerned with assessing:
A)Skin integrity, especially in the lower extremities.
B)Level of consciousness.
C)Urine output.
D)Range of motion and ankle mobility.
Q2) A nurse working in the newborn nursery notes that an infant is having frequent episodes of apnea lasting 10 to15 seconds without any changes in color or decreases in heart rate. Which intervention would be the most appropriate?
A)Continue to observe the infant and call the physician if the apnea lasts longer than 20 seconds.
B)Suction the infant's mouth and nares.
C)Call the physician immediately.
D)Turn the infant on its right side.
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Chapter 8: Concepts of Health Promotion and Health Maintenance
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16 Verified Questions
16 Flashcards
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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 manage the clinic more efficiently. 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)Ask each parent to complain to the nurse manager that there is not adequate time to talk with the nurse at each visit.
B)Perform a limited assessment based on reason for visit and provide pamphlets covering anticipatory guidance.
C)Focus anticipatory guidance strategies on topics in which the parent or child has expressed interest.
D)Plan to do the anticipatory guidance first, because either the nurse practitioner or the physician can perform an assessment of the child.
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10
Chapter 9: Health Promotion and Maintenance of the
Newborn
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/78196
Sample Questions
Q1) While breastfeeding is recommended by the American Academy of Pediatrics, there are maternal and infant conditions that should be evaluated as being possible contraindications to breastfeeding. Some of these contraindications include: Standard Text: Select all that apply.
A)The mother has heart disease.
B)The mother is infected with HIV.
C)The infant has been diagnosed with galactosemia.
D)The mother has small breasts.
E)The mother takes medications for a chronic health condition.
Q2) Prior to discharge from the birth hospital, the new mother asks the nurse about the use of a mobile over the crib. The nurse would explain to the mother that the mobile should be placed about 10 inches above the level of the baby. The nurse would explain that this placement:
A)Is based on the fact that newborns can focus at a distance of 8 to 12 inches.
B)Will prevent the infant from being injured by the mobile.
C)Is most convenient for the parents.
D)Is for decoration only.The newborn does not have vision sufficient to see the mobile.
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Page 11
Chapter 10: Health Promotion and Maintenance of the Infant
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) An infant is born at 24 weeks' gestational age. Which of these interventions should the nurse plan when the infant is discharged home?
A)Instructing the parents that infants need warmed milk and to heat the milk in a microwave for no more than 15 seconds
B)Giving the parents information on HIV screening that is necessary for infants born at this gestational age
C)Referring the infant for developmental screening
D)No particular instructions are necessary because discharge teaching is completed immediately after the birth of the infant.
Q2) The nurse has been following the infant in the well-baby clinic and has checked the child's vision on every visit. At four months of age, the nurse will add the cover-uncover test to check the child for:
A)Conjunctivitis.
B)Strabismus.
C)Amblyopia.
D)Cataracts.
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12
Chapter 11: Health Promotion and Maintenance of the
Toddler and Preschooler
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) At a routine health care visit, a nurse measures a toddler and plots the height and weight on the growth charts. The nurse documents that the toddler is above the 95th percentile for weight and is at the 5th percentile for height. How should the nurse interpret these data?
A)The toddler is proportionate for age.
B)The height and weight are disproportionate, and the toddler needs further evaluation.
C)The toddler needs to eat more at each feeding.
D)The family most likely is short.
Q2) The mother of a toddler asks the nurse: "Now that my child has outgrown his infant car seat, what should I do when we are in the car?" Which is the best response by the nurse?
A)"Place him in a booster chair on the seat beside you so you can watch him."
B)"Be sure to select a car seat according to his weight and height, and make sure it contains shoulder harnesses."
C)"Your child should remain in the rear-facing car seat until he reaches 40 pounds."
D)"The child can now be buckled safely into the regular car seat belts."
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Chapter 12: Health Promotion and Maintenance of the School-Age Child
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/78193
Sample Questions
Q1) An 11-year-old child tells the nurse that she is having trouble falling asleep at night. What recommendations will the nurse make? Standard Text: Select all that apply.
A)"Drink a cup of warm tea at nighttime to induce sleep."
B)"Try to follow a nighttime routine."
C)"Avoid sleeping late in the morning or taking a nap."
D)"Exercise 30 minutes before bedtime to tire the body out."
E)"Darken the room at bedtime."
Q2) The nurse asks the parent during a clinic visit about the nutritional intake of her eight-year-old child. The mother tells the nurse she leaves early for work and her teen sibling takes care of the meals. What response by the nurse regarding nutrition is appropriate?
A)Provide information about healthy meals and snacks that are easy for school-age children and teens to prepare.
B)Provide a meal plan for the mother to take to her daughter.
C)Provide sample recipes for the mother.
D)Provide coupons for the mother when going to the grocery store.
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Page 14
Chapter 13: Health Promotion and Maintenance of the Adolescent
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) The school nurse performs screenings on all students in the high school. In addition, the nurse will perform selected screenings on individual teenagers. When planning the screenings for the year, the nurse will include which screening for all teenagers?
A)Respiratory rate
B)Hepatitis B profile
C)Chest X-ray
D)Scoliosis
Q2) A school nurse is performing annual height and weight screening. The nurse notes that three females who are close friends each lost 15 pounds over the past year. The priority nursing action is to:
A)Obtain a nutritional history for each of these adolescents.
B)Refer these adolescents to the school psychologist.
C)Call the respective parents to discuss the eating patterns of each adolescent.
D)Speak with the girls in a group to discuss the problems associated with anorexia nervosa.
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Chapter 14: Nursing Care of the Child in the Community
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) A major goal of home health care nurses working with families is:
A)Maximizing the dependency of the child on the family.
B)Curing the chronic illness of the child.
C)Prescribing and administering medication needed by the child.
D)Promoting or restoring the child's health.
Q2) Which aspect of an Emergency Medical Services (EMS) system is most indicative that EMS providers are prepared to provide emergency care to children?
A)Lists of hospitals in the area that treat children
B)Staff education related to assessment and treatment of children of all ages
C)Placement of small stretchers in emergency vehicles
D)Size-appropriate equipment and supplies
Q3) The nurse working in a pediatric clinic will have many duties. Included in the nurse's responsibilities will be: Standard Text: Select all that apply.
A)Prescribing over-the-counter medications.
B)Collecting health history information.
C)Performing diagnostic tests, such as the TB skin test.
D)Performing developmental screening tests.
E)Administering immunizations.
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Chapter 15: Nursing Care of the Hospitalized Child
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/78190
Sample Questions
Q1) A preschooler is hospitalized following an injury. The mother has been staying with the child but now must leave to care for the other children. The mother asks the nurse what is the best way to leave. The nurse's response will include: Standard Text: Select all that apply.
A)Leave the child after he falls asleep so he won't know you are going.
B)Tell the child you are leaving and identify when you will return by the child's schedule (e.g., after you eat supper).
C)Have the mother leave an article of clothing behind.
D)Tell the nurse when she is leaving so the nurse can stay with the child while the parents are absent.
E)Plan to leave when the child is having procedures performed as the child will be busy and less aware of the parents' absence.
Q2) A child has a planned hospitalization in a few weeks, and the patient and family appear very stressed. What is the best way to minimize the stress for the patient and family?
A)Tell the patient and family that everything will be fine.
B)Explain to the patient and family how the child will benefit from the surgery.
C)Tell the patient and family that the surgeon is very good.
D)Give a tour of the hospital unit or surgical area.
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Chapter 16: Nursing Care of the Child With a Chronic Condition
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) All of the following children are inpatients on the pediatric unit. Which child is likely to be left with a developmental disability?
A)An 18-month-old admitted with a diagnosis of near drowning
B)A school-age child newly diagnosed with type 1 diabetes mellitus
C)A toddler with sepsis
D)A two-year-old child with a fractured femur
Q2) The mother of a 16-year-old child with multiple medical and developmental issues says to the nurse: "There are times that I think about just walking out of the house and not coming back." Which would be an appropriate nursing diagnosis for this mother?
A)Caregiver role strain related to providing 24-hour care for a child with medical and developmental issues
B)Risk for injury (maternal) related to overwhelming demands of the medically fragile child
C)Knowledge deficit (maternal) nursing care of the child
D)Health seeking behaviors (maternal) related to interest in learning to care for her child
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Page 18
Chapter 17: Nursing Care of the Child With a Life-Threatening Illness or Injury
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) An adolescent with cystic fibrosis is intubated with an endotracheal tube. Which is the most appropriate nursing diagnosis for the adolescent?
A)Impaired social interaction related to hospitalization and separation from peers
B)Delayed growth and development related to prolonged hospitalization and life-threatening condition
C)Powerlessness (moderate) related to inability to speak to or communicate
D)Potential for imbalanced nutrition, more than body requirements related to inactivity
Q2) An adolescent with a gunshot wound presents to the emergency department with his distraught parents. He states that he saw a classmate shoot his teacher and several other students. As a result of the shooting incident, the nurse expects this adolescent to be at risk for which disorder?
A)Conduct disorder
B)Depression
C)Post-traumatic stress disorder
D)School phobia
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19
Chapter 18: End-Of-Life Care and Bereavement
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) The nurse is doing a follow-up home visit to a family who lost their three-month-old infant to SIDS eight weeks ago. The mother answers the door in her nightgown with hair uncombed. During the interview, the mother states: "I don't see the point of getting dressed each day." The nurse recognizes that the mother is demonstrating which stage of grief behavior?
A)Recovery
B)Yearning, pining
C)Hostile
D)Disorganization
Q2) The nurse is caring for a child with a terminal illness. Physical care for the dying child would include which interventions? Standard Text: Select all that apply.
A)Providing oral care to moisten a dry mouth
B)Administering ordered laxatives to counter the effects of opioids
C)Encouraging a favorite food
D)Keeping the child pain-free
E)Taking vital signs and blood pressure every two hours
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Chapter 19: Infant, Child, and Adolescent Nutrition
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14 Verified Questions
14 Flashcards
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Sample Questions
Q1) The parents of a two-and-a-half-year-old are concerned about their child's finicky eating habits. While counseling the parents, which statements by the nurse would be accurate? Standard Text: Select all that apply.
A)"Nutritious foods should be made available at all times of the day so that the child is able to 'graze' whenever he is hungry."
B)"The child is experiencing physiologic anorexia, which is normal for this age group."
C)"A general guideline for food quantity at a meal is one-quarter cup of each food per year of age."
D)"It is more appropriate to assess a toddler's nutritional demands over a one-week period rather than a 24-hour one."
E)"The toddler should drink sixteen to twenty-four ounces of milk daily."
Q2) While teaching parents of a newborn about normal growth and development, the nurse informs them that their child's weight should:
A)Triple by nine months of age.
B)Double by five months of age.
C)Triple by six months of age.
D)Double by one year of age.
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Page 21
Chapter 20: Social and Environmental Influences on Child and
Adolescent Health
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) A concerned parent calls the school nurse because of changes in his 15-year-old's behavior. Which behaviors would the nurse identify as most likely to be abnormal and indicate possible substance abuse in an adolescent?
A)Becoming very involved with friends and in activities related to the basketball team that she is on, never seeming to be home, and, when she is home, preferring to be in her room with the door shut
B)Becoming moody, crying, and weeping one minute and then cheerful and excited the next
C)Receiving numerous detentions lately from teachers for sleeping in class
D)Buying baggy, oversized clothing at thrift shops and dyeing her hair black
Q2) The pediatric public health nurse visits a facility for the homeless. The nurse would evaluate the children staying at the facility for what type of medical/health issues? Standard Text: Select all that apply.
A)Dental caries
B)Infections secondary to tattoos
C)Lack of immunizations
D)Nutritional deficits
E)Munchausen syndrome by proxy
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Chapter 21: Pain Assessment and Management
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/78184
Sample Questions
Q1) The 17-month-old infant is terminally ill with cancer and is in constant pain. The nurse recognizes that the best way to control pain in this child would be for the physician to order:
A)Patient-controlled analgesia with the parents controlling the button that administers the dosage.
B)Intravenously administered opioids on a scheduled basis.
C)Intravenously administered opioids on a prn basis.
D)Parenteral administration controls pain more effectively than oral medication as oral absorption may be modified by stomach activities.In addition, providing analgesics on a scheduled basis is preferred over prn.
Q2) A hospitalized three-year-old needs to have an IV restarted. The child begins to cry when carried into the treatment room by the mother. Which is the most appropriate nursing diagnosis?
A)Knowledge deficit of the procedure
B)Fear related to the unfamiliar environment
C)Anxiety related to anticipated painful procedure
D)Ineffective individual coping related to an invasive procedure
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Chapter 22: Immunizations and Communicable Diseases
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/78183
Sample Questions
Q1) A two-year-old child with a fever is prescribed amoxicillin clavulanate 250 mg/5 ml three times daily by mouth for ten days for otitis media. To guard against antibiotic resistance, the nurse instructs the parent to:
A)Give the antibiotic for the full ten days.
B)Measure the prescribed dose in a household teaspoon.
C)Spread the dose evenly during daylight hours.
D)Stop the antibiotic when the child is afebrile.
Q2) The clinic nurse is checking the potency of the vaccine. Which finding may have rendered the vaccine ineffective?
A)The vaccine was frozen as labeled.
B)The vaccines have been stored in a refrigerator where the temperature has been maintained between 35<sup>°</sup> to 46<sup>° </sup>F.
C)The vaccine's expiration date expires within the next month.
D)The vaccine is stored in the door of the refrigerator.
Q3) Which should the nurse use when reconstituting vaccines?
A)The diluents provided
B)Normal saline
C)Any solution available
D)Sterile water
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Page 24
Chapter 23: Alterations in Fluid, Electrolyte, and Acid-Base Balance
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14 Verified Questions
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Sample Questions
Q1) A child is admitted to the hospital for hypercalcemia and is placed on diuretic therapy. Which diuretic would the nurse expect to give?
A)Furosemide (Lasix)
B)Hydrochlorothiazide (Aquazide)
C)Spironolactone (Aldactone)
D)Mannitol (Osmitrol)
Q2) The nurse is evaluating an infant for dehydration. Which assessment provides the most accurate information on dehydration?
A)Urine output
B)Urine specific gravity
C)The infant's vital signs
D)Weight loss
Q3) The nurse notes that the specific gravity of urine is lower in infants than in older children. The nurse recognizes that the rationale for this difference is related to:
A)The infant having a greater body surface area.
B)The infant having a higher basal metabolic rate.
C)The infant having a greater percentage of body weight that is water.
D)The infant's kidneys being less able to concentrate urine.
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Chapter 24: Alterations in Eye, Ear, Nose, and Throat
Function
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) A neonate has been diagnosed with a herpes simplex viral infection of the eye. Which medication will the nurse prepare to administer?
A)Oral erythromycin
B)Fluoroquinolone eyedrops or ointment
C)Parenteral acyclovir (Zovirax) and vidarabine (VIRA-A) ophthalmic ointment
D)Intravenous penicillin
Q2) The nurse is reviewing discharge instructions for a child who has received a cochlear implant. In addition to encouraging speech therapy for the child, the nurse will instruct the parents to monitor the child for signs of:
A)Ringing in the ears.
B)Pharyngitis.
C)Hearing loss.
D)Bacterial meningitis.
Q3) An infant has acute otitis media. Which of the following would be the most important for the nurse to teach the parents?
A)Keep the baby in a flat position during sleep.
B)Administer a decongestant.
C)Place the baby to sleep with a pacifier.
D)Administer acetaminophen (Tylenol) to relieve discomfort.
Page 26
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Chapter 25: Alterations in Respiratory Function
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) The nurse is evaluating the parent's understanding of teaching related to environmental control for their child's asthma management. Which statement by the parents indicates that they understand the teaching?
A)"We're glad the dog can continue to sleep in our child's room."
B)"We'll keep the plants in our child's room dusted."
C)"We'll be sure to use the fireplace often to keep the house warm in the winter."
D)"We will replace the carpet in our child's bedroom with tile."
Q2) A child is admitted to the hospital with pneumonia. The child's oximetry reading is 88% upon admission to the pediatric floor. The priority nursing activity for this child would be to:
A)Begin administration of intravenous fluids.
B)Obtain a blood sample to send to the lab for electrolyte analysis.
C)Begin oxygen per nasal cannula at 1 liter.
D)Medicate for pain.
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Chapter 26: Alterations in Cardiovascular Function
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) A child has been admitted to the hospital unit in congestive heart failure (CHF). Symptoms related to this admission diagnosis would include:
A)Tachycardia.
B)Weight loss.
C)Increased blood pressure.
D)Bradycardia.
Q2) The nurse has admitted a child with a ventricular septal defect (VSD) to the unit. Which nursing diagnosis is appropriate for this child?
A)Hypothermia related to decreased metabolic state
B)Acute pain related to the effects of a congenital heart defect
C)Ineffective tissue perfusion (peripheral) related to cyanosis secondary to congenital heart defect
D)Impaired gas exchange related to pulmonary congestion secondary to the increased pulmonary blood flow
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28
Chapter 27: Alterations in Immune Function
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Sample Questions
Q1) An 11-year-old boy with rheumatoid arthritis wants to participate in the school sports programs. The boy asks the nurse to recommend a sporting activity for him. Which activity would be the most appropriate for the nurse to recommend?
A)Baseball
B)Basketball
C)Football
D)Swimming
Q2) A premature infant is at greater risk for infection than a full-term infant because of a reduced number of which immunoglobulin?
A)IgE
B)IgG
C)IgA
D)IgM
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Chapter 28: Alterations in Hematologic Function
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26 Verified Questions
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Sample Questions
Q1) The physician has ordered the child to receive a unit of packed red blood cells. In preparing to administer the blood, the nurse will initiate an intravenous line and hang what fluid?
A)D5W
B)D5LR
C)D5 1/4NS
D)NS
Q2) During a hurricane emergency, a child with hemophilia is injured and bleeding internally. The child is transported to the hospital. Due to the emergency, the appropriate factor is not available. What blood product would be the next best option to promote clotting?
A)Platelets
B)Whole blood
C)Packed cells
D)Fresh or fresh frozen plasma
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Chapter 29: The Child With Cancer
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/78176
Sample Questions
Q1) A child has recently been diagnosed with leukemia. The child's sibling is expressing feelings of anger and guilt. This reaction by the sibling is:
A)Abnormal; the sibling should be referred to a psychologist.
B)Unexpected; the cancer is easily treated.
C)Unusual; the illness doesn't affect the sibling.
D)Normal; the sibling is affected, too, and anger and guilt are expected feelings.
Q2) The antiemetic drug ondansetron (Zofran) is being administered to a child receiving chemotherapy. It should be administered:
A)Only if the child experiences nausea.
B)Before chemotherapy administration, as a prophylactic measure.
C)After the chemotherapy has been administered.
D)Never; this antiemetic is not effective for controlling nausea and vomiting associated with chemotherapy.
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Chapter 30: Alterations in Gastrointestinal Function
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) Following hospital discharge for treatment of gastroesophageal reflux, the home health nurse visits the family. Which finding made by the nurse during the visit requires the nurse to intervene?
A)The infant's formula has rice cereal added.
B)The mother hold the infant is a high Fowler's position while feeding.
C)After feeding, the infant is placed in an infant seat.
D)The mother draws up the ranitidine (Zantac) in a syringe for oral administration.
Q2) A woman pregnant at term arrives at the small rural hospital in active labor. She has received no prenatal care. At delivery, it is discovered that the newborn has a gastroschisis defect. Immediate transfer to a pediatric hospital is planned. Nursing care to prepare the infant for discharge would include:
A)Covering the exposed intestines with sterile moist gauze.
B)Wrapping the infant warmly in two or three blankets.
C)Providing a sterile water feeding to maintain hydration during transport.
D)Preventing the parents from seeing the infant prior to transfer to reduce their anxiety.
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32
Chapter 31: Alterations in Genitourinary Function
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Sample Questions
Q1) A child with acute renal failure is being treated with peritoneal dialysis. Following medical orders, the dialysate has been infused into the child's abdomen. When the dialysate is drained, the nurse notes the following findings. Which finding requires notification of the physician?
A)The dialysate is clear on return.
B)The volume of drained dialysate is less than the volume infused.
C)The child is restless, wanting to get up and play.
D)The child's vital signs are basically the same as were noted on infusion.
Q2) A four-year-old girl has been treated for three urinary tract infections (UTI) in the last two years. Which instructions can the nurse give to the mother to help reduce the child's risk of acquiring another UTI? Standard Text: Select all that apply.
A)Wear only nylon underwear for better air flow.
B)Teach the child to wipe from front to back.
C)Encourage the child to take long baths by allowing the child bubbles and toys in the tub.
D)Encourage the child to drink additional fluids throughout the day.
E)Plan potty breaks every two hours throughout the day.
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Chapter 32: Alterations in Endocrine and Metabolic Function
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Sample Questions
Q1) When the newborn female is born with ambiguous genitalia, the follow-up investigation discovers adrenogenital syndrome (also called congenital adrenal hyperplasia). The parents why the baby's genitalia looks more male than female. The nurse would explain that:
A)The disorder caused the infant to be a hermaphrodite with both male and female sex organs.
B)The changes in the genitalia are due to increased androgens secondary to deficient cortisol.
C)The excessive cortisol caused the enlargement of the female tissue, creating a male appearance.
D)The child has only one sex chromosome resulting in an XO configuration.
Q2) A hospitalized child has been diagnosed with SIADH (syndrome of inappropriate antidiuretic hormone), a complication of his meningitis. What would the nurse expect to see on this child's lab results?
A)Hyponatremia
B)Hypocalcemia
C)Hyperglycemia
D)Hypernatremia
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Chapter 33: Alterations in Neurologic Function
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Sample Questions
Q1) A nine-month-old who is not sitting independently has been diagnosed with ataxic cerebral palsy (CP). Which clinical manifestations would the nurse expect to see in the baby?
A)Hypotonia and muscle instability
B)Hypertonia and persistence primitive reflexes
C)Tremors and exaggerated posturing
D)Hemiplegia and hypertonia
Q2) The nurse is teaching the kindergarten teacher about a five-year-old with cerebral palsy who will be starting school. The child has a continuous baclofen pump. The nurse informs the teacher of possible side effects of this drug, including:
A)Diarrhea.
B)Hypertonia.
C)Hypotonia.
D)Restlessness.
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Chapter 34: Alterations in Mental Health and Cognition
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Sample Questions
Q1) A mother brings her 11-year-old son to the pediatric clinic for investigation of stomach complaints. The mother says that for the last two months, the child has complained of abdominal pain three to four mornings per week. The mother states the child usually complains on school days and always seems to be better by afternoon. The child was able to attend a weekend Boy Scout camp without difficulty but has missed several days of school due to complaints. The nurse would suspect which mental health disorder?
A)Separation anxiety
B)Depression
C)School phobia
D)Bipolar disorder
Q2) A nine-year-old has been diagnosed with a learning disorder that is characterized by problems with manual dexterity and coordination. The nurse teaches parents that this disorder is called:
A)Dysgraphia.
B)Dyscalculia.
C)Dyspraxia.
D)Dyslexia.
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Chapter 35: Alterations in Musculoskeletal Function
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Sample Questions
Q1) Which of the following would take priority when teaching the family how to care for an infant with osteogenesis imperfecta?
A)Teaching the family how to care for an infant in a cast
B)Teaching the family that the trunk and extremities should always be supported when moving this infant
C)Teaching the family how to care for an infant postop spinal surgery
D)Teaching the family how to care for an infant in traction
Q2) An adolescent has just returned from surgery after spinal fusion surgery. Which assessment finding would take priority at this time?
A)Sleeps when not bothered but arouses easily with stimuli
B)Impaired color, sensitivity, and movement to lower extremities
C)Nausea
D)Pain
Q3) A child must wear a brace for correction of scoliosis. Which nursing diagnosis takes priority at this time?
A)Impaired gas exchange, risk for
B)Altered growth and development, risk for
C)Impaired skin integrity, risk for
D)Impaired mobility, risk for
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Page 37
Chapter 36: Alterations in Skin Integrity
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Sample Questions
Q1) The nurse is planning care for a three-month-old infant with eczema. Which intervention would take top priority in this infant's care?
A)Applying antibiotics to lesions
B)Keeping the baby content
C)Maintaining adequate nutrition
D)Preventing infection of lesions
Q2) Parents understand the teaching a nurse has done with regard to care of their child with tinea capitis (ringworm of the scalp) if they state:
A)"We will give the griseofulvin with milk or peanut butter."
B)"We're glad ringworm isn't transmitted from person to person."
C)"Once the lesion is gone, we can stop the griseofulvin."
D)"Well, at least we don't have to worry about the family cat getting the ringworm."
Q3) A child has sustained a minor burn. Which of the following should be included in increased amounts in the child's diet?
A)Protein
B)Minerals
C)Carbohydrates
D)Fats
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