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Pediatric and Child Health Care is a comprehensive course that explores the principles and practices involved in promoting and maintaining the health and well-being of infants, children, and adolescents. The course covers key aspects of child growth and development, preventive health strategies, common illnesses and disorders in childhood, immunization protocols, and the impact of family and societal factors on child health. Through theoretical knowledge and practical learning, students develop the skills required for effective communication, assessment, and management of pediatric patients in various healthcare settings, preparing them to address the unique needs of children and their families.
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 behaviors by the nurse indicate therapeutic nurse-family boundaries? (Select all that apply.)
A) Nurse visits family on days off.
B) House rules are negotiated.
C) Nurse buys child expensive gifts.
D) Communication is open and two-way.
Answer: B, D
Q2) The home health nurse asks a child's mother many questions as part of the assessment. The mother answers many questions, then stops and says, "I don't know why you ask me all this. Who gets to know this information?" The nurse should take which action?
A) Determine why the mother is so suspicious.
B) Determine what the mother does not want to tell.
C) Explain who will have access to the information.
D) Explain that everything is confidential and that no one else will know what is said.
Answer: C
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Sample Questions
Q1) A mother brings 6-month-old Eric to the clinic for a well-baby checkup. She comments, "I want to go back to work, but I don't want Eric to suffer because I'll have less time with him." The nurse's most appropriate answer would be which statement?
A) "I'm sure he'll be fine if you get a good babysitter."
B) "You will need to stay home until Eric starts school."
C) "You should go back to work so Eric will get used to being with others."
D) "Let's talk about the child care options that will be best for Eric."
Answer: D
Q2) Parents of a firstborn child are asking whether it is normal for their child to be extremely competitive. The nurse should respond to the parents that studies about the ordinal position of children suggest that firstborn children tend to:
A) be praised less often.
B) be more achievement oriented.
C) be more popular with the peer group.
D) identify with peer group more than parents.
Answer: B
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37 Verified Questions
37 Flashcards
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Sample Questions
Q1) A nurse is planning play activities for school-age children. Which type of a play activity should the nurse plan?
A) Solitary
B) Parallel
C) Associative
D) Cooperative
Answer: D
Q2) The nurse observes some children in the playroom. Which play situation exhibits the characteristics of parallel play?
A) Kimberly and Amanda sharing clay to each make things
B) Brian playing with his truck next to Kristina playing with her truck
C) Adam playing a board game with Kyle, Steven, and Erich
D) Danielle playing with a music box on her mother's lap
Answer: B
Q3) 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

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61 Verified Questions
61 Flashcards
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Sample Questions
Q1) While caring for a critically ill child, the nurse observes that respirations are gradually increasing in rate and depth, with periods of apnea. What pattern of respiration will the nurse document?
A) Dyspnea
B) Tachypnea
C) Cheyne-Stokes respirations
D) Seesaw (paradoxic) respirations
Q2) The nurse observes yellow staining in the sclera of eyes, soles of feet, and palms of hands. How should the nurse document these findings?
A) Normal
B) Erythema
C) Jaundice
D) Ecchymosis
Q3) Which following parameters correlates best with measurements of the body's total protein stores?
A) Height
B) Weight
C) Skinfold thickness
D) Upper arm circumference
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18 Flashcards
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Sample Questions
Q1) Which dietary recommendations should a nurse make to an adolescent patient to manage constipation related to opioid analgesic administration? (Select all that apply.)
A) Bran cereal
B) Decrease fluid intake
C) Prune juice
D) Cheese
E) Vegetables
Q2) Which drug is usually the best choice for patient-controlled analgesia (PCA) for a child in the immediate postoperative period?
A) Codeine
B) Morphine
C) Methadone
D) Meperidine
Q3) Nonpharmacologic strategies for pain management:
A) may reduce pain perception.
B) make pharmacologic strategies unnecessary.
C) usually take too long to implement.
D) trick children into believing they do not have pain.
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39 Verified Questions
39 Flashcards
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Sample Questions
Q1) A parent has asked the nurse about how her child can be tested for pinworms. The nurse responds by stating that which is the most common test for diagnosing pinworms in a child?
A) Lower gastrointestinal (GI) series
B) Three stool specimens, at intervals of 4 days
C) Observation for presence of worms after child defecates
D) Laboratory examination of a fecal smear
Q2) The nurse should implement which prescribed treatment for a child with warts?
A) Vaccination
B) Local destruction
C) Corticosteroids
D) Specific antibiotic therapy
Q3) A parent reports to the nurse that her child has inflamed conjunctivae of both eyes with purulent drainage and crusting of the eyelids, especially on awakening. These manifestations suggest:
A) viral conjunctivitis.
B) allergic conjunctivitis.
C) bacterial conjunctivitis.
D) conjunctivitis caused by foreign body.
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46 Flashcards
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Sample Questions
Q1) A nurse notes that a 12-hour-old newborn has not had the first meconium stool. The nurse documents this finding and continues to monitor the newborn because, in term newborns, the first meconium stool occurs within how many hours of birth?
A) 6 to 8
B) 8 to 12
C) 12 to 24
D) 24 to 48
Q2) Parents of a newborn ask the nurse why vitamin K is being administered. The nurse accurately responds by explaining phytonadione (vitamin K) is administered to the newborn to:
A) prevent bleeding.
B) enhance immune response.
C) prevent bacterial infection.
D) maintain nutritional status.
Q3) Which is a function of brown adipose tissue (BAT) in the newborn?
A) Provides ready source of calories in the newborn period
B) Insulates the body against lowered environmental temperature
C) Protects the newborn from injury during the birth process
D) Generates heat for distribution to other parts of body
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69 Flashcards
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Sample Questions
Q1) A preterm newborn of 36 weeks of gestation is admitted to the NICU. Approximately 2 hours after birth, the newborn begins having difficulty breathing, with grunting, tachypnea, and nasal flaring. Which is important for the nurse to recognize?
A) This is a normal finding.
B) This is not significant unless cyanosis is present.
C) Improvement should occur within 24 hours.
D) Further evaluation is needed.
Q2) A preterm newborn requires oxygen and mechanical ventilation. Which complications should the nurse assess for?
A) Bronchopulmonary dysplasia, pneumothorax
B) Anemia, necrotizing enterocolitis
C) Cerebral palsy, persistent patent ductus
D) Congestive heart failure, cerebral edema
Q3) Phenylketonuria (PKU) is a genetic disease that results in the body's inability to correctly metabolize:
A) glucose.
B) phenylalanine.
C) phenylketones.
D) thyroxine.
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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) The nurse is doing a routine assessment on a 14-month-old infant and notes that the anterior fontanel is closed. How should the nurse interpret this finding?
A) Normal finding
B) Finding requiring a referral
C) Abnormal finding
D) Normal finding, but requires rechecking in 1 month
Q3) What is the best age for solid food to be introduced into the infant's diet?
A) 2 to 3 months
B) 4 to 6 months
C) When birth weight has tripled
D) When tooth eruption has started
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32 Flashcards
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Sample Questions
Q1) A nurse is teaching a parent of an infant about treatment of seborrhea dermatitis (cradle cap). Which should the nurse include in the instructions?
A) Shampoo every three days with a mild soap.
B) The hair should be shampooed with a medicated shampoo.
C) Shampoo every day with an antiseborrheic shampoo.
D) The loosened crusts should not be removed with a fine-toothed comb.
Q2) A nurse is conducting education classes for parents of infants. The nurse plans to discuss sudden infant death syndrome (SIDS). Which risk factors should the nurse include as increasing an infant's risk of a sudden infant death syndrome incident? (Select all that apply.)
A) Breastfeeding
B) Low Apgar scores
C) Male sex
D) Birth weight in the 50th or higher percentile
E) Recent viral illness
Q3) An infant is having an anaphylactic reaction, and the nurse is preparing to administer epinephrine 0.001 mg/kg. The child weighs 22 pounds. What is the epinephrine dose the nurse should administer? (Record your answer using two decimal places.)
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36 Flashcards
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Sample Questions
Q1) A toddler's parent asks the nurse for suggestions on dealing with temper tantrums. Which is the most appropriate recommendation?
A) Punish the child.
B) Leave the child alone until the tantrum is over.
C) Remain close by the child but without eye contact.
D) Explain to child that this is wrong.
Q2) Two toddlers are playing in a sandbox when one child suddenly grabs a toy from the other child. Which is the best interpretation of this behavior?
A) This is typical behavior because toddlers are aggressive.
B) This is typical behavior because toddlers are egocentric.
C) Toddlers should know that sharing toys is expected of them.
D) Toddlers should have the cognitive ability to know right from wrong.
Q3) Which technique is best for dealing with the negativism of the toddler?
A) Offer the child choices.
B) Remain serious and intent.
C) Provide few or no choices for child.
D) Quietly and calmly ask the child to comply.
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Sample Questions
Q1) Which snack should the nurse recommend parents offer to their slightly overweight preschool child?
A) Carbonated beverage
B) 10% fruit juice
C) Low fat chocolate milk
D) Whole milk
Q2) A 4-year-old child tells the nurse that she does not want another blood sample drawn because "I need all my insides, and I don't want anyone taking them out." Which is the nurse's best interpretation of this?
A) Child is being overly dramatic.
B) Child has a disturbed body image.
C) Preschoolers have poorly defined body boundaries.
D) Preschoolers normally have a good understanding of their bodies.
Q3) A nurse, instructing parents of a hospitalized preschool child, explains that which is descriptive of the preschooler's understanding of time?
A) Has no understanding of time
B) Associates time with events
C) Can tell time on a clock
D) Uses terms like "yesterday" appropriately
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16 Flashcards
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Sample Questions
Q1) 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
Q2) 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
Q3) A young boy is found squirting lighter fluid into his mouth. His father calls the emergency department. The nurse taking the call should know that the primary danger is which result?
A) Hepatic dysfunction
B) Dehydration secondary to vomiting
C) Esophageal stricture and shock
D) Bronchitis and chemical pneumonia
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Sample Questions
Q1) Which describes the cognitive abilities of school-age children?
A) Have developed the ability to reason abstractly
B) Are capable of scientific reasoning and formal logic
C) Progress from making judgments based on what they reason to making judgments based on what they see
D) Are able to classify, to group and sort, and to hold a concept in their minds while making decisions based on that concept
Q2) 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.
Q3) What is the earliest age at which puberty begins?
A) 9
B) 10
C) 11
D) 12
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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) Which screening tests should the school nurse perform for the adolescent? (Select all that apply.)
A) Glucose
B) Vision
C) Hearing
D) Cholesterol
E) Scoliosis
Q3) What is the initial indication of puberty in girls?
A) Menarche
B) Growth spurt
C) Growth of pubic hair
D) Breast development
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41 Verified Questions
41 Flashcards
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Q1) Which is an important consideration when the nurse is discussing enuresis with the parents of a young child?
A) Enuresis is more common in girls than in boys.
B) Enuresis is neither inherited nor has a familial tendency.
C) Organic causes that may be related to enuresis should be considered first.
D) Psychogenic factors that cause enuresis persist into adulthood.
Q2) An adolescent girl asks the school nurse for advice because she has dysmenorrhea. She says that a friend recommended she try an over-the-counter nonsteroidal anti-inflammatory drug (NSAID). The nurse's response should be based on which statement?
A) Aspirin is the drug of choice for the treatment of dysmenorrhea.
B) Over-the-counter NSAIDs are rarely strong enough to provide adequate pain relief.
C) NSAIDs are effective because of their analgesic effect.
D) NSAIDs are effective because they inhibit prostaglandins, leading to reduction in uterine activity.
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Q1) A 9-year-old boy has several physical disabilities. His father explains to the nurse that his son concentrates on what he can, rather than cannot, do and is as independent as possible. What is the nurse's best interpretation of this statement?
A) The father is experiencing denial
B) The father is expressing his own views
C) The child is using an adaptive coping style
D) The child is using a maladaptive coping style
Q2) Which term best describes a multidisciplinary approach to the management of a terminal illness that focuses on symptom control and support?
A) Dying care
B) Curative care
C) Restorative care
D) Palliative care
Q3) Which intervention will encourage a sense of autonomy in a toddler with disabilities?
A) Avoid separation from family during hospitalizations.
B) Encourage independence in as many areas as possible.
C) Expose child to pleasurable experiences as much as possible.
D) Help parents learn special care needs of their child.
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Sample Questions
Q1) When assessing the eyes of a neonate, the nurse observes opacity of the lens. This represents which impairment?
A) Blindness
B) Glaucoma
C) Cataracts
D) Retinoblastoma
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) What is an appropriate nursing intervention to minimize separation anxiety in a hospitalized toddler?
A) Provide for privacy
B) Encourage parents to room in
C) Explain procedures and routines
D) Encourage contact with children the same age
Q2) A 10-year-old girl needs to have another intravenous (IV) line started. She keeps telling the nurse, "Wait a minute" and "I'm not ready." The nurse should recognize this as which description?
A) This is normal behavior for a school-age child.
B) The behavior is not seen past the preschool years.
C) The child thinks the nurse is punishing her.
D) The child has successfully manipulated the nurse in the past.
Q3) Samantha, age 5 years, tells the nurse that she "needs a Band-Aid" where she had an injection. Which is the best nursing action?
A) Apply a Band-Aid.
B) Ask her why she wants a Band-Aid.
C) Explain why a Band-Aid is not needed.
D) Show her that the bleeding has already stopped.
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Sample Questions
Q1) The nurse approaches a group of school-age patients to administer medication to Sam Hart. What should the nurse do to identify the correct child?
A) Ask the group, "Who is Sam Hart?"
B) Call out to the group, "Sam Hart?"
C) Ask each child, "What's your name?"
D) Check the patient's identification name band
Q2) When teaching a mother how to administer eye drops, where should the nurse tell her to place them?
A) In the conjunctival sac that is formed when the lower lid is pulled down
B) Carefully under the eye lid while it is gently pulled upward
C) On the sclera while the child looks to the side
D) Anywhere as long as drops contact the eye's surface
Q3) 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.
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Sample Questions
Q1) A child is being admitted to the hospital to be tested for cystic fibrosis (CF). Which tests should the nurse expect?
A) Sweat chloride test, stool for fat, chest radiograph films
B) Stool test for fat, gastric contents for hydrochloride, chest radiograph films
C) Sweat chloride test, bronchoscopy, duodenal fluid analysis
D) Sweat chloride test, stool for trypsin, biopsy of intestinal mucosa
Q2) Which drug is considered the most useful in treating childhood cardiac arrest?
A) Bretylium tosylate (Bretylium)
B) Lidocaine hydrochloride (Lidocaine)
C) Epinephrine hydrochloride (Adrenaline)
D) Naloxone (Narcan)
Q3) b-Adrenergic agonists and methylxanthines are often prescribed for a child with an asthma attack. Which describes their action?
A) Liquefy secretions
B) Dilate the bronchioles
C) Reduce inflammation of the lungs
D) Reduce infection
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Sample Questions
Q1) A family wants to begin oral feeding of their 4-year-old son, who is ventilator-dependent and currently tube-fed. They ask the home health nurse to feed him the baby food orally. The nurse recognizes a high risk of aspiration and an already compromised respiratory status. What is the most appropriate nursing action?
A) Refuse to feed him orally because the risk is too high.
B) Explain the risks involved, and then let the family decide what should be done.
C) Feed him orally because the family has the right to make this decision for their child.
D) Acknowledge their request, explain the risks, and explore with the family the available options.
Q2) A child is admitted with bacterial gastroenteritis. Which lab results of a stool specimen confirm this diagnosis?
A) Eosinophils
B) Occult blood
C) pH less than 6
D) Neutrophils and red blood cells
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Q1) José is a 4-year-old child scheduled for a cardiac catheterization. What should be included in preoperative teaching?
A) Directed at his parents because he is too young to understand
B) Detailed in regard to the actual procedures so he will know what to expect
C) Done several days before the procedure so that he will be prepared
D) Adapted to his level of development so that he can understand
Q2) The nurse is conducting discharge teaching about signs and symptoms of heart failure to parents of an infant with a repaired tetralogy of Fallot. Which signs and symptoms should the nurse include? (Select all that apply.)
A) Warm flushed extremities
B) Weight loss
C) Decreased urinary output
D) Sweating (inappropriate)
E) Fatigue
Q3) Which defect results in increased pulmonary blood flow?
A) Pulmonic stenosis
B) Tricuspid atresia
C) Atrial septal defect
D) Transposition of the great arteries
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Q1) Which should the nurse teach about prevention of sickle cell crises to parents of a preschool child with sickle cell disease? (Select all that apply.)
A) Limit fluids at bedtime.
B) Notify the health care provider if a fever of 38.5° C (101.3° F) or greater occurs.
C) Give penicillin as prescribed.
D) Use ice packs to decrease the discomfort of vasoocclusive pain in the legs.
E) Notify the health care provider if your child begins to develop symptoms of a cold.
Q2) The parents of a child hospitalized with sickle cell anemia tell the nurse that they are concerned about narcotic analgesics causing addiction. Which is appropriate for the nurse to explain about narcotic analgesics?
A) Are often ordered but not usually needed
B) Rarely cause addiction because they are medically indicated
C) Are given as a last resort because of the threat of addiction
D) Are used only if other measures, such as ice packs, are ineffective
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Q1) A nurse is conducting a staff in-service on childhood cancers. Which is the primary site of osteosarcoma?
A) Femur
B) Humerus
C) Pelvis
D) Tibia
Q2) An adolescent with osteosarcoma is scheduled for a leg amputation in 2 days. The nurse's approach should include which action?
A) Answering questions with straightforward honesty
B) Avoiding discussing the seriousness of the condition
C) Explaining that, although the amputation is difficult, it will cure the cancer
D) Assisting the adolescent in accepting the amputation as better than a long course of chemotherapy
Q3) Which is most descriptive of the pathophysiology of leukemia?
A) Increased blood viscosity occurs.
B) Thrombocytopenia (excessive destruction of platelets) occurs.
C) Unrestricted proliferation of immature white blood cells (WBCs) occurs.
D) First stage of coagulation process is abnormally stimulated.
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Q1) A school-age child has been admitted to the hospital with an exacerbation of nephrotic syndrome. Which clinical manifestations should the nurse expect to assess?
(Select all that apply.)
A) Weight loss
B) Facial edema
C) Cloudy smoky brown-colored urine
D) Fatigue
E) Frothy-appearing urine
Q2) Which is the most common cause of acute renal failure in children?
A) Pyelonephritis
B) Tubular destruction
C) Urinary tract obstruction
D) Inadequate perfusion
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
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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) What is an important nursing intervention when caring for a child who is experiencing a seizure?
A) Describe and record the seizure activity observed.
B) Restrain the child when seizure occurs to prevent bodily harm.
C) Place a tongue blade between the teeth if they become clenched.
D) Suction the child during a seizure to prevent aspiration.
Q3) Which statement best describes a subdural hematoma?
A) Bleeding occurs between the dura and the skull.
B) Bleeding occurs between the dura and the cerebrum.
C) Bleeding is generally arterial, and brain compression occurs rapidly.
D) The hematoma commonly occurs in the parietotemporal region.
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Q1) What secretes glucocorticoids, mineralocorticoids, and sex steroids?
A) Thyroid gland
B) Parathyroid glands
C) Adrenal cortex
D) Anterior pituitary
Q2) A child will start treatment for precocious puberty. The nurse recognizes that this will involve the injection of which synthetic medication?
A) Thyrotropin
B) Gonadotropins
C) Somatotropic hormone
D) Luteinizing hormone-releasing hormone
Q3) 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
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Sample Questions
Q1) Which is an appropriate nursing intervention when caring for a child in traction?
A) Remove adhesive traction straps daily to prevent skin breakdown.
B) Assess for tightness, weakness, or contractures in uninvolved joints and muscles.
C) Provide active range-of-motion exercises to affected extremity three times a day.
D) Keep the child in one position to maintain good alignment.
Q2) The nurse is taking care of an adolescent diagnosed with kyphosis. Which describes this condition?
A) Lateral curvature of the spine
B) Immobility of the shoulder joint
C) Exaggerated concave lumbar curvature of the spine
D) Increased convex angulation in the curve of the thoracic spine
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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Source URL: https://quizplus.com/quiz/4160
Sample Questions
Q1) A 14-year-old girl is in the intensive care unit after a spinal cord injury 2 days ago. Nursing care for this child includes which action(s)? (Select all that apply.)
A) Monitoring and maintaining systemic blood pressure
B) Administering corticosteroids
C) Minimizing environmental stimuli
D) Discussing long-term care issues with the family
E) Monitoring for respiratory complications
Q2) The nurse is caring for an intubated infant with botulism in the pediatric intensive care unit. Which health care provider prescription should the nurse clarify with the health care provider before implementing?
A) Administer 250 mg botulism immune globulin intravenously (BIG-IV) one time.
B) Provide total parenteral nutrition (TPN) at 25 ml/hr intravenously.
C) Titrate oxygen to keep pulse oximetry saturations greater than 92.
D) Administer gentamicin sulfate (Garamycin) 10 mg per intravenous piggyback every 12 hours.
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