Pediatric Clinical Practice
Midterm Exam
Course Introduction
Pediatric Clinical Practice is a hands-on course designed to equip students with the practical skills required for the assessment, diagnosis, and management of health conditions in children from infancy through adolescence. Emphasizing a family-centered approach, the course provides opportunities to engage in direct patient care under the supervision of experienced pediatric practitioners. Students learn to apply evidence-based guidelines while addressing growth and development, immunizations, common pediatric illnesses, and preventive care. The course also focuses on effective communication with both young patients and their families, interdisciplinary collaboration, and considerations for diverse pediatric populations.
Recommended Textbook
Principles of Pediatric Nursing Caring for Children 7th Edition by Ball
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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) A nurse is working with pediatric clients in a research facility. The nurse recognizes that federal guidelines are in place that delineate which pediatrics clients must give assent for participation in research trials. Based upon the client's age, the nurse would seek assent from which children? Select all that apply.
A) The precocious 4-year-old commencing as a cystic fibrosis research-study participant.
B) The 7-year-old leukemia client electing to receive a newly developed medication, now being researched.
C) The 10-year-old commencing in an investigative study for clients with precocious puberty.
D) The 13-year-old client commencing participation in a research program for Attention Deficit Hyperactivity Disorder (ADHD) treatments.
Answer: B,C,D
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3
Chapter 2: Family-Centered Care and Cultural
Considerations
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) The nurse is performing an assessment of a child's biologic family history. Which situation would necessitate the nurse's asking the mother for information should use the term "child's father" instead of "your husband"?
A) Traditional nuclear family
B) Traditional extended family
C) Two-income nuclear family
D) Cohabitating informal stepfamily
Answer: D
Q2) A new pediatric hospital will open soon. While planning nursing care, the hospital administration is considering two models of providing healthcare: family-focused care and family-centered care. Which action best demonstrates family-centered care?
A) Telling the family what must be done for the family's health
B) Assuming the role of an expert professional to direct the healthcare
C) Intervening for the child and family as a unit
D) Conferring with the family in deciding which healthcare option will be chosen
Answer: D
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Chapter 3: Genetic and Genomic Influences
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) A father is a known carrier of an X-linked condition, and asks when he will know whether his newborn son has the condition he carries. Which response by the nurse is the most appropriate?
A) "Genetic studies have been ordered, and they will take about a week to determine the results."
B) "We plan to run additional tests this afternoon, and should have results by the end of the day."
C) "Your son cannot have the condition because the condition is X-linked and cannot be passed on to him."
D) "There is a 50 percent chance you passed it on, but further tests are not recommended until he is a month old."
Answer: C
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5
Chapter 4: Growth and Development
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) An adolescent client with cystic fibrosis suddenly becomes noncompliant with the medication regime. Which intervention by the nurse will most likely improve compliance for this client?
A) Give the child a computer-animated game that presents information on the management of cystic fibrosis.
B) Arrange for the physician to sit down and talk to the child about the risks related to noncompliance with medications.
C) Set up a meeting with some older teens with cystic fibrosis who have been managing their disease effectively.
D) Discuss with the child's parents the privileges that can be taken away, such as cell phone, if compliance fails to improve.
Q2) A neonatal nurse who encourages parents to hold their baby and provides opportunities for Kangaroo Care most likely is demonstrating concern for which aspect of the infant's psychosocial development?
A) Attachment
B) Assimilation
C) Centration
D) Resilience
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Chapter 5: Pediatric Assessment
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) The nurse is conducting a health surveillance visit with a 6-month-old infant. Which methods are appropriate to monitor the infant's growth pattern since birth? Select all that apply.
A) Weight the infant twice and average together
B) Measure the infant's height
C) Measure the infant's head circumference
D) Determine the infant's body mass index
E) Plot the infant's growth on appropriate chart
Q2) The nurse is assessing a school-age child's extraocular movements. The nurse recognizes which cranial nerves that involve testing extraocular movements? Select all that apply.
A) VII
B) III
C) IV
D) XII
E) VI
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Chapter 6: Introduction to Health Promotion and Maintenance
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) Which of these strategies would be most effective for a teachable moment during a routine office visit for the parents of a 6-year-old child?
A) Select one topic and present a brief amount of information on the topic.
B) Review all 6-year-old anticipatory guidelines with the parents.
C) Review 7-year-old anticipatory guidelines with the parents.
D) Discuss signs of malnutrition with the parents.
Q2) The nurse is assessing an adolescent client whose weight is in the 5th percentile. Based on this information, which question is most appropriate for the nurse to ask the adolescent client?
A) "Do you eat the school lunches?"
B) "Do you have any concerns about your weight?"
C) "Do you eat fruits, vegetables, and drink milk?"
D) "How many meals do you eat each day?"
Q3) Which assessment would not be included with a 17-year-old's screening during a routine health supervision visit?
A) STI evaluation
B) Autism screening
C) Hemoglobin test
D) Vision screening
Page 8
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Chapter 7: Health Promotion and Maintenance for the
Newborn and Infant
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) A mother asks which developmental milestones she can expect when her baby is 6 months old. Which response by the nurse is the most appropriate?
A) Lifts head momentarily when prone
B) Has well-developed pincer grasp
C) Transfers objects from one hand to the other
D) Rolls from front to back
Q2) 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
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9
Chapter 8: Health Promotion and Maintenance for the
Toddler and Preschooler
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) Which assessment question would get the most accurate response when a nurse is assessing learning and reading skills in the early childhood years?
A) "What rewards do you use when your child does something good?"
B) "What is your child's language like now?"
C) "Does your child get along well with others?"
D) "Do you keep books for your child readily available?"
Q2) Which health promotion activities can the nurse recommend to the parents of a preschool-age child in order to enhance the child's self-concept? Select all that apply.
A) Encourage a play date with a school-age child.
B) Praise the child for staying dry at night.
C) Tell the child there will be a punishment for bathroom accidents.
D) Set aside time for the child each day.
E) Discuss appropriate activities to engage in with the daycare provider.
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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
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Sample Questions
Q1) An obese adolescent who adamantly denies sexual activity has a positive pregnancy test, which was performed in the adolescent clinic. Which statement by the nurse is the most appropriate in this situation?
A) "Tell me how you feel about your body image."
B) "When was your last menstrual period (LMP)?"
C) "Let's discuss some activities that you have done within the past few months that could possibly lead to pregnancy."
D) "Were you involved in a date rape and are you hesitant to speak about it?"
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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Chapter 10: Nursing Considerations for the Child in the Community
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) The number of serious injuries in children has doubled in the past year. Based on this information, which is the most appropriate community nursing diagnosis?
A) Noncompliance Related to Inappropriate Use of Child Safety Seats
B) Risk for Injury Related to Inadequate Use of Bicycle Helmets
C) Altered Family Processes Related to Hospitalization of an Injured Child
D) Knowledge Deficit Related to Injury Prevention in Children
Q2) Some nursing students are discussing job options. One of the student states that a position as a school nurse sounds interesting. What is an important role of the school nurse?
A) Screening for congenital heart disease
B) Prescribing antibiotics for streptococcal pharyngitis
C) Developing a plan for emergency care of injured children
D) Diagnosing an ear infection
Q3) The community-health nurse visits the child-care center. Which finding indicates the need for staff education?
A) A group of 2-year-olds are eating a snack of Cheerios.
B) Several 4-year-olds are outside playing on a slide.
C) An 18-month-old is pushing a toy truck.
D) A 2-month-old is sleeping in a crib on his stomach.
Page 12
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Chapter 11: Nursing Considerations for the Hospitalized Child
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) A group of children on one hospital unit are all suffering separation anxiety. Which child is experiencing the despair stage of separation anxiety?
A) Does not cry if parents return and leave again
B) Screams and cries when parents leave
C) Appears to be happy and content with staff
D) Lies quietly in bed
Q2) A toddler recently diagnosed with a seizure disorder will be discharged home on an anticonvulsant. Which action by the mother best demonstrates understanding of how to give the medication?
A) Verbalizing how to give the medication
B) Acknowledging understanding of written instructions
C) Drawing up the medication correctly in an oral syringe and administering it to the child
D) Observing the nurse draw up the medication and administering it to the child.
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Chapter 12: The Child With a Chronic Condition
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) The nurse has set up a group discussion for several families with chronically ill children. The nurse informs these parents that they may face which ethical issue?
A) Normalization
B) Withholding and refusal of treatment
C) Repeated hospital admissions
D) Lack of proper dietary needs
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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14
Chapter 13: The Child With a Life-Threatening Condition and
End-Of-Life Care
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) A school bus carrying children in grades K-12 crashed into a ravine. The critically injured children were transported by ambulance and admitted to the pediatric intensive-care unit (PICU). The nurse is concerned about calming the frightened children. Which nursing intervention is most appropriate to achieve the goal of calming the frightened children?
A) Tell the children that the physicians are competent.
B) Assure the children that the nurses are caring.
C) Explain that the PICU equipment is state of the art.
D) Call the children's parents to come into the PICU.
Q2) The nurse is providing care to an adolescent client who is dying. Which assessment findings indicate the client is experiencing a decrease in peripheral circulation? Select all that apply.
A) Cool skin
B) Mottled appearance
C) Cheyne-Stokes respirations
D) Increased agitation
E) Increased urine output
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Chapter 14: Infant, Child, and Adolescent Nutrition
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) The nurse is instructing a parent of a newborn on the foods that are to be started based on age. The nurse instructs the parent that the first food given to a newborn is rice cereal. What statement by the parent suggests appropriate understanding of the next food that can be introduced?
A) "Chicken can be given next."
B) "Eggs can be given next."
C) "Fruits should be given next."
D) "Whole milk should be started."
Q2) The nurse is planning a class for school-age children on prevention of obesity through exercise. It is important to encourage the children to exercise a minimum of how many minutes a day to meet current recommendations?
A) 20 minutes
B) 30 minutes
C) 60 minutes
D) 90 minutes
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16
Chapter 15: Pain Assessment and Management in Children
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) A toddler is hospitalized with a fractured femur. In addition to pain medication, which will best provide pain relief for this child?
A) Parents' presence at the bedside
B) Age-appropriate toys
C) Deep-breathing exercises
D) Videos for the child to watch
Q2) 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.
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Chapter 16: Immunizations and Communicable Diseases
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) A mother brings her 4-month-old infant in for a routine checkup and vaccinations. The mother reports that the infant was exposed to a brother who has the flu. Which action by the nurse is most appropriate based on these assessment findings?
A) Withhold the vaccinations.
B) Give the vaccinations as scheduled.
C) Withhold the DTaP vaccination but give the others as scheduled.
D) Give the infant the flu vaccination but withhold the others.
Q2) The school nurse is trying to prevent the spread of a flu virus through the school. Which infection-control strategies can be employed to prevent the spread of the flu virus? Select all that apply.
A) Teaching parents safe food preparation and storage
B) Withholding immunizations for children with compromised immune systems
C) Sanitizing toys, telephones, and door knobs to kill pathogens
D) Separating children with infections from children who are well
E) Teaching children to wash their hands after using the bathroom
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18
Chapter 17: Social and Environmental Influences on the Child
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) A school-age child has been seen in the pediatric clinic three times in the last two months for complaints of abdominal pain. Physical exam and all ordered lab work have been normal. Which question by the nurse would most likely help determine the etiology of the child's abdominal pain?
A) "Have there been any changes in your child's school or home life recently?"
B) "How many meals does your child eat each day?"
C) "Are your child's immunizations up to date?"
D) "Has your child had any fevers or viral illnesses in the last three months?"
Q2) The nurse is providing care to a toddler-age child. Which assessment finding is indicative of abuse?
A) Parents indicating that they did not see the event occur
B) Inconsistency of stories between caregivers
C) Bruising noted on the knees and shins
D) Acting out behavior of the child
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Chapter 18: Alterations in Fluid, Electrolyte, and Acid-Base Balance
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18 Flashcards
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Sample Questions
Q1) A 1-month-old client is admitted to the emergency room with severe diarrhea. Which assessment suggests the client is severely dehydrated?
A) Skin moist and flushed; mucous membranes dry
B) Low specific gravity of urine; skin color pale
C) Fontanels depressed; capillary refill greater than three seconds
D) High specific gravity of urine; moist mucous membranes
Q2) A nurse is planning care for a child with hyponatremia. The nurse, delegating care of this child to a new RN on the pediatric unit, cautions the new nurse to be especially alert for which condition in the child?
A) Seizures
B) Bradycardia
C) Respiratory distress
D) Hyperthermia
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Chapter 19: Alterations in Eye, Ear, Nose, and Throat
Function
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Sample Questions
Q1) A nurse is planning to teach school-age children about the common cold. Which information should the nurse include in the teaching session?
A) Vaccinations can prevent contraction of a nasopharyngitis virus.
B) Antibiotics will eliminate the nasopharyngitis virus.
C) Proper handwashing can prevent the spread of the infection.
D) Aspirin should be taken for alleviation of fever if the "common cold" is contracted.
Q2) The nurse is caring for four clients. Which client has the highest risk of developing retinopathy of prematurity?
A) 30-week-gestation infant who was in an Oxy-Hood for 12 hours and weighed 1800 g.
B) 32-week-gestation infant who needed no oxygen and weighed 1850 g.
C) 28-week-gestation infant who has been on long-term oxygen and weighed 1400 g.
D) 28-week-gestation infant who was on short-term oxygen and weighed 1420 g.
Q3) A 22-month-old child is seen in the office for reoccurring otitis media. The child weighs 25 pounds. The healthcare provider orders:
Amoxicillin 45 mg/kg/day by mouth in divided doses every 12 hours. Medication on hand: Amoxicillin 125 mg/5 mL
Calculate how many mL/dose of amoxicillin will be given by mouth.
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Page 21
Chapter 20: Alterations in Respiratory Function
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) A nurse is assessing a neonate. Which assessment finding indicates that the neonate's respiratory status is worsening?
A) Acrocyanosis
B) Arterial CO<sub>2</sub> of 40
C) Periorbital edema
D) Grunting respirations with nasal flaring
Q2) Which nursing diagnosis is most appropriate for an infant with acute bronchiolitis due to respiratory syncytial virus (RSV)?
A) Activity Intolerance
B) Decreased Cardiac Output
C) Pain, Acute
D) Tissue Perfusion, Ineffective (peripheral)
Q3) Parents of a child admitted with respiratory distress are concerned because the child won't lie down and wants to sit in a chair leaning forward. Which response by the nurse is the most appropriate?
A) "This helps the child feel in control of his situation."
B) "The child needs to be encouraged to lie flat in bed."
C) "This position helps keep the airway open."
D) "This confirms the child has asthma."
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Page 22
Chapter 21: Alterations in Cardiovascular Function
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19 Flashcards
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Sample Questions
Q1) The nurse has admitted a child with tricuspid atresia. The nurse would expect which initial lab result?
A) A high hemoglobin
B) A low hematocrit
C) A high WBC count
D) A low platelet count
Q2) 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.
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23
Chapter 22: Alterations in Immune Function
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Sample Questions
Q1) The nurse is caring for an adolescent client diagnosed with rheumatoid arthritis. Which nonpharmacological measure to reduce joint pain is most appropriate for the nurse to recommend to this client?
A) Moist heat
B) Elevation of extremity
C) Massage
D) Immobilization
Q2) 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.
Q3) The nurse is providing care to an adolescent client diagnosed with systemic lupus erythematosus (SLE). Which action by the client indicates acceptance of body changes associated with SLE?
A) She refuses to attend school.
B) She doesn't want to attend any social functions.
C) She discusses the body changes with a peer.
D) She discusses the body changes with healthcare personnel only.
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24
Chapter 23: Alterations in Hematologic Function
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Sample Questions
Q1) The nurse is providing care to a school-age client with neutropenia. Which clinical manifestations does the nurse anticipate when assessing this client? Select all that apply.
A) Fever
B) Fatigue
C) Tachycardia
D) Hypertension
E) Tachypnea
Q2) The nurse is caring for a child with disseminated intravascular coagulation (DIC). Which nursing intervention is a priority for this child?
A) Frequent ambulation
B) Maintenance of skin integrity
C) Monitoring of fluid restriction
D) Preparation for x-ray procedures
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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Page 25
Chapter 24: The Child With Cancer
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Sample Questions
Q1) A child with a brain tumor is admitted to the pediatric intensive care unit (PICU) after brain surgery to remove the tumor. Which postoperative order would the nurse question?
A) Antibiotics
B) Sodium levels every 24 hours
C) Anticonvulsants
D) Hourly intake and output
Q2) The nurse is monitoring the urine specific gravity and pH on a child receiving chemotherapy. Which urinalysis result is the goal for this child?
A) Spec gravity 1.030; pH 6
B) Spec gravity 1.030; pH 7.5
C) Spec gravity 1.005; pH 6
D) Spec gravity 1.005; pH 7.5
Q3) A child is diagnosed with thrombocytopenia secondary to chemotherapy treatments. Which action by the nurse is the most appropriate?
A) Refrain from administering any intramuscular injections (IM).
B) Perform oral hygiene.
C) Monitor intake and output.
D) Use palpation as a component of assessment.
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26
Chapter 25: Alterations in Gastrointestinal Function
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Sample Questions
Q1) The nurse is evaluating an infant's tolerance of feedings after a pyloromyotomy. Which finding indicates that the infant is not tolerating the feeding?
A) Need for frequent burping
B) Irritability during feeding
C) The passing of gas
D) Emesis after two feedings
Q2) A child with inflammatory bowel disease is prescribed prednisone daily. At which time is it most appropriate for the family to administer the prednisone?
A) Between meals
B) One hour before meals
C) At bedtime
D) With meals
Q3) A child with severe gastroenteritis is admitted to a semiprivate room on the pediatric unit. The charge nurse should place this client with which roommate?
A) An infant with meningitis
B) A child with fever and neutropenia
C) Another child with gastroenteritis
D) A child recovering from an appendectomy
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Chapter 26: Alterations in Genitourinary Function
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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 school-age client diagnosed with nephrotic syndrome is severely edematous. The primary healthcare provider has placed the child on bed rest. Which nursing intervention is a priority for this client?
A) Reposition the child every 2 hours.
B) Monitor BP every 30 minutes.
C) Encourage fluids.
D) Limit visitors.
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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28
Chapter 27: Alterations in Neurologic Function
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Sample Questions
Q1) A child with myelomeningocele, corrected at birth, is now 5 years old. Which is the priority nursing diagnosis for a child with corrected spina bifida at this age?
A) Risk for Altered Nutrition
B) Risk for Impaired Tissue Perfusion-Cranial
C) Risk for Altered Urinary Elimination
D) Risk for Altered Comfort
Q2) A nurse is caring for a child who is diagnosed with cerebral palsy. Which goal of therapy is most appropriate for the nurse to include in the plan of care?
A) Reversing the degenerative processes that have occurred
B) Curing the underlying defect causing the disorder
C) Preventing the spread to individuals in close contact with the child
D) Promoting optimum development
Q3) Which statement made by a parent during a well-child visit would cause the nurse to suspect the child has cerebral palsy?
A) "My 6-month-old baby is rolling from back to prone now."
B) "My 3-month-old seems to have floppy muscle tone."
C) "My 8-month-old can sit without support."
D) "My 10-month-old is not walking."
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Chapter 28: Alterations in Mental Health and Cognitive Function
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Sample Questions
Q1) 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
Q2) A school-age client is evaluated for depression. Which assessment tool does the nurse anticipate will be used by the psychologist?
A) Denver Developmental Screening tool
B) Revised Children's Manifest Anxiety Scale
C) Parent Developmental Questionnaire
D) Disruptive Behavior Disorder Scale
Q3) A nurse is calculating the maximum recommended dose that a school-age client diagnosed with depression can receive for sertraline (Zoloft). The recommended pediatric dose for sertraline (Zoloft) is 1.5 to 3 mg/kg/day. If the child weighs 31 kg, the maximum recommended dose for this child would be ________ mg. Round answer to the nearest whole number.
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Chapter 29: Alterations in Musculoskeletal Function
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17 Flashcards
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Sample Questions
Q1) A school health nurse is screening school-age students for scoliosis. Which assessment findings indicate the need for further evaluation for scoliosis? Select all that apply.
A) Uneven shoulders and hips
B) A one-sided rib hump
C) Prominent scapula
D) Lordosis
E) Pain
Q2) The nurse has completed discharge teaching for the family of a child diagnosed with Legg-Calve-Perthes disease. Which statement by the family indicates the need for further education?
A) "We're glad this will only take about 6 weeks to correct."
B) "We understand swimming is a good sport for Legg-Calve-Perthes."
C) "We know to watch for areas on the skin the brace may rub."
D) "We understand that abduction of the affected leg is important."
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Chapter 30: Alterations in Endocrine Function
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) The nurse is planning care for pediatric clients who have diagnoses that impact the endocrine system. Which changes occurring during the school-age and adolescence have a direct impact on the endocrine system? Select all that apply.
A) Puberty
B) Adrenarche
C) Menarche
D) Sexual exploration
E) Risk-taking behavior
Q2) A parent of a newborn asks the nurse why a heel stick is being done on the baby to test for phenylketonuria (PKU). Which response by the nurse is the most appropriate?
A) "This screening is required and detection can be done before symptoms develop."
B) "The infant has high-risk characteristics."
C) "Because the infant was born by cesarean, this test is necessary."
D) "Because the infant was born by vaginal delivery, this test is recommended."
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Chapter 31: Alterations in Skin Integrity
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/70307
Sample Questions
Q1) The nurse is caring for a pediatric client diagnosed with eczema. Which topical medication order does the nurse anticipate for this client?
A) Corticosteroid
B) Retinoid
C) Antifungal
D) Antibacterial
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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