Pediatric Health Assessment
Question Bank
Course Introduction
Pediatric Health Assessment is a comprehensive course designed to equip students with the knowledge and skills necessary to perform holistic health evaluations of infants, children, and adolescents. The course covers the principles of growth and development, age-appropriate communication strategies, pediatric physical examination techniques, and the assessment of common pediatric illnesses. Students will learn to integrate developmental milestones with findings from physical, psychosocial, and environmental assessments, allowing them to recognize normal and abnormal patterns in pediatric populations. Emphasis is placed on evidence-based approaches, health promotion, and the identification of at-risk children, preparing students for clinical decision-making in a variety of healthcare settings.
Recommended Textbook
Wongs Nursing Care of Infants and Children 10th Edition by Hockenberry
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35 Chapters
1814 Verified Questions
1814 Flashcards
Source URL: https://quizplus.com/study-set/256
Page 2
Chapter 1: Perspectives of Pediatric Nursing
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/4161
Sample Questions
Q1) Evidence-based practice (EBP), a decision-making model, is best described as which?
A) Using information in textbooks to guide care
B) Combining knowledge with clinical experience and intuition
C) Using a professional code of ethics as a means for decision making
D) Gathering all evidence that applies to the child's health and family situation
Answer: B
Q2) The school nurse is assessing children for risk factors related to childhood injuries. Which child has the most risk factors related to childhood injury?
A) Female, multiple siblings, stable home life
B) Male, high activity level, stressful home life
C) Male, even tempered, history of previous injuries
D) Female, reacts negatively to new situations, no serious previous injuries
Answer: B
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3
Chapter 2: Social, Cultural, Religious, and Family Influences on Child Health Promotion
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41 Verified Questions
41 Flashcards
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Sample Questions
Q1) An individual's self-identification as man or woman
A)Race
B)Gender
C)Ethnicity
D)Social class
E)Socialization
Answer: B
Q2) The nurse discovers welts on the back of a Vietnamese child during a home health visit. The child's mother says she has rubbed the edge of a coin on her child's oiled skin.
The nurse should recognize this as what?
A) Child abuse
B) Cultural practice to rid the body of disease
C) Cultural practice to treat enuresis or temper tantrums
D) Child discipline measure common in the Vietnamese culture
Answer: B
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Page 4
Chapter 3: Hereditary Influences on Health Promotion of the
Child and Family
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42 Verified Questions
42 Flashcards
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Sample Questions
Q1) A newborn has been diagnosed with congenital adrenal hyperplasia. Which assessment finding should the nurse expect?
A) Ambiguous genitalia
B) Prenatal growth retardation
C) An abnormally large tongue
D) Legs and arms significantly shorter than torso
Answer: A
Q2) The nurse understands that which occurring soon after birth can indicate cystic fibrosis?
A) Murmur
B) Hypoglycemia
C) Meconium ileus
D) Muscle weakness
Answer: C
Q3) Which ethnic group is at risk for Tay-Sachs disease?
A) Black African
B) Mediterranean
C) Ashkenazi Jewish
D) Southern and Southeast Asian
Answer: C
Page 5
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Chapter 4: Communication, Physical, and Developmental Assessment
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49 Verified Questions
49 Flashcards
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Sample Questions
Q1) The nurse is testing an infant's visual acuity. By which age should the infant be able to fix on and follow a target?
A) 1 month
B) 1 to 2 months
C) 3 to 4 months
D) 6 months
Q2) The nurse understands that blocks to therapeutic communication include what?
(Select all that apply.)
A) Socializing
B) Use of silence
C) Using clichés
D) Defending a situation
E) Using open-ended questions
Q3) The nurse needs to take the blood pressure of a small child. Of the cuffs available, one is too large and one is too small. The best nursing action is which?
A) Use the small cuff.
B) Use the large cuff.
C) Use either cuff using the palpation method.
D) Wait to take the blood pressure until a proper cuff can be located.
Page 6
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Chapter 5: Pain Assessment and Management in Children
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40 Verified Questions
40 Flashcards
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Sample Questions
Q1) A burn patient is experiencing anxiety over dressing changes. Which prescription should the nurse expect to be ordered to control anxiety?
A) Lorazepam (Ativan)
B) Oxycodone (OxyContin)
C) Fentanyl (Sublimaze)
D) Morphine Sulfate (Morphine)
Q2) A health care provider prescribes choline magnesium trisalicylate (Trilisate), 15 mg/kg PO every 8 to 12 hours as needed for pain. The child weighs 10 kg. The medication label states: "Choline magnesium trisalicylate 500 mg/5 mL." The nurse prepares to administer one dose. How many milliliters will the nurse prepare to administer one dose? Fill in the blank. Record your answer to one decimal place.
Q3) Which coanalgesics should the nurse expect to be prescribed for pruritus? (Select all that apply.)
A) Naloxone (Narcan)
B) Inapsine (Droperidol)
C) Hydroxyzine (Atarax)
D) Promethazine (Phenergan)
E) Diphenhydramine (Benadryl)
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Page 7
Chapter 6: Childhood Communicable and Infectious Diseases
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47 Verified Questions
47 Flashcards
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Sample Questions
Q1) Which is described as an elevated, circumscribed skin lesion that is less than 1 cm in diameter and filled with serous fluid?
A) Cyst
B) Papule
C) Pustule
D) Vesicle
Q2) Which vitamin supplementation has been found to reduce both morbidity and mortality in measles?
A) A
B) B<sub>1</sub>
C) C
D) Zinc
Q3) The nurse is planning care for a child with chickenpox (varicella). Which prescribed supportive measures should the nurse plan to implement? (Select all that apply.)
A) Administration of acyclovir (Zovirax)
B) Administration of azithromycin (Zithromax)
C) Administration of Vitamin A supplementation
D) Administration of acetaminophen (Tylenol) for fever
E) Administration of diphenhydramine (Benadryl) for itching
Page 8
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Chapter 7: Health Promotion of the Newborn and Family
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40 Verified Questions
40 Flashcards
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Sample Questions
Q1) Successful breastfeeding is most dependent on which?
A) Birth weight of newborn
B) Size of mother's breasts
C) Mother's desire to breastfeed
D) Family's socioeconomic level
Q2) The nurse is teaching a class on breastfeeding to expectant parents. Which is a contraindication for breastfeeding?
A) Mastitis
B) Twin births
C) Inverted nipples
D) Maternal cancer therapy
Q3) When doing the first assessment of a male newborn, the nurse notes that the scrotum is large, edematous, and pendulous. What should this be interpreted as?
A) A hydrocele
B) An inguinal hernia
C) A normal finding
D) An absence of testes
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9
Chapter 8: Health Problems of Newborns
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37 Verified Questions
37 Flashcards
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Sample Questions
Q1) Which finding on a newborn assessment should the nurse recognize as suggestive of a clavicle fracture?
A) Positive scarf sign
B) Asymmetric Moro reflex
C) Swelling of fingers on affected side
D) Paralysis of affected extremity and muscles
Q2) The nurse is teaching a new nurse about types of physical injuries that can occur at birth. Which soft tissue injuries should the nurse include in the teaching? (Select all that apply.)
A) Petechiae
B) Retinal hemorrhage
C) Facial paralysis
D) Cephalhematoma
E) Subdural hematoma
F) Subconjunctival hemorrhage
Q3) What is an infant with severe jaundice at risk for developing?
A) Encephalopathy
B) Bullous impetigo
C) Respiratory distress
D) Blood incompatibility
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Chapter 9: The High-Risk Newborn and Family
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56 Verified Questions
56 Flashcards
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Sample Questions
Q1) The nurse is monitoring an infant's temperature to avoid cold stress. The nurse understands that cold stress in the infant can cause which complications? (Select all that apply.)
A) Hypoxia
B) Hypoglycemia
C) Metabolic acidosis
D) Respiratory alkalosis
E) Increased shivering response
Q2) What signs should the nurse expect when a pneumothorax occurs in an infant on mechanical ventilation?
A) Tachycardia
B) Clear, distinct heart tones
C) Widened pulse pressure
D) Abrupt duskiness or cyanosis
Q3) A preterm infant is being fed by gavage. What is an important consideration for this infant?
A) Warm the feeding to body temperature before feeding.
B) Feed the infant in an isolette to minimize handling.
C) Provide a pacifier for nonnutritive sucking during bolus feeding.
D) Do not allow the infant to have increased stress by becoming hungry.
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Chapter 10: Health Promotion of the Infant and Family
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49 Verified Questions
49 Flashcards
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Sample Questions
Q1) What is an appropriate play activity for a 7-month-old infant to encourage visual stimulation?
A) Playing peek-a-boo
B) Playing pat-a-cake
C) Imitating animal sounds
D) Showing how to clap hands
Q2) Turning the hips and shoulders to one side causes all the other body parts to follow.
A)Labyrinth righting
B)Body righting
C)Otolith righting
D)Landau
E)Parachute
Q3) The nurse is planning play activities for a 2-month-old hospitalized infant to stimulate the auditory sense. Which activities should the nurse implement? (Select all that apply.)
A) Talk to the infant.
B) Play a music box.
C) Place a squeaky doll in the crib.
D) Give the infant a small-handled clear rattle.
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Page 12
Chapter 11: Health Problems of the Infant
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50 Verified Questions
50 Flashcards
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Sample Questions
Q1) An infant has been diagnosed with failure to thrive (FTT) classified according to the pathophysiology of inadequate caloric intake. The nurse understands that the reason for the FTT is most likely related to what?
A) Cow's milk allergy
B) Congenital heart disease
C) Metabolic storage disease
D) Incorrect formula preparation
Q2) A new parent relates to the nurse that the family has many known food allergies. Which is considered a primary strategy for feeding the infant with many family food allergies?
A) Using soy formula for feeding
B) Maternal avoidance of cow's milk protein
C) Exclusive breastfeeding for 4 to 6 months
D) Delaying the introduction of highly allergenic foods past 6 months
Q3) Allergy with a hereditary tendency
A)Food allergy
B)Food allergen
C)Food intolerance
D)Sensitization
E)Atopy
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Chapter 12: Health Promotion of the Toddler and Family
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49 Verified Questions
49 Flashcards
Source URL: https://quizplus.com/quiz/4172
Sample Questions
Q1) What child behavior indicates to the nurse that temper tantrums have become a problem? (Select all that apply.)
A) The child is 2 to 3 years old
B) Tantrums occur at bedtime
C) Tantrums occur past 5 years of age
D) Tantrums last longer than 15 minutes
E) Tantrums occur more than five times a day
Q2) Eliminate all foods of animal origin, including milk and eggs
A)Lacto-ovo vegetarians
B)Lactovegetarians
C)Pure vegetarians (vegans)
D)Macrobiotics
E)Semi-vegetarians
Q3) The nurse is assessing a toddler's visual acuity. Which visual acuity is considered acceptable during the toddler years?
A) 20/20
B) 20/40
C) 20/50
D) 20/60
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Chapter 13: Health Promotion of the Preschooler and Family
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39 Verified Questions
39 Flashcards
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Sample Questions
Q1) The parent of a 4-year-old boy tells the nurse that the child believes "monsters and bogeymen" are in his bedroom at night. What is the nurse's best suggestion for coping with this problem?
A) Let the child sleep with his parents.
B) Keep a night light on in the child's bedroom.
C) Help the child understand that these fears are illogical.
D) Tell the child that monsters and bogeymen do not exist.
Q2) What dysfunctional speech pattern is a normal characteristic of the language development of a preschool child?
A) Lisp
B) Echolalia
C) Stammering
D) Repetition without meaning
Q3) The nurse is explaining average weight gain during the preschool years to a group of parents. Which average weight gain should the nurse suggest to the parents?
A) 1 to 2 kg
B) 2 to 3 kg
C) 3 to 4 kg
D) 4 to 5 kg
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Page 15
Chapter 14: Health Problems of Early Childhood
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39 Verified Questions
39 Flashcards
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Sample Questions
Q1) A child has been admitted to the hospital with a blood lead level of 72 mcg/dL. What treatment should the nurse anticipate?
A) Referral to social services
B) Initiation of chelation therapy
C) Follow-up testing within 1 month
D) Aggressive environmental intervention
Q2) What are classified as corrosive poisons? (Select all that apply.)
A) Batteries
B) Paint thinner
C) Drain cleaners
D) Mineral seed oil
E) Mildew remover
Q3) What do inflicted immersion burns often appear as?
A) Partial-thickness, asymmetrical burns
B) Splash pattern burns on hands or feet
C) Any splash burn with dry linear marks
D) Sharply demarcated, symmetrical burns
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16
Chapter 15: Health Promotion of the School-Age Child and Family
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42 Verified Questions
42 Flashcards
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Sample Questions
Q1) The school nurse is providing guidance to families of children who are entering elementary school. What is essential information to include?
A) Meet with teachers only at scheduled conferences.
B) Encourage growth of a sense of responsibility in children.
C) Provide tutoring for children to ensure mastery of material.
D) Homework should be done as soon as child comes home from school.
Q2) The parents of a 5-year-old child ask the nurse, "How many hours of sleep a night does our child need?" The nurse should give which response?
A) "A 5-year-old child requires 8 hours of sleep."
B) "A 5-year-old child requires 9.5 hours of sleep."
C) "A 5-year-old child requires 10 hours of sleep."
D) "A 5-year-old child requires 11.5 hours of sleep."
Q3) What is descriptive of the play of school-age children?
A) They like to invent games, making up the rules as they go.
B) Individuality in play is better tolerated than at earlier ages.
C) Knowing the rules of a game gives an important sense of belonging.
D) Team play helps children learn the universal importance of competition and winning.
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Page 17
Chapter 16: Health Problems of the School-Age Child
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48 Verified Questions
48 Flashcards
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Sample Questions
Q1) A health care provider prescribes haloperidol (Haldol), PO, 0.5 mg, twice a day, for a child with schizophrenia. The medication label states: "Haloperidol (Haldol) oral concentrate, 1 mg/1 ml." The nurse prepares to administer one dose. How many milliliters should the nurse prepare to administer one dose? Fill in the blank. Record your answer to one decimal place.
Q2) The nurse is assisting the family of a child with a history of encopresis. What should be included in the nurse's discussion with the family?
A) Instruct the parents to sit the child on the toilet at twice-daily routine intervals.
B) Instruct the parents that the child will probably need to have daily enemas.
C) Suggest the use of stimulant cathartics weekly.
D) Reassure the family that most problems are resolved successfully, with some relapses during periods of stress.
Q3) What is a characteristic of children with depression?
A) Increased range of affective response
B) Tendency to prefer play instead of schoolwork
C) Change in appetite resulting in weight loss or gain
D) Preoccupation with need to perform well in school
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18
Chapter 17: Health Promotion of the Adolescent and Family
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34 Verified Questions
34 Flashcards
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Sample Questions
Q1) In boys, what is the initial indication of puberty?
A) Voice changes
B) Growth of pubic hair
C) Testicular enlargement
D) Increased size of penis
Q2) What is most descriptive of the spiritual development of older adolescents?
A) Beliefs become more abstract.
B) Rituals and practices become increasingly important.
C) Strict observance of religious customs is common.
D) Emphasis is placed on external manifestations, such as whether a person goes to church.
Q3) A 12-year-old girl asks the nurse about an increase in clear white odorless vaginal discharge. What response should the nurse give?
A) "This may mean a yeast infection."
B) "This is normal before menstruation starts."
C) "This is caused by an increase in progesterone."
D) "This is possibly a sign of a sexually transmitted infection."
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Chapter 18: Health Problems of the Adolescent
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60 Verified Questions
60 Flashcards
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Sample Questions
Q1) Tretinoin (Retin-A) is a commonly used topical agent for the treatment of acne. What do nursing considerations with this drug include?
A) Sun exposure increases effectiveness.
B) Cosmetics with lanolin and petrolatum are preferred in acne.
C) Applying of the medication occurs at least 20 to 30 minutes after washing.
D) Erythema and peeling are indications of toxicity and need to be reported.
Q2) What method is the most commonly used in completed suicides?
A) Firearms
B) Drug overdose
C) Self-inflicted laceration
D) Carbon monoxide poisoning
Q3) What factor is most likely to increase the likelihood that an adolescent will misuse alcohol?
A) Female gender
B) Regular school attendance
C) Rural environment
D) Unconventional behavior
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Chapter 19: Family-Centered Care of the Child with Chronic Illness
or Disability
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48 Verified Questions
48 Flashcards
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Sample Questions
Q1) The parents of a child on a ventilator tell the nurse that their insurance company wants the child to be discharged. They explain that they do not want the child home "under any circumstances." What principle should the nurse consider when working with this family?
A) Desire to have the child home is essential to effective home care.
B) Parents should not be expected to care for a technology-dependent child.
C) Having a technology-dependent child at home is better for both the child and the family.
D) Parents are not part of the decision-making process because of the costs of hospitalization.
Q2) The nurse is assessing the coping behaviors of the parents of a child recently diagnosed with a chronic illness. What behavior should the nurse consider an "approach behavior" that results in movement toward adjustment?
A) Being unable to adjust to a progression of the disease or condition
B) Anticipating future problems and seeking guidance and answers
C) Looking for new cures without a perspective toward possible benefit
D) Failing to recognize the seriousness of the child's condition despite physical evidence
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Page 21
Chapter 20: Family-Centered Palliative Care
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38 Verified Questions
38 Flashcards
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Sample Questions
Q1) At which developmental period do children have the most difficulty coping with death, particularly if it is their own?
A) Toddlerhood
B) Preschool
C) School age
D) Adolescence
Q2) The nurse has attended a professional development program about palliative care for the pediatric population. What statement by the nurse should indicate a correct understanding of the program?
A) "Palliative care provides interventions that hasten death."
B) "Palliative care promotes the optimal functioning and quality of life."
C) "Palliative care does not provide pain and symptom management like hospice care."
D) "Palliative care is not well received in hospitals that provide end-of-life care for children."
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Chapter 21: The Child with Cognitive, Sensory, or Communication Impairment
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48 Verified Questions
48 Flashcards
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Sample Questions
Q1) A father calls the emergency department nurse saying that his daughter's eyes burn after getting some dishwasher detergent in them. The nurse recommends that the child be seen in the emergency department or by an ophthalmologist. The nurse also should recommend which action before the child is transported?
A) Keep the eyes closed.
B) Apply cold compresses.
C) Irrigate the eyes copiously with tap water for 20 minutes.
D) Prepare a normal saline solution (salt and water) and irrigate the eyes for 20 minutes.
Q2) What intervention is most appropriate to facilitate social development of a child with a cognitive impairment?
A) Provide age-appropriate toys and play activities.
B) Avoid exposure to strangers who may not understand cognitive development.
C) Provide peer experiences, such as infant stimulation and preschool programs.
D) Emphasize mastery of physical skills because they are delayed more often than verbal skills.
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Chapter 22: Family-Centered Care of the Child During
Illness and Hospitalization
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Sample Questions
Q1) What are core principles of patient- and family-centered care? (Select all that apply.)
A) Collaboration
B) Empowering families
C) Providing formal and informal support
D) Maintaining strict policy and procedure routines
E) Withholding information that is likely to cause anxiety
Q2) The nurse relates to parents that there are some beneficial effects of hospitalization for their child. What are beneficial effects of hospitalization? (Select all that apply.)
A) Recovery from illness
B) Improve coping abilities
C) Opportunity to master stress
D) Provide a break from school
E) Provide new socialization experiences
Q3) What choice of words or phrases would be inappropriate to use with a child?
A) "Rolling bed" for "stretcher"
B) "Special medicine" for "dye"
C) "Make sleepy" for "deaden"
D) "Catheter" for "intravenous"
Page 24
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Chapter 23: Pediatric Nursing Interventions and Skills
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53 Verified Questions
53 Flashcards
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Sample Questions
Q1) When teaching a mother how to administer eye drops, where should the nurse tell her to place them?
A) At the lacrimal duct
B) On the sclera while the child looks to the outside
C) In the conjunctival sac when the lower eyelid is pulled down
D) Carefully under the eyelid while it is gently pulled upward
Q2) To facilitate the administration of an oral medication to a preschool-age child, what action should the nurse take?
A) Dilute the medication in a large amount of favorite liquid and allow the child to hold the cup.
B) Set limits about the need to take medication and offer praise immediately after the task is accomplished.
C) Mix the medication in a moderate amount of the child's favorite food.
D) Explain the purpose of the medication and allow the child time to express resistance before giving the medication.
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Chapter 24: The Child with Fluid and Electrolyte Imbalance
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Sample Questions
Q1) What clinical manifestation(s) should the nurse expect to see as shock progresses in a child and becomes decompensated shock?
A) Thirst
B) Irritability
C) Apprehension
D) Confusion and somnolence
Q2) What clinical manifestations should be observed in a 2-year-old child with hypotonic dehydration? (Select all that apply.)
A) Thick, doughy feel to the skin
B) Slightly moist mucous membranes
C) Absent tears
D) Very rapid pulse
E) Hyperirritability
Q3) What type of diarrhea is associated with an inflammation of the mucosa and submucosa in the ileum and colon caused by infectious agents?
A) Osmotic
B) Secretory
C) Cytotoxic
D) Dysenteric
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Chapter 25: The Child with Renal Dysfunction
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67 Verified Questions
67 Flashcards
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Sample Questions
Q1) In teaching the parent of a newly diagnosed 2-year-old child with pyelonephritis related to vesicoureteral reflux (VUR), the nurse should include which information?
A) Limit fluids to reduce reflux.
B) Give cranberry juice twice a day.
C) Have siblings examined for VUR.
D) Surgery is indicated to reverse scarring.
Q2) What condition is the most common cause of acute renal failure in children?
A) Pyelonephritis
B) Tubular destruction
C) Severe dehydration
D) Upper tract obstruction
Q3) The parents of a child born with ambiguous genitalia tell the nurse that family and friends are asking what caused the baby to be this way. Tests are being done to assist in gender assignment. What should the nurse's intervention include?
A) Explain the disorder so they can explain it to others.
B) Help parents understand that this is a minor problem.
C) Suggest that parents avoid family and friends until the gender is assigned.
D) Encourage parents not to worry while the tests are being done.
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Chapter 26: The Child with Gastrointestinal Dysfunction
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Sample Questions
Q1) The nurse is teaching a parent of a 6-month-old infant with gastroesophageal reflux (GER) before discharge. What instructions should the nurse include? (Select all that apply.)
A) Elevate the head of the bed in the crib to a 90-degree angle while the infant is sleeping.
B) Hold the infant in the prone position after a feeding.
C) Discontinue breastfeeding so that a formula and rice cereal mixture can be used.
D) The infant will require the Nissen fundoplication after 1 year of age.
E) Prescribed cimetidine (Tagamet) should be given 30 minutes before feedings.
Q2) What is the purpose in using cimetidine (Tagamet) for gastroesophageal reflux?
A) The medication reduces gastric acid secretion.
B) The medication neutralizes the acid in the stomach.
C) The medication increases the rate of gastric emptying time.
D) The medication coats the lining of the stomach and esophagus.
Q3) What clinical manifestation should be the most suggestive of acute appendicitis?
A) Rebound tenderness
B) Bright red or dark red rectal bleeding
C) Abdominal pain that is relieved by eating
D) Colicky, cramping, abdominal pain around the umbilicus
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Page 28
Chapter 27: Overview of Oxygen and Carbon Dioxide Exchange
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45 Verified Questions
45 Flashcards
Source URL: https://quizplus.com/quiz/4187
Sample Questions
Q1) The nurse must suction a 6-month-old infant with a tracheostomy. What intervention should be included?
A) Encourage the child to cough to raise the secretions before suctioning.
B) Perform each pass of the suction catheter for no longer than 5 seconds.
C) Allow the child to rest after every five times the suction catheter is passed.
D) Select a catheter with a diameter three quarters of the diameter of the tracheostomy tube.
Q2) What conditions can produce hyperventilation? (Select all that apply.)
A) Hysteria
B) Narcotics
C) Atelectasis
D) Salicylate intoxication
E) Mechanical ventilation
Q3) What test measures the amount of air inhaled and exhaled during any respiratory cycle?
A) Tidal volume
B) Vital capacity
C) Dynamic compliance
D) Pulmonary resistance
29
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Chapter 28: The Child with Respiratory Dysfunction
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72 Verified Questions
72 Flashcards
Source URL: https://quizplus.com/quiz/4188
Sample Questions
Q1) A 3-month-old infant is admitted to the pediatric unit for treatment of bronchiolitis. The infant's vital signs are T, 101.6° F; P, 106 beats/min apical; and R, 70 breaths/min. The infant is irritable and fussy and coughs frequently. IV fluids are given via a peripheral venipuncture. Fluids by mouth were initially contraindicated for what reason?
A) Tachypnea
B) Paroxysmal cough
C) Irritability
D) Fever
Q2) A 4-year-old girl is brought to the emergency department. She has a "froglike" croaking sound on inspiration, is agitated, and is drooling. She insists on sitting upright. The nurse should intervene in which manner?
A) Make her lie down and rest quietly.
B) Examine her oral pharynx and report to the physician.
C) Auscultate her lungs and prepare for placement in a mist tent.
D) Notify the physician immediately and be prepared to assist with a tracheostomy or intubation.
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Chapter 29: The Child with Cardiovascular Dysfunction
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74 Verified Questions
74 Flashcards
Source URL: https://quizplus.com/quiz/4189
Sample Questions
Q1) What action by the school nurse is important in the prevention of rheumatic fever (RF)?
A) Encourage routine cholesterol screenings.
B) Conduct routine blood pressure screenings.
C) Refer children with sore throats for throat cultures.
D) Recommend salicylates instead of acetaminophen for minor discomforts.
Q2) The nurse notices that a child is increasingly apprehensive and has tachycardia after heart surgery. The chest tube drainage is now 8 ml/kg/hr. What should be the nurse's initial intervention?
A) Apply warming blankets.
B) Notify the practitioner of these findings.
C) Give additional pain medication per protocol.
D) Encourage child to cough, turn, and deep breathe.
Q3) A health care provider prescribes furosemide (Lasix), 10 mg intravenously (IV) now, for a child with heart failure. The medication label states: "Furosemide (Lasix) 20 mg/2 ml." The nurse prepares to administer the dose. How many milliliters will the nurse prepare to administer the dose? Fill in the blank. Record your answer in a whole number.
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Chapter 30: The Child with Hematologic or Immunologic Dysfunction
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65 Verified Questions
65 Flashcards
Source URL: https://quizplus.com/quiz/4190
Sample Questions
Q1) What are signs and symptoms of anemia? (Select all that apply.)
A) Pallor
B) Fatigue
C) Dilute urine
D) Bradycardia
E) Muscle weakness
Q2) What pain medication is contraindicated in children with sickle cell disease (SCD)?
A) Meperidine (Demerol)
B) Hydrocodone (Vicodin)
C) Morphine sulfate
D) Ketorolac (Toradol)
Q3) A child with severe anemia requires a unit of red blood cells (RBCs). The nurse explains to the child that the transfusion is necessary for which reason?
A) Allow her parents to come visit her.
B) Fight the infection that she now has.
C) Increase her energy so she will not be so tired.
D) Help her body stop bleeding by forming a clot (scab).
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Chapter 31: The Child with Cancer
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62 Flashcards
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Sample Questions
Q1) What is appropriate mouth care for a toddler with mucosal ulceration related to chemotherapy?
A) Mouthwashes with plain saline
B) Lemon glycerin swabs for cleansing
C) Mouthwashes with hydrogen peroxide
D) Swish and swallow with viscous lidocaine
Q2) An adolescent will receive a bone marrow transplant (BMT). The nurse should explain that the bone marrow will be administered by which method?
A) Bone grafting
B) Intravenous infusion
C) Bone marrow injection
D) Intraabdominal infusion
Q3) Total-body irradiation is indicated for what reason?
A) Palliative care
B) Lymphoma therapy
C) Definitive therapy for leukemia
D) Preparation for bone marrow transplant
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Chapter 32: The Child with Cerebral Dysfunction
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Sample Questions
Q1) The nurse is caring for a child with increased intracranial pressure (ICP). What interventions should the nurse plan for this child? (Select all that apply.)
A) Avoid jarring the bed.
B) Keep the room brightly lit.
C) Keep the bed in a flat position.
D) Administer prescribed stool softeners.
E) Administer a prescribed antiemetic for nausea.
Q2) Impaired decision making
A)Confusion
B)Disorientation
C)Obtundation
D)Stupor
E)Coma
Q3) When taking the history of a child hospitalized with Reye syndrome, the nurse should not be surprised if a week ago the child had recovered from what?
A) Measles
B) Influenza
C) Meningitis
D) Hepatitis
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Page 34
Chapter 33: The Child with Endocrine Dysfunction
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62 Verified Questions
62 Flashcards
Source URL: https://quizplus.com/quiz/4193
Sample Questions
Q1) The nurse is teaching the parent of a preschool child how to administer the child's insulin injection. The child will be receiving 2 units of regular insulin and 12 units of NPH insulin every morning. What should the parent be taught?
A) Draw the insulin in separate syringes.
B) Draw the regular insulin first and then the NPH into the same syringe.
C) Draw the NPH insulin first and then the regular into the same syringe.
D) Check blood sugar first, and if below 120, hold the regular insulin and give the NPH.
Q2) A child will start treatment for central precocious puberty. What synthetic hormone will be injected?
A) Thyrotropin
B) Gonadotropins
C) Somatotropic hormone
D) Luteinizing hormone-releasing hormone
Q3) What clinical manifestation is considered a cardinal sign of diabetes mellitus?
A) Nausea
B) Seizures
C) Impaired vision
D) Frequent urination
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Chapter 34: The Child with Musculoskeletal or Articular Dysfunction
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65 Verified Questions
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Sample Questions
Q1) The nurse is conducting preoperative teaching to parents and their child about an external fixation device. What should the nurse include in the teaching session? (Select all that apply.)
A) Pin care
B) Crutch walking
C) Modifications in activity
D) Observing pin sites for infection
E) Full weight bearing will be allowed after 24 hours
Q2) A 7-year-old child has just had a cast applied for a fractured arm with the wrist and elbow immobilized. What information should be included in the home care instructions?
A) No restrictions of activity are indicated.
B) Elevate casted arm when both upright and resting.
C) The shoulder should be kept as immobile as possible to avoid pain.
D) Swelling of the fingers is to be expected. Notify a health professional if it persists more than 48 hours.
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Chapter 35: The Child with Neuromuscular or Muscular Dysfunction
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59 Verified Questions
59 Flashcards
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Sample Questions
Q1) An adolescent with a spinal cord injury is admitted to a rehabilitation center. Her parents describe her as being angry, hostile, and uncooperative. The nurse should recognize that this is suggestive of which psychosocial state?
A) Normal phase of adolescent development
B) Severe depression that will require long-term counseling
C) Normal response to her situation that can be redirected in a healthy way
D) Denial response to her situation that makes rehabilitative efforts more difficult
Q2) The health care provider has prescribed diazepam (Valium) 0.8 mg/kg/day PO divided q 6 hours for a child with cerebral palsy. The child weighs 110 lb. The nurse is preparing to administer the 1200 dose. Calculate the dose the nurse should administer in milligrams. Record your answer below in a whole number.
Q3) The health care provider has prescribed oxybutynin (Ditropan) 0.2 mg/kg/day
divided bid for a child with myelomeningocele. The child weighs 33 lb. The nurse is preparing to administer the 0900 dose. Calculate the dose the nurse should administer in milligrams. Record your answer below using one decimal place.
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