Pediatric Health Promotion and Maintenance Practice Exam
Course Introduction
This course examines the principles and practices involved in promoting and maintaining health in pediatric populations, from infancy through adolescence. Emphasis is placed on growth and development milestones, risk assessment, immunization schedules, nutrition, and preventative healthcare strategies. Students explore the roles of families, communities, and healthcare providers in fostering environments that support optimal physical, cognitive, and psychosocial development. The course also addresses contemporary issues in pediatric health, including chronic disease prevention, injury reduction, and advocacy for child health policies.
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) The nurse is talking to a group of parents of school-age children at an after-school program about childhood health problems. Which statement should the nurse include in the teaching?
A) Childhood obesity is the most common nutritional problem among children.
B) Immunization rates are the same among children of different races and ethnicity.
C) Dental caries is not a problem commonly seen in children since the introduction of fluoridated water.
D) Mental health problems are typically not seen in school-age children but may be diagnosed in adolescents.
Answer: A
Q2) The school nurse is evaluating the number of school-age children classified as obese. The nurse recognizes that the percentile of body mass index that classifies a child as obese is greater than which?
A) 50th percentile
B) 75th percentile
C) 80th percentile
D) 95th percentile
Answer: D
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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) Persons who have unique cultural, social, and linguistic heritage
A)Race
B)Gender
C)Ethnicity
D)Social class
E)Socialization
Answer: C
Q2) A Hispanic toddler has pneumonia. The nurse notices that the parent consistently feeds the child only the broth that comes on the clear liquid tray. Food items, such as Jell-O, Popsicles, and juices, are left. Which statement best explains this?
A) The parent is trying to feed the child only what the child likes most.
B) Hispanics believe the "evil eye" enters when a person gets cold.
C) The parent is trying to restore normal balance through appropriate "hot" remedies.
D) Hispanics believe an innate energy called chi is strengthened by eating soup.
Answer: C
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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) Parents ask the nurse if there was something that should have been done during the pregnancy to prevent their child's cleft lip. Which statement should the nurse give as a response?
A) "This is a type of deformation and can sometimes be prevented."
B) "Studies show that taking folic acid during pregnancy can prevent this defect."
C) "This is a genetic disorder and has a 25% chance of happening with each pregnancy."
D) "The malformation occurs at approximately 5 weeks of gestation; there is no known way to prevent this."
Answer: D
Q2) A child with Prader-Willi syndrome has been hospitalized. Which assessment findings does the nurse expect with this syndrome?
A) Nonverbal
B) Insatiable hunger
C) Abnormal, puppetlike gait
D) Paroxysms of inappropriate laughter
Answer: B
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5
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 seeing an adolescent and the parents in the clinic for the first time. Which should the nurse do first?
A) Introduce him- or herself.
B) Make the family comfortable.
C) Give assurance of privacy.
D) Explain the purpose of the interview.
Q2) Because children younger than 5 years are egocentric, the nurse should do which when communicating with them?
A) Focus communication on the child.
B) Use easy analogies when possible.
C) Explain experiences of others to the child.
D) Assure the child that communication is private.
Q3) An 8-year-old girl asks the nurse how the blood pressure apparatus works. The most appropriate nursing action is which?
A) Ask her why she wants to know.
B) Determine why she is so anxious.
C) Explain in simple terms how it works.
D) Tell her she will see how it works as it is used.
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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) What is an important consideration when using the FACES pain rating scale with children?
A) Children color the face with the color they choose to best describe their pain.
B) The scale can be used with most children as young as 3 years.
C) The scale is not appropriate for use with adolescents.
D) The FACES scale is useful in pain assessment but is not as accurate as physiologic responses.
Q2) Which nonpharmacologic intervention appears to be effective in decreasing neonatal procedural pain?
A) Tactile stimulation
B) Commercial warm packs
C) Doing procedure during infant sleep
D) Oral sucrose and nonnutritive sucking
Q3) Which are components of the FLACC scale? (Select all that apply.)
A) Color
B) Capillary refill time
C) Leg position
D) Facial expression
E) Activity
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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) The nurse is planning to administer immunizations to a 6-month-old infant. Which interventions should the nurse implement to minimize local reactions from the vaccines? (Select all that apply.)
A) Select a needle length of 1 inch.
B) Administer in the deltoid muscle.
C) Inject the vaccine into the vastus lateralis.
D) Draw the vaccine up from a vial with a filter needle.
E) Change the needle on the syringe after drawing up the vaccine and before injecting.
Q2) What often causes cellulitis?
A) Herpes zoster
B) Candida albicans
C) Human papillomavirus
D) Streptococci or staphylococci
Q3) What is the primary treatment for warts?
A) Vaccination
B) Local destruction
C) Corticosteroids
D) Specific antibiotic therapy
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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) Which is the name of the suture separating the parietal bones at the top of a newborn's head?
A) Frontal
B) Sagittal
C) Coronal
D) Occipital
Q2) The nurse is caring for a patient who has chosen to breastfeed her infant. Which statement should the nurse include when teaching the mother about breastfeeding problems that may occur?
A) "If you experience painful nipples, cleanse your nipples with soap two times per day and keep your nipples covered as much as possible."
B) "If you experience plugged ducts, continue to breastfeed every 2 to 3 hours and alternate feeding positions."
C) "If mastitis occurs, discontinue breastfeeding while taking prescribed antibiotics and apply warm compresses."
D) "If engorgement occurs, use cold compresses before a feeding and wear a well-fitting bra at night."
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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) The nurse is caring for a child after a cleft palate repair who is on a clear liquid diet. Which feeding device should the nurse use to deliver the clear liquid diet?
A) Straw
B) Spoon
C) Sippy cup
D) Open cup
Q2) The nurse is caring for a newborn with Erb palsy. The nurse understands that which reflex is absent with this condition?
A) Root reflex
B) Suck reflex
C) Grasp reflex
D) Moro reflex
Q3) The nurse is caring for an infant with hemolytic disease. Which medication should the nurse anticipate to be prescribed to decrease the bilirubin level?
A) Phenytoin (Dilantin)
B) Valproic acid (Depakene)
C) Carbamazepine (Tegretol)
D) Phenobarbital (Phenobarbital)
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10
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 caring for a high-risk neonate who has an umbilical catheter and is in a radiant warmer. The nurse notes blanching of the feet. Which is the most appropriate nursing action?
A) Place socks on the infant's feet.
B) Elevate the infant's feet 15 degrees.
C) Wrap the infant's feet loosely in a prewarmed blanket.
D) Report the findings immediately to the practitioner.
Q2) Which is a central factor responsible for respiratory distress syndrome in a newborn?
A) Absence of alveoli
B) Immature bronchioles
C) Overdeveloped alveoli
D) Deficient surfactant production
Q3) What does the nursing care for infants with fetal alcohol syndrome (FAS) include?
A) Nutritional guidance
B) An intensive stimulation program
C) Facilitation of improvement in cardiovascular status
D) An individualized program based on maternal alcohol consumption
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11
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) The nurse is performing an assessment on a 12-month-old infant. Which fine or gross motor developmental skill demonstrates the proximodistal acquisition of skills?
A) Standing
B) Sitting without assistance
C) Fully developed pincer grasp
D) Taking a few steps holding onto something
Q2) At which age do most infants begin to fear strangers?
A) 2 months
B) 4 months
C) 6 months
D) 12 months
Q3) The nurse is providing anticipatory guidance to the parents of a 1-month-old infant on preventing a suffocation injury. Which should the nurse include in the teaching?
(Select all that apply.)
A) Do not place pillows in the infant's crib.
B) Crib slats should be 4 inches or less apart.
C) Keep all plastic bags stored out of the infant's reach.
D) Plastic over the mattress is acceptable if it is covered with a sheet.
E) A pacifier should not be tied on a string around the infant's neck.
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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) What may a clinical manifestations of failure to thrive (FTT) in a 13-month-old include?
A) Irregularity in activities of daily living
B) Preferring solid food to milk or formula
C) Weight that is at or below the 10th percentile
D) Appropriate achievement of developmental landmarks
Q2) The nurse is teaching parents about potential causes of colic in infancy. Which should the nurse include in the teaching session? (Select all that apply.)
A) Overeating
B) Understimulation
C) Frequent burping
D) Parental smoking
E) Swallowing excessive air
Q3) Rickets is caused by a deficiency in what?
A) Vitamin A
B) Vitamin C
C) Folic acid and iron
D) Vitamin D and calcium
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13
Chapter 12: Health Promotion of the Toddler and Family
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49 Verified Questions
49 Flashcards
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Sample Questions
Q1) The nurse is assessing a 20-month-old toddler during a well-child visit and notices tooth decay. The nurse should understand that early childhood caries are caused by what?
A) Allowing the child to eat citrus foods at bedtime
B) A hereditary factor that cannot be prevented
C) Poor fluoride supply in the drinking water
D) Giving the child a bottle of juice or milk at naptime
Q2) The nurse is teaching a parent of an 18-month-old about developmental milestones associated with feeding. What should the nurse include in the teaching? (Select all that apply.)
A) The child will begin to use a fork.
B) The child will be able use a straw and cup.
C) The child will be able to hold a cup with both hands.
D) The child will be able to drink from a cup with a lid.
E) The child will begin to use a spoon but may turn it before reaching the mouth.
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14
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 nurse has just given a subcutaneous injection to a preschool child, and the child asks for a Band-Aid over the site. Which action should the nurse implement?
A) Place a Band-Aid over the site.
B) Massage the injection site with an alcohol swab.
C) Show the child there is no bleeding from the site.
D) Explain that a Band-Aid is not needed after a subcutaneous injection.
Q2) A child age 4 1/2 years sometimes wakes her parents up at night screaming, thrashing, sweating, and apparently frightened, yet she is not aware of her parents' presence when they check on her. She lies down and sleeps without any parental intervention. This is most likely what?
A) Nightmare
B) Sleep terror
C) Sleep apnea
D) Seizure activity
Q3) What signals the resolution of the Oedipus or Electra complex?
A) Learns sex differences
B) Learns sexually appropriate behavior
C) Identifies with the same-sex parent
D) Has guilt over feelings toward the father or mother
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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 health care provider prescribes flumazenil (Romazion), 0.2 mg IV once, stat for a benzodiazepine poisoning. The medication label states: "Flumazenil (Romazion), 1 mg/10 ml." The nurse prepares to administer the dose. How many milliliters will the nurse prepare to administer one dose? Fill in the blank. Record your answer in a whole number.
Q2) What are classified as hydrocarbon poisons? (Select all that apply.)
A) Bleach
B) Gasoline
C) Turpentine
D) Lighter fluid
E) Oven cleaners
Q3) The nurse suspects that a child has ingested some type of poison. What clinical manifestation would be most suggestive that the poison was a corrosive product?
A) Tinnitus
B) Disorientation
C) Stupor, lethargy, and coma
D) Edema of the lips, tongue, and pharynx
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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 nurse is developing a teaching pamphlet for parents of school-age children. What anticipatory guidelines should the nurse include in the pamphlet?
A) At age 6 years, parents should be certain that the child is reading independently with books provided by school.
B) At age 8 years, parents should expect a decrease in involvement with peers and outside activities.
C) At age 10 years, parents should expect a decrease in admiration of the parents with little interest in parent-child activities.
D) At age 12 years, parents should be certain that the child's sex education is adequate with accurate information.
Q2) The school nurse has been asked to begin teaching sex education in the fifth grade. What should the nurse recognize?
A) Questions need to be discouraged in this setting.
B) Most children in the fifth grade are too young for sex education.
C) Sexuality is presented as a normal part of growth and development.
D) Correct terminology should be reserved for children who are older.
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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) Forcible pulling out or extraction of tissue
A)Abrasion
B)Avulsion
C)Laceration
D)Incision
E)Puncture
Q3) Absence of sensation
A)Pruritus
B)Anesthesia
C)Hyperesthesia
D)Hypesthesia
E)Paresthesia
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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) What is true concerning masturbation during adolescence?
A) Homosexuality is encouraged by the practice of masturbation.
B) Many girls do not begin masturbation until after they have intercourse.
C) Masturbation at an early age leads to sexual intercourse at an earlier age.
D) Development of intimate relationships is delayed when masturbation is regularly practiced.
Q2) A 16-year-old adolescent boy tells the school nurse that he is gay. The nurse's response should be based on what?
A) He is too young to have had enough sexual activity to determine this.
B) The nurse should feel open to discussing his or her own beliefs about homosexuality.
C) Homosexual adolescents do not have concerns that differ from those of heterosexual adolescents.
D) It is important to provide a nonthreatening environment in which he can discuss this.
Q3) According to Erikson, the psychosocial task of adolescence is developing what?
A) Identity
B) Intimacy
C) Initiative
D) Independence
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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) The clinic nurse is evaluating an adolescent with menses that have stopped occurring. The nurse understands that which minimum amount of time should the menses be absent after a period of menstruation to be diagnosed as secondary amenorrhea?
A) 3 months
B) 4 months
C) 5 months
D) 6 months
Q2) 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
Q3) What is a major physical risk for young adolescents during pregnancy?
A) Osteoporosis frequently develops.
B) Fetopelvic disproportion is a common problem.
C) Delivery is usually precipitous in this age group.
D) Pregnancy will adversely affect the adolescent's development.
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Page 20
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) A loss or abnormality of structure or function
A)Chronic illness
B)Congenital disability
C)Developmental disability
D)Impairment
E)Special needs
Q2) A condition requiring assistance for disabilities that may be medical, mental, or psychological
A)Chronic illness
B)Congenital disability
C)Developmental disability
D)Impairment
E)Special needs
Q3) What is the major health concern of children in the United States?
A) Acute illness
B) Chronic illness
C) Congenital disabilities
D) Nervous system disorders
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Chapter 20: Family-Centered Palliative Care
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38 Verified Questions
38 Flashcards
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Sample Questions
Q1) What does the nurse recognize as physical signs of approaching death? (Select all that apply.)
A) Mottling of skin
B) Decreased sleeping
C) Cheyne-Stokes respirations
D) Loss of the sense of hearing
E) Decreased appetite and thirst
Q2) Several nurses tell their nursing supervisor that they want to attend the funeral of a child for whom they had cared. They say they felt especially close to both the child and the family. The supervisor should recognize that attending the funeral serves what purpose?
A) It is improper because it increases burnout.
B) It is inappropriate because it is unprofessional.
C) It is proper because families expect this expression of concern.
D) It is appropriate because it can assist in the resolution of personal grief.
Q3) When is an autopsy required?
A) In the case of a suspected suicide
B) When a person has a known terminal illness
C) With a hospice patient who dies at home
D) With the victim of a motor vehicle collision
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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 newborn assessment shows a separated sagittal suture, oblique palpebral fissures, a depressed nasal bridge, a protruding tongue, and transverse palmar creases. These findings are most suggestive of which condition?
A) Microcephaly
B) Cerebral palsy
C) Down syndrome
D) Fragile X syndrome
Q2) Different refractive strength in each eye
A)Myopia
B)Hyperopia
C)Astigmatism
D)Anisometropia
E)Amblyopia
Q3) What observation in a child should indicate the need for a referral to a specialist regarding a communication impairment?
A) At 2 years of age, the child fails to respond consistently to sounds.
B) At 3 years of age, the child fails to use sentences of more than five words.
C) At 4 years of age, the child has impaired sentence structure.
D) At 5 years of age, the child has poor voice quality.
Page 23
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Chapter 22: Family-Centered Care of the Child During
Illness and Hospitalization
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43 Verified Questions
43 Flashcards
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Sample Questions
Q1) Cognitive development influences response to pain. What age group is most concerned with the fear of losing control during a painful experience?
A) Toddlers
B) Preschoolers
C) School-age children
D) Adolescents
Q2) The nurse is providing support to parents adapting to the hospitalization of their child to the pediatric intensive care unit. The nurse notices that the parents keep asking the same questions. What should the nurse do?
A) Patiently continue to answer questions, trying different approaches.
B) Kindly refer them to someone else for answering their questions.
C) Recognize that some parents cannot understand explanations.
D) Suggest that they ask their questions when they are not upset.
Q3) The psychosexual conflicts of preschool children make them extremely vulnerable to which threat?
A) Loss of control
B) Loss of identity
C) Separation anxiety
D) Bodily injury and pain
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Chapter 23: Pediatric Nursing Interventions and Skills
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Sample Questions
Q1) A 2-year-old child has to receive Rocephin IM injections every 12 hours. What nursing intervention should be implemented for the child?
A) Hold the child while rocking in a chair after each injection.
B) Prepare the child several hours before the injection is given.
C) Allow the child to watch a younger child receive an injection.
D) Encourage the child to draw a picture of the pain experienced when an injection is given.
Q2) A 14-year-old adolescent is hospitalized with cystic fibrosis. What nursing note entry represents best documentation of his breakfast meal?
A) Tolerated breakfast well
B) Finished all of breakfast ordered
C) One pancake, eggs, and 240 ml OJ
D) No documentation is needed for this age child.
Q3) What disease processes require airborne precautions? (Select all that apply.)
A) Measles
B) Varicella
C) Pertussis
D) Meningitis
E) Tuberculosis
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Page 25
Chapter 24: The Child with Fluid and Electrolyte Imbalance
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65 Verified Questions
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Sample Questions
Q1) The presence of which pair of factors is a good predictor of a fluid deficit of at least 5% in an infant?
A) Weight loss and decreased heart rate
B) Capillary refill of less than 2 seconds and no tears
C) Increased skin elasticity and sunken anterior fontanel
D) Dry mucous membranes and generally ill appearance
Q2) What is the most frequent cause of hypovolemic shock in children?
A) Sepsis
B) Blood loss
C) Anaphylaxis
D) Heart failure
Q3) The nurse determines that a child's intravenous infusion has infiltrated. The infused solution is a vesicant. What is the most appropriate nursing action?
A) Stop the infusion and apply ice.
B) End the infusion and notify the practitioner.
C) Slow the infusion rate and notify the practitioner.
D) Discontinue the infusion and apply warm compresses.
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Chapter 25: The Child with Renal Dysfunction
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Sample Questions
Q1) For minimal change nephrotic syndrome (MCNS), prednisone is effective when what occurs?
A) Appetite increases and blood pressure is normal
B) Urinary tract infection is gone and edema subsides
C) Generalized edema subsides and blood pressure is normal
D) Diuresis occurs as urinary protein excretion diminishes
Q2) Inflammation of the bladder
A)Persistent urinary tract infection
B)Cystitis
C)Urethritis
D)Pyelonephritis
E)Urosepsis
Q3) Inflammation of the upper urinary tract and kidneys
A)Persistent urinary tract infection
B)Cystitis
C)Urethritis
D)Pyelonephritis
E)Urosepsis
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Chapter 26: The Child with Gastrointestinal Dysfunction
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Sample Questions
Q1) A child with pyloric stenosis is having excessive vomiting. The nurse should assess for what potential complication?
A) Hyperkalemia
B) Hyperchloremia
C) Metabolic acidosis
D) Metabolic alkalosis
Q2) The nurse is caring for a child with celiac disease. The nurse understands that what may precipitate a celiac crisis? (Select all that apply.)
A) Exercise
B) Infections
C) Fluid overload
D) Electrolyte depletion
E) Emotional disturbance
Q3) What procedure is most appropriate for assessment of an abdominal circumference related to a bowel obstruction?
A) Measuring the abdomen after feedings
B) Marking the point of measurement with a pen
C) Measuring the circumference at the symphysis pubis
D) Using a new tape measure with each assessment to ensure accuracy
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Page 28
Chapter 27: Overview of Oxygen and Carbon Dioxide Exchange
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Sample Questions
Q1) How much oxygen is contained in ambient air (room air)?
A) 15%
B) 21%
C) 30%
D) 42%
Q2) What condition or disease decreases lung compliance? (Select all that apply.)
A) Asthma
B) Atelectasis
C) Pneumothorax
D) Pulmonary edema
E) Lobar emphysema
Q3) The nurse is caring for a 4-year-old child who is receiving 2 L of oxygen per nasal cannula. What disadvantage should the nurse consider when planning care for the child?
A) The child may need to have high humidity administered with the oxygen.
B) The child may not be able to eat and drink comfortably.
C) A nasal cannula may cause an accumulation of moisture on the face.
D) A nasal cannula may cause abdominal distention.
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Chapter 28: The Child with Respiratory Dysfunction
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Sample Questions
Q1) A term infant is delivered, and before delivery, the medical team was notified that a congenital diaphragmatic hernia (CDH) was diagnosed on ultrasonography. What should be done immediately at birth if respiratory distress is noted?
A) Give oxygen.
B) Suction the infant.
C) Intubate the infant.
D) Ventilate the infant with a bag and mask.
Q2) What drug is usually given first in the emergency treatment of an acute, severe asthma episode in a young child?
A) Ephedrine
B) Theophylline
C) Aminophylline
D) Short-acting \(\beta_{2}\)-agonists
Q3) An infant with a congenital heart defect is to receive a dose of palivizumab (Synagis). What is the purpose of this?
A) Prevent RSV infection.
B) Prevent secondary bacterial infection.
C) Decrease toxicity of antiviral agents.
D) Make isolation of infant with RSV unnecessary.
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Page 30
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) Represents the time that the ventricles are in the absolute refractory period
A)P wave
B)QRS complex
C)T wave
D)Q-T interval
E)ST segment
Q2) The nurse is caring for a child with persistent hypoxia secondary to a cardiac defect. The nurse recognizes the risk of cerebrovascular accidents (strokes) occurring. What strategy is an important objective to decrease this risk?
A) Minimize seizures.
B) Prevent dehydration.
C) Promote cardiac output.
D) Reduce energy expenditure.
Q3) A health care provider prescribes acetaminophen (Tylenol) gtt, 10 mg/kg/dose PO every 4 to 6 hours as needed for fever for a child with rheumatic fever. The child weighs 8 kg. The medication label states: "Acetaminophen 80 mg/0.8 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.
________________
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Page 31
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) The clinical manifestations of sickle cell anemia (SCA) are primarily the result of which physiologic alteration?
A) Decreased blood viscosity
B) Deficiency in coagulation
C) Increased red blood cell (RBC) destruction
D) Greater affinity for oxygen
Q2) For children who do not have a matched sibling bone marrow donor, the therapeutic management of aplastic anemia includes what intervention?
A) Antibiotics
B) Antiretroviral drugs
C) Iron supplementation
D) Immunosuppressive therapy
Q3) What statement best describes b-thalassemia major (Cooley anemia)?
A) It is an acquired hemolytic anemia.
B) Inadequate numbers of red blood cells (RBCs) are present.
C) Increased incidence occurs in families of Mediterranean extraction.
D) It commonly occurs in individuals from West Africa.
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Page 32
Chapter 31: The Child with Cancer
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62 Verified Questions
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Source URL: https://quizplus.com/quiz/4191
Sample Questions
Q1) A health care provider prescribes ondansetron (Zofran) 0.15 mg/kg intravenously (IV) 30 minutes before chemotherapy for a child with acute lymphoblastic leukemia. The child weighs 22 kg. The medication label states: "Ondansetron (Zofran) 2 mg/1 ml." The nurse prepares to administer the dose. How many milliliters will the nurse prepare to administer the dose? Fill in the blank. Round your answer to one decimal place.
Q2) A parent tells the nurse that 80% of children with the same type of leukemia as his son's have a 5-year survival. He believes that because another child on the same protocol as his son has just died, his son now has a better chance of success. What is the best response by the nurse?
A) "It is sad for the other family but good news for your child."
B) "Each child has an 80% likelihood of 5-year survival."
C) "The data suggest that 20% of the children in the clinic will die. There are still many hurdles for your son."
D) "You should avoid the grieving family because you will be benefiting from their loss."
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Chapter 32: The Child with Cerebral Dysfunction
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73 Verified Questions
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Source URL: https://quizplus.com/quiz/4192
Sample Questions
Q1) The health care provider has prescribed valproic acid (Depakene) 30 mg/kg/day divided bid for a child with a seizure disorder. The child weighs 77 lb. The nurse is preparing to administer the 0900 dose. Calculate the dose the nurse should administer in milligrams. Record your answer below in a whole number.
Q2) A school-age child has sustained a head injury and multiple fractures after being thrown from a horse. The child's level of consciousness is variable. The parents tell the nurse that they think their child is in pain because of periodic crying and restlessness. What is the most appropriate nursing action?
A) Explain that analgesia is contraindicated with a head injury.
B) Have the parents describe the child's previous experiences with pain.
C) Consult with a practitioner about what analgesia can be safely administered.
D) Teach the parents that analgesia is unnecessary when the child is not fully awake and alert.
Q3) What clinical manifestations suggest hydrocephalus in an infant?
A) Closed fontanel and high-pitched cry
B) Bulging fontanel and dilated scalp veins
C) Constant low-pitched cry and restlessness
D) Depressed fontanel and decreased blood pressure
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Page 34
Chapter 33: The Child with Endocrine Dysfunction
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Source URL: https://quizplus.com/quiz/4193
Sample Questions
Q1) A goiter is an enlargement or hypertrophy of which gland?
A) Thyroid
B) Adrenal
C) Anterior pituitary
D) Posterior pituitary
Q2) The nurse is planning to admit an 8-year-old child with hypoparathyroidism. What clinical manifestations should the nurse expect to observe in this child? (Select all that apply.)
A) Muscle cramps
B) Positive Chvostek sign
C) Emotional lability
D) Laryngeal spasms
E) Short attention span
Q3) The nurse is discussing with a child and family the various sites used for insulin injections. What site usually has the fastest rate of absorption?
A) Arm
B) Leg
C) Buttock
D) Abdomen
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Page 35
Chapter 34: The Child with Musculoskeletal or Articular Dysfunction
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Source URL: https://quizplus.com/quiz/4194
Sample Questions
Q1) The nurse is caring for an immobilized preschool child. What intervention is helpful during this period of immobilization?
A) Encourage wearing pajamas.
B) Let the child have few behavioral limitations.
C) Keep the child away from other immobilized children if possible.
D) Take the child for a "walk" by wagon outside the room.
Q2) What is the recommended drink for athletes during practice and competition?
A) Sports drinks to replace carbohydrates
B) Cold water for gastrointestinal tract rapid absorption
C) Carbonated beverages to help with acid-base balance
D) Enhanced performance carbohydrate-electrolyte drinks
Q3) Crosswise at right angles to the long axis of the bone
A)Transverse
B)Oblique
C)Spiral
D)Comminuted
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36
Chapter 35: The Child with Neuromuscular or Muscular Dysfunction
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59 Verified Questions
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Source URL: https://quizplus.com/quiz/4195
Sample Questions
Q1) A 4-month-old with significant head lag meets the criteria for floppy infant syndrome. A diagnosis of progressive infantile spinal muscular atrophy (Werdnig-Hoffmann disease) is made. What should be included in the nursing care for this child?
A) Infant stimulation program
B) Stretching exercises to decrease contractures
C) Limited physical contact to minimize seizures
D) Encouraging parents to have additional children
Q2) The parents of an infant with cerebral palsy (CP) ask the nurse if their child will have cognitive impairment. The nurse's response should be based on which knowledge?
A) Affected children have some degree of cognitive impairment.
B) Around 20% of affected children have normal intelligence.
C) About 45% of affected children have normal intelligence.
D) Cognitive impairment is expected if motor and sensory deficits are severe.
Q3) What is a major goal of therapy for children with cerebral palsy (CP)?
A) Cure the underlying defect causing the disorder.
B) Reverse the degenerative processes that have occurred.
C) Prevent the spread to individuals in close contact with the child.
D) Recognize the disorder early and promote optimum development.
Page 37
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