Pediatric Nursing Pre-Test Questions
Course Introduction
Pediatric Nursing explores the specialized care of infants, children, and adolescents, focusing on their unique physiological, psychological, and developmental needs. The course covers principles of growth and development, family-centered care, communication with children and families, and the management of common pediatric illnesses and conditions. Students learn about health promotion, disease prevention, and therapeutic interventions tailored to this population, as well as legal, ethical, and cultural considerations in pediatric nursing practice. Hands-on clinical experiences and case studies prepare students to provide holistic, evidence-based care in a variety of pediatric healthcare settings.
Recommended Textbook Wongs Essentials of Pediatric Nursing 9th Edition by Marilyn J. Hockenberry
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32 Chapters
1176 Verified Questions
1176 Flashcards
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Chapter 1: Perspectives of Pediatric Nursing
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) Which behaviors by the nurse indicate a therapeutic relationship with children and families? (Select all that apply.)
A)Spending off-duty time with children and families
B)Asking questions if families are not participating in the care
C)Clarifying information for families
D)Buying toys for a hospitalized child
E)Learning about the family's religious preferences
Answer: B,C,E
Q2) Which is now referred to as the "new morbidity"?
A)Limitations in the major activities of daily living
B)Unintentional injuries that cause chronic health problems
C)Discoveries of new therapies to treat health problems
D)Behavioral, social, and educational problems that alter health
Answer: D
Q3) Which is the leading cause of death in infants younger than 1 year?
A)Congenital anomalies
B)Sudden infant death syndrome
C)Respiratory distress syndrome
D)Bacterial sepsis of the newborn
Answer: A
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Chapter 2: Community-Based Nursing Care of the Child and Family
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7 Verified Questions
7 Flashcards
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Sample Questions
Q1) Which term best describes the identification of the distribution and causes of disease,injury,or illness?
A)Nursing process
B)Epidemiologic process
C)Community-based statistics
D)Mortality and morbidity statistics
Answer: B
Q2) A nurse is establishing several health programs,such as bicycle safety,to improve the health status of a target population.This describes which step in the community nursing process?
A)Planning
B)Evaluation
C)Assessment
D)Implementation
Answer: D
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Page 4
Chapter 3: Family Influences on Child Health Promotion
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) A nurse is admitting a child,in foster care,to the hospital.The nurse recognizes that foster parents care for the child _____ hours a day.(Record your answer as a whole number.)
Answer: 24
The term foster care is defined as 24-hour substitute care for children outside of their own homes.
Q2) Which is most characteristic of the physical punishment of children,such as spanking?
A)Psychological impact is usually minimal.
B)Children rarely become accustomed to spanking.
C)Children's development of reasoning increases.
D)Misbehavior is likely to occur when parents are not present.
Answer: D
Q3) Which is the term for a family in which the paternal grandmother,the parents,and two minor children live together?
A)Blended
B)Nuclear
C)Binuclear
D)Extended
Answer: D
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Chapter 4: Social,Cultural,and Religious Influences on Child
Health Promotion
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) The Vietnamese mother of a child being seen in the clinic avoids eye contact with the nurse.The best explanation for this,considering cultural differences,is that the parent:
A)feels responsible for her child's illness.
B)feels inferior to the nurse.
C)is embarrassed to seek health care.
D)is showing respect for the nurse.
Q2) Which term best describes a group of people who share a set of values,beliefs,practices,social relationships,law,politics,economics,and norms of behavior?
A)Race
B)Culture
C)Ethnicity
D)Social group
Q3) Currently,the fastest-growing segment of the homeless population in the United States consists of:
A)families.
B)"runaway" adolescents.
C)migrant farm workers.
D)individuals with mental disorders.
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Chapter 5: Developmental and Genetic Influences on Child
Health Promotion
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) A mother reports that her 6-year-old child is highly active,irritable,and irregular in habits and that the child adapts slowly to new routines,people,or situations.The nurse should chart this type of temperament as:
A)easy.
B)difficult.
C)slow-to-warm.
D)fast-to-warm.
Q2) Parents are asking the clinic nurse about an appropriate toy for their toddler.Which response by the nurse is appropriate?
A)"Your child would enjoy playing a board game."
B)"A toy your child can push or pull would help develop muscles."
C)"An action figure toy would be a good choice."
D)"A 25-piece puzzle would help your child develop recognition of shapes."
Q3) In which type of play are children engaged in similar or identical activity,without organization,division of labor,or mutual goal?
A)Solitary
B)Parallel
C)Associative
D)Cooperative
Page 7
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Chapter 6: Communication and Physical Assessment of the Child
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62 Verified Questions
62 Flashcards
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Sample Questions
Q1) Where in the health history should the nurse describe all details related to the chief complaint?
A)Past history
B)Chief complaint
C)Present illness
D)Review of systems
Q2) The nurse is interviewing the mother of an infant.She reports,"I had a difficult delivery,and my baby was born prematurely." This information should be recorded under which of the following headings?
A)Past history
B)Present illness
C)Chief complaint
D)Review of systems
Q3) Which is most likely to encourage parents to talk about their feelings related to their child's illness?
A)Be sympathetic.
B)Use direct questions.
C)Use open-ended questions.
D)Avoid periods of silence.
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Chapter 7: Pain Assessment and Management in Children
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) A nurse is gathering a history on a school-age child admitted for a migraine headache.The child states,"I have been getting a migraine every 2 or 3 months for the last year." The nurse documents this as which type of pain?
A)Acute
B)Chronic
C)Recurrent
D)Subacute
Q2) A nurse is using the FLACC scale to evaluate pain in a preverbal child.The nurse makes the following assessment: Face: occasional grimace; Leg: relaxed; Activity: squirming,tense; Cry: no cry; Consolability: content,relaxed.The nurse records the FLACC assessment as which number? (Record your answer as a whole number.)
Q3) Nonpharmacologic strategies for pain management:
A)may reduce pain perception.
B)make pharmacologic strategies unnecessary.
C)usually take too long to implement.
D)trick children into believing they do not have pain.
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Chapter 8: Health Promotion of the Newborn and Family
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46 Verified Questions
46 Flashcards
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Sample Questions
Q1) Which is a function of brown adipose tissue (BAT)in the newborn?
A)Provides ready source of calories in the newborn period
B)Insulates the body against lowered environmental temperature
C)Protects the newborn from injury during the birth process
D)Generates heat for distribution to other parts of body
Q2) The stump of the umbilical cord usually separates in how many days?
A)3
B)10 to 14
C)16 to 20
D)28
Q3) Where would nonpathologic cyanosis normally be present in the newborn shortly after birth?
A)Feet and hands
B)Bridge of nose
C)Circumoral area
D)Mucous membranes
Q4) A nurse is preparing to administer a prescribed phytonadione (vitamin K)injection
0.5 mg intramuscularly to a newborn.The phytonadione (vitamin K)ampule is labeled 1 mg equals 0.5 ml.How many milliliters will the nurse administer? Record your answer using two decimal places.
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Chapter 9: Health Problems of Newborns
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71 Verified Questions
71 Flashcards
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Sample Questions
Q1) Which is an important nursing action related to the use of tape and/or adhesives on premature newborns?
A)Avoid using tape and adhesives until skin is more mature.
B)Use solvents to remove tape and adhesives instead of pulling on skin.
C)Remove adhesives with warm water or mineral oil.
D)Use scissors carefully to remove tape instead of pulling tape off.
Q2) A nurse is reviewing acid-base laboratory data on a newborn admitted to the NICU for meconium aspiration.Which laboratory values should the nurse report to the physician? (Select all that apply.)
A)pH: 7.35
B)PCO<sub>2</sub> : 49
C)HCO<sub>3</sub>-: 30
D)PaO<sub>2</sub>: 96
Q3) Which is an important nursing consideration in the care of the newborn with PKU?
A)Suggest ways to make formula more palatable.
B)Teach proper administration of phenylalanine hydroxylase.
C)Encourage the breastfeeding mother to adhere to low-phenylalanine diet.
D)Give reassurance that dietary restrictions are a temporary inconvenience.
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11
Chapter 10: Health Promotion of the Infant and Family
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44 Verified Questions
44 Flashcards
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Sample Questions
Q1) A parent asks the nurse "at what age do most infants begin to fear strangers?" The nurse should give which response?
A)2 months
B)4 months
C)6 months
D)12 months
Q2) The nurse is interviewing the father of a 10-month-old infant.She is playing on the floor when she notices an electric outlet and reaches up to touch it.Her father says "no" firmly and removes her from near the outlet.The nurse should use this opportunity to teach the father that the infant:
A)is old enough to understand the word "no."
B)is too young to understand the word "no."
C)should already know that electric outlets are dangerous.
D)will learn safety issues better if she is spanked.
Q3) Austin,age 6 months,has six teeth.The nurse should recognize that this is:
A)normal tooth eruption.
B)delayed tooth eruption.
C)unusual and dangerous.
D)earlier-than-normal tooth eruption.
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Page 12
Chapter 11: Health Problems of Infants
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) Recent studies indicate that a deficiency of which vitamin correlates with increased morbidity and mortality in children with measles?
A)A
B)C
C)Niacin
D)Folic acid
Q2) Parents report that they have been giving a multivitamin to their 1-year-old infant.The nurse counsels the parents that which vitamin can cause a toxic reaction at a low dose?
A)Niacin
B)B6
C)D
D)C
Q3) Clinical manifestations of failure to thrive caused by behavioral problems resulting in inadequate intake of calories include:
A)avoidance of eye contact.
B)an associated malabsorption defect.
C)weight that falls below the 15th percentile.
D)normal achievement of developmental landmarks.
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Page 13
Chapter 12: Health Promotion of the Toddler and Family
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) A nurse is planning care for a 17-month-old child.According to Piaget,which stage should the nurse expect the child to be in cognitively?
A)Trust
B)Preoperational
C)Secondary circular reaction
D)Tertiary circular reaction
Q2) Although a 14-month-old girl received a shock from an electric outlet recently,her parent finds her about to place a paper clip in another outlet.Which is the best interpretation of this behavior?
A)Her cognitive development is delayed.
B)This is typical behavior because toddlers are not very developed.
C)This is typical behavior because of the inability to transfer knowledge to new situations.
D)This is not typical behavior because toddlers should know better than to repeat an act that caused pain.
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14
Chapter 13: Health Promotion of the Preschooler and Family
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) Which characteristic best describes the language of a 3-year-old child?
A)Asks meanings of words
B)Follows directional commands
C)Describes an object according to its composition
D)Talks incessantly regardless of whether anyone is listening
Q2) A nurse,instructing parents of a hospitalized preschool child,explains that which is descriptive of the preschooler's understanding of time?
A)Has no understanding of time
B)Associates time with events
C)Can tell time on a clock
D)Uses terms like "yesterday" appropriately
Q3) Imaginary playmates are beneficial to the preschool child because they:
A)take the place of social interactions.
B)take the place of pets and other toys.
C)become friends in times of loneliness.
D)accomplish what the child has already successfully accomplished.
Q4) The recommendation for calcium for children 1 to 3 years of age is _____ milligrams.(Record your answer in a whole number.)
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Page 15
Chapter 14: Health Problems of Toddlers and Preschoolers
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) Which describes a child who is abused by the parent(s)?
A)Unintentionally contributes to the abusing situation
B)Belongs to a low socioeconomic population
C)Is healthier than the nonabused siblings
D)Abuses siblings in the same way as child is abused by the parent(s)
Q2) Which is a clinical manifestation of acetaminophen poisoning?
A)Hyperpyrexia
B)Hepatic involvement
C)Severe burning pain in stomach
D)Drooling and inability to clear secretions
Q3) A nurse is admitting a child to the hospital with a diagnosis of giardiasis.Which medication should the nurse expect to be prescribed?
A)Metronidazole (Flagyl)
B)Amoxicillin clavulanate (Augmentin)
C)Clarithromycin (Biaxin)
D)Prednisone (Orapred)
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16
Chapter 15: Health Promotion of the School-Age Child and Family
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) A nurse is planning care for a 7-year-old child hospitalized with osteomyelitis.Which activities should the nurse plan to bring from the playroom for the child? (Select all that apply.)
A)Paper and some paints
B)Board games
C)Jack-in-the-box
D)Stuffed animals
E)Computer games
Q2) A school nurse observes school-age children playing at recess.Which is descriptive of the play the nurse expects to observe?
A)Individuality in play is better tolerated than at earlier ages.
B)Knowing the rules of a game gives an important sense of belonging.
C)They like to invent games, making up the rules as they go.
D)Team play helps children learn the universal importance of competition and winning.
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17
Chapter 16: Health Promotion of the Adolescent and Family
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) A school nurse is teaching a group of preadolescent girls about puberty.Which is the mean age of menarche for girls in the United States?
A)11 1/2 years
B)12 3/4 years
C)13 1/2 years
D)14 years
Q2) Parents are concerned about the number of hours their teenage daughter spends with peers.The nurse explains that peer relationships are important during adolescence for which reason?
A)Adolescents dislike their parents.
B)Adolescents no longer need parental control.
C)They provide adolescents with a feeling of belonging.
D)They promote a sense of individuality in adolescents.
Q3) A young adolescent boy tells the nurse he "feels gawky." The nurse should explain that this occurs in adolescents because of:
A)growth of the extremities and neck precedes growth in other areas.
B)growth is in the trunk and chest.
C)the hip and chest breadth increases.
D)the growth spurt occurs earlier in boys than it does in girls.
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Page 18
Chapter 17: Health Problems of School-Age Children and
Adolescents
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43 Verified Questions
43 Flashcards
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Sample Questions
Q1) Turner syndrome is suspected in an adolescent girl with short stature.This is caused by:
A)absence of one of the X chromosomes.
B)presence of an incomplete Y chromosome.
C)precocious puberty in an otherwise healthy child.
D)excess production of both androgens and estrogens.
Q2) Parents have a concern that their child is depressed.The nurse relates that which characteristic best describes children with depression?
A)Increased range of affective response
B)Preoccupation with need to perform well in school
C)Change in appetite, resulting in weight loss or gain
D)Tendency to prefer play instead of schoolwork
Q3) Which is descriptive of central nervous system stimulants?
A)They produce strong physical dependence.
B)They can result in strong psychological dependence.
C)Withdrawal symptoms are life threatening.
D)Acute intoxication can lead to coma.
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Page 19
Chapter 18: Quality of Life for Children Living with Chronic or Complex Diseases
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40 Verified Questions
40 Flashcards
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Sample Questions
Q1) The nurse is providing support to parents at the time their child is diagnosed with chronic disabilities.The nurse notices that the parents keep asking the same questions.What is the nurse's best intervention?
A)Patiently continue to answer questions.
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.
Q2) Which are appropriate statements the nurse should make to parents after the death of their child? (Select all that apply.)
A)"We feel so sorry that we couldn't save your child."
B)"Your child isn't suffering anymore."
C)"I know how you feel."
D)"You're feeling all the pain of losing a child."
E)"You are still young enough to have another baby."
Q3) Which is most descriptive of a school-age child's reaction to death?
A)Is very interested in funerals and burials
B)Has little understanding of words such as forever
C)Imagines the deceased person to be still alive
D)Has an idealistic view of world and criticizes funerals as barbaric
Page 20
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Chapter 19: Impact of Cognitive or Sensory Impairment on the Child and Family
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38 Verified Questions
38 Flashcards
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Sample Questions
Q1) A nurse should suspect possible visual impairment in a child who displays which characteristic?
A)Excessive rubbing of the eyes
B)Rapid lateral movement of the eyes
C)Delay in speech development
D)Lack of interest in casual conversation with peers
Q2) Which is an implanted ear prosthesis for children with sensorineural hearing loss?
A)Hearing aid
B)Cochlear implant
C)Auditory implant
D)Amplification device
Q3) The child with Down syndrome should be evaluated for which condition before participating in some sports?
A)Hyperflexibility
B)Cutis marmorata
C)Atlantoaxial instability
D)Speckling of iris (Brushfield spots)
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Page 21
Chapter 20: Family-Centered Home Care
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) One of the supervisors for a home health agency asks the nurse to give the family a survey evaluating the nurses and other service providers.The nurse should recognize this as:
A)inappropriate, unless nurses are able to evaluate family.
B)appropriate to improve quality of care.
C)inappropriate, unless nurses and other providers agree to participate.
D)inappropriate, because family lacks knowledge necessary to evaluate professionals.
Q2) The home health nurse is planning care for a 3-year-old boy who has Down syndrome and is receiving continuous oxygen.He recently began walking around furniture.He is spoon-fed by his parents and eats some finger foods.Which is the most appropriate goal to promote normal development?
A)Encourage mobility.
B)Encourage assistance in self-care.
C)Promote oral-motor development.
D)Provide opportunities for socialization.
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22
Chapter 21: Family-Centered Care of the Child During
Illness and Hospitalization
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) Kimberly,age 3 years,is being admitted for about 1 week of hospitalization.Her parents tell the nurse that they are going to buy her "a lot of new toys,because she will be in the hospital." The nurse's reply should be based on an understanding of which concept?
A)New toys make hospitalization easier.
B)New toys are usually better than older ones for children of this age.
C)At this age, children often need the comfort and reassurance of familiar toys from home.
D)Buying new toys for a hospitalized child is a maladaptive way to cope with parental guilt.
Q2) A child is being admitted to the intensive care unit (ICU)and the parents are with the child.Which creates stressors for children and parents in ICUs? (Select all that apply.)
A)Equipment noise
B)Privacy
C)Caring behavior by the nurse
D)Unfamiliar smells
E)Sleep deprivation
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Chapter 22: Pediatric Variations of Nursing Interventions
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48 Verified Questions
48 Flashcards
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Sample Questions
Q1) Which is the preferred site for intramuscular injections in infants?
A)Deltoid
B)Dorsogluteal
C)Rectus femoris
D)Vastus lateralis
Q2) The nurse is doing a prehospitalization orientation for a 7-year-old child who is scheduled for cardiac surgery.As part of the preparation,the nurse explains that she will not be able to talk because of an endotracheal tube but that she will be able to talk when it is removed.This explanation is:
A)unnecessary.
B)the surgeon's responsibility.
C)too stressful for a young child.
D)an appropriate part of the child's preparation.
Q3) Which is an important nursing consideration when performing a bladder catheterization on a young boy?
A)Clean technique, not standard precautions, is needed.
B)Insert 2% lidocaine lubricant into the urethra.
C)Lubricate catheter with water-soluble lubricant such as K-Y Jelly.
D)Delay catheterization for 20 minutes while anesthetic lubricant is absorbed.
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Page 24
Chapter 23: The Child with Respiratory Dysfunction
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50 Verified Questions
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Sample Questions
Q1) The nurse encourages the mother of a toddler with acute laryngotracheobronchitis (LTB)to stay at the bedside as much as possible.The nurse's rationale for this action is described primarily in which statement?
A)Mothers of hospitalized toddlers often experience guilt.
B)The mother's presence will reduce anxiety and ease child's respiratory efforts.
C)Separation from mother is a major developmental threat at this age.
D)The mother can provide constant observations of the child's respiratory efforts.
Q2) A child with cystic fibrosis (CF)is receiving recombinant human deoxyribonuclease (DNase).Which is an adverse effect of this medication?
A)Mucus thickens
B)Voice alters
C)Tachycardia
D)Jitteriness
Q3) A nurse is interpreting the results of a child's peak expiratory flow rate.Which percentage,either at this number or less than this number,is considered to be a red zone? (Record your answer in a whole number.)
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Chapter 24: The Child with Gastrointestinal Dysfunction
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56 Verified Questions
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Sample Questions
Q1) The nurse is caring for an infant whose cleft lip was repaired.Important aspects of this infant's postoperative care include:
A)arm restraints, postural drainage, mouth irrigations.
B)cleansing the suture line, supine and side-lying positions, arm restraints.
C)mouth irrigations, prone position, cleansing suture line.
D)supine and side-lying positions, postural drainage, arm restraints.
Q2) When caring for a child with probable appendicitis,the nurse should be alert to recognize that which condition or symptom is a sign of perforation?
A)Bradycardia
B)Anorexia
C)Sudden relief from pain
D)Decreased abdominal distention
Q3) Which is a parasite that causes acute diarrhea?
A)Shigella organisms
B)Salmonella organisms
C)Giardia lamblia
D)Escherichia coli
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Chapter 25: The Child with Cardiovascular Dysfunction
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Sample Questions
Q1) Which should the nurse consider when preparing a school-age child and the family for heart surgery?
A)Unfamiliar equipment should not be shown.
B)Let child hear the sounds of an ECG monitor.
C)Avoid mentioning postoperative discomfort and interventions.
D)Explain that an endotracheal tube will not be needed if the surgery goes well.
Q2) The parents of a young child with heart failure tell the nurse that they are "nervous" about giving digoxin (Lanoxin).The nurse's response should be based on which statement?
A)It is a safe, frequently used drug.
B)It is difficult to either overmedicate or undermedicate with digoxin.
C)Parents lack the expertise necessary to administer digoxin.
D)Parents must learn specific, important guidelines for administration of digoxin.
Q3) Which is the most common causative agent of bacterial endocarditis?
A)Staphylococcus albus
B)Streptococcus hemolyticus
C)Staphylococcus albicans
D)Streptococcus viridans
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Chapter 26: The Child with Hematologic or Immunologic Dysfunction
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50 Verified Questions
50 Flashcards
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Sample Questions
Q1) An adolescent will receive a bone marrow transplant (BMT).The nurse should explain that the bone marrow will be administered by which route?
A)Bone grafting
B)Bone marrow injection
C)IV infusion
D)Intra-abdominal infusion
Q2) Which is a common clinical manifestation of Hodgkin disease?
A)Petechiae
B)Bone and joint pain
C)Painful, enlarged lymph nodes
D)Enlarged, firm, nontender lymph nodes
Q3) Which is caused by a virus that primarily infects a specific subset of T lymphocytes,the CD4? T cells?
A)Wiskott-Aldrich syndrome
B)Idiopathic thrombocytopenic purpura
C)Acquired immunodeficiency syndrome (AIDS)
D)Severe combined immunodeficiency disease
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Page 28
Chapter 27: The Child with Genitourinary Dysfunction
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Sample Questions
Q1) The nurse is conducting teaching for an adolescent being discharged to home after a renal transplant.The adolescent needs further teaching if which statement is made?
A)"I will report any fever to my primary health care provider."
B)"I am glad I only have to take the immunosuppressant medication for two weeks."
C)"I will observe my incision for any redness or swelling."
D)"I won't miss doing kidney dialysis every week."
Q2) The nurse is admitting a school-age child in acute renal failure with reduced glomerular filtration rate.Which urine test is the most useful clinical indication of glomerular filtration rate?
A)pH
B)Osmolality
C)Creatinine
D)Protein level
Q3) The nurse is performing a pH dipstick test on a urine specimen.Which is the average pH expected for this test? (Record your answer in a whole number.)
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Chapter 28: The Child with Cerebral Dysfunction
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Sample Questions
Q1) The nurse is monitoring an infant for signs of increased intracranial pressure (ICP).Which are late signs of increased intracranial pressure (ICP)in an infant? (Select all that apply.)
A)Tachycardia
B)Alteration in pupil size and reactivity
C)Increased motor response
D)Extension or flexion posturing
E)Cheyne-Stokes respirations
Q2) An important nursing intervention when caring for a child who is experiencing a seizure would be to:
A)describe and record the seizure activity observed.
B)restrain the child when seizure occurs to prevent bodily harm.
C)place a tongue blade between the teeth if they become clenched.
D)suction the child during a seizure to prevent aspiration.
Q3) The most common clinical manifestation(s)of brain tumors in children is/are:
A)irritability.
B)seizures.
C)headaches and vomiting.
D)fever and poor fine motor control.
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Page 30
Chapter 29: The Child with Endocrine Dysfunction
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39 Verified Questions
39 Flashcards
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Sample Questions
Q1) A nurse is reviewing the laboratory results on a school-age child with hypoparathyroidism.Which results are consistent with this condition?
A)Decreased serum phosphorus
B)Decreased serum calcium
C)Increased serum glucose
D)Decreased serum cortisol level
Q2) The nurse is implementing care for a school-age child admitted to the pediatric intensive care in diabetic ketoacidosis (DKA).Which prescribed intervention should the nurse implement first?
A)Begin 0.9% saline solution intravenously as prescribed.
B)Administer regular insulin intravenously as prescribed.
C)Place child on a cardiac monitor.
D)Place child on a pulse oximetry monitor.
Q3) Chronic adrenocortical insufficiency is also referred to as:
A)Graves disease.
B)Addison disease.
C)Cushing syndrome.
D)Hashimoto disease.
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Chapter 30: The Child with Integumentary Dysfunction
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58 Verified Questions
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Sample Questions
Q1) A young child has sustained a minor burn to the foot.Which is recommended for treatment of a minor burn?
A)Apply ice to foot.
B)Apply cortisone ointment.
C)Apply an occlusive dressing.
D)Cleanse the wound with a mild soap and tepid water.
Q2) After the acute stage and during the healing process,the primary complication from burn injury is:
A)asphyxia.
B)shock.
C)renal shutdown.
D)infection.
Q3) Nitrous oxide is being administered to a child with extensive burn injuries.Which is the purpose of this medication?
A)Promote healing.
B)Prevent infection.
C)Provide anesthesia.
D)Improve urinary output.
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Chapter 31: The Child with Musculoskeletal or Articular Dysfunction
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Q1) A school-age child is diagnosed with systemic lupus erythematosus (SLE).The nurse should plan to implement which interventions for this child? (Select all that apply.)
A)Instructions to avoid exposure to sunlight
B)Teaching about body changes associated with SLE
C)Preparation for home schooling
D)Restricted activity
Q2) Which can result from the bone demineralization associated with immobility?
A)Osteoporosis
B)Urinary retention
C)Pooling of blood
D)Susceptibility to infection
Q3) A school nurse is conducting a staff in-service to other school nurses on idiopathic scoliosis.During which period of child development does idiopathic scoliosis become most noticeable?
A)Newborn period
B)When child starts to walk
C)Preadolescent growth spurt
D)Adolescence
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Chapter 32: The Child with Neuromuscular or Muscular Dysfunction
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Sample Questions
Q1) Latex allergy is suspected in a child with spina bifida.Appropriate nursing interventions include which action?
A)Avoid using any latex product.
B)Use only nonallergenic latex products.
C)Administer medication for long-term desensitization.
D)Teach family about long-term management of asthma.
Q2) Which should the nurse expect to find in the cerebral spinal fluid (CSF)results of a child with Guillain-Barré syndrome (GBS)? (Select all that apply.)
A)Decreased protein concentration
B)Normal glucose
C)Fewer than 10 white blood cells (WBCs/mm3)
D)Elevated red blood cell (RBC) count
Q3) The nurse is caring for an infant with myelomeningocele scheduled for surgical closure in the morning.Which interventions should the nurse plan for the care of the myelomeningocele sac?
A)Open to air
B)Covered with a sterile moist nonadherent dressing
C)Reinforcement of the original dressing if drainage noted
D)A diaper secured over the dressing
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