Pediatric Nursing Question Bank
Course Introduction
Pediatric Nursing focuses on the comprehensive care of infants, children, and adolescents in a variety of healthcare settings. The course covers growth and development, assessment techniques, common pediatric diseases, and health promotion strategies for young patients and their families. Emphasis is placed on communication with children and their caregivers, age-appropriate interventions, safety practices, family-centered care, and the physical and psychological aspects of pediatric illness. Students will develop clinical reasoning and skills specific to managing acute and chronic conditions in the pediatric population while advocating for optimal child health outcomes.
Recommended Textbook
Wongs Essentials of Pediatric Nursing 9th Edition by
Marilyn J. Hockenberry
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32 Chapters
1176 Verified Questions
1176 Flashcards
Source URL: https://quizplus.com/study-set/1141 Page 2
Chapter 1: Perspectives of Pediatric Nursing
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/22367
Sample Questions
Q1) A child has a postoperative appendectomy incision covered by a dressing.The nurse has just completed a prescribed dressing change for this child.Which description is an accurate documentation of this procedure?
A)Dressing change to appendectomy incision completed, child tolerated procedure well, parent present
B)No complications noted during dressing change to appendectomy incision
C)Appendectomy incision non-reddened, sutures intact, no drainage noted on old dressing, new dressing applied, procedure tolerated well by child
D)No changes to appendectomy incisional area, dressing changed, child complained of pain during procedure, new dressing clean, dry and intact
Answer: C
Q2) Which factor most impacts the type of injury a child is susceptible to,according to the child's age?
A)Physical health of the child
B)Developmental level of the child
C)Educational level of the child
D)Number of responsible adults in the home
Answer: B
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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) A community health nurse is collecting assessment data by interviewing community leaders.What type of assessment is this community nurse conducting?
A)Subjective
B)Windshield survey
C)Objective
D)Statistical
Answer: A
Q2) A community nurse at the health department is trying to identify how many new cases of acquired immunodeficiency syndrome (AIDS)disease have occurred in the city this past year.Which statistic should the nurse examine?
A)Mortality
B)Morbidity
C)Incidence
D)Prevalence
Answer: C
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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) 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
Q2) The nurse is teaching a group of new parents about the experience of role transition.Which statement by a parent would indicate a correct understanding of the teaching?
A)"My marital relationship can have a positive or negative effect on the role transition."
B)"If an infant has special care needs, the parents' sense of confidence in their new role is strengthened."
C)"Young parents can adjust to the new role easier than older parents."
D)"A parent's previous experience with children makes the role transition more difficult."
Answer: A
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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) Maria,a Spanish-speaking 5-year-old girl,has started kindergarten in an English-speaking school.Crying most of the time,she appears helpless and unable to function in this new situation.Which description best explains Maria's behavior?
A)Lacks adequate culture for attending school
B)Lacks the maturity needed in school
C)Is experiencing culture shock
D)Is experiencing minority group discrimination
Q2) A nurse is taking a history on a low-income Hispanic toddler.The parent tells the nurse that occasional diarrhea is treated with azogue,a mercury compound commonly used in the parent's native Mexico.What should the nurse recognize about this remedy?
A)It is harmless.
B)It is dangerous.
C)It has a scientific basis.
D)It has importance in certain religious practices.
Q3) A parent of a 12-year-old child states to the nurse,"My 12-year-old watches TV constantly while at home-is this OK?" The nurse should recommend to the parent that television viewing should be limited to _____ hours a day? (Record your answer in a whole number.)
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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) Parents of an 8-year-old child ask the nurse how many inches their child should grow each year.The nurse bases the answer on the knowledge that after age 7 years,school-age children usually grow what number of inches per year?
A)1
B)2
C)3
D)4
Q2) A visitor arrives at a daycare center during lunch time.The preschool children think that every time they have lunch a visitor will arrive.Which preoperational characteristic is being displayed?
A)Egocentrism
B)Transductive reasoning
C)Intuitive reasoning
D)Conservation
Q3) Which following function of play is a major component of play at all ages?
A)Creativity
B)Socialization
C)Intellectual development
D)Sensorimotor activity
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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) The appropriate placement of a tongue blade for assessment of the mouth and throat is:
A)center back area of tongue.
B)side of the tongue.
C)against the soft palate.
D)on the lower jaw.
Q2) The nurse is having difficulty communicating with a hospitalized 6-year-old child.What technique might be most helpful?
A)Suggest that the child keep a diary.
B)Suggest that the parent read fairy tales to the child.
C)Ask the parent if the child is always uncommunicative.
D)Ask the child to draw a picture.
Q3) When the nurse interviews an adolescent,which is especially important?
A)Focus the discussion on the peer group.
B)Allow an opportunity to express feelings.
C)Emphasize that confidentiality will always be maintained.
D)Use the same type of language as the adolescent.
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Page 8
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) The nurse is caring for a 6-year-old girl who had surgery 12 hours ago.The child tells the nurse that she does not have pain,but a few minutes later she tells her parents that she does.Which should the nurse consider when interpreting this?
A)Truthful reporting of pain should occur by this age.
B)Inconsistency in pain reporting suggests that pain is not present.
C)Children use pain experiences to manipulate their parents.
D)Children may be experiencing pain even though they deny it to the nurse.
Q3) Physiologic measurements in children's pain assessment are:
A)the best indicator of pain in children of all ages.
B)essential to determine whether a child is telling the truth about pain.
C)of most value when children also report having pain.
D)of limited value as sole indicator of pain.
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Page 9
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) In the newborn,intramuscular phytonadione (vitamin K)is administered into which muscle?
A)Deltoid
B)Dorsogluteal
C)Vastus medialis
D)Vastus lateralis
Q2) A nurse is performing a gestational age assessment on a newborn.The nurse determines that the newborn is "term" if which findings are assessed? (Select all that apply.)
A)Posture with fully flexed arms and legs
B)Arm recoil brisk
C)Square window at 90 degrees
D)Scarf sign of elbow crossing over the midline
E)Popliteal angle less than 90 degrees
Q3) Which is the most critical physiologic change required of the newborn?
A)Closure of fetal shunts in the heart
B)Stabilization of fluid and electrolytes
C)Body-temperature maintenance
D)Onset of breathing
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10
Chapter 9: Health Problems of Newborns
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71 Verified Questions
71 Flashcards
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Sample Questions
Q1) The newborn with severe jaundice is at risk for developing:
A)encephalopathy.
B)bullous impetigo.
C)respiratory distress.
D)blood incompatibility.
Q2) Which are clinical manifestations of postmaturity in the newborn? (Select all that apply.)
A)Excessive lanugo
B)Increased subcutaneous fat
C)Absence of scalp hair
D)Parchment-like skin
E)Minimal vernix caseosa
F)Long fingernails
Q3) Hemolytic disease is suspected in a mother's second newborn.Which factor is important in understanding how this could develop?
A)The mother's first child was Rh positive.
B)The mother is Rh positive.
C)Both parents have type O blood.
D)RhIG (RhoGAM) was given to the mother during her first pregnancy.
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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 3-month-old infant,born at 38 weeks of gestation,will hold a rattle if it is put in her hands,but she will not voluntarily grasp it.The nurse should interpret this as:
A)normal development.
B)significant developmental lag.
C)slightly delayed development due to prematurity.
D)suggestive of a neurologic disorder such as cerebral palsy.
Q2) The nurse should teach parents that which age is safe to give infants whole milk instead of commercial infant formula?
A)6 months
B)9 months
C)12 months
D)18 months
Q3) A mother tells the nurse that she does not want her infant immunized because of the discomfort associated with injections.The nurse should explain that:
A)this cannot be prevented.
B)infants do not feel pain as adults do.
C)this is not a good reason for refusing immunizations.
D)a topical anesthetic, EMLA, can be applied before injections are given.
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Chapter 11: Health Problems of Infants
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) An infant has been pronounced dead from sudden infant death syndrome (SIDS)in the emergency department.Which is an appropriate question to ask the parents?
A)"Did you hear the infant cry out?"
B)"Why didn't you check on the infant earlier?"
C)"What time did you find the infant?"
D)"Was the head buried in a blanket?"
Q2) Parent guidelines for relieving colic in an infant include:
A)avoiding touching abdomen.
B)avoiding using a pacifier.
C)changing infant's position frequently.
D)placing infant where family cannot hear the crying.
Q3) Which describes marasmus?
A)Deficiency of protein with an adequate supply of calories
B)Not confined to geographic areas where food supplies are inadequate
C)Syndrome that results solely from vitamin deficiencies
D)Characterized by thin, wasted extremities and a prominent abdomen resulting from edema (ascites)
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Chapter 12: Health Promotion of the Toddler and Family
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/22378
Sample Questions
Q1) The parents of a newborn say that their toddler "hates the baby; he suggested that we put him in the trash can so the trash truck could take him away." Which is the nurse's best reply?
A)"Let's see if we can figure out why he hates the new baby."
B)"That's a strong statement to come from such a small boy."
C)"Let's refer him to counseling to work this hatred out. It's not a normal response."
D)"That is a normal response to the birth of a sibling. Let's look at ways to deal with this."
Q2) A father tells the nurse that his daughter wants the same plate and cup used at every meal,even if they go to a restaurant.The nurse should explain that this is:
A)a sign the child is spoiled.
B)a way to exert unhealthy control.
C)regression, common at this age.
D)ritualism, common at this age.
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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 play is most typical of the preschool period?
A)Solitary
B)Parallel
C)Associative
D)Team
Q2) Which snack should the nurse recommend parents offer to their slightly overweight preschool child?
A)Carbonated beverage
B)10% fruit juice
C)Low fat chocolate milk
D)Whole milk
Q3) A nurse,instructing parents of a hospitalized preschool child,explains that which is descriptive of the preschooler's understanding of time?
A)Has no understanding of time
B)Associates time with events
C)Can tell time on a clock
D)Uses terms like "yesterday" appropriately
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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Chapter 14: Health Problems of Toddlers and Preschoolers
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/22380
Sample Questions
Q1) Which is the causative agent of scarlet fever?
A)Enteroviruses
B)Corynebacterium organisms
C)Scarlet fever virus
D)Group A b-hemolytic streptococci (GABHS)
Q2) Which may be given to high-risk children after exposure to chickenpox to prevent varicella?
A)Acyclovir (Zovirax)
B)Varicella globulin
C)Diphenhydramine hydrochloride (Benadryl)
D)VCZ immune globulin (VariZIG)
Q3) Chelation therapy for lead poisoning is initiated when a child's blood level is _____ g/dl.
A)10 to 14
B)15 to 19
C)20 to 44
D)>45
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Chapter 15: Health Promotion of the School-Age Child and Family
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/22381
Sample Questions
Q1) Parents ask the nurse whether it is common for their school-age child to spend a lot of time with peers.The nurse should respond,explaining that the role of the peer group in the life of school-age children provides:
A)opportunity to become defiant.
B)time to remain dependent on their parents for a longer time.
C)time to establish a one-on-one relationship with the opposite sex.
D)security as they gain independence from their parents.
Q2) When teaching injury prevention during the school-age years,what should the nurse include?
A)Teach children to fear strangers.
B)Teach basic rules of water safety.
C)Avoid letting child cook in microwave ovens.
D)Caution child against engaging in competitive sports.
Q3) A school nurse is teaching dental health practices to a group of sixth-grade children.How often should the nurse recommend the children brush their teeth?
A)Twice a day
B)Three times a day
C)After meals
D)After meals, snacks, and bedtime
Page 17
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Chapter 16: Health Promotion of the Adolescent and Family
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/22382
Sample Questions
Q1) The nurse should teach the adolescent that the long-term effects of tanning can cause which conditions? (Select all that apply.)
A)Phototoxic reactions
B)Increased number of moles
C)Premature aging
D)Striae
E)Increased risk of skin cancer
Q2) A 13-year-old is being seen in the clinic for a routine health check.The adolescent has not been in the clinic for 3 years but was up to date on immunizations at that time.Which immunizations should the adolescent receive? (Select all that apply.)
A)DTaP (tetanus, diphtheria, acellular pertussis)
B)MMR (measles, mumps, rubella)
C)Hepatitis B
D)Influenza
E)MCV4 (meningococcal)
Q3) The estimated average requirement of calcium for an adolescent is _____ milligrams.(Record your answer in a whole number.)
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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) A nurse is recommending strategies to a group of school-age children for prevention of obesity.Which should the nurse include? (Select all that apply.)
A)Eat breakfast daily.
B)Limit fruits and vegetables.
C)Have frequent family meals with parents present.
D)Eat frequently at restaurants.
E)Limit television viewing to 2 hours a day.
Q2) Which symptoms should the nurse expect to observe during the physical assessment of an adolescent girl with severe weight loss and disrupted metabolism associated with anorexia nervosa?
A)Dysmenorrhea and oliguria
B)Tachycardia and tachypnea
C)Heat intolerance and increased blood pressure
D)Lowered body temperature and brittle nails
Q3) Which is descriptive of bulimia during adolescence?
A)Strong sense of control over eating behavior
B)Feelings of elation after the binge-purge cycle
C)Profound lack of awareness that the eating pattern is abnormal
D)Weight that can be normal, slightly above normal, or below normal
Page 19
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Chapter 18: Quality of Life for Children Living with Chronic or Complex Diseases
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/22384
Sample Questions
Q1) Parents are asking about an early intervention program for their child who has special needs.The nurse relates that this program is for which age of child?
A)Birth to 1 year of age
B)Birth to 3 years of age
C)Ages 1 to 4
D)Ages 4 and 5
Q2) Which represents a common best practice in the provision of services to children with special needs?
A)Care is now being focused on the child's chronologic age.
B)Children with special needs are being integrated into regular classrooms.
C)Children with special needs no longer have to be cared for by their families.
D)Children with special needs are being separated into residential treatment facilities.
Q3) Which nursing intervention is especially helpful in assessing parental guilt when a disability or chronic illness is diagnosed?
A)Ask the parents if they feel guilty.
B)Discuss guilt only after the parents mention it.
C)Discuss the meaning of the parents' religious and cultural background.
D)Observe for signs of overprotectiveness.
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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 is preparing to perform a dressing change on a 6-year-old child with mild cognitive impairment (CI)who sustained a minor burn.Which strategy should the nurse use to prepare the child for this procedure?
A)Verbally explain what will be done.
B)Have the child watch a video on dressing changes.
C)Demonstrate a dressing change on a doll.
D)Explain the importance of keeping the burn area clean.
Q2) A nurse is caring for a hearing-impaired child who lip reads.The nurse should plan which intervention to facilitate lip reading?
A)Speak at an even rate.
B)Exaggerate pronunciation of words.
C)Avoid using facial expressions.
D)Repeat in exactly the same way if child does not understand.
Q3) A young child has an intelligence quotient (IQ)of 45.The nurse should document this finding as:
A)within the lower limits of the range of normal intelligence.
B)mild cognitive impairment but educable.
C)moderate cognitive impairment but trainable.
D)severe cognitive impairment and completely dependent on others for care.
Page 21
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Chapter 20: Family-Centered Home Care
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) A family wants to begin oral feeding of their 4-year-old son,who is ventilator-dependent and currently tube-fed.They ask the home health nurse to feed him the baby food orally.The nurse recognizes a high risk of aspiration and an already compromised respiratory status.The most appropriate nursing action is to:
A)refuse to feed him orally because the risk is too high.
B)explain the risks involved, and then let the family decide what should be done.
C)feed him orally because the family has the right to make this decision for their child.
D)acknowledge their request, explain the risks, and explore with the family the available options.
Q2) The home health nurse is caring for a child who requires complex care.The family expresses frustration related to obtaining accurate information about their child's illness and its management.Which is the best action for the nurse?
A)Determine why family is easily frustrated.
B)Refer family to child's primary care practitioner.
C)Clarify family's request, and provide information they want.
D)Answer only questions that family needs to know about.
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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) During the first 4 days of hospitalization,Eric,age 18 months,cried inconsolably when his parents left him,and he refused the staff's attention.Now the nurse observes that Eric appears to be "settled in" and unconcerned about seeing his parents.The nurse should interpret this as which statement?
A)He has successfully adjusted to the hospital environment.
B)He has transferred his trust to the nursing staff.
C)He may be experiencing detachment, which is the third stage of separation anxiety.
D)Because he is "at home" in the hospital now, seeing his mother frequently will only start the cycle again.
Q2) Latasha,age 8 years,is being admitted to the hospital from the emergency department with an injury from falling off her bicycle.Which will help her most in her adjustment to the hospital?
A)Explain hospital schedules to her, such as mealtimes.
B)Use terms such as "honey" and "dear" to show a caring attitude.
C)Explain when parents can visit and why siblings cannot come to see her.
D)Orient her parents, because she is young, to her room and hospital facility.
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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) Guidelines for intramuscular administration of medication in school-age children include which action?
A)Inject medication as rapidly as possible.
B)Insert needle quickly, using a dartlike motion.
C)Penetrate skin immediately after cleansing site, before skin has dried.
D)Have child stand, if possible, and if child is cooperative.
Q2) A child with congestive heart failure is placed on a maintenance dosage of digoxin (Lanoxin).The dosage is 0.07 mg/kg/day,and the child's weight is 7.2 kg.The physician prescribes the digoxin to be given once a day by mouth.Each dose will be _____ milligrams.(Record your answer below using one decimal place.)
Q3) The Allen test is performed as a precautionary measure before which procedure?
A)Heel stick
B)Venipuncture
C)Arterial puncture
D)Lumbar puncture
Q4) A physician's prescription reads,"ampicillin sodium 125 mg IV every 6 hours." The medication label reads,"1 g = 7.4 ml." A nurse prepares to draw up _____ milliliters to administer one dose.(Round your answer to two decimal places.)
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Page 24
Chapter 23: The Child with Respiratory Dysfunction
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50 Verified Questions
50 Flashcards
Source URL: https://quizplus.com/quiz/22389
Sample Questions
Q1) Parents of a child with cystic fibrosis ask the nurse about genetic implications of the disorder.Which statement,made by the nurse,expresses accurately the genetic implications?
A)If it is present in a child, both parents are carriers of this defective gene.
B)It is inherited as an autosomal dominant trait.
C)It is a genetic defect found primarily in non-Caucasian population groups.
D)There is a 50% chance that siblings of an affected child also will be affected.
Q2) It is generally recommended that a child with acute streptococcal pharyngitis can return to school:
A)when sore throat is better.
B)if no complications develop.
C)after taking antibiotics for 24 hours.
D)after taking antibiotics for 3 days.
Q3) Cystic fibrosis (CF)is suspected in a toddler.Which test is essential in establishing this diagnosis?
A)Bronchoscopy
B)Serum calcium
C)Urine creatinine
D)Sweat chloride test
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Page 25
Chapter 24: The Child with Gastrointestinal Dysfunction
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56 Verified Questions
56 Flashcards
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Sample Questions
Q1) A young child is brought to the emergency department with severe dehydration secondary to acute diarrhea and vomiting.Therapeutic management of this child should begin with:
A)intravenous (IV) fluids.
B)ORS.
C)clear liquids, 1 to 2 ounces at a time.
D)administration of antidiarrheal medication.
Q2) Which is used to treat moderate to severe inflammatory bowel disease?
A)Antacids
B)Antibiotics
C)Corticosteroids
D)Antidiarrheal medications
Q3) A nurse is admitting an infant with biliary atresia.Which is the earliest clinical manifestation of biliary atresia the nurse should expect to assess?
A)Jaundice
B)Vomiting
C)Hepatomegaly
D)Absence of stooling
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Chapter 25: The Child with Cardiovascular Dysfunction
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53 Verified Questions
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Sample Questions
Q1) Which type of shock is characterized by a hypersensitivity reaction causing massive vasodilation and capillary leaks,which may occur with drug or latex allergy?
A)Neurogenic
B)Cardiogenic
C)Hypovolemic
D)Anaphylactic
Q2) The nurse is conducting a staff in-service on congenital heart defects.Which structural defect constitutes tetralogy of Fallot?
A)Pulmonic stenosis, ventricular septal defect, overriding aorta, right ventricular hypertrophy
B)Aortic stenosis, ventricular septal defect, overriding aorta, right ventricular hypertrophy
C)Aortic stenosis, atrial septal defect, overriding aorta, left ventricular hypertrophy
D)Pulmonic stenosis, ventricular septal defect, aortic hypertrophy, left ventricular hypertrophy
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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) 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
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 clinical manifestation should the nurse expect when a child with sickle cell anemia experiences an acute vasoocclusive crisis?
A)Circulatory collapse
B)Cardiomegaly, systolic murmurs
C)Hepatomegaly, intrahepatic cholestasis
D)Painful swelling of hands and feet; painful joints
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Page 28
Chapter 27: The Child with Genitourinary Dysfunction
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41 Verified Questions
41 Flashcards
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Sample Questions
Q1) Which statement is descriptive of renal transplantation in children?
A)It is an acceptable means of treatment after age 10 years.
B)It is the preferred means of renal replacement therapy in children.
C)Children can receive kidneys only from other children.
D)The decision for transplantation is difficult because a relatively normal lifestyle is not possible.
Q2) A 6-year-old child is scheduled for an IV urography (IVP)in the morning.Which preparatory interventions should the nurse plan to implement? (Select all that apply.)
A)Clear liquids in the morning before the procedure
B)Cathartic in the evening before the procedure
C)Soapsuds enema the morning of the procedure
D)Insertion of a Foley catheter before the procedure
E)Teaching with regard to insertion of an intravenous catheter before the procedure
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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50 Verified Questions
50 Flashcards
Source URL: https://quizplus.com/quiz/22394
Sample Questions
Q1) An adolescent boy is brought to the emergency department after a motorcycle accident.His respirations are deep,periodic,and gasping.There are extreme fluctuations in blood pressure.Pupils are dilated and fixed.The nurse should suspect which type of head injury?
A)Brainstem
B)Skull fracture
C)Subdural hemorrhage
D)Epidural hemorrhage
Q2) 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.
Q3) Children taking phenobarbital (phenobarbital sodium)and/or phenytoin (Dilantin)may experience a deficiency of:
A)calcium.
B)vitamin C.
C)fat-soluble vitamins.
D)vitamin D and folic acid.
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Page 30
Chapter 29: The Child with Endocrine Dysfunction
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/22395
Sample Questions
Q1) The nurse should expect to assess which clinical manifestations in an adolescent with Cushing syndrome? (Select all that apply.)
A)Hyperglycemia
B)Hyperkalemia
C)Hypotension
D)Cushingoid features
E)Susceptibility to infections
Q2) Which is considered a cardinal sign of diabetes mellitus?
A)Nausea
B)Seizures
C)Impaired vision
D)Frequent urination
Q3) A child eats some sugar cubes after experiencing symptoms of hypoglycemia.This rapid-releasing sugar should be followed by:
A)fat.
B)fruit juice.
C)several glasses of water.
D)complex carbohydrate and protein.
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Chapter 30: The Child with Integumentary Dysfunction
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58 Verified Questions
58 Flashcards
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Sample Questions
Q1) The nurse should implement which prescribed treatment for a child with warts?
A)Vaccination
B)Local destruction
C)Corticosteroids
D)Specific antibiotic therapy
Q2) The nurse is talking to the parents of a child with pediculosis capitis.Which should the nurse include when explaining how to manage pediculosis capitis?
A)"You will need to cut the hair shorter if infestation and nits are severe."
B)"You can distinguish viable from nonviable nits, and remove all viable ones."
C)"You can wash all nits out of hair with a regular shampoo."
D)"You will need to remove nits with an extra-fine tooth comb or tweezers."
Q3) A nurse is teaching a parent of an infant about treatment of seborrhea dermatitis (cradle cap).Which should the nurse include in the instructions?
A)Shampoo every three days with a mild soap.
B)The hair should be shampooed with a medicated shampoo.
C)Shampoo every day with an antiseborrheic shampoo.
D)The loosened crusts should not be removed with a fine-toothed comb.
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Page 32
Chapter 31: The Child with Musculoskeletal or Articular Dysfunction
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Sample Questions
Q1) A nurse is conducting a staff in-service on childhood cancers.Which is the primary site of osteosarcoma?
A)Femur
B)Humerus
C)Pelvis
D)Tibia
Q2) A clinic nurse is conducting a staff in-service for other clinic nurses about signs and symptoms of a rhabdomyosarcoma tumor.Which should be included in the teaching session? (Select all that apply.)
A)Bone fractures
B)Abdominal mass
C)Sore throat and ear pain
D)Headache
E)Ecchymosis of conjunctiva
Q3) The nurse uses the palms of the hands when handling a wet cast for which reason?
A)To assess dryness of the cast
B)To facilitate easy turning
C)To keep the patient's limb balanced
D)To avoid indenting the cast
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Chapter 32: The Child with Neuromuscular or Muscular Dysfunction
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25 Verified Questions
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Sample Questions
Q1) The nurse is caring for an intubated infant with botulism in the pediatric intensive care unit.Which health care provider prescriptions should the nurse clarify with the health care provider before implementing?
A)Administer 250 mg botulism immune globulin intravenously (BIG-IV) one time.
B)Provide total parenteral nutrition (TPN) at 25 ml/hr intravenously.
C)Titrate oxygen to keep pulse oximetry saturations greater than 92.
D)Administer gentamicin sulfate (Garamycin) 10 mg per intravenous piggyback every 12 hours.
Q2) Which clinical manifestations in an infant would be suggestive of spinal muscular atrophy (Werdnig-Hoffmann disease)?
A)Hyperactive deep tendon reflexes
B)Hypertonicity
C)Lying in the frog position
D)Motor deficits on one side of body
Q3) A toddler is admitted to the hospital with a possible diagnosis of tetanus.The health care provider has prescribed lorazepam (Ativan)intravenously 0.05 mg/kg/dose every 6 hours prn as a muscle relaxant.The child weighs 22 lb.How many milligrams of Ativan should the nurse administer per dose? (Record your answer using one decimal place.)
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