Pediatric Nursing Solved Exam Questions
Course Introduction
Pediatric Nursing is a specialized area of nursing that focuses on the care of infants, children, and adolescents, addressing their unique physical, developmental, emotional, and social needs. This course covers growth and development milestones, common pediatric illnesses, communication techniques appropriate for various age groups, and family-centered care. Students will learn evidence-based practices for health promotion, disease prevention, and management of acute and chronic pediatric conditions. Emphasis is placed on the role of the pediatric nurse in advocacy, education, and collaboration within interdisciplinary healthcare teams to deliver holistic and culturally competent care to children and their families.
Recommended Textbook
Child Health Nursing Partnering with Children and Families 3rd Edition by Jane W. Ball
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36 Chapters
680 Verified Questions
680 Flashcards
Source URL: https://quizplus.com/study-set/3920 Page 2
Chapter 1: Child Health Nursing: Concepts, Roles, and Issues
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/78204
Sample Questions
Q1) While working on the pediatric unit, the nurse recognizes a neighbor whose child has been admitted to the hospital pediatric intensive care. Out of curiosity, the nurse visits the PICU and reviews the child's chart for information about the child's diagnosis. This nurse:
A)Has violated HIPAA laws.
B)Was working within the legal limitations of his/her job.
C)Was not guilty of violating HIPAA laws unless the nurse shares the information with someone outside the hospital.
D)Was working as a member of the health care team to provide family-centered nursing.
Answer: A
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Chapter 2: Family-Centered Care: Theory and Applications
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/78203
Sample Questions
Q1) The community health nurse is making an initial visit to a family. The most effective and efficient way for the nurse to assess the parenting style in use is to:
A)Ask the parents, "What rule is hardest for your child to obey?"
B)Ask the children what happens when they break the rules.
C)Ask the parents, "How often do you hug or kiss your children?"
D)Observe the parent interacting with the child for five minutes.
Answer: B
Q2) Several children arrived at the emergency department accompanied only by their fathers. The nurse knows that the father who legally may sign emergency medical consent for treatment is:
A)The non-biologic one from the heterosexual cohabitating family.
B)The divorced one from the binuclear family.
C)The divorced one when the single-parent mother has custody.
D)The stepfather from the blended or reconstituted family.
Answer: B
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Chapter 3: Cultural Influences
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/78202
Sample Questions
Q1) A nurse is working with a pediatric client who is overweight. Which diseases are associated with pediatric obesity? Standard Text: Select all that apply.
A)Cardiovascular disease
B)Asthma
C)Infant mortality
D)Diabetes
Answer: A,D
Q2) The nurse is working in the respiratory clinic. In assessing children for cystic fibrosis, the nurse recognizes that children from which genetic and biologic racial background are more likely to have assessment findings characteristic of cystic fibrosis?
A)Asian
B)White
C)Hispanic
D)Black
Answer: B
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Page 5
Chapter 4: Genetic and Hereditary Influences
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/78201
Sample Questions
Q1) As medical care has evolved, it has become more common for children with genetic disorders to live longer. What impact does this have on health care delivery for the nurse providing care for these children?
A)Health care delivery is becoming more complex, despite these children requiring less care as they age.
B)Nurses should not spend much time at the bedside, as these children will eventually die of these disorders.
C)Nurses must be familiar with increasing numbers of genetic disorders and the care these children require.
D)Health care delivery will become more and more expensive until children with genetic disorders will have to do without.
Q2) All five of the children in a family were born with a genetic disorder. The disorder is inherited as autosomal dominant. If this is not a statistical rarity, the likelihood would be that:
A)One parent has both chromosomes with the affected gene.
B)Both parents are carriers.
C)One parent is a carrier and the other parent is unaffected.
D)One parent has one chromosome affected and the other parent has none.
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Chapter 5: Concepts of Growth and Development
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/78200
Sample Questions
Q1) While assessing the development of a nine-month-old infant, the nurse asks the mother if the child actively looks for toys when they are placed out of sight. The nurse is trying to determine whether the infant has developed:
A)Transductive reasoning
B)Conservation
C)Centration
D)Object permanence
Q2) A neonatal nurse who encourages parents to hold their baby and provides opportunities for kangaroo care most likely is demonstrating concern for which aspect of the infant's psychosocial development?
A)Attachment
B)Assimilation
C)Resilience
D)Centration
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Chapter 6: Child and Family Communication
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/78199
Sample Questions
Q1) A nurse is working with a child who is a pediatric trauma victim. The nurse is planning nursing interventions to facilitate rapport and effective communication with this child and family. The nurse will utilize which interventions? Standard Text: Select all that apply.
A)Closing the door to the room when speaking to the family or child
B)Avoiding the use of medical jargon
C)Inviting the family out to a movie to decrease their anxiety
D)Introducing self to the child and family
E)Sitting in a chair facing the family and child
Q2) Following a car accident, a four-year-old child was admitted to the pediatric intensive care unit. Both parents were injured in the accident and have been unable to visit. The child's condition has stabilized, and the child is transferred to the surgical unit for the remainder of her hospitalization. The child has not expressed any feelings during the hospitalization. Which interventions might help the child express her feelings?
A)Asking the hospital chaplain to talk with the child
B)Use play therapy including mother, father, and child dolls.
C)Use journaling to allow the child to express herself.
D)Using humor by telling knock-knock jokes
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Chapter 7: Pediatric and Newborn Assessment
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/78198
Sample Questions
Q1) The nurse is taking a health history from the family of a three-year-old child. Which statement or by the nurse would be most likely to establish rapport and elicit an accurate response from the family?
A)"Tell me about the concerns that brought you to the clinic today."
B)"Does any member of your family have a history of asthma, heart disease, or diabetes?"
C)"Hello, I would like to talk with you and get some information about you and your child."
D)"You will need to fill out these forms; make sure that the information is as complete as possible."
Q2) To accurately access blood pressure on a child, the nurse would select a cuff:
A)By the cuff label-infant, child, adult.
B)That covers 2/3 of the upper arm with a bladder that wraps around at least 80% of the circumference of the arm.
C)Based on availability as the size of the cuff will not influence the blood pressure.
D)That extends up to 50 % of the upper arm and the bladder covers 1/4 of the circumference of the arm.
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Page 9
Chapter 8: Concepts of Health Promotion and Health Maintenance
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/78197
Sample Questions
Q1) A mother says to a nurse, "I am so concerned about my 14-year-old daughter because she has been caught stealing small articles of clothing and jewelry from stores on several occasions." The nurse begins a discussion on strategies for improving ethical behavior. This plan of care is part of:
A)Moral conditioning.
B)Health maintenance.
C)Behavioral discipline.
D)Health promotion.
Q2) A four-year-old child is seen in the pediatric clinic for a well-child visit. During this visit, the nurse recognizes that appropriate assessments that should be completed at this time include: Standard Text: Select all that apply.
A)Height and weight.
B)Head circumference.
C)Four-year-old required immunizations.
D)Developmental assessment.
E)Safety counseling.
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Chapter 9: Health Promotion and Maintenance of the
Newborn
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/78196
Sample Questions
Q1) A mother asks the nurse about feeding her infant. The nurse's best response that includes the recommendation made by the American Academy of Pediatrics (AAP) concerning feeding infants is:
A)Introduce solid foods beginning at four months of age.
B)Introduce table foods only after tooth eruption.
C)Breastfeed exclusively for the first year of life.
D)Following birth, begin exclusive breastfeeding with no water, juice, or other foods.
Q2) A pregnant woman is planning to breastfeed. The nursing intervention that will promote breastfeeding in the new mother is:
A)Facilitating breastfeeding within the first 30 to 60 minutes of life.
B)Telling the mother that the physician strongly advises new mothers to breastfeed their newborns.
C)Encouraging the mother to attend breastfeeding classes before discharge from the hospital.
D)Giving the woman literature on breastfeeding as soon as she enters the labor room.
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Chapter 10: Health Promotion and Maintenance of the Infant
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/78195
Sample Questions
Q1) The nurse is working with first-time parents. Which of these activities will the nurse suggest to encourage the development of good muscle tone?
A)Placing the infant in an infant seat rather than lying down in a crib
B)Surrounding the infant with toys and other stimulating items to encourage motor movement
C)Swaddling the infant
D)Putting the infant to bed each night at 8 p.m., even if the infant protests with crying
Q2) The nurse is teaching a group of parents about car safety. Which statement by a parent requires additional teaching?
A)"The safest place in the car for the baby is the middle of the back seat."
B)"I will use a rear facing car seat for my baby."
C)"I will take the car seat to the local police station for them to check placement and safety."
D)"For the trip home from the birth hospital, I will bucket myself in the back seat and hold the baby carefully.I am borrowing a car seat and should have it by my next trip out."
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Page 12
Chapter 11: Health Promotion and Maintenance of the
Toddler and Preschooler
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/78194
Sample Questions
Q1) A nurse is preparing to perform a physical assessment on a toddler. Which of these actions should the nurse take?
A)Explain each part of the examination to the child before performing it.
B)Ask the mother to tell the child not to be afraid.
C)Perform the assessment from head to toe.
D)Leave intrusive procedures, such as ear and eye examinations, until the end.
Q2) The nurse is explaining the primary purpose of performing health maintenance activities at each pediatric visit. The best explanation touches on:
A)Planning appropriate disciplinary measures for control of behavior.
B)Reviewing developmental milestones with the parents.
C)Prevention of disease and injury.
D)Teaching growth and development to the parents.
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Chapter 12: Health Promotion and Maintenance of the School-Age Child
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/78193
Sample Questions
Q1) The parents of a school-age child report that they allow their child to eat anything because the child is a "picky" eater. Which is the best response the nurse should make to the parent?
A)"Continue to allow this, because he eventually will begin to eat properly."
B)"Can you try allowing this to continue but only every other day?"
C)"I think you must not be good role models, so let's talk about your eating habits."
D)"Let's talk about what types of food are consumed when your child chooses."
Q2) While teaching the parent of school-age children about self-esteem, the nurse instructs the parents to:
A)Limit the amount of compliments given to the child.
B)Point out the child's deficiencies in a nice way while providing suggestions for improvement.
C)Establish the goals they want the child to achieve at a predetermined time.
D)Build on the child's strengths and talents.
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Chapter 13: Health Promotion and Maintenance of the Adolescent
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/78192
Sample Questions
Q1) While promoting participation in physical activities at school, the nurse recognizes that factors which may inhibit the adolescent from participating would include: Standard Text: Select all that apply.
A)The family members do not regularly participate in physical activity.
B)The adolescent is overweight.
C)The public school does not have sports programs available.
D)Participating in sports may require financial resources.
E)Physical activities are limited to the best athletes.
Q2) A 17-year-old female presents at a nurse practitioner's office and requests a signature for work papers. The nurse reviews her chart and notes that the last physical examination was within the year. In addition to providing the signature for the work papers, the nurse should use this visit as:
A)A time to discuss exercise and sports participation.
B)A health supervision opportunity.
C)An opportunity to discuss birth control measures.
D)A chance to discuss the importance of pursuing postsecondary education.
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Chapter 14: Nursing Care of the Child in the Community
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/78191
Sample Questions
Q1) The nurse working in a pediatric clinic will have many duties. Included in the nurse's responsibilities will be: Standard Text: Select all that apply.
A)Prescribing over-the-counter medications.
B)Collecting health history information.
C)Performing diagnostic tests, such as the TB skin test.
D)Performing developmental screening tests.
E)Administering immunizations.
Q2) The community health nurse is planning an education session for recently hired teachers at a childcare center. It is most important that the nurse teach the staff:
A)The schedule for immunizations.
B)How to interpret health records.
C)Principles of infection control.
D)How to take a temperature.
Q3) An important goal for pediatric nurses in the office or healthcare setting is:
A)Develop a positive relationship with the child and family.
B)Develop a plan of care with the physician for the family.
C)Tell the family immediately what's wrong with the child.
D)Tell the family "Everything will be okay."
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Chapter 15: Nursing Care of the Hospitalized Child
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/78190
Sample Questions
Q1) In addition to separation anxiety, infants between six and 18 months of age also might display:
A)Fear of disfigurement.
B)Fear of death.
C)Stranger anxiety.
D)Fear of bodily injury.
Q2) Hospitalization is a stressor for all children. Parents often have other responsibilities that prevent them from staying with their child during hospitalization. Which age groups can best tolerate separation from parents during hospitalization? Standard Text: Select all that apply.
A)Infants birth to five months
B)Infants five months to one year
C)Toddlers and preschoolers
D)School-age children
E)Adolescents
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Chapter 16: Nursing Care of the Child With a Chronic Condition
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/78189
Sample Questions
Q1) After the infant is diagnosed as a child with a chronic health condition, the family is assigned a nurse working as a case manager. The nurse would explain that as a case manager, the nurse's role will include: Standard Text: Select all that apply.
A)Limiting the number of visits to the health care facility.
B)Preventing duplication of services.
C)Improving the quality of life for the child and parents.
D)Recognizing the equipment needs of the child and providing assistance with equipment acquisition.
E)Visiting the child in the home to assist with physical care.
Q2) The nurse recommends to the family of a child with severe cerebral palsy that they enroll their child in hippotherapy. The nurse would explain that hippotherapy includes:
A)Water exercises to increase muscular strength.
B)Use of braces and walkers to support walking.
C)Dietary therapy to maintain a normal weight.
D)Horseback riding, or hippotherapy, improves posture and balance and allows the child to participate in a physical activity.
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Chapter 17: Nursing Care of the Child With a Life-Threatening Illness or Injury
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/78188
Sample Questions
Q1) The nurse is taking care of a school-age child with 50% burns to the head and upper part of the body. The nurse recognizes that the most significant stressors for school-age children with life-threatening illness are: Standard Text: Select all that apply.
A)Painful and invasive procedures.
B)Fear of the medical team.
C)Disfigurement.
D)Separation from family.
E)Loss of self-control.
Q2) A young child is admitted to the hospital following a serious injury while on a field trip with his school class. When the parents arrive at the emergency room, the nurse recognizes that the parents have only limited English. The nurse will:
A)Speak slowly and clearly so the parents can understand.
B)Have a translator/interpreter present when the nurse and physician describe the child's condition to the parents.
C)Have a family member who speaks English translate for the family
D)Give the parents a pamphlet written in their primary language that describes the hospital routine.
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Page 19
Chapter 18: End-Of-Life Care and Bereavement
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/78187
Sample Questions
Q1) The nurse is leading a recovery group made up of parents who have lost a child. As the opening topic for the night's discussion, the nurse has again reviewed information about the grief process to the parents and talked about how different people grieve. During the discussion phase, several fathers speak. The nurse recognizes that the father who needs more time to understand the grief process is the father who says:
A)"I understand that everyone grieves differently."
B)"Looking back, I realize why I became so angry when the doctors didn't cure my daughter."
C)"It's been six months since my son died, so why isn't my wife ready to move on with our lives?"
D)"I'm glad you described some common grief reactions.I thought I was going crazy for a while."
Q2) The nurse is providing postmortem care to a child. Along with following the facility's guidelines, what else should the nurse consider?
A)Identifying the family's wishes for postmortem care before performing care
B)Avoiding delay in moving the body to the morgue
C)Removing all articles from patient's body
D)Leaving all equipment in the room during postmortem care
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20
Chapter 19: Infant, Child, and Adolescent Nutrition
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/78186
Sample Questions
Q1) During a four-month-old infant's well-child checkup, the nurse discusses introduction of solid foods into the infant's diet. Although the nurse recommends delaying the introduction of many foods into the diet, which food(s) will the nurse discuss delaying because they increase the risk for food allergy?
A)Honey
B)Carrots, beets, and spinach
C)Pork
D)Cow's milk, eggs, and peanuts
Q2) The nurse is teaching the parents of a four-month-old infant about good feeding habits. The nurse emphasizes the importance of holding the baby during feedings and not letting the infant go to sleep with the bottle, as this is most likely to increase the incidence of both dental caries and:
A)Aspiration.
B)Otitis media.
C)Malocclusion problems.
D)Sleeping disorders.
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Chapter 20: Social and Environmental Influences on Child and
Adolescent Health
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/78185
Sample Questions
Q1) A child is brought to the emergency department in a coma. The mother thinks the child may have ingested a poison. The nurse will assess: Standard Text: Select all that apply.
A)For burns around the mouth.
B)The child's breath.
C)The child's vomitus.
D)Hair samples.
E)Blood and urine toxicology screens.
Q2) While working at a weekend "free clinic," the nurse is assessing a three-year-old when the mother of the child confides that it has been very difficult providing for her family of four children on her limited budget. She is not sure that she has enough money to buy both food for the rest of the month and the antibiotic that is needed for the child's ear infection. Which intervention by the nurse would be most beneficial for the child and this family?
A)Talking with the mother about keeping the child's ear clean by using a Q-tip
B)Putting the mother in contact with a local agency that provides food on a regular basis to needy families and helps them access other resources in the community
C)Providing the mother with samples of food and food stamps for the child
D)Giving the mother free samples of an antibiotic.
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Chapter 21: Pain Assessment and Management
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/78184
Sample Questions
Q1) The nurse is caring for a child who has been sedated for a painful procedure. What is the priority nursing activity for this child?
A)Place the child on a cardiac monitor.
B)Allow parents to stay with the child.
C)Monitor pulse oximetry.
D)Assess the child's respiratory effort.
Q2) A five-year-old child is being discharged from the outpatient surgical center. Which statement by the parent would indicate the need for further teaching?
A)"I will call the office tomorrow if the pain medicine is not relieving the pain."
B)"I can expect my child to have some pain for the next few days."
C)"Because my child just had surgery today, I can expect the pain level to be higher tomorrow."
D)"I will plan to give my child pain medicine around the clock for the next day or so."
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Chapter 22: Immunizations and Communicable Diseases
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/78183
Sample Questions
Q1) The nurse prepares a DTaP (diphtheria, tetanus toxoid, and acellular pertussis) immunization for a six-month-old infant. To administer this injection safely, the nurse chooses which of the following needles (size and length), injection type, and injection site?
A)25-gauge, <sup>5</sup>/<sub>8</sub>-inch needle; IM (intramuscular); anterolateral thigh
B)25-gauge, <sup>5</sup>/<sub>8</sub>-inch needle; ID (intradermal); deltoid
C)22-gauge, <sup>1</sup>/<sub>2</sub>-inch needle; IM (intramuscular); dorsogluteal
D)25-gauge, <sup>3</sup>/<sub>4</sub>-inch needle; SQ (subcutaneous); anterolateral thigh
Q2) The pediatric clinic has set a goal that 95% or more of the children attending the clinic will be fully immunized. To reach this goal, clinic nurses will teach the families that:
A)The benefits of immunizations outweigh the risks of communicable diseases.
B)Immunizations should be completed by the time the child starts school.
C)Once a child receives a vaccination, that individual has lifelong immunity against that disease.
D)Vaccinations are 100% safe.
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Chapter 23: Alterations in Fluid, Electrolyte, and Acid-Base
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/78182
Sample Questions
Q1) A nine-month-old infant is hospitalized with vomiting and diarrhea. The mother questions why her child needed hospitalization since her school-age nephew had the same symptoms and was treated at home. The nurse would explain that an infant is more at risk for dehydration than a school-age child because: Standard Text: Select all that apply.
A)Infants have a lower proportion of their body weight as water.
B)The percentage of extra-cellular fluid is higher in the infant than the school-age child.
C)School-age children have a larger body surface area.
D)The school-age child's kidneys are more mature and better able to conserve water.
E)The metabolic rate of the school-age child is higher.
Q2) In the morning, a nurse receives a report on four pediatric clients, each of whom has some form of fluid-volume excess. Which of the children should the nurse see first?
A)The child with tachypnea and pulmonary congestion
B)The child with hepatomegaly and normal respiratory rate
C)The child with dependent and sacral edema and regular pulse
D)The child with periorbital edema and normal respiratory rate
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25
Chapter 24: Alterations in Eye, Ear, Nose, and Throat
Function
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/78181
Sample Questions
Q1) The nurse is reviewing discharge instructions for a child who has received a cochlear implant. In addition to encouraging speech therapy for the child, the nurse will instruct the parents to monitor the child for signs of:
A)Ringing in the ears.
B)Pharyngitis.
C)Hearing loss.
D)Bacterial meningitis.
Q2) An infant has acute otitis media. Which of the following would be the most important for the nurse to teach the parents?
A)Keep the baby in a flat position during sleep.
B)Administer a decongestant.
C)Place the baby to sleep with a pacifier.
D)Administer acetaminophen (Tylenol) to relieve discomfort.
Q3) The school nurse is screening all second graders for tonsillitis and pharyngitis. Which finding is a normal finding in this age group?
A)Tonsils are large and seem to fill the throat.
B)Child is complaining of sore throat and drooling
C)White patches are observed on the tonsils.
D)Throat appears red, and child has a low-grade fever
Page 26
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Chapter 25: Alterations in Respiratory Function
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/78180
Sample Questions
Q1) A premature infant develops acute respiratory distress syndrome (ARDS). How will the nurse position the baby? Standard Text: Select all that apply.
A)Upright
B)Semi-Fowler's position
C)Prone position
D)With his head hyperextended
E)With his head in a sniffing position
Q2) A newborn who is 24 hours old is suspected of having cystic fibrosis. As the child is being prepared for transfer to a pediatric hospital, the mother asks the nurse what symptoms made the physician suspect cystic fibrosis. The nurse would reply that the clinical manifestation of cystic fibrosis that is seen first is:
A)Rectal prolapse.
B)Constipation.
C)Steatorrheic stools.
D)Meconium ileus.
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Chapter 26: Alterations in Cardiovascular Function
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) A child has been admitted to the hospital unit in congestive heart failure (CHF). Symptoms related to this admission diagnosis would include:
A)Tachycardia.
B)Weight loss.
C)Increased blood pressure.
D)Bradycardia.
Q2) An infant has been diagnosed with a mild heart defect. Surgery to correct the defect will not be performed for at least two years. The nurse teaches the parents that a child with a mild heart defect should:
A)Have a low-grade fever until the defect is repaired.
B)Maintain normal activity.
C)Not develop congestive heart failure.
D)Not be given antipyretics.
Q3) The nurse has admitted a child with a cyanotic heart defect. Which initial lab result will the nurse anticipate?
A)A low platelet count
B)A high white blood cell count
C)A high hemoglobin
D)A low hematocrit
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Chapter 27: Alterations in Immune Function
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/78178
Sample Questions
Q1) A two-month-old infant has been diagnosed with severe combined immunodeficiency disease (SCID). The physician talked with the parents about the planned treatment and prognosis for the infant. Which statement by the parents indicates the need for additional education?
A)"My child will receive intravenous immune globulins as a way to help him fight infection."
B)"Within days of receiving a stem cell transplant, my child will be cured."
C)"If my child needs a blood transfusion, it should be with irradiated blood cells."
D)"Antibiotics will be used as necessary to help my child fight infections."
Q2) A nurse has begun an infusion of intravenous immunogloblin (IVIG) to a child who has combined immunodeficiency disease. In which situation should this infusion be stopped?
A)The child complains of discomfort at the IV site.
B)The child develops severe shaking, chills, and fever.
C)The child complains of thirst.
D)The child experiences a mild headache.
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29
Chapter 28: Alterations in Hematologic Function
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/78177
Sample Questions
Q1) During a hurricane emergency, a child with hemophilia is injured and bleeding internally. The child is transported to the hospital. Due to the emergency, the appropriate factor is not available. What blood product would be the next best option to promote clotting?
A)Platelets
B)Whole blood
C)Packed cells
D)Fresh or fresh frozen plasma
Q2) A child has been diagnosed with sickle-cell disease. Both parents deny having the disease themselves. The parents ask the nurse how their child got this disease. The nurse recognizes that the only possible explanation of the etiology is:
A)The father is not the biological father of the infant.
B)The mother of the child has the trait, but the father doesn't.
C)The father of the child has the trait, but the mother doesn't.
D)The mother and the father of the child have the sickle-cell trait.
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Chapter 29: The Child With Cancer
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/78176
Sample Questions
Q1) The child has been admitted to the hospital unit newly diagnosed with retinoblastoma. What would the nurse expect to see when examining the child's eye?
A)A white reflex
B)Blue-tinged sclera
C)A red reflex
D)Yellow sclera
Q2) The nurse is explaining to the mother that her child with cancer will receive chemotherapy daily for one month and then no treatments for six weeks. Following the period of rest, chemotherapy will be administered again for another month. The mother asks why the child can't receive the medication for two months straight. The nurse would explain that the rest period:
A)Prevents the child from having side effects from the drugs.
B)Is due to the scheduling requirements of the infusion center.
C)Is necessary because receiving the medication for more than one month can cause heart failure.
D)Allows normal cells to repair themselves while the cancer cells die.
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Chapter 30: Alterations in Gastrointestinal Function
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/78175
Sample Questions
Q1) A woman pregnant at term arrives at the small rural hospital in active labor. She has received no prenatal care. At delivery, it is discovered that the newborn has a gastroschisis defect. Immediate transfer to a pediatric hospital is planned. Nursing care to prepare the infant for discharge would include:
A)Covering the exposed intestines with sterile moist gauze.
B)Wrapping the infant warmly in two or three blankets.
C)Providing a sterile water feeding to maintain hydration during transport.
D)Preventing the parents from seeing the infant prior to transfer to reduce their anxiety.
Q2) A nasogastric tube to suction is ordered for a child newly diagnosed with a diaphragmatic hernia. The nurse notes that the surgeon has not ordered fluid replacement for the NG drainage. What might occur if large amounts of gastric drainage are noted without replacement?
A)The infant may lose weight due to loss of nutrition.
B)The infant will develop metabolic alkalosis.
C)The infant will become dehydrated.
D)The infant will develop hyperbilirubinemia.
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32
Chapter 31: Alterations in Genitourinary Function
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/78174
Sample Questions
Q1) A child has undergone a kidney transplant and is receiving cyclosporine. The parents ask the nurse about the reason for the cyclosporine. The nurse should explain that the drug is given to:
A)Suppress rejection.
B)Decrease pain.
C)Improve circulation.
D)Boost immunity.
Q2) A baby is born with bladder exstrophy. Immediate care for this infant will include which intervention?
A)Measuring intake and output
B)Inserting a Foley catheter
C)Covering the defect with sterile plastic wrap
D)Palpating the bladder mass to ensure urine is expelled
Q3) A four-year-old has acute glomerulonephritis (AGN) and is admitted to the hospital. The priority nursing diagnosis for this child would be:
A)Risk for injury related to hypertension.
B)Altered growth and development related to a chronic disease.
C)Risk for infection related to hypertension.
D)Fluid volume excess related to decreased plasma filtration.
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Page 33
Chapter 32: Alterations in Endocrine and Metabolic Function
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/78173
Sample Questions
Q1) A three-year-old child was born with congenital adrenal insufficiency and is being treated with oral hydrocortisone. When the child develops pneumonia and is admitted to the hospital, the nurse would expect the dose of hydrocortisone to be:
A)Stopped.
B)Reduced by 50%.
C)Continued as previously prescribed.
D)Increased.
Q2) The home health nurse is visiting a three-month-old who has been diagnosed with congenital hypothyroidism and is taking daily thyroxine. The baby is on soy formula and is at the 50<sup>th</sup> percentile for height and weight. It is important that the mother understands that:
A)Parents may stop the thyroxine as long as the baby remains in the 50<sup>th</sup> percentile for height and weight.
B)Soy-based formula can interfere with the absorption of thyroxine.
C)Dairy-based formula is contraindicated when an infant is taking thyroxine.
D)As long as the baby is growing along the same growth curve, no interventions are necessary.
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Chapter 33: Alterations in Neurologic Function
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/78172
Sample Questions
Q1) A baby just born with a meningomyelocele is to have surgery in the morning. The nurse knows the care of this newborn includes:
A)Applying a diaper to prevent contamination of sac.
B)Positioning the newborn in a side-lying position.
C)Encouraging the mother to hold the newborn, because she will not be able to pick him up after surgery.
D)Positioning the newborn in a prone position.
Q2) The nurse has received a child from the emergency department with a diagnosis of decreased level of consciousness secondary to increased intracranial pressure. Which physician's order would the nurse question?
A)Passive range-of-motion exercises
B)Oxygen at 2L nasal cannula to keep saturation above 95%
C)Hourly vital signs and neuro checks
D)Elevate head of bed 30 degrees
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Chapter 34: Alterations in Mental Health and Cognition
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/78171
Sample Questions
Q1) A mother brings her 22-month-old child to the well-child clinic for an evaluation. The mother states that this child does not seem to be developing like her sister's child of the same age. The nurse will perform which screening test that may provide information about the child's development?
A)MRI of the head
B)An EEG
C)A Denver II
D)Chromosomal study
Q2) The mother of a six-year-old brings her son to the physician because his teacher thinks he might have attention deficit/hyperactivity disorder (ADHD). The nurse is interviewing the mother about the child's history. The nurse knows that which factors could be associated with ADHD?
A)Measles, mumps, and rubella vaccine
B)Advanced parental age
C)Prenatal exposure to smoke
D)Immune response
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Chapter 35: Alterations in Musculoskeletal Function
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/78170
Sample Questions
Q1) An adolescent has just returned from surgery after spinal fusion surgery. Which assessment finding would take priority at this time?
A)Sleeps when not bothered but arouses easily with stimuli
B)Impaired color, sensitivity, and movement to lower extremities
C)Nausea
D)Pain
Q2) The nurse has completed discharge teaching for the family of a child diagnosed with Legg-Calvé-Perthes disease. The nurse knows further teaching is needed about the condition if the family states:
A)"We're glad this will only take about six weeks to correct."
B)"We understand abduction of the affected leg is important."
C)"We know to watch for areas on the skin that the brace might rub."
D)"We understand swimming is a good sport for Legg-Calvé-Perthes."
Q3) A child must wear a brace for correction of scoliosis. Which nursing diagnosis takes priority at this time?
A)Impaired gas exchange, risk for
B)Altered growth and development, risk for
C)Impaired skin integrity, risk for
D)Impaired mobility, risk for
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Page 37
Chapter 36: Alterations in Skin Integrity
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/78169
Sample Questions
Q1) The toddler pulled a pot of boiling water off the stove and suffered partial and full thickness burns to the chest. EMS arrived, stabilized the child, and transported him to the hospital burn unit. The child is now in the recovery-management phase of burn treatment. Which is the most common complication seen in this period?
A)Asphyxia
B)Metabolic acidosis
C)Shock
D)Burn-wound infection
Q2) While preparing for the day in the integument clinic, the nurse notices that a number of the patients being seen that day have conditions with a genetic component. Which skin conditions have a genetic or inherited component? Standard Text: Select all that apply.
A)Atopic dermatitis
B)Seborrheic dermatitis
C)Epidermolysis bullosa
D)Molluscum contagiosum
E)Psoriasis
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