Advanced Pediatric Nursing
Final Test Solutions
Course Introduction
Advanced Pediatric Nursing explores the complex healthcare needs of children from infancy through adolescence, emphasizing both acute and chronic health conditions. This course integrates advanced theoretical knowledge with evidence-based nursing practices focused on assessment, diagnosis, and intervention strategies tailored to pediatric populations. Topics include growth and development, family-centered care, culturally competent practice, pharmacological management, and interdisciplinary collaboration within pediatric healthcare settings. Students will develop critical thinking, decision-making, and leadership skills necessary for advanced practice roles, preparing them to provide holistic, compassionate, and effective care to children and their families.
Recommended Textbook
Principles of Pediatric Nursing Caring for Children 7th Edition by Ball
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31 Chapters
580 Verified Questions
580 Flashcards
Source URL: https://quizplus.com/study-set/3539 Page 2
Chapter 1: Nurses Role in Care of the Child: Hospital, Community, and Home
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/70277
Sample Questions
Q1) The nurse recognizes that the pediatric client is from a cultural background different from that of the hospital staff. Which goal is most appropriate for this client when planning nursing care?
A) Overlook or minimize the differences that exist.
B) Facilitate the family's ability to comply with the care needed.
C) Avoid inadvertently offending the family by imposing the nurse's perspective.
D) Encourage complementary beneficial cultural practices as primary therapies.
Answer: B
Q2) A child is being prepared for an invasive procedure. The mother of the child has legal custody but is not present. After details of the procedure are explained, who can provide legal consent on behalf of a minor child for treatment?
A) The divorced parent without custody
B) A cohabitating boyfriend of the child's mother
C) A grandparent who lives in the home with the child
D) A babysitter with written proxy
Answer: D
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Chapter 2: Family-Centered Care and Cultural
Considerations
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/70278
Sample Questions
Q1) A school-age client tells you that "Grandpa, Mommy, Daddy, and my brother live at my house." Which type of family will the nurse identify in the medical record based on this description?
A) Binuclear family
B) Extended family
C) Gay or lesbian family
D) Traditional nuclear family
Answer: B
Q2) Cultures have many different childrearing practices. Which culture is known to value the male child more than the female child, and often teaches children to avoid displaying emotion?
A) Mexican
B) Amish
C) Chinese
D) Navajo
Answer: C
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Chapter 3: Genetic and Genomic Influences
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/70279
Sample Questions
Q1) A family desires genetic testing for their adolescent. What response by the clinic nurse is appropriate?
A) "The child is a minor and cannot give consent."
B) "It is not advisable because insurance does not pay for this test."
C) "Let me discuss this with the adolescent and then we can discuss it more fully."
D) "There is a chance the adolescent might be discriminated against because of the test."
Answer: C
Q2) A family with a child who had a cleft lip and palate at birth are planning another pregnancy. What intervention should be recommended prior to conception?
A) A genetic family history
B) A family pedigree
C) A genetic physical assessment
D) A maternal health history
Answer: A
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Chapter 4: Growth and Development
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/70280
Sample Questions
Q1) A mother of a school-age client who recently had surgery for the removal of tonsils and adenoids complains that the child has begun sucking his thumb again. Which coping mechanisms is the child using to cope with the surgery and hospitalization?
A) Repression
B) Rationalization
C) Regression
D) Fantasy
Q2) While in the pediatrician's office for their child's 12-month well-child exam, the parents ask the nurse for advice on age-appropriate toys for their child. Based on the child's developmental level, which types of toys would the nurse suggest? Select all that apply.
A) Soft toys that can be manipulated
B) Small toys that can pop apart and go back together
C) Jack-in-the-box toys
D) Toys with black and white patterns
E) Push-and-pull toys
Q3) A child with hives weighing 40 pounds is prescribed diphenhydramine (Benadryl), 5 mg/kg/day in four divided doses. How many milligrams should the nurse give for each dose?
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Page 6
Chapter 5: Pediatric Assessment
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/70281
Sample Questions
Q1) When assessing the cognitive development, which technique would be appropriate to test the remote memory of a 5-year-old?
A) Say the name of an object and after 5 minutes ask the child to tell you what you said the object was.
B) Ask the child to repeat his address.
C) Ask the child to say a poem and listen to the child's speech articulation.
D) Have the child point to various parts of the body as you name them.
Q2) A new mother is worried about a "soft spot" on the top of her newborn infant's head. The nurse informs her that this is a normal physical finding called the anterior fontanel. At what age will the nurse educate the mother that the soft spot will close?
A) 2 to 3 months of age
B) 6 to 9 months of age
C) 12 to 18 months of age
D) Approximately 2 years of age
Q3) Place the nursing assessments of a toddler in the best order.
A) Examination of eyes, ears, and throat
B) Auscultation of chest
C) Palpation of abdomen
D) Developmental assessment
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Page 7
Chapter 6: Introduction to Health Promotion and Maintenance
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/70282
Sample Questions
Q1) The nurse is assessing an adolescent client whose weight is in the 5th percentile. Based on this information, which question is most appropriate for the nurse to ask the adolescent client?
A) "Do you eat the school lunches?"
B) "Do you have any concerns about your weight?"
C) "Do you eat fruits, vegetables, and drink milk?"
D) "How many meals do you eat each day?"
Q2) A mother of a 2-year-old child becomes very anxious when the child has a temper tantrum in the medical office. Which response by the nurse is the most appropriate?
A) "What do you usually do or say during a temper tantrum?"
B) "Let's ignore this behavior; it will stop sooner or later."
C) "Pick up and cuddle your child now, please."
D) "This is definitely a temper tantrum; I know exactly what you are feeling right now."
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Chapter 7: Health Promotion and Maintenance for the
Newborn and Infant
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/70283
Sample Questions
Q1) The nurse working with a family has observed that the older children have a large number of dental caries and plans to provide the mother with information to prevent the development of dental caries in her new infant. Which interventions will prevent the development of dental caries in the infant? Select all that apply.
A) Avoiding nursing or giving the infant a bottle at bedtime
B) Giving foods high in sugar only at breakfast time
C) Using a soft moist gauze for cleaning
D) Using a topical anesthetic daily beginning as soon as the first tooth begins to erupt
Q2) Injury prevention is an important aspect of parent teaching. Which injury prevention strategy would reduce the risk of suffocation?
A) Measure crib slat spacing at 2-3/8 inches or less.
B) Never leave an infant alone in a bath.
C) Position the infant on her back to sleep.
D) Use only approved restraint systems.
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Chapter 8: Health Promotion and Maintenance for the
Toddler and Preschooler
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/70284
Sample Questions
Q1) Which of these aspects of developmental health supervision should be included in each healthcare visit of young children? Select all that apply.
A) Assessment
B) Discipline
C) Education
D) Intervention
E) Toilet training
Q2) At a routine healthcare visit, a nurse measures a toddler and plots the height and weight on the growth charts. The nurse documents that the toddler is above the 95th percentile for weight and is at the 5th percentile for height. How should the nurse interpret these data?
A) The toddler is proportionate for the age.
B) The toddler needs to eat more at each feeding.
C) The height and weight are disproportionate, and the toddler needs further evaluation.
D) The family is most likely short.
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Chapter 9: Health Promotion and Maintenance for the School-Age
Child and Adolescent
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/70285
Sample Questions
Q1) The nurse is preparing to complete a health surveillance appointment with a school-age client and parents. Which observations would necessitate the need for further assessment by the nurse? Select all that apply.
A) Client who does not make eye contact
B) Client with visible bruises in various stages of healing
C) Client holding a video game talking with parent
D) Client playing a card game with sibling
E) Client who appears red in the face while walking to exam room
Q2) The school nurse performs screenings on all students in the middle school. In addition, the nurse will perform selected screenings on individual school-age children. When planning the screenings for the year, which screenings will the nurse include for all school-age children? Select all that apply.
A) Hearing
B) Height and weight
C) Blood-pressure measurement
D) Hepatitis B profile serology
E) Chest x-ray
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11
Chapter 10: Nursing Considerations for the Child in the Community
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/70286
Sample Questions
Q1) A young school-age client who has had a tracheostomy for several years is scheduled to begin school in the fall. The teacher is concerned about this child's being in her class and consults the school nurse. Which action by the nurse is the most appropriate?
A) Make arrangements for the child to go to a special school.
B) Ask the parents of the child to provide a caregiver during school hours.
C) Recommend that the child be home schooled.
D) Teach the teacher how to care for the child in the classroom.
Q2) The nurse manager is assisting the organization to open a healthcare center. What items must the manager include in pediatric inventory? Select all that apply.
A) Preprinted drug dosage chart
B) Oxygen face masks
C) Pediatric chairs and litters
D) Length-based resuscitation tape
E) Oral and NG airways and laryngoscope blades
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Page 12
Chapter 11: Nursing Considerations for the Hospitalized Child
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/70287
Sample Questions
Q1) The nurse needs to administer a medication to a preschool-age child. The medication is only available in tablet form. Which action by the nurse is the most appropriate?
A) Place the tablet on the child's tongue and give the child a drink of water.
B) Break the tablet in small pieces and ask the child to swallow the pieces one by one.
C) Crush the tablet and mix it in a teaspoon of applesauce.
D) Crush the table and mix it in a cup of juice.
Q2) The nurse is working with a hospitalized preschool-age child. The nurse is planning activities to reduce anxiety in this child. Which action by the nurse is the most appropriate?
A) Provide the child with a doll and safe medical equipment.
B) Read a story to the child.
C) Use an anatomically correct doll to teach the child about the illness.
D) Talk to the child about the hospitalization.
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13
Chapter 12: The Child With a Chronic Condition
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/70288
Sample Questions
Q1) The clinic nurse is working with a child with multiple disabilities. The parents have asked the nurse to help them in meeting with the school board to develop an Individualized Education Plan (IEP) and an Individualized Health Plan (IHP). Which nursing intervention is most appropriate?
A) Providing a written list of the child's medical diagnoses for the IEP meeting.
B) Offering to wait with the child while the parents attend the IEP meeting.
C) Listening to the parents' concerns and complaints about the school district.
D) Presenting verbally the child's cognitive, physical, and social skills to school officials at the IEP meeting.
Q2) The nurse has set up a group discussion for several families with chronically ill children. The nurse informs these parents that they may face which ethical issue?
A) Normalization
B) Withholding and refusal of treatment
C) Repeated hospital admissions
D) Lack of proper dietary needs
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Chapter 13: The Child With a Life-Threatening Condition and
End-Of-Life Care
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/70289
Sample Questions
Q1) Which intervention is considered supportive care for a family whose infant has died from sudden infant death syndrome (SIDS)?
A) Interviewing parents to determine the cause of the SIDS incident
B) Allowing parents to hold, touch, and rock the infant
C) Sheltering parents from the grief by not giving them any personal items of the infant, such as footprints
D) Advising parents that an autopsy is not necessary
Q2) A school bus carrying children in grades K-12 crashed into a ravine. The critically injured children were transported by ambulance and admitted to the pediatric intensive-care unit (PICU). The nurse is concerned about calming the frightened children. Which nursing intervention is most appropriate to achieve the goal of calming the frightened children?
A) Tell the children that the physicians are competent.
B) Assure the children that the nurses are caring.
C) Explain that the PICU equipment is state of the art.
D) Call the children's parents to come into the PICU.
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Chapter 14: Infant, Child, and Adolescent Nutrition
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/70290
Sample Questions
Q1) Celiac disease presents many challenges for a family. What should the nurse emphasize when educating the parents of a newly diagnosed child?
A) Ice cream is a safe dessert on a gluten-free diet.
B) The child's weight and height should reach normal levels in about 1 year.
C) Processed foods are usually gluten-free.
D) Insurance pays only a small amount of the cost of celiac diets.
Q2) The nurse is instructing a parent of a newborn on the foods that are to be started based on age. The nurse instructs the parent that the first food given to a newborn is rice cereal. What statement by the parent suggests appropriate understanding of the next food that can be introduced?
A) "Chicken can be given next."
B) "Eggs can be given next."
C) "Fruits should be given next."
D) "Whole milk should be started."
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16
Chapter 15: Pain Assessment and Management in Children
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/70291
Sample Questions
Q1) A preschool-age client is hospitalized following surgery for a ruptured appendix. During assessment of the child, the nurse notes that the child is sleeping. Vital signs are as follows: temperature 97.8 degrees F axillary, pulse 90, respirations 12, and blood pressure 100/60. Which conclusion by the nurse is appropriate based on the assessment findings?
A) The client is comfortable and the pain is controlled.
B) The client is in shock secondary to blood loss during surgery.
C) The client is experiencing respiratory depression secondary to opioid administration for postoperative pain.
D) The client is sleeping to avoid pain associated with surgery.
Q2) A parent asks the nurse if there is anything that can be done to reduce the pain that his 3-year-old experiences each morning when blood is drawn for lab studies. Which intervention would the nurse implement- based on the parent's concern?
A) Intravenous sedation 15 minutes prior to the procedure
B) EMLA cream (lidocaine 2.5% and prilocaine 2.5%) applied to skin at least one hour prior to the procedure
C) Use of guided imagery during the procedure
D) Use of muscle-relaxation techniques
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Chapter 16: Immunizations and Communicable Diseases
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/70292
Sample Questions
Q1) The nurse prepares the second diphtheria, tetanus toxoid, and acellular pertussis (DTaP) and second inactivated polio vaccine (IPV) immunization injections for an infant who is 4 months old. The nurse may also give which of immunizations during the same well-child-care appointment?
A) Var (varicella)
B) TIV (influenza)
C) MMR (measles, mumps, rubella)
D) Haemophilus influenza type B (HIB)
Q2) The hospital admitting nurse is taking a history of a child's illness from the parents. The nurse concludes that the parents treated their 6-year-old child appropriately for a fever related to otitis media. Which action by the parents brought the nurse to this conclusion?
A) Used aspirin every four hours to reduce the fever
B) Alternated acetaminophen with ibuprofen every two hours
C) Put the child in a tub of cold water to reduce the fever
D) Offered generous amounts of fluids frequently
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18
Chapter 17: Social and Environmental Influences on the Child
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/70293
Sample Questions
Q1) The pediatric nurse is working with a parent who is suspected of Münchausen Syndrome by Proxy. Which action by the nurse is the priority?
A) Confront the parent with concerns of possible abuse.
B) Carefully document parent-child interactions.
C) Try to keep the parent separated from the child as much as possible.
D) Explain to the child that the parent is causing the illness and that the health team will prevent the child from being harmed.
Q2) The nurse teaches a group of parents' strategies to reduce the risk of lead exposure for their children. Which statements indicate an appropriate understanding of the content presented? Select all that apply.
A) "We will provide our child with frequent snacks high in iron and calcium."
B) "We will wash any surfaces that have peeling paint."
C) "We will store leftovers in a ceramic pot."
D) "We can continue to use our traditional-medicine treatment, Azarcon, for any GI upset."
E) "We will sand the windowsills to remove the lead-based paint."
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Page 19
Chapter 18: Alterations in Fluid, Electrolyte, and Acid-Base Balance
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/70294
Sample Questions
Q1) A nurse is planning care for a child with hyponatremia. The nurse, delegating care of this child to a new RN on the pediatric unit, cautions the new nurse to be especially alert for which condition in the child?
A) Seizures
B) Bradycardia
C) Respiratory distress
D) Hyperthermia
Q2) The nurse finishes a parent-teaching session on preventing heat-related illnesses for children who exercise. Which statement by a parent indicates understanding of preventive techniques taught?
A) Hydration should occur at the end of an exercise session.
B) Water is the drink of choice to replenish fluids.
C) Wearing dark clothing during exercise is recommended.
D) During activity, stop for fluids every 15 to 20 minutes.
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20
Chapter 19: Alterations in Eye, Ear, Nose, and Throat
Function
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/70295
Sample Questions
Q1) The nurse teaches parents how to care for their child who has tympanostomy tubes inserted. Which actions by the parents indicate appropriate understanding of the teaching session? Select all that apply.
A) Encouraging the child to drink generous amounts of fluids
B) Administering a decongestant for 1 to 2 weeks following surgery
C) Restricting the child to quiet activities after surgery
D) Limiting diet to soft, bland foods
E) Avoiding getting water in ears during bath time
Q2) During an admission assessment, the nurse notes that the child has impaired oral mucous membranes. Which intervention is most appropriate for the nurse to implement for this child?
A) Administering topical analgesics
B) Promoting an adequate intake of nutrients
C) Administering antibiotics as ordered
D) Using lemon and glycerin for oral hygiene
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21
Chapter 20: Alterations in Respiratory Function
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/70296
Sample Questions
Q1) The nurse educator is teaching a group of nursing students how to perform a respiratory assessment for a newborn in the newborn intensive care unit (NICU) diagnosed with respiratory distress syndrome (RDS). Which normal characteristics of the newborn's respiratory system increase the risk for obstruction? Select all that apply.
A) Shorter and narrower airway
B) Higher trachea
C) Bronchial branching at different angles
D) Inadequate smooth muscle bundles
E) Diaphragmatic breather
Q2) Which nursing diagnosis is most appropriate for an infant with acute bronchiolitis due to respiratory syncytial virus (RSV)?
A) Activity Intolerance
B) Decreased Cardiac Output
C) Pain, Acute
D) Tissue Perfusion, Ineffective (peripheral)
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22
Chapter 21: Alterations in Cardiovascular Function
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/70297
Sample Questions
Q1) A child recently had a heart transplant and the nurse teaches the parents the importance of administering cyclosporine A. Which statement by the parents indicates an appropriate understanding of the teaching session?
A) "Cyclosporin A reduces serum-cholesterol level."
B) "Cyclosporin A prevents rejection."
C) "Cyclosporin A treats hypertension."
D) "Cyclosporin A treats infections."
Q2) A child has been admitted to the hospital unit in congestive heart failure (CHF). Which symptom would the nurse anticipate upon assessment of the child?
A) Weight loss
B) Bradycardia
C) Tachycardia
D) Increased blood pressure
Q3) Which athletic activity can the nurse recommend for a school-age client with pulmonary-artery hypertension?
A) Cross-country running
B) Soccer
C) Golf
D) Basketball
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Chapter 22: Alterations in Immune Function
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/70298
Sample Questions
Q1) A school-age child diagnosed with rheumatoid arthritis asks the nurse to recommend an exercise activity. Which activity is most appropriate for this child?
A) Softball
B) Football
C) Swimming
D) Basketball
Q2) A preschool-age child has just had a moderate reaction to latex. When teaching the parents about latex allergy, the nurse should inform the parents of what common household items that contain latex? Select all that apply.
A) Rubber bands
B) Sneakers
C) Toothbrushes
D) Big Wheel<sup>®</sup> tricycle
E) Water toys
Q3) A child with the diagnosis of Wiskott-Aldrich syndrome has been ordered an IV infusion of gamma globulin. The child weighs 20 pounds. The healthcare provider orders: gamma globulin 2 g/kg IV over 12 hours.
Calculate how many grams of gamma globulin will be given IV.
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Chapter 23: Alterations in Hematologic Function
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) The nurse is caring for a child who is in a sickle cell crisis and has severe pain. Which nursing intervention is the most appropriate for this child?
A) Giving comfort measures, such as back rubs
B) Suggesting diversional activities, such as coloring
C) Administering pain medication
D) Preparing the child for painful procedures
Q2) A child is diagnosed with sickle cell disease. The parents are unsure how their child contracted the disease. Which explanation by the nurse is the most appropriate?
A) "Both the mother and the father have the sickle cell trait."
B) "The mother has the trait, but the father doesn't."
C) "The father has the trait, but the mother doesn't."
D) "The mother has sickle cell disease, but the father doesn't have the disease or the trait."
Q3) The adolescent is admitted to the hospital in sickle cell crisis with a pain level of 10/10. The physician orders:
Morphine sulfate 5 mg IV q 2 hr prn
Medication on hand: morphine sulfate 10 mg/mL
Calculate how many ml of morphine sulfate will be given IV.
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25
Chapter 24: The Child With Cancer
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/70300
Sample Questions
Q1) A child undergoing chemotherapeutic treatment for cancer is being admitted to the hospital for fever of 102 degrees F and possible sepsis. Cultures, antibiotics, and acetaminophen (Tylenol) along with bed rest have been ordered for this child. Place the following steps in order from first to last.
<b>Response 1 </b>Administer the antibiotics.
<b>Response 2</b> Administer the acetaminophen (Tylenol).
<b>Response 3</b> Obtain the cultures.
<b>Response 4</b> Ensure the child has bed rest.
Q2) The antiemetic drug ondansetron (Zofran) is administered to a child receiving chemotherapy. When should the nurse administer this medication?
A) Only if the child experiences nausea
B) After the chemotherapy has been administered
C) Before chemotherapy administration as a prophylactic measure
D) Never; this antiemetic is not effective for controlling nausea and vomiting associated with chemotherapy
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Chapter 25: Alterations in Gastrointestinal Function
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19 Verified Questions
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Source URL: https://quizplus.com/quiz/70301
Sample Questions
Q1) An infant is born with an esophageal atresia and tracheoesophageal fistula. Which preoperative nursing diagnosis is the priority for this infant?
A) Risk for Aspiration Related to Regurgitation
B) Acute Pain Related to Esophageal Defect
C) Ineffective Infant Feeding Pattern Related to Uncoordinated Suck and Swallow
D) Ineffective Tissue Perfusion: Gastrointestinal, Related to Decreased Circulation
Q2) The nurse is administering several medications to an infant with neurologic impairment and delay. Which medication is a proton pump inhibitor that is administered for gastroesophageal reflux?
A) Omeprazole
B) Ranitidine
C) Phenytoin
D) Glycopyrrolate
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Chapter 26: Alterations in Genitourinary Function
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17 Verified Questions
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Sample Questions
Q1) A preschool-age client diagnosed with nephrotic syndrome is placed on prednisone for several weeks. Which teaching point is appropriate for the nurse to include in the teaching plan for this client?
A) Never stop the medication suddenly.
B) This drug is taken once a week on Sunday.
C) The child should always take the medication at night before bed.
D) This drug should be taken with meals.
Q2) A preschool-age client is diagnosed with acute glomerulonephritis and is admitted to the hospital. Which nursing diagnosis is most appropriate for this client?
A) Risk for Injury Related to Loss of Blood in Urine
B) Fluid-Volume Excess Related to Decreased Plasma Filtration
C) Risk for Infection Related to Hypertension
D) Altered Growth and Development Related to a Chronic Disease
Q3) A 10-year-old diagnosed with chronic renal failure is seen at the dialysis center for dialysis treatment three times a week. The child weighs 35 pounds after dialysis.
Physician's order: Epogen 50 U/kg three times weekly after dialysis.
Medication on hand: Epogen 2000 U/mL
Calculate how many ml of Epogen the child should receive three times a week.
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28
Chapter 27: Alterations in Neurologic Function
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/70303
Sample Questions
Q1) A child sustains a traumatic brain injury and is monitored in the pediatric intensive-care unit (PICU). The nurse is using the Glasgow Coma Scale to assess the child. Which items will the nurse assess when using this tool? Select all that apply.
A) Eye opening
B) Verbal response
C) Motor response
D) Head circumference
E) Pulse oximetry
Q2) With a group of new parents, the nurse is reviewing treatment for viral illnesses such as influenza. Which statement by the parents indicates appropriate understanding of the teaching session?
A) "Some over-the-counter medications contain aspirin."
B) "Acetaminophen is good for treatment of fevers in young children."
C) "I can use ibuprofen as needed when my child has aches and pains."
D) "Aspirin is acceptable if my child does not have a virus."
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Chapter 28: Alterations in Mental Health and Cognitive Function
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) The family of a preschool-age client diagnosed with an intellectual disability is expressing difficulty with managing the care needs of the child. Which nursing diagnosis is most appropriate for this situation?
A) Hopelessness Related to Terminal Condition of the Child
B) Compromised Family Coping Related to the Child's Developmental Variations
C) Family Processes Dysfunctional, Related to a Child with Intellectual Disability
D) Impaired Parenting Related to Poor Parenting Skills
Q2) An adolescent client diagnosed with panic disorder is prescribed paroxetine (Paxil), a selective serotonin reuptake inhibitor (SSRI). The client tells the nurse she often takes diet pills because she is trying to lose weight. Which response by the nurse is the most appropriate?
A) "You can continue with the paroxetine (Paxil) and the diet pills."
B) "It is important to stop both the paroxetine (Paxil) and the diet pills."
C) "Discontinue using the diet pills while taking the paroxetine (Paxil)."
D) "You should discuss the safety of these two medications pills with a pharmacist."
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Chapter 29: Alterations in Musculoskeletal Function
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) A school-age client is admitted to the hospital with osteomyelitis. Which statement regarding the treatment of osteomyelitis is most appropriate for the nurse to share with the parents?
A) "Cultures should be done immediately after the first dose of antibiotic infuses."
B) "Antibiotics are ineffective against this virus."
C) "Methicillin is the antibiotic of choice."
D) "Antibiotic therapy should continue for 3 to 6 weeks."
Q2) An infant returns from surgery for correction of bilateral congenital clubfeet. The infant has bilateral long-leg casts. The toes on both feet are edematous, but there is color, sensitivity, and movement to them. Which action by the nurse is the most appropriate?
A) Call the healthcare provider to report the edema.
B) Elevate the legs on pillows.
C) Apply a warm, moist pack to the feet.
D) Encourage movement of toes.
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Chapter 30: Alterations in Endocrine Function
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/70306
Sample Questions
Q1) A pediatric client is seen in the clinic with a possible diagnosis of type 2 diabetes. The mother asks what the healthcare provider uses to make the diagnosis. The nurse explains that type 2 diabetes is suspected if the child has obesity, acanthosis nigricans, and two non-fasting blood-glucose levels above which level?
A) 120
B) 80
C) 200
D) 50
Q2) An adolescent client diagnosed with Graves' disease is admitted to the hospital. Which clinical manifestations would the nurse expect on assessment?
A) Weight gain, hirsutism, and muscle weakness
B) Dehydration, metabolic acidosis, and hypertension
C) Tachycardia, fatigue, and heat intolerance
D) Hyperglycemia, ketonuria, and glucosuria
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Chapter 31: Alterations in Skin Integrity
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/70307
Sample Questions
Q1) The adolescent is seen in the clinic for a consultation to treat severe acne. The adolescent has tried other medications, but the acne has not been responsive. The nurse knows that what medication is the most effective for this client with severe acne?
A) Oral contraceptives
B) Isotretinoin
C) Antibiotics
D) Benzoyl peroxide
Q2) The school nurse is conducting pediculosis capitis (head lice) checks. Which findings would indicate a "positive" head check?
A) White, flaky particles throughout the entire scalp region
B) Maculopapular lesions behind the ears
C) Lesions in the scalp that extend to the hairline or neck
D) White sacs attached to the hair shafts in the occipital area
Q3) A child is prescribed cephalexin for treatment of cellulitis. The child weighs 15 kg. The pediatrician orders: cephalexin 40 mg/kg/day PO, give twice a day.
Medication on hand: 250 mg/5 mL
Calculate how many mLs the nurse must draw up for each dose.
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