Family-Centered Pediatric Nursing Test Bank
Course Introduction
Family-Centered Pediatric Nursing focuses on the comprehensive care of children within the context of their families, exploring the vital role families play in pediatric health and illness. The course emphasizes partnership, respect, and collaboration between healthcare professionals, children, and their families to ensure holistic care that meets developmental, emotional, and physical needs. Topics include effective communication strategies, cultural competence, family dynamics, ethical and legal considerations, and evidence-based nursing interventions in diverse pediatric settings, preparing students to support families as integral members of the health care team throughout a childs healthcare experience.
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) What is the pediatric nurse's best defense against an accusation of malpractice or negligence?
A) Following the physician's written orders
B) Meeting the scope and standards of practice for pediatric nursing
C) Being a nurse practitioner or clinical nurse specialist
D) Acting on the advice of the nurse manager
Answer: B
Q2) Which legal or ethical offense would be committed if a nurse tells family members the condition of a newborn baby without first consulting the parents?
A) A breach of privacy
B) Negligence
C) Malpractice
D) A breach of ethics
Answer: A
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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) The nurse is counseling the parents of a 13-year-old regarding the behaviors they may encounter after telling the child about their plans to divorce. Which behaviors could the child demonstrate? Select all that apply.
A) Sorrow
B) Skipping school
C) Risk-taking
D) Withdraw from friends and activities
E) Temper tantrums
Answer: B,C
Q2) The nurse is assessing a family's effective coping strategies and ineffective defensive strategies. Which family-social-system theory is the nurse using in this assessment of the family?
A) Family-stress theory
B) Family-development theory
C) Family-systems theory
D) Family life-cycle theory
Answer: A
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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 student nurse asks, "What is carrier testing?" Which response by the nurse educator is most appropriate to answer the student nurse's question?
A) "Carrier testing involves testing an asymptomatic individual for carrier status for a genetic condition."
B) "Carrier testing is used to establish a diagnosis of a genetic disorder in an individual who is symptomatic or has had a positive screening test."
C) "Carrier testing is testing to identify a fetus with a genetic disease or condition. Some prenatal testing is offered routinely; other testing may be initiated due to family history or maternal factors."
D) "Carrier testing follows in vitro fertilization (IVF) testing to identify embryos with a particular genetic condition."
Answer: A
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5
Chapter 4: Growth and Development
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/70280
Sample Questions
Q1) An adolescent client with cystic fibrosis suddenly becomes noncompliant with the medication regime. Which intervention by the nurse will most likely improve compliance for this client?
A) Give the child a computer-animated game that presents information on the management of cystic fibrosis.
B) Arrange for the physician to sit down and talk to the child about the risks related to noncompliance with medications.
C) Set up a meeting with some older teens with cystic fibrosis who have been managing their disease effectively.
D) Discuss with the child's parents the privileges that can be taken away, such as cell phone, if compliance fails to improve.
Q2) 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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Chapter 5: Pediatric Assessment
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/70281
Sample Questions
Q1) The nurse is conducting a health surveillance visit with a 6-month-old infant. Which methods are appropriate to monitor the infant's growth pattern since birth? Select all that apply.
A) Weight the infant twice and average together
B) Measure the infant's height
C) Measure the infant's head circumference
D) Determine the infant's body mass index
E) Plot the infant's growth on appropriate chart
Q2) While assessing a 10-month-old African American infant, the nurse notices that the sclerae have a yellowish tint. Which organ system should the nurse further evaluate to determine an ongoing disease process?
A) Cardiac
B) Respiratory
C) Gastrointestinal
D) Genitourinary
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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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 clinic administrator has asked each nurse to classify the nursing activities as a beginning step of clinic reorganization. Which of these strategies can be identified as health promotion and health maintenance? Select all that apply.
A) Administration of the flu vaccine for infants from 6 months to 23 months old
B) Daily feeding schedules for infants
C) Instruction to adolescents on how to use dental floss
D) Treatment for a child with a diagnosis of acute otitis media
Q2) A parent says to a nurse, "How do you know when my child needs these screening tests the doctor just mentioned?" Which response by the nurse is the most appropriate?
A) "Screening tests are administered at the ages when a child is most likely to develop a condition."
B) "Screening tests are done in the newborn nursery and from these results, additional screening tests are ordered throughout the first two years of life."
C) "Screening tests are most often done when the doctor suspects something is wrong with the child."
D) "Screening tests are done at each office visit."
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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) An infant weighs 9 pounds 3 ounces at birth. The nurse plans to make a home visit to the mother and infant when the infant is 7 days old. What is the lowest acceptable weight the infant should be at this age?
A) 7 pounds 12 ounces
B) 8 pounds 2 ounces
C) 8 pounds 12 ounces
D) 9 pounds
Q2) A follow-up visit for a newborn client is scheduled with the pediatric nurse practitioner 3 days after discharge. What will the nurse include in the assessment during the scheduled visit for this newborn? Select all that apply.
A) Feeding pattern
B) Jaundice
C) Length
D) Vision screen
E) Sleep pattern
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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) Parents of a preschool-age child report that they find it necessary to spank the child at least once a day. Which response should the nurse make to the parents?
A) "Spanking is one form of discipline; however, you want to be certain that you do not leave any marks on the child."
B) "Let's talk about other forms of discipline that have a more positive effect on the child."
C) "Can you try only spanking the child every other day for one week and see how that affects the child's behavior?"
D) "I think you are not parenting your child properly, so let's talk about ways to improve your parenting skills."
Q2) The nurse is evaluating the car seat of a 3-year-old who weighs 42 pounds. Which recommendation should the nurse make about the car seat to the parents?
A) Convertible, rear-facing seat
B) Belt-positioning booster seat
C) A car seat with a harness approved for higher weights and heights
D) A regular seat with lap and shoulder strap
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Page 10
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) An adolescent is accompanied by the mother for an annual physical examination. The nurse is aware of privacy issues related to the adolescent. While the mother is in the room, the nurse should avoid which questions? Select all that apply.
A) Sexual activity
B) Cigarette smoking
C) School performance
D) Use of alcohol
E) Car seatbelt use
Q2) When examining a 7-year-old, which action by the nurse would be most appropriate?
A) Allow the child to participate in the exam.
B) Ask the parent what kind of food the child likes to eat.
C) Ask the child whether he plays outside for at least 30 minutes a day.
D) Allow the child to decide whether he is ready for his next immunization.
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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) Which aspect of an Emergency Medical Services (EMS) system is most indicative that EMS providers are prepared to provide emergency care to children?
A) Placement of small stretchers in emergency vehicles
B) Lists of hospitals in the area that treat children
C) Staff education related to assessment and treatment of children of all ages
D) Pediatric-sized equipment and supplies
Q2) Some nursing students are discussing job options. One of the student states that a position as a school nurse sounds interesting. What is an important role of the school nurse?
A) Screening for congenital heart disease
B) Prescribing antibiotics for streptococcal pharyngitis
C) Developing a plan for emergency care of injured children
D) Diagnosing an ear infection
Q3) Which would be an acceptable community-health diagnosis?
A) Risk for Injury Related to Lack of Safe Bicycle Paths in High-Traffic Areas
B) Ineffective Family Coping Related to Lack of Time Together
C) Alterations in Nutrition Related to Use of Fast Food Restaurants
D) Ineffective Communication Related to Lack of Community Newsletter
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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 is working with a school-age child who is hospitalized. Which action by the nurse will promote a sense of industry in this child?
A) Allow the child to assist with her care.
B) Encourage parents to participate in the child's care.
C) Give the child a detailed scientific explanation of the illness.
D) Speak to the child in a high-pitched voice.
Q2) The nurse must perform a procedure on a toddler. Which technique is the most appropriate when performing the procedure?
A) Ask the mother to restrain the child during the procedure.
B) Ask the child if it is okay to start the procedure.
C) Perform the procedure in the child's hospital bed.
D) Allow the child to cry or scream.
Q3) 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.
Page 13
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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) A 5-year-old sibling of a 9-year-old child with cystic fibrosis tells the nurse, "I wish I had a breathing disease, too." The nurse knows the parents strive to spend quality time with each child and with both children together. What is the sibling currently experiencing?
A) Jealousy
B) Isolation
C) Loneliness
D) Anger
Q2) The school nurse completes an assessment of a school-age client to determine the services this child will need in the classroom. The client is a newly diagnosed with type I diabetes mellitus. Based on this information, which special healthcare need category is the most appropriate?
A) Dependent on medication or special diet
B) Dependent on medical technology
C) Increase use of healthcare services
D) Functional limitations
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14
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) A young school-age child is in the pediatric intensive-care unit (PICU) with a fractured femur and head trauma. The child was not wearing a helmet while riding his new bicycle on the highway and collided with a car. Which nursing diagnoses may be appropriate for this family? Select all that apply.
A) Guilt Related to Lack of Child Supervision and Safety Precautions
B) Family Coping: Compromised, Related to the Critical Injury of the Child
C) Parental Role Conflict Related to Child's Injuries and PICU Policies
D) Knowledge Deficit Related to Home Care of Fractured Femur
E) Anger Related to Feelings of Helplessness
Q2) Which client in the pediatric intensive care unit (PICU) would most benefit from palliative care?
A) A child with end-stage leukemia
B) A child with a broken arm after a motor vehicle accident
C) A child with burn injuries to the legs
D) A child with recurrent asthma
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Page 15
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) The mother of a toddler is concerned because her child does not seem interested in eating. The child is drinking 5 to 6 cups of whole milk per day and one cup of fruit juice. When the weight-to-height percentile is calculated, the child is in the 90th to 95th percentile. What is the best advice the nurse can provide to the mother?
A) Eliminate the fruit juice from the child's diet.
B) Offer healthy snacks, presented in a creative manner, and let the child choose what he wants to eat without pressure from the parents.
C) Change from whole milk to 2 percent milk and decrease milk consumption to three to four cups per day and the fruit juice to a half cup per day, offering water if the child is still thirsty in between.
D) Make sure that the child is getting adequate opportunities for exercise, as this will increase his appetite and help lower the child's weight-to-height percentile.
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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) The nurse is working with a preschool-age client in Bryant traction for a fractured femur. Why is the Oucher Scale useful to the nurse caring for this child?
A) It provides continuity and consistency in assessing and monitoring the child's pain.
B) It decreases anxiety in the child.
C) It increases the child's comfort level.
D) It reduces the child's fear of painful procedures.
Q2) A school-age client has been receiving morphine every two hours for postoperative pain as ordered. The medication relieves the pain for approximately 90 minutes, and then the pain returns. Which action by the nurse is the most appropriate?
A) Tell the child that pain medication cannot be administered more frequently than every two hours.
B) Reposition the child and quietly leave the room.
C) Inform the parents that the child is dependent on the medication.
D) Call the healthcare provider to see if the child's orders for pain medication can be changed.
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17
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 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
Q2) The school nurse is trying to prevent the spread of a flu virus through the school. Which infection-control strategies can be employed to prevent the spread of the flu virus? Select all that apply.
A) Teaching parents safe food preparation and storage
B) Withholding immunizations for children with compromised immune systems
C) Sanitizing toys, telephones, and door knobs to kill pathogens
D) Separating children with infections from children who are well
E) Teaching children to wash their hands after using the bathroom
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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) While working at a weekend "free clinic," the nurse is assessing a toddler 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 food for the rest of the month and the antibiotic that is needed for the child's ear infection. Which intervention would be the most beneficial for this family?
A) Giving the mother enough free samples of the antibiotic for the recommended course of treatment
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) Talking with the mother about the factors that increase a child's risk of acquiring an ear infection
D) Talking with the mother about the importance of a balanced diet in the growth and development of children and providing her with a list of inexpensive, nutritious foods
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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) The school-age child is admitted to the hospital with dehydration. The child weighs 30 pounds. <u>The physician orders:</u> 50 mL/kg
0.9 percent NSS with 5 percent dextrose IV over 4 hours. <u>Calculate the IV pump</u> to infuse 50 mL/kg/4hrs. <u>Supply on hand:</u> 1000 mL
0.9 percent NSS/ 2.5 percent dextrose
Q2) The nurse is planning an in-service for new RNs who will be working on a general pediatric unit. Which statements are appropriate to include when discussing normal acid-base balance? Select all that apply.
A) The lungs are responsible for excreting excess carbonic acid from body.
B) The lungs reabsorb filtered bicarbonate.
C) The kidneys form bicarbonate if needed to restore balance.
D) The liver forms bicarbonate if needed to restore balance.
E) The liver synthesizes proteins needed to maintain osmotic pressure in the fluid compartments.
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Page 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) A nurse is planning to teach school-age children about the common cold. Which information should the nurse include in the teaching session?
A) Vaccinations can prevent contraction of a nasopharyngitis virus.
B) Antibiotics will eliminate the nasopharyngitis virus.
C) Proper handwashing can prevent the spread of the infection.
D) Aspirin should be taken for alleviation of fever if the "common cold" is contracted.
Q2) A nurse is caring for a visually impaired 20-month-old who has not begun to walk. Which nursing diagnosis is the most appropriate for this client?
A) Delayed growth and development
B) Impaired physical mobility
C) Self-care deficit
D) Impaired home maintenance
Q3) A 22-month-old child is seen in the office for reoccurring otitis media. The child weighs 25 pounds. The healthcare provider orders:
Amoxicillin 45 mg/kg/day by mouth in divided doses every 12 hours.
Medication on hand: Amoxicillin 125 mg/5 mL
Calculate how many mL/dose of amoxicillin will be given by mouth.
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Page 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) A nurse is assessing a neonate. Which assessment finding indicates that the neonate's respiratory status is worsening?
A) Acrocyanosis
B) Arterial CO<sub>2</sub> of 40
C) Periorbital edema
D) Grunting respirations with nasal flaring
Q2) The practitioner changes the medications for the child with asthma to salmeterol (Serevent). The mother asks the nurse what this drug will do. The nurse explains that salmeterol (Serevent) is used to treat asthma because the drug produces which characteristic?
A) Decreases inflammation
B) Decreases mucous production
C) Controls allergic rhinitis
D) Dilates the bronchioles
Q3) A child with asthma will be receiving an oral dose of prednisone. The order reads prednisone 2 mg/kg per day. The child weighs 50 lbs. The child will receive ________ milligrams daily. (Round the answer.)
Round the answer to the nearest whole number.
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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) The nurse is providing care to a school-age client admitted to the emergency department following a motor vehicle crash. The client is exhibiting symptoms of hypovolemic shock. Which nursing interventions are appropriate for this client? Select all that apply.
A) Monitor hemoglobin and hematocrit.
B) Monitor liver enzymes.
C) Administer oxygen, as needed.
D) Administer a dextrose solution.
E) Monitor blood glucose.
Q2) The child and family come to the clinic requesting information about causes of cardiac defects. The father has high incidence of cardiac defects in his family, and the child is frequently cyanotic around the lips. What causes should the nurse tell the family about? Select all that apply.
A) Decreased maternal age
B) Chromosomal abnormalities
C) Fetal exposure to maternal drugs
D) Maternal viral infections
E) Maternal metabolic disorders
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23
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) The nurse is providing care to an adolescent client diagnosed with systemic lupus erythematosus (SLE). Which action by the client indicates acceptance of body changes associated with SLE?
A) She refuses to attend school.
B) She doesn't want to attend any social functions.
C) She discusses the body changes with a peer.
D) She discusses the body changes with healthcare personnel only.
Q2) A child is prescribed Didanosine (Videx), a nucleoside reverse transcriptase inhibitor, for human immunodeficiency virus (HIV). Which lab value will the nurse monitor closely for this child?
A) Potassium
B) Sodium
C) RBC count
D) Glucose
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
Source URL: https://quizplus.com/quiz/70299
Sample Questions
Q1) Which action by the parents demonstrates an understanding of the nurse's teaching with regard to prevention of iron-deficient anemia?
A) Feeding their infant with a formula that is not iron fortified
B) Starting iron-fortified infant cereal at 4 to 6 months of age
C) Introducing cow's milk at 6 months of age
D) Limiting vitamin C consumption after 1 year of age
Q2) A school-age child with hemophilia falls on the playground and goes to the nurse's office with superficial bleeding above the knee. Which action by the nurse is the most appropriate?
A) Apply a warm, moist pack to the area.
B) Perform some passive range of motion to the affected leg.
C) Apply pressure to the area for at least 15 minutes.
D) Keep the affected extremity in a dependent position.
Q3) The nurse is caring for a child with disseminated intravascular coagulation (DIC). Which nursing intervention is a priority for this child?
A) Frequent ambulation
B) Maintenance of skin integrity
C) Monitoring of fluid restriction
D) Preparation for x-ray procedures
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Page 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) The nurse is monitoring the urine specific gravity and pH on a child receiving chemotherapy. Which urinalysis result is the goal for this child?
A) Spec gravity 1.030; pH 6
B) Spec gravity 1.030; pH 7.5
C) Spec gravity 1.005; pH 6
D) Spec gravity 1.005; pH 7.5
Q2) A child diagnosed with a Wilms tumor is prescribed chemotherapy. Which laboratory test will the nurse monitor prior to administering the chemotherapy to determine the child's infection-fighting capability?
A) Hemoglobin
B) RBC count
C) Absolute neutrophil count (ANC)
D) Platelets
Q3) A child is diagnosed with rhabdomyosarcoma. Which nursing intervention is most appropriate for this child?
A) Position the child with the head elevated
B) Monitor for hematuria
C) Demonstrate the use of a conformer
D) Administer oxygen
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Page 26
Chapter 25: Alterations in Gastrointestinal Function
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/70301
Sample Questions
Q1) A neonate is fed 20 mL of formula every three hours by orogastric lavage. At the beginning of this feeding, the nurse aspirates 15 mL of gastric residual. Which action by the nurse is the most appropriate?
A) Withhold the feeding and notify the healthcare provider.
B) Replace the residual and continue with the full feeding.
C) Replace the residual but only give 5 mL of the feeding.
D) Withhold the feeding and check the residual in three hours.
Q2) The nurse is caring for the newborn with hyperbilirubinemia. What nursing diagnoses would the nurse address? Select all that apply.
A) Activity intolerance
B) Deficient fluid volume
C) Risk for impaired attachment
D) Ineffective breathing pattern
E) Risk for imbalanced body temperature
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Chapter 26: Alterations in Genitourinary Function
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/70302
Sample Questions
Q1) The nurse teaches parents that the anticholinergic drug oxybutynin is used to treat enuresis. The parents ask the nurse why the medication is being prescribed. Which response by the nurse is the most appropriate?
A) "It's an antidepressant that is used to help the child relax."
B) "It will help decrease the spasms sometimes associated with enuresis."
C) "It has an antidiuretic effect, so your child can attend sleepovers."
D) "It will slow the production of urine, so your child does not have to urinate as frequently."
Q2) The nurse is providing care to a male infant who is diagnosed with hypospadias. Which clinical manifestation does the nurse anticipate when assessing this infant?
A) A urethral meatus that is located on the ventral surface of the penis
B) The presence of foreskin
C) A small opening or a fissure that extends the entire length of the penis
D) An opening on the dorsal surface of the penis
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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 lumbar puncture is performed on an infant suspected of having meningitis. Which finding does the nurse expect in the cerebral spinal fluid if the infant has meningitis?
A) Elevated WBC count
B) Elevated RBC count
C) Normal glucose
D) Decreased WBC count
Q2) A child is ready for discharge after surgery for a myelomeningocele repair. Before discharge, the nurse works with the parents to establish a catheterization schedule to prevent urinary tract infection. With what frequency should the nurse instruct the parents to catheterize the child?
A) Every 1 to 2 hours
B) Every 3 to 4 hours
C) Every 6 to 8 hours
D) Every 10 to 12 hours
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Chapter 28: Alterations in Mental Health and Cognitive Function
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/70304
Sample Questions
Q1) A nurse is planning preoperative teaching for a school-age client scheduled to have a tonsillectomy. The client has a history of attention deficit hyperactivity disorder (ADHD). Which intervention will the nurse include in the plan of care?
A) Give instructions verbally and use a picture pamphlet, repeating points more than once.
B) Ask other children who have had this procedure to talk to the child.
C) Allow the child to lead the session to gain a sense of control.
D) Play a television show in the background.
Q2) The nurse is conducting a health history for a school-age client. The parents of the client tell the nurse that their child has the following behaviors: excessive handwashing, counting objects, and hoarding substances. Based on these assessment findings, which diagnosis does the nurse anticipate for this client?
A) Depression
B) Separation anxiety disorder
C) Obsessive-compulsive disorder
D) Bipolar disorder
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Chapter 29: Alterations in Musculoskeletal Function
Available Study Resources on Quizplus for this Chatper
17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/70305
Sample Questions
Q1) The school nurse is providing care to a school-age client who experienced a sprain of the right ankle on the playground. Which intervention is appropriate for the nurse to implement for this client?
A) Apply ice to the extremity
B) Apply a warm, moist pack to the extremity
C) Perform passive range of motion to the extremity
D) Lower the extremity to below the level of the heart
Q2) A nurse is assessing a child after an open reduction of a fractured femur. Which assessment findings would indicate that the child is experiencing compartment syndrome? Select all that apply.
A) Pink, warm extremity
B) Pain not relieved by pain medication
C) Dorsalis pedis pulse present
D) Prolonged capillary-refill time with paresthesia
E) Skin appears tense.
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Chapter 30: Alterations in Endocrine Function
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/70306
Sample Questions
Q1) A nurse is planning care for a pediatric client diagnosed with adrenal insufficiency (Addison disease). Which nursing diagnosis is the priority for this client?
A) Risk for Deficient Fluid Volume
B) Risk for Injury Secondary to Hypertension
C) Acute Pain
D) Imbalanced Nutrition: More than Body Requirements
Q2) A pediatric client is admitted to the hospital unconscious. The client has a history of type 1 diabetes, and according to the client's mother, has been to two birthday parties in the last few days and has resisted taking the prescribed insulin. At school the client had two more pieces of birthday cake and some ice cream at a class birthday party. What is the likely reason for this client's unconscious state?
A) Metabolic alkalosis
B) Metabolic ketoacidosis
C) Insulin shock
D) Insulin reaction
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Chapter 31: Alterations in Skin Integrity
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/70307
Sample Questions
Q1) A pediatric client is hospitalized with a severe case of impetigo contagiosa. Which antibiotic does the nurse anticipate the healthcare provider will order for this client?
A) Dicloxacillin (Pathocil)
B) Rifampin (Rifadin)
C) Sulfamethoxazole and trimethoprim (Bactrim)
D) Metronidazole (Flagyl)
Q2) An infant has a severe case of oral thrush (Candida albicans). Which nursing diagnosis is the priority for this infant?
A) Activity Intolerance Related to Oral Thrush
B) Ineffective Airway Clearance Related to Mucus
C) Ineffective Infant Feeding Pattern Related to Discomfort
D) Ineffective Breathing Pattern Related to Oral Thrush
Q3) The nurse is caring for a pediatric client who sustained a severe burn. Determine the order of what would be done for this child when the medical team arrives on the scene: Response
A) Start intravenous fluids. Response
B) Provide for relief of pain. Response
C) Establish an airway. Response
D) Place a Foley catheter.
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