

Pediatric Nursing Exam Practice Tests
Course Introduction
Pediatric Nursing explores the principles and practices of caring for infants, children, and adolescents within various healthcare settings. The course emphasizes growth and development, family dynamics, pediatric health assessment, and the management of common and complex conditions affecting young patients. Students learn to apply age-appropriate communication, administer medication safely, and support both the physical and emotional needs of children and their families. Through case studies and clinical experiences, the course prepares students to collaborate effectively with interdisciplinary teams and advocate for optimal pediatric patient outcomes.
Recommended Textbook
Wongs Essentials of Pediatric Nursing 10th Edition by Hockenberry
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30 Chapters
1126 Verified Questions
1126 Flashcards
Source URL: https://quizplus.com/study-set/255

Page 2

Chapter 1: Perspectives of Pediatric Nursing
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/4131
Sample Questions
Q1) The nurse is preparing an in-service education to staff about atraumatic care for pediatric patients. Which intervention should the nurse include?
A) Prepare the child for separation from parents during hospitalization by reviewing a video.
B) Prepare the child before any unfamiliar treatment or procedure by demonstrating on a stuffed animal.
C) Help the child accept the loss of control associated with hospitalization.
D) Help the child accept pain that is connected with a treatment or procedure.
Answer: B
Q2) The home health nurse asks a child's mother many questions as part of the assessment. The mother answers many questions, then stops and says, "I don't know why you ask me all this. Who gets to know this information?" The nurse should take which action?
A) Determine why the mother is so suspicious.
B) Determine what the mother does not want to tell.
C) Explain who will have access to the information.
D) Explain that everything is confidential and that no one else will know what is said.
Answer: C
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Chapter 2: Family, Social, Cultural, and Religious Influences on Child Health Promotion
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/4132
Sample Questions
Q1) When assessing a family, the nurse determines that the parents exert little or no control over their children. What is this style of parenting called?
A) Permissive
B) Dictatorial
C) Democratic
D) Authoritarian
Answer: A
Q2) Divorced parents of a preschool child are asking whether their child will display any feelings or behaviors related to the effect of the divorce. The nurse is correct when explaining that the parents should be prepared for which types of behaviors? (Select all that apply.)
A) Displaying fears of abandonment
B) Verbalizing that he or she "is the reason for the divorce"
C) Displaying fear regarding the future
D) Ability to disengage from the divorce proceedings
E) Engaging in fantasy to understand the divorce
Answer: A, B, E
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4
Chapter 3: Developmental and Genetic Influences on Child
Health Promotion
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37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/4133
Sample Questions
Q1) Turner syndrome is suspected in an adolescent girl with short stature. What is the cause of this syndrome?
A) Absence of one of the X chromosomes
B) Presence of an incomplete Y chromosome
C) Precocious puberty in an otherwise healthy child
D) Excess production of both androgens and estrogens
Answer: A
Q2) The nurse observes some children in the playroom. Which play situation exhibits the characteristics of parallel play?
A) Kimberly and Amanda sharing clay to each make things
B) Brian playing with his truck next to Kristina playing with her truck
C) Adam playing a board game with Kyle, Steven, and Erich
D) Danielle playing with a music box on her mother's lap
Answer: B
Q3) Trauma to which site can result in a growth problem for children's long bones?
A) Matrix
B) Connective tissue
C) Calcified cartilage
D) Epiphyseal cartilage plate
Answer: D

Page 5
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Chapter 4: Communication and Physical Assessment of the Child and Family
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61 Verified Questions
61 Flashcards
Source URL: https://quizplus.com/quiz/4134
Sample Questions
Q1) While caring for a critically ill child, the nurse observes that respirations are gradually increasing in rate and depth, with periods of apnea. What pattern of respiration will the nurse document?
A) Dyspnea
B) Tachypnea
C) Cheyne-Stokes respirations
D) Seesaw (paradoxic) respirations
Q2) A nurse is assigned to four children of different ages. In which age group should the nurse understand that body integrity is a concern?
A) Toddler
B) Preschooler
C) School-age child
D) Adolescent
Q3) Pulses can be graded according to certain criteria. Which is a description of a normal pulse?
A) 0
B) +1
C) +2
D) +3
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Chapter 5: Pain Assessment and Management in Children
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/4135
Sample Questions
Q1) A nurse is gathering a history on a school-age child admitted for a migraine headache. The child states, "I have been getting a migraine every 2 or 3 months for the last year." The nurse documents this as which type of pain?
A) Acute
B) Chronic
C) Recurrent
D) Subacute
Q2) A 2-year-old child has been returned to the nursing unit after an inguinal hernia repair. Which pain assessment tool should the nurse use to assess this child for the presence of pain?
A) FACES pain rating tool
B) Numeric scale
C) Oucher scale
D) FLACC tool
Q3) Nonpharmacologic strategies for pain management:
A) may reduce pain perception.
B) make pharmacologic strategies unnecessary.
C) usually take too long to implement.
D) trick children into believing they do not have pain.
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Chapter 6: Childhood Communicable and Infectious Diseases
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/4136
Sample Questions
Q1) What causes tinea capitis (ringworm)?
A) Virus
B) Fungus
C) Allergic reaction
D) Bacterial infection
Q2) A parent reports to the nurse that her child has inflamed conjunctivae of both eyes with purulent drainage and crusting of the eyelids, especially on awakening. These manifestations suggest:
A) viral conjunctivitis.
B) allergic conjunctivitis.
C) bacterial conjunctivitis.
D) conjunctivitis caused by foreign body.
Q3) What is cellulitis often caused by?
A) Herpes zoster
B) Candida albicans
C) Human papillomavirus
D) Streptococcus or Staphylococcus organisms
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Page 8

Chapter 7: Health Promotion of the Newborn and Family
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46 Verified Questions
46 Flashcards
Source URL: https://quizplus.com/quiz/4137
Sample Questions
Q1) What should a nursing intervention to promote parent-newborn attachment include?
A) Delaying parent-newborn interactions until the second period of reactivity
B) Explaining individual differences among newborns to the parents
C) Alleviating stress for parents by decreasing their participation in the newborn's care
D) Allowing a newborn to fuss for a period of time before soothing by holding
Q2) A nurse is conducting discharge teaching for parents of a newborn. The nurse instructs the parents on which method of care for the umbilical cord? (Select all that apply.)
A) Covering the cord with the diaper
B) Cleansing the cord with water daily
C) Keeping the cord area free of urine and stool
D) Monitoring for signs of infection
E) Applying bacitracin ointment to the cord daily
Q3) The stump of the umbilical cord usually separates in how many days?
A) 3
B) 10 to 14
C) 16 to 20
D) 28
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Page 9

Chapter 8: Health Problems of Newborns
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69 Verified Questions
69 Flashcards
Source URL: https://quizplus.com/quiz/4138
Sample Questions
Q1) What is an early clinical manifestation of bilirubin encephalopathy in the newborn?
A) Cognitive impairment
B) Absence of stooling
C) Lethargy or irritability
D) Increased or decreased temperature
Q2) Which is the central factor responsible for respiratory distress syndrome?
A) Deficient surfactant production
B) Overproduction of surfactant
C) Overdeveloped alveoli
D) Absence of alveoli
Q3) A nurse is assessing a preterm newborn for the possibility of necrotizing enterocolitis (NEC). Which assessment findings should the nurse expect to find if NEC is confirmed? (Select all that apply.)
A) Minimal gastric residual
B) Abdominal distention
C) Apnea
D) Urinary output at 2 ml/kg/hr
E) Unstable temperature
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Chapter 9: Health Promotion of the Infant and Family
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/4139
Sample Questions
Q1) Which information could be given to the parents of a 12-month-old child regarding appropriate play activities?
A) Give large push-pull toys for kinetic stimulation.
B) Place cradle gym across crib to facilitate fine motor skills.
C) Provide child with finger paints to enhance fine motor skills.
D) Provide stick horse to develop gross motor coordination.
Q2) A parent asks the nurse "when will my infant start to teethe?" The nurse responds that the earliest age at which an infant begins teething with eruption of lower central incisors is _____ months.
A) 4
B) 6
C) 8
D) 12
Q3) The nurse is doing a routine assessment on a 14-month-old infant and notes that the anterior fontanel is closed. How should the nurse interpret this finding?
A) Normal finding
B) Finding requiring a referral
C) Abnormal finding
D) Normal finding, but requires rechecking in 1 month
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Page 11

Chapter 10: Health Problems of Infants
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/4140
Sample Questions
Q1) What is an important nursing responsibility when dealing with a family experiencing the loss of an infant from sudden infant death syndrome (SIDS)?
A) Explain how SIDS could have been predicted and prevented.
B) Interview parents in depth concerning the circumstances surrounding the child's death.
C) Discourage parents from making a last visit with the infant.
D) Make a follow-up home visit to parents as soon as possible after the child's death.
Q2) A nurse is conducting education classes for parents of infants. The nurse plans to discuss sudden infant death syndrome (SIDS). Which risk factors should the nurse include as increasing an infant's risk of a sudden infant death syndrome incident? (Select all that apply.)
A) Breastfeeding
B) Low Apgar scores
C) Male sex
D) Birth weight in the 50th or higher percentile
E) Recent viral illness
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Chapter 11: Health Promotion of the Toddler and Family
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/4141
Sample Questions
Q1) A parent asks the nurse about negativism in toddlers. Which is the most appropriate recommendation?
A) Punish the child.
B) Provide more attention.
C) Ask child not always to say "no."
D) Reduce the opportunities for a "no" answer.
Q2) Which is descriptive of a toddler's cognitive development at age 20 months?
A) Searches for an object only if he or she sees it being hidden
B) Realizes that "out of sight" is not out of reach
C) Puts objects into a container but cannot take them out
D) Understands the passage of time, such as "just a minute" and "in an hour"
Q3) Which statement is correct about toilet training?
A) Bladder training is usually accomplished before bowel training.
B) Wanting to please the parent helps motivate the child to use the toilet.
C) Watching older siblings use the toilet confuses the child.
D) Children must be forced to sit on the toilet when first learning.
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Chapter 12: Health Promotion of the Preschooler and Family
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/4142
Sample Questions
Q1) In terms of fine motor development, which should the 3-year-old child be expected to do?
A) Lace shoes and tie shoelaces with a bow.
B) Use scissors to cut pictures, and print a few numbers.
C) Draw a person with seven parts and correctly identify the parts.
D) Draw a circle and name what has been drawn.
Q2) The nurse is caring for a hospitalized 4-year-old boy. His parents tell the nurse that they will be back to visit at 6 PM. When the child asks the nurse when his parents are coming, the nurse's best response is
A) "They will be here soon."
B) "They will come after dinner."
C) "Let me show you on the clock when 6 PM is."
D) "I will tell you every time I see you how much longer it will be."
Q3) Which accurately describes the speech of the preschool child?
A) Dysfluency in speech patterns is normal.
B) Sentence structure and grammatic usage are limited.
C) By age 5 years, child can be expected to have a vocabulary of about 1000 words.
D) Rate of vocabulary acquisition keeps pace with the degree of comprehension of speech.
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Page 14

Chapter 13: Health Problems of Toddlers and Preschoolers
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/4143
Sample Questions
Q1) Which is probably the most important criterion on which to base the decision to report suspected child abuse?
A) Inappropriate parental concern for the degree of injury
B) Absence of parents for questioning about child's injuries
C) Inappropriate response of child
D) Incompatibility between the history and injury observed
Q2) A nurse is beginning chelation therapy on a child for lead poisoning. Which intervention should the nurse implement during the time the child is receiving chelation therapy?
A) Calorie counts
B) Strict intake and output
C) Telemetry monitoring
D) Contact isolation
Q3) Which is a common characteristic of those who sexually abuse children?
A) Pressure victim into secrecy
B) Are usually unemployed and unmarried
C) Are unknown to victims and victims' families
D) Have many victims that are each abused once only
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15

Chapter 14: Health Promotion of the School-Age Child and Family
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/4144
Sample Questions
Q1) The father of a 12-year-old child tells the nurse that he is concerned about his son getting "fat." His son is at the 50th percentile for height and the 75th percentile for weight on the growth chart. What is the most appropriate nursing action?
A) Reassure the father that his child is not fat
B) Reassure the father that his child is just growing
C) Suggest a low-calorie, low-fat diet
D) Explain that this is typical of the growth pattern of boys at this age
Q2) Bullying can be common during the school-age years. The nurse should recognize that which applies to bullying?
A) Can have a lasting effect on children
B) Is not a significant threat to self-concept
C) Is rarely based on anything that is concrete
D) Is usually ignored by the child who is being bullied
Q3) What is the earliest age at which puberty begins?
A) 9
B) 10
C) 11
D) 12
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Chapter 15: Health Promotion of the Adolescent and Family
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/4145
Sample Questions
Q1) A 14-year-old boy seems to be always eating, although his weight is appropriate for his height. What is the best explanation for this?
A) This is normal because of increase in body mass.
B) This is abnormal and suggestive of future obesity.
C) His caloric intake would have to be excessive.
D) He is substituting food for unfilled needs.
Q2) A 14-year-old male mentions that he now has to use deodorant but never had to before. The nurse's response should be based on knowledge that which occurs during puberty?
A) Eccrine sweat glands in the axillae become fully functional during puberty.
B) Sebaceous glands become extremely active during puberty.
C) New deposits of fatty tissue insulate the body and cause increased sweat production.
D) Apocrine sweat glands reach secretory capacity during puberty.
Q3) What is the most common cause of death in the adolescent age group?
A) Drownings
B) Firearms
C) Drug overdoses
D) Motor vehicles
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17

Chapter 16: Health Problems of School-Age Children and Adolescents
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/4146
Sample Questions
Q1) A child has been diagnosed with enuresis. TCA imipramine (Tofranil) has been prescribed for the child. The nurse understands that this medication is in which category?
A) Antidepressant
B) Antidiuretic
C) Antispasmodic
D) Analgesic
Q2) A school nurse is conducting a class with adolescents on suicide. Which true statement about suicide should the nurse include in the teaching session?
A) A sense of hopelessness and despair are a normal part of adolescence.
B) Gay and lesbian adolescents are at a particularly high risk for suicide.
C) Problem-solving skills are of limited value to the suicidal adolescent.
D) Previous suicide attempts are not an indication of risk for completed suicides.
Q3) What is a psychological effect of being obese during adolescence?
A) Sexual promiscuity
B) Poor body image
C) Feelings of contempt for thin peers
D) Accurate body image but self-deprecating attitude
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Chapter 17: Quality of Life for Children Living with Chronic and Complex Diseases
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43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/4147
Sample Questions
Q1) A 16-year-old with a chronic illness has recently become rebellious and is taking risks such as missing doses of his medication. What is the best explanation for this behavior?
A) Needs more discipline
B) Needs more socialization with peers
C) This is part of normal adolescence
D) This is how he is asking for more parental control
Q2) Which describes avoidance behaviors parents may exhibit when learning that their child has a chronic condition? (Select all that apply.)
A) Refuses to agree to treatment
B) Shares burden of disorder with others
C) Verbalizes possible loss of child
D) Withdraws from outside world
E) Punishes self because of guilt and shame
Q3) Which is most descriptive of a school-age child's reaction to death?
A) Is very interested in funerals and burials
B) Has little understanding of words such as forever
C) Imagines the deceased person to be still alive
D) Has an idealistic view of the world and criticizes funerals as barbaric
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Chapter 18: Impact of Cognitive or Sensory Impairment on the Child and Family
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/4148
Sample Questions
Q1) A child has just been diagnosed with fragile X syndrome. What is fragile X syndrome?
A) A chromosomal defect affecting females only
B) A chromosomal defect that follows the pattern of X-linked recessive disorders
C) The second most common genetic cause of cognitive impairment
D) The most common cause of noninherited cognitive impairment
Q2) A child with autism spectrum disorder (ASD) is admitted to the hospital with pneumonia. The nurse should plan which priority intervention when caring for the child?
A) Maintain a structured routine and keep stimulation to a minimum.
B) Place child in a room with a roommate of the same age.
C) Maintain frequent touch and eye contact with the child.
D) Take the child frequently to the playroom to play with other children.
Q3) A newborn assessment shows separated sagittal suture, oblique palpebral fissures, depressed nasal bridge, protruding tongue, and transverse palmar creases. Of what are these findings most suggestive?
A) Microcephaly
B) Down syndrome
C) Cerebral palsy
D) Fragile X syndrome
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Chapter 19: Family-Centered Care of the Child During
Illness and Hospitalization
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/4149
Sample Questions
Q1) A 14-year-old boy is being admitted to the hospital for an appendectomy. Which roommate should the nurse assign with this patient?
A) A 4-year-old boy post-appendectomy surgery
B) A 6-year-old boy with pneumonia
C) A 15-year-old boy admitted with a vasoocclusive sickle cell crisis
D) A 12-year-old boy with cellulitis
Q2) What is an appropriate nursing intervention to minimize separation anxiety in a hospitalized toddler?
A) Provide for privacy
B) Encourage parents to room in
C) Explain procedures and routines
D) Encourage contact with children the same age
Q3) Latasha, age 8 years, is being admitted to the hospital from the emergency department with an injury from falling off her bicycle. Which will help her most in her adjustment to the hospital?
A) Explain hospital schedules to her, such as mealtimes.
B) Use terms such as "honey" and "dear" to show a caring attitude.
C) Explain when parents can visit and why siblings cannot come to see her.
D) Orient her parents, because she is young, to her room and hospital facility.
Page 21
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Chapter 20: Pediatric Variations of Nursing Interventions
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48 Verified Questions
48 Flashcards
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Sample Questions
Q1) A child is receiving total parenteral nutrition (TPN; hyperalimentation). At the end of 8 hours, the nurse observes the solution and notes that 200 ml/8 hr is being infused rather than the ordered amount of 300 ml/8 hr. The nurse should adjust the rate so that how much will infuse during the next 8 hours?
A) 200 ml
B) 300 ml
C) 350 ml
D) 400 ml
Q2) A 6-year-old child is hospitalized for intravenous (IV) antibiotic therapy. He eats little on his "regular diet" trays. He tells the nurse that all he wants to eat is pizza, tacos, and ice cream. Which is the best nursing action?
A) Request these favorite foods for him.
B) Identify healthier food choices that he likes.
C) Explain that he needs fruits and vegetables.
D) Reward him with ice cream at the end of every meal that he eats.
Q3) A physician's prescription reads, "ampicillin sodium 125 mg IV every 6 hours." The medication label reads, "1 g = 7.4 ml." A nurse prepares to draw up _____ milliliters to administer one dose. (Round your answer to two decimal places.)
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Chapter 21: The Child with Respiratory Dysfunction
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51 Verified Questions
51 Flashcards
Source URL: https://quizplus.com/quiz/4151
Sample Questions
Q1) Cardiopulmonary resuscitation (CPR) is begun on a toddler. Which pulse is usually palpated because it is the most central and accessible?
A) Radial
B) Carotid
C) Femoral
D) Brachial
Q2) Decongestant nose drops are recommended for a 10-month-old infant with an upper respiratory tract infection. Instructions for nose drops should include which action?
A) Avoid using for more than 3 days.
B) Keep drops to use again for nasal congestion.
C) Administer drops until nasal congestion subsides.
D) Administer drops after feedings and at bedtime.
Q3) The nurse is assessing a child with acute epiglottitis. Examining the child's throat by using a tongue depressor might precipitate which symptom or condition?
A) Inspiratory stridor
B) Complete obstruction
C) Sore throat
D) Respiratory tract infection
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Page 23

Chapter 22: The Child with Gastrointestinal Dysfunction
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59 Verified Questions
59 Flashcards
Source URL: https://quizplus.com/quiz/4152
Sample Questions
Q1) Which is true concerning hepatitis B? (Select all that apply.)
A) Hepatitis B cannot exist in carrier state.
B) Hepatitis B can be prevented by HBV vaccine.
C) Hepatitis B can be transferred to an infant of a breastfeeding mother.
D) Onset of hepatitis B is insidious.
E) Principal mode of transmission for hepatitis B is fecal-oral route.
F) Immunity to hepatitis B occurs after one attack.
Q2) The nurse is caring for a neonate with a suspected tracheoesophageal fistula. What nursing care should be included?
A) Elevate the head but give nothing by mouth.
B) Elevate the head for feedings.
C) Feed glucose water only.
D) Avoid suctioning unless infant is cyanotic.
Q3) Which condition in a child should alert a nurse for increased fluid requirements?
A) Fever
B) Mechanical ventilation
C) Congestive heart failure
D) Increased intracranial pressure (ICP)
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24

Chapter 23: The Child with Cardiovascular Dysfunction
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53 Verified Questions
53 Flashcards
Source URL: https://quizplus.com/quiz/4153
Sample Questions
Q1) José is a 4-year-old child scheduled for a cardiac catheterization. What should be included in preoperative teaching?
A) Directed at his parents because he is too young to understand
B) Detailed in regard to the actual procedures so he will know what to expect
C) Done several days before the procedure so that he will be prepared
D) Adapted to his level of development so that he can understand
Q2) An infant with an unrepaired tetralogy of Fallot defect is becoming extremely cyanotic during a routine blood draw. Which interventions should the nurse implement? Place in order from the highest-priority intervention to the lowest-priority intervention. Provide the answer using lowercase letters separated by commas (e.g., a, b, c, d).
A) Administer 100% oxygen by blow-by.
B) Place the infant in knee-chest position.
C) Remain calm.
D) Give morphine subcutaneously or by an existing intravenous line.
Q3) Which is the leading cause of death after heart transplantation?
A) Infection
B) Rejection
C) Cardiomyopathy
D) Heart failure
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Page 25

Chapter 24: The Child with Hematologic or Immunologic Dysfunction
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/4154
Sample Questions
Q1) What is a possible cause of acquired aplastic anemia in children?
A) Drugs
B) Injury
C) Deficient diet
D) Congenital defect
Q2) Parents of a school-age child with hemophilia ask the nurse, "Which sports are recommended for children with hemophilia?" Which sports should the nurse recommend? (Select all that apply.)
A) Soccer
B) Swimming
C) Basketball
D) Golf
E) Bowling
Q3) The school nurse is informed that a child with human immunodeficiency virus (HIV) will be attending school soon. Which is an important nursing intervention?
A) Carefully follow universal precautions.
B) Determine how the child became infected.
C) Inform the parents of the other children.
D) Reassure other children that they will not become infected.
Page 26
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Chapter 25: The Child with Cancer
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/4155
Sample Questions
Q1) The nurse is taking care of an adolescent with osteosarcoma. The parents ask the nurse about treatment. The nurse should make which accurate response about treatment for osteosarcoma?
A) Treatment usually consists of surgery and chemotherapy.
B) Amputation of the affected extremity is rarely necessary.
C) Intensive irradiation is the primary treatment.
D) Bone marrow transplantation offers the best chance of long-term survival.
Q2) Which is a common clinical manifestation of Hodgkin disease?
A) Petechiae
B) Bone and joint pain
C) Painful, enlarged lymph nodes
D) Enlarged, firm, nontender lymph nodes
Q3) A boy with leukemia screams whenever he needs to be turned or moved. Which is the most probable cause of this pain?
A) Edema
B) Bone involvement
C) Petechial hemorrhages
D) Changes within the muscles
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Chapter 26: The Child with Genitourinary Dysfunction
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/4156
Sample Questions
Q1) A school-age child has been admitted to the hospital with an exacerbation of nephrotic syndrome. Which clinical manifestations should the nurse expect to assess?
(Select all that apply.)
A) Weight loss
B) Facial edema
C) Cloudy smoky brown-colored urine
D) Fatigue
E) Frothy-appearing urine
Q2) A mother asks the nurse what would be the first indication that acute glomerulonephritis is improving. What is the nurse's best response?
A) Blood pressure will stabilize.
B) The child will have more energy.
C) Urine will be free of protein.
D) Urinary output will increase.
Q3) Which best describes acute glomerulonephritis?
A) Occurs after a urinary tract infection
B) Occurs after a streptococcal infection
C) Associated with renal vascular disorders
D) Associated with structural anomalies of genitourinary tract
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Chapter 27: The Child with Cerebral Dysfunction
Available Study Resources on Quizplus for this Chatper
44 Verified Questions
44 Flashcards
Source URL: https://quizplus.com/quiz/4157
Sample Questions
Q1) When taking the history of a child hospitalized with Reye syndrome, the nurse should not be surprised that a week ago the child had recovered from:
A) measles.
B) varicella.
C) meningitis.
D) hepatitis.
Q2) The nurse is assessing a child who was just admitted to the hospital for observation after a head injury. Which is the most essential part of the nursing assessment to detect early signs of a worsening condition?
A) Posturing
B) Vital signs
C) Focal neurologic signs
D) Level of consciousness
Q3) When caring for the child with Reye syndrome, what is the priority nursing intervention?
A) Monitor intake and output
B) Prevent skin breakdown
C) Observe for petechiae
D) Do range-of-motion exercises
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Page 29

Chapter 28: The Child with Endocrine Dysfunction
Available Study Resources on Quizplus for this Chatper
39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/4158
Sample Questions
Q1) A child with growth hormone (GH) deficiency is receiving GH therapy. When is the best time for the GH to be administered?
A) At bedtime
B) After meals
C) Before meals
D) On arising in the morning
Q2) The nurse is caring for a preschool child with suspected diabetes insipidus. Which clinical manifestation should the nurse expect to observe?
A) Oliguria
B) Glycosuria
C) Nausea and vomiting
D) Polyuria and polydipsia
Q3) The nurse should expect to assess which clinical manifestations in an adolescent with Cushing syndrome? (Select all that apply.)
A) Hyperglycemia
B) Hyperkalemia
C) Hypotension
D) Cushingoid features
E) Susceptibility to infections
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Page 30

Chapter 29: The Child with Musculoskeletal or Articular Dysfunction
Available Study Resources on Quizplus for this Chatper
32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/4159
Sample Questions
Q1) A school-age child is diagnosed with systemic lupus erythematosus (SLE). The nurse should plan to implement which interventions for this child? (Select all that apply.)
A) Instructions to avoid exposure to sunlight
B) Teaching about body changes associated with SLE
C) Preparation for home schooling
D) Restricted activity
Q2) A nurse is conducting discharge teaching for parents of an infant with osteogenesis imperfecta (OI). Further teaching is indicated if the parents make which statement?
A) "We will be very careful handling the baby."
B) "We will lift the baby by the buttocks when diapering."
C) "We're glad there is a cure for this disorder."
D) "We will schedule follow-up appointments as instructed."
Q3) The nurse is conducting a staff in-service on casts. Which is an advantage to using a fiberglass cast instead of a plaster of Paris cast?
A) Cheaper
B) Dries rapidly
C) Molds closely to body parts
D) Smooth exterior
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Chapter 30: The Child with Neuromuscular or Muscular Dysfunction
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/4160
Sample Questions
Q1) Which assessment findings should the nurse note in a school-age child with Duchenne muscular dystrophy (DMD)? (Select all that apply.)
A) Lordosis
B) Gower sign
C) Kyphosis
D) Scoliosis
E) Waddling gait
Q2) The nurse is caring for an intubated infant with botulism in the pediatric intensive care unit. Which health care provider prescription should the nurse clarify with the health care provider before implementing?
A) Administer 250 mg botulism immune globulin intravenously (BIG-IV) one time.
B) Provide total parenteral nutrition (TPN) at 25 ml/hr intravenously.
C) Titrate oxygen to keep pulse oximetry saturations greater than 92.
D) Administer gentamicin sulfate (Garamycin) 10 mg per intravenous piggyback every 12 hours.
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