Pediatric Nursing Test Questions
Course Introduction
Pediatric Nursing focuses on the comprehensive care of infants, children, and adolescents, addressing their unique physiological, psychological, and developmental needs. This course emphasizes family-centered care, health promotion, disease prevention, and therapeutic interventions for a wide range of acute and chronic conditions. Students will gain knowledge and skills in conducting physical assessments, administering medications, and providing age-appropriate communication and education to both pediatric patients and their families. Through theoretical and clinical experiences, students learn to collaborate with interdisciplinary teams to advocate for the health and well-being of children in various healthcare settings.
Recommended Textbook
Maternal Child Nursing Care 2nd Edition by Marcia L. London
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35 Chapters
1810 Verified Questions
1810 Flashcards
Source URL: https://quizplus.com/study-set/2263 Page 2
Chapter 1: Traditional and Community Nursing Care for
Women, Families, and Children
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/44945
Sample Questions
Q1) The nurse working with patients understands that health promotion can include which of the following? (Select all that apply.)
A)Belief in the power base of the patient
B)Changed attitude to one of meaningfulness
C)Nurse-defined state of unity and holism
D)Shared understanding of the health threat
E)Shared vision about hope for the future
Answer: A,B,D,E
Q2) A nurse is incorporating a cultural assessment into nursing care.Which assessment question by the nurse leads the supervisor to conclude that this nurse needs further education on cultural assessment?
A)What customs and traditions are important to you?
B)What kind of insurance coverage do you have?
C)When you are stressed or worried,what comforts you?
D)Who in your family is important for support?
Answer: B
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3
Chapter 2: Contemporary Issues in Womens, Families, and
Childrens Health Care
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40 Verified Questions
40 Flashcards
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Sample Questions
Q1) A community health nurse explains to the nursing student that the best health-related programming includes which of the following elements?
A)Has both individual and societal components
B)Is directed toward individual responsibility
C)Provides incentives to compensate healthy choices
D)Requires legislation to truly be effective
Answer: A
Q2) The jail nurse is interviewing a woman who has been brought to the clinic for prenatal care.Which of the following are appropriate actions for the nurse to perform? (Select all that apply.)
A)Assess the woman for drug and alcohol abuse and possible withdrawal.
B)Assess the woman's health knowledge and health literacy.
C)Ask if the woman has other children and who is caring for them.
D)Determine if the woman has risk factors for pregnancy complications.
E)Inquire about the woman's criminal history and background.
Answer: A,B,C,D
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4
Chapter 3: The Evolving Family
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50 Verified Questions
50 Flashcards
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Sample Questions
Q1) A nurse is assessing a family whose patriarch died recently.Using Kübler-Ross's stages of grieving,what stages should the nurse assess for? (Select all that apply.)
A)Bargaining
B)Dealing
C)Denial
D)Remorse
E)Shock
Answer: A,C
Q2) The nurse using developmental theory offers anticipatory guidance on preventing injuries to the family of a preschooler.What concepts guide this information?
A)Coordination lagging behind activity
B)Development of personal values and ethics
C)Impact of friends and peer group
D)Poor judgment about safety risks
E)Toddler's increasing physical abilities
Answer: A,D,E
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Chapter 4: Caring for Women, Families, and Children
Across the Life Span
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63 Verified Questions
63 Flashcards
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Sample Questions
Q1) A nurse is teaching a 24-year-old male about reproductive health.Which information should the nurse provide this patient about testicular cancer?
A)Annual screening is recommended for testicular cancer.
B)If the epididymis is tender to the touch,that is concerning.
C)Perform a testicular self examination after a warm shower.
D)Because testicular cancer is rare at this age,no action is needed.
Q2) A nurse is working with an older adult who has never exercised despite understanding the health benefits.What can the nurse do to improve the chances that this adult will begin an exercise regimen?
A)Ask the patient if dancing sounds like fun.
B)Encourage the patient to join a fitness club.
C)Explain how exercise increases independence.
D)Have the family talk with the patient about it.
Q3) A nurse is reviewing the results of several patients' cholesterol and lipid screenings.For which patient is the action appropriate?
A)HDL cholesterol 66 mg/dL: Evaluate patient for cardiovascular risk.
B)LDL cholesterol 98 mg/dL: Instruct patient to take fish oil 3 gm daily.
C)Total cholesterol 240 mg/dL: Teach heart-healthy lifestyle changes.
D)Triglycerides 132 mg/dL: Refer to dietician for comprehensive diet education.
Page 6
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Chapter 5: Reproductive Anatomy and Physiology
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57 Verified Questions
57 Flashcards
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Sample Questions
Q1) A woman sustained a moderate blow to the lower pelvic region in an occupational accident.She is surprised to find out that no bones were broken.What explanation by the nurse is best?
A)"Blunt force trauma doesn't cause fractures."
B)"Pelvic bones are very hard to fracture."
C)"Some fractures don't show up right away."
D)"You have a fat pad in front of your pelvis."
Q2) In providing anticipatory guidance to a 12-year-old female who has developed breast buds,what information should the nurse provide?
A)Breast self-exam is now important.
B)First period will occur in 6 months.
C)Growth of pubic hair will occur next.
D)Maximum height has been obtained.
Q3) A family practice nurse is providing anticipatory guidance to an 11-year-old boy.What information about puberty should the nurse plan to include?
A)Boys start puberty about 2 years earlier than girls.
B)Circulating estrogen may cause breast enlargement.
C)Testosterone production is the last stage of puberty.
D)The first sign of puberty is testicular enlargement.
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Page 7
Chapter 6: Human Sexuality and Fertility
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59 Verified Questions
59 Flashcards
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Sample Questions
Q1) The nurse teaches a patient the acronym "ACHES" for the serious symptoms that must be reported immediately when taking oral contraceptive pills.Which manifestations does this include? (Select all that apply.)
A)Abdominal pain
B)Chest pain
C)Headaches
D)Eye pain
E)Sore muscles
Q2) Which of the following women would the nurse advise to use a back-up contraceptive in addition to their birth control pills?
A)Being treated for tuberculosis
B)Is a diabetic taking insulin
C)On antibiotics for bronchitis
D)Takes inhalers for asthma
Q3) Prior to a sterilization procedure,which action by the nurse takes priority?
A)Obtaining informed consent from the partner
B)Obtaining pre-approval for Medicaid patients
C)Obtaining pre-approval from the insurer
D)Obtaining the woman's informed consent
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Page 8
Chapter 7: Conception and Development of the Embryo and Fetus
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59 Verified Questions
59 Flashcards
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Sample Questions
Q1) During prenatal class,the nurse teaches expectant couples about the importance of the amniotic fluid and its functions.What functions does the nurse describe? (Select all that apply.)
A)Cushions the fetus from mechanical injury
B)Facilitates symmetrical growth of fetal limbs
C)Helps regulate fetal body temperature
D)Provides nourishment to the fetus
E)Prevents the amnion from adhering to the fetus
Q2) The nurse discussing fetal development describes the hormone responsible for suppressing the maternal immunological response to the fetus,thereby facilitating physiological acceptance of the pregnancy.Which hormone is the nurse describing?
A)Estrogen
B)Human chorionic gonadotropin
C)Human placental lactogen
D)Progesterone
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Chapter 8: Physiological and Psychosocial Changes During Pregnancy
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39 Verified Questions
39 Flashcards
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Sample Questions
Q1) An instructor is explaining to students in the OB rotation that Goodell's sign is which of the following?
A)Bluish cervical discoloration
B)Cervical softening
C)False labor contractions
D)Slowed fetal heart tones
Q2) A patient who is 28 weeks pregnant calls the obstetrical clinic and complains of irregular,painless contractions that last for 10 to 15 seconds.What response by the nurse is best?
A)"If they last more than 60 seconds or become regular,come in."
B)"Oh,you are just having what are called Braxton Hicks contractions."
C)"Pregnant women often experience this type of contraction."
D)"You should come in to the clinic as soon as possible today."
Q3) To provide anticipatory psychosocial guidance to a woman entering her third trimester,what topic should the nurse plan to include?
A)Extreme fatigue may make the woman very vulnerable at the end.
B)She may feel overwhelmed with the physical discomforts of pregnancy.
C)Initial feelings of uncertainty will go away at childbirth.
D)She may worry about impending childbirth but see it as a relief.
Page 10
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Chapter 9: The Prenatal Assessment
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61 Verified Questions
61 Flashcards
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Sample Questions
Q1) A nurse is using the RADAR model when working with women in the perinatal clinic.What actions does the nurse include when assessing patients with this model? (Select all that apply.)
A)Ask only when injuries are suspicious.
B)Assess the patient's safety.
C)Document findings in the chart.
D)Review options and referrals with the patient.
E)Routinely screen every patient.
Q2) A pregnant woman's last normal menstrual period started on June 8,2013.Calculate her expected date of birth (EDB)using Naegle's rule.Her EDB is what date?
Q3) The nurse recognizes that a pregnant adolescent must successfully complete developmental tasks to be an effective mother.Which tasks does the nurse understand this to include? (Select all that apply.)
A)Accepting this pregnancy and telling parents/friends
B)Growing up and accepting responsibility
C)Maintaining her freedom
D)Seeing herself as a mother
E)Setting reasonable goals for herself
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Chapter 10: Promoting a Healthy Pregnancy
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50 Verified Questions
50 Flashcards
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Sample Questions
Q1) The clinic nurse is assessing a woman in her 30th week of pregnancy.Her fundal height is 23 centimeters.What other assessment finding would the nurse correlate with this condition?
A)Blood glucose 112 mg/dL
B)Hemoglobin 9.2 g/dL
C)Leukorrhea
D)Platelet count elevated
Q2) A perinatal clinic nurse educated a pregnant woman about basic prenatal exercises.On a return visit,which statement by the patient indicates that teaching goals have been met?
A)"I have learned to isolate the right muscle for Kegel exercises."
B)"It's hard to find 30 minutes a day for exercise,but I have done it."
C)"Jumping rope is great exercise and keeps my weight in control."
D)"When I get fatigued with these exercises,I just push through it."
Q3) An expectant couple complains of dyspareunia.Which action by the nurse is best?
A)Assess the woman's family history and genetic background.
B)Explain that this condition is a normal finding during pregnancy.
C)Instruct the couple that sex during pregnancy is not advised.
D)Suggest sexual positions that might be more comfortable.
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Page 12
Chapter 11: Caring for the Woman Experiencing
Complications During Pregnancy
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59 Verified Questions
59 Flashcards
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Sample Questions
Q1) The nurse manager in a perinatal clinic is reviewing research related to care of patients with cervical insufficiency and preterm birth.What practice change might result from this review of the literature?
A)Administering fewer doses of Rho(D)immune globulin (RhoGAM)
B)Decreased utilization of cerclage placement in women with preterm labor
C)Measuring serial cervical lengths in all women pregnant with singletons
D)Providing betamethasone (Celestone)as long-term therapy
Q2) A nurse is caring for a pregnant woman on the high-risk OB unit who is anticipating a long stay on bedrest.Which action by the nurse would be most helpful to help diminish the physical complications associated with imposed bedrest?
A)Arrange a social work consult for coping assessment.
B)Assess and document the woman's skin each shift.
C)Consult physical therapy for in-bed exercises.
D)Help the woman select high-protein foods from the menu.
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Chapter 12: The Process of Labor and Birth
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60 Verified Questions
60 Flashcards
Source URL: https://quizplus.com/quiz/44956
Sample Questions
Q1) A woman in labor seems to be progressing more slowly than expected.Which action should the nurse perform first?
A)Administer oxygen by face mask.
B)Assess the woman for a full bladder.
C)Increase the rate of the IV fluids.
D)Provide stimulants such as coffee.
Q2) A nurse assesses the fetal heart rate at 188 beats/minute in a woman who is receiving a tocolytic medication to halt contractions.Which action should the nurse take first?
A)Assess the maternal temperature and call the primary care provider.
B)Document the findings in the patient's chart.
C)Have the woman get up and walk or change position.
D)Perform a vaginal exam to assess for cord compression.
Q3) A nulliparous woman in labor is 3 cm dilated at 10:00 a.m.Based on knowledge of the average nulliparous woman's progression,when would the nurse expect her to be fully dilated?
A)12:00 p.m.
B)2:00 p.m.
C)5:00 p.m.
D)10:00 p.m.
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Chapter 13: Promoting Patient Comfort During Labor and Birth
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40 Verified Questions
40 Flashcards
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Sample Questions
Q1) A pregnant woman is asking about a combined spinal-epidural analgesia for labor pain.What information about this method of analgesia should the nurse provide?
A)Cannot be used if a cesarean birth is required
B)Causes a total loss of muscle control
C)Associated with a delayed onset of good pain control
D)Associated with an increased risk of infection and headache
Q2) What nursing intervention would be most important for a postpartum woman who received spinal anesthesia?
A)Assess vital signs.
B)Facilitate bonding.
C)Monitor urine output.
D)Promote breastfeeding.
Q3) A patient in labor has internal fetal monitoring and normal vital signs.All fetal signs are reassuring.She wishes to try whirlpool bath hydrotherapy as a comfort measure.Which action by the nurse is best?
A)Assist the woman into the tub so she doesn't fall.
B)Ensure the water temperature does not exceed 101°F (38.3°C).
C)Inform her that she is not able to participate in this method.
D)Remove the fetal monitor wires prior to the patient's getting in the tub.
Page 15
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Chapter 14: Caring for the Woman Experiencing
Complications During Labor and Birth
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61 Verified Questions
61 Flashcards
Source URL: https://quizplus.com/quiz/44958
Sample Questions
Q1) The nurse is caring for a woman with a placental abruption and suspects the patient has developed disseminated intravascular coagulation (DIC).What interventions does the nurse anticipate?
A)Administering IV fibrinogen
B)Performing hourly vaginal exams to assess for cervical dilation
C)Performing blood pressure assessments every 4 hours
D)Obtaining consent for a cesarean birth
Q2) A nulliparous woman has been admitted to the labor and birth unit.Her Bishop score is 4.What medication does the nurse plan to administer?
A)Betamethasone (Celestone)
B)Hydromorphone (Dilaudid)
C)Misoprostol (Cytotec)
D)Oxytocin (Pitocin)
Q3) The perinatal nurse is caring for a patient with preeclampsia.What intervention does the nurse include on this patient's care plan?
A)Administer magnesium sulfate per agency policy.
B)Assess the patient's blood pressure every 6 hours.
C)Encourage the patient to rest on her back.
D)Notify the physician of urine output greater than 30 mL/hr.
Page 16
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Chapter 15: Caring for the Postpartal Woman and Her Family
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48 Verified Questions
48 Flashcards
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Sample Questions
Q1) A nurse assessing a postpartum woman 12 hours after uncomplicated vaginal birth finds her pulse to be 110 beats/minute.What action by the nurse is best?
A)Assess the patient for causes of tachycardia.
B)Document the findings and notify the provider.
C)Facilitate a blood draw for laboratory studies.
D)Place the patient on a 1,000-mL fluid restriction.
Q2) A visiting nurse is concerned that a mother has not properly bonded with her infant.The nurse should assess for what factors that could impact this process? (Select all that apply.)
A)Chaotic home life
B)Disappointment in her birth experience
C)Lack of family support
D)Poverty
E)Substance abuse
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Chapter 16: Caring for the Woman Experiencing
Complications During the Postpartal Period
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50 Verified Questions
50 Flashcards
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Sample Questions
Q1) A postpartum patient is hemorrhaging despite receiving several medications and fundal massage.What action by the nurse takes priority?
A)Begin weighing all used perineal pads.
B)Obtain informed consent for surgery.
C)Place the woman on her left side.
D)Switch the IV solution to dextrose.
Q2) A woman is hospitalized emergently for postpartum psychosis.For which of the following does the nurse prepare the patient as initial treatment? (Select all that apply.)
A)Amphetamine and dextroamphetamine (Adderall)
B)Electroconvulsive therapy (ECT)
C)Lithium (Lithobid)
D)Chlorpromazine (Thorazine)
E)Diazepam (Valium)
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18
Chapter 17: Physiological Transition of the Newborn
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) The clinical nurse assesses kidney function in a newborn.Which of the following statements accurately describes the development of normally functioning kidneys in the newborn? (Select all that apply.)
A)The glomerular filtration rate rapidly increases during the first 4 months of life.
B)The glomerular filtration rate is higher than that of the adult.
C)The kidneys are not mature and fully functional until after birth.
D)The nephrons are fully functional by 29 to 32 weeks of gestation.
E)Urine specific gravity in a neonate ranges from 1.002 to 1.010.
Q2) A woman gives birth to a healthy baby boy at 35 weeks' gestation.What factor regarding the development of the normal respiratory system should the nurse consider when performing an assessment of the neonate?
A)As the fetus approaches term,secretion of intrapulmonary fluid increases.
B)Lung expansion after birth suppresses the further release of surfactant.
C)Surfactant increases alveolar surface tension,allowing re-expansion after exhalation.
D)Surfactant production is sufficient to maintain alveolar stability by about 34 weeks.
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19
Chapter 18: Caring for the Normal Newborn
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60 Verified Questions
60 Flashcards
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Sample Questions
Q1) A nurse is teaching a class of nursing students about the anterior and posterior fontanels.What information should the nurse include? (Select all that apply.)
A)Anterior fontanels are usually larger than the posterior fontanels.
B)Bulging,tense fontanels can indicate increased intracranial pressure.
C)Fontanel presence allows for cranial molding during the birthing process.
D)Normal measurements for the anterior fontanel range from 0.4-2.8 in (1-7 cm).
E)The posterior fontanel needs to remain open for the baby's first year of life.
Q2) The nurse holds an infant upright and allows his feet to brush the surface of the examination table.Which of the following is the normal reflex response to this stimulation?
A)Draws legs up tight against the lower abdomen
B)Extends legs straight against the pressure
C)Makes stepping actions with both feet
D)Toes curl in then fan outward symmetrically
Q3) When assessing a newborn baby,which action should the nurse perform first?
A)Auscultate the baby's heart and lungs.
B)Don clean gloves before taking the baby.
C)Record the parents' choice of name.
D)Suction the nares and then the mouth.
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Page 20
Chapter 19: Caring for the Newborn at Risk
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59 Verified Questions
59 Flashcards
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Sample Questions
Q1) A baby is being discharged home to await surgery to correct a cleft palate.What information do the parents need as the priority?
A)Correct use of the Pavlik harness
B)Dressing changes and wound care
C)Feeding techniques and special nipples
D)How to explain the defect to others
Q2) An infant who is possibly infected with herpes simplex infection is being dismissed.What medication should the nurse anticipate instructing the parents on giving?
A)Acyclovir (Avirax)
B)Ampicillin (Omnipen)
C)Cephtriaxone (Rocephin)
D)Hydroxyzine (Atarax)
Q3) A premature infant has not had a bowel movement,and the nurse assesses abdominal distention after the last feeding.What action by the nurse takes priority?
A)Document the findings in the chart.
B)Facilitate a bowel x-ray.
C)Notify the health-care provider.
D)Place the infant on NPO status.
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Page 21
Chapter 20: Caring for the Developing Child
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50 Verified Questions
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Sample Questions
Q1) A 10-year-old child who has been hospitalized frequently and for long periods of time has the nursing diagnosis of delayed growth and development.Which action by the child would demonstrate that outcomes for this diagnosis have been met?
A)Able to play harmoniously with peers
B)Does own homework independently
C)Seeks out parental approval for activities
D)Selects age-appropriate games and toys
Q2) A parent is frustrated that her toddler cannot button a shirt on his own.Which teaching point is most appropriate for the nurse to provide to this parent?
A)A toddler is incapable of buttoning his own shirt,and the parent should stop pushing.
B)Developing large muscle groups has to occur before developing small muscle groups.
C)The parent should select toys and games that will help the child develop and master this skill.
D)The child has not met a major milestone and needs a developmental consultation.
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Community,and Across Care Settings
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60 Verified Questions
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Sample Questions
Q1) A child will be hospitalized in the following week.In order to decrease the child's and parents' stress related to the hospitalization,which action by the clinic nurse would be most helpful?
A)Arrange for the family to visit the hospital and have a tour.
B)Give the family written information on visiting hours.
C)Introduce the family to another family whose child is hospitalized.
D)Suggest the family "take a break" and not stay with the child.
Q2) A nurse is providing nutritional information to a parent group.Which information is most appropriate?
A)At least 35% of calories should come from protein.
B)Limit carbohydrates to 10-15% of daily calories.
C)Saturated fats are the healthiest fat choice.
D)Use whole milk until your child is 2 years old.
Q3) A nurse is providing anticipatory guidance to the parents of a 4-year-old disabled child.What nutritional information should the nurse provide?
A)Feed the child as any other 4-year-old child.
B)Give child more than 70-90 kcal/kg/day.
C)Offer extra protein and vitamins daily.
D)Provide extra carbohydrates and fat intake.
Page 23
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Chapter 22: Caring for the Child With a Psychosocial or Cognitive Condition
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Sample Questions
Q1) The nurse is working with the family of a child with conduct disorder (CD).The parents are very stressed and fighting a great deal.What action by the nurse is the most appropriate?
A)Assess the family for sleep disturbances.
B)Question the parents about alcohol intake.
C)Refer the family to a weekend respite program.
D)Suggest the parents enter couples' counseling.
Q2) A nurse in the pediatric clinic suspects a patient is the victim of child abuse.What action takes priority?
A)Ask a coworker to confirm the suspicions.
B)Confront the parents with this information.
C)Document the findings in the child's chart.
D)Report the suspicions according to state law.
Q3) A nurse is working with the family of a child who is overweight.What action by the nurse is most appropriate?
A)Help the family identify fun activities.
B)Instruct the child to exercise for an hour each day.
C)Place the child on a restricted-calorie diet.
D)Set a weight-loss goal for the child.
Page 24
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Chapter 23: Caring for the Child With a Respiratory Condition
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64 Verified Questions
64 Flashcards
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Sample Questions
Q1) A nurse is planning a seminar to address asthma in the community.To have the greatest impact,which demographic group should the nurse target?
A)African American children
B)Children with allergies
C)Inner-city youth,all ethnicities
D)School-age children
Q2) A child has been seen in the clinic and diagnosed with bronchitis.The next day,the mother calls the clinic to ask about using cough medicine to decrease the child's cough.Which response by the nurse is the most appropriate?
A)"Children should never use cough medicine for bronchitis."
B)"If she can't sleep due to a cough,a dose would be okay at night."
C)"It would be alright to use,but watch her for hyperactivity."
D)"Yes,give her over-the-counter cough medicine every 4 hours."
Q3) Four children are in the pediatric clinic waiting to be seen.Which patient should the nurse see first?
A)Afebrile,parent reports harsh barky cough
B)Pulling on ear,temperature 103°F (39.5°C)
C)Salty-tasting sweat,poor weight gain
D)Wheezing,retracting,no wet diapers today
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Chapter 24: Caring for the Child With a Gastrointestinal Condition
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Sample Questions
Q1) A nurse is presenting information to a support group for parents of children with inflammatory bowel disease.Which information is appropriate for the nurse to provide to these parents? (Select all that apply.)
A)Both diseases seem to have an inherited or genetic aspect.
B)Surgery can provide a cure for patients with Crohn's disease.
C)Symptoms outside the gastrointestinal tract only occur in Crohn's disease.
D)Tenesmus is a symptom commonly seen in both disorders.
E)Ulcerative colitis involves a continuous segment of bowel.
Q2) A pediatric clinic nurse is caring for several children with umbilical hernias.For which of the children does the nurse plan to educate the parents on surgical correction? (Select all that apply.)
A)7-year-old child with 1-cm hernia
B)Child with hernia that can't be replaced
C)Enlarging hernia in a 2-year-old
D)1-year-old with 0.5-cm hernia
E)3-year-old with 2-cm hernia
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Chapter 25: Caring for the Child With an Immunological or Infectious Condition
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50 Flashcards
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Sample Questions
Q1) A nursing student is learning about the immune system.Which statement about immunoglobulins is correct?
A)Adult levels of IgG are reached by the age of 6 months.
B)Children are born with adult levels of IgA.
C)IgE leads the body's attack against bacteria and viruses.
D)IgM is the first type of antibody made in response to infection.
Q2) The pediatric nurse is discharging a child diagnosed with cytomegalovirus infection (CMV).Which teaching is most appropriate for this child?
A)Ensure adequate rest.
B)Keep the child isolated.
C)Offer favorite foods.
D)Provide plenty of fluids.
Q3) A patient is experiencing an anaphylactic reaction.Which action by the nurse takes priority?
A)Determine what the patient is allergic to.
B)Listen to the patient's lung sounds.
C)Maintain the patient's airway.
D)Provide oxygen at 4 L nasal cannula.
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Chapter 26: Caring for the Child With a Cardiovascular Condition
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58 Verified Questions
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Sample Questions
Q1) A nursing faculty member is explaining the three different types of cardiomyopathy (CMP)to students.Which information does the faculty member include in this discussion? (Select all that apply.)
A)Dilated CMP is often caused by infection.
B)Dilated CMP is the least common form.
C)Hypertrophic CMP is usually familial.
D)Hypertrophic CMP involves poor filling.
E)Restrictive CMP is the most common type.
Q2) The nurse is teaching the parents of a child who had a surgical correction of a congenital heart defect about subacute bacterial endocarditis (SBE).Which recommendation regarding antibiotic administration prior to dental cleanings is the most appropriate?
A)All children with congenital heart defects need SBE prophylaxis.
B)Chronic SBE prophylaxis is recommended for most similar children.
C)Risks for SBE are very high but easily prevented with antibiotics.
D)The provider must weigh the risk-to-benefit ratio for SBE prophylaxis.
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Chapter 27: Caring for the Child With an Endocrinological or
Metabolic Condition
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56 Verified Questions
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Sample Questions
Q1) A hospitalized child is receiving calcium via a peripheral IV site.Which action by the nurse is most important?
A)Assess the IV for blood return hourly.
B)Document the infusion and child's response.
C)Facilitate the next blood draw for calcium.
D)Teach parents and child about the drug.
Q2) A child diagnosed with hyperaldosteronism needs a diuretic.Which diuretic does the nurse anticipate administering?
A)Bumetanide (Bumex)
B)Furosemide (Lasix)
C)Hydrocholorthiazide (Hydrodiuril)
D)Spironolactone (Aldactone)
Q3) A hospitalized diabetic child is sweating,nauseated,and has a headache.What action by the nurse takes priority?
A)Administer sliding-scale insulin.
B)Call laboratory for a stat blood sugar.
C)Give the child some orange juice.
D)Perform a urine ketone test.
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Chapter 28: Caring for the Child With a Neurological or Sensory Condition
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60 Verified Questions
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Q1) A nurse is caring for a child and notes Battle's sign during the assessment.Which action by the nurse is the most appropriate?
A)Assist with obtaining laboratory studies.
B)Document the findings in the child's chart.
C)Measure the child's abdominal girth.
D)Notify the provider and facilitate a CT or an MRI.
Q2) A pediatric nurse caring for patients in an emergency room performs an assessment of a child who survived a drowning incident.Which does the nurse assess when using the Orlowski scale on this child? (Select all that apply.)
A)Arterial pH < 7.10
B)Comatose on admission to the emergency room
C)No resuscitation efforts for more than 10 minutes after rescue
D)Submersion time > 20 minutes
E)Used for children who are 10 years of age or older
Q3) A nurse assesses a 1-month old's Glasgow Coma Scale (GCS)and finds the following: opens eyes to pain,irritable cry,localizes pain.Your calculation indicates that this child's GCS is ____________________.
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Chapter 29: Caring for the Child With a Musculoskeletal Condition
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63 Verified Questions
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Q1) A pediatrician asks a patient with a knee injury to squat.Which disorder is this patient suspected of having?
A)Juvenile arthritis
B)Muscular dystrophy
C)Osgood-Schlatter disease
D)Osteomyelitis
Q2) A child has been hospitalized with an acute-grade IV slipped femoral capital epiphysis (SFCE)and is on bedrest awaiting surgical correction.A new nurse places the following interventions on the child's care plan.Which intervention leads the experienced nurse to intervene?
A)Consult child-life therapist for diversionary activities.
B)Perform range-of-motion exercises to both lower extremities.
C)Reinforce teaching on crutch-walking postoperatively.
D)Teach child and family about non-weight-bearing status.
Q3) A nurse is completing a Pediatric Fall Risk Assessment on a child.The child has had no falls in the last 3 months,had surgery to repair a femur fracture on admission,is learning to use crutches,has a saline lock,is oriented to own ability,and is on narcotics.This child's fall risk score is ____________________.
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Chapter 30: Caring for the Child With a Integumentary Condition
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45 Verified Questions
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Sample Questions
Q1) A burned patient had an escharotomy on the right anterior thigh.Which assessment finding indicates that this procedure has been effective?
A)Absence of infection in the burn
B)Compartment pressure of 42 mm Hg
C)Decreased pain in the right leg
D)Pedal pulses 3+/4+ bilaterally
Q2) An adolescent patient has acne characterized by pustules and scarring.Which teaching information is most appropriate for the nurse to give the patient and family?
A)"Scrub your face vigorously twice a day with soap and water."
B)"Tetracycline (Sumacin)will make you more sensitive to the sun."
C)"Use good moisturizer because treatment is very drying."
D)"You need a pregnancy test every 3 months on isotretinoin (Accutane)."
Q3) A child is in the emergency department (ED)with a dog bite.After cleansing the wound and attending to the child's comfort,which action should the nurse perform next?
A)Give a dose of antibiotic.
B)Offer the child a toy to play with.
C)Provide discharge teaching.
D)Report the bite to authorities.
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Chapter 31: Caring for the Child With a Genitourinary Condition
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Q1) An adolescent on the cross-country track team had a urinalysis during a school physical that showed proteinuria.Which action by the nurse is the most appropriate?
A)Advise the teen not to run for 48 hours and repeat the test.
B)Collaborate with the provider to order kidney imaging tests.
C)Explain the finding is insignificant and does not need follow-up.
D)Take the teen's blood pressure on three separate occasions.
Q2) A nurse is providing teaching on toilet training to a parent education group.Which signs of training readiness does the nurse explain to the parents? (Select all that apply.)
A)Can stay dry for at least 2 hours
B)Gets up by self at night for toileting
C)Showing interest in toileting
D)Tells parent of need to use toilet
E)Wants to hold urine and not void
Q3) A child weighs 32 kg (74.4 lb).This child's 24-hour fluid requirements would be calculated as ____________________.
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Chapter 32: Caring for the Child With a Hematological Condition
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45 Verified Questions
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Sample Questions
Q1) A child weighing 32 kg (74.4 lb)is taking iron.By your calculation,the daily dose of the drug for this child would be____________________ mg/day,in two divided doses.
Q2) A teenager is hospitalized with sickle cell disease and vaso-occlusive crisis.What pain medication regimen does the nurse assist the patient with?
A)Acetaminophen (children's Tylenol)
B)Ketorolac (Toradol)orally
C)Meperidine (Demerol),given intravenously
D)PCA pump with morphine (Duramorph)
Q3) The nurse has educated parents on administration of iron to their child.What statement by the parents indicates a need for further instruction?
A)"I will call the doctor right away if my child has black,tarry stools."
B)"It is best if the iron is taken on an empty stomach or with orange juice."
C)"Rinsing the mouth after taking iron will prevent staining the teeth."
D)"We will have our child drink the iron preparation through a straw."
Q4) A child has an order for ketorolac (Toradol)IV push once.The child weighs 78 lb.According to your calculation,the one-time dose would be ____________________mg.
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Chapter 33: Caring for the Child With Cancer
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Q1) A 7-year-old child presents to the emergency department,where the parent reports a 3-week history of pale skin,extreme fatigue,and dizziness.Which laboratory value would the nurse correlate with the patient's current condition?
A)Hematocrit: 33%
B)Hemoglobin: 13.2 g/dL
C)Red blood cell count: 2.8/mm<sup>3</sup>
D)White blood cell count: 12.3/mm<sup>3</sup>
Q2) A child is in the hospital receiving chemotherapy for Hodgkin's lymphoma.What action by a new nurse causes the precepting nurse to intervene?
A)Assesses the need for anti-emetics prior to starting chemotherapy
B)Checks the IV for blood return before giving the chemotherapy
C)Double wraps the chemotherapy bags and places in the trash can
D)Performs hand hygiene prior to and after caring for the patient
Q3) Prior to administering IV chemotherapy,which action by the nurse is most important?
A)Ensure the IV has a good blood return.
B)Provide diversionary activities.
C)Take and record a set of vital signs.
D)Weigh the child.
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Chapter 34: Caring for the Child With a Chronic Condition or the
Dying Child
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Q1) A nurse has to perform a brief procedure on a toddler.What action by the nurse is the most developmentally appropriate for this patient?
A)Demonstrate the procedure on a stuffed animal.
B)Offer a choice as to when the procedure is done.
C)Perform the procedure with no advance explanation.
D)Tell the child about other kids who had this done.
Q2) A child with a severe,chronic illness is hospitalized and the staff finds it difficult to deal with the mother,who is overbearing and controlling.What action by the nursing manager would be most appropriate to help the situation?
A)Ensure consistent caregiver staffing.
B)Explain that the mom is trying to regain control.
C)Request a social work consultation.
D)Set strict limits on the mother's behavior.
Q3) An infant has been hospitalized since birth.What nursing intervention takes priority for this child?
A)Keeping the parents updated every day
B)Maintaining a set visiting schedule for family
C)Providing a soft crib and cuddly toys
D)Soothing and providing physical touch
Page 36
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Chapter 35: Caring for the Critically Ill Child
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Q1) A student nurse assesses a child for nonverbal signs of pain to report to the registered nurse.Which information should the student include? (Select all that apply.)
A)Complaints of nausea
B)Diaphoresis
C)Facial grimacing
D)Sleepiness
E)Tachypnea
Q2) The nurse has just repositioned a child who is intubated and mechanically ventilated.Which action by the nurse takes priority?
A)Assess placement of the endotracheal tube.
B)Document the condition of the child's skin.
C)Ensure that the child cannot pull on tubing.
D)Turn the ventilator alarms back on.
Q3) A child's blood pressure is 92/64 mm Hg.Therefore,the mean arterial pressure is
Q4) A child weighs 32 lb.The health-care provider orders a loading dose of midazolam (Versed)prior to intubation.The safe dose range for this drug is
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