Question 1

The nurse is caring for a child with a fracture who is placed in skeletal traction. The nurse monitors for the most serious complication associated with this type of traction by assessing for a(n):

Accepted Answer

Elevated temperature can indicate an infection, which is a serious complication associated with skeletal traction. Infections can occur at the pin insertion sites or systemically and require prompt attention.

Question 2

The nurse is collecting data on a 12-month-old child with iron deficiency anemia. Which of the following findings would the nurse expect to note in this child?

Accepted Answer

Iron deficiency anemia often leads to tachycardia as the body attempts to compensate for the decreased oxygen-carrying capacity of the blood by increasing heart rate to maintain oxygen delivery to tissues.

Question 3

Oral iron is prescribed for a child with iron deficiency anemia. The nurse provides instructions to the mother regarding the administration of the iron. The nurse instructs the mother to administer the iron:

Accepted Answer

Iron supplements are best absorbed when taken on an empty stomach, which is typically between meals. This maximizes the amount of iron absorbed by the body.

Question 4

The nurse provides instructions to the mother of a child with sickle cell disease. Which of the following statements, if made by the mother, indicates a need for further education?

Accepted Answer

Exposure to extreme temperatures, including spending time in the sun, can trigger a sickle cell crisis by promoting dehydration and vaso-occlusion. Adequate rest, monitoring for fever, and encouraging fluid intake are all appropriate measures for managing sickle cell disease and preventing crises.

Question 5

The nurse is reviewing the laboratory results of a child with aplastic anemia and notes that the white blood cell (WBC) count is 2000 cells/mm³ and the platelet count is 150,000 cells/mm³. Which of the following nursing interventions will the nurse incorporate into the plan of care?

Accepted Answer

The WBC count is low, indicating neutropenia, so strict neutropenic precautions are necessary to prevent infection.

Question 6

The nursing student is assigned to care for a child with hemophilia. The nursing instructor reviews the plan of care with the student and asks the student to describe the characteristics of this disorder. Which of the following statements, if made by the student, indicates a need for further research?

Accepted Answer

CHemophilia is a genetic disorder that is indeed inherited in a recessive manner linked to the X chromosome (D). However, males inherit hemophilia from their mothers, not their fathers (A), because males receive an X chromosome from their mother and a Y chromosome from their father. Females can be carriers if they inherit one affected X chromosome, but they typically inherit this carrier status from their mothers, not exclusively from their fathers, as they inherit one X chromosome from each parent (C). Hemophilia A is correctly identified as resulting from a deficiency of factor VIII (B).

Question 7

The nurse is providing instructions to the mother of a 3-year-old child with hemophilia regarding care of the child. Which of the following statements, if made by the mother, indicates a need for further education?

Accepted Answer

Hemophilia requires special considerations for dental care, but it does not mean all dental appointments should be canceled. Dental health is important, and a dentist knowledgeable about hemophilia can provide appropriate care.

Question 8

A child is brought to the emergency department after falling from a high swing and landing on the back. The nurse notes that the client also has hemophilia. Because of the client's history and the nature of the injury, the nurse should first collect data about:

Accepted Answer

The answer of A child is brought to the emergency...

Question 9

The nurse is asked to prepare for the hospital admission of a child with sickle cell disease (SCD) who is being admitted for the treatment of vaso-occlusive pain crisis. The nurse prepares for the admission, anticipating that which of the following will be prescribed for the child?

Accepted Answer

Intravenous (IV) fluids are commonly prescribed for a child with sickle cell disease (SCD) being admitted for a vaso-occlusive pain crisis to prevent dehydration, improve circulation, and reduce the viscosity of the blood, which can help alleviate the crisis.

Question 10

A nursing student is assigned to care for a child with sickle cell disease (SCD). The nursing instructor asks the student to describe the causative factors related to this disease. Which of the following statements, if made by the student, indicates a need for further research?

Accepted Answer

The statement "If each parent carries the trait, the children will inherit the trait" is incorrect. If both parents carry the sickle cell trait, there is a 25% chance with each pregnancy that the child will inherit the disease, a 50% chance the child will inherit the trait, and a 25% chance the child will be normal.

Question 11

The nurse is caring for a child with hemophilia and is reviewing the results that were sent from the laboratory. The nurse would expect to note which of the following results in this child?

Accepted Answer

Hemophilia primarily affects the intrinsic pathway of the coagulation cascade, which is assessed by the partial thromboplastin time (PTT). Therefore, individuals with hemophilia typically have a prolonged PTT, indicating a delay in blood clotting time.

Question 12

A child is seen in the health care clinic for complaints of fever. On data collection, the nurse notes that the child is pale, is tachycardic, and has petechiae. Aplastic anemia is suspected. Which of the following diagnostic tests will confirm the diagnosis of aplastic anemia?

Accepted Answer

A bone marrow biopsy is the definitive test for diagnosing aplastic anemia. It allows for the examination of the bone marrow directly to assess for the presence of aplastic anemia, which is characterized by the reduction of hematopoietic tissue and replacement with fatty tissue, leading to pancytopenia.

Question 13

The nurse is collecting data on a 9-year-old child suspected of having a brain tumor. Which of the following questions would the nurse ask to elicit data related to the classic symptoms of a brain tumor?

Accepted Answer

Morning nausea and vomiting are classic symptoms of increased intracranial pressure, which can be associated with a brain tumor.

Question 14

The nurse has reviewed the physician's prescriptions for a child suspected of a diagnosis of neuroblastoma and is preparing to implement diagnostic procedures that will confirm the diagnosis. The nurse most appropriately prepares to:

Accepted Answer

Neuroblastoma often produces catecholamines, which can be detected in the urine. Collecting a 24-hour urine sample to measure catecholamine metabolites like vanillylmandelic acid (VMA) and homovanillic acid (HVA) is a common diagnostic procedure for confirming neuroblastoma.

Question 15

The nurse is asked to prepare for the admission of a child to the pediatric unit with a diagnosis of Wilms tumor. The nurse is developing a plan of care for the child and suggests including which of the following in the plan of care?

Accepted Answer

Wilms tumor, a type of kidney cancer found in children, often presents with hematuria (blood in the urine) as a symptom. Monitoring the urine for the presence of blood is an important part of care for these patients. Palpating the abdomen could potentially spread the tumor cells, and monitoring for hypothermia or hypotension is not specifically related to Wilms tumor care.

Question 16

The nurse is monitoring the laboratory values of a child with leukemia who is receiving chemotherapy. The nurse prepares to implement bleeding precautions if the child becomes thrombocytopenic and the platelet count is less than cells/mm³.

Accepted Answer

Bleeding precautions are typically implemented when platelet counts fall below 100,000 cells/mm³, but significant risk of bleeding increases when counts are below 80,000 cells/mm³.

Question 17

The nurse is providing home care instructions to the mother of a child receiving radiation therapy. Which of the following statements, if made by the mother, indicates a need for further education?

Accepted Answer

Radiation therapy can make the skin more sensitive to sunlight, so it's important to limit sun exposure to protect the skin. The mother's statement indicating that she won't need to limit the amount of sun her child gets suggests a misunderstanding of this aspect of care and indicates a need for further education.

Question 18

The nurse is reviewing the record of a 10-year-old child suspected of having Hodgkin's disease. The nurse anticipates noting which of the following characteristic manifestations documented in the assessment notes?

Accepted Answer

Painless and movable lymph nodes in the cervical area are characteristic manifestations of Hodgkin's disease. Hodgkin's disease often presents with painless enlargement of lymph nodes, especially in the cervical area.

Question 19

The nurse is reviewing the laboratory and diagnostic test results of a child scheduled to be seen in the clinic. The nurse notes that the physician documented that diagnostic studies revealed the presence of Reed-Sternberg cells. The nurse prepares to assist the physician to discuss which of the following with the parents of the child?

Accepted Answer

Reed-Sternberg cells are characteristic of Hodgkin's disease, a type of lymphoma. Their presence is a key diagnostic criterion for this condition.

Question 20

The nurse is monitoring for bleeding in a child following surgery for removal of a brain tumor. The nurse checks the head dressing and notes the presence of dried blood on the back of the dressing. The child is alert and oriented, and the vital signs and neurological signs are stable. Which of the following nursing actions would be most appropriate initially?

Accepted Answer

The answer of The nurse is monitoring for bleeding in...

Quiz 2: Child Health

The nurse is caring for a child with a fracture who is placed in skeletal traction. The nurse monitors for the most serious complication associated with this type of traction by assessing for a(n) :

The nurse is collecting data on a 12-month-old child with iron deficiency anemia. Which of the following findings would the nurse expect to note in this child?

Oral iron is prescribed for a child with iron deficiency anemia. The nurse provides instructions to the mother regarding the administration of the iron. The nurse instructs the mother to administer the iron:

The nurse provides instructions to the mother of a child with sickle cell disease. Which of the following statements, if made by the mother, indicates a need for further education?

The nurse is reviewing the laboratory results of a child with aplastic anemia and notes that the white blood cell (WBC) count is 2000 cells/mm³ and the platelet count is 150,000 cells/mm³. Which of the following nursing interventions will the nurse incorporate into the plan of care?

The nurse is providing instructions to the mother of a 3-year-old child with hemophilia regarding care of the child. Which of the following statements, if made by the mother, indicates a need for further education?

A child is brought to the emergency department after falling from a high swing and landing on the back. The nurse notes that the client also has hemophilia. Because of the client's history and the nature of the injury, the nurse should first collect data about:

The nurse is asked to prepare for the hospital admission of a child with sickle cell disease (SCD) who is being admitted for the treatment of vaso-occlusive pain crisis. The nurse prepares for the admission, anticipating that which of the following will be prescribed for the child?

A nursing student is assigned to care for a child with sickle cell disease (SCD) . The nursing instructor asks the student to describe the causative factors related to this disease. Which of the following statements, if made by the student, indicates a need for further research?

The nurse is caring for a child with hemophilia and is reviewing the results that were sent from the laboratory. The nurse would expect to note which of the following results in this child?

A child is seen in the health care clinic for complaints of fever. On data collection, the nurse notes that the child is pale, is tachycardic, and has petechiae. Aplastic anemia is suspected. Which of the following diagnostic tests will confirm the diagnosis of aplastic anemia?

The nurse is collecting data on a 9-year-old child suspected of having a brain tumor. Which of the following questions would the nurse ask to elicit data related to the classic symptoms of a brain tumor?

The nurse has reviewed the physician's prescriptions for a child suspected of a diagnosis of neuroblastoma and is preparing to implement diagnostic procedures that will confirm the diagnosis. The nurse most appropriately prepares to:

The nurse is asked to prepare for the admission of a child to the pediatric unit with a diagnosis of Wilms tumor. The nurse is developing a plan of care for the child and suggests including which of the following in the plan of care?

The nurse is monitoring the laboratory values of a child with leukemia who is receiving chemotherapy. The nurse prepares to implement bleeding precautions if the child becomes thrombocytopenic and the platelet count is less than cells/mm³.

The nurse is providing home care instructions to the mother of a child receiving radiation therapy. Which of the following statements, if made by the mother, indicates a need for further education?

The nurse is reviewing the record of a 10-year-old child suspected of having Hodgkin's disease. The nurse anticipates noting which of the following characteristic manifestations documented in the assessment notes?

Quiz 2: Child Health

The nurse is caring for a child with a fracture who is placed in skeletal traction. The nurse monitors for the most serious complication associated with this type of traction by assessing for a(n) :

The nurse is collecting data on a 12-month-old child with iron deficiency anemia. Which of the following findings would the nurse expect to note in this child?

Oral iron is prescribed for a child with iron deficiency anemia. The nurse provides instructions to the mother regarding the administration of the iron. The nurse instructs the mother to administer the iron:

The nurse provides instructions to the mother of a child with sickle cell disease. Which of the following statements, if made by the mother, indicates a need for further education?

The nurse is reviewing the laboratory results of a child with aplastic anemia and notes that the white blood cell (WBC) count is 2000 cells/mm3 and the platelet count is 150,000 cells/mm3. Which of the following nursing interventions will the nurse incorporate into the plan of care?

The nurse is providing instructions to the mother of a 3-year-old child with hemophilia regarding care of the child. Which of the following statements, if made by the mother, indicates a need for further education?

A child is brought to the emergency department after falling from a high swing and landing on the back. The nurse notes that the client also has hemophilia. Because of the client's history and the nature of the injury, the nurse should first collect data about:

The nurse is asked to prepare for the hospital admission of a child with sickle cell disease (SCD) who is being admitted for the treatment of vaso-occlusive pain crisis. The nurse prepares for the admission, anticipating that which of the following will be prescribed for the child?

A nursing student is assigned to care for a child with sickle cell disease (SCD) . The nursing instructor asks the student to describe the causative factors related to this disease. Which of the following statements, if made by the student, indicates a need for further research?

The nurse is caring for a child with hemophilia and is reviewing the results that were sent from the laboratory. The nurse would expect to note which of the following results in this child?

A child is seen in the health care clinic for complaints of fever. On data collection, the nurse notes that the child is pale, is tachycardic, and has petechiae. Aplastic anemia is suspected. Which of the following diagnostic tests will confirm the diagnosis of aplastic anemia?

The nurse is collecting data on a 9-year-old child suspected of having a brain tumor. Which of the following questions would the nurse ask to elicit data related to the classic symptoms of a brain tumor?

The nurse has reviewed the physician's prescriptions for a child suspected of a diagnosis of neuroblastoma and is preparing to implement diagnostic procedures that will confirm the diagnosis. The nurse most appropriately prepares to:

The nurse is asked to prepare for the admission of a child to the pediatric unit with a diagnosis of Wilms tumor. The nurse is developing a plan of care for the child and suggests including which of the following in the plan of care?

The nurse is monitoring the laboratory values of a child with leukemia who is receiving chemotherapy. The nurse prepares to implement bleeding precautions if the child becomes thrombocytopenic and the platelet count is less than cells/mm3.

The nurse is providing home care instructions to the mother of a child receiving radiation therapy. Which of the following statements, if made by the mother, indicates a need for further education?

The nurse is reviewing the record of a 10-year-old child suspected of having Hodgkin's disease. The nurse anticipates noting which of the following characteristic manifestations documented in the assessment notes?

The nurse is reviewing the laboratory results of a child with aplastic anemia and notes that the white blood cell (WBC) count is 2000 cells/mm³ and the platelet count is 150,000 cells/mm³. Which of the following nursing interventions will the nurse incorporate into the plan of care?

The nurse is monitoring the laboratory values of a child with leukemia who is receiving chemotherapy. The nurse prepares to implement bleeding precautions if the child becomes thrombocytopenic and the platelet count is less than cells/mm³.