Deck 30: Basic Pediatric Nursing Care

Question 1

When discussing growth and development with the parents of a child,the nurse explains that nutrition is the single most important influence on:

A) cognitive development.
B) secondary sexual characteristics.
C) production of blood cells.
D) growth of bones and muscle.

Answer 1

growth of bones and muscle.

Question 2

The mother of a child with diabetes asks the nurse in charge of the family-centered pediatric unit if she might see her child's laboratory reports.The nurse should reply:

A) "Although the actual reports are not shared,I can tell you her blood sugar is 200 mg."
B) "I'll write them down for you and bring them to your room."
C) "Come to the conference room where we can have privacy while you look at them."
D) "I'll notify the physician that you wish to see the reports."

Answer 2

"Come to the conference room where we can have privacy while you look at them."

Question 3

Lillian Wald,a social reformer at the turn of the 20th century,founded the:

A) National Commission on Children.
B) Henry Street Settlement.
C) White House Conference.
D) U.S.Children's Bureau.

Answer 3

Henry Street Settlement.

Question 4

When communicating with a 5-year-old child,the nurse should:

A) use two-word sentences and colored pictures.
B) rely on short three-word sentences.
C) use descriptive words with hand gestures.
D) speak in no more than six-word sentences.

Question 5

The parents ask about preparation of their toddler for hospital admission.The nurse suggests the child be told:

A) a week prior.
B) 2 weeks prior.
C) the day of admission.
D) only two or three days before.

Question 6

When the pediatric nurse is attempting to establish a trusting relationship with a child,the most important and lasting thing to be done is to:

A) convey respect.
B) talk with the child.
C) be honest.
D) talk with family.

Question 7

The nurse compresses the nailbed of a child who has just received an arm cast to assess:

A) loss of sensation.
B) impending edema.
C) perception of pain.
D) peripheral circulation.

Question 8

To ensure accuracy of measurements,the nurse performs vital signs assessment in which order?

A) Respiration,temperature,pulse
B) Pulse,respiration,temperature
C) Temperature,pulse,respiration
D) Respiration,pulse,temperature

Question 9

The nurse delays assessing the temperature in an infant because of the false elevation of temperature caused by the child:

A) having a bowel movement.
B) crying vigorously.
C) having just eaten.
D) having been in a cold room.

Question 10

Dr.Abraham Jacobi focused attention on health problems in children and made a major stride toward their welfare by initiating:

A) pediatric wards in hospitals.
B) free inoculations against smallpox.
C) milk stations in the city of New York.
D) serving nutritious foods in orphanages.

Question 11

When using anticipatory guidance to prepare a 5-year-old for an IM injection,the nurse should state:

A) "Ethan,I'm going to give you a shot."
B) "Ethan,the doctor wants you to have some medicine,and it will hurt."
C) "Ethan,some medicine can only be given with a needle."
D) "Ethan,I am going to give you some medicine that will sting,but only for a little while."

Question 12

When the mother of a 3-year-old expresses concern about her daughter's slowed growth rate,the nurse's most informative response would be:

A) "Three-year-olds have finished a growth spurt and now their coordination can catch up."
B) "Children's growth is hereditary.She may be of small stature like you."
C) "The growth of a 3-year-old is associated with their nutrition.How is she eating?"
D) "Your daughter is healthy and happy.Don't worry about her growth right now."

Question 13

When assessing a neonate,the pediatric nurse should alert the head nurse or physician about which assessment finding?

A) Crossed eyes
B) A tuft of hair on the sacrum
C) Purposeless movement of the arms
D) Blue tint to the soles of the feet

Question 14

When measuring the head circumference of an infant,the nurse should place the tape measure:

A) across the eyebrows and around the occipital lobe.
B) over the zygomatic arches and around the parietal areas.
C) around forehead and around the crown of the head.
D) above the eyebrows and pinnas and around the occipital lobe.

Question 15

Obtaining the respirations of an infant requires a modified approach from that of an adult because:

A) infants breathe through their noses.
B) infants have very rapid respirations.
C) infants' respirations are thoracic in nature.
D) infants' respiratory movements are abdominal.

Question 16

The nurse explains to the anxious parents that the administration of an opioid analgesic to their 3-year-old is:

A) likely to cause significant respiratory depression.
B) done with the knowledge that addiction may occur.
C) effective as a pain control method.
D) given only in cases of severe pain.

Question 17

An 8-year-old child asks how a blood pressure is taken.The nurse should reply:

A) "This small machine will measure your systolic and diastolic pressure."
B) "The armband will hug your arm and tell me how well your blood is going through your arm."
C) "The armband will cut off your circulation for a while and then we can hear when it comes back."
D) "When you are ill we need to know if your blood is still moving in your body."

Question 18

The nurse recognizes that children who have congenital abnormalities,malignancies,gastrointestinal (GI)diseases,or central nervous system (CNS)anomalies are grouped into a special category called:

A) very dependent children.
B) children requiring special education.
C) children with special needs.
D) children requiring long-term care.

Question 19

When assessing jaundice in an African-American child with sickle cell anemia,the nurse should:

A) examine the sclera.
B) press the edge of the pinna.
C) apply pressure to the gum.
D) compare the color on the soles of the feet.

Question 20

The pediatric nurse who uses the developmental approach in her practice will focus on:

A) stimulation of the child to reach expected norms.
B) age-centered care plans.
C) strengths of the child.
D) characteristics for the particular age.

Question 21

When initiating a care plan for a child with special needs,the nurse recognizes the probability that the child will be:

A) accustomed to the hospital milieu.
B) unable to adapt to the hospital setting.
C) withdrawn and uncooperative.
D) hospitalized for a longer period of time.

Question 22

When attempting to provide information to the parents of a child undergoing surgery,the nurse notes that the parents appear confused and do not seem to remember what they are being told.This may be because of the:

A) noisy environment.
B) serious nature of surgery.
C) increased level of parents' anxiety.
D) developmental age of the child.

Question 23

The pediatric nurse warns student nurses about medicating newborns and young children because these children are:

A) less susceptible to medication effects than adults.
B) more susceptible to medication effects than adults.
C) equally susceptible to medication effects as adults.
D) less susceptible to all medications.

Question 24

The pediatric nurse,along with the primary caregiver(s),has a special duty to ________ the child and the family.

Question 25

The nurse recognizes that getting the hospitalized child to eat adequate amounts of food can be a challenge.One way to enhance nutrition is to:

A) reward with sweets for eating meals.
B) discourage participation in noneating activities.
C) administer large amounts of nutritious fluids.
D) leave nutritious finger foods out for the child to eat.

Question 26

Before performing a gavage feeding,the nurse should:

A) hold the feeding tube under water to check for bubbling.
B) check for gastric distention.
C) aspirate stomach contents.
D) ensure sterility of feeding equipment.

Question 27

The toddler is receiving oxygen in a mist tent.One of the disadvantages of the tent is that it requires the nurse to:

A) remove the restless child.
B) change wet bedding and clothing as needed.
C) open the mist tent at least once an hour.
D) keep all objects outside of the tent.

Question 28

When a safety reminder device (SRD)is used to protect a child,a responsibility of the nurse is to:

A) apply it loosely.
B) remove it every 2 hours.
C) place it over clothing.
D) apply only one type.

Question 29

When the nurse is inserting a feeding tube in an 8-month-old,the most efficient safety reminder device (SRD)the nurse would use is a(n):

A) mummy.
B) clove hitch.
C) jacket device.
D) elbow device.

Question 30

The nurse preparing to administer an IM injection to a 2-year-old recognizes the preferred injection site for a child of this age is the:

A) deltoid muscle.
B) upper thigh.
C) mid-thigh.
D) gluteus.

Question 31

When suctioning to remove secretions from an artificial airway,the nurse should limit the suction time to:

A) 1 minute.
B) 5 seconds.
C) 10 seconds.
D) 15 seconds.

Question 32

The pediatric nurse recognizes the significant developmental impact that a disfiguring facial wound could have on a:

A) 4-year-old.
B) 6-year-old.
C) 10-year-old.
D) 14-year-old.

Question 33

The nurse can minimize an unpleasant-tasting drug by:

A) pouring the drug over ice.
B) squirting the drug in the mouth with a syringe.
C) administering the drug through a straw.
D) enlisting the parent's assistance.

Question 34

When the newly admitted 2-year-old who was potty-trained before admission begins to wet the bed,the mother is frightened.The nurse can allay anxiety by saying:

A) "Don't be concerned.Accidents happen."
B) "Let's put a diaper on your child until this gets better."
C) "The stress of hospitalization makes children regress a little."
D) "Your child will relearn 'potty-training' if you are patient."

Question 35

Following a lumbar puncture of a 2-year-old,the nurse:

A) keeps the child flat for several hours.
B) allows the child to play at will.
C) holds the child in a flexed position for 5 minutes.
D) stands the child upright immediately.

Question 36

The nurse welcomes the presence of the family in a pediatric unit because it reduces the stressors of hospitalization.Which are common stressors for the hospitalized child? (Select all that apply.)

A) Separation
B) Lack of love
C) Fear of pain
D) Unfamiliar food
E) Loss of control

Question 37

After feeding,the nurse should position the infant on the:

A) stomach.
B) right side.
C) left side.
D) back.

Question 38

The nurse explains that for stability of the IV insertion site in an infant younger than 9 months of age,the insertion site is the:

A) radial vein.
B) scalp vein.
C) femoral vein.
D) brachial vein.

Question 39

When a child with respiratory difficulties is placed in a mist tent,the nurse explains that the purpose of the tent is to:

A) provide a constant oxygen supply.
B) liquefy respiratory secretions.
C) provide moisture to the mucous membranes.
D) improve the infant's hydration.

Question 40

The best time to bathe an infant is:

A) at bedtime.
B) early in the morning.
C) after a feeding.
D) before a feeding.

Question 41

The nurse clarifies that the family-centered care approach terminates which policies? (Select all that apply.)

A) Rigid visiting hours
B) Age restrictions on visitors
C) Exclusion of family during procedures
D) Discouraging family to stay overnight
E) Restricting parents from reading the chart

Question 42

The nurse is aware that visual acuity evaluation in a child is best assessed after the age of _____ years.

Question 43

The nurse recognizes that ____% of hospitalized children have special needs.