Deck 37: Principles and Procedures for Nursing Care of Children

Question 1

Which action by the nurse is appropriate when preparing a child for a procedure?

A) Discourage the child from crying during the procedure.
B) Use professional terms so the child will understand what is happening.
C) Give the child choices whenever possible.
D) Discourage the parents from staying in the room during the procedure.

Answer 1

Give the child choices whenever possible.

Question 2

Which nursing action is most appropriate when treating a child who has a fever of 102.5° F?

A) Restrict fluid intake.
B) Administer an aspirin.
C) Administer an antipyretic such as acetaminophen.
D) Bathe the child in tepid water.

Answer 2

Administer an antipyretic such as acetaminophen.

Question 3

The nurse is planning how to prepare a 4-year-old child for some diagnostic procedures.Guidelines for preparing this preschooler should include

A) Planning for a short teaching session of about 30 minutes
B) Telling the child that procedures are never a form of punishment
C) Keeping equipment out of the child's view
D) Using correct scientific and medical terminology in explanations

Answer 3

Telling the child that procedures are never a form of punishment

Question 4

What is critical for the nurse to know when using restraints on a child?

A) Use the least restrictive type of restraint.
B) Tie knots securely so they cannot be untied easily.
C) Secure the ties to the mattress or side rails.
D) Remove restraints every 4 hours to assess skin.

Question 5

A nurse must do a venipuncture on a 6-year-old child.An important consideration in providing atraumatic care is to

A) Use an 18-gauge needle if possible.
B) Have another nurse try if not successful after four attempts.
C) Restrain child only as needed to perform venipuncture safely.
D) Show the child the equipment to be used before the procedure.

Question 6

What nursing action is appropriate for specimen collection?

A) Follow sterile technique for specimen collection.
B) Sterile gloves are worn if the nurse plans to touch the specimen.
C) Use Standard Precautions when handling body fluids.
D) Avoid wearing gloves in front of the child and family.

Question 7

The nurse knows that measuring temperature is an integral part of assessment.Which concept is important for the nurse to know when taking a child's temperature?

A) The method used should be consistent.
B) Rectal temperatures should always be taken on infants.
C) Oral temperatures can be taken on all children older than 5 years of age.
D) Axillary temperatures should be taken at night.

Question 8

Which action is appropriate to promote a toddler's nutrition during hospitalization?

A) Allow the child to walk around during meals.
B) Require the child to empty his or her plate.
C) Ask the child's parents to bring a cup and utensils from home.
D) Select new foods for the child from the menu.

Question 9

What is the best response for a nurse to make to a parent who has asked,"When should I start dental care for my child?"

A) "The recommendation is for children to have a dental examination no later than 2.5 years."
B) "Children should see a dentist at least one time before kindergarten."
C) "The recommendation is for children to have a dental examination before first grade."
D) "A dental examination by 1 year of age is the current recommendation."

Question 10

An important nursing consideration when performing a bladder catheterization on a young boy is to

A) Use clean technique, not Standard Precautions.
B) Insert 2% lidocaine lubricant into the urethra.
C) Lubricate catheter with water-soluble lubricant such as K-Y Jelly.
D) Delay catheterization for 20 minutes while anesthetic lubricant is absorbed.

Question 11

Which nursing action is the most appropriate when applying a face mask to a child for oxygen therapy?

A) The oxygen flow rate should be less than 6 L/min.
B) Make sure the mask fits properly.
C) Keep the child warm.
D) Remove the mask for 5 minutes every hour.

Question 12

What information should the nurse include in teaching parents how to care for a child's gastrostomy tube at home?

A) Never turn the gastrostomy button.
B) Clean around the insertion site daily with soap and water.
C) Expect some leakage around the button.
D) Remove the tube for cleaning once a week.

Question 13

The nurse is preparing a 12-year-old girl for a bone marrow aspiration.She tells the nurse she wants her mother with her "like before." The most appropriate nursing action is to

A) Grant her request.
B) Explain why this is not possible.
C) Identify an appropriate substitute for her mother.
D) Offer to provide support to her during the procedure.

Question 14

What is appropriate to include in the care plan for a family of a child with a tracheostomy?

A) Suction of the tracheostomy every 2 to 4 hours or as needed
B) Application of powder around the stoma to decrease irritation
C) Suction catheter insertion limited to less than 30 seconds
D) Hygiene that includes showers, not baths

Question 15

Which action by the nurse indicates that the correct procedure has been used to measure vital signs in a toddler?

A) Measuring oral temperature for 5 minutes
B) Counting apical heart rate for 60 seconds
C) Observing chest movement for respiratory rate
D) Recording blood pressure as P/80

Question 16

What should the nurse consider when having consent forms signed for surgery and procedures on children?

A) Only a parent or legal guardian can give consent.
B) The person giving consent must be at least 18 years old.
C) The risks and benefits of a procedure are part of the consent process.
D) A mental age of 7 years or older is required for a consent to be considered "informed."

Question 17

A parent calls the pediatrician's office because her 1-year-old child has a 100° F temperature.What is the most appropriate initial nursing response to make to the parent?

A) "Did you feel your child's forehead?"
B) "Tell me about the child's behavior."
C) "Has anyone in your home been sick lately?"
D) "There is no need for concern if the child's temperature is less than 101° F."

Question 18

Which nursing diagnosis is appropriate for the 5-year-old child in isolation because of immunosuppression?

A) Spiritual distress
B) Social isolation
C) Deficient diversional activity
D) Sleep deprivation

Question 19

What is the most appropriate statement for the nurse to make to a 5-year-old child who is undergoing a venipuncture?

A) "You must hold still or I'll have someone hold you down. This is not going to hurt."
B) "This will hurt like a pinch. I'll get someone to help hold your arm still so it will be over fast and hurt less."
C) "Be a big boy and hold still. This will be over in just a second."
D) "I'm sending your mother out so she won't be scared. You are big, so hold still and this will be over soon."

Question 20

The nurse wore gloves during a dressing change.When the gloves are removed,the nurse should

A) Wash hands thoroughly.
B) Check the gloves for leaks.
C) Use an alcohol-based hand rub.
D) Apply new gloves before touching the next patient.

Question 21

The nurse has just assessed a toddler's temperature to be 101.5° F axillary.The physician has ordered acetaminophen 10 mg/kg every 4 to 6 hours.The child weighs 22 lb.The bottle of acetaminophen available is a suspension (160 mg/5 mL).How much should the nurse administer? Round to the nearest milliliter.

Question 22

The nurse is preparing for the admission of an infant who will have several procedures performed.In which situation is informed consent required? Select all that apply.

A) Catheterized urine collection
B) IV line insertion
C) Oxygen administration
D) Lumbar puncture
E) CT scan with contrast

Question 23

In preparing to give "enemas until clear" to a young child,the nurse should select

A) Tap water
B) Normal saline
C) Oil retention
D) Fleet solution

Question 24

The nurse is admitting a preschooler to the hospital for a scheduled minor surgical procedure requiring an overnight stay.Since the patient is under the age of 12 years,a fall risk assessment is unnecessary.Is this statement true or false?

Question 25

The nurse is caring for a 2-year-old patient admitted with suspected respiratory syncytial virus (RSV).The nurse anticipates that the provider will order a throat culture to confirm the diagnosis.Is this statement true or false?