Question 1

When it is necessary for caregivers to stay with their child continuously to learn how to provide specialized treatment and care,this practice is called:

Accepted Answer

Rooming-in is a practice of staying with the hospitalized child 24 hours a day to provide care and comfort to the child.

Question 2

What is the MOST common and reliable method of calculating drug dosages for children?

Accepted Answer

Standardized doses of medication for children do not exist.The most common method of determining medication amounts is based on the child's weight.

Question 3

When a 4-year-old client is being examined,which of these measurements would the nurse take?

Accepted Answer

Typical growth measurements required for children older than 2 years of age include height and weight.

Question 4

During the hospitalization of infants and toddlers,the nurse should recognize the importance of the caregiver in a child's life by:

Accepted Answer

The nurse should provide sound information about the child's illness.All children and their caregivers need to be respected and included in the plan of care.

Question 5

A nurse obtains a blood pressure reading on a 5-year-old client.While the client is in good health,has been cooperative,and appears to be calm,the reading is higher than normal for a child this age.Which of these actions should the nurse take?

Accepted Answer

The size of the cuff is determined by the size of the child's arm or leg.The bladder of the cuff is two-thirds of the width of the limb.If the bladder is too small,the pressure will be falsely high;if the bladder is too large,it will be falsely low.

Question 6

When administering oral medication to a toddler,which of these guidelines should the nurse follow?

Accepted Answer

Allow the child to sit on your lap or the lap of the caregiver in a sitting or modified supine position.Never mix medication with essential foods or drinks,as the child might refuse them later when associated with the medication.

Question 7

Which of the following interventions would be appropriate for the pediatric client who has a nursing diagnosis of Anxiety related to planned surgery?

Accepted Answer

Comfort items from home such as a favorite blanket or toy may assist the child to feel at ease.

Question 8

When a child is hospitalized,which of these factors must be the primary focus of nursing care?

Accepted Answer

Safety must be considered at all times.Caregivers need to know the hospital policies regarding safety and feel confident that their child is going to be protected.Security measures are in place to ensure the safety of the child.These should be followed at all times.

Question 9

What is the purpose of an admission database for a pediatric client?

Accepted Answer

Data collection at the time of admission is used to identify nursing diagnoses and to establish a plan of care.These are placed in the child's medical record.

Question 10

Which of these statements about obtaining a urine specimen in an infant is TRUE?

Accepted Answer

A collection bag is used to obtain a urine specimen from an infant or non-toilet-trained child.Ensure that the skin around the meatus should be cleaned and allowed to dry,seal the bag tight to prevent leaks,and check the bag frequently for urine.

Question 11

At the time of admission of a client under 18 years of age,informed consent for general procedures should be obtained from which of these persons?

Accepted Answer

In most states,clients older than 18 years of age can legally give informed consent.If a client is under 18 years of age,informed consent for general procedures should be obtained from the legal guardian.

Question 12

For a child under age 2,which of these measurements should the nurse include in the child's assessment data?

Accepted Answer

Typical measurements taken for the child under age 2 are length,weight,and head,chest,and abdominal circumference.

Question 13

The Denver II (DDST)is the tool to be used when conducting a developmental assessment of a 5-year-old child.What is MOST important for the nurse to tell the caregiver about this procedure?

Accepted Answer

Inform the caregiver that it is not an IQ test but a measure of the child's growth and development.The child is to be evaluated for a series of tasks and rated on each with a "P" for "pass."

Question 14

At what age do federal guidelines state that children have the right to give assent for treatment and research procedures?

Accepted Answer

Federal guidelines state that children have the right to give assent for treatment and research procedures.In most states,clients older than 18 years of age can legally give informed consent.

Question 15

A 3-year-old child is being discharged home after a tonsillectomy.In addition to specific information about the child's postoperative care,which of these aspects should the nurse include in the child's discharge plan?

Accepted Answer

Make the caregivers aware that behavioral changes often occur after hospitalization.These changes may include fear or anxiety about sleeping or separation,regression,withdrawal,aggression,and demanding behavior.

Question 16

A child requires administration of intravenous (IV)medication.Which of these actions must the nurse take while the child is receiving this treatment?

Accepted Answer

Nursing care of the child receiving IV fluids,medication,or both includes assessment of the site every hour for signs and symptoms of infiltration.

Question 17

What is the normal percentile range for pediatric clients' height and weight on a percentile growth chart?

Accepted Answer

In general,percentiles from 5% to 95% are considered within normal ranges.All growth evaluations take into consideration a child's genetic predisposition.

Question 18

In which of these situations should the nurse allow the side rails on a toddler's crib to be lowered?

Accepted Answer

Side rails on cribs must be up at all times except when direct care is being provided.If a toddler is able to climb over the rails,a safety cover may need to be placed over the crib or a regular bed may need to be used.

Question 19

Preparation of a child and family for hospitalization is primarily guided by which of these factors?

Accepted Answer

Standardized care plans assist the nurse in developing age-appropriate care but should be individualized according to the needs of the client.

Question 20

For an 8-year-old client,which route would the nurse use for taking the child's temperature?

Accepted Answer

An oral temperature may be taken in most children 6 years of age or older,including adolescents.The procedure is the same as for adults.

Quiz 59: Basics of Pediatric Care