Question 1

A nurse needs to administer medication to a toddler.What action by the nurse is most likely to gain cooperation from the child?

Accepted Answer

A toddler may consider medicine to be a punishment and may resist taking it.Because the parent is a comforting figure for him or her,allowing the parent to administer the medication is a good option for the uncooperative child.Telling a child of this age that medicine is not a punishment is a good idea,but will not be as successful as letting the parent give it.Negotiation is the hallmark of the school-age child.Preschoolers may be able to self-administer medication with close supervision.

Question 2

A nurse working on a pediatric unit teaches a student nurse that children may require intravenous fluids to be administered through one of several different venous access devices.The nurse tells the student that which of the following current patients are candidates for central venous access devices? (Select all that apply.)

Accepted Answer

A peripheral line is used for short-term intravenous therapy,including transfusions,the possibility of future intravenous therapy,or intermittent medication administration.Those children with a condition necessitating long-term intravenous access are candidates for central venous access devices.The children who will need long-term intravenous hydration or chemotherapy are candidates for a central venous access device.

Question 3

The nurse conducts a seminar for new nurses about child safety in the hospital setting.Which of the following should be included? (Select all that apply.)

Accepted Answer

Safety measures instituted on a pediatric unit are based on the developmental level of children to protect them from harm.Safety measures include keeping toxic materials out of reach,identifying children with name bands,and knowing the whereabouts of children on the unit,including in the play areas.Providing safe,age-appropriate transportation is also important.

Question 4

A 34-lb child needs acetaminophen (Tylenol).The correct dose range for this child is____________________ mg .

Accepted Answer

The answer of A 34-lb child needs acetaminophen (Tylenol).The correct...

Question 5

The pediatric nurse is assessing a teenager's past medical history.Which information should the nurse inquire about? (Select all that apply.)

Accepted Answer

Inquiring about all acute illness episodes and any chronic illnesses present is appropriate for a child of any age.Asking about Apgar scores,birth weight,and neonatal feeding problems would be important for younger children.

Question 6

A child weighs 82 lb.The correct calculation for this child's 24-hour maintenance fluid requirements is ____________________ mL.

Accepted Answer

The answer of A child weighs 82 lb.The correct calculation...

Question 7

A child weighs 8 lb.The correct calculation for this child's 24-hour maintenance fluid requirements is ____________________ mL.

Accepted Answer

The answer of A child weighs 8 lb.The correct calculation...

Question 8

A child weighs 28 lb.The nurse prepares to administer intravenous (IV)morphine sulfate.The correct dose for this child is ____________________ mg.

Accepted Answer

The answer of A child weighs 28 lb.The nurse prepares...

Question 9

A family is raising a child with a serious disability,and the caregivers appear stressed and short tempered during well-child visits.What does the nurse understand about the emotional impact of this situation on the family? (Select all that apply.)

Accepted Answer

The family members of a disabled child are beset with emotional upset and confusion about the realities they face with their disabled child.They mourn because they did not get the child they expected,and they can be distressed by the child's pain and need for ongoing medical treatments.Caregiver fatigue is a real possibility,and normal routines are disrupted.Siblings can adapt to the disabled child and may enjoy helping out,but this is not a typical finding and should not be expected.

Question 10

A nurse has been asked to perform a HEENT assessment on a child.What areas does the nurse assess? (Select all that apply.)

Accepted Answer

HEENT stands for head,eyes,ears,nose,and throat.Endocrine is not included.

Question 11

A child who weighs 35 lb needs chloral hydrate (Aquachloral)for sedation prior to a medical procedure.What dose should this child receive?

Accepted Answer

The dose for this medication is 50-75 mg/kg.The child weighs 15.9 kg,so the safe dosage range is 795-1,192.5 mg.

Question 12

The pediatric nurse caring for children with physical disabilities teaches the student nurse that coping mechanisms give rise to resiliency in children and their families.The nurse further notes that attributes of resilient children include which of the following? (Select all that apply.)

Accepted Answer

Four common attributes of resilient children are social competence,problem-solving skills,autonomy,and a sense of purpose and future.Dependency and degree of impairment are not related.

Question 13

A pediatric nurse reads in a chart that a female patient is in Tanner stage 3.Which of the following best describes this patient?

Accepted Answer

In Tanner stage 3,the entire breast in enlarged but the nipple and papillae are not enlarged yet.Pubic hair appears in a typical female inverted triangular pattern.Breast budding signifies stage 2,but in this stage pubic hair is not thick and curly.Protruded nipples and thigh hair are seen in stage 5.

Question 14

A nurse is providing a child safety class to a parent group.Which instructions are appropriate for the age group? (Select all that apply.)

Accepted Answer

For an infant,parents should be taught not to attach a pacifier to the infant or infant's clothing.Walkers are not recommended,but were used on infants in the past.Preschoolers can learn fire safety,including stop,drop,and roll.Keeping toilet lids down and bathtubs empty is appropriate for toddlers.School-age children should ride in the back seat of a car.

Question 15

The nurse is providing discharge instructions to the parents of a 3-year-old going home after minor surgery.What information should the nurse include? (Select all that apply.)

Accepted Answer

Discharge teaching after minor surgery involves many items,including actions and side effects of prescribed medications;activity that is allowed,expected,and should be encouraged;signs and symptoms of infection;and when the child can eat and drink again.Usually,temperature on children is taken via the axillary route.

Question 16

What does the pediatric nurse understand about the use of complementary and alternative medicine (CAM)? (Select all that apply.)

Accepted Answer

CAM practices reflect ethnocultural beliefs (relating to a particular ethnic group),and a culturally competent nurse will take the time to become familiar with CAM practices in the diverse communities served.According to one study,only 4% of pediatricians communicate with CAM providers or initiate the recommendations of the CAM provider.All members of the same cultural group may not adhere to the same CAM practices (although many of them will),and the nurse should not stereotype members of the group and assume they do.CAM consists of multiple modalities such as herbal therapy,massage,biofeedback,and yoga.More than a third of adults in America use CAM therapies.

Question 17

The pediatric nurse performs a pain assessment on a 5-year-old girl who is admitted to the hospital for fractures following an accident.Depending on the assessment,the nurse could implement which of the following interventions? (Select all that apply.)

Accepted Answer

Mild pain is a slight discomfort.Its management may include minor analgesics along with comfort measures or distraction.Moderate pain may also be relieved by using distraction in conjunction with regularly timed analgesic administration,including milder opioids such as codeine in varying combinations of acetaminophen (Tylenol).Management of severe pain,often associated with surgical interventions,usually calls for strong analgesics such as morphine.Distraction is not as helpful with severe pain.

Question 18

A preschool-age child is going to have a potentially painful procedure.What action by the nurse is best to prepare the child for this event?

Accepted Answer

The nurse should use play to demonstrate the procedure and allow the child to "perform" the procedure on a doll or stuffed toy.The parents should be given the choice of staying in the room or not.Preparation should begin immediately before the procedure to keep the child from worrying about it for hours or days.An older child should be allowed to look at and explore equipment that is going to be used.

Question 19

The child development specialist explains to the nursing students that therapeutic play has several functions,including which of the following? (Select all that apply.)

Accepted Answer

Therapeutic play has several purposes,including allowing children to demonstrate their emotions,decreasing stress,helping to correct misconceptions about treatments,and helping the child learn to cope with and master stressful situations.A purpose is not to give the parents a break.

Question 20

A child who weighs 16 lb received an overdose of morphine sulfate and needs naloxone (Narcan).The safe dose for this child is ____________________ mg.

Accepted Answer

The answer of A child who weighs 16 lb received...

Quiz 21: Caring for the Child in the Hospital,The Community,and Across Care Settings