Question 1

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

Accepted Answer

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 
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 2

What is the best time to bathe an infant?

Accepted Answer

A)  At bedtime 
B)  Early in the morning 
C)  After a feeding 
D)  Before a feeding 
A)  At bedtime 
B)  Early in the morning 
C)  After a feeding 
D)  Before a feeding

Question 3

Why must the pediatric nurse be cautious about medicating infants and young children?

Accepted Answer

A)  They are less susceptible to medication effects than adults. 
B)  They are more susceptible to medication effects than adults. 
C)  They are equally susceptible to medication effects as adults. 
D)  They are more susceptible to drug interactions than adults. 
A)  They are less susceptible to medication effects than adults. 
B)  They are more susceptible to medication effects than adults. 
C)  They are equally susceptible to medication effects as adults. 
D)  They are more susceptible to drug interactions than adults.

Question 4

When using anticipatory guidance to prepare a 5-year-old for an IM injection,what statement by the nurse would be most appropriate?

Accepted Answer

A)  "Ethan,I'm going to give you a shot." 
B)  "Ethan,the health care provider 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." 
A)  "Ethan,I'm going to give you a shot." 
B)  "Ethan,the health care provider 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 5

What should be the focus of a practice where the pediatric nurse uses a developmental approach?

Accepted Answer

A)  Stimulation of the child to reach expected norms 
B)  Age-centered care plans 
C)  Strengths and abilities of the child 
D)  Characteristics for the particular age 
A)  Stimulation of the child to reach expected norms 
B)  Age-centered care plans 
C)  Strengths and abilities of the child 
D)  Characteristics for the particular age

Question 6

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

Accepted Answer

The answer of The nurse is aware that visual acuity...

Question 7

A disfiguring facial wound would have the most significant developmental impact on which child?

Accepted Answer

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

Question 8

What is one way to enhance the nutrition of the hospitalized toddler?

Accepted Answer

A)  Reward with sweets for eating meals. 
B)  Discourage participation in noneating activities. 
C)  Offer nutritious fluids frequently. 
D)  Leave nutritious finger foods out for the child to eat. 
A)  Reward with sweets for eating meals. 
B)  Discourage participation in noneating activities. 
C)  Offer nutritious fluids frequently. 
D)  Leave nutritious finger foods out for the child to eat.

Question 9

Why does obtaining the respirations of an infant require a modified approach from that of an adult?

Accepted Answer

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. 
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 10

What is a disadvantage of using a mist tent with a toddler?

Accepted Answer

A)  The nurse must remove the restless child. 
B)  The wet bedding and clothing must be changed frequently. 
C)  The mist tent must be opened at least once every hour. 
D)  All objects must be kept outside of the tent. 
A)  The nurse must remove the restless child. 
B)  The wet bedding and clothing must be changed frequently. 
C)  The mist tent must be opened at least once every hour. 
D)  All objects must be kept outside of the tent.

Question 11

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. )

Accepted Answer

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

Question 12

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.What response by the nurse is the most appropriate?

Accepted Answer

A)  "Although the actual reports are not shared,I can tell you the 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 health care provider that you wish to see the reports." 
A)  "Although the actual reports are not shared,I can tell you the 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 health care provider that you wish to see the reports."

Question 13

What is the correct way to assess for the presence of jaundice in an African-American child?

Accepted Answer

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. 
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 14

What observation in an emergency department should lead a nurse to suspect child abuse in a child with a fractured arm?

Accepted Answer

A)  Lack of parental concern for the severity of the injury 
B)  The child not answering questions concerning the injury 
C)  Parents not asking about the child's condition 
D)  Inconsistency between the injury and the parents' explanation of it 
A)  Lack of parental concern for the severity of the injury 
B)  The child not answering questions concerning the injury 
C)  Parents not asking about the child's condition 
D)  Inconsistency between the injury and the parents' explanation of it

Question 15

The parents ask about preparation of their toddler for hospital admission.When does the nurse suggest that the parents tell their toddler of the admission?

Accepted Answer

A)  A week prior 
B)  2 weeks prior 
C)  The day of admission 
D)  Only 2 or 3 days before 
A)  A week prior 
B)  2 weeks prior 
C)  The day of admission 
D)  Only 2 or 3 days before

Question 16

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

Accepted Answer

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

Question 17

What was founded by Lillian Wald?

Accepted Answer

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

Question 18

What is the preferred IM injection site for a 2-year-old?

Accepted Answer

A)  Deltoid muscle 
B)  Upper thigh 
C)  Vastus lateralis 
D)  Gluteus 
A)  Deltoid muscle 
B)  Upper thigh 
C)  Vastus lateralis 
D)  Gluteus

Question 19

After observing parental behavior that leads the nurse to suspect child abuse,when should the nurse report the abuse?

Accepted Answer

A)  If the parent confesses to child abuse 
B)  If the child admits to being abused 
C)  Whenever maltreatment of a child is suspected 
D)  When the type of abuse can be determined 
A)  If the parent confesses to child abuse 
B)  If the child admits to being abused 
C)  Whenever maltreatment of a child is suspected 
D)  When the type of abuse can be determined

Question 20

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.What is the most probable cause of the parents' forgetfulness?

Accepted Answer

A)  Noisy environment 
B)  Serious nature of surgery 
C)  Increased level of parents' anxiety 
D)  Developmental age of the child 
A)  Noisy environment 
B)  Serious nature of surgery 
C)  Increased level of parents' anxiety 
D)  Developmental age of the child

Exam 31: Basic Pediatric Nursing Care

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

What is the best time to bathe an infant?

Why must the pediatric nurse be cautious about medicating infants and young children?

When using anticipatory guidance to prepare a 5-year-old for an IM injection,what statement by the nurse would be most appropriate?

What should be the focus of a practice where the pediatric nurse uses a developmental approach?

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

A disfiguring facial wound would have the most significant developmental impact on which child?

What is one way to enhance the nutrition of the hospitalized toddler?

Why does obtaining the respirations of an infant require a modified approach from that of an adult?

What is a disadvantage of using a mist tent with a toddler?

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. )

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.What response by the nurse is the most appropriate?

What is the correct way to assess for the presence of jaundice in an African-American child?

What observation in an emergency department should lead a nurse to suspect child abuse in a child with a fractured arm?

The parents ask about preparation of their toddler for hospital admission.When does the nurse suggest that the parents tell their toddler of the admission?

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

What was founded by Lillian Wald?

What is the preferred IM injection site for a 2-year-old?

After observing parental behavior that leads the nurse to suspect child abuse,when should the nurse report the abuse?

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.What is the most probable cause of the parents' forgetfulness?

The Evolution of Nursing

Legal and Ethical Aspects of Nursing

Documentation

Communication

Nursing Process and Critical Thinking

Cultural and Ethnic Considerations

Asepsis and Infection Control

Body Mechanics and Patient Mobility

Hygiene and Care of the Patients Environment

Safety

Admission, transfer, and Discharge

Vital Signs

Physical Assessment

Oxygenation

Elimination and Gastric Intubation

Care of Patients Experiencing Urgent Alterations in Health

Dosage Calculation and Medication Administration

Fluids and Electrolytes

Nutritional Concepts and Related Therapies

Complementary and Alternative Therapies

Pain Management, comfort, rest, and Sleep

Surgical Wound Care

Specimen Collection and Diagnostic Testing

Lifespan Development

Loss, grief, dying, and Death

Health Promotion and Pregnancy

Labor and Delivery

Care of the Mother and Newborn

Care of the High-Risk Mother, newborn, and Family With Special Needs

Health Promotion for the Infant, child, and Adolescent

Care of the Child With a Physical and Mental or Cognitive Disorder

Health Promotion and Care of the Older Adult

Concepts of Mental Health

Care of the Patient With a Psychiatric Disorder

Care of the Patient With an Addictive Personality

Home Health Nursing

Long-Term Care

Rehabilitation Nursing

Hospice Care

Introduction to Anatomy and Physiology

Care of the Surgical Patient

Care of the Patient With an Integumentary Disorder

Care of the Patient With a Musculoskeletal Disorder

Care of the Patient With a Gastrointestinal Disorder

Care of the Patient With a Gallbladder, liver, biliary Tract, or Exocrine Pancreatic Disorder

Care of the Patient With a Blood or Lymphatic Disorder

Care of the Patient With a Cardiovascular or a Peripheral Vascular Disorder

Care of the Patient With a Respiratory Disorder

Care of the Patient With an Endocrine Disorder

Care of the Patient With an Endocrine Disorder

Care of the Patient With a Reproductive Disorder

Care of the Patient With a Visual or Auditory Disorder

Care of the Patient With a Neurologic Disorder

Care of the Patient With an Immune Disorder

Care of the Patient With Hivaids

Care of the Patient With Cancer

Professional Roles and Leadership

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