Question 1

Which is an appropriate method for administering bitter oral medications to an infant or small child?

Accepted Answer

A)  Add medication to a bottle of formula or milk 
B)  Add medication to any food the child is going to eat 
C)  Add medication to 5 mL of a sweet-tasting substance,such as jam or ice cream 
D)  Administer medication with large amounts of water to dilute medication sufficiently 
A)  Add medication to a bottle of formula or milk 
B)  Add medication to any food the child is going to eat 
C)  Add medication to 5 mL of a sweet-tasting substance,such as jam or ice cream 
D)  Administer medication with large amounts of water to dilute medication sufficiently C

Question 2

It is important to make certain that sensory connectors and oximeters are compatible since wiring that is incompatible can cause which one of the following?

Accepted Answer

A)  Hyperthermia 
B)  Electrocution 
C)  Pressure necrosis 
D)  Burns under the sensors 
A)  Hyperthermia 
B)  Electrocution 
C)  Pressure necrosis 
D)  Burns under the sensors D

Question 3

When providing postoperative care to a child,which does the nurse recognize as potential causes of an increased heart rate? Select all that apply.Express answer in small letters followed by a comma and a space-e.g. ,a,b,c

Accepted Answer

A)  Shock 
B)  Pain 
C)  Hypoxia 
D)  Vagal stimulation 
E)  Late respiratory distress
F) Elevated temperature 
A)  Shock 
B)  Pain 
C)  Hypoxia 
D)  Vagal stimulation 
E)  Late respiratory distress
F) Elevated temperature A,B,F

Question 4

Which guideline is most appropriate for intramuscular administration of medication in school-age children?

Accepted Answer

A)  Inject the medication as rapidly as possible. 
B)  Insert the needle quickly,using a dart-like motion. 
C)  Penetrate the skin immediately after cleansing the site,before it has dried. 
D)  Have the child stand,if possible,and if he or she is cooperative. 
A)  Inject the medication as rapidly as possible. 
B)  Insert the needle quickly,using a dart-like motion. 
C)  Penetrate the skin immediately after cleansing the site,before it has dried. 
D)  Have the child stand,if possible,and if he or she is cooperative.

Question 5

Which intervention should the nurse include when suctioning a child with a tracheostomy?

Accepted Answer

A)  Encourage the child to cough to raise the secretions before suctioning. 
B)  Select a catheter with a diameter three-fourths as large as the diameter of the tracheostomy tube. 
C)  Ensure that each pass of the suction catheter takes no longer than 5 seconds. 
D)  Allow the child to rest after every five times the suction catheter is passed. 
A)  Encourage the child to cough to raise the secretions before suctioning. 
B)  Select a catheter with a diameter three-fourths as large as the diameter of the tracheostomy tube. 
C)  Ensure that each pass of the suction catheter takes no longer than 5 seconds. 
D)  Allow the child to rest after every five times the suction catheter is passed.

Question 6

Which is an appropriate intervention to encourage food and fluid intake in a hospitalized child?

Accepted Answer

A)  Force the child to eat and drink to combat caloric losses. 
B)  Discourage participation in non-eating activities until caloric intake is sufficient. 
C)  Administer large quantities of flavoured fluids at frequent intervals and during meals. 
D)  Give high-quality foods and snacks whenever the child expresses hunger. 
A)  Force the child to eat and drink to combat caloric losses. 
B)  Discourage participation in non-eating activities until caloric intake is sufficient. 
C)  Administer large quantities of flavoured fluids at frequent intervals and during meals. 
D)  Give high-quality foods and snacks whenever the child expresses hunger.

Question 7

What should the nurse do when giving a child with hyperthermia a tepid water or sponge bath?

Accepted Answer

A)  Add isopropyl alcohol to the water. 
B)  Direct a fan on the child in the bath. 
C)  Stop the bath if the child begins to chill. 
D)  Continue the bath for 5 minutes. 
A)  Add isopropyl alcohol to the water. 
B)  Direct a fan on the child in the bath. 
C)  Stop the bath if the child begins to chill. 
D)  Continue the bath for 5 minutes.

Question 8

Frequent urine testing for specific gravity and glucose are required on a 6-month-old infant.What is the most appropriate way to collect small amounts of urine for these tests?

Accepted Answer

A)  Apply a urine-collection bag to perineal area. 
B)  Tape a small medicine cup to the inside of the diaper. 
C)  Aspirate urine from cotton balls inside the diaper with a syringe. 
D)  Aspirate urine from a superabsorbent disposable diaper with a syringe. 
A)  Apply a urine-collection bag to perineal area. 
B)  Tape a small medicine cup to the inside of the diaper. 
C)  Aspirate urine from cotton balls inside the diaper with a syringe. 
D)  Aspirate urine from a superabsorbent disposable diaper with a syringe.

Question 9

A 2-year-old child comes to the emergency department with dehydration and hypovolemic shock.Which statement best explains why an intraosseous infusion is started?

Accepted Answer

A)  It is less painful for small children. 
B)  Rapid venous access is not possible. 
C)  Antibiotics must be started immediately. 
D)  Long-term central venous access is not possible. 
A)  It is less painful for small children. 
B)  Rapid venous access is not possible. 
C)  Antibiotics must be started immediately. 
D)  Long-term central venous access is not possible.

Question 10

The nurse approaches a group of school-age patients to administer medication to one child named Sam Hart.What should the nurse do to identify the correct child?

Accepted Answer

A)  Ask the group,"Who is Sam Hart?" 
B)  Call out to the group,"Sam Hart?" 
C)  Ask each child,"What's your name?" 
D)  Check the patient's identification name band. 
A)  Ask the group,"Who is Sam Hart?" 
B)  Call out to the group,"Sam Hart?" 
C)  Ask each child,"What's your name?" 
D)  Check the patient's identification name band.

Question 11

The nurse gives an injection in a patient's room.What should the nurse do to dispose of the needle?

Accepted Answer

A)  Dispose of the syringe and needle in a rigid,puncture-resistant container in the patient's room. 
B)  Dispose of the syringe and needle in a rigid,puncture-resistant container in an area outside of the patient's room. 
C)  Cap the needle immediately after giving the injection and dispose of it in the proper container. 
D)  Cap the needle,break it from the syringe,and dispose of it in the proper container. 
A)  Dispose of the syringe and needle in a rigid,puncture-resistant container in the patient's room. 
B)  Dispose of the syringe and needle in a rigid,puncture-resistant container in an area outside of the patient's room. 
C)  Cap the needle immediately after giving the injection and dispose of it in the proper container. 
D)  Cap the needle,break it from the syringe,and dispose of it in the proper container.

Question 12

A 4-year-old is admitted to outpatient surgery for the removal of a cyst on her foot.Her mother puts the hospital gown on her,but the child is crying because she wants to leave her underpants on.What is the most appropriate nursing action?

Accepted Answer

A)  Allow the child to wear her underpants. 
B)  Discuss with her mother why this is important to the child. 
C)  Ask her mother to explain to her why she cannot wear them. 
D)  Explain in a kind,matter-of-fact manner that removing all clothing is hospital policy. 
A)  Allow the child to wear her underpants. 
B)  Discuss with her mother why this is important to the child. 
C)  Ask her mother to explain to her why she cannot wear them. 
D)  Explain in a kind,matter-of-fact manner that removing all clothing is hospital policy.

Question 13

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

Accepted Answer

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. 
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

A 3-year old girl has a fever associated with a viral illness.Her mother calls the nurse,reporting a fever of 38°C even though she had acetaminophen 2 hours ago.What knowledge should the nurse's response be based on?

Accepted Answer

A)  Fevers such as this are common with viral illnesses. 
B)  Seizures are common in children when antipyretics are ineffective. 
C)  Fever over 38°C indicates greater severity of illness. 
D)  Fever over 38°C indicates a probable bacterial infection. 
A)  Fevers such as this are common with viral illnesses. 
B)  Seizures are common in children when antipyretics are ineffective. 
C)  Fever over 38°C indicates greater severity of illness. 
D)  Fever over 38°C indicates a probable bacterial infection.

Question 15

The nurse wore gloves during a dressing change.What should the nurse do after removing the gloves?

Accepted Answer

A)  Wash hands thoroughly. 
B)  Check the gloves for leaks. 
C)  Rinse gloves in a disinfectant solution. 
D)  Apply new gloves before touching the next patient. 
A)  Wash hands thoroughly. 
B)  Check the gloves for leaks. 
C)  Rinse gloves in a disinfectant solution. 
D)  Apply new gloves before touching the next patient.

Question 16

The nurse is planning how to prepare a 4-year-old child for some diagnostic procedures.Which guideline should be included to prepare this preschooler?

Accepted Answer

A)  Plan for a short teaching session of about 30 minutes. 
B)  Tell the child that procedures are never a form of punishment. 
C)  Keep equipment out of the child's view. 
D)  Use correct scientific and medical terminology in explanations. 
A)  Plan for a short teaching session of about 30 minutes. 
B)  Tell the child that procedures are never a form of punishment. 
C)  Keep equipment out of the child's view. 
D)  Use correct scientific and medical terminology in explanations.

Question 17

A venipuncture will be performed on a 7-year-old girl.She wants her mother to hold her during the procedure.What should the nurse recognize about this request?

Accepted Answer

A)  It is unsafe. 
B)  It may help the child relax. 
C)  It is against hospital policy. 
D)  It is unnecessary because of the child's age. 
A)  It is unsafe. 
B)  It may help the child relax. 
C)  It is against hospital policy. 
D)  It is unnecessary because of the child's age.

Question 18

In some genetically susceptible children,anaesthetic agents can trigger malignant hyperthermia.In addition to an increased temperature,what is one early sign of this disorder?

Accepted Answer

A)  Apnea 
B)  Bradycardia 
C)  Muscle rigidity 
D)  Decreased blood pressure 
A)  Apnea 
B)  Bradycardia 
C)  Muscle rigidity 
D)  Decreased blood pressure

Question 19

The Allen test is performed as a precautionary measure before which procedure?

Accepted Answer

A)  Heel stick 
B)  Venipuncture 
C)  Arterial puncture 
D)  Lumbar puncture 
A)  Heel stick 
B)  Venipuncture 
C)  Arterial puncture 
D)  Lumbar puncture

Question 20

When the nurse is caring for an unconscious child,which should be included in the plan of care for skin care?

Accepted Answer

A)  Avoiding use of pressure reduction on the bed. 
B)  Massaging reddened bony prominences to prevent deep tissue damage. 
C)  Using a lift sheet to move the child in bed to reduce friction and shearing injuries. 
D)  Avoiding rinsing skin after cleansing with mild antibacterial soap to provide a protective barrier. 
A)  Avoiding use of pressure reduction on the bed. 
B)  Massaging reddened bony prominences to prevent deep tissue damage. 
C)  Using a lift sheet to move the child in bed to reduce friction and shearing injuries. 
D)  Avoiding rinsing skin after cleansing with mild antibacterial soap to provide a protective barrier.

Exam 44: Pediatric Variations of Nursing Interventions

Which is an appropriate method for administering bitter oral medications to an infant or small child?

It is important to make certain that sensory connectors and oximeters are compatible since wiring that is incompatible can cause which one of the following?

When providing postoperative care to a child,which does the nurse recognize as potential causes of an increased heart rate? Select all that apply.Express answer in small letters followed by a comma and a space-e.g. ,a,b,c

Which guideline is most appropriate for intramuscular administration of medication in school-age children?

Which intervention should the nurse include when suctioning a child with a tracheostomy?

Which is an appropriate intervention to encourage food and fluid intake in a hospitalized child?

What should the nurse do when giving a child with hyperthermia a tepid water or sponge bath?

Frequent urine testing for specific gravity and glucose are required on a 6-month-old infant.What is the most appropriate way to collect small amounts of urine for these tests?

A 2-year-old child comes to the emergency department with dehydration and hypovolemic shock.Which statement best explains why an intraosseous infusion is started?

The nurse approaches a group of school-age patients to administer medication to one child named Sam Hart.What should the nurse do to identify the correct child?

The nurse gives an injection in a patient's room.What should the nurse do to dispose of the needle?

A 4-year-old is admitted to outpatient surgery for the removal of a cyst on her foot.Her mother puts the hospital gown on her,but the child is crying because she wants to leave her underpants on.What is the most appropriate nursing action?

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

A 3-year old girl has a fever associated with a viral illness.Her mother calls the nurse,reporting a fever of 38°C even though she had acetaminophen 2 hours ago.What knowledge should the nurse's response be based on?

The nurse wore gloves during a dressing change.What should the nurse do after removing the gloves?

The nurse is planning how to prepare a 4-year-old child for some diagnostic procedures.Which guideline should be included to prepare this preschooler?

A venipuncture will be performed on a 7-year-old girl.She wants her mother to hold her during the procedure.What should the nurse recognize about this request?

In some genetically susceptible children,anaesthetic agents can trigger malignant hyperthermia.In addition to an increased temperature,what is one early sign of this disorder?

The Allen test is performed as a precautionary measure before which procedure?

When the nurse is caring for an unconscious child,which should be included in the plan of care for skin care?

Contemporary Perinatal and Pediatric Nursing in Canada

The Family and Culture

Community Care

Perinatal Nursing in Canada

Health Promotion

Health Assessment

Reproductive Health

Infertility, Contraception, and Abortion

Preconception, Genetics, Conception, and Fetal Development

Anatomy and Physiology of Pregnancy

Nursing Care During Pregnancy

Maternal and Fetal Nutrition

Pregnancy Risk Factors and Assessment

Pregnancy at Risk: Gestational Conditions

Pregnancy at Risk: Pre-Existing Conditions

Labour and Birth Processes

Nursing Care of the Family During Labour and Birth

Pain Management During Labour

Fetal Health Surveillance During Labour

Labour and Birth at Risk

Maternal Physiological Changes

Nursing Care of the Family During the Postpartum Period

Transition to Parenthood

Postpartum Complications

Physiological Adaptations of the Newborn

Nursing Care of the Newborn and Family

Newborn Nutrition and Feeding

Infants with Gestational Age Related Problems

The Newborn at Risk: Acquired and Congenital Problems

Pediatric Nursing in Canada

Family, Social, Cultural, and Religious Influences on Children’s Health

Developmental Influences on Child Health Promotion

Communication, History, Physical, and Developmental Assessment

Pain Assessment and Management

The Infant and Family

The Toddler and Family

The Preschooler and Family

The School-Age Child and Family

The Adolescent and Family

Chronic Illness, Complex Conditions, and End-of-Life Care

Cognitive and Sensory Impairment

Family-Centred Home Care

Reaction to Illness and Hospitalization

Respiratory Dysfunction

Gastrointestinal Dysfunction

Cardiovascular Dysfunction

Hematological or Immunological Dysfunction

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