Question 1

A nurse encourages a school-age child to draw a picture after a painful procedure.What is the best rationale for this nursing intervention?

Accepted Answer

A)  Attempting to re-establish rapport 
B)  Providing a way for the child to express his feelings 
C)  Encouraging quiet play 
D)  Distracting the child from thinking about the pain 
A)  Attempting to re-establish rapport 
B)  Providing a way for the child to express his feelings 
C)  Encouraging quiet play 
D)  Distracting the child from thinking about the pain B

Question 2

The nurse is preparing to start an IV on an infant admitted to the pediatric unit.What intervention is appropriate for the nurse to implement?

Accepted Answer

A)  Involve the parents. 
B)  Provide a simple explanation to the child. 
C)  Let the child examine the equipment. 
D)  Suggest coping techniques. 
A)  Involve the parents. 
B)  Provide a simple explanation to the child. 
C)  Let the child examine the equipment. 
D)  Suggest coping techniques. A

Question 3

When a 2-year-old returns to her hospital room following a diagnostic procedure,her parents are not available,and the child is crying loudly.Which technique is most appropriate to alleviate the child's distress?

Accepted Answer

A)  Rock the child gently to sleep. 
B)  Play with the child using pop-up toys. 
C)  Role play with the child to act out her feelings. 
D)  Ask the child to draw a picture about her feelings. 
A)  Rock the child gently to sleep. 
B)  Play with the child using pop-up toys. 
C)  Role play with the child to act out her feelings. 
D)  Ask the child to draw a picture about her feelings. B

Question 4

A 13-year-old girl has been hospitalized for the past week.When discussing the girl's feelings about her illness,what would the nurse expect the girl to express as her biggest concern?

Accepted Answer

A)  Invasive procedures 
B)  Loss of control 
C)  Appearance 
D)  Separation from her boyfriend 
A)  Invasive procedures 
B)  Loss of control 
C)  Appearance 
D)  Separation from her boyfriend

Question 5

Parents are preparing their child for admission to the pediatric unit for minor surgery.What should they expect to see when visiting the pediatric unit?

Accepted Answer

A)  Nurses wearing all white 
B)  Formal atmosphere 
C)  Availability of a playroom 
D)  Dim lighting 
E)  Colored bedding 
A)  Nurses wearing all white 
B)  Formal atmosphere 
C)  Availability of a playroom 
D)  Dim lighting 
E)  Colored bedding

Question 6

A(n)_______________ ______________ is a person under the age of 18 who can legally sign for consent for medical treatment for themselves or their children.

Accepted Answer

emancipated minor
A person under the age

Question 7

What should the nurse,preparing to collect an admission history from parents who have recently emigrated from Russia,keep in mind?

Accepted Answer

A)  Eye-to-eye contact is considered disrespectful. 
B)  Touching the child's head means the nurse is superior. 
C)  Smiling is inappropriate in a serious situation. 
D)  Staring is a sign of the nurse's rudeness. 
A)  Eye-to-eye contact is considered disrespectful. 
B)  Touching the child's head means the nurse is superior. 
C)  Smiling is inappropriate in a serious situation. 
D)  Staring is a sign of the nurse's rudeness.

Question 8

The nurse notices that the mother of a child with cerebral palsy corrects and redoes many of the things the nurse does for her child.What is the nurse's most appropriate response to this mother?

Accepted Answer

A)  "Would you like to do all of your child's care?" 
B)  "I'm doing the very best job that I can with your child." 
C)  "Why don't you go have a cup of coffee? You are going to be exhausted if you don't take a break." 
D)  "I'd love for you to share with me some of the special things you do for your child." 
A)  "Would you like to do all of your child's care?" 
B)  "I'm doing the very best job that I can with your child." 
C)  "Why don't you go have a cup of coffee? You are going to be exhausted if you don't take a break." 
D)  "I'd love for you to share with me some of the special things you do for your child."

Question 9

The nurse shares the information and timelines recorded on the interdisciplinary outline of care for a child.What is this document?

Accepted Answer

A)  Clinical pathway 
B)  Comprehensive nursing care plan 
C)  Holistic care approach 
D)  Incorporated cost analysis 
A)  Clinical pathway 
B)  Comprehensive nursing care plan 
C)  Holistic care approach 
D)  Incorporated cost analysis

Question 10

The nurse must make a room assignment for a 16-year-old with cystic fibrosis.Which roommate would be the most appropriate for this patient?

Accepted Answer

A)  A 4-year-old child who had an appendectomy 
B)  A 10-year-old child with sickle cell disease in vaso-occlusive crisis 
C)  A 15-year-old with type 1 diabetes mellitus 
D)  To assign the adolescent to a private room 
A)  A 4-year-old child who had an appendectomy 
B)  A 10-year-old child with sickle cell disease in vaso-occlusive crisis 
C)  A 15-year-old with type 1 diabetes mellitus 
D)  To assign the adolescent to a private room

Question 11

A 2-year-old child has been crying constantly for his mother since he was hospitalized 3 days ago.What does this behavior suggest?

Accepted Answer

A)  The toddler feels abandoned by his mother. 
B)  The child still has not adjusted to his hospitalization. 
C)  The child is not separated from his mother often. 
D)  There is a poor mother-child bond. 
A)  The toddler feels abandoned by his mother. 
B)  The child still has not adjusted to his hospitalization. 
C)  The child is not separated from his mother often. 
D)  There is a poor mother-child bond.

Question 12

The nurse is preparing to obtain a throat culture on a toddler patient.What interventions are appropriate for the nurse to implement?

Accepted Answer

A)  Model desired behavior. 
B)  Instruct patient not to yell. 
C)  Use distractions. 
D)  Explain the procedure in detail. 
E)  Encourage the child to ask questions. 
A)  Model desired behavior. 
B)  Instruct patient not to yell. 
C)  Use distractions. 
D)  Explain the procedure in detail. 
E)  Encourage the child to ask questions.

Question 13

The parents of a hospitalized 9-month-old infant ask if their preschool child may visit his younger sibling.What understanding would assist the nurse most in formulating a response?

Accepted Answer

A)  Preschool children can be disruptive in the hospital environment. 
B)  Seeing his younger sibling would probably frighten the preschooler and thus should be avoided. 
C)  The sibling could view the infant from the doorway but not enter the room to prevent the spread of microorganisms. 
D)  The preschooler needs to visit his infant sister to reassure himself that she is all right. 
A)  Preschool children can be disruptive in the hospital environment. 
B)  Seeing his younger sibling would probably frighten the preschooler and thus should be avoided. 
C)  The sibling could view the infant from the doorway but not enter the room to prevent the spread of microorganisms. 
D)  The preschooler needs to visit his infant sister to reassure himself that she is all right.

Question 14

Which child would have the most difficulty in coping with separation from parents because of hospitalization?

Accepted Answer

A)  3-month-old child 
B)  16-month-old child 
C)  4-year-old child 
D)  7-year-old child 
A)  3-month-old child 
B)  16-month-old child 
C)  4-year-old child 
D)  7-year-old child

Question 15

What is the best suggestion by the nurse when parents ask,"When is the best time to begin to prepare a 5-year-old for surgery and hospitalization?"

Accepted Answer

A)  "As soon as the surgery is scheduled" 
B)  "About 2 weeks before surgery" 
C)  "About 4 days before surgery" 
D)  "On the night before admission to the hospital" 
A)  "As soon as the surgery is scheduled" 
B)  "About 2 weeks before surgery" 
C)  "About 4 days before surgery" 
D)  "On the night before admission to the hospital"

Question 16

The nurse suggests to parents that they use the outpatient surgical center for their child's upcoming surgery.What advantage(s)does this type of facility have to offer?

Accepted Answer

A)  Lower cost 
B)  Less incidence of health care-associated infections 
C)  Reduction of parent-child separation 
D)  Ample time for recuperation at the facility 
E)  Decreased emotional impact of illness 
A)  Lower cost 
B)  Less incidence of health care-associated infections 
C)  Reduction of parent-child separation 
D)  Ample time for recuperation at the facility 
E)  Decreased emotional impact of illness

Question 17

What information will the nurse include when taking a developmental history?

Accepted Answer

A)  Previous experience with hospitalization 
B)  Cultural needs 
C)  History of illness 
D)  Allergies 
E)  Child's nickname 
A)  Previous experience with hospitalization 
B)  Cultural needs 
C)  History of illness 
D)  Allergies 
E)  Child's nickname

Question 18

A 4-year-old begins to cry when his mother tells him it is time for his operation.The nurse understands this is an expected reaction.On which particular fear of the preschooler does the nurse base this understanding?

Accepted Answer

A)  Loss of control 
B)  Restricted mobility 
C)  Unfamiliar routines 
D)  Invasive procedures 
A)  Loss of control 
B)  Restricted mobility 
C)  Unfamiliar routines 
D)  Invasive procedures

Question 19

A hospitalized toddler was drinking from a cup at home but now refuses to drink from anything except his favorite bottle.What is the most likely reason for this behavior?

Accepted Answer

A)  He is dealing with the anxiety of hospitalization by regressing. 
B)  He is demonstrating attention-seeking behaviors because of an overabundance of attention in the hospital. 
C)  He is attempting to refocus the attention of the adults around him to avoid further painful procedures. 
D)  He is exhibiting normal behavior for his age, as children often stop new behaviors after they believe they have mastered them. 
A)  He is dealing with the anxiety of hospitalization by regressing. 
B)  He is demonstrating attention-seeking behaviors because of an overabundance of attention in the hospital. 
C)  He is attempting to refocus the attention of the adults around him to avoid further painful procedures. 
D)  He is exhibiting normal behavior for his age, as children often stop new behaviors after they believe they have mastered them.

Question 20

The pediatric nurse is caring for child that weighs 15 kilograms and calls the physician for an order for Acetaminophen for pain control.What is the maximum amount of medication per dose the nurse anticipates ordering?

Accepted Answer

A)  100 mg 
B)  150 mg 
C)  225 mg 
D)  250 mg 
A)  100 mg 
B)  150 mg 
C)  225 mg 
D)  250 mg

Exam 21: The Child’s Experience of Hospitalization

A nurse encourages a school-age child to draw a picture after a painful procedure.What is the best rationale for this nursing intervention?

The nurse is preparing to start an IV on an infant admitted to the pediatric unit.What intervention is appropriate for the nurse to implement?

When a 2-year-old returns to her hospital room following a diagnostic procedure,her parents are not available,and the child is crying loudly.Which technique is most appropriate to alleviate the child's distress?

A 13-year-old girl has been hospitalized for the past week.When discussing the girl's feelings about her illness,what would the nurse expect the girl to express as her biggest concern?

Parents are preparing their child for admission to the pediatric unit for minor surgery.What should they expect to see when visiting the pediatric unit?

A(n)_______________ ______________ is a person under the age of 18 who can legally sign for consent for medical treatment for themselves or their children.

What should the nurse,preparing to collect an admission history from parents who have recently emigrated from Russia,keep in mind?

The nurse notices that the mother of a child with cerebral palsy corrects and redoes many of the things the nurse does for her child.What is the nurse's most appropriate response to this mother?

The nurse shares the information and timelines recorded on the interdisciplinary outline of care for a child.What is this document?

The nurse must make a room assignment for a 16-year-old with cystic fibrosis.Which roommate would be the most appropriate for this patient?

A 2-year-old child has been crying constantly for his mother since he was hospitalized 3 days ago.What does this behavior suggest?

The nurse is preparing to obtain a throat culture on a toddler patient.What interventions are appropriate for the nurse to implement?

The parents of a hospitalized 9-month-old infant ask if their preschool child may visit his younger sibling.What understanding would assist the nurse most in formulating a response?

Which child would have the most difficulty in coping with separation from parents because of hospitalization?

What is the best suggestion by the nurse when parents ask,"When is the best time to begin to prepare a 5-year-old for surgery and hospitalization?"

The nurse suggests to parents that they use the outpatient surgical center for their child's upcoming surgery.What advantage(s)does this type of facility have to offer?

What information will the nurse include when taking a developmental history?

A 4-year-old begins to cry when his mother tells him it is time for his operation.The nurse understands this is an expected reaction.On which particular fear of the preschooler does the nurse base this understanding?

A hospitalized toddler was drinking from a cup at home but now refuses to drink from anything except his favorite bottle.What is the most likely reason for this behavior?

The pediatric nurse is caring for child that weighs 15 kilograms and calls the physician for an order for Acetaminophen for pain control.What is the maximum amount of medication per dose the nurse anticipates ordering?

The Past, Present, and Future

Human Reproductive Anatomy and Physiology

Fetal Development

Prenatal Care and Adaptations to Pregnancy

Nursing Care of Women with Complications During Pregnancy

Nursing Care of Mother and Infant During Labor and Birth

Nursing Management of Pain During Labor and Birth

Nursing Care of Women with Complications During Labor and Birth

The Family After Birth

Nursing Care of Women with Complications After Birth

The Nurse’s Role in Women’s Health Care

The Term Newborn

Preterm and Postterm Newborns

The Newborn with a Perinatal Injury or Congenital Malformation

An Overview of Growth, Development, and Nutrition

The Infant

The Toddler

The Preschool Child

The School-Age Child

The Adolescent

Health Care Adaptations for the Child and Family

The Child with a Sensory or Neurological Condition

The Child with a Musculoskeletal Condition

The Child with a Respiratory Disorder

The Child with a Cardiovascular Disorder

The Child with a Condition of the Blood, Blood-Forming Organs, or Lymphatic System

The Child with a Gastrointestinal Condition

The Child with a Genitourinary Condition

The Child with a Skin Condition

The Child with a Metabolic Condition

Childhood Communicable Diseases, Bioterrorism, Natural Disasters and the Maternal-Child Patient

The Child with an Emotional or Behavioral Condition

Complementary and Alternative Therapies in Maternity and Pediatric Nursing

Filters

A(n)_ is a person under the age of 18 who can legally sign for consent for medical treatment for themselves or their children.