Question 1

The nurse is caring for an unconscious child. Skin care should include which action?

Accepted Answer

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

Question 2

A nurse must do a venipuncture on a 6-year-old child. What is an important consideration in providing atraumatic care?

Accepted Answer

A)  Use an 18-gauge needle if possible. 
B)  If not successful after four attempts, have another nurse try. 
C)  Restrain the child only as needed to perform venipuncture safely. 
D)  Show the child equipment to be used before the procedure. 
A)  Use an 18-gauge needle if possible. 
B)  If not successful after four attempts, have another nurse try. 
C)  Restrain the child only as needed to perform venipuncture safely. 
D)  Show the child equipment to be used before the procedure.

Question 3

In preparing to give "enemas until clear" to a young child, the nurse should select which solution?

Accepted Answer

A)  Tap water 
B)  Normal saline 
C)  Oil retention 
D)  Fleet solution 
A)  Tap water 
B)  Normal saline 
C)  Oil retention 
D)  Fleet solution

Question 4

Tepid water or sponge baths are indicated for hyperthermia in children. What is the priority nursing action?

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 5

The nurse is preparing to insert a nasogastric tube into a 4-year-old child for intermittent suctioning after abdominal surgery. Place in correct sequence the steps for inserting a nasogastric tube. Provide the answer using lowercase letters separated by commas (e.g., a, b, c, d, e, f).

Accepted Answer

A)  Lubricate the nasogastric tube with water-soluble lubricant. 
B)  Tape the nasogastric tube securely to the child's face. 
C)  Check the placement of the tube by aspirating stomach contents. 
D)  Place the child in the supine position with head slightly hyperflexed. 
E)  Insert the nasogastric tube through the nares. 
F)Measure the tube from the tip of the nose to the ear lobe to midpoint between the xiphoid process and the umbilicus. 
A)  Lubricate the nasogastric tube with water-soluble lubricant. 
B)  Tape the nasogastric tube securely to the child's face. 
C)  Check the placement of the tube by aspirating stomach contents. 
D)  Place the child in the supine position with head slightly hyperflexed. 
E)  Insert the nasogastric tube through the nares. 
F)Measure the tube from the tip of the nose to the ear lobe to midpoint between the xiphoid process and the umbilicus.

Question 6

The nurse is planning to prepare a 4-year-old child for some diagnostic procedures. Guidelines for preparing this preschooler should include which action?

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 7

When teaching a mother how to administer eye drops, where should the nurse tell her to place them?

Accepted Answer

A)  In the conjunctival sac that is formed when the lower lid is pulled down 
B)  Carefully under the eye lid while it is gently pulled upward 
C)  On the sclera while the child looks to the side 
D)  Anywhere as long as drops contact the eye's surface 
A)  In the conjunctival sac that is formed when the lower lid is pulled down 
B)  Carefully under the eye lid while it is gently pulled upward 
C)  On the sclera while the child looks to the side 
D)  Anywhere as long as drops contact the eye's surface

Question 8

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

The nurse is caring for an unconscious child. Skin care should include which action?

A nurse must do a venipuncture on a 6-year-old child. What is an important consideration in providing atraumatic care?

In preparing to give "enemas until clear" to a young child, the nurse should select which solution?

Tepid water or sponge baths are indicated for hyperthermia in children. What is the priority nursing action?

The nurse is preparing to insert a nasogastric tube into a 4-year-old child for intermittent suctioning after abdominal surgery. Place in correct sequence the steps for inserting a nasogastric tube. Provide the answer using lowercase letters separated by commas (e.g., a, b, c, d, e, f).

The nurse is planning to prepare a 4-year-old child for some diagnostic procedures. Guidelines for preparing this preschooler should include which action?

When teaching a mother how to administer eye drops, where should the nurse tell her to place them?

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

Perspectives of Pediatric Nursing

Family, Social, Cultural, and Religious Influences on Child Health Promotion

Developmental and Genetic Influences on Child Health Promotion

Communication and Physical Assessment of the Child and Family

Pain Assessment and Management in Children

Childhood Communicable and Infectious Diseases

Health Promotion of the Newborn and Family

Health Problems of Newborns

Health Promotion of the Infant and Family

Health Problems of Infants

Health Promotion of the Toddler and Family

Health Promotion of the Preschooler and Family

Health Problems of Toddlers and Preschoolers

Health Promotion of the School-Age Child and Family

Health Promotion of the Adolescent and Family

Health Problems of School-Age Children and Adolescents

Quality of Life for Children Living with Chronic and Complex Diseases

Impact of Cognitive or Sensory Impairment on the Child and Family

Family-Centered Care of the Child During Illness and Hospitalization

The Child with Respiratory Dysfunction

The Child with Gastrointestinal Dysfunction

The Child with Cardiovascular Dysfunction

The Child with Hematologic or Immunologic Dysfunction

The Child with Cancer

The Child with Genitourinary Dysfunction

The Child with Cerebral Dysfunction

The Child with Endocrine Dysfunction

The Child with Musculoskeletal or Articular Dysfunction

The Child with Neuromuscular or Muscular Dysfunction

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Exam 20: Pediatric Variations of Nursing Interventions

The nurse is caring for an unconscious child. Skin care should include which action?

A nurse must do a venipuncture on a 6-year-old child. What is an important consideration in providing atraumatic care?

In preparing to give "enemas until clear" to a young child, the nurse should select which solution?

Tepid water or sponge baths are indicated for hyperthermia in children. What is the priority nursing action?

The nurse is preparing to insert a nasogastric tube into a 4-year-old child for intermittent suctioning after abdominal surgery. Place in correct sequence the steps for inserting a nasogastric tube. Provide the answer using lowercase letters separated by commas (e.g., a, b, c, d, e, f).

The nurse is planning to prepare a 4-year-old child for some diagnostic procedures. Guidelines for preparing this preschooler should include which action?

When teaching a mother how to administer eye drops, where should the nurse tell her to place them?

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

Perspectives of Pediatric Nursing

Family, Social, Cultural, and Religious Influences on Child Health Promotion

Developmental and Genetic Influences on Child Health Promotion

Communication and Physical Assessment of the Child and Family

Pain Assessment and Management in Children

Childhood Communicable and Infectious Diseases

Health Promotion of the Newborn and Family

Health Problems of Newborns

Health Promotion of the Infant and Family

Health Problems of Infants

Health Promotion of the Toddler and Family

Health Promotion of the Preschooler and Family

Health Problems of Toddlers and Preschoolers

Health Promotion of the School-Age Child and Family

Health Promotion of the Adolescent and Family

Health Problems of School-Age Children and Adolescents

Quality of Life for Children Living with Chronic and Complex Diseases

Impact of Cognitive or Sensory Impairment on the Child and Family

Family-Centered Care of the Child During Illness and Hospitalization

The Child with Respiratory Dysfunction

The Child with Gastrointestinal Dysfunction

The Child with Cardiovascular Dysfunction

The Child with Hematologic or Immunologic Dysfunction

The Child with Cancer

The Child with Genitourinary Dysfunction

The Child with Cerebral Dysfunction

The Child with Endocrine Dysfunction

The Child with Musculoskeletal or Articular Dysfunction

The Child with Neuromuscular or Muscular Dysfunction

Filters