Question 1

When administering oral medication to a toddler,which of these guidelines should the nurse follow?

Accepted Answer

A) Use a syringe or dropper,and place medication back on the tongue. 
B) Mix the medication in a food or drink such as milk or formula so that the child readily takes it. 
C) Position the child in a sitting or semireclining position. 
D) Restrain an actively resistive child to make the child swallow the medication. 
A) Use a syringe or dropper,and place medication back on the tongue. 
B) Mix the medication in a food or drink such as milk or formula so that the child readily takes it. 
C) Position the child in a sitting or semireclining position. 
D) Restrain an actively resistive child to make the child swallow the medication. C

Question 2

When a child is hospitalized,which of these factors must be the primary focus of nursing care?

Accepted Answer

A) client safety and protection 
B) caregivers' comfort 
C) access of grandparents and other family members 
D) enforcing visiting hours 
A) client safety and protection 
B) caregivers' comfort 
C) access of grandparents and other family members 
D) enforcing visiting hours A

Question 3

At the time of admission of a client under 18 years of age,informed consent for general procedures should be obtained from which of these persons?

Accepted Answer

A) the admitting health care provider 
B) the client,if he or she can read and understand the general consent 
C) the client,if he or she is over 7 
D) the legal guardian 
A) the admitting health care provider 
B) the client,if he or she can read and understand the general consent 
C) the client,if he or she is over 7 
D) the legal guardian D

Question 4

Preparation of a child and family for hospitalization is primarily guided by which of these factors?

Accepted Answer

A) age 
B) weight 
C) height 
D) developmental level 
A) age 
B) weight 
C) height 
D) developmental level

Question 5

In which of these situations should the nurse allow the side rails on a toddler's crib to be lowered?

Accepted Answer

A) when direct care is being provided 
B) when the caregivers are with the child 
C) when additional supplies are required for a procedure 
D) when a member of the housekeeping staff is in the room 
A) when direct care is being provided 
B) when the caregivers are with the child 
C) when additional supplies are required for a procedure 
D) when a member of the housekeeping staff is in the room

Question 6

For a child under age 2,which of these measurements should the nurse include in the child's assessment data?

Accepted Answer

A) height,weight,and chest circumference 
B) length,weight,and circumferences of head,chest,and abdomen 
C) length and weight only 
D) circumferences of head,chest,and abdomen only 
A) height,weight,and chest circumference 
B) length,weight,and circumferences of head,chest,and abdomen 
C) length and weight only 
D) circumferences of head,chest,and abdomen only

Question 7

Which of the following interventions would be appropriate for the pediatric client who has a nursing diagnosis of Anxiety related to planned surgery?

Accepted Answer

A) Arrange for the child to draw a picture of the hospital unit and the operating room. 
B) Encourage caregivers to observe the surgery. 
C) Provide a favorite blanket or toy for the child pre- and postoperatively. 
D) Schedule caregiver visits during sleep to avoid overstimulating the child. 
A) Arrange for the child to draw a picture of the hospital unit and the operating room. 
B) Encourage caregivers to observe the surgery. 
C) Provide a favorite blanket or toy for the child pre- and postoperatively. 
D) Schedule caregiver visits during sleep to avoid overstimulating the child.

Question 8

A 5-year-old is hospitalized with pneumonia.Which approach would be MOST appropriate to facilitate successful administration of oral medication?

Accepted Answer

A) "I have some medication for you to drink.Do you want juice or water with it?" 
B) "I have a new type of orange juice for you to drink.It tastes very good." 
C) "I have your pink medicine.Will you take it for me?" 
D) "In a few minutes you will need to take your medicine.You mustn't spit it out.OK?" 
A) "I have some medication for you to drink.Do you want juice or water with it?" 
B) "I have a new type of orange juice for you to drink.It tastes very good." 
C) "I have your pink medicine.Will you take it for me?" 
D) "In a few minutes you will need to take your medicine.You mustn't spit it out.OK?"

Question 9

When a 4-year-old client is being examined,which of these measurements would the nurse take?

Accepted Answer

A) length,head circumference,and weight 
B) height,weight,and circumferences of head,chest,and abdomen 
C) height and weight only 
D) length and chest circumference only 
A) length,head circumference,and weight 
B) height,weight,and circumferences of head,chest,and abdomen 
C) height and weight only 
D) length and chest circumference only

Question 10

What is the purpose of an admission database for a pediatric client?

Accepted Answer

A) to identify nursing diagnoses and to establish a plan of care 
B) to provide information for the admitting health care provider 
C) to initiate any treatment 
D) to detail contact information for the staff 
A) to identify nursing diagnoses and to establish a plan of care 
B) to provide information for the admitting health care provider 
C) to initiate any treatment 
D) to detail contact information for the staff

Question 11

A 3-year-old child is being discharged home after a tonsillectomy.In addition to specific information about the child's postoperative care,which of these aspects should the nurse include in the child's discharge plan?

Accepted Answer

A) Tell the caregivers that they may notice changes in toileting patterns. 
B) Explain to the caregivers that the child may develop behavioral changes such as regression. 
C) Review caregiver dynamics to be sure the child will be safe. 
D) Recap the child's hospitalization experience,including details of the surgery performed. 
A) Tell the caregivers that they may notice changes in toileting patterns. 
B) Explain to the caregivers that the child may develop behavioral changes such as regression. 
C) Review caregiver dynamics to be sure the child will be safe. 
D) Recap the child's hospitalization experience,including details of the surgery performed.

Question 12

For an 8-year-old client,which route would the nurse use for taking the child's temperature?

Accepted Answer

A) axillary 
B) oral 
C) rectal 
D) client's preferred 
A) axillary 
B) oral 
C) rectal 
D) client's preferred

Question 13

What is the normal percentile range for pediatric clients' height and weight on a percentile growth chart?

Accepted Answer

A) 5% to 95% 
B) 25% to 75% 
C) 30% to 70% 
D) 45% to 55% 
A) 5% to 95% 
B) 25% to 75% 
C) 30% to 70% 
D) 45% to 55%

Question 14

At what age do federal guidelines state that children have the right to give assent for treatment and research procedures?

Accepted Answer

A) when the child can verbally state the treatment desired and its benefits 
B) when the child can read a consent form and sign his or her name 
C) at 7 years of age 
D) at 18 years of age 
A) when the child can verbally state the treatment desired and its benefits 
B) when the child can read a consent form and sign his or her name 
C) at 7 years of age 
D) at 18 years of age

Question 15

Which of these statements about obtaining a urine specimen in an infant is TRUE?

Accepted Answer

A) The skin around the meatus should be cleaned and allowed to dry. 
B) Stroking the abdomen with an alcohol prep and fanning it dry usually initiate urination. 
C) Have the child drink plenty of fluids before asking the child to void. 
D) Specimens for culture and sensitivity can be obtained from the child's diaper. 
A) The skin around the meatus should be cleaned and allowed to dry. 
B) Stroking the abdomen with an alcohol prep and fanning it dry usually initiate urination. 
C) Have the child drink plenty of fluids before asking the child to void. 
D) Specimens for culture and sensitivity can be obtained from the child's diaper.

Question 16

When administering medications in children,which of the following approaches would the nurse use? (Select all that apply. )

Accepted Answer

A) Allow choices when possible. 
B) Add bad-tasting medications to juice. 
C) Use distraction when possible. 
D) Provide age-appropriate explanations. 
E) Don't let the child see the medication until it is time to be given.
F)Remain with the child after medication has been given. 
A) Allow choices when possible. 
B) Add bad-tasting medications to juice. 
C) Use distraction when possible. 
D) Provide age-appropriate explanations. 
E) Don't let the child see the medication until it is time to be given.
F)Remain with the child after medication has been given.

Question 17

What is the MOST common and reliable method of calculating drug dosages for children?

Accepted Answer

A) according to body surface area 
B) according to age 
C) according to weight 
D) according to standardized dosing 
A) according to body surface area 
B) according to age 
C) according to weight 
D) according to standardized dosing

Question 18

Preoperative nursing responsibilities for a child having surgery include which of the following? (Select all that apply. )

Accepted Answer

A) Prepare for separation from caregivers. 
B) Complete presurgery assessment. 
C) Provide beverage or bottle 1 hour prior. 
D) Obtain vital signs. 
E) Assess operative site. 
A) Prepare for separation from caregivers. 
B) Complete presurgery assessment. 
C) Provide beverage or bottle 1 hour prior. 
D) Obtain vital signs. 
E) Assess operative site.

Question 19

A child requires administration of intravenous (IV)medication.Which of these actions must the nurse take while the child is receiving this treatment?

Accepted Answer

A) Check the fluid and medication with another nurse before hanging it. 
B) Administer a "push" dose before the rest of the solution is hung. 
C) Assess the administration site hourly. 
D) Be sure the solution has infused before the designated administration time. 
A) Check the fluid and medication with another nurse before hanging it. 
B) Administer a "push" dose before the rest of the solution is hung. 
C) Assess the administration site hourly. 
D) Be sure the solution has infused before the designated administration time.

Question 20

Keflex 500 mg p.o.q.6.h.for a child weighing 99 lbs.You have Keflex 250 mg capsules available.The recommended daily dose for a child is 25 to 50 mg/kg/day in four equal dosages q.6.h.
What is the child's weight in kg? _________
Safe recommended dosage or range for this child is ________ to _________.
Is this order safe?_________

Accepted Answer

Child's weight in kg: 99 lb/2.2 = 45 kg

Exam 59: Basics of Pediatric Care

When administering oral medication to a toddler,which of these guidelines should the nurse follow?

When a child is hospitalized,which of these factors must be the primary focus of nursing care?

At the time of admission of a client under 18 years of age,informed consent for general procedures should be obtained from which of these persons?

Preparation of a child and family for hospitalization is primarily guided by which of these factors?

In which of these situations should the nurse allow the side rails on a toddler's crib to be lowered?

For a child under age 2,which of these measurements should the nurse include in the child's assessment data?

Which of the following interventions would be appropriate for the pediatric client who has a nursing diagnosis of Anxiety related to planned surgery?

A 5-year-old is hospitalized with pneumonia.Which approach would be MOST appropriate to facilitate successful administration of oral medication?

When a 4-year-old client is being examined,which of these measurements would the nurse take?

What is the purpose of an admission database for a pediatric client?

A 3-year-old child is being discharged home after a tonsillectomy.In addition to specific information about the child's postoperative care,which of these aspects should the nurse include in the child's discharge plan?

For an 8-year-old client,which route would the nurse use for taking the child's temperature?

What is the normal percentile range for pediatric clients' height and weight on a percentile growth chart?

At what age do federal guidelines state that children have the right to give assent for treatment and research procedures?

Which of these statements about obtaining a urine specimen in an infant is TRUE?

When administering medications in children,which of the following approaches would the nurse use? (Select all that apply. )

What is the MOST common and reliable method of calculating drug dosages for children?

Preoperative nursing responsibilities for a child having surgery include which of the following? (Select all that apply. )

A child requires administration of intravenous (IV)medication.Which of these actions must the nurse take while the child is receiving this treatment?

Student Nurse Skills for Success

Holistic Care

Nursing History, Education, and Organizations

Legal and Ethical Responsibilities

The Health Care Delivery System

Arenas of Care

Communication

Client Teaching

Nursing Processdocumentationinformatics

Life Span Development

Cultural Considerations

Stress, Adaptation, and Anxiety

Loss, Grief, and Death

Wellness Concepts

Self-Concept

Spirituality

Complementary Alternative Therapies

Basic Nutrition

Rest and Sleep

Safety-Hygiene

Infection Controlasepsis

Standard Precautions and Isolation

Bioterrorism

Fluid, Electrolyte, and Acid-Base Balance

Medication Administration and IV Therapy

Assessment

Pain Management

Diagnostic Tests

Basic Procedures

Intermediate Procedures

Advanced Procedures

Anesthesia

Surgery

Oncology

Respiratory System

Cardiovascular System

Hematologic and Lymphatic Systems

Gastrointestinal System

Urinary System

Musculoskeletal System

Neurological System

Sensory System

Endocrine System

Reproductive System

Sexually Transmitted Diseases

Integumentary System

Immune System

Mental Illness

Substance Abuse

The Older Adult

Ambulatory, Restorative, and Palliative Care in Community Settings

Responding to Emergencies

Integration

Prenatal Care

Complications of Pregnancy

The Birth Process

Postpartum Care

Newborn Care

Infants With Special Needs: Birth to 12 Months

Common Problems: 1-18 Years