Question 1

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 B

Question 2

Which statement best corresponds to a preschooler's understanding of hospitalization?

Accepted Answer

A)  "A germ made me get sick." 
B)  "I got sick because I was mad at my brother." 
C)  "My tonsils are sick and they have to come out." 
D)  "I have a cast because I broke my leg." 
A)  "A germ made me get sick." 
B)  "I got sick because I was mad at my brother." 
C)  "My tonsils are sick and they have to come out." 
D)  "I have a cast because I broke my leg." B

Question 3

The nurse is preparing to obtain a throat culture on a toddler patient.What interventions are appropriate for the nurse to implement? (Select all that apply. )

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. A,C

Question 4

An 8-year-old child will be hospitalized for several weeks in skeletal traction to treat a fractured femur.What does the nurse realize immobilization in this age group can generate feelings of in planning care of this child?

Accepted Answer

A)  Loss of control 
B)  Altered body image 
C)  Shame and guilt 
D)  Fear of bodily harm 
A)  Loss of control 
B)  Altered body image 
C)  Shame and guilt 
D)  Fear of bodily harm

Question 5

The nurse must make a room assignment for a 16-year-old adolescent 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 adolescent 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 adolescent with type 1 diabetes mellitus 
D)  To assign the adolescent to a private room

Question 6

When a 2-year-old child 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.

Question 7

What is the best suggestion by the nurse when parents ask,"When is the best time to begin to prepare a 5-year-old child 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 8

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 9

What are the basic fears of a young child being hospitalized? (Select all that apply. )

Accepted Answer

A)  Separation 
B)  Permanent scarring 
C)  Pain 
D)  Cost 
E)  Body intrusion 
A)  Separation 
B)  Permanent scarring 
C)  Pain 
D)  Cost 
E)  Body intrusion

Question 10

Which nursing action would facilitate rapport with a child and the child's parents during the admission process?

Accepted Answer

A)  Direct the parents to undress the child. 
B)  Answer questions in a calm and matter-of-fact way. 
C)  Perform assessments and ask questions as quickly as possible. 
D)  Express concern about the seriousness of the child's condition. 
A)  Direct the parents to undress the child. 
B)  Answer questions in a calm and matter-of-fact way. 
C)  Perform assessments and ask questions as quickly as possible. 
D)  Express concern about the seriousness of the child's condition.

Question 11

The mother of a hospitalized toddler states,"He cries when I visit.Maybe I should just stay away." What is the nurse's best response?

Accepted Answer

A)  "Perhaps you are right.He only gets upset when you have to leave." 
B)  "It is important that you are here.This is a common reaction in children when they are separated from their parents." 
C)  "It might be easier for your child if you would stay with him,but this decision is up to you." 
D)  "We take good care of him and he seems fine when you are not here." 
A)  "Perhaps you are right.He only gets upset when you have to leave." 
B)  "It is important that you are here.This is a common reaction in children when they are separated from their parents." 
C)  "It might be easier for your child if you would stay with him,but this decision is up to you." 
D)  "We take good care of him and he seems fine when you are not here."

Question 12

The mother of a 3-year-old child tells the nurse that she will be in to visit tomorrow around 12:00 PM.The next morning,the child asks the nurse,"When is my mommy coming?" What is the nurse's best response?

Accepted Answer

A)  "Your mommy will be here around noon." 
B)  "Your mommy will be here when you have lunch." 
C)  "Mommy will be here very soon." 
D)  "Your mommy is coming in 4 hours." 
A)  "Your mommy will be here around noon." 
B)  "Your mommy will be here when you have lunch." 
C)  "Mommy will be here very soon." 
D)  "Your mommy is coming in 4 hours."

Question 13

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 14

The parents of a hospitalized toddler are upset because she seems more interested in her toys when they come to visit her.In which stage of separation anxiety is the toddler?

Accepted Answer

A)  Protest 
B)  Despair 
C)  Denial 
D)  Attachment 
A)  Protest 
B)  Despair 
C)  Denial 
D)  Attachment

Question 15

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 16

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

Question 17

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 18

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 19

What information will the nurse include when taking a developmental history? (Select all that apply. )

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 20

The nurse explains to the parents of a hospitalized child that their child will receive fentanyl for an upcoming procedure.What advantage of fentanyl will the nurse explain?

Accepted Answer

A)  It is specifically designed for children. 
B)  It has a rapid onset. 
C)  It is nonaddicting. 
D)  It has a long duration. 
A)  It is specifically designed for children. 
B)  It has a rapid onset. 
C)  It is nonaddicting. 
D)  It has a long duration.

Exam 21: The Childs Experience of Hospitalization

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

Which statement best corresponds to a preschooler's understanding of hospitalization?

The nurse is preparing to obtain a throat culture on a toddler patient.What interventions are appropriate for the nurse to implement? (Select all that apply. )

An 8-year-old child will be hospitalized for several weeks in skeletal traction to treat a fractured femur.What does the nurse realize immobilization in this age group can generate feelings of in planning care of this child?

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

When a 2-year-old child 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?

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

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?

What are the basic fears of a young child being hospitalized? (Select all that apply. )

Which nursing action would facilitate rapport with a child and the child's parents during the admission process?

The mother of a hospitalized toddler states,"He cries when I visit.Maybe I should just stay away." What is the nurse's best response?

The mother of a 3-year-old child tells the nurse that she will be in to visit tomorrow around 12:00 PM.The next morning,the child asks the nurse,"When is my mommy coming?" What is the nurse's best response?

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

The parents of a hospitalized toddler are upset because she seems more interested in her toys when they come to visit her.In which stage of separation anxiety is the toddler?

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

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 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?

What information will the nurse include when taking a developmental history? (Select all that apply. )

The nurse explains to the parents of a hospitalized child that their child will receive fentanyl for an upcoming procedure.What advantage of fentanyl will the nurse explain?

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 Following Birth

The Nurses Role in Womens 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 Maternalchild Patient

The Child With an Emotional or Behavioral Condition

Complementary and Alternative Therapies in Maternity and Pediatric Nursing

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