Question 1

What is the most common form of child maltreatment?

Accepted Answer

A)  Sexual abuse 
B)  Child neglect 
C)  Physical abuse 
D)  Emotional abuse 
A)  Sexual abuse 
B)  Child neglect 
C)  Physical abuse 
D)  Emotional abuse B

Question 2

A child with corrosive poisoning is being admitted to the emergency department.What clinical manifestation does the nurse expect to assess on this child?

Accepted Answer

A)  Nausea and vomiting 
B)  Alterations in sensorium, such as lethargy 
C)  Severe burning pain in the mouth, throat, and stomach 
D)  Respiratory symptoms of acute pulmonary involvement 
A)  Nausea and vomiting 
B)  Alterations in sensorium, such as lethargy 
C)  Severe burning pain in the mouth, throat, and stomach 
D)  Respiratory symptoms of acute pulmonary involvement C

Question 3

What can the nurse suggest to families to reduce blood lead levels?

Accepted Answer

A)  Do not store food in open cans. 
B)  Ensure the child eats regular meals. 
C)  Mix formula with hot water from the tap. 
D)  Vacuum hard-surfaced floors and window wells. 
E)  Wash and dry the child's hands and face frequently. 
A)  Do not store food in open cans. 
B)  Ensure the child eats regular meals. 
C)  Mix formula with hot water from the tap. 
D)  Vacuum hard-surfaced floors and window wells. 
E)  Wash and dry the child's hands and face frequently. A,B,E

Question 4

An awake,alert 4-year-old child has just arrived at the emergency department after an ingestion of aspirin at home.The practitioner has ordered activated charcoal.The nurse administers charcoal in which manner?

Accepted Answer

A)  Giving half of the solution and then repeating the other half in 1 hour 
B)  Mixing with a flavorful beverage in an opaque container with a straw 
C)  Serving it in a clear plastic cup so the child can see how much has been drunk 
D)  Administering it through a nasogastric tube because the child will not drink it because of the taste 
A)  Giving half of the solution and then repeating the other half in 1 hour 
B)  Mixing with a flavorful beverage in an opaque container with a straw 
C)  Serving it in a clear plastic cup so the child can see how much has been drunk 
D)  Administering it through a nasogastric tube because the child will not drink it because of the taste

Question 5

What are classified as corrosive poisons?

Accepted Answer

A)  Batteries 
B)  Paint thinner 
C)  Drain cleaners 
D)  Mineral seed oil 
E)  Mildew remover 
A)  Batteries 
B)  Paint thinner 
C)  Drain cleaners 
D)  Mineral seed oil 
E)  Mildew remover

Question 6

What are symptoms of abusive head trauma (AHT)in the more severe form that may be present?

Accepted Answer

A)  Seizures 
B)  Posturing 
C)  Tachypnea 
D)  Tachycardia 
E)  Altered level of consciousness 
A)  Seizures 
B)  Posturing 
C)  Tachypnea 
D)  Tachycardia 
E)  Altered level of consciousness

Question 7

A 3-month-old infant dies shortly after arrival to the emergency department.The infant has subdural and retinal hemorrhages but no external signs of trauma.What should the nurse suspect?

Accepted Answer

A)  Unintentional injury 
B)  Shaken baby syndrome 
C)  Congenital neurologic problem 
D)  Sudden infant death syndrome (SIDS) 
A)  Unintentional injury 
B)  Shaken baby syndrome 
C)  Congenital neurologic problem 
D)  Sudden infant death syndrome (SIDS)

Question 8

A health care provider prescribes acetylcysteine (Mucomyst),70 mg/kg per nasogastric tube times one,stat,for an acetaminophen (Tylenol)overdose.The child weighs 20 kg.The medication label states: "Acetylcysteine (Mucomyst),100 mg/10 ml." The nurse prepares to administer the dose.How many milliliters will the nurse prepare to administer one dose? Fill in the blank.Record your answer in a whole number.
________________

Accepted Answer

140
Follow the formula for dos

Question 9

What is probably the most important criterion on which to base the decision to report suspected child abuse?

Accepted Answer

A)  Inappropriate response of child 
B)  Inappropriate parental concern for the degree of injury 
C)  Absence of parents for questioning about child's injuries 
D)  Incompatibility between the history and injury observed 
A)  Inappropriate response of child 
B)  Inappropriate parental concern for the degree of injury 
C)  Absence of parents for questioning about child's injuries 
D)  Incompatibility between the history and injury observed

Question 10

A child is admitted with a suspected diagnosis of Munchausen syndrome by proxy (MSBP).What is an important consideration in the care of this child?

Accepted Answer

A)  Monitoring the parents whenever they are with the child 
B)  Reassuring the parents that the cause of the disorder will be found 
C)  Teaching the parents how to obtain necessary specimens 
D)  Supporting the parents as they cope with diagnosis of a chronic illness 
A)  Monitoring the parents whenever they are with the child 
B)  Reassuring the parents that the cause of the disorder will be found 
C)  Teaching the parents how to obtain necessary specimens 
D)  Supporting the parents as they cope with diagnosis of a chronic illness

Question 11

A child is admitted to the hospital with lesions on his abdomen that appear like cigarette burns.What should accurate documentation by the nurse include?

Accepted Answer

A)  Two unhealed lesions are on the child's abdomen. 
B)  Two round 4-mm lesions are on the child's lower abdomen. 
C)  Two round symmetrical lesions are on the child's lower abdomen. 
D)  Two round lesions on the child's abdomen that appear to be cigarette burns. 
A)  Two unhealed lesions are on the child's abdomen. 
B)  Two round 4-mm lesions are on the child's lower abdomen. 
C)  Two round symmetrical lesions are on the child's lower abdomen. 
D)  Two round lesions on the child's abdomen that appear to be cigarette burns.

Question 12

The nurse is caring for a child with suspected ingestion of some type of poison.What action should the nurse take next after initiating cardiopulmonary resuscitation (CPR)?

Accepted Answer

A)  Empty the mouth of pills, plants, or other material. 
B)  Question the victim and witness. 
C)  Place the child in a side-lying position. 
D)  Call poison control. 
A)  Empty the mouth of pills, plants, or other material. 
B)  Question the victim and witness. 
C)  Place the child in a side-lying position. 
D)  Call poison control.

Question 13

What do inflicted immersion burns often appear as?

Accepted Answer

A)  Partial-thickness, asymmetrical burns 
B)  Splash pattern burns on hands or feet 
C)  Any splash burn with dry linear marks 
D)  Sharply demarcated, symmetrical burns 
A)  Partial-thickness, asymmetrical burns 
B)  Splash pattern burns on hands or feet 
C)  Any splash burn with dry linear marks 
D)  Sharply demarcated, symmetrical burns

Question 14

What is a clinical manifestation of acetaminophen poisoning?

Accepted Answer

A)  Hyperpyrexia 
B)  Hepatic involvement 
C)  Severe burning pain in stomach 
D)  Drooling and inability to clear secretions 
A)  Hyperpyrexia 
B)  Hepatic involvement 
C)  Severe burning pain in stomach 
D)  Drooling and inability to clear secretions

Question 15

A parent asks the nurse about the "characteristics of a nightmare." What response should the nurse give to the parent?

Accepted Answer

A)  Nightmares are scary dreams. 
B)  The child can describe the nightmare. 
C)  The child is reassured by your presence. 
D)  Nightmares occur usually 1 to 4 hours after falling asleep. 
E)  Nightmares take place during non-rapid eye movement sleep 
A)  Nightmares are scary dreams. 
B)  The child can describe the nightmare. 
C)  The child is reassured by your presence. 
D)  Nightmares occur usually 1 to 4 hours after falling asleep. 
E)  Nightmares take place during non-rapid eye movement sleep

Question 16

The nurse is administering activated charcoal to a preschool child with acetaminophen (Tylenol)poisoning.What potential complications from the use of activated charcoal should the nurse plan to assess for?

Accepted Answer

A)  Diarrhea 
B)  Vomiting 
C)  Fluid retention 
D)  Intestinal obstruction 
A)  Diarrhea 
B)  Vomiting 
C)  Fluid retention 
D)  Intestinal obstruction

Question 17

A child with acetylsalicylic acid (aspirin)poisoning is being admitted to the emergency department.What early clinical manifestation does the nurse expect to assess on this child?

Accepted Answer

A)  Hematemesis 
B)  Hematochezia 
C)  Hyperglycemia 
D)  Hyperventilation 
A)  Hematemesis 
B)  Hematochezia 
C)  Hyperglycemia 
D)  Hyperventilation

Question 18

A child with cyanide poisoning has been admitted to the emergency department.What antidote does the nurse anticipate being prescribed for the child?

Accepted Answer

A)  Atropine 
B)  Glucagon 
C)  Amyl nitrate 
D)  Naloxone (Narcan) 
A)  Atropine 
B)  Glucagon 
C)  Amyl nitrate 
D)  Naloxone (Narcan)

Question 19

The nurse is teaching parents of a preschool child strategies to implement when the child delays going to bed.What strategy should the nurse recommend?

Accepted Answer

A)  Use consistent bedtime rituals. 
B)  Give in to attention-seeking behavior. 
C)  Take the child into the parent's bed for an hour. 
D)  Allow the child to stay up past the decided bedtime. 
A)  Use consistent bedtime rituals. 
B)  Give in to attention-seeking behavior. 
C)  Take the child into the parent's bed for an hour. 
D)  Allow the child to stay up past the decided bedtime.

Question 20

A parent asks the nurse about the "characteristics of a sleep terror." What response should the nurse give to the parent?

Accepted Answer

A)  The child screams during the sleep terror. 
B)  Return to sleep is delayed because of persistent fear. 
C)  The night terror occurs during the second half of night. 
D)  The child has no memory of the dream with a sleep terror. 
E)  The child is not aware of another's presence during a sleep terror. 
A)  The child screams during the sleep terror. 
B)  Return to sleep is delayed because of persistent fear. 
C)  The night terror occurs during the second half of night. 
D)  The child has no memory of the dream with a sleep terror. 
E)  The child is not aware of another's presence during a sleep terror.

Exam 14: Health Problems of Early Childhood

What is the most common form of child maltreatment?

A child with corrosive poisoning is being admitted to the emergency department.What clinical manifestation does the nurse expect to assess on this child?

What can the nurse suggest to families to reduce blood lead levels?

An awake,alert 4-year-old child has just arrived at the emergency department after an ingestion of aspirin at home.The practitioner has ordered activated charcoal.The nurse administers charcoal in which manner?

What are classified as corrosive poisons?

What are symptoms of abusive head trauma (AHT)in the more severe form that may be present?

A 3-month-old infant dies shortly after arrival to the emergency department.The infant has subdural and retinal hemorrhages but no external signs of trauma.What should the nurse suspect?

What is probably the most important criterion on which to base the decision to report suspected child abuse?

A child is admitted with a suspected diagnosis of Munchausen syndrome by proxy (MSBP).What is an important consideration in the care of this child?

A child is admitted to the hospital with lesions on his abdomen that appear like cigarette burns.What should accurate documentation by the nurse include?

The nurse is caring for a child with suspected ingestion of some type of poison.What action should the nurse take next after initiating cardiopulmonary resuscitation (CPR)?

What do inflicted immersion burns often appear as?

What is a clinical manifestation of acetaminophen poisoning?

A parent asks the nurse about the "characteristics of a nightmare." What response should the nurse give to the parent?

The nurse is administering activated charcoal to a preschool child with acetaminophen (Tylenol)poisoning.What potential complications from the use of activated charcoal should the nurse plan to assess for?

A child with acetylsalicylic acid (aspirin)poisoning is being admitted to the emergency department.What early clinical manifestation does the nurse expect to assess on this child?

A child with cyanide poisoning has been admitted to the emergency department.What antidote does the nurse anticipate being prescribed for the child?

The nurse is teaching parents of a preschool child strategies to implement when the child delays going to bed.What strategy should the nurse recommend?

A parent asks the nurse about the "characteristics of a sleep terror." What response should the nurse give to the parent?

Perspectives of Pediatric Nursing

Social,cultural,religious,and Family Influences on Child Health Promotion

Hereditary Influences on Health Promotion of the Child and Family

Communication, physical, and Developmental Assessment

Pain Assessment and Management in Children

Childhood Communicable and Infectious Diseases

Health Promotion of the Newborn and Family

Health Problems of Newborns

The High-Risk Newborn and Family

Health Promotion of the Infant and Family

Health Problems of the Infant

Health Promotion of the Toddler and Family

Health Promotion of the Preschooler and Family

Health Promotion of the School-Age Child and Family

Health Problems of the School-Age Child

Health Promotion of the Adolescent and Family

Health Problems of the Adolescent

Family-Centered Care of the Child With Chronic Illness or Disability

Family-Centered Palliative Care

The Child With Cognitive, sensory, or Communication Impairment

Family-Centered Care of the Child During Illness and Hospitalization

Pediatric Nursing Interventions and Skills

The Child With Fluid and Electrolyte Imbalance

The Child With Renal Dysfunction

The Child With Gastrointestinal Dysfunction

Overview of Oxygen and Carbon Dioxide Exchange

The Child With Respiratory Dysfunction

The Child With Cardiovascular Dysfunction

The Child With Hematologic or Immunologic Dysfunction

The Child With Cancer

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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