Question 1

The nurse needs to take the blood pressure of a preschool boy for the first time.What action would be best in gaining his cooperation?

Accepted Answer

A)  Tell him that this procedure will help him get well faster. 
B)  Take his blood pressure when a parent is there to comfort him. 
C)  Explain to him how the blood flows through the arm and why the blood pressure is important. 
D)  Permit him to handle the equipment and see the cuff inflate and deflate before putting the cuff in place. 
A)  Tell him that this procedure will help him get well faster. 
B)  Take his blood pressure when a parent is there to comfort him. 
C)  Explain to him how the blood flows through the arm and why the blood pressure is important. 
D)  Permit him to handle the equipment and see the cuff inflate and deflate before putting the cuff in place.

Question 2

Frequent urine tests for specific gravity are required on a 6-month-old infant.What method is the most appropriate way to collect small amounts of urine for these tests?

Accepted Answer

A)  Apply a urine collection bag to the perineal area. 
B)  Tape a small medicine cup inside of the diaper. 
C)  Aspirate urine from cotton balls inside the diaper with a syringe without a needle. 
D)  Use a syringe without a needle to aspirate urine from a superabsorbent disposable diaper. 
A)  Apply a urine collection bag to the perineal area. 
B)  Tape a small medicine cup inside of the diaper. 
C)  Aspirate urine from cotton balls inside the diaper with a syringe without a needle. 
D)  Use a syringe without a needle to aspirate urine from a superabsorbent disposable diaper.

Question 3

An appropriate method for administering oral medications that are bitter to an infant or small child should be to mix them with which?

Accepted Answer

A)  Bottle of formula or milk 
B)  Any food the child is going to eat 
C)  One teaspoon of something sweet-tasting such as jam 
D)  Carbonated beverage, which is then poured over crushed ice 
A)  Bottle of formula or milk 
B)  Any food the child is going to eat 
C)  One teaspoon of something sweet-tasting such as jam 
D)  Carbonated beverage, which is then poured over crushed ice

Question 4

A 2-year-old child has to receive Rocephin IM injections every 12 hours.What nursing intervention should be implemented for the child?

Accepted Answer

A)  Hold the child while rocking in a chair after each injection. 
B)  Prepare the child several hours before the injection is given. 
C)  Allow the child to watch a younger child receive an injection. 
D)  Encourage the child to draw a picture of the pain experienced when an injection is given. 
A)  Hold the child while rocking in a chair after each injection. 
B)  Prepare the child several hours before the injection is given. 
C)  Allow the child to watch a younger child receive an injection. 
D)  Encourage the child to draw a picture of the pain experienced when an injection is given.

Question 5

What disease processes require airborne precautions?

Accepted Answer

A)  Measles 
B)  Varicella 
C)  Pertussis 
D)  Meningitis 
E)  Tuberculosis 
A)  Measles 
B)  Varicella 
C)  Pertussis 
D)  Meningitis 
E)  Tuberculosis

Question 6

What are the advantages of an implanted port (Port-a-Cath)?

Accepted Answer

A)  Reduced risk of infection 
B)  Reduced cost for the family 
C)  Placed completely under the skin 
D)  Easy to use for self-administered infusions 
E)  Removal does not require a surgical procedure 
A)  Reduced risk of infection 
B)  Reduced cost for the family 
C)  Placed completely under the skin 
D)  Easy to use for self-administered infusions 
E)  Removal does not require a surgical procedure

Question 7

Using knowledge of child development,what approach is best when preparing a toddler for a procedure?

Accepted Answer

A)  Avoid asking the child to make choices. 
B)  Plan for a teaching session to last about 20 minutes. 
C)  Demonstrate on a doll how the procedure will be done. 
D)  Show the necessary equipment without allowing child to handle it. 
A)  Avoid asking the child to make choices. 
B)  Plan for a teaching session to last about 20 minutes. 
C)  Demonstrate on a doll how the procedure will be done. 
D)  Show the necessary equipment without allowing child to handle it.

Question 8

A 1-month-old infant is admitted to the hospital.The infant's mother is 17 years old and single and lives with her parents.Who signs the informed consent for the 1-month-old infant?

Accepted Answer

A)  The infant's mother 
B)  The maternal grandparents of the infant 
C)  The paternal grandparents of the infant 
D)  Both the infant's mother and the maternal grandparents 
A)  The infant's mother 
B)  The maternal grandparents of the infant 
C)  The paternal grandparents of the infant 
D)  Both the infant's mother and the maternal grandparents

Question 9

What is the best method to verify the placement of a nasogastric tube before each use?

Accepted Answer

A)  Radiologic confirmation 
B)  Auscultation of injected air 
C)  Aspiration of stomach contents 
D)  Verification of tape placement on tube 
A)  Radiologic confirmation 
B)  Auscultation of injected air 
C)  Aspiration of stomach contents 
D)  Verification of tape placement on tube

Question 10

When checking the intravenous (IV)site on a child,the nurse should take which action?

Accepted Answer

A)  Look at the site. 
B)  Ask the child if the site "hurts." 
C)  Look at the site while palpating the area. 
D)  Take all the tape off, assess the site, and redress. 
A)  Look at the site. 
B)  Ask the child if the site "hurts." 
C)  Look at the site while palpating the area. 
D)  Take all the tape off, assess the site, and redress.

Question 11

The nurse is preparing to give acetaminophen (Tylenol)to a child who has a fever.What nursing action is appropriate?

Accepted Answer

A)  Retake the temperature in 15 minutes after giving the Tylenol. 
B)  Place a warm blanket on the child so chilling does not occur. 
C)  Check to be sure the Tylenol dose does not exceed 15 mg/kg. 
D)  Use cold compresses instead of Tylenol to control the fever. 
A)  Retake the temperature in 15 minutes after giving the Tylenol. 
B)  Place a warm blanket on the child so chilling does not occur. 
C)  Check to be sure the Tylenol dose does not exceed 15 mg/kg. 
D)  Use cold compresses instead of Tylenol to control the fever.

Question 12

The nurse is preparing to obtain a nasal washing from a child.What equipment should the nurse gather for the procedure?

Accepted Answer

A)  Sterile water 
B)  A sterile swab 
C)  Syringe with tubing 
D)  Sterile normal saline 
E)  Tracheal suction catheter 
A)  Sterile water 
B)  A sterile swab 
C)  Syringe with tubing 
D)  Sterile normal saline 
E)  Tracheal suction catheter

Question 13

What interventions should the nurse implement to prevent a pressure ulcer in a critically ill child?

Accepted Answer

A)  Nutrition consults 
B)  Using skin moisturizers 
C)  Turning the child every 2 hours 
D)  Using plastic disposable underpads 
E)  Using draw sheets to minimize shear 
A)  Nutrition consults 
B)  Using skin moisturizers 
C)  Turning the child every 2 hours 
D)  Using plastic disposable underpads 
E)  Using draw sheets to minimize shear

Exam 23: Pediatric Nursing Interventions and Skills

The nurse needs to take the blood pressure of a preschool boy for the first time.What action would be best in gaining his cooperation?

Frequent urine tests for specific gravity are required on a 6-month-old infant.What method is the most appropriate way to collect small amounts of urine for these tests?

An appropriate method for administering oral medications that are bitter to an infant or small child should be to mix them with which?

A 2-year-old child has to receive Rocephin IM injections every 12 hours.What nursing intervention should be implemented for the child?

What disease processes require airborne precautions?

What are the advantages of an implanted port (Port-a-Cath)?

Using knowledge of child development,what approach is best when preparing a toddler for a procedure?

A 1-month-old infant is admitted to the hospital.The infant's mother is 17 years old and single and lives with her parents.Who signs the informed consent for the 1-month-old infant?

What is the best method to verify the placement of a nasogastric tube before each use?

When checking the intravenous (IV)site on a child,the nurse should take which action?

The nurse is preparing to give acetaminophen (Tylenol)to a child who has a fever.What nursing action is appropriate?

The nurse is preparing to obtain a nasal washing from a child.What equipment should the nurse gather for the procedure?

What interventions should the nurse implement to prevent a pressure ulcer in a critically ill child?

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 Problems of Early Childhood

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

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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