Question 1

What is an effective strategy to reduce the stress of burn dressing procedures?

Accepted Answer

A)  Involve the child and give choices as feasible. 
B)  Explain to the child why analgesics cannot be used. 
C)  Reassure the child that dressing changes are not painful. 
D)  Encourage the child to master stress with controlled passivity. 
A)  Involve the child and give choices as feasible. 
B)  Explain to the child why analgesics cannot be used. 
C)  Reassure the child that dressing changes are not painful. 
D)  Encourage the child to master stress with controlled passivity. A

Question 2

Clinical manifestations of sodium excess (hypernatremia)include which signs or symptoms?

Accepted Answer

A)  Hyperreflexia 
B)  Abdominal cramps 
C)  Cardiac dysrhythmias 
D)  Dry, sticky mucous membranes 
A)  Hyperreflexia 
B)  Abdominal cramps 
C)  Cardiac dysrhythmias 
D)  Dry, sticky mucous membranes D

Question 3

A child is admitted with extensive burns.The nurse notes burns on the child's lips and singed nasal hairs.The nurse should suspect what condition in the child?

Accepted Answer

A)  A chemical burn 
B)  A hot-water scald 
C)  An electrical burn 
D)  An inhalation injury 
A)  A chemical burn 
B)  A hot-water scald 
C)  An electrical burn 
D)  An inhalation injury D

Question 4

What laboratory finding should the nurse expect in a child with an excess of water?

Accepted Answer

A)  Decreased hematocrit 
B)  High serum osmolality 
C)  High urine specific gravity 
D)  Increased blood urea nitrogen 
A)  Decreased hematocrit 
B)  High serum osmolality 
C)  High urine specific gravity 
D)  Increased blood urea nitrogen

Question 5

What amount of fluid loss occurs with moderate dehydration?

Accepted Answer

A)  15% total body weight 
A)  15% total body weight

Question 6

What is a systemic response to severe burns in a child?

Accepted Answer

A)  Metabolic alkalosis 
B)  Decreased metabolic rate 
C)  Increased renal plasma flow 
D)  Abrupt drop in cardiac output 
A)  Metabolic alkalosis 
B)  Decreased metabolic rate 
C)  Increased renal plasma flow 
D)  Abrupt drop in cardiac output

Question 7

The nurse suspects shock in a child 1 day after surgery.What should be the initial nursing action?

Accepted Answer

A)  Place the child on a cardiac monitor. 
B)  Obtain arterial blood gases. 
C)  Provide supplemental oxygen. 
D)  Put the child in the Trendelenburg position. 
A)  Place the child on a cardiac monitor. 
B)  Obtain arterial blood gases. 
C)  Provide supplemental oxygen. 
D)  Put the child in the Trendelenburg position.

Question 8

What is an approximate method of estimating output for a child who is not toilet trained?

Accepted Answer

A)  Have parents estimate output. 
B)  Weigh diapers after each void. 
C)  Place a urine collection device on the child. 
D)  Have the child sit on a potty chair 30 minutes after eating. 
A)  Have parents estimate output. 
B)  Weigh diapers after each void. 
C)  Place a urine collection device on the child. 
D)  Have the child sit on a potty chair 30 minutes after eating.

Question 9

What is a strategy used to minimize scarring with burn injury in a child?

Accepted Answer

A)  Applying of drying agents on skin 
B)  Use of loose-fitting garments over healing areas 
C)  Limitation of period without pressure to areas of scarring 
D)  Immobilization of extremities while healing is occurring 
A)  Applying of drying agents on skin 
B)  Use of loose-fitting garments over healing areas 
C)  Limitation of period without pressure to areas of scarring 
D)  Immobilization of extremities while healing is occurring

Question 10

A health care provider prescribes dopamine (Intropin),5 mcg/kg/min in a continuous intravenous (IV)infusion for a child in shock.The child weighs 25 kg.The medication is available as dopamine 400 mg in 250 ml.The nurse prepares to calculate the rate.How many milliliters per hour will the nurse set the IV infusion pump to deliver 5 mcg/kg/min? Fill in the blank.Round to one decimal place.
________________

Accepted Answer

4.7
Follow the formula for dosage calcul

Question 11

Hydrotherapy is required to treat a child with extensive partial-thickness burn wounds.What is the purpose of hydrotherapy?

Accepted Answer

A)  Provide pain relief 
B)  Débride the wounds 
C)  Destroy bacteria on the skin 
D)  Increase peripheral blood flow 
A)  Provide pain relief 
B)  Débride the wounds 
C)  Destroy bacteria on the skin 
D)  Increase peripheral blood flow

Question 12

The nurse is caring for a child with hypernatremia.The nurse evaluates the child for which signs and symptoms of hypernatremia?

Accepted Answer

A)  Apathy 
B)  Lethargy 
C)  Oliguria 
D)  Intense thirst 
E)  Dry, sticky mucos 
A)  Apathy 
B)  Lethargy 
C)  Oliguria 
D)  Intense thirst 
E)  Dry, sticky mucos

Question 13

What clinical manifestations should be observed in a 2-year-old child with hypotonic dehydration?

Accepted Answer

A)  Thick, doughy feel to the skin 
B)  Slightly moist mucous membranes 
C)  Absent tears 
D)  Very rapid pulse 
E)  Hyperirritability 
A)  Thick, doughy feel to the skin 
B)  Slightly moist mucous membranes 
C)  Absent tears 
D)  Very rapid pulse 
E)  Hyperirritability

Question 14

Nurses should be alert for increased fluid requirements in which circumstance?

Accepted Answer

A)  Fever 
B)  Mechanical ventilation 
C)  Congestive heart failure 
D)  Increased intracranial pressure 
A)  Fever 
B)  Mechanical ventilation 
C)  Congestive heart failure 
D)  Increased intracranial pressure

Question 15

What organism is a parasite that causes acute diarrhea?

Accepted Answer

A)  Shigella organisms 
B)  Salmonella organisms 
C)  Giardia lamblia 
D)  Escherichia coli 
A)  Shigella organisms 
B)  Salmonella organisms 
C)  Giardia lamblia 
D)  Escherichia coli

Question 16

The nurse is caring for an 18-month-old child with rotavirus.What clinical manifestations should the nurse expect to observe?

Accepted Answer

A)  Severe abdominal cramping and bloody diarrhea 
B)  Mild fever and vomiting followed by onset of watery stools 
C)  Colicky abdominal pain and vomiting 
D)  High fever, diarrhea, and lethargy 
A)  Severe abdominal cramping and bloody diarrhea 
B)  Mild fever and vomiting followed by onset of watery stools 
C)  Colicky abdominal pain and vomiting 
D)  High fever, diarrhea, and lethargy

Question 17

The nurse is selecting a site to begin an intravenous infusion on a 2-year-old child.The superficial veins on his hand and arm are not readily visible.What intervention should increase the visibility of these veins?

Accepted Answer

A)  Gently tap over the site. 
B)  Apply a cold compress to the site. 
C)  Raise the extremity above the level of the body. 
D)  Use a rubber band as a tourniquet for 5 minutes. 
A)  Gently tap over the site. 
B)  Apply a cold compress to the site. 
C)  Raise the extremity above the level of the body. 
D)  Use a rubber band as a tourniquet for 5 minutes.

Question 18

What is the nursing action related to the applying of biologic or synthetic skin coverings for a child with partial-thickness burns of both legs?

Accepted Answer

A)  Splint the legs to prevent movement. 
B)  Observe wounds for signs of infection. 
C)  Monitor closely for manifestations of shock. 
D)  Examine dressings for indications of bleeding. 
A)  Splint the legs to prevent movement. 
B)  Observe wounds for signs of infection. 
C)  Monitor closely for manifestations of shock. 
D)  Examine dressings for indications of bleeding.

Question 19

The nurse determines that a child's intravenous infusion has infiltrated.The infused solution is a vesicant.What is the most appropriate nursing action?

Accepted Answer

A)  Stop the infusion and apply ice. 
B)  End the infusion and notify the practitioner. 
C)  Slow the infusion rate and notify the practitioner. 
D)  Discontinue the infusion and apply warm compresses. 
A)  Stop the infusion and apply ice. 
B)  End the infusion and notify the practitioner. 
C)  Slow the infusion rate and notify the practitioner. 
D)  Discontinue the infusion and apply warm compresses.

Question 20

What consideration is important for the nurse when changing dressings and applying topical medication to a child's abdomen and leg burns?

Accepted Answer

A)  Apply topical medication with clean hands. 
B)  Wash hands and forearms before and after dressing change. 
C)  If dressings have adhered to the wound, soak in hot water before removal. 
D)  Apply dressing so that movement is limited during the healing process. 
A)  Apply topical medication with clean hands. 
B)  Wash hands and forearms before and after dressing change. 
C)  If dressings have adhered to the wound, soak in hot water before removal. 
D)  Apply dressing so that movement is limited during the healing process.

Exam 24: The Child With Fluid and Electrolyte Imbalance

What is an effective strategy to reduce the stress of burn dressing procedures?

Clinical manifestations of sodium excess (hypernatremia)include which signs or symptoms?

A child is admitted with extensive burns.The nurse notes burns on the child's lips and singed nasal hairs.The nurse should suspect what condition in the child?

What laboratory finding should the nurse expect in a child with an excess of water?

What amount of fluid loss occurs with moderate dehydration?

What is a systemic response to severe burns in a child?

The nurse suspects shock in a child 1 day after surgery.What should be the initial nursing action?

What is an approximate method of estimating output for a child who is not toilet trained?

What is a strategy used to minimize scarring with burn injury in a child?

Hydrotherapy is required to treat a child with extensive partial-thickness burn wounds.What is the purpose of hydrotherapy?

The nurse is caring for a child with hypernatremia.The nurse evaluates the child for which signs and symptoms of hypernatremia?

What clinical manifestations should be observed in a 2-year-old child with hypotonic dehydration?

Nurses should be alert for increased fluid requirements in which circumstance?

What organism is a parasite that causes acute diarrhea?

The nurse is caring for an 18-month-old child with rotavirus.What clinical manifestations should the nurse expect to observe?

The nurse is selecting a site to begin an intravenous infusion on a 2-year-old child.The superficial veins on his hand and arm are not readily visible.What intervention should increase the visibility of these veins?

What is the nursing action related to the applying of biologic or synthetic skin coverings for a child with partial-thickness burns of both legs?

The nurse determines that a child's intravenous infusion has infiltrated.The infused solution is a vesicant.What is the most appropriate nursing action?

What consideration is important for the nurse when changing dressings and applying topical medication to a child's abdomen and leg burns?

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

Pediatric Nursing Interventions and Skills

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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