Question 1

When a safety reminder device (SRD)is used to protect a child,what is a responsibility of the nurse?

Accepted Answer

A) Apply it loosely 
B) Remove it every 2 hours 
C) Place it over clothing 
D) Apply only one type 
A) Apply it loosely 
B) Remove it every 2 hours 
C) Place it over clothing 
D) Apply only one type B

Question 2

What observation in an emergency department should lead a nurse to suspect child abuse in a child with a fractured arm?

Accepted Answer

A) Lack of parental concern for the severity of the injury 
B) The child not answering questions concerning the injury 
C) Parents not asking about the child's condition 
D) Inconsistency between the injury and the parents' explanation of it 
A) Lack of parental concern for the severity of the injury 
B) The child not answering questions concerning the injury 
C) Parents not asking about the child's condition 
D) Inconsistency between the injury and the parents' explanation of it D

Question 3

What was founded by Lillian Wald?

Accepted Answer

A) National Commission on Children 
B) Henry Street Settlement 
C) White House Conference 
D) U.S. Children's Bureau 
A) National Commission on Children 
B) Henry Street Settlement 
C) White House Conference 
D) U.S. Children's Bureau B

Question 4

What is the preferred IM injection site for a 2-year-old?

Accepted Answer

A) Deltoid muscle 
B) Upper thigh 
C) Vastus lateralis 
D) Gluteus 
A) Deltoid muscle 
B) Upper thigh 
C) Vastus lateralis 
D) Gluteus

Question 5

A disfiguring facial wound would have the most significant developmental impact on which child?

Accepted Answer

A) 4-year-old 
B) 6-year-old 
C) 10-year-old 
D) 14-year-old 
A) 4-year-old 
B) 6-year-old 
C) 10-year-old 
D) 14-year-old

Question 6

An 8-year-old child asks how a blood pressure is taken.What would be the most appropriate response?

Accepted Answer

A) "This small machine will measure your systolic and diastolic pressure." 
B) "The armband will hug your arm and tell me how well your blood is going through your arm." 
C) "The armband will cut off your circulation for a while and then we can hear when it comes back." 
D) "When you are ill we need to know if your blood is still moving in your body." 
A) "This small machine will measure your systolic and diastolic pressure." 
B) "The armband will hug your arm and tell me how well your blood is going through your arm." 
C) "The armband will cut off your circulation for a while and then we can hear when it comes back." 
D) "When you are ill we need to know if your blood is still moving in your body."

Question 7

What is a disadvantage of using a mist tent with a toddler?

Accepted Answer

A) The nurse must remove the restless child. 
B) The wet bedding and clothing must be changed frequently. 
C) The mist tent must be opened at least once every hour. 
D) All objects must be kept outside of the tent. 
A) The nurse must remove the restless child. 
B) The wet bedding and clothing must be changed frequently. 
C) The mist tent must be opened at least once every hour. 
D) All objects must be kept outside of the tent.

Question 8

The pediatric nurse,along with the primary caregiver(s),has a special duty to ________ the child and the family.

Accepted Answer

teach
The pediatric nurse is i

Question 9

What should be included in the teaching plan for the parents of a 3-year-old child who has been prescribed an opioid analgesic?

Accepted Answer

A) The opioid is likely to cause significant respiratory depression. 
B) The medicine is prescribed with the knowledge that addiction may occur. 
C) The opioid is very effective as a pain control method. 
D) The opioid is only to be given in cases of severe pain. 
A) The opioid is likely to cause significant respiratory depression. 
B) The medicine is prescribed with the knowledge that addiction may occur. 
C) The opioid is very effective as a pain control method. 
D) The opioid is only to be given in cases of severe pain.

Question 10

When the nurse is inserting a feeding tube in an 8-month-old,what safety reminder device (SRD)should the nurse most likely use?

Accepted Answer

A) Mummy 
B) Clove hitch 
C) Jacket device 
D) Elbow device 
A) Mummy 
B) Clove hitch 
C) Jacket device 
D) Elbow device

Question 11

The nurse clarifies that the family-centered care approach terminates which policies? (Select all that apply.)

Accepted Answer

A) Rigid visiting hours 
B) Freedom to choose which medications to take 
C) Exclusion of family during procedures 
D) Discouraging family to stay overnight 
E) Restricting parents from reading the chart 
A) Rigid visiting hours 
B) Freedom to choose which medications to take 
C) Exclusion of family during procedures 
D) Discouraging family to stay overnight 
E) Restricting parents from reading the chart

Question 12

When the newly admitted 2-year-old who was potty-trained before admission begins to wet the bed,the mother is frightened.What statement by the nurse will be most helpful to the mother?

Accepted Answer

A) "Don't be concerned. Accidents happen." 
B) "Let's put a diaper on your child until this gets better." 
C) "The stress of hospitalization makes children regress a little." 
D) "Your child will relearn 'potty-training' if you are patient." 
A) "Don't be concerned. Accidents happen." 
B) "Let's put a diaper on your child until this gets better." 
C) "The stress of hospitalization makes children regress a little." 
D) "Your child will relearn 'potty-training' if you are patient."

Question 13

The parents ask about preparation of their toddler for hospital admission.When does the nurse suggest that the parents tell their toddler of the admission?

Accepted Answer

A) A week prior 
B) 2 weeks prior 
C) The day of admission 
D) Only two or three days before 
A) A week prior 
B) 2 weeks prior 
C) The day of admission 
D) Only two or three days before

Question 14

What should be the focus of a practice where the pediatric nurse uses a developmental approach?

Accepted Answer

A) Stimulation of the child to reach expected norms 
B) Age-centered care plans 
C) Strengths and abilities of the child 
D) Characteristics for the particular age 
A) Stimulation of the child to reach expected norms 
B) Age-centered care plans 
C) Strengths and abilities of the child 
D) Characteristics for the particular age

Question 15

Why does obtaining the respirations of an infant require a modified approach from that of an adult?

Accepted Answer

A) Infants breathe through their noses 
B) Infants have very rapid respirations 
C) Infants' respirations are thoracic in nature 
D) Infants' respiratory movements are abdominal 
A) Infants breathe through their noses 
B) Infants have very rapid respirations 
C) Infants' respirations are thoracic in nature 
D) Infants' respiratory movements are abdominal

Question 16

What activity by an infant would cause a false elevation of the tympanic temperature?

Accepted Answer

A) Having a bowel movement 
B) Crying vigorously 
C) Having just eaten 
D) Having been in a cold room 
A) Having a bowel movement 
B) Crying vigorously 
C) Having just eaten 
D) Having been in a cold room

Question 17

What is the special category that encompasses children who have congenital abnormalities,malignancies,gastrointestinal (GI)diseases,or central nervous system (CNS)anomalies?

Accepted Answer

A) Very dependent children 
B) Children requiring special education 
C) Children with special needs 
D) Children requiring long-term care 
A) Very dependent children 
B) Children requiring special education 
C) Children with special needs 
D) Children requiring long-term care

Question 18

When attempting to provide information to the parents of a child undergoing surgery,the nurse notes that the parents appear confused and do not seem to remember what they are being told.What is the most probable cause of the parents' forgetfulness?

Accepted Answer

A) Noisy environment 
B) Serious nature of surgery 
C) Increased level of parents' anxiety 
D) Developmental age of the child 
A) Noisy environment 
B) Serious nature of surgery 
C) Increased level of parents' anxiety 
D) Developmental age of the child

Question 19

The nurse clarifies that child abuse and neglect are complicated and preventable problems falling under which broader term?

Accepted Answer

A) Child abandonment 
B) Child mismanagement 
C) Child maltreatment 
D) Child torment 
A) Child abandonment 
B) Child mismanagement 
C) Child maltreatment 
D) Child torment

Question 20

What is one way to enhance the nutrition of the hospitalized toddler?

Accepted Answer

A) Reward with sweets for eating meals 
B) Discourage participation in noneating activities 
C) Offer nutritious fluids frequently 
D) Leave nutritious finger foods out for the child to eat 
A) Reward with sweets for eating meals 
B) Discourage participation in noneating activities 
C) Offer nutritious fluids frequently 
D) Leave nutritious finger foods out for the child to eat

Exam 30: Basic Pediatric Nursing Care

When a safety reminder device (SRD)is used to protect a child,what is a responsibility of the nurse?

What observation in an emergency department should lead a nurse to suspect child abuse in a child with a fractured arm?

What was founded by Lillian Wald?

What is the preferred IM injection site for a 2-year-old?

A disfiguring facial wound would have the most significant developmental impact on which child?

An 8-year-old child asks how a blood pressure is taken.What would be the most appropriate response?

What is a disadvantage of using a mist tent with a toddler?

The pediatric nurse,along with the primary caregiver(s),has a special duty to ________ the child and the family.

What should be included in the teaching plan for the parents of a 3-year-old child who has been prescribed an opioid analgesic?

When the nurse is inserting a feeding tube in an 8-month-old,what safety reminder device (SRD)should the nurse most likely use?

The nurse clarifies that the family-centered care approach terminates which policies? (Select all that apply.)

When the newly admitted 2-year-old who was potty-trained before admission begins to wet the bed,the mother is frightened.What statement by the nurse will be most helpful to the mother?

The parents ask about preparation of their toddler for hospital admission.When does the nurse suggest that the parents tell their toddler of the admission?

What should be the focus of a practice where the pediatric nurse uses a developmental approach?

Why does obtaining the respirations of an infant require a modified approach from that of an adult?

What activity by an infant would cause a false elevation of the tympanic temperature?

What is the special category that encompasses children who have congenital abnormalities,malignancies,gastrointestinal (GI)diseases,or central nervous system (CNS)anomalies?

When attempting to provide information to the parents of a child undergoing surgery,the nurse notes that the parents appear confused and do not seem to remember what they are being told.What is the most probable cause of the parents' forgetfulness?

The nurse clarifies that child abuse and neglect are complicated and preventable problems falling under which broader term?

What is one way to enhance the nutrition of the hospitalized toddler?

Evolution of Nursing

Legal and Ethical Aspects of Nursing

Documentation

Communication

Nursing Process and Critical Thinking

Cultural and Ethnic Considerations

Asepsis and Infection Control

Body Mechanics and Patient Mobility

Hygiene and Care of the Patient’s Environment

Safety

Vital Signs

Physical Assessment

Admission, Transfer, and Discharge

Surgical Wound Care

Specimen Collection and Diagnostic Testing

Care of Patients Experiencing Urgent Alterations in Health

Complementary and Alternative Therapies

Pain Management, Comfort, Rest, and Sleep

Nutritional Concepts and Related Therapies

Fluids and Electrolytes

Mathematics and Medication Administration

Care of Patients with Alterations in Health

Life Span Development

Loss, Grief, Dying, and Death

Health Promotion and Pregnancy

Labor and Delivery

Care of the Mother and Newborn

Care of the High-Risk Mother, Newborn, and Family with Special Needs

Health Promotion for the Infant, Child, and Adolescent

Care of the Child with a Physical and Mental or Cognitive Disorder

Health Promotion and Care of the Older Adult

Concepts of Mental Health

Care of the Patient with a Psychiatric Disorder

Care of the Patient with an Addictive Personality

Home Health Nursing

Long-Term Care

Rehabilitation Nursing

Hospice Care

Professional Roles and Leadership

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