Question 1

When communicating with parents suspected of child abuse,what should the nurse be sure to do?

Accepted Answer

A) Tell them the law requires reporting of the incident. 
B) Be sympathetic to their needs. 
C) Interact with them in a nonjudgmental manner. 
D) Suggest psychiatric counseling. 
A) Tell them the law requires reporting of the incident. 
B) Be sympathetic to their needs. 
C) Interact with them in a nonjudgmental manner. 
D) Suggest psychiatric counseling. C

Question 2

What should the nurse do to minimize an unpleasant-tasting drug?

Accepted Answer

A) Pour the drug over ice. 
B) Squirt the drug in the mouth with a syringe. 
C) Administer the drug through a straw. 
D) Enlist the parent's assistance. 
A) Pour the drug over ice. 
B) Squirt the drug in the mouth with a syringe. 
C) Administer the drug through a straw. 
D) Enlist the parent's assistance. C

Question 3

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 A

Question 4

The mother of a child with diabetes asks the nurse in charge of the family-centered pediatric unit if she might see her child's laboratory reports.What response by the nurse is the most appropriate?

Accepted Answer

A) "Although the actual reports are not shared,I can tell you the blood sugar is 200 mg." 
B) "I'll write them down for you and bring them to your room." 
C) "Come to the conference room where we can have privacy while you look at them." 
D) "I'll notify the health care provider that you wish to see the reports." 
A) "Although the actual reports are not shared,I can tell you the blood sugar is 200 mg." 
B) "I'll write them down for you and bring them to your room." 
C) "Come to the conference room where we can have privacy while you look at them." 
D) "I'll notify the health care provider that you wish to see the reports."

Question 5

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.

Question 6

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 7

What should be done before initiating a gavage feeding?

Accepted Answer

A) Hold the feeding tube under water to check for bubbling. 
B) Check for gastric distention. 
C) Aspirate stomach contents. 
D) Ensure the sterility of feeding equipment. 
A) Hold the feeding tube under water to check for bubbling. 
B) Check for gastric distention. 
C) Aspirate stomach contents. 
D) Ensure the sterility of feeding equipment.

Question 8

When measuring the head circumference of an infant,where should the nurse place the tape measure?

Accepted Answer

A) Across the eyebrows and around the occipital lobe 
B) Over the zygomatic arches and around the parietal areas 
C) Around forehead and around the crown of the head 
D) Above the eyebrows and pinnas,and around the occipital lobe 
A) Across the eyebrows and around the occipital lobe 
B) Over the zygomatic arches and around the parietal areas 
C) Around forehead and around the crown of the head 
D) Above the eyebrows and pinnas,and around the occipital lobe

Question 9

What is the best time to bathe an infant?

Accepted Answer

A) At bedtime 
B) Early in the morning 
C) After a feeding 
D) Before a feeding 
A) At bedtime 
B) Early in the morning 
C) After a feeding 
D) Before a feeding

Question 10

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 11

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 12

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 13

When discussing growth and development with the parents of a child,the nurse explains that nutrition is the single most important influence on:

Accepted Answer

A) cognitive development. 
B) secondary sexual characteristics. 
C) the production of blood cells. 
D) the growth of bones and muscle. 
A) cognitive development. 
B) secondary sexual characteristics. 
C) the production of blood cells. 
D) the growth of bones and muscle.

Question 14

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 15

What is the correct way to assess for the presence of jaundice in an African-American child?

Accepted Answer

A) Examine the sclera. 
B) Press the edge of the pinna. 
C) Apply pressure to the gum. 
D) Compare the color on the soles of the feet. 
A) Examine the sclera. 
B) Press the edge of the pinna. 
C) Apply pressure to the gum. 
D) Compare the color on the soles of the feet.

Question 16

The mother of a 3-year-old expresses concern about her daughter's slowed growth rate.What would be the most informative response by the nurse?

Accepted Answer

A) "Three-year-olds have typically finished a growth spurt,and you may notice a decreased rate in your daughter's growth." 
B) "Children's growth is hereditary.She may be of small stature like you." 
C) "The growth of a 3-year-old is associated with their nutrition.How is she eating?" 
D) "Your daughter is healthy and happy.Don't worry about her growth right now." 
A) "Three-year-olds have typically finished a growth spurt,and you may notice a decreased rate in your daughter's growth." 
B) "Children's growth is hereditary.She may be of small stature like you." 
C) "The growth of a 3-year-old is associated with their nutrition.How is she eating?" 
D) "Your daughter is healthy and happy.Don't worry about her growth right now."

Question 17

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

Question 18

What is the maximum amount of time that a nurse should suction an artificial airway?

Accepted Answer

A) 1 second 
B) 5 seconds 
C) 30 seconds 
D) 1 minute 
A) 1 second 
B) 5 seconds 
C) 30 seconds 
D) 1 minute

Question 19

What is the purpose of a mist tent?

Accepted Answer

A) To provide a constant oxygen supply 
B) To liquefy respiratory secretions 
C) To aid in lowering temperature 
D) To improve the infant's hydration 
A) To provide a constant oxygen supply 
B) To liquefy respiratory secretions 
C) To aid in lowering temperature 
D) To improve the infant's hydration

Question 20

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.

Exam 31: Basic Pediatric Nursing Care

When communicating with parents suspected of child abuse,what should the nurse be sure to do?

What should the nurse do to minimize an unpleasant-tasting drug?

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 mother of a child with diabetes asks the nurse in charge of the family-centered pediatric unit if she might see her child's laboratory reports.What response by the nurse is the most appropriate?

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

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

What should be done before initiating a gavage feeding?

When measuring the head circumference of an infant,where should the nurse place the tape measure?

What is the best time to bathe an infant?

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

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

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

When discussing growth and development with the parents of a child,the nurse explains that nutrition is the single most important influence on:

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

What is the correct way to assess for the presence of jaundice in an African-American child?

The mother of a 3-year-old expresses concern about her daughter's slowed growth rate.What would be the most informative response by the nurse?

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

What is the maximum amount of time that a nurse should suction an artificial airway?

What is the purpose of a mist tent?

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

The 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 Patients Environment

Safety

Admission,transfer,and Discharge

Vital Signs

Physical Assessment

Oxygenation

Elimination and Gastric Intubation

Care of Patients Experiencing Urgent Alterations in Health

Dosage Calculation and Medication Administration

Fluids and Electrolytes

Nutritional Concepts and Related Therapies

Complementary and Alternative Therapies

Pain Management,comfort,rest,and Sleep

Surgical Wound Care

Specimen Collection and Diagnostic Testing

Lifespan 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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