Question 1

A nurse must do a venipuncture on a 6-year-old child.An important consideration in providing atraumatic care is to

Accepted Answer

A)  use an 18-gauge needle if possible. 
B)  wait 10 minutes after applying EMLA cream. 
C)  restrain child only as needed to perform venipuncture safely. 
D)  have the parents choose the child's favorite bandage afterward. 
A)  use an 18-gauge needle if possible. 
B)  wait 10 minutes after applying EMLA cream. 
C)  restrain child only as needed to perform venipuncture safely. 
D)  have the parents choose the child's favorite bandage afterward. C

Question 2

In preparing to give enemas to a 4-year-old child,what action by the nurse is best?

Accepted Answer

A)  Use tap water. 
B)  Only use normal saline. 
C)  Insert the tip of the tube at least 3 inches. 
D)  Instill 120 to 240 mL of solution. 
A)  Use tap water. 
B)  Only use normal saline. 
C)  Insert the tip of the tube at least 3 inches. 
D)  Instill 120 to 240 mL of solution. B

Question 3

The nurse is planning how to prepare a 4-year-old child for some diagnostic procedures.Guidelines for preparing this preschooler should include

Accepted Answer

A)  planning for a short teaching session of about 30 minutes. 
B)  telling the child that procedures are never a form of punishment. 
C)  keeping equipment out of the child's view. 
D)  using correct scientific and medical terminology in explanations. 
A)  planning for a short teaching session of about 30 minutes. 
B)  telling the child that procedures are never a form of punishment. 
C)  keeping equipment out of the child's view. 
D)  using correct scientific and medical terminology in explanations. B

Question 4

What is the most appropriate statement for the nurse to make to a 5-year-old child who is undergoing a venipuncture?

Accepted Answer

A)  "You must hold still or I'll have someone hold you down. This is not going to hurt." 
B)  "This will hurt like a pinch. I'll get someone to help hold your arm still so it will be over fast and hurt less." 
C)  "Be a big boy and hold still. This will be over in just a second." 
D)  "I'm sending your mother out so she won't be scared. You are big, so hold still and this will be over soon." 
A)  "You must hold still or I'll have someone hold you down. This is not going to hurt." 
B)  "This will hurt like a pinch. I'll get someone to help hold your arm still so it will be over fast and hurt less." 
C)  "Be a big boy and hold still. This will be over in just a second." 
D)  "I'm sending your mother out so she won't be scared. You are big, so hold still and this will be over soon."

Question 5

What is critical for the nurse to know when using restraints on a child?

Accepted Answer

A)  Use the least restrictive type of restraint. 
B)  Tie knots securely so they cannot be untied easily. 
C)  Secure the ties to the mattress or side rails. 
D)  Remove restraints every 4 hours to assess skin integrity. 
A)  Use the least restrictive type of restraint. 
B)  Tie knots securely so they cannot be untied easily. 
C)  Secure the ties to the mattress or side rails. 
D)  Remove restraints every 4 hours to assess skin integrity.

Question 6

A parent asked,"When should I start dental care for my child?" What response by the nurse is best?

Accepted Answer

A)  "The recommendation is for children to have a dental examination no later than 2.5 years." 
B)  "Children should see a dentist at least one time before kindergarten." 
C)  "The recommendation is for children to have a dental examination before first grade." 
D)  "A dental examination by 1 year of age is the current recommendation." 
A)  "The recommendation is for children to have a dental examination no later than 2.5 years." 
B)  "Children should see a dentist at least one time before kindergarten." 
C)  "The recommendation is for children to have a dental examination before first grade." 
D)  "A dental examination by 1 year of age is the current recommendation."

Question 7

Which action by the nurse is appropriate when preparing a child for a procedure?

Accepted Answer

A)  Discourage the child from crying during the procedure. 
B)  Use professional terms so the child will understand what is happening. 
C)  Give the child choices whenever possible. 
D)  Discourage the parents from staying in the room during the procedure. 
A)  Discourage the child from crying during the procedure. 
B)  Use professional terms so the child will understand what is happening. 
C)  Give the child choices whenever possible. 
D)  Discourage the parents from staying in the room during the procedure.

Question 8

Which nursing action is most appropriate when treating a child who has a fever of 102.5° F (39.1° C)?

Accepted Answer

A)  Restrict fluid intake. 
B)  Administer an aspirin. 
C)  Administer acetaminophen. 
D)  Bathe the child in tepid water. 
A)  Restrict fluid intake. 
B)  Administer an aspirin. 
C)  Administer acetaminophen. 
D)  Bathe the child in tepid water.

Question 9

An important nursing consideration when performing a bladder catheterization on a young child is to

Accepted Answer

A)  use clean technique, not Standard Precautions. 
B)  insert 2% lidocaine lubricant into the urethra. 
C)  lubricate catheter with water-soluble lubricant such as K-Y Jelly. 
D)  delay catheterization for 20 minutes while anesthetic lubricant is absorbed. 
A)  use clean technique, not Standard Precautions. 
B)  insert 2% lidocaine lubricant into the urethra. 
C)  lubricate catheter with water-soluble lubricant such as K-Y Jelly. 
D)  delay catheterization for 20 minutes while anesthetic lubricant is absorbed.

Question 10

Which action is appropriate to promote a toddler's nutrition during hospitalization?

Accepted Answer

A)  Allow the child to walk around during meals. 
B)  Require the child to empty his or her plate. 
C)  Ask the child's parents to bring a cup and utensils from home. 
D)  Select new foods for the child from the menu. 
A)  Allow the child to walk around during meals. 
B)  Require the child to empty his or her plate. 
C)  Ask the child's parents to bring a cup and utensils from home. 
D)  Select new foods for the child from the menu.

Question 11

The nurse is preparing for the admission of an infant who will have several procedures performed.In which situations is informed consent required? (Select all that apply.)

Accepted Answer

A)  Catheterized urine collection 
B)  IV line insertion 
C)  Oxygen administration 
D)  Lumbar puncture 
E)  Bone marrow aspiration 
A)  Catheterized urine collection 
B)  IV line insertion 
C)  Oxygen administration 
D)  Lumbar puncture 
E)  Bone marrow aspiration

Question 12

A parent calls the pediatrician's office because her 1-year-old child has a 100° F temperature.What is the most appropriate initial nursing response to make to the parent?

Accepted Answer

A)  "Did you feel your child's forehead?" 
B)  "Does your child appear to be uncomfortable?" 
C)  "Has anyone in your home been sick lately?" 
D)  "Don't worry if the temperature is less than 101° F." 
A)  "Did you feel your child's forehead?" 
B)  "Does your child appear to be uncomfortable?" 
C)  "Has anyone in your home been sick lately?" 
D)  "Don't worry if the temperature is less than 101° F."

Question 13

A student nurse in the emergency department is preparing to obtain a throat culture on a child with suspected epiglottis secondary to a strep infection.What action by the registered nurse is best?

Accepted Answer

A)  Remind the student to wear personal protective equipment. 
B)  Tell the student to get the child to say "ahhh." 
C)  Consult with the provider prior to obtaining the culture. 
D)  Inform the parents and child that a throat culture is needed. 
A)  Remind the student to wear personal protective equipment. 
B)  Tell the student to get the child to say "ahhh." 
C)  Consult with the provider prior to obtaining the culture. 
D)  Inform the parents and child that a throat culture is needed.

Question 14

Which nursing action is the most appropriate when applying a face mask to a child for oxygen therapy?

Accepted Answer

A)  The oxygen flow rate should be less than 6 L/min. 
B)  Make sure the mask fits properly. 
C)  Keep the child warm. 
D)  Remove the mask for 5 minutes every hour. 
A)  The oxygen flow rate should be less than 6 L/min. 
B)  Make sure the mask fits properly. 
C)  Keep the child warm. 
D)  Remove the mask for 5 minutes every hour.

Question 15

A nurse is teaching parents how to care for a child's gastrostomy tube at home.What information should the nurse include?

Accepted Answer

A)  Bring the child to the clinic for cleaning 
B)  Clean around the insertion site daily with soap and water. 
C)  Expect some leakage around the button. 
D)  Remove the tube for cleaning once a week. 
A)  Bring the child to the clinic for cleaning 
B)  Clean around the insertion site daily with soap and water. 
C)  Expect some leakage around the button. 
D)  Remove the tube for cleaning once a week.

Question 16

What nursing action is appropriate for specimen collection?

Accepted Answer

A)  Follow sterile technique for specimen collection. 
B)  Sterile gloves are worn if the nurse plans to touch the specimen. 
C)  Use Standard Precautions when handling body fluids. 
D)  Avoid wearing gloves in front of the child and family. 
A)  Follow sterile technique for specimen collection. 
B)  Sterile gloves are worn if the nurse plans to touch the specimen. 
C)  Use Standard Precautions when handling body fluids. 
D)  Avoid wearing gloves in front of the child and family.

Question 17

What should the nurse consider when having consent forms signed for surgery and procedures on children?

Accepted Answer

A)  Only a parent or legal guardian can give consent. 
B)  The person giving consent must be at least 18 years old. 
C)  The risks and benefits of a procedure are part of the consent process. 
D)  A mental age of 7 years or older is required for a consent to be considered "informed." 
A)  Only a parent or legal guardian can give consent. 
B)  The person giving consent must be at least 18 years old. 
C)  The risks and benefits of a procedure are part of the consent process. 
D)  A mental age of 7 years or older is required for a consent to be considered "informed."

Question 18

The nurse is preparing a 12-year-old girl for a bone marrow aspiration.She tells the nurse she wants her mother with her "like before." Which response by the nurse is most appropriate?

Accepted Answer

A)  Grant her request. 
B)  Explain why this is not possible. 
C)  Identify an appropriate substitute for her mother. 
D)  Offer to provide support to her during the procedure. 
A)  Grant her request. 
B)  Explain why this is not possible. 
C)  Identify an appropriate substitute for her mother. 
D)  Offer to provide support to her during the procedure.

Question 19

The nurse wore gloves during a dressing change.When the gloves are removed,the nurse should

Accepted Answer

A)  wash hands thoroughly. 
B)  check the gloves for leaks. 
C)  use an alcohol-based hand rub. 
D)  apply new gloves before touching the next patient. 
A)  wash hands thoroughly. 
B)  check the gloves for leaks. 
C)  use an alcohol-based hand rub. 
D)  apply new gloves before touching the next patient.

Question 20

What is appropriate to include in the teaching plan for a family of a child with a tracheostomy?

Accepted Answer

A)  Suction the tracheostomy as needed. 
B)  Apply powder around the stoma to decrease irritation. 
C)  Limit suctioning time to 30 seconds. 
D)  Provide showers and discourage baths. 
A)  Suction the tracheostomy as needed. 
B)  Apply powder around the stoma to decrease irritation. 
C)  Limit suctioning time to 30 seconds. 
D)  Provide showers and discourage baths.

Exam 37: Principles and Procedures for Nursing Care of Children

A nurse must do a venipuncture on a 6-year-old child.An important consideration in providing atraumatic care is to

In preparing to give enemas to a 4-year-old child,what action by the nurse is best?

The nurse is planning how to prepare a 4-year-old child for some diagnostic procedures.Guidelines for preparing this preschooler should include

What is the most appropriate statement for the nurse to make to a 5-year-old child who is undergoing a venipuncture?

What is critical for the nurse to know when using restraints on a child?

A parent asked,"When should I start dental care for my child?" What response by the nurse is best?

Which action by the nurse is appropriate when preparing a child for a procedure?

Which nursing action is most appropriate when treating a child who has a fever of 102.5° F (39.1° C)?

An important nursing consideration when performing a bladder catheterization on a young child is to

Which action is appropriate to promote a toddler's nutrition during hospitalization?

The nurse is preparing for the admission of an infant who will have several procedures performed.In which situations is informed consent required? (Select all that apply.)

A parent calls the pediatrician's office because her 1-year-old child has a 100° F temperature.What is the most appropriate initial nursing response to make to the parent?

A student nurse in the emergency department is preparing to obtain a throat culture on a child with suspected epiglottis secondary to a strep infection.What action by the registered nurse is best?

Which nursing action is the most appropriate when applying a face mask to a child for oxygen therapy?

A nurse is teaching parents how to care for a child's gastrostomy tube at home.What information should the nurse include?

What nursing action is appropriate for specimen collection?

What should the nurse consider when having consent forms signed for surgery and procedures on children?

The nurse is preparing a 12-year-old girl for a bone marrow aspiration.She tells the nurse she wants her mother with her "like before." Which response by the nurse is most appropriate?

The nurse wore gloves during a dressing change.When the gloves are removed,the nurse should

What is appropriate to include in the teaching plan for a family of a child with a tracheostomy?

Foundations of Maternity, Women’s Health, and Child Health Nursing

The Nurse’s Role in Maternity, Women’s Health, and Pediatric Nursing

The Childbearing and Child-Rearing Family

Communicating with Children and Families

Health Promotion for the Developing Child

Health Promotion for the Infant

Health Promotion During Early Childhood

Health Promotion for the School-Age Child

Health Promotion for the Adolescent

Hereditary and Environmental Influences on Development

Reproductive Anatomy and Physiology

Conception and Prenatal Development

Adaptations to Pregnancy

Nutrition for Childbearing

Prenatal Diagnostic Tests

Giving Birth

Intrapartum Fetal Surveillance

Pain Management for Childbirth

Nursing Care during Obstetric Procedures

Postpartum Adaptations

The Normal Newborn: Adaptation and Assessment

The Normal Newborn: Nursing Care

Newborn Feeding

The Childbearing Family with Special Needs

Pregnancy-Related Complications

Concurrent Disorders during Pregnancy

The Woman with an Intrapartum Complication

The Woman with a Postpartum Complication

The High-Risk Newborn: Problems Related to Gestational Age and Development

The High-Risk Newborn: Acquired and Congenital Conditions

Management of Fertility and Infertility

Women’s HealthCare

Physical Assessment of Children

Emergency Care of the Child

The Ill Child in the Hospital and Other Care Settings

The Child with a Chronic Condition or Terminal Illness

Medication Administration and Safety for Infants and Children

Pain Management for Children

The Child with a Fluid and Electrolyte Alteration

The Child with an Infectious Disease

The Child with an Immunologic Alteration

The Child with a Gastrointestinal Alteration

The Child with a Genitourinary Alteration

The Child with a Respiratory Alteration

The Child with a Cardiovascular Alteration

The Child with a Hematologic Alteration

The Child with Cancer

The Child with an Alteration in Tissue Integrity

The Child with a Musculoskeletal Alteration

The Child with an Endocrine or Metabolic Alteration

The Child with a Neurologic Alteration

Psychosocial Problems in Children and Families

The Child With an Intellectual Disability or Developmental Disability

The Child with a Sensory Alteration

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