Question 1

Lillian Wald,a social reformer at the turn of the 20th century,founded the:

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 2

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.The nurse should reply:

Accepted Answer

A)  "Although the actual reports are not shared,I can tell you her 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 physician that you wish to see the reports." 
A)  "Although the actual reports are not shared,I can tell you her 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 physician that you wish to see the reports." C

Question 3

To ensure accuracy of measurements,the nurse performs vital signs assessment in which order?

Accepted Answer

A)  Respiration,temperature,pulse 
B)  Pulse,respiration,temperature 
C)  Temperature,pulse,respiration 
D)  Respiration,pulse,temperature 
A)  Respiration,temperature,pulse 
B)  Pulse,respiration,temperature 
C)  Temperature,pulse,respiration 
D)  Respiration,pulse,temperature D

Question 4

The pediatric nurse warns student nurses about medicating newborns and young children because these children are:

Accepted Answer

A)  less susceptible to medication effects than adults. 
B)  more susceptible to medication effects than adults. 
C)  equally susceptible to medication effects as adults. 
D)  less susceptible to all medications. 
A)  less susceptible to medication effects than adults. 
B)  more susceptible to medication effects than adults. 
C)  equally susceptible to medication effects as adults. 
D)  less susceptible to all medications.

Question 5

After feeding,the nurse should position the infant on the:

Accepted Answer

A)  stomach. 
B)  right side. 
C)  left side. 
D)  back. 
A)  stomach. 
B)  right side. 
C)  left side. 
D)  back.

Question 6

When a child with respiratory difficulties is placed in a mist tent,the nurse explains that the purpose of the tent is to:

Accepted Answer

A)  provide a constant oxygen supply. 
B)  liquefy respiratory secretions. 
C)  provide moisture to the mucous membranes. 
D)  improve the infant's hydration. 
A)  provide a constant oxygen supply. 
B)  liquefy respiratory secretions. 
C)  provide moisture to the mucous membranes. 
D)  improve the infant's hydration.

Question 7

Following a lumbar puncture of a 2-year-old,the nurse:

Accepted Answer

A)  keeps the child flat for several hours. 
B)  allows the child to play at will. 
C)  holds the child in a flexed position for 5 minutes. 
D)  stands the child upright immediately. 
A)  keeps the child flat for several hours. 
B)  allows the child to play at will. 
C)  holds the child in a flexed position for 5 minutes. 
D)  stands the child upright immediately.

Question 8

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

Accepted Answer

A)  Rigid visiting hours 
B)  Age restrictions on visitors 
C)  Exclusion of family during procedures 
D)  Discouraging family to stay overnight 
E)  Restricting parents from reading the chart 
A)  Rigid visiting hours 
B)  Age restrictions on visitors 
C)  Exclusion of family during procedures 
D)  Discouraging family to stay overnight 
E)  Restricting parents from reading the chart

Question 9

When the mother of a 3-year-old expresses concern about her daughter's slowed growth rate,the nurse's most informative response would be:

Accepted Answer

A)  "Three-year-olds have finished a growth spurt and now their coordination can catch up." 
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 finished a growth spurt and now their coordination can catch up." 
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 10

When communicating with a 5-year-old child,the nurse should:

Accepted Answer

A)  use two-word sentences and colored pictures. 
B)  rely on short three-word sentences. 
C)  use descriptive words with hand gestures. 
D)  speak in no more than six-word sentences. 
A)  use two-word sentences and colored pictures. 
B)  rely on short three-word sentences. 
C)  use descriptive words with hand gestures. 
D)  speak in no more than six-word sentences.

Question 11

When assessing jaundice in an African-American child with sickle cell anemia,the nurse should:

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 12

The pediatric nurse recognizes the significant developmental impact that a disfiguring facial wound could have on a:

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 13

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.This may be because of the:

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 14

An 8-year-old child asks how a blood pressure is taken.The nurse should reply:

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 15

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

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.

Question 16

The nurse preparing to administer an IM injection to a 2-year-old recognizes the preferred injection site for a child of this age is the:

Accepted Answer

A)  deltoid muscle. 
B)  upper thigh. 
C)  mid-thigh. 
D)  gluteus. 
A)  deltoid muscle. 
B)  upper thigh. 
C)  mid-thigh. 
D)  gluteus.

Question 17

Obtaining the respirations of an infant requires a modified approach from that of an adult because:

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 18

When the pediatric nurse is attempting to establish a trusting relationship with a child,the most important and lasting thing to be done is to:

Accepted Answer

A)  convey respect. 
B)  talk with the child. 
C)  be honest. 
D)  talk with family. 
A)  convey respect. 
B)  talk with the child. 
C)  be honest. 
D)  talk with family.

Question 19

The nurse explains that for stability of the IV insertion site in an infant younger than 9 months of age,the insertion site is the:

Accepted Answer

A)  radial vein. 
B)  scalp vein. 
C)  femoral vein. 
D)  brachial vein. 
A)  radial vein. 
B)  scalp vein. 
C)  femoral vein. 
D)  brachial vein.

Question 20

The nurse can minimize an unpleasant-tasting drug by:

Accepted Answer

A)  pouring the drug over ice. 
B)  squirting the drug in the mouth with a syringe. 
C)  administering the drug through a straw. 
D)  enlisting the parent's assistance. 
A)  pouring the drug over ice. 
B)  squirting the drug in the mouth with a syringe. 
C)  administering the drug through a straw. 
D)  enlisting the parent's assistance.

Exam 30: Basic Pediatric Nursing Care

Lillian Wald,a social reformer at the turn of the 20th century,founded the:

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.The nurse should reply:

To ensure accuracy of measurements,the nurse performs vital signs assessment in which order?

The pediatric nurse warns student nurses about medicating newborns and young children because these children are:

After feeding,the nurse should position the infant on the:

When a child with respiratory difficulties is placed in a mist tent,the nurse explains that the purpose of the tent is to:

Following a lumbar puncture of a 2-year-old,the nurse:

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

When the mother of a 3-year-old expresses concern about her daughter's slowed growth rate,the nurse's most informative response would be:

When communicating with a 5-year-old child,the nurse should:

When assessing jaundice in an African-American child with sickle cell anemia,the nurse should:

The pediatric nurse recognizes the significant developmental impact that a disfiguring facial wound could have on a:

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.This may be because of the:

An 8-year-old child asks how a blood pressure is taken.The nurse should reply:

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

The nurse preparing to administer an IM injection to a 2-year-old recognizes the preferred injection site for a child of this age is the:

Obtaining the respirations of an infant requires a modified approach from that of an adult because:

When the pediatric nurse is attempting to establish a trusting relationship with a child,the most important and lasting thing to be done is to:

The nurse explains that for stability of the IV insertion site in an infant younger than 9 months of age,the insertion site is the:

The nurse can minimize an unpleasant-tasting drug by:

the Evolution of Nursing

Legal and Ethical Aspects of Nursing

Communication

Vital Signs

Physical Assessment

Nursing Process and Critical Thinking

Documentation

Cultural and Ethnic Considerations

Life Span Development

Loss, grief , dying, and Death

Admission, Transfer, and Discharge

Medical-Surgical Asepsis and Infection Prevention and Control

Surgical Wound Care

Safety

Body Mechanics and Patient Mobility

Pain Management, Comfort, Rest, and Sleep

Complementary and Alternative Therapies

Hygiene and Care of the Patient’s Environment

Specimen Collection and Diagnostic Examination

Selected Nursing Skills

Basic Nutrition and Nutrition Therapy

Fluids and Electrolytes

Mathematics Review and Medication Administration

Emergency First Aid Nursing

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 Disorder

Care of the Child with a Mental or Cognitive Disorder

Health Promotion and Care of the Older Adult

Basic 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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