Question 1

Which solution should the nurse use when giving an "enema until clear" to a young child?

Accepted Answer

A)  Tap water 
B)  Normal saline 
C)  Oil retention 
D)  Fleet solution

Question 2

What should the nurse do when caring for a child with an intravenous infusion?

Accepted Answer

A)  Use a macrodropper to facilitate reaching the prescribed flow rate. 
B)  Avoid restraining the child to prevent undue emotional stress. 
C)  Change the insertion site every 24 hours. 
D)  Observe the insertion site frequently for signs of infiltration.

Question 3

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."

Question 4

When giving liquid medication to a crying 10-month-old infant,which approach minimizes the possibility of aspiration?

Accepted Answer

A)  Administer the medication with a syringe (without needle)placed along the side of the infant's tongue. 
B)  Administer the medication as rapidly as possible with the infant securely restrained. 
C)  Mix the medication with the infant's regular formula or juice and administer by bottle. 
D)  Keep the child upright with the nasal passages blocked for a minute after administration.

Question 5

When teaching a mother how to administer eyedrops,where should the nurse tell her to place them?

Accepted Answer

A)  In the conjunctival sac that is formed when the lower lid is pulled down 
B)  Carefully under the eyelid while it is gently pulled upward 
C)  On the sclera while the child looks to the side 
D)  Anywhere,as long as drops contact the eye's surface

Question 6

What is an advantage of the ventrogluteal muscle as an injection site in young children?

Accepted Answer

A)  It is more painful than vastus lateralis. 
B)  It is relatively free of important nerves and vascular structures. 
C)  It cannot be used when child reaches a weight of 20 pounds. 
D)  It has increased subcutaneous fat,which increases drug absorption.

Question 7

From a child development perspective,what is the best approach to prepare a toddler for a procedure?

Accepted Answer

A)  Avoid asking the child to make choices. 
B)  Demonstrate the procedure on a doll. 
C)  Plan for the teaching session to last about 20 minutes. 
D)  Show the necessary equipment without allowing the child to handle it.

Question 8

When interacting with pediatric patients,which words or phrases should the nurse avoid using in conversations? Select all that apply.Express answer in small letters followed by a comma and a space-e.g. ,a,b,c

Accepted Answer

A)  Incision 
B)  Fix 
C)  Make better 
D)  Hurt 
E)  Pain
F) Test
G) Puffiness

Question 9

The emergency department nurse is cleaning multiple facial abrasions on a 9-year-old boy.His mother is present.He is crying and screaming loudly.What should the nurse do?

Accepted Answer

A)  Ask him to be quieter. 
B)  Have his mother tell him to relax. 
C)  Tell him it is okay to cry and scream. 
D)  Suggest that he talk to his mother instead of crying.

Question 10

A nurse must do a venipuncture on a 6-year-old child.What is one important element of providing atraumatic care?

Accepted Answer

A)  Use an 18-gauge needle if possible. 
B)  If not successful after four attempts,have another nurse try. 
C)  Restrain the child only as needed to perform venipuncture safely. 
D)  Show the child the equipment to be used before the procedure.

Question 11

A child is receiving total parenteral nutrition.At the end of 8 hours,the nurse observes the solution and notes that 200 mL/8 hr is being infused rather than the ordered amount of 300 mL/8 hr.At which rate should the TPN be set for the next 8 hours?

Accepted Answer

A)  200 mL 
B)  300 mL 
C)  350 mL 
D)  400 mL

Question 12

What is one important nursing consideration when performing a bladder catheterization on a young boy?

Accepted Answer

A)  Use a clean technique,not routine practices. 
B)  Insert lidocaine lubricant into the urethra. 
C)  Lubricate catheter with water-soluble lubricant such as K-Y Jelly. 
D)  Delay catheterization for 20 minutes while anaesthetic lubricant is absorbed.

Exam 44: Pediatric Variations of Nursing Interventions