Question 1

An 8-month-old infant is restrained to prevent interference with the intravenous infusion.What should the nurse do?

Accepted Answer

A)  Remove the restraints once a day to allow movement. 
B)  Keep the restraints on constantly. 
C)  Keep the restraints secure so infant remains supine. 
D)  Remove restraints whenever possible.

Question 2

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 3

The nurse is teaching a mother how to perform chest physiotherapy and postural drainage on her 3-year-old child,who has cystic fibrosis.What should the nurse instruct her to do when performing percussion?

Accepted Answer

A)  Cover the skin with a shirt or gown before percussing. 
B)  Strike the chest wall with a flat-hand position. 
C)  Percuss over the entire trunk anteriorly and posteriorly. 
D)  Percuss before positioning for postural drainage.

Question 4

The Allen test is performed as a precautionary measure before which procedure?

Accepted Answer

A)  Heel stick 
B)  Venipuncture 
C)  Arterial puncture 
D)  Lumbar puncture

Question 5

In some genetically susceptible children,anaesthetic agents can trigger malignant hyperthermia.In addition to an increased temperature,what is one early sign of this disorder?

Accepted Answer

A)  Apnea 
B)  Bradycardia 
C)  Muscle rigidity 
D)  Decreased blood pressure

Question 6

The nurse wore gloves during a dressing change.What should the nurse do after removing the gloves?

Accepted Answer

A)  Wash hands thoroughly. 
B)  Check the gloves for leaks. 
C)  Rinse gloves in a disinfectant solution. 
D)  Apply new gloves before touching the next patient.

Question 7

The nurse is caring for an unconscious child.Skin care should include which of the following?

Accepted Answer

A)  Avoiding use of pressure reduction on the bed. 
B)  Massaging reddened bony prominences to prevent deep tissue damage. 
C)  Using a draw sheet to move the child in bed to reduce friction and shearing injuries. 
D)  Avoiding rinsing skin after cleansing with mild antibacterial soap to provide a protective barrier.

Question 8

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 9

A venipuncture will be performed on a 7-year-old girl.She wants her mother to hold her during the procedure.What should the nurse recognize about this request?

Accepted Answer

A)  It is unsafe. 
B)  It may help the child relax. 
C)  It is against hospital policy. 
D)  It is unnecessary because of the child's age.

Question 10

Which of the following is an appropriate intervention to encourage food and fluid intake in a hospitalized child?

Accepted Answer

A)  Force the child to eat and drink to combat caloric losses. 
B)  Discourage participation in non-eating activities until caloric intake is sufficient. 
C)  Administer large quantities of flavoured fluids at frequent intervals and during meals. 
D)  Give high-quality foods and snacks whenever the child expresses hunger.

Question 11

The nurse approaches a group of school-age patients to administer medication to one child named Sam Hart.What should the nurse do to identify the correct child?

Accepted Answer

A)  Ask the group, "Who is Sam Hart?" 
B)  Call out to the group, "Sam Hart?" 
C)  Ask each child, "What's your name?" 
D)  Check the patient's identification name band.

Question 12

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.

Exam 45: Pediatric Variations of Nursing Interventions