Question 1

After observing parental behavior that leads the nurse to suspect child abuse, when should the nurse report the abuse?

Accepted Answer

A)  If the parent confesses to child abuse 
B)  If the child admits to being abused 
C)  Whenever maltreatment of a child is suspected 
D)  When the type of abuse can be determined 
A)  If the parent confesses to child abuse 
B)  If the child admits to being abused 
C)  Whenever maltreatment of a child is suspected 
D)  When the type of abuse can be determined C

Question 2

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 3

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. C

Question 4

An 8-year-old child asks how a blood pressure is taken. What would be the most appropriate response?

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 5

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 6

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 physician 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 physician that you wish to see the reports."

Question 7

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 8

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

Question 9

What is the special category that encompasses children who have congenital abnormalities, malignancies, gastrointestinal (GI) diseases, or central nervous system (CNS) anomalies?

Accepted Answer

A)  Very dependent children 
B)  Children requiring special education 
C)  Children with special needs 
D)  Children requiring long-term care 
A)  Very dependent children 
B)  Children requiring special education 
C)  Children with special needs 
D)  Children requiring long-term care

Question 10

When using anticipatory guidance to prepare a 5-year-old for an IM injection, what statement by the nurse would be most appropriate?

Accepted Answer

A)  "Ethan, I'm going to give you a shot." 
B)  "Ethan, the doctor wants you to have some medicine, and it will hurt." 
C)  "Ethan, some medicine can only be given with a needle." 
D)  "Ethan, I am going to give you some medicine that will sting, but only for a little while." 
A)  "Ethan, I'm going to give you a shot." 
B)  "Ethan, the doctor wants you to have some medicine, and it will hurt." 
C)  "Ethan, some medicine can only be given with a needle." 
D)  "Ethan, I am going to give you some medicine that will sting, but only for a little while."

Question 11

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. What is the most probable cause of the parents' forgetfulness?

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 12

The pediatric nurse, along with the primary caregiver(s), has a special duty to ________ the child and the family.

Accepted Answer

teach
The pediatric nurse is i

Question 13

What should be the focus of a practice where the pediatric nurse uses a developmental approach?

Accepted Answer

A)  Stimulation of the child to reach expected norms 
B)  Age-centered care plans 
C)  Strengths and abilities of the child 
D)  Characteristics for the particular age 
A)  Stimulation of the child to reach expected norms 
B)  Age-centered care plans 
C)  Strengths and abilities of the child 
D)  Characteristics for the particular age

Question 14

When the newly admitted 2-year-old who was potty-trained before admission begins to wet the bed, the mother is frightened. What statement by the nurse will be most helpful to the mother?

Accepted Answer

A)  "Don't be concerned. Accidents happen." 
B)  "Let's put a diaper on your child until this gets better." 
C)  "The stress of hospitalization makes children regress a little." 
D)  "Your child will relearn 'potty-training' if you are patient." 
A)  "Don't be concerned. Accidents happen." 
B)  "Let's put a diaper on your child until this gets better." 
C)  "The stress of hospitalization makes children regress a little." 
D)  "Your child will relearn 'potty-training' if you are patient."

Question 15

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

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

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 17

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 18

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

Question 19

Where is the typical IV insertion site in an infant younger than 9 months of age?

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

What is the correct order for assessing vital signs in an infant to ensure the accuracy of measurements?

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

Exam 30: Basic Pediatric Nursing Care

After observing parental behavior that leads the nurse to suspect child abuse, when should the nurse report the abuse?

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

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

An 8-year-old child asks how a blood pressure is taken. What would be the most appropriate response?

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?

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?

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

When the nurse is inserting a feeding tube in an 8-month-old, what safety reminder device (SRD) should the nurse most likely use?

What is the special category that encompasses children who have congenital abnormalities, malignancies, gastrointestinal (GI) diseases, or central nervous system (CNS) anomalies?

When using anticipatory guidance to prepare a 5-year-old for an IM injection, what statement by the nurse would be most appropriate?

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. What is the most probable cause of the parents' forgetfulness?

The pediatric nurse, along with the primary caregiver(s), has a special duty to ________ the child and the family.

What should be the focus of a practice where the pediatric nurse uses a developmental approach?

When the newly admitted 2-year-old who was potty-trained before admission begins to wet the bed, the mother is frightened. What statement by the nurse will be most helpful to the mother?

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

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

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

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

Where is the typical IV insertion site in an infant younger than 9 months of age?

What is the correct order for assessing vital signs in an infant to ensure the accuracy of measurements?

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 Patient’s Environment

Safety

Vital Signs

Physical Assessment

Admission, Transfer, and Discharge

Surgical Wound Care

Specimen Collection and Diagnostic Testing

Care of Patients Experiencing Urgent Alterations in Health

Complementary and Alternative Therapies

Pain Management, Comfort, Rest, and Sleep

Nutritional Concepts and Related Therapies

Fluids and Electrolytes

Mathematics and Medication Administration

Care of Patients with Alterations in Health

Life Span 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

Introduction to Anatomy and Physiology

Care of the Surgical Patient

Care of the Patient with an Integumentary Disorder

Care of the Patient with a Musculoskeletal Disorder

Care of the Patient with a Gastrointestinal Disorder

Care of the Patient with a Gallbladder, Liver, Biliary Tract, or Exocrine Pancreatic Disorder

Care of the Patient with a Blood or Lymphatic Disorder

Care of the Patient with a Cardiovascular or a Peripheral Vascular Disorder

Care of the Patient with a Respiratory Disorder

Care of the Patient with a Urinary Disorder

Care of the Patient with an Endocrine Disorder

Care of the Patient with a Reproductive Disorder

Care of the Patient with a Sensory Disorder

Care of the Patient with a Neurologic Disorder

Care of the Patient with an Immune Disorder

Care of the Patient with HIV/AIDS

Care of the Patient with Cancer

Professional Roles and Leadership

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