Deck 59: Basics of Pediatric Care

Question 1

When it is necessary for caregivers to stay with their child continuously to learn how to provide specialized treatment and care,this practice is called:

A)cost-containment
B)hospice care
C)primary care
D)rooming in

Answer 1

rooming in

Question 2

What is the MOST common and reliable method of calculating drug dosages for children?

A)according to body surface area
B)according to age
C)according to weight
D)according to standardized dosing

Answer 2

according to weight

Question 3

When a 4-year-old client is being examined,which of these measurements would the nurse take?

A)length,head circumference,and weight
B)height,weight,and circumferences of head,chest,and abdomen
C)height and weight only
D)length and chest circumference only

Answer 3

height and weight only

Question 4

During the hospitalization of infants and toddlers,the nurse should recognize the importance of the caregiver in a child's life by:

A)recommending they limit their time at their child's bedside because it may upset the child
B)acknowledging their presence while making clear the staff are in charge of their child's care
C)including the caregiver's contributions and involvement in planning and delivering care
D)teaching them to deliver most of their child's care

Question 5

A nurse obtains a blood pressure reading on a 5-year-old client.While the client is in good health,has been cooperative,and appears to be calm,the reading is higher than normal for a child this age.Which of these actions should the nurse take?

A)Assess the need for a larger cuff.
B)Use a smaller cuff.
C)Recheck the blood pressure again at the end of the assessment.
D)Report this finding to the health care provider immediately.

Question 6

When administering oral medication to a toddler,which of these guidelines should the nurse follow?

A)Use a syringe or dropper,and place medication back on the tongue.
B)Mix the medication in a food or drink such as milk or formula so that the child readily takes it.
C)Position the child in a sitting or semireclining position.
D)Restrain an actively resistive child to make the child swallow the medication.

Question 7

Which of the following interventions would be appropriate for the pediatric client who has a nursing diagnosis of Anxiety related to planned surgery?

A)Arrange for the child to draw a picture of the hospital unit and the operating room.
B)Encourage caregivers to observe the surgery.
C)Provide a favorite blanket or toy for the child pre- and postoperatively.
D)Schedule caregiver visits during sleep to avoid overstimulating the child.

Question 8

When a child is hospitalized,which of these factors must be the primary focus of nursing care?

A)client safety and protection
B)caregivers' comfort
C)access of grandparents and other family members
D)enforcing visiting hours

Question 9

What is the purpose of an admission database for a pediatric client?

A)to identify nursing diagnoses and to establish a plan of care
B)to provide information for the admitting health care provider
C)to initiate any treatment
D)to detail contact information for the staff

Question 10

Which of these statements about obtaining a urine specimen in an infant is TRUE?

A)The skin around the meatus should be cleaned and allowed to dry.
B)Stroking the abdomen with an alcohol prep and fanning it dry usually initiate urination.
C)Have the child drink plenty of fluids before asking the child to void.
D)Specimens for culture and sensitivity can be obtained from the child's diaper.

Question 11

At the time of admission of a client under 18 years of age,informed consent for general procedures should be obtained from which of these persons?

A)the admitting health care provider
B)the client,if he or she can read and understand the general consent
C)the client,if he or she is over 7
D)the legal guardian

Question 12

For a child under age 2,which of these measurements should the nurse include in the child's assessment data?

A)height,weight,and chest circumference
B)length,weight,and circumferences of head,chest,and abdomen
C)length and weight only
D)circumferences of head,chest,and abdomen only

Question 13

The Denver II (DDST)is the tool to be used when conducting a developmental assessment of a 5-year-old child.What is MOST important for the nurse to tell the caregiver about this procedure?

A)It is not an IQ test but a measure of the child's growth and development.
B)It is painless.
C)It is a test the child cannot fail.
D)It will require a day's hospitalization to complete.

Question 14

At what age do federal guidelines state that children have the right to give assent for treatment and research procedures?

A)when the child can verbally state the treatment desired and its benefits
B)when the child can read a consent form and sign his or her name
C)at 7 years of age
D)at 18 years of age

Question 15

A 3-year-old child is being discharged home after a tonsillectomy.In addition to specific information about the child's postoperative care,which of these aspects should the nurse include in the child's discharge plan?

A)Tell the caregivers that they may notice changes in toileting patterns.
B)Explain to the caregivers that the child may develop behavioral changes such as regression.
C)Review caregiver dynamics to be sure the child will be safe.
D)Recap the child's hospitalization experience,including details of the surgery performed.

Question 16

A child requires administration of intravenous (IV)medication.Which of these actions must the nurse take while the child is receiving this treatment?

A)Check the fluid and medication with another nurse before hanging it.
B)Administer a "push" dose before the rest of the solution is hung.
C)Assess the administration site hourly.
D)Be sure the solution has infused before the designated administration time.

Question 17

What is the normal percentile range for pediatric clients' height and weight on a percentile growth chart?

A)5% to 95%
B)25% to 75%
C)30% to 70%
D)45% to 55%

Question 18

In which of these situations should the nurse allow the side rails on a toddler's crib to be lowered?

A)when direct care is being provided
B)when the caregivers are with the child
C)when additional supplies are required for a procedure
D)when a member of the housekeeping staff is in the room

Question 19

Preparation of a child and family for hospitalization is primarily guided by which of these factors?

A)age
B)weight
C)height
D)developmental level

Question 20

For an 8-year-old client,which route would the nurse use for taking the child's temperature?

A)axillary
B)oral
C)rectal
D)client's preferred

Question 21

A nurse would expect a 4-year-old client to have which of these perceptions of death?

A)a concept of religious beliefs determining beliefs of death
B)an idea that death is final
C)a no clear concept
D)a view of death as a kind of "sleep" that is interchangeable with life

Question 22

Preoperative nursing responsibilities for a child having surgery include which of the following? (Select all that apply. )

A)Prepare for separation from caregivers.
B)Complete presurgery assessment.
C)Provide beverage or bottle 1 hour prior.
D)Obtain vital signs.
E)Assess operative site.

Question 23

Keflex 500 mg p.o.q.6.h.for a child weighing 99 lbs.You have Keflex 250 mg capsules available.The recommended daily dose for a child is 25 to 50 mg/kg/day in four equal dosages q.6.h.
What is the child's weight in kg? _________
Safe recommended dosage or range for this child is ________ to _________.
Is this order safe?_________

Question 24

A 5-year-old is hospitalized with pneumonia.Which approach would be MOST appropriate to facilitate successful administration of oral medication?

A)"I have some medication for you to drink.Do you want juice or water with it?"
B)"I have a new type of orange juice for you to drink.It tastes very good."
C)"I have your pink medicine.Will you take it for me?"
D)"In a few minutes you will need to take your medicine.You mustn't spit it out.OK?"

Question 25

When administering medications in children,which of the following approaches would the nurse use? (Select all that apply. )

A)Allow choices when possible.
B)Add bad-tasting medications to juice.
C)Use distraction when possible.
D)Provide age-appropriate explanations.
E)Don't let the child see the medication until it is time to be given.
F)Remain with the child after medication has been given.