NUR 106 Final Exam - Peds Part

A nurse in the pediatric clinic plans to administer a booster immunization for polio to a child. Which vaccine should the nurse administer? a. Hib b. IPV c. OPV d. DTap

IPV

While in the playroom of a pediatric unit the nurse sees several toddlers seated at a table trying to copy the same picture from a book. They are not talking to each other or sharing their crayons. What does the nurse conclude about this behavioral interaction? a. It is a typical expression of toddlers' social development. b. This is an example of antisocial behavior found in some children. c. It is a lack of parental role models to demonstrate acceptable behavior. d. This is an illustration of separation anxiety typical of hospitalized toddlers.

It is a typical expression of toddlers' social development.

Which nursing interventions would help to prevent medication errors in pediatrics? Select all that apply. a. Knowing information about the drug b. Avoiding verbal telephone orders c. Using abbreviations and acronyms d. Checking the drug label and client's information three times before giving the drug e. Using authoritative resources as references

Knowing information about the drug, avoiding verbal telephone orders, checking the drug label and client's information three times before giving the drug, and using authoritative resources as references

At which stage of development should the nurse anticipate that pediatric clients will begin to show differences in play activities that are related to gender? a. Preschool b. Adolescence c. Late school-age d. Early school-age

Late school-age

A nurse in the pediatric clinic discusses the nutrition and feeding needs of an 18-month-old toddler with the child's parents. What information should the nurse include? a. Growth rate increases, so more protein is needed per pound (kilogram) of body size. b. Energy requirements become so high that more calories are needed to meet them. c. Struggling for autonomy may involve refusal of food, but they will eat the amount they need. d. Three meals a day should be offered, with no between-meal snacks, because they are finicky eaters.

Struggling for autonomy may involve refusal of food, but they will eat the amount they need.

Which intervention may promote adherence to drug therapy in pediatric clients? Select all that apply. a. Multiple dosing b. Suggesting that the parent mix oral drugs with juice c. Taking extra time with parents to ensure skilled participation d. Providing the parents with a calibrated spoon to measure liquid formulations e. Selecting the most convenient dosage form and dosing schedule

Suggesting that the parent mix oral drugs with juice, taking extra time with parents to ensure skilled participation, providing the parents with a calibrated spoon to measure liquid formulations, and selecting the most convenient dosage form and dosing schedule

The mother of a 2-year-old child expresses concern to the nurse in the pediatric clinic that her child still takes a bottle of milk to bed at night. How should the nurse explain to the mother that this practice should be stopped? a. Iron-deficiency anemia may occur. b. Infantile sucking needs are prolonged. c. The child is at increased risk for dental caries. d. Milk at bedtime precipitates inner ear infections.

The child is at increased risk for dental caries.

The home healthcare nurse is evaluating the environments of several preschool-age pediatric clients. Which activities noted during the visits places a child at risk for bodily harm? Select all that apply. a. The client is swimming in the pool unsupervised. b. The parents leave medications within reach of the client. c. A parent tricks the client to eat a vitamin by saying, "This is candy." d. A parent only allows the client to watch two hours of television each day. e. The parents ask the client, "Has anyone touched you inappropriately at school?"

The client is swimming in the pool unsupervised, the parents leave medications within reach of the client, and a parent tricks the client to eat a vitamin by saying, "This is candy."

Which parental statement regarding the use of car safety seats for a toddler-age child indicates the need for further education by the nurse? a. "I should follow the manufactured instructions regarding use." b. "I should allow my child to ride unrestrained for short car trips." c. "I should allow my child to have a toy for quiet play while in the car." d. "I should encourage my child to help attach the buckles."

"I should allow my child to ride unrestrained for short car trips."

A senior nurse educates a nursing student about measures to reduce vaccine-related pain in children. Which statement by a nursing student indicates a need for further teaching? a. "I should use a micro needle." b. "I should apply topical anesthetics." c. "I should provide tactile stimulation." d. "I should give antipyretics to the child."

"I should give antipyretics to the child."

In which settings should the nurse prepare to administer developmental assessment for pediatric clients? Select all that apply. a. Home b. School c. Hospital d. Daycare center e. Assisted living center

Home, school, hospital, and daycare center

According to Piaget during which developmental state is the pediatric client egocentric? a. Infancy b. Adolescence c. Early childhood d. Middle childhood

Early childhood

An unemancipated pediatric client is to undergo a medical procedure. Who is the appropriate authority to provide consent? a. The court b. Either of the child's parents c. One of the child's grandparents d. The parent who holds legal custody

Either of the child's parents

A client has delivered her infant by cesarean birth. The nurse monitors the newborn's respiration closely, because infants born via the cesarean method are prone to atelectasis? Why does this occur? a. The ribcage is not compressed and released during birth. b. The sudden temperature change at birth causes aspiration. c. There is usually oxygen deprivation after a cesarean birth. d. There is no gravity during the birth to promote drainage from the lungs.

The ribcage is not compressed and released during birth.

A nurse educates a mother about the proper administration of oral medication to her 4-year-old child. Which statement made by the mother indicates effective learning? a. "I should administer the medicine with a cup or spoon." b. "I should mix the medicine in a large amount of food." c. "I should avoid giving a straw to my child to take pills." d. "I should use a disposable oral syringe to prepare liquid doses."

"I should use a disposable oral syringe to prepare liquid doses."

A nurse in the pediatric clinic is performing a physical assessment of a 15-month-old toddler. What finding indicates that a disorder may be present? a. The anterior fontanel is still palpable. b. The liver is palpated 3 cm below that costal margin. c. Abdominal movements are visible with respiration. d. An apical pulse rate of 104 beats/min is auscultated.

The liver is palpated 3 cm below the costal margin.

A nurse advises the father of a toddler to encourage pretend play in the child. What are the reasons behind this advice? Select all that apply. a. To help improve sleeping habits b. To help develop fine muscle skills c. To help the child become more creative d. To help the child develop social problem-solving skills e. To help the child learn to understand other points of view

To help the child become more creative, to help the child develop social problem-solving skills, and to help the child learn to understand other points of view

A 6-year-old child is waiting with a family member in the pediatric clinic for a well-child visit. What are the most appropriate play activities for the office nurse to offer the child? Select all that apply. a. Coloring book b. Small metal cars c. Simple card game d. Large jigsaw puzzle e. Children's magazines

Coloring book, small metal cars, and simple card game

A nurse in the pediatric clinic is examining the throat of a 5-year-old child. The tongue blade is placed to the side of the child's tongue. The nurse uses this technique to avoid what problem? a. Injuring the rear teeth b. Eliciting the gag reflex c. Obstructing the airway d. Interferring with the visual field

Eliciting the gag reflex

A 5-year-old child is admitted to the pediatric unit for an appendectomy. What question should the nurse ask to determine what the child thinks is the reason for hospitalization? a. "What are you doing at the hospital?" b. "Have you brought any toys with you?" c. "Did your parents tell you why you're here?" d. "Did you know that you're going to have an operation?"

"What are you doing at the hospital?"

Which assessment question is appropriate when collecting a developmental history for an adolescent who is new to the pediatric practice? a. "What grades do you get in school?" b. "Have your wisdom teeth erupted yet?" c. "What was your approximate height at 4 years of age?" d. "What was your approximate weight at 5 years of age?"

"What grades do you get in school?"

A child is admitted to the pediatric intensive care unit after an accident at school. The mother, at the child's bedside, is visibly upset. What is the most therapeutic statement the nurse can make? a. "You must be full of emotions right now." b. "Let me give you a referral for social services." c. "Your child will get excellent care at this hospital." d. "It's a shame that your child has become ill so suddenly."

"You must be full of emotions right know."

The nurse observes the practices of the parents of several pediatric clients who have been admitted and finds that one child's parents require an intervention for medication adherence. Which client's parents need a nursing intervention? a. Client 1 mixes oral drugs with food or juices to improve palatability b. Client 2 uses a bottle cap or soup spoon to dose liquid drug formulations c. Client 3 continues the regimen even after the child's symptoms resolve d. Client 4 read ministers the drug when the child spits or spills the drug

Client 2 uses a bottle cap or soup spoon to dose liquid drug formulations

Which type of toy should the nurse recommend to the parents of a toddler-age client to enhance the child's development? a. Clay b. Rattle c. Video game d. Musical mobile

Clay

The mother of 10-year-old twin boys tells the nurse in the pediatric clinic that she is concerned because the boys want to spend all their time with their father. What is the best response regarding this behavior? a. It is typical of twins. b. It indicates that they dislike girls. c. Gender identification is natural at this age. d. Counseling should be considered at this time.

Gender identification is natural at this age.

Which is the priority nursing action to facilitate growth and development when providing care to a pediatric client who is diagnosed with a chronic illness? a. Monitoring growth patterns and plotting on the growth chart b. Teaching the client and family how the illness affects physical growth c. Assessing stage of development frequently and documenting it in the medical record d. Planning activities to promote progression from one stage of development to the next

Planning activités to promote progression from one stage of development to the next