Chapter 71 fundamental of pediatric nursing

21. The LPN is monitoring a child who is on IV therapy for dehydration. Which of the following describes a nursing intervention appropriate for this situation?

B) Change the central line dressing every 24 hours if using gauze.

7. The nurse enters a hospitalized child's hospital room and finds that the child is sitting quietly in bed and appears very sad. The child is sucking his thumb, and clutching his blanket. What stage of separation anxiety is this child displaying?

B) Despair

27. A nurse is caring for a child with a fever lower than 102°F. What interventions should the nurse perform when caring for this child?

B) Keep the child quiet and prevent the child from crying.

18. The nurse is choosing a restraint for a postoperative child to keep the child from pulling on tubes. Which of the following would be the best option?

B) Mitt or glove

24. A nurse is required to administer a suppository to a child to promote bowel movements. Which of the following should the nurse do when administering the suppository?

B) Press the anal sphincter gently to hold the suppository.

11. The nurse is taking the vital signs of children of different ages on a pediatric unit of a hospital. Which of the following is a recommended guideline for this procedure?

B) Take an oral or tympanic temperature for children older than 6 years.

14. The nurse in a pediatric healthcare clinic measures the head and chest circumference of clients during well visits. Which of the following is a normal head-to-chest ratio for children?

B) The chest and head are about equal for ages 1 to 2 years.

15. A nurse is measuring the head and chest circumference of a child. Which of the following is a recommended guideline for these procedures?

B)Measure the occipital-frontal circumference of the head for children up to 3 years of age.

25. The nurse is teaching new parents how to bathe their infants through demonstration. Which of the following teaching points would the nurse include?

C) "Cleanse eyes first with two cotton balls and clear water, cleansing from inner to outer canthus."

8. A nurse is assisting with a client health history for a 5-year-old boy being admitted to the hospital for surgery. Which of the following is a recommended guideline for gaining the child's cooperation?

C) Allow the child to sit in the caregiver's lap for as much of the interview as possible

23. The nurse is collecting a urine specimen from an 18-month-old male client. Which of the following is a recommended guideline for this procedure?

C) Apply the bag to the penis, sealing it from the top to the bottom.

20. The nurse caring for hospitalized children knows that these children need protection from contagious diseases. What infection control measures are recommended in this situation?

C) Change disposable gowns at least once a shift.

2. During a physical assessment, the nurse suggests to the parents that a preschooler be given the Denver-II Developmental Screening Test. Which of the following areas would this test assess?

C) Cognitive development

22. A toddler with diarrhea has been prescribed IV therapy. The nurse uses an infusion pump for the therapy. Which of the following is most important to consider during this therapy?

C) Ensure that the catheter is in the vein.

16. The nurse providing care to children in a hospital pediatric ward discusses safety with newly hired UAPs. Which of the following is a guideline to ensure safety for these clients?

C) When taking a child's temperature, consider his or her ability to cooperate.

17. The nurse is applying a restraint on a child who is ordered to remain on bed rest and is not cooperating with the nursing staff. Which of the following are safety guidelines for this procedure?

A) A physician's order is usually required for a restraint.

1. The nurse is providing education to the mother of a toddler who is brought to the pediatrician for a well visit. What would be a focal point for client education based on the child's developmental level?

A) Discipline and limit setting

4. The school nurse working with adolescents recognizes that adolescents are often embarrassed about talking about their health problems. Which of the following teaching strategies would be helpful for this age group?

A) Placing pamphlets regarding adolescent concerns in a brochure rack.

5. A child is admitted to the healthcare facility for surgery following a fracture. The child is aggressive and refuses to comply with the staff of the facility. Which of the following phases of separation anxiety is the child going through?

A) Protest

9. The nurse checks the vital signs of an infant in the NICU and finds all normal readings. Which of the following is the average range of pulse or respiration for an infant?

A) Pulse: 80 to 180

29. A child at the healthcare facility is scheduled to undergo surgery. Which of the following interventions is a measure to be taken immediately before the surgery?

A) Take and record vital signs and weight.

13. A nurse measures the blood pressure of a 10-year-old child. Which of the following should the nurse keep in mind when recording the blood pressure of this child?

A) The cuff should cover approximately two-thirds of the upper arm.

28. The nurse is assisting with a venipuncture on an infant. What is the preferred site for this procedure?

A) Thigh

3. The nurse is performing a physical assessment of a teenager. What unique focus of adolescent care should the nurse keep in mind when caring for adolescents?

D) Adolescents may voice individual concerns and should be talked to separately.

12. A nurse in the pediatric unit of a healthcare facility is required to document the temperature of all the children in the unit. An oral temperature can be taken in which of the following children?

D) Children with diarrhea

26. A nurse is caring for a child placed in an oxyhood. Which of the following should the nurse know about the hood?

D) Ensure a high rate of flow of oxygen.

19. A nurse providing IV therapy to a child is required to use an armboard to protect the IV site. Which of the following should the nurse do when using an armboard for the child?

D) Pad the board with a towel and fasten it with tape.

6. The nurse is caring for children who are scheduled for surgery. Which of the following is a recommended guideline for reducing anxiety in these clients?

D) Report test results to the family caregivers and the child, if possible.

10. The nurse is taking the vital signs of a toddler who is being admitted to the hospital. Which of the following vital signs should the nurse assess first?

D) Respirations

30. The nurse is administering medications to children on a pediatric ward. Which of the following is a recommended guideline when administering medications to children?

D) When administering liquids, use the smallest syringe possible to ensure accuracy.