Peds Exam 1 Book Questions

A 4-year old child diagnosed with leukemia is hospitalized for chemotherapy. The child is fearful of the hospitalization. Which nursing intervention should be implemented to alleviate the child's fears?

Encourage the parents to stay with the child

A mother arrives at a clinical with her toddler and tells the nurse that she has a difficult time getting the child to go to bed at night. Which measure is most appropriate for the nurse to suggest to the mother.

Inform the child of bedtime a few minutes before it is time for bed

Which interventions are appropriate for the care of an infant? Select all that apply

Provide swaddling Hang mobiles with black and white contrast designs Caress the infant while bathing or during diaper changes

The nurse notes that a 6 year old child does not recognize that objects exist when objects are outside the visual field. Based on this observation, which action should the nurse take?

Report the observation to the pediatrician

A parent of a 3 year old tells a clinic nurse that the child is rebelling constantly and having temper tantrums. Using Erikson's psychosocial developmental theory, which instructions should the nurse provide to the parent? Select all that apply

Set limits on the child's behavior Provide a simple explanation of why the behavior is unacceptable

The nurse is describing Piaget's cognitive development theory to pediatric nursing staff. The nurse should tell that staff that which child behavior is characteristic of the formal operations stage.

The child has the ability to think abstractly

The mother of a 3 year old as a clinic nurse about appropriate and safe toys for the child. The nurse should tell the mother that the most appropriate toy for a 3 year old is which?

A wagon

A 16 year old client is admitted to the hospital for acute appendicitis and an appendectomy is performed. Which nursing intervention is most appropriate to facilitate normal growth and development postoperatively?

Allow the client to interact with others in his or her same age group

The maternity nurse is providing instructions to a new mother regarding the psychosocial development of the newborn infant. Using Erickson's psychosocial development theory, the nurse instructs the mother to take which measure?

Allow the infant to signal a need

The mother of an 8 year old child tells the clinic nurse that she is concerned about the child because the child seems to be more attentive to friends than anything else. Using Erikson's psychosocial development theory, the nurse should make which response?

At this age, the child is developing his own personality

Which car safety device should be used for a child who is 8 years old and 4 feet tall?

Booster seat

A child has a fluid volume deficit. The nurse performs an assessment and determines that the child is improving and the deficit is resolving if which finding is noted?

Capillary refill of less than 2 seconds

A pediatrician prescribes an intravenous solution of 5% dextrose and half normal saline with 40 mEq of potassium chloride for a child with hypotonic dehydration. The nurse performs which priority assessment before administering this IV prescription.

Checks the amount of urine output

The nurse is evaluating the developmental level of a 2 year old. Which does the nurse expect to observe in this child?

Uses a cup to drink

A 2-year old child is treated in the emergency department for a burn to the chest and abdomen. The child sustained the burn by grabbing a cup of hot coffee that was left on the kitchen counter. The nurse reviews safety principles with the parents before discharge. Which statement by the parents indicates an understanding of measures to provide safety in the home?

We will be sure not to leave hot liquids unattended.

The nurse is preparing to care for a 5 year old who has been placed in traction following a fracture of the femur. The nurse plans care, knowing that which is most appropriate for this child?

Crayons and a coloring book

The mother of a 3 year old child is concerned because her child is insisting on a bottle at nap time and at bedtime. Which is the most appropriate suggestion to the mother?

Allow the bottle if it contains water