Practice Questions Exam 1

The nurse is collecting objective data on a 3-year-old child whose caregiver is present. Which action should the nurse prioritize at this point? A. Instruct the caregiver to fill out the paperwork outside the room while the nurse is measuring the child's height and weight. B. The nurse takes the child to another room to take the child's vital signs. C. The nurse does a head-to-toe assessment on the child starting with the eyes, ears, and nose. D. The nurse shows the caregiver the process for collecting a urine specimen and asks the caregiver to help the child.

D. The nurse shows the caregiver the process for collecting a urine specimen and asks the caregiver to help the child.

A nurse realizes that a child's hospitalization is stressful for the family for which reasons? Select all that apply. A. Cause of the illness B. The illness's treatment C. Guilt about the illness D. Past experiences of illness and hospitalizations E. A child-life program F. Disruption in family life

A B C D F

The nurse is preparing to administer the Denver II Developmental Screening Test to a preschooler. Which areas of the child's development should the nurse explain to the mother that this test measures? Select all that apply. A. Social B. Language C. Fine motor D. Intelligence E. Gross motor skills

A B C E

A 3-year-old client has been hospitalized for 1 week with her mother rooming-in; however, the mother has gone home to tend to other family responsibilities for a few days. After being inconsolable for the first 24 hours after the mother's departure, the nurse notes the child is now lying quietly in bed sucking her thumb. Which response should the nurse prioritize in this situation? A. "Are you feeling sad? Your mom didn't want to leave, but she will be back after two more breakfasts." B. "I'm glad you're feeling better. You must be tired from all that crying." C. "Do you miss your mom? Your sister missed her, too, so she had to go home to visit for a few days." D. "Should I read a story to you or would you like to play a game?"

A. "Are you feeling sad? Your mom didn't want to leave, but she will be back after two more breakfasts."

The nurse is caring for a minor who wishes to sign the informed consent instead of the parents. In which situations would the nurse allow the adolescent to sign the consent? A. Adolescent is married. B. Adolescent is serving in the armed forces. C. Adolescent is presently living with foster parents. D. There is an emergent or life-threatening situation. E. Legal emancipation has been documented. F. Minor is sexually active and seeking prenatal care.

A. Adolescent is married B. Adolescent is serving in the armed forces D. There is an emergent or life-threatening situation E. legal emancipation has been documented F. Minor is sexually active and seeking prenatal care

A nurse is assessing a 3-year-old child. Which would be appropriate ways to approach the child during the exam? Select all that apply. A. Ask the child if he/she would prefer to sit on the parent's lap for the exam. B. Give reassurance to the child during the exam. C. Give a detailed explanation of the exam to decrease the child's anxiety. D. Tell the child to act like his/her "big sibling" during the exam. E. Tell the child that his/her shirt will be the only clothing removed.

A. Ask the child if he/she would prefer to sit on the parent's lap for the exam. B. Give reassurance to the child during the exam.

A toddler has a peripheral IV and has pulled it out twice on one shift. The nurse decides to apply an elbow restraint on the right arm to prevent the client from pulling the IV out again. What interventions would the nurse implement in caring for a client in elbow restraints. Select all that apply. A. Ensure that the restraint doesn't go too high under the axillae. B. Check the skin under the restraint every 1-2 hours. C. Remove the restraint if the parent is in the room. D. Pin the restraint to the child's shirt for stability. E. Tongue depressors can be used to construct the restraint.

A. Ensure that the restraint doesn't go too high under the axillae B. Check the skin under the restraint every 1 to 2 hours D. Pin the restraint to the child's shirt for stability E. Tongue depressors can be used to construct the restraint

Age affects how the medication is distributed throughout the body. Which factors affect how medication distribution is altered in infants and young children? Select all that apply. A. Infants and young children have an increased percentage of water in their bodies. B. Infants and young children have an increased percentage of body fat. C. Infants and young children have an increased number of plasma proteins available for binding to drugs. D. The blood-brain barrier in infants and young children does not easily allow permeation by many medications. E. The livers of infants and young children are immature.

A. Infants and young children have an increased percentage of water in their bodies. E. The livers of infants and young children are immature.

The neonatal nurse is preparing to start an IV. Which IV site can be used when initiating an IV in a newborn. Select all that apply. A. Leg B. Foot C. Scalp D. Femoral E. Dorsal surface of hand F. Flexor surface of the wrist

A. Leg B. Foot C. Scalp E. Dorsal surface of hand F. Flexor surface of the wrist

________ _________ is defined as therapeutic care that minimizes or eliminates the psychological and physical distress experienced by children and their families in the health care system.

Atraumatic Care

When will the nurse implement therapeutic play for a hospitalized pediatric client? Select all that apply. A. To distract a child while having an IV line inserted B. To have a child act out previous experiences using doll or puppets C. To assist a child newly diagnosed with leukemia decreasing stress D. To help a child having an appendectomy better understand the procedure E. To allow a child to express feelings of anxiety about an upcoming procedure

B C D E

The nurse is caring for a 12 month old. The child's mother asks if the unit has any toys. Which toy is the best choice for this child? A. A doll B. A musical rattle C. A board book D. Colorful beads

B. A musical rattle

A 2 year old child was brought to the clinic by her parents and is uncooperative when the nurse tries to look in her ears. Which of the following should the nurse try first? A. Ask another nurse to assist B. Allow a parent to assist C. Wait until the child calms down D. Restrain the child's arms

B. Allow a parent to assist Reason - 2 year olds view parents as their base and they're slow to warm up. Not answer C bc you could end up waiting a long time for child to calm down

What actions can a pediatric hospital staff take to lessen the stress of hospitalization for a child. Select all that apply. A. Have the parents stay with the client at all times. B. Allow children to wear their own clothing. C. Perform any treatments in the procedure room. D. Select foods for the child that they normally like. E. Involve Child Life in teaching about upcoming surgeries.

B. Allow children to wear their own clothing C. Perform any treatments in the procedure room E. Involve Child Life in teaching about upcoming surgeries

The physician orders an IV infusion of 5% dextrose in 0.25 NSS to be infused at 2mL/kg/hr in an infant who weighs 10 lb. Which device(s) will help the nurse guard against circulatory overload in this client. Select all that apply. A. IV push through a peripheral line B. Buretrol C. Mini/micro drop device D. Syringe pump E. Piggyback IV

B. Buretrol C. Mini/micro drop device D. Syringe pump

The nurse is gathering data for a child's chart. What data needs to be collected as part of the child's health history? Select all that apply. A. Maternal family history of sickle cell disease B. Delivery information (type of delivery and complications) C. Chronic diseases D. Immunization status E. Father's blood type

B. Delivery information (type of delivery and complications) C. Chronic diseases D. Immunization status

A 5-year-old boy is scheduled for hospitalization in 2 weeks. Which is the best intervention to help ease the stress of hospitalization in this child? A. Have his parents explain the situation. B. Encourage the family to participate in the child-life program. C. Allow the child to talk to a friend who recently had the same procedure. D. Arrange for the child to tour the hospital.

B. Encourage the family to participate in the child-life program.

The nurse is teaching a parent how to administer medications to her young child. Which instructions are appropriate? Select all that apply. A. Position the child supine on the bed. B. Gently restrain the child's head and arms. C. Have the parent administer the medication. D. Hold the child against the body with the head raised. E. Gently open the child's mouth by pressing on the chin. F. Administer the medication into the back of the child's throat.

B. Gently restrain the child's head and arms C. have the parent administer the medication D. Hold the child against the body with the head raised

Which of the following are stressors common to hospitalized toddlers? Select all that apply. A. Social Isolation B. Interrupted Routine C. Sleep Disturbances D. Self-concept disturbances E. Fear of being hurt

B. Interrupted Routine C. Sleep Disturbances E. Fear of being hurt

The nurse caring for an 8 year old is trying to encourage developmental growth. what activity should the nurse provide? A. Allow child to choose time of med B. Provide homework teacher has sent in C. Allow child to assist with bath D. Allow child to help with dressing change

B. Provide homework teacher has sent in

The mother of a 6 month old states that she started her infant on 2% milk. The nurse should first ask the mother: A. Do you think your baby will be fine with this milk? B. Is it possible for you to switch your baby to whole milk? C. Can you tell me more about the reason you switched to 2% milk? D. You cannot switch to 2% milk. Did the pediatrician tell you to do this?

C. Can you tell me more about the reason you switched to 2% milk?

True/False: Teaching means that learning has occurred.

False

_______ _______ is the ability to read, understand, and use health care information to make appropriate health care decisions.

Health literacy

________ _______ is also referred to as body language

Nonverbal language

___________ ________ is a holding position that promotes close physical contact between the child and a parent or caregiver.

Therapeutic Hugging

True/False: In general, young children respond better to play materials and older children benefit more from viewing peer modeling films.

True

True/False: School-age children and adolescents may not outwardly demonstrate behavior indicating the need for comforting.

True

True/False: The steps of patient and family education are similar to the steps of the nursing process.

True

True/False: Therapeutic play is a type of play that provides an emotional outlet or improves the child's ability to cope with the stress of illness and hospitalization.

True

Communicating through the use of words, either written or spoken, is termed _______ _________.

Verbal Communication