Hospitalized child N-clex style Qs

When a preschool child is hospitalized without adequate preparation

the nurse should recognize that the child may likely see hospitalization as which of the following?, A.Punishment B.Threat to child's self-image C.Loss of parental love D.Loss of companionship with friends A

Two hospitalized adolescents are playing pool in the activity room. Neither of them seems very enthusiastic about the game. The nurse should recognize that:

A.this activity is too demanding for the adolescents. B.this activity is better suited for younger children. C.they may be enjoying themselves but have lower energy levels than healthy children. D.they are probably depressed and showing less enthusiasm is part of the experience of their hospitalization / illness. C

. A mother tells the nurse that she will visit her 2-year-old son tomorrow about noon. During the child's bath the next morning he asks for Mommy. The nurse's best reply is which of the following?

A."Mommy will be here after lunch." B."Mommy always comes back to see you." C."Your mommy told me yesterday that she would be here today about noon." D."Mommy had to go home for a while but she will be here today." A

Samantha age 5 years tells the nurse that she "needs a Band-Aid" where she had an injection. Which of the following is the best nursing action?

A.Apply a Band-Aid. B.Ask her why she wants a Band-Aid. C.Explain why a Band-Aid is not needed. D.Show her that the bleeding has already stopped. A

Sharon age 8 years is being admitted to the hospital from the emergency room with an injury from falling off of her bicycle. Which of the following will help her most in her adjustment to the hospital?

A.Explain hospital schedules to her such as mealtimes. B.Use terms such as "honey" and "dear" to show a caring attitude. C.Explain when parents can visit and why siblings cannot come to see her. D.Orient her parents since she is young to her room and hospital facility. A

Greg age 2.5 years was admitted to the pediatric unit yesterday. His parents are making plans to visit as often as possible during his hospitalization. Greg's parents complain to the nurse that the child "cries screams and throws himself' whenever they leave the hospital to eat. The nurse should do which of the following?

A.Explain that his behavior is a normal response to hospitalization. B.Explain that this behavior will diminish in a few days. C.Encourage the parents not to leave the child's room. D.Encourage the parents to leave when the child is asleep. A

The parents of a 4-month-old infant cannot visit except on weekends. Which action by the nurse indicates an understanding of the emotional needs of a young infant?

A.Place her in a room away from other children. B.Tell the parents that frequent visiting is unnecessary. C.Assign her to different nurses so she will have varied contacts. D.Assign her to the same nurse as much as possible. D

An appropriate nursing intervention to minimize separation anxiety in a hospitalized toddler would be which of the following?

A.Provide for privacy. B.Encourage parents to room-in. C.Explain procedures and routines. D.Encourage contact with children of the same age B

Which of the following represents the major stressor of hospitalization for children from middle infancy throughout the preschool years?

A.Separation anxiety B.Loss of control C.Fear of bodily injury D.Fear of pain A

The nurse needs to start an intravenous (IV) line on an 8-year-old child to begin administering antibiotics. The child starts to cry and tells the nurse "Do it later O.K.?" The nurse should do which of the following?

A.Start the IV because allowing the child to manipulate the nurse is bad. B.Start the IV because unlimited procrastination results in heightened anxiety. C.Postpone starting the IV until the child is ready so that the child experiences a sense of control. D.Postpone starting the IV until the child is ready so that the child's anxiety is reduced. B