Peds Knowledge Questions

The nurse is teaching the mother of a 5-year-old boy with a history of impaction how to administer enemas at home. Which response from the mother indicates a need for further teaching? A) "I should position him on his abdomen with knees bent." B) "He will require 250 to 500 mL of enema solution." C) "I should wash my hands and then wear gloves." D) "He should retain the solution for 5 to 10 minutes."

A) "I should position him on his abdomen with knees bent."

The nurse is caring for a hospitalized 13-year-old girl, who is questioning everything the medical staff is doing and is resistant to treatment. How should the nurse respond? A) "Let's work together to plan your day along with your treatments." B) "The sooner you cooperate, the sooner you are going to leave." C) "If you are more cooperative, perhaps we can arrange a visit from friends." D) "Please don't make me call your parents about this."

A) "Let's work together to plan your day along with your treatments."

The nurse is caring for a special needs infant. Which intervention will be most important in helping the child reach his or her maximum developmental potential? A) Directing her parents to an early intervention program B) Monitoring her progress in elementary school C) Serving on an individualized education program committee D) Preparing a plan for her to transition to college

A) Directing her parents to an early intervention program

When providing care to a dying child and his family, which would be most important? A) Focusing on the family as the unit of care B) Teaching the family appropriate care measures C) Offering the child support and encouragement D) Assisting the parents in decision making

A) Focusing on the family as the unit of care

The nurse is teaching the student nurse the factors that affect the pharmacodynamics of the medications being administered. What is a factor affecting this property of medication in children? A) Immature body systems B) Weight C) Body surface D) Body composition

A) Immature body systems

The nurse is caring for a child hospitalized with Reye syndrome who is in the acute stage of the illness. The nurse would assess the child most carefully for what finding? A) Indications of increased intracranial pressure B) An increase in the blood glucose level C) A decrease in the liver enzymes D) A presence of protein in the urine

A) Indications of increased intracranial pressure

A nurse is providing teaching to the mother of an adolescent girl about how to manage menstrual pain non-pharmacologically. Which statement by the mother indicates a need for further teaching? A) "I need to help her learn techniques to distract her; card games, for example." B) "I need to be able to identify the subtle ways she shows pain." C) "I need to follow these instructions exactly for them to work properly." D) "I need to encourage her to practice and utilize these techniques."

C) "I need to follow these instructions exactly for them to work properly."

A 16-year-old boy reports to the school nurse reporting headaches and a stiff neck. Which sign or symptom would alert the nurse that the child may have bacterial meningitis? A) Fixed and dilated pupils B) Frequent urination C) Sunset eyes D) Sunlight is "too bright"

D) Sunlight is "too bright"

8. The nurse is assessing the tympanic temperature of several children. The nurse documents that the child with which temperature reading has a fever? A)98.2° F (36.8° C) B)99.2° F (37.3° C) C)100° F (37.8° C) D)100.8° F (38.2° C)

D)100.8° F (38.2° C)

21. A nurse develops a plan of care for a child that includes patching the eye. This plan of care would be most appropriate for which condition? A)Astigmatism B)Hyperopia C)Myopia D)Amblyopia

D)Amblyopia

15. A nurse is talking with the parents of a child who has had a febrile seizure. The nurse would integrate an understanding of what information into the discussion? A)The child's risk for cognitive problems is greatly increased. B)Structural damage occurs with febrile seizure. C)The child's risk for epilepsy is now increased. D)Febrile seizures are benign in nature.

D)Febrile seizures are benign in nature.

13. A 5-year-old boy has a febrile seizure during a well-child visit. What action would be a priority? A)Hyperextending the child's head while placing him on his side B)Using a tongue blade to pry open the child's jaw C)Loosening the child's clothing to ensure a patent airway D)Protecting the child from harm during the seizure

D)Protecting the child from harm during the seizure

27. The nurse is examining a 5-year-old boy. Which sign or symptom is a reliable first indication of respiratory illness in children? A)Slow, irregular breathing B)A bluish tinge to the lips C)Increasing lethargy D)Rapid, shallow breathing

D)Rapid, shallow breathing

1. While reviewing various studies about the use of antipyretics possibly prolonging illness, the nurse notes that there are benefits to their use for the child with fever. What would the nurse identify as the best explanation related to the benefits of antipyretics in children? A)They slow the growth of bacteria. B)They increase neutrophil production. C)They encourage T-cell proliferation. D)They help decrease fluid requirements.

D)They help decrease fluid requirements.

10. After teaching a class on the role of white blood cells in infection, the nurse determines that the teaching was successful when the class identifies which type of white blood cells as important in combating bacterial infections? A)Neutrophils B)Eosinophils C)Basophils D) Lymphocytes

A) Neutrophils

The nurse is caring for a child who is recovering from an appendectomy. What is the appropriate term for the pain this child is experiencing? A) Nociceptive pain B) Neuropathic pain C) Chronic pain D) Superficial somatic pain

A) Nociceptive pain

5. A child is diagnosed with a helminthic infection. Which treatments would the nurse expect to be prescribed? Select all that apply. A)Erythromycin B)Albendazole C)Pyrantel pamoate D)Acyclovir E)Metronidazole F)Permethrin

B & C

25. A mother brings her child to the healthcare clinic because she thinks that the child has conjunctivitis. Which assessment findings would lead the nurse to suspect bacterial conjunctivitis? Select all that apply. A)Itching of the eyes B)Inflamed conjunctiva C)Stringy discharge D)Photophobia E)Mild pain F)Tearing

B & E

The nurse is caring for a 4-year-old with a suspected urinary tract infection. What would be most appropriate when obtaining a urine specimen from the child? A) "I will need a urine sample." B) "Let your mom help you tinkle in this cup." C) "Please tinkle in this cup right now." D) "Please void in this cup instead of the toilet."

B) "Let your mom help you tinkle in this cup."

The nurse is caring for an infant with a temporary ileostomy. As part of the plan of care, the nurse monitors for skin breakdown around the stoma. If redness occurs, what would be most appropriate to promote healing and prevent further skin breakdown? A) Clean the area well with a scented diaper wipe. B) Apply a barrier/healing cream or paste on the skin. C) Use a barrier wafer to attach the appliance. D) Sanitize the area with an alcohol wipe after each diaper change.

B) Apply a barrier/healing cream or paste on the skin.

The nurse is visually inspecting a urine specimen from a 12-year-old boy. The nurse documents gross hematuria with a specimen of which color? A) Cloudy yellow B) Cola colored C) Pale to almost clear urine D) Light orange to moderately yellow colored

B) Cola colored

The nurse tells a joke to a 12-year-old to distract him from a painful procedure. What pain management technique is the nurse using? A) Relaxation B) Distraction C) Imagery D) Thought stopping

B) Distraction

The nurse is caring for a 2-year-old in the hospital, and the mother expresses concern that the toddler will be scared. Which response by the nurse would be most appropriate? A. "Don't worry; we practice family-centered and atraumatic care here" B. "We will do our best to minimize the stress that your child experiences" C. "It will probably be upsetting for you as well, so you should stay home" D. "Our practice of atraumatic care will eliminate all pain and stress for your child"

B. "We will do our best to minimize the stress that your child experiences"

When planning the education for a child and parents regarding a procedure, what is the first step the nurse should take? A. Decide which procedure and medications the child will be discharged on. B. Determine the child's and family's learning needs and styles. C. Ask the family if they have ever performed this type of procedure before. D. Tell the child and family what the goals of the teaching session are.

B. Determine the child's and family's learning needs and styles.

The nurse is auscultating the bowel sounds of a 4-year-old child and documents hypoactive bowel sounds. What might this finding indicate? a. Obstruction b. Gastroenteritis c. Diarrhea d. Infection

a. Obstruction

The nurse is administering amoxicillin orally to an infant with a bacterial infection. Which of the following physical factors might affect the absorption of this medication? a. Slower gastric emptying b. Vasomotor instability c. Decreased perfusion d. Lower percentage of body water

a. Slower gastric emptying

____ is acquired when a person's own immune system generates the immune response.

active immunity

A large portion of the nurse's efforts is dedicated to health supervision for children who use the facility as their primary medical contact. At which facility does the nurse work? A) An urgent care center B) A pediatric practice C) A mobile outreach immunization program D) A dermatology practice

b) a pediatric practice

The nurse is assisting with testing on a newborn suspected of having a neural tube defect. Which of the following diagnostic tests would be used to confirm this condition? a. Lumbar puncture b. Electroencephalogram c. Fluoroscopy d. Magnetic resonance imaging

d. Magnetic resonance imaging

The nurse is assessing a child for cardiac disorders and documents the presence of clubbing of the fingers and toes. Which of the following conditions might this indicate? a. Infection b. Cyanosis c. Edema d. Hypoxia

d. Hypoxia

The nurse is teaching a group of students about the possible effects of immigration on the health status of children. Which response by the group would indicate the need for additional teaching? A) The children of immigrants lack adequate support systems. B) The children of immigrants have limited involvement in activities due to the language barrier. C) The children of immigrants have better access to preventative care. D) The children of immigrants face increased stressors due to relocation.

A) The children of immigrants lack adequate support systems

24. A nurse is developing a plan of care for a child who is admitted to the hospital for surgery. The child is visually impaired. What would be most appropriate for the nurse to include in the child's plan of care? Select all that apply. A)Explaining instructions using simple and specific terms the child understands B)Allowing the child to explore the postoperative equipment with his hands C)Touching the child on his shoulder before letting the child know someone is there D)Using the child's body parts to refer to the area where he may have postoperative pain E)Speaking to the child in a voice that is slightly louder than the usual tone of voice

A, B, D

16. A 15-year-old adolescent is brought to the emergency department by his parents. The adolescent is febrile with chills that started suddenly. He states, "I had a sinus infection and sore throat a couple of days ago." The nurse suspects bacterial meningitis based on which findings? Select all that apply. A)Complaints of stiff neck B)Photophobia C)Absent headache D)Negative Brudzinski sign E)Vomiting

A, B, E

4. The parents of a 7-month-old child with an infection ask the nurse about how to treat their child's fever. After providing teaching, the parents voice understanding with which statements? Select all that apply. A)"Unless my child develops a fever over 102.2°F, I don't need to make an appointment with the healthcare provider." B)"Having a temperature over 38°C puts my child at risk for the infection spreading to the bloodstream." C)"I can use acetaminophen to help with the symptoms of the infection but it won't get rid of the infection." D)"Even though people get frightened, fevers are not a bad thing during an infection unless it gets too high." E)"Any fever is dangerous and can cause serious damage to brain cells if it goes on too long."

A, C, D

The nurse is aware that the community affects the health of its members. Which statements accurately reflect a community influence of health care? Select all that apply. A)A community can be a contributor to a child's health or be the cause of his or her illnesses. B)The child's health should be separated from the health of the surrounding community. C)Community support and resources are necessary for children with significant problems. D)Poverty has not been linked to an increase in health problems in communities. E)The breakdown of community and family support systems can lead to depression and violence. F)Ideally, the child's medical home is located outside the community.

A, C, E

The nurse is caring for a 7-year-old girl hospitalized in isolation. The nurse notices that she has begun sucking her thumb and changing her speech patterns to those of a toddler. What condition is the girl manifesting? A) Regression B) Suppression C) Repression D) Denial

A.) regression

The nurse is preparing a teaching plan for the parents of a child who has been diagnosed with a congenital heart defect. What would the nurse be least likely to include? A) Daily weight assessment B) Maintenance of strict bed rest C) Prevention of infection D) Signs of complications

B) Maintenance of strict bed rest

The nurse is examining an 8-year-old boy with tachycardia and tachypnea. The nurse anticipates which test as most helpful in determining the extent of the child's hypoxia? A) Pulmonary function test B) Pulse oximetry C) Peak expiratory flow D) Chest radiograph

B) Pulse oximetry

When conducting a physical examination of a child with suspected Kawasaki disease, which finding would the nurse expect to assess? A) Hirsutism or striae B) Strawberry tongue C) Malar rash D) Café au lait spots

B) Strawberry tongue

The nurse is caring for a 3-month-old with nasolacrimal duct obstruction. Which intervention would be most appropriate for the nurse to implement? A) Being careful to prevent spread of infection B) Teaching the parents how to gently massage the duct C) Applying hot, moist compresses to the affected eye D) Referring the child to an ophthalmologist

B) Teaching the parents how to gently massage the duct

A 10-year-old boy is seen in the emergency department after falling down a flight of stairs and hitting his head. The child will be monitored overnight for complications. Which occurrence in the coming hours will warrant further assessment? A) The child reports a backache. B) The child is increasingly irritable with his mother and caregivers. C) The child refuses offers of snacks. D) The child reports his stomach is upset

B) The child is increasingly irritable with his mother and caregivers.

A nurse is conducting a physical examination of an infant and observes the urethral opening on the dorsal side of the penis. The nurse documents this finding as: A) hypospadias. B) epispadias. C) varicocele. D) hydrocele.

B) epispadias.

17. A child is brought to the emergency department after sustaining a concussion. The child is to be discharged home with his parents. What would the nurse include in the child's discharge instructions? A)"Expect his headache to get worse initially and then disappear." B)"Wake him every 2 to 4 hours to check his movement and responses." C)"Call your medical provider if he vomits more than five times." D)"Any watery fluid draining from his ears is normal."

B)"Wake him every 2 to 4 hours to check his movement and responses."

22. Assessment of a child leads the nurse to suspect viral conjunctivitis based on what finding? A)Mild pain B)Photophobia C)Itching D)Watery discharge

B)Photophobia

26. The nurse is assessing a 5-year-old girl who is anxious, has a high fever, speaks in a whisper, and sits up with her neck thrust forward. Based on these findings, what action would be least appropriate for the nurse to perform? A)Providing 100% oxygen B)Visualizing the throat C)Having the child sit forward D)Auscultating for lung sounds

B)Visualizing the throat

23. What would the nurse include when teaching parents how to prevent otitis externa? A)Daily ear cleaning with cotton swabs B)Wearing earplugs when swimming C)Using a hair dryer on high to dry the ear canals D)Using hydrogen peroxide to dry the canal skin

B)Wearing earplugs when swimming

When caring for children, how does the nurse best incorporate the concept of family-centered care? A. Encourages the family to allow the physician to make health care decisions for the child B. Uses the concepts of respect, family strengths, diversity, and collaboration with the family C. Advises the family to choose a pediatric provider who is on the child's health care plan D. Recognizes that families undergoing stress related to the child's illness cannot make good decisions

B. Uses the concepts of respect, family strengths, diversity, and collaboration with the family

The nurse educator working in the emergency room monitors the admission of children. For which admission diagnosis, should the nurse educator encourage the emergency room staff to be the most prepared? A) Mental health problems B) Injuries C) Respiratory disorders D) Gastrointestinal disorders

B. injuries

The nurse is conducting a health assessment of a teenager and asks about his daily routine. What aspect of the health history is the nurse assessing? a. Developmental history b. Functional history c. Family health history d. Demographics

B.) functional history

The nurse is preparing to administer oral ampicillin to a child who weighs 40 kg. The safe dose for children is 50 to 100 mg/kg/day divided in doses administered every 6 hours. What would be the low single safe dose and high single safe dose per day for this child? A) 50 to 100 mg per dose B) 100 to 500 mg per dose C) 500 to 1,000 mg per dose D) 1,000 to 5,000 mg per dose

C) 500 to 1,000 mg per dose

Auscultation of a child's heart reveals a loud murmur with a precordial thrill. The nurse documents this as which grade? A) Grade II B) Grade III C) Grade IV D) Grade V

C) Grade IV

The nurse hears wheezing when auscultating a 4-year-old. Which condition would the nurse most likely rule out based on the assessment findings? A) Bronchiolitis B) Asthma C) Influenza D) Cystic fibrosis

C) Influenza

Bacterial pneumonia is suspected in a 4-year-old boy with fever, headache, and chest pain. Which assessment finding would most likely indicate the need for this child to be hospitalized? A) Fever B) Oxygen saturation level of 96% C) Tachypnea with retractions D) Pale skin color

C) Tachypnea with retractions

The nurse is caring for a 6-year-old visually impaired boy and is about to begin the physical examination. Which intervention would be most appropriate to promote effective communication with the child? A) Show him the stethoscope. B) Describe the examination room. C) Use his name before touching him. D) Allow him to explore the exam room.

C) Use his name before touching him.

The nurse is teaching a group of parents with premature infants about the various medical and developmental problems that may occur. The nurse determines that additional teaching is needed when the group identifies what as a problem? A) Sudden infant death syndrome B) Hydrocephalus C) Peptic ulcer D) Broncho-pulmonary dysplasia

C) peptic ulcer

9. A nurse is instructing a parent on how to obtain a stool culture for ova and parasites from a child with diarrhea. What would the nurse include in the teaching plan? A)"Give the child bismuth and then collect the next specimen." B)"Obtain the specimen from the toilet after the child has a bowel movement." C)"Keep the specimen from coming into contact with any urine." D)"Bring the specimen to the laboratory on the third day."

C)"Keep the specimen from coming into contact with any urine."

2. The nurse is developing a teaching plan for the mother of a 4-year-old girl with cold and fever. What would the nurse include in this teaching plan? A)Keeping the child covered and warm B)Calling the healthcare provider if the child's fever lasts more than 36 hours C)Ensuring fluid intake to prevent dehydration D)Observing for changes in alertness resulting from brain damage

C)Ensuring fluid intake to prevent dehydration

20. A nurse is examining a 7-year-old boy with hordeolum. Which would the nurse expect to find? A)Redness B)Scaling C)Pain D)Edema

C)Pain

6. A group of nursing students are reviewing information about childhood infectious diseases. The students demonstrate understanding of this information when they identify which disease as a common childhood exanthem? A)Mumps B)Rabies C)Rubella D)West Nile virus

C)Rubella

7. A school-aged child with an infectious disease is placed on transmission-based precautions. Which nursing diagnosis would be the priority? A)Impaired skin integrity related to trauma secondary to pruritus and scratching B)Fluid volume deficit related to increased metabolic demands and insensible losses C)Social isolation related to infectivity and inability to go to the playroom D)Deficient knowledge related to how infection is transmitted

C)Social isolation related to infectivity and inability to go to the playroom

14. The nurse is caring for an 8-year-old boy who has chronic epilepsy. What would be most important to address when teaching the child and parents about living with this condition? A)Multiple corrective surgeries to slowly remove diseased parts of his brain B)Physical, occupational, and speech therapy to maximize his potential C)Support for maintaining self-esteem because of his altered lifestyle D)Hyperventilation therapy to counteract the periods of decreased oxygenation

C)Support for maintaining self-esteem because of his altered lifestyle

3. The mother of a 4-year-old boy has contacted the healthcare provider's office. She reports her son was exposed to someone with chickenpox. She has inquired about when her son may show if he has gotten the disease. What information should be provided? A)The illness should be seen in a week if he has been exposed. B)Symptoms of the disease should show up within 24 to 48 hours of exposure. C)The incubation period for the disease is between 10 and 21 days. D)Younger children will have longer periods of incubation.

C)The incubation period for the disease is between 10 and 21 days.

The nurse is caring for a 4-year-old boy who has undergone an appendectomy. The child is unwilling to use the incentive spirometer. Which approach would be most appropriate to elicit the child's cooperation? A) "Can you cough for me please?" B) "You must blow in this or you might get pneumonia." C) "If you don't try, I will have to get the healthcare provider." D) "Can you blow this cotton ball across the tray?"

D) "Can you blow this cotton ball across the tray?"

The nurse is administering digoxin as ordered and the child vomits the dose. What should the nurse do next? A) Contact the healthcare provider. B) Offer a snack and administer another dose. C) Immediately administer another dose. D) Administer next dose as ordered in 12 hours

D) Administer next dose as ordered in 12 hours

The nurse caring for a 6-year-old client enters the room to administer an oral medication in the form of a pill. The dad at the bedside looks at the pill and tells the nurse that his daughter has a hard time swallowing pills. What is the best response by the nurse? A) Ask the child to try swallowing the pill and offer a choice of drinks to take with it. B) Crush the pill and add it to applesauce. C) Request that the healthcare provider prescribe the medication in liquid form. D) Call the pharmacy and ask if the pill can be crushed.

D) Call the pharmacy and ask if the pill can be crushed.

The nurse is instructing the parents of a school-age child with an eye disorder how to care for her eye. Which condition would the nurse explain as resolving by itself without the use of antibiotics? A) Blepharitis B) Hordeolum C) Corneal abrasion D) Chalazion

D) Chalazion

The nurse is providing home care for a 1-year-old girl who is technologically dependent. Which intervention will best support the family process? A) Finding an integrated health program for the family B) Teaching modifications of the medical regimen for vacation C) Assessing family expectations for the special needs child D) Creating schedules for therapies and interventions

D) Creating schedules for therapies and interventions

The nurse is conducting an assessment of a high school track athlete. The client tells the nurse he is experiencing pain along his outer thigh. He describes it as tight, achy, and tender, particularly after he runs. The nurse understands that he is most likely experiencing what kind of pain? A) Cutaneous B) Neuropathic C) Visceral D) Deep somatic

D) Deep somatic

When providing atraumatic care to a child, which action would be the most appropriate? A. Applying restraints for any procedure that would be uncomfortable B. Keeping the lights on in the child's room throughout the day and night C. Limiting the use of topical anesthetics for painful injections D. Allowing parents and children an informed choice about being together

D. Allowing parents and children an informed choice about being together

T/F) Hepatitis B, MMR, Varicella and Hib vaccines are all administered via the subcutaneous route.

False

True or False? The nurse preparing discharge teaching for the parents of a hospitalized child should base this teaching on the fact that adults are present focused and do not value past experiences.

False

True or False? The nurse providing pediatric health supervision should focus on the illness of children.

False

(T/F) Children who are severely immunocompromised should not receive live vaccines

True

True or False? The community can be a contributor to a child's health, or it can be the cause of his or her illnesses.

True

In which of the following phases of hospital care would the nurse seek to learn about the child's favorite toys in order to establish rapport? a. Introduction b. Building a trusting relationship c. Decision-making phase d. Providing comfort and reassurance

b. Building a trusting relationship

The nurse is percussing the chest of a child with a suspected respiratory disorder. What sound might the nurse note that would indicate pneumonia? a. Decreased fremitus b. Dull sound c. Tympany d. Hyperresonance

b. Dull sound

The nurse observes a child for neurologic disorders. What is the earliest indicator of improvement or deterioration of neurologic status? a. Vital signs b. Level of consciousness c. Motor function d. Reflexes

b. Level of consciousness

The nurse is performing a physical assessment of a child. Which of the following reflects the order in which the assessment techniques are normally performed? Palpation, percussion, auscultation, inspection Inspection, palpation, percussion, auscultation Percussion, palpation, inspection, auscultation Inspection, auscultation, palpation, percussion

b.) Inspection, palpation, percussion, auscultation

The nurse is caring for a school-age child with cerebral palsy. Which of the following developmental tasks, appropriate for this age, may be delayed? a. Attachment to family b. Sense of independence c. Achieving industry d. Forming a sense of identity

c. Achieving industry

The nurse is conducting developmental surveillance on a child and his family. Which of the following is a component of this process? a. Measuring the child's head circumference b. Administering vaccinations c. Addressing parental concerns d. Performing a physical assessment

c. Addressing parental concerns

The nurse is assisting with lab testing to measure the type of protein produced in the liver that is present during episodes of acute inflammation. Which of the following tests is the nurse performing? a. Complete blood count b. Erythrocyte sedimentation rate c. C-reactive protein d. Blood culture and sensitivity

c. C-reactive protein

The nurse is performing a diagnostic test to determine the extent of tympanic membrane movement. What is the name for this test? a. Culture of ear discharge b. Tympanic fluid culture c. Tympanometry d. Tympanostomy

c. Tympanometry

The nurse is assessing the pain of a 3-year-old child. Which of the following pain assessment scales would be most appropriate? a. Visual analog scale b. Visual numeric scale c. Word-graphic rating scale d. FACES pain rating scale

d) FACES pain rating scale

The safe dose of a medication is 10 to 20 mg/kg. What would the nurse calculate as the low safe dose for a child who weighs 40 kg? a. 100 mg b. 200 mg c. 300 mg d. 400 mg

d. 400mg

The nurse is percussing the abdomen of a child and notes a dull sound indicating a full bladder. At what anatomic location would this sound be heard? a. Over the spleen b. At the right costal margin c. Over the kidneys d. Above the symphysis pubis

d. Above the symphysis pubis

The nurse is caring for a child with cystic fibrosis. Which of the following treatments would be used to promote mucus clearance through percussion or vibration? a. Suctioning b. Chest tube c. Bronchoscopy d. Chest physiotherapy

d. Chest physiotherapy

The nurse is performing a health assessment of a 16-year-old girl. Which of the following is a recommended guideline for interviewing a child at this developmental stage? a. During the interview ask the caregiver to answer any questions the teen is too embarrassed to answer b. Keep up a running dialogue with the caregiver, explaining each step as it is performed c. Perform the genital exam first, and then use a head-to-toe approach to examine other systems d. Explain to the caregiver that the teen needs privacy and ask him or her to wait outside the room

d. Explain to the caregiver that the teen needs privacy and ask him or her to wait outside the room

The nurse is providing atraumatic care to a child hospitalized for cardiac surgery. Which of the following is a recommended guideline when communicating with the child's parents? a. Do not cause undue stress by providing details of the surgery b. Direct the focus of the parent from providing routine care of the child to preparing for the surgery c. Direct the parents to the physician if they have questions about the surgery d. Treat the parents as equal partners in the care of their child by allowing them to perform as much care as possible

d. Treat the parents as equal partners in the care of their child by allowing them to perform as much care as possible

Is the following statement true or false? The nurse caring for an infant with strabismus tells the concerned parent that there is no need to correct the visual disorder until the child reaches school age.

false

Is the following statement true or false? The nurse is caring for a child with diarrhea related to infectious enteritis. The nurse accurately informs the parents that most cases of diarrhea are bacterial in nature and therapeutic management is usually supportive in nature.

false

True or False? The nurse accurately explains to a child's parents that the point at which a person feels the highest intensity of a painful stimulus is termed the pain threshold.

false

True or False? The nurse crushing a tablet to administer it to a child should mix the medication with the child's formula

false

True or False? The nurse is examining an infant and documents cyanosis. This condition is a decreased pinkness in light-skinned children or an ashy-gray color in dark-skinned children caused by anemia, shock, fever, or syncope.

false

True or False? The nurse observes that a hospitalized 5-year-old child shows signs of distress when her mother leaves to get a cup of coffee. This change in the child's behavioral state is known as regression.

false

True or false The nurse explains to parents of a child with a fever that antipyretics will help change the course of the infection.

false

True or false? The nurse is preparing a child with varicella for admission to an isolation room. The child will be at risk for sensory overload.

false

Is the following statement true or false? The nurse auscultates the fistula for the presence of a bruit in a child receiving chronic hemodialysis. This is a desired normal finding.

true

Is the following statement true or false? The nurse caring for children with visual disorders accurately states that the most common visual difficulty seen in children is refractive errors.

true

True or False? The nurse assessing pain in children is correct in stating that the school-age child is usually able to communicate the type, location, and severity of pain.

true

True or False? The nurse assessing the veins of a 5-month-old infant for peripheral IV therapy correctly chooses the baby's foot.

true