Peds Exam 1 Review Questions
An infant has laryngomalacia. What assessment finding correlates with this condition? a. Stridor b. High-pitched cry c. Nasal congestion d. Spasmodic cough
a. Stridor
Which intervention helps a hospitalized toddler feel a sense of control? a. Assign the same nurses to care for the child. b. Put a cover over the child's crib. c. Require parents to stay with the child. d. Follow the child's usual routines for feeding and bedtime.
d. Follow the child's usual routines for feeding and bedtime.
Which measurement is not indicated for a 4-year-old well-child examination? a. Blood pressure b. Weight c. Height d. Head circumference
d. Head circumference
What is the best nursing response to the mother of a 4-year-old child who asks what she can do to help the child cope with a sibling's repeated hospitalizations? a. Recommend that the child be sent to visit the grandmother until the sibling returns home. b. Inform the parent that the child is too young to visit the hospital. c. Assume the child understands that the sibling will soon be discharged because the child asks no questions. d. Help the mother give the child a simple explanation of the treatment, and encourage the mother to have the child visit the hospitalized sibling.
d. Help the mother give the child a simple explanation of the treatment, and encourage the mother to have the child visit the hospitalized sibling.
When palpating the child's cervical lymph nodes, the nurse notes that they are tender, enlarged, and warm. What is the best explanation for this? a. Some form of cancer b. Local scalp infection common in children c. Infection or inflammation distal to the site d. Infection or inflammation close to the site
d. Infection or inflammation close to the site
Examination of the abdomen is performed correctly by the nurse in which order? a. Inspection, palpation, and auscultation b. Palpation, inspection, and auscultation c. Palpation, auscultation, and inspection d. Inspection, auscultation, and palpation
d. Inspection, auscultation, and palpation
Which parameter correlates best with measurements of the body's total muscle mass-to-fat ratio? a. Height b. Weight c. Skinfold thickness d. Mid-arm circumference
d. Mid-arm circumference
The nurse is admitting a toddler to the pediatric infectious disease unit. What is the single most important component of the child's physical examination? a. Assessment of heart and lungs b. Measurement of height and weight c. Documentation of parental concerns d. Obtaining an accurate history
d. Obtaining an accurate history
What should the nurse advise the mother of a 4-year-old child to bring with her child to the outpatient surgery center on the day of surgery? a. Snacks b. Fruit juice boxes c. All of the child's medications d. One of the child's favorite toys
d. One of the child's favorite toys
Which assessment should the nurse perform last when examining a 5-year-old child? a. Heart b. Lungs c. Abdomen d. Throat
d. Throat
The nurse caring for the child in pain knows that distraction a. can give total pain relief to the child. b. is effective when the child is in severe pain. c. is the best method for pain relief. d. must be developmentally appropriate to refocus attention.
d. must be developmentally appropriate to refocus attention.
During examination of a toddler's extremities, the nurse notes that the child is bowlegged. The nurse should recognize that this finding is a. abnormal, requiring further investigation. b. abnormal unless it occurs in conjunction with knock-knee. c. normal if the condition is unilateral or asymmetric. d. normal, because the lower back and leg muscles are not yet well developed.
d. normal, because the lower back and leg muscles are not yet well developed.
The traditional areas of school health nursing that are still prevalent in many school systems include which of the following? (Select all that apply.) a. Health screening b. Emergency care c. Intensive care d. Communicable disease management e. Health care advice
a. Health screening b. Emergency care d. Communicable disease management e. Health care advice
A nurse working with infants recognizes which findings as possible signs of brain dysfunction? (Select all that apply.) a. Irritability b. Nausea c. Anorexia d. Vomiting e. Fever
a. Irritability c. Anorexia d. Vomiting e. Fever
The nurse has a 2-year-old boy sit in a "tailor" position during palpation for the testes. What is the rationale for this position? a. It prevents cremasteric reflex. b. Undescended testes can be palpated. c. This tests the child for an inguinal hernia. d. The child does not yet have a need for privacy.
a. It prevent cremasteric reflex
Which assessment indicates to a nurse that a 2-year-old child is in need of pain medication? a. The child is lying rigidly in bed and not moving. b. The child's current vital signs are consistent with previous vital signs. c. The child becomes quiet when held and cuddled. d. The child has just returned from the recovery room.
a. The child is lying rigidly in bed and not moving.
What intervention can be taught to the parents of a 3-year-old child with pneumonia who is not hospitalized? a. Offer the child only cool liquids. b. Offer the child favorite warm liquid drinks. c. Use a warm mist humidifier. d. Report a respiratory rate less than 28 breaths/min.
b. Offer the child favorite warm liquid drinks.
Which assessment finding is considered a neurologic soft sign in a 7-year-old child? a. Plantar reflex b. Poor muscle coordination c. Stereognostic function d. Graphesthesia
b. Poor muscle coordination
When pain is assessed in an infant, it is inappropriate to assess for a. facial expressions of pain. b. localization of pain. c. crying. d. thrashing of extremities.
b. localization of pain.
When using the poker chip tool, it is important for the nurse to know that a. any number of chips can be used. b. only a specified number of chips can be used. c. the assessment tool is used with adolescents. d. the assessment tool is most effectively used with 2-year-old children.
b. only a specified number of chips can be used.
When assessing a child for pain, the nurse is aware that a. neonates do not feel pain. b. pain is an individualized experience. c. children do not remember pain. d. a child must cry to express pain.
b. pain is an individualized experience.
For which problem should the child with chronic otitis media with effusion be evaluated? a. Brain abscess b. Meningitis c. Hearing loss d. Perforation of the tympanic membrane
c. Hearing loss
Which medications are the most effective choices for treating pain associated with inflammation in children? (Select all that apply.) a. Morphine b. Acetaminophen c. Ibuprofen d. Ketorolac e. Aspirin
c. Ibuprofen d. Ketorolac
A 3 1/2-year-old child who is toilet trained has had several "accidents" since hospital admission. What is the nurse's best action in this situation? a. Find out how long the child has been toilet trained at home. b. Encourage the parents to scold the child. c. Explain how to use a bedpan and place it close to the child. d. Follow home routines of elimination.
d. Follow home routines of elimination.
A 3-year-old child cries, kicks, and clings to the father when the parents try to leave the hospital room. What is the nurse's best response to the parents about this behavior? a. "Your child is showing a normal response to the stress of hospitalization." b. "Your child is not coping effectively with hospitalization." c. "Parents should stay with children during hospitalization." d. "You can avoid this if you leave after your child falls asleep."
a. "Your child is showing a normal response to the stress of hospitalization."
The nurse is obtaining vital signs on a 1-year-old child. What is the most appropriate site for assessing the pulse rate? a. Apical b. Radial c. Carotid d. Femoral
a. Apical
A nurse is working with a child who has a sudden, serious illness. To best support the parents, what action by the nurse is best? a. Assess the parents' usual coping methods. b. Give them information about the unit protocols. c. Tell them to stay with the child as much as desired. d. Reassure them about how common this illness is.
a. Assess the parents' usual coping methods.
The nurse assesses a child's oculomotor, trochlear, and abducens nerves by using which technique? a. Assessing the six cardinal gazes b. Identification of common odors c. Having child bite on a tongue blade d. Ask child to shrug against resistance
a. Assessing the six cardinal gazes
Which play activity should the nurse implement to enhance deep breathing exercises for a toddler? a. Blowing bubbles b. Throwing a Nerf ball c. Using a spirometer d. Keeping a chart of deep breathing
a. Blowing bubbles
Which statement indicates the nurse's lack of understanding about the use of patient-controlled analgesia (PCA) therapy? a. Children as young as 3 years old can effectively and successfully use a PCA pump. b. Two registered nurses (RNs) are required to double-check the dosage and programmed administration of opioids. c. The child should be carefully monitored for signs and symptoms of overmedication with opioids. d. Naloxone (Narcan) should be readily available.
a. Children as young as 3 years old can effectively and successfully use a PCA pump.
A nurse uses the CRIES tool to assess pain in neonates. What categories does the nurse assess? (Select all that apply.) a. Crying b. Requires O2 c. Increased respiratory rate d. Expression e. Sleepiness
a. Crying b. Requires O2
What are age-appropriate nursing interventions to facilitate psychological adjustment for an adolescent expected to have a prolonged hospitalization? (Select all that apply.) a. Encourage parents to bring in homework and schedule study times. b. Allow the adolescent to wear street clothes. c. Involve the parents in care. d. Follow home routines. e. Encourage parents to bring in favorite foods.
a. Encourage parents to bring in homework and schedule study times. b. Allow the adolescent to wear street clothes. e. Encourage parents to bring in favorite foods.
Which is the most developmentally appropriate intervention when working with the hospitalized adolescent? a. Encourage peers to call and visit when the adolescent's condition allows. b. Encourage the adolescent's friends to continue with their daily activities; the adolescent has concrete thinking and will understand. c. Discourage questions and concerns about the effects of the illness on the adolescent's appearance. d. Ask the parents how the adolescent usually copes in new situations.
a. Encourage peers to call and visit when the adolescent's condition allows.
The nurse should assess a child who has had a tonsillectomy for which of the following as the priority? a. Frequent swallowing b. Inspiratory stridor c. Swelling of the throat d. Abnormal lung sounds
a. Frequent swallowing
The nurse is working with a child in the intensive care unit. The family is from out of town. There are two siblings, both of whom are acting out at home. What suggestions does the nurse provide the family? (Select all that apply.) a. Let the siblings call the ill child at scheduled times. b. Take photographs of the sick child to show the siblings. c. Suggest the parents take the siblings to counseling. d. Reassure the siblings that they will not get ill themselves. e. Stay at home with the siblings until their behavior improves.
a. Let the siblings call the ill child at scheduled times. b. Take photographs of the sick child to show the siblings. d. Reassure the siblings that they will not get ill themselves
What medication is the most effective choice for treating pain associated with sickle cell crisis in a newly admitted 5-year-old child? a. Morphine b. Acetaminophen c. Ibuprofen d. Midazolam
a. Morphine
A nurse is caring for four infants. Which one should the nurse assess first? a. Nasal flaring b. Respiratory rate of 55 breaths/min c. Irregular respiratory pattern d. Abdominal breathing
a. Nasal flaring
A nurse is reviewing pediatric physical assessment techniques. Which statement about performing a pediatric physical assessment is correct? a. Physical examinations proceed systematically from head to toe unless developmental considerations dictate otherwise. b. The physical examination should be done with parents in the examining room for children of any age. c. Measurement of head circumference is done until the child is 5 years old. d. The physical examination is done only when the child is cooperative.
a. Physical examinations proceed systematically from head to toe unless developmental considerations dictate otherwise.
Which statements about performing a pediatric physical assessment are correct for a school-age child? (Select all that apply.) a. Physical examinations proceed systematically from head to toe. b. The physical examination should be done with parents in the waiting room. c. Measurement of head circumference is obtained. d. The physical examination is done only when the child is cooperative. e. Remove clothing and have the child put on an examination gown.
a. Physical examinations proceed systematically from head to toe. d. The physical examination is done only when the child is cooperative. e. Remove clothing and have the child put on an examination gown.
A 5-year-old child is brought to the emergency department with copious drooling and a croaking sound on inspiration. Her mother states that the child is very agitated and only wants to sit upright. What action by the nurse takes priority? a. Prepare intubation equipment and call the provider. b. Examine the child's oropharynx and call the provider. c. Obtain a throat culture for respiratory syncytial virus (RSV). d. Obtain vital signs and listen to breath sounds.
a. Prepare intubation equipment and call the provider.
How should the nurse advise parents whose preschooler used to sleep through the night and now awakens at intervals after a short hospitalization? a. Regressive behavior after a hospitalization is normal and usually short term. b. The child is probably expressing anger. c. Egocentric behavior often manifests itself when the child is left alone to sleep. d. The child is probably feeling pain and needs further evaluation.
a. Regressive behavior after a hospitalization is normal and usually short term.
A nurse is administering an opioid medication to a child. Which side effects should the nurse watch for with this classification of medication? (Select all that apply.) a. Respiratory depression b. Hepatic damage c. Constipation d. Pruritus e. Gastrointestinal bleeding
a. Respiratory depression c. Constipation d. Pruritus
The nurse palpated the anterior fontanel of a 14-month-old infant and found that it was closed. What does this finding indicate? a. This is a normal finding. b. This finding indicates premature closure of cranial sutures. c. This is abnormal, and the child should have a developmental evaluation. d. This is an abnormal finding, and the child should have a neurologic evaluation.
a. This is a normal finding.
The nurse percussing over an empty stomach expects to hear which sound? a. Tympany b. Resonance c. Flatness d. Dullness
a. Tympany
Which assessment finding after tonsillectomy should be reported to the surgeon? a. Vomiting bright red blood b. Pain at surgical site c. Pain on swallowing d. The ability to only take small sips of liquids
a. Vomiting bright red blood
The nurse is caring for a child receiving intravenous (IV) morphine for severe postoperative pain. The nurse observes a slower respiratory rate, and the child cannot be aroused. What action by the nurse takes priority? a. Administer naloxone (Narcan) immediately. b. Notify the provider immediately. c. Discontinue morphine until the child is fully awake. d. Stimulate the child by calling his or her name and shaking gently.
a. administer naloxone (Narcan) immediately.
The nurse knows that physiologic changes associated with pain in the neonate include a. increased blood pressure and decreased arterial saturation. b. decreased blood pressure and increased arterial saturation. c. increased urine output and increased heart rate. d. decreased urine output and increased blood pressure.
a. increased blood pressure and decreased arterial saturation.
The nurse expects the initial plan of care for a 9-month-old child with an acute otitis media infection to include a. symptomatic treatment and observation for 48 to 72 hours after diagnosis. b. an oral antibiotic, such as amoxicillin, five times a day for 7 days. c. pneumococcal conjugate vaccine. d. myringotomy with tympanoplasty tubes.
a. symptomatic treatment and observation fro 48 to 72 hours after diagnosis.
Which question most likely elicits information about how a family is coping with a child's hospitalization? a. "Was this admission an emergency?" b. "How has your child's hospitalization affected your family?" c. "Who is taking care of your other children while you are here?" d. "Is this the child's first hospitalization?"
b. "How has your child's hospitalization affected your family?"
The nurse is assessing a 4-year-old child's visual acuity. The results indicate a visual acuity of 20/40 in both eyes. The child's father asks the nurse about his son's results. Which response, if made by the nurse, is correct? a. "Your child will need a referral to the ophthalmologist before he can attend preschool next week." b. "Your child's visual acuity is normal for his age." c. "The results of this test indicate your child may be color blind." d. "Your child did not pass; he will need to see an eye doctor."
b. "Your child's visual acuity is normal for his age."
Based on concepts related to the normal growth and development of children, which child would have the most difficulty with separation from family during hospitalization? a. A 5-month-old infant b. A 15-month-old toddler c. A 4-year-old child d. A 7-year-old child
b. A 15-month-old toddler
A nurse is performing an assessment on a newborn. Which vital signs indicate a normal finding for this age-group? (Select all that apply.) a. Pulse of 80 to 125 a minute b. B/P of systolic 65 to 95 and diastolic 30 to 60 c. Temperature of 36.5° to 37.3° C (axillary) d. Temperature of 36.4° to 37° C (axillary) e. Respirations of 30 to 60 a minute
b. B/P of systolic 65 to 95 and diastolic 30 to 60 c. Temperature of 36.5° to 37.3° C (axillary) e. Respirations of 30 to 60 a minute
Which tool measures body fat most accurately? a. Measuring board b. Calipers c. Cloth tape measure d. Paper or metal tape measure
b. Calipers
In which section of the health history should the nurse record that the parent brought the infant to the clinic today because of frequent diarrhea? a. Review of systems b. Chief complaint c. Lifestyle and life patterns d. Health history
b. Chief complaint
What myth may interfere with the treatment of pain in infants and children? a. Infants may have sleep difficulties after a painful event. b. Children and infants are more susceptible to respiratory depression from narcotics. c. Pain in children is multidimensional and subjective. d. A child's cognitive level does not influence the pain experience.
b. Children and infants are more susceptible to respiratory depression from narcotics.
Why is observation for 24 hours in an acute-care setting often appropriate for children? a. Longer hospital stays are more costly. b. Children become ill quickly and recover quickly. c. Children feel less separation anxiety when hospitalized for 24 hours. d. Families experience less disruption during short hospital stays.
b. Children become ill quickly and recover quickly.
Which situation poses the greatest challenge to the nurse working with a child and family? a. Twenty-four-hour observation b. Emergency hospitalization c. Outpatient admission d. Rehabilitation admission
b. Emergency hospitalization
Which type of croup is always considered a medical emergency? a. Laryngitis b. Epiglottitis c. Spasmodic croup d. Laryngotracheobronchitis (LTB)
b. Epiglottitis
The nurse inspecting the skin of a dark-skinned child notices an area that is a dusky red or violet color. This skin coloration is associated with what? a. Cyanosis b. Erythema c. Vitiligo d. Nevi
b. Erythema
Which strategy is not always appropriate for pediatric physical examination? a. Take the history in a quiet, private place. b. Examine the child from head to toe. c. Exhibit sensitivity to cultural needs and differences. d. Perform frightening procedures last.
b. Examine the child from head to toe.
Which strategy is the best approach when initiating the physical examination of a 9-month-old male infant? a. Undress the infant and do a head-to-toe examination. b. Have the parent hold the child on his or her lap. c. Put the infant on the examination table and begin assessments at the head. d. Ask the parent to leave because the infant will be upset.
b. Have the parent hold the child on his or her lap.
The parent of a toddler calls the nurse, asking about croup. What is a distinguishing manifestation of spasmodic croup? a. Wheezing is heard audibly. b. It has a harsh, barky cough. c. It is bacterial in nature. d. The child has a high fever.
b. It has a harsh, barky cough.
A child with a serious, chronic illness is hospitalized frequently. The parents are worried about the child's growth and development. What action by the nurse is best? a. Tell parents developmental delays are likely in this case. b. Make a referral to the play therapist for therapeutic play. c. Encourage the child to perform age-appropriate activities. d. Ask the parents if they want a child psychology referral.
b. Make a referral to the play therapist for therapeutic play.
A nurse in the pediatric critical care unit assesses a child for pain using the COMFORT behavior scale. The child scores a 25. What action by the nurse is most appropriate? a. Ask a parent if the child is in pain. b. Medicate the patient for pain. c. Document and reassess in 4 hours. d. Notify the provider.
b. Medicate the patient for pain.
Which drug is usually the best choice for PCA for a child in the immediate postoperative period? a. Codeine b. Morphine c. Methadone d. Meperidine
b. Morphine
In which developmental stage is the child first able to localize pain and describe both the amount and the intensity of the pain felt? a. Toddler stage b. Preschool stage c. School-age stage d. Adolescent stage
b. Preschool stage
In which age-group does the child's active imagination during unfamiliar experiences increase the stress of hospitalization? a. Toddlers b. Preschoolers c. School-age children d. Adolescents
b. Preschoolers
Which chart should the nurse use to assess the visual acuity of an 8-year-old child? a. Lea chart b. Snellen chart c. HOTV chart d. Tumbling E chart
b. Snellen chart
What should the nurse recognize as a possible indicator of child abuse in a 4-year-old child being treated for ear pain at the emergency department on a cold winter day? (Select all that apply.) a. The child extends his arms to be hugged by the nurse. b. The child is wearing clean, baggy shorts, sandals, and an oversized T-shirt. c. The child answers all questions in complete sentences and smiles afterward. d. The child has dirty, broken teeth. e. The child states "I'm so fat" when the nurse tells his mother he weighs 25 lb.
b. The child is wearing clean, baggy shorts, sandals, and an oversized T-shirt. d. The child has dirty, broken teeth. e. The child states "I'm so fat" when the nurse tells his mother he weighs 25 lb.
A preschool-aged child tells the nurse "I was bad, that's why I got sick." What is the best rationale for this child's statement? a. The child has a fear that mutilation will lead to death. b. The child's imagination is very active, and he may believe the illness is a result of something he did. c. The child has a general understanding of body integrity at this age. d. The child will not have fear related to an IV catheter initiation but will have fear of an impending surgery.
b. The child's imagination is very active, and he may believe the illness is a result of something he did.
A school nurse is screening children for scoliosis. Which assessment findings should the nurse expect to observe for scoliosis? (Select all that apply.) a. Pain with deep palpation of the spinal column b. Unequal shoulder heights c. The trouser pant leg length appears shorter on one side d. Inability to bend at the waist e. Unequal waist angles
b. Unequal shoulder heights c. The trouser pant leg length appears shorter on one side e. Unequal wrist angles
Kimberly is having a checkup before starting kindergarten. The nurse asks her to do the "finger-to-nose" test. The nurse is testing for a. deep tendon reflexes. b. cerebellar function. c. sensory discrimination. d. ability to follow directions.
b. cerebellar function.
The nurse is discussing toddler development with the mother of a 2 1/2-year-old child. Which statement by the mother indicates she has an understanding of how to help her daughter succeed in a developmental task while hospitalized? a. "I always help my daughter complete tasks to help her achieve a sense of accomplishment." b. "I provide many opportunities for my daughter to play with other children her age." c. "I consistently stress the difference between right and wrong to my daughter." d. "I encourage my daughter to do things for herself when she can."
c. "I encourage my daughter to do things for herself when she can."
Which statement made by a parent indicates an understanding about treatment of streptococcal pharyngitis? a. "I guess my child will need to have his tonsils removed." b. "A couple of days of rest and some ibuprofen will take care of this." c. "I should give the penicillin three times a day for 10 days." d. "I am giving my child prednisone to decrease the swelling of the tonsils."
c. "I should give the penicillin three times a day for 10 days."
The nurse is performing a comprehensive physical examination on a young child in the hospital. At what age can the nurse expect a child's head and chest circumferences to be almost equal? a. Birth b. 6 months c. 1 year d. 3 years
c. 1 year
When is the most appropriate time to inspect the genital area during a well-child examination of a 14-year-old girl? a. It is not necessary to inspect the genital area. b. Examine the genital area first. c. After the abdominal assessment d. Do the genital inspection last.
c. After the abdominal assessment.
Which therapeutic approach will best help a 7-year-old child cope with a lengthy course of intravenous antibiotic therapy? a. Arrange for the child to go to the playroom daily. b. Ask the child to draw you a picture of himself or herself. c. Allow the child to participate in injection play. d. Give the child stickers for cooperative behavior.
c. Allow the child to participate in injection play.
A child has had cold symptoms for more than 2 weeks, a headache, nasal congestion with purulent nasal drainage, facial tenderness, and a cough that increases during sleep. The nurse plans to teach the parents about which treatment regime? a. Antihistamine use b. Cold washcloths on the face for comfort c. Antibiotic treatment with amoxicillin d. Referral for a sinoplasty
c. Antibiotic treatment with amoxicillin
What term should be used in the nurse's documentation to describe auscultation of breath sounds that are short, popping, and discontinuous on inspiration? a. Pleural friction rub b. Sonorous rhonchi c. Crackles d. Wheeze
c. Crackles
Teaching safety precautions with the administration of antihistamines is important because of what common side effect? a. Dry mouth b. Excitability c. Drowsiness d. Dry mucous membranes
c. Drowsiness
Once an allergen is identified in a child with allergic rhinitis, the treatment of choice the nurse educates the parents about is which of the following? a.Using appropriate medications b. Beginning desensitization injections c. Eliminating the allergen d. Removing the adenoids
c. Eliminating the allergen
A nurse is assessing a 12-month-old baby. What question about growth and development is most appropriate? a. Can the baby roll over? b. Does your baby pull himself up? c. Is your baby cruising around yet? d. Will your baby sit alone?
c. Is your baby cruising around yet?
What is the primary disadvantage associated with outpatient and day facility care? a. Increased cost b. Increased risk of infection c. Lack of physical connection to the hospital d. Longer separation of the child from family
c. Lack of physical connection to the hospital
What is the best action for the nurse to take when a 5-year-old child who requires another 2 days of IV antibiotics cries, screams, and resists having the IV restarted? a. Exit the room and leave the child alone until he or she stops crying. b. Tell the child big boys and girls "don't cry." c. Let the child decide which color arm board to use with the IV. d. Administer an opioid analgesic for pain to quiet the child.
c. Let the child decide which color arm board to use with the IV.
Which action is appropriate when the nurse is assessing breath sounds of an 18-month-old crying child? a. Ask the parent to quiet the child so the nurse can listen. b. Auscultate breath sounds and chart that the child was crying. c. Let the child play with the stethoscope for distraction. d. Document that data are not available because of crying.
c. Let the child play with the stethoscope for distraction.
What heart sound is produced by vibrations within the heart chambers or in the major arteries from the back-and-forth flow of blood? a. S1, S2 b. Snaps and clicks c. Murmur d. Physiologic splitting
c. Murmur
Which is an appropriate nursing intervention for the hospitalized neonate? a. Assign the neonate to a room with other neonates. b. Provide play activities in the hospital room. c. Offer the neonate a pacifier between feedings. d. Request that parents bring a security object from home.
c. Offer the neonate a pacifier between feedings.
The appropriate tool(s) to assess pain in a 3-year-old child is the (Select all that apply.) a. Visual Analogue Scale (VAS) b. adolescent and pediatric pain tool c. Oucher tool d. poker chip tool e. FACES pain rating scale
c. Oucher tool e. FACES pain rating scale
Home care is being considered for a young child who is ventilator dependent. Which factor is most important in deciding whether home care is appropriate? a. Level of parents' education b. Presence of two parents in the home c. Preparation and training of family d. Family's ability to assume all health care costs
c. Preparation and training of family
Having explanations for all procedures and selecting their own meals from hospital menus is an important coping mechanism for which age-group? a. Toddlers b. Preschoolers c. School-age children d. Adolescents
c. School-age children
Which intervention for treating croup at home should be taught to parents as possibly helpful? a. Have a decongestant available. b. Have the child sleep in a dry room. c. Take the child outside. d. Give the child an antibiotic at bedtime.
c. Take the child outside.
A student nurse hears two registered nurses discussing a child who has neurologic soft signs. The student asks what this means. What response by the nurse is best? a. The baby's fontanels have not yet closed. b. Tests of neurologic function are indeterminate. c. The child can't perform activities he should be able to. d. The child has a significant neurologic disorder.
c. The child can't perform activities he should be able to.
What is the best explanation for a 2-year-old child who is quiet and withdrawn on the fourth day of a hospital admission? a. The child is protesting her separation from her caregivers. b. The child has adjusted to the hospitalization. c. The child is experiencing the despair stage of separation. d. The child has reached the stage of detachment.
c. The child is experiencing the despair stage of separation.
When interviewing the mother of a 3-year-old child, the nurse asks about developmental milestones. This should be considered a. unnecessary information, because the child is 3 years old. b. an important part of the family history. c. an important part of the child's past growth and development. d. an important part of the child's review of systems.
c. an important part of the child's past growth and development.
An 8-year-old girl asks the nurse how the blood pressure apparatus works. The most appropriate nursing action is to a. ask her why she wants to know. b. determine why she is so anxious. c. explain in simple terms how it works. d. tell her she will see how it works as it is used.
c. explain in simple terms how it works.
When assessing pain in any child, the nurse should consider that a. any pain assessment tool can be used to assess pain in children. b. children as young as 1 year old use words to express pain. c. the child's behavioral, physiologic, and verbal responses are valuable when assessing pain. d. pain assessment tools are minimally effective for communicating about pain.
c. the child's behavioral, physiologic, and verbal responses are valuable when assessing pain.
What is an appropriate beverage for the nurse to give to a child who had a tonsillectomy earlier in the day? a. Chocolate ice cream b. Orange juice c. Fruit punch d. Apple juice
d. Apple juice
The home health nurse outlines short- and long-term goals for a 10-year-old child with many complex health problems. Who should agree on these goals? a. Family and nurse b. Child, family, and nurse c. All professionals involved d. Child, family, and all professionals involved
d. Child, family, and all professionals involved
The nurse is caring for a 6-year-old girl who had surgery 12 hours ago. The child tells the nurse that she does not have pain, but a few minutes later tells her parent that she does. What should the nurse consider when interpreting this? a. Truthful reporting of pain should occur by this age. b. Inconsistency in pain reporting suggests that pain is not present. c. Children use pain experiences to manipulate their parents. d. Children may be experiencing pain even though they deny it to the nurse.
d. Children may be experiencing pain even though they deny it to the nurse.
Which cranial nerve is assessed when the child is asked to imitate the examiner's wrinkled frown, wrinkled forehead, smile, and raised eyebrow? a. Accessory b. Hypoglossal c. Trigeminal d. Facial
d. Facial
