Chapter 30: Basic Pediatric Nursing Care (Foundations)

42. The nurse is aware that visual acuity evaluation in a child is best assessed after the age of _____ years.

6 six Page 942

15. The mother of a 3-year-old expresses concern about her daughter's slowed growth rate. What would be the most informative response by the nurse? a. "Three-year-olds have typically finished a growth spurt, and you may notice a decreased rate in your daughter's growth." b. "Children's growth is hereditary. She may be of small stature like you." c. "The growth of a 3-year-old is associated with their nutrition. How is she eating?" d. "Your daughter is healthy and happy. Don't worry about her growth right now."

A Page 936

34. When the nurse is inserting a feeding tube in an 8-month-old, what safety reminder device (SRD) should the nurse most likely use? a. Mummy b. Clove hitch c. Jacket device d. Elbow device

A Page 960

40. The nurse clarifies that the family-centered care approach terminates which policies? (Select all that apply.) a. Rigid visiting hours b. Freedom to choose which medications to take c. Exclusion of family during procedures d. Discouraging family to stay overnight e. Restricting parents from reading the chart

A, C, D, E Page 934

39. The nurse welcomes the presence of the family in a pediatric unit because it reduces the stressors of hospitalization. Which are common stressors for the hospitalized child? (Select all that apply.) a. Separation b. Lack of love c. Fear of pain d. Unfamiliar food e. Loss of control

A, C, E Page 934

2. What was founded by Lillian Wald? a. National Commission on Children b. Henry Street Settlement c. White House Conference d. U.S. Children's Bureau

B Page 932

12. An 8-year-old child asks how a blood pressure is taken. What would be the most appropriate response? a. "This small machine will measure your systolic and diastolic pressure." b. "The armband will hug your arm and tell me how well your blood is going through your arm." c. "The armband will cut off your circulation for a while and then we can hear when it comes back." d. "When you are ill we need to know if your blood is still moving in your body."

B Page 941

31. Following a lumbar puncture of a 2-year-old, what should the nurse do? a. Keep the child flat for several hours b. Allow the child to play quietly at will c. Hold the child in a flexed position for 5 minutes d. Stand the child upright immediately

B Page 962

24. What is the purpose of a mist tent? a. To provide a constant oxygen supply b. To liquefy respiratory secretions c. To aid in lowering temperature d. To improve the infant's hydration

B Page 963

9. What activity by an infant would cause a false elevation of the tympanic temperature? a. Having a bowel movement b. Crying vigorously c. Having just eaten d. Having been in a cold room

B Page 939

21. How should an infant be positioned after a feeding? a. On the stomach b. On the right side c. On the left side d. On the back

B Page 958

26. What is a disadvantage of using a mist tent with a toddler? a. The nurse must remove the restless child. b. The wet bedding and clothing must be changed frequently. c. The mist tent must be opened at least once every hour. d. All objects must be kept outside of the tent.

B Page 964

28. Why must the pediatric nurse be cautious about medicating infants and young children? a. They are less susceptible to medication effects than adults. b. They are more susceptible to medication effects than adults. c. They are equally susceptible to medication effects as adults. d. They are more susceptible to drug interactions than adults.

B Page 965

25. What is the maximum amount of time that a nurse should suction an artificial airway? a. 1 second b. 5 seconds c. 30 seconds d. 1 minute

B Page 964

30. Where is the typical IV insertion site in an infant younger than 9 months of age? a. Radial vein b. Scalp vein c. Femoral vein d. Brachial vein

B Page 967

22. When a safety reminder device (SRD) is used to protect a child, what is a responsibility of the nurse? a. Apply it loosely b. Remove it every 2 hours c. Place it over clothing d. Apply only one type

B . Page 960

5. The mother of a child with diabetes asks the nurse in charge of the family-centered pediatric unit if she might see her child's laboratory reports. What response by the nurse is the most appropriate? a. "Although the actual reports are not shared, I can tell you the blood sugar is 200 mg." b. "I'll write them down for you and bring them to your room." c. "Come to the conference room where we can have privacy while you look at them." d. "I'll notify the physician that you wish to see the reports."

C

6. What should be the focus of a practice where the pediatric nurse uses a developmental approach? a. Stimulation of the child to reach expected norms b. Age-centered care plans c. Strengths and abilities of the child d. Characteristics for the particular age

C Page 936

16. What should be included in the teaching plan for the parents of a 3-year-old child who has been prescribed an opioid analgesic? a. The opioid is likely to cause significant respiratory depression. b. The medicine is prescribed with the knowledge that addiction may occur. c. The opioid is very effective as a pain control method. d. The opioid is only to be given in cases of severe pain.

C Page 953

19. When attempting to provide information to the parents of a child undergoing surgery, the nurse notes that the parents appear confused and do not seem to remember what they are being told. What is the most probable cause of the parents' forgetfulness? a. Noisy environment b. Serious nature of surgery c. Increased level of parents' anxiety d. Developmental age of the child

C Page 956

32. What should the nurse do to minimize an unpleasant-tasting drug? a. Pour the drug over ice b. Squirt the drug in the mouth with a syringe c. Administer the drug through a straw d. Enlist the parent's assistance

C Page 966

3. When the pediatric nurse is attempting to establish a trusting relationship with a child, what is the most important and lasting thing to do? a. Convey respect b. Talk with the child c. Be honest d. Talk with family

C Page 933

35. The nurse clarifies that child abuse and neglect are complicated and preventable problems falling under which broader term? a. Child abandonment b. Child mismanagement c. Child maltreatment d. Child torment

C Page 947

38. After observing parental behavior that leads the nurse to suspect child abuse, when should the nurse report the abuse? a. If the parent confesses to child abuse b. If the child admits to being abused c. Whenever maltreatment of a child is suspected d. When the type of abuse can be determined

C Page 948

37. When communicating with parents suspected of child abuse, what should the nurse be sure to do? a. Tell them the law requires reporting of the incident b. Be sympathetic to their needs c. Interact with them in a nonjudgmental manner d. Suggest psychiatric counseling

C Page 949

27. What is one way to enhance the nutrition of the hospitalized toddler? a. Reward with sweets for eating meals b. Discourage participation in noneating activities c. Offer nutritious fluids frequently d. Leave nutritious finger foods out for the child to eat

C Page 964

29. What is the preferred IM injection site for a 2-year-old? a. Deltoid muscle b. Upper thigh c. Vastus lateralis d. Gluteus

C Page 966

1. What was one of the major strides in pediatric care made by Dr. Abraham Jacobi? a. Pediatric wards in hospitals b. Free inoculations against smallpox c. Milk stations in the city of New York d. Serving nutritious foods in orphanages

C Page 932

4. What is the special category that encompasses children who have congenital abnormalities, malignancies, gastrointestinal (GI) diseases, or central nervous system (CNS) anomalies? a. Very dependent children b. Children requiring special education c. Children with special needs d. Children requiring long-term care

C Page 934

13. What is the correct way to assess for the presence of jaundice in an African American child? a. Examine the sclera b. Press the edge of the pinna c. Apply pressure to the gum d. Compare the color on the soles of the feet

C Page 941

23. What should be done before initiating a gavage feeding? a. Hold the feeding tube under water to check for bubbling b. Check for gastric distention c. Aspirate stomach contents d. Ensure the sterility of feeding equipment

C Page 959

18. When the newly admitted 2-year-old who was potty-trained before admission begins to wet the bed, the mother is frightened. What statement by the nurse will be most helpful to the mother? a. "Don't be concerned. Accidents happen." b. "Let's put a diaper on your child until this gets better." c. "The stress of hospitalization makes children regress a little." d. "Your child will relearn 'potty-training' if you are patient."

C Pages 952-953

10. What is the correct order for assessing vital signs in an infant to ensure the accuracy of measurements? a. Respiration, temperature, pulse b. Pulse, respiration, temperature c. Temperature, pulse, respiration d. Respiration, pulse, temperature

D Page 939

33. A disfiguring facial wound would have the most significant developmental impact on which child? a. 4-year-old b. 6-year-old c. 10-year-old d. 14-year-old

D Page 955

7. When using anticipatory guidance to prepare a 5-year-old for an IM injection, what statement by the nurse would be most appropriate? a. "Ethan, I'm going to give you a shot." b. "Ethan, the doctor wants you to have some medicine, and it will hurt." c. "Ethan, some medicine can only be given with a needle." d. "Ethan, I am going to give you some medicine that will sting, but only for a little while."

D Page 937

8. When measuring the head circumference of an infant, where should the nurse place the tape measure? a. Across the eyebrows and around the occipital lobe b. Over the zygomatic arches and around the parietal areas c. Around forehead and around the crown of the head d. Above the eyebrows and pinnas, and around the occipital lobe

D Page 937

17. The parents ask about preparation of their toddler for hospital admission. When does the nurse suggest that the parents tell their toddler of the admission? a. A week prior b. 2 weeks prior c. The day of admission d. Only two or three days before

D Page 951

14. When discussing growth and development with the parents of a child, the nurse explains that nutrition is the single most important influence on: a. cognitive development. b. secondary sexual characteristics. c. the production of blood cells. d. the growth of bones and muscle.

D Page 945

20. What is the best time to bathe an infant? a. At bedtime b. Early in the morning c. After a feeding d. Before a feeding

D Page 957

11. Why does obtaining the respirations of an infant require a modified approach from that of an adult? a. Infants breathe through their noses b. Infants have very rapid respirations c. Infants' respirations are thoracic in nature d. Infants' respiratory movements are abdominal

D Page 940

36. What observation in an emergency department should lead a nurse to suspect child abuse in a child with a fractured arm? a. Lack of parental concern for the severity of the injury b. The child not answering questions concerning the injury c. Parents not asking about the child's condition d. Inconsistency between the injury and the parents' explanation of it

D Page 948

41. The pediatric nurse, along with the primary caregiver(s), has a special duty to ________ the child and the family.

teach Page 935