Download NUR 3755 NUR3755 Nursing Care of Children care plan evaluations 1 Questions and Correct and more Exams Nursing in PDF only on Docsity!
NUR 3755 NUR3755 Nursing Care of Children
care plan evaluations 1 Questions and Correct
Answers (Verified Answers) Plus Rationales
- A nurse evaluates the effectiveness of a care plan for a child with asthma. Which outcome best indicates the plan is effective? A. The child has occasional wheezing during exercise B. The child uses an albuterol inhaler once daily C. The child reports no episodes of wheezing or shortness of breath for two weeks D. The child avoids all outdoor activities
This outcome reflects complete symptom control, which indicates
the plan is effective.
- A child with cystic fibrosis is on pancreatic enzyme replacement therapy. Which finding shows the care plan is successful? A. The child reports frequent fatty stools B. The child avoids high-fat meals C. The child’s weight is steadily increasing D. The child vomits after enzyme administration
Steady weight gain shows the enzymes are working and digestion
is improved.
- What is the most appropriate outcome when evaluating pain management in a 6-year-old post-op tonsillectomy patient? A. Child reports pain level of 6/ B. Child states pain is “better” and is able to drink fluids C. Child refuses all medications D. Child cries and refuses to speak
Decreased pain and return to function (drinking fluids) indicate
effective management.
- A nurse evaluates a care plan for a toddler with diarrhea. Which statement shows effective treatment? A. Child continues to have 5 loose stools per day B. Child refuses to eat or drink C. Child’s stools are formed and fewer in number D. Child has dry mucous membranes
Formed stools and reduction in frequency indicate improvement.
- Which finding best shows improvement in a child with iron-deficiency anemia? A. Pale conjunctivae B. Hemoglobin and hematocrit within normal limits C. Fatigue after mild activity D. Heart murmur noted
Lab normalization is the most objective and reliable measure.
- Which behavior by a school-age child with newly diagnosed diabetes mellitus indicates the care plan is effective?
C. Weight gain of 2 pounds in 2 weeks D. Refusal to eat solids
Weight gain shows that nutrition goals are being met.
10.A care plan for a child with nephrotic syndrome includes monitoring for edema. What indicates plan effectiveness? A. Increased abdominal girth B. Decreased facial and periorbital edema C. Frothy urine continues D. High proteinuria persists
Reduction in edema is a primary goal in treatment.
11.A child with pneumonia receives antibiotics and supportive care. What indicates improvement? A. Crackles on auscultation B. Respiratory rate decreases to age-appropriate level C. Fever spikes daily D. Oxygen saturation remains at 89%
Normal respiratory rate indicates resolution of infection.
12.Which outcome shows effectiveness in a child receiving oxygen therapy for bronchiolitis? A. Retractions persist B. Oxygen saturation remains above 95% C. Respiratory distress worsens D. Child is lethargic
Oxygen saturation is a key measurable indicator of therapy
effectiveness.
13.A nurse evaluates the care plan for a child with ADHD. Which behavior shows the plan is working? A. Frequently interrupts others B. Refuses to take medications C. Completes homework assignments and follows routines D. Has daily behavioral outbursts
Task completion and improved behavior indicate success.
14.What finding indicates improvement in a child with bacterial meningitis? A. Photophobia and stiff neck persist B. Afebrile and alert with improved appetite C. Increased intracranial pressure D. Seizure activity noted
Resolution of fever and improved alertness are signs of recovery.
15.A care plan includes teaching about insulin administration. What outcome best indicates effective teaching? A. Parent watches nurse administer insulin B. Child expresses fear of needles C. Parent demonstrates correct administration technique D. Parent reads the instruction pamphlet
Demonstration confirms understanding and skill acquisition.
C. They stop all activity when symptoms appear D. They only use controller meds during attacks
Education should enable proactive and effective management.
20.After teaching a teenager with sickle cell disease about hydration, what outcome indicates success? A. Drinks 2 cups of fluid per day B. Carries a water bottle and drinks regularly C. Avoids fluids to prevent bathroom trips D. Drinks soda only
Hydration is key in preventing sickling crises.
21.A child with type 1 diabetes begins a new meal plan. What indicates care plan effectiveness? A. Blood glucose remains above 200 mg/dL B. Child frequently skips meals C. Blood glucose consistently within target range D. Child has frequent hypoglycemic episodes
Target glucose levels show the meal plan is effective.
22.A 5-year-old with enuresis begins a behavioral modification program. Which outcome shows progress? A. Wetting the bed every night B. Dry nights increase over a two-week period C. Refuses to follow nighttime routine
D. Uses diapers instead of trying
Incremental improvement is a sign the intervention is working.
23.Which behavior indicates effective discharge teaching in a child with a newly placed cast? A. Parents wrap cast with plastic wrap B. Parents check the cast weekly C. Parents assess for swelling, pain, and cap refill daily D. Parents use a hairdryer on hot to dry the cast
Daily assessment prevents complications like compartment
syndrome.
24.What outcome best indicates a child with a urinary tract infection is improving? A. Continued urinary frequency and dysuria B. Afebrile with clear urine and normal voiding pattern C. Refuses fluids D. Strong-smelling urine persists
Clear urine and normal patterns indicate resolution.
25.What finding shows successful dietary management in a child with celiac disease? A. Abdominal pain and bloating B. Decreased abdominal distension and weight gain C. Diarrhea continues D. Poor appetite
These are positive signs that the gluten-free diet is effective.
C. Refuses to eat D. Withdraws and cries constantly
Play and interaction are signs of positive adjustment.
30.A child with ADHD is prescribed methylphenidate. What finding suggests the medication is effective? A. Sleeps during class B. Increased attention span and fewer disruptions C. Experiences weight gain D. Is drowsy and withdrawn
Improved focus and behavior are goals of therapy.
31.What indicates a child with GERD is responding to treatment? A. Frequent spit-up and irritability B. Decreased vomiting and improved feeding tolerance C. Poor weight gain D. Arching back during feedings
Less vomiting and better tolerance show therapeutic benefit.
32.A child is prescribed albuterol for wheezing. Which statement by the parent confirms correct understanding? A. “We’ll use it daily whether or not symptoms appear.” B. “We’ll use it at bedtime to prevent waking.” C. “We’ll use it when wheezing or shortness of breath begins.” D. “We’ll give it after meals to help absorption.”
Albuterol is a rescue inhaler used during acute symptoms.
33.Which finding shows positive coping in an adolescent with a chronic illness? A. Denial of condition B. Expressing feelings and participating in care decisions C. Refusal of treatment D. Social withdrawal
Adolescents benefit from autonomy and emotional expression.
34.A care plan for a child with a G-tube includes monitoring for aspiration. Which finding indicates success? A. Coughing during feedings B. Vomiting and gagging C. No signs of respiratory distress or vomiting during feedings D. Formula leaking around stoma
Absence of symptoms suggests safe feeding.
35.What outcome shows that infection control teaching for a child with impetigo is effective? A. Shares towels with siblings B. Uses separate towels and washes hands frequently C. Scratches lesions regularly D. Skips prescribed antibiotics
Preventing spread through hygiene is critical.
36.What outcome best reflects success in managing constipation in a school- age child? A. One bowel movement per week B. Continues to withhold stools
40.A care plan includes increasing mobility in a child with cerebral palsy. What outcome shows progress? A. Stiff joints and reduced movement B. Unable to bear weight C. Participates in therapy and uses assistive devices D. Spasticity worsens
Participation and independence indicate improved mobility.
41.What indicates teaching about anaphylaxis has been effective for the parents of a child with a peanut allergy? A. They wait to see if symptoms worsen before acting B. They stop carrying the EpiPen C. They demonstrate EpiPen use and avoid allergens D. They only rely on antihistamines
Immediate epinephrine and avoidance are critical.
42.What indicates a child with a cast understands activity restrictions? A. Jumps on bed B. Runs with cast C. Uses crutches as directed and avoids rough play D. Inserts objects inside cast
Following safety measures prevents reinjury.
43.What outcome best evaluates antibiotic effectiveness in a child with otitis media? A. Complains of ear pain B. Afebrile, improved appetite, and sleeping better
C. Tugging at the ear D. Persistent irritability
Symptom resolution suggests infection has cleared.
44.A school-age child with leukemia is receiving chemotherapy. What indicates psychosocial support is effective? A. Isolates from peers B. Expresses feelings and participates in support groups C. Refuses visitors D. Shows signs of depression
Social interaction supports emotional well-being.
45.Which finding shows successful teaching in a child newly diagnosed with asthma? A. Doesn’t recognize early symptoms B. Avoids all physical activity C. Uses peak flow meter and identifies triggers D. Only uses rescue inhaler
Self-monitoring is essential in managing asthma.
46.A child with sickle cell crisis receives IV fluids and pain meds. Which outcome is expected? A. Crying and guarding limbs B. Pain score decreases, and mobility improves C. Worsening joint pain D. Hematuria appears
Pain control and mobility are primary goals.
B. Displays fewer behavioral outbursts and follows routine C. Refuses to participate in activities D. Becomes more withdrawn
Predictability and reduced stress improve function and behavior.
