Download Test Bank For Pediatric Nursing- A Case-Based Approach 1st Edition Tagher Knapp Test Bank and more Exams Nursing in PDF only on Docsity!
Test Bank For Pediatric
Nursing A Case Based
Approach 1st Edition
- Which of the following is the most appropriate method for assessing the heart rate of an infant? a) Palpating the carotid artery b) Palpating the radial pulse c) Counting the apical pulse for one full minute d) Auscultating the heart with a stethoscope for 30 seconds Answer: c) Counting the apical pulse for one full minute
- A 6-month-old infant is brought to the clinic for a well-child visit. Which of the following developmental milestones should the nurse expect the infant to have achieved? a) Sits without support b) Rolls from back to front c) Crawls on hands and knees d) Walks independently Answer: b) Rolls from back to front
- A nurse is teaching the parents of a 3-year-old child about safety measures. Which of the following statements by the parent indicates the need for further teaching? a) "I will install safety gates at the top and bottom of stairs." b) "I will keep small objects, such as buttons and coins, out of reach." c) "I will ensure that the child wears a helmet while riding a bike." d) "I will leave cleaning products on the kitchen counter, but out of reach." Answer: d) "I will leave cleaning products on the kitchen counter, but out of reach."
- A 10-year-old child is diagnosed with asthma. The nurse is teaching the child and family about using a peak flow meter. Which of the following instructions should the nurse include? a) "You should use the peak flow meter every time you feel short of breath." b) "The peak flow meter measures how well you are breathing by testing your airflow." c) "You should avoid using the peak flow meter if you are feeling well." d) "The peak flow meter should only be used when you experience an asthma attack." Answer: b) "The peak flow meter measures how well you are breathing by testing your airflow."
a) "I will place my child in a rear-facing car seat in the back seat." b) "I will use a forward-facing car seat with a harness for my child." c) "I will use a booster seat for my child once they are 30 pounds." d) "I will keep my child in a rear-facing car seat until they reach the age of 2." Answer: c) "I will use a booster seat for my child once they are 30 pounds."
- Which of the following is the primary purpose of the vaccine for Haemophilus influenzae type b (Hib)? a) Prevents respiratory infections caused by influenza. b) Prevents bacterial meningitis, pneumonia, and epiglottitis. c) Prevents gastrointestinal infections. d) Prevents skin infections in infants. Answer: b) Prevents bacterial meningitis, pneumonia, and epiglottitis.
- A nurse is caring for a 3-month-old infant with gastroesophageal reflux disease (GERD). Which of the following interventions is most appropriate for this infant? a) Hold the infant in an upright position for 30 minutes after feeding. b) Introduce solid foods to reduce reflux. c) Offer the infant large feedings throughout the day. d) Place the infant on their stomach after feeding to help digestion. Answer: a) Hold the infant in an upright position for 30 minutes after feeding.11. A nurse is assessing a 2-year-old child for signs of dehydration. Which of the following is the most reliable indicator of dehydration in this child? a) Dry mucous membranes b) Decreased urinary output c) Sunken fontanel d) Increased crying Answer: b) Decreased urinary output
- A nurse is caring for a child with a fever and a positive throat culture for Streptococcus pyogenes. Which of the following medications should the nurse administer to treat this infection? a) Amoxicillin b) Ibuprofen c) Acetaminophen d) Diphenhydramine Answer: a) Amoxicillin
- Which of the following is the best method for preventing the spread of rotavirus in a pediatric unit? a) Encourage the use of hand sanitizer. b) Ensure that all staff members wear masks at all times. c) Isolate the child in a private room and enforce strict hand hygiene. d) Use antibiotics as a preventive measure. Answer: c) Isolate the child in a private room and enforce strict hand hygiene.
- A nurse is caring for a child diagnosed with celiac disease. Which of the following foods should the nurse recommend that the child avoid? a) Rice b) Wheat c) Carrots d) Apples Answer: b) Wheat
- A nurse is preparing a 5-year-old child for surgery. Which of the following strategies should the nurse use to help the child cope with the hospital experience? a) Explain the procedure in simple terms and allow the child to ask questions.
d) Increased wheezing Answer: b) Increased respiratory rate
- A nurse is caring for an infant with respiratory syncytial virus (RSV). Which of the following interventions is most important to reduce the risk of transmission? a) Place the infant on airborne precautions. b) Encourage the family to wear gloves and gowns when handling the infant. c) Administer antibiotics to prevent secondary infections. d) Allow family members to visit without any restrictions. Answer: b) Encourage the family to wear gloves and gowns when handling the infant.
- A nurse is providing discharge teaching to the parents of a child with asthma. Which of the following statements by the parents indicates the need for further teaching? a) "I will make sure my child always carries their inhaler." b) "I will limit my child's exposure to allergens, such as pets and smoke." c) "I will stop using the inhaler once my child feels better." d) "I will have my child use a spacer with the inhaler for more effective medication delivery." Answer: c) "I will stop using the inhaler once my child feels better."
- A nurse is caring for a child with suspected iron-deficiency anemia. Which of the following laboratory results would the nurse expect to find? a) Elevated hemoglobin level b) Decreased hematocrit level c) Increased mean corpuscular volume (MCV) d) Elevated ferritin levels
Answer: b) Decreased hematocrit level
- A nurse is teaching a parent about the administration of a liquid medication to a 3-year-old child. Which of the following instructions should the nurse include? a) "Administer the medication in a bottle with the nipple." b) "Place the medication in a spoon and encourage the child to drink it all at once." c) "Mix the medication with juice to mask the taste." d) "Use a syringe to administer the medication and place it in the side of the mouth." Answer: d) "Use a syringe to administer the medication and place it in the side of the mouth."
- A 7-year-old child presents with sudden-onset abdominal pain, fever, and vomiting. The nurse suspects appendicitis. Which of the following signs is most indicative of appendicitis in a child? a) Pain relieved by bending the knees. b) Pain that worsens with palpation of the left lower quadrant. c) Right lower quadrant tenderness and guarding. d) Sudden cessation of pain followed by vomiting. Answer: c) Right lower quadrant tenderness and guarding.
- A nurse is caring for a child with a chest tube in place. Which of the following findings should be immediately reported to the healthcare provider? a) Tidaling in the water seal chamber b) A small amount of drainage in the collection chamber c) Continuous bubbling in the water seal chamber d) The child is able to talk and eat while the chest tube is in place Answer: c) Continuous bubbling in the water seal chamber
c) Increased appetite d) Hypertension Answer: b) Drowsiness
- A nurse is caring for a child with chickenpox. Which of the following is the most important measure to prevent the spread of the virus to others? a) Place the child in a private room with a negative pressure airflow. b) Keep the child in a room with a closed door and restrict visitors. c) Ensure that the child wears a mask whenever interacting with others. d) Place the child on droplet precautions. Answer: b) Keep the child in a room with a closed door and restrict visitors.
- A nurse is assessing a 3-year-old child’s immunization status during a well-child visit. Which of the following vaccines should the nurse verify has been administered? a) Hepatitis A b) Mumps, measles, rubella (MMR) c) Varicella d) All of the above Answer: d) All of the above
- A nurse is caring for a 4-month-old infant who is receiving formula feeding. Which of the following is the most appropriate feeding recommendation for this infant? a) Begin introducing solid foods such as rice cereal. b) Continue with breast milk or formula exclusively until 6 months of age. c) Offer fruit juice in addition to formula. d) Start introducing whole milk at this stage. Answer: b) Continue with breast milk or formula exclusively until 6 months of age.
- A nurse is teaching the parents of a 1-year-old about injury prevention. Which of the following suggestions should the nurse include in the teaching? a) "Place your child in a high chair with a tray while eating." b) "Ensure that your child’s toys are small enough to be a choking hazard." c) "Use a rear-facing car seat until your child is at least 2 years old." d) "Let your child play unsupervised outside." Answer: c) "Use a rear-facing car seat until your child is at least 2 years old."
- A nurse is assessing a child for signs of dehydration. Which of the following findings is most indicative of moderate dehydration in a child? a) Dry mouth and lips b) Sunken fontanels in an infant c) Tachycardia d) Reduced urinary output and dark urine Answer: d) Reduced urinary output and dark urine
- A nurse is caring for a child diagnosed with Kawasaki disease. Which of the following interventions is a priority for the nurse? a) Encourage the child to take a warm bath daily. b) Administer aspirin as prescribed. c) Monitor the child for signs of respiratory distress. d) Prepare the child for a chest X-ray. Answer: b) Administer aspirin as prescribed.
- A nurse is assessing a 6-year-old child with a history of frequent respiratory infections. The child has clubbing of the fingers and a chronic cough. Which of the following conditions should the nurse suspect? a) Asthma
Answer: b) "Use positive reinforcement to reward appropriate behavior."
- A 5-year-old child is diagnosed with impetigo. Which of the following actions is most important for the nurse to teach the parents? a) "Keep the child home from school until the lesions are completely healed." b) "Wash the child’s clothes in hot water to prevent the spread of infection." c) "Apply antibiotic ointment to the affected area and cover it with a dressing." d) "Encourage the child to wash their hands frequently and avoid touching the lesions." Answer: d) "Encourage the child to wash their hands frequently and avoid touching the lesions."
- A nurse is caring for a child diagnosed with hypothyroidism. Which of the following clinical manifestations should the nurse expect to observe? a) Weight loss and tachycardia b) Increased appetite and hyperactivity c) Cold intolerance and constipation d) Exophthalmos and tremors Answer: c) Cold intolerance and constipation
- A nurse is preparing to administer the DTaP vaccine to a 4-year-old child. The child’s mother asks about the possible side effects of the vaccine. Which of the following should the nurse include in the teaching? a) "The vaccine may cause a rash on the child’s body." b) "Mild fever and redness at the injection site are common." c) "The child may experience diarrhea and vomiting." d) "The vaccine may cause a severe allergic reaction." Answer: b) "Mild fever and redness at the injection site are common."
- A nurse is assessing a 1-year-old child for developmental milestones. Which of the following skills is expected for a child of this age? a) Ability to walk without assistance b) Ability to speak in two-word phrases c) Ability to stack six blocks d) Ability to jump in place Answer: b) Ability to speak in two-word phrases
- A 3-year-old child presents to the clinic with a sore throat, fever, and a strawberry tongue. The nurse suspects scarlet fever. Which of the following should the nurse expect to find on physical assessment? a) Bullous lesions on the skin b) A rash that begins on the chest and spreads outward c) A blue-colored rash on the arms and legs d) Koplik spots in the mouth Answer: b) A rash that begins on the chest and spreads outward
- A nurse is caring for a child with a cleft lip and palate. Which of the following is the most appropriate intervention to prevent aspiration after a feeding? a) Position the child in a sitting position during feeding. b) Encourage the child to lie down after feeding. c) Use a specialized bottle with a soft nipple for feeding. d) Feed the child large amounts of formula at a time. Answer: a) Position the child in a sitting position during feeding.
- A nurse is providing discharge instructions to the parents of a 5-year-old child who has had a tonsillectomy. Which of the following instructions is most important? a) "Offer your child spicy foods to encourage eating."
d) Urinary frequency Answer: b) Fever
- A nurse is providing preoperative teaching to the parents of a child who is scheduled for a laparoscopic appendectomy. Which of the following should the nurse include in the teaching? a) "Your child will be awake during the procedure." b) "The procedure will require a small incision to remove the appendix." c) "Your child will be given general anesthesia for the surgery." d) "Postoperative pain will be minimal, and no medication will be required." Answer: c) "Your child will be given general anesthesia for the surgery."
- A nurse is teaching the parents of a 1-year-old about safety in the home. Which of the following is the most appropriate recommendation? a) "Place your child in a crib with a soft blanket and pillows." b) "Ensure that the child’s car seat is rear-facing until the age of 1." c) "Keep all medications and cleaning products out of reach of the child." d) "Let your child explore small objects to help with fine motor development." Answer: c) "Keep all medications and cleaning products out of reach of the child."
- A nurse is caring for a 6-month-old infant who is receiving solid foods for the first time. Which of the following is the most appropriate food to introduce first? a) Honey b) Rice cereal c) Orange juice d) Whole milk Answer: b) Rice cereal
- A 7-year-old child is being treated for a fracture. The nurse is providing teaching about cast care. Which of the following instructions should the nurse include? a) "Keep the cast dry by covering it with plastic when bathing." b) "Use a hairdryer on the cold setting to dry the cast if it gets wet." c) "Encourage the child to walk immediately after the cast is applied." d) "Scratch inside the cast if it feels itchy." Answer: a) "Keep the cast dry by covering it with plastic when bathing."
- A nurse is assessing a newborn after birth. Which of the following is the most important intervention in the immediate postpartum period for the newborn? a) Administer vitamin K injection. b) Initiate breastfeeding. c) Assess the newborn’s reflexes. d) Clean the newborn thoroughly with soap and water. Answer: b) Initiate breastfeeding.
- A nurse is caring for a 10-year-old child diagnosed with juvenile idiopathic arthritis (JIA). Which of the following interventions is most appropriate to include in the child's care plan? a) Encourage prolonged periods of bed rest. b) Provide a high-calcium diet to promote bone health. c) Limit physical activity to prevent joint stress. d) Avoid pain relief medications to reduce the risk of dependency. Answer: b) Provide a high-calcium diet to promote bone health.
- A nurse is caring for a child with a history of frequent ear infections. The parents ask about preventing future infections. Which of the following should the nurse recommend? a) "Discourage the child from drinking liquids while lying down."
Answer: c) Tremors
- A nurse is assessing a 2-year-old child for signs of lead poisoning. Which of the following findings is the most common indicator of lead poisoning in children? a) Constipation b) High fever c) Bruising and petechiae d) Abdominal pain and vomiting Answer: a) Constipation
- A nurse is providing discharge teaching to the parents of a 4-year-old child who has been diagnosed with chickenpox. Which of the following statements by the parent indicates the need for further teaching? a) "I will make sure my child avoids scratching the rash to prevent infection." b) "I will give my child acetaminophen for fever control." c) "My child can return to school when the rash has crusted over." d) "I will apply a corticosteroid cream to the rash to reduce itching." Answer: d) "I will apply a corticosteroid cream to the rash to reduce itching."
- A nurse is caring for a child with congenital heart disease. Which of the following should the nurse include in the care plan to help prevent hypoxia? a) Position the child in a supine position to reduce pressure on the heart. b) Administer oxygen as prescribed. c) Encourage the child to remain sedentary to reduce energy expenditure. d) Limit fluid intake to prevent fluid overload. Answer: b) Administer oxygen as prescribed.
- A nurse is assessing a 7-year-old child who is receiving chemotherapy for leukemia. Which of the following findings should the nurse report immediately to the healthcare provider? a) Mild nausea b) Low-grade fever c) Neutropenia d) Alopecia Answer: c) Neutropenia
- A nurse is caring for a child who has been diagnosed with rheumatic fever. The nurse should anticipate that the child will be treated with which of the following medications? a) Antihistamines b) Corticosteroids c) Antibiotics d) Beta-blockers Answer: c) Antibiotics
- A nurse is teaching the parents of a child with cystic fibrosis about managing the condition at home. Which of the following instructions should the nurse include? a) "Encourage your child to eat a low-fat diet to prevent digestive issues." b) "Administer pancreatic enzymes with every meal and snack." c) "Provide your child with a diet high in protein and low in sodium." d) "Restrict your child’s physical activity to prevent respiratory distress." Answer: b) "Administer pancreatic enzymes with every meal and snack."
- A nurse is preparing to administer an intramuscular injection to a 6-month-old infant. Which of the following sites is the most appropriate for this injection? a) Dorsogluteal site
