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A child is scheduled for a kidney transplant. The nurse has completed the preoperative
teaching to prepare the child and parents for the surgery and postoperative
considerations. Which statement indicates that the parents understand the process
involved with a kidney transplant?
1. "We're happy our child won't have to take any more medicine after the transplant."
2. "We understand our child won't be at risk anymore for catching colds from other
children at school."
3. "We'll be glad we won't have to bring our child in to see the doctor again."
4. "We know it's important to see that our child takes prescribed medications after the
transplant."
The nurse explains to the parents of a child with a severe burn that wearing an elastic
pressure garment (Jobst stocking) during the rehabilitative stage can help prevent which
complication?
1. Pain
2. Hypertrophic scarring
3. Poor circulation
4. Formation of thrombus in the burn area
The nurse is providing postmortem care to a child. Along with following the facility's
guidelines, what else should the nurse consider?
1. Identifying the family's wishes for postmortem care before performing care
2. Avoiding delay in moving the body to the morgue
3. Removing all articles from patient's body
4. Leaving all equipment in the room during postmortem care
A child had an appendectomy and was discharged home at 48 hours postoperative. A
week later the child is readmitted for delayed wound healing. Which causes of delayed
wound healing will the nurse review prior to assessing the child?
Standard Text: Select all that apply.
1. Infection
2. Predisposing chronic condition, such as diabetes
3. Hypervolemia
4. Inadequate nutrition
5. Hypoxemia
6. Corticosteroid therapy
An adolescent with cystic fibrosis is intubated with an endotracheal tube. Which is the
most appropriate nursing diagnosis for the adolescent?
1. Impaired social interaction related to hospitalization and separation from peers
2. Delayed growth and development related to prolonged hospitalization and
life-threatening condition
3. Powerlessness (moderate) related to inability to speak to or communicate
4. Potential for imbalanced nutrition, more than body requirements related to inactivity
The community health nurse is assessing several families for various strengths and
needs in regard to afterschool and backup child care arrangements. The family type that
typically will benefit most from this assessment and subsequent interventions is the:
1. Traditional nuclear family.
2. Extended family.
3. Binuclear family.
4. Single-parent family.
A parent asks a nurse, "How do you know when my child needs these screening tests
the doctor just mentioned?" How should the nurse respond to the parent?
1. "Screening tests are done at each office visit."
2. "Screening tests are done in the newborn nursery, and from these results, additional
screening tests are ordered throughout the first two years of life."
3. "Screening tests are administered at the ages when a child is most likely to develop a
condition."
4. "Screening tests are most often done when the doctor suspects something is wrong
with the child."
The school nurse performs screenings on all students in the high school. In addition, the
nurse will perform selected screenings on individual teenagers. When planning the
screenings for the year, the nurse will include which screening for all teenagers?
1. Respiratory rate
2. Hepatitis B profile
3. Chest X-ray
4. Scoliosis
The home health nurse is concerned that the teenage mother tends to watch television
while feeding the baby rather than talking and playing with her baby. Which statement
by the nurse will most likely encourage the mother to talk and play with the baby more?
1. "Babies who are talked to more have higher IQs later on."
2. "You should talk to your baby more."
3. "Watch how I talk to the baby and see if you can follow my lead."
4. "Have you noticed how your baby looks at you when you speak? You can see how he
knows your voice."
A 7-year-old child has been admitted for acute appendicitis. The parents are questioning
the nurse about expectations during the child's recovery. Which information tool would
be most useful in answering a parent's questions about timing of key events?
1. Healthy People 2020
2. National clinical practice guidelines
3. Child mortality statistics
4. Critical clinical pathways
A baby is born with bladder exstrophy. Immediate care for this infant will include
which intervention?
1. Measuring intake and output
2. Inserting a Foley catheter
3. Covering the defect with sterile plastic wrap
4. Palpating the bladder mass to ensure urine is expelled
A four-year-old has acute glomerulonephritis (AGN) and is admitted to the hospital.
The priority nursing diagnosis for this child would be:
1. Risk for injury related to hypertension.
2. Altered growth and development related to a chronic disease.
3. Risk for infection related to hypertension.
4. Fluid volume excess related to decreased plasma filtration.
Which aspect of an Emergency Medical Services (EMS) system is most indicative that
EMS providers are prepared to provide emergency care to children?
1. Lists of hospitals in the area that treat children
2. Staff education related to assessment and treatment of children of all ages
3. Placement of small stretchers in emergency vehicles
4. Size-appropriate equipment and supplies
The school nurse wants to protect the students from Reye disease. To this end, the nurse
creates a pamphlet that advises the parents to avoid giving which medication to a sick
child?
1. Antibiotics
2. Acetaminophen
3. Ibuprofen
4. Aspirin
Parents understand the teaching a nurse has done with regard to care of their child with
tinea capitis (ringworm of the scalp) if they state:
1. "We will give the griseofulvin with milk or peanut butter."
2. "We're glad ringworm isn't transmitted from person to person."
3. "Once the lesion is gone, we can stop the griseofulvin."
4. "Well, at least we don"t have to worry about the family cat getting the ringworm."
A nurse is caring for a visually impaired 10-year-old child. The nursing intervention
with the highest priority for this child during the admission process would be:
1. Explaining playroom policies.
2. Orienting the child to where furniture is placed in the room.
3. Taking the child on a tour of the unit.
4. Letting the child touch equipment that will be used during the hospitalization.
A nurse working with Japanese American adolescents should be aware of nonverbal
communication patterns in their culture. While working with these clients, the nurse
should:
1. Touch them often during the communication to reassure them.
2. Stand very close to them while talking with them.
3. Shake their hands upon greeting them.
4. Look directly at them while talking with them.
The nurse is teaching strategies to prevent insect bites and stings to the parents of a
small child. Which statement made by the parents indicates a need for further teaching?
1. "If my child wears bright colors and floral prints when outdoors, she will blend in
with the surroundings, and the stinging insects will not sting her."
2. "We should remove any items with standing water from our yard and surrounding
area to prevent mosquito reproduction."
3. "My child can use insect repellent containing DEET of 10% or less."
4. "My child should avoid heavy colognes, perfumes, and soaps so that insects are not
attracted to them."
The nurse is working with a 20-year-old who is medically fragile. It is the policy of the
clinic to only see patients from birth to 21 years of age. The nurse is responsible for
assisting the individual and family to transition to adult health care. The nurse
recognizes that the individual may face difficulties related to:
Standard Text: Select all that apply.
1. No longer qualifying for the state's child health insurance program and becoming
uninsured.
2. Wanting to start fresh with the new healthcare provider and refusing to allow transfer
of their records to the new agency.
3. Adult clinics being unwilling to accept this chronically ill individual into their
practice.
4. The parents choosing an adult clinic that is not the one the individual would like to
attend.
5. Being unwilling to transition to the adult clinic due to the relationships they have
with the pediatric clinic.
