The physician has ordered the child to receive a unit of packed red blood cells. In
preparing to administer the blood, the nurse will initiate an intravenous line and hang
what fluid?
1. D5W
2. D5LR
3. D5 1/4NS
4. NS
A child with meningococcemia is being admitted to the pediatric intensive care unit.
This child should be placed in which type of room?
1. Private room, in respiratory isolation
2. Private room, in protective isolation
3. Private room, but not in isolation
4. Semiprivate room
A child with acute renal failure is being treated with peritoneal dialysis. Following
medical orders, the dialysate has been infused into the child’s abdomen. When the
dialysate is drained, the nurse notes the following findings. Which finding requires
notification of the physician?
1. The dialysate is clear on return.
2. The volume of drained dialysate is less than the volume infused.
3. The child is restless, wanting to get up and play.
4. The child’s vital signs are basically the same as were noted on infusion.
The nurse is teaching the parents of a group of cardiac patients. The nurse includes in
the information that any child who has undergone cardiac surgery:
1. Should not receive routine immunizations.
2. Should be restricted from most play activities.
3. Can be expected to have a fever for several weeks following the surgery.
4. Should receive prophylactic antibiotics for any dental, oral, or upper respiratory tract
procedures.
The nurse is assessing a child with Down syndrome. The child is at greater risk of
developing which illness than children who do not have Down syndrome?
1. Rheumatic heart disease
2. Glomerulonephritis
3. Leukemia
4. Hepatitis
A registered nurse has been asked to join the ethics committee of the hospital. In
considering this appointment, the nurse would recognize that the committee might be
considering ethical situations including:
Standard Text: Select all that apply.
1. Issuance of a “Do Not Resuscitate” (allow natural death) order on a child who has
been determined brain dead against the wishes of the parents.
2. Determining if a minor child who disagrees with the parents about the treatment plan
can make an informed decision.
3. Determining if a non-salvageable newborn can be used as an organ donor.
4. Investigating a medication error.
5. Consulting and intervening when parents are not in agreement on decisions of health
care for their child.
Following an automobile accident, an eight-year-old child is admitted to the emergency
department with injuries that lead to hemorrhaging. The nurse would recognize the
early signs of hypovolemic shock would include:
Standard Text: Select all that apply.
1. Increased work of breathing.
2. Pulse rate of 56.
3. Heart rate 130.
4. Capillary refill time greater than three seconds.
5. Blood pressure 72/42.
The nurse working in the pediatric clinic performs many activities. Which of these
nursing activities can be classified promoting health promotion and maintenance?
Standard Text: Select all that apply.
1. Administering the flu vaccine to infants from 6 to 23 months of age
2. Administering an antibiotic to a child with a diagnosis of acute otitis media
3. Teaching parents how to perform pulmonary drainage and cupping on their child with
a respiratory infection
4. Instructing adolescents how to use dental floss
5. Discussing of daily feeding schedules for infants
With regard to child mortality statistics, which nursing intervention would be most
effective in decreasing mortality from unintentional injury?
1. Teaching children about dangers of contact sports
2. Encouraging parents to obtain genetic counseling
3. Educating parents about the benefits of immunizations
4. Teaching parents about proper use of vehicle restraint seats
The rationale for nurses utilizing nursing intervention classifications (NICs) when
developing a nursing care plan for a child on the unit is to:
1. Improve communication among nurses working with the child.
2. Assist medical records in documenting care provided for insurance purposes.
3. Aid the nursing supervisor in evaluating the nursing staff.
4. Coordinate medical orders with nursing orders.
The nurse administered morphine intravenously to a four-year-old postoperative patient.
Thirty minutes later, the nurse assesses the child. Which assessment finding requires
further evaluation?
1. Pulse decreased from 136 to 104
2. Blood pressure dropped from 110/72 to 90/55
3. Respiratory rate went from 42 to 16
4. Child pulls away from nurse who wants to assess surgical site
The pediatric unit manager is making changes to the unit to reduce the stress of the
hospitalized children. Which changes have been shown to reduce stress for the
children?
1. Having only female nurses on the unit
2. Assigning nurses one-on-one with patients
3. Allowing the nurses to wear colored scrubs in place of white uniforms
4. Having the nurses avoid entering the patient room unless a procedure is to be
performed
The nurse is planning to discharge a child newly diagnosed with HIV infection. Which
discharge instruction should be included for this child and her family?
1. Eat raw fruits.
2. Avoid playing sports.
3. Restrict school attendance.
4. Cover open wounds.
The nurse is conducting a nursing assessment of the parent and child with severe
cerebral palsy during a routine clinic visit. Which of the following is important for the
nurse to include on this assessment?
1. Measuring the urine output
2. Measuring the child’s head circumference
3. Observing the parent-child relationship
4. Observing how the child interacts during play
The camp nurse is assessing a group of children attending summer camp. Which child
will be most likely to have problems perceiving a sense of belonging?
1. The child whose parents divorced recently
2. The child recently placed into foster care
3. The child whose mother remarried and who gained a stepparent recently
4. The child adopted as an infant
A child is admitted to the hospital with the diagnosis of laryngotracheobronchitis (LTB).
The nurse should be prepared to perform which intervention?
1. Administer antibiotics and assist with possible intubation.
2. Obtain a sputum specimen.
3. Swab the throat for a throat culture.
4. Administer nebulized epinephrine and oral or IM dexamethasone.
The oncology nurse is working with patients from many cultural backgrounds. When
assessing pain, the nurse should recall that members of which cultural group are more
likely to remain quiet when experiencing severe pain?
1. Hispanic
2. Asian
3. Italian
4. Jewish
The nurse works in a clinic for medically fragile children who require constant home
care. The nurse has noticed that a high percentage of the families wind up divorcing. In
an attempt to reduce the divorce rate among the parents, the nurse creates an
educational session for parents of medically fragile children that focuses on the need
for:
1. Communication.
2. Financial stability.
3. Meeting the child’s physical needs.
4. The state laws that have relevance to the medically fragile child.
All five of the children in a family were born with a genetic disorder. The disorder is
inherited as autosomal dominant. If this is not a statistical rarity, the likelihood would
be that:
1. One parent has both chromosomes with the affected gene.
2. Both parents are carriers.
3. One parent is a carrier and the other parent is unaffected.
4. One parent has one chromosome affected and the other parent has none.