The child was diagnosed with phenylketonuria shortly after birth and has been treated
by the endocrine clinic for the last four years. The mother has missed the last three
appointments. When the child keeps the next appointment, the mother assures the nurse
that the child has followed the dietary restrictions. Which finding would make the nurse
question this statement?
1. The child’s body has a musty odor.
2. This child is a blue-eyed blond.
3. The child appears sleepy and uninterested in the surroundings.
4. The child has a sunburn over his entire body.
The pediatric public health nurse visits a facility for the homeless. The nurse would
evaluate the children staying at the facility for what type of medical/health issues?
Standard Text: Select all that apply.
1. Dental caries
2. Infections secondary to tattoos
3. Lack of immunizations
4. Nutritional deficits
5. Munchausen syndrome by proxy
During a well-child physical, a 16-year-old girl has a normal history and physical
except for an excessive amount of tooth enamel erosion, a greater-than-normal number
of filled cavities, and calluses on the back of her hand. Her body mass index is in the
25th to 50th percentile for her age. Based on these findings, which disorder would the
nurse suspect?
1. Anorexia nervosa
2. Bulimia nervosa
3. Marasmus
4. Kwashiorkor
The nurse is explaining the importance of hand washing after using the toilet to parents
of young children. Which is the most important reason for this practice?
1. Children’s immune systems are not fully developed.
2. Hand washing is the main way to limit the transmission of disease.
3. Not all bathrooms are clean.
4. Children do not like to have dirty hands.
A child with nephritic syndrome is severely edematous. The primary health care
provider has placed the child on bed rest. An important nursing intervention for this
child would be to:
1. Monitor BP every 30 minutes.
2. Reposition the child every two hours.
3. Limit visitors.
4. Encourage fluids.
The nurse is teaching the parents of a patient who is newly diagnosed with cystic
fibrosis how to administer the pancreatic enzymes. The nurse will advise the parents to
administer the enzymes:
1. qid (four times daily).
2. bid (twice daily).
3. With meals and snacks.
4. Every six hours around the clock.
The nurse is working with a mother of three children on parenting skills. The nurse
demonstrates a strategy that uses reward to increase positive behavior. This strategy is
called:
1. Time-out.
2. Experiencing consequences of misbehavior.
3. Reasoning.
4. Behavior modification.
The nurse must perform a procedure on a toddler. The technique most appropriate when
performing the procedure is to:
1. Allow the child to cry or scream.
2. Perform the procedure in the child’s hospital bed.
3. Ask the child if it is okay to start the procedure.
4. Ask the mother to restrain the child during the procedure.
A new pediatric hospital is under development. A suggestion that has been shown to
improve the psychological comfort of children in the Pediatric Intensive Care Unit
would be:
1. Limiting the number of visitors to allow the child to rest.
2. Allowing the parents to visit every two hours for 10 to 15 minutes.
3. Planning all rooms to be two-patient rooms so each child will have another child for
comfort and support.
4. Providing a bed for a parent to stay with the child in the PICU.
The nurse is preparing a seriously ill child for a procedure. Which age group of children
benefits most from being talked to, soothed, and touched during and after the
procedure?
1. Preschoolers
2. School-age children
3. Adolescents
4. Toddlers
Which sets of symptoms are characteristic of a preschool-age child with a urinary tract
infection?
1. Headache, hematuria, and vertigo
2. Foul-smelling urine, elevated blood pressure, and hematuria
3. Urgency, dysuria, and fever
4. Severe flank pain, nausea, and headache
An infant is born at 28 weeks’ gestational age. A nurse should inform the parents that
the infant should be expected to reach developmental milestones about how many
weeks later than would a full-term infant?
1. 8
2. 6
3. 12
4. 16
The nurse is reviewing discharge instructions for a child who has received a cochlear
implant. In addition to encouraging speech therapy for the child, the nurse will instruct
the parents to monitor the child for signs of:
1. Ringing in the ears.
2. Pharyngitis.
3. Hearing loss.
4. Bacterial meningitis.
A child has experienced a sprain of the right ankle. The school nurse should:
1. Leave the ankle open to the air and avoid compressing the area to allow tissue
swelling as necessary.
2. Perform passive range-of-motion to the extremity.
3. Lower the extremity below the level of the heart.
4. Apply ice to the extremity.
The nurse working in a pediatric clinic will have many duties. Included in the nurse’s
responsibilities will be:
Standard Text: Select all that apply.
1. Prescribing over-the-counter medications.
2. Collecting health history information.
3. Performing diagnostic tests, such as the TB skin test.
4. Performing developmental screening tests.
5. Administering immunizations.
The nurse is working with a family who has recently immigrated to this country. The
nurse has recently studied Purnell’s Model for Cultural Competence (2002) and wants
to respond to the family in a culturally acceptable manner. The most appropriate
assessment question(s) would be:
1. “In what places have you lived?” and “What do you miss about your native land?”
2. “When I discuss your child’s problem with you, how close to you should I stand?”
3. “What is the school system like in your native land?”
4. “What does eye contact indicate?” and “When do you want me to make eye contact?”