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While assessing an eight-month-old infant, the best strategy for the nurse to use to
promote communication with the infant would be to:
1. Use touch, patting, and cuddling the infant.
2. Speak to the infant in low-pitched, soft tones.
3. Place the infant out of the parents' view to decrease distraction.
4. Lean over the infant's face and talk with forceful tones.
A seven-year-old child is admitted in sickle-cell crisis. The nurse is concerned with
reducing the child's pain. Recognizing that any activity that reduces the sickling will
reduce the pain, nursing activities will include:
Standard Text: Select all that apply.
1. Administration of narcotics.
2. Administration of NSAIDs.
3. Cold application.
4. Encouraging oral fluids.
5. Maintaining bed rest.
While assessing a seven-year-old girl, the nurse notices a regularirregular heartbeat. The
nurse listens carefully and notes that the heart rate increases on inspiration and
decreases on expiration. What is the most appropriate action for the nurse to take next?
1. Record the finding as normal.
2. Notify the physician.
3. Schedule an EKG.
4. Ask the mother if a murmur has been detected before.
In which settings is the nurse most likely to work with parents experiencing shock and
disbelief related to the sudden onset of a life-threatening illness for their child?
Standard Text: Select all that apply.
1. Emergency departments
2. Pediatric Intensive Care Unit
3. Operating room
4. Neonatal Intensive Care Unit
5. Pediatric cancer clinics
Advances in genetic screening provide information with high levels of certainty about
genetic disorders a fetus might have. Which is an ethical implication of these advances?
1. The nurse must participate in actions that are completely contradictory to his personal
ethics.
2. The nurse must be aware of his own personal feelings about the actions taken after
the screening tests are completed.
3. The nurse must be aware of parent feelings regarding the information available to
them.
4. The parents must be aware of the nurse's feelings regarding the information available
about the fetus.
The nurse is teaching a class on infectious disease; the nurse understands that zoonosis
is only transmitted by:
1. Person to person.
2. Animals to person.
3. Adult to child.
4. Person to insects.
A 12-year-old pediatric client is in need of surgery. The health care member who is
legally responsible for obtaining informed consent for an invasive procedure is the:
1. Nurse.
2. Social worker.
3. Unit secretary.
4. Physician.
The nurse is doing an assessment on a four-month-old infant. Which assessment finding
would the nurse consider abnormal?
1. The posterior fontanel is open.
2. The infant has good head control when held upright.
3. The infant is able to roll only from abdomen to back.
4. The anterior fontanel is open and soft.
The nurse is caring for an infant diagnosed with "failure to thrive." The nurse observes
the physician taking blood pressures in all four extremities and recognizes that the
physician suspects which congenital cardiac defect?
1. Tetralogy of Fallot
2. Ventricular septal defect
3. Pulmonary atresia
4. Coarctation of the aorta
Two three-year-olds are playing in a hospital playroom together. One is working on a
puzzle, while the other is stacking blocks. The mother of one of the children scolds
them for not sharing their toys. The nurse counsels this mother that this is normal
developmental behavior for this age, and the term for it is:
1. Cooperative play.
2. Solitary play.
3. Parallel play.
4. Associative play.
The nurse will want to screen all adolescents for problems associated with the primary
developmental task of adolescents. In that area, the nurse will ask questions about:
1. The adolescent's adaptation to high school.
2. Establishing positive peer relationships.
3. Finding a life career.
4. Developing a healthy lifestyle.
A three-year-old child has been found to have a mild to moderate hearing loss. The
mother tells the nurse: "The doctor told me I should put my child in day care but didn't
tell me why. Do you know why the doctor recommends day care?" The nurse's response
will be based on the knowledge that day care will:
1. Help the child recognize his hearing deficit.
2. Increase the child's socialization skills.
3. Improve the child's immunity by increased exposure to organisms.
4. Teach other children that children are different.
The nurse is preparing to see an adolescent patient to assess his relationships with
others. What should the nurse do when conducting this assessment?
1. Let the parents know the nurse will share the information with them after the exam.
2. Provide separate time to communicate with both the adolescent and the parents.
3. Avoid asking the parents their opinions of the adolescent's friends.
4. Tell the parents they are not allowed to come into the examination room.
While teaching parents of a newborn about normal growth and development, the nurse
informs them that their child's weight should:
1. Triple by nine months of age.
2. Double by five months of age.
3. Triple by six months of age.
4. Double by one year of age.
The number of serious injuries of children in a community has doubled in the past year.
Based on this information, the most appropriate nursing diagnosis for the community
would be:
1. Altered Family Processes related to hospitalization of an injured child.
2. Noncompliance related to inappropriate use of child safety seats.
3. Injury, risk for related to inadequate use of bicycle helmets.
4. Knowledge, Deficit injury prevention in children.
Which of the following would take priority when teaching the family how to care for an
infant with osteogenesis imperfecta?
1. Teaching the family how to care for an infant in a cast
2. Teaching the family that the trunk and extremities should always be supported when
moving this infant
3. Teaching the family how to care for an infant postop spinal surgery
4. Teaching the family how to care for an infant in traction
A nurse has begun an infusion of intravenous immunogloblin (IVIG) to a child who has
combined immunodeficiency disease. In which situation should this infusion be
stopped?
1. The child complains of discomfort at the IV site.
2. The child develops severe shaking, chills, and fever.
3. The child complains of thirst.
4. The child experiences a mild headache.
A diagnosis of rheumatic fever is being ruled out for a child. The parents cannot
remember the child having a recent streptococcal infection. Which lab test would
confirm a recent streptococcal infection?
1. Erythrocyte sedimentation rate
2. Throat culture
3. C-reactive protein
4. Antistreptolysin-O (ASO) titer
The teacher reports to the nurse that despite adequate intelligence, a child is not
performing well in school. The nurse's initial assessments would include:
1. Talking with the child to determine if there are family stressors, such as divorce, that
are interfering with the child's performance.
2. Conducting a vision and hearing screening.
3. Determining if there is conflict between the child and the teacher.
4. Observing the child in the classroom to see interactions between the child and others.
The nurse is caring for a young child in the clinic. The mother tells the nurse the child
sleepwalks every night. Which statement by the nurse is appropriate?
1. "Are you concerned the child is not getting enough sleep?"
2. "What time does your child go to bed at night?"
3. "What do you know about children who sleepwalk?"
4. "Is the child experiencing any stress at home?"
