A parent questions how her toddler will interact with other toddlers. The nurse’s best
description of the differences in play between the toddler and the preschooler is:
1. Toddlers play ‘side by side,” while preschoolers play cooperatively.
2. Toddlers play cooperatively, while preschoolers play interactive games.
3. Toddlers play house and imitate adult roles, while preschoolers become the “mom or
dad” while playing house.
4. There are no differences between toddlers and preschoolers because both play
cooperatively.
As medical care has evolved, it has become more common for children with genetic
disorders to live longer. What impact does this have on health care delivery for the
nurse providing care for these children?
1. Health care delivery is becoming more complex, despite these children requiring less
care as they age.
2. Nurses should not spend much time at the bedside, as these children will eventually
die of these disorders.
3. Nurses must be familiar with increasing numbers of genetic disorders and the care
these children require.
4. Health care delivery will become more and more expensive until children with
genetic disorders will have to do without.
When a parent asks to be present during a procedure, the nurse should understand that:
1. The parent wants to support his child before, during, and immediately after the
procedure.
2. The parent wants to ensure that nothing goes wrong with the child.
3. The parent is interested because he is also in the medical field.
4. The parent wants to ensure that the correct medication is being used.
The nurse is working in a pediatric surgical unit. The nurse would expect that
patient-controlled analgesia would be most appropriate for which patient?
1. Twelve-year-old who is postoperative for spinal fusion for scoliosis
2. Ten-year-old who has a fractured femur and concussion from a bike accident
3. Five-year-old who is postoperative for tonsillectomy
4. Developmentally delayed 16-year-old who is postoperative for bone surgery.
While working in a pediatrician’s office, the nurse frequently steps into the waiting
room to speak quickly with the families and children waiting their turn. This allows her
the opportunity to observe the children and their families. Based on her observations,
which child should the nurse move to the examining room next?
1. The child with a flushed face and rash that is visible on all exposed skin
2. The four”month-old infant who has come for immunizations
3. The child holding his ear and crying
4. The adolescent holding his swollen hand and complaining of pain
While caring for an adolescent with cystic fibrosis, the nurse would best demonstrate
friendliness and interest by engaging in which nonverbal behavior?
1. Sitting at eye level and leaning forward while speaking with the client.
2. Crossing the legs and leaning back slightly in the chair while talking with the client.
3. Making eye contact with the client only when necessary.
4. Standing over the client’s bed while talking with him.
The nurse teaches children with genetic disorders ways to maintain health and avoid
complications. The nurse will teach children with which genetic disorder to follow
medical guidelines and maintain penicillin prophylaxis?
1. Sickle-cell disease
2. Hereditary idiopathic scoliosis
3. Klinefelter’s syndrome
4. Recklinghausen’s disease
The nurse has completed postoperative discharge teaching to the parents of a child who
has had a tonsillectomy. Which statement indicates the parents have understood the
teaching?
1. “We will call the physician for any indication of ear pain.”
2. “We will be sure to give our child adequate amounts of citrus juices.”
3. “We will plan on administering acetaminophen (Tylenol) for pain.”
4. “We will keep our child on bed rest for ten days after the surgery.”
The nurse is explaining to the mother that her child with cancer will receive
chemotherapy daily for one month and then no treatments for six weeks. Following the
period of rest, chemotherapy will be administered again for another month. The mother
asks why the child can”t receive the medication for two months straight. The nurse
would explain that the rest period:
1. Prevents the child from having side effects from the drugs.
2. Is due to the scheduling requirements of the infusion center.
3. Is necessary because receiving the medication for more than one month can cause
heart failure.
4. Allows normal cells to repair themselves while the cancer cells die.
The school nurse in the high school recognizes that teenage pregnancy is a major
problem in the school. The nurse recognizes that many high school girls hide their
pregnancy to prevent adults from knowing they are pregnant. Therefore, it is important
that the nurse insure that all pregnant teenagers are aware of:
1. Safe haven laws.
2. Birth control available to all teenagers.
3. Domestic abuse protection.
4. The father’s financial responsibility for the infant.
The nurse is expecting the admission of a child with severe isotonic dehydration. Which
intravenous fluid should the nurse anticipate the doctor to order initially to replace
fluids?
1. 0.9% normal saline (NS)
2. D5 0.2% (¼) normal saline
3. D5W
4. Albumin
The 10-year-old child is admitted to the hospital following an accident at school that
resulted in a puncture wound of the abdomen. Two days after the injury, the child
continues in the inflammation phase of healing. What would the nurse expect to see
while changing the child’s dressing and assessing the wound?
1. The wound is contracting, and the edges are growing together.
2. A blood clot has formed, sealing the wound.
3. Epithelial cells are growing into the wound.
4. The wound is pale and weepy.
The nurse is teaching a family how to care for their infant in a Pavlik harness to treat
congenital developmental dysplasia of the hip. Which instruction is appropriate for the
nurse to include in parental education in relation to the Pavlik harness?
1. Apply lotion or powder to minimize skin irritation.
2. Check at least two or three times a day for red areas under the straps.
3. Put clothing over the harness for maximum effectiveness of the device.
4. Place a diaper over the harness, preferably using a thin, superabsorbent, disposable
diaper.
While teaching the parents of a school-age child about coping with divorce, the nurse
instructs the parents to:
1. Explain to the child why their marriage fell apart, being sure to identify each partner’s
role in the divorce.
2. Be sure the child understands the divorce is not the child’s fault.
3. Spend less time with the child so he doesn’t feel the tension between the parents.
4. Allow the child to stay with only one parent until the divorce becomes final.
With regard to infant mortality statistics, which nursing intervention would be most
effective in decreasing post-neonatal mortality?
1. Teaching parents about “baby-proofing” their home
2. Educating parents on acceptable feeding techniques
3. Providing support for first-time mothers
4. Educating parents on the importance of positioning the baby on his back whenever
sleeping
A mother asks the nurse about feeding her infant. The nurse’s best response that
includes the recommendation made by the American Academy of Pediatrics (AAP)
concerning feeding infants is:
1. Introduce solid foods beginning at four months of age.
2. Introduce table foods only after tooth eruption.
3. Breastfeed exclusively for the first year of life.
4. Following birth, begin exclusive breastfeeding with no water, juice, or other foods.