The pediatric nurse works at a camp for children with diabetes. As a component of the
job, the camp nurse works:
1. Directly under the supervision of the camp doctor.
2. With standard protocols to guide nursing interventions.
3. As an emergency medical technician.
4. Only in emergency situations.
During genetic testing, one parent is found to have a chromosomal abnormality without
any physical or mental disability; however, the offspring has inherited physical and/or
mental disability. During patient education, the nurse explains that the type of
individual who can have a chromosomal abnormality without any disability but can
cause his offspring to receive chromosomal alterations and disability is the parent with:
1. Dominant-gene structural chromosomal inversions.
2. Mosaicism.
3. Dominant-gene structural chromosomal balanced translocations.
4. Dominant-gene structural chromosomal deletions.
The nurse is performing post-mortem care for a child of the Hindu faith. In the process
of removing medical equipment, intravenous lines, and urinary catheters, the nurse
discovers a thread wrapped around the child’s neck. The nurse should:
1. Report this finding to social services as a possible act of child abuse.
2. Assume the thread became wrapped around the neck during the unsuccessful
resuscitation effort and remove it.
3. Remove the thread for safe keeping and return it to the family with the child’s other
possessions.
4. Leave the thread in place.
The nurse has completed discharge teaching for the family of a child diagnosed with
Legg-Calv-Perthes disease. The nurse knows further teaching is needed about the
condition if the family states:
1. “We’re glad this will only take about six weeks to correct.”
2. “We understand abduction of the affected leg is important.”
3. “We know to watch for areas on the skin that the brace might rub.”
4. “We understand swimming is a good sport for Legg-Calv-Perthes.”
The nurse working with a family has observed that the older children have a large
number of dental caries, so the nurse plans to provide the mother with information to
prevent the development of dental caries in her new infant. What instructions will the
nurse include in the teaching provided to the mother?
Standard Text: Select all that apply.
1. Wiping the infant’s gums with soft, moist gauze once or twice daily
2. Giving foods high in sugar only at breakfast time
3. Not allowing the infant to sleep with a bottle in the bed
4. Reminding the mother that dental care is not needed until the permanent teeth erupt
5. Using a topical anesthetic daily, beginning as soon as the first tooth begins to erupt
A concerned parent calls the school nurse because of changes in his 15-year-old’s
behavior. Which behaviors would the nurse identify as most likely to be abnormal and
indicate possible substance abuse in an adolescent?
1. Becoming very involved with friends and in activities related to the basketball team
that she is on, never seeming to be home, and, when she is home, preferring to be in her
room with the door shut
2. Becoming moody, crying, and weeping one minute and then cheerful and excited the
next
3. Receiving numerous detentions lately from teachers for sleeping in class
4. Buying baggy, oversized clothing at thrift shops and dyeing her hair black
A child with croup has an increased pCO2, a decreased pH, and a normal HCO3 blood
gas value. The nurse interprets this as uncompensated:
1. Metabolic alkalosis.
2. Metabolic acidosis.
3. Respiratory acidosis.
4. Respiratory alkalosis.
The nurse is working in an adolescent medical clinic. When comparing adolescents in
the clinic who have chronic conditions with their peers, the nurse would expect
chronically ill adolescents to have:
1. More concern for their parents.
2. A decreased concern about their appearance.
3. An altered body image.
4. Higher self-esteem.
The nurse is caring for a child with disseminated intravascular coagulation (DIC).
Which would be a priority nursing intervention for this child?
1. Preparation for radiograph procedures
2. Monitoring of fluid restriction
3. Frequent ambulation
4. Monitoring of oxygen saturation and vital signs
The parents of a one-month-old infant are concerned that their baby seems different
from their other child, and they ask the nurse if this is normal. The nurse informs them
that it is normal for babies to have different temperaments and that according to the
“temperament theory” of Chess and Thomas, one of the characteristics of the
‘slow-to-warm-up” child is that he:
1. Initially reacts to new situations by withdrawing.
2. Commonly has intense reactions to the environment.
3. Displays a predominately negative mood.
4. Shows a regularity in patterns of eating.
An 11-year-old boy with rheumatoid arthritis wants to participate in the school sports
programs. The boy asks the nurse to recommend a sporting activity for him. Which
activity would be the most appropriate for the nurse to recommend?
1. Baseball
2. Basketball
3. Football
4. Swimming
A child is being treated for dehydration with intravenous fluids. The child currently
weighs 13 kg and is estimated to have lost 7% of his normal body weight. The nurse is
double-checking the IV rate the physician has ordered. The formula the physician used
was for maintenance fluids: 1,000 mL for 10 kg of body weight plus 50 cc for every kg
over 10 for 24 hours. Replacement fluid is the percentage of lost bodyweight x 10 per
kg of body weight. According to the calculation for maintenance plus replacement fluid,
what should this child’s hourly IV rate for 24 hours be?
1. 88
2. 86
3. 81
4. 83
A nurse obtains a nutritional health history from a 10-year-old child. Which of these
food selections, if consumed on a regular basis, should lead the nurse to become
concerned about the need for improving oral hygiene?
1. Fluoridated water
2. Sorbet and yogurt
3. Peanuts and peanut butter crackers
4. Gummy bears and licorice
While the nurse is taking the history of a 10-year-old child, the parents admit to owning
firearms. An appropriate safety measure for the nurse to suggest would be which of the
following?
1. Keeping all the guns put away and out of the child’s reach
2. Taking the child to a shooting range for lessons on how to use a gun properly
3. Storing the guns and ammunition in the same place
4. Using a gun lock on all firearms in the house
The nurse caring for a Chinese American child should be aware that acceptable
nonverbal communication patterns to use when giving information to the child’s father
include:
Standard Text: Select all that apply.
1. Handshakes between men only.
2. The father prefers not to be touched by strangers.
3. Avoiding direct eye contact when listening.
4. Distant personal space is preferred.
5. Touch is common with family members and close friends.
A major goal of home health care nurses working with families is:
1. Maximizing the dependency of the child on the family.
2. Curing the chronic illness of the child.
3. Prescribing and administering medication needed by the child.
4. Promoting or restoring the child’s health.
Which activities should the nurse in the newborn unit perform prior to discharge from
the birth hospital?
Standard Text: Select all that apply.
1. Perform a heel stick to obtain blood for the newborn screen.
2. Monitor the mother as she performs the first newborn bath to remove blood and
amniotic fluids.
3. Administer a folic acid injection to the infant to prevent bleeding.
4. Perform a hearing screening.
5. Monitor feeding behaviors.
A parent of a newborn asks the nurse why young children seem to become ill so often
when compared with older children and adults. Which of the following does the nurse’s
best response address?
1. Lower numbers of natural killer cells in younger children
2. High levels of IgA in the newborn
3. Absent lymphoid tissue in the young child
4. Underdeveloped thymus glands in the infant