A child weighing 18.2 kg with a history of diabetes insipidus has been admitted to the
hospital. Which of the physician’s orders would the nurse question?
1. Stat electrolytes
2. Urine specific gravity with each void
3. DDAVP (desmopressin) PO
4. Restrict oral fluids to 500 mL every 24 hours.
Following an automobile accident in which the child received a traumatic head injury,
the child has been hospitalized for two weeks. The parents have just been informed that
their four-month-old child will have long-term consequences due to the injury,
including intellectual disability and cerebral palsy. The parents express anger at the
diagnosis and project that anger on the nursing staff. The response by the nursing staff
should include:
Standard Text: Select all that apply.
1. Referring the family to the hospital administrator.
2. Recognizing that the parents’ anger is a normal response to the news.
3. Continuing to provide physical and emotional care to the child and family.
4. Offering hospital resources to the parents in addition to continued nursing support.
5. Explaining to the family that you are sorry about their child’s injury but suggest they
transfer the child to another hospital for their own comfort.
The nurse is evaluating the parent’s understanding of teaching related to environmental
control for their child’s asthma management. Which statement by the parents indicates
that they understand the teaching?
1. “We’re glad the dog can continue to sleep in our child’s room.”
2. “We’ll keep the plants in our child’s room dusted.”
3. “We’ll be sure to use the fireplace often to keep the house warm in the winter.”
4. “We will replace the carpet in our child’s bedroom with tile.”
The nurse is discussing the immune protection of the newborn with a pregnant woman.
The nurse tells the mother that her body will provide her baby with what type of
antibodies?
1. IgM
2. IgA
3. IgD
4. IgG
The weather report predicts a hurricane may be approaching the area where a child who
is medically fragile lives. As a component of the family’s disaster planning, the nurse
will discuss which actions with the family?
Standard Text: Select all that apply.
1. Providing the child’s pediatrician with contact information of a health care provider
in the area to which they will evacuate if that becomes necessary
2. Having sufficient medication available for at least one week
3. Having contact information for Emergency Medical Services so that they can
transport the medically fragile child to the selected evacuation location
4. Admitting the child to the local hospital prior to the family evacuating the area
5. Riding out the hurricane at home; the child is too fragile to transport
A 14-year-old girl is being admitted to the eating disorders unit of the hospital. The girl
has a two-year history of anorexia nervosa and recently has sustained additional weight
loss and electrolyte imbalances. During hospitalization, the priority concern for the
health care team will be:
1. Individual counseling.
2. Family therapy.
3. Regulation of antidepressant drugs.
4. Nutritional support.
The nurse at an outpatient clinic is sitting with the parents while their adolescent goes
for a test. The parents are complaining about their child’s behavior. Which response by
the nurse would promote family-centered communication?
1. “I agree with you; discipline is an important part of parenting.”
2. “Tell me how you feel when your adolescent is aggressive with you.”
3. “You are so right. Adolescents function in the me-first mode all the time.”
4. “I know just how you feel. I had the same experience with my children.”
The teacher is speaking to the school nurse about one of the girls in the fifth grade. The
girl has always been a good student but lately seems to be daydreaming a lot. The
teacher says, “Sometimes when I ask her a question, she will just stare at me for 15
seconds, then blink and ask me to repeat the question. What do you think is going on
with her?” Based on this data, the nurse will suspect:
1. The girl has a crush on a boy in the class.
2. The girl has increased intracranial pressure.
3. The child may have had a head injury.
4. The girl is experiencing absence seizures.
An obese adolescent who adamantly denies sexual activity has a positive pregnancy
test. Which statements would be most appropriate for the nurse to make to this
adolescent?
1. “When was your last menstrual period (LMP)?”
2. “Tell me how you feel about your body image.”
3. “Let’s discuss some activities that you have done within the past few months that
could possibly lead to pregnancy.”
4. “Why are you denying sexual intercourse?”
The nurse is beginning to obtain information about the present illness and medical
history from the child’s family. The “zone” of space that the nurse should plan to use
include the:
1. Public zone.
2. Personal zone.
3. Intimate zone.
4. Social zone.
An adolescent who recently moved to a new school in a different town presents to an
ambulatory care center and describes the following: “I have no friends in my new
school, and I no longer want to go to college. I know I will be lonely there, too.” Which
takes priority when speaking with the adolescent?
1. Stressing the importance of remaining in a close parent-child relationship during
these stressful times
2. Promoting healthy mental health outcomes
3. Acknowledging the fact that it takes several months to make new friends at a new
school due to adolescent exclusion behaviors
4. Helping the adolescent realize the value of postsecondary education
Following an injury that led to hypovolemic shock, a child is being treated in the
emergency department. Which treatment measures would be given the highest priority
for this child with hypovolemic shock?
1. Assess the cause of bleeding.
2. Establish an open airway and administer oxygen.
3. Administer analgesics for control of pain.
4. Provide replacement of volume.
During a hurricane emergency, a child with hemophilia is injured and bleeding
internally. The child is transported to the hospital. Due to the emergency, the
appropriate factor is not available. What blood product would be the next best option to
promote clotting?
1. Platelets
2. Whole blood
3. Packed cells
4. Fresh or fresh frozen plasma
A mother refuses to have her child immunized with the measles, mumps, and rubella
(MMR) vaccine because she believes that letting her infant get these diseases will help
him fight off other diseases later in life. The nurse’s most appropriate response to this
mother is to:
1. Tell the mother that by not immunizing her child she may be exposing pregnant
women to the virus, which could cause fetal harm.
2. Honor her request because she is the parent.
3. Tell the mother that she is wrong and should have her child immunized.
4. Explain the potential complications of measles, mumps, and rubella infections.
The parents of a two-and-a-half-year-old are concerned about their child’s finicky eating
habits. While counseling the parents, which statements by the nurse would be accurate?
Standard Text: Select all that apply.
1. “Nutritious foods should be made available at all times of the day so that the child is
able to ‘graze’ whenever he is hungry.”
2. “The child is experiencing physiologic anorexia, which is normal for this age group.”
3. “A general guideline for food quantity at a meal is one-quarter cup of each food per
year of age.”
4. “It is more appropriate to assess a toddler’s nutritional demands over a one-week
period rather than a 24-hour one.”
5. “The toddler should drink sixteen to twenty-four ounces of milk daily.”
A seven-year-old client tells you, “Grandpa, Mommy, Daddy, and my brother live at my
house.” The nurse identifies this family type as a(n):
1. Extended family.
2. Traditional nuclear family.
3. Binuclear family.
4. Heterosexual cohabitating family.