An infant born with an omphalocele defect is being admitted to the intensive care
nursery. Which of the following should the nurse in charge instruct the nursing
technician to prepare?
1. Radiant warmer
2. Crib
3. Bilirubin light
4. Formula for feeding
A premature infant develops acute respiratory distress syndrome (ARDS). How will the
nurse position the baby?
Standard Text: Select all that apply.
1. Upright
2. Semi-Fowler’s position
3. Prone position
4. With his head hyperextended
5. With his head in a sniffing position
The nurse has been discussing behaviors to promote infant sleep with the mother of a
two-month-old. Which statement by the mother indicates the need for additional
discussion?
1. “I will read to my baby every night when getting him ready for bed.”
2. “I will not bring him into my bed when he is having trouble falling asleep.”
3. “I will have active play at bedtime to tire him out so he will sleep better.”
4. “It is okay for my baby to have a “blankie” as a security object when he is put in his
bed.”
A 10-year-old child has been struggling with his self-esteem. Which activity would best
help this child have a positive resolution of Erikson’s Industry versus Inferiority stage?
1. Playing sports with his older brother and the brother’s friends.
2. Have his mother compliment him when he completes his homework.
3. Encourage the child to participate in boy scouts and earn badges.
4. Suggest to the mother that she allow the child to babysit his younger siblings.
A pediatric nurse has accepted a position in a pediatric office. What nursing functions
would the nurse expect to perform in this setting?
1. Performing minor surgical procedures
2. Providing medical care to chronically ill children
3. Planning hospital admissions
4. Identifying children in need of urgent care or isolation
Parents of a baby who died shortly after birth from a genetic disorder have been
referred to a genetics clinic. The physician has explained to the parents why the referral
was made. Which statement by the parents indicates that they understand the reason for
the referral?
1. “I think going to the genetics clinic will help us get over the loss of our baby.”
2. “I’m afraid the genetics clinic will tell us we cannot have another baby.”
3. “The genetics clinic will prevent this from happening to us again.”
4. “The genetics clinic will give us the information we need to decide whether we want
to try again.”
A nurse is working with a child who is a pediatric trauma victim. The nurse is planning
nursing interventions to facilitate rapport and effective communication with this child
and family. The nurse will utilize which interventions?
Standard Text: Select all that apply.
1. Closing the door to the room when speaking to the family or child
2. Avoiding the use of medical jargon
3. Inviting the family out to a movie to decrease their anxiety
4. Introducing self to the child and family
5. Sitting in a chair facing the family and child
A mother reports that her adolescent daughter is always late. The mother states, “She
was born late and has been late every day of her life.” Which response should the nurse
make to this mother?
1. “Setting specific alarms and then reinforce the value of being ‘on-time’ may be
helpful strategies to assist her to be more of an ‘on-time’ individual.”
2. “Just let it go for now. Teachers and, in the future, employers will be the best people
to help her be ‘on-time’.”
3. “You need to establish specific time frames for your adolescent and be certain she
adheres to them.”
4. “You have a major problem. There must be a lot of screaming in your home.”
The school nurse and teacher are working on a plan to improve the behavior and
learning of a child recently diagnosed with attention deficit/hyperactivity disorder
(ADHD). Which activities will the nurse suggest be included in the plan?
Standard Text: Select all that apply.
1. Asking the mother to seek a prescription for methylphenidate (Ritalin) for the child
2. Placing the child’s desk at the back of the room to reduce distractions
3. Developing a consistent routine for the classroom
4. Limiting the decorations in the classroom
5. Determining areas where the child performs well and using these areas to promote
self-esteem
The hospital recently changed its policy and now allows families members to be present
during resuscitation of their child. The benefits expected from this policy change
include:
Standard Text: Select all that apply.
1. Positive patient outcomes increase due to the patient hearing family voices during the
resuscitation.
2. Parents are reassured that everything possible is being done.
3. Professional behavior by the healthcare team improves.
4. Parental feelings of helplessness decrease.
5. Grieving and closure are facilitated.
The nurse is working with a child with a chronic condition. The nurse observes that
over time, the parents have experienced a pattern of periodic grieving alternating with
denial. The nurse would recognize this pattern as:
1. Pathologic grieving.
2. Compassion fatigue.
3. Chronic sorrow.
4. Dysfunctional parenting.
During discharge teaching to parents of a child hospitalized with sickle-cell crisis, the
nurse should emphasize which of the following as a priority home care intervention?
1. Rapid weaning of pain medications
2. Promotion of a diet high in protein
3. Encouraging adequate hydration
4. Restriction of activities
Access to health care often is less accessible to many groups of children and parents.
Which factors can contribute to reducing access to health care?
Standard Text: Select all that apply.
1. Transportation problems
2. Lack of community healthcare facilities
3. Lack of health insurance among low-income families
4. Overload of clients resulting in inability to be seen in a timely fashion
5. Communication difficulties if the family is unable to speak or read English
The nurse is checking peripheral perfusion to a child’s extremity following a cardiac
catheterization. If there is adequate peripheral circulation, the nurse would find that the
extremity:
1. Has a capillary refill of greater than three seconds.
2. Is warm, with a capillary refill of less than three seconds.
3. Has decreased sensation with a weakened dorsalis pedis pulse.
4. Has a palpable dorsalis pedis pulse but a weak posterior tibial pulse.
At a routine health care visit, a nurse measures a toddler and plots the height and weight
on the growth charts. The nurse documents that the toddler is above the 95th percentile
for weight and is at the 5th percentile for height. How should the nurse interpret these
data?
1. The toddler is proportionate for age.
2. The height and weight are disproportionate, and the toddler needs further evaluation.
3. The toddler needs to eat more at each feeding.
4. The family most likely is short.
The nurse wants to perform developmental screenings on a five-year-old child. Which
screening tools would be appropriate for this purpose?
Standard Text: Select all that apply.
1.
Denver II
2. Bayley Infant Neurodevelopmental Screener
3. McCarthy Scales of Children’s Abilities
4. Denver Articulation Screening Exam
5. Early Language Milestone Scale
A three-year-old child is suspected of having Hirschsprung’s disease. Which assessment
factors would support such a medical diagnosis?
1. Clay-colored stools and dark urine
2. History of early passage of meconium in the newborn period
3. History of chronic, progressive constipation and failure to gain weight
4. Continual bouts of foul-smelling diarrhea
A child is admitted to the hospital with a diagnosis of lead poisoning. The health
department nurse is investigating the child’s home to locate the source of the lead that
the child has ingested. Which possibilities will the nurse investigate?
Standard Text: Select all that apply.
1. The home’s foundation for a possible radon leak
2. The home’s water pipes
3. The dirt surrounding the house
4. The presence of imported toys or antique baby furniture
5. Gas stored in cans