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Paediatric Nursing
Module 6 • 20 Questions
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Paediatric Nursing
Module 6
Question 1
Nurse Liza is administering a medication via the intraosseous route to a child. Intraosseous drug administration is typically used when a child is:
A
Over age 3
B
Under age 3
C
Critically ill and over age 3
D
Critically ill and under age 3
Question 2
When assessing a child's cultural background, the nurse in charge should keep in mind that:
A
Behavioral patterns are passed from one generation to the next
B
Heritage dictates a group’s shared values
C
Physical characteristics mark the child as part of a particular culture
D
Cultural background usually has little bearing on a family’s health practices
Question 3
While examining a 2-year-old child, the nurse in charge sees that the anterior fontanel is open. The nurse should:
A
Notify the doctor
B
Look for other signs of abuse
C
Ask about a family history of Tay-Sachs disease
D
Recognize this as a normal finding
Question 4
The nurse is aware that the most common assessment finding in a child with ulcerative colitis is:
A
Abdominal distention
B
Profuse diarrhea
C
Anal fissures
D
Intense abdominal cramps
Question 5
When administering an I.M. injection to an infant, the nurse in charge should use which site?
A
Ventrogluteal
B
Deltoid
C
Dorsogluteal
D
Vastus lateralis
Question 6
When developing a plan of care for a male adolescent, the nurse considers the child's psychosocial needs. During adolescence, psychosocial development focuses on:
A
Becoming industrious
B
Developing initiative
C
Achieving intimacy
D
Establishing an identity
Question 7
A female child, age 2, is brought to the emergency department after ingesting an unknown number of aspirin tablets about 30 minutes earlier. On entering the examination room, the child is crying and clinging to the mother. Which data should the nurse obtain first?
A
Recent exposure to communicable diseases
B
Number of immunizations received
C
Heart rate, respiratory rate, and blood pressure
D
Height and weight
Question 8
A female child, age 6, is brought to the health clinic for a routine checkup. To assess the child's vision, the nurse should ask:
A
“Do you have problems with glare?”
B
“How are you doing in school?”
C
“Do you have trouble seeing at night?”
D
“Do you have any problems seeing different colors?”
Question 9
A 1 year and 2-month-old child weighing 26 lb (11.8 kg) is admitted for traction to treat congenital hip dislocation. When preparing the patient's room, the nurse anticipates using which traction system?
A
Buck’s extension traction
B
Overhead suspension traction
C
90-90 traction
D
Bryant’s traction
Question 10
Mandy, age 12, is 7 months pregnant. When teaching parenting skills to an adolescent, the nurse knows that which teaching strategy is least effective?
A
Using audiovisual aids that show discussions of feelings and skills
B
Initiating a teenage parent support group with first – and – second-time mothers
C
Providing a one-on-one demonstration and requesting a return demonstration, using a live infant model
D
Providing age-appropriate reading materials
Question 11
When performing a physical examination on an infant, the nurse in charge notes abnormally low-set ears. This findings is associated with:
A
Congenital heart defects
B
Renal anomalies
C
Tracheoesophageal fistula
D
Otogenous tetanus
Question 12
Nurse Raven should expect a 3-year-old child to be able to perform which action?
A
Ride a tricycle
B
Roller-skates
C
Tie the shoelaces
D
Jump rope
Question 13
The nurse is evaluating a female child with acute poststreptoccocal glomerulonephritis for signs of improvement. Which finding typically is the earliest sign of improvement?
A
Increased energy level
B
Increased appetite
C
Increased urine output
D
Decreased diarrhea
Question 14
Dr. Smith prescribes corticosteroids for a child with nephritic syndrome. What is the primary purpose of administering corticosteroids to this child?
A
To reduce inflammation
B
To decrease proteinuria
C
To prevent infection
D
To increase blood pressure
Question 15
How should the nurse May prepare a suspension before administration?
A
By diluting it with normal saline solution
B
By crushing remaining particles with a mortar and pestle
C
By shaking it so that all the drug particles are dispersed uniformly
D
By diluting it with 5% dextrose solution
Question 16
What should be the initial bolus of crystalloid fluid replacement for a pediatric patient in shock?
A
30 ml/kg
B
10 ml/kg
C
15 ml/kg
D
20 ml/kg
Question 17
Becky, age 5, with intelligence quotient of 65 is admitted to the hospital for evaluation. When planning care, the nurse should keep in mind that this child is:
A
Mildly retarded but educable
B
Within the lower range of normal intelligence
C
Completely dependent on others for care
D
Moderately retarded but trainable
Question 18
Sudden infant death syndrome (SIDS) is one of the most common causes of death in infants. At what age is the diagnosis of SIDS most likely?
A
At 6 months to 1 year of age, peaking at 10 months
B
At I week to 1 year of age, peaking at 2 to 4 months
C
At 6 to 8 weeks of age
D
At 1 to 2 years of age
Question 19
A child is diagnosed with Wilms' tumor. During assessment, the nurse in charge expects to detect:
A
Gross hematuria
B
Nausea and vomiting
C
Dysuria
D
An abdominal mass
Question 20
Which of the following would be inappropriate when administering chemotherapy to a child?
A
Observing the child for 10 minutes to note for signs of anaphylaxis
B
Assessing for signs of infusion infiltration and irritation
C
Monitoring the child for both general and specific adverse effects
D
Administering medication through a free-flowing intravenous line
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