Foundations of Nursing, 8th Edition Care of the Child With a Physical and Mental or Cognitive Disorder COOPER TEST BANK,100% CORRECT
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Care of the Child With a Physical and Menta
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SUNY Ulster
MULTIPLE CHOICE
1. The nurse uses a diagram to show that the tetralogy of Fallot involves a combination of four
congenital defects. What are the defects?
a. Aortic stenosis, atrial septal defect, overriding aorta, left ventricular hypertrophy
b. Pulmonary stenosis, ventricular septal defect, ov...
8th edition care of the child with a physical and mental or cognitive disorder
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Care of the Child With a Physical and Menta
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Foundations of Nursing 8th Edition Cooper Test Bank
Chapter 32: Care of the Child With a Physical and Mental or Cognitive Disorder
Cooper: Foundations of Nursing, 8th Edition.
MULTIPLE CHOICE
1. The nurse uses a diagram to show that the tetralogy of Fallot involves a combination of four
congenital defects. What are the defects?
a. Aortic stenosis, atrial septal defect, overriding aorta, left ventricular hypertrophy
b. Pulmonary stenosis, ventricular septal defect, overriding aorta, right ventricular
hypertrophy
c. Aortic stenosis, atrial septal defect, overriding aorta, right ventricular hypertrophy
d. Pulmonary stenosis, ventricular septal defect, aortic hypertrophy, left ventricular
hypertrophy
ANS: B
Tetralogy of Fallot involves a combination of four congenital defects: pulmonary stenosis,
ventricular septal defect, overriding aorta, and right ventricular hypertrophy.
2. What is the most common clinical manifestation of coarctation of the aorta?
a. Clubbing of the digits
b. Upper extremity hypertension
c. Pedal edema and portal congestion
NURSINGTB.COM
d. Loud systolic ejection murmur
ANS: B
Coarctation of the aorta results in hypertension in the upper extremities. The pressure in the
arms is typically 20 mm Hg higher than in the legs.
3. Parents of a 6-month-old child, who has just been diagnosed with iron deficiency anemia, ask
why it was not diagnosed earlier. What would be the best response by the nurse?
a. “Are you sure your child has iron deficiency anemia?”
b. “This happens when the maternal stores of iron are depleted at about 6 months.”
c. “This anemia is caused by blood loss.”
d. “The child may not have had it for a long time.”
ANS: B
Iron deficiency anemia becomes apparent at about 6 months of age in a full-term infant, when
maternal stores of iron are depleted.
, Foundations of Nursing 8th Edition Cooper Test Bank
4. What should the therapeutic management of iron deficiency anemia include?
a. Multivitamins
b. Calcium
c. Ferrous sulfate
d. Iodine
ANS: C
Therapeutic management of iron deficiency anemia is iron (ferrous sulfate) supplementation,
nutritional counseling, and treatment of any underlying condition.
5. The parents of a child who has been diagnosed with sickle cell anemia ask why their child
experiences pain. What is the most likely cause of the pain?
a. Inflammation of the vessels
b. Obstructed blood flow
c. Overhydration
d. Stress-related headaches
ANS: B
The signs and symptoms of sickle cell anemia include the sickle-shaped cells clumping and
obstructing blood flow, which causes severe tissue hypoxia and necrosis leading to pain.
DIF: Cognitive Level: Application REF: 984-985 OBJ: 2
TOP: Blood disorders KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity
N R I
U S NGTB.COM
6. The parents of a child recently diagnosed with sickle cell anemia ask what can be done to
avoid a sickle cell crisis. What should be included in the medical management of sickle cell
crisis?
a. Information for the parents including home care
b. Provisions for adequate hydration and pain management
c. Pain management and administration of iron supplements
d. Adequate oxygenation and factor VIII
ANS: B
Medical management of sickle cell crisis includes palliative analgesics, hydration, and
oxygen.
7. Which laboratory results should the nurse anticipate to be abnormal in a child with
hemophilia?
a. Prothrombin time
b. Bleeding time
c. Platelet count
d. Partial thromboplastin time
NURSINGTB.COM
, Foundations of Nursing 8th Edition Cooper Test Bank
ANS: D
Expected laboratory findings for a child with hemophilia include a prolonged partial
thromboplastin time. The prothrombin time, bleeding time, and platelet count are typically
normal.
8. The parents of a child with acute lymphoblastic leukemia ask about the best approach for
maintaining remission of the disease. What would be the most effective therapy?
a. Surgery to remove enlarged lymph nodes
b. Long-term chemotherapy
c. Nutritional supplements to enhance blood cell production
d. Blood transfusions to replace ineffective red cells
ANS: B
The treatment of choice is methotrexate, a chemotherapeutic agent, to produce remission.
9. What most influences the severity of respiratory distress syndrome (RDS)?
a. Poor cough and gag reflex
b. The gestational age at birth
c. Administering high concentrations of oxygen
d. The sex of the infant N R I G B.C M
U S N T O
ANS: B
RDS is caused by a deficiency of surfactant and it occurs almost exclusively in preterm,
low–birth weight infants.
10. A 2-year-old child with laryngotracheobronchitis (LTB) is fussy and restless in the oxygen
tent. The oxygen level in the tent is 25%, and blood gases are normal. What would be the
correct action by the nurse?
a. Restrain the child in the tent and notify the health care provider.
b. Increase the oxygen concentration in the tent.
c. Take the child out of the tent and into the playroom.
d. Ask the mother for help in comforting the child.
ANS: B
The child with LTB should be placed in the mist tent with 30% oxygen. Restlessness is caused
by poor oxygenation. The child should not be taken out of the oxygenated tent. While the
mother could be asked to help comfort the child, and the health care provider may be notified,
the priority is to set the oxygen at the correct level.
NURSINGTB.COM
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