Pediatric Final Exam| 90 Questions| With
Complete Solutions
The nurse is providing atraumatic carer to children in a hospital setting. What are principles of this philosophy of care? Select all
that apply. correct answer: avoid or reduce painful procedures avoid or reduce physical distress
use core primary nursing
The nurse is implementing interventions to prevent physical stressors for a 9-year-old child receiving chemotherapy in the hospital. What is an example of using atraumatic care for this child? correct answer: insert a saline lock if the child will require multiple doses of parenteral medications
The child life specialist (CLS) is preparing a 6-year-old child for
a magnetic resonance imaging (MRI) scan. Which statement reflects the use of atraumatic principles when explaining the procedure? correct answer: "You may hear some loud noises when you are lying in the machine, but they won't hurt you"
The nurse uses family-centered care to care for children in a pediatric office. Upon what concept is family-centered care based? correct answer: The family is the constant in the child's life and primary source of strength
The nurse is caring for a teen who will be hospitalized for physical rehabilitation for an extended period of time after an auto accident. When working to promote a good working relationship with the teen, what action by the nurse will be most beneficial? correct answer: Keep your word with regard to promises and statements made to the teen
The nurse caring for a 6-year-old enters the room to administer an oral medication in the form of a pill. The dad at the bedside looks at the pill and tells the nurse that his daughter has a hard time swallowing pills. What is the best response by the nurse? correct answer: Call the pharmacy and ask if the pill can be crushed
The nurse is administering acetaminophen PRN to a 9-year-old child on the pediatric ward of the hospital. Which answers reflect nursing actions that follow the rules of the "eight rights" of pediatric medication administration? Select all that apply correct answer: The nurse checks the documented time of the last dosage administered The nurse calculates the dosage according to the child's weight the nurse explains the therapeutic effects of the medication to the child and parents
The nurse is preparing to administer medication to a 5-year-old who weights 35 pounds. The prescribed single dose is 1 to 2 mg/kg/day. Which is the appropriate dose range for this child? correct answer: 35-70 mg
The nurse is caring for children who are receiving IV therapy in the hospital setting. For which children would a central venous device be indicated? correct answer: A child who is receiving chemotherapy for leukemia The nurse is preparing to administer an intramuscular injection to an 8-month-old infant. Which site would the nurse select? correct answer: Vastus lateralis
During the health history, the mother of a 4-month-old child tells the nurse she is concerned that her baby is not doing what he should be at this age. What is the nurse's best response? correct answer: "tell me what concerns you"
The nurse is examining a 15-month-old child who was able to walk at the last visit and now can no longer walk. What would be the nurse's best intervention in this case? correct answer: Schedule a full valuation since this may indicate a neurologic disorder
During a physical assessment of a 5-month-old child, the nurse observes the first tooth has just erupted and uses the opportunity to advise the mother to schedule a dental examination for her baby. What is the correct time for the dentist visit? correct answer: By the first birthday
A mother and her 4-week-old infant have arrived for a health maintenance visit. Which activity will the nurse perform? correct answer: Plot the chili's head circumference on a growth chart
When assessing the vision of a 2-month-old, what would the nurse use? correct answer: Black-and white checkerboard
The nurse is conducting a health history for a 9-year-old child with stomach pains. What is a recommended guideline when
Complete Solutions
The nurse is providing atraumatic carer to children in a hospital setting. What are principles of this philosophy of care? Select all
that apply. correct answer: avoid or reduce painful procedures avoid or reduce physical distress
use core primary nursing
The nurse is implementing interventions to prevent physical stressors for a 9-year-old child receiving chemotherapy in the hospital. What is an example of using atraumatic care for this child? correct answer: insert a saline lock if the child will require multiple doses of parenteral medications
The child life specialist (CLS) is preparing a 6-year-old child for
a magnetic resonance imaging (MRI) scan. Which statement reflects the use of atraumatic principles when explaining the procedure? correct answer: "You may hear some loud noises when you are lying in the machine, but they won't hurt you"
The nurse uses family-centered care to care for children in a pediatric office. Upon what concept is family-centered care based? correct answer: The family is the constant in the child's life and primary source of strength
The nurse is caring for a teen who will be hospitalized for physical rehabilitation for an extended period of time after an auto accident. When working to promote a good working relationship with the teen, what action by the nurse will be most beneficial? correct answer: Keep your word with regard to promises and statements made to the teen
The nurse caring for a 6-year-old enters the room to administer an oral medication in the form of a pill. The dad at the bedside looks at the pill and tells the nurse that his daughter has a hard time swallowing pills. What is the best response by the nurse? correct answer: Call the pharmacy and ask if the pill can be crushed
The nurse is administering acetaminophen PRN to a 9-year-old child on the pediatric ward of the hospital. Which answers reflect nursing actions that follow the rules of the "eight rights" of pediatric medication administration? Select all that apply correct answer: The nurse checks the documented time of the last dosage administered The nurse calculates the dosage according to the child's weight the nurse explains the therapeutic effects of the medication to the child and parents
The nurse is preparing to administer medication to a 5-year-old who weights 35 pounds. The prescribed single dose is 1 to 2 mg/kg/day. Which is the appropriate dose range for this child? correct answer: 35-70 mg
The nurse is caring for children who are receiving IV therapy in the hospital setting. For which children would a central venous device be indicated? correct answer: A child who is receiving chemotherapy for leukemia The nurse is preparing to administer an intramuscular injection to an 8-month-old infant. Which site would the nurse select? correct answer: Vastus lateralis
During the health history, the mother of a 4-month-old child tells the nurse she is concerned that her baby is not doing what he should be at this age. What is the nurse's best response? correct answer: "tell me what concerns you"
The nurse is examining a 15-month-old child who was able to walk at the last visit and now can no longer walk. What would be the nurse's best intervention in this case? correct answer: Schedule a full valuation since this may indicate a neurologic disorder
During a physical assessment of a 5-month-old child, the nurse observes the first tooth has just erupted and uses the opportunity to advise the mother to schedule a dental examination for her baby. What is the correct time for the dentist visit? correct answer: By the first birthday
A mother and her 4-week-old infant have arrived for a health maintenance visit. Which activity will the nurse perform? correct answer: Plot the chili's head circumference on a growth chart
When assessing the vision of a 2-month-old, what would the nurse use? correct answer: Black-and white checkerboard
The nurse is conducting a health history for a 9-year-old child with stomach pains. What is a recommended guideline when
