Pediatric Nursing Final Study Guide
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1. The nurse is caring for a small child who puts his arm D
through the side rail just as the nurse is lowering the
side rail. The child gets big bruise. The housekeeper
asks the nurse what happened. The nurse should:
A. tell the housekeeper, since the housekeeper is part
of the healthcare team
B. restrict information to general statements such as
"it was an accident."
C. suggest the housekeeper ask the head nurse
D. Avoid discussing the accident with the housekeep-
er
2. Which of the following positions does the nurse use B
for the child who has just returned to the room from
a tonsillectomy?
A. elevated head and legs
B. on the abdomen or side
C. on the back and flat
D. on the back or sitting up
3. As a nurse you must explore your beliefs about med- D
ication for infants and children because research has
shown which of the following?
A. nurses are likely to overmedication and undermed-
icate children under their care
B. nurses tend to believe that medication will harm
children more than help them
C. it takes a lo of exploration of beliefs before a nurse
can be consistent in the administration of pain med-
ication regardless of race, gender, religion or social
status
D. Education level, personal pain experience and
number of years in practice influence the nurse in the
decision to medication or not medicate a child in pain
4. Compared to children or adults, adolescents' gender D
attitudes and behavior are found to be:
A. about the same
B. far more liberal
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C. somewhat more liberal
D. more traditional
5. If burns are severe enough, the child will require fluid D
replacement. Whcih of the following fluids is most
often used as a replacement?
A. d5% in water
B. 1/2 NS
C. NS
D. LR
6. When caregivers of a child with a chronic health care D
condition look for meaning in their situation, they
most often:
A. feel small, helpless and hopeless in the face of
such a long-term responsibility
B. find they have little or nothing to be thankful for
and drop out of their religion
C. give up and adopt a martyr-like existence because
any meaning is depression or demeaning
D. find positive outcomes, such as family relation-
ships being strengthened due to working together
7. The nurse assessing an infant for intusseception will C
look for 3 classic signs and symptoms: colicky inter-
mittent abdominal pain, vomiting, and which kind of
stool?
A. mustard or clay-colored
B. frothy stools that float
C. currant jelly like stools
D. black tar colored stools
8. Which of the following infants is at greatest rick of C
sudden infant death syndrome?
A. male full-term, 7 months old
B. female, full-term, 8 month old
C. male twin, premature, 4 month old
D. female, single birth, 4 month old
9. B
, Pediatric Nursing Final Study Guide
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You are the nurse working with parents and their
newborns on a postpartum unit there the newborns
room with the mother. The parents of one of the ba-
bies learns that their newborn has mental retardation.
You notice these parents going through the stage
of denial and then demonstrating anxiety. You realize
anxiety :
A. must be reduced as soon as possible and you need
to calm the family immediately
B. serves a purpose in alerting the family that some-
thing is amiss and in generating needed energy to
deal with the situation
C. will keep the family from completing the stages of
adjusting to the child having mental retardation
D. is related to the loss of their dream of a perfect
child and how other people will be disappointed in
them
10. Which of the following practices is used by a large C
number of cultural groups to provide comfort and
security to a child?
A. burying a rock near a large shade tree
B. taping a coin to the umbilical cord
C. wrapping the infant snugly in a soft blanket
D. boiling an egg and keeping it close to the child
11. The nurse places a unique cartoon character on the A
outside and inside of a child's door. The hospital has
a picture of a different animal fro each floor of the
hospital and these pictures are posted in the eleva-
tors. Each section of the pediatric unit has a different
theme and walls of a different color. These actions on
the part of the nurse and the hospital are designed
to:
A. reduce anxiety and help children and others feel
secure that they will not get lose and that they have
a place of their own
B. remind everyone that this is a pediatric unit for
children who have special needs and is not a unit for
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adults
C. cheer the children up and help them laugh to re-
duce tension in their lives
D. help establish a personality for the hospital. the
floors. the unit. and the room of the child who is
hospitalized
12. the nurse working with a child who had cellulitis an- B
ticipates doctor's orders for which of the following
usual treatment regimens?
A. whirlpool, meperidine or morphine sulfate and wet
to dry dressing
B. oral antibiotics, warm compresses, immobiliza-
tions, elevationg of the extremity and analgesics
C. debridement of the wounds. antibiotic cream,
dressing and an ace bandage
D. incision and drainage with antibiotics placed in the
wound. done as a minor surgical procedure in day
surgery
13. How often should a hearing aid be changed for chil- B
dren less than 4 years of age?
a. once a month c. once a year
b. every 3 to 6 months d. every 2 years
14. The nurse takes the temperature of a newborn and C
gets a reading of 37.7 degrees C (99.6 degrees F). The
nurse interprets this temperature as:
a. very high for a newborn and calls the health care
practitioner
b. high for an infant of this age and decides to retake
it in 20 minutes
c. normal and proceeds to chart the temperature in
the infant's record
d. below normal and adds a warmed blanket to the
infant's crib
15. The leading causes of injury-related death for chil- D
dren aged 1 to 4 years is:
a. choking and drowning
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