WorksheetsPeds: Hospitalization and Dysfunctions
Total questions: 31
Worksheet time: 20mins
What represents the major stressor of hospitalization for children from middle infancy throughout the preschool years?
Separation anxiety
Loss of control
Fear of bodily injury
Fear of pain
When a preschool child is hospitalized without adequate preparation, how may the child see hospitalization as?
Threat to child's self-image
Punishment
An opportunity for regression
Loss of companionship with friends
A 10-year-old, who needs to have another IV line started, keeps telling the nurse, "Wait a minute," and "I'm not ready." How should the nurse interpret these requests?
The child has successfully manipulated the nurse in the past
The child thinks the nurse is punishing her
This behavior is usually not seen past the preschool years
This is normal behavior for a school-age child
What intervention should the nurse implement when a 5-year-old tells the nurse, “I need a Band-Aid” after having an injection?
Apply a Band-Aid.
Ask why he/she wants a Band-Aid.
Explain why a Band-Aid is not needed.
Show him/her that the bleeding has already stopped.
Hospitalized children respond differently regarding separation anxiety. One appropriate response that could occur regarding separation anxiety among young children is that:
A. young children can react negatively to their parents during hospitalization, by clinging to them or pressuring them to stay
B. separation anxiety comes in stages
C. young children are not affected by hospitalization
D. have normal eating and sleeping habits
In discussing the nature and procedure for surgical consent on children, the most important consideration is
A. to include the risks and benefits of a procedure as part of the consent process
B. Only a parent can give consent
C. the person giving consent must be at least 18 years old
D. a mental age of 8 years or older is required for consent
The most important aspect of a child's life and most effective TOOL to manage stress?
What important consideration in providing atraumatic care should the nurse consider when performing a venipuncture on a 6-year-old child?
A. Use an 18-gauge needle if possible
B. If not successful after four attempts, have another nurse try
C. Restrain the child only as needed to perform venipuncture safely.
D. Show the child equipment to be used before procedure
When giving liquid medication to a crying 10-month-old, which approach minimizes the possibility of aspiration?
A. Administer the medication with a syringe (no needle) placed along the side of the infant's tongue.
B. Administering the medication as rapidly as possible with the infant securely restrained.
C. Mixing the medication with the infant's regular formula or juice and administering by bottle.
D. Keeping the child upright with the nasal passages blocked for a minute after administration.
Guidelines for intramuscular administration of medication in school-age children include what instruction?
A. Inject medication as rapidly as possible
B. Insert the needle quickly using a dart-like motion
C. Penetrate the skin immediately after cleansing the site, before the skin has dried.
D. Have the child stand, if possible, and if he or she is cooperative.
Which assessment is most relevant to the care of an infant with dehydration?
A. Temperature, heart rate, and blood pressure
B. Heart rate, sensorium, and skin color
C. Respiratory rate, oxygen saturation, and lung sounds
D. Diet tolerance, bowel function, and abdominal girth
What assessment should the nurse make before initiating an intravenous (IV) infusion of dextrose 5% in 0.9% normal saline solution with 10 mEq of potassium chloride for a child hospitalized with dehydration?
A. Fluid intake
B. Urine output
C. Number of stools
D. Capillary refill
What is the priority nursing action when considering the care of a 6-month-old infant hospitalized with diarrhea and dehydration?
A. Estimating insensible fluid loss
B. Collecting urine for culture and sensitivity
C. Palpating the posterior fontanel
D. Measuring the infant's weight
What is the best response for the nurse to give a parent about contacting the physician regarding an infant with diarrhea?
A. Call your pediatrician if the infant has not had a wet diaper for 6 hours.
B. Call the doctor immediately if the infant has a temperature greater than 100° F.
C. The pediatrician should be contacted if the infant has two loose stools in an 8-hour period.
D. Notify the pediatrician if the infant naps more than 2 hours.
A nurse is creating a plan of care for a school-age child who has nephrotic syndrome. Which of the following interventions should the nurse include? (Select all that apply)
A. Provide a low sodium diet
B. Assess for protein in the urine
C. Obtain a daily weight
D. Encourage increased fluid intake
E. Initiate contact precautions
A nurse is caring for a 9-year-old child who has major burns to her face and upper torso. Which of the following actions should the nurse take first?
A. administer a tetanus vaccine
B. begin enteral feedings
C. give pain medications
D. initiate a crystalloid IV bolus
A nurse is planning care for a toddler who has developed oral ulcers in response to chemotherapy. Which of the following should the nurse include in the plan of care?
A. Schedule routine oral care every 8 hours
B. Administer oral viscous lidocaine
C. Moisten the mucosa with lemon glycerin swabs
D. Cleanse the gums with saline-soaked gauze
The nurse is caring for infants with the condition failure to thrive (FTT). Which of the following infants would be at high risk for this condition? Select all answers that apply.
A. An infant with a cleft palate
B. An infant born to an impoverished mother
C. An infant born to a teenage mother
D. An infant born to a diabetic mother
E. An infant with bronchopulmonary dysplasia
The parents of a 6-week-old boy come to the clinic for evaluation because the infant has been vomiting. The parents report that the vomiting has been increasing in frequency and forcefulness over the last week. The mother says, “Sometimes, it seems like it just bursts out of his mouth.” A diagnosis of hypertrophic pyloric stenosis is suspected. When performing the physical examination, which of the following would the nurse most likely find?
A. Sausage-shaped mass in the upper mid-abdomen
B. Tenderness over the McBurney point in the right lower quadrant
C. Hard, moveable, olive-shaped mass in the right upper quadrant
D. Abdominal pain in the epigastric or umbilical region
A neonatal nurse teaches students how to recognize gastrointestinal disorders in infants. The nurse tells the students that failure of the newborn to pass meconium in the first 24 hours after birth may indicate what disease?
A. Gastroenteritis
B. Ulcerative colitis (UC)
C. Hirschsprung disease
D. Short bowel syndrome (SBS)
E. Pyloric Stenosis
A 10-month-old infant admitted to the pediatric unit to rule out Hirschsprung's disease. The nurse should expect the infant's stools to be:
A. Watery, green in appearance
B. Steatorrheic in appearance
C. Currant jelly-like in appearance
D. Ribbon-like in appearance
An 8-year-old child with Type I diabetes actively played during recess but presents to the school nurse with complaints of headache and feeling "shaky". The nurse's first action should be to:
A. Notify the child's parents
B. Give the child a simple carbohydrate snack
C. Have the child lie down for a few minutes and see if the symptoms subside.
D. Give the child a dose of regular insulin
The following types of abuse are considered a mandated report:
A. Physical abuse
B. Willful harm or endangerment
C. Abuse in out-of-home care
D. All of these are true
Suspected child abuse must be reported by phone ____ to a local child welfare agency, and via written report
A. tomorrow, within 36 hrs.
B. immediately, within 10 hrs
C. immediately, within 24 hrs.
D. immediately, within 48 hrs.
The nurse is assessing a child for epiglottitis. What findings are consistent with this condition? (Select all that apply)
A. Drooling
B. Dysphonia
C. Decreased oxygenation
D. Dysphagia
E. Distressed inspiratory efforts
The parent of a toddler calls the nurse, asking about croup. What is a distinguishing manifestation of spasmodic croup?
A. Wheezing is heard audibly.
B. It is bacterial in nature.
C. It has a harsh, barky cough.
D. The child has a high fever.
Which assessment finding after tonsillectomy should be reported to the surgeon?
A. Vomiting bright red blood
B. Pain on swallowing
C. Pain at surgical site
D. The ability to only take small sips of liquids
Which are true regarding Hemophilia?
A. It is an X-linked chromosomal disorder
B. It's the leading cause of disseminated intravascular coagulation (DIC)
C. There is a deficiency in clotting factors VIII or IX
D. It primarily affects males
E. Female carriers have a 25% chance of transmitting to sons
What drug is usually given first in the emergency treatment of an acute, severe asthma episode in a young child?
A. Ephedrine
B. Aminophylline
C. Theophylline
D. Short-acting B2-agonists
Which defect results in increased pulmonary blood flow?
A. Pulmonic stenosis
B. Tricuspid atresia
C. Atrial septal defect
D. Transposition of the great arteries
What is best described as the inability of the heart to pump an adequate amount of blood to the systemic circulation at normal filling pressures?
A. Pulmonary congestion
B. Congenital heart defect
C. Heart failure
D. Systemic venous congestion
