WorksheetsPreparing the Child for a Treatment or Procedure
Total questions: 79
Worksheet time: 40mins
What is one way to prepare infants for a treatment or procedure?
Involve parents
Offer simple explanations
Provide privacy
Let child examine equipment
For infants, it is helpful to include a ________ object during treatment or procedure.
familiar
dangerous
expensive
unusual
After treatment or procedure, infants should be ________, distracted, and hugged.
soothed
fed
bathed
scolded
Which of the following is NOT a recommended way to prepare toddlers and preschoolers for a procedure?
Offer simple explanations
Give permission to express discomfort
Offer all directions at once
Use distraction
Toddlers and preschoolers should be allowed to make ________, if possible, during preparation for a procedure.
choices
mistakes
excuses
demands
School aged children should be allowed to examine ________ before a procedure.
equipment
medication
consent forms
food
Encouraging ________ of fears is important for school aged children before a treatment or procedure.
verbalization
suppression
avoidance
denial
Adolescents should be provided with ________ during treatment or procedure preparation.
privacy
medication
food
exercise
Which of the following is a stressor for children of all ages?
Separation
Fear of body intrusion
Pain
All of the above
Name one of the three steps of separation anxiety for children 6 months and older.
Separation
Assimilation
Concentration
Imitation
Which of the following is NOT a stage of response listed in the worksheet?
Protest
Despair
Denial and detachment
Acceptance
List any two nonpharmacologic techniques mentioned in the worksheet.
Deep breathing and guided imagery
Antibiotic therapy and surgery
Insulin administration and IV fluids
Chemotherapy and radiation
Elimination of the drug may be prolonged because of an _________
immature liver enzyme system
increased renal clearance
enhanced gastric motility
rapid metabolism
Dosages are influenced by weight and differences in expected ________, metabolism, and clearance.
absorption
distribution
elimination
excretion
Which drug is commonly used for the relief of mild to moderate pain?
Acetaminophen
Opioids
Fentanyl
Naloxone
Which drug should be available for use in case of opioid overdose?
Acetaminophen
Opioids
Fentanyl
Naloxone
Topical anesthetics are used for ________, intravenous (IV) catheter placement, and lumbar punctures.
skin sutures
blood transfusions
antibiotic administration
oxygen therapy
Showing cultural sensitivity ________ anxiety.
decreases
increases
ignores
causes
Nonverbal cues and body language are important in intercultural communication.
True
False
Language interpreters are provided to all patients at ________ to them.
no cost
a high fee
their request only
certain locations
Parents may ventilate their feelings and stresses through ________, crying, or body language.
anger
laughter
dancing
singing
Behavior often involves attitudes resulting from ________ experiences.
early childhood
recent travel
future plans
random events
An understanding and acceptance of people and their problems is essential for the successful ________ nurse.
pediatric
surgical
psychiatric
cardiac
Poor ________ can result in unnecessary fear.
communication
nutrition
exercise
lighting
Confidentiality and Legality: An emancipated minor is no longer under the parents’ authority.
True
False
Discharge planning begins at ________.
admission to the hospital
discharge from the hospital
completion of treatment
when the patient requests
Discharge planning: Parents must be prepared for behavioral problems that may arise after ________.
hospitalization
vaccination
school admission
birthday celebration
Home care: Home health care and other community agencies work with the family to provide ________ care.
holistic
fragmented
temporary
isolated
Home care: Respite care can be provided for the ________.
primary caregivers
patients only
medical staff
neighbors
What is the normal respiratory rate range for a Newborn according to the table?
30 - 50
12 - 20
16 - 24
20 - 30
What is the normal heart rate range for an Infant (1-12 months) according to the table?
80 - 140
60 - 100
100 - 160
40 - 80
What is the normal systolic blood pressure range for a Toddler (1-3 yrs.) according to the table?
80 - 110
60 - 90
100 - 140
50 - 70
What is the normal weight range in kilos for a Preschooler (3-5 yrs.) according to the table?
14 - 18
10 - 13
19 - 23
24 - 28
What is the normal weight range in pounds for a School Age (6-12 yrs.) child according to the table?
41 - 92
25 - 50
60 - 120
30 - 70
What is the normal heart rate range for an Adolescent (13+ yrs.) according to the table?
55 - 105
40 - 60
100 - 160
70 - 120
Which of the following is NOT part of the History of Surgery?
Developmental history
Admission History
Blood transfusion history
Immunization status
Which of the following is included in the Physical survey?
Vital signs
Pain
Weight
All of the above
Which of the following is a step in Collecting Specimens?
A) Verify order
B) Discard specimen
C) Ignore labeling
D) Skip forms
What should be done after collecting a specimen according to the Collecting Specimens section?
Send to the laboratory according to hospital policies.
Store it at the nurse's station until the end of the shift.
Dispose of it in the regular trash bin.
Leave it unattended in the patient’s room.
What should be recorded in the nurse’s notes and on intake and output record?
What specimens were obtained and where appropriate, the amount of output.
The patient’s dietary preferences only.
The nurse’s shift timings and breaks.
The number of visitors the patient had.
What should a nurse observe for when administering medications to infants and children?
Toxic symptoms.
Increased appetite.
Rapid weight gain.
Improved vision.
Before administering medication to infants and children, what should be calculated?
Safe dose.
Body temperature.
Blood pressure.
Heart rate.
Which of the following is NOT a route of administration listed?
Oral
Parenteral
Intravenous
Subcutaneous
TPN
List any three of the nine rights of medication administration.
Any three of: drug, dose, time, route, patient, documentation, reason or indication, response, refuse.
Any three of: color, texture, temperature, flavor, packaging, expiration, manufacturer, barcode, price.
Any three of: height, weight, age, gender, occupation, address, phone number, email, insurance.
Any three of: location, direction, distance, speed, altitude, pressure, humidity, visibility, forecast.
Which of the following is NOT one of the nine rights of medication administration?
A) Drug
B) Dose
C) Route
D) Expiry date
E) Response
Name two factors to consider for pediatric IVs.
Any two of: Developmental characteristics, Site where IV is to be inserted, Preparation of child, Family Involvement, Related nursing actions, Protection of IV site, Mobility considerations, Safety needs.
Only the child's favorite color and cartoon character.
The brand of IV fluid and the nurse's shoe size.
The time of day and the weather outside.
Which of the following is a factor to consider for pediatric IVs?
Family Involvement
Medication color
Patient's age only
None of the above
IV medications can cause phlebitis, and the nurse must observe the child’s IV site hourly for signs of inflammation.
True
False
What is a risk for children who are active when they have an IV site?
Infiltration.
Dehydration.
Fever.
Allergic reaction.
Fill in the blank: Phototoxicity is an example of a drug–environment interaction caused by ________.
tetracycline
paracetamol
insulin
omeprazole
Fill in the blank: Phenytoin (Dilantin) and ________ is an example of a selected drug–drug interaction.
antacid
acetaminophen
insulin
warfarin
Fill in the blank: Iron supplement and ________ is an example of a selected drug–food interaction.
egg yolks
orange juice
white bread
spinach
Which of the following is NOT a nursing guideline for pediatric intravenous (IV) lines?
Watch for fluid overload & infiltration
Use an Arm Board that covers the IV site
Notify the registered nurse (RN) if infiltration is suspected
Observe infants hourly for IV complications
Adverse effects from pediatric IV lines can occur quickly and require close monitoring.
True
False
Which drug's absorption rate is decreased when taken with any food?
Theophylline
Gentamicin
Aminoglycosides
Iron supplements
What is the result of taking Theophylline with high-protein foods?
Increased absorption
Decreased time of drug activity in body
No effect
Possible hypertensive crises
Gavage feeding is ordered when an infant cannot take food or fluids by mouth but the ________ is functioning.
gastrointestinal tract
respiratory system
nervous system
urinary tract
Gastrostomy is designed to introduce food directly into the ________ through the abdominal wall by means of a surgically placed tube or button.
stomach
esophagus
intestine
trachea
Tap water enemas are contraindicated for children because they are hypotonic and can cause a fluid shift.
True
False
What is the recommended fluid amount for an enema for an adolescent?
Up to 750ml
Up to 250ml
Up to 1500ml
Up to 100ml
Which of the following are indications for tracheostomy suctioning?
Visible secretions and decreased oxygen saturation
High blood pressure and fever
Low heart rate and dry mouth
Increased appetite and weight gain
Trach suctioning diameter should be about ______ the size of the tracheostomy tube.
half
equal to
one-fourth
twice
What is treated as a surgical wound? Fill in the blank: ________ is treated as a surgical wound.
tracheal stoma
nasal cavity
oral mucosa
esophagus
How long should infants not be maintained on NPO status? Fill in the blank: Infants should not be maintained on NPO status for longer than ________ hours.
4 to 6
1 to 2
8 to 10
12 to 14
Which of the following is NOT a function of the Eustachian tube?
Ventilation
Protection
Drainage
Digestion
Fill in the blank: The tympanic membrane in a newborn is almost ________.
horizontal
vertical
circular
oblique
The Eustachian tube in a newborn is shorter and straighter than in an adult.
True
False
Which of the following is a characteristic of a newborn's ear?
A) Tympanic membrane almost vertical
B) More vascular
C) Consistent light reflex
D) Eustachian tube is longer than in adult
Fill in the blank: Nursing interventions are aimed at assisting the child to master a ________ situation and minimize physical and psychological complications.
threatening
joyful
routine
comfortable
What are the two main functions of the eighth cranial (acoustic) nerve?
Smell and Taste
Hearing and Balance
Vision and Touch
Speech and Movement
Name the three divisions of the ear.
External, Middle, Internal
Outer, Central, Deep
Anterior, Posterior, Lateral
Upper, Lower, Central
What should the top of the ear align with when observing ear alignment?
An imaginary line drawn from the outer canthus of the eye to the occiput.
The tip of the nose.
The center of the chin.
The midpoint of the forehead.
Low-set ears may be associated with which type of disorders?
Kidney disorders
Liver disorders
Heart disorders
Lung disorders
Measuring ear alignment involves which of the following methods?
Comparing the height of the ears relative to the eyes
Measuring the circumference of the ear
Checking the color of the ear lobes
Counting the number of folds in the ear
The significance of ear alignment is:
It helps in assessing facial symmetry and detecting abnormalities.
It determines the ability to hear high-pitched sounds.
It indicates the presence of ear infections.
It is used to measure head circumference.
Before instilling ear drops in infants, how should you pull the pinna of the ear?
Down and back
Up and back
Straight out
Up and forward
Before instilling ear drops in children, how should you pull the pinna of the ear?
Up and back
Down and back
Up and forward
Down and forward
What is another name for otitis externa?
Swimmer's ear
Middle ear infection
Sinusitis
Tonsillitis
What symptom is commonly observed in otitis externa when manipulating the pinna or tragus?
Pain and tenderness
Hearing loss
Nasal congestion
Visual disturbances
