Font size
Worksheets328 Exam 1 Review
Total questions: 35
Worksheet time: 38mins
How can the nurse best facilitate the trust relationship between infant and parents while the infant is hospitalized? The nurse should:
Encourage the parents to remain at their child’s bedside as much as possible.
Keep parents informed about all aspects of their child’s condition.
Encourage the parents to hold their child as much as possible.
Advise the parents to participate actively in their child’s care.
Which statement accurately describes the best method for assessing a 12-month-old?
The nurse should assess the child on the examining table.
The nurse should assess the child in a head-to-toe sequence.
The nurse should have the child’s parent assist in holding her down.
The nurse should assess the child while she is in her parent’s lap.
A first-time mother brings in her 5-day-old baby for a well-child visit. The nurse weighs the infant and reports a weight of 7 lb 5 oz to the mother. The mother looks concerned and tells the nurse that her baby weighed 7 lb 10 oz when she was discharged 4 days ago. The nurse’s best response to the mother is:
I will let the doctor know, and he will talk with you about possible causes of your infant’s weight loss.
A weight loss of a few ounces is common among newborns, especially for breastfeeding mothers.
I can tell you are a first-time mother. Don’t worry; we will find out why she is losing weight.
Maybe she isn’t getting enough milk. How often are you breastfeeding her?
The parents of a newborn are asking the nurse how to use the infant car seat and where it should be placed in their vehicle. Which is the best action for the nurse to take to ensure proper car-seat installation for the parents?
Provide written instructions only.
Accompany the parents to the car and show them how to install the car seat.
Contact the hospital’s care coordinator or nurse educator and ask them to accompany the parents to the car for car-seat installation.
Show the parents a video on car-seat installation and safety and ask if they are comfortable with the information.
An 8-day-old was admitted to the hospital with vomiting and dehydration. The newborn’s heart rate is 170, respiratory rate is 44, blood pressure is 85/52, and temperature is 99°F (37.2°C). What is the nurse’s best response to the parents who ask if the vital signs are normal?
The blood pressure is elevated, but the other vital signs are within normal limits.
The temperature is elevated, but the other vital signs are within normal limits.
The respiratory rate is elevated, but the other vital signs are within normal limits.
The heart rate is elevated, but the other vital signs are within normal limits.
The nurse is using the FLACC scale to rate the pain level in a 9-month-old. Which is the nurse’s best response to the father’s question of what the FLACC scale is?
It estimates a child’s level of pain utilizing vital sign information.
It estimates a child’s level of pain based on parents’ perception.
It estimates a child’s level of pain utilizing behavioral and physical responses.
It estimates a child’s level of pain utilizing a numeric scale from 0 to 5.
Which should the nurse do to prevent separation anxiety in a hospitalized toddler?
Assume the parental role when parents are not able to be at the bedside.
Encourage the parents to always remain at the bedside.
Establish a routine similar to that of the child’s home.
Rotate nursing staff so the child becomes comfortable with a variety of nurses.
The mother of a child who is 2 years 6 months in age has arranged a play date with the neighbor and her child who is 2 years 9 months old. During the play date the two mothers should expect that the children will do which of the following?
Share and trade their toys while playing.
Play with one another with little or no conflict.
Play alongside one another but not actively with one another.
Only play with one or two items, ignoring most of the other toys.
The best method to explain a procedure to a hospitalized preschool-age child is to:
Show the child a pamphlet with pictures showing the procedure.
Have the 5-year-old next door tell the 4-year-old about the experience.
Demonstrate the procedure on a doll.
Show the child a video of the procedure
A 4-year-old is hospitalized for an ASD repair. The parents have decided to go home for a few hours to spend time with their other children. The child asks when her mommy and daddy will be back. The nurse’s best response is:
Your mommy and daddy will be back after your nap.
Your mommy and daddy will be back at 6:00 p.m.
Your mommy and daddy will be back later this evening.
Your mommy and daddy will be back in 3 hours.
Which activity can the nurse provide for a 9-year-old to encourage a sense of industry?
Allow the child to choose what time to take his medication.
Provide the child with the homework his teacher has sent.
Allow the child to assist with his bath.
Allow the child to help with his dressing change.
Which approach should the nurse use to gather information from a child brought to the ED for suspected child abuse?
Promise the child that her parents will not know what she tells the nurse.
Promise the child that she will not have to see the suspected abuser again.
Use correct anatomical terms to discuss body parts.
Tell the child that abuse is not her fault and that she is a good person.
Which method is the most effective way to present an educational program on abstinence to adolescents?
Use peer-led programs that emphasize the consequences of unprotected sexual contact.
Teach students methods to resist peer pressure.
Offer students the opportunity to care for a simulator infant for 1 week.
Offer statistics, pamphlets, and films discussing the consequences of unprotected sexual contact
Which would be the most therapeutic response for the mother of a 6-month-old who tells the nurse she does not want her infant to have the DTaP vaccine because the infant had localized redness the last time she received the vaccine?
"Every child has that allergic reaction, and your child will still get the DTaP today."
"I will let the physician know that you refuse further immunizations for your daughter."
"Would you mind if we discussed your concerns?"
"Would you mind if we discussed your concerns?"
Which nursing intervention should take place prior to all vaccination administrations?
Document the vaccination to be administered on the immunization record and medical record.
Provide the vaccine information statement handout and answer all questions.
Administer the most painful vaccination first, and then alternate injection sites.
Refer to the vaccination as "baby shots" so that the parent understands the baby will be receiving an injection.
Which physical findings would be of most concern in an infant with respiratory distress?
Tachypnea
Mild retractions
Wheezing
Grunting
The parent of a 4-month-old with cystic fibrosis (CF) asks the nurse what time to begin the child's first chest physiotherapy (CPT) each day. Which is the nurse's best response?
Thirty minutes before feeding the child breakfast.
After deep-suctioning the child each morning.
Thirty minutes after feeding the child breakfast.
Only when the child has congestion or coughing.
The parent of an infant with cystic fibrosis (CF) asks the nurse how to meet the child’s increased nutritional needs. Which is the nurse’s best suggestion?
You may need to increase the number of fresh fruits and vegetables you give your infant.
You may need to advance your infant’s diet to whole cow’s milk because it is higher in fat than formula.
You may need to change your infant to a higher-calorie formula.
You may need to increase your infant’s carbohydrate intake.
What does the therapeutic management of cystic fibrosis (CF) patients include? Select all that apply.
Providing a high-protein, high-calorie diet.
Providing a high-fat, high-carbohydrate diet.
Encouraging exercise.
Minimizing pulmonary complications.
Encouraging medication compliance
Which should the nurse instruct children to do to stop the spread of influenza in the classroom? Select all that apply.
Stay home if they have a runny nose and cough.
Wash their hands after using the restroom.
Wash their hands after sneezing.
Have a flu shot annually.
Drink lots of water during the day.
Which child is at highest risk for requiring hospitalization to treat respiratory syncytial virus (RSV)?
A 2-month-old who was born at 32 weeks.
A 16-month-old with a tracheostomy.
A 3-year-old with a congenital heart defect.
A 4-year-old who was born at 30 weeks.
What would the nurse advise the parent of a child with a barky cough that gets worse at night?
Take the child outside into the more humid night air for 15 minutes.
Take the child to the ED immediately.
Give the child an over-the-counter cough suppressant.
Give the child warm liquids to soothe the throat.
Which child is in the greatest need of emergency medical treatment?
A 3-year-old who has a barky cough, is afebrile, and has mild intercostal retractions.
A 6-year-old who has high fever, no spontaneous cough, and frog-like croaking.
A 7-year-old who has abrupt onset of moderate respiratory distress, a mild fever, and a barky cough.
A 13-year-old who has a high fever, stridor, and purulent secretions.
A mother is crying and tells the nurse that she should have brought her son in yesterday when he said his throat was sore. Which is the nurse’s best response to this parent whose child is diagnosed with epiglottitis and is in severe distress and in need of intubation?
“Children this age rarely get epiglottitis; you should not blame yourself.”
“It is always better to have your child evaluated at the first sign of illness rather than wait until symptoms worsen.”
“Epiglottitis is slowly progressive, so early intervention may have decreased the extent of your son’s symptoms.”
“Epiglottitis is rapidly progressive; you could not have predicted his symptoms would worsen so quickly.”
Tetralogy of Fallot (TOF) involves which 4 defects?
The nurse is caring for a child with Kawasaki disease (KD). A student nurse who is on the unit asks if there are medications to treat this disease. The nurse’s response to the student nurse is:
Immunoglobulin G and aspirin.
Immunoglobulin G and ACE inhibitors.
Immunoglobulin E and heparin.
Immunoglobulin E and ibuprofen (Motrin).
During a well-child checkup for an infant with tetralogy of Fallot (TOF), the child develops severe respiratory distress and becomes cyanotic. The nurse’s first action should be to:
Lay the child flat to promote hemostasis.
Lay the child flat with legs elevated to increase blood flow to the heart.
Sit the child on the parent’s lap, with legs dangling, to promote venous pooling.
Hold the child in knee-chest position to decrease venous blood return.
A 3-month-old has been diagnosed with a ventricular septal defect (VSD). The flow of blood through the heart is _________________
Left to right
Right to left
Bidirectional
No flow
The parents of a 3-month-old ask why their baby will not have an operation to correct a ventricular septal defect (VSD). The nurse’s best response is:
It is always helpful to get a second opinion about any serious condition like this.
Your baby’s defect is small and will likely close on its own by 1 year of age.
It is common for health-care providers to wait until an infant develops respiratory distress before they do the surgery.
With a small defect like this, they wait until the child is 10 years old to do the surgery.
Family discharge teaching has been effective when the parent of a toddler diagnosed with Kawasaki disease (KD) states:
The arthritis in her knees is permanent. She will need knee replacements.
I will give her diphenhydramine (Benadryl) for her peeling palms and soles of her feet.
I know she will be irritable for 2 months after her symptoms started.
I will continue with high doses of Tylenol for her inflammation.
Which of the following factors need(s) to be included in a teaching plan for a child with sickle cell disease? Select all that apply.
The child needs to be taken to a physician when sick.
The parent should make sure the child sleeps in an air-conditioned room.
Emotional stress should be avoided.
It is important to keep the child well hydrated.
It is important to make sure the child gets adequate nutrition.
The nurse is caring for a child with sickle cell disease who is scheduled to have an exchange transfusion. What information should the nurse teach the family?
The procedure is done to prevent further sickling during a vaso-occlusive crisis.
The procedure reduces side effects from blood transfusions.
The procedure is a routine treatment for sickle cell crisis.
Once the child’s spleen is removed, it is not necessary to do exchange transfusions.
Which of the following will be abnormal in a child with the diagnosis of hemophilia?
Platelet count.
Hemoglobin level.
White blood cell count.
Partial thromboplastin time (PTT).
Which of the following measures should the nurse teach the parent of a child with hemophilia to do first if the child sustains an injury to a joint causing bleeding?
Give the child a dose of acetaminophen (Tylenol).
Immobilize the joint and elevate the extremity.
Apply heat to the area.
Administer factor per the home-care protocol.
Which of the following measures should be implemented for a child with von Willebrand disease who has a nosebleed?
Apply pressure to the nostrils and lean the child forward
Tilt the child's head back and pinch the nose
Insert a tissue into the nostril and have the child lie down
Use a cold compress on the back of the neck only
