Kyle and Carman: Essentials of Pediatric Nursing
The nurse is interviewing an adolescent. What should the nurse recognize as an important aspect of
interviewing the adolescent?
Adolescents will share more about themselves in a private conversation.
Adolescents will not likely share information related to sexual relationships or to use of substances.
Adolescents should be asked if they would like a peer in the room during the interview.
Adolescents will talk more openly if their caregiver is in the same room. - ANSWER✔ � -in a room with
a child near the same age
The nurse is obtaining the health history for a 9-year-old child who has been brought to the ambulatory
care clinic with reports of a backache. Which initial action by the nurse is most appropriate?
Ask the child to demonstrate movements involving the back.
Ask the child's parent about when the parent was first made aware of the discomfort.
Palpate the child's back while asking the severity of discomfort being experienced.
Ask the child when the pain started. - ANSWER✔ � -Ask the child when the pain started.
,A 12-year-old client is hospitalized. Which finding will the nurse expect while providing care to this
client?
uncomfortable during genital assessment
separation anxiety
refusal of treatments
inability to understand explanation - ANSWER✔ � -uncomfortable during genital assessment
A preschooler is admitted to the pediatric floor for dehydration and is frightened. Which nursing
intervention would be least effective in alleviating the child's anxiety?
Encourage a caregiver to stay with the child when possible.
Explain all procedures using medical terminology.
Assign the child to the same nurse each day.
Allow the child to handle the blood pressure cuff before using it. - ANSWER✔ � -Explain all procedures
using medical terminology.
The nurse is establishing a long-term relationship with a child who will be seeking treatment for cancer.
What is the most important factor in this relationship?
determining appointment times for meetings
establishing a timeline for the relationship
establishing trust
setting goals for the relationship - ANSWER✔ � -establishing trust
The nurse is preparing to conduct the cover test with a preschool-age child. Which body system is the
nurse preparing to assess?
,Ears
Eyes
Neck
Nose - ANSWER✔ � -Eyes
While at school, the client is called to the school nurse's office. The school nurse is performing
secondary prevention interventions. Which would the nurse most likely be performing?
assessing vision
checking temperature
asking the client if he or she likes school
asking the client about what he or she usually eats each day - ANSWER✔ � -assessing vision
The nurse is taking the health history of a 15-year-old client. What would be an appropriate way for the
nurse to ask about the client's drug use history?
"Have you smoked crack before?"
"Some teens like to smoke. Have you tried this?"
"Have you had alcohol at parties before?"
"Have you smoked cigarettes?" - ANSWER✔ � -"Some teens like to smoke. Have you tried this?"
The nurse is caring for a 6-year-old client who is prescribed to cough and deep breathe following
surgery. Which nursing action is best for this client?
Arrange for respiratory therapy to do coughing and deep breathing exercises with the child.
Blow a pinwheel and bubbles with the child.
, Have the parents encourage the child to cough and deep breathe every 2 hours.
Teach the child to use an incentive spirometer. - ANSWER✔ � -Blow a pinwheel and bubbles with the
child.
A toddler is brought to the pediatric clinic by the caregiver because the child "doesn't feel well." As the
nurse interviews the caregiver about why the client is there, which goal is the nurse prioritizing at this
point?
Obtaining the health history
Determining the chief complaint
Obtaining biographical data
Interviewing the client - ANSWER✔ � -Determining the chief complaint
The parents of an 8 year-old state, "I am happy that our child is healthy," when the nurse says that the
child falls into the 95th percentile for BMI. How should the nurse respond?
"For a child a BMI between the 85th and 95th percentile alerts us to the risk for being overweight. Let's
talk about your child's diet and activity level."
"Being in the 95th percentile for BMI is not a good thing. Your child is on the verge of obesity. It would
be a good idea to consider this with meal planning."
"I will let the physician know that your child is in the 95th percentile for BMI."
"The 95th percentile is not an indication of health." - ANSWER✔ � -"For a child a BMI between the 85th
and 95th percentile alerts us to the risk for being overweight. Let's talk about your child's diet and
activity level."
The nurse is preparing to assess the respiratory rate of a crying 15-month-old boy. To get the most
accurate assessment, what approach should the nurse take?
Count abdominal movements.
The nurse is interviewing an adolescent. What should the nurse recognize as an important aspect of
interviewing the adolescent?
Adolescents will share more about themselves in a private conversation.
Adolescents will not likely share information related to sexual relationships or to use of substances.
Adolescents should be asked if they would like a peer in the room during the interview.
Adolescents will talk more openly if their caregiver is in the same room. - ANSWER✔ � -in a room with
a child near the same age
The nurse is obtaining the health history for a 9-year-old child who has been brought to the ambulatory
care clinic with reports of a backache. Which initial action by the nurse is most appropriate?
Ask the child to demonstrate movements involving the back.
Ask the child's parent about when the parent was first made aware of the discomfort.
Palpate the child's back while asking the severity of discomfort being experienced.
Ask the child when the pain started. - ANSWER✔ � -Ask the child when the pain started.
,A 12-year-old client is hospitalized. Which finding will the nurse expect while providing care to this
client?
uncomfortable during genital assessment
separation anxiety
refusal of treatments
inability to understand explanation - ANSWER✔ � -uncomfortable during genital assessment
A preschooler is admitted to the pediatric floor for dehydration and is frightened. Which nursing
intervention would be least effective in alleviating the child's anxiety?
Encourage a caregiver to stay with the child when possible.
Explain all procedures using medical terminology.
Assign the child to the same nurse each day.
Allow the child to handle the blood pressure cuff before using it. - ANSWER✔ � -Explain all procedures
using medical terminology.
The nurse is establishing a long-term relationship with a child who will be seeking treatment for cancer.
What is the most important factor in this relationship?
determining appointment times for meetings
establishing a timeline for the relationship
establishing trust
setting goals for the relationship - ANSWER✔ � -establishing trust
The nurse is preparing to conduct the cover test with a preschool-age child. Which body system is the
nurse preparing to assess?
,Ears
Eyes
Neck
Nose - ANSWER✔ � -Eyes
While at school, the client is called to the school nurse's office. The school nurse is performing
secondary prevention interventions. Which would the nurse most likely be performing?
assessing vision
checking temperature
asking the client if he or she likes school
asking the client about what he or she usually eats each day - ANSWER✔ � -assessing vision
The nurse is taking the health history of a 15-year-old client. What would be an appropriate way for the
nurse to ask about the client's drug use history?
"Have you smoked crack before?"
"Some teens like to smoke. Have you tried this?"
"Have you had alcohol at parties before?"
"Have you smoked cigarettes?" - ANSWER✔ � -"Some teens like to smoke. Have you tried this?"
The nurse is caring for a 6-year-old client who is prescribed to cough and deep breathe following
surgery. Which nursing action is best for this client?
Arrange for respiratory therapy to do coughing and deep breathing exercises with the child.
Blow a pinwheel and bubbles with the child.
, Have the parents encourage the child to cough and deep breathe every 2 hours.
Teach the child to use an incentive spirometer. - ANSWER✔ � -Blow a pinwheel and bubbles with the
child.
A toddler is brought to the pediatric clinic by the caregiver because the child "doesn't feel well." As the
nurse interviews the caregiver about why the client is there, which goal is the nurse prioritizing at this
point?
Obtaining the health history
Determining the chief complaint
Obtaining biographical data
Interviewing the client - ANSWER✔ � -Determining the chief complaint
The parents of an 8 year-old state, "I am happy that our child is healthy," when the nurse says that the
child falls into the 95th percentile for BMI. How should the nurse respond?
"For a child a BMI between the 85th and 95th percentile alerts us to the risk for being overweight. Let's
talk about your child's diet and activity level."
"Being in the 95th percentile for BMI is not a good thing. Your child is on the verge of obesity. It would
be a good idea to consider this with meal planning."
"I will let the physician know that your child is in the 95th percentile for BMI."
"The 95th percentile is not an indication of health." - ANSWER✔ � -"For a child a BMI between the 85th
and 95th percentile alerts us to the risk for being overweight. Let's talk about your child's diet and
activity level."
The nurse is preparing to assess the respiratory rate of a crying 15-month-old boy. To get the most
accurate assessment, what approach should the nurse take?
Count abdominal movements.
