EXAM 1 Pediatrics Practice Questions (ETSU Accelerated BSN Program).

EXAM 1: Pediatrics Questions (ETSU Accelerated BSN Program) A 1-year-old child with hypospadias is scheduled for surgery to correct this condition. While preparing the nursing care plan for this child, which factor should the nurse take into consideration? A. This surgery is taking place at a time when fears of separation are great. B. This surgery is taking place at a time when sibling rivalry will cause regression to occur. C. This surgery is taking place at a time when concern over size and function of the penis is present. D. This surgery is taking place at a time when embarrassment about voiding irregularities is common. Answers @ A 2-year-old child has been admitted to the hospital for management of pneumonia. The child is placed in an oxygen tent. Taking into consideration the child's age and developmental level and the treatment being administered, which statement is appropriate for the nurse to make to the parents? A. "He can play in the tent with his blocks and plush stuffed animals." B. "You can sit next to him and hold his hand through the tent, but he needs to remain inside of it." C. "At his age, separation anxiety is high, so bringing in the wool blanket that he usually sleeps with is a good idea." D. "Before you leave for the night, it is a good idea to rock him to sleep. He can be out of the tent for up to 30 minutes without any consequences." A 4-year-old child diagnosed with leukemia is hospitalized for chemotherapy. The child is fearful of the hospitalization. Which nursing intervention should be implemented to alleviate the child's fears? A. Encourage the child's parents to stay with the child. B. Encourage play with other children of the same age. C. Advise the family to visit only during the scheduled visiting hours. D. Provide a private room, allowing the child to bring favorite toys from home. A 6-month-old infant is admitted to the hospital. The nurse weighs the infant and notes that the infant weighs 14 pounds. Which statement by the mother indicates that further teaching is needed? A. "His weight for his age is just right." B. "I am so glad he is gaining the correct amount of weight for his age." C. "I will have to increase his milk intake because he is not gaining enough weight." D. "He weighed 7 pounds when he was born so he is at the correct weight for his age." - Answers @ A 7-year-old child is hospitalized with a fracture of the femur and is placed in traction. In meeting the psychosocial needs of the child, the nurse most appropriately selects which play activity for the child? A. A board game B. A large puzzle C. A finger-painting set D. A coloring book with crayons A 9 month old is sitting on his father's lap at the bedside. The nurse needs to do a shift assessment. How should the nurse proceed? a. Ask the father to put the child in bed, and proceed with the exam. b. Talk with the father for a few minutes, before examining child. c. Listen to the heart and lungs of the child. d. Take the child from the father, and proceed with the exam. A 15-year-old is injured and sustains a fractured jaw. The fractured jaw has been surgically wired, and the health care provider has prescribed a full liquid diet. Which nursing action would best promote compliance and provide an adequate nutrient value with the full liquid diet for this teenager? A. Offer chocolate milkshakes between meals. B. Explain the importance of good nutrition to the teenager. C. Offer commercial nutritional supplements four to six times per day. D. Ask the teenager for food preferences and blenderize these foods into liquids. A 16 year old female comes for a sport's physical in the clinic. During the nursing history, the teenage states she is bothered that she "towers over her companions and everyone is staring at her at school." What would be the most therapeutic response by the nurse? a. "Just ignore the other kids at school." b. "You are so lucky to be tall. You can play basketball or whatever you want." c. "This will resolve itself in time." d. "Tell me more about how this embarasses you." A 16-year-old is admitted to the hospital for acute appendicitis and an appendectomy is performed. Which nursing intervention is most appropriate to facilitate normal growth and development postoperatively? A. Encourage the child to rest and read. B. Encourage the parents to room in with the child. C. Allow the family to bring in the child's favorite computer games. D. Allow the child to interact with others in his or her same age group. A mother arrives at a clinic with her toddler and tells the nurse that she has a difficult time getting the child to go t