Wong's Essentials of Pediatric Nursing
Vitamin A may be administered in significant amounts to children with this childhood
communicable illness to decrease morbidity and mortality:
a. Pertussis
b. Varicella
c. Rubella
d. Measles - ANS d.
A 10-year-old child with a peanut allergy would be expected to have which of these as an early
manifestation of his allergy? Select all that apply.
a. Wheezing
b. Nausea
c. Headache
d. Trouble breathing
e. Urticaria - ANS a, d, e.
The recommended treatment for cow's milk protein allergy is the substitution of cow's
milk-based formula for:
a. Goat's milk
b. Soy milk or a hydrolyzed formula
c. Whole milk
d. Evaporated milk - ANS b.
Identify the interventions that can be safely used to manage diaper dermatitis. Select all that
apply.
a. Blow dry heat on skin with hair dryer.
b. Apply a skin barrier paste such as zinc oxide.
c. Keep skin surface irritants such as urine and stool off skin.
d. Expose skin to air.
e. Use only cloth diapers. - ANS b, c, d.
Which factors are considered protective factors for sudden infant death syndrome (SIDS)?
a. Side sleeping position, breastfeeding, updated childhood immunization status
b. Supine sleeping position, breastfeeding, soft bedding
c. Prone sleeping position, exposure to maternal tobacco use, updated childhood immunization
status
d. Supine sleeping position, breastfeeding, updated childhood immunization status - ANS d.
A 3-month-old is being seen in the well-child clinic for positional plagiocephaly. The nurse knows
that the initial interventions for this condition involve which of the following? Select all that apply.
a. Place the infant to sleep in the prone position.
b. Place the infant in a prone position when awake (approximately 15 minutes).
c. Alternate the infant's head position (side of head) when asleep.
, d. Have the infant wear a soft helmet for 23 to 24 hours a day.
e. Place the infant to sleep in an infant seat twice a day. - ANS b, c.
The mother of a 4-year-old health clinic patient asks the nurse about night terrors. Which
statement by the mother reveals a need for further teaching? Select all that apply.
a. He will grow out of this stage when he is a little older.
b. Getting into a specific routine is helpful and can be calming to my son.
c. Watching TV with an adult is helpful so that he understands what is real.
d. I can help my child with sleep by giving him his favorite stuffed animal or using a night-light.
e. Our family often sleeps together, and this seems to help. - ANS a, c, e.
A child is brought to the emergency department by his parents after noted to be "acting funny" a
few hours ago while he was being cared for by his grandmother. When she went to take her
evening medication, the grandmother noted that her pill container had been opened and some
pills were missing. The parents state that the grandmother has a heart condition. Anticipating
the emergency care this child will receive, you know:
a. The majority of medications have a specific antidote.
b. In this case, gastric lavage may be used.
c. Activated charcoal will most likely be used, and it can be mixed with another drink (milk or
juice) to make it more palatable.
d. The main concerns are for vital sign assessment, assessment of mental status, and giving
cardiac and respiratory support as needed. - ANS d.
You are working with the family of a 4-year-old patient and have concerns about possible
exposure to lead poisoning. Which information will determine if follow-up is needed? Select all
that apply.
a. The child goes daily to the older home of a babysitter.
b. One of the child's playmates in the neighborhood has lead poisoning.
c. Although living in a newer neighborhood, one of the child's playmates' homes is being
renovated.
d. The child is out of the danger age range for screening (1 to 2 years old), so screening is not
needed.
e. Past BLL was 12, so no follow-up is needed at this time. - ANS a, b.
When assessing a child's injury in the emergency department, a nurse suspects physical abuse.
Based on this suspicion, the nurse's primary legal responsibility is:
a. Assist the family in identifying resources for support.
b. Report the case in which the abuse is suspected to the local authorities.
c. Document the child's physical assessment findings accurately and thoroughly.
d. Refer the family to the hospital support group. - ANS b.
Nursing care of a child in the hospital with suspected abuse should include:
a. Assign a variety of nurses to the child so that he can get to know and trust the whole staff.
b. Praise the child's ability to minimize feelings of shame and guilt.
Vitamin A may be administered in significant amounts to children with this childhood
communicable illness to decrease morbidity and mortality:
a. Pertussis
b. Varicella
c. Rubella
d. Measles - ANS d.
A 10-year-old child with a peanut allergy would be expected to have which of these as an early
manifestation of his allergy? Select all that apply.
a. Wheezing
b. Nausea
c. Headache
d. Trouble breathing
e. Urticaria - ANS a, d, e.
The recommended treatment for cow's milk protein allergy is the substitution of cow's
milk-based formula for:
a. Goat's milk
b. Soy milk or a hydrolyzed formula
c. Whole milk
d. Evaporated milk - ANS b.
Identify the interventions that can be safely used to manage diaper dermatitis. Select all that
apply.
a. Blow dry heat on skin with hair dryer.
b. Apply a skin barrier paste such as zinc oxide.
c. Keep skin surface irritants such as urine and stool off skin.
d. Expose skin to air.
e. Use only cloth diapers. - ANS b, c, d.
Which factors are considered protective factors for sudden infant death syndrome (SIDS)?
a. Side sleeping position, breastfeeding, updated childhood immunization status
b. Supine sleeping position, breastfeeding, soft bedding
c. Prone sleeping position, exposure to maternal tobacco use, updated childhood immunization
status
d. Supine sleeping position, breastfeeding, updated childhood immunization status - ANS d.
A 3-month-old is being seen in the well-child clinic for positional plagiocephaly. The nurse knows
that the initial interventions for this condition involve which of the following? Select all that apply.
a. Place the infant to sleep in the prone position.
b. Place the infant in a prone position when awake (approximately 15 minutes).
c. Alternate the infant's head position (side of head) when asleep.
, d. Have the infant wear a soft helmet for 23 to 24 hours a day.
e. Place the infant to sleep in an infant seat twice a day. - ANS b, c.
The mother of a 4-year-old health clinic patient asks the nurse about night terrors. Which
statement by the mother reveals a need for further teaching? Select all that apply.
a. He will grow out of this stage when he is a little older.
b. Getting into a specific routine is helpful and can be calming to my son.
c. Watching TV with an adult is helpful so that he understands what is real.
d. I can help my child with sleep by giving him his favorite stuffed animal or using a night-light.
e. Our family often sleeps together, and this seems to help. - ANS a, c, e.
A child is brought to the emergency department by his parents after noted to be "acting funny" a
few hours ago while he was being cared for by his grandmother. When she went to take her
evening medication, the grandmother noted that her pill container had been opened and some
pills were missing. The parents state that the grandmother has a heart condition. Anticipating
the emergency care this child will receive, you know:
a. The majority of medications have a specific antidote.
b. In this case, gastric lavage may be used.
c. Activated charcoal will most likely be used, and it can be mixed with another drink (milk or
juice) to make it more palatable.
d. The main concerns are for vital sign assessment, assessment of mental status, and giving
cardiac and respiratory support as needed. - ANS d.
You are working with the family of a 4-year-old patient and have concerns about possible
exposure to lead poisoning. Which information will determine if follow-up is needed? Select all
that apply.
a. The child goes daily to the older home of a babysitter.
b. One of the child's playmates in the neighborhood has lead poisoning.
c. Although living in a newer neighborhood, one of the child's playmates' homes is being
renovated.
d. The child is out of the danger age range for screening (1 to 2 years old), so screening is not
needed.
e. Past BLL was 12, so no follow-up is needed at this time. - ANS a, b.
When assessing a child's injury in the emergency department, a nurse suspects physical abuse.
Based on this suspicion, the nurse's primary legal responsibility is:
a. Assist the family in identifying resources for support.
b. Report the case in which the abuse is suspected to the local authorities.
c. Document the child's physical assessment findings accurately and thoroughly.
d. Refer the family to the hospital support group. - ANS b.
Nursing care of a child in the hospital with suspected abuse should include:
a. Assign a variety of nurses to the child so that he can get to know and trust the whole staff.
b. Praise the child's ability to minimize feelings of shame and guilt.
