Test Bank Pediatric Nursing The Critical Components of Nursing
Care 2nd Edition Rudd |Complete Guide A+
A nurse is obtaining the history from a parent of a child who experiences absence
seizures. Which of the following would the nurse expect the mother to describe?
A. Brief, sudden onset with muscles that become tense
B. Loss of motor activity accompanied by a blank stare
C. Sudden, brief jerking motions of a muscle group
D. Loss of muscle tone and loss of consciousness - B
ABSENCE= BLANK STARE
The school nurse is educating the parents of a child with infectious conjunctivitis. Which
of the following statements by the nurse would be most helpful for the parents related to
prevention?
A. "Use all the medication as directed."
B. "Don't use anything that touches her face."
C. "This could have started with a head cold."
D. "Place the ointment inside the lower eyelid." - B
A 7-month-old is scheduled for surgical correction of strabismus. The child's mother
says to the nurse, "I'm glad my child will never have to wear that patch again." Which of
these responses would be most appropriate for the nurse to make?
A. "Your child will never need to wear the patch again."
B. "Your child will need to wear the patch for a few days to keep him/her from rubbing or
putting pressure on the eye."
C. "Your child will need to wear the patch for several months to keep the eye in
alignment."
D. "Your child will have to be in restraints for a week to keep him/her from rubbing the
eye." - B
,A 4-month-old infant is seen at the ambulatory care clinic and diagnosed with
nasolacrimal duct obstruction. The mother asks what can be done. What information
should be included in the information provided to the parent?
A. Once the child is 6 to 9 months old a specialist will be able to drain the duct.
B. Most of these conditions will spontaneously resolve.
C. Antiviral therapy can be prescribed to manage this condition.
D. Over-the-counter drops can be used sparingly. - B
A 17-year-old girl has been diagnosed with bulimia nervosa. Which complication should
the nurse carefully assess for in this client?
A. Severe erosion of teeth
B. Hypertension
C. Diabetes mellitus
D. Atherosclerosis - A
The nurse is performing a physical examination of a 5-year-old boy. Which documented
findings would most strongly indicate maltreatment of the child? Select all that apply.
A. Cuts and bruises on the hands
B. Burns on the dorsal surface of the hand
C. A curved laceration on the back
D. Linear lesions across the chest and abdomen
E. A bruise on the child's knee
F. A scab on the child's elbow - A, B, C, D
An 11-year-old boy has recently been prescribed methylphenidate. The mother calls the
pediatrician's office to speak with the advanced practice pediatric nurse practitioner.
This mother has been extremely resistant to medication and insists that the medication
is not working. How should the nurse respond?
A. "Tell me what makes you think the medication is not working"
B. "Do you want to try a different medication?"
,C. "Are you sure you are administering it properly"
D. "Do you want to increase the dosage?" - A
A nurse is assessing a 5-year-old boy and suspects that the child may have an autism
spectrum disorder. Which assessments would help support the nurse's suspicions?
Select all that apply.
A. Inability to make eye contact
B. Hypersensitivity to touch
C. Lack of facial expression
D. Distinct interest in others around him
E. Easily distracted from playing - B, C
An extremely thin preadolescent is being assessed by the nurse. Which client statement
should the nurse identify as being consistent with that of a person with anorexia
nervosa?
A. "I'd like to grow up to be a model."
B. "I'd like to gain weight but just can't."
C. "I feel chubby no matter what I wear."
D. "I'm afraid that someone is poisoning my food." - C
A child with attention deficit hyperactivity disorder (ADHD) is prescribed
methylphenidate hydrochloride. What should the nurse instruct the parents regarding an
adverse effect of this medication?
A. Anorexia
B. Sleepiness
C. Garbled speech
D. Rapid increase in height - A
, An otherwise healthy 18-month-old child with a history of febrile seizures is in the well-
child clinic. Which statement by the father would indicate to the nurse that additional
teaching should be done?
A. "I have ibuprofen available in case it's needed."
B. "My child will likely outgrow these seizures by age 5."
C. "I always keep phenobarbital with me in case of a fever."
D. "The most likely time for a seizure is when the fever is rising." - C
A 6-month-old infant is admitted with a diagnosis of bacterial meningitis. The nurse
would place the infant in which room?
A. A room with a 12-month-old infant with a urinary tract infection
B. A room with an 8-month-old infant with failure to thrive
C. A private room near the nurses' station
D. A two-bed room in the middle of the hall - C
The parents of a child with a history of seizures who has been taking phenytoin
(Dilantin) ask the nurse why it's difficult to maintain therapeutic plasma levels of this
medication. Which statement by the nurse would be most accurate?
A. "A drop in the plasma drug level will lead to a toxic state."
B. "The capacity to metabolize the drug becomes overwhelmed over time."
C. "Small increments in dosage lead to sharp increases in plasma drug levels."
D. "Large increments in dosage lead to a more rapid stabilizing therapeutic effect." - C
A panicked mother calls the health care provider's office and reports that her 5-year-old
has a high fever and just had a seizure. The mother asks the nurse what she should do.
Which is the nurse's best response?
A. Report to the emergency room for medical evaluation
B. Immerse the child in a bathtub of tepid water
C. Administer oral acetaminophen per package directions
D. Remove any heavy clothing and cover with a thin sheet - A
Care 2nd Edition Rudd |Complete Guide A+
A nurse is obtaining the history from a parent of a child who experiences absence
seizures. Which of the following would the nurse expect the mother to describe?
A. Brief, sudden onset with muscles that become tense
B. Loss of motor activity accompanied by a blank stare
C. Sudden, brief jerking motions of a muscle group
D. Loss of muscle tone and loss of consciousness - B
ABSENCE= BLANK STARE
The school nurse is educating the parents of a child with infectious conjunctivitis. Which
of the following statements by the nurse would be most helpful for the parents related to
prevention?
A. "Use all the medication as directed."
B. "Don't use anything that touches her face."
C. "This could have started with a head cold."
D. "Place the ointment inside the lower eyelid." - B
A 7-month-old is scheduled for surgical correction of strabismus. The child's mother
says to the nurse, "I'm glad my child will never have to wear that patch again." Which of
these responses would be most appropriate for the nurse to make?
A. "Your child will never need to wear the patch again."
B. "Your child will need to wear the patch for a few days to keep him/her from rubbing or
putting pressure on the eye."
C. "Your child will need to wear the patch for several months to keep the eye in
alignment."
D. "Your child will have to be in restraints for a week to keep him/her from rubbing the
eye." - B
,A 4-month-old infant is seen at the ambulatory care clinic and diagnosed with
nasolacrimal duct obstruction. The mother asks what can be done. What information
should be included in the information provided to the parent?
A. Once the child is 6 to 9 months old a specialist will be able to drain the duct.
B. Most of these conditions will spontaneously resolve.
C. Antiviral therapy can be prescribed to manage this condition.
D. Over-the-counter drops can be used sparingly. - B
A 17-year-old girl has been diagnosed with bulimia nervosa. Which complication should
the nurse carefully assess for in this client?
A. Severe erosion of teeth
B. Hypertension
C. Diabetes mellitus
D. Atherosclerosis - A
The nurse is performing a physical examination of a 5-year-old boy. Which documented
findings would most strongly indicate maltreatment of the child? Select all that apply.
A. Cuts and bruises on the hands
B. Burns on the dorsal surface of the hand
C. A curved laceration on the back
D. Linear lesions across the chest and abdomen
E. A bruise on the child's knee
F. A scab on the child's elbow - A, B, C, D
An 11-year-old boy has recently been prescribed methylphenidate. The mother calls the
pediatrician's office to speak with the advanced practice pediatric nurse practitioner.
This mother has been extremely resistant to medication and insists that the medication
is not working. How should the nurse respond?
A. "Tell me what makes you think the medication is not working"
B. "Do you want to try a different medication?"
,C. "Are you sure you are administering it properly"
D. "Do you want to increase the dosage?" - A
A nurse is assessing a 5-year-old boy and suspects that the child may have an autism
spectrum disorder. Which assessments would help support the nurse's suspicions?
Select all that apply.
A. Inability to make eye contact
B. Hypersensitivity to touch
C. Lack of facial expression
D. Distinct interest in others around him
E. Easily distracted from playing - B, C
An extremely thin preadolescent is being assessed by the nurse. Which client statement
should the nurse identify as being consistent with that of a person with anorexia
nervosa?
A. "I'd like to grow up to be a model."
B. "I'd like to gain weight but just can't."
C. "I feel chubby no matter what I wear."
D. "I'm afraid that someone is poisoning my food." - C
A child with attention deficit hyperactivity disorder (ADHD) is prescribed
methylphenidate hydrochloride. What should the nurse instruct the parents regarding an
adverse effect of this medication?
A. Anorexia
B. Sleepiness
C. Garbled speech
D. Rapid increase in height - A
, An otherwise healthy 18-month-old child with a history of febrile seizures is in the well-
child clinic. Which statement by the father would indicate to the nurse that additional
teaching should be done?
A. "I have ibuprofen available in case it's needed."
B. "My child will likely outgrow these seizures by age 5."
C. "I always keep phenobarbital with me in case of a fever."
D. "The most likely time for a seizure is when the fever is rising." - C
A 6-month-old infant is admitted with a diagnosis of bacterial meningitis. The nurse
would place the infant in which room?
A. A room with a 12-month-old infant with a urinary tract infection
B. A room with an 8-month-old infant with failure to thrive
C. A private room near the nurses' station
D. A two-bed room in the middle of the hall - C
The parents of a child with a history of seizures who has been taking phenytoin
(Dilantin) ask the nurse why it's difficult to maintain therapeutic plasma levels of this
medication. Which statement by the nurse would be most accurate?
A. "A drop in the plasma drug level will lead to a toxic state."
B. "The capacity to metabolize the drug becomes overwhelmed over time."
C. "Small increments in dosage lead to sharp increases in plasma drug levels."
D. "Large increments in dosage lead to a more rapid stabilizing therapeutic effect." - C
A panicked mother calls the health care provider's office and reports that her 5-year-old
has a high fever and just had a seizure. The mother asks the nurse what she should do.
Which is the nurse's best response?
A. Report to the emergency room for medical evaluation
B. Immerse the child in a bathtub of tepid water
C. Administer oral acetaminophen per package directions
D. Remove any heavy clothing and cover with a thin sheet - A
