PN NURSING CARE OF CHILDREN
i
1. A nurse is reinforcing teaching with the ANSWER: C. "I will keep my child's towels separate
parent of a child who has a bacterial from those of the rest of the family."
upper respiratory infection. Which of
the following statements by the par- Rationale: The nurse should identify that a child
ent indicates an understanding of the who has an upper respiratory infection should use
teaching? separate towels, utensils, and cups to prevent the
infection from spreading.
A. "I will force my child to drink fluids
when they have a fever."
B. "I will use a dehumidifier in my
child's room."
C. "I will keep my child's towels sepa-
rate from those of the rest of the fami-
ly."
D. "I will make sure my child eats three
meals a day, even though their ap-
petite is not good right now."
2. A nurse is collecting data from a child ANSWER: D. Amnesia.
who recently experienced a psychomo-
tor seizure. Which of the following find- Rationale: The nurse should identify that amnesia
ings should the nurse expect? is an expected manifestation after a seizure. Chil-
dren often do not remember the seizure activity.
A. Hyperactivity
B. Nystagmus
C. Apnea
D. Amnesia
3. A nurse is collecting data from a ANSWER: D. Unable to tell the difference between
7-year-old child. Which of the following right and left.
findings indicates a developmental de-
lay? Rationale: The nurse should recognize that a child
, PN NURSING CARE OF CHILDREN
i
should know the difference between right and left
A. Unable to verbalize the date by 6 years of age.
B. Unable to count backwards from 20
to 1
C. Unable to make change out of a
quarter
D. Unable to tell the difference be-
tween right and left
4. A nurse is contributing to the plan of ANSWER: D. Ensure the child receives pain med-
care for a preschooler who has mod- ication 30 to 45 min prior to therapy.
erate partial-thickness burns on both
lower extremities. Which of the follow- Rationale: The nurse should ensure that the
ing interventions should the nurse rec- preschooler receives pain medication 30 to 45
ommend? min prior to physical therapy sessions. The nurse
should monitor the child's pain levels and treat
A. Maintain clean technique during the them as needed. This will minimize or eliminate
child's dressing change pain from moving tight skin at joints, which will
B. Provide low-calorie snacks for the encourage the child to participate in physical ther-
child three to four times each day be- apy. If the child is in pain during therapy, it will be
tween meals a challenge to get the child to participate in future
C. Allow the child to set their own daily sessions.
schedule for wound care
D. Ensure the child receives pain med-
ication 30 to 45 min prior to therapy.-
5. A nurse is contributing to the plan ANSWER: A. Provide a low-sodium diet.
of care for a child who has nephrotic
syndrome and a prescription for corti- Rationale: The nurse should recommend provid-
costeroids. Which of the following in- ing the child with a low-sodium diet to decrease
terventions should the nurse recom- edema associated with nephrotic syndrome.
mend?
, PN NURSING CARE OF CHILDREN
i
A. Provide a low-sodium diet
B. Encourage increased fluid intake
C. Obtain urine ketone levels weekly
D. Administer pancreatic enzymes with
meal
6. A nurse is reinforcing teaching with an ANSWER: B. High-potassium foods.
adolescent client who has a prescrip-
tion for lisinopril. Which of the follow- Rationale: The nurse should identify that lisino-
ing foods should the nurse instruct the pril, an ACE inhibitor, can result in hyperKalemia.
client to avoid? Therefore,
the nurse should instruct the client to avoid foods
A. Foods high in fiber high in potassium, which can increase the risk of
B. High-potassium foods hyperKalemia and lead to cardiac dysrhythmias.
C. Foods high in Vitamin K
D. Dairy products
7. A nurse is contributing to a plan of care ANSWER: D. Making sure the toddler has at least
for a 24-month-old toddler. Which of one nap during the day.
the following actions should the nurse
take? Rationale: Toddlers generally require at least one
nap per day because of their high activity levels.
A. Allowing the toddler to button up At approximately 3 years of age, children have
their own shirt established a sleep pattern similar to that of an
B. Asking the toddler questions that adult.
have "yes" or "no" answers
C. Providing the toddler with opportu-
nities to share toys with others
D. Making sure the toddler has at least
one nap during the day
8. A nurse is caring for an adolescent ANSWER: A. "I will administer pain medication on
client who has a terminal illness. Which a schedule."
i
1. A nurse is reinforcing teaching with the ANSWER: C. "I will keep my child's towels separate
parent of a child who has a bacterial from those of the rest of the family."
upper respiratory infection. Which of
the following statements by the par- Rationale: The nurse should identify that a child
ent indicates an understanding of the who has an upper respiratory infection should use
teaching? separate towels, utensils, and cups to prevent the
infection from spreading.
A. "I will force my child to drink fluids
when they have a fever."
B. "I will use a dehumidifier in my
child's room."
C. "I will keep my child's towels sepa-
rate from those of the rest of the fami-
ly."
D. "I will make sure my child eats three
meals a day, even though their ap-
petite is not good right now."
2. A nurse is collecting data from a child ANSWER: D. Amnesia.
who recently experienced a psychomo-
tor seizure. Which of the following find- Rationale: The nurse should identify that amnesia
ings should the nurse expect? is an expected manifestation after a seizure. Chil-
dren often do not remember the seizure activity.
A. Hyperactivity
B. Nystagmus
C. Apnea
D. Amnesia
3. A nurse is collecting data from a ANSWER: D. Unable to tell the difference between
7-year-old child. Which of the following right and left.
findings indicates a developmental de-
lay? Rationale: The nurse should recognize that a child
, PN NURSING CARE OF CHILDREN
i
should know the difference between right and left
A. Unable to verbalize the date by 6 years of age.
B. Unable to count backwards from 20
to 1
C. Unable to make change out of a
quarter
D. Unable to tell the difference be-
tween right and left
4. A nurse is contributing to the plan of ANSWER: D. Ensure the child receives pain med-
care for a preschooler who has mod- ication 30 to 45 min prior to therapy.
erate partial-thickness burns on both
lower extremities. Which of the follow- Rationale: The nurse should ensure that the
ing interventions should the nurse rec- preschooler receives pain medication 30 to 45
ommend? min prior to physical therapy sessions. The nurse
should monitor the child's pain levels and treat
A. Maintain clean technique during the them as needed. This will minimize or eliminate
child's dressing change pain from moving tight skin at joints, which will
B. Provide low-calorie snacks for the encourage the child to participate in physical ther-
child three to four times each day be- apy. If the child is in pain during therapy, it will be
tween meals a challenge to get the child to participate in future
C. Allow the child to set their own daily sessions.
schedule for wound care
D. Ensure the child receives pain med-
ication 30 to 45 min prior to therapy.-
5. A nurse is contributing to the plan ANSWER: A. Provide a low-sodium diet.
of care for a child who has nephrotic
syndrome and a prescription for corti- Rationale: The nurse should recommend provid-
costeroids. Which of the following in- ing the child with a low-sodium diet to decrease
terventions should the nurse recom- edema associated with nephrotic syndrome.
mend?
, PN NURSING CARE OF CHILDREN
i
A. Provide a low-sodium diet
B. Encourage increased fluid intake
C. Obtain urine ketone levels weekly
D. Administer pancreatic enzymes with
meal
6. A nurse is reinforcing teaching with an ANSWER: B. High-potassium foods.
adolescent client who has a prescrip-
tion for lisinopril. Which of the follow- Rationale: The nurse should identify that lisino-
ing foods should the nurse instruct the pril, an ACE inhibitor, can result in hyperKalemia.
client to avoid? Therefore,
the nurse should instruct the client to avoid foods
A. Foods high in fiber high in potassium, which can increase the risk of
B. High-potassium foods hyperKalemia and lead to cardiac dysrhythmias.
C. Foods high in Vitamin K
D. Dairy products
7. A nurse is contributing to a plan of care ANSWER: D. Making sure the toddler has at least
for a 24-month-old toddler. Which of one nap during the day.
the following actions should the nurse
take? Rationale: Toddlers generally require at least one
nap per day because of their high activity levels.
A. Allowing the toddler to button up At approximately 3 years of age, children have
their own shirt established a sleep pattern similar to that of an
B. Asking the toddler questions that adult.
have "yes" or "no" answers
C. Providing the toddler with opportu-
nities to share toys with others
D. Making sure the toddler has at least
one nap during the day
8. A nurse is caring for an adolescent ANSWER: A. "I will administer pain medication on
client who has a terminal illness. Which a schedule."
