Essentials of Pediatric Nursing - Chapter
24 EXAM (ACTUAL) RATED A+
The parents of a 6-year-old child with idiopathic thrombocytopenic purpura (ITP) ask the
nurse conducting an assessment of the child what causes the disease. What is the
nurse's best response? - Answer - ✔ "ITP is primarily an autoimmune disease in which
the immune system attacks and destroys the body's own platelets, for an unknown
reason."
A toddler who is beginning to walk has fallen and hit his head on the corner of a low
table. The caregiver has been unable to stop the bleeding and brings the child to the
pediatric clinic. The nurse is gathering data during the admission process and notes
several bruises and swollen joints. A diagnosis of hemophilia is confirmed. This child
most likely has a deficiency of which blood factor?
Factor X
Factor XIII
Factor VIII
Factor V - Answer - ✔ Factor VIII
The nurse is caring for a child with leukemia. Which nursing intervention would be the
highest priority for this child?
Providing age-appropriate activities
Following guidelines for protective isolation
Encouraging the child to share feelings
Grouping nursing care - Answer - ✔ following guidelines for protective isolation
The nurse is planning care for a child with idiopathic thrombocytopenic purpura. Which
client education should be included?
Not to pick or irritate the nose
What foods are high in folic acid
To use mainly cold water to wash
To apply a soothing cream to lesions - Answer - ✔ Not to pick or irritate the nose
A high-school football player has been diagnosed as having osteosarcoma of the femur.
The parents are angry because they told the adolescent not to play football. Which
health teaching points would the nurse include in the teaching plan for the adolsecent
and parents?
Tumor growth is related to your dislike of milk.
Football injuries do not contribute to the development of a tumor.
Osteosarcoma often follows trauma, such as a football injury.
You can expect some discoloration of the leg following chemotherapy. - Answer - ✔
Football injuries do not contribute to the development of a tumor.
, The nurse is caring for a 10-year-old boy with hemophilia. He asks the nurse for
suggestions about appropriate physical activities. Which activity would the nurse most
likely recommend?
Soccer
Wrestling
Baseball
Football - Answer - ✔ Baseball
A nurse is reviewing the medical records of several children who have undergone lead
screening. The nurse would identify the child with which lead level as requiring no
further action?
26 mcg/dL
20 mcg/dL
14 mcg/dL
8 mcg/dL - Answer - ✔ 8 mcg/dL
A 4-year-old child diagnosed with Wilms tumor is admitted for surgery. What information
would be most important for the nurse to include in the child's preoperative plan of care?
Administering analgesics for pain
Avoiding further abdominal palpation
Performing dressing changes to the affected area
Preparing the child for amputation - Answer - ✔ Avoiding further abdominal palpation
A child receiving chemotherapy is experiencing significant reduction in red blood cells
secondary to myelosuppression. Which agent would the nurse most likely expect to be
ordered?
Gamma interferon
Sargramostim
Filgrastim
Epoetin alfa - Answer - ✔ Epoetin alfa
Why do nurses teach childhood cancer survivors to inform adult health care providers of
their prior disease and treatments?
To participate in cancer research
To obtain health insurance
To monitor for late effects
To access community support groups - Answer - ✔ To monitor for late effects
Antiemetics are ordered to control nausea and vomiting in the child undergoing
chemotherapy. How can the nurse most effectively use these medications?
Use the antiemetic after it is clear that nonpharmacologic methods are not effective
Start the antiemetic on a scheduled basis when the chemotherapy begins to cause
nausea
Provide the antiemetic as needed (PRN) when nausea and vomiting are reported
Administer the antiemetic before starting chemotherapy - Answer - ✔ Administer the
antiemetic before starting chemotherapy
24 EXAM (ACTUAL) RATED A+
The parents of a 6-year-old child with idiopathic thrombocytopenic purpura (ITP) ask the
nurse conducting an assessment of the child what causes the disease. What is the
nurse's best response? - Answer - ✔ "ITP is primarily an autoimmune disease in which
the immune system attacks and destroys the body's own platelets, for an unknown
reason."
A toddler who is beginning to walk has fallen and hit his head on the corner of a low
table. The caregiver has been unable to stop the bleeding and brings the child to the
pediatric clinic. The nurse is gathering data during the admission process and notes
several bruises and swollen joints. A diagnosis of hemophilia is confirmed. This child
most likely has a deficiency of which blood factor?
Factor X
Factor XIII
Factor VIII
Factor V - Answer - ✔ Factor VIII
The nurse is caring for a child with leukemia. Which nursing intervention would be the
highest priority for this child?
Providing age-appropriate activities
Following guidelines for protective isolation
Encouraging the child to share feelings
Grouping nursing care - Answer - ✔ following guidelines for protective isolation
The nurse is planning care for a child with idiopathic thrombocytopenic purpura. Which
client education should be included?
Not to pick or irritate the nose
What foods are high in folic acid
To use mainly cold water to wash
To apply a soothing cream to lesions - Answer - ✔ Not to pick or irritate the nose
A high-school football player has been diagnosed as having osteosarcoma of the femur.
The parents are angry because they told the adolescent not to play football. Which
health teaching points would the nurse include in the teaching plan for the adolsecent
and parents?
Tumor growth is related to your dislike of milk.
Football injuries do not contribute to the development of a tumor.
Osteosarcoma often follows trauma, such as a football injury.
You can expect some discoloration of the leg following chemotherapy. - Answer - ✔
Football injuries do not contribute to the development of a tumor.
, The nurse is caring for a 10-year-old boy with hemophilia. He asks the nurse for
suggestions about appropriate physical activities. Which activity would the nurse most
likely recommend?
Soccer
Wrestling
Baseball
Football - Answer - ✔ Baseball
A nurse is reviewing the medical records of several children who have undergone lead
screening. The nurse would identify the child with which lead level as requiring no
further action?
26 mcg/dL
20 mcg/dL
14 mcg/dL
8 mcg/dL - Answer - ✔ 8 mcg/dL
A 4-year-old child diagnosed with Wilms tumor is admitted for surgery. What information
would be most important for the nurse to include in the child's preoperative plan of care?
Administering analgesics for pain
Avoiding further abdominal palpation
Performing dressing changes to the affected area
Preparing the child for amputation - Answer - ✔ Avoiding further abdominal palpation
A child receiving chemotherapy is experiencing significant reduction in red blood cells
secondary to myelosuppression. Which agent would the nurse most likely expect to be
ordered?
Gamma interferon
Sargramostim
Filgrastim
Epoetin alfa - Answer - ✔ Epoetin alfa
Why do nurses teach childhood cancer survivors to inform adult health care providers of
their prior disease and treatments?
To participate in cancer research
To obtain health insurance
To monitor for late effects
To access community support groups - Answer - ✔ To monitor for late effects
Antiemetics are ordered to control nausea and vomiting in the child undergoing
chemotherapy. How can the nurse most effectively use these medications?
Use the antiemetic after it is clear that nonpharmacologic methods are not effective
Start the antiemetic on a scheduled basis when the chemotherapy begins to cause
nausea
Provide the antiemetic as needed (PRN) when nausea and vomiting are reported
Administer the antiemetic before starting chemotherapy - Answer - ✔ Administer the
antiemetic before starting chemotherapy
