Pediatric Nursing (Wong's Essentials): midterm Questions
With Complete Solutions
. A child with acetylsalicylic acid (aspirin) poisoning
is being admitted to the emergency department.
What early clinical manifestation does the nurse
expect to assess on this child?
a. Hematemesis
b. Hematochezia
c. Hyperglycemia
d. Hyperventilation Correct Answers ANS: D
An early clinical manifestation of acetylsalicylic
acid (aspirin) poisoning is hyperventilation.
Hematemesis, hematochezia, and hyperglycemia
are clinical manifestations of iron poisoning.
1. A nurse is admitting a child, in foster care, to the
hospital. The nurse recognizes that foster parents
care for the child _____ hours a day. (Record your
answer as a whole number.) Correct Answers
ANS:
24
,The term foster care is defined as 24-hour
substitute care for children outside of their own
homes.
1. A nurse is selecting a family theory to assess a
patient's family dynamics. Which family theory
best describes a series of tasks for the family
throughout its life span?
a. Interactional theory
b. Developmental systems theory
c. Structural-functional theory
d. Duvall's developmental theory Correct Answers
Duvall's developmental theory
Duvall's developmental theory describes eight
developmental tasks of the family throughout its
life span. Interactional theory and structural-
functional theory are not family theories.
Developmental systems theory is an outgrowth of
Duvall's theory. The family is described as a small
group, a semiclosed system of personalities that
interact with the larger cultural system. Changes
do not occur in one part of the family without
changes in others.
1. Dunst, Trivette, and Deal identified the qualities
of strong families that help them function
effectively. Which qualities are included? (Select all
that apply.)
,a. Ability to stay connected without spending time
together
b. Clear set of family values, rules, and beliefs
c. Adoption of one coping strategy that always
promotes positive functioning in dealing with life
events
d. Sense of commitment toward growth of
individual family members as opposed to that of
the family unit
e. Ability to engage in problem-solving activities
f. Sense of balance between the use of internal and
external family resources Correct Answers Clear
set of family values, rules, and beliefs
Ability to engage in problem-solving activities
Sense of balance between the use of internal and
external family resources
ANS: B, E, F
A clear set of family rules, values, and beliefs that
establishes expectations about acceptable and
desired behavior is one of the qualities of strong
families that help them function effectively. Strong
families also are able to engage in problem-solving
activities and to find a balance between internal
and external forces. Strong families have a sense
of congruence among family members regarding
the value and importance of assigning time and
, energy to meet needs. Strong families also use
varied coping strategies. The sense of commitment
is toward the growth and well-being of individual
family members, as well as the family unit.
10. A 3-year-old girl was adopted immediately after
birth. The parents have just asked the nurse how
they should tell the child that she is adopted.
Which guidelines concerning adoption should the
nurse use in planning a response?
a. Telling the child is an important aspect of their
parental responsibilities.
b. The best time to tell the child is between ages 7
and 10 years.
c. It is not necessary to tell the child who was
adopted so young.
d It is best to wait until the child asks about it.
Correct Answers Telling the child is an important
aspect of their parental responsibilities.
It is important for the parents not to withhold
information about the adoption from the child. It is
an essential component of the child's identity.
There is no recommended best time to tell
children. It is believed that children should be told
young enough so they do not remember a time
when they did not know. It should be done before
the children enter school to keep third parties from
With Complete Solutions
. A child with acetylsalicylic acid (aspirin) poisoning
is being admitted to the emergency department.
What early clinical manifestation does the nurse
expect to assess on this child?
a. Hematemesis
b. Hematochezia
c. Hyperglycemia
d. Hyperventilation Correct Answers ANS: D
An early clinical manifestation of acetylsalicylic
acid (aspirin) poisoning is hyperventilation.
Hematemesis, hematochezia, and hyperglycemia
are clinical manifestations of iron poisoning.
1. A nurse is admitting a child, in foster care, to the
hospital. The nurse recognizes that foster parents
care for the child _____ hours a day. (Record your
answer as a whole number.) Correct Answers
ANS:
24
,The term foster care is defined as 24-hour
substitute care for children outside of their own
homes.
1. A nurse is selecting a family theory to assess a
patient's family dynamics. Which family theory
best describes a series of tasks for the family
throughout its life span?
a. Interactional theory
b. Developmental systems theory
c. Structural-functional theory
d. Duvall's developmental theory Correct Answers
Duvall's developmental theory
Duvall's developmental theory describes eight
developmental tasks of the family throughout its
life span. Interactional theory and structural-
functional theory are not family theories.
Developmental systems theory is an outgrowth of
Duvall's theory. The family is described as a small
group, a semiclosed system of personalities that
interact with the larger cultural system. Changes
do not occur in one part of the family without
changes in others.
1. Dunst, Trivette, and Deal identified the qualities
of strong families that help them function
effectively. Which qualities are included? (Select all
that apply.)
,a. Ability to stay connected without spending time
together
b. Clear set of family values, rules, and beliefs
c. Adoption of one coping strategy that always
promotes positive functioning in dealing with life
events
d. Sense of commitment toward growth of
individual family members as opposed to that of
the family unit
e. Ability to engage in problem-solving activities
f. Sense of balance between the use of internal and
external family resources Correct Answers Clear
set of family values, rules, and beliefs
Ability to engage in problem-solving activities
Sense of balance between the use of internal and
external family resources
ANS: B, E, F
A clear set of family rules, values, and beliefs that
establishes expectations about acceptable and
desired behavior is one of the qualities of strong
families that help them function effectively. Strong
families also are able to engage in problem-solving
activities and to find a balance between internal
and external forces. Strong families have a sense
of congruence among family members regarding
the value and importance of assigning time and
, energy to meet needs. Strong families also use
varied coping strategies. The sense of commitment
is toward the growth and well-being of individual
family members, as well as the family unit.
10. A 3-year-old girl was adopted immediately after
birth. The parents have just asked the nurse how
they should tell the child that she is adopted.
Which guidelines concerning adoption should the
nurse use in planning a response?
a. Telling the child is an important aspect of their
parental responsibilities.
b. The best time to tell the child is between ages 7
and 10 years.
c. It is not necessary to tell the child who was
adopted so young.
d It is best to wait until the child asks about it.
Correct Answers Telling the child is an important
aspect of their parental responsibilities.
It is important for the parents not to withhold
information about the adoption from the child. It is
an essential component of the child's identity.
There is no recommended best time to tell
children. It is believed that children should be told
young enough so they do not remember a time
when they did not know. It should be done before
the children enter school to keep third parties from
