Essentials of Pediatric Nursing CH 10 single-answer
questions. Backed pass!
Origin: Chapter 10, 1
The nurse is conducting a health history for a 9-year-old child with stomach pains. What is a
recommended guideline when approaching the child for information?
A) Wear a white examination coat when conducting the interview.
B) Allow the child to control the pace and order of the health history.
C) Use quick deliberate gestures to get your point across.
D) Do not make physical contact with the child during the interview. - Correct Answers-Ans: B
Feedback:
The nurse should elicit the child's cooperation by allowing him or her control over the pace and
order of the health history, or anything else that the child can control while still allowing the
nurse to obtain the information needed. A white examination coat or all-white uniform may be
frightening to children, who may associate the uniform with painful experiences or find it too
unfamiliar. The nurse should use slow deliberate gestures rather than very quick or grand ones,
which may be frightening to shy children. The nurse should make physical contact with the child
in a nonthreatening way at first by briefly cuddling newborns before returning them to
caregivers, laying a hand on the head or arm of toddlers and preschoolers, and warmly shaking
the hand of older children and teens to convey a gentle demeanor.
Origin: Chapter 10, 2
For which children would the nurse conduct an immediate comprehensive health history?
A) A child who is brought to the emergency room with labored breathing
B) A child who is a new client in a pediatric office
C) A child who is a routine client and presents with signs of a sinus infection
D) A child whose condition is improving - Correct Answers-Ans: B
Feedback:
The purpose of the examination will determine how comprehensive the history must be. A
comprehensive history would be performed for a new child in a pediatric office or a child who is
admitted to the hospital. Also, if the physician or nurse practitioner rarely sees the child or if
the child is critically ill, a complete and detailed history is in order, no matter what the setting.
The child who has received routine health care and presents with a mild illness may need only a
problem-focused history. In critical situations, some of the history taking must be delayed until
after the child's condition is stabilized.
Origin: Chapter 10, 3
The nurse is performing a health history on a 6-year-old boy who is having trouble adjusting to
, school. Which question would be most likely to elicit valuable information?
A) 'Do you like your new school?'
B) 'Are you happy with your teacher?'
C) 'Do you enjoy reading a book?'
D) 'What are your new classmates like?' - Correct Answers-Ans: D
Feedback:
A careful conversation and interview with the child and/or the caregiver will provide important
information about the child's health. Depending on the intent of the health assessment, many
of the questions will be direct, and many will require the caregiver or child to answer simply
"yes" or "no." In other than emergency situations, though, asking open-ended questions such
as 'What are your classmates like?' offers an excellent opportunity to learn more about the
child's life.
Origin: Chapter 10, 4
The nurse performing a health history on a child asks the parents if their child has experienced
increased appetite or thirst. What body system is the nurse assessing with this question?
A) Endocrine
B) Genitourinary
C) Hematologic
D) Neurologic - Correct Answers-Ans: A
Feedback:
Indicators of problems with the endocrine system include increased thirst, excessive appetite,
delayed or early pubertal changes, and problems with growth. For the genitourinary system the
nurse would assess urinary patterns and genitals. For the hematologic system the nurse would
assess lymph nodes, skin color, and bruising. Signs of neurologic problems include numbness,
tingling, difficulty learning, altered mood or ability to stay alert, tremors, tics, and seizures.
Origin: Chapter 10, 5
The nurse is questioning the parents of a 2-year-old child to obtain a functional history. Which
topics might the nurse include? Select all answers that apply.
A) The child's toileting habits
B) Use of car seats and other safety measures
C) Problems with growth and development
D) Prenatal and perinatal history
E) The child's race and ethnicity
F) Use of supplements and vitamins - Correct Answers-Ans: A, B, F
Feedback:
The functional history should contain information about the child's daily routine, such as
toileting habits, safety measures, and nutrition. Problems with growth and development would
be covered in the developmental history. Prenatal and perinatal history is assessed in the past
questions. Backed pass!
Origin: Chapter 10, 1
The nurse is conducting a health history for a 9-year-old child with stomach pains. What is a
recommended guideline when approaching the child for information?
A) Wear a white examination coat when conducting the interview.
B) Allow the child to control the pace and order of the health history.
C) Use quick deliberate gestures to get your point across.
D) Do not make physical contact with the child during the interview. - Correct Answers-Ans: B
Feedback:
The nurse should elicit the child's cooperation by allowing him or her control over the pace and
order of the health history, or anything else that the child can control while still allowing the
nurse to obtain the information needed. A white examination coat or all-white uniform may be
frightening to children, who may associate the uniform with painful experiences or find it too
unfamiliar. The nurse should use slow deliberate gestures rather than very quick or grand ones,
which may be frightening to shy children. The nurse should make physical contact with the child
in a nonthreatening way at first by briefly cuddling newborns before returning them to
caregivers, laying a hand on the head or arm of toddlers and preschoolers, and warmly shaking
the hand of older children and teens to convey a gentle demeanor.
Origin: Chapter 10, 2
For which children would the nurse conduct an immediate comprehensive health history?
A) A child who is brought to the emergency room with labored breathing
B) A child who is a new client in a pediatric office
C) A child who is a routine client and presents with signs of a sinus infection
D) A child whose condition is improving - Correct Answers-Ans: B
Feedback:
The purpose of the examination will determine how comprehensive the history must be. A
comprehensive history would be performed for a new child in a pediatric office or a child who is
admitted to the hospital. Also, if the physician or nurse practitioner rarely sees the child or if
the child is critically ill, a complete and detailed history is in order, no matter what the setting.
The child who has received routine health care and presents with a mild illness may need only a
problem-focused history. In critical situations, some of the history taking must be delayed until
after the child's condition is stabilized.
Origin: Chapter 10, 3
The nurse is performing a health history on a 6-year-old boy who is having trouble adjusting to
, school. Which question would be most likely to elicit valuable information?
A) 'Do you like your new school?'
B) 'Are you happy with your teacher?'
C) 'Do you enjoy reading a book?'
D) 'What are your new classmates like?' - Correct Answers-Ans: D
Feedback:
A careful conversation and interview with the child and/or the caregiver will provide important
information about the child's health. Depending on the intent of the health assessment, many
of the questions will be direct, and many will require the caregiver or child to answer simply
"yes" or "no." In other than emergency situations, though, asking open-ended questions such
as 'What are your classmates like?' offers an excellent opportunity to learn more about the
child's life.
Origin: Chapter 10, 4
The nurse performing a health history on a child asks the parents if their child has experienced
increased appetite or thirst. What body system is the nurse assessing with this question?
A) Endocrine
B) Genitourinary
C) Hematologic
D) Neurologic - Correct Answers-Ans: A
Feedback:
Indicators of problems with the endocrine system include increased thirst, excessive appetite,
delayed or early pubertal changes, and problems with growth. For the genitourinary system the
nurse would assess urinary patterns and genitals. For the hematologic system the nurse would
assess lymph nodes, skin color, and bruising. Signs of neurologic problems include numbness,
tingling, difficulty learning, altered mood or ability to stay alert, tremors, tics, and seizures.
Origin: Chapter 10, 5
The nurse is questioning the parents of a 2-year-old child to obtain a functional history. Which
topics might the nurse include? Select all answers that apply.
A) The child's toileting habits
B) Use of car seats and other safety measures
C) Problems with growth and development
D) Prenatal and perinatal history
E) The child's race and ethnicity
F) Use of supplements and vitamins - Correct Answers-Ans: A, B, F
Feedback:
The functional history should contain information about the child's daily routine, such as
toileting habits, safety measures, and nutrition. Problems with growth and development would
be covered in the developmental history. Prenatal and perinatal history is assessed in the past
