Kyle and Carman: Essentials of Pediatric Nursing
revision material. Get guided on revision and pass !
The nurse is interviewing an adolescent. What should the nurse recognize as an important
aspect of interviewing the adolescent?
Adolescents will share more about themselves in a private conversation.
Adolescents will not likely share information related to sexual relationships or to use of
substances.
Adolescents should be asked if they would like a peer in the room during the interview.
Adolescents will talk more openly if their caregiver is in the same room. - Correct Answers-in a
room with a child near the same age
The nurse is obtaining the health history for a 9-year-old child who has been brought to the
ambulatory care clinic with reports of a backache. Which initial action by the nurse is most
appropriate?
Ask the child to demonstrate movements involving the back.
Ask the child's parent about when the parent was first made aware of the discomfort.
Palpate the child's back while asking the severity of discomfort being experienced.
Ask the child when the pain started. - Correct Answers-Ask the child when the pain started.
A 12-year-old client is hospitalized. Which finding will the nurse expect while providing care to
this client?
uncomfortable during genital assessment
separation anxiety
refusal of treatments
inability to understand explanation - Correct Answers-uncomfortable during genital assessment
A preschooler is admitted to the pediatric floor for dehydration and is frightened. Which
nursing intervention would be least effective in alleviating the child's anxiety?
Encourage a caregiver to stay with the child when possible.
Explain all procedures using medical terminology.
Assign the child to the same nurse each day.
Allow the child to handle the blood pressure cuff before using it. - Correct Answers-Explain all
,procedures using medical terminology.
The nurse is establishing a long-term relationship with a child who will be seeking treatment for
cancer. What is the most important factor in this relationship?
determining appointment times for meetings
establishing a timeline for the relationship
establishing trust
setting goals for the relationship - Correct Answers-establishing trust
The nurse is preparing to conduct the cover test with a preschool-age child. Which body system
is the nurse preparing to assess?
Ears
Eyes
Neck
Nose - Correct Answers-Eyes
While at school, the client is called to the school nurse's office. The school nurse is performing
secondary prevention interventions. Which would the nurse most likely be performing?
assessing vision
checking temperature
asking the client if he or she likes school
asking the client about what he or she usually eats each day - Correct Answers-assessing vision
The nurse is taking the health history of a 15-year-old client. What would be an appropriate
way for the nurse to ask about the client's drug use history?
"Have you smoked crack before?"
"Some teens like to smoke. Have you tried this?"
"Have you had alcohol at parties before?"
"Have you smoked cigarettes?" - Correct Answers-"Some teens like to smoke. Have you tried
this?"
The nurse is caring for a 6-year-old client who is prescribed to cough and deep breathe
following surgery. Which nursing action is best for this client?
Arrange for respiratory therapy to do coughing and deep breathing exercises with the child.
Blow a pinwheel and bubbles with the child.
,Have the parents encourage the child to cough and deep breathe every 2 hours.
Teach the child to use an incentive spirometer. - Correct Answers-Blow a pinwheel and bubbles
with the child.
A toddler is brought to the pediatric clinic by the caregiver because the child "doesn't feel well."
As the nurse interviews the caregiver about why the client is there, which goal is the nurse
prioritizing at this point?
Obtaining the health history
Determining the chief complaint
Obtaining biographical data
Interviewing the client - Correct Answers-Determining the chief complaint
The parents of an 8 year-old state, "I am happy that our child is healthy," when the nurse says
that the child falls into the 95th percentile for BMI. How should the nurse respond?
"For a child a BMI between the 85th and 95th percentile alerts us to the risk for being
overweight. Let's talk about your child's diet and activity level."
"Being in the 95th percentile for BMI is not a good thing. Your child is on the verge of obesity. It
would be a good idea to consider this with meal planning."
"I will let the physician know that your child is in the 95th percentile for BMI."
"The 95th percentile is not an indication of health." - Correct Answers-"For a child a BMI
between the 85th and 95th percentile alerts us to the risk for being overweight. Let's talk about
your child's diet and activity level."
The nurse is preparing to assess the respiratory rate of a crying 15-month-old boy. To get the
most accurate assessment, what approach should the nurse take?
Count abdominal movements.
Count the respiratory rate for 30 seconds.
Place a stethoscope to count respirations.
Count after the child stops crying and is comfortable. - Correct Answers-Count after the child
stops crying and is comfortable.
The nurse is documenting the child's intake. The child ate 4 cups of ice during this shift. How
many cups of fluid did the child ingest?
4 cups of fluid
½ cup of fluid
1 cup of fluid
, 2 cups of fluid - Correct Answers-2 cups of fluid
The nurse is examining the genitals of a healthy newborn girl. The nurse should observe which
normal finding?
labial adhesions
swollen and red anal area
swollen labia minora
lesions on the external genitalia - Correct Answers-swollen labia minora
A nurse is caring for a very shy 4-year-old girl. During the course of a well-child assessment, the
nurse must take the girl's blood pressure. Which approach is best?
"May I take your blood pressure?"
"Help me take your doll's blood pressure"
"Your sister did a great job when I took hers."
"Will you let me put this cuff on your arm?" - Correct Answers-"Help me take your doll's blood
pressure"
The nurse is caring for a 10-year-old child admitted for a surgical procedure to be done the next
day. The nurse takes the child to a special area in the playroom and lets the child "start" an IV
on a stuffed bear. This is an example of:
age-related activity.
therapeutic play.
play therapy.
positive reinforcement. - Correct Answers-therapeutic play.
A nurse caring for a 5-year-old who had abdominal surgery yesterday is trying to teach the child
how to take deep breaths. The best way that the nurse can accomplish this is by:
teaching pursed-lip breathing.
using a pinwheel.
using a flow meter.
using a spirometer. - Correct Answers-using a pinwheel.
The nurse is working with a group of caregivers of children in a community setting. The topic of
hospitalization and the effects of hospitalization on the child are being discussed. Which
statement made by the caregivers supports the most effective way for children to be educated
about hospitals?
revision material. Get guided on revision and pass !
The nurse is interviewing an adolescent. What should the nurse recognize as an important
aspect of interviewing the adolescent?
Adolescents will share more about themselves in a private conversation.
Adolescents will not likely share information related to sexual relationships or to use of
substances.
Adolescents should be asked if they would like a peer in the room during the interview.
Adolescents will talk more openly if their caregiver is in the same room. - Correct Answers-in a
room with a child near the same age
The nurse is obtaining the health history for a 9-year-old child who has been brought to the
ambulatory care clinic with reports of a backache. Which initial action by the nurse is most
appropriate?
Ask the child to demonstrate movements involving the back.
Ask the child's parent about when the parent was first made aware of the discomfort.
Palpate the child's back while asking the severity of discomfort being experienced.
Ask the child when the pain started. - Correct Answers-Ask the child when the pain started.
A 12-year-old client is hospitalized. Which finding will the nurse expect while providing care to
this client?
uncomfortable during genital assessment
separation anxiety
refusal of treatments
inability to understand explanation - Correct Answers-uncomfortable during genital assessment
A preschooler is admitted to the pediatric floor for dehydration and is frightened. Which
nursing intervention would be least effective in alleviating the child's anxiety?
Encourage a caregiver to stay with the child when possible.
Explain all procedures using medical terminology.
Assign the child to the same nurse each day.
Allow the child to handle the blood pressure cuff before using it. - Correct Answers-Explain all
,procedures using medical terminology.
The nurse is establishing a long-term relationship with a child who will be seeking treatment for
cancer. What is the most important factor in this relationship?
determining appointment times for meetings
establishing a timeline for the relationship
establishing trust
setting goals for the relationship - Correct Answers-establishing trust
The nurse is preparing to conduct the cover test with a preschool-age child. Which body system
is the nurse preparing to assess?
Ears
Eyes
Neck
Nose - Correct Answers-Eyes
While at school, the client is called to the school nurse's office. The school nurse is performing
secondary prevention interventions. Which would the nurse most likely be performing?
assessing vision
checking temperature
asking the client if he or she likes school
asking the client about what he or she usually eats each day - Correct Answers-assessing vision
The nurse is taking the health history of a 15-year-old client. What would be an appropriate
way for the nurse to ask about the client's drug use history?
"Have you smoked crack before?"
"Some teens like to smoke. Have you tried this?"
"Have you had alcohol at parties before?"
"Have you smoked cigarettes?" - Correct Answers-"Some teens like to smoke. Have you tried
this?"
The nurse is caring for a 6-year-old client who is prescribed to cough and deep breathe
following surgery. Which nursing action is best for this client?
Arrange for respiratory therapy to do coughing and deep breathing exercises with the child.
Blow a pinwheel and bubbles with the child.
,Have the parents encourage the child to cough and deep breathe every 2 hours.
Teach the child to use an incentive spirometer. - Correct Answers-Blow a pinwheel and bubbles
with the child.
A toddler is brought to the pediatric clinic by the caregiver because the child "doesn't feel well."
As the nurse interviews the caregiver about why the client is there, which goal is the nurse
prioritizing at this point?
Obtaining the health history
Determining the chief complaint
Obtaining biographical data
Interviewing the client - Correct Answers-Determining the chief complaint
The parents of an 8 year-old state, "I am happy that our child is healthy," when the nurse says
that the child falls into the 95th percentile for BMI. How should the nurse respond?
"For a child a BMI between the 85th and 95th percentile alerts us to the risk for being
overweight. Let's talk about your child's diet and activity level."
"Being in the 95th percentile for BMI is not a good thing. Your child is on the verge of obesity. It
would be a good idea to consider this with meal planning."
"I will let the physician know that your child is in the 95th percentile for BMI."
"The 95th percentile is not an indication of health." - Correct Answers-"For a child a BMI
between the 85th and 95th percentile alerts us to the risk for being overweight. Let's talk about
your child's diet and activity level."
The nurse is preparing to assess the respiratory rate of a crying 15-month-old boy. To get the
most accurate assessment, what approach should the nurse take?
Count abdominal movements.
Count the respiratory rate for 30 seconds.
Place a stethoscope to count respirations.
Count after the child stops crying and is comfortable. - Correct Answers-Count after the child
stops crying and is comfortable.
The nurse is documenting the child's intake. The child ate 4 cups of ice during this shift. How
many cups of fluid did the child ingest?
4 cups of fluid
½ cup of fluid
1 cup of fluid
, 2 cups of fluid - Correct Answers-2 cups of fluid
The nurse is examining the genitals of a healthy newborn girl. The nurse should observe which
normal finding?
labial adhesions
swollen and red anal area
swollen labia minora
lesions on the external genitalia - Correct Answers-swollen labia minora
A nurse is caring for a very shy 4-year-old girl. During the course of a well-child assessment, the
nurse must take the girl's blood pressure. Which approach is best?
"May I take your blood pressure?"
"Help me take your doll's blood pressure"
"Your sister did a great job when I took hers."
"Will you let me put this cuff on your arm?" - Correct Answers-"Help me take your doll's blood
pressure"
The nurse is caring for a 10-year-old child admitted for a surgical procedure to be done the next
day. The nurse takes the child to a special area in the playroom and lets the child "start" an IV
on a stuffed bear. This is an example of:
age-related activity.
therapeutic play.
play therapy.
positive reinforcement. - Correct Answers-therapeutic play.
A nurse caring for a 5-year-old who had abdominal surgery yesterday is trying to teach the child
how to take deep breaths. The best way that the nurse can accomplish this is by:
teaching pursed-lip breathing.
using a pinwheel.
using a flow meter.
using a spirometer. - Correct Answers-using a pinwheel.
The nurse is working with a group of caregivers of children in a community setting. The topic of
hospitalization and the effects of hospitalization on the child are being discussed. Which
statement made by the caregivers supports the most effective way for children to be educated
about hospitals?
