Kyle and Carman: Essentials of Pediatric Nursing
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1. 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.: in a
room with a child near the same age
2. 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 experi-
enced.
Ask the child when the pain started.: Ask the child when the pain started.
3. 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: uncomfortable during genital assessment
4. 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.: Explain all
procedures using medical terminology.
5. 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?
, Kyle and Carman: Essentials of Pediatric Nursing
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determining appointment times for meetings
establishing a timeline for the relationship
establishing trust
setting goals for the relationship: establishing trust
6. 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: Eyes
7. 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: assessing vision
8. 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?": "Some teens like to smoke. Have you tried this?"
9. 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.: Blow a pinwheel and bubbles
with the child.
10. 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
, Kyle and Carman: Essentials of Pediatric Nursing
Study online at https://quizlet.com/_cpy6px
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: Determining the chief complaint
11. 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.": "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."
12. 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.: Count after the child
stops crying and is comfortable.
13. 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: 2 cups of fluid
14. 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
, Kyle and Carman: Essentials of Pediatric Nursing
Study online at https://quizlet.com/_cpy6px
swollen labia minora
lesions on the external genitalia: swollen labia minora
15. 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?": "Help me take your doll's blood
pressure"
16. 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.: therapeutic play.
17. 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.: using a pinwheel.
18. 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?
"We are going to take our child to an open house at the hospital so she can
see the pediatric unit."
"The school nurse set up posters and displays showing pictures of what the
inside of a hospital looked like, and we made sure our daughter saw the
display."
"Our next door neighbor was sick and died in the hospital. We explained to our
Study online at https://quizlet.com/_cpy6px
1. 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.: in a
room with a child near the same age
2. 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 experi-
enced.
Ask the child when the pain started.: Ask the child when the pain started.
3. 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: uncomfortable during genital assessment
4. 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.: Explain all
procedures using medical terminology.
5. 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?
, Kyle and Carman: Essentials of Pediatric Nursing
Study online at https://quizlet.com/_cpy6px
determining appointment times for meetings
establishing a timeline for the relationship
establishing trust
setting goals for the relationship: establishing trust
6. 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: Eyes
7. 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: assessing vision
8. 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?": "Some teens like to smoke. Have you tried this?"
9. 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.: Blow a pinwheel and bubbles
with the child.
10. 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
, Kyle and Carman: Essentials of Pediatric Nursing
Study online at https://quizlet.com/_cpy6px
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: Determining the chief complaint
11. 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.": "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."
12. 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.: Count after the child
stops crying and is comfortable.
13. 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: 2 cups of fluid
14. 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
, Kyle and Carman: Essentials of Pediatric Nursing
Study online at https://quizlet.com/_cpy6px
swollen labia minora
lesions on the external genitalia: swollen labia minora
15. 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?": "Help me take your doll's blood
pressure"
16. 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.: therapeutic play.
17. 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.: using a pinwheel.
18. 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?
"We are going to take our child to an open house at the hospital so she can
see the pediatric unit."
"The school nurse set up posters and displays showing pictures of what the
inside of a hospital looked like, and we made sure our daughter saw the
display."
"Our next door neighbor was sick and died in the hospital. We explained to our
