PEDIATRIC NURSING TEST BANK FOR NLE
1. Katie, 4 years old, is admitted to outpatient surgery for removal of a cyst on her foot. Her mother puts the hospital gown on her,
but Katie is crying because she wants to leave on her underpants. The most appropriate nursing action is which of the following?
A. Allow her to wear her underpants.
B. Discuss with her mother why this is important to Katie.
C. Ask her mother to explain to her why she cannot wear them.
D. Explain in a kind, matter-of-fact manner that this is hospital policy.
2. Using knowledge of child development, which of the following is the best approach when preparing a toddler for a procedure?
A. Avoid asking the child to make choices.
B. Demonstrate the procedure on a doll.
C. Plan for teaching session to last about 20 minutes.
D. Show necessary equipment without allowing child to handle it.
3. The nurse is preparing a 9-year-old boy before obtaining a blood specimen by venipuncture. The child tells the nurse he does not
want to lose his blood. Which of the following is an appropriate approach by the nurse?
A. Explain that it will not be painful.
B. Discuss with him how his body is always in the process of making blood.
C. Suggest to him that he not worry about losing just a little bit of blood.
D. Tell the child that he will not even need a Band-Aid afterward because it is a simple procedure.
4. The nurse is preparing a 12-year-old girl for a bone marrow aspiration. She tells the nurse she wants her mother with her “like
before.” The most appropriate nursing action is which of the following?
A. Grant her request.
B. Explain why this is not possible.
C. Identify an appropriate substitute for her mother.
D. Offer to provide support to her during the procedure.
5. The nurse is caring for an unconscious child. Skin care should include which of the following?
A. Avoid use of pressure reduction on bed.
B. Massage reddened bony prominences to prevent deep tissue damage.
C. Use draw sheet to move child in bed to reduce friction and shearing injuries.
D. Avoid rinsing skin after cleansing with mild antibacterial soap to provide a protective barrier.
6. An appropriate intervention to encourage food and fluid intake in a hospitalized child is which of the following?
A. Force child to eat and drink to combat caloric losses.
B. Discourage participation in noneating activities until caloric intake is sufficient.
C. Administer large quantities of flavored fluids at frequent intervals and during meals.
D. Give high-quality foods and snacks whenever child expresses hunger.
7. The nurse is planning home care for a 2-year-old child with a tracheostomy. Recommendations should include which of the
following?
A. Child can go outdoors as long as protective clothing does not cover the stoma.
B. Child must wear a plastic bib when eating or drinking to prevent aspiration into the stoma.
C. Play activities must be sedentary (e.g., reading books, working on puzzles).
D. Child can take a tub bath, but safety precautions are essential.
8. Mark, age 6 years, is hospitalized for intravenous antibiotic therapy. He eats very little on his “regular diet” trays. He tells the
nurse that all he wants to eat is pizza, tacos, and ice cream. Which of the following is the best nursing action?
A. Request these favorite foods for him.
B. Identify healthier food choices that he likes.
C. Explain that he needs fruits and vegetables.
D. Reward him with ice cream at end of every meal that he eats.
9. Tepid water or sponge baths are indicated for hyperthermia in children. The nurse should do which of the following?
A. Add isopropyl alcohol to the water.
B. Direct a fan on the child in the bath.
C. Stop the bath if the child begins to chill.
D. Continue the bath for 5 minutes
10. Kimberly, age 3 years, has a fever associated with a viral illness. Her mother calls the nurse, reporting a fever of 102° F even
though she had acetaminophen 2 hours ago. The nurse’s action should be based on which of the following?
A. Fevers such as this are common with viral illnesses.
B. Seizures are common in children when antipyretics are ineffective.
C. Fever over 102° F indicates greater severity of illness.
D. Fever over 102° F indicates a probable bacterial infection.
, 12. The nurse approaches a group of school-age patients to administer medication to Sam Muli. To identify the correct child, the
nurse should do which of the following?
A. Ask the group, “Who is Sam Muli?”
B. Call out to the group, “Sam Muli?”
C. Ask each child, “What’s your name?”
D. Check the patient’s identification name band.
13. An 8-month-old infant is restrained to prevent interference with the IV infusion. The nurse should do which of the following?
A. Remove the restraints once a day to allow movement.
B. Keep the restraints on constantly.
C. Keep the restraints secure so infant remains supine.
D. Remove restraints whenever possible.
14. Frequent urine testing for specific gravity and glucose are required on a 6-month-old infant. Which of the following is the most
appropriate way to collect small amounts of urine for these tests?
A. Apply a urine-collection bag to perineal area.
B. Tape a small medicine cup to inside of diaper.
C. Aspirate urine from cotton balls inside diaper with a syringe.
D. Aspirate urine from superabsorbent disposable diaper with a syringe.
15. The nurse must do a heel stick on an ill neonate to obtain a blood sample. Which of the following is recommended to facilitate
this?
A. Apply cool, moist compresses.
B. Apply a tourniquet to ankle.
C. Elevate foot for 5 minutes.
D. Wrap foot in a warm washcloth.
16. An appropriate method for administering oral medications that are bitter to an infant or small child would be to mix them with
which of the following?
A. Bottle of formula or milk
B. Any food the child is going to eat
C. Small amount (1 teaspoon) of a sweet-tasting substance such as jam or ice cream
D. Large amounts of water to dilute medication sufficiently
17. When giving liquid medication to a crying 10-month-old infant, which approach minimizes the possibility of aspiration?
A. Administer the medication with a syringe (without needle) placed along the side of the infant’s tongue.
B. Administer the medication as rapidly as possible with the infant securely restrained.
C. Mix the medication with the infant’s regular formula or juice and administer by bottle.
D. Keep the child upright with the nasal passages blocked for a minute after administration.
18. Guidelines for intramuscular administration of medication in school-age children include which of the following?
A. Inject medication as rapidly as possible.
B. Insert needle quickly, using a dartlike motion.
C. Penetrate skin immediately after cleansing site, before skin has dried.
D. Have child stand, if at all possible, and if child is cooperative.
19. When teaching a mother how to administer eye drops, where should the nurse tell her to place them?
A. In the conjunctival sac that is formed when the lower lid is pulled down
B. Carefully under the eye lid while it is gently pulled upward
C. On the sclera while the child looks to the side
D. Anywhere as long as drops contact the eye’s surface
20. When caring for a child with an intravenous infusion, the nurse should do which of the following?
A. Use a macrodropper to facilitate the prescribed flow rate.
B. Avoid restraining the child to prevent undue emotional stress.
C. Change the insertion site every 24 hours.
D. Observe the insertion site frequently for signs of infiltration.
21. Nursing considerations related to the administration of oxygen in an infant include which of the following?
A. Humidify oxygen if infant can tolerate it.
B. Assess infant to determine how much oxygen should be given.
C. Ensure uninterrupted delivery of the appropriate oxygen concentration.
D. Direct oxygen flow so that it blows directly into the infant’s face in a hood.
22. The nurse is teaching a mother how to perform chest physiotherapy and postural drainage on her 3-year-old child, who has
cystic fibrosis. To perform percussion, the nurse should instruct her to:
1. Katie, 4 years old, is admitted to outpatient surgery for removal of a cyst on her foot. Her mother puts the hospital gown on her,
but Katie is crying because she wants to leave on her underpants. The most appropriate nursing action is which of the following?
A. Allow her to wear her underpants.
B. Discuss with her mother why this is important to Katie.
C. Ask her mother to explain to her why she cannot wear them.
D. Explain in a kind, matter-of-fact manner that this is hospital policy.
2. Using knowledge of child development, which of the following is the best approach when preparing a toddler for a procedure?
A. Avoid asking the child to make choices.
B. Demonstrate the procedure on a doll.
C. Plan for teaching session to last about 20 minutes.
D. Show necessary equipment without allowing child to handle it.
3. The nurse is preparing a 9-year-old boy before obtaining a blood specimen by venipuncture. The child tells the nurse he does not
want to lose his blood. Which of the following is an appropriate approach by the nurse?
A. Explain that it will not be painful.
B. Discuss with him how his body is always in the process of making blood.
C. Suggest to him that he not worry about losing just a little bit of blood.
D. Tell the child that he will not even need a Band-Aid afterward because it is a simple procedure.
4. The nurse is preparing a 12-year-old girl for a bone marrow aspiration. She tells the nurse she wants her mother with her “like
before.” The most appropriate nursing action is which of the following?
A. Grant her request.
B. Explain why this is not possible.
C. Identify an appropriate substitute for her mother.
D. Offer to provide support to her during the procedure.
5. The nurse is caring for an unconscious child. Skin care should include which of the following?
A. Avoid use of pressure reduction on bed.
B. Massage reddened bony prominences to prevent deep tissue damage.
C. Use draw sheet to move child in bed to reduce friction and shearing injuries.
D. Avoid rinsing skin after cleansing with mild antibacterial soap to provide a protective barrier.
6. An appropriate intervention to encourage food and fluid intake in a hospitalized child is which of the following?
A. Force child to eat and drink to combat caloric losses.
B. Discourage participation in noneating activities until caloric intake is sufficient.
C. Administer large quantities of flavored fluids at frequent intervals and during meals.
D. Give high-quality foods and snacks whenever child expresses hunger.
7. The nurse is planning home care for a 2-year-old child with a tracheostomy. Recommendations should include which of the
following?
A. Child can go outdoors as long as protective clothing does not cover the stoma.
B. Child must wear a plastic bib when eating or drinking to prevent aspiration into the stoma.
C. Play activities must be sedentary (e.g., reading books, working on puzzles).
D. Child can take a tub bath, but safety precautions are essential.
8. Mark, age 6 years, is hospitalized for intravenous antibiotic therapy. He eats very little on his “regular diet” trays. He tells the
nurse that all he wants to eat is pizza, tacos, and ice cream. Which of the following is the best nursing action?
A. Request these favorite foods for him.
B. Identify healthier food choices that he likes.
C. Explain that he needs fruits and vegetables.
D. Reward him with ice cream at end of every meal that he eats.
9. Tepid water or sponge baths are indicated for hyperthermia in children. The nurse should do which of the following?
A. Add isopropyl alcohol to the water.
B. Direct a fan on the child in the bath.
C. Stop the bath if the child begins to chill.
D. Continue the bath for 5 minutes
10. Kimberly, age 3 years, has a fever associated with a viral illness. Her mother calls the nurse, reporting a fever of 102° F even
though she had acetaminophen 2 hours ago. The nurse’s action should be based on which of the following?
A. Fevers such as this are common with viral illnesses.
B. Seizures are common in children when antipyretics are ineffective.
C. Fever over 102° F indicates greater severity of illness.
D. Fever over 102° F indicates a probable bacterial infection.
, 12. The nurse approaches a group of school-age patients to administer medication to Sam Muli. To identify the correct child, the
nurse should do which of the following?
A. Ask the group, “Who is Sam Muli?”
B. Call out to the group, “Sam Muli?”
C. Ask each child, “What’s your name?”
D. Check the patient’s identification name band.
13. An 8-month-old infant is restrained to prevent interference with the IV infusion. The nurse should do which of the following?
A. Remove the restraints once a day to allow movement.
B. Keep the restraints on constantly.
C. Keep the restraints secure so infant remains supine.
D. Remove restraints whenever possible.
14. Frequent urine testing for specific gravity and glucose are required on a 6-month-old infant. Which of the following is the most
appropriate way to collect small amounts of urine for these tests?
A. Apply a urine-collection bag to perineal area.
B. Tape a small medicine cup to inside of diaper.
C. Aspirate urine from cotton balls inside diaper with a syringe.
D. Aspirate urine from superabsorbent disposable diaper with a syringe.
15. The nurse must do a heel stick on an ill neonate to obtain a blood sample. Which of the following is recommended to facilitate
this?
A. Apply cool, moist compresses.
B. Apply a tourniquet to ankle.
C. Elevate foot for 5 minutes.
D. Wrap foot in a warm washcloth.
16. An appropriate method for administering oral medications that are bitter to an infant or small child would be to mix them with
which of the following?
A. Bottle of formula or milk
B. Any food the child is going to eat
C. Small amount (1 teaspoon) of a sweet-tasting substance such as jam or ice cream
D. Large amounts of water to dilute medication sufficiently
17. When giving liquid medication to a crying 10-month-old infant, which approach minimizes the possibility of aspiration?
A. Administer the medication with a syringe (without needle) placed along the side of the infant’s tongue.
B. Administer the medication as rapidly as possible with the infant securely restrained.
C. Mix the medication with the infant’s regular formula or juice and administer by bottle.
D. Keep the child upright with the nasal passages blocked for a minute after administration.
18. Guidelines for intramuscular administration of medication in school-age children include which of the following?
A. Inject medication as rapidly as possible.
B. Insert needle quickly, using a dartlike motion.
C. Penetrate skin immediately after cleansing site, before skin has dried.
D. Have child stand, if at all possible, and if child is cooperative.
19. When teaching a mother how to administer eye drops, where should the nurse tell her to place them?
A. In the conjunctival sac that is formed when the lower lid is pulled down
B. Carefully under the eye lid while it is gently pulled upward
C. On the sclera while the child looks to the side
D. Anywhere as long as drops contact the eye’s surface
20. When caring for a child with an intravenous infusion, the nurse should do which of the following?
A. Use a macrodropper to facilitate the prescribed flow rate.
B. Avoid restraining the child to prevent undue emotional stress.
C. Change the insertion site every 24 hours.
D. Observe the insertion site frequently for signs of infiltration.
21. Nursing considerations related to the administration of oxygen in an infant include which of the following?
A. Humidify oxygen if infant can tolerate it.
B. Assess infant to determine how much oxygen should be given.
C. Ensure uninterrupted delivery of the appropriate oxygen concentration.
D. Direct oxygen flow so that it blows directly into the infant’s face in a hood.
22. The nurse is teaching a mother how to perform chest physiotherapy and postural drainage on her 3-year-old child, who has
cystic fibrosis. To perform percussion, the nurse should instruct her to:
