PN VATI NURSING CARE OF CHILDREN COMPLETED STUDYGUIDE QUESTIONS
AND CORRECT ANSWERS
Question:
1. A nurse is reinforcing teaching with the parent of a child who has a bacterial upper
respiratory infection. Which of the following statements by the parent indicates an
understanding of the teaching?
A. "I will force my child to drink fluids when they have a fever."
B. "I will use a dehumidifier in my child's room."
C. "I will keep my child's towels separate from those of the rest of the family."
D. "I will make sure my child eats three meals a day, even though their appetite is not good
right now."
Answer:
C. "I will keep my child's towels separate from those of the rest of the family."
Rationale: The nurse should identify that a child who has an upper respiratory infection should
use separate towels, utensils, and cups to prevent the infection from spreading.
Question:
2. A nurse is collecting data from a child who recently experienced a psychomotor seizure.
Which of the following findings should the nurse expect?
A. Hyperactivity
B. Nystagmus
C. Apnea
D. Amnesia
Answer:
D. Amnesia.
Rationale: The nurse should identify that amnesia is an expected manifestation after a seizure.
Children often do not remember the seizure activity.
Question:
3. A nurse is collecting data from a 7-year-old child. Which of the following findings indicates
a developmental delay?
A. Unable to verbalize the date
B. Unable to count backwards from 20 to 1
C. Unable to make change out of a quarter
D. Unable to tell the difference between right and left
Answer:
D. Unable to tell the difference between right and left.
Rationale: The nurse should recognize that a child by 6 years of age.
Question:
4. A nurse is contributing to the plan of care for a preschooler who has moderate
partial-thickness burns on both lower extremities. Which of the following interventions
should the nurse recommend?
A. Maintain clean technique during the child's dressing change
,B. Provide low-calorie snacks for the child three to four times each day between meals
C. Allow the child to set their own daily schedule for wound care
D. Ensure the child receives pain medication 30 to 45 min prior to therapy.-
Answer:
D. Ensure the child receives pain medication 30 to 45 min prior to therapy.
Rationale: The nurse should ensure that the preschooler receives pain medication 30 to 45 min
prior to physical therapy sessions. The nurse should monitor the child's pain levels and treat
them as needed. This will minimize or eliminate pain from moving tight skin at joints, which will
encourage the child to participate in physical therapy. If the child is in pain during therapy, it will
be a challenge to get the child to participate in future sessions.
Question:
5. A nurse is contributing to the plan of care for a child who has nephrotic syndrome and a
prescription for corticosteroids. Which of the following interventions should the nurse
recommend?
B. Encourage increased fluid intake
C. Obtain urine ketone levels weekly
D. Administer pancreatic enzymes with meal
Answer:
A. Provide a low-sodium diet.
Rationale: The nurse should recommend providing the child with a low-sodium diet to decrease
edema associated with nephrotic syndrome.
Question:
6. A nurse is reinforcing teaching with an adolescent client who has a prescription for
lisinopril. Which of the following foods should the nurse instruct the client to avoid?
A. Foods high in fiber
B. High-potassium foods
C. Foods high in Vitamin K
D. Dairy products
Answer:
B. High-potassium foods.
Rationale: The nurse should identify that lisinopril, an ACE inhibitor, can result in hyperKalemia.
Therefore, the nurse should instruct the client to avoid foods high in potassium, which can
increase the risk of hyperKalemia and lead to cardiac dysrhythmias.
Question:
7. A nurse is contributing to a plan of care for a 24-month-old toddler. Which of the following
actions should the nurse take?
A. Allowing the toddler to button up their own shirt
B. Asking the toddler questions that have "yes" or "no" answers
C. Providing the toddler with opportunities to share toys with others
D. Making sure the toddler has at least one nap during the day
Answer:
, D. Making sure the toddler has at least one nap during the day.
Rationale: Toddlers generally require at least one nap per day because of their high activity
levels. At approximately 3 years of age, children have established a sleep pattern similar to that
of an adult.
Question:
8. A nurse is caring for an adolescent client who has a terminal illness. Which nurse make to
the parent?
A. "I will administer pain medication on a schedule."
B. "I will limit visits from siblings who are under the age of 18."
C. "You should go home when your child needs to rest."
D. "You should allow your child to die at home."
Answer:
A. "I will administer pain medication on a schedule."
Rationale: The nurse should inform the parents that pain medication will be administered on a
schedule to promote pain control.
Question:
9. A nurse is collecting data from a 1-month-old infant who has just undergone a hernia
repair. Which of the following findings should the nurse report to the provider?
A. Axillary temperature 37.4°C (99.3°F)
B. Apical pulse 155/min
C. Respiratory rate 40/min
D. Blood pressure 64/40 mmHg
Answer:
D. Blood pressure 64/40 mmHg.
Rationale: The nurse should identify that this blood pressure is below the expected systolic
pressure of 80 mmHg for a 1-month-old infant. The nurse should report this finding to the
provider. Expected Reference Range For: 1 Month Old Infant Axillary Temperature: 36.5-38°C or
97.7-100.4°F Apical Rate: 110-160/min Respiratory Rate: 30-60/min
Question:
10. A nurse is reinforcing teaching with the parent of a child who has diabetes mellitus. The
parent asks the nurse how to minimize the child's pain when monitoring blood glucose
levels. Which of the following statements by the parent indicates an understanding of the
A. "My child should use their index finger to obtain blood samples."
B. "My child should hold their finger under warm water before obtaining a sample."
C. "My child should puncture the center of their finger pad when obtaining a sample."
D. "My child should hold their finger against a table when obtaining a sample."
Answer:
B. "My child should hold their finger under warm water before obtaining a sample."
Rationale: Holding the finger under warm water will promote blood flow to the finger, making the
puncture less painful.
Question:
AND CORRECT ANSWERS
Question:
1. A nurse is reinforcing teaching with the parent of a child who has a bacterial upper
respiratory infection. Which of the following statements by the parent indicates an
understanding of the teaching?
A. "I will force my child to drink fluids when they have a fever."
B. "I will use a dehumidifier in my child's room."
C. "I will keep my child's towels separate from those of the rest of the family."
D. "I will make sure my child eats three meals a day, even though their appetite is not good
right now."
Answer:
C. "I will keep my child's towels separate from those of the rest of the family."
Rationale: The nurse should identify that a child who has an upper respiratory infection should
use separate towels, utensils, and cups to prevent the infection from spreading.
Question:
2. A nurse is collecting data from a child who recently experienced a psychomotor seizure.
Which of the following findings should the nurse expect?
A. Hyperactivity
B. Nystagmus
C. Apnea
D. Amnesia
Answer:
D. Amnesia.
Rationale: The nurse should identify that amnesia is an expected manifestation after a seizure.
Children often do not remember the seizure activity.
Question:
3. A nurse is collecting data from a 7-year-old child. Which of the following findings indicates
a developmental delay?
A. Unable to verbalize the date
B. Unable to count backwards from 20 to 1
C. Unable to make change out of a quarter
D. Unable to tell the difference between right and left
Answer:
D. Unable to tell the difference between right and left.
Rationale: The nurse should recognize that a child by 6 years of age.
Question:
4. A nurse is contributing to the plan of care for a preschooler who has moderate
partial-thickness burns on both lower extremities. Which of the following interventions
should the nurse recommend?
A. Maintain clean technique during the child's dressing change
,B. Provide low-calorie snacks for the child three to four times each day between meals
C. Allow the child to set their own daily schedule for wound care
D. Ensure the child receives pain medication 30 to 45 min prior to therapy.-
Answer:
D. Ensure the child receives pain medication 30 to 45 min prior to therapy.
Rationale: The nurse should ensure that the preschooler receives pain medication 30 to 45 min
prior to physical therapy sessions. The nurse should monitor the child's pain levels and treat
them as needed. This will minimize or eliminate pain from moving tight skin at joints, which will
encourage the child to participate in physical therapy. If the child is in pain during therapy, it will
be a challenge to get the child to participate in future sessions.
Question:
5. A nurse is contributing to the plan of care for a child who has nephrotic syndrome and a
prescription for corticosteroids. Which of the following interventions should the nurse
recommend?
B. Encourage increased fluid intake
C. Obtain urine ketone levels weekly
D. Administer pancreatic enzymes with meal
Answer:
A. Provide a low-sodium diet.
Rationale: The nurse should recommend providing the child with a low-sodium diet to decrease
edema associated with nephrotic syndrome.
Question:
6. A nurse is reinforcing teaching with an adolescent client who has a prescription for
lisinopril. Which of the following foods should the nurse instruct the client to avoid?
A. Foods high in fiber
B. High-potassium foods
C. Foods high in Vitamin K
D. Dairy products
Answer:
B. High-potassium foods.
Rationale: The nurse should identify that lisinopril, an ACE inhibitor, can result in hyperKalemia.
Therefore, the nurse should instruct the client to avoid foods high in potassium, which can
increase the risk of hyperKalemia and lead to cardiac dysrhythmias.
Question:
7. A nurse is contributing to a plan of care for a 24-month-old toddler. Which of the following
actions should the nurse take?
A. Allowing the toddler to button up their own shirt
B. Asking the toddler questions that have "yes" or "no" answers
C. Providing the toddler with opportunities to share toys with others
D. Making sure the toddler has at least one nap during the day
Answer:
, D. Making sure the toddler has at least one nap during the day.
Rationale: Toddlers generally require at least one nap per day because of their high activity
levels. At approximately 3 years of age, children have established a sleep pattern similar to that
of an adult.
Question:
8. A nurse is caring for an adolescent client who has a terminal illness. Which nurse make to
the parent?
A. "I will administer pain medication on a schedule."
B. "I will limit visits from siblings who are under the age of 18."
C. "You should go home when your child needs to rest."
D. "You should allow your child to die at home."
Answer:
A. "I will administer pain medication on a schedule."
Rationale: The nurse should inform the parents that pain medication will be administered on a
schedule to promote pain control.
Question:
9. A nurse is collecting data from a 1-month-old infant who has just undergone a hernia
repair. Which of the following findings should the nurse report to the provider?
A. Axillary temperature 37.4°C (99.3°F)
B. Apical pulse 155/min
C. Respiratory rate 40/min
D. Blood pressure 64/40 mmHg
Answer:
D. Blood pressure 64/40 mmHg.
Rationale: The nurse should identify that this blood pressure is below the expected systolic
pressure of 80 mmHg for a 1-month-old infant. The nurse should report this finding to the
provider. Expected Reference Range For: 1 Month Old Infant Axillary Temperature: 36.5-38°C or
97.7-100.4°F Apical Rate: 110-160/min Respiratory Rate: 30-60/min
Question:
10. A nurse is reinforcing teaching with the parent of a child who has diabetes mellitus. The
parent asks the nurse how to minimize the child's pain when monitoring blood glucose
levels. Which of the following statements by the parent indicates an understanding of the
A. "My child should use their index finger to obtain blood samples."
B. "My child should hold their finger under warm water before obtaining a sample."
C. "My child should puncture the center of their finger pad when obtaining a sample."
D. "My child should hold their finger against a table when obtaining a sample."
Answer:
B. "My child should hold their finger under warm water before obtaining a sample."
Rationale: Holding the finger under warm water will promote blood flow to the finger, making the
puncture less painful.
Question:
