NUR 327: Peds Questions & 100%
Correct Answers
The nurse is preparing staff in-service about atraumatic care for pediatric
patients. Which interventions should the nurse include?
Select one:
a. Help the child accept the loss of control associated with hospitalization
b. Prepare the child before any unfamiliar treatment or procedure by
demonstrating on a stuffed animal.
c. Help the child accept that pain is connected with a treatment or procedure
d. Prepare the child for separation from parents during hospitalization by
reviewing a video
✓ :~~ B
What represents the major stressor of hospitalization for children from middle
infancy throughout the preschool years?
Select one:
a. Fear of pain
b. Fear of bodily injury
c. Loss of control
d. Separation anxiety
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✓ :~~ D
The mother of a 20-month-old boy tells the nurse that he has a barking cough at
night. His temperature is 37 degrees C. The nurse suspects croup and should
recommend:
Select one:
a. Trying a cool mist vaporizer at night and watching for signs of difficulty
breathing
b. Controlling the fever with acetaminophen and calling if the cough gets worse at
night
c. Admitting to the hospital and observing for impending epiglottitis
d. Trying over the counter cough medicine and coming to the clinic in the morning
if there is no improvement
✓ :~~ A
A 4-year old girl is brought to the emergency department. She has a "froglike"
croaking sound on inspiration, is agitated, and is drooling. She insists on sitting
upright. The nurse should:
Select one:
a. Notify the physician immediately and be prepared to assist with a tracheostomy
or intubation
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b. Examine her oral pharynx and report to the physician
c. Auscultate her lungs and make preparations for placement in a mist tent.
d. Make her lie down and rest quietly
✓ :~~ A
One of the goals for children with asthma is to prevent respiratory infection. This
is because respiratory infection:
Select one:
a. Encourages exercise-induced asthma
b. Lessens effectiveness of medications
c. Increases sensitivity to allergens
d. Can trigger an episode or aggravate an asthmatic state
✓ :~~ D
Asthma is classified into four categories: mild intermittent, mild persistent,
moderate persistent, and severe persistent. Clinical features used to determine
these categories include: (select all that apply)
A. Pulmonary lung function tests
B. Associated allergies
C. Frequency of symptoms
D. Frequency and severity of exacerbations
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✓ :~~ ACD
Cystic Fibrosis may affect singular or multiple systems of the body. The primary
factor responsible for possible multiple clinical manifestations is:
Select one:
a. Hyperactivity of the sweat glands
b. Atrophic changes in the mucosal wall of the intestines
c. Hypoactivity of the autonomic nervous system
d. Mechanical obstruction caused by increased viscosity of mucous gland secretions
✓ :~~ D
A infant with congenital heart defect is receiving palivizumab (Synagis). The
purpose of this is to:
Select one:
a. Make isolation of the infant unnecessary
b. Decrease toxicity of antiviral agents
c. Prevent respiratory syncytial virus (RSV) infection
d. Prevent secondary bacterial infection
✓ :~~ C
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