Basic Pediatric Nursing Care:Exercises and Questions
A disfiguring facial wound would have the most significant developmental impact on which child?
a. 4-year-old
b. 6-year-old
c. 10-year-old
d. 14-year-old - ansANS: D 14-year-old
The adolescent fears a change in body image associated with surgery.
After observing parental behavior that leads the nurse to suspect child abuse, when should the nurse report
the abuse?
a. If the parent confesses to child abuse
b. If the child admits to being abused
c. Whenever maltreatment of a child is suspected
d. When the type of abuse can be determined - ansANS: C Whenever maltreatment of a child is suspected
Mandatory reporting of child abuse is required when the health care provider has reason to suspect the child
has been abused.
An 8-year-old child asks how a blood pressure is taken. What would be the most appropriate response?
a. "This small machine will measure your systolic and diastolic pressure."
b. "The armband will hug your arm and tell me how well your blood is going through your arm."
c. "The armband will cut off your circulation for a while and then we can hear when it comes back."
d. "When you are ill we need to know if your blood is still moving in your body." - ansANS: B "The armband will
hug your arm and tell me how well your blood is going through your arm."
Because children are upset by unfamiliar procedures, it is best to explain each step in simple terms. It is best
not to mention anything that may increase anxiety.
Following a lumbar puncture of a 2-year-old, what should the nurse do?
a. Keep the child flat for several hours.
, b. Allow the child to play quietly at will.
c. Hold the child in a flexed position for 5 minutes.
d. Stand the child upright immediately. - ansANS: B Allow the child to play quietly at will.
Children younger than 3 years of age are usually not affected by post lumbar headache. These children are
allowed to play at will following a lumbar puncture.
How should an infant be positioned after a feeding?
a. On the stomach
b. On the right side
c. On the left side
d. On the back - ansANS: B On the right side
After feeding, the infant is positioned on the right side to direct the food into the stomach.
The mother of a 3-year-old expresses concern about her daughter's slowed growth rate. What would be the
most informative response by the nurse?
a. "Three-year-olds have typically finished a growth spurt, and you may notice a decreased rate in your
daughter's growth."
b. "Children's growth is hereditary. She may be of small stature like you."
c. "The growth of a 3-year-old is associated with their nutrition. How is she eating?"
d. "Your daughter is healthy and happy. Don't worry about her growth right now." - ansANS: A Three-year-olds
have typically finished a growth spurt, and you may notice a decreased rate in your daughter's growth."
Three-year-olds slow down in their growth in a natural cycle.
The mother of a child with diabetes asks the nurse in charge of the family-centered pediatric unit if she might
see her child's laboratory reports. What response by the nurse is the most
appropriate?
a. "Although the actual reports are not shared, I can tell you the blood sugar is 200 mg."
b. "I'll write them down for you and bring them to your room."
c. "Come to the conference room where we can have privacy while you look at them."
A disfiguring facial wound would have the most significant developmental impact on which child?
a. 4-year-old
b. 6-year-old
c. 10-year-old
d. 14-year-old - ansANS: D 14-year-old
The adolescent fears a change in body image associated with surgery.
After observing parental behavior that leads the nurse to suspect child abuse, when should the nurse report
the abuse?
a. If the parent confesses to child abuse
b. If the child admits to being abused
c. Whenever maltreatment of a child is suspected
d. When the type of abuse can be determined - ansANS: C Whenever maltreatment of a child is suspected
Mandatory reporting of child abuse is required when the health care provider has reason to suspect the child
has been abused.
An 8-year-old child asks how a blood pressure is taken. What would be the most appropriate response?
a. "This small machine will measure your systolic and diastolic pressure."
b. "The armband will hug your arm and tell me how well your blood is going through your arm."
c. "The armband will cut off your circulation for a while and then we can hear when it comes back."
d. "When you are ill we need to know if your blood is still moving in your body." - ansANS: B "The armband will
hug your arm and tell me how well your blood is going through your arm."
Because children are upset by unfamiliar procedures, it is best to explain each step in simple terms. It is best
not to mention anything that may increase anxiety.
Following a lumbar puncture of a 2-year-old, what should the nurse do?
a. Keep the child flat for several hours.
, b. Allow the child to play quietly at will.
c. Hold the child in a flexed position for 5 minutes.
d. Stand the child upright immediately. - ansANS: B Allow the child to play quietly at will.
Children younger than 3 years of age are usually not affected by post lumbar headache. These children are
allowed to play at will following a lumbar puncture.
How should an infant be positioned after a feeding?
a. On the stomach
b. On the right side
c. On the left side
d. On the back - ansANS: B On the right side
After feeding, the infant is positioned on the right side to direct the food into the stomach.
The mother of a 3-year-old expresses concern about her daughter's slowed growth rate. What would be the
most informative response by the nurse?
a. "Three-year-olds have typically finished a growth spurt, and you may notice a decreased rate in your
daughter's growth."
b. "Children's growth is hereditary. She may be of small stature like you."
c. "The growth of a 3-year-old is associated with their nutrition. How is she eating?"
d. "Your daughter is healthy and happy. Don't worry about her growth right now." - ansANS: A Three-year-olds
have typically finished a growth spurt, and you may notice a decreased rate in your daughter's growth."
Three-year-olds slow down in their growth in a natural cycle.
The mother of a child with diabetes asks the nurse in charge of the family-centered pediatric unit if she might
see her child's laboratory reports. What response by the nurse is the most
appropriate?
a. "Although the actual reports are not shared, I can tell you the blood sugar is 200 mg."
b. "I'll write them down for you and bring them to your room."
c. "Come to the conference room where we can have privacy while you look at them."
