Kyle and Carman:
Essentials of Pediatric
Nursing exam question
answered correctly
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?" -
ANSWERS>>>>>"Some teens like to smoke. Have you
tried this?"
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. -
ANSWERS>>>>>Blow a pinwheel and bubbles with the
child.
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 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 - ANSWERS>>>>>Determining
the chief complaint
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." -
ANSWERS>>>>>"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."
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. -
ANSWERS>>>>>Count after the child stops crying and
is comfortable.
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 - ANSWERS>>>>>2 cups of fluid
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
swollen labia minora
lesions on the external genitalia -
ANSWERS>>>>>swollen labia minora
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?" -
ANSWERS>>>>>"Help me take your doll's blood
pressure"
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.
Essentials of Pediatric
Nursing exam question
answered correctly
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?" -
ANSWERS>>>>>"Some teens like to smoke. Have you
tried this?"
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. -
ANSWERS>>>>>Blow a pinwheel and bubbles with the
child.
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 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 - ANSWERS>>>>>Determining
the chief complaint
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." -
ANSWERS>>>>>"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."
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. -
ANSWERS>>>>>Count after the child stops crying and
is comfortable.
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 - ANSWERS>>>>>2 cups of fluid
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
swollen labia minora
lesions on the external genitalia -
ANSWERS>>>>>swollen labia minora
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?" -
ANSWERS>>>>>"Help me take your doll's blood
pressure"
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.
