Pediatric Nursing Final Exams Questions with Answers Graded A+

Pediatric Nursing Final Exams Questions with Answers Graded A+ Nurses caring for a pediatric client can most strengthen a child's sense of security by: a. providing a unit and hospital handbook of rules and posting the dos and don'ts on the walls their children can see them b. letting the children know then they will be leaving, who will be caring for them, and then they will be back, and saying good-bye then they leave c. giving the children enough toys, games, and stuffed animals to play with d. telling the children then meals will be and what the menu will be for each meal as well as then they will have nothing by mouth (NPO) and for how long B Which of the following groups is most affected by systemic lupus erythematosus? a. females c. children under 5 b. Caucasians d. elderly over 65 A According to the social-interactional systemic perspective of child abuse and neglect, four factors place the family members at risk for abuse. These risk factors are the family itself, the caregiver, the child, and: a. chronic poverty b. genetics c. the presence of a family crisis d. the national emphasis on sex C The most rapid growth period in a person's life is during which of the following periods? a. infancy c. latency b. early childhood d. adolescence A The fastest-growing segment of the homeless population consists of which of the following groups? a. alcoholics refusing treatment c. single males b. mentally ill people d. families with children D The nurse is giving instructions to the family of a child who has a venous access device (VAD). This child's VAD is an external catheter. Which of the following instructions will the nurse give to the family? a. Do not force-flush the catheter at any time, and call if any problems with flushing occur. b. The catheter needs no special dressings or coverings. c. The child is to avoid swimming and tub baths during the entire time the vascular access device is in place. d. Trauma to the device is highly likely, and the child must be extremely careful in any activities. A Following congenital heart surgery, the nurse who is preparing caregivers for their child's discharge will begin teaching at which of the following time periods? a. in the early postoperative period b. 3 days before discharge c. 24 hours before discharge d. day of discharge A Public Law 94-142, Education for All Handicapped Children Act of 1975, requires which of the following for children with a disability? a. a special classroom there they don't have to interact with children who are not disabled b. education in the least restrictive environment that is appropriate for the child c. specific teachers who are familiar with the disease process d. training of the caregivers, or a caretaker designated by the caregivers, in homeschooling the child B Informal communication takes place then individuals talk and is best described by saying the participants: a. are relaxed b. are involved in a preexisting informal relationship c. have no particular agenda or protocol d. talk with slang words C The need for comprehensive home care programs for children was largely created by: a. caregivers demanding that children be cared for at home whenever possible b. health care practitioners and nurses who felt the hospital was likely to create more infections than the home c. managed care supporting early discharges as a cost-effective measure d. the Joint Commission because of the understaffing of nurses in hospitals C While assessing a child, the nurse pinches up a small section of the child's skin between the thumb and forefinger, and then quickly releases it. The nurse is assessing for: a. hydration c. excess fat b. skin tension d. pain tracks A At what age is binocularity established? a. birth c. 6 months b. 3 months d. 1 year C Which of the following approaches will work best then the nurse is communicating with an infant? a. Communicate through the caregivers. b. Allow the child time to warm up to the nurse. c. Respond only after the child cries for a little while. d. Use an adult voice just as you would for anyone. B The chemical mediators or messages communicating throughout the immune processes are: a. interferon b. helper T cells or T lymphocytes c. cytokines or interleukin d. B lymphocytes C The nurse is working with a child who is experiencing a complication of fractures known as compartment syndrome. Which of the following signs and symptoms is this child most likely to have? a. headache, dizziness, blurred vision, and sensitivity to the sun b. nausea, vomiting, and diarrhea for 2 weeks c. a shifting of fluid and electrolytes into the intracellular space d. paresthesia, severe pain, and severe swelling of the digits below the affected compartment D The consequences of discipline must have the following qualities: a. effective, constructive, and not unduly harsh b. sufficiently harsh to prevent reoccurrence of the offending behavior c. not harsh enough to cause the parents to get into trouble with the law d. not harsh enough to produce guilt in the one to give out the consequences A The nurse is assessing a small infant and notices that when the child's head is moved to the right or left, the eyes follow and do not lag behind as they normally do in a small infant. The nurse would document this finding as: a. bilateral lag syndrome b. absence of doll's eye reflex c. absence of horizontal vibratory motion d. follow-through visual abnormality B In addition to a violence prevention curriculum, the school most needs to do which of the following things in order to prevent or keep school violence incidences low? a. Increase the punishment for aggressive acts. b. Talk with the caregivers about their responsibility to keep their children nonaggressive. c. Formalize a working agreement with the local police force. d. Have formal policies on how violence will be dealt with on the school grounds. D The nurse working with a child in the pediatric unit gets a lab report back on the child, which shows an absolute neutrophil count (ANC) of slightly less than 500 per cubic millimeter. This ANC tells the nurse which of the following things? a. The neutrophil count is approaching normal and the child is on the way to recovery. b. Even normal body flora can put the child at risk for serious life-threatening bacterial infections. c. Vital signs need to be taken at least every two hours with all temperatures taken rectally. d. The child needs an iron-rich diet and needs to add more fresh fruits and vegetables to the diet. B The diagnostic criteria for juvenile rheumatoid arthritis (JRA) include: a. onset before age 16 b. duration of at least 2 weeks c. loss of feeling or motion d. subnormal temperature A In working with the breastfeeding mother of an infant with a cleft lip or cleft palate, the nurse will teach the mother to do which of the following before having the infant latch on? a. Place a warm washcloth on the breast. b. Place ice packs on the breast. c. Pump part of the milk from the breast. d. Give a little water from a bottle first. A Which of the following behaviors by an infant best exemplifies the beginning of reasoning? a. crying for food or attention b. moving any obstacles to find a hidden object c. saying bye-bye in response to others saying bye-bye d. blowing kisses or clapping the hands B What is meant by the ventilation/perfusion ratio? a. the strength with which a person can blow a stream of air b. a comparison of oxygen in the body with that in the heart c. the comparison of alveolar ventilation to capillary perfusion d. how quickly the oxygen taken in circulates once through the body C