Test Bank - Maternity and Pediatric Nursing (3rd Edition) by Ricci, Kyle, and Carman 190
Chapter 33- Caring for Children in Diverse Settings
1. The nurse working in the emergency room monitors the admission of children.
Statistically, for which one of the following disorders would children younger than 5 years most
commonly be admitted? A) Mental health problems
B) Injuries
C) Respiratory disorders
D) Gastrointestinal disorders
2. The nurse is caring for a 7-year-old girl hospitalized in isolation. The nurse notices that she
has begun sucking her thumb and changing her speech patterns to those of a toddler. What
condition is the girl manifesting?
A) Regression
B) Suppression
C) Repression
D) Denial
3. The nurse is caring for an 8-year-old boy hospitalized for a bone marrow transplant. His
parents are in and out of his room throughout the day. Which of the following behaviors of the
child would alert the nurse that he is in the second stage of separation anxiety? A) He ignores
his parents when they return to his room.
B) He cries uncontrollably whenever they leave.
C) He forms superficial relationships with his caregivers.
D) He sits quietly and is uninterested in playing and eating.
4. The nurse is caring for a 4-year-old girl who has been hospitalized for over a week with
severe burns. Which of the following would be a priority intervention to help satisfy this
preschool child's basic needs?
A) Encourage friends to visit as often as possible.
B) Suggest that a family member be present with her 24 hours a day.
C) Explain necessary procedures in simple language that she will understand.
D) Allow her to make choices about her meals and activities as much as permitted.
5. The nurse is caring for a hospitalized 13-year-old girl, who is questioning everything the
medical staff is doing and is resistant to treatment. How should the nurse respond?
A) “Let's work together to plan your day along with your treatments.”
B) “The sooner you cooperate, the sooner you are going to leave.”
,Test Bank - Maternity and Pediatric Nursing (3rd Edition) by Ricci, Kyle, and Carman 191
C) “If you are more cooperative, perhaps we can arrange a visit from friends.” D) “Please
don't make me call your parents about this.”
6. The nurse is caring for a 10-year-old boy who is in traction. The boy has a nursing diagnosis
of deficient diversional activity related to confinement in bed that is evidenced by verbalization
of boredom and lack of participation in play, reading, and schoolwork. Which of the following
would be the best intervention?
A) Offer the child reading materials.
B) Enlist the aid of a child life specialist.
C) Encourage the child to complete his homework.
D) Ask for the parents' assistance.
7. The nurse is caring for a 13-year-old girl hospitalized for complications from type 1 diabetes.
The girl has a nursing diagnosis of powerlessness related to lack of control of multiple demands
associated with hospitalization, procedures, treatments, and changes in usual routine. How can
the nurse help promote control?
A) Ask the child to identify her areas of concern.
B) Encourage participation of parents in care activities.
C) Offer the girl as many choices as possible.
D) Enlist the family's assistance in creating a time schedule.
8. The nurse is caring for an 8-year-old girl who requires numerous venipunctures and injections
daily. The nurse understands that the child is exhibiting signs of sensory overload and enlists the
assistance of the child life specialist. What should the therapeutic play involve to best deal with
the child's stressors? A) Puppets and dolls
B) Drawing paper and crayons
C) Wooden hammer and pegs
D) Sewing puppets with needles
9. After teaching a group of students about therapeutic play, the instructor determines that
additional teaching is needed when the students identify which of the following as a
characteristic? A) Focus on coping
B) Use of a highly structured format
C) Dramatization of emotions
D) Expression of feelings
10. The mother of a hospitalized child reports that her daughter, who is having some difficulty
eating, just had a 4-ounce cup of ice chips. The nurse documents this on the child's intake flow
sheet as which of the following?
A) 2 ounces
,Test Bank - Maternity and Pediatric Nursing (3rd Edition) by Ricci, Kyle, and Carman 192
B) 4 ounces
C) 6 ounces
D) 8 ounces
11. The nurse is preparing a nursing care plan for a child hospitalized for cardiac surgery.
Which of the following are examples of interventions that nurses perform in the "building
a trusting relationship" stage? Select all answers that apply. A) Gathering information
about the child using the child's own toys
B) Preparing the child for a procedure by playing games
C) Explaining in simple terms what will happen during surgery
D) Allowing the child to devise an exercise plan following surgery
E) Praising the child for how well he is doing following instructions
F) Giving the child a favorite toy to cuddle following a painful procedure
12. The nurse is preparing a hospitalized 7-year-old girl for a lumbar puncture. Which of the
following actions would help reduce her stress related to the procedure? Select all answers that
apply.
A) Pretend to perform the procedure on her doll.
B) Explain the procedure to her in medical terms.
C) Do not allow her to see or touch the equipment.
D) Teach her the steps of the procedure.
E) Tell her not to pay attention to any sounds she might hear.
F) Introduce her to the health care personnel.
13. The nurse is performing an admission of a 10-year-old boy. Which of the following actions
will help the nurse establish a trusting and caring relationship with the child and his family?
Select all answers that apply.
A) The nurse should not minimize the child's fears by smiling.
B) The nurse should initiate introductions.
C) The nurse should not use formal titles at the introduction.
D) The nurse should maintain eye contact at the appropriate level.
E) The nurse should start communication with the child first and then move on to the family.
F) The nurse should use age-appropriate communication with the child.
14. The nurse is caring for an 11-year-old girl preparing to undergo a magnetic resonance
imaging (MRI) scan. Which of the following statements would best help prepare the girl for the
test and decrease anxiety?
A) “You won't hear a sound if you wear your headphones.”
B) “The machine makes a very loud rattle; however, headphones will help.”
C) “There are a variety of loud sounds you will hear.”
, Test Bank - Maternity and Pediatric Nursing (3rd Edition) by Ricci, Kyle, and Carman 193
D) “The MRI scanner sounds like a machine gun.”
15. The nurse is caring for a 10-year-old girl who is in an isolation room. Which of the
following interventions would be a priority intervention for this child? A) Reduce
noise as much as possible.
B) Provide age-appropriate toys and games.
C) Discourage visits from family members.
D) Put on mask prior to entering the room.
16. An adolescent is scheduled for outpatient arthroscopic surgery on his knee next week. As
part of preparing him for the procedure, which action would be most appropriate?
A) Discussing the events with the adolescent and his mother upon arrival the morning of the
procedure
B) Providing detailed explanations of the procedure at least a week in advance of the procedure
C) Encouraging the parent to stay with the adolescent as much as possible before the procedure
D) Answering the adolescent's questions with simple answers, encouraging him to ask the
surgeon
17. The nurse is providing developmentally appropriate care for a toddler hospitalized for
observation following a fall down the steps. Which of the following measures might the nurse
consider when caring for this child? Select all answers that apply. A) Use the en face
position when holding the toddler.
B) Use a bed for toddlers who have an adult present.
C) Avoid leaving small objects that can be swallowed in the bed.
D) Explain activities in concrete, simple terms.
E) Allow the child to select meals and activities.
F) Encourage parents to stay to prevent separation anxiety.
18. The nurse is ordered to apply restraints to a toddler who keeps pulling at the tubes in his
arm. Which of the following criteria must occur to ensure proper use of these restraints? Select
all answers that apply.
A) The nurse must check the restraints every 15 minutes while they are in place.
B) Secure the restraints with ties to the side rails, not the bed or crib frame.
C) Assess the temperature of the affected extremities, pulses, and capillary refill every 15
minutes after placement.
D) Use a clove-hitch type of knot to secure the restraints with ties.
E) Remove the restraint every 2 hours to allow for range of motion and repositioning. F)
Encourage parent participation, providing continuous explanations about the reasons and
time frame for restraints.
Chapter 33- Caring for Children in Diverse Settings
1. The nurse working in the emergency room monitors the admission of children.
Statistically, for which one of the following disorders would children younger than 5 years most
commonly be admitted? A) Mental health problems
B) Injuries
C) Respiratory disorders
D) Gastrointestinal disorders
2. The nurse is caring for a 7-year-old girl hospitalized in isolation. The nurse notices that she
has begun sucking her thumb and changing her speech patterns to those of a toddler. What
condition is the girl manifesting?
A) Regression
B) Suppression
C) Repression
D) Denial
3. The nurse is caring for an 8-year-old boy hospitalized for a bone marrow transplant. His
parents are in and out of his room throughout the day. Which of the following behaviors of the
child would alert the nurse that he is in the second stage of separation anxiety? A) He ignores
his parents when they return to his room.
B) He cries uncontrollably whenever they leave.
C) He forms superficial relationships with his caregivers.
D) He sits quietly and is uninterested in playing and eating.
4. The nurse is caring for a 4-year-old girl who has been hospitalized for over a week with
severe burns. Which of the following would be a priority intervention to help satisfy this
preschool child's basic needs?
A) Encourage friends to visit as often as possible.
B) Suggest that a family member be present with her 24 hours a day.
C) Explain necessary procedures in simple language that she will understand.
D) Allow her to make choices about her meals and activities as much as permitted.
5. The nurse is caring for a hospitalized 13-year-old girl, who is questioning everything the
medical staff is doing and is resistant to treatment. How should the nurse respond?
A) “Let's work together to plan your day along with your treatments.”
B) “The sooner you cooperate, the sooner you are going to leave.”
,Test Bank - Maternity and Pediatric Nursing (3rd Edition) by Ricci, Kyle, and Carman 191
C) “If you are more cooperative, perhaps we can arrange a visit from friends.” D) “Please
don't make me call your parents about this.”
6. The nurse is caring for a 10-year-old boy who is in traction. The boy has a nursing diagnosis
of deficient diversional activity related to confinement in bed that is evidenced by verbalization
of boredom and lack of participation in play, reading, and schoolwork. Which of the following
would be the best intervention?
A) Offer the child reading materials.
B) Enlist the aid of a child life specialist.
C) Encourage the child to complete his homework.
D) Ask for the parents' assistance.
7. The nurse is caring for a 13-year-old girl hospitalized for complications from type 1 diabetes.
The girl has a nursing diagnosis of powerlessness related to lack of control of multiple demands
associated with hospitalization, procedures, treatments, and changes in usual routine. How can
the nurse help promote control?
A) Ask the child to identify her areas of concern.
B) Encourage participation of parents in care activities.
C) Offer the girl as many choices as possible.
D) Enlist the family's assistance in creating a time schedule.
8. The nurse is caring for an 8-year-old girl who requires numerous venipunctures and injections
daily. The nurse understands that the child is exhibiting signs of sensory overload and enlists the
assistance of the child life specialist. What should the therapeutic play involve to best deal with
the child's stressors? A) Puppets and dolls
B) Drawing paper and crayons
C) Wooden hammer and pegs
D) Sewing puppets with needles
9. After teaching a group of students about therapeutic play, the instructor determines that
additional teaching is needed when the students identify which of the following as a
characteristic? A) Focus on coping
B) Use of a highly structured format
C) Dramatization of emotions
D) Expression of feelings
10. The mother of a hospitalized child reports that her daughter, who is having some difficulty
eating, just had a 4-ounce cup of ice chips. The nurse documents this on the child's intake flow
sheet as which of the following?
A) 2 ounces
,Test Bank - Maternity and Pediatric Nursing (3rd Edition) by Ricci, Kyle, and Carman 192
B) 4 ounces
C) 6 ounces
D) 8 ounces
11. The nurse is preparing a nursing care plan for a child hospitalized for cardiac surgery.
Which of the following are examples of interventions that nurses perform in the "building
a trusting relationship" stage? Select all answers that apply. A) Gathering information
about the child using the child's own toys
B) Preparing the child for a procedure by playing games
C) Explaining in simple terms what will happen during surgery
D) Allowing the child to devise an exercise plan following surgery
E) Praising the child for how well he is doing following instructions
F) Giving the child a favorite toy to cuddle following a painful procedure
12. The nurse is preparing a hospitalized 7-year-old girl for a lumbar puncture. Which of the
following actions would help reduce her stress related to the procedure? Select all answers that
apply.
A) Pretend to perform the procedure on her doll.
B) Explain the procedure to her in medical terms.
C) Do not allow her to see or touch the equipment.
D) Teach her the steps of the procedure.
E) Tell her not to pay attention to any sounds she might hear.
F) Introduce her to the health care personnel.
13. The nurse is performing an admission of a 10-year-old boy. Which of the following actions
will help the nurse establish a trusting and caring relationship with the child and his family?
Select all answers that apply.
A) The nurse should not minimize the child's fears by smiling.
B) The nurse should initiate introductions.
C) The nurse should not use formal titles at the introduction.
D) The nurse should maintain eye contact at the appropriate level.
E) The nurse should start communication with the child first and then move on to the family.
F) The nurse should use age-appropriate communication with the child.
14. The nurse is caring for an 11-year-old girl preparing to undergo a magnetic resonance
imaging (MRI) scan. Which of the following statements would best help prepare the girl for the
test and decrease anxiety?
A) “You won't hear a sound if you wear your headphones.”
B) “The machine makes a very loud rattle; however, headphones will help.”
C) “There are a variety of loud sounds you will hear.”
, Test Bank - Maternity and Pediatric Nursing (3rd Edition) by Ricci, Kyle, and Carman 193
D) “The MRI scanner sounds like a machine gun.”
15. The nurse is caring for a 10-year-old girl who is in an isolation room. Which of the
following interventions would be a priority intervention for this child? A) Reduce
noise as much as possible.
B) Provide age-appropriate toys and games.
C) Discourage visits from family members.
D) Put on mask prior to entering the room.
16. An adolescent is scheduled for outpatient arthroscopic surgery on his knee next week. As
part of preparing him for the procedure, which action would be most appropriate?
A) Discussing the events with the adolescent and his mother upon arrival the morning of the
procedure
B) Providing detailed explanations of the procedure at least a week in advance of the procedure
C) Encouraging the parent to stay with the adolescent as much as possible before the procedure
D) Answering the adolescent's questions with simple answers, encouraging him to ask the
surgeon
17. The nurse is providing developmentally appropriate care for a toddler hospitalized for
observation following a fall down the steps. Which of the following measures might the nurse
consider when caring for this child? Select all answers that apply. A) Use the en face
position when holding the toddler.
B) Use a bed for toddlers who have an adult present.
C) Avoid leaving small objects that can be swallowed in the bed.
D) Explain activities in concrete, simple terms.
E) Allow the child to select meals and activities.
F) Encourage parents to stay to prevent separation anxiety.
18. The nurse is ordered to apply restraints to a toddler who keeps pulling at the tubes in his
arm. Which of the following criteria must occur to ensure proper use of these restraints? Select
all answers that apply.
A) The nurse must check the restraints every 15 minutes while they are in place.
B) Secure the restraints with ties to the side rails, not the bed or crib frame.
C) Assess the temperature of the affected extremities, pulses, and capillary refill every 15
minutes after placement.
D) Use a clove-hitch type of knot to secure the restraints with ties.
E) Remove the restraint every 2 hours to allow for range of motion and repositioning. F)
Encourage parent participation, providing continuous explanations about the reasons and
time frame for restraints.
