"A 10-month-old infant is hospitalized for respiratory syncytial virus (RSV). Using knowledge of growth
and development according to Erik Erikson and Jean Piaget, the nurse should do which of the
following to meet the infant's developmental needs?"
a. wash hands, wear a mask and keep the infant as quiet as possible
b. follow the home feeding schedule and allow the infant to be held only when the parents visit
c. restrain the infant continuously to prevent tubes from being dislodged
d. provide a consistent routine, as well as touching, rocking, and cuddling throughout the
hospitalization - CORRECT ANSWER - provide a consistent routine, as well as touching, rocking, and
cuddling throughout the hospitalization
"A 12-year-old child is seen in the health care clinic. During the assessment, which finding would
suggest to the nurse that the child is experiencing a disruption in the development of self-concept?"
a. the child has a part-time babysitting job
b. the child enjoys playing chess and mastering new skills with this game
c. the child has many friends
d. the child has an intimate relationship with a significant other - CORRECT ANSWER - the child has
an intimate relationship with a significant other
,"A 4-year-old child with cancer is admitted to the hospital for radiation therapy and surgery. To assess
adequacy of support for the child's psychosocial needs, the nurse would ask the parents which
question?"
a. what signs and symptoms has your child been having?
b. Will a family member be able to stay with the child most of the time?
c. how long have you known your child's diagnosis?
d. What are your child's favorite books, activities and toys? - CORRECT ANSWER - b. Will a family
member be able to stay with the child most of the time?
"A 4-year-old child with cancer is admitted to the hospital for radiation therapy and surgery. To assess
adequacy of support for the child's psychosocial needs, the nurse would ask the parents which
question?"
a. what signs and symptoms has your child been having?
b. Will a family member be able to stay with the child most of the time?
c. How long have you known your child's diagnosis?
d. what are your child's favorite books, activities and toys? - CORRECT ANSWER - Will a family
member be able to stay with the child most of the time?
"A child with a tracheal obstruction is brought to the emergency room by emergency medical services.
The child has aspirated a marble, and the foreign body is removed in the emergency room by direct
laryngoscopy. After the procedure, the nurse informs the mother of the child that:"
,a. the child will need to be hospitalized for observation
b. the child may go home with a prescription for antibiotics
c. the child will need to return to the hospital for a chest x-ray in 1 week
d. the child will require a bronchoscopy for follow up evaluation in 1 month - CORRECT ANSWER -
the child will need to be hospitalized for observation
"A client is unable to expectorate sputum for a sputum sample, and the nurse is preparing to obtain
the sample via saline inhalation. The nurse instructs the client to inhale the warm saline vapor via
nebulizer by:"
a. hold the nebulizer under the nose
b. keeping the lips closed lightly over the mouthpiece
c. keeping the lips closed tightly over the mouthpiece
d. alternating one vapor breath with one breath from room air - CORRECT ANSWER - keeping the
lips closed lightly over the mouthpiece
"A client taking albuterol (Ventolin) experiences a severe episode of wheezing, which the nurse
interprets as bronchospasm. A telephone call is made to the physician's office to report the
occurrence. The nurse does which of the following while waiting for the physician to return the call?"
a. administer the next dose of albuterol as scheduled
b. withholds the next dose of albuterol
c. administer a double dose of albuterol
, d. administers half the dose of albuterol - CORRECT ANSWER - withholds the next dose of albuterol
"A client with gastroesophageal reflux disease (GERD) complains of chest discomfort that feels like
heartburn, especially following each meal. After teaching the client to take antacids as prescribed, the
nurse suggests that the client lie in which position during sleep?"
a. with the head of the bed elevated 6 to 8 inches
b. flat
c. supine with the head of the bed flat
d. on the stomach with the head of the bed flat - CORRECT ANSWER - a. with the head of the bed
elevated 6 to 8 inches
"A hospitalized toddler cries when anyone enters the room, and kicks, yells, and clings to the parents
if they try to leave. Based on these data, the nurse determines that the priority nursing diagnosis is:"
a. fear related to unfamiliar surroundings
b. deficient divisional activity related to developmental stage
c. compromised family coping related to the sick child
d. delayed growth and development related to overprotective parenting - CORRECT ANSWER - a.
fear related to unfamiliar surroundings
and development according to Erik Erikson and Jean Piaget, the nurse should do which of the
following to meet the infant's developmental needs?"
a. wash hands, wear a mask and keep the infant as quiet as possible
b. follow the home feeding schedule and allow the infant to be held only when the parents visit
c. restrain the infant continuously to prevent tubes from being dislodged
d. provide a consistent routine, as well as touching, rocking, and cuddling throughout the
hospitalization - CORRECT ANSWER - provide a consistent routine, as well as touching, rocking, and
cuddling throughout the hospitalization
"A 12-year-old child is seen in the health care clinic. During the assessment, which finding would
suggest to the nurse that the child is experiencing a disruption in the development of self-concept?"
a. the child has a part-time babysitting job
b. the child enjoys playing chess and mastering new skills with this game
c. the child has many friends
d. the child has an intimate relationship with a significant other - CORRECT ANSWER - the child has
an intimate relationship with a significant other
,"A 4-year-old child with cancer is admitted to the hospital for radiation therapy and surgery. To assess
adequacy of support for the child's psychosocial needs, the nurse would ask the parents which
question?"
a. what signs and symptoms has your child been having?
b. Will a family member be able to stay with the child most of the time?
c. how long have you known your child's diagnosis?
d. What are your child's favorite books, activities and toys? - CORRECT ANSWER - b. Will a family
member be able to stay with the child most of the time?
"A 4-year-old child with cancer is admitted to the hospital for radiation therapy and surgery. To assess
adequacy of support for the child's psychosocial needs, the nurse would ask the parents which
question?"
a. what signs and symptoms has your child been having?
b. Will a family member be able to stay with the child most of the time?
c. How long have you known your child's diagnosis?
d. what are your child's favorite books, activities and toys? - CORRECT ANSWER - Will a family
member be able to stay with the child most of the time?
"A child with a tracheal obstruction is brought to the emergency room by emergency medical services.
The child has aspirated a marble, and the foreign body is removed in the emergency room by direct
laryngoscopy. After the procedure, the nurse informs the mother of the child that:"
,a. the child will need to be hospitalized for observation
b. the child may go home with a prescription for antibiotics
c. the child will need to return to the hospital for a chest x-ray in 1 week
d. the child will require a bronchoscopy for follow up evaluation in 1 month - CORRECT ANSWER -
the child will need to be hospitalized for observation
"A client is unable to expectorate sputum for a sputum sample, and the nurse is preparing to obtain
the sample via saline inhalation. The nurse instructs the client to inhale the warm saline vapor via
nebulizer by:"
a. hold the nebulizer under the nose
b. keeping the lips closed lightly over the mouthpiece
c. keeping the lips closed tightly over the mouthpiece
d. alternating one vapor breath with one breath from room air - CORRECT ANSWER - keeping the
lips closed lightly over the mouthpiece
"A client taking albuterol (Ventolin) experiences a severe episode of wheezing, which the nurse
interprets as bronchospasm. A telephone call is made to the physician's office to report the
occurrence. The nurse does which of the following while waiting for the physician to return the call?"
a. administer the next dose of albuterol as scheduled
b. withholds the next dose of albuterol
c. administer a double dose of albuterol
, d. administers half the dose of albuterol - CORRECT ANSWER - withholds the next dose of albuterol
"A client with gastroesophageal reflux disease (GERD) complains of chest discomfort that feels like
heartburn, especially following each meal. After teaching the client to take antacids as prescribed, the
nurse suggests that the client lie in which position during sleep?"
a. with the head of the bed elevated 6 to 8 inches
b. flat
c. supine with the head of the bed flat
d. on the stomach with the head of the bed flat - CORRECT ANSWER - a. with the head of the bed
elevated 6 to 8 inches
"A hospitalized toddler cries when anyone enters the room, and kicks, yells, and clings to the parents
if they try to leave. Based on these data, the nurse determines that the priority nursing diagnosis is:"
a. fear related to unfamiliar surroundings
b. deficient divisional activity related to developmental stage
c. compromised family coping related to the sick child
d. delayed growth and development related to overprotective parenting - CORRECT ANSWER - a.
fear related to unfamiliar surroundings
