NUR 412: Nursing Concepts for Pediatric
Patients Exam 4 UPDATED ACTUAL Exam
Questions and CORRECT Answers
Which of the following is an important consideration in understanding the reactions of parents
when their infant is born with physical defects?
A. Grief lasts until the defects are repaired.
B. Denial is a common maladaptive reaction.
C. The psychologic reaction is similar to that with the death of an infant.
D. Reactions of health professionals to the birth of an infant do not affect parents' reactions. -
CORRECT ANSWER -C. The psychologic reaction is similar to that with the death of an
infant.
An infant who was born yesterday is scheduled for surgery tomorrow. Which of the following
interventions in the preoperative period will be the most helpful in assessing postoperative pain
in this neonate?
A. Assess neonate's behavior.
B. Interview mother about neonate's behavior.
C. Ask mother what measures comfort neonate.
D. Assess neonate's response after inducing pain. - CORRECT ANSWER -A. Assess
neonate's behavior.
An infant is born with anencephaly. When discussing this condition with the parents, the nurse
should know that:
A. Many treatment options exist.
B. Immediate surgery is necessary.
C. The condition is incompatible with life.
D. The child will have permanent disabilities. - CORRECT ANSWER -C. The condition is
incompatible with life.
,Which of the following problems is most often associated with myelomeningocele?
A. Biliary atresia
B. Hydrocephalus
C. Craniosynostosis
D. Tracheoesophageal fistula - CORRECT ANSWER -B. Hydrocephalus
An infant with hydrocephalus is hospitalized for surgical placement of a ventriculoperitoneal
shunt. Postoperative nursing care should include which of the following?
A. Monitor closely for signs of infection.
B. Place child with operated side of the head on the bed.
C. Pump the shunt reservoir often to maintain patency.
D. Maintain Trendelenburg position to decrease pressure on the shunt. - CORRECT
ANSWER -A. Monitor closely for signs of infection.
A newborn with congenital clubfoot is being treated with successive casts. The parents ask why
so many casts are required. The nurse should explain that:
A. Casts are needed for the traction.
B. Each cast is good for only 6 weeks.
C. Surgical intervention will not be necessary.
D. They allow for gradual stretching of tight structures. - CORRECT ANSWER -D. They
allow for gradual stretching of tight structures.
Which of the following is a major long-term problem for a child with cleft lip and palate?
A. Faulty dentition
B. Nutritional deficits
C. Aspiration pneumonia
D. Abnormally small maxilla - CORRECT ANSWER -A. Faulty dentition
A newborn was admitted to the nursery with a complete bilateral cleft lip and palate. The
physician explained the plan of therapy and its expected good results; however, the mother
, refuses to see or hold her baby. Initial therapeutic approach to the mother should be which of the
following?
A. Encourage her to express her feelings.
B. Suggest holding baby but without eye contact.
C. Restate what the physician has told her about plastic surgery.
D. Recognize that attachment usually does not occur until after initial surgery. - CORRECT
ANSWER -A. Encourage her to express her feelings.
The nurse assesses the neonate immediately after birth. Esophageal atresia or tracheoesophageal
fistula is suspected if which of the following is present?
A. Jaundice
B. Absence of sucking
C. Hyperactive bowel sounds
D. Excessive amount of frothy saliva in the mouth - CORRECT ANSWER -D. Excessive
amount of frothy saliva in the mouth
Which of the following is the earliest clinical manifestation of biliary atresia?
A. Jaundice
B. Vomiting
C. Hepatomegaly
D. Absence of stooling - CORRECT ANSWER -A. Jaundice
Pica refers to which of the following?
A. Overeating of nonnutritive food substances
B. Refusal to eat proper amounts of food despite its availability
C. Obsessive ingestion of unusual foods that persists over time
D. Compulsive and excessive ingestion of both food and nonfood substances - CORRECT
ANSWER -D. Compulsive and excessive ingestion of both food and nonfood substances
Patients Exam 4 UPDATED ACTUAL Exam
Questions and CORRECT Answers
Which of the following is an important consideration in understanding the reactions of parents
when their infant is born with physical defects?
A. Grief lasts until the defects are repaired.
B. Denial is a common maladaptive reaction.
C. The psychologic reaction is similar to that with the death of an infant.
D. Reactions of health professionals to the birth of an infant do not affect parents' reactions. -
CORRECT ANSWER -C. The psychologic reaction is similar to that with the death of an
infant.
An infant who was born yesterday is scheduled for surgery tomorrow. Which of the following
interventions in the preoperative period will be the most helpful in assessing postoperative pain
in this neonate?
A. Assess neonate's behavior.
B. Interview mother about neonate's behavior.
C. Ask mother what measures comfort neonate.
D. Assess neonate's response after inducing pain. - CORRECT ANSWER -A. Assess
neonate's behavior.
An infant is born with anencephaly. When discussing this condition with the parents, the nurse
should know that:
A. Many treatment options exist.
B. Immediate surgery is necessary.
C. The condition is incompatible with life.
D. The child will have permanent disabilities. - CORRECT ANSWER -C. The condition is
incompatible with life.
,Which of the following problems is most often associated with myelomeningocele?
A. Biliary atresia
B. Hydrocephalus
C. Craniosynostosis
D. Tracheoesophageal fistula - CORRECT ANSWER -B. Hydrocephalus
An infant with hydrocephalus is hospitalized for surgical placement of a ventriculoperitoneal
shunt. Postoperative nursing care should include which of the following?
A. Monitor closely for signs of infection.
B. Place child with operated side of the head on the bed.
C. Pump the shunt reservoir often to maintain patency.
D. Maintain Trendelenburg position to decrease pressure on the shunt. - CORRECT
ANSWER -A. Monitor closely for signs of infection.
A newborn with congenital clubfoot is being treated with successive casts. The parents ask why
so many casts are required. The nurse should explain that:
A. Casts are needed for the traction.
B. Each cast is good for only 6 weeks.
C. Surgical intervention will not be necessary.
D. They allow for gradual stretching of tight structures. - CORRECT ANSWER -D. They
allow for gradual stretching of tight structures.
Which of the following is a major long-term problem for a child with cleft lip and palate?
A. Faulty dentition
B. Nutritional deficits
C. Aspiration pneumonia
D. Abnormally small maxilla - CORRECT ANSWER -A. Faulty dentition
A newborn was admitted to the nursery with a complete bilateral cleft lip and palate. The
physician explained the plan of therapy and its expected good results; however, the mother
, refuses to see or hold her baby. Initial therapeutic approach to the mother should be which of the
following?
A. Encourage her to express her feelings.
B. Suggest holding baby but without eye contact.
C. Restate what the physician has told her about plastic surgery.
D. Recognize that attachment usually does not occur until after initial surgery. - CORRECT
ANSWER -A. Encourage her to express her feelings.
The nurse assesses the neonate immediately after birth. Esophageal atresia or tracheoesophageal
fistula is suspected if which of the following is present?
A. Jaundice
B. Absence of sucking
C. Hyperactive bowel sounds
D. Excessive amount of frothy saliva in the mouth - CORRECT ANSWER -D. Excessive
amount of frothy saliva in the mouth
Which of the following is the earliest clinical manifestation of biliary atresia?
A. Jaundice
B. Vomiting
C. Hepatomegaly
D. Absence of stooling - CORRECT ANSWER -A. Jaundice
Pica refers to which of the following?
A. Overeating of nonnutritive food substances
B. Refusal to eat proper amounts of food despite its availability
C. Obsessive ingestion of unusual foods that persists over time
D. Compulsive and excessive ingestion of both food and nonfood substances - CORRECT
ANSWER -D. Compulsive and excessive ingestion of both food and nonfood substances
