Kyle and Carman: Essentials of Pediatric Nursing
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1. The nurse is interviewing an adolescent. What should in a room with a child near
the nurse recognize as an important aspect of inter- the same age
viewing the adolescent?
Adolescents will share more about themselves in a
private conversation.
Adolescents will not likely share information related to
sexual relationships or to use of substances.
Adolescents should be asked if they would like a peer
in the room during the interview.
Adolescents will talk more openly if their caregiver is
in the same room.
2. The nurse is obtaining the health history for a Ask the child when the
9-year-old child who has been brought to the ambula- pain started.
tory care clinic with reports of a backache. Which initial
action by the nurse is most appropriate?
Ask the child to demonstrate movements involving
the back.
Ask the child's parent about when the parent was first
made aware of the discomfort.
Palpate the child's back while asking the severity of
discomfort being experienced.
Ask the child when the pain started.
3. A 12-year-old client is hospitalized. Which finding will uncomfortable during
the nurse expect while providing care to this client? genital assessment
uncomfortable during genital assessment
separation anxiety
, Kyle and Carman: Essentials of Pediatric Nursing
Study online at https://quizlet.com/_cpy6px
refusal of treatments
inability to understand explanation
4. A preschooler is admitted to the pediatric floor for de- Explain all procedures us-
hydration and is frightened. Which nursing interven- ing medical terminology.
tion would be least effective in alleviating the child's
anxiety?
Encourage a caregiver to stay with the child when
possible.
Explain all procedures using medical terminology.
Assign the child to the same nurse each day.
Allow the child to handle the blood pressure cuff be-
fore using it.
5. The nurse is establishing a long-term relationship with establishing trust
a child who will be seeking treatment for cancer. What
is the most important factor in this relationship?
determining appointment times for meetings
establishing a timeline for the relationship
establishing trust
setting goals for the relationship
6. The nurse is preparing to conduct the cover test with Eyes
a preschool-age child. Which body system is the nurse
preparing to assess?
Ears
Eyes
Neck
Nose
, Kyle and Carman: Essentials of Pediatric Nursing
Study online at https://quizlet.com/_cpy6px
7. While at school, the client is called to the school assessing vision
nurse's office. The school nurse is performing sec-
ondary prevention interventions. Which would the
nurse most likely be performing?
assessing vision
checking temperature
asking the client if he or she likes school
asking the client about what he or she usually eats
each day
8. The nurse is taking the health history of a 15-year-old "Some teens like to
client. What would be an appropriate way for the smoke. Have you tried
nurse to ask about the client's drug use history? this?"
"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?"
9. The nurse is caring for a 6-year-old client who is pre- Blow a pinwheel and bub-
scribed to cough and deep breathe following surgery. bles with the child.
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.
10. A toddler is brought to the pediatric clinic by the Determining the chief
caregiver because the child "doesn't feel well." As the complaint
, Kyle and Carman: Essentials of Pediatric Nursing
Study online at https://quizlet.com/_cpy6px
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
11. The parents of an 8 year-old state, "I am happy that "For a child a BMI be-
our child is healthy," when the nurse says that the tween the 85th and 95th
child falls into the 95th percentile for BMI. How should percentile alerts us to
the nurse respond? the risk for being over-
weight. Let's talk about
"For a child a BMI between the 85th and 95th per- your child's diet and activ-
centile alerts us to the risk for being overweight. Let's ity level."
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."
12. The nurse is preparing to assess the respiratory rate Count after the child stops
of a crying 15-month-old boy. To get the most accurate crying and is comfortable.
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.
Study online at https://quizlet.com/_cpy6px
1. The nurse is interviewing an adolescent. What should in a room with a child near
the nurse recognize as an important aspect of inter- the same age
viewing the adolescent?
Adolescents will share more about themselves in a
private conversation.
Adolescents will not likely share information related to
sexual relationships or to use of substances.
Adolescents should be asked if they would like a peer
in the room during the interview.
Adolescents will talk more openly if their caregiver is
in the same room.
2. The nurse is obtaining the health history for a Ask the child when the
9-year-old child who has been brought to the ambula- pain started.
tory care clinic with reports of a backache. Which initial
action by the nurse is most appropriate?
Ask the child to demonstrate movements involving
the back.
Ask the child's parent about when the parent was first
made aware of the discomfort.
Palpate the child's back while asking the severity of
discomfort being experienced.
Ask the child when the pain started.
3. A 12-year-old client is hospitalized. Which finding will uncomfortable during
the nurse expect while providing care to this client? genital assessment
uncomfortable during genital assessment
separation anxiety
, Kyle and Carman: Essentials of Pediatric Nursing
Study online at https://quizlet.com/_cpy6px
refusal of treatments
inability to understand explanation
4. A preschooler is admitted to the pediatric floor for de- Explain all procedures us-
hydration and is frightened. Which nursing interven- ing medical terminology.
tion would be least effective in alleviating the child's
anxiety?
Encourage a caregiver to stay with the child when
possible.
Explain all procedures using medical terminology.
Assign the child to the same nurse each day.
Allow the child to handle the blood pressure cuff be-
fore using it.
5. The nurse is establishing a long-term relationship with establishing trust
a child who will be seeking treatment for cancer. What
is the most important factor in this relationship?
determining appointment times for meetings
establishing a timeline for the relationship
establishing trust
setting goals for the relationship
6. The nurse is preparing to conduct the cover test with Eyes
a preschool-age child. Which body system is the nurse
preparing to assess?
Ears
Eyes
Neck
Nose
, Kyle and Carman: Essentials of Pediatric Nursing
Study online at https://quizlet.com/_cpy6px
7. While at school, the client is called to the school assessing vision
nurse's office. The school nurse is performing sec-
ondary prevention interventions. Which would the
nurse most likely be performing?
assessing vision
checking temperature
asking the client if he or she likes school
asking the client about what he or she usually eats
each day
8. The nurse is taking the health history of a 15-year-old "Some teens like to
client. What would be an appropriate way for the smoke. Have you tried
nurse to ask about the client's drug use history? this?"
"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?"
9. The nurse is caring for a 6-year-old client who is pre- Blow a pinwheel and bub-
scribed to cough and deep breathe following surgery. bles with the child.
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.
10. A toddler is brought to the pediatric clinic by the Determining the chief
caregiver because the child "doesn't feel well." As the complaint
, Kyle and Carman: Essentials of Pediatric Nursing
Study online at https://quizlet.com/_cpy6px
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
11. The parents of an 8 year-old state, "I am happy that "For a child a BMI be-
our child is healthy," when the nurse says that the tween the 85th and 95th
child falls into the 95th percentile for BMI. How should percentile alerts us to
the nurse respond? the risk for being over-
weight. Let's talk about
"For a child a BMI between the 85th and 95th per- your child's diet and activ-
centile alerts us to the risk for being overweight. Let's ity level."
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."
12. The nurse is preparing to assess the respiratory rate Count after the child stops
of a crying 15-month-old boy. To get the most accurate crying and is comfortable.
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.
