PEDS EXAM 1 (TESTBANK)
The nurse is providing care to a preschool-age client who was
admitted to the medicalsurgical unit after an acute asthma attack.
Which interventions foster a family-centered focus to client care?
Select all that apply.
1. Discussing rooming in with the parents of the client
2. Allowing the client to cry it out after the parents leave for the
evening
3. Providing comfort items from home, such as a blanket
4. Maintaining strict visitation for the family
5. Discussing what to expect during the hospital stay - ANSWERS-1.
Discussing rooming in with the parents of the client
3. Providing comfort items from home, such as a blanket
5. Discussing what to expect during the hospital stay
The nurse is admitting a school-age Vietnamese client who hit a
parked car while riding a bike. The child has a fracture of the left
radius and femur in addition to a fractured orbit. The child is stoic and
denies pain. Which nursing actions are most appropriate in this
situation?
Standard Text: Select all that apply.
1. Use the FLACC scale to determine the child's pain level.
2. Tell the child to ring the call bell if the leg starts hurting.
3. Administer pain medication now and continue on a regular basis.
,4. Ask the child's parents to notify the nurse if the child complains of
pain.
5. Use the NIPS scale to determine the child's pain level. -
ANSWERS-1. Use the FLACC scale to determine the child's pain
level.
3. Administer pain medication now and continue on a regular basis.
4. Ask the child's parents to notify the nurse if the child complains of
pain.
During the nurses initial assessment of a school-age child, the child
reports a pain level of 6 out of 10. The child is lying quietly in bed
watching television. Which action by the nurse is most appropriate?
1. Administer prescribed analgesic.
2. Ask the child's parents if they think the child is hurting.
3. Reassess the child in 15 minutes to see if the pain rating has
changed.
4. Do nothing, since the child appears to be resting. - ANSWERS-1.
Administer prescribed analgesic.
A school-age client has been receiving morphine every two hours for
postoperative pain as ordered. The medication relieves the pain for
approximately 90 minutes, and then the pain returns. Which action by
the nurse is the most appropriate?
1. Tell the child that pain medication cannot be administered more
frequently than every two hours.
2. Reposition the child and quietly leave the room.
3. Inform the parents that the child is dependent on the medication.
,4. Call the healthcare provider to see if the child's orders for pain
medication can be changed. - ANSWERS-4. Call the healthcare
provider to see if the child's orders for pain medication can be
changed.
The nurse is working in a pediatric surgical unit. In discussing patient-
controlled analgesia (PCA) in a preoperative parental meeting, which
client would be a candidate for PCA?
1. Developmentally delayed 16-year-old, postoperative bone surgery
2. 5-year-old, postoperative tonsillectomy
3. 10-year-old who has a fractured femur and concussion from a bike
accident
4. 12-year-old, postoperative spinal fusion for scoliosis - ANSWERS-
4. 12-year-old, postoperative spinal fusion for scoliosis
A toddler is hospitalized with a fractured femur. In addition to pain
medication, which will best provide pain relief for this child?
1. Parents presence at the bedside
2. Age-appropriate toys
3. Deep-breathing exercises
4. Videos for the child to watch - ANSWERS-1. Parents presence at
the bedside
The nurse is caring for a toddler client in the postoperative period.
Which pain assessment tool is most appropriate for this client?
1. FLACC Behavioral Pain Assessment Scale
, 2. FACES pain scale
3. Oucher scale
4. Poker-chip tool - ANSWERS-1. FLACC Behavioral Pain
Assessment Scale
A hospitalized toddler-age client needs to have an IV restarted. The
child begins to cry when carried into the treatment room by the
mother. Which nursing diagnosis is most appropriate?
1. Ineffective Individual Coping Related to an Invasive Procedure
2. Anxiety Related to Anticipated Painful Procedure
3. Fear Related to the Unfamiliar Environment
4. Knowledge Deficit of the Procedure - ANSWERS-2. Anxiety
Related to Anticipated Painful Procedure
A parent asks the nurse if there is anything that can be done to reduce
the pain that his 3-year-old experiences each morning when blood is
drawn for lab studies. Which intervention would the nurse implement
based on the parents concern?
1. Intravenous sedation 15 minutes prior to the procedure
2. EMLA cream (lidocaine 2.5% and prilocaine 2.5%) applied to skin
at least one hour prior to the procedure
3. Use of guided imagery during the procedure
4. Use of muscle-relaxation techniques - ANSWERS-2. EMLA cream
(lidocaine 2.5% and prilocaine 2.5%) applied to skin at least one hour
prior to the procedure
The nurse is providing care to a preschool-age client who was
admitted to the medicalsurgical unit after an acute asthma attack.
Which interventions foster a family-centered focus to client care?
Select all that apply.
1. Discussing rooming in with the parents of the client
2. Allowing the client to cry it out after the parents leave for the
evening
3. Providing comfort items from home, such as a blanket
4. Maintaining strict visitation for the family
5. Discussing what to expect during the hospital stay - ANSWERS-1.
Discussing rooming in with the parents of the client
3. Providing comfort items from home, such as a blanket
5. Discussing what to expect during the hospital stay
The nurse is admitting a school-age Vietnamese client who hit a
parked car while riding a bike. The child has a fracture of the left
radius and femur in addition to a fractured orbit. The child is stoic and
denies pain. Which nursing actions are most appropriate in this
situation?
Standard Text: Select all that apply.
1. Use the FLACC scale to determine the child's pain level.
2. Tell the child to ring the call bell if the leg starts hurting.
3. Administer pain medication now and continue on a regular basis.
,4. Ask the child's parents to notify the nurse if the child complains of
pain.
5. Use the NIPS scale to determine the child's pain level. -
ANSWERS-1. Use the FLACC scale to determine the child's pain
level.
3. Administer pain medication now and continue on a regular basis.
4. Ask the child's parents to notify the nurse if the child complains of
pain.
During the nurses initial assessment of a school-age child, the child
reports a pain level of 6 out of 10. The child is lying quietly in bed
watching television. Which action by the nurse is most appropriate?
1. Administer prescribed analgesic.
2. Ask the child's parents if they think the child is hurting.
3. Reassess the child in 15 minutes to see if the pain rating has
changed.
4. Do nothing, since the child appears to be resting. - ANSWERS-1.
Administer prescribed analgesic.
A school-age client has been receiving morphine every two hours for
postoperative pain as ordered. The medication relieves the pain for
approximately 90 minutes, and then the pain returns. Which action by
the nurse is the most appropriate?
1. Tell the child that pain medication cannot be administered more
frequently than every two hours.
2. Reposition the child and quietly leave the room.
3. Inform the parents that the child is dependent on the medication.
,4. Call the healthcare provider to see if the child's orders for pain
medication can be changed. - ANSWERS-4. Call the healthcare
provider to see if the child's orders for pain medication can be
changed.
The nurse is working in a pediatric surgical unit. In discussing patient-
controlled analgesia (PCA) in a preoperative parental meeting, which
client would be a candidate for PCA?
1. Developmentally delayed 16-year-old, postoperative bone surgery
2. 5-year-old, postoperative tonsillectomy
3. 10-year-old who has a fractured femur and concussion from a bike
accident
4. 12-year-old, postoperative spinal fusion for scoliosis - ANSWERS-
4. 12-year-old, postoperative spinal fusion for scoliosis
A toddler is hospitalized with a fractured femur. In addition to pain
medication, which will best provide pain relief for this child?
1. Parents presence at the bedside
2. Age-appropriate toys
3. Deep-breathing exercises
4. Videos for the child to watch - ANSWERS-1. Parents presence at
the bedside
The nurse is caring for a toddler client in the postoperative period.
Which pain assessment tool is most appropriate for this client?
1. FLACC Behavioral Pain Assessment Scale
, 2. FACES pain scale
3. Oucher scale
4. Poker-chip tool - ANSWERS-1. FLACC Behavioral Pain
Assessment Scale
A hospitalized toddler-age client needs to have an IV restarted. The
child begins to cry when carried into the treatment room by the
mother. Which nursing diagnosis is most appropriate?
1. Ineffective Individual Coping Related to an Invasive Procedure
2. Anxiety Related to Anticipated Painful Procedure
3. Fear Related to the Unfamiliar Environment
4. Knowledge Deficit of the Procedure - ANSWERS-2. Anxiety
Related to Anticipated Painful Procedure
A parent asks the nurse if there is anything that can be done to reduce
the pain that his 3-year-old experiences each morning when blood is
drawn for lab studies. Which intervention would the nurse implement
based on the parents concern?
1. Intravenous sedation 15 minutes prior to the procedure
2. EMLA cream (lidocaine 2.5% and prilocaine 2.5%) applied to skin
at least one hour prior to the procedure
3. Use of guided imagery during the procedure
4. Use of muscle-relaxation techniques - ANSWERS-2. EMLA cream
(lidocaine 2.5% and prilocaine 2.5%) applied to skin at least one hour
prior to the procedure
