Page 1 of 99
“ CHILD & FAMILY NURSING EXAM PRACTICE
QUESTIONS ”LATEST EXAM SOLVED
QUESTIONS & ANSWERS VERIFIED 100%
GRADED A+ (LATEST VERSION) WELL REVISED
GUARANTEE PASS
Child & Family Nursing Exam
The nurse caring for the child in pain knows that distraction
a. can give total pain relief to the child.
b. is effective when the child is in severe pain.
c. is the best method for pain relief.
d. must be developmentally appropriate to refocus attention.
ANS: D
Distraction can be very effective in helping to control pain, but it must be appropriate
to the
child's developmental level. Distraction can help control pain, but it is rarely able to
provide
total pain relief. Children in severe pain are not distractible. Children may use
distraction to
help control pain, but it is not the best method for pain relief.
What medication is the most effective choice for treating pain associated with
sickle cell crisis
in a newly admitted 5-year-old child?
a. Morphine
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b. Acetaminophen
c. Ibuprofen
d. Midazolam
ANS: A
Opioids, such as morphine, are the preferred drugs for the management of acute,
severe pain,
including postoperative pain, posttraumatic pain, pain from vaso-occlusive crisis, and
chronic
cancer pain. Acetaminophen provides only mild analgesic relief and is not
appropriate for a
newly admitted child with sickle cell crisis. Ibuprofen is a type of nonsteroidal
anti-inflammatory drug (NSAID) that is used primarily for pain associated with
inflammation.
It is appropriate for mild to moderate pain but is not adequate for this patient.
Midazolam
(Versed) is a short-acting drug used for conscious sedation and preoperative
sedation and as
an induction agent for general anesthesia.
When using the poker chip tool, it is important for the nurse to know that
a. any number of chips can be used.
b. only a specified number of chips can be used.
c. the assessment tool is used with adolescents.
d. the assessment tool is most effectively used with 2-year-old children.
ANS: B
In the poker chip tool, four chips are used to represent a hurt. One chip represents a
little hurt,
and four chips represent the most hurt the child could have. Pain tools are valid only
if used as
directed. The poker chip tool uses four chips. Adolescents are able to think
abstractly. They
can describe, quantify, and identify intensity and feelings about pain. This scale is
recommended for children ages 4 to 12. Self-report tools are effective in children
older than 3
years of age, not 2 years of age.
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In which developmental stage is the child first able to localize pain and
describe both the
amount and the intensity of the pain felt?
a. Toddler stage
b. Preschool stage
c. School-age stage
d. Adolescent stage
ANS: B
The preschool stage is the period when the child is first able to describe the location
and
intensity of pain, stating, for example, ―Ear hurts bad,‖ when feeling pain. The
toddler
expresses pain by guarding or touching the painful area, verbalizes words that
indicate
discomfort such as ―ouch‖ and ―hurt,‖ and demonstrates generalized restlessness
when feeling
pain. The school-age child describes both the location of the pain and its intensity.
The
adolescent also describes location and intensity of pain.
Which statement indicates the nurse's lack of understanding about the use of
patient-controlled analgesia (PCA) therapy?
a. Children as young as 3 years old can effectively and successfully use a PCA
pump.
b. Two registered nurses (RNs) are required to double-check the dosage and
programmed administration of opioids.
c. The child should be carefully monitored for signs and symptoms of
overmedication with opioids.
d. Naloxone (Narcan) should be readily available.
ANS: A
Children as young as 5 years old have effectively used PCA therapy. Further data
are needed
to evaluate the use of PCA therapy in children younger than 5 years of age. Two
RNs are
needed to check the amount of opioid being administered. Once the opioid infusion
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is hung
and programmed, a second RN must double-check the process. Children receiving
PCA
therapy should be monitored closely to ensure effective pain control and for signs or
symptoms of overmedication. Initially, vital signs should be monitored every 15 to 30
minutes
and then every 2 to 4 hours. Respiratory rate should be assessed every hour.
Narcan should be
readily available to reverse opioid overmedication exhibited by respiratory distress.
Which assessment indicates to a nurse that a 2-year-old child is in need of
pain medication?
a. The child is lying rigidly in bed and not moving.
b. The child's current vital signs are consistent with previous vital signs.
c. The child becomes quiet when held and cuddled.
d. The child has just returned from the recovery room.
ANS: A
Behaviors such as crying; distressed facial expressions; certain motor responses,
such as lying
rigidly in bed and not moving; and interrupted sleep patterns are indicative of pain in
children.
Current vital signs that are consistent with earlier vital signs do not suggest that the
child is
feeling pain. Response to comforting behaviors does not suggest the child is feeling
pain. A
child who is returning from the recovery room may or may not be in pain. Most times
the
child's pain is under adequate control at this time. The child may be fearful or having
anxiety
because of the strange surroundings and having just completed surgery
When assessing pain in any child, the nurse should consider that
a. any pain assessment tool can be used to assess pain in children.
b. children as young as 1-year-old use words to express pain.
c. the child's behavioral, physiologic, and verbal responses are valuable when
assessing pain.
“ CHILD & FAMILY NURSING EXAM PRACTICE
QUESTIONS ”LATEST EXAM SOLVED
QUESTIONS & ANSWERS VERIFIED 100%
GRADED A+ (LATEST VERSION) WELL REVISED
GUARANTEE PASS
Child & Family Nursing Exam
The nurse caring for the child in pain knows that distraction
a. can give total pain relief to the child.
b. is effective when the child is in severe pain.
c. is the best method for pain relief.
d. must be developmentally appropriate to refocus attention.
ANS: D
Distraction can be very effective in helping to control pain, but it must be appropriate
to the
child's developmental level. Distraction can help control pain, but it is rarely able to
provide
total pain relief. Children in severe pain are not distractible. Children may use
distraction to
help control pain, but it is not the best method for pain relief.
What medication is the most effective choice for treating pain associated with
sickle cell crisis
in a newly admitted 5-year-old child?
a. Morphine
, Page 2 of 99
b. Acetaminophen
c. Ibuprofen
d. Midazolam
ANS: A
Opioids, such as morphine, are the preferred drugs for the management of acute,
severe pain,
including postoperative pain, posttraumatic pain, pain from vaso-occlusive crisis, and
chronic
cancer pain. Acetaminophen provides only mild analgesic relief and is not
appropriate for a
newly admitted child with sickle cell crisis. Ibuprofen is a type of nonsteroidal
anti-inflammatory drug (NSAID) that is used primarily for pain associated with
inflammation.
It is appropriate for mild to moderate pain but is not adequate for this patient.
Midazolam
(Versed) is a short-acting drug used for conscious sedation and preoperative
sedation and as
an induction agent for general anesthesia.
When using the poker chip tool, it is important for the nurse to know that
a. any number of chips can be used.
b. only a specified number of chips can be used.
c. the assessment tool is used with adolescents.
d. the assessment tool is most effectively used with 2-year-old children.
ANS: B
In the poker chip tool, four chips are used to represent a hurt. One chip represents a
little hurt,
and four chips represent the most hurt the child could have. Pain tools are valid only
if used as
directed. The poker chip tool uses four chips. Adolescents are able to think
abstractly. They
can describe, quantify, and identify intensity and feelings about pain. This scale is
recommended for children ages 4 to 12. Self-report tools are effective in children
older than 3
years of age, not 2 years of age.
, Page 3 of 99
In which developmental stage is the child first able to localize pain and
describe both the
amount and the intensity of the pain felt?
a. Toddler stage
b. Preschool stage
c. School-age stage
d. Adolescent stage
ANS: B
The preschool stage is the period when the child is first able to describe the location
and
intensity of pain, stating, for example, ―Ear hurts bad,‖ when feeling pain. The
toddler
expresses pain by guarding or touching the painful area, verbalizes words that
indicate
discomfort such as ―ouch‖ and ―hurt,‖ and demonstrates generalized restlessness
when feeling
pain. The school-age child describes both the location of the pain and its intensity.
The
adolescent also describes location and intensity of pain.
Which statement indicates the nurse's lack of understanding about the use of
patient-controlled analgesia (PCA) therapy?
a. Children as young as 3 years old can effectively and successfully use a PCA
pump.
b. Two registered nurses (RNs) are required to double-check the dosage and
programmed administration of opioids.
c. The child should be carefully monitored for signs and symptoms of
overmedication with opioids.
d. Naloxone (Narcan) should be readily available.
ANS: A
Children as young as 5 years old have effectively used PCA therapy. Further data
are needed
to evaluate the use of PCA therapy in children younger than 5 years of age. Two
RNs are
needed to check the amount of opioid being administered. Once the opioid infusion
, Page 4 of 99
is hung
and programmed, a second RN must double-check the process. Children receiving
PCA
therapy should be monitored closely to ensure effective pain control and for signs or
symptoms of overmedication. Initially, vital signs should be monitored every 15 to 30
minutes
and then every 2 to 4 hours. Respiratory rate should be assessed every hour.
Narcan should be
readily available to reverse opioid overmedication exhibited by respiratory distress.
Which assessment indicates to a nurse that a 2-year-old child is in need of
pain medication?
a. The child is lying rigidly in bed and not moving.
b. The child's current vital signs are consistent with previous vital signs.
c. The child becomes quiet when held and cuddled.
d. The child has just returned from the recovery room.
ANS: A
Behaviors such as crying; distressed facial expressions; certain motor responses,
such as lying
rigidly in bed and not moving; and interrupted sleep patterns are indicative of pain in
children.
Current vital signs that are consistent with earlier vital signs do not suggest that the
child is
feeling pain. Response to comforting behaviors does not suggest the child is feeling
pain. A
child who is returning from the recovery room may or may not be in pain. Most times
the
child's pain is under adequate control at this time. The child may be fearful or having
anxiety
because of the strange surroundings and having just completed surgery
When assessing pain in any child, the nurse should consider that
a. any pain assessment tool can be used to assess pain in children.
b. children as young as 1-year-old use words to express pain.
c. the child's behavioral, physiologic, and verbal responses are valuable when
assessing pain.
