Nursing Care of Children 1 Exam Questions And
Correct Answers
The nurse is caring for an 18-year-old teenager who has all immunizations current to
date but intends to go to college. The nurse should recommend that the client have the
following immunization before going onto campus in a dormitory?
A. Pneumococcal polysaccharide- The pneumococcal polysaccharide vaccine is given
to children between 2 and 18 years with a specific high-risk condition that predisposes
them to an infection with Streptococcus pneumococci, a bacterium responsible for
meningitis, otitis media, and pneumonia in clients with chronic diseases.
B. Meningococcal polysaccharide
C. Rotavirus- The final dose of the rotavirus immunization is given before the age of 8
months. Another booster dose is not indicated.
D. Herpes zoster- The herpes zoster vaccination is given to adults above the age of 60
for the prevention of an episode of shingles. - ANSWER B. Meningococcal
polysaccharide
The meningococcal polysaccharide vaccine is administered for the prevention of
infection by the certain groups of meningococcal bacteria. The meningococcal infection
can bring life-threatening illnesses, meningococcal meningitis, an infection of the brain,
and meningococcemia, the infection of the blood. Both are highly fatal. Risks of
meningococcal disease among freshmen college students, especially those living in
campus dormitories, are higher compared with other persons of that age group. For this
reason, the Centers for Disease Control and Prevention has recommended that all
college students get the meningococcal vaccination.
A nurse is performing an assessment of a well infant at 9 months of age. Which of the
following findings would indicate the infant has a developmental delay?
,A. Creeps on hands and knees- An infant at 9 months of age should creep on her hands
and knees, starting to stand while hanging onto furniture at 10 months of age.
B. Cannot utter vowel sounds
C. Uses crude pincer grasp- Most infants at 9 months of age demonstrate a crude pincer
grasp, the use of a dominant hand is also then evident.
D. Stands holding onto support - The ability to stand holding onto support is usually
established at 10 months of age. - ANSWER B. Not babbling vowel sounds
The infant should start babbling vowel sounds by 7 months of age and at least utter one
word by 10 months of age.
A nurse is caring for a preschool-age child who is dying. Which of the following findings
are age-appropriate reactions to death by the child? (Select all that apply.)
A. The child believes death is similar to sleeping.
B. The child is curious about what happens to the body after one dies. -The ability of the
school-age child to understand most of what is happening makes him or her curious
about post-death services and what happens to his body when he dies.
C. The child perceives that death is irreversible. -Preschool-age children do not
conceptualize time, thus it is unlikely they would believe that death is permanent. They
view death as reversible.
D. The child believes that it is his thoughts that cause death.
E. The child believes death is a punishment. -ANSWER A. The child perceives death as
, being like sleep. -Preschool age may equate this.
D. The child believes that his thoughts can cause death. Preschool children believe that
their thoughts and wishes can make things happen since they are egocentric. This
becomes one of the reasons why the death of a family member can be so difficult and
challenging to cope with by a child in this stage.
E. The child thinks death is a punishment. - Preschool-aged children may think death
occurs as a punishment related to bad thoughts, words, and actions or behaviors.
A nurse is caring for an adolescent who is receiving pain medication through a PCA
pump. At 0800 the nurse evaluates the client's pain and the client describes the pain as
a 3 on a scale of 1 to 10. At 1000, the client describes the pain as a 5. The nurse
discovers that the client has not activated the button to receive medication over the past
2 hr. Which of the following actions should the nurse take?
A. Instruct the provider to discontinue the PCA and have the nurse administer pain
medication PRN. - A PCA device puts the adolescent in the control of pain management
and is an excellent pain management option. Therefore, it would be inappropriate for the
nurse to recommend discontinuing the PCA.
B. Have the client's parent push the button for the client if the parent believes the
adolescent is in pain. - One of the principles of PCA is that no one other than the client or
nurse pushes the button to deliver the medication. An adolescent is capa - ANSWER D.
Reinforce teaching with the client about how to push the button to deliver the
medication.
Reinforcement of client teaching about the PCA is appropriate at this time. The nurse
should remind the client about the medication, confirm that the client understands how
to use the equipment, and emphasize the necessity of using it frequently to maintain
comfortable pain control.
A nurse working in a pediatric clinic is doing an assessment on a toddler during a
well-child visit. Which of the following should the nurse do?
Correct Answers
The nurse is caring for an 18-year-old teenager who has all immunizations current to
date but intends to go to college. The nurse should recommend that the client have the
following immunization before going onto campus in a dormitory?
A. Pneumococcal polysaccharide- The pneumococcal polysaccharide vaccine is given
to children between 2 and 18 years with a specific high-risk condition that predisposes
them to an infection with Streptococcus pneumococci, a bacterium responsible for
meningitis, otitis media, and pneumonia in clients with chronic diseases.
B. Meningococcal polysaccharide
C. Rotavirus- The final dose of the rotavirus immunization is given before the age of 8
months. Another booster dose is not indicated.
D. Herpes zoster- The herpes zoster vaccination is given to adults above the age of 60
for the prevention of an episode of shingles. - ANSWER B. Meningococcal
polysaccharide
The meningococcal polysaccharide vaccine is administered for the prevention of
infection by the certain groups of meningococcal bacteria. The meningococcal infection
can bring life-threatening illnesses, meningococcal meningitis, an infection of the brain,
and meningococcemia, the infection of the blood. Both are highly fatal. Risks of
meningococcal disease among freshmen college students, especially those living in
campus dormitories, are higher compared with other persons of that age group. For this
reason, the Centers for Disease Control and Prevention has recommended that all
college students get the meningococcal vaccination.
A nurse is performing an assessment of a well infant at 9 months of age. Which of the
following findings would indicate the infant has a developmental delay?
,A. Creeps on hands and knees- An infant at 9 months of age should creep on her hands
and knees, starting to stand while hanging onto furniture at 10 months of age.
B. Cannot utter vowel sounds
C. Uses crude pincer grasp- Most infants at 9 months of age demonstrate a crude pincer
grasp, the use of a dominant hand is also then evident.
D. Stands holding onto support - The ability to stand holding onto support is usually
established at 10 months of age. - ANSWER B. Not babbling vowel sounds
The infant should start babbling vowel sounds by 7 months of age and at least utter one
word by 10 months of age.
A nurse is caring for a preschool-age child who is dying. Which of the following findings
are age-appropriate reactions to death by the child? (Select all that apply.)
A. The child believes death is similar to sleeping.
B. The child is curious about what happens to the body after one dies. -The ability of the
school-age child to understand most of what is happening makes him or her curious
about post-death services and what happens to his body when he dies.
C. The child perceives that death is irreversible. -Preschool-age children do not
conceptualize time, thus it is unlikely they would believe that death is permanent. They
view death as reversible.
D. The child believes that it is his thoughts that cause death.
E. The child believes death is a punishment. -ANSWER A. The child perceives death as
, being like sleep. -Preschool age may equate this.
D. The child believes that his thoughts can cause death. Preschool children believe that
their thoughts and wishes can make things happen since they are egocentric. This
becomes one of the reasons why the death of a family member can be so difficult and
challenging to cope with by a child in this stage.
E. The child thinks death is a punishment. - Preschool-aged children may think death
occurs as a punishment related to bad thoughts, words, and actions or behaviors.
A nurse is caring for an adolescent who is receiving pain medication through a PCA
pump. At 0800 the nurse evaluates the client's pain and the client describes the pain as
a 3 on a scale of 1 to 10. At 1000, the client describes the pain as a 5. The nurse
discovers that the client has not activated the button to receive medication over the past
2 hr. Which of the following actions should the nurse take?
A. Instruct the provider to discontinue the PCA and have the nurse administer pain
medication PRN. - A PCA device puts the adolescent in the control of pain management
and is an excellent pain management option. Therefore, it would be inappropriate for the
nurse to recommend discontinuing the PCA.
B. Have the client's parent push the button for the client if the parent believes the
adolescent is in pain. - One of the principles of PCA is that no one other than the client or
nurse pushes the button to deliver the medication. An adolescent is capa - ANSWER D.
Reinforce teaching with the client about how to push the button to deliver the
medication.
Reinforcement of client teaching about the PCA is appropriate at this time. The nurse
should remind the client about the medication, confirm that the client understands how
to use the equipment, and emphasize the necessity of using it frequently to maintain
comfortable pain control.
A nurse working in a pediatric clinic is doing an assessment on a toddler during a
well-child visit. Which of the following should the nurse do?
