PEDS TEST BANK
A 16-year-old child suffering from alopecia related to chemotherapy treatment is refusing to let
friends visit. Which action by the nurse is most appropriate?
A. Respect the child's wishes and document refusal
B. Have the parents explain the importance of letting friends visit
C. Provide opportunities for the child to discuss his or her body image changes
D. Allow friends to visit because socialization is important for adolescents C
A child is receiving chemotherapy and develops stomatitis. The nurse identifies a nursing
diagnosis of impaired oral mucous membranes related to the effects of chemotherapy. What
instructions would the nurse include in the child's plan of care? Select all that apply.
A. Vigorously rub the child's gums with gauze to clean them.
B. Provide various soft and bland foods to minimize further irritation.
C. Have the child rinse the mouth with lukewarm water three times a day.
D. Give the child acidic foods (e.g., orange juice) to cleanse the mouth. E. Apply a lip balm or
petroleum jelly to prevent cracking. B, C, E
The nurse identifies the nursing diagnosis of risk for infection related to chemotherapy-induced
immunosuppression. What would the nurse include in the teaching plan for the child and
parents about reducing the child's risk? Select all that apply. A. Having the child sleep in a single
bed and room
B. Encouraging frequent, thorough handwashing
C. Providing a low-carbohydrate, low-protein diet
D. Encouraging frequent close contact with numerous visitors
E. Cheering up the environment with fresh flowers and plants A, B
A nurse is providing care to a toddler with nephroblastoma and is being evaluated. Which
nursing action would be most important?
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,A. Restricting the child's visitors
B. Placing a "no abdominal palpation" sign above the child's bed
C. Ensuring that the child be allowed nothing by mouth
D. Preparing the child for chemotherapy
E. Preventing weight-bearing activities B
A nurse is communicating with a family about palliative care. Which of the following would be
the best approach to take?
A. Ask the family what they know, what they wish to know and be prepared to repeat the
information you give to them several times
B. Give the family as much information as possible to promote better decision-making
C. Provide information during a crisis when the parent's senses are heightened and memory is
improved
D. Avoid pushing the family by asking too many questions. A
The nurse is preparing to post a sign above the crib of an infant with a Wilms tumor. Which
statement should the nurse post immediately?
A. "Do not palpate abdomen."
B. "No intramuscular injections."
C. "No milk or milk products allowed."
D. "No blood sampling in lower extremities." A
A 6-year-old is dealing with the death of a sibling. Which action should the nurse suggest to the
family to best support the child with the grieving process?
A. Having the child stay with a family friend instead of attending the funeral
B. Assisting the child in drawing a picture to be placed in the sibling's casket
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,C. Having the sibling stand in the receiving line with the parents at the funeral home
D. Discouraging the child from interacting with family and friends while they express their
sympathy B
A child receiving chemotherapy wants to have a large birthday party and invite all the
classmates. When the parent asks the nurse about this, what is the nurse's best response?
A. "That will be a good way to cheer your child up!"
B. "It is better to avoid large groups right now."
C. "What about taking your child to a movie instead?"
D. "We can have the party here in the hospital play room." B
An adolescent is recovering from surgery, radiation, and chemotherapy following a diagnosis of
Ewing sarcoma. Which statement by the family indicates that reteaching is needed?
A. "Our child is looking forward to playing football again."
B. "We will remind our child to care for the skin following radiation."
C. "Our child's friends shaved their heads in solidarity to show their support."
D. "We will watch for signs of infection and report it to our health care provider." A
The nurse is providing teaching to the parents of a child with varicella. Which statement
indicates that the parents have understood the instructions?
A. "We should apply alcohol to the lesions every four hours."
B. "If he has a fever, we can give him some aspirin."
C. "The lesions should eventually form soft crusts that drain."
D. "We need to make sure that he washes his hands frequently." D
The nurse is doing an in-service training on clinical manifestations seen in communicable
diseases. Which skin condition best describes erythema?
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, A. Redness of the skin produced by congestion of the capillaries
B. Small, circumscribed, solid elevation of the skin
C. Discolored skin spot not elevated at the surface
D. Small elevation of epidermis filled with a viscous fluid A
The nurse is doing an in-service training on clinical manifestations seen in communicable
diseases. Which best describes a macule?
A. Redness of the skin produced by congestion of the capillaries
B. Small, circumscribed, solid elevation of the skin
C. Discolored skin spot not elevated at the surface
D. Small elevation of epidermis filled with a viscous fluid C
Parents usually ask when their child can return to school after having chickenpox. The correct
answer would be:
A. not until all lesions have completely faded.
B. as soon as the temperature is normal.
C. 10 days after the initial lesions appear.
D. as soon as all lesions are crusted. D
The nurse is teaching a group of parents about head lice. Which statement is essential to
include during the presentation?
A. Head lice are becoming very resistant to treatment.
B. Send your child to school even if you suspect head lice, but have the school nurse check the
child.
C. Discourage the children from going to sleepovers.
D. Wash the bed linens in hot water to kill the lice. A
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A 16-year-old child suffering from alopecia related to chemotherapy treatment is refusing to let
friends visit. Which action by the nurse is most appropriate?
A. Respect the child's wishes and document refusal
B. Have the parents explain the importance of letting friends visit
C. Provide opportunities for the child to discuss his or her body image changes
D. Allow friends to visit because socialization is important for adolescents C
A child is receiving chemotherapy and develops stomatitis. The nurse identifies a nursing
diagnosis of impaired oral mucous membranes related to the effects of chemotherapy. What
instructions would the nurse include in the child's plan of care? Select all that apply.
A. Vigorously rub the child's gums with gauze to clean them.
B. Provide various soft and bland foods to minimize further irritation.
C. Have the child rinse the mouth with lukewarm water three times a day.
D. Give the child acidic foods (e.g., orange juice) to cleanse the mouth. E. Apply a lip balm or
petroleum jelly to prevent cracking. B, C, E
The nurse identifies the nursing diagnosis of risk for infection related to chemotherapy-induced
immunosuppression. What would the nurse include in the teaching plan for the child and
parents about reducing the child's risk? Select all that apply. A. Having the child sleep in a single
bed and room
B. Encouraging frequent, thorough handwashing
C. Providing a low-carbohydrate, low-protein diet
D. Encouraging frequent close contact with numerous visitors
E. Cheering up the environment with fresh flowers and plants A, B
A nurse is providing care to a toddler with nephroblastoma and is being evaluated. Which
nursing action would be most important?
1|Page
,A. Restricting the child's visitors
B. Placing a "no abdominal palpation" sign above the child's bed
C. Ensuring that the child be allowed nothing by mouth
D. Preparing the child for chemotherapy
E. Preventing weight-bearing activities B
A nurse is communicating with a family about palliative care. Which of the following would be
the best approach to take?
A. Ask the family what they know, what they wish to know and be prepared to repeat the
information you give to them several times
B. Give the family as much information as possible to promote better decision-making
C. Provide information during a crisis when the parent's senses are heightened and memory is
improved
D. Avoid pushing the family by asking too many questions. A
The nurse is preparing to post a sign above the crib of an infant with a Wilms tumor. Which
statement should the nurse post immediately?
A. "Do not palpate abdomen."
B. "No intramuscular injections."
C. "No milk or milk products allowed."
D. "No blood sampling in lower extremities." A
A 6-year-old is dealing with the death of a sibling. Which action should the nurse suggest to the
family to best support the child with the grieving process?
A. Having the child stay with a family friend instead of attending the funeral
B. Assisting the child in drawing a picture to be placed in the sibling's casket
2|Page
,C. Having the sibling stand in the receiving line with the parents at the funeral home
D. Discouraging the child from interacting with family and friends while they express their
sympathy B
A child receiving chemotherapy wants to have a large birthday party and invite all the
classmates. When the parent asks the nurse about this, what is the nurse's best response?
A. "That will be a good way to cheer your child up!"
B. "It is better to avoid large groups right now."
C. "What about taking your child to a movie instead?"
D. "We can have the party here in the hospital play room." B
An adolescent is recovering from surgery, radiation, and chemotherapy following a diagnosis of
Ewing sarcoma. Which statement by the family indicates that reteaching is needed?
A. "Our child is looking forward to playing football again."
B. "We will remind our child to care for the skin following radiation."
C. "Our child's friends shaved their heads in solidarity to show their support."
D. "We will watch for signs of infection and report it to our health care provider." A
The nurse is providing teaching to the parents of a child with varicella. Which statement
indicates that the parents have understood the instructions?
A. "We should apply alcohol to the lesions every four hours."
B. "If he has a fever, we can give him some aspirin."
C. "The lesions should eventually form soft crusts that drain."
D. "We need to make sure that he washes his hands frequently." D
The nurse is doing an in-service training on clinical manifestations seen in communicable
diseases. Which skin condition best describes erythema?
3|Page
, A. Redness of the skin produced by congestion of the capillaries
B. Small, circumscribed, solid elevation of the skin
C. Discolored skin spot not elevated at the surface
D. Small elevation of epidermis filled with a viscous fluid A
The nurse is doing an in-service training on clinical manifestations seen in communicable
diseases. Which best describes a macule?
A. Redness of the skin produced by congestion of the capillaries
B. Small, circumscribed, solid elevation of the skin
C. Discolored skin spot not elevated at the surface
D. Small elevation of epidermis filled with a viscous fluid C
Parents usually ask when their child can return to school after having chickenpox. The correct
answer would be:
A. not until all lesions have completely faded.
B. as soon as the temperature is normal.
C. 10 days after the initial lesions appear.
D. as soon as all lesions are crusted. D
The nurse is teaching a group of parents about head lice. Which statement is essential to
include during the presentation?
A. Head lice are becoming very resistant to treatment.
B. Send your child to school even if you suspect head lice, but have the school nurse check the
child.
C. Discourage the children from going to sleepovers.
D. Wash the bed linens in hot water to kill the lice. A
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