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The nurse is conducting a physical examination of a child following a
comprehensive health history. What should be the focus of the physical
examination?
A) The child
B) The parents
C) Chief complaint
D) Developmental age - ANS-C) Chief complaint
,The nurse is teaching the student nurse how to perform a physical
assessment based on the child's developmental stage. Which of the following
statements accurately describes a recommended guideline for setting the tone of
the examination for a school-age child?
A) Keep up a running dialogue with the caregiver, explaining each step as
you do it.
B) Include the child in all parts of the examination; speak to the caregiver
before and after the examination.
The nurse is providing atraumatic care to children in a hospital setting. Which of
the following are principles of this philosophy of care? Select all answers that
apply.
A) Avoid or reduce painful procedures B)
Avoid or reduce physical distress
C) Minimize parent-child interactions
D) Provide child-centered care
E) Minimize child control
F) Use core primary nursing
(chapter 30) - ANS-A, B, F
Avoid or reduce painful procedures, Avoid or reduce physical distress, Use
core primary nursing
The nurse is consulting with a child life specialist (CLS) to help minimize the stress
of hospitalization for a child. Which of the following services would the CLS
provide? Select all answers that apply.
A) Medical preparation for tests, surgeries, and other medical procedures
B) Support before and after, but not during, medical procedures
C) Activities to support normal growth and development
,D) Grief and bereavement support
E) Emergency room interventions for children and families
F) Only inpatient consultations with families - ANS-C, D, E
Activities to support normal growth and development., Grief and bereavement
support, Emergency room interventions for children and families
The nurse is implementing interventions to prevent physical stressors for a 9year-
old child receiving chemotherapy in the hospital. Which of the following is an
example of using atraumatic care for this child?
A) Use restraint or "holding down" of the child during the procedure to prevent
injury.
B) Have the parent stand near and/or rub the child's feet during the procedure.
C) Insert a saline lock if the child will require multiple doses of parenteral
medications.
D) Avoid using numbing techniques for multiple blood draws or IV insertion. -
ANS-C) Insert a saline lock if the child will require multiple doses of parenteral
medications.
The nurse performing a health history on a child asks the parents if their child has
experienced increased appetite or thirst. What body system is the nurse assessing
with this question?
A) Endocrine
B) Genitourinary
C) Hematologic
D) Neurologic - ANS-A) Endocrine
The nurse is questioning the parents of a 2-year-old child to obtain a functional
history. Which of the following topics might the nurse include? Select all answers
that apply.
A) The child's toileting habits
B) Use of car seats and other safety measures
C) Problems with growth and development
, D) Prenatal and perinatal history
E) The child's race and ethnicity
F) Use of supplements and vitamins - ANS-A) The child's toileting habits
B) Use of car seats and other safety measures
F) Use of supplements and vitamins
The nurse contacts a child life specialist (CLS) to work with children on a pediatric
ward. What is the primary goal of the CLS?
A) Decrease anxiety and fear during hospitalization and painful procedures
B) Keep children who are hospitalized distracted from pain
C) Perform medical procedures using atraumatic principles
D) Act as a liaison between the nurse and the child - ANS-A) Decrease anxiety and
fear during hospitalization and painful procedures
The nurse is preparing a child and his family for a lumbar puncture. Which of the
following would be a primary intervention instituted by the CLS to keep the child
safe?
A) Distraction methods
B) Stimulation methods
C) Therapeutic hugging
D) Therapeutic touch - ANS-C) Therapeutic hugging
The child life specialist (CLS) is preparing a 6-year-old child for a magnetic
resonance imaging (MRI) scan. Which of the following statements reflects the use
of atraumatic principles when explaining the procedure?
A) "You will be taken to a magnetic resonance imaging machine for an x-ray
of your
liver."
B) "You may hear some loud noises when you are lying in the machine, but
they won't hurt you."
C) "You have nothing to worry about; the MRI machine is safe and will not
cause you any pain."