Advanced Pediatric Nursing Final

Test Solutions

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35 Chapters
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 Advanced Pediatric Nursing
Final Test Solutions
Course Introduction
Advanced Pediatric Nursing focuses on the comprehensive healthcare needs of infants,

children, and adolescents, emphasizing advanced assessment, diagnosis, and

management of both acute and chronic pediatric conditions. The course covers

family-centered care, growth and development, evidence-based practices, ethical and

cultural considerations, and interprofessional collaboration. Students will develop

advanced clinical decision-making skills and explore current trends, pediatric

pharmacology, and health promotion strategies, preparing them to deliver high-quality,

holistic care in diverse pediatric healthcare settings.

Recommended Textbook
Wongs Nursing Care of Infants and Children 10th Edition by Hockenberry

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Page 2
 Chapter 1: Perspectives of Pediatric Nursing
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Sample Questions
Q1) Determines if the outcome was met
A)Assessment
B)Diagnosis
C)Outcomes identification
D)Planning
E)Implementation
F)Evaluation
Answer: F

Q2) The nurse is describing clinical reasoning to a group of nursing students. Which is
most descriptive of clinical reasoning?
A) Purposeful and goal directed
B) A simple developmental process
C) Based on deliberate and irrational thought
D) Assists individuals in guessing what is most appropriate
Answer: A

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Page 3
Chapter 2: Social, Cultural, Religious, and Family Influences

on Child Health Promotion

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Sample Questions
Q1) The nurse is reviewing the importance of role learning for children. The nurse
understands that children's roles are primarily shaped by which members?
A) Peers
B) Parents
C) Siblings
D) Grandparents
Answer: B

Q2) Distinguishes humans by physical traits

A)Race
B)Gender
C)Ethnicity
D)Social class
E)Socialization
Answer: A

Q3) Which is an accurate description of homosexual (or gay-lesbian) families?

A) A nurturing environment is lacking.
B) The children become homosexual like their parents.
C) The stability needed to raise healthy children is lacking.
D) The quality of parenting is equivalent to that of nongay parents.
Answer: D Page 4

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 Chapter 3: Hereditary Influences on Health Promotion of

the Child and Family

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Sample Questions
Q1) A child has been found to have a deficiency in 3-hydroxy-3-methylglutaryl
coenzyme A (HMG-CoA) reductase. Which condition is this child at risk for?
A) Increased uric acid
B) Hypercholesterolemia
C) Increased phenylketones
D) Altered oxygen transport
Answer: B

Q2) Phenylketonuria is a genetic disease that results in the body's inability to correctly
metabolize which?
A) Glucose
B) Thyroxine
C) Phenylalanine
D) Phenylketones
Answer: C

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Page 5
 Chapter 4: Communication, Physical, and Developmental

Assessment
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Sample Questions
Q1) Rectal temperatures are indicated in which situation?
A) In the newborn period
B) Whenever accuracy is essential
C) Rectal temperatures are never indicated
D) When rapid temperature changes are occurring

Q2) The Asian parent of a child being seen in the clinic avoids eye contact with the nurse.
What is the best explanation for this considering cultural differences?
A) The parent feels inferior to the nurse.
B) The parent is showing respect for the nurse.
C) The parent is embarrassed to seek health care.
D) The parent feels responsible for her child's illness.

Q3) Which parameter correlates best with measurements of total muscle mass?
A) Height
B) Weight
C) Skinfold thickness
D) Upper arm circumference

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Page 6
 Chapter 5: Pain Assessment and Management in Children
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Sample Questions
Q1) A burn patient is experiencing anxiety over dressing changes. Which prescription
should the nurse expect to be ordered to control anxiety?
A) Lorazepam (Ativan)
B) Oxycodone (OxyContin)
C) Fentanyl (Sublimaze)
D) Morphine Sulfate (Morphine)

Q2) The nurse is planning to administer a nonopioid for pain relief to a child. Which
timing should the nurse plan so the nonopioid takes effect?
A) 15 minutes until maximum effect
B) 30 minutes until maximum effect
C) 1 hour until maximum effect
D) 1 1/2 hours until maximum effect

Q3) Mind-body technique

A)Vitamins
B)Massage
C)Reiki
D)Hypnosis
E)Homeopathy

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Page 7
 Chapter 6: Childhood Communicable and Infectious

Diseases
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Sample Questions
Q1) What is most important in the management of cellulitis?
A) Burow solution compresses
B) Oral or parenteral antibiotics
C) Topical application of an antibiotic
D) Incision and drainage of severe lesions

Q2) A child has been diagnosed with giardiasis. Which prescribed medication should the
nurse expect to administer?
A) Acyclovir (Zovirax)
B) Metronidazole (Flagyl)
C) Erythromycin (Pediazole)
D) Azithromycin (Zithromax)

Q3) The nurse is preparing to admit a 1-year-old child with pertussis (whooping cough).
Which clinical manifestations of pertussis should the nurse expect to observe? (Select all
that apply.)
A) Earache
B) Coryza
C) Conjunctivitis
D) Low-grade fever
E) Dry hacking cough
Page 8
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 Chapter 7: Health Promotion of the Newborn and Family
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Sample Questions
Q1) The nurse is caring for a patient who has chosen to breastfeed her infant. Which
statement should the nurse include when teaching the mother about breastfeeding
problems that may occur?
A) "If you experience painful nipples, cleanse your nipples with soap two times per day
and keep your nipples covered as much as possible."
B) "If you experience plugged ducts, continue to breastfeed every 2 to 3 hours and
alternate feeding positions."
C) "If mastitis occurs, discontinue breastfeeding while taking prescribed antibiotics and
apply warm compresses."
D) "If engorgement occurs, use cold compresses before a feeding and wear a well-fitting
bra at night."

Q2) Which is the name of the suture separating the parietal bones at the top of a
newborn's head?
A) Frontal
B) Sagittal
C) Coronal
D) Occipital

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Page 9
 Chapter 8: Health Problems of Newborns
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Sample Questions
Q1) The nurse is planning care for an infant receiving calcium gluconate for treatment of
hypocalcemia. Which route of administration should be used?
A) Oral
B) Intramuscular
C) Intravenous
D) Intraosseous

Q2) The parents of an infant with a cleft palate ask the nurse, "What follow-up care will
our infant need after the repair?" Which is an accurate response by the nurse?
A) "Your infant will not need any subsequent follow-up care."
B) "Your infant will only need to be evaluated by an audiologist."
C) "Your infant will only need follow-up with a speech pathologist."
D) "Your infant will need follow-up with audiologists and orthodontists."

Q3) Which finding on a newborn assessment should the nurse recognize as suggestive
of a clavicle fracture?
A) Positive scarf sign
B) Asymmetric Moro reflex
C) Swelling of fingers on affected side
D) Paralysis of affected extremity and muscles

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Page 10
 Chapter 9: The High-Risk Newborn and Family
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Sample Questions
Q1) The nurse has been caring for an infant who has just died. The parents are present
but appear to be "afraid" to hold the dead infant. What is the most appropriate nursing
intervention?
A) Tell them there is nothing to fear.
B) Insist that they hold the infant "one last time."
C) Respect their wishes and release the body to the morgue.
D) Keep the infant's body available for a few hours in case they change their minds.

Q2) What is a characteristic of most neonatal seizures?

A) Clonic
B) Generalized
C) Well organized
D) Subtle and barely discernible

Q3) The nurse is positioning a preterm neonate. What are therapeutic positions the
nurse should implement? (Select all that apply.)
A) Elbows extended
B) Hands at the side
C) Neutral or slightly flexed neck
D) Trunk slightly rounded with pelvic tilt
E) Hips partially flexed and adducted to near midline

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Page 11
 Chapter 10: Health Promotion of the Infant and Family
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Sample Questions
Q1) What is the best age to introduce solid food into an infant's diet?
A) 2 to 3 months
B) 4 to 6 months
C) When birth weight has tripled
D) When tooth eruption has started

Q2) What is an appropriate play activity for a 7-month-old infant to encourage visual
stimulation?
A) Playing peek-a-boo
B) Playing pat-a-cake
C) Imitating animal sounds
D) Showing how to clap hands

Q3) The nurse is performing an assessment on a 10-week-old infant. The nurse

understands that the developmental characteristic of hearing at this age is which?
A) The infant responds to his own name.
B) The infant localizes sounds by turning his head directly to the sound.
C) The infant turns his head to the side when sound is made at the level of the ear.
D) The infant locates sound by turning his head to the side and then looking up or down.

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Page 12
 Chapter 11: Health Problems of the Infant
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Sample Questions
Q1) Which one of the following strategies might be recommended for an infant with
failure to thrive (FTT) to increase caloric intake?
A) Vary the schedule for routine activities on a daily basis.
B) Be persistent through 10 to 15 minutes of food refusal.
C) Avoid solids until after the bottle is well accepted.
D) Use developmental stimulation by a specialist during feedings.

Q2) The nurse has administered a dose of epinephrine to a 12-month-old infant. For
which adverse reactions of epinephrine should the nurse monitor? (Select all that apply.)
A) Nausea
B) Tremors
C) Irritability
D) Bradycardia
E) Hypotension

Q3) What is most descriptive of atopic dermatitis (AD) (eczema) in an infant?

A) Easily cured
B) Worse in humid climates
C) Associated with hereditary allergies
D) Related to upper respiratory tract infections

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Page 13
 Chapter 12: Health Promotion of the Toddler and Family
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Sample Questions
Q1) The nurse is teaching a parent of an 18-month-old about developmental milestones
associated with feeding. What should the nurse include in the teaching? (Select all that
apply.)
A) The child will begin to use a fork.
B) The child will be able use a straw and cup.
C) The child will be able to hold a cup with both hands.
D) The child will be able to drink from a cup with a lid.
E) The child will begin to use a spoon but may turn it before reaching the mouth.

Q2) The nurse is planning care for a hospitalized toddler. What is the rationale for
planning to continue the toddler's rituals while hospitalized?
A) To provide security
B) To prevent regression
C) To prevent dependency
D) To decrease negativism

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Page 14
Chapter 13: Health Promotion of the Preschooler and Family
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Sample Questions
Q1) What signals the resolution of the Oedipus or Electra complex?
A) Learns sex differences
B) Learns sexually appropriate behavior
C) Identifies with the same-sex parent
D) Has guilt over feelings toward the father or mother

Q2) The nurse is explaining the preconventional stage of moral development to a group
of nursing students. What characterizes this stage?
A) Children in this stage focus on following the rules.
B) Children in this stage live up to social expectations and roles.
C) Children in this stage have a concrete sense of justice and fairness.
D) Children in this stage have little, if any, concern for why something is wrong.

Q3) What should the nurse suggest to parents of preschoolers about sensitive questions
regarding sex?
A) Distract your child from the topic.
B) Offer complete factual information.
C) Dismiss the topic until the child is older.
D) Find out what your child knows or thinks.

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Page 15
 Chapter 14: Health Problems of Early Childhood
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Sample Questions
Q1) What is a clinical manifestation of acetaminophen poisoning?
A) Hyperpyrexia
B) Hepatic involvement
C) Severe burning pain in stomach
D) Drooling and inability to clear secretions

Q2) A health care provider prescribes flumazenil (Romazion), 0.2 mg IV once, stat for a
benzodiazepine poisoning. The medication label states: "Flumazenil (Romazion), 1 mg/10
ml." The nurse prepares to administer the dose. How many milliliters will the nurse
prepare to administer one dose? Fill in the blank. Record your answer in a whole number.
________________

Q3) What can the nurse suggest to families to reduce blood lead levels? (Select all that
apply.)
A) Do not store food in open cans.
B) Ensure the child eats regular meals.
C) Mix formula with hot water from the tap.
D) Vacuum hard-surfaced floors and window wells.
E) Wash and dry the child's hands and face frequently.

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Page 16
 Chapter 15: Health Promotion of the School-Age Child and

Family
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Sample Questions
Q1) The parents of a 5-year-old child ask the nurse, "How many hours of sleep a night
does our child need?" The nurse should give which response?
A) "A 5-year-old child requires 8 hours of sleep."
B) "A 5-year-old child requires 9.5 hours of sleep."
C) "A 5-year-old child requires 10 hours of sleep."
D) "A 5-year-old child requires 11.5 hours of sleep."

Q2) What are the goals of organized athletics for preadolescent children? (Select all that
apply.)
A) Physical fitness
B) Basic motor skills
C) A positive self-image
D) Commitment to winning

Q3) An 8-year-old girl tells the nurse that she has cancer because God is punishing her
for "being bad." What should the nurse interpret this as?
A) A common belief at this age
B) Indicative of excessive family pressure
C) Faith that forms the basis for most religions
D) Suggestive of a failure to develop a conscience

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 Chapter 16: Health Problems of the School-Age Child
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Sample Questions
Q1) A school-age child has been bitten on the leg by a large snake that may be
poisonous. During transport to an emergency facility, what should the care include?
A) Apply ice to the snakebite.
B) Immobilize the leg with a splint.
C) Place a loose tourniquet distal to the bite.
D) Apply warm compresses to the snakebite.

Q2) What is an important consideration in the diagnosis of attention deficit hyperactivity

disorder (ADHD)?
A) Learning disabilities are apparent at an early age.
B) The child will always be distracted by external stimuli.
C) Parental observations of the child's behavior are most relevant.
D) It must be determined whether the child's behavior is age appropriate or problematic.

Q3) Abnormal sensation

A)Pruritus
B)Anesthesia
C)Hyperesthesia
D)Hypesthesia
E)Paresthesia

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Page 18
Chapter 17: Health Promotion of the Adolescent and Family
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Sample Questions
Q1) The school nurse is teaching an adolescent about social networking and texting on
phones. What statement by the adolescent indicates a need for further teaching?
A) "Social networking can help me develop interpersonal skills."
B) "I will have an opportunity to interact with people like myself."
C) "My text messaging during class time in school will not cause any disruption."
D) "I should be cautious, as the online environment can create opportunities for
cyberbullying."

Q2) What is true concerning the development of autonomy during adolescence?

A) Development of autonomy typically involves rebellion.
B) Development of autonomy typically involves parent-child conflicts.
C) Parent and peer influences are opposing forces in the development of autonomy.
D) Conformity to both parents and peers gradually declines toward the end of
adolescence.

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Page 19
 Chapter 18: Health Problems of the Adolescent
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Sample Questions
Q1) A sexually active adolescent asks the school nurse about prevention of sexually
transmitted infections (STIs). What should the nurse recommend?
A) Use of condoms
B) Prophylactic antibiotics
C) Any type of contraception method
D) Withdrawal method of contraception

Q2) What factor is most likely to increase the likelihood that an adolescent will misuse
alcohol?
A) Female gender
B) Regular school attendance
C) Rural environment
D) Unconventional behavior

Q3) An important distinction in understanding substance abuse is that drug misuse,

abuse, and addiction are considered what?
A) Voluntary behaviors based on psychosocial needs
B) Problems that occur in conjunction with addiction
C) Involuntary physiologic responses to the pharmacologic characteristics of drugs
D) Legal use of substances for purposes other than medicinal.

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Page 20
Chapter 19: Family-Centered Care of the Child with Chronic

Illness or Disability
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Sample Questions
Q1) A child's parents ask the nurse many questions about their child's illness and its
management. The nurse does not know enough to answer all the questions. What
nursing action is most appropriate at this time?
A) Tell them, "I don't know, but I will find out."
B) Suggest that they ask the physician these questions.
C) Explain that the nurse cannot be expected to know everything.
D) Answer questions vaguely so they do not lose confidence in the nurse.

Q2) What finding by the nurse is most characteristic of chronic sorrow?

A) Lack of acceptance of child's limitation
B) Lack of available support to prevent sorrow
C) Periods of intensified sorrow when experiencing anger and guilt
D) Periods of intensified sorrow at certain landmarks of the child's development

Q3) What intervention is most appropriate for fostering the development of a

school-age child with disabilities associated with cerebral palsy?
A) Provide sensory experiences.
B) Help develop abstract thinking.
C) Encourage socialization with peers.
D) Give choices to allow for feeling of control.

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 Chapter 20: Family-Centered Palliative Care
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Sample Questions
Q1) A 12-year-old child has failed several courses of chemotherapy. An experimental
drug is available that his parents want him to receive. He has told his parents and the
oncologists that he is ready to die and does not want any more chemotherapy. The
nurse recognizes what to be true?
A) Parents and child both need support in the decision making.
B) Twelve-year-olds are minors and cannot give consent or refuse treatments.
C) The oncologists needs to make the decision because the parents and child disagree.
D) The parents have the right and responsibility to make decisions for their children
younger than age 18 years.

Q2) The nurse is often the individual who is in the optimum position to suggest tissue
donation to a family (after consultation with the practitioner). What will occur if a family
chooses organ or tissue donation?
A) The funeral will be delayed.
B) Cremation is the preferred method of burial.
C) Written consent is required for tissue or organ donation.
D) An open casket cannot be used subsequent to this procedure.

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Page 22
 Chapter 21: The Child with Cognitive, Sensory, or

Communication Impairment
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Sample Questions
Q1) The parents of a child with cognitive impairment ask the nurse for guidance with
discipline. What should the nurse's recommendation be based on?
A) Discipline is ineffective with cognitively impaired children.
B) Cognitively impaired children do not require discipline.
C) Behavior modification is an excellent form of discipline.
D) Physical punishment is the most appropriate form of discipline.

Q2) The community nurse is planning prevention measures designed to avoid conditions
that can cause cognitive impairment. Taking folic acid supplements during pregnancy
to prevent neural tube defects is which type of prevention strategy?
A) Primary
B) Secondary
C) Tertiary
D) Rehabilitative

Q3) Ability to see objects at a distance but not at a close range

A)Myopia
B)Hyperopia
C)Astigmatism
D)Anisometropia
E)Amblyopia
Page 23
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 Chapter 22: Family-Centered Care of the Child During

Illness and Hospitalization

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Sample Questions
Q1) The nurse needs to assess a 15-month-old child who is sitting quietly on his father's
lap. What initial action by the nurse would be most appropriate?
A) Ask the father to place the child on the exam table.
B) Undress the child while he is still sitting on his father's lap.
C) Talk softly to the child while taking him from his father.
D) Begin the assessment while the child is in his father's lap.

Q2) Parents of a hospitalized child often question the skill of staff. The nurse interprets
this behavior by the parents as what?
A) Normal
B) Paranoid
C) Indifferent
D) Wanting attention

Q3) What factors can negatively affect parents' reactions to their child's illness? (Select
all that apply.)
A) Additional stresses
B) Previous coping abilities
C) Lack of support systems
D) Seriousness of the threat to the child
E) Previous experience with hospitalization
Page 24
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 Chapter 23: Pediatric Nursing Interventions and Skills
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Sample Questions
Q1) A bone marrow biopsy will be performed on a 7-year-old girl. She wants her mother
to hold her during the procedure. How should the nurse respond?
A) Holding your child is unsafe.
B) Holding may help your child relax.
C) Hospital policy prohibits this interaction.
D) Holding your child is unnecessary given the child's age.

Q2) A 10-year-old child requires daily medications for a chronic illness. Her mother tells
the nurse that the child continually forgets to take the medicine unless reminded. What
nursing action is most appropriate to promote adherence to the medication regimen?
A) Establish a contract with her, including rewards.
B) Suggest time-outs when she forgets her medicine.
C) Discuss with her mother the damaging effects of her rescuing the child.
D) Ask the child to bring her medicine containers to each appointment so they can be
counted.

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Page 25
Chapter 24: The Child with Fluid and Electrolyte Imbalance
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Q1) A health care provider prescribes dopamine (Intropin), 5 mcg/kg/min in a
continuous intravenous (IV) infusion for a child in shock. The child weighs 25 kg. The
medication is available as dopamine 400 mg in 250 ml. The nurse prepares to calculate
the rate. How many milliliters per hour will the nurse set the IV infusion pump to deliver 5
mcg/kg/min? Fill in the blank. Round to one decimal place.
________________

Q2) The nurse is caring for an 18-month-old child with rotavirus. What clinical
manifestations should the nurse expect to observe?
A) Severe abdominal cramping and bloody diarrhea
B) Mild fever and vomiting followed by onset of watery stools
C) Colicky abdominal pain and vomiting
D) High fever, diarrhea, and lethargy

Q3) Skin that is obtained from genetically different members of the same species who
are free of disease
A)Allografts
B)Xenografts
C)Autografts
D)Isografts

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Page 26
 Chapter 25: The Child with Renal Dysfunction
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Sample Questions
Q1) What is an appropriate nursing intervention for a child with minimal change
nephrotic syndrome (MCNS) who has scrotal edema?
A) Place an ice pack on the scrotal area.
B) Place the child in an upright sitting position.
C) Elevate the scrotum with a rolled washcloth.
D) Place a warm moist pack to the scrotal area.

Q2) For minimal change nephrotic syndrome (MCNS), prednisone is effective when what
occurs?
A) Appetite increases and blood pressure is normal
B) Urinary tract infection is gone and edema subsides
C) Generalized edema subsides and blood pressure is normal
D) Diuresis occurs as urinary protein excretion diminishes

Q3) Calculate the 24-hour maintenance fluid requirement for a child weighing 25 kg. Fill
in the blank with ml/day. Record your answer in a whole number.
__________________

Q4) Calculate the 24-hour maintenance fluid requirement for a child weighing 12 kg. Fill
in the blank with ml/day. Record your answer in a whole number.
___________________

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Page 27
 Chapter 26: The Child with Gastrointestinal Dysfunction
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Sample Questions
Q1) An infant is born with a gastroschisis. Care preoperatively should include which
priority intervention?
A) Prone position
B) Sterile water feedings
C) Monitoring serum laboratory electrolytes
D) Covering the defect with a sterile bowel bag

Q2) The nurse is teaching parents about high-fiber foods that can prevent constipation.
What foods should the nurse include in the teaching? (Select all that apply.)
A) Oranges
B) Bananas
C) Lima beans
D) Baked beans
E) Raisin bran cereal

Q3) An adolescent with irritable bowel syndrome comes to see the school nurse. What
information should the nurse share with the adolescent?
A) A low-fiber diet is required.
B) Stress management may be helpful.
C) Milk products are a contributing factor.
D) Pantoprazole (a proton pump inhibitor) is effective in treatment.

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Page 28
 Chapter 27: Overview of Oxygen and Carbon Dioxide

Exchange
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Sample Questions
Q1) A nurse is calculating the correlation of Pao₂ with Sao₂
according to the oxyhemoglobin dissociation curve. What parameter should indicate
that the Pao₂ is less than 50 to 60 mm Hg?
A) Coarse lung sounds
B) Temperature of 100° F
C) Respiratory rate of 58
D) Pulse oximetry reading of 90% or less

Q2) The nurse is calculating the amount of expected urinary output for a 24-hour period
on an intubated young child who weighs 33 lb. The nurse recognizes the formula to be
used is 2 ml/kg/hr. What is the expected 24-hour urinary output for this child in milliliters?
Record your answer below in a whole number.
_____________

Q3) Respiratory failure can result from many causes. What condition is a specific
primary cause of inefficient gas transfer?
A) Anemia
B) Pneumothorax
C) Cystic fibrosis
D) Laryngospasm

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 Chapter 28: The Child with Respiratory Dysfunction
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Sample Questions
Q1) A 3-month-old infant is admitted to the pediatric unit for treatment of bronchiolitis.
The infant's vital signs are T, 101.6° F; P, 106 beats/min apical; and R, 70 breaths/min. The
infant is irritable and fussy and coughs frequently. IV fluids are given via a peripheral
venipuncture. Fluids by mouth were initially contraindicated for what reason?
A) Tachypnea
B) Paroxysmal cough
C) Irritability
D) Fever

Q2) What diagnostic test for allergies involves the injection of specific allergens?
A) Phadiatop
B) Skin testing
C) Radioallergosorbent tests (RAST)
D) Blood examination for total immunoglobulin E (IgE)

Q3) An infant with a congenital heart defect is to receive a dose of palivizumab

(Synagis). What is the purpose of this?
A) Prevent RSV infection.
B) Prevent secondary bacterial infection.
C) Decrease toxicity of antiviral agents.
D) Make isolation of infant with RSV unnecessary.

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Page 30
 Chapter 29: The Child with Cardiovascular Dysfunction
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Sample Questions
Q1) Represents ventricular depolarization
A)P wave
B)QRS complex
C)T wave
D)Q-T interval
E)ST segment

Q2) A 1-year-old has been admitted for complete repair of a tetralogy of Fallot. What
assessment finding should the nurse expect to be documented?
A) Weight gain
B) Pale skin color
C) Increasing cyanosis
D) Decrease in hemoglobin and hematocrit

Q3) What clinical manifestation is a common sign of digoxin toxicity?

A) Seizures
B) Vomiting
C) Bradypnea
D) Tachycardia

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Page 31
 Chapter 30: The Child with Hematologic or Immunologic

Dysfunction
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Sample Questions
Q1) What pain medication is contraindicated in children with sickle cell disease (SCD)?
A) Meperidine (Demerol)
B) Hydrocodone (Vicodin)
C) Morphine sulfate
D) Ketorolac (Toradol)

Q2) The nurse is preparing to administer a unit of packed red blood cells to a
hospitalized child. What is an appropriate action that applies to administering blood?
A) Take the vital signs every 15 minutes while blood is infusing.
B) Use blood within 1 hour of its arrival from the blood bank.
C) Administer the blood with 5% glucose in a piggyback setup.
D) Administer the first 50 ml of blood slowly and stay with the child.

Q3) What condition is an inherited immunodeficiency disorder characterized by absence

of both humoral and cell-mediated immunity?
A) Fanconi syndrome
B) Wiskott-Aldrich syndrome
C) Acquired immunodeficiency syndrome (AIDS)
D) Severe combined immunodeficiency syndrome (SCIDS)

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Page 32
 Chapter 31: The Child with Cancer
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Sample Questions
Q1) A parent tells the nurse that 80% of children with the same type of leukemia as his
son's have a 5-year survival. He believes that because another child on the same
protocol as his son has just died, his son now has a better chance of success. What is the
best response by the nurse?
A) "It is sad for the other family but good news for your child."
B) "Each child has an 80% likelihood of 5-year survival."
C) "The data suggest that 20% of the children in the clinic will die. There are still many
hurdles for your son."
D) "You should avoid the grieving family because you will be benefiting from their loss."

Q2) What is an important priority in dealing with the child suspected of having Wilms
tumor?
A) Intervening to minimize bleeding
B) Monitoring temperature for infection
C) Ensuring the abdomen is protected from palpation
D) Teaching parents how to manage the parenteral nutrition

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Page 33
 Chapter 32: The Child with Cerebral Dysfunction
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Sample Questions
Q1) A 10-year-old child, without a history of previous seizures, experiences a tonic-clonic
seizure at school that lasts more than 5 minutes. Breathing is not impaired. Some
postictal confusion occurs. What is the most appropriate initial action by the school
nurse?
A) Stay with child and have someone else call emergency medical services (EMS).
B) Notify the parent and regular practitioner.
C) Notify the parent that the child should go home.
D) Stay with the child, offering calm reassurance.

Q2) What statement is descriptive of a concussion?

A) Petechial hemorrhages cause amnesia.
B) Visible bruising and tearing of cerebral tissue occur.
C) It is a transient and reversible neuronal dysfunction.
D) It is a slight lesion that develops remote from the site of trauma.

Q3) The nurse is discussing long-term care with the parents of a child who has a
ventriculoperitoneal shunt. What issues should be addressed?
A) Most childhood activities must be restricted.
B) Cognitive impairment is to be expected with hydrocephalus.
C) Wearing head protection is essential until the child reaches adulthood.
D) Shunt malfunction or infection requires immediate treatment.

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Page 34
 Chapter 33: The Child with Endocrine Dysfunction
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Sample Questions
Q1) The health care provider has prescribed levothyroxine (Synthroid) 4 mcg/kg/day PO
for a child with hypothyroidism. The child weighs 77 lb. The nurse is preparing to
administer the daily dose. Calculate the dose the nurse should administer in
micrograms. Record your answer below in a whole number.
________

Q2) What is a common clinical manifestation of juvenile hypothyroidism?

A) Insomnia
B) Diarrhea
C) Dry skin
D) Rapid growth

Q3) Congenital adrenal hyperplasia (CAH) is suspected in a newborn because of

ambiguous genitalia. The parents are appropriately upset and concerned about their
child's gender. In teaching the parents about CAH, what should the nurse explain?
A) Reconstructive surgery as a female is preferred.
B) Sexual assignment should wait until genetic sex is determined.
C) Prenatal masculinization will strongly influence the child's development.
D) The child should be raised as a boy because of the presence of a penis and scrotum.

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Page 35
 Chapter 34: The Child with Musculoskeletal or Articular

Dysfunction
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65 Verified Questions
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Sample Questions
Q1) Slanting but straight between a horizontal and a perpendicular direction
A)Transverse
B)Oblique
C)Spiral
D)Comminuted

Q2) The nurse uses the five Ps to assess ischemia in a child with a fracture. What finding
is considered a late and ominous sign?
A) Petaling
B) Posturing
C) Paresthesia
D) Positioning

Q3) The nurse is teaching the parent of a 4-year-old child with a cast on the arm about
care at home. What statement by the parent indicates a correct understanding of the
teaching?
A) "I should have the affected limb hang in a dependent position."
B) "I will use an ice pack to relieve the itching."
C) "I should avoid keeping the injured arm elevated."
D) "I will expect the fingers to be swollen for the next 3 days."

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 Chapter 35: The Child with Neuromuscular or Muscular

Dysfunction
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Sample Questions
Q1) The health care provider has prescribed oxybutynin (Ditropan) 0.2 mg/kg/day
divided bid for a child with myelomeningocele. The child weighs 33 lb. The nurse is
preparing to administer the 0900 dose. Calculate the dose the nurse should administer
in milligrams. Record your answer below using one decimal place.
_______

Q2) A mother tells the clinic nurse that she often puts honey on her infant's pacifier to
soothe the infant. What response should the nurse make to the mother?
A) "That is a good way to soothe your baby."
B) "Honey does not have any soothing effects."
C) "There is still a risk for infant botulism from honey."
D) "Honey is OK, but it should not be put on the pacifier."

Q3) A feeding technique the nurse can teach to parents of a child with cerebral palsy to
improve use of the lips and the tongue to facilitate speech is which?
A) Feeding pureed foods
B) Placing food on the tongue
C) Placing food at the side of the tongue
D) Placing food directly into the mouth with a spoon

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Page 37