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Test Bank Principles Pediatric Nursing Caring Children 6th Edition, Jane
CHAPTER 1
Question 1
Type: MCSA
Which nursing role is not directly involved when providing family-centered approach to the pediatric population?
Question 2
Type: MCMA
A nurse is working with pediatric clients in a research facility. The nurse recognizes that federal guidelines are in place that delineate which pediatrics clients must give assent for participation in research trials. Based upon the clients age, the nurse would seek assent from which children?
Standard Text: Select all that apply.
Question 3
Type: MCSA
The nurse in a pediatric acute-care unit is assigned the following tasks. Which task is not appropriate for the registered to nurse complete?
Question 4
Type: MCSA
A 7-year-old child is admitted for acute appendicitis. The parents are questioning the nurse about expectations during the childs recovery. Which information tool would be most useful in answering a parents questions about the timing of key events?
Question 5
Type: MCSA
The nurse recognizes that the pediatric client is from a cultural background different from that of the hospital staff. Which goal is most appropriate for this client when planning nursing care?
Question 6
Type: MCSA
The telephone triage nurse at a pediatric clinic knows each call is important. Which call would require extra attentiveness from the registered nurse because of an increased risk of mortality?
Question 7
Type: MCSA
Despite the availability of Childrens Health Insurance Programs (CHIP), many eligible children are not enrolled. Which nursing intervention would be the most appropriate to help children become enrolled in CHIP?
Question 8
Type: MCSA
A supervisor is reviewing the documentation of the nurses in the unit. Which client documentation is the most accurate and contains all the required part for a narrative entry?
Question 9
Type: MCSA
A 12-year-old pediatric client is in need of surgery. Which member of the health care team is legally responsible for obtaining informed consent for an invasive procedure?
Question 10
Type: MCSA
A child is being prepared for an invasive procedure. The mother of the child has legal custody but is not present. After details of the procedure are explained, who can provide legal consent on behalf of a minor child for treatment?
CHAPTER 2
Question 1
Type: MCMA
The nurse is planning care for an adolescent client who will be hospitalized for several weeks following a traumatic brain injury. Which interventions will enhance family-centered care for this client and family?
Standard Text: Select all that apply.
Question 2
Type: MCSA
A new pediatric hospital will open soon. While planning nursing care, the hospital administration is considering two models of providing health care: family-focused care and family-centered care. Which action best implements family-centered care?
Question 3
Type: MCSA
A school-age client tells you that Grandpa, Mommy, Daddy, and my brother live at my house. Which type of family will the nurse identify in the medical record based on this description?
Question 4
Type: MCSA
The nurse is performing an assessment of a childs biologic family history. Which situation would necessitate the nurses asking the mother for information should use the term childs father instead of your husband?
Question 5
Type: MCSA
Several children arrived at the emergency department accompanied only by their fathers. Which father may legally sign emergency medical consent for treatment?
Question 6
Type: MCSA
The community-health nurse is assessing several families for various strengths and needs in regard to after-school and backup child-care arrangements. Which family type will benefit the most from this assessment and subsequent interventions?
Question 7
Type: MCSA
The nurse is working on parenting skills with a group of mothers. Which mother would need the fewest discipline-related suggestions?
Question 8
Type: MCSA
The nurse in the pediatric clinic observes a parental lack of warmth and interest toward the child. Which family style will the nurse most likely document in this situation?
Question 9
Type: MCSA
The nurse is working on parenting skills with a mother of three children. The nurse demonstrates a strategy that uses reward to increase positive behavior. Which strategy will the nurse document in the medical record based on this description?
Question 10
Type: MCSA
The nurse is assessing a familys effective coping strategies and ineffective defensive strategies. Which family-social-system theory is the nurse using in this assessment of the family?
CHAPTER 3
Question 1
Type: MCSA
Personalized health care for health promotion and maintenance can be based on environmental factors and which other item?
Question 2
Type: MCSA
A three-generation pedigree is constructed around the designated index patient. Based on this knowledge which explanation of the term proband is the most accurate?
Question 3
Type: MCSA
When discussing inheritance with parents of a child with a genetic disorder, which statement by the parents indicates they understand inheritance risk?
Question 4
Type: MCSA
Parents of a child with a congenital heart defect ask what the chances are of recurrence in future pregnancies. Which response by the nurse is the most appropriate?
Question 5
Type: MCSA
A family with a child who had a cleft lip and palate at birth are planning another pregnancy. What intervention should be recommended prior to conception?
Question 6
Type: MCSA
A father is a known carrier of an X-linked condition, and asks when he will know whether his newborn son has the condition he carries. Which response by the nurse is the most appropriate?
Question 7
Type: MCSA
A student nurse asks, What is carrier testing? Which response by the nurse educator is most appropriate to answer the student nurses question?
Question 8
Type: MCSA
Which genetic test would be best for the prospective father who recently had a positive screen for a genetic condition?
Question 9
Type: MCSA
The nurse is preparing a three-generation family pedigree. A student asks the nurse the significance of the darkened circles. Which response by the nurse is the most appropriate?
Question 10
Type: MCSA
A family desires genetic testing for their adolescent. What response by the clinic nurse is appropriate?
CHAPTER 4
Question 1
Type: MCMA
While in the pediatricians office for their childs 12-month well-child exam, the parents ask the nurse for advice on age-appropriate toys for their child. Based on the childs developmental level, which types of toys would the nurse suggest?
Standard Text: Select all that apply.
Question 2
Type: MCSA
A mother of a school-age client who recently had surgery for the removal of tonsils and adenoids complains that the child has begun sucking his thumb again. Which coping mechanisms is the child using to cope with the surgery and hospitalization?
Question 3
Type: MCSA
While being comforted in the emergency department, a young school-age sibling of a pediatric trauma victim blurts out to the nurse, Its all my fault! When we were fighting yesterday, I told him I wished he was dead! Which response is most appropriate by the nurse?
Question 4
Type: MCSA
While assessing the development of a 9-month-old infant, the nurse asks the mother if the child actively looks for toys when they are placed out of sight. Which developmental task is the nurse assessing this infant for?
Question 5
Type: MCSA
The nurse is counseling the parents of a 6-1/2-month-old infant. Which age-appropriate toy is most appropriate for the nurse to suggest to these parents?
Question 6
Type: MCSA
A nurse is assessing language development in all the infants presenting at the doctors office for well-child visits. At which age range would the nurse expect a child to verbalize the words dada and mama?
Question 7
Type: MCSA
The parents of an 8-year-old state that their son seems very interested in trying new activities. When the parents ask for suggested activities for this age child, the nurse recommends scouts as an activity that will foster growth and development. In which stage of Eriksons psychosocial stages of development is this child?
Question 8
Type: MCSA
Two 3-year-olds are playing in a hospital playroom together. One is working on a puzzle while the other is stacking blocks. Which type of play are these children exhibiting?
Question 9
Type: MCSA
The nurse, talking with the parents of a toddler who is struggling with toilet training, reassures them that their child is demonstrating a typical developmental stage. According to Erikson, which developmental stage will the nurse document in the medical record for this toddler?
Question 10
Type: SEQ
A new parent group inquires about the stages through which their children will progress as they grow older. The nurse is discussing Piagets developmental stages. In what order would the nurse expect the child to progress through Piagets stages of development?
Standard Text: Click and drag the options below to move them up or down.
Choice 1. Sensorimotor
Choice 2. Formal operational
Choice 3. Preoperational
Choice 4. Concrete operational
CHAPTER 5
Question 1
Type: MCSA
The nurse is taking a health history from a family of a 3-year-old child. Which statement by the nurse would most likely establish rapport and elicit an accurate response from the family?
Question 2
Type: MCSA
When assessing the cognitive development, which technique would be appropriate to test the remote memory of a 5-year-old?
Question 3
Type: SEQ
Place the nursing assessments of a toddler in the best order.
Standard Text: Click and drag the options below to move them up or down.
Choice 1. Examination of eyes, ears, and throat
Choice 2. Auscultation of chest
Choice 3. Palpation of abdomen
Choice 4. Developmental assessment
Question 4
Type: MCSA
While assessing a 10-month-old African American infant, the nurse notices that the sclerae have a yellowish tint. Which organ system should the nurse further evaluate to determine an ongoing disease process?
Question 5
Type: MCSA
A nurse caring for a school-age client notices some swelling in the childs ankles. The nurse presses against the ankle bone for five seconds, then releases the pressure and notices a markedly slow disappearance of the indentation. Which priority nursing assessment is appropriate?
Question 6
Type: MCSA
A new mother is worried about a soft spot on the top of her newborn infants head. The nurse informs her that this is a normal physical finding called the anterior fontanel. At what age will the nurse educate the mother that the soft spot will close?
Question 7
Type: MCSA
While inspecting a 5-year-old childs ears, the nurse notes that the right pinna protrudes outward and that there is a mass behind the right ear. In light of these findings, which vital-sign parameter would the nurse assess on priority?
Question 8
Type: MCMA
A 7-year-old child presents to the clinic with an exacerbation of asthma symptoms. On physical examination, the nurse would expect which assessment findings?
Standard Text: Select all that apply.
Question 9
Type: MCSA
The nurse is caring for a newly-admitted infant diagnosed with failure to thrive. The nurse begins to implement the healthcare provider prescribed orders by taking blood pressures in all four extremities. Which congenital cardiac defect does the nurse anticipate based on the prescribed order?
Question 10
Type: MCSA
During an examination, a nurse asks a 5-year-old child to repeat his address. What is the nurse evaluating with this action?
CHAPTER 6
Question 1
Type: MCSA
A nurse is helping the parents of 2-year-old twins cope with the daily demands of life in an active household. Which strategy is most appropriate for the nurse to use?
Question 2
Type: MCSA
A nurse in the outpatient pediatric clinic is reviewing the records of a preschool-age child and notes that because the parents often miss routine healthcare visits the child has not received the second measles, mumps, and rubella (MMR) vaccine. Which action by the nurse is most appropriate in this situation?
Question 3
Type: MCSA
A mother brings a child to the pediatric office for a sick visit. Which action by the nurse is the most appropriate?
Question 4
Type: MCSA
Which of these strategies would be most effective for a teachable moment during a routine office visit for the parents of a 6-year-old child?
Question 5
Type: MCMA
The clinic administrator has asked each nurse to classify the nursing activities as a beginning step of clinic reorganization. Which of these strategies can be identified as health promotion and health maintenance?
Standard Text: Select all that apply.
Question 6
Type: MCSA
A mother of a 2-year-old child becomes very anxious when the child has a temper tantrum in the medical office. Which response by the nurse is the most appropriate?
Question 7
Type: MCSA
A nurse says to the mother of a 6-month-old infant, Does the baby sit without assistance, and is the baby crawling? Which process is the nurse using in this interaction?
Question 8
Type: MCSA
A parent says to a nurse, How do you know when my child needs these screening tests the doctor just mentioned? Which response by the nurse is the most appropriate?
Question 9
Type: MCMA
Which nursing assessment activities should be included for the child and family at each health-supervision visit?
Standard Text: Select all that apply.
Question 10
Type: MCSA
The nurse of an outpatient clinic is sitting with the parents while their adolescent goes for a test. The parents are complaining about their childs behavior. Which statement by the nurse fosters family-centered communication?
CHAPTER 7
Question 1
Type: MCMA
A nursery nurse is planning care for the newborns currently in the newborn nursery. Which activities does the nurse plan for the first 48 hours of life?
Standard Text: Select all that apply.
Question 2
Type: MCSA
The nurse is planning care for clients seen in a newborn clinic. Which is the priority for a newborn client during the first clinic visit?
Question 3
Type: MCMA
The nurse in the newborn nursery is admitting a neonate. To determine the health and development of the newborn, what will the nurse include in the assessment?
Standard Text: Select all that apply.
Question 4
Type: MCSA
An infant weighs 9 pounds, 3 ounces at birth. The nurse plans to make a home visit to the mother and infant when the infant is 7 days old. What is the lowest acceptable weight the infant should be at this age?
Question 5
Type: MCSA
The nurse is teaching a new mother developmental expectations. Which activity should the nurse expect a newborn to do within the first month of life?
Question 6
Type: MCSA
The nurse is providing anticipatory guidance instructions to the parents of a newborn. Which instruction should the nurse give as a strategy for illness/disease prevention?
Question 7
Type: MCSA
A nurse assesses the height and weight measurements on an infant and documents these measurements at the 75th percentile. The nurse notes that the previous measurements two months ago were at the 25th percentile. Which interpretation by the nurse is the most accurate?
Question 8
Type: MCSA
A nurse asks the mother of a 4-month-old infant to undress the infant. The nurse observes the mother taking off several layers of clothing and knows that the outdoor temperature is 70 degrees Fahrenheit. Which statement by the nurse is most appropriate in this situation?
Question 9
Type: MCMA
The nurse working with a family has observed that the older children have a large number of dental caries and plans to provide the mother with information to prevent the development of dental caries in her new infant. Which interventions will prevent the development of dental caries in the infant?
Standard Text: Select all that apply.
Question 10
Type: MCSA
A nurse is assessing an 11-month-old infant and notes that the infants height and weight are at the 5th percentile on the growth chart. Family history reveals that the infants two siblings are at the 50th percentile for height and at the 75th percentile for weight. Psychosocial history reveals that the parents are separated and are planning to divorce. Which of these nursing diagnoses takes priority?
CHAPTER 8
Question 1
Type: MCMA
Which of these aspects of developmental health supervision should be included in each healthcare visit of young children?
Standard Text: Select all that apply.
Question 2
Type: MCSA
A 27-month-old toddler who is in the pediatric office for a well-child visit begins to cry the moment he is placed on the examination table. The parent attempts to comfort the toddler; however, nothing is effective. Which of these actions by the nurse takes priority?
Question 3
Type: MCSA
At a routine healthcare visit, a nurse measures a toddler and plots the height and weight on the growth charts. The nurse documents that the toddler is above the 95th percentile for weight and is at the 5th percentile for height. How should the nurse interpret these data?
Question 4
Type: MCSA
A nurse is preparing to perform a physical assessment on a toddler. Which action is most appropriate for the nurse to take?
Question 5
Type: MCMA
Which of these developmental milestones should the nurse expect to find in children who are between 2 and 3 years old?
Standard Text: Select all that apply.
Question 6
Type: MCSA
A nurse observes the parent/child interaction during the 4-year-old well-child checkup and notes that the parent speaks harshly to the child and uses negative remarks when speaking with the nurse. Which statement by the nurse would be most beneficial?
Question 7
Type: MCSA
A nurse who is the manager of an ambulatory pediatric healthcare center is planning protocols for the routine healthcare visits of the children. Children at this care center have a high incidence of obesity. At which age should the nurses at this clinic calculate the body mass index (BMI) for all pediatric clients?
Question 8
Type: MCSA
Which of these measures used by a nurse will help relieve parental anxiety related to the changing appetite in the toddler who is gaining weight along the 50th percentile?
Question 9
Type: MCSA
Parents of a preschool child report that they find it necessary to spank the child at least once a day. Which response should the nurse make to the parents?
Question 10
Type: MCSA
A parent questions how her toddler plays with other toddlers. Which response by the nurse displays the best description of the differences in play between the toddler and the preschooler?
CHAPTER 9
Question 1
Type: MCSA
An adolescent female presents at a nurse practitioners office and requests a signature for working papers. The nurse reviews her chart and notes that the last physical examination was two years ago. In addition to providing the signature for the working papers, what else should the nurse use this visit?
Question 2
Type: MCMA
An adolescent is accompanied by the mother for an annual physical examination. The nurse is aware of privacy issues related to the adolescent. While the mother is in the room, the nurse should avoid which questions?
Standard Text: Select all that apply.
Question 3
Type: MCMA
The school nurse performs screenings on all students in the middle school. In addition, the nurse will perform selected screenings on individual school-age children. When planning the screenings for the year, which screenings will the nurse include for all school-age children?
Standard Text: Select all that apply.
Question 4
Type: MCSA
A school nurse is performing annual height and weight screening. The nurse notes that three females who are close friends each lost 15 pounds over the past year. What is the priority nursing action in this situation?
Question 5
Type: MCSA
An school-age client who recently moved to a new school in a different town presents to an ambulatory care center and describes the following: I have no friends in my new school, and I no longer want to go to play soccer. I know I will be lonely there, too. Which of these takes priority when speaking with the school-age client?
Question 6
Type: MCSA
An adolescent reports participating in an exercise program at school each Wednesday throughout the school year. Further history reveals that the adolescent does not participate in any other physical activities. Which outcome is most appropriate for this adolescent?
Question 7
Type: MCSA
An adolescent reports the following: I get up at 6 am, I attend early-morning band classes three times each week, I play sports for two hours each day after school, and homework takes me three hours each night. I always feel tired. Which question by the nurse is most appropriate based on this information?
Question 8
Type: MCSA
The nurse working in the clinic includes an adolescent history in every client intake interview. Which issue should the nurse address when the parents are not present?
Question 9
Type: MCSA
The nurse is reviewing the immunization record of an adolescent who will be seen later in the day. Which item in the clients history makes heptatis B status a priority?
Question 10
Type: MCSA
An obese adolescent who adamantly denies sexual activity has a positive pregnancy test, which was performed in the adolescent clinic. Which statement by the nurse is the most appropriate in this situation?
CHAPTER 10
Question 1
Type: MCSA
The community-health nurse visits the child-care center. Which finding indicates the need for staff education?
Question 2
Type: MCSA
An adolescent client has a long leg cast secondary to a fractured femur. Which action by the nurse would effectively facilitate the adolescents return to school?
Question 3
Type: MCSA
The community-health nurse is planning an education session for recently hired teachers at a child-care center. Which item is priority for the community-health nurse to include in the educational session?
Question 4
Type: MCSA
The nurse is providing care for several pediatric clients. Which client would require an Individualized Health Plan (IHP) prior to returning to school?
Question 5
Type: MCSA
The school nurse is preparing a plan of care specific to several children in the school who have asthma. What is the initial action on the plan of care?
Question 6
Type: MCSA
The telephone triage nurse receives a call from a parent who states that her 18-month-old is making a crowing sound when he breathes and is hard to wake up. Which action by the nurse is the most appropriate?
Question 7
Type: MCSA
A young school-age client who has had a tracheostomy for several years is scheduled to begin school in the fall. The teacher is concerned about this childs being in her class and consults the school nurse. Which action by the nurse is the most appropriate?
Question 8
Type: MCSA
A 2-month-old infant with bronchopulmonary dysplasia (BPD) is being prepared for discharge from the neonatal intensive-care unit (NICU). The infant will continue to receive oxygen via nasal cannula at home. Prior to discharge, the home-health nurse assesses the home. Which finding poses the greatest risk to this infant?
Question 9
Type: MCSA
A child who is dependent on a ventilator is being discharged from the hospital. Prior to discharge, the home-health nurse discusses development of an emergency plan of care with the family. Which is the most essential part of the plan?
Question 10
Type: MCSA
What must a home-health nurse realize prior to accepting an assignment?
CHAPTER 11
Question 1
Type: MCSA
The parents of a critically injured child wish to stay in the room while the child is receiving emergency care. Which action by the nurse is the most appropriate?
Question 2
Type: MCSA
The charge nurse on a hospital unit is developing plans of care related to separation anxiety. The charge nurse recognizes that which hospitalized child at highest risk to experience separation anxiety when parents cannot stay?
Question 3
Type: MCSA
A group of children on one hospital unit are all suffering separation anxiety. Which child is experiencing the despair stage of separation anxiety?
Question 4
Type: MCSA
A preschool-age client is seen in the clinic for a sore throat. In this childs mind, what is the most likely causative agent for the sore throat?
Question 5
Type: MCSA
The charge nurse is concerned with reducing the stressors of hospitalization. Which nursing intervention is most helpful in decreasing the stressors for the toddler-age client?
Question 6
Type: MCSA
The nurse is working with a school-age child who is hospitalized. Which action by the nurse will promote a sense of industry in this child?
Question 7
Type: MCSA
The nurse is caring for a client in the pediatric intensive-care unit (PICU). The parents have expressed anger over the nursing care their child is receiving. Which nursing intervention is most appropriate based on the situation?
Question 8
Type: MCSA
A toddler recently diagnosed with a seizure disorder will be discharged home on an anticonvulsant. Which action by the mother best demonstrates understanding of how to give the medication?
Question 9
Type: MCSA
The nurse must perform a procedure on a toddler. Which technique is the most appropriate when performing the procedure?
Question 10
Type: MCSA
A young school-age client is in the playroom when the respiratory therapist arrives on the pediatric unit to give the child a scheduled breathing treatment. Which action by the nurse is the most appropriate?
CHAPTER 12
Question 1
Type: MCMA
The nurse in the long-termcare clinic is reviewing the charts of a group of children with chronic physical, psychological, functional, and/or social limitations. Which conditions are most likely to lead to chronic limitations?
Standard Text: Select all that apply.
Question 2
Type: MCSA
The school nurse completes an assessment of a school-age client to determine the services this child will need in the classroom. The client is a newly diagnosed with type I diabetes mellitus. Based on this information, which special healthcare need category is the most appropriate?
Question 3
Type: MCSA
The nurse can instruct parents to expect children in which age group to begin to assume more independent responsibility for their own management of a chronic condition, such as blood-glucose monitoring, insulin administration, intermittent self-catheterization, and appropriate inhaler use?
Question 4
Type: MCSA
The nurse is working in an adolescent medical clinic. What can the nurse anticipate when comparing adolescents in the clinic with chronic conditions to their peers?
Question 5
Type: MCSA
The nurse is working with a child with a chronic condition. The nurse observes that over time, the parents have experienced a pattern of periodic grieving alternating with denial. What are the parents currently experiencing based on this assessment finding?
Question 6
Type: MCMA
In working with parents of children with chronic diseases, the nurse is concerned with helping the parents to protect themselves from compassion fatigue. Which activities are appropriate for the nurse to encourage?
Standard Text: Select all that apply.
Question 7
Type: MCSA
The nurse is working with a group of parents who have children with chronic conditions. Which statement by a parent would indicate a risk for a caregiver burden that could become overwhelming?
Question 8
Type: MCSA
The clinic nurse is working with a child with multiple disabilities. The parents have asked the nurse to help them in meeting with the school board to develop an Individualized Education Plan (IEP) and an Individualized Health Plan (IHP). Which nursing intervention is most appropriate?
Question 9
Type: MCSA
The nurse is planning activities for a toddler with a birth injury of a torn brachial plexus that resulted in muscle atrophy and weakness of his right arm. Which nursing intervention is most appropriate for this client?
Question 10
Type: MCSA
The nurse has set up a group discussion for several families with c
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