Peds Final

The parents of an 8-year-old girl with a slow-to-warm temperament are concerned

about their daughter's reaction when she visits the dentist for the first time after having a
cavity filled at the last visit. How should the nurse respond?

"Remind her in simple terms what will happen in the dentist's office."

A 12-year-old child is being discharged from the hospital. The nurse provide discharge
instructions to:

the child and the parent.

The school nurse is teaching parents risk factors for suicide in adolescents. What would
the nurse discuss? Select all that apply.

:• Substance abuse
• Family disorganization
• Mental health changes
• History of previous suicide attempt

A nursing student learning about autism spectrum disorders correctly identifies which
mannerisms as common in affected clients? Select all that apply.

Hand wringing
Head banging
Rocking
Running in circles

The nurse is caring for a family making end- of-life decisions for their child. How will the
nurse educate the parents as to what is involved in end-of-life care?

b.) The focus of care will be on the comfort of the child.

the nurse is assessing the gross motor skills of an 8 year old boy. which
interview question would facilitate this assessment?

do you participate in any sports

The nurse is establishing a long-term relationship with a child who will be seeking
treatment for cancer. What is the most important factor in this relationship?

Establishing trust

The nurse is caring for a newborn infant who has Down syndrome. Which nursing
action reflects the nurse's use of the ethical principle of nonmaleficence?

The nurse provides safe, competent nursing care to avoid harming the infant.

The school nurse is preparing health promotion

presentations regarding unintentional injuries for a high school health fair. On which topic...

Motor vehicle safety

Which therapeutic approach will best help a 7-year-old child cope with a lengthy course of
intravenous antibiotic therapy?

Allow the child to participate in injection play

the mother of a five year old boy calls the nurse and seeks advice on how to assist the child with
a recent death of his paternal grandfather. the boy keeps asking when his grandpa is coming
back how should the nurse respond

this is normal; children his age do not understand the permanence of death

A 10-year-old girl with bone cancer is near death. Which action

should best minimize her 8-year-old sister's anxiety?

Explaining how the morphine drip works

The child has been diagnosed with cancer and is being treated with chemotherapy. Which
findings are common side effects of this type of treatment.

The child's mother states, "It seems like he catches every bug that comes along."
The child has no hair on his head. The child's mother states that she often has to repeat
herself because he can't hear very well. The child reports feeling nauseated.

The nurse is caring for several pregnant women. Which woman would
the nurse identify as being at highest risk for having a child born with Down
syndrome?

a women at 28 weeks' gestation who will be 37 years old at the

The nurse is caring for a child hospitalized with complications

from asthma. Which statement by the parents indicates a need for careful
observation of the child's anxiety level?

My mother passed away here after surgery.

During a well-child check-up, the parents of a 9-year-old boy tell the nurse that their son's
friends told him that soccer is a stupid game, and now he wants to play baseball. Which
comment by the nurse best explains the effects of peer groups?

Acceptance by friends, especially of the same sex, is very important at this

Age

A teenage girl asks why chemotherapy

causes hair loss. Which response by the nurse is accurate?

Chemotherapy affects cancer cells and normal cells that multiply rapidly.

A school nurse is teaching a group of parents about signs and symptoms of cancer in children.
Which symptom is an early sign of a brain tumor?

headache, vision changes, and vomiting

The nurse is preparing hospital discharge instructions for a 7-year-old girl recovering from head
trauma and receiving gastrostomy feedings. Which activity is most important before the child is
discharged home?
Determining the parents' ability to administer the enteral feedings.

The nurse is caring for a premature infant in the newborn intensive care unit. The nurse expects
the child will have special medical needs and will be discharged in 4 to 6 weeks. Which
statement by the nurse indicates appropriate discharge planning?

Which statement by the nurse indicates appropriate discharge planning? "

- "The apnea monitor we are using now will be similar to the one you take
home with your infant so I am going to show you how to set the alarms."

A nurse is giving instructions to the father of a boy who is receiving chemotherapy (including
methotrexate) regarding how best to care for the boy during this period of treatment. What
should the nurse mention to him?

Keep him away from people with known infections Neutropenic precautions Ear
assessment

A black adolescent male has been diagnosed with hypertension. Which

statement made by the adolescent indicates to the nurse that additional
teaching is needed.

Drinking sodas is not related to my blood pressure.

A parent brings a preschooler to the behavioral clinic for evaluation. Upon

entering the room, the child appears not to notice the nurse's presence. The child screams upon
the nurse's touch. What condition should the nurse suspect?

Autism spectrum disorder

The nurse is discussing teenage substance abuse with a group of caregivers of adolescent
children. Which statement made by the caregivers is most accurate regarding substance abuse
in teens?

b. "The most common drug used by teenagers is alcohol."

The nurse is taking a health history for a 12-year-old boy who is seriously
overweight. Which general question would the nurse direct to the child's
parents?
Is there a family history of hypertension, heart disease, or diabetes?
A 2-year-old child has been diagnosed with autism spectrum disorder. The parents ask the
nurse for a treatment that will cure the disorder. Which is the best response by the nurse?

There are no medications available to cure autism spectrum disorder.

What is a well-defined risk management technique that the nurse can teach children
and parents to prevent cancer?

Limit sun exposure throughout childhood and adolescence

The nurse is caring for a toddler with special needs. Which developmental tasks related to
toddlerhood might be delayed in.

Developing language and motor skills

The nurse is providing anticipatory guidance for violence prevention to a group of parents with
adolescent which action should the nurse include as the most effective in preventing suicide?

Checking for signs of depression or lack of friends.

What activities would a nurse recommend to the families of school-aged children to promote
attainment of Erikson's developmental stage of industry vs. inferiority? Select all that apply.

Participating on the school soccer team

Praising the child for their academic efforts
Allowing the child to assist her teacher in straightening up the classroom

A 3-year-old child cries, kicks, and clings to the father when the parents
try to leave the hospital room. What is
the nurse's best response to the parents about this behavior?
Answer & Explanation

Your child is showing a normal response to the stress of hospitalization The child is
exhibiting a healthy attachment to the father. The child's behavior represents the protest
stage of separation and does not represent maladaptive behavior

The nurse is observing a group of 2- and 3-year-olds in a play group. Which behavior noted in
one of the children indicates to the nurse that the child may have autism spectrum disorder
(ASD)?

"While the other children are eating a snack, the child walks around the room
feeling the walls and ignores the caregiver who offers him a snack"

During a well-child visit, an 11-year-old girl states to the nurse that she looks
different from her friends who are wearing bras. What is an appropriate response?

"It is normal for there to be differences in the time and rate girls your
age develop."
Arrange the stages of grief in order
denial, anger, bargaining, depression and acceptance

Bargaining
Denial
Anger
Acceptance
Denial

A teenage girl and her mother are in the office. When the teen uses
the restroom, her mother asks the nurse about the changes that Linda is going through. She
would like to talk to her about sexuality and its changes but she is unsure of how to do this.
What reminders should the nurse give to the mother for when she discusses
sex?

Promote open lines of communication; listen instead of lecture;

and share family values.

The nurse is preparing to send a child with cancer for a radiation treatment. Which medication
should the nurse...

Antiemetic

What are important considerations when the nurse is planning care for the child and family of a
child with cancer? Select all that apply.

-Family's coping strategies

-Monitoring for side effects of treatment
-Stage of grief of child, parents, &siblings -Prognosis of cancer
-Prevention &alleviation of pain

Parents have just been informed that their child

has a malignancy. The mother breaks down in tears, while the father appears...
Fear related to diagnosis of cancer

Nursing students are reviewing information about childhood cancers. They demonstrate
understanding of the information when they identify what as the most frequent type?

Leukemia

A nurse is assisting in a parent education class on accident prevention. Which statement by a

parent indicates that further education is needed?

"My son should only wear his helmet when he goes on long rides around the
neighborhood."

A number of inherited diseases can be detected in utero by amniocentesis. Which disease can
be detected by this method?

Karyotyping for chromosomal defects can be carried out using amniocentesis.

The school nurse is providing nutritional guidance to a 9th-grade health class. Which foods
should the nurse recommend as good source of calcium?

Cheese, yogurt, and white bean

An adolescent female with anemia has been prescribed a diet high in iron. Selection of which
meal indicates to the nurse that the client understands the prescribed diet?

meatloaf, steamed cauliflower with cheese, and milk

A nursing student compares and contrasts childhood and adult cancers. Which statement does
so accurately?

Children's cancers, unlike those of adults, often are detected accidentally, not through
screening.

The nurse is conducting an assessment of a 5-year- old client. During the assessment, the
nurse notes that the child does not maintain eye contact or speak. The nurse suspects an
autism spectrum disorder. Which additional finding would help support the nurse's suspicion?
The child constantly opens and closes the hands.

The nurse is speaking to the mother of a dying child about the best ways to manage pain and
discomfort. Which is the best response by the nurse?

We will provide pain medication around the clock to help prevent recurrence or
escalation of pain.

The nurse has just completed an assessment on a child who voices an interest in how things
are made and who needs support when they are not successful. The child further reports he is
involved in clubs and sports outside the home. The nurse is aware that this child is in which of
Erikson's states of development?

Industry versus inferiority

The nurse is caring for the parents of a toddler recently diagnosed with an autism spectrum
disorder. The parents ask the nurse. Will our child ever be able to live alone and unsupervised
as an adult? What is the best response by the nurse?

Our goal is for your child to function at the highest level within the limitations of the
autism spectrum disorder.

The nurse is speaking with the mother of an infant with special needs. The mother states she is
not sure how she will afford the care her child will need. What is the best response by the
nurse?

"Your child may qualify for Supplemental Security Income (SSI). This program is a cash
assistance program and pays monthly benefits to the child."

The mother of a 10-year-old daughter is concerned that her child is becoming overweight. Her
weight plots in the 95th percentile in the growth chart. Which action would the nurse recommend
to the mother to address her concerns?

Offer to go walking every day after school with her for 30

minutes.

An 8-year-old boy's foster mother is concerned about three recent cavities

found in his permanent teeth and reports the child eats a nutritional diet, doesn't eat junk food,
and the town water supply is fluoridated. Which suggestion should the nurse prioritize to this
mother in regard to the child's dental health?

Ensure that the child brushes his teeth after each meal
and snacks.

A group of nursing students are studying information about childhood cancers in preparation for
a class examination. They are reviewing how childhood cancers differ from adult cancers. The
group demonstrates understanding of the information when they identify what location as an
unlikely site for childhood cancer?

Bladder

The 18-month-old toddler has been brought into the pediatrician's office by his parents. The
nurse interviews the parents regarding the child's abilities. Which findings are warning signs that
the toddler may have autism spectrum disorder? Select all that apply.

• Has never "babbled"

• Does not exhibit attempts to communicate by pointing to objects
• Does not use any words

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

A nurse getting ready to conduct preoperative teaching with a 9-year-old realizes that the best
method when teaching young clients is to:

use short sessions.

The parents of a child with physical and developmental special needs state, "We wish our child
could get some kind of educational experience." How should the nurse respond?
This must be difficult for you. Let's talk with the social worker to see what programs are
available for your child.

The nurse is preparing a 4-year-old girl for a lumbar puncture. The child is extremely fearful and
crying. The nurse needs to quickly gain the child's cooperation so the procedure can move
forward as ordered. Which approach by the nurse should be used?

Engage the mother in therapeutic hugging.

The father of an 8-year-old boy who is receiving radiation therapy is upset that his son has to go
through 6 weeks of treatments. He doesn't understand why it takes so long. In explaining the
need for radiation over such a long time, which of the following should the nurse mention?
Cells are only susceptible to treatment by radiation during certain phases of the cell
cycle

The nurse is assessing an adolescent's risk for harm from guns being present in the home.
What question would be best to ask during the assessment?

Are the guns in your home locked in a safe?

The nurse is caring for a newborn infant who has Down syndrome. Which nursing action reflects
the nurse's use of the ethical principle of nonmaleficence?

The nurse provides safe, competent nursing care to avoid harming the infant.

The nurse is caring for a 7-year-old girl hospitalized in isolation. The nurse notices that she has
begun sucking her thumb and changing her speech patterns to those of a toddler. What
condition is the girl manifesting?

Regression

A nurse is caring for a 12-year-old girl who is recovering from surgery for removal of a brain
tumor. Which of the following interventions should the nurse implement to avoid increasing
intracranial pressure?
b) Regulate the rate of IV fluid infusions carefully

The nursing instructor is leading a class discussion on the various aspects of adolescents. The
instructors determines the class is successful after the students correctly choose which
milestone as the beginning of adolescence?

The beginning of puberty

An adolescent receiving chemotherapy has lost all hair and is sad about self-image. Which
action should the nurse take to support this adolescent and involve the client in decision
making?

Encourage the adolescent to select hats or wigs to fit one's personality.

Which is the most developmentally appropriate intervention when working with the hospitalized
adolescent?

Encourage peers to call and visit when the adolescents condition allows

The nurse is caring for a child who has a depressed immune system due to chemo treatments.
The child is due for scheduled immunizations according to CDC recommendations. The nurse
must ensure that the child does not receive which type of immunization?

live vaccine