Pediatric Nursing An Introductory Text 10th Edition By Price -Test Bank
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Price: Pediatric Nursing, 10th Edition
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Chapter 3: Care of the Hospitalized Child
MULTIPLE CHOICE
1. Kaylee
is 6 years old. She will require hospitalization for correction of a bowel
obstruction. She could be hospitalized in a(n):
|
a. |
Pediatric hospital |
|
b. |
A general hospital that
admits children |
|
c. |
The pediatric unit of a
general hospital |
|
d. |
All of the above |
ANS: D
A child could be admitted to any of these settings.
DIF: Cognitive Level:
Application
REF: Page
23
OBJ: 2
TOP: The Hospital
Setting
KEY: Nursing Process Step: N/A
MSC: NCLEX: Safe and Effective Care Environment
2. Kaylee
has a favorite shirt she would like to wear. Your understanding of the hospital
setting helps you understand that:
|
a. |
Wearing her own clothes
will make her feel more comfortable |
|
b. |
Wearing her own clothes
will present an infection control problem |
|
c. |
Wearing her own clothes
will make caring for the child more difficult |
|
d. |
Wearing her own clothes
will not be permitted |
ANS: A
Allowing the child to wear her own clothes helps to bridge the
gap between home and hospital. Wearing clothes from home should not pose an
infection control problem. The nurse can assess the clothing and determine if
this is a risk.
DIF: Cognitive Level:
Application
REF: Page
23
OBJ: 3
TOP: The Hospital
Setting
KEY: Nursing Process Step: Assessment
MSC: NCLEX: Psychosocial Integrity
3. Kaylee
has had her surgery and needs to have a dressing change. You expect that this
procedure may be both painful and frightening to the child. This procedure
should be performed:
|
a. |
In the patient’s room,
because the surroundings are familiar |
|
b. |
In the treatment room, so
she will associate positive feelings with her patient room |
|
c. |
In the playroom, so she
will be distracted by the other children playing |
|
d. |
None of the above |
ANS: B
Painful and frightening procedures are accomplished in the
treatment room. The child needs to feel safe and secure in the patient room.
Performing the procedure in front of other children is inappropriate.
DIF: Cognitive Level:
Synthesis
REF: Page
23
OBJ: 2
TOP: The Hospital
Setting
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe and Effective Care Environment
4. Playrooms
are included in most pediatric departments. The purpose of the playroom is:
|
a. |
To provide a safe place for
the children to go when the nurses take a break |
|
b. |
To provide an incentive for
patients to choose this hospital |
|
c. |
To provide play therapy,
which will alleviate some of the stress the child is experiencing |
|
d. |
To determine if the child
is well enough for discharge |
ANS: C
Playrooms provide a place for children to play. Many units
include a play therapist.
DIF: Cognitive Level:
Knowledge
REF: Page
23
OBJ: 2
TOP: The Hospital
Setting
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe and Effective Care Environment
5. A
2-year-old patient is on a pediatric unit. The child’s mother leaves the unit
for a few hours. When the child realizes the mother is gone, the child protests
loudly, watches the door, and then resumes crying. The child is in which of the
following stages of separation:
|
a. |
Despair |
|
b. |
Denial |
|
c. |
Protest |
|
d. |
Depression |
ANS: C
The child is in the protest stage. Depression is not a stage of
separation.
DIF: Cognitive Level:
Application
REF: Page
24
OBJ: 4
TOP: The Child’s Reaction to Hospitalization
KEY: Nursing Process Step:
Assessment MSC: NCLEX: Psychosocial
Integrity
6. Matthew
is 7 years old. He is scheduled to have surgery next week. The nurses on the
unit offer to give Matthew and his parents a tour of the unit. This is:
|
a. |
Correct, because it will
allow the parents to meet the people that will be taking care of their child |
|
b. |
Incorrect, because it will
overwhelm and frighten the child |
|
c. |
Incorrect, because it will
be an infection control risk |
|
d. |
Correct, because the
parents will not be allowed to stay with the child |
ANS: A
A prehospitalization tour or class will help to alleviate the
anxiety of the parent and the child. The child will have his parents with him
during the tour. It will not be an infection control risk. The parents will be
encouraged to stay with the child.
DIF: Cognitive Level:
Analysis
REF: Page
28 OBJ:
5
TOP: The Family’s Reaction to Hospitalization
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity
7. A new
patient has been admitted to the pediatric unit. The nurse is about to meet the
patient and his family. The nurse:
|
a. |
Towers over the child to
show she is in charge |
|
b. |
Shows warmth and friendliness
to the child and family |
|
c. |
Should be detached and very
formal |
|
d. |
Hurries through the
interview to lessen the stress on the child |
ANS: B
The nurse will greet the child at eye level. Towering over the
child is frightening. The nurse should be warm and friendly. The nurse should
be calm and unhurried when talking with the child and family.
DIF: Cognitive Level:
Synthesis
REF: Page
29
OBJ: 5
TOP: Admission Process
KEY: Nursing Process Step: Assessment
MSC: NCLEX: Psychosocial Integrity
8. In
pediatric nursing, what is the focus of the nursing process?
|
a. |
Child |
|
b. |
Family |
|
c. |
Both A and B |
|
d. |
None of the above |
ANS: C
In pediatric nursing, both the child and the family are the
focus.
DIF: Cognitive Level:
Comprehension REF: Page
29
OBJ: 6
TOP: Critical Thinking and the Nursing Process
KEY: Nursing Process Step: Assessment
MSC: NCLEX: Safe and Effective Care Environment
9. You
are performing a review of systems on an 8-month-old infant. The infant is
awake and calm. What would be the best way to begin this exam?
|
a. |
Perform the most
distressing part of the exam first |
|
b. |
Examine the heart, lungs,
and bowel sounds |
|
c. |
Perform the rectal
temperature first |
|
d. |
Look at the patient’s chart
to see what was done first on the previous shift. |
ANS:
B
DIF: Cognitive Level: Application
REF: Page 31
OBJ:
7
TOP: Systems Review
KEY: Nursing Process Step:
Assessment MSC: NCLEX: Physiological
Integrity
10. When
auscultating the heart of a 3-year-old girl, you hear an irregular heart beat.
You understand that:
|
a. |
This is normal for a child
under age 4 |
|
b. |
The heart should have a
regular rhythm |
|
c. |
This may be caused by
anxiety and should be rechecked in 1 hour |
|
d. |
This should be rechecked on
the following shift |
ANS: B
A child of 3 should have a regular rhythm. An irregular heart
rhythm should be reported to the nurse in charge immediately.
DIF: Cognitive Level:
Analysis
REF: Page
31 OBJ:
7
TOP: Systems
Review
KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity
11. When
monitoring an infant’s pulse, the nurse on the pediatric unit should know that:
|
a. |
The normal pulse rate is
higher for infants than adults |
|
b. |
An apical pulse is
recommended for infants |
|
c. |
The nurse should listen for
any irregularities in rhythm |
|
d. |
All of the above |
ANS: D
The normal pulse rate for an infant is much higher than an
adult. The apical pulse is most recommended. Always listen for irregularities
in rhythm.
DIF: Cognitive Level:
Comprehension REF: Pages
31-32 OBJ: 8
TOP: Vital Signs
KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity
12. The
nurse is assessing the respirations of an infant on the pediatric unit. The
nurse knows that which of the following is true:
|
a. |
Respirations are counted by
observing the movement of the abdominal wall |
|
b. |
The rate is counted for
thirty 30 seconds and then multiplied by 2 |
|
c. |
After 1 year of age,
respirations should be measured in the same way as for an adult |
|
d. |
Respirations are counted by
observing the movement of the chest wall |
ANS: A
Infants are abdominal breathers, so the nurse should watch the
movement of the abdominal wall. The rate should be counted for a full minute,
because respirations tend to be irregular in infancy. Respirations are measured
the same way as an adult after the child reaches 7 years of age.
DIF: Cognitive Level:
Application
REF: Page 32
OBJ: 8
TOP: Vital Signs
KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity
13. The
normal respiratory rate for a 6- to 12-month-old is:
|
a. |
14-22 |
|
b. |
12-18 |
|
c. |
20-25 |
|
d. |
24-40 |
ANS: D
The normal rate for an infant age 6-12 months is 24-40.
DIF: Cognitive Level:
Knowledge
REF: Page
32
OBJ: 8
TOP: Vital Signs
KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity
14. An
infant is admitted to your unit. You are required to weigh each infant on
admission. You understand that this is required because:
|
a. |
You cannot trust the
information given by the parents |
|
b. |
The weight was not recorded
in the emergency department |
|
c. |
The weight is necessary in determining
dosage of medications |
|
d. |
The weight may not have
been measured by a nurse at the doctor’s office |
ANS: C
The weight is necessary for determining the dosage of
medications. An infant’s weight changes quickly, and the dosage must be accurate.
It is crucial for the nurse to take new measurements to ensure accuracy.
DIF: Cognitive Level:
Application
REF: Page
34
OBJ: 9
TOP: Measurements
KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity
15. When
weighing an infant, the nurse should:
|
a. |
Weigh the baby naked |
|
b. |
Provide a warm room |
|
c. |
Keep a hand on the infant
to prevent falls |
|
d. |
All of the above |
ANS: D
The baby should be weighed naked for accuracy. The room should
be warm because the baby is unclothed. The baby is at risk for falling, so the
nurse should keep a hand on the baby at all times.
DIF: Cognitive Level:
Comprehension REF: Pages
34-36 OBJ: 9
TOP:
Measurements
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity
16. The
nurse is caring for a 6-month-old infant. The safety of the infant can best be
ensured by which of the following safety measures:
|
a. |
Prop nursing bottles
carefully |
|
b. |
Provide supervision to
children playing with wheelchairs |
|
c. |
Place crib away from
electrical outlets |
|
d. |
Ensure the tray is securely
locked before leaving a child unattended in a high chair |
ANS: C
Bottles should never be propped. Children should not be allowed
to play with wheelchairs. The crib should always be placed away from electrical
outlets to prevent child from placing objects or fingers into the outlet. Never
leave a child unattended in a high chair.
DIF: Cognitive Level:
Application
REF: Page
37
OBJ: 11
TOP:
Safety
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe and Effective Care Environment
17. A
6-year-old is going home today. She is newly diagnosed with Type I diabetes.
Her parents have been taught how to manage her disease, but the nurse is
concerned that they may not remember everything that was taught. The nurse can
best help the parents by:
|
a. |
Instructing the parents
that they can bring their child back to the unit for additional help as
needed |
|
b. |
Beginning discharge
planning as soon as the order for discharge has been written by the attending
physician |
|
c. |
Providing the family with
written instructions regarding diet, medications, activity, and procedures
needed by the child |
|
d. |
Delaying informing the
parents of the impending discharge to prevent stress and anxiety for the
parents and child |
ANS: C
Parents cannot bring their child back to the unit as needed.
Discharge planning should begin as soon as the patient is admitted. Providing
written instructions about all aspects of care will reinforce teaching and
provide an important resource for the parents. The parents need to be informed
of discharge as soon as possible so that they can begin making arrangements and
can prepare for departure.
DIF: Cognitive Level:
Synthesis
REF: Pages 30-31 OBJ: 10
TOP: Discharge Planning
KEY: Nursing Process Step: Implementation and
Evaluation
MSC: NCLEX: Physiological Integrity
18. A
child is admitted with an infectious disease. He is placed in an isolation
room. In order to assess this child you should:
|
a. |
Use your own stethoscope
and wipe thoroughly with antiseptic after use |
|
b. |
Use a stethoscope reserved
for this patient and kept on the unit |
|
c. |
Use a sterile stethoscope
each time the patient is assessed |
|
d. |
Remove the used equipment
each day for disinfection |
ANS: B
A patient in isolation will have equipment for daily care placed
on the unit. A sterile stethoscope is not needed. Equipment is kept in the unit
until the patient is discharged. Removing the equipment daily will increase
exposure risk to others.
DIF: Cognitive Level:
Application
REF: Pages 39-40 OBJ: 12
TOP: Preventing the Transmission of Infection
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safety and Infection Control
19. A
child in isolation is not permitted to go to the playroom. The child would like
to play and requests toys from the playroom. You explain:
|
a. |
He cannot have any toys
because they would have to be thrown away |
|
b. |
He can have washable toys
because they can be disinfected |
|
c. |
He will not feel like
playing because he is sick |
|
d. |
He should have brought toys
from home if he wanted to play |
ANS: B
The child can have toys when in isolation. The toys must be
washable. Children need to play, even when they are sick. Children do not have
to bring their own toys to play.
DIF: Cognitive Level:
Application
REF: Page
40
OBJ: 12
TOP: Preventing the Transmission of Infection
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safety and Infection Control
20. A
7-year-old is scheduled for surgery by her physician. The child is not
hospitalized before the surgery. In order to prepare a child for surgery, the
nurse should:
|
a. |
Encourage the parents to
bring their child to a preoperative tour and class |
|
b. |
Instruct the parents to
wait until the day of surgery to tell the child about it |
|
c. |
Tell the child that he or
she will be put to sleep and will not feel anything |
|
d. |
Give the needed
explanations to the parents and have the parents give explanations to the
child |
ANS: A
Parents should be encouraged to bring their children to a
preoperative class and tour. This reduces stress on both parent and child.
Parents should tell the child a few days in advance to give the child time to
prepare. Not informing the child before the event will diminish trust. Telling
children that they will be put to sleep may frighten them, since this is a
phrase often used to explain death of a pet. The nurse should explain
procedures to the parents and the child.
DIF: Cognitive Level:
Application
REF: Page
41
OBJ: 13
TOP: Implications of Pediatric
Surgery KEY: Nursing Process Step:
Implementation
MSC: NCLEX: Psychosocial Integrity
21. Shamika
is 5 years old. She had surgery yesterday. In order to evaluate her pain the
nurse will:
|
a. |
Expect the child to
complain if she is in pain |
|
b. |
Observe for verbal and
nonverbal cues that she is in pain |
|
c. |
Give pain medication if the
child is crying |
|
d. |
Ask the child to rate her
pain on a scale of 1 to 10 |
ANS: B
Children do not always complain if they are in pain. They are
frightened by the events and their surroundings. The nurse should evaluate for
both verbal and non verbal cues of pain. Children may not always cry if they
are in pain. Conversely, they may be crying for another reason. Children at
this age cannot rate their pain in this way. The nurse would use a pictorial
pain scale.
DIF: Cognitive Level:
Analysis
REF: Page
41 OBJ:
14
TOP: The Child in
Pain
KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity
MATCHING
Match the following terms with their definition:
|
a. |
Critical thinking |
|
b. |
Nursing Outcomes Classification |
|
c. |
Critical pathways |
1. A
nursing language that facilitates communication, data collection, and
prioritizing of patient care
2. Convert
outcomes for a problem into actions necessary to achieve the outcomes
3. An
expanded, systematic way of thinking
1. ANS:
B
DIF: Cognitive Level:
Knowledge
REF: Pages 29-30
OBJ:
1
TOP: Critical Thinking and the Nursing Process
KEY: Nursing Process Step: Assessment
MSC: NCLEX: Health Promotion and Maintenance
2. ANS:
C
DIF: Cognitive Level:
Knowledge
REF: Pages 29-30
OBJ:
1
TOP: Critical Thinking and the Nursing Process
KEY: Nursing Process Step: Assessment
MSC: NCLEX: Health Promotion and Maintenance
3. ANS:
A
DIF: Cognitive Level:
Knowledge
REF: Pages 29-30
OBJ:
1
TOP: Critical Thinking and the Nursing Process
KEY: Nursing Process Step: Assessment
MSC: NCLEX: Health Promotion and Maintenance
SHORT ANSWER
1. Critical
thinking uses all of the concepts listed below except:
Processing
Inquiry
Criticism
Reasoning
Criticism
Creativity
Ingenuity
ANS:
Criticism
DIF: Cognitive Level:
Analysis
REF: Page
29
OBJ: 6
TOP: Nursing
Process
KEY: Nursing Process Step: Evaluation
MSC: NCLEX: Safe and Effective Care Environment
2. A
patient in an isolation room is experiencing projectile vomiting. In order to
assist this patient, list the personal protective equipment that the nurse
should don:
ANS:
Gloves
Mask
Gown
Protective eye wear
DIF: Cognitive Level:
Comprehension REF: Pages
40-41 OBJ: 12
TOP: Preventing the Spread of
Infection KEY: Nursing Process Step:
Implementation
MSC: NCLEX: Safety and Infection Control
3. List
five nursing implementations that can help relieve the stressors of
hospitalization.
ANS:
Explain all procedures
Be honest
Encourage parents to stay with the child
Maintain the routine of home
Encourage parents to bring a familiar object from home
Perform all invasive treatments in the exam room
Provide a consistent caretaker, when possible
Provide comfort to the child after traumatic procedures
DIF: Cognitive Level:
Comprehension REF: Page
25
OBJ: 3
TOP: The Child’s Reaction to Hospitalization
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychological Integrity
4. A
method for children to act out situations that are part of their hospital
experience:
ANS:
Dramatic play
DIF: Cognitive Level:
Knowledge
REF: Page
26
OBJ: 3
TOP: The Child’s Reaction to Hospitalization
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity
Price: Pediatric Nursing, 10th Edition
Test Bank
Chapter 4: The Newborn Infant
MULTIPLE CHOICE
1. The
nurse working in the delivery room is ready to care for the newborn. The nurse understands
that the airway patency is critical. When the baby is born, the airway:
|
a. |
Must be cleared as soon as
possible |
|
b. |
Will require aggressive
suctioning |
|
c. |
Will open in a few minutes |
|
d. |
Will only be opened by the
use of rescue medications |
ANS: A
The airway of the newborn must be maintained and should be
cleared as soon as possible. Gentle suctioning is used to protect the delicate
tissues. Rescue medications are only used if resuscitation is needed.
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