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Pediatric Nursing An Introductory Text 11th Edition Price Test Bank
Pediatric Nursing An Introductory Text 11th Edition Price Test Bank
Testbank
MULTIPLE CHOICE
1. As part of the preparation for obtaining a throat swab from a toddler, the nurse will:
a. Bring all equipment to the bedside prior to explaining the procedure to the child
b. Tell the toddler several hours in advance
c. Have the parent restrain the child
d. Give a brief simple explanation to the child
ANS: D
The toddler should receive a simple explanation just before the procedure. The equipment
should not be brought to the bedside until explanations have been given to the child and
the parent. The parents can hold the child but should not be seen as the restrainer.
2. The nurse is aware that the most effective form of comfort for an 11-year-old school-age
child after a painful procedure is:
a. Therapeutic holding by the parent
b. Praise for cooperation
c. A Mickey Mouse sticker
d. A lollipop
ANS: B
The older school-age child responds well to praise. Therapeutic holding, candy, and
colorful stickers are childish.
3. In demonstrating technique for bathing an infant, the home health nurse stresses to the
parents considerations such as:
a. Always run hot water first to prevent chilling
b. Wrap the circumcised penis in waterproof plastic
c. Apply lotions, not powder, after the bath
d. Mild bubble bath will lubricate the skin
ANS: C
Copyright © 2012, 2008, 2005, 2001, 1997, 1992, 1987, 1981, 1976, 1970, 1965 by Saunders, an imprint
of Elsevier Inc.
Use lotions rather than powder due to the risk of aspiration. Cold water should be run in
the tub first. Circumcised infants should be sponged until circumcision is healed. Bubble
baths may cause vaginitis in infants.
4. Prior to obtaining a clean-catch specimen from a 4-year-old, the nurse could best get the
child to comply by:
a. Telling the child to void in the cup
b. Using the term the child uses for urination in explanations
c. Gently washing the perineum, holding the cup in place, and asking the child to
void
d. Catheterizing the child
ANS: B
The child will not understand what a clean-catch urine specimen is, so the nurse should
explain to the child what is needed. The nurse should discover what term the child uses
for urination, because the other terms may also be meaningless. Catheterization is
unnecessary.
5. A child with spina bifida requires home catheterization. The child is now old enough to
learn how to perform this procedure himself. The child is taught:
a. Clean the tip of the penis with soap and water or Betadine
b. Insert the catheter 3 inches
c. Do not lubricate the catheter if reusing
d. Never reuse the catheter
ANS: A
The tip of the penis should be cleaned with soap and water or Betadine. The catheter
should be inserted until urine is returned. Always lubricate the catheter before insertion.
The catheter can be cleaned, dried, and reused for 1 week without increasing the risk of
infection.
6. In order to lessen the discomfort of a venipuncture for a blood draw for a 3-year-old child,
the nurse may apply EMLA (local anesthetic cream) to the antecubital fossa:
a. Immediately prior to venipuncture
b. 10 minutes prior to venipuncture
Copyright © 2012, 2008, 2005, 2001, 1997, 1992, 1987, 1981, 1976, 1970, 1965 by Saunders, an imprint
of Elsevier Inc.
Testbank 3-3
7. After a blood draw from the antecubital fossa of a 5-year-old child, the child continues to
cry and to press his hand against the puncture site. The nurse’s best intervention would be
to say:
a. “Big kids don’t cry. It is all over, and you are just fine. Let’s go to the playroom.”
b. “This big band aid will fix that hole, and you won’t have to hold it anymore. You
were very brave!”
c. “Tell this stuffed bear how much that needle sticking in your arm hurt.”
d. “Let’s go get some ice to put on that hole in your arm.”
ANS: B
Preschoolers may fear continuously losing blood from the puncture site. The placement
of a large bandage reassures them that their body fluids will not leak out.
8. The nurse while assisting the physician with a lumbar puncture of a small child will take
special precaution to closely monitor the:
a. Blood pressure
b. Pulse
c. Respiratory status
d. Temperature
ANS: C
The nurse would monitor the respiratory status of the child during the procedure.
Respiratory obstruction is a risk when the neck is flexed. The other vital signs would be
monitored before the beginning of the procedure.
9. In order to prepare a child for a lumbar puncture, the nurse would place the child in
which position?
a. Supine
b. Side-lying in the center of the table with knees flexed
Copyright © 2012, 2008, 2005, 2001, 1997, 1992, 1987, 1981, 1976, 1970, 1965 by Saunders, an imprint
of Elsevier Inc.
Testbank 3-4
10. Following a successful lumbar puncture, in order to avoid post-procedure discomfort for
the patient, the nurse should:
a. Ask the parents to keep the child flat for several hours
b. Encourage the child to begin ambulation as soon as possible
c. Place the child in the high Fowler’s position for several hours
d. Place the child in the semi-Fowler’s position with knees flexed for several hours
ANS: A
The child is instructed to lay flat for a certain amount of time in order to decrease the
chance of developing a spinal headache. Ambulation and a high Fowler’s position would
increase the likelihood of having a spinal headache.
11. The nurse sees an order to give 500 mg of an oral suspension of Ampicillin to a child
who weighs 22 pounds. After the nurse has calculated the dose based on the child’s
weight and sees that the dose should be 50 mg/kg/day, the nurse should:
a. Tell the charge nurse that the dose seems too high
b. Call the physician to clarify the order
c. Give the ordered dose
d. Ask the parents if the child has taken this much drug previously
ANS: C
The nurse should calculate the child’s weight in kilograms and compare with the
recommended dose. 22 pounds child weight = 10 kilograms; 10 kilograms multiplied by
50 mg = 500 mg. The ordered dose should be given.
12. The nurse has drawn up 5 units of insulin to give to an 8-year-old. As a safety precaution
prior to giving the drug, the nurse should:
a. Ask the parent if the child has ever had an insulin reaction
b. Check the child’s blood sugar
Copyright © 2012, 2008, 2005, 2001, 1997, 1992, 1987, 1981, 1976, 1970, 1965 by Saunders, an imprint
of Elsevier Inc.
Testbank 3-5
13. The nurse brings the medication into a child’s room for administration. The intervention
that will ensure safe administration of this medication is:
a. Call the child by name to verify the patient’s identity
b. Verify the patient’s identity with the hospital identification band for child’s birth
date
c. Inform the parent about the side effects of the drug
d. Ask another nurse to verify the child’s identity
ANS: B
The nurse should not rely on the child for verification of identity. The identity should be
confirmed by comparing the hospital identification band and a second identifier, such as
birth date or room number.
14. The nurse caring for a 2-month-old baby uses a(n) __________ to administer a very small
dose of oral medication that is in a suspension.
a. Oral syringe
b. Calibrated cup
c. Teaspoon
d. Nipple
ANS: A
The nurse would use an oral syringe, because it is the most accurate. Teaspoons are often
inaccurate and do not hold a standard amount. It is hard to be accurate with a small dose
using a calibrated cup. The nipple is useful but does not have anything to do with
accuracy.
15. An intramuscular (IM) injection is ordered for a 6-month-old child. The nurse should
select the injection site of:
Copyright © 2012, 2008, 2005, 2001, 1997, 1992, 1987, 1981, 1976, 1970, 1965 by Saunders, an imprint
of Elsevier Inc.
Testbank 3-6
a. Dorsogluteal
b. Ventrogluteal
c. Vastus lateralis
d. Deltoid
ANS: C
The nurse would choose the vastus lateralis because it is well-developed at birth, it is the
largest muscle mass, and it has the fewest vessels and nerves. The dorsogluteal is not
fully developed until the child has walked for 1 to 2 years. The ventrogluteal should not
be used until 18 months. The deltoid cannot be used for large volumes of medication or
for medications that need to be administered into the deep muscle mass.
16. The nurse giving an intramuscular (IM) dose of 2 mL to a 6-month-old child should:
a. Inject the entire amount in the ventrogluteal muscle
b. Give the medication in divided doses in each deltoid
c. Inject 1 mL into each vastus lateralis
d. Divide the dose, and give 1 mL injections 1 hour apart
ANS: C
The nurse should divide the dose and give the maximum 1 mL in each vastus lateralis.
17. The nurse is aware that an IV antibiotic medication should infuse in no longer than:
a. 15 minutes
b. 30 minutes
c. 45 minutes
d. 60 minutes
ANS: D
An antibiotic medication should infuse in no longer than 60 minutes.
18. An infant with diarrhea is dehydrated. IV fluids have been ordered to restore fluid
balance. The most effective device used to prevent fluid overload is:
a. A precision-controlled syringe pump
b. A piggyback setup
c. A tunneled IV catheter
d. A 15-drop infusion set
Copyright © 2012, 2008, 2005, 2001, 1997, 1992, 1987, 1981, 1976, 1970, 1965 by Saunders, an imprint
of Elsevier Inc.
Testbank 3-7
ANS: A
A syringe or other in-line volume-control device is often used because they hold a limited
amount of fluid. Only that fluid can be administered at one time. A piggyback setup
would be used to infuse a dose of medication, not a continuous infusion. Neither a
tunneled catheter nor a 15-drop infusion set would protect the child from fluid overload.
19. The nurse monitoring the TPN infusion for a small child assesses that the infusion is
behind. The nurse should:
a. Speed up the infusion to catch up
b. Notify the charge nurse
c. Stop the infusion, and notify the charge physician
d. Give the child extra fluids to make up for the deficit
ANS: B
TPN must be monitored carefully. Speeding up an infusion can cause hyperglycemia. The
infusion should not be stopped. The charge nurse should be notified.
21. When the nurse is instilling drops into the ear of a 2-year-old, the nurse should:
a. Pull the earlobe up
b. Chill the drops prior to administration
c. Assist the child to sit upright after instillation
d. Draw the earlobe down and back to straighten the ear canal
ANS: D
Copyright © 2012, 2008, 2005, 2001, 1997, 1992, 1987, 1981, 1976, 1970, 1965 by Saunders, an imprint
of Elsevier Inc.
Testbank 3-8
For a child younger than 3 years of age, the earlobe is drawn down and back to straighten
the ear canal and allow the drops to enter the ear canal. The child should be left in a
supine or side-lying position while the drops are absorbed. The drops should be warmed.
22. The nurse modifies the technique of administering eyedrops for a 1-month-old infant by:
a. Placing the drops in the nasal corner of the eyelid
b. Asking assistance of a coworker to hold the lids open
c. Grasping the eyelashes and placing the drops under the lid
d. Applying the drops from a moistened cotton ball
ANS: A
Because infants clench their eyes shut, the drops can be placed in the nasal corner of the
eye so when the child opens the eyes the medication flows onto the conjunctiva.
COMPLETION
1. Carrying out procedures in the least stressful manner to the child is called ___________.
ANS:
Atraumatic care
Considering the least painful or stressful method to complete a procedure is classified as
atraumatic care.
2. When parenteral fluids have escaped into the surrounding tissue, the nurse would
document and report that ___________ had occurred.
ANS:
Extravasation or infiltration
Extravasation is the term for escaped parenteral fluid that has entered the surrounding
tissue.
Copyright © 2012, 2008, 2005, 2001, 1997, 1992, 1987, 1981, 1976, 1970, 1965 by Saunders, an imprint
of Elsevier Inc.
Testbank 3-9
3. A catheter threaded into the superior vena cava for the purpose of parenteral nutrition
(TPN) is referred to as a(n) ___________.
ANS:
PICC or peripherally inserted central catheter
A PICC is inserted into the antecubital area and threaded into the superior vena cava, and
it can be used for long-term parenteral therapy.
4. For a child who weighs 32 pounds, what is the maximum pediatric dose for a medication
that is recommended to be given at 35 mg/kg/day?
ANS:
507.5 mg
RAT: 32 pounds divided by 2.2 = 14.5 kilograms; 14.5 kilograms multiplied by 35 =
507.5 mg.
5. When selecting a cuff for a child, the nurse should confirm that the width of the cuff
covers approximately ____________ of the upper arm.
ANS:
Two thirds
A cuff that is too large will give an erroneously low reading.
6. When preparing an enema solution for a child younger than 2 years of age, the total
amount of fluid should not exceed ____________.
ANS:
240 mL
Children younger than 2 years of age should not receive more than 240 mL of fluid in an
enema solution.
Copyright © 2012, 2008, 2005, 2001, 1997, 1992, 1987, 1981, 1976, 1970, 1965 by Saunders, an imprint
of Elsevier Inc.
Testbank 3-10
MULTIPLE RESPONSE
2. The nurse would assess a 5-year-old patient who had a lumbar puncture completed 30
minutes ago for: (Select all that apply.)
a. Drainage at the puncture site
b. Evidence of headache
c. Elevation of temperature
d. Allergic skin reaction
e. Gastric distress
ANS: A, B, C
Following a lumbar puncture, the patient should be assessed for drainage at the puncture
site, evidence of post-puncture headache, or elevation of temperature. Allergic skin
reaction and gastric distress are not associated with post-lumbar puncture concerns.
Copyright © 2012, 2008, 2005, 2001, 1997, 1992, 1987, 1981, 1976, 1970, 1965 by Saunders, an imprint
of Elsevier Inc.
Pediatric Nursing An Introductory Text 11th Edition Price Test Bank
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Testbank 3-11
ANS: A, B, C, D
Medicating small children is hazardous because of their smaller body mass, the
immaturity of their body systems, the need for individualizing doses, and the high
toxicity of many modern drugs. Many drug references are available.
4. The signs that indicate the need for tracheal suctioning in a 3-month-old child are:
a. Coughing
b. Crust around the tracheostomy tube
c. A bubbling sound during respiration
d. Noisy breathing
e. Moisture on a dressing under the tracheostomy tube
ANS: A, C, D
Coughing, a bubbling sound during respiration, and noisy breathing are indicators of the
need for tracheostomy suctioning. Crust on the tube and a moist dressing can be remedies
when the tube is cleaned and are not indicators of obstruction.
OTHER
ANS:
B, C, A, D, E
The water is run and tested for appropriate warmth (100° F). The eyes are cleansed using
a separate cotton ball for each eye, the face is washed, the hair/scalp is shampooed, the
trunk and limbs are washed, the perineum is washed, and the baby is wrapped in a towel
to dry.
Copyright © 2012, 2008, 2005, 2001, 1997, 1992, 1987, 1981, 1976, 1970, 1965 by Saunders, an imprint
of Elsevier Inc.