d.
Allow the child to eat at a small table and
chair by herself
11.
Nurse Roy is administering total parental
nutrition (TPN) through a peripheral I.V. line to
a school-age child. What’s the smallest amount
of glucose that’s considered safe and not caustic
to small veins, while also providing adequate
TPN?
a.
5% glucose
b.
10% glucose
c.
15% glucose
d.
17% glucose
12.
David, age 15 months, is recovering from
surgery to remove Wilms’ tumor. Which findings
best indicates that the child is free from pain?
a.
Decreased appetite
b.
Increased heart rate
c.
Decreased urine output
d.
Increased interest in play
13.
When planning care for a 8-year-old boy
with Down syndrome, the nurse should:
a.
Plan interventions according to the
developmental level of a 7-year-old child
because that’s the child’s age
b.
Plan interventions according to the
developmental levels of a 5-year-old because
the child will have developmental delays
c.
Assess the child’s current developmental
level and plan care accordingly
d.
Direct all teaching to the parents because
the child can’t understand
14.
Nurse Victoria is teaching the parents of a
school-age child. Which teaching topic should
take priority?
a.
Prevent accidents
b.
Keeping a night light on to allay fears
c.
Explaining normalcy of fears about body
integrity
d.
Encouraging the child to dress without help
15.
The nurse is finishing her shift on the
pediatric unit. Because her shift is ending, which
intervention takes top priority?
a.
Changing the linens on the clients’ beds
b.
Restocking the bedside supplies needed for
a dressing change on the upcoming shift
c.
Documenting the care provided during her
shift
d.
Emptying the trash cans in the assigned
client room
16.
Nurse Alice is providing cardiopulmonary
resuscitation (CPR) to a child, age 4. the nurse
should:
a.
Compress the sternum with both hands at a
depth of 1½ to 2” (4 to 5 cm)
b.
Deliver 12 breaths/minute
c.
Perform only two-person CPR
d.
Use the heel of one hand for sternal
compressions
17.
A 4-month-old with meningococcal
meningitis has just been admitted to the
pediatric unit. Which nursing intervention has
the highest priority?
a.
Instituting droplet precautions
b.
Administering acetaminophen (Tylenol)
c.
Obtaining history information from the
parents
d.
Orienting the parents to the pediatric unit
18.
Sheena, tells the nurse that she wants to
begin toilet training her 22-month-old child. The
most important factor for the nurse to stress to
the mother is:
a.
Developmental readiness of the child
b.
Consistency in approach
c.
The mother’s positive attitude
d.
Developmental level of the child’s peers
19.
An infant who has been in foster care
since birth requires a blood transfusion. Who is
authorized to give written, informed consent for
the procedure?
a.
The foster mother
b.
The social worker who placed the infant in
the foster home
c.
The registered nurse caring for the infant
d.
The nurse-manager
20.
A child is undergoing remission induction
therapy to treat leukemia. Allopurinol is included
in the regimen. The main reason for
administering allopurinol as part of the client’s
chemotherapy regimen is to:
a.
Prevent metabolic breakdown of xanthine
to uric acid
b.
Prevent uric acid from precipitating in the
ureters