Peds NSG 325 Week 2 Questions With Complete Solutions
) The nurse is teaching the parents of a 4-month-old infant about
good feeding habits. The nurse emphasizes the importance of
holding the baby during feeding and not letting the infant go to
sleep with the bottle. Which disorder is associated with propped
feedings and going to sleep with the bottle?
1. Otitis media
2. Aspiration
3. Malocclusion problems
4. Sleeping disorders Answer: 1
1. Otitis media
1) A school-age client, recently diagnosed with asthma, also has
a peanut allergy. The nurse instructs the family to not only avoid
peanuts but also to carefully check food label ingredients for
peanut products and to make sure dishes and utensils are
adequately washed prior to food preparation. The mother asks
why this is specific for her child. Based on the client's history,
the nurse knows that this client is at an increased risk for which
complication?
1. Urticaria
2. Diarrhea
3. Anaphylaxis
4. Headache Answer: 3
3. Anaphylaxis
1) The community-health nurse visits the child-care center.
Which finding indicates the need for staff education?
1. A group of 2-year-olds are eating a snack of Cheerios.
2. Several 4-year-olds are outside playing on a slide.
,3. An 18-month-old is pushing a toy truck.
4. A 2-month-old is sleeping in a crib on his stomach. Answer:
4
4. A 2-month-old is sleeping in a crib on his stomach.
1) The nurse in the long-term care clinic is reviewing the charts
of a group of children with chronic physical, psychological,
functional, and social limitations. Which conditions are most
likely to lead to chronic limitations? Select all that apply.
1. Near drowning
2. Congenital heart defect
3. Sinusitis
4. Fetal insult when the mother contracted rubella in the first
trimester of pregnancy
5. Sepsis contracted as a neonate Answer: 1, 2, 4, 5
1. Near drowning
2. Congenital heart defect
4. Fetal insult when the mother contracted rubella in the first
trimester of pregnancy
5. Sepsis contracted as a neonate
1) The nurse is admitting a school-age Vietnamese client who
hit a parked car while riding a bike. The child has a fracture of
the left radius and femur in addition to a fractured orbit. The
child is stoic and denies pain. Which nursing actions are most
appropriate in this situation? Select all that apply.
1. Use the FLACC scale to determine the child's pain level.
2. Tell the child to ring the call bell if the leg starts hurting.
3. Administer pain medication now and continue on a regular
basis.
,4. Ask the child's parents to notify the nurse if the child
complains of pain.
5. Use the NIPS scale to determine the child's pain level.
Answer: 1, 3, 4
1. Use the FLACC scale to determine the child's pain level
3. Administer pain medication now and continue on a regular
basis.
4. Ask the child's parents to notify the nurse if the child
complains of pain.
1) 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? Select all that apply.
1. Making all ADL decisions for the adolescent and family
2. Asking the adolescent what foods to include during meal time
3. Allowing the family time to pray each day with the adolescent
4. Encouraging the adolescent's friends to visit during visiting
hours
5. Leaving all questions for the healthcare provider Answer: 2,
3, 4
Asking the adolescent what foods to include during meal time
3. Allowing the family time to pray each day with the adolescent
4. Encouraging the adolescent's friends to visit during visiting
hours
1) 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?
1. Escort the parents to the waiting room and assure them that
they can see their child soon.
, 2. Allow the parents to stay with the child.
3. Ask the physician if the parents can stay with the child.
4. Tell the parents that they do not need to stay with the child.
Answer: 2
2. Allow the parents to stay with the child.
1) The parents of a toddler-age child who sustained severe head
trauma from falling out a second-story window are arguing in
the pediatric intensive-care unit (PICU) and blaming each other
for the child's accident. Which nursing diagnosis is most
appropriate for this family?
1. Parental Role Conflict Related to Protecting the Child
2. Hopelessness Related to the Child's Deteriorating Condition
3. Anxiety Related to the Critical-Care-Unit Environment
4. Family Coping: Compromised, Related to the Child's Critical
Injury Answer: 4
4. Family Coping: Compromised, Related to the Child's Critical
Injury
1) Which nursing role is not directly involved when providing
family-centered approach to the pediatric population?
1. Advocacy
2. Case management
3. Patient education
4. Researcher Answer: 4
Researcher
1) While in the pediatrician's office for their child's 12-month
well-child exam, the parents ask the nurse for advice on age-
appropriate toys for their child. Based on the child's
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