Nursing Care Of The Hospitalized Child Test Bank Docx Ch.23 - Safe Maternity Nursing Care 2nd Ed - Exam Resource Pack by Luanne Linnard Palmer. DOCX document preview.
Chapter 23: Nursing Care of the Hospitalized Child
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. A nurse understands that medical play helps accomplish therapeutic goals for medical procedures. Which of the following is an example of medical play for a school-aged child?
1) | Allow the child to see all of the equipment. |
2) | Allow the child to give a doll a shot with a toy syringe. |
3) | Allow the child to read about the procedure. |
4) | Allow the child to play with block towers. |
____ 2. The nurse prepares a child to receive oxygen via a tent delivery system by allowing the child to place a teddy bear in and out of the tent and then rewarding the child with a sticker. Which practice is the nurse using?
1) | Therapeutic play |
2) | Therapeutic rewards |
3) | Therapeutic interventions |
4) | Therapeutic communication |
____ 3. The nurse is providing care to a pediatric patient who is experiencing separation anxiety as a result of hospitalization. Which data indicate that the patient is experiencing the “despair” stage?
1) | Lies quietly in bed |
2) | Does not cry when parents return and leave again |
3) | Appears to be happy and content with staff |
4) | Screams and cries when parents leave |
____ 4. The nurse understands which of the following as a common fear for a hospitalized pediatric patient between the ages of 6 and 36 months?
1) | Restraints |
2) | Death |
3) | Stranger anxiety |
4) | Therapeutic play |
____ 5. Which nursing action is most appropriate when providing emergency care to a child whose parents do not wish to leave the room?
1) | Asking the health-care provider if the parents can stay with the child |
2) | Allowing the parents to stay with the child |
3) | Escorting the parents to the waiting room and assuring them that they can see their child soon |
4) | Telling the parents that they do not need to stay with the child |
____ 6. Which of the following terms is a key element in recognizing the family in the constant in the child’s life?
1) | Therapeutic hugging |
2) | Medical play |
3) | Family-centered care |
4) | Regression |
____ 7. A preschool-aged child is admitted to the pediatric unit for surgery. The parents request to stay with their child. Which is the best response by the nurse?
1) | Tell the parents they can stay in the hospital but not on the unit. |
2) | Read the rules and regulations of rooming in with the child. |
3) | Let the parents know that they are allowed to stay with the child. |
4) | Explain to the parents why they cannot stay with the child. |
____ 8. Which tool should the nurse use to monitor pain in a toddler-aged patient?
1) | FACES pain scale |
2) | FLACC pain scale |
3) | Oucher pain scale |
4) | Numeric pain scale |
____ 9. Which nursing action is most appropriate to minimize stress for a pediatric patient who will have a planned hospitalization for a tonsillectomy and his or her family?
1) | Telling the client and family that everything will be fine |
2) | Explaining to the client and family how the child will benefit from the surgery |
3) | Telling the client and family that the surgeon is very good |
4) | Giving the client and family a tour of the hospital unit or surgical area |
____ 10. Which of the following terms is an example of using structured play to allow the child to learn about the hospital experience?
1) | Parallel play |
2) | Medical play |
3) | Cooperative play |
4) | Associative play |
____ 11. A nurse is discussing the pediatric unit’s playroom with a child’s family. What statement by the parent needs further instruction?
1) | “In this room my child will receive medications.” |
2) | “In this room we can discuss my child’s status with the physician.” |
3) | “In this room my child can receive medical assessments.” |
4) | “In this room my child will have time to enjoy playing.” |
____ 12. Which nursing action is most appropriate to reduce stress while preparing a 5-year-old pediatric patient for surgery?
1) | Allow the child to keep her favorite necklace on during surgery. |
2) | To reduce stress quickly explain the procedure to the child and the parents. |
3) | Allow the parents to be with the child up to the last minute before sedation. |
4) | To reduce stress talk in a firm voice without making eye contact. |
____ 13. Which strategy is most appropriate for administering a medication to a toddler-aged child who has a history of being difficult?
1) | Put the medication in a favorite drink in the child’s sippy cup. |
2) | Notify the health-care provider to change the route to IV. |
3) | Hold the child down and squirt the medication into the corner of his mouth. |
4) | Allow the mother to administer the medication to the child. |
____ 14. Which action is most appropriate when providing care to a hospitalized pediatric patient who is on contact precautions because of a communicable disease?
1) | Asking the parents to visit the child once per day |
2) | Scheduling physical therapy for the child |
3) | Providing age-appropriate stimulation for the child |
4) | Discouraging the parents from holding their child during the visit |
____ 15. Which nursing intervention is appropriate to enhance safety for the parents of a hospitalized toddler?
1) | Allow the toddler to walk barefoot. |
2) | Allow the supplies to be kept at the bedside table. |
3) | Teach the parents how to use the call bell. |
4) | Encourage the parents to sleep with the toddler in the big bed. |
____ 16. A mother explains to the nurse that she feels guilty leaving her child when she has to go to work. When she returns her child seems to ignore her. What is the nurse’s best response?
1) | “This is an emotional response that you should ignore.” |
2) | “This is an emotional response that will go away.” |
3) | “This is a normal emotional response.” |
4) | “This is an abnormal emotional response.” |
____ 17. A mother tells the nurse that her child has started sucking his thumb during his hospitalization. Which term should the nurse use for documenting to describe this behavior?
1) | Protest |
2) | Despair |
3) | Denial |
4) | Regression |
____ 18. A nurse is following procedures for using pharmaceutical interventions for pain in the hospitalized child. Which of the following actions by the nurse needs further instruction?
1) | Consults a drug guide for safe dose range |
2) | Uses the child’s current weight for dosing pain medication |
3) | Administers the pain medication without a second nurse |
4) | Follows safety procedures for narcotics |
____ 19. A nurse is providing parental instruction for a 24-hour urine collection for a hospitalized child. Which of the following statements by the child’s parent needs further instruction?
1) | “This test is to evaluate kidney function.” |
2) | “This test is timed with the first urine collection.” |
3) | “This container can be kept in the unit refrigerator.” |
4) | “The container comes from the laboratory.” |
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
____ 20. Which nursing actions are appropriate when providing care to a toddler-aged patient who is restrained to protect an incision after a surgical procedure? (Select all that apply.)
1) | Using the least restrictive method |
2) | Obtaining an order containing the reason, the type of restraint, and a start/stop time |
3) | Removing the restraints every 4 hours to assess the skin |
4) | Encouraging games and activities that promote growth and development |
5) | Assessing hygiene and elimination needs frequently |
____ 21. A nurse is discussing tips for sleep success for the child during the child’s hospitalization. Which interventions should the nurse offer? (Select all that apply.)
1) | Maintain consistent lights out and bedtime. |
2) | Maintain bedtime rituals such as bedtime reading. |
3) | Maintain presence of a parent or family member during the child’s overnight stay. |
4) | Maintain medication administration times during the night. |
5) | Maintain consistency with comfort items from home. |
____ 22. A nurse is making pediatric bed assignments. What should the nurse take into consideration when making bed assignments? (Select all that apply.)
1) | Children of like ages can room together. |
2) | Children with like diagnoses can be roomed together. |
3) | Children and adults can room together. |
4) | Older infants should be placed in cribs. |
5) | Young toddlers can be given a full-sized bed. |
____ 23. Which nursing actions are appropriate when teaching a pediatric patient how to administer an insulin injection? (Select all that apply.)
1) | Showing the child a syringe filled with water to practice on a favorite doll |
2) | Showing the child a video of another child receiving an insulin injection |
3) | Showing the child a picture of the beach to imagine jumping in the waves |
4) | Showing the child how the injection will occur by pretending to inject self |
5) | Showing the child how the injection occurs by allowing the child to watch another child receive the injection first |
____ 24. Which of the following are immediate responses of untreated pain in the hospitalized child? (Select all that apply.)
1) | Decreased oxygen saturation |
2) | Increased heart rate |
3) | Increased blood pressure |
4) | Mistrust with the health-care team |
5) | Poor motor performance |
____ 25. A nurse is developing playful ways to engage the child following an operative procedure. Which of the following postoperative interventions can the nurse use? (Select all that apply.)
1) | Have the child ambulate to the playroom. |
2) | Offer popsicles. |
3) | Have the child blow a pinwheel. |
4) | Offer to have the child decorate new dressing changes. |
5) | Provide a prize for participation. |
Chapter 23: Nursing Care of the Hospitalized Child
Document Information
Connected Book
Safe Maternity Nursing Care 2nd Ed - Exam Resource Pack
By Luanne Linnard Palmer
Explore recommendations drawn directly from what you're reading
Chapter 21 Health Promotion Of The School-Aged Child
DOCX Ch. 21
Chapter 22 Health Promotion Of The Adolescent
DOCX Ch. 22
Chapter 23 Nursing Care Of The Hospitalized Child
DOCX Ch. 23 Current
Chapter 24 Acutely Ill Children And Their Needs
DOCX Ch. 24
Chapter 25 Adapting To Chronic Illness And Supporting The Family Unit
DOCX Ch. 25