11. Samantha, age 5 years, tells the nurse that she “needs : 1361514

11. Samantha, age 5 years, tells the nurse that she “needs : 1361514.

 

11. Samantha, age 5 years, tells the nurse that she “needs a Band-Aid” where she had an injection. Which is the best nursing action?

a.Apply a Band-Aid.

b.Ask her why she wants a Band-Aid.

c.Explain why a Band-Aid is not needed.

d.Show her that the bleeding has already stopped.

12. Kimberly, age 3 years, is being admitted for about 1 week of hospitalization. Her parents tell the nurse that they are going to buy her “a lot of new toys, because she will be in the hospital.” The nurse’s reply should be based on an understanding of which concept?

a.New toys make hospitalization easier.

b.New toys are usually better than older ones for children of this age.

c.At this age, children often need the comfort and reassurance of familiar toys from home.

d.Buying new toys for a hospitalized child is a maladaptive way to cope with parental guilt.

13. Matthew, age 18 months, has just been admitted with croup. His parent is tearful and tells the nurse, “This is all my fault. I should have taken him to the doctor sooner so he wouldn’t have to be here.” Which is appropriate in the care plan for this parent who is experiencing guilt?

a.Clarify misconception about the illness.

b.Explain to parent that the illness is not serious.

c.Encourage parent to maintain a sense of control.

d.Assess further why parent has excessive guilt feelings.

14. A 14-year-old boy is being admitted to the hospital for an appendectomy. Which roommate should the nurse assign with this patient?

a.A 4-year-old boy with first day post-appendectomy surgery

b.A 6-year-old boy with pneumonia

c.A 15-year-old boy admitted with a vasoocclusive sickle cell crisis

d.A 12-year-old boy with cellulitis

15. The nurse is caring for an adolescent who had an external fixator placed after suffering a fracture of the wrist during a bicycle accident. Which statement by the adolescent should be expected about separation anxiety?

a.“I wish my parents could spend the night with me while I am in the hospital.”

b.“I think I would like for my siblings to visit me but not my friends.”

c.“I hope my friends don’t forget about visiting me.”

d.“I will be embarrassed if my friends come to the hospital to visit.”

16. A nurse is preparing to complete an admission assessment on a 2-year-old child. The child is sitting on the parent’s lap. Which technique should the nurse implement to complete the physical exam?

a.Ask the parent to place the child in the hospital crib.

b.Take the child and parent to the exam room.

c.Perform the exam while the child is on the parent’s lap.

d.Ask the child to stand by the parent while completing the exam.

17. A school-age child, admitted for intravenous antibiotic therapy for osteomyelitis, reports difficulty in going to sleep at night. Which intervention should the nurse implement to assist the child in going to sleep at bedtime?

a.Request a prescription for a sleeping pill.

b.Allow the child to stay up late and sleep late in the morning.

c.Create a schedule similar to the one the child follows at home.

d.Plan passive activities in the morning and interactive activities right before bedtime.

18. A previously “potty-trained” 30-month-old child has reverted to wearing diapers while hospitalized. The nurse should reassure the parents that this is normal because of which reason?

a.Regression is seen during hospitalization.

b.Developmental delays occur because of the hospitalization.

c.The child is experiencing urinary urgency because of hospitalization.

d.The child was too young to be “potty-trained.”

19. A child is playing in the playroom. The nurse needs to do a blood pressure on the child. Which is the appropriate procedure for obtaining the blood pressure?

a.Take the blood pressure in the playroom.

b.Ask the child to come to the exam room to obtain the blood pressure.

c.Ask the child to return to his or her room for the blood pressure, then escort the child back to the playroom.

d.Document that the blood pressure was not obtained because the child was in the playroom.

20. A nurse in the emergency department is assessing a 5-year-old child with symptoms of pneumonia and a fever of 102° F. Which intervention can the nurse implement to promote a sense of control for the child?

a.None, this is an emergency and the child should not participate in care.

b.Allow the child to hold the digital thermometer while taking the child’s blood pressure.

c.Ask the child if it is OK to take a temperature in the ear.

d.Have parents wait in the waiting room.

21. A nurse is admitting a toddler to the hospital. The parent needs to leave for a brief period. Which figure depicts the reaction the nurse expects from the child?

a.c.

b.d.

MULTIPLE RESPONSE

1. A child has just been unexpectedly admitted to the intensive care unit after abdominal surgery. The nursing staff has completed the admission process, and the child’s condition is beginning to stabilize. When speaking with the parents, the nurses should expect which stressors to be evident? (Select all that apply.)

a.Unfamiliar environment

b.Usual day-night routine

c.Strange smells

d.Provision of privacy

e.Inadequate knowledge of condition and routine

2. A nurse plans therapeutic play time for a hospitalized child. Which are the benefits of therapeutic play? (Select all that apply.)

a.Serves as method to assist disturbed children

b.Allows the child to express feelings

c.The nurse can gain insight into the child’s feelings.

d.The child can deal with concerns and feelings.

e.Gives the child a structured play environment

3. A child is being discharged from an ambulatory care center after an inguinal hernia repair. Which discharge interventions should the nurse implement? (Select all that apply.)

a.Discuss dietary restrictions.

b.Hold any analgesic medications until the child is home.

c.Send a pain scale home with the family.

d.Suggest the parents fill the prescriptions on the way home.

e.Discuss complications that may occur.

4. A child is being admitted to the intensive care unit (ICU) and the parents are with the child. Which creates stressors for children and parents in ICUs? (Select all that apply.)

a.Equipment noise

b.Privacy

c.Caring behavior by the nurse

d.Unfamiliar smells

e.Sleep deprivation

5. A nurse is interviewing the parents of a toddler about use of complementary or alternative medical practices. The parents share several practices they use in their household. Which should the nurse document as complementary or alternative medical practices? (Select all that apply.)

a.Use of acetaminophen (Tylenol) for fever

b.Administration of chamomile tea at bedtime

c.Hypnotherapy for relief of pain

d.Acupressure to relieve headaches

e.Cool mist vaporizer at the bedside for “stuffiness”

 

 

11. Samantha, age 5 years, tells the nurse that she “needs : 1361514

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