Nursing Care of Hospitalized Children > Pediatrics
Exam Review
Admission and discharge procedures
Total Questions : 16
Showing 16 questions, Sign in for moreA nurse is admitting a 4-year-old child to the pediatric unit. What is the best way to obtain the child's cooperation during the admission process?
Explanation
Choice A reason: This is not a good way to obtain the child's cooperation, as it may make the child feel ashamed or guilty for expressing emotions. It also does not address the child's fears or concerns.
Choice B reason: This may be a helpful strategy to reward the child for cooperation, but it is not the best way to obtain it. It may also create unrealistic expectations or dependence on external rewards.
Choice C reason: This is the best way to obtain the child's cooperation, as it shows respect for the child's cognitive and emotional development. It also helps the child understand what is happening and why and reduces anxiety and fear.
Choice D reason: This is not a good way to obtain the child's cooperation, as it may overwhelm or confuse the child. It also does not involve the child in his or her own care.
A nurse is reviewing the medical history of a 6-month-old infant who is being admitted to the pediatric unit. What information should the nurse obtain from the parents? (Select all that apply.)
Explanation
Choice A reason: The infant's immunization status is important information to obtain, as it may indicate the risk of vaccine-preventable diseases or adverse reactions to vaccines.
Choice B reason: The infant's birth weight and length are not relevant information to obtain, as they do not reflect the current growth and development of the infant.
Choice C reason: The infant's feeding and sleeping patterns are important information to obtain, as they may indicate nutritional status, growth rate, comfort level, and potential problems such as reflux, colic, or sleep apnea.
Choice D reason: The infant's developmental milestones are important information to obtain, as they may indicate normal or abnormal development, cognitive abilities, motor skills, and social-emotional functioning.
Choice E reason: The infant's family history of allergies is important information to obtain, as it may indicate genetic predisposition or environmental triggers for allergic reactions or asthma.
A nurse is performing a physical assessment on a 2-year-old toddler who is being admitted to the pediatric unit. What statement by the nurse would be most appropriate to elicit cooperation from the toddler?
Explanation
Choice A reason: This statement by the nurse may not be appropriate for a 2-year-old toddler, as it does not offer any choice or control to the toddler. It may also sound scary or intimidating to the toddler.
Choice B reason: This statement by the nurse would be most appropriate for a 2-year-old toddler, as it offers a limited choice and a sense of control to the toddler. It also shows respect for the toddler's preferences and autonomy.
Choice C reason: This statement by the nurse may not be appropriate for a 2-year-old toddler, as it does not offer any choice or control to the toddler. It may also sound demanding or threatening to the toddler.
Choice D reason: This statement by the nurse may not be appropriate for a 2-year-old toddler, as it does not relate to the physical assessment. It may also distract or confuse the toddler from what is being done.
A nurse is preparing to discharge a 10-year-old child from the pediatric unit after an appendectomy. What statement by the child would indicate that he or she understands the discharge instructions?
Explanation
Choice A reason: This statement by the child would indicate that he or she does not understand the discharge instructions, as it may be too soon to resume normal activities and socialization. The child may need to rest and recover for a few days or weeks, depending on the healing process and the physician's advice.
Choice B reason: This statement by the child would indicate that he or she understands the discharge instructions, as it shows compliance with the prescribed medication regimen. The child may need to take antibiotics or pain relievers to prevent infection or manage pain.
Choice C reason: This statement by the child would indicate that he or she does not understand the discharge instructions, as it may not reflect the dietary restrictions or recommendations after an appendectomy. The child may need to avoid spicy, fatty, or high-fiber foods and drink plenty of fluids to promote bowel function and healing.
Choice D reason: This statement by the child would indicate that he or she does not understand the discharge instructions, as it may not reflect the wound care or dressing changes after an appendectomy. The child may need to keep the incision site clean and dry, change the bandage as instructed, and report any signs of infection or bleeding.
A nurse is transferring a 12-year-old child from the pediatric unit to the intensive care unit (ICU) after a severe asthma attack. What is the most important information that the nurse should communicate to the ICU staff during the handoff report?
Explanation
Choice A reason: This information is important but not the most important for the nurse to communicate during the handoff report. It may be already available in the electronic health record or the transfer form.
Choice B reason: This information is the most important for the nurse to communicate during the handoff report, as it reflects the current clinical status and stability of the child. It may also indicate any changes or interventions that are needed in the ICU.
Choice C reason: This information is important but not the most important for the nurse to communicate during the handoff report. It may be already available in the electronic health record or the medication administration record.
Choice D reason: This information is important but not the most important for the nurse to communicate during the handoff report. It may be more relevant for the psychosocial assessment and support of the child and family in the ICU.
A nurse is admitting a 3-year-old child who has pneumonia to a pediatric unit. Which of the following actions should the nurse take first?
Explanation
Choice A reason: This action should be taken first by the nurse, as it provides essential data about the child's condition and helps identify any signs of deterioration or complications.
Choice B reason: This action should be taken by the nurse after obtaining a set of baseline vital signs, as it provides more comprehensive data about the child's physical status and helps identify any abnormalities or problems.
Choice C reason: This action should be taken by the nurse after performing a head-to-toe physical assessment, as it provides additional data about the child's risk of infection or adverse reactions to vaccines.
Choice D reason: This action should be taken by the nurse after reviewing the child's immunization record, as it provides important data about the child's risk of allergic reactions or drug interactions.
A nurse is discharging a 5-year-old child who has diabetes mellitus from a pediatric unit. Which of the following statements by the parent indicates a need for further teaching?
Explanation
Choice A reason: This statement by the parent indicates an understanding of the teaching, as it shows adherence to the recommended blood glucose monitoring schedule.
Choice B reason: This statement by the parent indicates an understanding of the teaching, as it shows adherence to the prescribed insulin regimen.
Choice C reason: This statement by the parent indicates an understanding of the teaching, as it shows awareness of how to treat hypoglycemia.
Choice D reason: This statement by the parent indicates a need for further teaching, as it shows a lack of understanding of the importance of dietary management for diabetes mellitus. The child should follow a balanced and consistent carbohydrate diet that matches the insulin dose and activity level.
A nurse is transferring a 7-year-old child who has cystic fibrosis from the pediatric unit to the respiratory unit. What information should the nurse include in the handoff report? (Select all that apply.)
Explanation
Choice A reason: This information is important but not specific for the nurse to include in the handoff report. It may be already available in the electronic health record or the transfer form.
Choice B reason: This information is specific and essential for the nurse to include in the handoff report, as it reflects the main problem and intervention for the child who has cystic fibrosis.
Choice C reason: This information is specific and essential for the nurse to include in the handoff report, as it reflects the routine and ongoing care for the child who has cystic fibrosis.
Choice D reason: This information is specific and essential for the nurse to include in the handoff report, as it reflects the secondary problem and intervention for the child who has cystic fibrosis.
Choice E reason: This information is specific and essential for the nurse to include in the handoff report, as it reflects the holistic and individualized care for the child who has cystic fibrosis.
Questions on Discharge Procedures
A nurse is preparing to discharge a child who has undergone a tonsillectomy. What is the most important discharge instruction that the nurse should give to the child and family?
Explanation
Choice A reason: This instruction is important but not the most important for the nurse to give to the child and family, as it helps prevent Reye syndrome, a rare but serious condition that can affect the brain and liver.
Choice B reason: This instruction is important but not the most important for the nurse to give to the child and family, as it helps promote hydration and healing of the throat.
Choice C reason: This instruction is the most important for the nurse to give to the child and family, as it helps detect postoperative hemorrhage, a potentially life-threatening complication of tonsillectomy.
Choice D reason: This instruction is important but not the most important for the nurse to give to the child and family, as it helps identify infection or inflammation of the throat or ears.
A nurse is discharging a child who has asthma from a pediatric unit. What information should the nurse include in the discharge plan and home care education? (Select all that apply.)
Explanation
Choice A reason: This information should be included in the discharge plan and home care education, as it helps ensure safe and effective medication management for asthma.
Choice B reason: This information should be included in the discharge plan and home care education, as it helps monitor and control asthma symptoms and guide appropriate actions based on the severity of the condition.
Choice C reason: This information should be included in the discharge plan and home care education, as it helps prevent or reduce exposure to allergens or irritants that can trigger or worsen asthma symptoms.
Choice D reason: This information is not specific for the discharge plan and home care education for asthma, as it applies to all children regardless of their health condition.
Choice E reason: This information should be included in the discharge plan and home care education, as it helps provide timely and appropriate medical attention in case of an acute asthma attack that does not respond to home treatment.
A nurse is discharging a child who has cystic fibrosis from a pediatric unit. What statement by the child indicates a need for further teaching?
Explanation
Choice A reason: This statement by the child indicates an understanding of the teaching, as it shows awareness of the importance of chest physiotherapy for cystic fibrosis.
Choice B reason: This statement by the child indicates an understanding of the teaching, as it shows awareness of the importance of pancreatic enzyme replacement for cystic fibrosis.
Choice C reason: This statement by the child indicates a need for further teaching, as it shows a misunderstanding of the dietary recommendations for cystic fibrosis. The child should drink plenty of fluids but avoid foods that are high in salt, as they can worsen dehydration and electrolyte imbalance.
Choice D reason: This statement by the child indicates an understanding of the teaching, as it shows awareness of the importance of infection prevention for cystic fibrosis.
A nurse is discharging a child who has diabetes mellitus from a pediatric unit. What statement by the child indicates that he or she understands the discharge instructions?
Explanation
Choice A reason: This statement by the child indicates a partial understanding of the discharge instructions, as it shows awareness of the importance of blood glucose monitoring for diabetes mellitus. However, the child may also need to check his or her blood sugar level at other times, such as before bedtime, before exercise, or when sick.
Choice B reason: This statement by the child indicates a need for further teaching, as it shows a misunderstanding of the proper technique for insulin administration for diabetes mellitus. The child should rotate the injection sites to prevent lipodystrophy, a condition that causes lumps or dents in the skin.
Choice C reason: This statement by the child indicates an understanding of the discharge instructions, as it shows awareness of the importance of dietary management for diabetes mellitus. The child should follow a balanced and consistent carbohydrate diet that matches the insulin dose and activity level.
Choice D reason: This statement by the child indicates an understanding of the discharge instructions, as it shows awareness of the signs and symptoms of hyperglycemia, a condition that occurs when the blood sugar level is too high and can lead to diabetic ketoacidosis, a serious complication of diabetes mellitus.
A nurse is discharging a child who has sickle cell anemia from a pediatric unit. What is the most important discharge instruction that the nurse should give to the child and family?
Explanation
Choice A reason: This instruction is important but not the most important for the nurse to give to the child and family, as it helps prevent vaso-occlusive crises, which are episodes of severe pain caused by blocked blood vessels due to sickled red blood cells.
Choice B reason: This instruction is important but not the most important for the nurse to give to the child and family, as it helps prevent hemolytic crises, which are episodes of rapid red blood cell destruction due to dehydration or infection.
Choice C reason: This instruction is important but not the most important for the nurse to give to the child and family, as it helps prevent megaloblastic anemia, which is a type of anemia caused by folic acid deficiency due to increased red blood cell production.
Choice D reason: This instruction is the most important for the nurse to give to the child and family, as it helps prevent sequestration crises, which are episodes of life-threatening organ damage caused by pooling of blood in the spleen or liver due to sickled red blood cells.
A nurse is admitting a child who has leukemia to a pediatric unit. Which of the following actions should the nurse take first?
Explanation
Choice A reason: This action should be taken first by the nurse, as it helps protect the child from exposure to infections that can be life-threatening due to immunosuppression caused by leukemia.
Choice B reason: This action should be taken by the nurse after placing the child in a private room with reverse isolation precautions, as it provides important data about the type and severity of leukemia and the risk of bleeding or infection.
Choice C reason: This action should be taken by the nurse after obtaining a complete blood count with differential and platelet count, as it helps correct anemia or thrombocytopenia that may result from leukemia or its treatment.
Choice D reason: This action should be taken by the nurse after administering packed red blood cells or platelets as ordered by the physician, as it helps provide information and support to the child and family who may be experiencing fear, anxiety, or grief.
A nurse is discharging a child who has undergone a cardiac catheterization from a pediatric unit. Which of the following statements by the parent indicates an understanding of the discharge instructions?
Explanation
Choice A reason: This statement by the parent indicates a need for further teaching, as it shows a misunderstanding of the wound care instructions. The dressing on the insertion site should be removed after 24 hours and replaced with a band-aid.
Choice B reason: This statement by the parent indicates an understanding of the discharge instructions, as it shows awareness of how to monitor and prevent complications such as infection or hemorrhage.
Choice C reason: This statement by the parent indicates a need for further teaching, as it shows a lack of understanding of the activity restrictions. The child should avoid strenuous activities and exercise for at least one week or until cleared by the physician.
Choice D reason: This statement by the parent indicates a need for further teaching, as it shows a misunderstanding of the pain management instructions. The child should not take aspirin or ibuprofen, as they can increase the risk of bleeding. The child should take acetaminophen or other prescribed medications for pain relief.
A nurse is admitting a child who has appendicitis to a pediatric unit. What information should the nurse obtain from the child and family? (Select all that apply.)
Explanation
Choice A reason: This information should be obtained from the child and family, as it helps assess the severity and progression of appendicitis and its complications.
Choice B reason: This information should be obtained from the child and family, as it helps evaluate the bowel function and rule out other causes of abdominal pain such as constipation or diarrhea.
Choice C reason: This information should be obtained from the child and family, as it helps identify any risk factors or contraindications for treatment such as allergic reactions, drug interactions, vaccine-preventable diseases, or previous abdominal surgeries.
Choice D reason: This information should be obtained from the child and family, as it helps determine the nutritional status and fluid balance of the child and prepare for surgery if indicated.
Choice E reason: This information is not specific for the admission and discharge of a child who has appendicitis, as it does not affect the diagnosis or treatment of the condition. It may be more relevant for other gastrointestinal disorders.
Questions on Chain of infection and modes of transmission and Risk factors and sources of infection in hospitalized children
Sign Up or Login to view all the 16 Questions on this Exam
Join over 100,000+ nursing students using Nursingprepexams’s science-backend flashcards, practice tests and expert solutions to improve their grades and reach their goals.
Sign Up Now
