Nursing Care Of Children 1 Latest 2026
Final Update
A nurse is caring for an 18-year-old adolescent who is up-to-date on
immunizations and is planning to attend college. The nurse should inform the
client that he should receive which of the following immunizations prior to moving
into a campus dormitory?
A. Pneumococcal polysaccharide- The pneumococcal polysaccharide
immunization is administered to children between the ages of 2 and 18 years who
have a specific high-risk condition that places them at risk for an infection with
Streptococcus pneumococci, a bacterium that causes meningitis, otitis media, and
pneumonia in clients who have chronic illnesses.
B. Meningococcal polysaccharide
C. Rotavirus- The final dose of the rotavirus immunization is administered prior to
the age of 8 months. An additional booster dose is not recommended.
,D. Herpes zoster- The herpes zoster immunization is recommended for adults over
the age of 60 to prevent an episode of shingles. - ---✔✔✔ANSWER----B.
Meningococcal polysaccharide
The meningococcal polysaccharide immunization is used to prevent infection by
certain groups of meningococcal bacteria. Meningococcal infection can cause life-
threatening illnesses, such as meningococcal meningitis, which affects the brain,
and meningococcemia, which affects the blood. Both of these conditions can be
fatal. College freshmen, particularly those who live in dormitories, are at an
increased risk for meningococcal disease relative to other persons their age.
Therefore, the Centers for Disease Control and Prevention has issued a
recommendation that all incoming college students receive the meningococcal
immunization.
A nurse is assessing a 9-month-old infant during a well-child visit. Which of the
following findings indicates that the infant has a developmental delay?
A. Creeps on hands and knees- The infant should creep on her hands and knees at
the age of 9 months, and begin to stand while holding onto furniture at the age of
10 months.
B. Inability to vocalize vowel sounds
C. Uses crude pincer grasp- Most infants demonstrate a crude pincer grasp at 9
months of age and the use of a dominant hand is also evident.
,D. Stands by holding onto support - The ability to stand holding onto support is
typically present at 10 months of age. - ---✔✔✔ANSWER----B. Inability to
vocalize vowel sounds
The infant should begin vocalizing vowel sounds at the age of 7 months, and by
the age of 10 months, be able to say at least one word.
A nurse is caring for a preschool-age child who is dying. Which of the following
findings is an age-appropriate reaction to death by the child? (Select all that
apply.)
A. The child views death as similar to sleep.
B. The child is interested in what happens to his body after death. - A school-age
child is interested in post-death services and what happens to the body after
death due to an improved ability to comprehend what is happening.
C. The child recognizes that death is permanent. - Preschool-age children have
difficulty understanding the concept of time and are therefore not likely to believe
that death is permanent. They perceive death as reversible.
D. The child believes his thoughts can cause death.
E. The child thinks death is a punishment. - ---✔✔✔ANSWER----A. The
child views death as similar to sleep. -Preschool-age children might make this
comparison.
, D. The child believes his thoughts can cause death. - Preschool-age children
believe that their thoughts and wishes can make things happen since they are
egocentric. This is one reason why the death of a family member can be very
difficult for a child at this age.
E. The child thinks death is a punishment. - Preschool-age children sometimes
believe that death is the result of guilt or punishment due to something they have
done, said, or thought.
A nurse is caring for an adolescent who is receiving pain medication via a PCA
pump. When the nurse assesses the client's pain at 0800, the client describes the
pain as a 3 on a scale of 1 to 10. At 1000, the client describes the pain as a 5. The
nurse discovers the client has not pushed the button to deliver medication in the
past 2 hr. Which of the following actions should the nurse take?
A. Ask the provider to discontinue the PCA so the nurse can administer PRN pain
medication. - A PCA device allows the adolescent to be in charge of pain
management and is an effective method to control pain. It is inappropriate for the
nurse to suggest discontinuing the PCA.
B. Suggest the client's parent push the button for the client if the parent thinks
the adolescent is having pain. - One of the principles of PCA is that no one other
than the client or nurse pushes the button to deliver the medication. An
adolescent is capa - ---✔✔✔ANSWER----D. Reinforce teaching with the
client about how to push the button to deliver the medication.
Final Update
A nurse is caring for an 18-year-old adolescent who is up-to-date on
immunizations and is planning to attend college. The nurse should inform the
client that he should receive which of the following immunizations prior to moving
into a campus dormitory?
A. Pneumococcal polysaccharide- The pneumococcal polysaccharide
immunization is administered to children between the ages of 2 and 18 years who
have a specific high-risk condition that places them at risk for an infection with
Streptococcus pneumococci, a bacterium that causes meningitis, otitis media, and
pneumonia in clients who have chronic illnesses.
B. Meningococcal polysaccharide
C. Rotavirus- The final dose of the rotavirus immunization is administered prior to
the age of 8 months. An additional booster dose is not recommended.
,D. Herpes zoster- The herpes zoster immunization is recommended for adults over
the age of 60 to prevent an episode of shingles. - ---✔✔✔ANSWER----B.
Meningococcal polysaccharide
The meningococcal polysaccharide immunization is used to prevent infection by
certain groups of meningococcal bacteria. Meningococcal infection can cause life-
threatening illnesses, such as meningococcal meningitis, which affects the brain,
and meningococcemia, which affects the blood. Both of these conditions can be
fatal. College freshmen, particularly those who live in dormitories, are at an
increased risk for meningococcal disease relative to other persons their age.
Therefore, the Centers for Disease Control and Prevention has issued a
recommendation that all incoming college students receive the meningococcal
immunization.
A nurse is assessing a 9-month-old infant during a well-child visit. Which of the
following findings indicates that the infant has a developmental delay?
A. Creeps on hands and knees- The infant should creep on her hands and knees at
the age of 9 months, and begin to stand while holding onto furniture at the age of
10 months.
B. Inability to vocalize vowel sounds
C. Uses crude pincer grasp- Most infants demonstrate a crude pincer grasp at 9
months of age and the use of a dominant hand is also evident.
,D. Stands by holding onto support - The ability to stand holding onto support is
typically present at 10 months of age. - ---✔✔✔ANSWER----B. Inability to
vocalize vowel sounds
The infant should begin vocalizing vowel sounds at the age of 7 months, and by
the age of 10 months, be able to say at least one word.
A nurse is caring for a preschool-age child who is dying. Which of the following
findings is an age-appropriate reaction to death by the child? (Select all that
apply.)
A. The child views death as similar to sleep.
B. The child is interested in what happens to his body after death. - A school-age
child is interested in post-death services and what happens to the body after
death due to an improved ability to comprehend what is happening.
C. The child recognizes that death is permanent. - Preschool-age children have
difficulty understanding the concept of time and are therefore not likely to believe
that death is permanent. They perceive death as reversible.
D. The child believes his thoughts can cause death.
E. The child thinks death is a punishment. - ---✔✔✔ANSWER----A. The
child views death as similar to sleep. -Preschool-age children might make this
comparison.
, D. The child believes his thoughts can cause death. - Preschool-age children
believe that their thoughts and wishes can make things happen since they are
egocentric. This is one reason why the death of a family member can be very
difficult for a child at this age.
E. The child thinks death is a punishment. - Preschool-age children sometimes
believe that death is the result of guilt or punishment due to something they have
done, said, or thought.
A nurse is caring for an adolescent who is receiving pain medication via a PCA
pump. When the nurse assesses the client's pain at 0800, the client describes the
pain as a 3 on a scale of 1 to 10. At 1000, the client describes the pain as a 5. The
nurse discovers the client has not pushed the button to deliver medication in the
past 2 hr. Which of the following actions should the nurse take?
A. Ask the provider to discontinue the PCA so the nurse can administer PRN pain
medication. - A PCA device allows the adolescent to be in charge of pain
management and is an effective method to control pain. It is inappropriate for the
nurse to suggest discontinuing the PCA.
B. Suggest the client's parent push the button for the client if the parent thinks
the adolescent is having pain. - One of the principles of PCA is that no one other
than the client or nurse pushes the button to deliver the medication. An
adolescent is capa - ---✔✔✔ANSWER----D. Reinforce teaching with the
client about how to push the button to deliver the medication.
