Preschoolers
What is the best way for a nurse to interact with a 3-year-old child sitting in the waiting room of the
pediatric clinic?
By walking into the waiting room to greet the child
A nurse is planning to communicate with a preschool child. What is most important for the nurse to know
about the child first?
Developmental level
A preschool-aged child is about to be admitted to the pediatric intensive care unit after surgery for removal
of a brain tumor. The nurse manager should intervene immediately when the child's nurse:
Adjusts the bed to the Trendelenburg position
A 3-year-old child is admitted to the burn unit with partial- and full-thickness burns over 30% of the body.
For what complication should the nurse assess the child during the first 48 hours?
Shock
After a tonsillectomy, which finding alerts the nurse to suspect the initial stage of hemorrhage?
Frequent swallowing
A 4-year-old child being admitted for surgery arrives on the ambulatory surgical unit crying and pulling at
the hospital gown while clutching a teddy bear. What is the best response by the nurse?
I know you feel scared. This must be your special teddy bear."
A 3-year-old child with sickle cell anemia is admitted to the child health unit during a painful episode.
Splenomegaly is identified. The nurse explains to the parents that splenomegaly is:
Triggered by a vaso-occlusive crisis
A parent of three young children has contracted tuberculosis. Which should the nurse expect the health care
provider to prescribe for members of the family who have a positive reaction to the tuberculin skin test and
are candidates for treatment?
Isoniazid
A 4-year-old child who weighs 44 lb is prescribed prednisone. The recommended dosage for children is 2
mg/kg/day given in four divided doses. What should the child receive in each dose? Express your answer as
a whole number. ______ mg
10
How can the nurse best help meet developmental needs when caring for a 4-year-old child for whom
bedrest has been prescribed?
Offer crayons with a coloring book.
With which roommate should the nurse place a 4-year-old boy who has been admitted to the hospital with
nephrotic syndrome?
A 5-year-old girl with acute glomerulonephritis
On return to the pediatric unit after a tonsillectomy, a nurse notes that a 4-year-old child is swallowing
frequently. What is the probable cause of this response?
Postoperative bleeding
A nurse is planning to give a preschool child an immunization consisting of bacterial cells that have been
modified. What is the substance called?
A vaccine
, A nurse is caring for a 4-year-old child with just-diagnosed cystic fibrosis. The child has been passing
loose, bulky, foul-smelling stools and is in the third percentile for weight. What is the best explanation of
the growth failure?
Impaired digestion and absorption because of the lack of pancreatic enzymes
Mebendazole (Vermox) is prescribed for a 3-year-old with a pinworm infestation. What information should
the nurse include when teaching the parents about this medication?
It may precipitate transient diarrhea.
The nurse discusses discipline with parents of a 4-year-old child. Which parental statement regarding time-
out reflects an appropriate application of this method of discipline?
I explain the reason for the time-out before and after disciplining him."
Parents express concerns to the nurse that their 4-year-old child is spending a large amount of time playing
with an imaginary friend. What is the best response by the nurse?
Imaginary playmates are an important part of a young child's life."
A nurse is teaching a class of nursing assistants about the differences in care among various age groups.
Care of which age group of children does the nurse describe as the most challenging?
From 1 to 4 years of age
A 4-year-old child is admitted to the pediatric unit with a tentative diagnosis of acute lymphocytic leukemia
(ALL). The mother states that changes in her child's behavior and the "black and blue" marks were noticed
several days ago. She blames herself for not bringing her child to the clinic sooner. On what information
about the pathophysiology of leukemia should the nurse base a response?
Early signs and symptoms of leukemia are similar to those of other mild illnesses of childhood.
What is the best approach for the nurse to take when preparing a 4-year-old child for an otoscopic
examination?
You can help by holding this tube while I get ready."
The parents of a 4-year-old child call the health center and report that their child has a fever of 102.6° F
(39.2° C), is complaining of a sore throat, and will not lie down, preferring to sit up and lean forward. The
child is drooling and looks ill and agitated. In light of this information, what guidance should the nurse
provide the family?
The child needs to be seen immediately by a health care provider.
A 4-year-old child is being prepared for a myringotomy in the ambulatory care unit. What is most
important for the nurse to do when the child is called to the operating room?
Having the parents accompany the child to the operating suite
A 4-year-old child is admitted to the pediatric unit with a diagnosis of Wilms tumor. Considering the unique
needs of a child with this diagnosis, the nurse should place a sign on the child's bed that states:
Do not palpate the abdomen.
On a routine visit to the well-child clinic, the parents of a 3-year-old child tell the nurse that their child is a
"picky" eater and express concern about their child's nutritional status. What should the nurse suggest to
help the parents meet the child's nutritional requirements?
Including some of the foods the child prefers in every meal
A 4-year-old child begins screaming and kicking when the laboratory technician arrives to draw blood.
What does the nurse identify as the most likely cause of the child's behavior?
Fear of intrusive procedures
The nurse is caring for a 4-year-old child who has been hospitalized with an acute asthma exacerbation.
Which assessment finding requires action by the nurse?
What is the best way for a nurse to interact with a 3-year-old child sitting in the waiting room of the
pediatric clinic?
By walking into the waiting room to greet the child
A nurse is planning to communicate with a preschool child. What is most important for the nurse to know
about the child first?
Developmental level
A preschool-aged child is about to be admitted to the pediatric intensive care unit after surgery for removal
of a brain tumor. The nurse manager should intervene immediately when the child's nurse:
Adjusts the bed to the Trendelenburg position
A 3-year-old child is admitted to the burn unit with partial- and full-thickness burns over 30% of the body.
For what complication should the nurse assess the child during the first 48 hours?
Shock
After a tonsillectomy, which finding alerts the nurse to suspect the initial stage of hemorrhage?
Frequent swallowing
A 4-year-old child being admitted for surgery arrives on the ambulatory surgical unit crying and pulling at
the hospital gown while clutching a teddy bear. What is the best response by the nurse?
I know you feel scared. This must be your special teddy bear."
A 3-year-old child with sickle cell anemia is admitted to the child health unit during a painful episode.
Splenomegaly is identified. The nurse explains to the parents that splenomegaly is:
Triggered by a vaso-occlusive crisis
A parent of three young children has contracted tuberculosis. Which should the nurse expect the health care
provider to prescribe for members of the family who have a positive reaction to the tuberculin skin test and
are candidates for treatment?
Isoniazid
A 4-year-old child who weighs 44 lb is prescribed prednisone. The recommended dosage for children is 2
mg/kg/day given in four divided doses. What should the child receive in each dose? Express your answer as
a whole number. ______ mg
10
How can the nurse best help meet developmental needs when caring for a 4-year-old child for whom
bedrest has been prescribed?
Offer crayons with a coloring book.
With which roommate should the nurse place a 4-year-old boy who has been admitted to the hospital with
nephrotic syndrome?
A 5-year-old girl with acute glomerulonephritis
On return to the pediatric unit after a tonsillectomy, a nurse notes that a 4-year-old child is swallowing
frequently. What is the probable cause of this response?
Postoperative bleeding
A nurse is planning to give a preschool child an immunization consisting of bacterial cells that have been
modified. What is the substance called?
A vaccine
, A nurse is caring for a 4-year-old child with just-diagnosed cystic fibrosis. The child has been passing
loose, bulky, foul-smelling stools and is in the third percentile for weight. What is the best explanation of
the growth failure?
Impaired digestion and absorption because of the lack of pancreatic enzymes
Mebendazole (Vermox) is prescribed for a 3-year-old with a pinworm infestation. What information should
the nurse include when teaching the parents about this medication?
It may precipitate transient diarrhea.
The nurse discusses discipline with parents of a 4-year-old child. Which parental statement regarding time-
out reflects an appropriate application of this method of discipline?
I explain the reason for the time-out before and after disciplining him."
Parents express concerns to the nurse that their 4-year-old child is spending a large amount of time playing
with an imaginary friend. What is the best response by the nurse?
Imaginary playmates are an important part of a young child's life."
A nurse is teaching a class of nursing assistants about the differences in care among various age groups.
Care of which age group of children does the nurse describe as the most challenging?
From 1 to 4 years of age
A 4-year-old child is admitted to the pediatric unit with a tentative diagnosis of acute lymphocytic leukemia
(ALL). The mother states that changes in her child's behavior and the "black and blue" marks were noticed
several days ago. She blames herself for not bringing her child to the clinic sooner. On what information
about the pathophysiology of leukemia should the nurse base a response?
Early signs and symptoms of leukemia are similar to those of other mild illnesses of childhood.
What is the best approach for the nurse to take when preparing a 4-year-old child for an otoscopic
examination?
You can help by holding this tube while I get ready."
The parents of a 4-year-old child call the health center and report that their child has a fever of 102.6° F
(39.2° C), is complaining of a sore throat, and will not lie down, preferring to sit up and lean forward. The
child is drooling and looks ill and agitated. In light of this information, what guidance should the nurse
provide the family?
The child needs to be seen immediately by a health care provider.
A 4-year-old child is being prepared for a myringotomy in the ambulatory care unit. What is most
important for the nurse to do when the child is called to the operating room?
Having the parents accompany the child to the operating suite
A 4-year-old child is admitted to the pediatric unit with a diagnosis of Wilms tumor. Considering the unique
needs of a child with this diagnosis, the nurse should place a sign on the child's bed that states:
Do not palpate the abdomen.
On a routine visit to the well-child clinic, the parents of a 3-year-old child tell the nurse that their child is a
"picky" eater and express concern about their child's nutritional status. What should the nurse suggest to
help the parents meet the child's nutritional requirements?
Including some of the foods the child prefers in every meal
A 4-year-old child begins screaming and kicking when the laboratory technician arrives to draw blood.
What does the nurse identify as the most likely cause of the child's behavior?
Fear of intrusive procedures
The nurse is caring for a 4-year-old child who has been hospitalized with an acute asthma exacerbation.
Which assessment finding requires action by the nurse?
