INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) . 200
Chapter 22: Health Care Adaptations for the Child and Family
MULTIPLE CHOICE
1. What is the best pulse location for the nurse to use when assessing the pulse rate on a 12-month-old infant?
a. Brachial
b. Apical
c. Radial
d. Femoral
ANS: B
Apical pulses are advised for children under age 5 years.
Your text here 1
DIF: Cognitive Level: Knowledge REF: Page 502
TOP: Physical Assessment KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
2. The nurse preparing to administer medication to a 2-month-old infant discovers there is no ID bracelet on
the child. What should be the next action by the nurse?
a. Give the medication after confirming the childs name from the foot of the crib.
b. Ask the charge nurse to give the medicine.
c. Confirm the identity with the charge nurse, make a new bracelet, and give the medicine.
d. Delay the medication until the admissions office can supply a new ID bracelet.
ANS: C
After confirmation of the childs identity with the charge nurse and making a new bracelet, the medication can
be safely given. All patients should be identified before treatment.
DIF: Cognitive Level: Application REF: Page 497
OBJ: 2 TOP: ID Bracelets KEY: Nursing Process Step: Implementation
NURSINGTB.COM
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
3. The nurse instructed an adolescent female about collecting a clean-catch urine specimen. What statement
made by the adolescent led the nurse to determine she understood the instructions?
a. I should wash my perineum with soap and water, then begin to urinate.
b. I clean the perineum from front to back with an antiseptic wipe before I urinate.
c. Ill collect the first stream of urine in a sterile container.
d. I will discard the first void and collect a freshly voided specimen 30 minutes later.
ANS: B
To obtain a clean-catch specimen, the perineum is cleansed with an antiseptic wipe from front to back.
DIF: Cognitive Level: Analysis REF: Page 508
TOP: Collecting Specimens KEY: Nursing Process Step: Evaluation
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
4. Which strategy might the nurse use when administering oral medications to a young child who is reluctant?
a. Mix the medication with chocolate milk.
b. Tell the child that the medication is candy.
c. Give the medication quickly if the child is crying.
d. Offer the child fruit juice after the medication is swallowed.
ANS: D
The nurse can offer a chaser of water, fruit juice, or a carbonated beverage after the medication has been
swallowed. Medications should not be mixed with food or drinks with important nutrients such as milk
because the child may develop distaste for it.
DIF: Cognitive Level: Application REF: Page 512
TOP: Administering Oral Medications KEY: Nursing Process Step: Implementation
This study source was downloaded by 100000841689952 from CourseHero.com on 05-02-2022 23:49:00 GMT -05:00
https://www.coursehero.com/file/63488728/TB-Chapter-22-Health-Care-Adaptations-for-the-Child-and-Familypdf/
NURSINGTB.COM
, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 201
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
5. A parent tells the nurse, Im not sure how to give this medicine to my infant. How would the nurse teach the
parent to best administer an oral suspension?
a. Pour the medication into a small cup and allowing the infant to drink it.
b. Place the medication in a nipple and having the infant suck the nipple.
c. Use an oral syringe and placing the medication in the side of the infants mouth.
d. Administer the medication with a dropper onto the back of the infants tongue.
ANS: C
An oral syringe is a useful device for measuring small quantities of medications for infants. The syringe is
placed midway back, at the side of the mouth.
DIF: Cognitive Level: Application REF: Page 513
TOP: Administering Oral Medications KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
6. Gentamicin ear drops are prescribed for a 4-year-old child. How would the nurse position the auricle when
administering the ear drops?
a. Up and back
b. Down and back
c. Up and out
d. Down and out
ANS: A
For children 3 years of age and older, the auricle is gently pulled upward and backward to straighten the canal.
DIF: Cognitive Level: Application REF: Page 514
OBJ: 10 TOP: Administering Ear Drops
KEY: Nursing Process Step: Implementation NURSINGTB.COM
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
7. Why is a tympanic thermometer considered more accurate than other types of thermometers?
a. The thermometer probe is blunt and wide.
b. It takes a brief time to register.
c. The tympanic membrane shares circulation with the hypothalamus.
d. The tympanic membrane and the brain have the same temperature.
ANS: C
The accuracy of the tympanic thermometer is attributable to the fact that the tympanic membrane and the
hypothalamus share the same circulation.
DIF: Cognitive Level: Knowledge REF: Page 506
TOP: Tympanic Thermometer KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
8. Which intervention is correct when a nurse is administering a gastrostomy feeding by gravity?
a. Discard the residual and increase the volume of feeding by the amount of residual.
b. Flush the gastrostomy tube with 2 to 4 ounces of water before the feeding.
c. Refill the syringe with formula after it has completely emptied.
d. Position the child on the right side after a feeding.
ANS: D
To prevent regurgitation and aspiration, the child is placed in the Fowlers position or on the right side to
promote gastric emptying after a gastrostomy tube feeding.
DIF: Cognitive Level: Application REF: Page 526
OBJ: 13 TOP: Enteral Feedings
KEY: Nursing Process Step: Implementation
This study source was downloaded by 100000841689952 from CourseHero.com on 05-02-2022 23:49:00 GMT -05:00
https://www.coursehero.com/file/63488728/TB-Chapter-22-Health-Care-Adaptations-for-the-Child-and-Familypdf/
NURSINGTB.COM
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) . 200
Chapter 22: Health Care Adaptations for the Child and Family
MULTIPLE CHOICE
1. What is the best pulse location for the nurse to use when assessing the pulse rate on a 12-month-old infant?
a. Brachial
b. Apical
c. Radial
d. Femoral
ANS: B
Apical pulses are advised for children under age 5 years.
Your text here 1
DIF: Cognitive Level: Knowledge REF: Page 502
TOP: Physical Assessment KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
2. The nurse preparing to administer medication to a 2-month-old infant discovers there is no ID bracelet on
the child. What should be the next action by the nurse?
a. Give the medication after confirming the childs name from the foot of the crib.
b. Ask the charge nurse to give the medicine.
c. Confirm the identity with the charge nurse, make a new bracelet, and give the medicine.
d. Delay the medication until the admissions office can supply a new ID bracelet.
ANS: C
After confirmation of the childs identity with the charge nurse and making a new bracelet, the medication can
be safely given. All patients should be identified before treatment.
DIF: Cognitive Level: Application REF: Page 497
OBJ: 2 TOP: ID Bracelets KEY: Nursing Process Step: Implementation
NURSINGTB.COM
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
3. The nurse instructed an adolescent female about collecting a clean-catch urine specimen. What statement
made by the adolescent led the nurse to determine she understood the instructions?
a. I should wash my perineum with soap and water, then begin to urinate.
b. I clean the perineum from front to back with an antiseptic wipe before I urinate.
c. Ill collect the first stream of urine in a sterile container.
d. I will discard the first void and collect a freshly voided specimen 30 minutes later.
ANS: B
To obtain a clean-catch specimen, the perineum is cleansed with an antiseptic wipe from front to back.
DIF: Cognitive Level: Analysis REF: Page 508
TOP: Collecting Specimens KEY: Nursing Process Step: Evaluation
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
4. Which strategy might the nurse use when administering oral medications to a young child who is reluctant?
a. Mix the medication with chocolate milk.
b. Tell the child that the medication is candy.
c. Give the medication quickly if the child is crying.
d. Offer the child fruit juice after the medication is swallowed.
ANS: D
The nurse can offer a chaser of water, fruit juice, or a carbonated beverage after the medication has been
swallowed. Medications should not be mixed with food or drinks with important nutrients such as milk
because the child may develop distaste for it.
DIF: Cognitive Level: Application REF: Page 512
TOP: Administering Oral Medications KEY: Nursing Process Step: Implementation
This study source was downloaded by 100000841689952 from CourseHero.com on 05-02-2022 23:49:00 GMT -05:00
https://www.coursehero.com/file/63488728/TB-Chapter-22-Health-Care-Adaptations-for-the-Child-and-Familypdf/
NURSINGTB.COM
, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 201
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
5. A parent tells the nurse, Im not sure how to give this medicine to my infant. How would the nurse teach the
parent to best administer an oral suspension?
a. Pour the medication into a small cup and allowing the infant to drink it.
b. Place the medication in a nipple and having the infant suck the nipple.
c. Use an oral syringe and placing the medication in the side of the infants mouth.
d. Administer the medication with a dropper onto the back of the infants tongue.
ANS: C
An oral syringe is a useful device for measuring small quantities of medications for infants. The syringe is
placed midway back, at the side of the mouth.
DIF: Cognitive Level: Application REF: Page 513
TOP: Administering Oral Medications KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
6. Gentamicin ear drops are prescribed for a 4-year-old child. How would the nurse position the auricle when
administering the ear drops?
a. Up and back
b. Down and back
c. Up and out
d. Down and out
ANS: A
For children 3 years of age and older, the auricle is gently pulled upward and backward to straighten the canal.
DIF: Cognitive Level: Application REF: Page 514
OBJ: 10 TOP: Administering Ear Drops
KEY: Nursing Process Step: Implementation NURSINGTB.COM
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
7. Why is a tympanic thermometer considered more accurate than other types of thermometers?
a. The thermometer probe is blunt and wide.
b. It takes a brief time to register.
c. The tympanic membrane shares circulation with the hypothalamus.
d. The tympanic membrane and the brain have the same temperature.
ANS: C
The accuracy of the tympanic thermometer is attributable to the fact that the tympanic membrane and the
hypothalamus share the same circulation.
DIF: Cognitive Level: Knowledge REF: Page 506
TOP: Tympanic Thermometer KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
8. Which intervention is correct when a nurse is administering a gastrostomy feeding by gravity?
a. Discard the residual and increase the volume of feeding by the amount of residual.
b. Flush the gastrostomy tube with 2 to 4 ounces of water before the feeding.
c. Refill the syringe with formula after it has completely emptied.
d. Position the child on the right side after a feeding.
ANS: D
To prevent regurgitation and aspiration, the child is placed in the Fowlers position or on the right side to
promote gastric emptying after a gastrostomy tube feeding.
DIF: Cognitive Level: Application REF: Page 526
OBJ: 13 TOP: Enteral Feedings
KEY: Nursing Process Step: Implementation
This study source was downloaded by 100000841689952 from CourseHero.com on 05-02-2022 23:49:00 GMT -05:00
https://www.coursehero.com/file/63488728/TB-Chapter-22-Health-Care-Adaptations-for-the-Child-and-Familypdf/
NURSINGTB.COM
