TEST BANK FOR LEIFER'S INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING IN CANADA
1ST EDITION BY LEIFER
Chapter 20
Health Care
Adaptations for the
Child and Family
Keenan-Lindsay: Leifer’s
Introduction to Maternity and
Pediatric Nursing
in Canada, 1st Edition
, TEST BANK FOR LEIFER'S INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING IN CANADA
1ST EDITION BY LEIFER
MULTIPLE CHOICE
1. What is the best pulse location for a 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.
DIF: Cognitive Level: Knowledge REF: 462 OBJ: 10
TOP: Physical Assessment KEY: Nursing Process Step: Data Collection
2. A nurse is preparing to administer medication to a 2-month-old infant and 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 child’s 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 child’s 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: 458 OBJ: 2
TOP: ID Bracelets KEY: Nursing Process Step: Implementation
3. A nurse has taught an adolescent female about collecting a clean-catch urine specimen. What statement made by the adolescent
leads the nurse to determine she understood the instructions?
, TEST BANK FOR LEIFER'S INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING IN CANADA
1ST EDITION BY LEIFER
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. “I’ll 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: 468 OBJ: 7
TOP: Collecting Specimens KEY: Nursing Process Step: Evaluation
4. Which strategy might a 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 or fruit juice 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: 475 OBJ: 9
TOP: Administering Oral Medications KEY: Nursing Process Step: Implementation
5. A parent tells a nurse, “I’m 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 place the medication in the side of the infant’s mouth.
d. Administer the medication with a dropper onto the back of the infant’s tongue.
1ST EDITION BY LEIFER
Chapter 20
Health Care
Adaptations for the
Child and Family
Keenan-Lindsay: Leifer’s
Introduction to Maternity and
Pediatric Nursing
in Canada, 1st Edition
, TEST BANK FOR LEIFER'S INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING IN CANADA
1ST EDITION BY LEIFER
MULTIPLE CHOICE
1. What is the best pulse location for a 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.
DIF: Cognitive Level: Knowledge REF: 462 OBJ: 10
TOP: Physical Assessment KEY: Nursing Process Step: Data Collection
2. A nurse is preparing to administer medication to a 2-month-old infant and 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 child’s 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 child’s 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: 458 OBJ: 2
TOP: ID Bracelets KEY: Nursing Process Step: Implementation
3. A nurse has taught an adolescent female about collecting a clean-catch urine specimen. What statement made by the adolescent
leads the nurse to determine she understood the instructions?
, TEST BANK FOR LEIFER'S INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING IN CANADA
1ST EDITION BY LEIFER
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. “I’ll 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: 468 OBJ: 7
TOP: Collecting Specimens KEY: Nursing Process Step: Evaluation
4. Which strategy might a 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 or fruit juice 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: 475 OBJ: 9
TOP: Administering Oral Medications KEY: Nursing Process Step: Implementation
5. A parent tells a nurse, “I’m 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 place the medication in the side of the infant’s mouth.
d. Administer the medication with a dropper onto the back of the infant’s tongue.
