Test Bank For Wong's Nursing Care of Infants and Children
10th Edition By Marilyn J. Hockenberry; David Wilson
9780323222419 Chapter 1-35 Complete Guide .
The nurse has conducted an assessment of the sleep patterns of Janie and found that Janie delays
going to bed each night. Which of the following interventions does the nurse recognize as least
helpful?
a. Consistent bedtime ritual, like reading a book before bedtime
b. Not allowing the child to stay up past a reasonable hour
c. Keeping a light on in the room
d. Taking the child into the parents' bed - ANSWER: d. Taking the child into the parents' bed
A scary dream taking place during REM (rapid-eye-movement) sleep - ANSWER: nightmares
A partial arousal from very deep REM sleep - ANSWER: sleep terrors
Usually occurs 1 to 4 hours after falling asleep - ANSWER: sleep terrors
Crying in younger children and fright in all children; behaviors persistent when child is awake -
ANSWER: nightmares
Return to sleep may be considerably delayed because of persistent fear - ANSWER: nightmares
Return to sleep is usually rapid, often difficult to keep child awake - ANSWER: sleep terrors
Initially may sit up, thrash, or run in bizarre manner, scream, talk, show anger or obvious confusion,
which disappears when child is fully awake - ANSWER: sleep terrors
Reduction of poisonings in children and infants can be accomplished by:
a. use of child-resistant containers.
b. educating parents and grandparents to place products out of reach of small children.
c. educating parents to relocate plants out of reach of infants, toddlers, and small children.
d. doing all of the above. - ANSWER: d. doing all of the above.
6. Ingestion of injurious agents by children:
a. Occurs most frequently at grandparents' or a friend's home,
b. occurs because infants and toddlers explore their environment through oral experimentation.
c. has increased despite the use of child-resistant containers.
d. can be avoided by teaching preschoolers which substances are dangerous. - ANSWER: b. occurs
because infants and toddlers explore their environment through oral experimentation
The first action parents should be taught to initiate in a poisoning is to:
a. induce vomiting.
b. take the child to the family physician's office or emergency center.
c. call the poison control center.
d. follow the instructions on the label of the product. - ANSWER: c. call the poison control center.
Gastric lavage for pediatric poison ingestions:
a. can be associated with serious complications of gastrointestinal perforation, hypoxia, and
aspiration.
b. is recommended in the emergency department for all cases of ingestion.
c. has been proven to decrease morbidity.
, d. is most useful when the child comes to the emergency department within 3 hours of ingestion of
the toxin, - ANSWER: a. can be associated with serious complications of gastrointestinal perforation,
hypoxia, and aspiration
Identify the general guidelines for emergency treatment of poisoning. - ANSWER: assess the victim
terminate exposure to the poison
identify the poison
call poison control center for immediate advice
Which of the following statements about ipecac use for poisonous substance ingestion is true?
a. Ipecac helps absorb the toxin,
b. Ipecac is no longer recommended for routine home treatment of poisoning.
c. Ipecac is useful when a corrosive substance has been ingested.
d. Ipecac is useful when an overdose of a calcium channel blocker has been ingested. - ANSWER: b.
Ipecac is no longer recommended for routine home treatment of poisoning
Which of the following actions taken by the nurse is least likely to prevent recurrence of poisonings?
a. In the emergency department, begin a discussion of ways to injury-proof the home.
b. Do a home visit to assess safety before the child is discharged.
c. Administer questionnaire for poison prevention to the parents when the child is discharged.
d. Advise parents to kneel down to the child's level when determining what products need to be
placed out of reach, - ANSWER: a. In the emergency department, begin a discussion of ways to injury-
proof the home
The nurse expects to assist with administration of a specific antidote for poisoning in which one of the
following pediatric patients?
a. The 8-month-old child admitted to the emergency department after eating 8 or 10 holly berries
b. The 13-year-old girl who ingested an overdose of diazepam (Valium)
c. The 8-year-old child who ingested three of his mother's birth control pills
d. The 6-year-old child who ingested an overdose of an unidentified corrosive substance - ANSWER: b.
The 13-year-old girl who ingested an overdose of diazepam (Valium)
Activated charcoal:
a. is odorless, tasteless, and delivered with fewer complications via gastric lavage.
b. stimulates the gastric mucosa.
c. is often mixed with cola drinks and served through a straw from an opaque container.
d. has a bitter taste. - ANSWER: c. is often mixed with cola drinks and served through a straw from an
opaque container
Potential causes of heavy metal poisoning in children include (3 things) - ANSWER: lead, mercury, iron
The nurse, while conducting a home visit, finds that the mother of 4-year-old Nathan is using a
mercury thermometer to take his axillary temperature. Which of the following is the best intervention
for the nurse at this time?
a. Tell the mother to stop using mercury thermometers because if the mercury is ingested, it can
cause mercury toxicity.
b. Explain to the mother that mercury poisoning can cause acrodynia,
c. Explain to the mother that mercury thermometers are no longer recommended and that if broken,
the inhaled vapors can cause toxicity.
d. Reassure the mother that as long as the mercury thermometer is not broken, it is okay to continue
to use it. - ANSWER: c. Explain to the mother that mercury thermometers are no longer
recommended and that if broken, the inhaled vapors can cause toxicity.
On routine physical examination, 2-year-old Zach is found to have an elevated blood lead level. The
most likely cause for this finding is:
a. Zach is allowed to play in the local sandbox at the park.
10th Edition By Marilyn J. Hockenberry; David Wilson
9780323222419 Chapter 1-35 Complete Guide .
The nurse has conducted an assessment of the sleep patterns of Janie and found that Janie delays
going to bed each night. Which of the following interventions does the nurse recognize as least
helpful?
a. Consistent bedtime ritual, like reading a book before bedtime
b. Not allowing the child to stay up past a reasonable hour
c. Keeping a light on in the room
d. Taking the child into the parents' bed - ANSWER: d. Taking the child into the parents' bed
A scary dream taking place during REM (rapid-eye-movement) sleep - ANSWER: nightmares
A partial arousal from very deep REM sleep - ANSWER: sleep terrors
Usually occurs 1 to 4 hours after falling asleep - ANSWER: sleep terrors
Crying in younger children and fright in all children; behaviors persistent when child is awake -
ANSWER: nightmares
Return to sleep may be considerably delayed because of persistent fear - ANSWER: nightmares
Return to sleep is usually rapid, often difficult to keep child awake - ANSWER: sleep terrors
Initially may sit up, thrash, or run in bizarre manner, scream, talk, show anger or obvious confusion,
which disappears when child is fully awake - ANSWER: sleep terrors
Reduction of poisonings in children and infants can be accomplished by:
a. use of child-resistant containers.
b. educating parents and grandparents to place products out of reach of small children.
c. educating parents to relocate plants out of reach of infants, toddlers, and small children.
d. doing all of the above. - ANSWER: d. doing all of the above.
6. Ingestion of injurious agents by children:
a. Occurs most frequently at grandparents' or a friend's home,
b. occurs because infants and toddlers explore their environment through oral experimentation.
c. has increased despite the use of child-resistant containers.
d. can be avoided by teaching preschoolers which substances are dangerous. - ANSWER: b. occurs
because infants and toddlers explore their environment through oral experimentation
The first action parents should be taught to initiate in a poisoning is to:
a. induce vomiting.
b. take the child to the family physician's office or emergency center.
c. call the poison control center.
d. follow the instructions on the label of the product. - ANSWER: c. call the poison control center.
Gastric lavage for pediatric poison ingestions:
a. can be associated with serious complications of gastrointestinal perforation, hypoxia, and
aspiration.
b. is recommended in the emergency department for all cases of ingestion.
c. has been proven to decrease morbidity.
, d. is most useful when the child comes to the emergency department within 3 hours of ingestion of
the toxin, - ANSWER: a. can be associated with serious complications of gastrointestinal perforation,
hypoxia, and aspiration
Identify the general guidelines for emergency treatment of poisoning. - ANSWER: assess the victim
terminate exposure to the poison
identify the poison
call poison control center for immediate advice
Which of the following statements about ipecac use for poisonous substance ingestion is true?
a. Ipecac helps absorb the toxin,
b. Ipecac is no longer recommended for routine home treatment of poisoning.
c. Ipecac is useful when a corrosive substance has been ingested.
d. Ipecac is useful when an overdose of a calcium channel blocker has been ingested. - ANSWER: b.
Ipecac is no longer recommended for routine home treatment of poisoning
Which of the following actions taken by the nurse is least likely to prevent recurrence of poisonings?
a. In the emergency department, begin a discussion of ways to injury-proof the home.
b. Do a home visit to assess safety before the child is discharged.
c. Administer questionnaire for poison prevention to the parents when the child is discharged.
d. Advise parents to kneel down to the child's level when determining what products need to be
placed out of reach, - ANSWER: a. In the emergency department, begin a discussion of ways to injury-
proof the home
The nurse expects to assist with administration of a specific antidote for poisoning in which one of the
following pediatric patients?
a. The 8-month-old child admitted to the emergency department after eating 8 or 10 holly berries
b. The 13-year-old girl who ingested an overdose of diazepam (Valium)
c. The 8-year-old child who ingested three of his mother's birth control pills
d. The 6-year-old child who ingested an overdose of an unidentified corrosive substance - ANSWER: b.
The 13-year-old girl who ingested an overdose of diazepam (Valium)
Activated charcoal:
a. is odorless, tasteless, and delivered with fewer complications via gastric lavage.
b. stimulates the gastric mucosa.
c. is often mixed with cola drinks and served through a straw from an opaque container.
d. has a bitter taste. - ANSWER: c. is often mixed with cola drinks and served through a straw from an
opaque container
Potential causes of heavy metal poisoning in children include (3 things) - ANSWER: lead, mercury, iron
The nurse, while conducting a home visit, finds that the mother of 4-year-old Nathan is using a
mercury thermometer to take his axillary temperature. Which of the following is the best intervention
for the nurse at this time?
a. Tell the mother to stop using mercury thermometers because if the mercury is ingested, it can
cause mercury toxicity.
b. Explain to the mother that mercury poisoning can cause acrodynia,
c. Explain to the mother that mercury thermometers are no longer recommended and that if broken,
the inhaled vapors can cause toxicity.
d. Reassure the mother that as long as the mercury thermometer is not broken, it is okay to continue
to use it. - ANSWER: c. Explain to the mother that mercury thermometers are no longer
recommended and that if broken, the inhaled vapors can cause toxicity.
On routine physical examination, 2-year-old Zach is found to have an elevated blood lead level. The
most likely cause for this finding is:
a. Zach is allowed to play in the local sandbox at the park.
