500 Questions. Latest 2024-2025
1. The nurse is providing home care for the family of an 8-year-old boy
who is dying of leukemia. Which action will be most supportive to the
parents of the child?
A) Encouraging organ and tissue donation
B) Being patient with parental indecision
C) Getting prior authorization for treatments
D) Explaining how anorexia is a natural process
B) Being patient with parental indecision
2. The nurse is providing palliative care for a 9-year-old boy in hospice.
Which is unique to hospice care for children?
A) Encouraging visits from friends and family
B) Educating parents about terminal dehydration
C) Prolonging treatment that might possibly help
D) Treating constipation to relieve abdominal pain
C) Prolonging treatment that might possibly help
3. When providing care to a dying child and his family, which of the
following would be most important?
A) Focusing on the family as the unit of care
B) Teaching the family appropriate care measures
C) Offering the child support and encouragement
D) Assisting the parents in decision making
a. Focusing on the family as the unit of care
4. The parents of an 11-year-old boy who is dying from cancer are
concerned that he is not eating. Which intervention would serve both
the parents' and child's needs?
A) Urging the child to eat one good meal per day
B) Serving small meals of things the child likes
C) Straightening up around the child before meals
D) Administering antiemetics as ordered for nausea
B) Serving small meals of things the child likes
,5. The nurse is caring for terminally ill children in a hospital setting. With
which of the following children would the nurse consult regarding the
continuation or withdrawal of treatment?
A) A 4-year-old with an inoperable brain tumor
B) A 5-year-old with kidney failure
C) A 6-year-old with life-threatening injuries
D) A 7-year-old with end-stage leukemia
D) A 7-year-old with end-stage leukemia
6. The nurse is caring for a child involved in an automobile accident whose
family has been informed that the child is brain dead. Which of the
following teachings might the nurse provide the family regarding organ
donation?
A) The nurse should ask about organ donation when the family is
informed of their
child's condition.
B) The nurse should explain that written consent is necessary for the
organ donation.
C) The nurse should make sure the parents know that procurement of
organs may mar
their child's appearance.
D) The nurse should make sure the parents know that they will be
responsible for
expenses related to organ procurement.
B) The nurse should explain that written consent is necessary for the organ
donation.
7. The nurse is caring for a preschool child who is receiving palliative care
for end-stage cancer. Which of the following would be the focus of age-
appropriate interventions for this child?
A) Providing unconditional love and trust
B) Providing a familiar and consistent routine
C) Teaching the child that death is not punishment
D) Providing specific, honest details of death
C) Teaching the child that death is not punishment
8. The nurse is caring for a 5-year-old boy who is terminally ill. Which
intervention would best meet the needs of this dying child?
, A) Offer the child decision-making opportunities.
B) Provide the child with specific details.
C) Assure the child that he did nothing wrong.
D) Act as a confidant for the child's concerns.
C) Assure the child that he did nothing wrong.
9. Which of the following would the nurse include in the plan of care for a
dying child with pain?
A) Administering analgesics as needed
B) Using measures the nurse finds comforting
C) Playing the television or radio so the child can hear it
D) Changing the child's position frequently but gently
D) Changing the child's position frequently but gently
10.When describing organ donation to the family of a dying child, which of
the following would the nurse include in the discussion?
A) Telling them that further harm may occur to the child through the
process
B) Tell them that their cultural and religious beliefs will be considered
C) Including this topic in the discussion of impending death
D) Informing the family that organ donation will delay the funeral
B) Tell them that their cultural and religious beliefs will be considered
11.(chapter 35)
The nurse is administering Tylenol PRN to a 9-year-old child on the
pediatric ward of the hospital. Which of the following reflect nursing
actions that follow the rules of the "eight rights" of pediatric medication
administration? Select all answers that apply.
A) The nurse identifies the child by checking the name on the child's
chart.
B) The nurse makes sure the medication is given within the hour of the
ordered time. C) The nurse checks the documented time of the last
dosage administered.
D) The nurse calculates the dosage according to the child's weight.
E) The nurse explains the therapeutic effects of the medication to the
child and
parents.
, F) The nurse administers the medication even though the child is
adamant about not taking it.
C) The nurse checks the documented time of the last dosage administered.
D) The nurse calculates the dosage according to the child's weight.
E) The nurse explains the therapeutic effects of the medication to the child
and parents.
12.The nurse is teaching the student nurse the factors that affect the
pharmacodynamics of the drugs they are administering. Which of the
following is a factor affecting this property of drugs?
A) Immature body systems
B) Weight
C) Body surface
D) Body composition
a. Immature body systems
13.When describing the differences affecting the pharmacokinetics of
drugs administered to children, which of the following would the nurse
include?
A) Oral drugs are absorbed more quickly in children than adults.
B) Absorption of intramuscularly administered drugs is fairly constant.
C) Topical drugs are absorbed more quickly in young children than
adults.
D) Absorption of drugs administered by subcutaneous injection is
increased.
C) Topical drugs are absorbed more quickly in young children than adults.
14.The nurse is helping a 14-year old boy who has asthma to administer
medication via an inhaler. Which of the following describes a
developmentally appropriate nursing intervention for this child?
A) Involve the adolescent's parents in the administration of the
medication.
B) Allow the adolescent to handle a demo inhaler prior to administering
the medication.
C) Offer the adolescent a special treat if he uses his inhaler correctly.
D) Treat the adolescent as an adult when explaining the use of the
inhaler.
D) Treat the adolescent as an adult when explaining the use of the inhaler.