Keenan-Lindsay: Leifer’s Introduction to Maternity and Pediatric Nursing in Canada, 1st Edition
MULTIPLE CHOICE
1. An adolescent has just had a generalized seizure and collapsed at school. When should a
nurse should call 911?
a. The seizure lasts more than 5 minutes.
b. The child is sleepy and lethargic after the seizure.
c. The child vomited at the onset of the seizure.
d. The child is confused and has slurred speech after the seizure.
ANS: A
If there are multiple seizures or if seizures last more than 5 minutes, call 911 because
these are indicators of possible status epilepticus, a medical emergency.
DIF: Cognitive Level: Application REF: 555 OBJ: 15
TOP: Epilepsy KEY: Nursing Process Step: Implementation
2. What is an appropriate nursing action when a child is experiencing a generalized tonic–
clonic seizure?
a. Assist the child to bed and then go for help.
b. Move objects out of the child’s immediate area.
c. Stick a padded tongue blade between the child’s teeth.
d. Manually restrain the child.
ANS: B
During a generalized tonic–clonic seizure, the immediate area is cleared to protect the
child from injury.
DIF: Cognitive Level: Application REF: 552 OBJ: 15
TOP: Epilepsy KEY: Nursing Process Step: Implementation
, 3. A parent comments that her infant has had several ear infections in the past few months.
Why are infants more susceptible to otitis media?
a. Infants are in a supine or prone position most of the time.
b. Sucking on a nipple creates middle ear pressure.
c. They have increased susceptibility to upper respiratory tract infections.
d. The Eustachian tube is short, straight, and wide.
ANS: D
An infant’s Eustachian tubes are short, wide, and straight, allowing microorganisms
easy access to the middle ear.
DIF: Cognitive Level: Knowledge REF: 532 OBJ: 5
TOP: Otitis Media KEY: Nursing Process Step: Data Collection
4. What statement by a patient’s mother leads a nurse to determine she understands
instructions about administering an oral antibiotic for otitis media?
a. “I will continue using the medication until symptoms are relieved.”
b. “I will share the medicine with siblings if their symptoms are the same.”
c. “I will give the medication with a glass of milk.”
d. “I will administer prescribed doses until all the medication is used.”
ANS: D
Antibiotic therapy for otitis media is continued until the prescribed amount has been
completed, even if symptoms are alleviated.
DIF: Cognitive Level: Application REF: 533 OBJ: 5
TOP: Otitis Media KEY: Nursing Process Step: Evaluation
5. A child diagnosed with epilepsy had a generalized tonic–clonic seizure that lasted 90
seconds. What would a nurse expect to assess after a generalized tonic-clonic seizure?
a. Restlessness
b. Sleepiness
c. Nausea
d. Anxiety
ANS: B
MULTIPLE CHOICE
1. An adolescent has just had a generalized seizure and collapsed at school. When should a
nurse should call 911?
a. The seizure lasts more than 5 minutes.
b. The child is sleepy and lethargic after the seizure.
c. The child vomited at the onset of the seizure.
d. The child is confused and has slurred speech after the seizure.
ANS: A
If there are multiple seizures or if seizures last more than 5 minutes, call 911 because
these are indicators of possible status epilepticus, a medical emergency.
DIF: Cognitive Level: Application REF: 555 OBJ: 15
TOP: Epilepsy KEY: Nursing Process Step: Implementation
2. What is an appropriate nursing action when a child is experiencing a generalized tonic–
clonic seizure?
a. Assist the child to bed and then go for help.
b. Move objects out of the child’s immediate area.
c. Stick a padded tongue blade between the child’s teeth.
d. Manually restrain the child.
ANS: B
During a generalized tonic–clonic seizure, the immediate area is cleared to protect the
child from injury.
DIF: Cognitive Level: Application REF: 552 OBJ: 15
TOP: Epilepsy KEY: Nursing Process Step: Implementation
, 3. A parent comments that her infant has had several ear infections in the past few months.
Why are infants more susceptible to otitis media?
a. Infants are in a supine or prone position most of the time.
b. Sucking on a nipple creates middle ear pressure.
c. They have increased susceptibility to upper respiratory tract infections.
d. The Eustachian tube is short, straight, and wide.
ANS: D
An infant’s Eustachian tubes are short, wide, and straight, allowing microorganisms
easy access to the middle ear.
DIF: Cognitive Level: Knowledge REF: 532 OBJ: 5
TOP: Otitis Media KEY: Nursing Process Step: Data Collection
4. What statement by a patient’s mother leads a nurse to determine she understands
instructions about administering an oral antibiotic for otitis media?
a. “I will continue using the medication until symptoms are relieved.”
b. “I will share the medicine with siblings if their symptoms are the same.”
c. “I will give the medication with a glass of milk.”
d. “I will administer prescribed doses until all the medication is used.”
ANS: D
Antibiotic therapy for otitis media is continued until the prescribed amount has been
completed, even if symptoms are alleviated.
DIF: Cognitive Level: Application REF: 533 OBJ: 5
TOP: Otitis Media KEY: Nursing Process Step: Evaluation
5. A child diagnosed with epilepsy had a generalized tonic–clonic seizure that lasted 90
seconds. What would a nurse expect to assess after a generalized tonic-clonic seizure?
a. Restlessness
b. Sleepiness
c. Nausea
d. Anxiety
ANS: B
