NURSING CONSIDERATIONS FOR THE HOSPITALIZED CHILD
The nurse is providing care to a pediatric client who is experiencing separation anxiety. Which
data would support the documentation of the "despair" phase?
1. Lies quietly in bed.
2. Does not cry if his parents return and leave again.
3. Appears to be happy and content with staff.
4. Screams and cries when his parents leave.
1
Which is a common fear, in addition to separation anxiety, for the hospitalized pediatric client
between the ages of 6 and 18 months?
1. Disfigurement
2. Death
3. Stranger anxiety
4.Bodily injury
3
The parents of a child who is critically injured wish to stay in the room while the child is
receiving emergency care. Which nursing action is most appropriate in this situation?
1. Asking the healthcare provider if the parents can stay with the child
2. Allowing the parents to stay with the child
3. Escorting the parents to the waiting room and assuring them that they can see their child soon
4.Telling the parents that they do not need to stay with the child
2
The pediatric group is providing care to a group of hospitalized clients. Which client is at the
greatest risk for developing separation anxiety if the parents are unable to stay with the child at
all times?
1. 6 month old
2. 18 month old
3. 4 year old
4.6 year old
2
A preschool-age boy presents to the outpatient clinic for a sore throat. In the child's mind, which
is the most likely causative agent of the sore throat?
1. Being exposed to a classmate with strep throat
2. Yelling at sibling for being annoying
3. Not eating the right foods
4.Not taking daily vitamins
, 2
A school-age client is in the playroom when the respiratory therapist arrives to give a scheduled
breathing treatment. Which is the most appropriate nursing action?
1. Escorting the child to his room and asking the child-life specialist to bring toys to the bedside
2. Rescheduling the treatment for a later time
3. Assisting the child back to his room for the treatment but reassuring him that he may return
when the procedure is completed
4.Showing the respiratory therapist to the playroom so the treatment can be performed
3
A preschool-age child is admitted to the pediatric unit for surgery. The parents request to stay
with their child. Which is the best response by the nurse?
1. Tell the parents they can stay in the hospital but not on the unit.
2. Read the rules and regulations of rooming in with the child.
3. Let the parents know they are allowed to stay with the child.
4.Explain to the parents why they cannot stay with the child.
3
A child is being prepared for surgery. The parents request to be present during anesthesia
induction. Which response by the nurse is most appropriate?
1. Telling the parents the names of all the medications that will be administered
2. Explaining what the parents will see and hear during induction
3. Telling the parents they will be upset to see the child under anesthesia
4.Ignoring the request and focusing on the child
2
The mother of a child admitted to the intensive care unit (ICU) appears very angry and tells the
nurse no one is providing information about the child. Which response by the nurse is most
appropriate?
1. Asking the mother to leave if the behavior continues
2. Apologizing for the mother's perception and assure the mother that the staff will keep her
informed.
3. Offering to ask the healthcare provider to come and talk with her
4.Telling the mother her behavior will upset the child
2
The nurse is caring for a child in the pediatric intensive care unit (PICU). The parents have
expressed anger over the nursing care their child is receiving. Which nursing action is most
appropriate?
1. Explaining to the parents that their anger is affecting their child, and they will not be allowed
The nurse is providing care to a pediatric client who is experiencing separation anxiety. Which
data would support the documentation of the "despair" phase?
1. Lies quietly in bed.
2. Does not cry if his parents return and leave again.
3. Appears to be happy and content with staff.
4. Screams and cries when his parents leave.
1
Which is a common fear, in addition to separation anxiety, for the hospitalized pediatric client
between the ages of 6 and 18 months?
1. Disfigurement
2. Death
3. Stranger anxiety
4.Bodily injury
3
The parents of a child who is critically injured wish to stay in the room while the child is
receiving emergency care. Which nursing action is most appropriate in this situation?
1. Asking the healthcare provider if the parents can stay with the child
2. Allowing the parents to stay with the child
3. Escorting the parents to the waiting room and assuring them that they can see their child soon
4.Telling the parents that they do not need to stay with the child
2
The pediatric group is providing care to a group of hospitalized clients. Which client is at the
greatest risk for developing separation anxiety if the parents are unable to stay with the child at
all times?
1. 6 month old
2. 18 month old
3. 4 year old
4.6 year old
2
A preschool-age boy presents to the outpatient clinic for a sore throat. In the child's mind, which
is the most likely causative agent of the sore throat?
1. Being exposed to a classmate with strep throat
2. Yelling at sibling for being annoying
3. Not eating the right foods
4.Not taking daily vitamins
, 2
A school-age client is in the playroom when the respiratory therapist arrives to give a scheduled
breathing treatment. Which is the most appropriate nursing action?
1. Escorting the child to his room and asking the child-life specialist to bring toys to the bedside
2. Rescheduling the treatment for a later time
3. Assisting the child back to his room for the treatment but reassuring him that he may return
when the procedure is completed
4.Showing the respiratory therapist to the playroom so the treatment can be performed
3
A preschool-age child is admitted to the pediatric unit for surgery. The parents request to stay
with their child. Which is the best response by the nurse?
1. Tell the parents they can stay in the hospital but not on the unit.
2. Read the rules and regulations of rooming in with the child.
3. Let the parents know they are allowed to stay with the child.
4.Explain to the parents why they cannot stay with the child.
3
A child is being prepared for surgery. The parents request to be present during anesthesia
induction. Which response by the nurse is most appropriate?
1. Telling the parents the names of all the medications that will be administered
2. Explaining what the parents will see and hear during induction
3. Telling the parents they will be upset to see the child under anesthesia
4.Ignoring the request and focusing on the child
2
The mother of a child admitted to the intensive care unit (ICU) appears very angry and tells the
nurse no one is providing information about the child. Which response by the nurse is most
appropriate?
1. Asking the mother to leave if the behavior continues
2. Apologizing for the mother's perception and assure the mother that the staff will keep her
informed.
3. Offering to ask the healthcare provider to come and talk with her
4.Telling the mother her behavior will upset the child
2
The nurse is caring for a child in the pediatric intensive care unit (PICU). The parents have
expressed anger over the nursing care their child is receiving. Which nursing action is most
appropriate?
1. Explaining to the parents that their anger is affecting their child, and they will not be allowed
