C HAPTER 31: B ASIC P EDIATRIC N URSING
C ARE
Cooper: Foundation of Nursing, 9th Edition
MULTIPLE CHOICE
1. Following a lumbar puncture of a 2 -year-old, what should the nurse do?
a. Keep the child flat for several hours.
b. Allow the child to play quietl y at will.
c. Hold the child in a flexed position for 5 minutes.
d. Stand the child upright immediatel y.
ANS: B
Children younger than 3 years of age are usuall y not affected by
postlumbar headache. These children are allowed to play at will
following a lumbar puncture.
DIF: Cognitive Level: Comprehension REF: p. 966
OBJ: 14 TOP: Lumbar puncture KEY: Nursing
Process Step: Implementation MSC: NC LEX:
Physiological Integrity
2. What should the nurse do to minimize an unpleasant -tasting drug?
a. Pour the drug over ice.
b. Squirt the drug in the mouth with a syringe.
c. Administer the drug throu gh a straw.
, d. Enlist the parent’s assistance.
ANS: C
Administering the drug through a straw will diminish an unpleasant
taste. Having the child hold the nose is helpful, as bad taste is
associated with the smell of the drug. Pouring the drug over ice may
result in the child not getting the entire amount of the drug. Squirting
the drug into the mouth with a syringe will still allow the child to taste
the medication. The parent’s assistance should be enlisted, but will not
minimize the taste of the drug.
DIF: Cognitive Level: Application REF: p. 967 OBJ: 15
TOP: Medications KEY: Nursing Process Step:
Implementation MSC: NC LEX: Physiological Integrit y
3. A disfiguring facial wound would have the most significant developmental
impact on which child?
a. 4-year-old
b. 6-year-old
c. 10-year-old
d. 14-year-old
ANS: D
The adolescent fears a change in body image associated with surgery.
, DIF: Cognitive Level: Application REF: p. 938 | p. 957
OBJ: 6 TOP: Surgery KEY: Nursing Process
Step: Assessment MSC: NC LEX: Psychosocial Integrit y
4. When the nurse is inserting a feeding tube in an 8 -month-old, what safet y
reminder device (SRD) should the nurse most likel y use?
a. Mumm y
b. Clove hitch
c. Jacket device
d. Elbow device
ANS: A
The mumm y restraint controls the arms and the body of the infant.
DIF: Cognitive Level: Application REF: p. 961 OBJ: 14
TOP: Safet y reminder devices (SRDs) KEY: Nursing
Process Step: Planning MSC: NC LEX: Safe, Effective
Care Environment
5. The nurse clarifies that child abuse and neglect are complicate d and
preventable problems falling under which broader term?
a. Child abandonment
b. Child mismanagement
c. Child maltreatment
d. Child torment
ANS: C
C ARE
Cooper: Foundation of Nursing, 9th Edition
MULTIPLE CHOICE
1. Following a lumbar puncture of a 2 -year-old, what should the nurse do?
a. Keep the child flat for several hours.
b. Allow the child to play quietl y at will.
c. Hold the child in a flexed position for 5 minutes.
d. Stand the child upright immediatel y.
ANS: B
Children younger than 3 years of age are usuall y not affected by
postlumbar headache. These children are allowed to play at will
following a lumbar puncture.
DIF: Cognitive Level: Comprehension REF: p. 966
OBJ: 14 TOP: Lumbar puncture KEY: Nursing
Process Step: Implementation MSC: NC LEX:
Physiological Integrity
2. What should the nurse do to minimize an unpleasant -tasting drug?
a. Pour the drug over ice.
b. Squirt the drug in the mouth with a syringe.
c. Administer the drug throu gh a straw.
, d. Enlist the parent’s assistance.
ANS: C
Administering the drug through a straw will diminish an unpleasant
taste. Having the child hold the nose is helpful, as bad taste is
associated with the smell of the drug. Pouring the drug over ice may
result in the child not getting the entire amount of the drug. Squirting
the drug into the mouth with a syringe will still allow the child to taste
the medication. The parent’s assistance should be enlisted, but will not
minimize the taste of the drug.
DIF: Cognitive Level: Application REF: p. 967 OBJ: 15
TOP: Medications KEY: Nursing Process Step:
Implementation MSC: NC LEX: Physiological Integrit y
3. A disfiguring facial wound would have the most significant developmental
impact on which child?
a. 4-year-old
b. 6-year-old
c. 10-year-old
d. 14-year-old
ANS: D
The adolescent fears a change in body image associated with surgery.
, DIF: Cognitive Level: Application REF: p. 938 | p. 957
OBJ: 6 TOP: Surgery KEY: Nursing Process
Step: Assessment MSC: NC LEX: Psychosocial Integrit y
4. When the nurse is inserting a feeding tube in an 8 -month-old, what safet y
reminder device (SRD) should the nurse most likel y use?
a. Mumm y
b. Clove hitch
c. Jacket device
d. Elbow device
ANS: A
The mumm y restraint controls the arms and the body of the infant.
DIF: Cognitive Level: Application REF: p. 961 OBJ: 14
TOP: Safet y reminder devices (SRDs) KEY: Nursing
Process Step: Planning MSC: NC LEX: Safe, Effective
Care Environment
5. The nurse clarifies that child abuse and neglect are complicate d and
preventable problems falling under which broader term?
a. Child abandonment
b. Child mismanagement
c. Child maltreatment
d. Child torment
ANS: C
