Test Bank for Essentials of
Pediatric Nursing 5th Edition By
Terri Kyle and Susan Carman
exam questions with answers
verified and graded A+
The registered nurse (RN) will intervene if the unlicensed assistive personnel
(UAP) is noted performing which task?
obtaining blood pressure reading on a toddler admitted for recurrent urinary
tract infections
obtaining an infant's apical pulse while the infant is asleep in the crib
pulling the earlobe down and back while checking a school-age client's
tympanic temperature
counting the respirations on a preschool-age client for a full minute
pulling the earlobe down and back while checking a school-age client's
tympanic temperature
The nurse working in the pediatric unit of the hospital is always monitoring
for safety issues on the unit. The nurse determines the greatest concern
related to safety of the hospitalized child is related to which situation?
Taking a child in and out of bed, doing frequent checks and procedures, and
caregivers sitting at the side of the bed all bring on an opportunity for the
side rails to be left down.
The caregivers are in a high-stress situation and are unable to concentrate
and pay attention to what the child is doing at all times.
,A variety of nursing staff and other hospital staff are in and out of the child's
room during hospitalization, and close observation of the child by the staff is
difficult.
The child is out of the home environment he or she is used to, without safety
locks on doors and cabinets and things being placed in safe storage.
Taking a child in and out of bed, doing frequent checks and procedures, and
caregivers sitting at the side of the bed all bring on an opportunity for the
side rails to be left down.
A 3-year-old who has just been admitted with pneumonia needs to have an
intravenous (IV) line inserted for antibiotic therapy. What is the best nursing
action?
Take the patient to the treatment room to have the IV inserted.
Tell the patient that it will feel like a bumble bee sting when inserted.
Tell the patient to stay with the mother in his room while the IV is inserted.
Inform the patient's mother that she can stay in the room and hold the child
while the IV is inserted.
Take the patient to the treatment room to have the IV inserted.
The nurse is examining a child's skin for lesions and rashes. When
documenting the findings, which would the nurse include? Select all that
apply.
location
color
jaundice
distribution
,size
color
location
size
distribution
On the first postoperative day, a 4-year-old child who was hospitalized for an
emergency appendectomy has begun to cry relentlessly, will not let the
nurse touch him or her, and keeps asking for the parent. The pediatric nurse
is aware that this client is in which stage of separation?
despair
grief
denial
protest
protest
Explanation:
Separation anxiety is very real for the hospitalized child who is separated
from parents or caretakers. Separation anxiety has three stages. This child is
displaying symptoms of the first stage of separation, which is protest. The
child reacts aggressively, cries, and exhibits great distress. The child rejects
others who would attempt to provide care or comfort. The second stage is
despair. During this stage the child displays hopelessness, is quiet without
crying, and lacks any interest in play or food. The third stage is denial.
During this phase, the child is detached and has formed coping mechanisms
to avoid any further emotional pain. Grief is not a stage of separation
anxiety.
, •`~
The nurse is preparing to measure an infant's temperature with a tympanic
thermometer. Which is the correct way to position the device?
Pull the child's earlobe back and up, and point the sensor beam toward the
side of the ear canal.
Pull the child's earlobe back and down and point the sensor beam toward the
center of the tympanic membrane.
Pull the child's earlobe back and up, and point the sensor beam toward the
center of the tympanic membrane.
Pull the child's earlobe back and down, and point the sensor beam toward
the side of the ear canal.
Pull the child's earlobe back and down and point the sensor beam toward the
center of the tympanic membrane.
A 15-year-old female is being seen for an annual physical examination. The
teen asks the nurse if what they talk about will be kept private. What is the
appropriate response by the nurse?
"Since you are 15 there are some things we can keep private if you wish."
"There are some things I may need to share with your parents or physician."
"Until you are 16 years of age you will not be afforded total privacy from your
parents with regard to your health care concerns."
"Privacy is important and I will not share anything we talk about with your
parents."
"There are some things I may need to share with your parents or physician."
Pediatric Nursing 5th Edition By
Terri Kyle and Susan Carman
exam questions with answers
verified and graded A+
The registered nurse (RN) will intervene if the unlicensed assistive personnel
(UAP) is noted performing which task?
obtaining blood pressure reading on a toddler admitted for recurrent urinary
tract infections
obtaining an infant's apical pulse while the infant is asleep in the crib
pulling the earlobe down and back while checking a school-age client's
tympanic temperature
counting the respirations on a preschool-age client for a full minute
pulling the earlobe down and back while checking a school-age client's
tympanic temperature
The nurse working in the pediatric unit of the hospital is always monitoring
for safety issues on the unit. The nurse determines the greatest concern
related to safety of the hospitalized child is related to which situation?
Taking a child in and out of bed, doing frequent checks and procedures, and
caregivers sitting at the side of the bed all bring on an opportunity for the
side rails to be left down.
The caregivers are in a high-stress situation and are unable to concentrate
and pay attention to what the child is doing at all times.
,A variety of nursing staff and other hospital staff are in and out of the child's
room during hospitalization, and close observation of the child by the staff is
difficult.
The child is out of the home environment he or she is used to, without safety
locks on doors and cabinets and things being placed in safe storage.
Taking a child in and out of bed, doing frequent checks and procedures, and
caregivers sitting at the side of the bed all bring on an opportunity for the
side rails to be left down.
A 3-year-old who has just been admitted with pneumonia needs to have an
intravenous (IV) line inserted for antibiotic therapy. What is the best nursing
action?
Take the patient to the treatment room to have the IV inserted.
Tell the patient that it will feel like a bumble bee sting when inserted.
Tell the patient to stay with the mother in his room while the IV is inserted.
Inform the patient's mother that she can stay in the room and hold the child
while the IV is inserted.
Take the patient to the treatment room to have the IV inserted.
The nurse is examining a child's skin for lesions and rashes. When
documenting the findings, which would the nurse include? Select all that
apply.
location
color
jaundice
distribution
,size
color
location
size
distribution
On the first postoperative day, a 4-year-old child who was hospitalized for an
emergency appendectomy has begun to cry relentlessly, will not let the
nurse touch him or her, and keeps asking for the parent. The pediatric nurse
is aware that this client is in which stage of separation?
despair
grief
denial
protest
protest
Explanation:
Separation anxiety is very real for the hospitalized child who is separated
from parents or caretakers. Separation anxiety has three stages. This child is
displaying symptoms of the first stage of separation, which is protest. The
child reacts aggressively, cries, and exhibits great distress. The child rejects
others who would attempt to provide care or comfort. The second stage is
despair. During this stage the child displays hopelessness, is quiet without
crying, and lacks any interest in play or food. The third stage is denial.
During this phase, the child is detached and has formed coping mechanisms
to avoid any further emotional pain. Grief is not a stage of separation
anxiety.
, •`~
The nurse is preparing to measure an infant's temperature with a tympanic
thermometer. Which is the correct way to position the device?
Pull the child's earlobe back and up, and point the sensor beam toward the
side of the ear canal.
Pull the child's earlobe back and down and point the sensor beam toward the
center of the tympanic membrane.
Pull the child's earlobe back and up, and point the sensor beam toward the
center of the tympanic membrane.
Pull the child's earlobe back and down, and point the sensor beam toward
the side of the ear canal.
Pull the child's earlobe back and down and point the sensor beam toward the
center of the tympanic membrane.
A 15-year-old female is being seen for an annual physical examination. The
teen asks the nurse if what they talk about will be kept private. What is the
appropriate response by the nurse?
"Since you are 15 there are some things we can keep private if you wish."
"There are some things I may need to share with your parents or physician."
"Until you are 16 years of age you will not be afforded total privacy from your
parents with regard to your health care concerns."
"Privacy is important and I will not share anything we talk about with your
parents."
"There are some things I may need to share with your parents or physician."
