RN Learning System Nursing Care of
Children Practice Quiz 2
A nurse is teaching the parent of a preschool-age child about the treatment for
pinworms. Which of the following statements by the parent indicates an understanding
of the teaching? -CORRECT ANSWER "I will give my child a dose of albendazole
today and again in 2 weeks."
--The nurse should instruct the parent to repeat the dose of albendazole in 2 weeks to
completely eradicate the parasite and prevent reinfection.
A nurse is assessing a child who has a ventricular septal defect. Which of the following
findings should the nurse expect? -CORRECT ANSWER Murmur at the left sternal
border.
--A ventricular septal defect, a hole in the septal wall between the ventricles, is an
acyanotic heart defect. A systolic murmur can be best heard at the lower left sternal
border. Sound is transmitted in the direction of blood flow, so any backflow of blood
from the left to the right ventricle through the septal defect is best heard in this area.
A nurse is teaching an adolescent who has asthma about how to use a peak expiratory
flow meter (PEFM). Which of the following responses by the adolescent indicates an
understanding of the teaching? -CORRECT ANSWER "I will record the highest reading
of three attempts."
--Once the client establishes a personal best, she should routinely check the PEFM by
performing three attempts and recording the highest reading of the three.
A nurse is providing teaching to the parents of an infant who has acute otitis media
about how to administer antibiotic eardrops. Which of the following instructions should
the nurse include? -CORRECT ANSWER Massage the anterior area of the infant's ear
following administration.
--The nurse should instruct the parents to massage the anterior area of the ear following
administration of eardrops to facilitate instillation of the medication.
A nurse is providing teaching to the parent of a 2-year-old toddler about nutrition. Which
of the following statements by the parent indicates an understanding of the teaching? -
CORRECT ANSWER "My child should consume 1,000 calories per day."
--Toddlers who are 2 years old should consume 1,000 calories daily.
, A nurse is providing teaching about immunizations to the parents of a severely
immunocompromised child who has human immunodeficiency virus (HIV). Which of the
following statements should the nurse include in the teaching? -CORRECT ANSWER
"The pneumococcal and influenza vaccines are recommended for your child."
--Immunization against common childhood illnesses, including the influenza and
pneumococcal disease, is recommended for all children exposed to and infected with
HIV.
A nurse in an emergency department is caring for a 4-year-old child who has burns to
the neck and face following a house fire. Which of the following actions should the nurse
take first? -CORRECT ANSWER Determine the child's breathing pattern.
--The nurse should apply the ABC priority setting framework. This framework
emphasizes the basic core of human functioning: having an open airway, being able to
breathe in adequate amounts of oxygen, and circulating oxygen to the body's organs via
the blood. An alteration in any of these can indicate a threat to life, and is therefore the
nurse's priority concern. When applying the ABC priority setting framework, airway is
always the highest priority because the airway must be clear and open for oxygen
exchange to occur. Breathing is the second highest priority in the ABC priority setting
framework because adequate ventilatory effort is essential in order for oxygen
exchange to occur. Determining the child's breathing pattern is the first action the nurse
should take. Circulation is the third highest priority in the ABC priority setting framework
because delivery of oxygen to critical organs only occurs if the heart and blood vessels
are capable of efficiently carrying oxygen to them.
A nurse is providing discharge teaching to the parents of a child who has nephrotic
syndrome. Which of the following instructions should the nurse include in the teaching?
-CORRECT ANSWER Keep the child away from people who have an infection.
--Children who have nephrotic syndrome are at increased risk for infection and should
avoid contact with people who have infections.
A nurse is providing nutritional teaching to an adolescent client who has celiac disease.
Which of the following breakfast foods should the nurse recommend? -CORRECT
ANSWER Scrambled eggs
--The client who has celiac disease should be on a low-gluten diet and should avoid
foods containing barley, oat, rye, and wheat; therefore, scrambled eggs are an
appropriate breakfast item for the nurse to recommend to the client.
A clinic nurse is providing teaching to the parent of a 1-month-old infant who has
gastroesophageal reflux. Which of the following statements by the parent indicates an
understanding of the teaching? -CORRECT ANSWER "I will add rick cereal to my
baby's feedings."
Children Practice Quiz 2
A nurse is teaching the parent of a preschool-age child about the treatment for
pinworms. Which of the following statements by the parent indicates an understanding
of the teaching? -CORRECT ANSWER "I will give my child a dose of albendazole
today and again in 2 weeks."
--The nurse should instruct the parent to repeat the dose of albendazole in 2 weeks to
completely eradicate the parasite and prevent reinfection.
A nurse is assessing a child who has a ventricular septal defect. Which of the following
findings should the nurse expect? -CORRECT ANSWER Murmur at the left sternal
border.
--A ventricular septal defect, a hole in the septal wall between the ventricles, is an
acyanotic heart defect. A systolic murmur can be best heard at the lower left sternal
border. Sound is transmitted in the direction of blood flow, so any backflow of blood
from the left to the right ventricle through the septal defect is best heard in this area.
A nurse is teaching an adolescent who has asthma about how to use a peak expiratory
flow meter (PEFM). Which of the following responses by the adolescent indicates an
understanding of the teaching? -CORRECT ANSWER "I will record the highest reading
of three attempts."
--Once the client establishes a personal best, she should routinely check the PEFM by
performing three attempts and recording the highest reading of the three.
A nurse is providing teaching to the parents of an infant who has acute otitis media
about how to administer antibiotic eardrops. Which of the following instructions should
the nurse include? -CORRECT ANSWER Massage the anterior area of the infant's ear
following administration.
--The nurse should instruct the parents to massage the anterior area of the ear following
administration of eardrops to facilitate instillation of the medication.
A nurse is providing teaching to the parent of a 2-year-old toddler about nutrition. Which
of the following statements by the parent indicates an understanding of the teaching? -
CORRECT ANSWER "My child should consume 1,000 calories per day."
--Toddlers who are 2 years old should consume 1,000 calories daily.
, A nurse is providing teaching about immunizations to the parents of a severely
immunocompromised child who has human immunodeficiency virus (HIV). Which of the
following statements should the nurse include in the teaching? -CORRECT ANSWER
"The pneumococcal and influenza vaccines are recommended for your child."
--Immunization against common childhood illnesses, including the influenza and
pneumococcal disease, is recommended for all children exposed to and infected with
HIV.
A nurse in an emergency department is caring for a 4-year-old child who has burns to
the neck and face following a house fire. Which of the following actions should the nurse
take first? -CORRECT ANSWER Determine the child's breathing pattern.
--The nurse should apply the ABC priority setting framework. This framework
emphasizes the basic core of human functioning: having an open airway, being able to
breathe in adequate amounts of oxygen, and circulating oxygen to the body's organs via
the blood. An alteration in any of these can indicate a threat to life, and is therefore the
nurse's priority concern. When applying the ABC priority setting framework, airway is
always the highest priority because the airway must be clear and open for oxygen
exchange to occur. Breathing is the second highest priority in the ABC priority setting
framework because adequate ventilatory effort is essential in order for oxygen
exchange to occur. Determining the child's breathing pattern is the first action the nurse
should take. Circulation is the third highest priority in the ABC priority setting framework
because delivery of oxygen to critical organs only occurs if the heart and blood vessels
are capable of efficiently carrying oxygen to them.
A nurse is providing discharge teaching to the parents of a child who has nephrotic
syndrome. Which of the following instructions should the nurse include in the teaching?
-CORRECT ANSWER Keep the child away from people who have an infection.
--Children who have nephrotic syndrome are at increased risk for infection and should
avoid contact with people who have infections.
A nurse is providing nutritional teaching to an adolescent client who has celiac disease.
Which of the following breakfast foods should the nurse recommend? -CORRECT
ANSWER Scrambled eggs
--The client who has celiac disease should be on a low-gluten diet and should avoid
foods containing barley, oat, rye, and wheat; therefore, scrambled eggs are an
appropriate breakfast item for the nurse to recommend to the client.
A clinic nurse is providing teaching to the parent of a 1-month-old infant who has
gastroesophageal reflux. Which of the following statements by the parent indicates an
understanding of the teaching? -CORRECT ANSWER "I will add rick cereal to my
baby's feedings."
