INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING

MULTIPLE CHOICE 1. The nurse is planning a parent education program about lead poisoning prevention. What will be included regarding primary sources of lead in the community? a. Increased lead content of air b. Use of aluminum cookware c. Deteriorating paint in older buildings d. Inhaling smog ANS: C The primary source of lead is paint from old, deteriorating buildings. DIF: Cognitive Level: Knowledge REF: Page 682 TOP: Lead Poisoning KEY: Nursing Process Step: Planning MSC:...

MULTIPLE CHOICE 1. A child has just been diagnosed with acute lymphoblastic leukemia. What is the result of an overproduction of immature white blood cells in the bone marrow? a. Decreased T-cell production b. Decreased hemoglobin c. Increased blood clotting d. Increased susceptibility to infection ANS: D An overproduction of immature white blood cells increases the childs susceptibility to infection. DIF: Cognitive Level: Comprehension REF: Page 648 TOP: Leukemia KEY: Nursing...

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MULTIPLE CHOICE 1. What emergency action should be implemented for airway obstruction in the infant? a. Six to 10 midsternal thrusts b. Five back blows followed by five chest thrusts c. Five chest thrusts followed by five back blows d. Abdominal thrusts until the object is expelled ANS: B Five back blows followed by five chest thrusts is the appropriate intervention for airway obstruction in the infant. DIF: Cognitive Level: Knowledge REF: Page 530 TOP: Management of Airway Ob...

MULTIPLE CHOICE 1. The mother of a hospitalized toddler states, He cries when I visit. Maybe I should just stay away. What is the nurses best response? a. Perhaps you are right. He only gets upset when you have to leave. b. It is important that you are here. This is a common reaction in children when they are separated from their parents. c. It might be easier for your child if you would stay with him, but this decision is up to you. d. We take good care of him and he seems fine when you ...

MULTIPLE CHOICE 1. What intervention is appropriate for a nurse assessing a preadolescent child for scoliosis? a. Ask the child to bend forward at the waist and observe the childs back for asymmetry. b. Observe the gait while the child is walking forward heel to toe. c. Have the child flex the knees and look for uneven knee height. d. Look at the childs shoulders and hips while fully clothed. ANS: A The nurse looks at the back as the child bends forward for general body alignment an...

MULTIPLE CHOICE 1. What is an appropriate nursing action when a child is experiencing a generalized tonic-clonic seizure? a. Guide the child to the floor if the child is standing, and then go for help. b. Move objects out of the childs immediate area. c. Stick a padded tongue blade between the childs 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: Applica...

MULTIPLE CHOICE 1. What should the nurse suggest as the most appropriate toy choice for a 3-year-old? a. A board game b. A small pet, such as a goldfish c. A large construction set d. Push-pull toys ANS: C Large construction sets are suitable toys for the preschool-age child. DIF: Cognitive Level: Application REF: Page 438 TOP: Play KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance: Growth and Development 2. The parent of a 3 -year-ol...

MULTIPLE CHOICE 1. What does the nurse consider as an appropriate snack for a 2-year-old child? a. Hot dog sections b. Grapes c. Popcorn d. Applesauce ANS: D Applesauce is a healthy and safe snack food for the toddler. The toddler is at risk for choking on foods such as grapes, hot dogs, and popcorn. DIF: Cognitive Level: Analysis REF: Page 415, Health Promotion box OBJ: 10 TOP: Injury Prevention KEY: Nursing Process Step: Planning MSC: NCLEX: Health Promotion and Mainte...

MULTIPLE CHOICE 1. What foods would be a healthy choice for an adolescent who just finished playing in a strenuous sports game? a. A cheeseburger and soda b. A hot fudge sundae c. Two sausage and egg breakfast sandwiches and orange juice d. A bagel and skim milk ANS: D A bagel provides a rapid supply of carbohydrates to the muscles, and skim milk provides a slow release of carbohydrates to the muscles. DIF: Cognitive Level: Comprehension REF: Page 472 TOP: Nutrition KEY: Nursi...