Docsity
Docsity
Prepare for your exams
Prepare for your exams

Study with the several resources on Docsity

Earn points to download
Earn points to download

Earn points by helping other students or get them with a premium plan

Guidelines and tips
Guidelines and tips
Sell on Docsity
Sell on Docsity
Docsity AI
Docsity AI
Log inSign up

Prepare for your exams

Study with the several resources on Docsity

Find documents

Prepare for your exams with the study notes shared by other students like you on Docsity

Search for your university

Find the specific documents for your university's exams

Docsity AINEW

Summarize your documents, ask them questions, convert them into quizzes and concept maps

Explore questions

Clear up your doubts by reading the answers to questions asked by your fellow students

Earn points to download

Earn points by helping other students or get them with a premium plan

Share documents
download point icon20 Points

For each uploaded document

Answer questions
download point icon5 Points

For each given answer (max 1 per day)

All the ways to get free points
Get points immediately

Choose a premium plan with all the points you need

Study Opportunities

Choose your next study program

Get in touch with the best universities in the world. Search through thousands of universities and official partners

Community

Ask the community

Ask the community for help and clear up your study doubts

Free resources

Our save-the-student-ebooks!

Download our free guides on studying techniques, anxiety management strategies, and thesis advice from Docsity tutors

Chapter 39: Pediatric Variations of Nursing Interventions Perry: Maternal Child Nursing Ca, Exams of Pediatrics

Florida Memorial UniversityPediatrics

Chapter 39: Pediatric Variations of Nursing Interventions Perry: Maternal Child Nursing Care, 6th Edition Exam Questions & Answers (Grade A+)

Typology: Exams

2025/2026

Available from 07/02/2026

Nurseexpert
Nurseexpert 🇺🇸

4.5

(4)

8.6K documents

1 / 35

Toggle sidebar

This page cannot be seen from the preview

Don't miss anything!

bg1
Chapter 39: Pediatric Variations of
Nursing Interventions Perry: Maternal
Child Nursing Care, 6th Edition Exam
Questions & Answers (Grade A+)
1. What should the nurse consider when having
consent forms signed for surgery and procedures on
children?
a. Only a parent or legal guardian can give consent.
b. The person giving consent must be at least 18
years old.
c. The risks and benefits of a procedure are part of the
consent process.
d. A mental age of 7 years or older is required for a
consent to be considered "informed."
\ -
correct answer ✅ANS: C
The informed consent must include the nature of the
procedure, benefits and risks, and alternatives to the
procedure. In special circumstances such as
emancipated minors, the consent can be given by
someone younger than 18 years without the parent or
legal guardian. A mental age of 7 years is too young
for consent to be informed.
pf3
pf4
pf5
pf8
pf9
pfa
pfd
pfe
pff
pf12
pf13
pf14
pf15
pf16
pf17
pf18
pf19
pf1a
pf1b
pf1c
pf1d
pf1e
pf1f
pf20
pf21
pf22
pf23

Partial preview of the text

Download Chapter 39: Pediatric Variations of Nursing Interventions Perry: Maternal Child Nursing Ca and more Exams Pediatrics in PDF only on Docsity!

Nursing Interventions Perry: Maternal

Child Nursing Care, 6th Edition Exam

Questions & Answers (Grade A+)

  1. What should the nurse consider when having consent forms signed for surgery and procedures on children? a. Only a parent or legal guardian can give consent. b. The person giving consent must be at least 18 years old. c. The risks and benefits of a procedure are part of the consent process. d. A mental age of 7 years or older is required for a consent to be considered "informed." \ - correct answer ✅ANS: C The informed consent must include the nature of the procedure, benefits and risks, and alternatives to the procedure. In special circumstances such as emancipated minors, the consent can be given by someone younger than 18 years without the parent or legal guardian. A mental age of 7 years is too young for consent to be informed.

Nursing Interventions Perry: Maternal

Child Nursing Care, 6th Edition Exam

Questions & Answers (Grade A+)

  1. The nurse is planning how to best prepare a 4-year- old child for some diagnostic procedures. What guideline should the nurse consider when preparing a preschooler for a diagnostic procedure? a. Planning for a short teaching session of about 30 minutes. b. Telling the child that procedures are never a form of punishment. c. Keeping equipment out of the child's view. d. Using correct scientific and medical terminology in explanations. - correct answer ✅ANS: B Illness and hospitalization may be viewed as punishment in preschoolers. Always state directly that procedures are never a form of punishment. Teaching sessions for this age-group should be 10 to 15 minutes in length. Demonstrate the use of equipment and allow the child to play with miniature or actual equipment. Explain the procedure and how it affects the child in simple terms.

Nursing Interventions Perry: Maternal

Child Nursing Care, 6th Edition Exam

Questions & Answers (Grade A+)

b. Demonstrate the procedure on a doll. c. Plan for the teaching session to last about 20 minutes. d. Show necessary equipment without allowing child to handle it. - correct answer ✅ANS: B Prepare toddlers for procedures by using play. Demonstrate on a doll, but avoid the child's favorite doll because the toddler may think the doll is really "feeling" the procedure. In preparing a toddler for a procedure, the child is allowed to participate in care and help whenever possible. Teaching sessions for toddlers should be about 5 to 10 minutes. Use a small replica of the equipment and allow the child to handle it.

  1. The nurse is cleaning multiple facial abrasions on a 9-year-old who was brought to the emergency department by his/her mother. When the child begins crying and screaming loudly, what intervention should the nurse implement to best manage this situation? a. Calmly ask the child to be quieter.

Nursing Interventions Perry: Maternal

Child Nursing Care, 6th Edition Exam

Questions & Answers (Grade A+)

b. Suggest that his/her mother help the child to relax. c. Tell the child it is okay to cry and scream. d. Suggest that he/she talk to his/her mother as a form of distraction. - correct answer ✅ANS: C The child should be allowed to express feelings of anger, anxiety, fear, frustration, or any other emotion. The child needs to know that it is all right to cry. There is no reason for him to be quieter. He is too upset and needs to be able to express his feelings.

  1. The nurse monitoring a child for signs and symptoms of malignant hyperthermia should be alert for which early sign of this disorder? a. Apnea b. Bradycardia c. Muscle rigidity d. Decreased blood pressure - correct answer ✅ANS: C Early signs of malignant hyperthermia include tachycardia, increasing blood pressure, tachypnea,

Nursing Interventions Perry: Maternal

Child Nursing Care, 6th Edition Exam

Questions & Answers (Grade A+)

reduction devices should be used to redistribute weight instead. The skin should be cleansed with mild nonalkaline soap or soap-free cleaning agents for routine bathing.

  1. What is an appropriate intervention to encourage food and fluid intake in a hospitalized child? a. Force child to eat and drink to combat caloric losses. b. Discourage participation in noneating activities until caloric intake is sufficient. c. Administer large quantities of flavored fluids at frequent intervals and during meals. d. Give high-quality foods and snacks whenever child expresses hunger. - correct answer ✅ANS: D Small, frequent meals and nutritious snacks should be provided for the child. Favorite foods such as peanut butter and jelly sandwiches, fruit yogurt, cheese, pizza, macaroni, and cheese should be available. Forcing a child to eat only meets with rebellion and reinforces the behavior as a control mechanism. Large

Nursing Interventions Perry: Maternal

Child Nursing Care, 6th Edition Exam

Questions & Answers (Grade A+)

quantities of fluid may decrease the child's hunger and further inhibit food intake.

  1. A 3 year old has a 102° F fever associated with a viral illness that has not responded to acetaminophen. The nurse's action should be based on what knowledge about fevers in children? a. Fevers such as this are common with viral illnesses. b. Seizures are common in children when antipyretics are ineffective. c. Fever over 102° F indicates greater severity of illness. d. Fever over 102° F indicates a probable bacterial infection. - correct answer ✅ANS: A Most fevers are of brief duration, have limited consequences, and are viral. Little evidence supports the use of antipyretic drugs to prevent febrile seizures. Neither the increase in temperature nor its response to antipyretics indicates the severity or etiology of infection.

Nursing Interventions Perry: Maternal

Child Nursing Care, 6th Edition Exam

Questions & Answers (Grade A+)

primarily in the viscera to become heated. The child is placed in a tub of tepid water for 20 to 30 minutes.

  1. The nurse wore gloves during a dressing change. When the gloves are removed, the nurse should perform which initial action? a. Wash hands thoroughly. b. Check the gloves for leaks. c. Rinse gloves in disinfectant solution. d. Apply new gloves before touching the next patient.

correct answer ✅ANS: A When gloves are worn, the hands are washed thoroughly after removing the gloves because both latex and vinyl gloves fail to provide complete protection. Gloves should be disposed of after use and hands should be thoroughly washed again before new gloves are applied.

Nursing Interventions Perry: Maternal

Child Nursing Care, 6th Edition Exam

Questions & Answers (Grade A+)

  1. The nurse gives an injection in a patient's room. Which method should the nurse use to dispose of the needle? a. Dispose of syringe and needle in a rigid, puncture- resistant container in patient's room. b. Dispose of syringe and needle in a rigid, puncture- resistant container in an area outside of patient's room. c. Cap needle immediately after giving injection and dispose of in proper container. d. Cap needle, break from syringe, and dispose of in proper container. - correct answer ✅ANS: A All needles (uncapped and unbroken) are disposed of in a rigid, puncture-resistant container located near the site of use. Consequently, these containers should be installed in the patient's room. The uncapped needle should not be transported to an area distant from use.
  2. Frequent urine testing for specific gravity and glucose are required on a 6-month-old infant. How

Nursing Interventions Perry: Maternal

Child Nursing Care, 6th Edition Exam

Questions & Answers (Grade A+)

  1. What is an important nursing consideration when performing a bladder catheterization on a young boy? a. Use clean technique, not Standard Precautions. b. Insert 2% lidocaine lubricant into the urethra. c. Lubricate catheter with water-soluble lubricant such as K-Y Jelly. d. Delay catheterization for 20 minutes while anesthetic lubricant is absorbed. - correct answer ✅ANS: B The anxiety, fear, and discomfort experienced during catheterization can be significantly decreased by preparing the child and parents, selecting the correct catheter, and using appropriate insertion technique. Generous lubrication of the urethra before catheterization and use of lubricant containing 2% lidocaine may reduce or eliminate the burning and discomfort associated with this procedure. Catheterization is a sterile procedure, and Standard Precautions for body-substance protection should be followed. Water-soluble lubricants do not provide appropriate local anesthesia. Catheterization should be delayed only 2 to 3 minutes. This provides sufficient local anesthesia for the procedure.

Nursing Interventions Perry: Maternal

Child Nursing Care, 6th Edition Exam

Questions & Answers (Grade A+)

  1. What is the most appropriate statement for the nurse to make to a 5-year-old child who is undergoing a venipuncture? a. "You must hold still or I'll have someone hold you down. This is not going to hurt." b. "This will hurt like a pinch. I'll get someone to help hold your arm still so it will be over fast and hurt less." c. "Be a big boy and hold still. This will be over in just a second." d. "I'm sending your mother out so she won't be scared. You are big, so hold still and this will be over soon." - correct answer ✅ANS: B Honesty is the best approach. Children should be told what sensation they will feel during a procedure. A 5- year-old child should not be expected to hold still, and assistance ensures safety to everyone. Telling the child that "This will be over in just a second" is not supportive or honest. Parents should be encouraged to remain with the child unless they are extremely uncomfortable doing so.

Nursing Interventions Perry: Maternal

Child Nursing Care, 6th Edition Exam

Questions & Answers (Grade A+)

  1. The nurse administering a bitter oral medication to an infant or small child should mix the medication with what substance? a. A bottle of formula or milk. b. Any food the child is going to eat. c. A teaspoon of jam or ice cream. d. Large amounts of water to dilute medication sufficiently. - correct answer ✅ANS: C Mix the drug with a small amount (about 1 teaspoon) of sweet-tasting substance. This will make the medication more palatable to the child. The medication should be mixed with only a small amount of food or liquid. If the child does not finish drinking/eating, it is difficult to determine how much medication was consumed. Medication should not be mixed with essential foods and milk. The child may associate the altered taste with the food and refuse to eat in future.

Nursing Interventions Perry: Maternal

Child Nursing Care, 6th Edition Exam

Questions & Answers (Grade A+)

  1. When liquid medication is given to a crying 10- month-old infant, which approach minimizes the possibility of aspiration? a. Administering the medication with a syringe (without needle) placed along the side of the infant's tongue. b. Administering the medication as rapidly as possible with the infant securely restrained. c. Mixing the medication with the infant's regular formula or juice and administering by bottle. d. Keeping the child upright with the nasal passages blocked for a minute after administration. - correct answer ✅ANS: A Administer the medication with a syringe without needle placed alongside of the infant's tongue. The contents are administered slowly in small amounts, allowing the child to swallow between deposits. Medications should be given slowly to avoid aspiration. The medication should be mixed with only a small amount of food or liquid. If the child does not finish drinking/eating, it is difficult to determine how much medication was consumed. Essential foods also should not be used. The child may associate the

Nursing Interventions Perry: Maternal

Child Nursing Care, 6th Edition Exam

Questions & Answers (Grade A+)

  1. When teaching a mother how to administer eyedrops, where should the nurse instruct to place them? a. In the conjunctival sac that is formed when the lower lid is pulled down. b. Carefully under the upper eyelid while it is gently pulled upward. c. On the sclera while the child looks to the side. d. Anywhere as long as drops contact the eye's surface. - correct answer ✅ANS: A The lower lid is pulled down, forming a small conjunctival sac. The solution or ointment is applied to this area. The medication should not be administered directly on the eyeball.
  2. A 2-year-old child comes to the emergency department demonstrating signs of dehydration and hypovolemic shock. Which best explains why an intraosseous infusion is started? a. It is less painful for small children.

Nursing Interventions Perry: Maternal

Child Nursing Care, 6th Edition Exam

Questions & Answers (Grade A+)

b. Rapid venous access is not possible. c. Antibiotics must be started immediately. d. Long-term central venous access is not possible. - correct answer ✅ANS: B In situations in which rapid establishment of systemic access is vital and venous access is hampered, such as peripheral circulatory collapse and hypovolemic shock, intraosseous infusion provides a rapid, safe lifesaving alternative. The procedure is painful, and local anesthesia and systemic analgesia are given. Antibiotics could be given when vascular access is obtained. Long-term central venous access is time- consuming, and intraosseous infusion is used in an emergency situation.

  1. When caring for a child with an intravenous infusion, the nurse should include which intervention in the plan of care? a. Using a macrodropper to facilitate reaching the prescribed flow rate. b. Avoid restraining the child to prevent undue emotional stress.