Purdue Global NU255. Pediatric Nursing Unit 2 Quiz

Question 1

Purdue Global NU255. Pediatric Nursing Unit 2 Quiz. A 2-year-old child is admitted to the pediatric unit with diarrhea. The nurse is preparing to take the child’s temperature and must choose an appropriate method. Which method should the nurse consider the least appropriate for this child?

• a) ORAL TEMPERATURE USING A DIGITAL THERMOMETER
• b) Tympanic (ear) temperature using an infrared thermometer.
• c) Rectal temperature using a digital thermometer.
• d) Axillary (underarm) temperature using a digital thermometer.

Question 2

A pediatric nurse is caring for a 10-year-old child who has recently undergone a minor surgical procedure. The child is experiencing postoperative pain and appears anxious. The nurse is considering various pain management strategies. Which of the following actions by the nurse is appropriate to incorporate into the pain management plan for this child?

• a) Administering pain medication without assessing the child’s pain level.
• b) ENGAGING THE CHILD IN HUMOROUS ACTIVITIES TO DISTRACT FROM THE PAIN.
• c) Allowing the child to self-administer pain medication.
• d) Advising the child to rest quietly and avoid any physical activities. Purdue Global NU255. Pediatric Nursing Unit 2 Quiz

Question 3

The mother of a 7-year-old boy with autism tearfully reports feeling as if she is not qualified to care for her child. Which initial action by the nurse is most appropriate?

• a) Tell the child’s mother that this is a common feeling when caring for a special needs child.
• b) Encourage the child’s mother to keep a journal to best identify areas needing improvement in the home routine.
• c) RECOGNIZE THE MOTHER’S POSITIVE ACCOMPLISHMENTS IN CARING FOR HER CHILD.
• d) Recommend the child’s mother seek counseling.

Question 4

A pediatric nurse is caring for a 6-year-old child with a sprained ankle. The child is experiencing localized pain and swelling. Which action by the nurse is appropriate to incorporate into the pain management plan?

• a) APPLY A COLD PACK TO THE INJURED ANKLE FOR 20 MINUTES.
• b) Apply a heating pad to the injured ankle for 20 minutes.
• c) Administer an over-the-counter pain medication without consulting the healthcare provider.
• d) Elevate the child’s leg and immobilize it with a splint.

Question 5

The nurse is caring for a 10-year-old boy who is in traction. The boy has a priority patient problem of deficient diversional activity related to confinement in bed that is evidenced by verbalization of boredom and lack of participation in play, reading, and schoolwork. What would be the best intervention?

• a) Offer the child reading materials.
• b) ENLIST THE AID OF A CHILD LIFE SPECIALIST.
• c) Encourage the child to complete his homework.
• d) Ask for the parents’ assistance.

Question 6

A pediatric nurse is conducting a wellness check for a 10-year-old child who is classified as obese based on BMI percentile. The parent asks for guidance on achieving a healthy weight. What is the nurse’s most appropriate response?

• a) “Obesity is common in children, and it usually resolves on its own as they grow taller.”
• b) “It’s essential to put your child on a strict diet and exercise regimen immediately.”
• c) “WE SHOULD INVOLVE THE ENTIRE FAMILY IN MAKING HEALTHY LIFESTYLE CHANGES.”
• d) “Weight management is primarily genetic, so there’s not much you can do.”

Question 7

A 12-year-old child with chronic abdominal pain is admitted to the pediatric unit and reports severe pain. What should be the nurse’s priority?

• a) Administer the prescribed pain medication immediately.
• b) PERFORM A COMPREHENSIVE PAIN ASSESSMENT, INCLUDING LOCATION, ONSET, DURATION, AND INTENSITY.
• c) Consult with the healthcare provider to request a change in medication.
• d) Teach the child relaxation techniques. Purdue Global NU255. Pediatric Nursing Unit 2 Quiz

Question 8

The nurse is caring for an 8-year-old boy hospitalized for a bone marrow transplant. His parents come and go throughout the day. Which behavior indicates the second stage of separation anxiety?

• a) HE IGNORES HIS PARENTS WHEN THEY RETURN TO HIS ROOM.
• b) He cries uncontrollably whenever they leave.
• c) He forms superficial relationships with caregivers.
• d) He sits quietly and is uninterested in playing and eating.

Question 9

A pediatric nurse is caring for a terminally ill child whose parents are concerned about refusal to eat or drink. Which response is most appropriate?

• a) “You should insist that your child eats and drinks to maintain strength.”
• b) “It’s essential to encourage your child to eat to extend their life.”
• c) “LET’S EXPLORE OTHER WAYS TO KEEP YOUR CHILD COMFORTABLE AND PROVIDE NOURISHMENT.”
• d) “Your child’s appetite will improve with time.”

Question 10

A school nurse is conducting routine health screenings. Which blood pressure reading is normal for a 7-year-old child? Purdue Global NU255. Pediatric Nursing Unit 2 Quiz

• a) 90/60 mm Hg
• b) 100/60 MM HG
• c) 110/70 mm Hg
• d) 120/80 mm Hg

Question 11

A nurse is caring for an obese teenager motivated to achieve a healthy weight. What is the most appropriate intervention?

• a) Develop a strict calorie-restricted diet plan.
• b) Encourage high-intensity exercise for at least two hours daily.
• c) COLLABORATE TO CREATE A PERSONALIZED NUTRITION AND PHYSICAL ACTIVITY PLAN.
• d) Recommend bariatric surgery.

Question 12

The nurse is caring for a 4-year-old girl hospitalized for over a week with severe burns. Which is a priority intervention to satisfy her basic needs?

• a) Encourage friends to visit as often as possible.
• b) Suggest that a family member be present 24 hours a day.
• c) EXPLAIN NECESSARY PROCEDURES IN SIMPLE LANGUAGE SHE WILL UNDERSTAND.
• d) Make all meal and activity choices for her.

Question 13

A nurse suspects parents of a 3-year-old recovering from a severe respiratory infection may be experiencing Vulnerable Child Syndrome. What is a common predisposing factor?

• a) Low socioeconomic status.
• b) Lack of health insurance.
• c) PARENTAL ANXIETY AND OVERPROTECTIVENESS.
• d) Genetic predisposition to illness.

Question 14

A nurse is caring for a special needs child recently diagnosed with a developmental delay. Which statement best conveys the significance of early intervention?

• a) “Early intervention is essential to cure the developmental delay completely.”
• b) “EARLY INTERVENTION CAN HELP MINIMIZE THE IMPACT OF THE DELAY ON YOUR CHILD’S DEVELOPMENT.”
• c) “Your child’s delay is likely temporary.”
• d) “Intervention should be delayed until your child is older.”

Question 15

The nurse is caring for a 7-year-old girl in isolation who begins sucking her thumb and speaking like a toddler. What condition is she manifesting?

• a) REGRESSION
• b) Suppression
• c) Repression
• d) Denial

Question 16

The nurse caring for infants in the NICU relies on behavioral and physiologic indicators for determining pain. Which examples are behavioral indicators? Select all that apply.

• a) THE INFANT GRIMACES.
• b) The infant’s heart rate is elevated.
• c) THE INFANT FLAILS HIS ARMS AND LEGS.
• d) The infant’s respiratory rate is elevated.
• e) THE INFANT IS CRYING UNCONTROLLABLY.
• f) The infant’s oxygen saturation is low.

Question 17

At a toddler’s well-child visit, a functional history allows the nurse to ask about the child’s daily routine. Which aspects should be considered? Select all that apply.

• a) Medical history.
• b) SLEEP PATTERNS.
• c) DIETARY HABITS.
• d) Immunization history.
• e) POTTY TRAINING PROGRESS.
• f) DENTAL CARE PRACTICES.
• g) SOCIAL INTERACTIONS AND PLAY.

Question 18

Nurse’s Notes: The pediatric clinic nurse is reviewing the daily schedule to prepare for four incoming patients:

A 4-year-old presenting for a pre-kindergarten well-child physical. An 8-year-old with Cerebral Palsy arriving for a new patient intake. A 10-year-old with a minor abrasion from a fall. A 14-year-old whose parents are seeking a second opinion regarding a recently diagnosed cardiac murmur.

The nurse must determine which patients require a comprehensive health history to establish a baseline or evaluate complex needs, versus those requiring a narrow, focused assessment.

Bowtie Item Select the two actions the nurse should take to facilitate a comprehensive history.

• a) REVIEW BIRTH AND NEONATAL HISTORY
• b) Perform an immediate primary survey (ABCDEs)
• c) EVALUATE ENVIRONMENTAL AND SOCIAL HISTORY Purdue Global NU255. Pediatric Nursing Unit 2 Quiz
• d) Limit questioning to the chief complaint
• e) Apply a sterile dressing to the affected area

Question 19

Nurse’s Notes: The pediatric clinic nurse is reviewing the daily schedule to prepare for four incoming patients:

A 4-year-old presenting for a pre-kindergarten well-child physical. An 8-year-old with Cerebral Palsy arriving for a new patient intake. A 10-year-old with a minor abrasion from a fall. A 14-year-old whose parents are seeking a second opinion regarding a recently diagnosed cardiac murmur.

The nurse must determine which patients require a comprehensive health history to establish a baseline or evaluate complex needs, versus those requiring a narrow, focused assessment.

Bowtie Item Select the one potential focus for the patients identified (Patients 1, 2, and 4).

• a) COMPREHENSIVE HEALTH HISTORY
• b) Emergency assessment
• c) Focused physical assessment Purdue Global NU255. Pediatric Nursing Unit 2 Quiz
• d) Episodic follow-up

Question 20

Nurse’s Notes: The pediatric clinic nurse is reviewing the daily schedule to prepare for four incoming patients:

A 4-year-old presenting for a pre-kindergarten well-child physical. An 8-year-old with Cerebral Palsy arriving for a new patient intake. A 10-year-old with a minor abrasion from a fall. A 14-year-old whose parents are seeking a second opinion regarding a recently diagnosed cardiac murmur.

The nurse must determine which patients require a comprehensive health history to establish a baseline or evaluate complex needs, versus those requiring a narrow, focused assessment.

Bowtie Item Select the two parameters the nurse should include in the data collection.

• a) DEVELOPMENTAL MILESTONES
• b) Current pain scale at the site of injury
• c) THREE-GENERATION FAMILY MEDICAL HISTORY
• d) Rapid Strep Test results
• e) Immediate airway patency