Chapter 02: Care of the Child with Medical/Surgical Needs

Chapter 02: Care of the Child with Medical/Surgical Needs

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A nurse who may have a private practice in the office of a pediatrician or a family practice physician is:

a.	A school nurse
b.	A home health nurse
c.	A pediatric nurse practitioner
d.	Any licensed LVN or RN

 

 

ANS:   C

A pediatric nurse practitioner may conduct a private practice in the office of a pediatrician or family practice physician performing physical examinations and general well-child services such as school-based clinics or health clinics.

 

DIF:    Cognitive Level: Application             REF:    p. 8                  OBJ:    2

TOP:    The Pediatric Nurse Practitioner        KEY:   Nursing Process Step: N/A

MSC:   NCLEX: N/A

 

2. A newly admitted 5-year-old asks if he can wear his cowboy shirt. The nurse’s response will be based on the understanding that wearing his own clothes will

a.	Make child feel more comfortable
b.	Present an infection control problem
c.	Make caring for the child more difficult
d.	Not be permitted

 

 

ANS:   A

Allowing the child to wear his own clothes helps to bridge the gap between home and hospital. Wearing clothes from home should not pose an infection control problem. The nurse can assess the clothing and determine if this is a risk.

 

DIF:    Cognitive Level: Application             REF:    p. 10                OBJ:    4

TOP:    The Hospital Setting                          KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Psychosocial Integrity: Coping and Adaptation

 

3. A 4-year-old is going to have a dressing change that may be painful and frightening, therefore the nurse will perform this procedure in:

a.	The patient room, because the surroundings are familiar
b.	The treatment room, so the child will not associate negative feelings with the patient room
c.	The playroom, so the child will be distracted by other children
d.	A screened-off area in the hall to reduce visual stimulation

 

 

ANS:   B

Painful and frightening procedures are accomplished in the treatment room. The child needs to feel safe and secure in the patient room. Performing the procedure in front of other children is inappropriate.

 

DIF:    Cognitive Level: Application             REF:    pp. 11-12         OBJ:    4

TOP:    The Hospital Setting                          KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Psychosocial Integrity: Coping and Adaptation

 

4. The nurse clarifies that the purpose of the pediatric unit playroom is to provide:

a.	A safe place for children to go when the nurses take a break
b.	An incentive for patients to choose this hospital
c.	An activity area to alleviate the stress of hospitalization
d.	An environment to determine if the child is well enough for discharge

 

 

ANS:   C

Playrooms provide a place for children to play and interact with other children. Many units include a play therapist or a child life specialist in attendance.

 

DIF:    Cognitive Level: Knowledge             REF:    p. 10                OBJ:    3

TOP:    Playrooms       KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Psychosocial Integrity: Coping and Adaptation

 

5. The nurse assesses that a 2-year-old who cries continuously after his mother leaves, watches the door for her return, and then finally exhausts himself and goes to sleep is in the separation anxiety phase of:

a.	Despair
b.	Denial
c.	Protest
d.	Depression

 

 

ANS:   C

The child is in the protest stage. Depression is not a stage of separation.

 

DIF:    Cognitive Level: Application             REF:    p. 11                OBJ:    3

TOP:    The Child’s Reaction to Hospitalization

KEY:   Nursing Process Step: Assessment

MSC:   NCLEX: Psychosocial Integrity: Coping and Adaptation