Wongs Essentials of Pediatric Nursing 11th Edition Test Bank

Wongs Essentials of Pediatric Nursing 11th Edition Test Bank Related

Review Wongs Essentials of Pediatric Nursing 11th Edition Test Bank related questions and content

A child has a postoperative appendectomy incision covered by a dressing. The nurse has just completed a prescribed dressing change for this child. Which description is an accurate documentation of this procedure?

  • A. Dressing change to appendectomy incision completed, child tolerated procedure well, parent present
  • B. No complications noted during dressing change to appendectomy incision
  • C. Appendectomy incision non-reddened, sutures intact, no drainage noted on old dressing, new dressing applied, procedure tolerated well by child
  • D. No changes to appendectomy incisional area, dressing changed, child complained of pain during procedure, new dressing clean, dry and intact
Correct Answer: C

Rationale: Option C provides a thorough and accurate documentation of the dressing change procedure for the postoperative appendectomy incision. This documentation includes essential details such as the condition of the incision site (non-reddened, sutures intact, no drainage noted on old dressing), the action taken (new dressing applied), and the outcome (procedure tolerated well by the child). It covers all the necessary aspects of the dressing change procedure and clearly indicates the status of the incision site before and after the intervention. Options A, B, and D do not provide as comprehensive and detailed information about the dressing change procedure and its outcomes, making option C the most appropriate choice for accurate documentation.

You may also like to solve these questions

Hindbrain herniation or the Chiari type II malformation is seen in which percent of individuals with myelomeningocele

  • A. 10-20%
  • B. 20-30%
  • C. 40-50%
  • D. 80-90%
Correct Answer: D

Rationale: Chiari type II malformation is strongly associated with myelomeningocele, occurring in approximately 80-90% of cases due to abnormal cerebellar development and cranial settling.

According to developmental theories, which event is essential to toddler development?

  • A. Learning to feed oneself.
  • B. Developing friendships.
  • C. Learning to walk.
  • D. Being potty-trained.
Correct Answer: D

Rationale: The mastery of toilet training is considered a key developmental milestone during the toddler period.

Which of the following symptoms most likely indicates that an infusion is infiltrated?

  • A. Redness at the site
  • B. Pain at the site
  • C. Puffiness at the site
  • D. Exudate at the site
Correct Answer: C

Rationale: Puffiness at the site is the symptom that most likely indicates that an infusion is infiltrated. Infiltration occurs when the IV fluid leaks into the surrounding tissues instead of entering the vein. This can lead to swelling and puffiness at the site as the fluid accumulates in the tissue. Redness, pain, and exudate at the site are also common signs of infiltration, but puffiness specifically points towards the fluid accumulating outside the vein. If infiltration is suspected, it is important to stop the infusion, remove the IV catheter, and apply appropriate treatment based on the severity of the infiltration.

At which stage of development are children apt to believe in the reversibility of death?

  • A. Toddler.
  • B. Preschool age.
  • C. School age.
  • D. Adolescent.
Correct Answer: B

Rationale: Preschool-aged children commonly believe in the reversibility of death due to their cognitive development stage, where magical thinking is prevalent.

While examining a 2-year-old child, Nurse Galina sees that the anterior fontanel is open. She should:

  • A. Notify the doctor
  • B. Look for other signs of abuse
  • C. Recognize this as a normal finding
  • D. Ask about a family history of Tay-Sachs disease
Correct Answer: C

Rationale: Nurse Galina should recognize an open anterior fontanel as a normal finding in a 2-year-old child. The anterior fontanel is a soft spot on a baby's skull where the skull bones have not yet fused together. It usually closes by the time a child is 18 to 24 months old. The open fontanel at 2 years of age is within the normal range of closure, and it is not a cause for concern in this case. No need to notify the doctor, look for other signs of abuse, or ask about a family history of Tay-Sachs disease based on this finding.

Copyright © 2025 Nokea. All rights reserved.