Nokea
A disfiguring facial wound would have the most significant developmental impact on which child?
- A. 4-year-old
- B. 6-year-old
- C. 10-year-old
- D. 14-year-old
Correct Answer: D
Rationale: The adolescent fears a change in body image associated with surgery.
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An 8-year-old child asks how a blood pressure is taken. What would be the most appropriate response?
- A. This small machine will measure your systolic and diastolic pressure.
- B. The armband will hug your arm and tell me how well your blood is going through your arm.
- C. The armband will cut off your circulation for a while and then we can hear when it comes back.
- D. When you are ill we need to know if your blood is still moving in your body.
Correct Answer: B
Rationale: Because children are upset by unfamiliar procedures, it is best to explain each step in simple terms. It is best not to mention anything that may increase anxiety.
What is the special category that encompasses children who have congenital abnormalities, malignancies, gastrointestinal (GI) diseases, or central nervous system (CNS) anomalies?
- A. Very dependent children
- B. Children requiring special education
- C. Children with special needs
- D. Children requiring long-term care
Correct Answer: C
Rationale: The definition of children with special needs includes congenital abnormalities, malignancies, GI diseases, and CNS anomalies.
When measuring the head circumference of an infant, where should the nurse place the tape measure?
- A. Across the eyebrows and around the occipital lobe
- B. Over the zygomatic arches and around the parietal areas
- C. Around forehead and around the crown of the head
- D. Above the eyebrows and pinnas, and around the occipital lobe
Correct Answer: D
Rationale: Head circumference is measured in children up to 36 months above the eyebrows and pinnas, and around the occipital lobe.
Where is the typical IV insertion site in an infant younger than 9 months of age?
- A. Radial vein
- B. Scalp vein
- C. Femoral vein
- D. Brachial vein
Correct Answer: B
Rationale: A superficial scalp vein is the injection site for administering IV medication to infants younger than 9 months of age.
The pediatric nurse, along with the primary caregiver(s), has a special duty to the child and the family.
Correct Answer: teach
Rationale: The pediatric nurse is in a position to assess, instruct, and support children and their families about developmental progress, nutrition, and possible undiagnosed anomalies.