Category Archives: 416

Pediatric Nursing Q 151

Nurse Tiffany reinforces the behavioral contract for a child having difficulty controlling aggressive behaviors in the psychiatric unit. Which of the following is the best rationale for this method of treatment?         A. It will assist the child to develop more adaptive coping methods.      B. It will avoid having the nurse be responsible for setting the… Read More »

Pediatric Nursing Q 152

Nurse Hannah is administering a steroid to a child diagnosed with idiopathic thrombocytopenic purpura (ITP); which of the following should the nurse monitor?         A. Infection      B. Anemia      C. Bleeding      D. Bruising           Correct Answer: A. Infection Steroids may promote immunosuppression, making the child more susceptible to infections. The… Read More »

Pediatric Nursing Q 153

The psychiatric nurse is alert to warning signs of suicide in the adolescent population. From the following list, select those behaviors that are indicative of adolescent suicidal thinking. Select all that apply.         A. Giving away prized possessions      B. Associating with friends who are substance abusers      C. Sudden withdrawal from friends and family   … Read More »

Pediatric Nursing Q 154

The school nurse assesses Brook, a child newly diagnosed with attention deficit hyperactivity disorder (ADHD). Which of the following symptoms are characteristic of the disorder? Select all that apply.         A. Constant fidgeting and squirming      B. Excessive fatigue and somatic complaints      C. Difficulty paying attention to details      D. Easily distracted      E. Running… Read More »

Pediatric Nursing Q 155

Mr. and Mrs. Robertson’s son was diagnosed with idiopathic thrombocytopenic purpura. They should be aware that the drug to be avoided is:         A. Acetaminophen      B. Aspirin      C. Codeine      D. Morphine           Correct Answer: B. Aspirin Aspirin exerts an antiplatelet action and therefore may increase platelet destruction in ITP.… Read More »

Pediatric Nursing Q 156

It is a serious condition in which the bone marrow does not produce enough new blood cells. It may be passed down from the parents or develop sometime during childhood:         A. Iron deficiency anemia      B. Sickle cell disease      C. Aplastic anemia      D. Thalassemia      E. Hemophilia      F. Idiopathic thrombocytopenic purpura… Read More »

Pediatric Nursing Q 157

A nurse provides medication instructions to a first-time mother. Which statement made by the mother indicates a need for further instructions?         A. “I should mix the medication in the baby food and give it when I feed the child”.      B. “I should administer the oral medication sitting in an upright position and with… Read More »

Pediatric Nursing Q 158

A nurse prepares to administer an intramuscular injection to a 6-month-old infant. The nurse selects which site to administer the medication?         A. Rectus femoris      B. Dorsal gluteal      C. Ventrogluteal      D. Vastus lateralis           Correct Answer: D. Vastus lateralis Intramuscular injection sites are selected based on the child’s age… Read More »

Pediatric Nursing Q 159

A nurse prepares to administer a 3ml injection via intramuscular injection to a 5-year-old child. The nurse selects which site to administer the medication?         A. Rectus femoris      B. Deltoid      C. Ventrogluteal      D. Vastus lateralis           Correct Answer: C. Ventrogluteal Intramuscular injection sites are chosen based on the child’s… Read More »

Pediatric Nursing Q 160

Nurse Daya, a school nurse, is meeting with the school and health treatment team about a child who has been receiving methylphenidate (Ritalin) for two (2) months. The meeting is to evaluate the results of the child’s medication use. Which behavior change noted by the teacher will help determine the medication’s effectiveness.         A. Decrease… Read More »