Test Prep for Nursing Exam about Pediatric Nursing (91-95)

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91. A nurse is performing an assessment on a 10-year old child suspected having Hodgkin's disease. The nurse understands that which of the following assessment findings is characteristic of this disease?

a) fever and malaise
b) anorexia and weight loss
c) painful, enlarged inguinal lymph nodes
d) painless, firm, and movable adenopathy in the cervical area

92. When assessing a 2 year-old child brought by his mother to the clinic for a routine check-up, which of the following would the nurse expect the child to be able to do?

a) ride a tricycle
b) tie his shoelaces
c) kick a ball forward
d) use blunt scissors

93. After having blood sample drawn, a 5 year-old child insists that the site be covered with an adhesive bandage strip. When the mother tries to remove the bandage before leaving the office, the child screams that all the blood will come out. The nurse interprets this behavior as indicating a fear of which of the following?

a) injury
b) compromised body integrity
c) pain
d) loss of control

94. After teaching a group of mothers about temper tantrums, the nurse knows the teaching has been effective when one of the mothers states which of the following?

a) I will ignore the temper tantrums
b) I should pick up the child during the tantrums
c) I'll talk to my daughter during the tantrums
d) I would put my child in time out

95. After teaching the parents of a preschooler who has undergone T and A (Tonsillectomy and Adenoidectomy) about appropriate foods to give the child after discharge, which of the following, if stated by the parents as appropriate foods, indicates successful teaching?

a) meatloaf and uncooked carrots
b) pork and noodle casserole
c) cream of chicken soup and orange sherbet
d) hot dog and potato chips




ANSWERS AND RATIONALE

91) D

- Clinical manifestations specifically associated with Hodgkin’s disease include painless, firm, and movable adenopathy in the cervical and supraclavicular areas. Hepatosplenomegaly also is noted. Although fever, malaise, anorexia, and weight loss are associated with Hodgkin’s disease, these manifestations are seen in many disorders.

92) C
-  a 2 year old usually can kick a ball forward. Riding a tricycle is characteristic of a 3 year old. Tying a shoelaces is a behavior to be expected of a 5 year old. Using blunt scissors is characteristic of a 3 year old.

93) B
-  the preschool child does not have an accurate concept of skin integrity and can view medical surgical treatments as hostile invasions that can destroy or damage the body. The child does not understand that exsanguination will not occur from an injection site. Fear of pain would be manifested if the child thought that bodily harm would occur. If the child thought that he would urinate in his pants, then he would be demonstrating fear of loss of control.

94) A
-  children who have temper tantrums should be ignored as long as they are safe. They should not receive either positive or negative reinforcement to avoid perpetuating the behavior. Temper tantrums are a toddler's way of achieving independence.

95) C
-  for the first few days after a T and A, liquids and soft foods are best tolerated by the child while the throat is sore. Avoid hard and scratchy foods until throat is healed.

Related Topics:

• Test Prep for Nursing Exam about Pediatric Nursing (96-100) 
• Or go back to Test Prep for Nursing Exam about Pediatric Nursing (1-5) to start the practice test from the beginning.