Pediatric Nurse Education (71-75)

Pediatric Nurse Education Questions 71-75

71. A clinic nurse provides instructions to a parent of a toddler experiencing physiological anorexia. Which statement if made by the parent indicates a need for further instructions?

a) I will not force-feed my child
b) I will be feed my child if she will not eat
c) I will limit the juice intake to less than 12 ounces per day
d) At mealtime, I will offer less than my child may eat and let my child ask for more  

72. A child with autism is being admitted to the hospital for diagnostic tests. The nurse should assign this child to a:

a) private room
b) semiprivate room
c) four-bed ward room
d) contact isolation room

73. A nurse is assigned to care for an 8-year old child with basilar skull fracture. The nurse reviews the physician's orders and contacts the physician to question which order?

a) obtain daily weight
b) suction as needed
c) provide clear liquid diet
d) maintain a patent intravenous line

74. A lumbar puncture is performed on a child suspected of having bacterial meningitis and cerebrospinal fluid (CSF) is obtained for analysis. A nurse reviews the results of the CSF analysis and determines that which of the following results would verify the diagnosis?

a) clear CSF, elevated protein and deceased glucose level
b) clear CSF, decreased pressure and elevated protein level
c) cloudy CSF, elevated protein and decrease glucose level
d) cloudy CSF, decreased protein and decreased glucose level

75. A clinic nurse is observing a child diagnosed with autistic disorder. The nurse would expect to observe which characteristic of this disorder?

a) normal social play
b) lack of social interaction
c) normal responses to sensory stimuli
d) normal verbal but abnormal nonverbal communication




Pediatric Nurse Education:
ANSWERS AND RATIONALE

71) B
- a toddler has the skills required to feed himself or herself. The parent needs to be instructed not to feed children who can feed themselves and not to force-feed a child. To increase nutritious intake at mealtime, juice intake needs to be limited to less than 12 oz per day. At mealtime, the best option is to offer less than the toddler may eat and let the child ask for more food.

72) A
- autistic disorder is a complex childhood disorder that involves abnormalities in behavior, social interactions, and communication. Autistic children are unable to relate to persons or to respond to social and emotional cues. Characteristically, these children engage in repetitive behaviors, including head banging, twirling in circles, biting themselves, and flapping their hands or arms. Abnormal communication patterns include verbal and nonverbal communication. A child with autism needs deceased stimulation, with limited visual and auditory distractions. A private room would be the best environment, allowing for control of visual and auditory distractions. The semiprivate and four-bed ward rooms would be too stimulating for the child with autism. Autism is not a disorder that requires contact isolation.

73) B
- nasotracheal suctioning is contraindicated in a child with a basilar skull fracture. Because of the nature of the injury, there is a high risk of secondary infection and the probability of the catheter entering the brain through the fracture. Fluid balance is monitored closely by daily weight, intake and output measurement, and serum osmolality, determination to detect early signs of water retention, excessive dehydration, and states of hypertonicity or hypotonicity. The child is maintained on an NPO status or restricted to clear fluids until it is determined that vomiting will not occur. An intravenous line is maintained to administer fluids or medications if necessary.

74) C
- meningitis is an infectious process of the central nervous system caused by bacteria and viruses; it may be acquired as a primary disease or a result of complications of neurosurgery, trauma, infection of the sinus or ears, or systemic infections. Meningitis is diagnosed by testing cerebrospinal fluid obtained by lumbar puncture. In the case of bacterial meningitis, findings usually include an elevated pressure, turbid or cloudy cerebrospinal fluid and elevated leukocyte, elevated protein, and decreased glucose levels

75) B

 - Autistic disorder is a complex childhood disorder that involves abnormalities in behavior, social interactions, and communication. Autistic children are unable to relate to persons or to respond to social and emotional cues. Characteristically, these children engage in repetitive behaviors, including head banging, twirling in circles, biting themselves, and flapping their hands or arms. Abnormal communication patterns include verbal and nonverbal communication.





Go to the next page ---> Pediatric Nurse Education (76-80)   

Or go back to Pediatric Nurse Education (1-5) to start the practice test from the beginning.