Peds Pu 39-41

Question 1 See full question 41s  The client had a painful experience with Kluwer,Chapter 39: Pain Management in
an appendectomy at age 10. Children, p. 1076.

Which statement is the goal of distraction
techniques used to control pain? Explanation: Chapter 39: Pain Management in
Children - Page 1076
Correct response: Reference:
Add a Note
 To divert the child's attention away  Silbert-Flagg, J., Pillitteri, P.
from the pain through controlled, (2018). Maternal & Child Health Nursing: Question 4 See full question 41s
purposeful behaviors Care of the Childbearing & Childrearing
Family, 8th ed. Philadelphia: Wolters A nurse who has just completed a discharge on
Explanation: Kluwer,Chapter 39: Pain Management in a toddler is at the desk organizing paperwork
Children, p. 1077. and cuts a finger on one of the papers. The
Reference: nurse tells a coworker that it really hurts. The
Chapter 39: Pain Management in coworker correctly identifies this type of pain
 Silbert-Flagg, J., Pillitteri, P. Children - Page 1077 as which of the following?
(2018). Maternal & Child Health Nursing:
Care of the Childbearing & Childrearing Add a Note You Selected:
Family, 8th ed. Philadelphia: Wolters
Kluwer,Chapter 39: Pain Management in Question 3 See full question 44s  cutaneous
Children, p. 1075.
The nurse is preparing a female toddler for the Correct response:
Chapter 39: Pain Management in repair of an eyebrow laceration. The girl is
Children - Page 1075 most likely to demonstrate which response in  cutaneous
anticipation of the procedure?
Add a Note Explanation:
You Selected:
Question 2 See full question 1m 10s Reference:
 Scream and cling tightly to her parent.
The nurse is caring for a 12-year-old  Silbert-Flagg, J., Pillitteri, P.
postoperative spinal rod placement client with Correct response: (2018). Maternal & Child Health Nursing:
scoliosis. Which factors might intensify the Care of the Childbearing & Childrearing
child's postoperative pain experience?  Scream and cling tightly to her parent. Family, 8th ed. Philadelphia: Wolters
Kluwer,Chapter 39: Pain Management in
You Selected: Explanation: Children, p. 1074.
Reference: Chapter 39: Pain Management in
 The client had a painful experience with
an appendectomy at age 10. Children - Page 1074
 Silbert-Flagg, J., Pillitteri, P.
Correct response: (2018). Maternal & Child Health Nursing: Add a Note
Care of the Childbearing & Childrearing
Family, 8th ed. Philadelphia: Wolters Question 5 See full question 32s
A nursing instructor is teaching students about  music therapy Kluwer,Chapter 39: Pain Management in
pain control in children. The teacher realizes Children, p. 1085.
that students understand the concepts when Explanation:
they identify which of the following as helping Chapter 39: Pain Management in
Reference: Children - Page 1085
pain impulses to be perceived more quickly?
You Selected:  Silbert-Flagg, J., Pillitteri, P. Add a Note

 anxiety Care of the Childbearing & Childrearing Question 8 See full question 26s
Correct response: Kluwer,Chapter 39: Pain Management in A newborn who is suspected of having
Children, p. 1087. leukemia is being prepared for bone marrow
 anxiety aspiration. The newborn's mother asks whether
Chapter 39: Pain Management in any type of sedation or anesthesia will be used.
Explanation: Children - Page 1087 What statement should the nurse make in
Reference:
response?
Add a Note
You Selected:
 Silbert-Flagg, J., Pillitteri, P. Question 7 See full question 45s
(2018). Maternal & Child Health Nursing:  "Because of the risks involved, your
Care of the Childbearing & Childrearing A 4-year-old child is scheduled for an MRI. The child will not be receiving any sedation."
Family, 8th ed. Philadelphia: Wolters child's mother is informed that the child will be
Kluwer,Chapter 39: Pain Management in free of pain but sedated to ensure stillness Correct response:
Children, p. 1073-1074. during the procedure. Which type of anesthesia
does the nurse expect this child to have?  "Because this is a painful procedure,
Chapter 39: Pain Management in your child will receive conscious
Children - Page 1073-1074 You Selected: sedation to alleviate pain."
Add a Note  PCA Explanation:
Question 6 See full question 49s Correct response: Reference:
A nursing instructor is teaching about  Conscious sedation  Silbert-Flagg, J., Pillitteri, P.

nonpharmacologic pain management for (2018). Maternal & Child Health Nursing:
children. Which technique would be best for a Explanation: Care of the Childbearing & Childrearing
premature infant in the neonatal intensive care Family, 8th ed. Philadelphia: Wolters
Reference:
unit? Kluwer,Chapter 39: Pain Management in
Children, p. 1085.
You Selected:  Silbert-Flagg, J., Pillitteri, P.
(2018). Maternal & Child Health Nursing: Chapter 39: Pain Management in
 music therapy Care of the Childbearing & Childrearing Children - Page 1085
Correct response: Add a Note
Question 9 See full question 36s don't you think? Here comes the space rocket  Bubble blowers
—it needs to refuel." Which pain management
A nurse is attempting to assess the extent of technique is the nurse using here? Explanation:
an injury a 5-year-old boy sustained when he
You Selected: Reference:
fell down a flight of stairs. The child is visibly
upset but capable of communicating. Which
 Imagery  Silbert-Flagg, J., Pillitteri, P.
pain scale would be most appropriate to use in
this situation?
Correct response: Care of the Childbearing & Childrearing
You Selected: Family, 8th ed. Philadelphia: Wolters
 Imagery Kluwer,Chapter 39: Pain Management in
 FLACC pain assessment tool Children, p. 1086.
Explanation:
Correct response: Chapter 39: Pain Management in
Reference:
 Poker chip tool
 Silbert-Flagg, J., Pillitteri, P. Add a Note
Explanation: (2018). Maternal & Child Health Nursing:
Care of the Childbearing & Childrearing Question 12 See full question 27s
Reference: Family, 8th ed. Philadelphia: Wolters
Kluwer,Chapter 39: Pain Management in The nurse is preparing a 6-year-old child for a
 Silbert-Flagg, J., Pillitteri, P. Children, p. 1086. bone marrow biopsy. The child is very anxious
(2018). Maternal & Child Health Nursing: about going through this procedure. Which
Care of the Childbearing & Childrearing Chapter 39: Pain Management in nursing diagnosis best fits this situation?
Family, 8th ed. Philadelphia: Wolters Children - Page 1086
Kluwer,Chapter 39: Pain Management in You Selected:
Children, p. 1078. Add a Note
 Fear related to anticipation of painful
Chapter 39: Pain Management in Question 11 See full question 23s procedure
The mother of a toddler is concerned about the Correct response:
Add a Note pain her child will experience while having an
IV started. The nurse suggests distraction  Fear related to anticipation of painful
Question 10 See full question 44s techniques. Which of the following would be procedure
the mostappropriate as distraction for a
The nurse is working with a 5-year-old boy who toddler? Explanation:
must receive repeated intravenous injections
as part of his treatment. He hates the
injections, however, and is frightened
 Nonprocedural talking  Silbert-Flagg, J., Pillitteri, P.
whenever he sees the syringe and needle. In
an attempt to overcome this fear, the nurse
holds the syringe up for him to see and tells
Family, 8th ed, Philadelphia: Wolters
him, "This looks kind of like a space rocket,
Kluwer, Chapter 39: Pain Management in The nurse is caring for a school-age child who Correct response:
Children, p. 1073. had an appendectomy the day before. The
parents express concern about the use of pain  "Rubbing the stomach helps distract the
Chapter 39: Pain Management in medications. Which is the best nursing brain from feeling pain."
Children - Page 1073 response?
Explanation:
Add a Note You Selected:
Reference:
Question 13 See full question 46s  Educate the parents about the need for
pain relief in proper doses.  Silbert-Flagg, J., Pillitteri, P.
The nurse is caring for children on a (2018). Maternal & Child Health Nursing:
postoperative unit. Which nursing action Correct response: Care of the Childbearing & Childrearing
promotes the mostefficient pain control? Family, 8th ed, Philadelphia: Wolters
 Educate the parents about the need for Kluwer, Chapter 39: Pain Management in
You Selected: pain relief in proper doses. Children, p. 1074.
 Anticipate when pain will occur and plan Explanation: Chapter 39: Pain Management in
interventions to prevent it. Children - Page 1074
Reference:
Correct response: Add a Note
 Anticipate when pain will occur and plan (2018). Maternal & Child Health Nursing: Question 16 See full question 21s
interventions to prevent it. Care of the Childbearing & Childrearing
Family, 8th ed, Philadelphia: Wolters A parent expresses concern to the nurse that
Explanation: Kluwer, Chapter 39: Pain Management in her 18-month-old child might have an ear
Children, p. 1073. infection. Which symptom would alert the
Reference: nurse that this is a possibility?
Chapter 39: Pain Management in
 Silbert-Flagg, J., Pillitteri, P. Children - Page 1073 You Selected:
Care of the Childbearing & Childrearing Add a Note  The child is pulling on the ear.
Kluwer, Chapter 39: Pain Management in Question 15 See full question 42s Correct response:
Children, p. 1073.
Parents asks the nurse why their child with  The child is pulling on the ear.
Chapter 39: Pain Management in gastroenteritis is rubbing the abdomen. What is
Children - Page 1073 Explanation:
the nurse’s best response?
Reference:
Question 14 See full question 24s  "Rubbing the stomach helps distract the  Silbert-Flagg, J., Pillitteri, P.
brain from feeling pain." (2018). Maternal & Child Health Nursing:
Kluwer, Chapter 39: Pain Management in An adolescent is experiencing severe pain due Explanation:
Children, p. 1076. to a sickle-cell crisis. Which medication would
Reference:
be best for the nurse to administer?
Children - Page 1076 You Selected:  Silbert-Flagg, J., Pillitteri, P.
Add a Note  naproxen Care of the Childbearing & Childrearing
Question 17 See full question 1m Correct response: Kluwer, Chapter 39: Pain Management in
Children, p. 1085.
A nurse is explaining to a parent about  hydromorphone
avoiding the use of aspirin for pain relief for flu- Chapter 39: Pain Management in
like symptoms. Which rationale does the nurse Explanation: Children - Page 1085
provide? Reference: Add a Note
You Selected:
 Silbert-Flagg, J., Pillitteri, P. Question 20 See full question 2m 59s
 Aspirin with the flu can lead to Reye (2018). Maternal & Child Health Nursing:
syndrome. Care of the Childbearing & Childrearing The nurse is reviewing prescriptios for
Family, 8th ed. Philadelphia: Wolters analgesia for a 5-year-old client. A prescription
Correct response: Kluwer,Chapter 39: Pain Management in for which medication requires further follow up
Children, p. 1083. by the nurse?
 Aspirin with the flu can lead to Reye
syndrome. Chapter 39: Pain Management in You Selected:
Explanation:  Morphine
Add a Note
Reference: Correct response:
Question 19 See full question 50s
 Silbert-Flagg, J., Pillitteri, P.  Aspirin
(2018). Maternal & Child Health Nursing: A 4-year-old child is scheduled for a magnetic
Care of the Childbearing & Childrearing resonance imaging of the skull following a Explanation:
Family, 8th ed, Philadelphia: Wolters bicycle accident. Which medication would the
Kluwer, Chapter 39: Pain Management in nurse administer to keep the child still during Question 1 See full question 1m 3s
Children, p. 1083. this procedure?
The nurse is caring for a 7-year-old post-op
Chapter 39: Pain Management in You Selected: child who is reporting an 8 out of 10 on a pain
Children - Page 1083 intensity scale. The child's mother is requesting
 conscious sedation pain medication. The child received ibuprofen
Add a Note three hours ago. What is the correct nursing
Correct response: action?
Question 18 See full question 1m 34s
 conscious sedation You Selected:
 Contact the physician and request an  The newborn's pain pathway  Silbert-Flagg, J., Pillitteri, P.
opioid pain medication. components are developed enough at (2018). Maternal & Child Health Nursing:
birth to experience pain. Care of the Childbearing & Childrearing
Correct response: Family, 8th ed. Philadelphia: Wolters
Explanation: Kluwer,Chapter 39: Pain Management in
 Contact the physician and request an Children, p. 1083.
opioid pain medication. Reference:
Explanation:  Silbert-Flagg, J., Pillitteri, P. Children - Page 1083
Reference: Care of the Childbearing & Childrearing Add a Note
 Silbert-Flagg, J., Pillitteri, P. Kluwer,Chapter 39: Pain Management in Question 4 See full question 21s
(2018). Maternal & Child Health Nursing: Children, p. 1077.
Care of the Childbearing & Childrearing The nurse is conducting an assessment of a
Family, 8th ed. Philadelphia: Wolters Chapter 39: Pain Management in high school track athlete. The client tells the
Kluwer,Chapter 39: Pain Management in Children - Page 1077 nurse he is experiencing pain along his outer
Children, p. 1083. thigh. He describes it as tight, achy, and
Add a Note
tender, particularly after he runs. The nurse
understands that he is most likely experiencing
Children - Page 1083 Question 3 See full question 24s what kind of pain?
Add a Note The nurse is caring for an adolescent You Selected:
postoperative patient in an acute care setting
Question 2 See full question 40s with PRN pain medication orders of Tylenol and  Cutaneous
Vicodin. Which of the following should the
The nurse is caring for a term infant suffering nurse closely monitor? Correct response:
from meconium aspiration in the nursery. The
nurse reviews orders for a peripherally inserted You Selected:  Deep somatic
central catheter (PICC) line placement and
intubation. Which statement demonstrates the  Total daily dosage of acetaminophen Explanation:
nurse's knowledge of painful procedures and due to liver toxicity
the newborn? Reference:
Correct response:
 Total daily dosage of acetaminophen (2018). Maternal & Child Health Nursing:
 The newborn will not remember pain due to liver toxicity Care of the Childbearing & Childrearing
and does not need analgesia for painful Family, 8th ed. Philadelphia: Wolters
procedures. Explanation: Kluwer,Chapter 39: Pain Management in
Children, p. 1074.
Add a Note Question 6 See full question 4s  "I will need to contact the health care
provider about it."
Question 5 See full question 38s The pediatric nurse is mentoring a new
graduate in the care of children experiencing Correct response:
A nursing student correctly identifies which of pain. The nurse knows the teaching was
the following to be causes of pain? (Select all effective when the new graduate makes which  "This is referred pain and is normal after
that apply.) statement as the rationale for considering pain surgery."
assessment the fifth vital sign?
You Selected: Explanation:
You Selected:
 overstretching of body cavities with Reference:
fluid or air  Pain assessment needs to be done at
regular intervals.
 pressure on tissues (2018). Maternal & Child Health Nursing:
 external injury Family, 8th ed, Philadelphia: Wolters
 Pain assessment needs to be done at Kluwer, Chapter 39: Pain Management in
Correct response: regular intervals. Children, p. 1074.
 reduced oxygen in tissues Explanation: Chapter 39: Pain Management in

 pressure on tissues Reference:
Add a Note
 external injury  Silbert-Flagg, J., Pillitteri, P.
(2018). Maternal & Child Health Nursing: Question 8 See full question 1m 34s
 overstretching of body cavities with Care of the Childbearing & Childrearing
fluid or air Family, 8th ed. Philadelphia: Wolters An infant has a surgical repair of a congenital
Kluwer,Chapter 39: Pain Management in heart defect. In the immediate post-operative
Explanation: Children, p. 1073. period, which scenario best indicates that the
infant is in pain?
Reference: Chapter 39: Pain Management in
Children - Page 1073 You Selected:
(2018). Maternal & Child Health Nursing: Add a Note  The infant shows a lack of interaction
Family, 8th ed. Philadelphia: Wolters Question 7 See full question 6s Correct response:
Children, p. 1074. A parent expresses concern about a child who  The infant appears restless and wrinkles
is reporting shoulder pain following abdominal the face.
Chapter 39: Pain Management in laparoscopic appendectomy. What is the
Explanation:
Children - Page 1074 nurse’s best response to this concern?
Reference:
 Silbert-Flagg, J., Pillitteri, P. The nurse instructs a 6-year-old client to say Question 2 See full question 40s
(2018). Maternal & Child Health Nursing: “ouch” while administering a subcutaneous
Care of the Childbearing & Childrearing injection. Which technique is the nurse using? The nurse is caring for a 12-year-old with
Family, 8th ed. Philadelphia: Wolters cerebral palsy who is unable to communicate
Kluwer,Chapter 39: Pain Management in You Selected: verbally. Which pain assessment tool is
Children, p. 1075. the most appropriate for the nurse to use
 Substitution of meaning when assessing pain in this patient?
Correct response: You Selected:
Add a Note  Distraction  Face, leg, activity, cry, and consolability

(FLACC) descriptors
Correct response:
The nurse is conducting a pain history on a Question 1 See full question 41s
verbal child. Which questions should the nurse  Face, leg, activity, cry, and consolability
ask first? The nurse is caring for a 6-year-old child with (FLACC) descriptors
burns on both hands. Which pain assessment
You Selected: technique provides the most accurate data for Explanation:
this client?
Reference:
 “How often does the pain occur?”
You Selected:
Correct response:  Silbert-Flagg, J., Pillitteri, P.
 Obtain a self-report (2018). Maternal & Child Health Nursing:
 “What words do you use for pain?” Care of the Childbearing & Childrearing
Explanation: Kluwer,Chapter 39: Pain Management in
 Obtain a self-report Children, p. 1078.
Reference:
Explanation: Chapter 39: Pain Management in
 Silbert-Flagg, J., Pillitteri, P. Children - Page 1078
(2018). Maternal & Child Health Nursing: Reference:
Care of the Childbearing & Childrearing Add a Note
Family, 8th ed. Philadelphia: Wolters  Silbert-Flagg, J., Pillitteri, P.
Kluwer,Chapter 39: Pain Management in (2018). Maternal & Child Health Nursing: Question 3 See full question 35s
Children, p. 1077. Care of the Childbearing & Childrearing
Family, 8th ed. Philadelphia: Wolters The mother of a child who just had abdominal
Chapter 39: Pain Management in Kluwer,Chapter 39: Pain Management in surgery holds his hand and smoothes his hair.
Children - Page 1077 Children, p. 1077. When the nurse appears to administer a
scheduled analgesic, the mother says she
Add a Note Chapter 39: Pain Management in believes the child has been in pain the last
Children - Page 1077 hour or more. The nurse's best response is:
Add a Note
You Selected:  Silbert-Flagg, J., Pillitteri, P. Add a Note
 "Please tell me and all of the nurses Care of the Childbearing & Childrearing Question 6 See full question 31s
when you believe he is in pain." Family, 8th ed. Philadelphia: Wolters
Kluwer,Chapter 39: Pain Management in A nursing student correctly identifies which of
Correct response: the following to be causes of pain? (Select all
Children, p. 1077.
that apply.)
 "Please tell me and all of the nurses
when you believe he is in pain." Children - Page 1077 You Selected:
Explanation:
Add a Note  overstretching of body cavities with
fluid or air
Reference:
 pressure on tissues
(2018). Maternal & Child Health Nursing: A 5-year-old arrives at the emergency
department and reports abdominal pain. After  external injury
Family, 8th ed. Philadelphia: Wolters performing an assessment and laboratory
work, the physician diagnoses appendicitis.  reduced oxygen in tissues
Children, p. 1076. The nurse knows that this child is experiencing
Correct response:
which type of pain?
Chapter 39: Pain Management in  reduced oxygen in tissues
You Selected:
 Cutaneous  pressure on tissues
Add a Note
Correct response:  external injury

Question 4 See full question 5m 13s
 Visceral  overstretching of body cavities with
When the nurse is assessing a child's pain,
fluid or air
which is most important? Explanation:
Explanation:
Reference:
 Using the same tool to assess the  Silbert-Flagg, J., Pillitteri, P.
child's pain each time (2018). Maternal & Child Health Nursing:  Silbert-Flagg, J., Pillitteri, P.
Care of the Childbearing & Childrearing (2018). Maternal & Child Health Nursing:
Correct response:
Family, 8th ed. Philadelphia: Wolters Care of the Childbearing & Childrearing
Kluwer,Chapter 39: Pain Management in Family, 8th ed. Philadelphia: Wolters
 Using the same tool to assess the
Children, p. 1074. Kluwer,Chapter 39: Pain Management in
child's pain each time
Children, p. 1074.
Explanation:
Children - Page 1074 Chapter 39: Pain Management in
Reference: Children - Page 1074
Add a Note  Cry patterns  The child states the pain is now
tolerable.
Question 7 See full question 31s Correct response:
 The child rates pain less than previously
A 4-year-old child is scheduled for an MRI. The  Sleep patterns rated.
child's mother is informed that the child will be
free of pain but sedated to ensure stillness Explanation: Explanation:
during the procedure. Which type of anesthesia
Reference: Reference:
does the nurse expect this child to have?
You Selected:  Silbert-Flagg, J., Pillitteri, P.  Silbert-Flagg, J., Pillitteri, P.

(2018). Maternal & Child Health Nursing: (2018). Maternal & Child Health Nursing:
 Conscious sedation Care of the Childbearing & Childrearing Care of the Childbearing & Childrearing
Family, 8th ed. Philadelphia: Wolters Family, 8th ed, Philadelphia: Wolters
Correct response: Kluwer,Chapter 39: Pain Management in Kluwer, Chapter 39: Pain Management in
Children, p. 1073. Children, p. 1074.
 Conscious sedation
Chapter 39: Pain Management in Chapter 39: Pain Management in
Explanation: Children - Page 1073 Children - Page 1074
Reference: Add a Note Add a Note
 Silbert-Flagg, J., Pillitteri, P. Question 9 See full question 32s Question 10 See full question 33s

Care of the Childbearing & Childrearing Which nursing assessment indicates that a A 5-year-old child has been admitted to the
Family, 8th ed. Philadelphia: Wolters child's pain has been relieved following hospital and is going to have an IV started in
Kluwer,Chapter 39: Pain Management in administration of an analgesic? Select all that the procedure room. Which instructions will
Children, p. 1085. apply. be most helpful for the child and the parent?
Chapter 39: Pain Management in You Selected: You Selected:
 The child resumes play activities.  Have the parent wait in the hospital
Add a Note
room until the procedure is over.
 The child's pulse rate returns to normal.
 The child rates pain less than previously
When children are not able to communicate rated.  Have the parent sing softly to the child
pain verbally, the nurse can use a behavioral during the procedure.
assessment. The nurse knows that this Correct response:
assessment will least likely include which of
the following?  The child resumes play activities.
You Selected:  The child's pulse rate returns to normal.
Which statement is the goal of distraction You Selected:  Silbert-Flagg, J., Pillitteri, P.
techniques used to control pain? (2018). Maternal & Child Health Nursing:
 At 11:45 a.m. Care of the Childbearing & Childrearing
You Selected: Family, 8th ed. Philadelphia: Wolters
Correct response:
 To divert the child's attention away Children, p. 1076.
from the pain through controlled,  Between 1:15 p.m. and 1:45 p.m.
purposeful behaviors Chapter 39: Pain Management in
Explanation:
Correct response:
Reference:
Add a Note
 To divert the child's attention away
from the pain through controlled,  Silbert-Flagg, J., Pillitteri, P.
(2018). Maternal & Child Health Nursing: Question 4 See full question 27s
purposeful behaviors
Family, 8th ed. Philadelphia: Wolters A nursing student realizes that acetaminophen
Explanation:
Kluwer,Chapter 39: Pain Management in for children usually is flavored to make it taste
Reference: Children, p. 1081. better. The student also identifies a need to
monitor its use because this drug can be toxic
 Silbert-Flagg, J., Pillitteri, P. Chapter 39: Pain Management in to which of these organs?
(2018). Maternal & Child Health Nursing: Children - Page 1081
You Selected:
Family, 8th ed. Philadelphia: Wolters Add a Note
 liver
Children, p. 1075. Question 3 See full question 48s
Correct response:
Chapter 39: Pain Management in What behavioral responses to pain would a

 liver
Children - Page 1075 nurse observe from an infant younger than age
1? Explanation:
Add a Note
 Reflex withdrawal to stimulus and facial  Silbert-Flagg, J., Pillitteri, P.
Parents are to bring their kindergarten child to grimacing (2018). Maternal & Child Health Nursing:
the outpatient department for a venous blood Care of the Childbearing & Childrearing
Correct response:
sample. They have EMLA cream to apply at Family, 8th ed. Philadelphia: Wolters
home prior to the procedure and have been Kluwer,Chapter 39: Pain Management in
shown two areas on the child's arms where  Reflex withdrawal to stimulus and facial
Children, p. 1083.
they should place the cream. Transportation grimacing
time is 15 minutes. Their appointment is for Explanation:
2:45 p.m. At what time should the parents Children - Page 1083
apply the cream and occlusive dressings to Reference:
both arms? Add a Note
Question 5 See full question 39s  Oucher pain rating scale Care of the Childbearing & Childrearing
A 7-year-old boy tells the nurse that his head Correct response: Kluwer, Chapter 39: Pain Management in
sometimes hurts after he eats ice cream. The Children, p. 1073.
nurse recognizes that this type of pain is:  Oucher pain rating scale
You Selected: Explanation: Children - Page 1073
Reference:
 Acute referred pain Add a Note
Correct response:  Silbert-Flagg, J., Pillitteri, P. Question 8 See full question 32s

 Acute referred pain Care of the Childbearing & Childrearing A six-year-old child is observed sucking the
Family, 8th ed. Philadelphia: Wolters thumb and baby talking while hospitalized for
Explanation: Kluwer,Chapter 39: Pain Management in cellulitis. How would the nurse explain this to
Children, p. 1079. the parents?
Reference:
Chapter 39: Pain Management in You Selected:
(2018). Maternal & Child Health Nursing:  The child may be in pain.
Family, 8th ed. Philadelphia: Wolters Correct response:
Kluwer,Chapter 39: Pain Management in Question 7 See full question 34s
Children, p. 1074.  The child may be in pain.
A nurse is caring for a child who is grimacing
Chapter 39: Pain Management in but reports having no pain. What might be the Explanation:
Children - Page 1074 rationale for a child being reluctant to express
pain? Reference:
Add a Note
Question 6 See full question 18s (2018). Maternal & Child Health Nursing:
 feeling anxiety about pain Care of the Childbearing & Childrearing
The nurse is assessing the level of pain in a 3- Family, 8th ed, Philadelphia: Wolters
year-old who appears to be experiencing Correct response: Kluwer, Chapter 39: Pain Management in
abdominal pain. The nurse lays out six Children, p. 1076.
photographs of children's faces representing  fearing getting a "shot" to relieve the
"no hurt" to "biggest hurt you could ever have" pain Chapter 39: Pain Management in
and asks the child to point to the one that best Children - Page 1076
Explanation:
shows what the child is feeling. The nurse will
document the results stating which pain scale? Add a Note
Reference:
You Selected: Question 9 See full question 2m 12s

The nurse is providing education about pain  Aspirin A young boy is in the emergency department
control to the parents of a newborn client. with swelling and pain in the right ankle. He
Which statement by the parents requires states that he was playing soccer, somehow
further follow up by the nurse? twisted the ankle, and could not walk off the
Question 1 See full question 39s field. The physician tells the client that it is
You Selected: only a sprain. Which type of pain is this client
The nurse caring for a 28-week pre-term infant experiencing?
 "Newborns with pain experience stress prepares to obtain a capillary blood specimen
in the body." for a routine bilirubin test via heel stick. The You Selected:
parents are at the bedside and ask the nurse if
Correct response:  Somatic
their infant will feel pain when he is stuck.
Which is the best response for the nurse to
 "Narcotics may not be used because my Correct response:
make?
child is not old enough."
You Selected:  Somatic
Explanation:
Explanation:
Reference:  “Your son will experience pain for a
brief moment when his heel is stuck.” Reference:
 Silbert-Flagg, J., & Pillitteri, A., Maternal
Correct response:
& Child Health Nursing: Care of the  Silbert-Flagg, J., Pillitteri, P.
Childbearing & Childrearing Family, (2018). Maternal & Child Health Nursing:
 “Your son will experience pain for a
8th ed., Philadelphia, Wolters Kluwer, Care of the Childbearing & Childrearing
brief moment when his heel is stuck.”
2018, Chapter 39: Pain Management in Family, 8th ed. Philadelphia: Wolters
Children, p. 1077. Explanation: Kluwer,Chapter 39: Pain Management in
Children, p. 1074.
Chapter 39: Pain Management in Reference:
Children - Page 1077 Chapter 39: Pain Management in
Add a Note (2018). Maternal & Child Health Nursing:
Question 10 See full question 19s Family, 8th ed. Philadelphia: Wolters
Kluwer,Chapter 39: Pain Management in Question 3 See full question 25s
The nurse is reviewing prescriptios for Children, p. 1077.
analgesia for a 5-year-old client. A prescription A nursing instructor is teaching students about
for which medication requires further follow up Chapter 39: Pain Management in pain control in children. The teacher realizes
by the nurse? Children - Page 1077 that students understand the concepts when
they identify which of the following as helping
You Selected: Add a Note pain impulses to be perceived more quickly?
 Aspirin Question 2 See full question 51s You Selected:
Correct response:  anxiety

Correct response: Kluwer, Chapter 39: Pain Management in A parent expresses concern to the nurse that
Children, p. 1073. her 18-month-old child might have an ear
 anxiety infection. Which symptom would alert the
Chapter 39: Pain Management in nurse that this is a possibility?
Explanation: Children - Page 1073
You Selected:
Reference:
Add a Note
 The child is pulling on the ear.
(2018). Maternal & Child Health Nursing: Correct response:
Care of the Childbearing & Childrearing A parent expresses concern about a child who
Family, 8th ed. Philadelphia: Wolters is reporting shoulder pain following abdominal  The child is pulling on the ear.
Kluwer,Chapter 39: Pain Management in laparoscopic appendectomy. What is the
Children, p. 1073-1074. nurse’s best response to this concern? Explanation:
Chapter 39: Pain Management in Reference:

You Selected:
Children - Page 1073-1074
 "This is visceral pain and comes from  Silbert-Flagg, J., Pillitteri, P.
Add a Note internal organs." (2018). Maternal & Child Health Nursing:
Question 4 See full question 31s Correct response: Family, 8th ed, Philadelphia: Wolters
Kluwer, Chapter 39: Pain Management in
The nurse is caring for children on a  "This is referred pain and is normal after Children, p. 1076.
postoperative unit. Which nursing action surgery."
promotes the mostefficient pain control? Chapter 39: Pain Management in
Explanation: Children - Page 1076
You Selected:
Reference: Add a Note
 Instruct parents to notify the nurse if
the child's pain worsens.  Silbert-Flagg, J., Pillitteri, P. Question 7 See full question 42s
Correct response: Care of the Childbearing & Childrearing An adolescent is experiencing severe pain due
Family, 8th ed, Philadelphia: Wolters to a sickle-cell crisis. Which medication would
 Anticipate when pain will occur and plan Kluwer, Chapter 39: Pain Management in be best for the nurse to administer?
interventions to prevent it. Children, p. 1074.
You Selected:
Children - Page 1074  hydromorphone
Reference:
Add a Note Correct response:
(2018). Maternal & Child Health Nursing: Question 6 See full question 15s  hydromorphone
Family, 8th ed, Philadelphia: Wolters Explanation:
Reference: Add a Note  Distraction

Care of the Childbearing & Childrearing The neonatal nurse is assisting the health care Question 1 See full question 26s
Family, 8th ed. Philadelphia: Wolters provider with a circumcision. Which pain relief
Kluwer,Chapter 39: Pain Management in method would be most beneficial? When educating a parent how to support their
Children, p. 1083. child while experiencing a painful procedure,
You Selected:
what is the best information for the nurse to
Chapter 39: Pain Management in convey to the parents?
Children - Page 1083  anesthetic cream
You Selected:
 Explain in detail the role of the parent
Question 8 See full question 22s  anesthetic cream
as a coach and emphasize the coping
Explanation:
plan.
A 4-year-old child is scheduled for a magnetic
resonance imaging of the skull following a Reference: Correct response:
bicycle accident. Which medication would the
nurse administer to keep the child still during  Silbert-Flagg, J., Pillitteri, P.  Explain in detail the role of the parent
this procedure? (2018). Maternal & Child Health Nursing: as a coach and emphasize the coping
Care of the Childbearing & Childrearing plan.
You Selected:
Explanation:
 conscious sedation Kluwer, Chapter 39: Pain Management in
Children, p. 1081. Reference:
Correct response:
Chapter 39: Pain Management in  Silbert-Flagg, J., Pillitteri, P.
 conscious sedation Children - Page 1081 (2018). Maternal & Child Health Nursing:
Explanation: Add a Note
Reference: Question 10 See full question 16s Children, p. 1088.
 Silbert-Flagg, J., Pillitteri, P. The nurse instructs a 6-year-old client to say
(2018). Maternal & Child Health Nursing: “ouch” while administering a subcutaneous
Care of the Childbearing & Childrearing injection. Which technique is the nurse using?
Family, 8th ed, Philadelphia: Wolters Add a Note
Kluwer, Chapter 39: Pain Management in You Selected:
 Distraction
Chapter 39: Pain Management in The nurse is caring for an adolescent
Correct response:
Children - Page 1085 postoperative patient in an acute care setting
with PRN pain medication orders of Tylenol and  Give the mother the FACES pain rating  Silbert-Flagg, J., Pillitteri, P.
Vicodin. Which of the following should the scale to use with her son. (2018). Maternal & Child Health Nursing:
nurse closely monitor? Care of the Childbearing & Childrearing
You Selected: Kluwer,Chapter 39: Pain Management in
 Give the mother the FACES pain rating Children, p. 1074.
 Total daily dosage of acetaminophen scale to use with her son.
due to liver toxicity Chapter 39: Pain Management in
Explanation:
Correct response:
Reference:
Add a Note
 Total daily dosage of acetaminophen
due to liver toxicity  Silbert-Flagg, J., Pillitteri, P. Question 5 See full question 38s
Explanation: Care of the Childbearing & Childrearing A nurse is instructing the parents of a toddler
Family, 8th ed. Philadelphia: Wolters on the use of an anesthetic cream in advance
Reference: Kluwer,Chapter 39: Pain Management in of an upcoming procedure the child will have.
Children, p. 1078. What information should the nurse mention to
(2018). Maternal & Child Health Nursing: them?
Care of the Childbearing & Childrearing Children - Page 1078 You Selected:
Kluwer,Chapter 39: Pain Management in Add a Note
 Be careful not to let your son remove
Children, p. 1083.
the dressing, as the cream can cause
Question 4 See full question 38s damage to his eyes if he rubs them.
Children - Page 1083 A young child is hospitalized with pneumonia. Correct response:
Upon admission he informs the nurse that he is
Add a Note not having pain but just a bad cough. A few  Be careful not to let your son remove
hours later, the child he begins to complain of the dressing, as the cream can cause
Question 3 See full question 48s pain in his right lower back. This first report of damage to his eyes if he rubs them.
feeling pain refers to:
The nurse is providing postsurgical care for a 4- Explanation:
year-old boy following hernia repair. Before You Selected:
surgery, the nurse taught the child to use the Reference:
poker chip tool to rate his pain. When  pain threshold.
assessing the child's postsurgical pain, the boy  Silbert-Flagg, J., Pillitteri, P.
refuses to touch the chips and clings to his Correct response: (2018). Maternal & Child Health Nursing:
mother. How should the nurse respond? Care of the Childbearing & Childrearing
 pain threshold. Family, 8th ed. Philadelphia: Wolters
You Selected: Kluwer,Chapter 39: Pain Management in
Explanation:
Children, p. 1081.
Reference:
Chapter 39: Pain Management in The nurse is caring for a group of children who Question 8 See full question 35s
Children - Page 1081 have had recent surgery. Which children will
the nurse question to determine the location of The nurse is teaching a mother and father
Add a Note their pain? Select all that apply. about children and pain. Which statement
indicates understanding of this teaching?
Question 6 See full question 13s You Selected:
You Selected:
The pediatric nurse is mentoring a new  3-year-old post tonsillectomy
graduate in the care of children experiencing  Believe a child who says he or she is not
pain. The nurse knows the teaching was  4-year-old with a fractured tibia in pain.
effective when the new graduate makes which
statement as the rationale for considering pain  7 year old post appendectomy Correct response:
assessment the fifth vital sign?
 6-year-old with juvenile arthritis  Narcotics can be safely used with
You Selected: children.
Correct response:
 Pain assessment needs to be done at Explanation:
regular intervals.  3-year-old post tonsillectomy
Reference:
Correct response:  4-year-old with a fractured tibia
 Pain assessment needs to be done at (2018). Maternal & Child Health Nursing:
 5-year-old with sickle cell crisis
regular intervals. Care of the Childbearing & Childrearing
 6-year-old with juvenile arthritis
Explanation: Kluwer, Chapter 39: Pain Management in
Children, p. 1077.
Reference:  7 year old post appendectomy

(2018). Maternal & Child Health Nursing: Reference:
Family, 8th ed. Philadelphia: Wolters  Silbert-Flagg, J., Pillitteri, P.
Kluwer,Chapter 39: Pain Management in (2018). Maternal & Child Health Nursing: Question 9 See full question 15s
Children, p. 1073. Care of the Childbearing & Childrearing
Family, 8th ed. Philadelphia: Wolters A 5-year-old child has been admitted to the
Chapter 39: Pain Management in Kluwer,Chapter 39: Pain Management in hospital and is going to have an IV started in
Children - Page 1073 Children, p. 1075. the procedure room. Which instructions will
be most helpful for the child and the parent?
Add a Note
You Selected:
Add a Note  Have the parent sing softly to the child
during the procedure.
Correct response: Care of the Childbearing & Childrearing Chapter 39: Pain Management in
Family, 8th ed. Philadelphia: Wolters Children - Page 1078
 Have the parent sing softly to the child Kluwer,Chapter 39: Pain Management in
during the procedure. Children, p. 1075. Add a Note
Explanation: Chapter 39: Pain Management in Question 2 See full question 19s

Reference: Beginning with as young as 3 years of age,
Add a Note children can indicate by pointing to a body part
 Silbert-Flagg, J., Pillitteri, P. where they feel pain.
(2018). Maternal & Child Health Nursing: TAKE ANOTHER QUIZ
Care of the Childbearing & Childrearing You Selected:
Kluwer, Chapter 39: Pain Management in  True
Correct response:
Chapter 39: Pain Management in The nurse is caring for a 12-year-old with
Children - Page 1086 cerebral palsy who is unable to communicate  True
verbally. Which pain assessment tool is
Add a Note the most appropriate for the nurse to use Reference:
when assessing pain in this patient?
Question 10 See full question 36s  Silbert-Flagg, J., Pillitteri, P.
You Selected: (2018). Maternal & Child Health Nursing:
An infant has a surgical repair of a congenital Care of the Childbearing & Childrearing
heart defect. In the immediate post-operative  Face, leg, activity, cry, and consolability Family, 8th ed. Philadelphia: Wolters
period, which scenario best indicates that the (FLACC) descriptors Kluwer,Chapter 39: Pain Management in
infant is in pain? Children, p. 1073.
Correct response:
You Selected: Chapter 39: Pain Management in
 Face, leg, activity, cry, and consolability Children - Page 1073
 The infant appears restless and wrinkles (FLACC) descriptors
the face. Add a Note
Explanation:
Correct response: Question 3 See full question 1m 15s
Reference:
 The infant appears restless and wrinkles A nursery nurse is explaining to a new parent
the face.  Silbert-Flagg, J., Pillitteri, P. about how to assess the newborn for pain.
(2018). Maternal & Child Health Nursing: Which manifestation indicates that an infant is
Explanation: Care of the Childbearing & Childrearing in pain?
Reference: Kluwer,Chapter 39: Pain Management in You Selected:
Children, p. 1078.
 Silbert-Flagg, J., Pillitteri, P.  inability to be consoled
Correct response: 8th ed., Philadelphia, Wolters Kluwer,  Silbert-Flagg, J., Pillitteri, P.
2018, Chapter 39: Pain Management in (2018). Maternal & Child Health Nursing:
 inability to be consoled Children, p. 1077. Care of the Childbearing & Childrearing
Explanation: Chapter 39: Pain Management in Kluwer, Chapter 40: Nursing Care of a
Children - Page 1077 Family When a Child Has a Respiratory
Reference:
Disorder, p. 1121.
Add a Note
(2018). Maternal & Child Health Nursing: Chapter 40: Nursing Care of a Family
Question 5 See full question 43s when a Child has a Respiratory Disorder
Family, 8th ed, Philadelphia: Wolters - Page 1121
The nurse is caring for a 4-year-old child about
Kluwer, Chapter 39: Pain Management in to undergo wound care for a full-thickness Add a Note
Children, p. 1076. (third-degree) burn injury. Which form of pain
relief should the nurse anticipate? Question 2 See full question 1m 54s
Children - Page 1076 You Selected: The caregivers of an 8-year-old bring their child
Add a Note to the pediatrician and report that the child has
 Conscious sedation not had breathing problems before, but since
Question 4 See full question 14s taking up lacrosse the child has been coughing
Correct response:
and wheezing at the end of every practice and
The nurse is providing education about pain game. Their friend's child has often been
 Conscious sedation
control to the parents of a newborn client. hospitalized for asthma; they are concerned
Which statement by the parents requires that their child has a similar illness. The nurse
further follow up by the nurse? knows that because the problems seem to be
Pancreatic enzymes are part of the treatment directly related to exercise, it is likely that the
You Selected: in cystic fibrosis. When should the nurse child will be able to be treated with:
administer the enzymes? You Selected:
 "Narcotics may not be used because my
child is not old enough." You Selected:
 a bronchodilator and mast cell
Correct response: stabilizers.
 Before meals and snacks with milk
 "Narcotics may not be used because my Correct response:
Correct response:
child is not old enough."
 Before meals and snacks with milk
Explanation: stabilizers.
Explanation:
Reference: Explanation:
Reference:
 Silbert-Flagg, J., & Pillitteri, A., Maternal Reference:
& Child Health Nursing: Care of the
Childbearing & Childrearing Family,
 Silbert-Flagg, J., Pillitteri, P. Chapter 40: Nursing Care of a Family The nurse is reinforcing teaching about
(2018). Maternal & Child Health Nursing: when a Child has a Respiratory Disorder medications with the parents of a 2-year-old
Care of the Childbearing & Childrearing - Page 1114-1115 who has cystic fibrosis. The nurse suggests
Family, 8th ed. Philadelphia: Wolters that pancreatic enzymes may be given by
Kluwer, Chapter 40: Nursing Care of a Add a Note which method?
Family When a Child Has a Respiratory
Disorder, p. 1114-1115-1116. Question 4 See full question 1m 12s You Selected:
Chapter 40: Nursing Care of a Family The nurse at a camp for children with asthma  Directly into the vein
when a Child has a Respiratory Disorder is teaching these children about the
medications they are taking and how to Correct response:
- Page 1114-1115-1116
properly take them. The nurse recognizes that
Add a Note many medications used on a daily basis for the  Sprinkled onto the food
treatment of asthma are given by which
Explanation:
Question 3 See full question 37s method?
Reference:
The nurse is caring for a child who has been You Selected:
admitted with a diagnosis of asthma. What  Silbert-Flagg, J., Pillitteri, P.
laboratory/diagnostic tool would likely have  Through a gastrostomy tube
been used for this child? Care of the Childbearing & Childrearing
Correct response:
You Selected:
 Using a nebulizer Kluwer, Chapter 40: Nursing Care of a
 Pulmonary functions test
Explanation: Disorder, p. 1121.
Correct response:
Reference: Chapter 40: Nursing Care of a Family
 Pulmonary functions test when a Child has a Respiratory Disorder
 Silbert-Flagg, J., Pillitteri, P. - Page 1121
Reference: Family, 8th ed. Philadelphia: Wolters
Kluwer, Chapter 40: Nursing Care of a Question 6 See full question 42s
 Silbert-Flagg, J., Pillitteri, P. Family When a Child Has a Respiratory
(2018). Maternal & Child Health Nursing: Disorder, p. 1100-1101-1115-1116. A group of nurses is reviewing the diagnosis of
Care of the Childbearing & Childrearing cystic fibrosis. With regard to the effect of this
Family, 8th ed. Philadelphia: Wolters Chapter 40: Nursing Care of a Family disease on the body, which parts of the body
Kluwer, Chapter 40: Nursing Care of a when a Child has a Respiratory Disorder (besides the lungs) are most affected by this
Family When a Child Has a Respiratory - Page 1100-1101-1115-1116 disease?
Disorder, p. 1114-1115.
Question 5 See full question 33s  Pancreas and liver

Correct response:  Silbert-Flagg, J., Pillitteri, P. Chapter 40: Nursing Care of a Family
(2018). Maternal & Child Health Nursing: when a Child has a Respiratory Disorder
 Pancreas and liver Care of the Childbearing & Childrearing - Page 1109
Explanation: Add a Note
Kluwer, Chapter 40: Nursing Care of a
Reference: Family When a Child Has a Respiratory
Disorder, p. 1119. Question 9 See full question 1m 6s
 Silbert-Flagg, J., Pillitteri, P. A group of nursing students are reviewing the
when a Child has a Respiratory Disorder medications used to treat asthma. The
Care of the Childbearing & Childrearing students demonstrate understanding of the
Family, 8th ed. Philadelphia: Wolters - Page 1119
information when they identify which agent as
Kluwer, Chapter 40: Nursing Care of a appropriate for an acute episode of
Add a Note
Family When a Child Has a Respiratory bronchospasm?
Disorder, p. 1119-1120. Question 8 See full question 20s
You Selected:
Chapter 40: Nursing Care of a Family
The school nurse is caring for a 12-year-old boy
when a Child has a Respiratory Disorder  Albuterol
with a bloody nose. Which action would
- Page 1119-1120
be mostappropriate for the nurse to do?
Correct response:
Add a Note
You Selected:
 Albuterol
Question 7 See full question 43s  Seat the child leaning forward and pinch
Explanation:
the anterior portion of the nose closed.
The nurse is reinforcing teaching with the
family caregivers of a child diagnosed with Reference:
Correct response:
tuberculosis who is being treated with the drug
rifampin. Which statement made by the  Silbert-Flagg, J., Pillitteri, P.
 Seat the child leaning forward and pinch
caregivers indicates an understanding of this (2018). Maternal & Child Health Nursing:
the anterior portion of the nose closed.
medication? Care of the Childbearing & Childrearing
Explanation: Family, 8th ed. Philadelphia: Wolters
You Selected: Kluwer, Chapter 40: Nursing Care of a
Reference: Family When a Child Has a Respiratory
 “My son will have to take this Disorder, p. 1103-1115.
medication the rest of his life.”  Silbert-Flagg, J., Pillitteri, P.
Correct response: Care of the Childbearing & Childrearing when a Child has a Respiratory Disorder
Family, 8th ed. Philadelphia: Wolters - Page 1103-1115
 “While she is taking this medication, I Kluwer, Chapter 40: Nursing Care of a
won't worry if her tears look orange.” Family When a Child Has a Respiratory Add a Note
Disorder, p. 1109.
Explanation: Question 10 See full question 7s
Reference:
A nurse is teaching the parents of a child  Cystic fibrosis Family When a Child Has a Respiratory
diagnosed with cystic fibrosis about medication Disorder, p. 1108.
therapy. Which would the nurse instruct the Explanation:
parents to administer orally? Chapter 40: Nursing Care of a Family
Reference: when a Child has a Respiratory Disorder
You Selected: - Page 1108
 Bronchodilators (2018). Maternal & Child Health Nursing: Add a Note
Correct response: Family, 8th ed. Philadelphia: Wolters Question 13 See full question 5s
 Pancreatic enzymes Family When a Child Has a Respiratory If there is a foreign body in the larynx, how will
Disorder, p. 1119-1120-1121-1122. the patient present?
Explanation:
Chapter 40: Nursing Care of a Family You Selected:
Reference:
when a Child has a Respiratory Disorder
- Page 1119-1120-1121-1122  With stridor
(2018). Maternal & Child Health Nursing: Add a Note Correct response:
Family, 8th ed. Philadelphia: Wolters Question 12 See full question 27s  With stridor
Family When a Child Has a Respiratory Which of the following is a symptom of Explanation:
Disorder, p. 1120-1121. bacterial pharyngitis?
Reference:
when a Child has a Respiratory Disorder  Silbert-Flagg, J., Pillitteri, P.
- Page 1120-1121  Fever as high as 104 °F (2018). Maternal & Child Health Nursing:
Add a Note Correct response: Family, 8th ed. Philadelphia: Wolters
Question 11 See full question 21s  Fever as high as 104 °F Family When a Child Has a Respiratory
Disorder, p. 1097.
Which of the following childhood diseases used Explanation:
to be fatal and now needs a Chapter 40: Nursing Care of a Family
holistic approach to care?
- Page 1097
(2018). Maternal & Child Health Nursing: Add a Note
 Cystic fibrosis Care of the Childbearing & Childrearing
Correct response: Kluwer, Chapter 40: Nursing Care of a
Which of the following postoperative nursing  A nebulizer Kluwer, Chapter 40: Nursing Care of a
interventions is most appropriate for the Family When a Child Has a Respiratory
preschool child following tonsillectomy and Explanation: Disorder, pp. 1101, 1103, 1115.
adenoidectomy?
Reference: Add a Note
You Selected:
 Using an incentive spirometer (2018). Maternal & Child Health Nursing:
Care of the Childbearing & Childrearing An 8-year-old with cystic fibrosis has had a
Correct response: Family, 8th ed. Philadelphia: Wolters noted decline on the growth chart. Which
Kluwer, Chapter 40: Nursing Care of a nursing intervention is best for maintaining
 Assessing for frequent swallowing Family When a Child Has a Respiratory adequate nutrition?
Disorder, p. 1100-1101.
Explanation: You Selected:
Reference:
when a Child has a Respiratory Disorder  Delay pancreatic enzymes until food
- Page 1100-1101 enters the small intestine.
(2018). Maternal & Child Health Nursing: Add a Note Correct response:
Family, 8th ed. Philadelphia: Wolters Question 16 See full question 44s  Encourage high calorie, high protein
Kluwer, Chapter 40: Nursing Care of a snacks.
Family When a Child Has a Respiratory The nurse is administering 2 puffs of an
Disorder, p. 1108-1109. albuterol sulfate inhaler to a 4-year-old. Which Explanation:
side effect would the nurse instruct the parent
Chapter 40: Nursing Care of a Family Reference:
to most likely expect?
- Page 1108-1109 You Selected:  Silbert-Flagg, J., Pillitteri, A.
Add a Note  Increased heart rate and restlessness Care of the Childbearing & Childrearing
Question 15 See full question 10s Correct response: Kluwer, Chapter 40: Nursing Care of a
For a toddler, what medication delivery system  Increased heart rate and restlessness Disorder, p. 1120.
will the nurse choose to relieve bronchospasm
of asthma? Explanation: Chapter 40: Nursing Care of a Family
- Page 1120
 A dry powder inhaler  Silbert-Flagg, J., Pillitteri, P. Add a Note

Correct response: Care of the Childbearing & Childrearing Question 18 See full question 22s
The nurse caring for a school-aged client with You Selected: Explanation:
cystic fibrosis aims to have the client meet the
goal of adequate nutritional intake to  Airborne precautions Question 1 See full question 36s
compensate for decreased absorption of
Correct response: What is a symptom of bacterial pharyngitis?
nutrients. What is the bestindication that this
is met?
 Airborne precautions You Selected:
You Selected:
Explanation:  Fever
 The client has gained weight from last Reference: Correct response:
visit.
 Silbert-Flagg, J., Pillitteri, P.  Fever
Correct response:
 The client is within the 20th percentile Care of the Childbearing & Childrearing Explanation:
for height and weight. Family, 8th ed. Philadelphia: Wolters

Kluwer, Chapter 40: Nursing Care of a Reference:
Explanation: Family When a Child Has a Respiratory

Disorder, p. 1119.  Silbert-Flagg, J., Pillitteri, P.
Reference: (2018). Maternal & Child Health Nursing:
Chapter 40: Nursing Care of a Family Care of the Childbearing & Childrearing
 Silbert-Flagg, J., Pillitteri, P. when a Child has a Respiratory Disorder Family, 8th ed. Philadelphia: Wolters
(2018). Maternal & Child Health Nursing: - Page 1119 Kluwer, Chapter 40: Nursing Care of a
Care of the Childbearing & Childrearing Family When a Child Has a Respiratory
Family, 8th ed. Philadelphia: Wolters Add a Note Disorder, p. 1108.
Family When a Child Has a Respiratory Question 20 See full question 13s Chapter 40: Nursing Care of a Family
Disorder, p. 1120. when a Child has a Respiratory Disorder
The nurse makes the statement that if an older - Page 1108
Chapter 40: Nursing Care of a Family child inhales a foreign body, the inhaled object
is more likely to be drawn into the right Add a Note
- Page 1120 bronchus rather than the left. What is the basis
for this statement? Question 2 See full question 6s
Add a Note
You Selected: If there is a foreign body in the larynx, how will
Question 19 See full question 37s the client present?
 Both bronchi are the same size, but the
left is more vertical than the right. You Selected:
The nurse is preparing the room for a client
admitted from the emergency department with
Correct response:  With stridor
suspected tuberculosis (TB). Which type of
infection control precautions would the nurse Correct response:
anticipate?  The right bronchus is shorter and wider
than the left.
 With stridor
Explanation: Kluwer, Chapter 40: Nursing Care of a The nurse is performing a respiratory
Family When a Child Has a Respiratory assessment on a child. The nurse includes five
Reference:
Disorder, p. 1113. steps in her assessing technique: observation,
inspection, palpation, and percussion. Which
 Silbert-Flagg, J., Pillitteri, P. Chapter 40: Nursing Care of a Family step was left out of her techniques?
Care of the Childbearing & Childrearing - Page 1113 You Selected:
Kluwer, Chapter 40: Nursing Care of a Add a Note  Listening to the lung sounds
Disorder, p. 1097. Question 4 See full question 24s Correct response:
Chapter 40: Nursing Care of a Family The nurse is examining a 4-year-old who is  Listening to the lung sounds
when a Child has a Respiratory Disorder injured and crying. What might the nurse
- Page 1097 document about the child's breathing? Explanation:
Add a Note Reference:

You Selected:
Question 3 See full question 27s  Tachypnea  Silbert-Flagg, J., Pillitteri, P.

The nurse is caring for a 6-month-old infant Correct response: Care of the Childbearing & Childrearing
who has chronic apneic episodes. Which Family, 8th ed. Philadelphia: Wolters
intervention should the nurse place in the plan  Tachypnea Kluwer, Chapter 40: Nursing Care of a
of care? Family When a Child Has a Respiratory
You Selected:
 Place on a cardiopulmonary monitor and when a Child has a Respiratory Disorder
do frequent assessments.  Silbert-Flagg, J., Pillitteri, P. - Page 1096
Correct response: Care of the Childbearing & Childrearing Add a Note
 Place on a cardiopulmonary monitor and Kluwer, Chapter 40: Nursing Care of a Question 6 See full question 13s
do frequent assessments. Family When a Child Has a Respiratory
Disorder, p. 1096. The nurse is admitting a child who is
Explanation: experiencing an asthma attack. Which clinical
Chapter 40: Nursing Care of a Family manifestation would likely be noted in this
Reference: when a Child has a Respiratory Disorder child?
- Page 1096
 Silbert-Flagg, J., Pillitteri, P. You Selected:
Care of the Childbearing & Childrearing  Wheezing
Correct response: Care of the Childbearing & Childrearing Add a Note
 Wheezing Kluwer, Chapter 40: Nursing Care of a Question 9 See full question 40s
Explanation: The caregivers of a child report that their child
Disorder, p. 1121.
had a cold and complained of a sore throat.
Reference:
Chapter 40: Nursing Care of a Family When interviewed further they report that the
when a Child has a Respiratory Disorder child has a high fever, is very anxious, and is
- Page 1121 breathing by sitting up and leaning forward
with the mouth open and the tongue out. The
Care of the Childbearing & Childrearing Add a Note nurse recognizes these symptoms as those
seen with which disorder?
Family When a Child Has a Respiratory You Selected:
Disorder, p. 1114. What statement is the most accurate
regarding the structure and function of the  Epiglottitis
Chapter 40: Nursing Care of a Family newborn's respiratory system?
when a Child has a Respiratory Disorder Correct response:
- Page 1114 You Selected:
 Epiglottitis
Add a Note  Most infants are nasal breathers rather
than mouth breathers. Explanation:
Reference:
Correct response:
The nurse is administering medications to a
child with cystic fibrosis. Which method would  Most infants are nasal breathers rather  Silbert-Flagg, J., Pillitteri, P.
the nurse most likely use to give medications than mouth breathers. (2018). Maternal & Child Health Nursing:
to treat the pancreatic involvement seen in this Care of the Childbearing & Childrearing
disease? Explanation: Family, 8th ed. Philadelphia: Wolters
You Selected: Reference: Family When a Child Has a Respiratory
Disorder, p. 1110-1111.
 Open capsule and sprinkle on food.  Silbert-Flagg, J., Pillitteri, P.
Correct response: Care of the Childbearing & Childrearing when a Child has a Respiratory Disorder
Family, 8th ed. Philadelphia: Wolters - Page 1110-1111
 Open capsule and sprinkle on food. Kluwer, Chapter 40: Nursing Care of a
Family When a Child Has a Respiratory Add a Note
Explanation:
Disorder, p. 1095.
Reference:
when a Child has a Respiratory Disorder A 4 week old is diagnosed with bronchiolitis.
- Page 1095 The parent states, "I do not know how the baby
got this!" The nurse is most correct to ask Correct response: Reference:
which question?
 Sweat sodium choloride test  Silbert-Flagg, J., Pillitteri, P.
Explanation: Care of the Childbearing & Childrearing
 "Has the baby been around any Family, 8th ed. Philadelphia: Wolters
Reference:
crowds?" Kluwer, Chapter 40: Nursing Care of a
Disorder, p. 1103-1104.
 "Has the baby been around any Care of the Childbearing & Childrearing Chapter 40: Nursing Care of a Family
crowds?" Family, 8th ed. Philadelphia: Wolters when a Child has a Respiratory Disorder
Kluwer, Chapter 40: Nursing Care of a - Page 1103-1104
Disorder, p. 1120. Add a Note
Reference:
Chapter 40: Nursing Care of a Family Question 13 See full question 32s
 Silbert-Flagg, J., Pillitteri, P. when a Child has a Respiratory Disorder
(2018). Maternal & Child Health Nursing: - Page 1120 The student nurse is collecting data on a child
diagnosed with cystic fibrosis and notes the
child has a barrel chest and clubbing of the
fingers. In explaining this manifestation of the
Family When a Child Has a Respiratory Question 12 See full question 20s disease, the staff nurse explains the cause of
Disorder, p. 1113.
this symptom to be:
During a class for caregivers of children with
Chapter 40: Nursing Care of a Family asthma, a caregiver asks the nurse the You Selected:
when a Child has a Respiratory Disorder following question when medications are being
- Page 1113 discussed. “They told me about a plastic device  chronic lack of oxygen.
my child can hold in his a hand which will give
Add a Note him a premeasured and exact amount of his Correct response:
corticosteroid.” The nurse recognizes that the
Question 11 See full question 23s caregiver is most likely referring to which  chronic lack of oxygen.
device?
The nurse is caring for a child who has been Explanation:
admitted with a possible diagnosis of cystic You Selected:
fibrosis. Which laboratory/diagnostic tools Reference:
would most likely be used to help determine  Metered-dose inhaler
the diagnosis of this child?  Silbert-Flagg, J., Pillitteri, P.
Correct response: (2018). Maternal & Child Health Nursing:
You Selected: Care of the Childbearing & Childrearing
 Metered-dose inhaler Family, 8th ed. Philadelphia: Wolters
 Sweat sodium choloride test Kluwer, Chapter 40: Nursing Care of a
Explanation:
Family When a Child Has a Respiratory Add a Note  Suctioning a tracheostomy tube
Disorder, p. 1097.
when a Child has a Respiratory Disorder The nurse is examining an 8-year-old boy with  Suctioning a tracheostomy tube
- Page 1097 tachycardia and tachypnea. The nurse
anticipates which test as most helpful in Explanation:
Add a Note determining the extent of the child's hypoxia?
Reference:
Question 14 See full question 27s You Selected:
The nurse is caring for a 10-year-old girl with  Pulse oximetry (2018). Maternal & Child Health Nursing:
cystic fibrosis who receives pancreatic Care of the Childbearing & Childrearing
enzymes. Which comment by a parent Correct response: Family, 8th ed. Philadelphia: Wolters
demonstrates understanding of the instructions Kluwer, Chapter 40: Nursing Care of a
regarding the medication?  Pulse oximetry Family When a Child Has a Respiratory
Disorder, p. 1105-1106.
Explanation:
You Selected:
Reference:
 "I should give the enzymes before each when a Child has a Respiratory Disorder
meal or snack." - Page 1105-1106
Correct response:
 "I should give the enzymes before each Family, 8th ed. Philadelphia: Wolters Question 17 See full question 1m 11s
meal or snack." Kluwer, Chapter 40: Nursing Care of a
Family When a Child Has a Respiratory A child with a severe lower respiratory tract
Explanation: Disorder, p. 1098. infection has been prescribed an antibiotic and
a bronchodilator. The nurse recognizes that
Reference: Chapter 40: Nursing Care of a Family which treatment would be best for delivering
when a Child has a Respiratory Disorder the medication directly into the respiratory
 Silbert-Flagg, J., Pillitteri, P. - Page 1098 tract, as well as providing moisture to promote
(2018). Maternal & Child Health Nursing: removal of mucus?
Family, 8th ed. Philadelphia: Wolters You Selected:
Family When a Child Has a Respiratory  Nebulizer
Disorder, p. 1120-1121. The nurse is caring for a 3-year-old girl with a
respiratory disorder. The nurse anticipates the Correct response:
Chapter 40: Nursing Care of a Family need for providing supplemental oxygen to the
when a Child has a Respiratory Disorder child when performing which action?  Nebulizer
- Page 1120-1121
Reference: Family When a Child Has a Respiratory Which piece of equipment is most helpful in
Disorder, p. 1110. determining airway obstruction in the client
 Silbert-Flagg, J., Pillitteri, P. with asthma?
Care of the Childbearing & Childrearing when a Child has a Respiratory Disorder You Selected:
Family, 8th ed. Philadelphia: Wolters - Page 1110
Kluwer, Chapter 40: Nursing Care of a  An incentive spirometer
Disorder, p. 1100-1101. Correct response:
Chapter 40: Nursing Care of a Family  A peak flow meter
when a Child has a Respiratory Disorder In teaching home care to parents of a child
with cystic fibrosis, the nurse will emphasize: Explanation:
- Page 1100-1101
Add a Note You Selected: Question 1 See full question 36s
Question 18 See full question 45s  methods to relieve chest pain. What is the most common debilitating disease
of childhood among those of European
A worried mother calls the nurse and tells her Correct response: descent?
that her son has developed a horrible croup
cough and is having trouble breathing. What  techniques to clear the airway. You Selected:
would be the best intervention for the nurse to

Explanation:  Asthma
recommend to the mother?
Reference: Correct response:
You Selected:
 Silbert-Flagg, J., Pillitteri, P.  Cystic fibrosis

 Run a hot shower to fill the bathroom
with steam and have the boy stay there.
Care of the Childbearing & Childrearing Explanation:

Reference:
 Run a hot shower to fill the bathroom Family When a Child Has a Respiratory
with steam and have the boy stay there. (2018). Maternal & Child Health Nursing:
Explanation:
when a Child has a Respiratory Disorder Family, 8th ed. Philadelphia: Wolters
Reference: - Page 1121 Kluwer, Chapter 40: Nursing Care of a
 Silbert-Flagg, J., Pillitteri, P. Add a Note Disorder, p. 1119.
Care of the Childbearing & Childrearing Question 20 See full question 13s Chapter 40: Nursing Care of a Family
Family, 8th ed. Philadelphia: Wolters when a Child has a Respiratory Disorder
Kluwer, Chapter 40: Nursing Care of a - Page 1119
Add a Note shrill, harsh respiratory sound when breathing  epiglottitis.
in. This symptom is referred to as:
Question 2 See full question 17s Explanation:
You Selected:
Marcy is 4 years old with cystic fibrosis. The Reference:
nurse is trying to pick a method to teach Marcy  hoarseness.
a good way to exercise her lungs. Which would  Silbert-Flagg, J., Pillitteri, P.
be the developmentally correct strategy to Correct response: (2018). Maternal & Child Health Nursing:
help Marcy? Care of the Childbearing & Childrearing
 stridor. Family, 8th ed. Philadelphia: Wolters
You Selected: Kluwer, Chapter 40: Nursing Care of a
 Teach Marcy to blow bubbles. Disorder, p. 1110-1111.
Reference:
Correct response: Chapter 40: Nursing Care of a Family
 Teach Marcy to blow bubbles. (2018). Maternal & Child Health Nursing:
- Page 1110-1111
Explanation: Family, 8th ed. Philadelphia: Wolters Add a Note
Reference: Family When a Child Has a Respiratory Question 5 See full question 1m 3s
Disorder, p. 1110.
 Silbert-Flagg, J., Pillitteri, P. The nurse is bottle feeding an infant diagnosed
(2018). Maternal & Child Health Nursing: Chapter 40: Nursing Care of a Family with pneumonia. An important action for the
Care of the Childbearing & Childrearing when a Child has a Respiratory Disorder nurse to take is clearing the infant's nose, and
Family, 8th ed. Philadelphia: Wolters - Page 1110 then the nurse should feed the infant using
Kluwer, Chapter 40: Nursing Care of a which of the following?
Disorder, p. 1104-1105-1119-1120-1121- You Selected:
1122. Question 4 See full question 18s
 A nipple that is small enough so that the
Chapter 40: Nursing Care of a Family The nurse is collecting data on a child admitted baby doesn't choke, but not so small
when a Child has a Respiratory Disorder with a respiratory concern. The nurse notes that he or she has to work too hard to
- Page 1104-1105-1119-1120-1121-1122 that the child is anxious and sitting forward eat
with the neck extended to breath. The signs
Add a Note the nurse noted indicate the child likely has: Correct response:
Question 3 See full question 40s You Selected:  A nipple that is small enough so that the
baby doesn't choke, but not so small
A child is brought to the emergency  asthma. that he or she has to work too hard to
department late one evening and is diagnosed eat
with croup. The child was noted to have a Correct response:
Explanation:
Reference: Care of the Childbearing & Childrearing Question 8 See full question 27s
 Silbert-Flagg, J., Pillitteri, P. Kluwer, Chapter 40: Nursing Care of a During an assessment, a child exhibits an
(2018). Maternal & Child Health Nursing: Family When a Child Has a Respiratory audible high-pitched inspiratory noise, a tripod
Care of the Childbearing & Childrearing Disorder, p. 1115-1116. stance and intercostal retractions. Using SBAR
Family, 8th ed. Philadelphia: Wolters communication, the nurse notifies the health
Kluwer, Chapter 40: Nursing Care of a Chapter 40: Nursing Care of a Family care provider and states which breath sounds
Family When a Child Has a Respiratory when a Child has a Respiratory Disorder that are congruent with the clinical
Disorder, p. 1105-1116-1117. - Page 1115-1116 presentation of the child?
Chapter 40: Nursing Care of a Family Add a Note You Selected:

- Page 1105-1116-1117 Question 7 See full question 21s  Respiratory stridor
Add a Note The nurse is caring for a 7-year-old boy who Correct response:
has just had a tonsillectomy. Which
Question 6 See full question 45s intervention is least appropriate for this child?  Respiratory stridor
The LPN is working with the RN to develop a You Selected: Explanation:

plan of care for a child with asthma. Which
 Discouraging the child from coughing Reference:
would be appropriate goals of treatment for
this child? Select all that apply.
 Providing fluids by straw Care of the Childbearing & Childrearing
 Preventing symptoms Family, 8th ed. Philadelphia: Wolters
Explanation: Kluwer, Chapter 40: Nursing Care of a
 Preventing recurrence Family When a Child Has a Respiratory
Reference: Disorder, p. 1097.
 Relieving pain
 Silbert-Flagg, J., Pillitteri, P. Chapter 40: Nursing Care of a Family
Correct response: (2018). Maternal & Child Health Nursing: when a Child has a Respiratory Disorder
Care of the Childbearing & Childrearing - Page 1097
 Preventing symptoms Family, 8th ed. Philadelphia: Wolters
Kluwer, Chapter 40: Nursing Care of a Add a Note
 Preventing recurrence Family When a Child Has a Respiratory
Disorder, p. 1108-1109. Question 9 See full question 1m 9s
Explanation:
Chapter 40: Nursing Care of a Family A child with asthma has been monitoring his
Reference: when a Child has a Respiratory Disorder peak expiratory flow rate (PEFR) and has been
- Page 1108-1109 maintaining it within 90% of his personal best.
 Silbert-Flagg, J., Pillitteri, P. Today, the child is experiencing symptoms and
(2018). Maternal & Child Health Nursing: Add a Note his PEFR is at 40% of his personal best. The
child's mother calls the office and asks the  "Air passages are small in toddlers, and Add a Note
nurse what she should do. What would the when inflamed they become smaller
nurse instruct the mother to do first? because of edema and are occluded with Question 2 See full question 18s
mucus."
You Selected: The nurse caring for the child with asthma
Correct response: weighs the child daily. What is
 "Have him use his short-acting the most important reason for doing a daily
bronchodilator right away."  "Air passages are small in toddlers, and weight on this child?
when inflamed they become smaller
Correct response: because of edema and are occluded with You Selected:
mucus."
 "Have him use his short-acting  To ensure that the child's food intake is
bronchodilator right away." Question 1 See full question 1m 8s adequate
Explanation: Correct response:

The nurse is caring for a child whose oxygen
Reference: saturation levels frequently drop below 90%.
 To determine fluid losses
Which data is most important to relate to the
 Silbert-Flagg, J., Pillitteri, P. health care provider? Explanation:
 Activity level  Silbert-Flagg, J., Pillitteri, P.
Family When a Child Has a Respiratory (2018). Maternal & Child Health Nursing:
Correct response:
Disorder, p. 1103-1115. Care of the Childbearing & Childrearing
 Blood gases
Chapter 40: Nursing Care of a Family Kluwer, Chapter 40: Nursing Care of a
when a Child has a Respiratory Disorder Explanation: Family When a Child Has a Respiratory
- Page 1103-1115 Disorder, p. 1096-1114.
Reference:
Add a Note Chapter 40: Nursing Care of a Family
Question 10 See full question 37s (2018). Maternal & Child Health Nursing: - Page 1096-1114
The 18-month-old client has had recurrent Family, 8th ed. Philadelphia: Wolters Add a Note
respiratory infections. The mother expresses Kluwer, Chapter 40: Nursing Care of a
concern that this child is having more Family When a Child Has a Respiratory Question 3 See full question 49s
complications from respiratory infections than Disorder, p. 1098.
her older children had. The The nurse is examining a 5-year-old boy. Which
nurse's best response would be: Chapter 40: Nursing Care of a Family sign or symptom is a reliable first indication of
when a Child has a Respiratory Disorder respiratory illness in children?
You Selected: - Page 1098
You Selected:
 Increasing lethargy  Silbert-Flagg, J., Pillitteri, P. Chapter 40: Nursing Care of a Family
Correct response: Care of the Childbearing & Childrearing - Page 1114-1115-1116
 Rapid, shallow breathing Kluwer, Chapter 40: Nursing Care of a Add a Note
Explanation:
Disorder, p. 1120-1121. Question 6 See full question 15s
Reference: Which clinical manifestation of acute
when a Child has a Respiratory Disorder nasopharyngitis is more of a concern for the
 Silbert-Flagg, J., Pillitteri, P. infant than the older child?
(2018). Maternal & Child Health Nursing: - Page 1120-1121
Add a Note
Kluwer, Chapter 40: Nursing Care of a Question 5 See full question 14s  Nasal congestion
Disorder, p. 1094-1096. A nurse is performing a physical assessment on
Correct response:
a child who is having an asthma attack. Which

Chapter 40: Nursing Care of a Family  Nasal congestion
would the nurse most likely observe?
- Page 1094-1096 Explanation:
You Selected:
Add a Note Reference:

 Audible wheezing in the upper airways
only  Silbert-Flagg, J., Pillitteri, P.
Correct response:
A nurse is teaching the parents of a child Care of the Childbearing & Childrearing
diagnosed with cystic fibrosis about medication Family, 8th ed. Philadelphia: Wolters
 Central cyanosis
therapy. Which would the nurse instruct the Kluwer, Chapter 40: Nursing Care of a
parents to administer orally? Explanation: Family When a Child Has a Respiratory
Disorder, pp. 1095-1107.
 Pancreatic enzymes  Silbert-Flagg, J., Pillitteri, P. when a Child has a Respiratory Disorder
(2018). Maternal & Child Health Nursing: - Page 1095-1107
 Pancreatic enzymes Kluwer, Chapter 40: Nursing Care of a
Family When a Child Has a Respiratory Question 7 See full question 24s
Explanation:
Disorder, p. 1114-1115-1116.
The nurse is caring for a 6-week-old with
Reference: symptoms of irritability, nasal stuffiness,
difficulty drinking and occasional vomiting.
Which assessment finding produces important  Note any frequent swallowing. Care of the Childbearing & Childrearing
information regarding the medical and nursing Family, 8th ed. Philadelphia: Wolters
treatment plan? Explanation: Kluwer, Chapter 40: Nursing Care of a
Disorder, p. 1120.
 Obtain testing for respiratory syncytial  Silbert-Flagg, J., Pillitteri, P. Chapter 40: Nursing Care of a Family
virus. (2018). Maternal & Child Health Nursing: when a Child has a Respiratory Disorder
 Obtain testing for respiratory syncytial Family When a Child Has a Respiratory
virus. Disorder, pp. 1108-1109. Question 10 See full question 1m 3s
Explanation: Chapter 40: Nursing Care of a Family The NICU nurse is caring for a preterm neonate
when a Child has a Respiratory Disorder with respiratory distress syndrome on
Reference:
- Page 1108-1109 mechanical ventilation. Which assessment data
 Silbert-Flagg, J., Pillitteri, P. would alert the nurse that a pneumothorax
Add a Note might have developed? Select all that apply.
Care of the Childbearing & Childrearing Question 9 See full question 46s You Selected:
Kluwer, Chapter 40: Nursing Care of a An 8-year-old with cystic fibrosis has had a  The neonate's respiratory rate is 68.
Family When a Child Has a Respiratory noted decline on the growth chart. Which
Disorder, p. 1107. nursing intervention is best for maintaining  Neonate's blood pressure is 80/50.
adequate nutrition?
 The neonate's chest is asymmetrical.
when a Child has a Respiratory Disorder You Selected:
with decreased breath sounds on one
- Page 1107
side.
 Encourage high calorie, high protein
Add a Note snacks. Correct response:

 The neonate's respiratory rate is 68.
Upon providing discharge instructions home  Encourage high calorie, high protein
 Neonate is exhibiting nasal flaring and
after a tonsillectomy and adenoidectomy, snacks. grunting.
which is most important?
Explanation:
You Selected:  The neonate's chest is asymmetrical.
Reference: with decreased breath sounds on one
 Note any frequent swallowing. side.
 Silbert-Flagg, J., Pillitteri, A.
Question 1 See full question 14s and wheezing at the end of every practice and You Selected:
game. Their friend's child has often been
The caregivers of a child who was diagnosed hospitalized for asthma; they are concerned  Sprinkled onto the food
with cystic fibrosis 5 months ago report that that their child has a similar illness. The nurse
Correct response:
they have been following all of the suggested knows that because the problems seem to be
guidelines for nutrition, fluid intake, and directly related to exercise, it is likely that the
child will be able to be treated with:  Sprinkled onto the food
exercise, but the child has been having bouts
of constipation and diarrhea. The nurse tells Explanation:
the caregiver to increase the amount of which You Selected:
substance in the child's diet? Reference:
You Selected: stabilizers.  Silbert-Flagg, J., Pillitteri, P.
 Pancreatic enzymes Correct response:
 a bronchodilator and mast cell Family, 8th ed. Philadelphia: Wolters
Correct response:
stabilizers. Kluwer, Chapter 40: Nursing Care of a
 Pancreatic enzymes
Explanation:
 Silbert-Flagg, J., Pillitteri, P. - Page 1121
 Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing:
(2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Add a Note
Care of the Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters
Family, 8th ed. Philadelphia: Wolters Kluwer, Chapter 40: Nursing Care of a Question 4 See full question 19s
Kluwer, Chapter 40: Nursing Care of a Family When a Child Has a Respiratory
Family When a Child Has a Respiratory Disorder, p. 1114-1115-1116. A 6-month-old infant who was born premature
Disorder, p. 1119-1120-1121. is being seen for a follow-up examination. The
Chapter 40: Nursing Care of a Family child is to receive an intramuscular injection
Chapter 40: Nursing Care of a Family when a Child has a Respiratory Disorder monthly through the winter and spring season.
when a Child has a Respiratory Disorder - Page 1114-1115-1116 Which drug would the nurse expect to be
- Page 1119-1120-1121 ordered?
Add a Note
Question 2 See full question 7m 59s  Nedocromil
The nurse is reinforcing teaching about
Correct response:
The caregivers of an 8-year-old bring their child medications with the parents of a 2-year-old
to the pediatrician and report that the child has who has cystic fibrosis. The nurse suggests
that pancreatic enzymes may be given by  Palivizumab
not had breathing problems before, but since
taking up lacrosse the child has been coughing which method? Explanation:
Reference: Chapter 40: Nursing Care of a Family pronounced dead in the ED. As an advocate for
when a Child has a Respiratory Disorder the family, what care would you provide for
 Silbert-Flagg, J., Pillitteri, P. - Page 1119-1120-1121-1122 them? Select all that apply.
Care of the Childbearing & Childrearing Add a Note You Selected:
Kluwer, Chapter 40: Nursing Care of a Question 6 See full question 15s  Allow the parents to visit the morgue.
Disorder, p. 1113-1114. In teaching home care to parents of a child  Reassure the parents that the infant’s
with cystic fibrosis, the nurse will emphasize: death was not their fault.
when a Child has a Respiratory Disorder You Selected:  Allow the parents to hold and touch the
- Page 1113-1114 infant.
 techniques to clear the airway.
Correct response:
Question 5 See full question 13s  Advise the patents that an autopsy will
 techniques to clear the airway. be done to verify the cause of death.
Which of the following childhood diseases used
Explanation:
to be fatal and now needs a  Reassure the parents that the infant’s
holistic approach to care? Reference: death was not their fault.
You Selected:  Allow the parents to hold and touch the

(2018). Maternal & Child Health Nursing: infant.
 Cystic fibrosis
Explanation:
 Cystic fibrosis Family When a Child Has a Respiratory
Reference: when a Child has a Respiratory Disorder Family, 8th ed. Philadelphia: Wolters
- Page 1121 Kluwer, Chapter 40: Nursing Care of a
Disorder, p. 1094-1095.
Family When a Child Has a Respiratory A 3-month-old infant was brought to the
- Page 1094-1095
Disorder, p. 1119-1120-1121-1122. emergency department (ED) by an ambulance
after the parents found the child face down in a Add a Note
pool of mucus, not breathing. The child is
Question 8 See full question 12s Correct response: The nurse is taking a respiratory history of a
newly admitted child. While documenting the
Which piece of equipment is most helpful in  Airborne precautions symptoms the child has, what other item is
determining airway obstruction in the client important to document when taking a history
Explanation:
with asthma? on an altered respiratory status?
Reference:
You Selected: You Selected:
 Silbert-Flagg, J., Pillitteri, P.  The triggers in the environment

 A peak flow meter
Correct response: Care of the Childbearing & Childrearing Correct response:
 A peak flow meter Kluwer, Chapter 40: Nursing Care of a  The triggers in the environment
Explanation: Disorder, p. 1119. Explanation:
Reference: Chapter 40: Nursing Care of a Family Reference:

 Silbert-Flagg, J., Pillitteri, P. - Page 1119  Silbert-Flagg, J., Pillitteri, P.
Care of the Childbearing & Childrearing Add a Note Care of the Childbearing & Childrearing
Family, 8th ed. Philadelphia: Wolters Family, 8th ed. Philadelphia: Wolters
Kluwer, Chapter 40: Nursing Care of a Question 10 See full question 38s Kluwer, Chapter 40: Nursing Care of a
Family When a Child Has a Respiratory Family When a Child Has a Respiratory
Disorder, p. 1115. The nurse makes the statement that if an older Disorder, p. 1114.
child inhales a foreign body, the inhaled object
Chapter 40: Nursing Care of a Family is more likely to be drawn into the right Chapter 40: Nursing Care of a Family
when a Child has a Respiratory Disorder bronchus rather than the left. What is the basis when a Child has a Respiratory Disorder
- Page 1115 for this statement? - Page 1114
Add a Note You Selected: Add a Note
Question 9 See full question 1m 6s  The right bronchus is shorter and wider Question 2 See full question 22s
than the left.
The nurse is preparing the room for a client The nurse is working with a group of caregivers
admitted from the emergency department with Correct response: of small children discussing various disorders
suspected tuberculosis (TB). Which type of seen in children. One of the caregivers makes
infection control precautions would the nurse  The right bronchus is shorter and wider the statement that her children always seem to
anticipate? than the left. have a common cold. After discussing this
condition, the caregivers make the following
You Selected: Question 1 See full question 23s statements. Which statement indicates
the most accurate understanding of a
 Airborne precautions complication related to the common cold?
You Selected:  "Has the baby been around any Reference:
crowds?"
 “When my 6-month-old gets a cold, I  Silbert-Flagg, J., Pillitteri, P.
know her temperature will be high.” Explanation: (2018). Maternal & Child Health Nursing:
Correct response: Reference: Family, 8th ed. Philadelphia: Wolters
 “Next time he has a cold, I will watch  Silbert-Flagg, J., Pillitteri, P. Family When a Child Has a Respiratory
closely to see if my 1-year-old pulls at (2018). Maternal & Child Health Nursing: Disorder, p. 1103-1115.
his ears.” Care of the Childbearing & Childrearing
Family, 8th ed. Philadelphia: Wolters Chapter 40: Nursing Care of a Family
Explanation: Kluwer, Chapter 40: Nursing Care of a when a Child has a Respiratory Disorder
Family When a Child Has a Respiratory - Page 1103-1115
Reference:
Disorder, p. 1113.
Add a Note
 Silbert-Flagg, J., Pillitteri, P. Chapter 40: Nursing Care of a Family
(2018). Maternal & Child Health Nursing: when a Child has a Respiratory Disorder Question 5 See full question 12s
Family, 8th ed. Philadelphia: Wolters The nurse is examining a 5-year-old boy. Which
Kluwer, Chapter 40: Nursing Care of a Add a Note sign or symptom is a reliable first indication of
Family When a Child Has a Respiratory respiratory illness in children?
Disorder, p. 1107. Question 4 See full question 12s
You Selected:
Chapter 40: Nursing Care of a Family A child with asthma has been monitoring his
when a Child has a Respiratory Disorder peak expiratory flow rate (PEFR) and has been  Rapid, shallow breathing
- Page 1107 maintaining it within 90% of his personal best.
Today, the child is experiencing symptoms and Correct response:
Add a Note
his PEFR is at 40% of his personal best. The
child's mother calls the office and asks the  Rapid, shallow breathing
Question 3 See full question 16s nurse what she should do. What would the
Explanation:
nurse instruct the mother to do first?
A 4 week old is diagnosed with bronchiolitis.
The parent states, "I do not know how the baby You Selected: Question 1 See full question 32s
got this!" The nurse is most correct to ask
which question?  "Have him use his short-acting The nurse enters the room of Molly, who has
bronchodilator right away." pneumonia. Molly has a low oxygen level and is
You Selected: working hard to breathe. The nurse raises the
Correct response: head of the bed and has Molly tilt her head
 "Has the baby been around any back. What is the next appropriate action by
crowds?"  "Have him use his short-acting the nurse?
bronchodilator right away."
Correct response: You Selected:
Explanation:
 Provide oxygen therapy to Molly.  Silbert-Flagg, J., Pillitteri, P. Care of the Childbearing & Childrearing
(2018). Maternal & Child Health Nursing: Family, 8th ed. Philadelphia: Wolters
Correct response: Care of the Childbearing & Childrearing Kluwer, Chapter 40: Nursing Care of a
Family, 8th ed. Philadelphia: Wolters Family When a Child Has a Respiratory
 Provide oxygen therapy to Molly. Kluwer, Chapter 40: Nursing Care of a Disorder, p. 1095-1096.
Explanation: Chapter 40: Nursing Care of a Family
Disorder, p. 1113.
Reference:
Chapter 40: Nursing Care of a Family - Page 1095-1096
- Page 1113 Add a Note
Care of the Childbearing & Childrearing Question 4 See full question 11s
Add a Note
Kluwer, Chapter 40: Nursing Care of a Question 3 See full question 27s Which clinical manifestation of acute
Family When a Child Has a Respiratory nasopharyngitis is more of a concern for the
Disorder, p. 1102-1103. The 18-month-old client has had recurrent infant than the older child?
respiratory infections. The mother expresses
concern that this child is having more
complications from respiratory infections than
- Page 1102-1103  Nasal congestion
her older children had. The
Add a Note nurse's best response would be:
Correct response:
You Selected:
Question 2 See full question 13s  Nasal congestion
 "Air passages are small in toddlers, and
The nurse is caring for a 6-month-old infant Explanation:
who has chronic apneic episodes. Which
because of edema and are occluded with Reference:
intervention should the nurse place in the plan
mucus."
of care?
Correct response:
 "Air passages are small in toddlers, and
 Place on a cardiopulmonary monitor and Family, 8th ed. Philadelphia: Wolters
do frequent assessments. Kluwer, Chapter 40: Nursing Care of a
because of edema and are occluded with
mucus."
Correct response: Disorder, pp. 1095-1107.
Explanation:
 Place on a cardiopulmonary monitor and Chapter 40: Nursing Care of a Family
do frequent assessments. Reference: when a Child has a Respiratory Disorder
- Page 1095-1107
Explanation:
Reference:
Question 5 See full question 34s Chapter 40: Nursing Care of a Family Question 3 See full question 9s
Upon providing discharge instructions home - Page 1098 The caregiver of a 6-week-old boy calls the
after a tonsillectomy and adenoidectomy, nurse concerned about her child. The child has
which is most important? Add a Note been vomiting, has diarrhea, and is sneezing.
The child's temperature is normal. The nurse
You Selected: Question 2 See full question 8s suspects that the cause of the symptoms is:
 Note any frequent swallowing. The caregivers of a child who was diagnosed You Selected:
with cystic fibrosis 5 months ago report that
Correct response: they have been following all of the suggested  a pollen-based allergy.
guidelines for nutrition, fluid intake, and
 Note any frequent swallowing. exercise, but the child has been having bouts Correct response:
of constipation and diarrhea. The nurse tells
the caregiver to increase the amount of which  a common cold.
substance in the child's diet?
You Selected:
The nurse is caring for a child whose oxygen Reference:
saturation levels frequently drop below 90%.  Pancreatic enzymes
Which data is most important to relate to the  Silbert-Flagg, J., Pillitteri, P.
health care provider? Correct response: (2018). Maternal & Child Health Nursing:
You Selected:  Pancreatic enzymes Family, 8th ed. Philadelphia: Wolters
 Blood gases Explanation: Family When a Child Has a Respiratory
Disorder, p. 1107.
 Blood gases  Silbert-Flagg, J., Pillitteri, P. when a Child has a Respiratory Disorder
(2018). Maternal & Child Health Nursing: - Page 1107
Reference: Kluwer, Chapter 40: Nursing Care of a
Family When a Child Has a Respiratory Question 4 See full question 4h 31m 50s
 Silbert-Flagg, J., Pillitteri, P. Disorder, p. 1119-1120-1121.
(2018). Maternal & Child Health Nursing: The nurse is reinforcing teaching with a group
Care of the Childbearing & Childrearing Chapter 40: Nursing Care of a Family of caregivers of children diagnosed with
Family, 8th ed. Philadelphia: Wolters when a Child has a Respiratory Disorder asthma. Which statement best indicates an
Kluwer, Chapter 40: Nursing Care of a - Page 1119-1120-1121 understanding of the management and
Family When a Child Has a Respiratory treatment for this diagnosis?
Disorder, p. 1098. Add a Note
You Selected:
 “Even the babysitter helps us keep up Question 1 See full question 1m 45s  The liver size increases in right-sided
the diary with her symptoms.” heart failure.
A nurse is caring for a child with Kawasaki
Correct response: disease. Which assessment finding would the Correct response:
nurse expect to see?
 “We have taken the carpet out of our  The liver size increases in right-sided
house and let my mom take our dog.” You Selected: heart failure.
Explanation:  Peeling hands and feet and fever Explanation:
Reference: Correct response: Reference:
 Silbert-Flagg, J., Pillitteri, P.  Peeling hands and feet and fever  Silbert-Flagg, J., Pillitteri, P.
Care of the Childbearing & Childrearing Explanation: Care of the Childbearing & Childrearing
Family, 8th ed. Philadelphia: Wolters Family, 8th ed. Philadelphia: Wolters
Kluwer, Chapter 40: Nursing Care of a Reference: Kluwer, Chapter 41: Nursing Care of a
Family When a Child Has a Respiratory Family When a Child Has a
Disorder, p. 1114-1115-1116.  Silbert-Flagg, J., Pillitteri, P. Cardiovascular Disorder, p. 1134.
Chapter 40: Nursing Care of a Family Care of the Childbearing & Childrearing Chapter 41: Nursing Care of a Family
when a Child has a Respiratory Disorder Family, 8th ed. Philadelphia: Wolters when a Child has a Cardiovascular
- Page 1114-1115-1116 Kluwer, Chapter 41: Nursing Care of a Disorder - Page 1134
Family When a Child Has a
Add a Note Cardiovascular Disorder, p. 1160. Add a Note
Question 5 See full question 11s Chapter 41: Nursing Care of a Family Question 3 See full question 21s
when a Child has a Cardiovascular
An 8-year-old with cystic fibrosis has had a Disorder - Page 1160 A nurse is reviewing blood work for a child with
noted decline on the growth chart. Which a cyanotic heart defect. What result
nursing intervention is best for maintaining Add a Note would mostlikely be seen in a client
adequate nutrition? experiencing polycythemia?
You Selected: You Selected:
When examining a child with congenital heart
 Encourage high calorie, high protein disease, an organ in the upper right quadrant  Decreased WBC
snacks. of the abdomen can be palpated at 4 cm below
the rib cage. What would most likely explain Correct response:
Correct response: this assessment finding?
 Increased RBC
 Encourage high calorie, high protein You Selected:
snacks. Explanation:
Reference:
 Silbert-Flagg, J., Pillitteri, P. Add a Note You Selected:
Care of the Childbearing & Childrearing Question 5 See full question 1m 29s  “Children who have this diagnosis may
Family, 8th ed. Philadelphia: Wolters have had strep throat.”
Kluwer, Chapter 41: Nursing Care of a A nurse is caring for an infant who is
experiencing heart failure. What would be Correct response:
Cardiovascular Disorder, p. 1133. the mostappropriate care for this infant?
 “Children who have this diagnosis may
Chapter 41: Nursing Care of a Family You Selected: have had strep throat.”
 Administer oxygen. Explanation:
Disorder - Page 1133
Add a Note
 Administer oxygen.  Silbert-Flagg, J., Pillitteri, P.

Question 4 See full question 8m 30s (2018). Maternal & Child Health Nursing:
A nurse suspects a child is experiencing Family, 8th ed. Philadelphia: Wolters
cardiac tamponade after heart surgery. What Reference: Kluwer, Chapter 41: Nursing Care of a
would be the priority nursing intervention? Family When a Child Has a
 Silbert-Flagg, J., Pillitteri, A. Cardiovascular Disorder, p. 1161.
Care of the Childbearing & Childrearing Chapter 41: Nursing Care of a Family
 Notify the doctor immediately. Family, 8th ed. Philadelphia: Wolters when a Child has a Cardiovascular
Kluwer, Chapter 41: Nursing Care of a Disorder - Page 1161
Correct response:
 Notify the doctor immediately. Cardiovascular Disorder, p. 1156. Add a Note
Explanation: Chapter 41: Nursing Care of a Family Question 7 See full question 45s

Reference: Disorder - Page 1156 The nurse is providing child and family
education prior to discharge following a cardiac
 Silbert-Flagg, J., Pillitteri, P. Add a Note catheterization. The nurse is teaching about
(2018). Maternal & Child Health Nursing: signs and symptoms of complications. Which
Care of the Childbearing & Childrearing Question 6 See full question 27s statement by the mother indicates a need for
Family, 8th ed. Philadelphia: Wolters further teaching?
Kluwer, Chapter 41: Nursing Care of a The nurse is teaching an in-service program to
Family When a Child Has a a group of nurses on the topic of children You Selected:
Cardiovascular Disorder, p. 1151. diagnosed with rheumatic fever. The nurses in
the group make the following statements.  "The feeling of the heart skipping a beat
Chapter 41: Nursing Care of a Family Which statement is most accurate regarding is common."
when a Child has a Cardiovascular the diagnosis of rheumatic fever?
Correct response:
 "The feeling of the heart skipping a beat Kluwer, Chapter 41: Nursing Care of a A child with a suspected cardiovascular
is common." Family When a Child Has a disorder is to undergo diagnostic testing and is
Cardiovascular Disorder, p. 1147-1162. scheduled for an echocardiogram. When
Explanation: explaining this test to the child, what would the
Chapter 41: Nursing Care of a Family nurse most likely include?
Reference: when a Child has a Cardiovascular
Disorder - Page 1147-1162 You Selected:
(2018). Maternal & Child Health Nursing: Add a Note  “A special wand that picks up sound is
Care of the Childbearing & Childrearing used to check your heart.”
Family, 8th ed. Philadelphia: Wolters Question 9 See full question 1m 2s
Kluwer, Chapter 41: Nursing Care of a Correct response:
Family When a Child Has a When conducting a physical examination of a
Cardiovascular Disorder, p. 1156. child with suspected Kawasaki disease, which  “A special wand that picks up sound is
finding would the nurse expect to assess? used to check your heart.”
when a Child has a Cardiovascular You Selected: Explanation:
Reference:
 Strawberry tongue
Add a Note
Correct response:  Childrearing Family, 8th ed.
Question 8 See full question 1m 35s PhiladelphSilbert-Flagg, J., Pillitteri, P.
 Strawberry tongue (2018). Maternal & Child Health Nursing:
After assessing a child, the nurse suspects Care of the Childbearing & ia: Wolters
coarctation of the aorta based on a finding of: Explanation: Kluwer, Chapter 41: Nursing Care of a
You Selected: Reference: Cardiovascular Disorder, p. 1133-1134.
 narrow pulse.  Childrearing Family, 8th ed. Chapter 41: Nursing Care of a Family
PhiladelphSilbert-Flagg, J., Pillitteri, P. when a Child has a Cardiovascular
Correct response: (2018). Maternal & Child Health Nursing: Disorder - Page 1133-1134
Care of the Childbearing & ia: Wolters
 femoral pulse weaker than brachial Kluwer, Chapter 41: Nursing Care of a Add a Note
pulse. Family When a Child Has a
Cardiovascular Disorder, p. 1160. Question 11 See full question 36s
Explanation:
Chapter 41: Nursing Care of a Family The nurse is developing a plan of care for an
Reference: when a Child has a Cardiovascular infant with heart failure who is receiving
Disorder - Page 1160 digoxin. The nurse would hold the dose of
 Silbert-Flagg, J., Pillitteri, P. digoxin and notify the physician if the infant's
(2018). Maternal & Child Health Nursing: Add a Note apical pulse rate was:
Family, 8th ed. Philadelphia: Wolters Question 10 See full question 1m 14s You Selected:
 80 beats per minute.  Silbert-Flagg, J., Pillitteri, P. Chapter 41: Nursing Care of a Family
(2018). Maternal & Child Health Nursing: when a Child has a Cardiovascular
Correct response: Care of the Childbearing & Childrearing Disorder - Page 1162
 80 beats per minute. Kluwer, Chapter 41: Nursing Care of a Add a Note
Explanation:
Reference: The nurse is performing echocardiography on a
when a Child has a Cardiovascular newborn who is suspected of having a
 Childrearing Family, 8th ed. congenital heart defect. The child's mother is
PhiladelphSilbert-Flagg, J., Pillitteri, P. Disorder - Page 1136
concerned about the safety of using this on a
(2018). Maternal & Child Health Nursing: newborn and wants to know how this
Add a Note
Care of the Childbearing & ia: Wolters technology works. The nurse assures her that
Kluwer, Chapter 41: Nursing Care of a Question 13 See full question 42s this technology is very safe and may be
Family When a Child Has a repeated frequently without added risk. What
Cardiovascular Disorder, p. 1136. A nurse is teaching the parents of a child should the nurse mention in explaining how
diagnosed with rheumatic fever about this diagnostic test works?
prescribed drug therapy. Which statement
when a Child has a Cardiovascular You Selected:
would indicate to the nurse that additional
teaching is needed?
 High-frequency sound waves are
Add a Note
You Selected: directed toward the heart
Question 12 See full question 29s  "We can stop the penicillin when her Correct response:
symptoms disappear."
A child with heart disease is receiving digoxin  High-frequency sound waves are
and a diuretic. Which laboratory test result Correct response: directed toward the heart
would be most important for the nurse to
monitor?  "We can stop the penicillin when her Explanation:
symptoms disappear."
Explanation:
 Serum potassium level  Silbert-Flagg, J., Pillitteri, P.
 Silbert-Flagg, J., Pillitteri, P. Family, 8th ed. Philadelphia: Wolters
 Serum potassium level (2018). Maternal & Child Health Nursing: Kluwer, Chapter 41: Nursing Care of a
Care of the Childbearing & Childrearing Family When a Child Has a
Explanation:
Family, 8th ed. Philadelphia: Wolters Cardiovascular Disorder, p. 1133-1134.
Cardiovascular Disorder, p. 1162.
Chapter 41: Nursing Care of a Family Add a Note A nurse is examining a 10-year-old girl who has
when a Child has a Cardiovascular a heart murmur. On auscultation, the nurse
Disorder - Page 1133-1134 Question 16 See full question 28s finds that the murmur occurs only during
systole, is short, and sounds soft and musical.
Add a Note A 6-year-old girl is diagnosed with pulmonary When she has the girl stand, she can no longer
stenosis. The mother asks the nurse what the hear the murmur on auscultation. Which of the
Question 15 See full question 5m 48s likely treatment for this condition will involve. following should the nurse say to the girl's
The nurse should tell the mother which of the mother in response to these findings?
A 6-year-old girl is diagnosed with pulmonary following?
stenosis. The mother asks the nurse what the You Selected:
likely treatment for this condition will involve. You Selected:
What should the nurse tell the mother?  "Your daughter has an innocent heart
 Insertion of a catheter with an murmur, which is nothing to worry
You Selected: uninflated balloon tip into the affected about."
valve, followed by inflation of the balloon
 Insertion of a catheter with an to break up adhesions Correct response:
uninflated balloon tip into the affected
valve, followed by inflation of the balloon Correct response:  "Your daughter has an innocent heart
to break up adhesions murmur, which is nothing to worry
 Insertion of a catheter with an about."
Correct response: uninflated balloon tip into the affected
valve, followed by inflation of the balloon Explanation:
 Insertion of a catheter with an to break up adhesions
uninflated balloon tip into the affected Reference:
valve, followed by inflation of the balloon Explanation:
to break up adhesions  Silbert-Flagg, J., Pillitteri, P.
Reference: (2018). Maternal & Child Health Nursing: Kluwer, Chapter 41: Nursing Care of a
 Silbert-Flagg, J., Pillitteri, P. Family, 8th ed. Philadelphia: Wolters Cardiovascular Disorder, p. 1132-1133.
(2018). Maternal & Child Health Nursing: Kluwer, Chapter 41: Nursing Care of a
Care of the Childbearing & Childrearing Family When a Child Has a Chapter 41: Nursing Care of a Family
Family, 8th ed. Philadelphia: Wolters Cardiovascular Disorder, p. 1147. when a Child has a Cardiovascular
Kluwer, Chapter 41: Nursing Care of a Disorder - Page 1132-1133
Family When a Child Has a Chapter 41: Nursing Care of a Family
Cardiovascular Disorder, p. 1146-1147. when a Child has a Cardiovascular Add a Note
when a Child has a Cardiovascular Add a Note
Disorder - Page 1146-1147
To prevent infective endocarditis in the child  demonstrate stable vital signs, capillary
with an artificial heart valve, the nurse teaches refill less than 3 seconds, and a urine
parents to: output of 1-2 mL/kg/hr. Question 1 See full question 26s
You Selected: Correct response: A parent brings an infant in for poor feeding.
Which assessment data would most likely
 Administer prophylactic antibiotics  demonstrate stable vital signs, capillary indicate a coarctation of the aorta?
before dental work. refill less than 3 seconds, and a urine
output of 1-2 mL/kg/hr. You Selected:
Correct response:
Explanation:  Pulses weaker in lower extremities
 Administer prophylactic antibiotics compared to upper extremities
before dental work. Reference:
Correct response:
Explanation:  Silbert-Flagg, J., Pillitteri, P.
(2018). Maternal & Child Health Nursing:  Pulses weaker in lower extremities
Reference: Care of the Childbearing & Childrearing compared to upper extremities
 Silbert-Flagg, J., Pillitteri, P. Kluwer, Chapter 41: Nursing Care of a Explanation:
(2018). Maternal & Child Health Nursing: Family When a Child Has a
Care of the Childbearing & Childrearing Cardiovascular Disorder, p. 1134-1135- Reference:
Family, 8th ed. Philadelphia: Wolters 1136.
Kluwer, Chapter 41: Nursing Care of a  Silbert-Flagg, J., Pillitteri, P.
Family When a Child Has a Chapter 41: Nursing Care of a Family (2018). Maternal & Child Health Nursing:
Cardiovascular Disorder, p. 1165. when a Child has a Cardiovascular Care of the Childbearing & Childrearing
Disorder - Page 1134-1135-1136 Family, 8th ed. Philadelphia: Wolters
Chapter 41: Nursing Care of a Family Kluwer, Chapter 41: Nursing Care of a
when a Child has a Cardiovascular Add a Note Family When a Child Has a
Disorder - Page 1165 Cardiovascular Disorder, p. 1146-1147.
Add a Note Chapter 41: Nursing Care of a Family
The nurse is administering medications to the when a Child has a Cardiovascular
Question 19 See full question 51s child with congestive heart failure. Large doses Disorder - Page 1146-1147
of what medication are used initially in the
The nurse is planning care for an infant with a treatment of CHF to attain a therapeutic level? Add a Note
nursing diagnosis of decreased cardiac output
related to a cardiac defect. What is You Selected: Question 2 See full question 59s
the most appropriate outcome for this nursing
diagnosis? The child will:  Digoxin A shunt is being placed on a child with
pulmonary atresia. What is the best
You Selected: Correct response: explanation of this procedure to the parents?
 Digoxin You Selected:

 The surgery will increase the blood flow Reference: Chapter 41: Nursing Care of a Family
to the lungs. when a Child has a Cardiovascular
 Silbert-Flagg, J., Pillitteri, P. Disorder - Page 1146
 The surgery will increase the blood flow Family, 8th ed. Philadelphia: Wolters
to the lungs. Kluwer, Chapter 41: Nursing Care of a Question 5 See full question 23s
Explanation: Cardiovascular Disorder, p. 1135. The nurse is caring for a 14-year-old girl with
atrial fibrillation. Which medication would the
Reference: nurse expect to be prescribed?
 Silbert-Flagg, J., Pillitteri, P. Disorder - Page 1135 You Selected:
Care of the Childbearing & Childrearing Add a Note  Digoxin
Kluwer, Chapter 41: Nursing Care of a Question 4 See full question 1m 1s Correct response:
Cardiovascular Disorder, p. 1147-1148- The nurse is caring for a 6-year-old with a  Digoxin
1149. congenital heart defect. To best relieve a
Explanation:
hypercyanotic spell, what action would be the
Chapter 41: Nursing Care of a Family priority? Reference:
Disorder - Page 1147-1148-1149 You Selected:
Add a Note  Provide supplemental oxygen.
Question 3 See full question 46s Correct response: Family, 8th ed. Philadelphia: Wolters
A nurse is caring for a child who is  Place the child in a knee-to-chest Family When a Child Has a
experiencing heart failure. Which assessment position. Cardiovascular Disorder, p. 1159.
data was most likely seen when initially
examined? Explanation: Chapter 41: Nursing Care of a Family
You Selected: Reference: Disorder - Page 1159
 Tachycardia  Silbert-Flagg, J., Pillitteri, P. Add a Note

Correct response: Care of the Childbearing & Childrearing Question 6 See full question 40s
 Tachycardia Kluwer, Chapter 41: Nursing Care of a A group of students are reviewing information
Family When a Child Has a about acute rheumatic fever. The students
Explanation: Cardiovascular Disorder, p. 1146.
demonstrate a need for additional review when  Hold the dose and notify the practioner Care of the Childbearing & Childrearing
they identify what as a major Jones criterion? of the heart rate. Family, 8th ed. Philadelphia: Wolters
You Selected: Explanation: Family When a Child Has a
Cardiovascular Disorder, p. 1137-1139.
 Erythema marginatum Reference:
Correct response:  Silbert-Flagg, J., Pillitteri, P. when a Child has a Cardiovascular
(2018). Maternal & Child Health Nursing: Disorder - Page 1137-1139
 Arthralgia Care of the Childbearing & Childrearing
Explanation: Kluwer, Chapter 41: Nursing Care of a
Family When a Child Has a Question 9 See full question 49s
Reference:
 Silbert-Flagg, J., Pillitteri, P. During assessment of an infant diagnosed with
Chapter 41: Nursing Care of a Family tetralogy of Fallot, the nurse notes bluish
when a Child has a Cardiovascular colored lips and irritability. Which nursing
Disorder - Page 1136 action is priority?
Kluwer, Chapter 41: Nursing Care of a Add a Note You Selected:
Cardiovascular Disorder, p. 1161. Question 8 See full question 26s  Assess oxygen saturation.
Chapter 41: Nursing Care of a Family An infant with congenital heart disease is not Correct response:
when a Child has a Cardiovascular growing and developing adequately. The nurse
Disorder - Page 1161 will institute what feeding strategy?  Place in knee-chest position.
Add a Note You Selected: Explanation:
Question 7 See full question 32s  Raise the caloric density of the feeding Reference:
beyond 20 calories per ounce.
The young preschool child has congestive heart  Silbert-Flagg, J., Pillitteri, P.
failure and receives digoxin elixir every 12 Correct response: (2018). Maternal & Child Health Nursing:
hours. The child’s apical pulse is 80 beats per Care of the Childbearing & Childrearing
minute (bpm) with quiet activity. What will be  Raise the caloric density of the feeding Family, 8th ed, Philadelphia: Wolters
the next action of the nurse? beyond 20 calories per ounce. Kluwer, Chapter 41: Nursing Care of a
You Selected: Explanation: Cardiovascular Disorder, p. 1146.
 Hold the dose and notify the practioner Reference: Chapter 41: Nursing Care of a Family
of the heart rate. when a Child has a Cardiovascular
 Silbert-Flagg, J., Pillitteri, P. Disorder - Page 1146
Add a Note Chapter 41: Nursing Care of a Family You Selected:
Question 10 See full question 18s Disorder - Page 1135  Aortic stenosis
Which nursing diagnosis will the nurse indicate Add a Note Correct response:
as priority for the child following cardiac
surgery for tetralogy of Fallot? Question 2 See full question 46s  Aortic stenosis
You Selected: What information would be included in the care Explanation:

plan of an infant in heart failure? Reference:
 Risk for ineffective cardiopulmonary
tissue perfusion You Selected:
 Childrearing Family, 8th ed.
Correct response:  Begin formulas with increased calories. PhiladelphSilbert-Flagg, J., Pillitteri, P.
 Risk for ineffective cardiopulmonary Correct response: Care of the Childbearing & ia: Wolters
tissue perfusion Kluwer, Chapter 41: Nursing Care of a
 Begin formulas with increased calories. Family When a Child Has a
Question 1 See full question 30s Cardiovascular Disorder, p. 1147.
Explanation:
When caring for a child with a congenital heart Chapter 41: Nursing Care of a Family
Reference: when a Child has a Cardiovascular
defect, which assessment finding may be a
sign the child is experiencing heart failure? Disorder - Page 1147
You Selected: (2018). Maternal & Child Health Nursing: Add a Note
 Tachycardia Family, 8th ed. Philadelphia: Wolters Question 4 See full question 40s
Correct response: Family When a Child Has a A newborn is diagnosed with patent ductus
Cardiovascular Disorder, p. 1137-1142. arteriosus. The nurse anticipates that the
 Tachycardia physician will most likely order which
Chapter 41: Nursing Care of a Family medication?
Explanation: when a Child has a Cardiovascular
Disorder - Page 1137-1142 You Selected:
Reference:
Add a Note  Indomethacin
(2018). Maternal & Child Health Nursing: Question 3 See full question 1m 25s Correct response:
Family, 8th ed. Philadelphia: Wolters After assessing a child's blood pressure, the  Indomethacin
Kluwer, Chapter 41: Nursing Care of a nurse determines the pulse pressure and finds
Family When a Child Has a Explanation:
that it is narrowed. What would the nurse
Cardiovascular Disorder, p. 1135. identify as associated with this finding? Reference:
 Childrearing Family, 8th ed. Family When a Child Has a  Silbert-Flagg, J., Pillitteri, P.
PhiladelphSilbert-Flagg, J., Pillitteri, P. Cardiovascular Disorder, p. 1158-1162. (2018). Maternal & Child Health Nursing:
(2018). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing
Care of the Childbearing & ia: Wolters Chapter 41: Nursing Care of a Family Family, 8th ed. Philadelphia: Wolters
Kluwer, Chapter 41: Nursing Care of a when a Child has a Cardiovascular Kluwer, Chapter 41: Nursing Care of a
Family When a Child Has a Disorder - Page 1158-1162 Family When a Child Has a
Cardiovascular Disorder, p. 1140-1141. Cardiovascular Disorder, p. 1134-1135.
Add a Note
Chapter 41: Nursing Care of a Family Chapter 41: Nursing Care of a Family
when a Child has a Cardiovascular Question 6 See full question 1m 10s when a Child has a Cardiovascular
Disorder - Page 1140-1141 Disorder - Page 1134-1135
A nurse is assessing the history of a 7-year-old
Add a Note boy who is suspected of having a Add a Note
cardiovascular disorder. Which of the following
Question 5 See full question 32s findings would tend to indicate a Question 7 See full question 1m 1s
cardiovascular disorder in this child? Select all
The nurse is performing an ECG on a 12-year- that apply. Nursing students are reviewing information
old boy. On completion, she notices that boy's about cardiopulmonary arrest in children. They
P-R interval is lengthened. Which of the You Selected: demonstrate understanding of the information
following does this finding indicate? when they identify which of the following as
 Fatigues easily after a short walk home the most common cause of cardiac arrest?
You Selected: from school
You Selected:
 Difficulty with coordination between the  A lack of perspiration
SA and AV nodes (first-degree heart  Respiratory failure
block)  Periorbital edema
Correct response:
Correct response:  Bouts of hyperactivity
 Respiratory failure
 Difficulty with coordination between the Correct response:
SA and AV nodes (first-degree heart Explanation:
block)  Fatigues easily after a short walk home
Reference:
from school
Explanation:
 A tendency to squat
 Periorbital edema
(2018). Maternal & Child Health Nursing: Explanation: Kluwer, Chapter 41: Nursing Care of a
Family, 8th ed. Philadelphia: Wolters Reference: Cardiovascular Disorder, p. 1136-1137.
Chapter 41: Nursing Care of a Family draw. Cyanosis with rapid, shallow respirations Correct response:
when a Child has a Cardiovascular results. What is the priority nursing
Disorder - Page 1136-1137 intervention?  Provide age-appropriate bed rest
activities.
Question 8 See full question 1m 10s  Hold the child in the knee-chest position
on one’s shoulder. A nurse is administering digoxin to a 3-year-
When assessing a infant born at 32 weeks’ old. What would be a reason to hold the dose
gestation, which finding would lead the nurse Correct response: of digoxin?
to suspect to suspect that the newborn has a
patent ductus arteriosus (PDA)?  Hold the child in the knee-chest position You Selected:
on one’s shoulder.
You Selected:  Ataxia
Explanation:
 Continuous murmur on auscultation Correct response:
Reference:
Correct response:  Nausea and vomiting
 Continuous murmur on auscultation (2018). Maternal & Child Health Nursing: Explanation:
Explanation: Family, 8th ed. Philadelphia: Wolters Reference:
Reference: Family When a Child Has a  Silbert-Flagg, J., Pillitteri, P.
Cardiovascular Disorder, p. 1145-1146. (2018). Maternal & Child Health Nursing:
 Silbert-Flagg, J., Pillitteri, P. Care of the Childbearing & Childrearing
(2018). Maternal & Child Health Nursing: Chapter 41: Nursing Care of a Family Family, 8th ed. Philadelphia: Wolters
Care of the Childbearing & Childrearing when a Child has a Cardiovascular Kluwer, Chapter 41: Nursing Care of a
Family, 8th ed. Philadelphia: Wolters Disorder - Page 1145-1146 Family When a Child Has a
Kluwer, Chapter 41: Nursing Care of a Cardiovascular Disorder, p. 1136.
Family When a Child Has a Add a Note
Cardiovascular Disorder, p. 1132-1133. Chapter 41: Nursing Care of a Family
Question 10 See full question 1m 14s when a Child has a Cardiovascular
Chapter 41: Nursing Care of a Family Disorder - Page 1136
when a Child has a Cardiovascular What is an appropriate nursing intervention for
Disorder - Page 1132-1133 the child diagnosed with Kawasaki disease who Add a Note
is receiving high-dose aspirin therapy and
Add a Note complains of joint pain? Question 2 See full question 23s
Question 9 See full question 22s You Selected: The nurse is caring for a child with congestive
heart failure and is administering the drug
An infant with a diagnosis of tetralogy of Fallot  Administer ibuprofen to ease the joint digoxin. At the beginning of this drug therapy,
becomes agitated following a venous blood pain.
the process of digitalization is done for which  Ventricular septal defect Correct response:
reason?
 Atrioventricular canal defect  Avoid drawing a blood specimen from
You Selected: the right femoral vein before the
Correct response: procedure
 To decrease the pain to a tolerable level
 Ventricular septal defect Explanation:
Correct response:
Reference:
 Patent ductus arteriosus
 To build the blood levels to a
therapeutic level  Silbert-Flagg, J., Pillitteri, P.
 Atrioventricular canal defect
Explanation: Explanation: Care of the Childbearing & Childrearing
Reference: Reference: Kluwer, Chapter 41: Nursing Care of a
 Silbert-Flagg, J., Pillitteri, P.  Silbert-Flagg, J., Pillitteri, P. Cardiovascular Disorder, p. 1155-1156.
Care of the Childbearing & Childrearing Care of the Childbearing & Childrearing Chapter 41: Nursing Care of a Family
Family, 8th ed. Philadelphia: Wolters Family, 8th ed. Philadelphia: Wolters when a Child has a Cardiovascular
Kluwer, Chapter 41: Nursing Care of a Kluwer, Chapter 41: Nursing Care of a Disorder - Page 1155-1156
Family When a Child Has a Family When a Child Has a
Cardiovascular Disorder, p. 1136. Cardiovascular Disorder, p. 1140-1141- Add a Note
1142-1143.
when a Child has a Cardiovascular Chapter 41: Nursing Care of a Family
Disorder - Page 1136 when a Child has a Cardiovascular The nurse is caring for child who present to the
Disorder - Page 1140-1141-1142-1143 emergency department with reports of a fever
Add a Note for 5 days. The nurse notes a diffuse
Add a Note maculopapular rash, reddened cracked lips,
Question 3 See full question 23s erythema of hands, and bilateral conjunctivitis
Question 4 See full question 21s and suspects Kawasaki disease. Which nursing
A healthcare provider and other health team action is priority?
members are discussing congenital heart A 5-year-old is being prepared for diagnostic
disorders which increase pulmonary blood flow. cardiac catheterization, in which the catheter You Selected:
Which disorders are topics for this discussion? will be inserted in the right femoral vein. What
Select all that apply. intervention should the nurse take to prevent  Administer acetaminophen.
infection?
You Selected: Correct response:
You Selected:
 Patent ductus arteriosus  Initiate intravenous access.
 Record pedal pulses
 Coarctation of the aorta Question 1 See full question 28s
A nurse is caring for a child that just had open- You Selected:  Jerky movements of the face and upper
heart surgery and the parents are asking why extremities
there are wires coming out of the chest of the  Child A with a total cholesterol of 150
infant. What is the best response by the mg/dL and low-density lipoprotein (LDL) Explanation:
nurse? of 80 mg/dL.
Reference:
 Childrearing Family, 8th ed.
 The wires will administer ongoing  Child A with a total cholesterol of 150 PhiladelphSilbert-Flagg, J., Pillitteri, P.
electrical shocks to the heart to maintain mg/dL and low-density lipoprotein (LDL) (2018). Maternal & Child Health Nursing:
rhythm. of 80 mg/dL. Care of the Childbearing & ia: Wolters
Correct response: Explanation: Family When a Child Has a
Reference:
 These wires are connected to the heart
and will detect if your child's heart gets Chapter 41: Nursing Care of a Family
out of rhythm.  Silbert-Flagg, J., Pillitteri, P. when a Child has a Cardiovascular
(2018). Maternal & Child Health Nursing: Disorder - Page 1161
Family When a Child Has a Question 4 See full question 10s
 Silbert-Flagg, J., Pillitteri, P. Cardiovascular Disorder, p. 1166-1167.
(2018). Maternal & Child Health Nursing: The nurse is preparing a teaching plan for the
Care of the Childbearing & Childrearing Chapter 41: Nursing Care of a Family parents of a child who has been diagnosed with
Family, 8th ed. Philadelphia: Wolters when a Child has a Cardiovascular a congenital heart defect. What would the
Kluwer, Chapter 41: Nursing Care of a Disorder - Page 1166-1167 nurse be least likely to include?
Cardiovascular Disorder, p. 1151. Add a Note You Selected:
Chapter 41: Nursing Care of a Family Question 3 See full question 15s  Maintenance of strict bed rest
Disorder - Page 1151 After teaching a group of students about acute Correct response:
rheumatic fever, the instructor determines that
Add a Note the teaching was successful when the students  Maintenance of strict bed rest
identify which assessment finding?
You Selected:
Reference:
The nurse is reviewing the laboratory test
results of several children who have come to  Black lines
the clinic for evaluation. Which child would the  Childrearing Family, 8th ed.
nurse identify as having the least risk for Correct response: PhiladelphSilbert-Flagg, J., Pillitteri, P.
hyperlipidemia? (2018). Maternal & Child Health Nursing:
Care of the Childbearing & ia: Wolters A nurse is caring for a child who is Correct response:
Kluwer, Chapter 41: Nursing Care of a experiencing heart failure. Which assessment
Family When a Child Has a data was most likely seen when initially  “The baby seems more comfortable
Cardiovascular Disorder, p. 1155-1156. examined? over my shoulder.”
Chapter 41: Nursing Care of a Family You Selected: Explanation:

Reference:
Disorder - Page 1155-1156  Tachycardia
Add a Note Correct response:  Childrearing Family, 8th ed.

PhiladelphSilbert-Flagg, J., Pillitteri, P.
Question 5 See full question 13s  Tachycardia (2018). Maternal & Child Health Nursing:
The nurse is assessing a child with suspected Explanation: Kluwer, Chapter 41: Nursing Care of a
rheumatic fever. What assessment findings are Family When a Child Has a
Reference: Cardiovascular Disorder, p. 1164.
consistent with the disease process? Select all
that apply.  Silbert-Flagg, J., Pillitteri, P. Chapter 41: Nursing Care of a Family
You Selected:
(2018). Maternal & Child Health Nursing: when a Child has a Cardiovascular
Care of the Childbearing & Childrearing Disorder - Page 1164
 Macular rash on trunk Family, 8th ed. Philadelphia: Wolters
 Diastolic murmur Family When a Child Has a
 Tender swollen joints
Chapter 41: Nursing Care of a Family A nurse is examining a 10-year-old girl who has
when a Child has a Cardiovascular a heart murmur. On auscultation, the nurse
 Involuntary limb movement
Disorder - Page 1135 finds that the murmur occurs only during
Correct response: systole, is short, and sounds soft and musical.
Add a Note When she has the girl stand, she can no longer
 Involuntary limb movement hear the murmur on auscultation. Which
Question 2 See full question 45s statement should the nurse make to the girl's
 Macular rash on trunk mother in response to these findings?
The nurse is caring for an infant girl with a
suspected cardiovascular disorder. Which You Selected:
 Tender swollen joints
statement by the mother would warrant further
investigation?  "Your daughter has an innocent heart
murmur, which is nothing to worry
You Selected: about."
 “I don't notice any rapid breathing Correct response:
Question 1 See full question 15s patterns.”
 "Your daughter has an innocent heart Care of the Childbearing & Childrearing Explanation:
murmur, which is nothing to worry Family, 8th ed, Philadelphia: Wolters
Reference:
about." Kluwer, Chapter 41: Nursing Care of a
Explanation: Cardiovascular Disorder, p. 1146.  Silbert-Flagg, J., Pillitteri, P.
Reference: Chapter 41: Nursing Care of a Family Care of the Childbearing & Childrearing
when a Child has a Cardiovascular Family, 8th ed. Philadelphia: Wolters
 Silbert-Flagg, J., Pillitteri, P. Disorder - Page 1146 Kluwer, Chapter 41: Nursing Care of a
Care of the Childbearing & Childrearing Add a Note Cardiovascular Disorder, p. 1151.
Kluwer, Chapter 41: Nursing Care of a Question 5 See full question 26s Chapter 41: Nursing Care of a Family
Family When a Child Has a when a Child has a Cardiovascular
Cardiovascular Disorder, p. 1132-1133. Which nursing diagnosis will the nurse indicate Disorder - Page 1151
as priority for the child following cardiac
Chapter 41: Nursing Care of a Family Add a Note
surgery for tetralogy of Fallot?
Disorder - Page 1132-1133 You Selected: Question 2 See full question 22s
Add a Note  Risk for ineffective cardiopulmonary A child with a congenital heart defect is getting
tissue perfusion an echocardiogram. How would the nurse
Question 4 See full question 10s describe this test to the parent?
Correct response:
During assessment of an infant diagnosed with You Selected:
tetralogy of Fallot, the nurse notes bluish  Risk for ineffective cardiopulmonary
colored lips and irritability. Which nursing tissue perfusion  This is a test that will check the
action is priority? electrical impulses in the heart.
A child is being placed on a cardiopulmonary
 Place in knee-chest position. bypass machine. The nurse understands the  This is a test that will check how blood
heart will pump again on its own when what is flowing through the heart.
Correct response: occurs? Explanation:
 Place in knee-chest position. You Selected:
Reference:
Explanation:  When digoxin is administered  Silbert-Flagg, J., Pillitteri, P.
Reference:
Correct response:
 Silbert-Flagg, J., Pillitteri, P.  The child starts getting warm again Family, 8th ed. Philadelphia: Wolters
(2018). Maternal & Child Health Nursing: Kluwer, Chapter 41: Nursing Care of a
Family When a Child Has a Question 4 See full question 20s  Continuous murmur on auscultation
Nursing students are reviewing information Correct response:
Chapter 41: Nursing Care of a Family about cardiopulmonary arrest in children. They
when a Child has a Cardiovascular demonstrate understanding of the information  Continuous murmur on auscultation
Disorder - Page 1133 when they identify which of the following as
the most common cause of cardiac arrest?
Add a Note
You Selected: Question 1 See full question 14s
 Respiratory failure When caring for a child with a congenital heart
The nurse is caring for a 6-year-old with a defect, which assessment finding may be a
congenital heart defect. To best relieve a Correct response: sign the child is experiencing heart failure?
hypercyanotic spell, what action would be the
priority?  Respiratory failure You Selected:
You Selected: Explanation:  Tachycardia
 Place the child in a knee-to-chest Reference: Correct response:

position.
 Silbert-Flagg, J., Pillitteri, P.  Tachycardia
Care of the Childbearing & Childrearing Explanation:
 Place the child in a knee-to-chest Family, 8th ed. Philadelphia: Wolters
position.
Explanation: Cardiovascular Disorder, p. 1136-1137.  Silbert-Flagg, J., Pillitteri, P.
Reference: Chapter 41: Nursing Care of a Family Care of the Childbearing & Childrearing
when a Child has a Cardiovascular Family, 8th ed. Philadelphia: Wolters
 Silbert-Flagg, J., Pillitteri, P. Disorder - Page 1136-1137 Kluwer, Chapter 41: Nursing Care of a
Care of the Childbearing & Childrearing Add a Note Cardiovascular Disorder, p. 1135.
Kluwer, Chapter 41: Nursing Care of a Question 5 See full question 13s Chapter 41: Nursing Care of a Family
Family When a Child Has a when a Child has a Cardiovascular
Cardiovascular Disorder, p. 1146. When assessing a infant born at 32 weeks’ Disorder - Page 1135
gestation, which finding would lead the nurse
Chapter 41: Nursing Care of a Family to suspect to suspect that the newborn has a Add a Note
when a Child has a Cardiovascular patent ductus arteriosus (PDA)?
Disorder - Page 1146 Question 2 See full question 25s
You Selected:
Add a Note
An infant with poor feeding is suspected of Correct response:  Childrearing Family, 8th ed.
having a congenital heart defect. The parents PhiladelphSilbert-Flagg, J., Pillitteri, P.
are asking why a chest x-ray is necessary in  Indomethacin (2018). Maternal & Child Health Nursing:
their infant. What is the best response from Care of the Childbearing & ia: Wolters
Explanation:
the nurse? Kluwer, Chapter 41: Nursing Care of a
Reference: Family When a Child Has a
You Selected: Cardiovascular Disorder, p. 1133-1134.
 This image will clarify the structures  Childrearing Family, 8th ed.
PhiladelphSilbert-Flagg, J., Pillitteri, P. Chapter 41: Nursing Care of a Family
within the heart. when a Child has a Cardiovascular
Care of the Childbearing & ia: Wolters Disorder - Page 1133-1134
Correct response:
Add a Note
 It will determine if the heart is enlarged. Family When a Child Has a
Cardiovascular Disorder, p. 1140-1141. Question 5 See full question 16s
Explanation:
Reference: A 5-year-old is being prepared for diagnostic
cardiac catheterization, in which the catheter
 Silbert-Flagg, J., Pillitteri, P. will be inserted in the right femoral vein. What
(2018). Maternal & Child Health Nursing: Add a Note intervention should the nurse take to prevent
Care of the Childbearing & Childrearing infection?
Family, 8th ed. Philadelphia: Wolters Question 4 See full question 45s You Selected:
Family When a Child Has a A child with a suspected cardiovascular
 Avoid drawing a blood specimen from
Cardiovascular Disorder, p. 1133. disorder is to undergo diagnostic testing and is
the right femoral vein before the
scheduled for an echocardiogram. When
procedure
Chapter 41: Nursing Care of a Family explaining this test to the child, what would the
when a Child has a Cardiovascular nurse most likely include? Correct response:
You Selected:
 Avoid drawing a blood specimen from
Add a Note
the right femoral vein before the
 “A special wand that picks up sound is
procedure
Question 3 See full question 13s used to check your heart.”
Explanation:
A newborn is diagnosed with patent ductus Correct response:
arteriosus. The nurse anticipates that the Question 1 See full question 12s
physician will most likely order which  “A special wand that picks up sound is
medication? used to check your heart.”
What information would be included in the care
Explanation: plan of an infant in heart failure?
You Selected:
Reference: You Selected:

 Indomethacin
 Begin formulas with increased calories.  Childrearing Family, 8th ed. Chapter 41: Nursing Care of a Family
PhiladelphSilbert-Flagg, J., Pillitteri, P. when a Child has a Cardiovascular
Correct response: (2018). Maternal & Child Health Nursing: Disorder - Page 1164
 Begin formulas with increased calories. Kluwer, Chapter 41: Nursing Care of a Add a Note
Explanation:
Reference: The nurse is educating an adolescent female at
when a Child has a Cardiovascular risk for hypertension. Which interventions will
 Silbert-Flagg, J., Pillitteri, P. the nurse recommend? Select all that apply.
(2018). Maternal & Child Health Nursing: Disorder - Page 1161
Add a Note
Kluwer, Chapter 41: Nursing Care of a Question 3 See full question 38s  Exercise on a daily basis.
Cardiovascular Disorder, p. 1137-1142. The nurse is caring for an infant girl with a  Maintain a healthy weight.
suspected cardiovascular disorder. Which
Chapter 41: Nursing Care of a Family  Increase hours of sleep.
statement by the mother would warrant further
investigation?
Disorder - Page 1137-1142 Correct response:
You Selected:
Add a Note  Increase hours of sleep.
 “The baby seems more comfortable
Question 2 See full question 25s over my shoulder.”  Avoid any smoking.
After teaching a group of students about acute Correct response:  Exercise on a daily basis.
rheumatic fever, the instructor determines that
the teaching was successful when the students  “The baby seems more comfortable  Maintain a healthy weight.
identify which assessment finding? over my shoulder.”
Explanation:
Reference:
 Jerky movements of the face and upper Reference:
extremities  Silbert-Flagg, J., Pillitteri, P.
 Childrearing Family, 8th ed. (2018). Maternal & Child Health Nursing:
Correct response: PhiladelphSilbert-Flagg, J., Pillitteri, P. Care of the Childbearing & Childrearing
(2018). Maternal & Child Health Nursing: Family, 8th ed, Philadelphia: Wolters
 Jerky movements of the face and upper Care of the Childbearing & ia: Wolters Kluwer, Chapter 41: Nursing Care of a
extremities Kluwer, Chapter 41: Nursing Care of a Family When a Child Has a
Family When a Child Has a Cardiovascular Disorder, p. 1166.
Explanation:
Reference:
Chapter 41: Nursing Care of a Family  Silbert-Flagg, J., Pillitteri, P. Chapter 41: Nursing Care of a Family
when a Child has a Cardiovascular (2018). Maternal & Child Health Nursing: when a Child has a Cardiovascular
Disorder - Page 1166 Care of the Childbearing & Childrearing Disorder - Page 1155-1156
Add a Note Kluwer, Chapter 41: Nursing Care of a Add a Note
Question 5 See full question 18s Cardiovascular Disorder, p. 1135. Question 3 See full question 29s
The nurse is assessing an infant and notes Chapter 41: Nursing Care of a Family The nurse is performing an ECG on a 12-year-
brachial pulses of 2+ and femoral pulses of 1+. when a Child has a Cardiovascular old boy. On completion, she notices that boy's
Which action will the nurse perform first? Disorder - Page 1135 P-R interval is lengthened. Which of the
following does this finding indicate?
You Selected: Add a Note
You Selected:
 Contact the health care provider. Question 2 See full question 26s
 Difficulty with coordination between the
Correct response: SA and AV nodes (first-degree heart
The nurse is preparing a teaching plan for the
parents of a child who has been diagnosed with block)
 Assess blood pressure in all extremities.
a congenital heart defect. What would the
Correct response:
Explanation: nurse be least likely to include?
You Selected:  Difficulty with coordination between the

Reference:
SA and AV nodes (first-degree heart
 Maintenance of strict bed rest block)
Correct response: Explanation:
A nurse admits an infant with a possible
diagnosis of congestive heart failure. Which Reference:
 Maintenance of strict bed rest
signs or symptoms would the
infant most likely be exhibiting? Explanation:  Silbert-Flagg, J., Pillitteri, P.
You Selected: Reference: Care of the Childbearing & Childrearing
 Bradycardia  Childrearing Family, 8th ed. Kluwer, Chapter 41: Nursing Care of a
PhiladelphSilbert-Flagg, J., Pillitteri, P. Family When a Child Has a
Correct response:
(2018). Maternal & Child Health Nursing: Cardiovascular Disorder, p. 1158-1162.
 Feeding problems
Kluwer, Chapter 41: Nursing Care of a Chapter 41: Nursing Care of a Family
Explanation: Family When a Child Has a when a Child has a Cardiovascular
Cardiovascular Disorder, p. 1155-1156. Disorder - Page 1158-1162
Reference:
Add a Note
Question 4 See full question 57s A nurse is assessing a child and auscultates a
heart murmur. The nurse determines that the
The nurse is performing echocardiography on a murmur is innocent based on which of the
newborn who is suspected of having a following findings? Select all that apply.
congenital heart defect. The child's mother is
concerned about the safety of using this on a You Selected:
newborn and wants to know how this
technology works. The nurse assures her that  Is short in duration
this technology is very safe and may be
repeated frequently without added risk. What  Has a soft intensity
should the nurse mention in explaining how
this diagnostic test works?  Is heard in all positions
 High-frequency sound waves are  Is short in duration

directed toward the heart
 Has a soft intensity
Correct response:
 High-frequency sound waves are

directed toward the heart
Explanation:
Reference:

Cardiovascular Disorder, p. 1133-1134.

Add a Note

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Question 1 See full question 41s  The client had a painful experience with Kluwer,Chapter 39: Pain Management in

an appendectomy at age 10. Children, p. 1076.

You Selected:  Silbert-Flagg, J., Pillitteri, P. Add a Note

Question 6 See full question 49s Correct response: Reference:

A nursing instructor is teaching about  Conscious sedation  Silbert-Flagg, J., Pillitteri, P.

 reduced oxygen in tissues Explanation: Chapter 39: Pain Management in

Add a Note  Distraction  Face, leg, activity, cry, and consolability

Correct response:  external injury

You Selected:  Silbert-Flagg, J., Pillitteri, P.  Silbert-Flagg, J., Pillitteri, P.

 Silbert-Flagg, J., Pillitteri, P. Question 9 See full question 32s Question 10 See full question 33s

Chapter 39: Pain Management in What behavioral responses to pain would a

Correct response:  Silbert-Flagg, J., Pillitteri, P. Question 8 See full question 32s

You Selected: Question 9 See full question 2m 12s

 Aspirin Question 2 See full question 51s You Selected:

Correct response:  anxiety

Chapter 39: Pain Management in Reference:

 Silbert-Flagg, J., Pillitteri, P. Question 9 See full question 52s

Explanation: Chapter 39: Pain Management in

Explanation: Chapter 39: Pain Management in Question 2 See full question 19s

Question 5 See full question 33s  Pancreas and liver

 A dry powder inhaler  Silbert-Flagg, J., Pillitteri, P. Add a Note

for height and weight. Family, 8th ed. Philadelphia: Wolters

Explanation: Family When a Child Has a Respiratory

Add a Note Reference:

Question 3 See full question 27s  Tachypnea  Silbert-Flagg, J., Pillitteri, P.

Add a Note You Selected: Question 1 See full question 36s

would be the best intervention for the nurse to

 Silbert-Flagg, J., Pillitteri, P.  Cystic fibrosis

Correct response: Family, 8th ed. Philadelphia: Wolters

Chapter 40: Nursing Care of a Family Add a Note You Selected:

The LPN is working with the RN to develop a You Selected: Explanation:

Explanation: Correct response:

a child who is having an asthma attack. Which

Add a Note Reference:

Question 8 See full question 18s Correct response:

You Selected:  Allow the parents to hold and touch the

 Silbert-Flagg, J., Pillitteri, P.  The triggers in the environment

Reference: Chapter 40: Nursing Care of a Family Reference:

Add a Note You Selected: Add a Note

Explanation:  Peeling hands and feet and fever Explanation:

Reference: Correct response: Reference:

 Administer oxygen.  Silbert-Flagg, J., Pillitteri, P.

Explanation: Chapter 41: Nursing Care of a Family Question 7 See full question 45s

 Digoxin You Selected:

 Tachycardia  Silbert-Flagg, J., Pillitteri, P. Add a Note

You Selected: What information would be included in the care Explanation:

Chapter 41: Nursing Care of a Family You Selected: Explanation:

Add a Note Correct response:  Childrearing Family, 8th ed.

You Selected: Explanation:  Tachycardia

 Place the child in a knee-to-chest Reference: Correct response:

Reference: You Selected:

You Selected:  Difficulty with coordination between the

You Selected: Correct response:

 High-frequency sound waves are  Is short in duration

 High-frequency sound waves are

 Silbert-Flagg, J., Pillitteri, P.

Chapter 41: Nursing Care of a Family

Question 5 See full question 17s

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