A Nursing Quiz About Pediatrics!
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This is a nursing quiz about pediatrics. Kids can be a little challenging to handle when sick as compared to adults, and this is why an adult nurse cannot wake up one day and take over the duties of a pediatrician. Are you working on getting licensed as a pediatrician and have one exam between you and the certificate? This quiz is from the Nursing Care of Children. Take it up and get to refresh your memory.
- 1.
What is the one group that should be constant in a child's life?
- A.
Healthcare Professionals
- B.
Family
- C.
Peers
- D.
A and B
- E.
B and C
Correct Answer
B. FamilyExplanation
The family is the one group that should be constant in a child's life (p. 1)Rate this question:
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- 2.
True or False:A nurse must be aware that the child is a primary concern, the child's family is the priority concern in terms of care.
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
A nurse must be aware that while THE CHILD IS THE PRIORITY CONCERN, the child's family is also in need of care (p. 1)Rate this question:
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- 3.
Positive family relationships are characterized by parent-child...
- A.
Obedience and discipline
- B.
Obedience and respect
- C.
Obedience and warmth
- D.
Warmth and discipline
- E.
Warmth and respect
Correct Answer
E. Warmth and respectExplanation
Positive family relationships are characterized by parent-child WARMTH and RESPECT (p. 1)Rate this question:
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- 4.
Who is the expert regarding the child's health condition, the child's usual behaviour in different situations, and the child's routine needs?
- A.
The nurse
- B.
The family
- C.
The primary care provider
- D.
None of the above
- E.
All of the above
Correct Answer
B. The familyExplanation
Family-centered care includes the FAMILY as the expert regarding the child's health condition, the child's usual behaviour in different situations, and the child's routine needs (p. 2).Rate this question:
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- 5.
Which of the following is not included in promoting family-centered care?
- A.
Recognition and respect should be given to different methods of the child's coping
- B.
The nurse should perform a comprehensive family assessment to identify strengths and weaknesses
- C.
The nurse should pay close attention when a family states that the child "isn't acting right"
- D.
The child's opinions should be considered when providing care
- E.
None of the above
Correct Answer
E. None of the aboveExplanation
All of these are aspects of promoting family-centered care (p. 2)Rate this question:
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- 6.
Which of the following is composed of two parents and their children (e.g. biologic or adoptive)?
- A.
Same-sex family
- B.
Foster family
- C.
Nuclear family
- D.
Blended family
- E.
None of the above
Correct Answer
C. Nuclear familyExplanation
Nuclear families are composed of two parents and their children (e.g. biologic or adoptive) (p. 2)Rate this question:
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- 7.
Which of the following is composed of one parent and one or more children?
- A.
Nuclear family
- B.
Extended family
- C.
Blended family
- D.
Foster family
- E.
None of the above
Correct Answer
E. None of the aboveExplanation
Single-parent families are composed of one parent and one or more children (p. 2)Rate this question:
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- 8.
Which of the following is composed of a common-law tie between two members of the same sex who may or may not have children?
- A.
Same-sex family
- B.
Nuclear family
- C.
Extended family
- D.
Foster family
- E.
None of the above
Correct Answer
A. Same-sex familyExplanation
Same-sex family involves a common-law tie between two members of the same sex who may or may not have children (p. 2)Rate this question:
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- 9.
Which of the following is composed of at least one stepparent, stepsibling, or half-sibling?
- A.
Nuclear family
- B.
Extended family
- C.
Blended family
- D.
Foster family
- E.
None of the above
Correct Answer
C. Blended familyExplanation
The blended family is composed of at least one stepparent, stepsibling, or half-sibling (p. 2)Rate this question:
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- 10.
Which of the following is composed of at least one parent, one or more children, and other individuals either related or not related?
- A.
Foster family
- B.
Extended family
- C.
Single-parent family
- D.
Blended family
- E.
None of the above
Correct Answer
B. Extended familyExplanation
The extended family is composed of at least one parent, one or more children, and other individuals either related or not related (p. 2)Rate this question:
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- 11.
Which of the following is composed of a child or children that have been placed in an approved living environment away from the family of origin - usually with one or two parents?
- A.
Extended family
- B.
Blended family
- C.
Same-sex family
- D.
Single-parent family
- E.
None of the above
Correct Answer
E. None of the aboveExplanation
A foster family is composed of a child or children that have been placed in an approved living environment away from the family of origin - usually with one or two parents (p. 2)Rate this question:
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- 12.
Which of the following is not included in positive parental influences?
- A.
Structure maintained in the household
- B.
Communication that validates the child's feelings
- C.
Monitoring of children for safety with special consideration for their developmental needs
- D.
Parents' engagement in activities with their children
- E.
None of the above
Correct Answer
E. None of the aboveExplanation
Positive parental influences include:
Parents who are in good mental health
Maintained structure in the household
Parents' engagement in activities with their children
Communication that validates the child's feelings
Monitoring of children for safety with special consideration for their developmental needs
(p. 3)Rate this question:
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- 13.
Which of the following parenting styles involves Parents try to control their children's behaviours and attitudes through unquestioned rules and expectations?
- A.
Dictatorial or authoritative
- B.
Dictatorial or authoritarian
- C.
Permissive or authoritarian
- D.
Democratic or authoritative
- E.
Permissive or democratic
Correct Answer
B. Dictatorial or authoritarianExplanation
Dictatorial or authoritarian parenting styles is described as parents try to control their children's behaviours and attitudes through unquestioned rules and expectations. E.g. Children may not watch TV on school nights (p. 3)Rate this question:
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- 14.
Which of the following parenting styles involves parents who exert little or no control over their children's behaviours?
- A.
Dictatorial or authoritative
- B.
Dictatorial or authoritarian
- C.
Permissive or authoritarian
- D.
Permissive or laissez-faire
- E.
Democratic or authoritative
Correct Answer
D. Permissive or laissez-faireExplanation
Permissive or laissez-faire parent style is described as parents who exert little or no control over their children's behaviours. E.g. Children may watch TV whenever they want to watch it (p. 3).Rate this question:
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- 15.
Which of the following parenting styles involves parents that direct children's behaviours by setting rules and explaining the reason for each rule setting and also reinforce deviations from the rules?
- A.
Dictatorial or authoritative
- B.
Dictatorial or authoritarian
- C.
Democratic or authoritative
- D.
Permissive or laissez-faire
- E.
Permissive or democratic
Correct Answer
C. Democratic or authoritativeExplanation
Authoritative or democratic parenting styles are described as parents who direct children's behaviour by setting rules and explaining the reason for each rule setting. Parents also negatively reinforce deviation from the rules. E.g. Children may watch IV for an hour if their homework is complete. If homework is not complete and children are watching TV, then the privilege will be taken away from a specified time, because the children did not follow the rule (p. 3).Rate this question:
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- 16.
Which of the following is not one of the guidelines for promoting healthy behaviour in children?
- A.
Validating the child's feelings
- B.
Setting realistic limits and expectations based on developmental tasks
- C.
Providing reinforcement for appropriate behaviour
- D.
Focusing on the child's behaviour when disciplining the child
- E.
None of the above
Correct Answer
E. None of the aboveExplanation
Guidelines for promoting healthy behaviour in children include:
Setting realistic limits and expectations based on developmental tasks
Validating the child's feelings
Providing reinforcement for appropriate behaviour
Focusing on the child's behaviour when disciplining the child
Explaining expectations to a child in a manner that the child can understand
(p. 3-4)Rate this question:
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- 17.
Family assessment does not include which of the following?
- A.
Genogram
- B.
Developmental tasks
- C.
Family stressors
- D.
Structure
- E.
None of the above
Correct Answer
E. None of the aboveExplanation
Family assessment includes: Genogram, Structure, Developmental tasks, Family functions/roles, Family stressors (p. 4)Rate this question:
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- 18.
A collection of learned, adaptive, and transmitted social values and beliefs that form the context from which a group interprets the human experience is
- A.
Ethnicity
- B.
Race
- C.
Culture
- D.
All of the above
- E.
None of the above
Correct Answer
C. CultureExplanation
Culture is a collection of learned, adaptive, and transmitted social values and beliefs that form the context from which a group interprets the human experience (p. 9)Rate this question:
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- 19.
True or False: When a cultural value/behaviour is a direct hindrance to the child's health/wellness, the nurse should attempt to repattern that belief to one that is compatible with health promotion
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
When a cultural value or behavior directly hinders a child's health or wellness, it is important for the nurse to attempt to repattern that belief to one that promotes health. This is because the nurse's role is to advocate for the child's well-being and ensure they receive the best possible care. By addressing and challenging cultural values or behaviors that may be detrimental to the child's health, the nurse can help promote positive changes and improve the child's overall well-being.Rate this question:
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- 20.
When using an interpreter, which of the following is true
- A.
Direct questions at the interpreter
- B.
Interject during patient-interpreter communication, as needed
- C.
If necessary, comment about the family to the interpreter
- D.
Ask several questions at a time to ensure time efficiency
- E.
None of the above
Correct Answer
E. None of the aboveExplanation
Direct the questions to the FAMILY, not the interpreter
DO NOT interrupt the interpreter and the family as they talk
REFRAIN from making comments about the family to the interpreter, as the family may understand some English
Use layman's terminology if possible, knowing that some words may not have an equivalent word in the child/family's language
As ONE question at a time
Allow time for the interpreter and the family to be introduced and become acquainted before starting the interview
Allow the interpreter to know the reason for, and type of questions, that will be asked; expect response (brief or detailed); and with whom to converse
Inquire about the child's father rather than the mother's husband when asking questions about pregnancy, marriage, and/or sex
Do not try to interpret answers
(p. 14)Rate this question:
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- 21.
The expected range for infant temperature (axillary or rectal) is
- A.
38-39C
- B.
37.5-38.5C
- C.
36.5-37.5C
- D.
35-36C
- E.
36-38C
Correct Answer
C. 36.5-37.5CExplanation
Infant temperature (axillary or rectal) 36.5-37.5C (97.7-99.5F) (p. 19)Rate this question:
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- 22.
Your infantile patient has a temperature of 97.9, this is
- A.
Within normal limits
- B.
Abnormal, low
- C.
Abnormal, high
Correct Answer
A. Within normal limitsExplanation
Infant temperature (axillary or rectal) 36.5-37.5C (97.7-99.5F) (p. 19)Rate this question:
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- 23.
Which of the following is a normal pulse for an infant?
- A.
115
- B.
145
- C.
165
- D.
All of the above
- E.
None of the above
Correct Answer
B. 145Explanation
Normal infantile pulse range is 120 to 160/min (p. 19)Rate this question:
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- 24.
What is the normal pulse range for infantile patients?
- A.
60-100/min
- B.
100-150/min
- C.
120-160/min
- D.
140-180/min
- E.
170-200/min
Correct Answer
C. 120-160/minExplanation
Normal range for infantile pulse is 120-160/min (p. 19)Rate this question:
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- 25.
Your infantile patient is breathing 20 breaths per minute, this is
- A.
Within normal limits
- B.
Abnormal, low
- C.
Abnormal, high
Correct Answer
B. Abnormal, lowExplanation
Normal infantile respirations are 23-50 breaths/minute (p. 19)Rate this question:
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- 26.
The normal infantile range for respirations is
- A.
23-50 breaths/minute
- B.
31-55 breaths/minute
- C.
43-63 breaths/minute
- D.
25-65 breaths/minute
- E.
None of the above
Correct Answer
A. 23-50 breaths/minuteExplanation
Normal infantile respirations range from 23 to 50 breaths/minute (p. 19)Rate this question:
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- 27.
True or False:Normal infant blood pressure runs higher than normal adult blood pressure
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
False. BP reading for the 90th percentile taken by oscillometry is 110/71 mmHg (p. 19). Remember that babies are smaller and require less pressure to get blood to extremities.Rate this question:
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- 28.
True or False:Normal childhood temperature (oral) range is 37 to 38C
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
Normal childhood temperature (oral) is 36-38C (96.8-100.4F) (p. 19).Rate this question:
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- 29.
Normal childhood range for temperature (oral) encompasses
- A.
36C
- B.
100F
- C.
38C
- D.
97F
- E.
All of the above
Correct Answer
E. All of the aboveExplanation
Normal childhood temperature (oral) is 36-38C (96.8-100.4F) (p. 19).Rate this question:
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- 30.
The normal respiratory rate range for children is
- A.
10-20/minute
- B.
15-25/minute
- C.
20-30/minute
- D.
25-35/minute
- E.
None of the above
Correct Answer
C. 20-30/minuteExplanation
Normal childhood respiratory rate ranges from 20-30 breaths/minute (p. 19).Rate this question:
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- 31.
Normal childhood pulse range is
- A.
120-160/minute
- B.
100-130/minute
- C.
75-100/minute
- D.
60-110/minute
- E.
None of the above
Correct Answer
C. 75-100/minuteExplanation
The normal childhood pulse ranges from 75 to 100/minute (p. 19).Rate this question:
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- 32.
Your pediatric patient has a pulse of 115 bpm, this is
- A.
Within normal limits
- B.
Abnormal, low
- C.
Abnormal, high
Correct Answer
C. Abnormal, highExplanation
The normal childhood pulse ranges from 75 to 100/minute (p. 19).Rate this question:
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- 33.
True or False:As a child's age increases, their blood pressure decreases
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
BP will continue to rise as the child grows (p. 19).Rate this question:
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- 34.
Your pediatric patient's mother states the following, "Normal BP is any reading that is more than the 90th percentile adjusted for height and weight." This statement...
- A.
Is true and does not require further teaching
- B.
Warrants further patient/family education
Correct Answer
B. Warrants further patient/family educationExplanation
For ages 2 to 5 years, BP reading for the 90th percentile taken by oscillometry is 112/66 BP. BP will continue to rise as the child grows. Normal BP is any reading that is LESS than the 90th percentile adjusted for height and weight (p. 19).Rate this question:
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- 35.
Your adolescent patient has an oral temperature of 100.2F, this is
- A.
Within normal limits
- B.
Abnormal, low
- C.
Abnormal, high
Correct Answer
A. Within normal limitsExplanation
Normal range for adolescent temperature (oral) is 3638C (96.8-100.4F) (p. 20).Rate this question:
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- 36.
The normal range for an adolescent's pulse is
- A.
50-100 bpm
- B.
60-100 bpm
- C.
60-90bpm
- D.
70-100 bpm
- E.
70-110 bpm
Correct Answer
C. 60-90bpmExplanation
Normal adolescent pulse is 60 to 90 beats per minute (p. 20)Rate this question:
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- 37.
True or False:The normal range for adolescent respirations is 15-20 breaths per minute
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
The normal range for respirations in an adolescent patient population is 16 to 19 breaths per minute (p. 20)Rate this question:
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- 38.
The newly graduated nurse states, "Limp posture is expected in infants with extension of the extremities;" this statement is
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
When examining an infant's muscle tone and general appearance, limp posture is expected in infants with extension of the extremities (p. 20).Rate this question:
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- 39.
True or False:Lesions are normal findings in children from 2 to 5 years of age
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
When assessing the skin, the nurse should be aware that lesions are not normal findings (p. 21).Rate this question:
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- 40.
The infant displays assymetrical skin folds, this is
- A.
Normal
- B.
Abnormal
Correct Answer
B. AbnormalExplanation
Skin folds should be symmetrical (p. 21).Rate this question:
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- 41.
The posterior fontanel usually closes by
- A.
1 month
- B.
2-3 months
- C.
5-6 months
- D.
18-24 months
- E.
None of the above
Correct Answer
B. 2-3 monthsExplanation
The posterior fontanel usually closes by 2 to 3 months (p. 21).Rate this question:
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- 42.
A concerned mother asks the nurse when to expect the closing of the anterior fontanel. The nurses best response is
- A.
At 2 months of age
- B.
At 6 months of age
- C.
At 12 months of age
- D.
At 18 months of age
- E.
At 24 months of age
Correct Answer
D. At 18 months of ageExplanation
The anterior fontanel usually closes by 18 months (p. 21).Rate this question:
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- 43.
The doctor orders a visual acuity test in a 1 year old child, the nurse should
- A.
Hold an object in front of the infant's eyes and check to see if she is able to fix on the object and follow it
- B.
Use a symbol chart to assess the visual acuity in this child
- C.
Use a snellen chart to assess the visual acuity in this child
- D.
All of the above
- E.
None of the above
Correct Answer
A. Hold an object in front of the infant's eyes and check to see if she is able to fix on the object and follow itExplanation
Visual acuity may be difficult in children under 3 (p. 22).
Infants' visual acuity can be assessed by holding an object in front of the infant's eyes and checking if they are able to fix on the object and follow it (p. 22).Rate this question:
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- 44.
What tool is used to assess color vision?
- A.
Ishihara test
- B.
Snellen chart
- C.
Symbol test
- D.
All of the above
- E.
None of the above
Correct Answer
A. Ishihara testExplanation
Color vision should be assessed using the Ishihara color test (p. 22).Rate this question:
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- 45.
True or False: Extraocular movements must be symmetrical in children of all ages
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
Extraocular movements may not be symmetrical in newborns (p. 22).Rate this question:
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- 46.
True or False: Infants should turn away from sound
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
Infants should turn toward sounds (p. 23).Rate this question:
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- 47.
The infant's tongue has a white coating that can be easily removed, this is
- A.
Normal
- B.
Abnormal
Correct Answer
A. NormalExplanation
Infants may have a white coating on the tongue form milk that can be easily removed. Oral candidiasis coating is not easily removed (p. 24).Rate this question:
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- 48.
How many deciduous teeth and how many permanent teeth is expected?
- A.
20 deciduous teeth and 32 permanent teeth
- B.
20 permanent teeth and 32 deciduous teeth
- C.
10 permanent teeth and 22 deciduous teeth
- D.
10 deciduous teeth and 22 permanent teeth
- E.
None of the above
Correct Answer
A. 20 deciduous teeth and 32 permanent teethExplanation
Children and adolescents - Teeth should be white, smooth, with 20 deciduous and 32 permanent teeth (p. 24).Rate this question:
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- 49.
A concerned mother expresses that her infant's chest moves in irregular rhythms, the nurse
- A.
Refers the family to a neonatologist
- B.
Assures her that this can be normal in infants
- C.
Prepares the infant for intubation
- D.
Prepares the infant for hospitalization
- E.
None of the above
Correct Answer
B. Assures her that this can be normal in infantsExplanation
In regards to thorax and lung movements in infants, irregular rhythms are commonRate this question:
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- 50.
Abdominal movements are seen during respirations more in which age group
- A.
Children younger than 3 years
- B.
Children younger than 6 years
- C.
Children younger than 9 years
- D.
Children older than 6 years
- E.
Children older than 9 years
Correct Answer
B. Children younger than 6 yearsExplanation
Children under 6 - More abdominal movement is seen during respirations (p. 24).Rate this question:
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