Deck 14: Nursing Care of the Child in the Community

Question 1

A child with a history of asthma presents to the school nurse complaining of wheezing. The nurse assesses the child and notes that the respiratory rate is 36 and expiratory wheezes are heard throughout the lung field. The child's oxygen saturation is 98%. Which is the best initial action by the nurse?

A)Call the child's parents to come pick up the child.
B)Have the child use his metered-dose inhaler.
C)Call 911 to request emergency medical assistance.
D)Have the child lie down to see if the symptoms subside.

Answer 1

Have the child use his metered-dose inhaler.

Question 2

While working in a pediatrician's office, the nurse frequently steps into the waiting room to speak quickly with the families and children waiting their turn. This allows her the opportunity to observe the children and their families. Based on her observations, which child should the nurse move to the examining room next?

A)The child with a flushed face and rash that is visible on all exposed skin
B)The four-month-old infant who has come for immunizations
C)The child holding his ear and crying
D)The adolescent holding his swollen hand and complaining of pain

Answer 2

The child with a flushed face and rash that is visible on all exposed skin

Question 3

The pediatric nurse works at a camp for children with diabetes. As a component of the job, the camp nurse works:

A)Directly under the supervision of the camp doctor.
B)With standard protocols to guide nursing interventions.
C)As an emergency medical technician.
D)Only in emergency situations.

Answer 3

With standard protocols to guide nursing interventions.

Question 4

A majority of pediatric health care occurs in community-based settings. Community-based health care settings include: Standard Text: Select all that apply.

A)The local community hospital.
B)Outpatient surgical facilities.
C)The public health clinic.
D)An inpatient mental health center.
E)A pediatrician's office

Question 5

Which of the following should be considered in disaster preparedness for children with special needs?

A)Current medical information should be maintained only by the child's health care provider.
B)Only one family member should be trained to provide the needed care for the sake of consistency.
C)The utility company needs advance notification when a child is technology-assisted to provide emergency power.
D)Minimal supply of medication, equipment, and supplies should be maintained.

Question 6

A child is being discharged after an extended hospitalization. Prior to discharge from a hospital, home health care nurses should assess which aspect of the home setting?

A)Parents' insurance
B)Parents' income
C)Readiness of the home for the child who is returning home from the hospital
D)Parents' home location

Question 7

Which aspect of an Emergency Medical Services (EMS) system is most indicative that EMS providers are prepared to provide emergency care to children?

A)Lists of hospitals in the area that treat children
B)Staff education related to assessment and treatment of children of all ages
C)Placement of small stretchers in emergency vehicles
D)Size-appropriate equipment and supplies

Question 8

The community health nurse is planning an education session for recently hired teachers at a childcare center. It is most important that the nurse teach the staff:

A)The schedule for immunizations.
B)How to interpret health records.
C)Principles of infection control.
D)How to take a temperature.

Question 9

A pediatric nurse has accepted a position in a pediatric office. What nursing functions would the nurse expect to perform in this setting?

A)Performing minor surgical procedures
B)Providing medical care to chronically ill children
C)Planning hospital admissions
D)Identifying children in need of urgent care or isolation

Question 10

A major goal of home health care nurses working with families is:

A)Maximizing the dependency of the child on the family.
B)Curing the chronic illness of the child.
C)Prescribing and administering medication needed by the child.
D)Promoting or restoring the child's health.

Question 11

Prior to accepting an assignment as a home health nurse, the nurse must realize that:

A)The family will adapt their lifestyle to the needs of the nurse.
B)The family is in charge.
C)Independent decisions regarding emergency care of the child will be made by the nurse.
D)All decisions will be made by the healthcare provider.

Question 12

Prior to her return to school, an individualized health plan (IHP) will be developed for the child who has:

A)Missed two weeks of school due to mononucleosis.
B)Been newly diagnosed with insulin-dependent diabetes mellitus.
C)Recently developed a penicillin allergy.
D)Been treated for head lice.

Question 13

An important goal for pediatric nurses in the office or healthcare setting is:

A)Develop a positive relationship with the child and family.
B)Develop a plan of care with the physician for the family.
C)Tell the family immediately what's wrong with the child.
D)Tell the family "Everything will be okay."

Question 14

The nurse has recommended respite care for the family of a two-year-old child who is medically fragile. The mother asks what respite can do for them. The nurse's response will be based on the knowledge that:

A)Respite care will admit the child for an evaluation of the child's medical condition.
B)Respite care gives the family a break from the daily demands of caring for a child who is medically fragile.
C)Respite care can provide support for the child during local disasters.
D)Respite care will admit the child and family to their facility and provide the whole family a vacation experience.

Question 15

The weather report predicts a hurricane may be approaching the area where a child who is medically fragile lives. As a component of the family's disaster planning, the nurse will discuss which actions with the family? Standard Text: Select all that apply.

A)Providing the child's pediatrician with contact information of a health care provider in the area to which they will evacuate if that becomes necessary
B)Having sufficient medication available for at least one week
C)Having contact information for Emergency Medical Services so that they can transport the medically fragile child to the selected evacuation location
D)Admitting the child to the local hospital prior to the family evacuating the area
E)Riding out the hurricane at home; the child is too fragile to transport

Question 16

The number of serious injuries of children in a community has doubled in the past year. Based on this information, the most appropriate nursing diagnosis for the community would be:

A)Altered Family Processes related to hospitalization of an injured child.
B)Noncompliance related to inappropriate use of child safety seats.
C)Injury, risk for related to inadequate use of bicycle helmets.
D)Knowledge, Deficit injury prevention in children.

Question 17

A child who is dependent on a ventilator is being discharged from the hospital. Prior to discharge, the home health nurse discusses development of an emergency plan of care with the family. Which is the most essential part of the plan?

A)Provision for an alternate heating source if power is lost
B)Notifying the power company that the child is on life support
C)Designation of an emergency shelter site
D)Acquisition of a backup generator

Question 18

As the new school year begins, the school nurse evaluates several children to determine their healthcare needs. Which child would the nurse consider to be medically fragile?

A)The child with a casted right arm due to a fracture
B)The child who wears hearing aids due to hearing loss secondary to meningitis as an infant
C)The child requiring oxygen and tube feedings secondary to a congenital heart defect
D)The child with a developmental delay

Question 19

A 16-year-old client has a long leg cast secondary to a fractured tibia. The child will require a wheelchair for mobility. To effectively facilitate the adolescent's return to school, the school nurse should:

A)Meet with all of the other students prior to the student's return to school to emphasize the special needs of the injured teen.
B)Meet with teachers and administrators at the school to discuss modifications in the student's school routine.
C)Develop an individualized health plan (IHP) focusing on long-term needs of the adolescent.
D)Meet with parents of the injured student to encourage homebound schooling until a short leg cast is applied.

Question 20

A child who is medically fragile is being discharged home after a long hospital stay. The child will require someone to provide medical treatments several times a day. In planning discharge, the nurse will:

A)Train all members of the family to take part in the child's care.
B)Plan for a home health nurse to visit the child four times a day to provide the medical treatment.
C)Determine with the family which family members may be trained to provide care for the child.
D)Evaluate the size of the child's room for therapy.

Question 21

A child is being discharged from the hospital on home antibiotic infusions for two more weeks. The intravenous line is in place, and the medication will be delivered by the pharmacy and ready to administer on the infusion pump. The home health nurse will visit once a day, but the family will be responsible for administering the medication. The home health nurse will want to educate the family on: Standard Text: Select all that apply.

A)How to initiate an intravenous line.
B)How to operate the infusion pump.
C)The side effects of the medication.
D)Actions to take in case of anaphylaxis.
E)Signs of infection.

Question 22

The nurse is applying for a job as a pediatric telephone advisor. Skills the nurse should have to be effective in this position would include: Standard Text: Select all that apply.

A)Good listening skills.
B)Extensive pediatric experience.
C)Internet experience.
D)Psychiatric experience.
E)Teaching and verbal communication skills

Question 23

The nurse working in a pediatric clinic will have many duties. Included in the nurse's responsibilities will be: Standard Text: Select all that apply.

A)Prescribing over-the-counter medications.
B)Collecting health history information.
C)Performing diagnostic tests, such as the TB skin test.
D)Performing developmental screening tests.
E)Administering immunizations.