ATI LPN
Wong's Essentials of Pediatric Nursing 11th Edition Test Bank
Chapter 20 : Pediatric Variations of Nursing Interventions Questions
Question 1 of 5
A 10-year-old child requires daily medications for a chronic illness. Her mother tells the nurse that the child continually forgets to take the medicine unless reminded. What nursing action is most appropriate to promote adherence to the medication regimen?
Correct Answer: A
Rationale: Establishing a behavioral contract with rewards encourages adherence by addressing barriers like side effects or scheduling and motivates the child. Time-outs are punitive, discussing maternal rescuing is less effective, and checking containers monitors but doesn?t promote self-responsibility.
Question 2 of 5
A 7-year-old is identified as being at risk for skin breakdown. What intervention should the nursing care plan include?
Correct Answer: C
Rationale: Adequate nutrition prevents skin breakdown by supporting tissue health, especially in NPO children. Massaging bony prominences risks tissue damage, turning should occur every 2 hours by the nurse, and linens don?t typically cause irritation if managed properly.
Question 3 of 5
A 6-year-old boy is hospitalized for intravenous antibiotic therapy. He eats very little on his regular diet trays. He tells the nurse that all he wants to eat is pizza, tacos, and ice cream. What nursing action is the most appropriate?
Correct Answer: A
Rationale: Requesting the child?s favorite foods encourages nutritional intake during illness, which can be supplemented with healthier options. Explaining nutritional needs or rewarding with ice cream is less effective, and focusing only on healthier foods may discourage eating.
Question 4 of 5
A 14-year-old adolescent is hospitalized with cystic fibrosis. What nursing note entry represents best documentation of his breakfast meal?
Correct Answer: C
Rationale: Documenting specific intake, like one pancake, eggs, and 240 ml orange juice, provides essential data for assessing caloric needs and eating patterns, critical for cystic fibrosis management. General statements like ?tolerated well? or ?finished all? lack detail, and documentation is always needed.
Question 5 of 5
A child, age 7 years, has a fever associated with a viral illness. She is being cared for at home. What is the principal reason for treating fever in this child?
Correct Answer: A
Rationale: Treating fever primarily relieves discomfort using antipyretics and environmental measures. It doesn?t reassure temporariness, prevent bacterial infections, or significantly reduce rare complications like febrile seizures.