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 critically ill child has hyperthermia. The parents ask the nurse to give an antipyretic such as acetaminophen. How should the nurse respond to the parents?
Correct Answer: C
Rationale: Antipyretics are ineffective for hyperthermia, as the body?s temperature set point is normal, requiring cooling measures instead. Seizures are linked to fever, not hyperthermia; malignant hyperthermia is unrelated to antipyretics; and while liver damage is a risk with acetaminophen, it?s not the primary reason.
Question 2 of 5
The nurse gives an injection in a patients room. How should the nurse dispose of the needle?
Correct Answer: B
Rationale: Disposing of the syringe and needle in a rigid, puncture-resistant container in the patient?s room ensures safe, immediate disposal near the point of use. Removing the needle, transporting it, or disposing outside the room increases risk of injury or contamination.
Question 3 of 5
A child who has cystic fibrosis is admitted to the pediatric unit with methicillin-resistant Staphylococcus aureus (MRSA) infection. The nurse recognizes that in addition to a private room, the child is placed on what precautions?
Correct Answer: B
Rationale: MRSA is spread by direct contact, requiring contact precautions with gowns, gloves, and meticulous hand washing, in addition to a private room. Droplet and airborne precautions are for different pathogens, and standard precautions alone are insufficient.
Question 4 of 5
An 11-month-old hospitalized boy is restrained because he is receiving intravenous (IV) fluids. His grandmother has come to stay with him for the afternoon and asks the nurse if the restraints can be removed. What nurses response is best?
Correct Answer: B
Rationale: Removing restraints when a responsible adult, like the grandmother, is present to supervise protects the IV site while promoting comfort. Keeping restraints on constantly, requiring parental consent, or limiting removal to staff presence is overly restrictive.
Question 5 of 5
A nurse must do a venipuncture on a 6-year-old child. What consideration is important in providing atraumatic care?
Correct Answer: B
Rationale: Showing the child the equipment before the procedure reduces fear and supports atraumatic care. An 18-gauge needle is too large, a two-try policy (four attempts total) is preferred, and full restraint is unnecessary, favoring therapeutic hugging instead.