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 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.
Question 2 of 5
A 2-year-old child is being admitted to the hospital for possible bacterial meningitis. When preparing for a lumbar puncture, what should the nurse do?
Correct Answer: C
Rationale: Conscious sedation is appropriate for a lumbar puncture in a 2-year-old with suspected bacterial meningitis due to the procedure?s urgency and need for cooperation. Adult-sized equipment is inappropriate, EMLA requires 60 minutes, and claiming the procedure is simple or painless is misleading.
Question 3 of 5
A 16-year-old girl comes to the pediatric clinic for information on birth control. The nurse knows that before this young woman can be examined, consent must be obtained from which source?
Correct Answer: A
Rationale: Contraceptive advice is considered a medically emancipated condition, allowing the 16-year-old to provide her own informed consent. Parental or guardian consent is not required, and a court order is unnecessary for this routine care.
Question 4 of 5
The nurse needs to take the blood pressure of a preschool boy for the first time. What action would be best in gaining his cooperation?
Correct Answer: D
Rationale: Allowing a preschooler to handle the blood pressure equipment and see the cuff in action reduces fear of bodily harm by familiarizing him with the procedure. Explaining complex blood flow is too advanced, claiming it aids recovery is inaccurate, and while parental presence helps, it?s less effective than hands-on engagement.
Question 5 of 5
A 4-year-old girl is admitted to outpatient surgery for removal of a cyst on her back. Her mother puts the hospital gown on her, but the child is crying because she wants to leave on her underpants. What is the most appropriate nursing action at this time?
Correct Answer: A
Rationale: Allowing the child to keep her underpants on provides a sense of control and comfort, and they can be removed later if needed for anesthesia. Discussing with the mother or citing hospital policy doesn?t address the child?s distress, and asking the mother to explain may escalate the situation.