ATI LPN
Wong's Essentials of Pediatric Nursing 11th Edition Test Bank
Chapter 18 Questions
Question 1 of 5
What intervention is most appropriate to facilitate social development of a child with a cognitive impairment?
Correct Answer: C
Rationale: Peer experiences, such as infant stimulation and preschool programs, foster social development by providing opportunities for interaction. Age-appropriate toys support play but not socialization, avoiding strangers limits social growth, and verbal skills are often more delayed than physical skills.
Question 2 of 5
Many of the clinical features of Down syndrome present challenges to caregivers. Based on these features, what intervention should the nurse include in the childs care?
Correct Answer: D
Rationale: A cool-mist vaporizer helps keep mucous membranes moist, reducing the risk of respiratory infections due to mouth breathing from a stuffy nose, a common issue in Down syndrome. Limiting feeding ignores the need to persist through tongue thrust, constipation is more common than diarrhea, and calories should match physical growth needs, not mental age.
Question 3 of 5
What description applies to fragile X syndrome?
Correct Answer: B
Rationale: Fragile X syndrome is the second most common genetic cause of cognitive impairment after Down syndrome and the most common inherited cause, primarily affecting males via X-linked dominant inheritance with reduced penetrance. It is not limited to females, not uninherited, and not recessive.
Question 4 of 5
A father calls the emergency department nurse saying that his daughters eyes burn after getting some dishwasher detergent in them. The nurse recommends that the child be seen in the emergency department or by an ophthalmologist. The nurse also should recommend which action before the child is transported?
Correct Answer: C
Rationale: Irrigating the eyes with tap water for 20 minutes immediately flushes out the detergent, minimizing damage. Keeping eyes closed or applying compresses risks further harm, and preparing saline delays critical irrigation.
Question 5 of 5
One of the techniques that has been especially useful for learners having cognitive impairment is called fading. What description best explains this technique?
Correct Answer: D
Rationale: Fading involves guiding the child through a task and gradually reducing assistance to promote independence. Positive reinforcement supports behavior modification, verbal explanations are less effective, and negative reinforcement is not the primary focus of fading.