Chapter 14 My Nursing Test Banks

Ball/Bindler/Cowen, Principles of Pediatric Nursing: Caring for Children 5th Edition Test Bank
Chapter 14

Question 1

Type: MCSA

A 6-year-old, recently diagnosed with asthma, also has a peanut allergy. The nurse instructs the family to not only avoid peanuts but also to carefully check food label ingredients for peanut products and to make sure dishes and utensils are adequately washed prior to food preparation. The mother asks why this is specific for her child. The nurse should reply that in comparison to other children this child has a higher risk for

1. Urticaria.

2. Diarrhea.

3. Anaphylaxis.

4. Headache.

Correct Answer: 3

Rationale 1: Children with food allergies may experience all of the above reactions to a particular food, but the child who also has asthma is most at risk for death secondary to anaphylaxis caused by a food allergy.

Rationale 2: Children with food allergies may experience all of the above reactions to a particular food, but the child who also has asthma is most at risk for death secondary to anaphylaxis caused by a food allergy.

Rationale 3: Children with food allergies may experience all of the above reactions to a particular food, but the child who also has asthma is most at risk for death secondary to anaphylaxis caused by a food allergy.

Rationale 4: Children with food allergies may experience all of the above reactions to a particular food, but the child who also has asthma is most at risk for death secondary to anaphylaxis caused by a food allergy.

Global Rationale:

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO 06. Develop nursing interventions for children with nutritional disorders.

Question 2

Type: MCSA

While teaching the parents of a newborn about infant care and feeding, the nurse instructs the parents to

1. Delay supplemental foods until the infant is 4 to 6 months old.

2. Delay supplemental foods until the infant reaches 15 pounds or greater.

3. Begin diluted fruit juice at 2 months of age, but wait three to five days before trying a new food.

4. Add rice cereal to the nighttime feeding if the infant is having difficulty sleeping after 2 months of age.

Correct Answer: 1

Rationale 1: Four to six months is the optimal age to begin supplemental feedings because earlier feeding of nonformula foods is not needed by the infant and does not promote sleep. Earlier feeding of nonformula foods, regardless of the infants weight, is more likely to cause the development of food allergies. Also, early feeding is not well tolerated by infants because the necessary tongue control is not well developed and they lack the digestive enzymes to take in and metabolize many food products.

Rationale 2: Four to six months is the optimal age to begin supplemental feedings because earlier feeding of nonformula foods is not needed by the infant and does not promote sleep. Earlier feeding of nonformula foods, regardless of the infants weight, is more likely to cause the development of food allergies. Also, early feeding is not well tolerated by infants because the necessary tongue control is not well developed and they lack the digestive enzymes to take in and metabolize many food products.

Rationale 3: Four to six months is the optimal age to begin supplemental feedings because earlier feeding of nonformula foods is not needed by the infant and does not promote sleep. Earlier feeding of nonformula foods, regardless of the infants weight, is more likely to cause the development of food allergies. Also, early feeding is not well tolerated by infants because the necessary tongue control is not well developed and they lack the digestive enzymes to take in and metabolize many food products.

Rationale 4: Four to six months is the optimal age to begin supplemental feedings because earlier feeding of nonformula foods is not needed by the infant and does not promote sleep. Earlier feeding of nonformula foods, regardless of the infants weight, is more likely to cause the development of food allergies. Also, early feeding is not well tolerated by infants because the necessary tongue control is not well developed and they lack the digestive enzymes to take in and metabolize many food products.

Global Rationale:

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO 01. Summarize major nutritional concepts pertaining to the growth and development of children.

Question 3

Type: MCSA

During a 4-month-olds well-child check, the nurse discusses introduction of solid foods into the infants diet and concerns for foods commonly associated with food allergies. Therefore, the parents are instructed to delay introduction of which foods until after 1 year of age?

1. Strawberries, eggs, and wheat.

2. Peas, tomatoes, and spinach.

3. Carrots, beets, and spinach.

4. Squash, pork, and tomatoes.

Correct Answer: 1

Rationale 1: Strawberries, eggs, and wheat, along with corn, fish, and nut products, are all foods that have commonly been associated with food allergies. Carrots, beets, and spinach contain nitrates and should not be given before the age of 4 months. Squash, peas, and tomatoes are acceptable to try after an infant is 4 to 6 months old but should be given one at a time and three to five days after starting a new food. Pork can be tried after the infant is 8 to 10 months old, as meats are harder to digest and have a high protein load.

Rationale 2: Strawberries, eggs, and wheat, along with corn, fish, and nut products, are all foods that have commonly been associated with food allergies. Carrots, beets, and spinach contain nitrates and should not be given before the age of 4 months. Squash, peas, and tomatoes are acceptable to try after an infant is 4 to 6 months old but should be given one at a time and three to five days after starting a new food. Pork can be tried after the infant is 8 to 10 months old, as meats are harder to digest and have a high protein load.

Rationale 3: Strawberries, eggs, and wheat, along with corn, fish, and nut products, are all foods that have commonly been associated with food allergies. Carrots, beets, and spinach contain nitrates and should not be given before the age of 4 months. Squash, peas, and tomatoes are acceptable to try after an infant is 4 to 6 months old but should be given one at a time and three to five days after starting a new food. Pork can be tried after the infant is 8 to 10 months old, as meats are harder to digest and have a high protein load.

Rationale 4: Strawberries, eggs, and wheat, along with corn, fish, and nut products, are all foods that have commonly been associated with food allergies. Carrots, beets, and spinach contain nitrates and should not be given before the age of 4 months. Squash, peas, and tomatoes are acceptable to try after an infant is 4 to 6 months old but should be given one at a time and three to five days after starting a new food. Pork can be tried after the infant is 8 to 10 months old, as meats are harder to digest and have a high protein load.

Global Rationale:

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO 01. Summarize major nutritional concepts pertaining to the growth and development of children.

Question 4

Type: MCSA

The mother of a 2-year-old is concerned because her child does not seem interested in eating. The child is drinking five to six cups of whole milk per day and one cup of fruit juice. When the weight-to-height percentile is calculated, the child is in the 90th to 95th percentile. What would be the best advice for the nurse to give this mother?

1. Eliminate the fruit juice from the childs diet.

2. Offer healthy snacks, presented in a creative manner, and let the child choose what he wants to eat without pressure from the parents.

3. Change from whole milk to 2 percent milk and decrease milk consumption to three to four cups per day and the fruit juice to a half cup per day, offering water if the child is still thirsty in between.

4. Make sure that the child is getting adequate opportunities for exercise, as this will increase his appetite and help lower the childs weight-to-height percentile.

Correct Answer: 3

Rationale 1: Toddlers require a maximum of about one liter of milk per day. This toddler is consuming most of his or her calories from the milk and thus is not hungry. The high fat content of the milk and the high sugar content of the fruit juice are also contributing to the childs higher weight-to-height percentile. Decreasing the amount and fat content of the milk and decreasing the intake of fruit juice will decrease calories and thus make the child hungry for other foods. The other advice is also appropriate but did not address the problem of excessive milk consumption.

Rationale 2: Toddlers require a maximum of about one liter of milk per day. This toddler is consuming most of his or her calories from the milk and thus is not hungry. The high fat content of the milk and the high sugar content of the fruit juice are also contributing to the childs higher weight-to-height percentile. Decreasing the amount and fat content of the milk and decreasing the intake of fruit juice will decrease calories and thus make the child hungry for other foods. The other advice is also appropriate but did not address the problem of excessive milk consumption.

Rationale 3: Toddlers require a maximum of about one liter of milk per day. This toddler is consuming most of his or her calories from the milk and thus is not hungry. The high fat content of the milk and the high sugar content of the fruit juice are also contributing to the childs higher weight-to-height percentile. Decreasing the amount and fat content of the milk and decreasing the intake of fruit juice will decrease calories and thus make the child hungry for other foods. The other advice is also appropriate but did not address the problem of excessive milk consumption.

Rationale 4: Toddlers require a maximum of about one liter of milk per day. This toddler is consuming most of his calories from the milk and thus is not hungry. The high fat content of the milk and the high sugar content of the fruit juice are also contributing to the childs higher weight-to-height percentile. Decreasing the amount and fat content of the milk and decreasing the intake of fruit juice will decrease calories and thus make the child hungry for other foods. The other advice is also appropriate but did not address the problem of excessive milk consumption.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO 02. Describe and plan nursing interventions to meet nutritional needs for all age groups from infancy through adolescence.

Question 5

Type: MCSA

A nurse is talking to the mother of an exclusively breast-fed African American 3-month-old infant who was born in late fall. The nurse would want to make sure that this child is receiving this supplement:

1. Iron.

2. Vitamin D.

3. Fluoride.

4. Calcium.

Correct Answer: 2

Rationale 1: An infants iron stores are usually adequate until about 4 to 6 months of age. The infant should be receiving sufficient amounts of calcium from breast milk, and fluoride supplementation, if needed, does not begin until the child is approximately 6 months old. This infant will have limited exposure to sunlight and thus vitamin D because of the infants dark skin and decreased sun exposure in the fall and winter months.

Rationale 2: An infants iron stores are usually adequate until about 4 to 6 months of age. The infant should be receiving sufficient amounts of calcium from breast milk, and fluoride supplementation, if needed, does not begin until the child is approximately 6 months old. This infant will have limited exposure to sunlight and thus vitamin D because of the infants dark skin and decreased sun exposure in the fall and winter months.

Rationale 3: An infants iron stores are usually adequate until about 4 to 6 months of age. The infant should be receiving sufficient amounts of calcium from breast milk, and fluoride supplementation, if needed, does not begin until the child is approximately 6 months old. This infant will have limited exposure to sunlight and thus vitamin D because of the infants dark skin and decreased sun exposure in the fall and winter months.

Rationale 4: An infants iron stores are usually adequate until about 4 to 6 months of age. The infant should be receiving sufficient amounts of calcium from breast milk, and fluoride supplementation, if needed, does not begin until the child is approximately 6 months old. This infant will have limited exposure to sunlight and thus vitamin D because of the infants dark skin and decreased sun exposure in the fall and winter months.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: LO 02. Describe and plan nursing interventions to meet nutritional needs for all age groups from infancy through adolescence.

Question 6

Type: MCSA

The nurse is teaching the parents of a 4-month-old infant about good feeding habits. The nurse emphasizes the importance of holding the baby during feeding and not letting the infant go to sleep with the bottle, as this is most likely to increase both the incidence of dental caries and

1. Otitis media.

2. Aspiration.

3. Malocclusion problems.

4. Sleeping disorders.

Correct Answer: 1

Rationale 1: It has been shown in numerous studies that allowing an infant to fall asleep with a bottle in his or her mouth causes pooling of the formula in the mouth, which increases the risk of both dental caries and otitis media. There has been limited data to date showing a positive correlation between bottle propping and increased risk of aspiration, malocclusions, and sleeping disorders.

Rationale 2: It has been shown in numerous studies that allowing an infant to fall asleep with a bottle in his or her mouth causes pooling of the formula in the mouth, which increases the risk of both dental caries and otitis media. There has been limited data to date showing a positive correlation between bottle propping and increased risk of aspiration, malocclusions, and sleeping disorders.

Rationale 3: It has been shown in numerous studies that allowing an infant to fall asleep with a bottle in his or her mouth causes pooling of the formula in the mouth, which increases the risk of both dental caries and otitis media. There has been limited data to date showing a positive correlation between bottle propping and increased risk of aspiration, malocclusions, and sleeping disorders.

Rationale 4: It has been shown in numerous studies that allowing an infant to fall asleep with a bottle in his or her mouth causes pooling of the formula in the mouth, which increases the risk of both dental caries and otitis media. There has been limited data to date showing a positive correlation between bottle propping and increased risk of aspiration, malocclusions, and sleeping disorders.

Global Rationale:

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO 04. Identify and explain nutritional problems of children growing up in developed countries.

Question 7

Type: MCMA

The parents of a 2-year-old are concerned about their childs finicky eating habits. While counseling the parents, the nurse would accurately make these statements:

Standard Text: Select all that apply.

1. The child is experiencing physiologic anorexia, which is normal for this age group.

2. A general guideline for food quantity at a meal is one-quarter cup of each food per year of age.

3. It is more appropriate to assess a toddlers nutritional demands over a 1-week period rather than a 24-hour one.

4. Nutritious foods should be made available at all times of the day so that she is able to graze whenever she is hungry.

5. The toddler should drink 16 to 24 ounces of milk daily.

Correct Answer: 1,3,5

Rationale 1: Physiologic anorexia is caused when the extremely high metabolic demands of infancy slow to keep pace with the slower growth of toddlerhood, and it is a very normal finding at this age. It is not unusual for toddlers to have food jags during which they only want one or two food items for that day. So it is more helpful to look at what their intake has been over a week instead of a day. Two to three cups of milk per day are sufficient for a toddler, and more than that can decrease the childs desire for other foods and lead to dietary deficiencies. The correct general guideline for food quantity is one tablespoon of each food per year of age. Food should only be offered at meal and snack times, and children should sit at the table while eating to encourage their socialization skills.

Rationale 2: Physiologic anorexia is caused when the extremely high metabolic demands of infancy slow to keep pace with the slower growth of toddlerhood, and it is a very normal finding at this age. It is not unusual for toddlers to have food jags during which they only want one or two food items for that day. So it is more helpful to look at what their intake has been over a week instead of a day. Two to three cups of milk per day are sufficient for a toddler, and more than that can decrease the childs desire for other foods and lead to dietary deficiencies. The correct general guideline for food quantity is one tablespoon of each food per year of age. Food should only be offered at meal and snack times, and children should sit at the table while eating to encourage their socialization skills.

Rationale 3: Physiologic anorexia is caused when the extremely high metabolic demands of infancy slow to keep pace with the slower growth of toddlerhood, and it is a very normal finding at this age. It is not unusual for toddlers to have food jags during which they only want one or two food items for that day. So it is more helpful to look at what their intake has been over a week instead of a day. Two to three cups of milk per day are sufficient for a toddler, and more than that can decrease the childs desire for other foods and lead to dietary deficiencies. The correct general guideline for food quantity is one tablespoon of each food per year of age. Food should only be offered at meal and snack times, and children should sit at the table while eating to encourage their socialization skills.

Rationale 4: Physiologic anorexia is caused when the extremely high metabolic demands of infancy slow to keep pace with the slower growth of toddlerhood, and it is a very normal finding at this age. It is not unusual for toddlers to have food jags during which they only want one or two food items for that day. So it is more helpful to look at what their intake has been over a week instead of a day. Two to three cups of milk per day are sufficient for a toddler, and more than that can decrease the childs desire for other foods and lead to dietary deficiencies. The correct general guideline for food quantity is one tablespoon of each food per year of age. Food should only be offered at meal and snack times, and children should sit at the table while eating to encourage their socialization skills.

Rationale 5: Physiologic anorexia is caused when the extremely high metabolic demands of infancy slow to keep pace with the slower growth of toddlerhood, and it is a very normal finding at this age. It is not unusual for toddlers to have food jags during which they only want one or two food items for that day. So it is more helpful to look at what their intake has been over a week instead of a day. Two to three cups of milk per day are sufficient for a toddler, and more than that can decrease the childs desire for other foods and lead to dietary deficiencies. The correct general guideline for food quantity is one tablespoon of each food per year of age. Food should only be offered at meal and snack times, and children should sit at the table while eating to encourage their socialization skills.

Global Rationale:

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO 02. Describe and plan nursing interventions to meet nutritional needs for all age groups from infancy through adolescence.

Question 8

Type: MCSA

The nurse has been providing nutritional guidance to the parents of an 18-month-old. The comment by a parent that would prompt the nurse to provide the parent with further education is

1. I should not give my child raw oysters.

2. It is safe to leave my meat red in the center as long as there are no juices running.

3. We always wash our hands well before any food preparation.

4. We use separate utensils for preparing raw meat and preparing fruits, vegetables, and other foods.

Correct Answer: 2

Rationale 1: Meats should be cooked thoroughly before eating. Meat that is red in the center, with or without running juices, is insufficiently cooked and increases the risk of food-borne illness. Washing hands and using separate utensils help to prevent infection with food-borne pathogens. Raw oysters should be avoided.

Rationale 2: Meats should be cooked thoroughly before eating. Meat that is red in the center, with or without running juices, is insufficiently cooked and increases the risk of food-borne illness. Washing hands and using separate utensils help to prevent infection with food-borne pathogens. Raw oysters should be avoided.

Rationale 3: Meats should be cooked thoroughly before eating. Meat that is red in the center, with or without running juices, is insufficiently cooked and increases the risk of food-borne illness. Washing hands and using separate utensils help to prevent infection with food-borne pathogens. Raw oysters should be avoided.

Rationale 4: Meats should be cooked thoroughly before eating. Meat that is red in the center, with or without running juices, is insufficiently cooked and increases the risk of food-borne illness. Washing hands and using separate utensils help to prevent infection with food-borne pathogens. Raw oysters should be avoided.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: LO 02. Describe and plan nursing interventions to meet nutritional needs for all age groups from infancy through adolescence.

Question 9

Type: MCSA

During a well-child physical, a 16-year-old girl has a normal history and physical except for an excessive amount of tooth enamel erosion, a greater-than-normal number of filled cavities, and calluses on the back of her hand. Her body mass index is in the 50th to 75th percentile for her age. The nurse would be most concerned about

1. Anorexia nervosa.

2. Kwashiorkor.

3. Bulimia nervosa.

4. Marasmus.

Correct Answer: 3

Rationale 1: The erosion of tooth enamel, dental caries, and calluses on the back of her hand all most likely are due to frequent vomiting of gastric acids, which is common with bulimia nervosa as part of a bingepurge cycle. Anorexia nervosa is an eating disorder where adolescents literally starve themselves to prevent weight gain; they also exercise excessively and use laxatives and diuretics to lose weight. Anorexia usually manifests as extreme weight loss and an obsession with food. Kwashiorkor is a protein deficiency, usually from malnutrition, that manifests as generalized edema. Marasmus is a lack of energy-producing calories that can be seen in anorexia, and this causes emaciation, decreased energy levels, and retarded development.

Rationale 2: The erosion of tooth enamel, dental caries, and calluses on the back of her hand all most likely are due to frequent vomiting of gastric acids, which is common with bulimia nervosa as part of a bingepurge cycle. Anorexia nervosa is an eating disorder where adolescents literally starve themselves to prevent weight gain; they also exercise excessively and use laxatives and diuretics to lose weight. Anorexia usually manifests as extreme weight loss and an obsession with food. Kwashiorkor is a protein deficiency, usually from malnutrition, that manifests as generalized edema. Marasmus is a lack of energy-producing calories that can be seen in anorexia, and this causes emaciation, decreased energy levels, and retarded development.

Rationale 3: The erosion of tooth enamel, dental caries, and calluses on the back of her hand all most likely are due to frequent vomiting of gastric acids, which is common with bulimia nervosa as part of a bingepurge cycle. Anorexia nervosa is an eating disorder where adolescents literally starve themselves to prevent weight gain; they also exercise excessively and use laxatives and diuretics to lose weight. Anorexia usually manifests as extreme weight loss and an obsession with food. Kwashiorkor is a protein deficiency, usually from malnutrition, that manifests as generalized edema. Marasmus is a lack of energy-producing calories that can be seen in anorexia, and this causes emaciation, decreased energy levels, and retarded development.

Rationale 4: The erosion of tooth enamel, dental caries, and calluses on the back of her hand all most likely are due to frequent vomiting of gastric acids, which is common with bulimia nervosa as part of a bingepurge cycle. Anorexia nervosa is an eating disorder where adolescents literally starve themselves to prevent weight gain; they also exercise excessively and use laxatives and diuretics to lose weight. Anorexia usually manifests as extreme weight loss and an obsession with food. Kwashiorkor is a protein deficiency, usually from malnutrition, that manifests as generalized edema. Marasmus is a lack of energy-producing calories that can be seen in anorexia, and this causes emaciation, decreased energy levels, and retarded development.

Global Rationale:

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Diagnosis

Learning Outcome: LO 05. Apply the nursing process to care for children with disordered eating.

Question 10

Type: MCSA

The nurse is instructing a parent of a newborn on the foods that are to be started as the child ages. The nurse knows that the first food given to a newborn is rice cereal. What statement by the parent suggests he understands what food to introduce next?

1. Chicken can be given next.

2. Eggs can be given next.

3. Fruits should be given next.

4. Whole milk should be started.

Correct Answer: 3

Rationale 1: Chicken is not given until 810 months, eggs are not given until 12 months, and whole milk is given at 12 months. Fruits are given after rice cereal.

Rationale 2: Chicken is not given until 8-10 months, eggs are not given until 12 months, whole milk is given at 12 months. Fruits are given after rice cereal.

Rationale 3: Chicken is not given until 8-10 months, eggs are not given until 12 months, whole milk is given at 12 months. Fruits are given after rice cereal.

Rationale 4: Chicken is not given until 8-10 months, eggs are not given until 12 months, whole milk is given at 12 months. Fruits are given after rice cereal.

Global Rationale:

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: LO 02. Describe and plan nursing interventions to meet nutritional needs for all age groups from infancy through adolescence.

Question 11

Type: MCSA

The mother of an infant born prematurely at 32 weeks expresses the desire to breastfeed her child. The nurse correctly responds with what statement when the mother asks how long she should breastfeed her baby?

1. Until the child begins solid foods.

2. Many breastfeed for 2 years.

3. It is recommended that mothers of preterm infants breastfeed at least a month.

4. Breast milk should be the only food for the first 6 months.

Correct Answer: 4

Rationale 1: Breast milk should be the only food for the first 6 months, and should continue until 12 months even after solid foods are introduced.

Rationale 2: Breast milk should be the only food for the first 6 months, and should continue until 12 months even after solid foods are introduced.

Rationale 3: Breast milk should be the only food for the first 6 months, and should continue until 12 months even after solid foods are introduced.

Rationale 4: Breast milk should be the only food for the first 6 months, and should continue until 12 months even after solid foods are introduced.

Global Rationale:

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO 02. Describe and plan nursing interventions to meet nutritional needs for all age groups from infancy through adolescence.

Question 12

Type: MCSA

Celiac disease presents many challenges for a family. When discussing these challenges with the parents of a newly diagnosed child, the nurse should emphasize:

1. Ice cream is a safe dessert on a gluten-free diet.

2. The childs weight and height should reach normal levels in about 1 year.

3. Processed foods are usually gluten-free.

4. Insurance pays only a small amount of the cost of celiac diets.

Correct Answer: 2

Rationale 1: Ice cream and many processed foods contain gluten. Payment by insurance is dependent on the plan the family has. Once on a gluten-free diet, the childs height and weight will reach normal range in about 1 year.

Rationale 2: Ice cream and many processed foods contain gluten. Payment by insurance is dependent on the plan the family has. Once on a gluten-free diet, the childs height and weight will reach normal range in about 1 year.

Rationale 3: Ice cream and many processed foods contain gluten. Payment by insurance is dependent on the plan the family has. Once on a gluten-free diet, the childs height and weight will reach normal range in about 1 year.

Rationale 4: Ice cream and many processed foods contain gluten. Payment by insurance is dependent on the plan the family has. Once on a gluten-free diet, the childs height and weight will reach normal range in about 1 year.

Global Rationale:

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO 06. Develop nursing interventions for children with nutritional disorders.

Question 13

Type: MCSA

While teaching a health promotion class to a group of parents of children in a Head Start class, what information can the nurse include that would help decrease the risk of dental caries?

1. Delay introducing cows milk until at least 1 year of age.

2. Offer drinking cups only at meal and snack times.

3. Encourage use of homemade baby food without preservatives.

4. Offer juices diluted 50% with water.

Correct Answer: 2

Rationale 1: Offering drinking cups only at meal and snack times encourages drinking when thirsty rather than carrying a cup around. This reduces the risk of dental caries. Delaying the introduction of cows milk, making homemade baby food, or diluting juice does not decrease dental caries.

Rationale 2: Offering drinking cups only at meal and snack times encourages drinking when thirsty rather than carrying a cup around. This reduces the risk of dental caries. Delaying the introduction of cows milk, making homemade baby food, or diluting juice does not decrease dental caries.

Rationale 3: Offering drinking cups only at meal and snack times encourages drinking when thirsty rather than carrying a cup around. This reduces the risk of dental caries. Delaying the introduction of cows milk, making homemade baby food, or diluting juice does not decrease dental caries.

Rationale 4: Offering drinking cups only at meal and snack times encourages drinking when thirsty rather than carrying a cup around. This reduces the risk of dental caries. Delaying the introduction of cows milk, making homemade baby food, or diluting juice does not decrease dental caries.

Global Rationale:

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO 04. Identify and explain nutritional problems of children growing up in developed countries.

Question 14

Type: MCSA

The nurse is planning a class for school-age children on prevention of obesity through exercise. It is important to encourage the children to exercise a minimum of how many minutes a day to meet current recommendations?

1. 20 minutes.

2. 30 minutes.

3. 60 minutes.

4. 90 minutes.

Correct Answer: 3

Rationale 1: The current recommendation is 60 minutes of exercise daily.

Rationale 2: The current recommendation is 60 minutes of exercise daily.

Rationale 3: The current recommendation is 60 minutes of exercise daily.

Rationale 4: The current recommendation is 60 minutes of exercise daily.

Global Rationale:

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO 04. Identify and explain nutritional problems of children growing up in developed countries.

Question 15

Type: MCMA

Parents of a child who will begin enteral feedings ask the nurse what advantage this type of feeding has over other methods. The nurse bases the response on what facts about enteral feedings?

Standard Text: Select all that apply.

1. Enteral feeding is the closest to natural feeding methods.

2. The child must be able to absorb nutrients.

3. Enteral feeding is complex to administer.

4. Enteral feeding requires a central venous catheter.

5. Enteral feeding has a high success rate.

Correct Answer: 1,2,5

Rationale 1: Enteral feedings are the closest to natural feeding methods. The child must be able to absorb nutrients. Enteral feeding has a high success rate. It is not complex to administer, and does not require a central venous catheter.

Rationale 2: Enteral feedings are the closest to natural feeding methods. The child must be able to absorb nutrients. Enteral feeding has a high success rate. It is not complex to administer, and does not require a central venous catheter.

Rationale 3: Enteral feedings are the closest to natural feeding methods. The child must be able to absorb nutrients. Enteral feeding has a high success rate. It is not complex to administer, and does not require a central venous catheter.

Rationale 4: Enteral feedings are the closest to natural feeding methods. The child must be able to absorb nutrients. Enteral feeding has a high success rate. It is not complex to administer, and does not require a central venous catheter.

Rationale 5: Enteral feedings are the closest to natural feeding methods. The child must be able to absorb nutrients. Enteral feeding has a high success rate. It is not complex to administer, and does not require a central venous catheter.

Global Rationale:

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: LO 06. Develop nursing interventions for children with nutritional disorders.

Question 16

Type: MCSA

The nurse has taught the parents of a child with celiac disease about allowed foods. The nurse should explain that which of the following would be an allowed meal?

1. Pizza with milk.

2. Spaghetti and meat sauce with juice.

3. Hot dog on a bun with a shake.

4. Fruit plate with Gatorade.

Correct Answer: 4

Rationale 1: A child with celiac disease needs a gluten-free diet. Included on the list are fruits, meats, rice, and vegetables, including corn. Excluded are bread, cake, doughnuts, cookies, crackers, and many processed foods that may contain hidden gluten. Therefore, the child would be allowed to have the fruit plate with Gatorade.

Rationale 2: A child with celiac disease needs a gluten-free diet. Included on the list are fruits, meats, rice, and vegetables, including corn. Excluded are bread, cake, doughnuts, cookies, crackers, and many processed foods that may contain hidden gluten. Therefore, the child would be allowed to have the fruit plate with Gatorade.

Rationale 3: A child with celiac disease needs a gluten-free diet. Included on the list are fruits, meats, rice, and vegetables, including corn. Excluded are bread, cake, doughnuts, cookies, crackers, and many processed foods that may contain hidden gluten. Therefore, the child would be allowed to have the fruit plate with Gatorade.

Rationale 4: A child with celiac disease needs a gluten-free diet. Included on the list are fruits, meats, rice, and vegetables, including corn. Excluded are bread, cake, doughnuts, cookies, crackers, and many processed foods that may contain hidden gluten. Therefore, the child would be allowed to have the fruit plate with Gatorade.

Global Rationale:

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO 06. Develop nursing interventions for children with nutritional disorders.

Ball/Bindler/Cowen, Principles of Pediatric Nursing 5th Ed. Test Bank

Copyright 2012 by Pearson Education, Inc.

Leave a Reply