Nursing Care of Children 1 Questions with

Nursing Care of Children 1 Questions with Verified Answers | 100% Correct | Grade A 2025/26 A nurse is caring for an 18-year-old adolescent who is up-to-date on immunizations and is planning to attend college. The nurse should inform the client that he should receive which of the following immunizations prior to moving into a campus dormitory?

• Pneumococcal polysaccharide- The pneumococcal polysaccharide

immunization is administered to children between the ages of 2 and 18 years who have a specific high-risk condition that places them at risk for an infection with Streptococcus pneumococci, a bacterium that causes meningitis, otitis media, and pneumonia in clients who have chronic illnesses.

• Meningococcal polysaccharide
• Rotavirus- The final dose of the rotavirus immunization is administered prior to

the age of 8 months. An additional booster dose is not recommended.

• Herpes zoster- The herpes zoster immunization is recommended for adults over

the age of 60 to prevent an episode of shingles. - ANSWER B.Meningococcal polysaccharide The meningococcal polysaccharide immunization is used to prevent infection by certain groups of meningococcal bacteria. Meningococcal infection can cause life- threatening illnesses, such as meningococcal meningitis, which affects the brain, and meningococcemia, which affects the blood. Both of these conditions can be fatal. College freshmen, particularly those who live in dormitories, are at an increased risk for meningococcal disease relative to other persons their age.Therefore, the Centers for Disease Control and Prevention has issued a recommendation that all incoming college students receive the meningococcal immunization. 1 / 3

A nurse is assessing a 9-month-old infant during a well-child visit. Which of the following findings indicates that the infant has a developmental delay?

• Creeps on hands and knees- The infant should creep on her hands and knees at

the age of 9 months, and begin to stand while holding onto furniture at the age of 10 months.

• Inability to vocalize vowel sounds
• Uses crude pincer grasp- Most infants demonstrate a crude pincer grasp at 9

months of age and the use of a dominant hand is also evident.

• Stands by holding onto support - The ability to stand holding onto support is

typically present at 10 months of age. - ANSWER B. Inability to vocalize vowel sounds The infant should begin vocalizing vowel sounds at the age of 7 months, and by the age of 10 months, be able to say at least one word.A nurse is caring for a preschool-age child who is dying. Which of the following findings is an age-appropriate reaction to death by the child? (Select all that apply.)

• The child views death as similar to sleep.
• The child is interested in what happens to his body after death. - A school-age

child is interested in post-death services and what happens to the body after death due to an improved ability to comprehend what is happening.

• The child recognizes that death is permanent. - Preschool-age children have

difficulty understanding the concept of time and are therefore not likely to believe that death is permanent. They perceive death as reversible.

• The child believes his thoughts can cause death. 2 / 3

• The child thinks death is a punishment. - ANSWER A. The child

views death as similar to sleep. -Preschool-age children might make this comparison.

• The child believes his thoughts can cause death. - Preschool-age children

believe that their thoughts and wishes can make things happen since they are egocentric. This is one reason why the death of a family member can be very difficult for a child at this age.

• The child thinks death is a punishment. - Preschool-age children sometimes

believe that death is the result of guilt or punishment due to something they have done, said, or thought.A nurse is caring for an adolescent who is receiving pain medication via a PCA pump. When the nurse assesses the client's pain at 0800, the client describes the pain as a 3 on a scale of 1 to 10. At 1000, the client describes the pain as a 5. The nurse discovers the client has not pushed the button to deliver medication in the past 2 hr. Which of the following actions should the nurse take?

• Ask the provider to discontinue the PCA so the nurse can administer PRN pain

medication. - A PCA device allows the adolescent to be in charge of pain management and is an effective method to control pain. It is inappropriate for the nurse to suggest discontinuing the PCA.

• Suggest the client's parent push the button for the client if the parent thinks the

adolescent is having pain. - One of the principles of PCA is that no one other than the client or nurse pushes the button to deliver the medication. An adolescent is capa - ANSWER D. Reinforce teaching with the client about how to push the button to deliver the medication.The appropriate action at this time is to reinforce client teaching about the PCA.The nurse should remind the client about the availability of the medication, verify that the client knows how to use the equipment, and emphasize the importance of using it regularly to manage pain effectively.

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