Child Surgical Nursing: Comprehensive Quizzes for Exam Success

Question 1

Which intervention is a priority in the preoperative phase of care for a child undergoing surgery to minimize anxiety and promote cooperation?

Accepted Answer

Explain the procedure to the child in an age-appropriate manner

Answer

Administer antibiotics

Answer

Insert an intravenous catheter

Answer

Obtain informed consent from the parents

Question 2

During the intraoperative phase, which nursing action is crucial to prevent hypothermia in a child, thus maintaining normothermia?

Accepted Answer

Use a warming blanket

Answer

Position the child in the recovery position

Answer

Administer fluids intravenously

Answer

Monitor vital signs hourly

Question 3

Which wound care technique is appropriate for a superficial wound in a child?

Accepted Answer

Cleanse the wound gently with normal saline and apply a sterile dressing

Answer

Apply an antibiotic ointment directly to the wound

Answer

Use hydrogen peroxide to debride the wound

Question 4

When assessing pain in a child, which pain scale is most commonly used due to its simplicity and effectiveness?

Accepted Answer

Faces Pain Scale

Answer

Visual Analogue Scale

Answer

Glasgow Coma Scale

Question 5

What is the primary goal of postoperative monitoring in children?

Accepted Answer

Early detection of complications

Answer

Provision of emotional support

Answer

Prevention of pain

Answer

Promotion of wound healing

Question 6

When caring for a child with a surgical wound, which dressing material is most appropriate to maintain a sterile environment and promote healing?

Accepted Answer

Sterile gauze

Answer

Cotton balls

Answer

Adhesive bandage

Answer

Paper towels

Question 7

What is the primary objective of preoperative nursing care for a child facing surgery?

Accepted Answer

To alleviate anxiety and prepare the child psychologically for the surgical experience

Answer

To administer pain medication

Answer

To take the child's vital signs

Question 8

For a clean surgical incision, which type of wound dressing is typically utilized?

Accepted Answer

Transparent film dressing

Answer

Gauze dressing

Answer

Alginate dressing

Answer

Hydrocolloid dressing

Question 9

In pediatric surgical nursing, which element is central to family-centered care?

Accepted Answer

Involving parents in decision-making related to their child's care

Answer

Ignoring parental concerns

Answer

Restricting parental visits

Answer

Separating the child from their parents

Question 10

Which nursing intervention is appropriate for managing a nasogastric tube in a child?

Accepted Answer

Monitoring for displacement and ensuring the tube remains patent

Answer

Forcefully reinserting the tube if it becomes dislodged

Answer

Ignoring the tube altogether

Answer

Clamping the tube for extended periods

Question 11

When caring for a child with a tracheostomy, it is essential to:

Accepted Answer

Maintain a sterile environment and suction the tracheostomy as required

Answer

Ignore the child's respiratory status

Answer

Leave the tracheostomy tube uncapped

Question 12

What is a critical element of discharge planning for a child following surgery?

Accepted Answer

Providing explicit instructions for home care

Answer

Assuming the child will retain all the information

Answer

Discharging the child without any follow-up care

Answer

Ignoring the child's emotional well-being

Question 13

During the preoperative phase, which intervention is crucial for reducing anxiety in children undergoing surgery?

Accepted Answer

Providing age-appropriate explanations and reassurance

Answer

Administering antibiotics to prevent infection

Answer

Obtaining written consent from the child's legal guardian

Question 14

What is the primary objective of pain management in children after surgery?

Accepted Answer

To achieve optimal pain relief without compromising vital functions

Answer

To promote wound healing

Answer

To prevent wound infection

Question 15

Following surgery, which psychological response is commonly observed in children?

Accepted Answer

Regression to earlier developmental behaviors

Answer

Heightened attention span

Answer

Enhanced problem-solving abilities

Answer

Reduced emotional expression

Question 16

Which respiratory complication is common in children after surgery?

Accepted Answer

Atelectasis

Answer

Stroke

Answer

Thromboembolism

Answer

Myocardial infarction

Question 17

When administering medications to children postoperatively, what is a crucial consideration?

Accepted Answer

Calculating the dosage based on the child's weight

Answer

Administering medication by injection only

Answer

Avoiding oral medications

Answer

Using the same dosage as in adults

Question 18

In the preoperative phase of a child's surgical care, which nursing intervention is most important for optimizing outcomes?

Accepted Answer

Providing age-appropriate information and support, reducing anxiety, and ensuring the child understands what will happen during the surgery

Answer

Obtaining informed consent from the child's parent or guardian

Answer

Administering preoperative medications as prescribed

Question 19

During intraoperative nursing care, which technique is essential for effectively monitoring a child's pain level?

Accepted Answer

Using validated and age-appropriate observational pain assessment scales

Answer

Observing the child's vital signs

Answer

Relying on the child's self-reporting of pain

Question 20

Which of the following is a significant concern related to wound care in children after surgery?

Accepted Answer

Children have a higher risk of infection due to their immature immune systems

Answer

Children's wounds are more prone to excessive scarring

Answer

Children's wounds heal more slowly than adults

Question 21

In pediatric surgical nursing, which factor is essential for promoting positive patient outcomes?

Accepted Answer

Effective collaboration and communication within the multidisciplinary team

Answer

Focusing solely on technical medical interventions

Answer

Adhering strictly to established protocols without considering individual patient needs

Answer

Ignoring the emotional and psychological well-being of the child

Question 22

In the preoperative phase, what is the primary purpose of using a surgical safety checklist?

Accepted Answer

To confirm that all necessary steps and precautions have been taken to ensure a safe surgical procedure

Answer

To document the child's medical history

Answer

To obtain informed consent from the child's parent or guardian

Question 23

Which of the following is an appropriate nursing intervention for reducing a child's anxiety before surgery?

Accepted Answer

Using age-appropriate distraction techniques, providing reassurance, and answering questions in a calm and supportive manner

Answer

Ignoring the child's concerns or dismissing their fears

Answer

Administering sedatives without the child's understanding or consent

Question 24

During general anesthesia in children, which potential complication is a particular concern?

Accepted Answer

Respiratory depression

Answer

Postoperative nausea and vomiting

Answer

Allergic reaction

Answer

Delayed wound healing

Question 25

Which of the following aspects is most important for accurate pain assessment in children?

Accepted Answer

Observing non-verbal cues and behaviors, such as facial expressions, body language, and changes in activity level

Answer

Relying solely on the child's self-reported pain level

Answer

Using the same pain assessment scale for all children regardless of their age and developmental stage

Answer

Ignoring the child's pain if they are not crying

Question 26

When caring for a child with a surgical wound, which nursing intervention is essential for preventing infection?

Accepted Answer

Maintaining a sterile technique during dressing changes and wound care procedures

Answer

Allowing the child to bathe frequently without proper wound protection

Answer

Covering the wound with a waterproof dressing

Question 27

During postoperative wound assessment in a child, which observation should raise the highest concern for infection?

Accepted Answer

Purulent drainage

Answer

Edema around the wound

Answer

Induration (hardening) of the wound

Answer

Erythema (redness) at the wound site

Question 28

In the immediate postoperative period following tracheostomy, which action is a priority for the nurse responsible for the child's care?

Accepted Answer

Maintaining the patency of the airway

Answer

Providing emotional support to the child's family

Answer

Monitoring the child's vital signs

Answer

Administering pain medication as prescribed

Question 29

What is the primary purpose of preoperative teaching for children?

Accepted Answer

Reducing anxiety and encouraging cooperation during surgical preparation and recovery

Answer

Ensuring the child fully understands the surgical procedure

Answer

Preparing the child for postoperative pain management

Answer

Obtaining informed consent from the parents or guardians

Question 30

During the intraoperative phase of surgery, what is the primary objective of nursing care?

Accepted Answer

To maintain the child's safety and well-being throughout the surgical process

Answer

To administer anesthesia

Answer

To carry out surgical procedures

Question 31

Which of these is an important aspect of promoting a healthy recovery after surgery in children?

Accepted Answer

Ensuring adequate nutrition and hydration

Answer

Isolating the child from other people

Answer

Restricting the child's activity

Answer

Administering antibiotics as a preventative measure

Question 32

In pediatric surgery, what is the main purpose of using a nasogastric tube?

Accepted Answer

To provide enteral nutrition (feeding directly into the stomach or intestines)

Answer

To monitor the levels of gastric secretions

Answer

To administer medications directly into the stomach

Question 33

Why is it essential to advocate for the rights of the child in surgical settings?

Accepted Answer

To ensure that the child's voice is heard and their needs are respected

Answer

To reduce the chances of medical errors occurring

Answer

To prevent conflict between parents and healthcare professionals

Answer

To comply with legal requirements and avoid legal liability

Question 34

Which of the following is a crucial aspect of preoperative nursing care for a child undergoing surgery?

Accepted Answer

Calm and reassuring communication with the child and their family.

Answer

Administering sedatives to reduce anxiety.

Answer

Withholding fluids for several hours before surgery.

Question 35

When caring for a child with a tracheostomy, the nurse should prioritize which action?

Accepted Answer

Maintaining the patency, or openness, of the tracheostomy tube.

Answer

Administering antibiotics to prevent or treat infections.

Answer

Providing emotional support to the child and their family.

Answer

Monitoring vital signs, such as heart rate, respiratory rate, and blood pressure.

Question 36

Which of the following is a telltale sign of inadequate fluid resuscitation, or insufficient fluid replacement, in a child after surgery?

Accepted Answer

Poor capillary refill, indicating slow blood flow to the extremities.

Answer

Absence of edema, or swelling, in the body.

Answer

Increased urine output.

Answer

Normal blood pressure.

Question 37

When suctioning a child's surgical wound, which technique should the nurse adhere to?

Accepted Answer

Gentle, sterile suctioning using aseptic technique.

Answer

Vigorous suctioning with continuous suction.

Answer

Suctioning only when the wound is visibly soiled.

Answer

Suctioning without using sterile gloves.

Question 38

In providing emotional support to a child undergoing surgery, which of the following is a key responsibility of the nurse?

Accepted Answer

Establishing a trusting relationship with the child and providing developmentally appropriate explanations.

Answer

Administering sedatives as needed to calm the child.

Answer

Restricting the child's access to family members during the preoperative period.

Question 39

When observing a child after surgery, which of the following indicates that the child may be experiencing anxiety?

Accepted Answer

Increased heart rate and restlessness.

Answer

Normal vital signs and behavior.

Answer

Decreased urine output.

Answer

Lethargy and decreased appetite.

Question 40

During the intraoperative phase of surgery, what is the primary responsibility of the circulating nurse?

Accepted Answer

To manage the sterile field, assist the surgical team, and ensure the safety of the patient and staff

Answer

To provide emotional support and comfort to the patient and their family

Answer

To monitor the patient's vital signs and administer medications as ordered

Answer

To document the surgical procedure and maintain accurate records

Question 41

Which type of wound closure involves suturing the wound edges together to promote healing?

Accepted Answer

Primary closure

Answer

Delayed primary closure

Answer

Tertiary closure

Answer

Secondary closure

Question 42

Which of the following is a potential complication of abdominal surgery in children?

Accepted Answer

Intestinal obstruction, which can lead to abdominal pain, vomiting, and constipation

Answer

Renal failure, which can result in fluid and electrolyte imbalances

Answer

Respiratory distress, which can occur due to anesthesia or pain

Question 43

What is the primary purpose of a preoperative skin preparation?

Accepted Answer

To reduce the risk of surgical site infection by removing bacteria from the skin

Answer

To improve surgical visibility by removing hair and debris

Answer

To prevent pain during surgery by numbing the skin

Answer

To promote wound healing by stimulating cell growth

Question 44

Which of the following observations would indicate the need for immediate postoperative transfer to the intensive care unit (ICU)?

Accepted Answer

Signs of respiratory distress, such as difficulty breathing, cyanosis, or apnea

Answer

Nausea and vomiting that is not persistent or severe

Answer

Mild pain that is controlled with oral analgesics

Answer

Fever that is below 38.5 degrees Celsius (101.3 degrees Fahrenheit)

Question 45

What is a top priority for nurses in the immediate postoperative period?

Accepted Answer

To monitor the child's vital signs, assess their respiratory status, and provide appropriate interventions as needed

Answer

To administer antibiotics to prevent infection

Answer

To encourage early ambulation to promote mobility

Answer

To provide pain relief to ensure the child's comfort

Question 46

A 5-year-old child is scheduled for a tonsillectomy. Which of the following nursing interventions is most important in the preoperative period?

Accepted Answer

Ensuring the child understands the procedure and what to expect.

Answer

Monitoring vital signs every 15 minutes.

Answer

Administering a pre-operative sedative.

Question 47

A child is recovering from a laparoscopic appendectomy. Which of the following signs would indicate a potential complication?

Accepted Answer

Increased abdominal distention and pain.

Answer

Decreased appetite.

Answer

Occasional vomiting.

Answer

Mild nausea.

Question 48

Which pain management technique is most appropriate for a child experiencing postoperative pain following a craniotomy?

Accepted Answer

Patient-controlled analgesia (PCA) pump.

Answer

Topical analgesics.

Answer

Oral analgesics.

Answer

Non-pharmacological pain management techniques.

Question 49

A child is admitted with a diagnosis of Hirschsprung's disease. What is the primary nursing intervention in the immediate postoperative period following a pull-through procedure?

Accepted Answer

Monitoring for signs of bowel obstruction.

Answer

Providing emotional support to the child and family.

Answer

Encouraging early ambulation.

Answer

Administering antibiotics.

Question 50

A 10-year-old child is recovering from a cleft palate repair. What is the most important nursing intervention to promote proper healing and prevent complications?

Accepted Answer

Maintaining a clear airway and preventing aspiration.

Answer

Encouraging early ambulation.

Answer

Administering pain medication as needed.

Question 51

Which of the following is a crucial aspect of providing psychosocial support to a child undergoing surgery?

Accepted Answer

Involving the child in age-appropriate explanations about the procedure.

Answer

Ensuring the child's physical comfort.

Answer

Administering pain medication promptly.

Question 52

A child with a history of spina bifida is scheduled for a surgical procedure. What specific nursing considerations should be made?

Accepted Answer

Assessing for signs of latex allergy.

Answer

Maintaining a patent airway.

Answer

Ensuring adequate hydration.

Answer

Monitoring for post-operative bleeding.

Question 53

Which of the following is the most appropriate method for assessing pain in a nonverbal infant post-surgery?

Accepted Answer

Using a validated pain assessment tool designed for infants.

Answer

Observing for facial expressions and body language.

Answer

Asking the infant's parents to report pain levels.

Question 54

A child is receiving intravenous fluids post-surgery. Which of the following nursing interventions is crucial to prevent complications related to IV therapy?

Accepted Answer

Monitoring the IV site for signs of infiltration or phlebitis.

Answer

Administering fluids at the prescribed rate.

Answer

Ensuring the IV line is secured properly.

Question 55

A child is recovering from a surgical procedure and is receiving opioid analgesia. What is the primary nursing responsibility in this situation?

Accepted Answer

Monitoring for signs of respiratory depression.

Answer

Ensuring the child's comfort.

Answer

Providing emotional support to the child.

Answer

Administering the opioid medication as prescribed.