Pediatric Nursing Exam: Assessment, Growth and Development, Informed
Consent, Mature and Emancipated Minor, Assent, Preoperative and
Postoperative Care, Sedation, Conscious and General Anesthesia, Pain
Management, Non-Pharmacologic Interventions, Compliance, Skin Integrity,
Pressure Ulcer Prevention, Wound Healing by Primary, Secondary, and Tertiary
Intention, Nutrition, Medication Administration via Oral, IM, Subcutaneous, IV,
and G-Tube, Specimen Collection for Urine, Stool, and Blood, Temperature
Regulation, Fever, Hyperthermia, Burn Management, Infection Control, and
Psychosocial Considerations Exam Questions Verified and Provided with
Complete A+ Graded Rationales Latest Updated 2026
Who's responsibility is it to explain informed consent?
The physician.
Age of Majority
the designated age at which an individual is recognized as an adult (18 years old)
Mature Minor
Most states believe that adolescents age 14 can give consent to procedures.
Emancipated Minor
Considered to have a legal capacity based on a certain circumstance (a minor that is married, pregnant,
or legally emancipated).
All states allow adolescence to give consent for treatments r/t what issues?
,STI’s, contraception and pregnancy advice, drug and ETOH abuse, and mental health services.
What needs to be included?
Explanation of the procedure, risks and benefits, potential complications.
What is the nurse's role?
Witness to the signing of the informed consent document by the patient.
What is the process if obtaining consent over the phone?
Two nurses must verify.
Primary nurse will call and ask if the physician has explained the procedure, and confirm who the parent
is, who the child is.
Secondary nurse will confirm same information.
What is assent?
Children should give assent to the procedure if they are greater than 7 years old.
- Not legal, but ethical.
- Be sure education for assent is developmentally appropriate to patient.
In case of emergency consent is...
,not needed and implied.
How can we prepare children for procedures?
Based on child's developmental level.
Establish trust.
Adequate preparation decreases child's rating of pain and signs of physiologic distress.
Allow parent to be present during procedure if possible.
Use photos or videos in different areas of the hospital to give children a realistic idea of what they may
encounter.
Instead of saying "you're going to feel a stick"...
"You're going to feel a little pinch, and this medication is going to go under your skin".
Instead of saying "we're going to do a test"...
"We're going to check and see how this body part is working".
Instead of saying "I'm going to take your temperature"...
"I'm going to check how warm you are."
Instead of saying "You will have some incisions"...
"The doctor will make an opening".
How can we prepare a child for procedures regarding environment and experience?
, If a bodily function is affected, emphasize what will or will not change.
Number of words should equal age of child + 1.
Emphasize sensory aspect of the procedure.
Clarify unfamiliar words.
Allow child to practice procedures.
Stress positive benefits of procedure.
How can we prepare children for procedures based on their temperament?
Slow to warm-up, slow paced sessions.
Active child: short, individualized sessions.
Determine techniques to cope.
Where should we perform procedures?
Perform painful procedures in separate room, not a crib or bed.
How can we promote a successful procedure in children?
Confident approach and positive attitude.
Cooperation is expected.
Involve child in the treatment.
Describe the expected behavior rather than what not to do.
Provide distraction.
Consent, Mature and Emancipated Minor, Assent, Preoperative and
Postoperative Care, Sedation, Conscious and General Anesthesia, Pain
Management, Non-Pharmacologic Interventions, Compliance, Skin Integrity,
Pressure Ulcer Prevention, Wound Healing by Primary, Secondary, and Tertiary
Intention, Nutrition, Medication Administration via Oral, IM, Subcutaneous, IV,
and G-Tube, Specimen Collection for Urine, Stool, and Blood, Temperature
Regulation, Fever, Hyperthermia, Burn Management, Infection Control, and
Psychosocial Considerations Exam Questions Verified and Provided with
Complete A+ Graded Rationales Latest Updated 2026
Who's responsibility is it to explain informed consent?
The physician.
Age of Majority
the designated age at which an individual is recognized as an adult (18 years old)
Mature Minor
Most states believe that adolescents age 14 can give consent to procedures.
Emancipated Minor
Considered to have a legal capacity based on a certain circumstance (a minor that is married, pregnant,
or legally emancipated).
All states allow adolescence to give consent for treatments r/t what issues?
,STI’s, contraception and pregnancy advice, drug and ETOH abuse, and mental health services.
What needs to be included?
Explanation of the procedure, risks and benefits, potential complications.
What is the nurse's role?
Witness to the signing of the informed consent document by the patient.
What is the process if obtaining consent over the phone?
Two nurses must verify.
Primary nurse will call and ask if the physician has explained the procedure, and confirm who the parent
is, who the child is.
Secondary nurse will confirm same information.
What is assent?
Children should give assent to the procedure if they are greater than 7 years old.
- Not legal, but ethical.
- Be sure education for assent is developmentally appropriate to patient.
In case of emergency consent is...
,not needed and implied.
How can we prepare children for procedures?
Based on child's developmental level.
Establish trust.
Adequate preparation decreases child's rating of pain and signs of physiologic distress.
Allow parent to be present during procedure if possible.
Use photos or videos in different areas of the hospital to give children a realistic idea of what they may
encounter.
Instead of saying "you're going to feel a stick"...
"You're going to feel a little pinch, and this medication is going to go under your skin".
Instead of saying "we're going to do a test"...
"We're going to check and see how this body part is working".
Instead of saying "I'm going to take your temperature"...
"I'm going to check how warm you are."
Instead of saying "You will have some incisions"...
"The doctor will make an opening".
How can we prepare a child for procedures regarding environment and experience?
, If a bodily function is affected, emphasize what will or will not change.
Number of words should equal age of child + 1.
Emphasize sensory aspect of the procedure.
Clarify unfamiliar words.
Allow child to practice procedures.
Stress positive benefits of procedure.
How can we prepare children for procedures based on their temperament?
Slow to warm-up, slow paced sessions.
Active child: short, individualized sessions.
Determine techniques to cope.
Where should we perform procedures?
Perform painful procedures in separate room, not a crib or bed.
How can we promote a successful procedure in children?
Confident approach and positive attitude.
Cooperation is expected.
Involve child in the treatment.
Describe the expected behavior rather than what not to do.
Provide distraction.
