Care Peds
(2026-2027 Edition)
Final Exam Questions with 100%
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Latest Update | Grade A+
,Chapter 45: Pediatric Variations of Nursing Interventions ...
... 1. What should the nurse consider when having consent forms signed for surgery
and procedures on children?
a. Only a parent or legal guardian can give consent.
b. The person giving consent must be at least 18 years old.
c. The risks and benefits of a procedure are part of the consent process.
d. A mental age of 7 years or older is required for a consent to be considered
"informed."
ANS: C
The informed consent must include the nature of the ...
procedure, benefits and risks, and alternatives to the
procedure. In special circumstances such as
emancipated minors, the consent can be given by
someone younger than 18 years without the parent or
legal guardian. A mental age of 7 years is too young for
consent to be informed.
PTS: 1 DIF: Cognitive Level: Comprehension REF: 1245
OBJ: Client Needs: Safe and Effective Care Environment
TOP: Nursing Process: Planning
... 2. The nurse is planning how to prepare a 4-year-old child for some diagnostic
procedures. Guidelines for preparing this preschooler should include to:
a. Plan for a short teaching session of about 30 minutes.
b. Tell the child that procedures are never a form of punishment.
c. Keep equipment out of the child's view.
,d. Use correct scientific and medical terminology in explanations.
ANS: B
Illness and hospitalization may be viewed as punishment ...
in preschoolers. Always state directly that procedures are
never a form of punishment. Teaching sessions for this
age group should be 10 to 15 minutes in length.
Demonstrate the use of equipment and allow the child to
play with miniature or actual equipment. Explain the
procedure in simple terms and how it affects the child.
PTS: 1 DIF: Cognitive Level: Application REF: 1248
OBJ: Client Needs: Health Promotion and Maintenance
TOP: Nursing Process: Implementation
... 3. Katie, 4 years old, is admitted to outpatient surgery for removal of a cyst on
her foot. Her mother puts the hospital gown on her, but Katie is crying because
she wants to leave on her underpants. The most appropriate nursing action is to:
a. Allow her to wear her underpants.
b. Discuss with her mother why this is important to Katie.
c. Ask her mother to explain to her why she cannot wear them.
d. Explain in a kind, matter-of-fact manner that this is hospital policy.
ANS: A
It is appropriate for the child to leave her underpants on. ...
This allows her some measure of control during the foot
surgery. The mother should not be required to make the
child more upset. Katie is too young to understand what
hospital policy means.
PTS: 1 DIF: Cognitive Level: Application REF: 1249
OBJ: Client Needs: Health Promotion and Maintenance
, TOP: Nursing Process: Implementation
... 4. Using knowledge of child development, the best approach when preparing a
toddler for a procedure is to:
a. Avoid asking the child to make choices.
b. Demonstrate the procedure on a doll.
c. Plan for the teaching session to last about 20 minutes.
d. Show necessary equipment without allowing child to handle it.
ANS: B
Prepare toddlers for procedures by using play. ...
Demonstrate on a doll, but avoid the child's favorite doll
because the toddler may think the doll is really "feeling"
the procedure. In preparing a toddler for a procedure, the
child is allowed to participate in care and help whenever
possible. Teaching sessions for toddlers should be about
5 to 10 minutes. Use a small replica of the equipment
and allow the child to handle it.
PTS: 1 DIF: Cognitive Level: Application REF: 1248
OBJ: Client Needs: Health Promotion and Maintenance
TOP: Nursing Process: Planning
... 5. The nurse is preparing a 12-year-old girl for a bone marrow aspiration. She
tells the nurse that she wants her mother with her "like before." The most
appropriate nursing action is to:
a. Grant her request.
b. Explain why this is not possible.
c. Identify an appropriate substitute for her mother.