PEDIATRIC CASE STUDY QUESTIONS &[ [ [ [
100% CORRECT ANSWERS
[
[
[ [
Because [injuries [are [the [most [common [cause [of [death [and [disability [in [children [in [the [United
[States, [the [stage [of [development [can [determine [the [type [of [injury [that [is [most [likely [to [occur. [A
[nurse [caring [for [a [2-year-old [child [would [focus [on [which [areas [when [discussing [safety [concerns
[for [the [home? [Select [all [that [apply.
A) [A [newborn [may [roll [over [and [fall [off [an [elevated [surface.
B) [The [need [to [conform [and [gain [acceptance [from [his [or [her [peers [may [make [a [school-age [child
[accept [a [dare.
C) [Toddlers [who [can [run [and [climb [may [be [susceptible [to [burns, [falls, [and [collisions [with [objects.
D) [A [toddler [may [drive [a [ride-on [car [in [a [reckless [manner.
E) [A [crawling [infant [may [aspirate [due [to [the [tendency [to [place [objects [on [the [floor [in [his [or [her
[mouth. [- [correct [answer: [C,D
The [newest [nurse [on [the [pediatric [unit [is [concerned [about [promoting [family-centered [care [for
[the [patients [the [nurse [cares [for. The [nurse [is [working [on [an [inpatient [cancer [unit [and [caring [for
[a [7-year-old [child [with [leukemia. [Which [actions [are [important [for [the [nurse [to [consider [that [will
[promote [family-centered [care [for [this [child [and [the [child's [family [on [the [nurse's [unit? [
Select [all [that [apply.
A) [Strive [to [empower [the [family.
B) [Purchase [toys [and [clothes [for [the [child.
C) [Explore [the [family's [strengths [that [will [support [the
child.
D) [Call [the [child [frequently [after [discharge [to [offer [sup-
port.
E) [Assess [the [family's [concerns [and [anxiety.
,F) [Restrict [visitor [access [to [the [child.
G) [Have [a [calming [influence. [- [correct [answer: [A,C,E,G
The [nurse [is [explaining [the [importance [of [limit [setting [and [discipline [to [a [toddler's [parent. [In
[what [ways [do [limit [setting [and [discipline [specifically [help [children? [
Select [all [that [apply.
A) [Protects [them [from [danger
B) [Helps [them [learn [socially [acceptable [behavior
C) [Tests [the [limits [of [their [control
D) [Helps [them [channel [undesirable [feelings [into [constructive [activity
E) [Helps [them [achieve [appropriate [mastery [at [their [development [level [- [correct [answer:
[A,B,C,D,E
The [nurse [is [caring [for [a [child [and [family [that [have [recently [moved [from [China. [It [is [important
[for [the [nurse [to [understand [the [importance [of [culture [and [the [impact [it [has [on [the [child [and
[family. [Which [of [these [questions [would [be [used [to [explore [the [family's [concerns?
Select [all [that [apply.
[
A) [What [do [you [fear [most [about [your [child's [illness?
B) [Why [did [you [wait [until [now [to [seek [treatment?
C) [What [do [you [think [caused [your [child's [health
problem?
D) [What [did [you [do [to [cause [the [child [to [become [ill?
E) [How [does [your [child's [sickness [affect [your [family? [- [correct [answer: [A,C,E
A [38-year-old [mother [of [a [2-month-old [infant [returns [to [the [clinic [for [vaccinations. [The [mother
[expresses [concern [about [her [infant [having [a [genetic [disorder [and [is [requesting [an [expert
, [evaluation. [The [nurse [demonstrates [understanding [of [the [importance [of [a [genetic [referral [when
[the [nurse [identifies [which [pediatric [indications [for [consultation? [
Select [all [that [apply. [
A. [Family [history [of [birth [defects
B. [History [of [developmental [problems [in [other [children [
C. [Major [congenital [anomaly
D. [Anemia [at [birth
E. [Abnormal [newborn [screen
F. [Prematurity [- [correct [answer: [A,B,C,E
The [nurse [is [caring [for [a [child [with [a [genetic [disorder [and [has [completed [an [extensive [history [of
[the [family [and [child. [When [asked [to [construct [a [pedigree, [which [of [the [following [guidelines [are
[important [to [consider?
Select [all [that [apply.
A. [Include [three [generations [in [the [pedigree. [
B. [Symbolize [generations [by [Roman [numerals.
C. [Date [the [pedigree [and [update [at [subsequent [visits.
D. [Represent [female [family [members [with [a [square
and [male [family [members [with [a [circle.
E. [Include [name, [age, [health [problems, [date, [and [cause
of [death.
F. [Use [vertical [lines [to [show [pairs [who [have [married [and [have [children. [- [correct [answer: [A,B,C,E
The [parents [of [a [young [infant [have [arrived [for [a [well [child [visit. [The [nurse [begins [the [interview
[and [notices [that [the [mother [becomes [extremely [anxious [with [the [interview [questions. [Because
[blocks [to [communication [can [adversely [affect [the [child's [care, [the [nurse [must [look [for [and
100% CORRECT ANSWERS
[
[
[ [
Because [injuries [are [the [most [common [cause [of [death [and [disability [in [children [in [the [United
[States, [the [stage [of [development [can [determine [the [type [of [injury [that [is [most [likely [to [occur. [A
[nurse [caring [for [a [2-year-old [child [would [focus [on [which [areas [when [discussing [safety [concerns
[for [the [home? [Select [all [that [apply.
A) [A [newborn [may [roll [over [and [fall [off [an [elevated [surface.
B) [The [need [to [conform [and [gain [acceptance [from [his [or [her [peers [may [make [a [school-age [child
[accept [a [dare.
C) [Toddlers [who [can [run [and [climb [may [be [susceptible [to [burns, [falls, [and [collisions [with [objects.
D) [A [toddler [may [drive [a [ride-on [car [in [a [reckless [manner.
E) [A [crawling [infant [may [aspirate [due [to [the [tendency [to [place [objects [on [the [floor [in [his [or [her
[mouth. [- [correct [answer: [C,D
The [newest [nurse [on [the [pediatric [unit [is [concerned [about [promoting [family-centered [care [for
[the [patients [the [nurse [cares [for. The [nurse [is [working [on [an [inpatient [cancer [unit [and [caring [for
[a [7-year-old [child [with [leukemia. [Which [actions [are [important [for [the [nurse [to [consider [that [will
[promote [family-centered [care [for [this [child [and [the [child's [family [on [the [nurse's [unit? [
Select [all [that [apply.
A) [Strive [to [empower [the [family.
B) [Purchase [toys [and [clothes [for [the [child.
C) [Explore [the [family's [strengths [that [will [support [the
child.
D) [Call [the [child [frequently [after [discharge [to [offer [sup-
port.
E) [Assess [the [family's [concerns [and [anxiety.
,F) [Restrict [visitor [access [to [the [child.
G) [Have [a [calming [influence. [- [correct [answer: [A,C,E,G
The [nurse [is [explaining [the [importance [of [limit [setting [and [discipline [to [a [toddler's [parent. [In
[what [ways [do [limit [setting [and [discipline [specifically [help [children? [
Select [all [that [apply.
A) [Protects [them [from [danger
B) [Helps [them [learn [socially [acceptable [behavior
C) [Tests [the [limits [of [their [control
D) [Helps [them [channel [undesirable [feelings [into [constructive [activity
E) [Helps [them [achieve [appropriate [mastery [at [their [development [level [- [correct [answer:
[A,B,C,D,E
The [nurse [is [caring [for [a [child [and [family [that [have [recently [moved [from [China. [It [is [important
[for [the [nurse [to [understand [the [importance [of [culture [and [the [impact [it [has [on [the [child [and
[family. [Which [of [these [questions [would [be [used [to [explore [the [family's [concerns?
Select [all [that [apply.
[
A) [What [do [you [fear [most [about [your [child's [illness?
B) [Why [did [you [wait [until [now [to [seek [treatment?
C) [What [do [you [think [caused [your [child's [health
problem?
D) [What [did [you [do [to [cause [the [child [to [become [ill?
E) [How [does [your [child's [sickness [affect [your [family? [- [correct [answer: [A,C,E
A [38-year-old [mother [of [a [2-month-old [infant [returns [to [the [clinic [for [vaccinations. [The [mother
[expresses [concern [about [her [infant [having [a [genetic [disorder [and [is [requesting [an [expert
, [evaluation. [The [nurse [demonstrates [understanding [of [the [importance [of [a [genetic [referral [when
[the [nurse [identifies [which [pediatric [indications [for [consultation? [
Select [all [that [apply. [
A. [Family [history [of [birth [defects
B. [History [of [developmental [problems [in [other [children [
C. [Major [congenital [anomaly
D. [Anemia [at [birth
E. [Abnormal [newborn [screen
F. [Prematurity [- [correct [answer: [A,B,C,E
The [nurse [is [caring [for [a [child [with [a [genetic [disorder [and [has [completed [an [extensive [history [of
[the [family [and [child. [When [asked [to [construct [a [pedigree, [which [of [the [following [guidelines [are
[important [to [consider?
Select [all [that [apply.
A. [Include [three [generations [in [the [pedigree. [
B. [Symbolize [generations [by [Roman [numerals.
C. [Date [the [pedigree [and [update [at [subsequent [visits.
D. [Represent [female [family [members [with [a [square
and [male [family [members [with [a [circle.
E. [Include [name, [age, [health [problems, [date, [and [cause
of [death.
F. [Use [vertical [lines [to [show [pairs [who [have [married [and [have [children. [- [correct [answer: [A,B,C,E
The [parents [of [a [young [infant [have [arrived [for [a [well [child [visit. [The [nurse [begins [the [interview
[and [notices [that [the [mother [becomes [extremely [anxious [with [the [interview [questions. [Because
[blocks [to [communication [can [adversely [affect [the [child's [care, [the [nurse [must [look [for [and
