ADVANTAGE FOR MATERNAL-
NEWBORN NURSING: THE
CRITICAL COMPONENTS OF
NURSING CARE, 5TH EDITION, BY
ROBERTA DURHAM, LINDA
CHAPMAN, ALL CHAPTERS 1 - 19
LATEST
Pediatric Nursing: The Critical Components of Nursing
Care — Practice Exam
Chapter 1: Issues and Trends in Pediatric Nursing
1. A pediatric nurse is providing care for a hospitalized 3-year-old. Which
intervention best supports the principle of atraumatic care?
A. Performing all procedures without explanation to minimize distress
B. Using age-appropriate explanations before procedures
C. Restricting parental presence during painful procedures
D. Avoiding comfort items to promote independence
,Rationale: Atraumatic care focuses on minimizing physical and psychological distress
for children and families. Using age-appropriate explanations reduces fear and
promotes coping.
2. Which pediatric nursing approach recognizes the family as central to the child's
care?
A. Task-centered care
B. Family-centered care
C. Provider-centered care
D. Disease-focused care
Rationale: Family-centered care recognizes the family as the constant in a child's life
and collaborates with them in planning and delivering care.
3. An adolescent who is economically self-supporting and not subject to parental
control is considered:
A. A mature minor
B. An emancipated minor
C. A dependent minor
D. A consenting adult
Rationale: Emancipated minors are adolescents under 18 who are economically self-
supporting and not subject to parental control, such as those who are married,
pregnant, enlisted, or incarcerated.
Chapter 2: Standards of Practice and Ethical Considerations
4. The nurse is caring for a child whose parents refuse a life-saving blood
transfusion due to religious beliefs. The nurse's priority action is to:
A. Administer the transfusion against the parents' wishes
B. Respect the parents' decision without further discussion
C. Notify the appropriate authorities and follow institutional policy
D. Ask the child to consent to the transfusion
Rationale: When parental refusal of treatment poses a risk to the child's life, the nurse
must follow institutional policy and involve appropriate authorities. The child's welfare is
the priority.
, 5. Which ethical principle is demonstrated when the nurse provides honest
information to a child about a procedure?
A. Autonomy
B. Beneficence
C. Veracity
D. Justice
Rationale: Veracity is the ethical principle of truth-telling. Providing honest, age-
appropriate information respects the child's right to know about their care.
Chapter 3: Family Dynamics and Communicating with
Children and Families
6. A nurse is assessing a family with a new baby. Which factor is most important
for promoting healthy family dynamics?
A. High family income
B. Effective communication and problem-solving
C. Large extended family network
D. Parents with advanced education
Rationale: Healthy family dynamics are characterized by effective communication,
problem-solving abilities, and mutual support. Income and education are not primary
determinants of family function.
7. When communicating with a preschooler about a procedure, which technique is
most appropriate?
A. Providing a detailed explanation of the pathophysiology
B. Using play and simple, concrete language
C. Showing the child a medical textbook
D. Explaining the procedure to the parent only
Rationale: Preschoolers learn best through play and concrete explanations. Simple
language and play therapy reduce fear and promote cooperation.
Chapter 4: Cultural, Spiritual, and Environmental Influences
on the Child