, Test Bank Davis Advantage for Pediatric Nursing The
Critical Components of Nursing Care 3RD Edition by
Kathryn Rudd Chapter 1-22
Chapter 1 Issues and Trends in Pediatric Nursing
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. The nurse has provided a presentation to middle school children about nursing as a career. One of the children
stated that he wanted to be a pediatric nurse, because he wants to take care of babies and little ―kids.‖ What
would be an appropriate response to this middle school–aged child?
1. ―Nursing is a general practice; all nurses must know how to take care of all ages of patients.‖
2. ―As a pediatric nurse, you would get to care for babies and little kids as well as
3. ―What you are describing is actually a neonatal nurse. Neonatal nurses work withyears.‖
children through their teenage
newborn babies, toddlers, and preschool-age children.‖
4. ―Being a pediatric nurse requires a master’s degree, so be sure to work hard in
school!‖
2. The medical-surgical float nurse is assigned to the pediatric unit for the first time and states that the skills are
―the same as general nursing since children are little adults with smaller bodies.‖ What component of pediatric
nursing contraindicates this statement?
1. Pediatric nursing involves care based on the developmental level of the patient.
2. Pediatric nursing involves the patient’s family in the plan of care.
3. Pediatric nursing in based on prevention of infectious diseases.
4. Pediatric nursing involves cultural sensitivity in patient care.
3. The culturally sensitive pediatric nurse is aware of the changes in the racial population of the United States.
Which of the following reflects the historical changes in the projected demographics of the U.S. pediatric
population in 2020?
1. The American Indian and Alaska Native population will continue to decrease.
2. Less than half of the children will represent less than half of the population.
3. The Asian children will reflect no change from 2015 into 2020.
4. Non-Hispanic children who represent two or more races will increase in 2020.
4. The nurse at a family clinic is providing care to an adolescent patient diagnosed with diabetes. The patient has
verbalized discomfort with the feelings of isolation when unable to drink alcohol with their friends. Which of the
following would be the most appropriate response to this statement?
1. ―Drinking alcohol is not only illegal but dangerous for your blood sugar control and overall well-
being.‖
2. ―You can still drink alcohol, in moderation, if you control the sugar spike with more insulin.‖
3. ―Prepare for alcohol intake with more water and less carbohydrates before drinking in order to slow
sugar spikes.‖
, 4. ―It is understandable that you want to be included, but perhaps we can work out a plan on how to
avoid those situations
5. Which statement best describes the common core concepts of the different models of pediatric nursing?
1. All models focus on the open communication between the child and nurse.
2. All models focus on importance of family relationship to the child.
3. All models focus on safeguarding the child’s dignity during care.
4. All models focus on coordination of care needs that arise during illness.
6. Which of the following tasks is associated with the pediatric medical home care model of pediatric nursing?
1. The nurse refers the family to a childhood cancer support group prior to discharge from the
hospital.
2. The nurse includes a simple explanation of the procedure to the child based upon the child’s
developmental level.
3. The nurse includes the family’s cultural celebrations and observations while providing care to the
child.
4. The nurse develops the plan of care with the child and family as the focal point of the
interventions
7. The pediatric nurse begins a research project on 8-year-old patients with the medical diagnosis of pediatric acute
onset neuropsychiatric syndrome, PANS. The family has consented to the research, but as the nurse begins to
administer the intervention, the patient refuses to cooperate.
What is the appropriate response to this refusal?
1. The nurse should discuss with the family the options of performing the intervention without the
child’s knowledge.
2. The nurse should explain to the child that this is necessary and promise a reward at the end of the
research project.
3. The nurse should refuse to perform the intervention until the child consents to the intervention
and project.
4. The nurse should discuss the pros and cons of the research project with the child and focus on
the outcomes
, 8. A nurse is providing relationship-based care to a pediatric patient. Which of the following is a
challenge the nurse is likely to encounter while using this model of care?
1. Maintaining a sterile field for a procedure with a restless toddler
2. Communicating with the blended family on regular basis
3. Treating children with antibiotic-resistant illnesses
4. Caring for a larger number of children with autism spectrum disorders and childhood
depression
9. The pediatric nurse desires to expand her career options to become the hospital’s nurse educator of
pediatrics. Which of the following is necessary for this nurse to achieve this career goal?
1. The nurse must earn a minimum of a master’s degree in nursing.
2. The nurse must earn a minimum of a doctorate degree in nursing.
3. The nurse must implement and develop research in nursing practice.
4. The nurse must implement a plan to obtain certification in pediatrics.
10. The school nurse is developing a teaching session for the population of children in a middle school. The
nurse has determined that the greatest need for the overall health of the children is promotion of healthy
foods. Which of the following interventions is most likely to be effective?
1. Remove all unhealthy snacks from the vending machines.
2. Have a poster contest on healthy eating options.
3. Survey the student population during lunch breaks.
4. Engage the students in healthy choices with cooking lessons.
11. The nurse recognizes the needs of professional development to provide safe and effective care to the
pediatric population by attending which of the following courses?
1. Procedure with rationale to administer HPV vaccines to the middle school population
2. Study review of the incidence of bullying and intimidation in the elementary school
population
3. Demographic study of the U.S. population with regard to cultural diversity and practices
4. How to provide individual health care education for the children without parental
interference
12. Which of the following continuing education courses would best enhance the pediatric nurse’s practice in
relationship to current trends?
1. Evidence-based practice on improving antibiotic adherence with education to the family unit
2. Evidence-based practice on proper administration of antibiotics for children with
autoimmune diseases
3. How to enhance communication with children in regards to adherence to antibiotic use
4. How to decrease instances of exacerbation of infections of children with autoimmune
diseases with antibiotics
13. The pediatric nurse is developing interventions for a school-aged child based on the nursing diagnosis of
impaired body image related to BMI of 37 and poor food choices as evidenced by patient’s mother’s food
Copyright © 2019 F. A. Davis Company
Critical Components of Nursing Care 3RD Edition by
Kathryn Rudd Chapter 1-22
Chapter 1 Issues and Trends in Pediatric Nursing
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. The nurse has provided a presentation to middle school children about nursing as a career. One of the children
stated that he wanted to be a pediatric nurse, because he wants to take care of babies and little ―kids.‖ What
would be an appropriate response to this middle school–aged child?
1. ―Nursing is a general practice; all nurses must know how to take care of all ages of patients.‖
2. ―As a pediatric nurse, you would get to care for babies and little kids as well as
3. ―What you are describing is actually a neonatal nurse. Neonatal nurses work withyears.‖
children through their teenage
newborn babies, toddlers, and preschool-age children.‖
4. ―Being a pediatric nurse requires a master’s degree, so be sure to work hard in
school!‖
2. The medical-surgical float nurse is assigned to the pediatric unit for the first time and states that the skills are
―the same as general nursing since children are little adults with smaller bodies.‖ What component of pediatric
nursing contraindicates this statement?
1. Pediatric nursing involves care based on the developmental level of the patient.
2. Pediatric nursing involves the patient’s family in the plan of care.
3. Pediatric nursing in based on prevention of infectious diseases.
4. Pediatric nursing involves cultural sensitivity in patient care.
3. The culturally sensitive pediatric nurse is aware of the changes in the racial population of the United States.
Which of the following reflects the historical changes in the projected demographics of the U.S. pediatric
population in 2020?
1. The American Indian and Alaska Native population will continue to decrease.
2. Less than half of the children will represent less than half of the population.
3. The Asian children will reflect no change from 2015 into 2020.
4. Non-Hispanic children who represent two or more races will increase in 2020.
4. The nurse at a family clinic is providing care to an adolescent patient diagnosed with diabetes. The patient has
verbalized discomfort with the feelings of isolation when unable to drink alcohol with their friends. Which of the
following would be the most appropriate response to this statement?
1. ―Drinking alcohol is not only illegal but dangerous for your blood sugar control and overall well-
being.‖
2. ―You can still drink alcohol, in moderation, if you control the sugar spike with more insulin.‖
3. ―Prepare for alcohol intake with more water and less carbohydrates before drinking in order to slow
sugar spikes.‖
, 4. ―It is understandable that you want to be included, but perhaps we can work out a plan on how to
avoid those situations
5. Which statement best describes the common core concepts of the different models of pediatric nursing?
1. All models focus on the open communication between the child and nurse.
2. All models focus on importance of family relationship to the child.
3. All models focus on safeguarding the child’s dignity during care.
4. All models focus on coordination of care needs that arise during illness.
6. Which of the following tasks is associated with the pediatric medical home care model of pediatric nursing?
1. The nurse refers the family to a childhood cancer support group prior to discharge from the
hospital.
2. The nurse includes a simple explanation of the procedure to the child based upon the child’s
developmental level.
3. The nurse includes the family’s cultural celebrations and observations while providing care to the
child.
4. The nurse develops the plan of care with the child and family as the focal point of the
interventions
7. The pediatric nurse begins a research project on 8-year-old patients with the medical diagnosis of pediatric acute
onset neuropsychiatric syndrome, PANS. The family has consented to the research, but as the nurse begins to
administer the intervention, the patient refuses to cooperate.
What is the appropriate response to this refusal?
1. The nurse should discuss with the family the options of performing the intervention without the
child’s knowledge.
2. The nurse should explain to the child that this is necessary and promise a reward at the end of the
research project.
3. The nurse should refuse to perform the intervention until the child consents to the intervention
and project.
4. The nurse should discuss the pros and cons of the research project with the child and focus on
the outcomes
, 8. A nurse is providing relationship-based care to a pediatric patient. Which of the following is a
challenge the nurse is likely to encounter while using this model of care?
1. Maintaining a sterile field for a procedure with a restless toddler
2. Communicating with the blended family on regular basis
3. Treating children with antibiotic-resistant illnesses
4. Caring for a larger number of children with autism spectrum disorders and childhood
depression
9. The pediatric nurse desires to expand her career options to become the hospital’s nurse educator of
pediatrics. Which of the following is necessary for this nurse to achieve this career goal?
1. The nurse must earn a minimum of a master’s degree in nursing.
2. The nurse must earn a minimum of a doctorate degree in nursing.
3. The nurse must implement and develop research in nursing practice.
4. The nurse must implement a plan to obtain certification in pediatrics.
10. The school nurse is developing a teaching session for the population of children in a middle school. The
nurse has determined that the greatest need for the overall health of the children is promotion of healthy
foods. Which of the following interventions is most likely to be effective?
1. Remove all unhealthy snacks from the vending machines.
2. Have a poster contest on healthy eating options.
3. Survey the student population during lunch breaks.
4. Engage the students in healthy choices with cooking lessons.
11. The nurse recognizes the needs of professional development to provide safe and effective care to the
pediatric population by attending which of the following courses?
1. Procedure with rationale to administer HPV vaccines to the middle school population
2. Study review of the incidence of bullying and intimidation in the elementary school
population
3. Demographic study of the U.S. population with regard to cultural diversity and practices
4. How to provide individual health care education for the children without parental
interference
12. Which of the following continuing education courses would best enhance the pediatric nurse’s practice in
relationship to current trends?
1. Evidence-based practice on improving antibiotic adherence with education to the family unit
2. Evidence-based practice on proper administration of antibiotics for children with
autoimmune diseases
3. How to enhance communication with children in regards to adherence to antibiotic use
4. How to decrease instances of exacerbation of infections of children with autoimmune
diseases with antibiotics
13. The pediatric nurse is developing interventions for a school-aged child based on the nursing diagnosis of
impaired body image related to BMI of 37 and poor food choices as evidenced by patient’s mother’s food
Copyright © 2019 F. A. Davis Company
