Peds Exam
Case Scenario for questions 1-3: Mia, a 4-year-old girl, is admitted to your unit
for pneumonia not improving at home on oral antibiotics. Orders for Mia
include an IV insertion to begin IV antibiotics.
Mia's mother expresses concern that Mia will be scared. Which response by
the nurse would be most appropriate?
"Don't worry; Mia is young and will tolerate the IV just fine."
"We will do our best to minimize the stress that your child experiences."
"Our practice of atraumatic care will eliminate all pain and stress for your
child."
"It will probably be upsetting for you as well, so you should not be in the
room." - correct answer ✔"We will do our best to minimize the stress that
your child experiences."
Case Scenario for questions 1-3: Mia, a 4-year-old girl, is admitted to your unit
for pneumonia not improving at home on oral antibiotics. Orders for Mia
include an IV insertion to begin IV antibiotics.
When providing atraumatic care to Mia, which action would be the most
appropriate?
Keep the lights on in her room throughout the day and night.
Apply restraints to Mia to help minimize movements when placing the IV
Limit the use of topical anesthetics for painful injections.
Allow Mia and her parents to make an informed choice about being together. -
correct answer ✔Allow Mia and her parents to make an informed choice
about being together.
,Case Scenario for questions 1-3: Mia, a 4-year-old girl, is admitted to your unit
for pneumonia not improving at home on oral antibiotics. Orders for Mia
include an IV insertion to begin IV antibiotics.
During her hospital stay, Mia insists on having the nurse perform every
assessment and intervention on her imaginary friend first. She then agrees to
have the assessment or intervention done to herself. The nurse identifies this
preschooler's behavior as:
Problematic, as it interferes with needed nursing care.
Normal, because the child is hospitalized and out of her routine.
Normal for this stage of growth and development.
Problematic; the child is old enough to begin to have a basis in reality. -
correct answer ✔Normal for this stage of growth and development.
A nurse is assessing a family as a system. Which of the following factors
should the nurse include when assessing sociocultural context?
The roles of family members.
The sense of self among individual family members.
The future goals of the family.
The family's religious practices. - correct answer ✔The family's religious
practices.
In pediatrics, nurses must consider certain legal issues when dealing with
children and their families. Select 2 that apply.
Parents or legal guardians always make healthcare decisions for the child.
a.Parents or legal guardians always make healthcare decisions for the child
, b.Children can provide assent to their healthcare treatments depending on
their developmental and/or maturity level.
c. Consent can be defined as the parents or legal guardians making
healthcare decisions for their child.
d. All children can refuse to consent to their treatment plans. - correct answer
✔b and c
A nurse is assisting a group of parents of adolescents to develop skills that
will improve communication within the family. The nurse hears one parent
state, "My son knows he better do what I say." Which of the following
parenting styles is the parent exhibiting?
Indifferent
Authoritarian
Permissive
Passive - correct answer ✔Authoritarian
What type of family structure has both a biological mother and biological
father raising their children?
An extended-family structure
A step-family structure
A same-sex couple family structure
A nuclear family structure - correct answer ✔A nuclear family structure
A school age child is hospitalized. Which of the following describe their level
of understanding of illness and impact of hospitalization? Select all that apply.
a. Limited ability to follow directions
Case Scenario for questions 1-3: Mia, a 4-year-old girl, is admitted to your unit
for pneumonia not improving at home on oral antibiotics. Orders for Mia
include an IV insertion to begin IV antibiotics.
Mia's mother expresses concern that Mia will be scared. Which response by
the nurse would be most appropriate?
"Don't worry; Mia is young and will tolerate the IV just fine."
"We will do our best to minimize the stress that your child experiences."
"Our practice of atraumatic care will eliminate all pain and stress for your
child."
"It will probably be upsetting for you as well, so you should not be in the
room." - correct answer ✔"We will do our best to minimize the stress that
your child experiences."
Case Scenario for questions 1-3: Mia, a 4-year-old girl, is admitted to your unit
for pneumonia not improving at home on oral antibiotics. Orders for Mia
include an IV insertion to begin IV antibiotics.
When providing atraumatic care to Mia, which action would be the most
appropriate?
Keep the lights on in her room throughout the day and night.
Apply restraints to Mia to help minimize movements when placing the IV
Limit the use of topical anesthetics for painful injections.
Allow Mia and her parents to make an informed choice about being together. -
correct answer ✔Allow Mia and her parents to make an informed choice
about being together.
,Case Scenario for questions 1-3: Mia, a 4-year-old girl, is admitted to your unit
for pneumonia not improving at home on oral antibiotics. Orders for Mia
include an IV insertion to begin IV antibiotics.
During her hospital stay, Mia insists on having the nurse perform every
assessment and intervention on her imaginary friend first. She then agrees to
have the assessment or intervention done to herself. The nurse identifies this
preschooler's behavior as:
Problematic, as it interferes with needed nursing care.
Normal, because the child is hospitalized and out of her routine.
Normal for this stage of growth and development.
Problematic; the child is old enough to begin to have a basis in reality. -
correct answer ✔Normal for this stage of growth and development.
A nurse is assessing a family as a system. Which of the following factors
should the nurse include when assessing sociocultural context?
The roles of family members.
The sense of self among individual family members.
The future goals of the family.
The family's religious practices. - correct answer ✔The family's religious
practices.
In pediatrics, nurses must consider certain legal issues when dealing with
children and their families. Select 2 that apply.
Parents or legal guardians always make healthcare decisions for the child.
a.Parents or legal guardians always make healthcare decisions for the child
, b.Children can provide assent to their healthcare treatments depending on
their developmental and/or maturity level.
c. Consent can be defined as the parents or legal guardians making
healthcare decisions for their child.
d. All children can refuse to consent to their treatment plans. - correct answer
✔b and c
A nurse is assisting a group of parents of adolescents to develop skills that
will improve communication within the family. The nurse hears one parent
state, "My son knows he better do what I say." Which of the following
parenting styles is the parent exhibiting?
Indifferent
Authoritarian
Permissive
Passive - correct answer ✔Authoritarian
What type of family structure has both a biological mother and biological
father raising their children?
An extended-family structure
A step-family structure
A same-sex couple family structure
A nuclear family structure - correct answer ✔A nuclear family structure
A school age child is hospitalized. Which of the following describe their level
of understanding of illness and impact of hospitalization? Select all that apply.
a. Limited ability to follow directions
