NU 435 Pediatric Exam 1
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2025-2026 Latest
1. Chapter 01: Perspectives of Pediatric e.
Nursing
2. 1. What is the major cause of death for c. Injuries
children in the United States?
ANS: C
a. Heart disease Unintentional injuries (accidents) are the lead-
b. Childhood cancer ing cause of death after
c. Injuries age 1 year through adolescence. The leading
d. Congenital anomalies cause of death for those
younger than 1 year is congenital anomalies,
and childhood cancers and heart disease cause
a
significantly lower percentage of deaths in chil-
dren older than 1 year of age.
3. 2. Parents of a hospitalized toddler ask c. Family-centered care recognizes that the
the nurse, "What is meant by family-cen- family is the constant in a child's life.
tered care?" The
nurse should respond with which state- The three key components of family-centered
ment? care are respect, collaboration, and support.
Familycentered
a. Family-centered care reduces the ef- care recognizes the family as the constant in the
fect of cultural diversity on the family. child's life. The family should be
b. Family-centered care encourages enabled and empowered to work with the
family dependence on the health care health care system and is expected to be part
system. of the
c. Family-centered care recognizes that decision-making process. The nurse should
the family is the constant in a child's life. also support the family's cultural diversity, not
d. Family-centered care avoids expect- reduce
ing families to be part of the deci- its effect.
, NU 435 Pediatric Exam 1
Study online at https://quizlet.com/_f4bo0k
sion-making
process.
4. 3. Evidence-based practice (EBP), a deci- b. Combining knowledge with clinical experi-
sion-making model, is best described as ence and intuition
which?
EBP helps focus on measurable outcomes; the
a. Using information in textbooks to use of demonstrated, effective interventions;
guide care and
b. Combining knowledge with clinical questioning the best approach. EBP involves
experience and intuition decision making based on the integration of
c. Using a professional code of ethics as the best
a means for decision making research evidence combined with clinical ex-
d. Gathering all evidence that applies to pertise and patient values.
the child's health and family situation
5. 4. The nurse is talking to a group of a. Childhood obesity is the most common nu-
parents of school-age children at an af- tritional problem among children.
ter-school program
about childhood health problems. When teaching parents of school-age children
Which statement should the nurse in- about childhood health problems, the nurse
clude in the teaching? should
include information about childhood obesi-
a. Childhood obesity is the most com- ty because it is the most common problem
mon nutritional problem among chil- among
dren. children and is associated with type 2 diabetes.
b. Immunization rates are the same Teaching parents about ways to prevent obesity
among children of different races and is
ethnicity. important to include. Immunization rates differ
c. Dental caries is not a problem com- depending on the child's race and ethnicity;
monly seen in children since the intro- dental
duction of caries continues to be a common chronic dis-
, NU 435 Pediatric Exam 1
Study online at https://quizlet.com/_f4bo0k
fluorinated water. ease in childhood; and mental health problems
d. Mental health problems are typically are
not seen in school-age children but may seen in children as young as school age, not
be just in adolescents.
diagnosed in adolescents.
6. 5. The nurse is planning care for a hos- c. Allow the child to choose the type of juice to
pitalized preschool-aged child. Which drink with the administration of oral
should the nurse medications.
plan to ensure atraumatic care?
The overriding goal in providing atraumatic
a. Limit explanation of procedures be- care is first, do no harm. Allowing the child, a
cause the child is preschool aged. choice of
b. Ask that all family members leave the juice to drink when taking oral medications
room when performing procedures. provides the child with a sense of control. The
c. Allow the child to choose the type of preschool
juice to drink with the administration of child should be prepared before procedures,
oral so limiting explanations of procedures would
medications. increase
d. Explain that EMLA cream cannot be anxiety. The family should be allowed to stay
used for the morning lab draw because with the child during procedures, minimizing
there stress.
is not time for it to be effective. Lidocaine/prilocaine (EMLA) cream is a topical
local anesthetic. The nurse should plan to use
the
prescribed cream in time for morning labora-
tory draws to minimize pain.
7. 6. Which situation denotes a nonther- b. During shift report, the nurse is criticizing
apeutic nurse-patient-family relation- parents for not visiting their child.
ship?
ANS: B
, NU 435 Pediatric Exam 1
Study online at https://quizlet.com/_f4bo0k
a. The nurse is planning to read a fa- Criticizing parents for not visiting in shift report
vorite fairy tale to a patient. is nontherapeutic and shows an under
b. During shift report, the nurse is involvement with the parents. Reading a fairy
criticizing parents for not visiting their tale is a therapeutic and age-appropriate ac-
child. tion.
c. The nurse is discussing with a fellow Discussing feelings of an emotional draw with
nurse the emotional draw to a certain a fellow nurse is therapeutic and shows a
patient. willingness to understand feelings. Working
d. The nurse is working with a family to with parents to decrease dependence on health
find ways to decrease the family's care
dependence on health care providers. providers is therapeutic and helps to empower
the family.
8. 7. The nurse is aware that which a. Preschool
age-group is at risk for childhood injury
because of the ANS: A
cognitive characteristic of magical and Preschool children have the cognitive char-
egocentric thinking? acteristic of magical and egocentric thinking,
meaning
a. Preschool they are unable to comprehend danger to self
b. Young school age or others. Young and middle school-aged chil-
c. Middle school age dren
d. Adolescent have transitional cognitive processes, and they
may attempt dangerous acts without detailed
planning but recognize danger to themselves
or others. Adolescents have formal operational
cognitive processes and are preoccupied with
abstract thinking.
9. 8. The school nurse is assessing children b. Male, high activity level, stressful home life
for risk factors related to childhood in-
juries. Which child ANS: B
Study online at https://quizlet.com/_f4bo0k
2025-2026 Latest
1. Chapter 01: Perspectives of Pediatric e.
Nursing
2. 1. What is the major cause of death for c. Injuries
children in the United States?
ANS: C
a. Heart disease Unintentional injuries (accidents) are the lead-
b. Childhood cancer ing cause of death after
c. Injuries age 1 year through adolescence. The leading
d. Congenital anomalies cause of death for those
younger than 1 year is congenital anomalies,
and childhood cancers and heart disease cause
a
significantly lower percentage of deaths in chil-
dren older than 1 year of age.
3. 2. Parents of a hospitalized toddler ask c. Family-centered care recognizes that the
the nurse, "What is meant by family-cen- family is the constant in a child's life.
tered care?" The
nurse should respond with which state- The three key components of family-centered
ment? care are respect, collaboration, and support.
Familycentered
a. Family-centered care reduces the ef- care recognizes the family as the constant in the
fect of cultural diversity on the family. child's life. The family should be
b. Family-centered care encourages enabled and empowered to work with the
family dependence on the health care health care system and is expected to be part
system. of the
c. Family-centered care recognizes that decision-making process. The nurse should
the family is the constant in a child's life. also support the family's cultural diversity, not
d. Family-centered care avoids expect- reduce
ing families to be part of the deci- its effect.
, NU 435 Pediatric Exam 1
Study online at https://quizlet.com/_f4bo0k
sion-making
process.
4. 3. Evidence-based practice (EBP), a deci- b. Combining knowledge with clinical experi-
sion-making model, is best described as ence and intuition
which?
EBP helps focus on measurable outcomes; the
a. Using information in textbooks to use of demonstrated, effective interventions;
guide care and
b. Combining knowledge with clinical questioning the best approach. EBP involves
experience and intuition decision making based on the integration of
c. Using a professional code of ethics as the best
a means for decision making research evidence combined with clinical ex-
d. Gathering all evidence that applies to pertise and patient values.
the child's health and family situation
5. 4. The nurse is talking to a group of a. Childhood obesity is the most common nu-
parents of school-age children at an af- tritional problem among children.
ter-school program
about childhood health problems. When teaching parents of school-age children
Which statement should the nurse in- about childhood health problems, the nurse
clude in the teaching? should
include information about childhood obesi-
a. Childhood obesity is the most com- ty because it is the most common problem
mon nutritional problem among chil- among
dren. children and is associated with type 2 diabetes.
b. Immunization rates are the same Teaching parents about ways to prevent obesity
among children of different races and is
ethnicity. important to include. Immunization rates differ
c. Dental caries is not a problem com- depending on the child's race and ethnicity;
monly seen in children since the intro- dental
duction of caries continues to be a common chronic dis-
, NU 435 Pediatric Exam 1
Study online at https://quizlet.com/_f4bo0k
fluorinated water. ease in childhood; and mental health problems
d. Mental health problems are typically are
not seen in school-age children but may seen in children as young as school age, not
be just in adolescents.
diagnosed in adolescents.
6. 5. The nurse is planning care for a hos- c. Allow the child to choose the type of juice to
pitalized preschool-aged child. Which drink with the administration of oral
should the nurse medications.
plan to ensure atraumatic care?
The overriding goal in providing atraumatic
a. Limit explanation of procedures be- care is first, do no harm. Allowing the child, a
cause the child is preschool aged. choice of
b. Ask that all family members leave the juice to drink when taking oral medications
room when performing procedures. provides the child with a sense of control. The
c. Allow the child to choose the type of preschool
juice to drink with the administration of child should be prepared before procedures,
oral so limiting explanations of procedures would
medications. increase
d. Explain that EMLA cream cannot be anxiety. The family should be allowed to stay
used for the morning lab draw because with the child during procedures, minimizing
there stress.
is not time for it to be effective. Lidocaine/prilocaine (EMLA) cream is a topical
local anesthetic. The nurse should plan to use
the
prescribed cream in time for morning labora-
tory draws to minimize pain.
7. 6. Which situation denotes a nonther- b. During shift report, the nurse is criticizing
apeutic nurse-patient-family relation- parents for not visiting their child.
ship?
ANS: B
, NU 435 Pediatric Exam 1
Study online at https://quizlet.com/_f4bo0k
a. The nurse is planning to read a fa- Criticizing parents for not visiting in shift report
vorite fairy tale to a patient. is nontherapeutic and shows an under
b. During shift report, the nurse is involvement with the parents. Reading a fairy
criticizing parents for not visiting their tale is a therapeutic and age-appropriate ac-
child. tion.
c. The nurse is discussing with a fellow Discussing feelings of an emotional draw with
nurse the emotional draw to a certain a fellow nurse is therapeutic and shows a
patient. willingness to understand feelings. Working
d. The nurse is working with a family to with parents to decrease dependence on health
find ways to decrease the family's care
dependence on health care providers. providers is therapeutic and helps to empower
the family.
8. 7. The nurse is aware that which a. Preschool
age-group is at risk for childhood injury
because of the ANS: A
cognitive characteristic of magical and Preschool children have the cognitive char-
egocentric thinking? acteristic of magical and egocentric thinking,
meaning
a. Preschool they are unable to comprehend danger to self
b. Young school age or others. Young and middle school-aged chil-
c. Middle school age dren
d. Adolescent have transitional cognitive processes, and they
may attempt dangerous acts without detailed
planning but recognize danger to themselves
or others. Adolescents have formal operational
cognitive processes and are preoccupied with
abstract thinking.
9. 8. The school nurse is assessing children b. Male, high activity level, stressful home life
for risk factors related to childhood in-
juries. Which child ANS: B
