nnnnFULL TEST BANK n n
DAVIS ADVANTAGE for Pediatric Nursing:Critical Components of Nursing
n n n n n n n n
Care, 3rd Edition by Kathryn Rudd
n n n n n n
,Chapter 1: Issues and Trends in Pediatric Nursing
n n n n n n n
Multiple Choice
n
Identify the choice that best completes the statement or answers the question.
n n n n n n n n n n n
n 1. The RN has provided a presentation to middle school children about nursing as a career. One ofthe
n n n n n n n n n n n n n n n n n
children stated that he wanted to be a pediatric RN, because he wants to take care of babies and little
n n n n n n n n n n n n n n n n n n n n
“kids.” What would be an appropriate response to this middle school–aged child?
n n n n n n n n n n n n
1. “Nursing is a general practice; all RNs must know how to take care of all ages of n n n n n n n n n n n n n n n n
clients.” n
2. “As a pediatric RN, you would get to care for babies and little kids as well as
n n n n n n n n n n n n n n n n
children through their teenage years.”
n n n n n
3. “What you are describing is actually a neonatal RN. Neonatal RNs work with n n n n n n n n n n n n
newborn babies, toddlers, and preschool-age children.”
n n n n n n
4. “Being a pediatric RN requires a master’s degree, so be sure to work hard in n n n n n n n n n n n n n n
school!” n
n 2. The medical-surgical float RN is assigned to the pediatric unit for the first time and states thatthe skills
n n n n n n n n n n n n n n n n n n
are “the same as general nursing since children are little adults with smaller bodies.” What component
n n n n n n n n n n n n n n n n
of pediatric nursing contraindicates this statement?
n n n n n n
1. Pediatric nursing involves care based on the developmental level ofthe client. n n n n n n n n n n n
2. Pediatric nursing involves the client’s family in the plan ofcare. n n n n n n n n n n
3. Pediatric nursing in based on prevention of infectious diseases. n n n n n n n n
4. Pediatric nursing involves cultural sensitivity inclient care. n n n n n n n
n 3. The culturally sensitive pediatric RN is aware of the racial makeup of the U.S. population. Which of
n n n n n n n n n n n n n n n n
the following reflects the demographics of the U.S. pediatric population in 2018, basedon U.S. Census
n n n n n n n n n n n n n n n n
Bureau data? n n
1. The American Indian and Alaska Native population represent one-fifth of the
n n n n n n n n n n
pediatric population. n n
2. About half of the children fall in the category of something other than White non-
n n n n n n n n n n n n n n
Hispanic. n
3. The population of Asian children decreased from 2015 to 2018.
n n n n n n n n n
4. There was no change in the population of Non-Hispanic children who representtwo
n n n n n n n n n n n n
or more races between 2015 and 2018.
n n n n n n n
n 4. The RN at a family clinic is providing care to an adolescent client diagnosed with diabetes. Theclient
n n n n n n n n n n n n n n n n n
has verbalized discomfort with the feelings of isolation when unable to drink alcohol with their
n n n n n n n n n n n n n n n
friends. Which of the following would be the most appropriate response to this statement?
n n n n n n n n n n n n n n
1. “Drinking alcohol is not only illegal but dangerous for your blood sugar controland n n n n n n n n n n n n n
overall well-being.” n n
2. “You can still drink alcohol, in moderation, if you control the sugar spike with
n n n n n n n n n n n n n
more insulin.” n n
3. “Prepare for alcohol intake with more water and less carbohydrates before drinkingto n n n n n n n n n n n n
slow sugar spikes.” n n n
4. “It is understandable that you want to be included, but perhaps we can work out aplan
n n n n n n n n n n n n n n n n
on how to work through those situations.”
n n n n n n n
,n 5. Which statement best describes the common core concepts of the different models of pediatric
n n n n n n n n n n n n n
nursing?
n
1. All models focus on the open communication between the child and RN.
n n n n n n n n n n n
2. All models focus on importance of family relationship to the child.
n n n n n n n n n n
3. All models focus on safeguarding the child’s dignity during care.
n n n n n n n n n
4. All models focus on coordination of care needs that arise during illness.
n n n n n n n n n n n
n 6. Which ofthe following tasks is associated with the pediatric medical home care model of pediatric
n n n n n n n n n n n n n n n
nursing?
n
1. The RN refers the family to a childhood cancer support group prior to dischargefrom
n n n n n n n n n n n n n n
the hospital.
n n
2. The RN includes a simple explanation of the procedure to the child based on thechild’s
n n n n n n n n n n n n n n n
developmental level.
n n
3. The RN includes the family’s cultural celebrations and observations while
n n n n n n n n n
providing care to the child.
n n n n n
4. The RN develops the plan of care with the child and family as the focal point ofthe
n n n n n n n n n n n n n n n n n
interventions.
n
n 7. The pediatric RN begins a research project on 8-year-old clients with the medical diagnosis ofpediatric
n n n n n n n n n n n n n n n
acute-onset neuropsychiatric syndrome (PANS). The family has consented to the research, but as the
n n n n n n n n n n n n n n
RN begins to administer the intervention, the client refuses to cooperate. What is the appropriate
n n n n n n n n n n n n n n n
response to this refusal?
n n n n
1. The RN should discuss with the family the options of performing the
n n n n n n n n n n n
intervention without the child’s knowledge.
n n n n n
2. The RN should explain to the child that this is necessary and promise a reward atthe end
n n n n n n n n n n n n n n n n n
of the research project.
n n n n
3. The RN should refuse to perform the intervention until the child consents to the
n n n n n n n n n n n n n
intervention and project.
n n n
4. The RN should discuss the pros and cons of the research project with the childand
n n n n n n n n n n n n n n n
focus on the outcomes.
n n n n
n 8. A RN is providing relationship-based care to a pediatric client. Which of the following is achallenge the
n n n n n n n n n n n n n n n n n
RN is likely to encounter while using this model of care?
n n n n n n n n n n n
1. Maintaining a sterile field for a procedure with a restless toddler n n n n n n n n n n
2. Communicating with the blended family on regular basis n n n n n n n
3. Treating children with antibiotic-resistant illnesses n n n n
4. Caring for a larger number of children with autism spectrum disorders and
n n n n n n n n n n n
childhood depression
n n
n 9. The pediatric RN desires to expand his or her career options to become the hospital’s RN educator of
n n n n n n n n n n n n n n n n n
pediatrics. Which of the following is necessary for this RN to achieve this careergoal?
n n n n n n n n n n n n n n n
1. The RN is recommended to earn a minimum of a master’s degree in nursing.
n n n n n n n n n n n n n
2. The RN must earn a minimum of a doctorate degree in nursing.
n n n n n n n n n n n
3. The RN must implement and develop research in nursing practice.
n n n n n n n n n
4. The RN must implement aplan to obtain certification in pediatrics.
n n n n n n n n n n
, n nn n 10. The school RN is developing a teaching session for the population of children in a middle school. The
n n n n n n n n n n n n n n n n n n
RN has determined that the greatest need for the overall health of the children is promotion of
n n n n n n n n n n n n n n n n n
healthy foods. Which ofthe following interventions is most likely to be effective?
n n n n n n n n n n n n n
1. Remove all unhealthy snacks from the vending machines. n n n n n n n
2. Have a poster contest on healthy eating options.
n n n n n n n
3. Surveythe learner population during lunch breaks. n n n n n n
4. Engage the learners in healthy choices with cooking lessons. n n n n n n n n
n nn n 11. The RN recognizes the needs of professional development to provide safe and effective care tothe
n n n n n n n n n n n n n n n n
pediatric population by attending which of the following courses?
n n n n n n n n n
1. Procedure with rationale to administer human papilloma vaccine to the middle n n n n n n n n n n
school population
n n
2. Study review of the incidence of bullying and intimidation in the elementary
n n n n n n n n n n n
school population
n n
3. Demographic study of the U.S. population with regard to cultural diversity and n n n n n n n n n n n
practices
n
4. How to provide individual health care education for the children without parental
n n n n n n n n n n n
interference
n
n nn n 12. Which of the following continuing education courses would best enhance the pediatric RN’s
n n n n n n n n n n n n n
practice in relationship to current trends?
n n n n n n
1. Evidence-based practice on improving antibiotic adherence with education to the n n n n n n n n n
family unit
n n
2. Evidence-based practice on proper administration of antibiotics for children with n n n n n n n n n
autoimmune diseases
n n
3. How to enhance communication with children in regards to adherence to antibioticuse
n n n n n n n n n n n n
4. How to decrease instances of exacerbation of infections of children with
n n n n n n n n n n
autoimmune diseases with antibiotics
n n n n
n nn n 13. The pediatric RN is developing interventions for a school-aged child based on the nursing diagnosis of
n n n n n n n n n n n n n n n n
imbalanced nutrition related to a body mass index (BMI) of 37 and poor food choicesas evidenced by
n n n n n n n n n n n n n n n n n n
client’s mother’s food diary for the family and child’s statements of food preferences. Which of the
n n n n n n n n n n n n n n n n
following would be an appropriate nursing intervention?
n n n n n n n
1. Provide the child and family with information from https://www.MyPlate.gov for
n n n n n n n n n
healthy food options.
n n n
2. Increase the child’s activity by incorporating the child’s friends into a plan of
n n n n n n n n n n n n
healthy exercise options.
n n n
3. Explain the importance of balancing diet and exercise to prevent obesity to the
n n n n n n n n n n n n
child and family.
n n n
4. Provide information on the increased risk for potential disease processes such as
n n n n n n n n n n n
diabetes and hypertension.
n n n
n nn n 14. The RN is developing interventions for a transgender adolescent based on the nursing diagnosis
n n n n n n n n n n n n n n
decreased self-esteem related to transgender identity as evidenced by statements of feeling
n n n n n n n n n n n n
“worthless, different, and alone.” What would be the most appropriate intervention based on the
n n n n n n n n n n n n n n
diagnosis?
n
1. Give positive feedback on personal choices as appropriate.
n n n n n n n
DAVIS ADVANTAGE for Pediatric Nursing:Critical Components of Nursing
n n n n n n n n
Care, 3rd Edition by Kathryn Rudd
n n n n n n
,Chapter 1: Issues and Trends in Pediatric Nursing
n n n n n n n
Multiple Choice
n
Identify the choice that best completes the statement or answers the question.
n n n n n n n n n n n
n 1. The RN has provided a presentation to middle school children about nursing as a career. One ofthe
n n n n n n n n n n n n n n n n n
children stated that he wanted to be a pediatric RN, because he wants to take care of babies and little
n n n n n n n n n n n n n n n n n n n n
“kids.” What would be an appropriate response to this middle school–aged child?
n n n n n n n n n n n n
1. “Nursing is a general practice; all RNs must know how to take care of all ages of n n n n n n n n n n n n n n n n
clients.” n
2. “As a pediatric RN, you would get to care for babies and little kids as well as
n n n n n n n n n n n n n n n n
children through their teenage years.”
n n n n n
3. “What you are describing is actually a neonatal RN. Neonatal RNs work with n n n n n n n n n n n n
newborn babies, toddlers, and preschool-age children.”
n n n n n n
4. “Being a pediatric RN requires a master’s degree, so be sure to work hard in n n n n n n n n n n n n n n
school!” n
n 2. The medical-surgical float RN is assigned to the pediatric unit for the first time and states thatthe skills
n n n n n n n n n n n n n n n n n n
are “the same as general nursing since children are little adults with smaller bodies.” What component
n n n n n n n n n n n n n n n n
of pediatric nursing contraindicates this statement?
n n n n n n
1. Pediatric nursing involves care based on the developmental level ofthe client. n n n n n n n n n n n
2. Pediatric nursing involves the client’s family in the plan ofcare. n n n n n n n n n n
3. Pediatric nursing in based on prevention of infectious diseases. n n n n n n n n
4. Pediatric nursing involves cultural sensitivity inclient care. n n n n n n n
n 3. The culturally sensitive pediatric RN is aware of the racial makeup of the U.S. population. Which of
n n n n n n n n n n n n n n n n
the following reflects the demographics of the U.S. pediatric population in 2018, basedon U.S. Census
n n n n n n n n n n n n n n n n
Bureau data? n n
1. The American Indian and Alaska Native population represent one-fifth of the
n n n n n n n n n n
pediatric population. n n
2. About half of the children fall in the category of something other than White non-
n n n n n n n n n n n n n n
Hispanic. n
3. The population of Asian children decreased from 2015 to 2018.
n n n n n n n n n
4. There was no change in the population of Non-Hispanic children who representtwo
n n n n n n n n n n n n
or more races between 2015 and 2018.
n n n n n n n
n 4. The RN at a family clinic is providing care to an adolescent client diagnosed with diabetes. Theclient
n n n n n n n n n n n n n n n n n
has verbalized discomfort with the feelings of isolation when unable to drink alcohol with their
n n n n n n n n n n n n n n n
friends. Which of the following would be the most appropriate response to this statement?
n n n n n n n n n n n n n n
1. “Drinking alcohol is not only illegal but dangerous for your blood sugar controland n n n n n n n n n n n n n
overall well-being.” n n
2. “You can still drink alcohol, in moderation, if you control the sugar spike with
n n n n n n n n n n n n n
more insulin.” n n
3. “Prepare for alcohol intake with more water and less carbohydrates before drinkingto n n n n n n n n n n n n
slow sugar spikes.” n n n
4. “It is understandable that you want to be included, but perhaps we can work out aplan
n n n n n n n n n n n n n n n n
on how to work through those situations.”
n n n n n n n
,n 5. Which statement best describes the common core concepts of the different models of pediatric
n n n n n n n n n n n n n
nursing?
n
1. All models focus on the open communication between the child and RN.
n n n n n n n n n n n
2. All models focus on importance of family relationship to the child.
n n n n n n n n n n
3. All models focus on safeguarding the child’s dignity during care.
n n n n n n n n n
4. All models focus on coordination of care needs that arise during illness.
n n n n n n n n n n n
n 6. Which ofthe following tasks is associated with the pediatric medical home care model of pediatric
n n n n n n n n n n n n n n n
nursing?
n
1. The RN refers the family to a childhood cancer support group prior to dischargefrom
n n n n n n n n n n n n n n
the hospital.
n n
2. The RN includes a simple explanation of the procedure to the child based on thechild’s
n n n n n n n n n n n n n n n
developmental level.
n n
3. The RN includes the family’s cultural celebrations and observations while
n n n n n n n n n
providing care to the child.
n n n n n
4. The RN develops the plan of care with the child and family as the focal point ofthe
n n n n n n n n n n n n n n n n n
interventions.
n
n 7. The pediatric RN begins a research project on 8-year-old clients with the medical diagnosis ofpediatric
n n n n n n n n n n n n n n n
acute-onset neuropsychiatric syndrome (PANS). The family has consented to the research, but as the
n n n n n n n n n n n n n n
RN begins to administer the intervention, the client refuses to cooperate. What is the appropriate
n n n n n n n n n n n n n n n
response to this refusal?
n n n n
1. The RN should discuss with the family the options of performing the
n n n n n n n n n n n
intervention without the child’s knowledge.
n n n n n
2. The RN should explain to the child that this is necessary and promise a reward atthe end
n n n n n n n n n n n n n n n n n
of the research project.
n n n n
3. The RN should refuse to perform the intervention until the child consents to the
n n n n n n n n n n n n n
intervention and project.
n n n
4. The RN should discuss the pros and cons of the research project with the childand
n n n n n n n n n n n n n n n
focus on the outcomes.
n n n n
n 8. A RN is providing relationship-based care to a pediatric client. Which of the following is achallenge the
n n n n n n n n n n n n n n n n n
RN is likely to encounter while using this model of care?
n n n n n n n n n n n
1. Maintaining a sterile field for a procedure with a restless toddler n n n n n n n n n n
2. Communicating with the blended family on regular basis n n n n n n n
3. Treating children with antibiotic-resistant illnesses n n n n
4. Caring for a larger number of children with autism spectrum disorders and
n n n n n n n n n n n
childhood depression
n n
n 9. The pediatric RN desires to expand his or her career options to become the hospital’s RN educator of
n n n n n n n n n n n n n n n n n
pediatrics. Which of the following is necessary for this RN to achieve this careergoal?
n n n n n n n n n n n n n n n
1. The RN is recommended to earn a minimum of a master’s degree in nursing.
n n n n n n n n n n n n n
2. The RN must earn a minimum of a doctorate degree in nursing.
n n n n n n n n n n n
3. The RN must implement and develop research in nursing practice.
n n n n n n n n n
4. The RN must implement aplan to obtain certification in pediatrics.
n n n n n n n n n n
, n nn n 10. The school RN is developing a teaching session for the population of children in a middle school. The
n n n n n n n n n n n n n n n n n n
RN has determined that the greatest need for the overall health of the children is promotion of
n n n n n n n n n n n n n n n n n
healthy foods. Which ofthe following interventions is most likely to be effective?
n n n n n n n n n n n n n
1. Remove all unhealthy snacks from the vending machines. n n n n n n n
2. Have a poster contest on healthy eating options.
n n n n n n n
3. Surveythe learner population during lunch breaks. n n n n n n
4. Engage the learners in healthy choices with cooking lessons. n n n n n n n n
n nn n 11. The RN recognizes the needs of professional development to provide safe and effective care tothe
n n n n n n n n n n n n n n n n
pediatric population by attending which of the following courses?
n n n n n n n n n
1. Procedure with rationale to administer human papilloma vaccine to the middle n n n n n n n n n n
school population
n n
2. Study review of the incidence of bullying and intimidation in the elementary
n n n n n n n n n n n
school population
n n
3. Demographic study of the U.S. population with regard to cultural diversity and n n n n n n n n n n n
practices
n
4. How to provide individual health care education for the children without parental
n n n n n n n n n n n
interference
n
n nn n 12. Which of the following continuing education courses would best enhance the pediatric RN’s
n n n n n n n n n n n n n
practice in relationship to current trends?
n n n n n n
1. Evidence-based practice on improving antibiotic adherence with education to the n n n n n n n n n
family unit
n n
2. Evidence-based practice on proper administration of antibiotics for children with n n n n n n n n n
autoimmune diseases
n n
3. How to enhance communication with children in regards to adherence to antibioticuse
n n n n n n n n n n n n
4. How to decrease instances of exacerbation of infections of children with
n n n n n n n n n n
autoimmune diseases with antibiotics
n n n n
n nn n 13. The pediatric RN is developing interventions for a school-aged child based on the nursing diagnosis of
n n n n n n n n n n n n n n n n
imbalanced nutrition related to a body mass index (BMI) of 37 and poor food choicesas evidenced by
n n n n n n n n n n n n n n n n n n
client’s mother’s food diary for the family and child’s statements of food preferences. Which of the
n n n n n n n n n n n n n n n n
following would be an appropriate nursing intervention?
n n n n n n n
1. Provide the child and family with information from https://www.MyPlate.gov for
n n n n n n n n n
healthy food options.
n n n
2. Increase the child’s activity by incorporating the child’s friends into a plan of
n n n n n n n n n n n n
healthy exercise options.
n n n
3. Explain the importance of balancing diet and exercise to prevent obesity to the
n n n n n n n n n n n n
child and family.
n n n
4. Provide information on the increased risk for potential disease processes such as
n n n n n n n n n n n
diabetes and hypertension.
n n n
n nn n 14. The RN is developing interventions for a transgender adolescent based on the nursing diagnosis
n n n n n n n n n n n n n n
decreased self-esteem related to transgender identity as evidenced by statements of feeling
n n n n n n n n n n n n
“worthless, different, and alone.” What would be the most appropriate intervention based on the
n n n n n n n n n n n n n n
diagnosis?
n
1. Give positive feedback on personal choices as appropriate.
n n n n n n n
