NURS 535 Practice Exam Questions with
Verified Answers
What are the primary goals of pediatric clinical practice? - ✔✔To deliver socially equitable,
culturally sensitive, ethical, and psychosocially informed care to all children.
What key considerations should be addressed in pediatric care? - ✔✔Address health disparities,
support social, cognitive, and emotional development, and assess environmental factors that
may influence adult disease.
What types of illnesses fall under the scope of pediatric care? - ✔✔Acute illnesses, chronic
illnesses, and mental health issues.
What is a major reason for pediatric hospitalizations? - ✔✔Chronic illnesses.
What model is used for team-based care in pediatrics? - ✔✔Patient-Centered Medical Home
(PCMH), which emphasizes continuous, coordinated care.
Who is included in the multidisciplinary team of a Patient-Centered Medical Home? -
✔✔Pediatricians, nurses, social workers, psychologists, and psychiatrists.
What is the goal of the multidisciplinary team in pediatric care? - ✔✔To assess, refer, and
manage physical, social, emotional, and cognitive needs.
How does the Patient-Centered Medical Home model differ from school-based or retail health
clinics? - ✔✔PCMH offers coordinated follow-up, while school-based or retail clinics often lack
this.
,Why can't infants and young children make autonomous medical decisions? - ✔✔They are not
capable of making informed decisions regarding their health.
Who provides consent for medical decisions on behalf of infants and young children? -
✔✔Parents or guardians provide consent in the best interest of the child.
What is the difference between assent and consent in pediatric care? - ✔✔Assent is the
agreement of a minor to participate in treatment, while consent is the legal permission
provided by parents or guardians.
What is the legal authority to make medical decisions for individuals typically 18 years or older?
- ✔✔Consent.
What term describes involving a child in medical decision-making according to their cognitive
ability? - ✔✔Assent.
What is the significance of assent in pediatric care? - ✔✔It encourages understanding of
treatment, risks, and benefits, and most adolescents can provide assent even if not full consent.
What are some exceptions where adolescents may consent to medical care without parental
involvement? - ✔✔Adolescents may consent to specific sexual or mental health care.
What is shared decision-making in pediatric care? - ✔✔It incorporates both the child's assent
and parental consent, with confidentiality considerations potentially limiting parental
knowledge.
Why is confidentiality important in pediatric care? - ✔✔It is central to trust-building between
the patient and healthcare provider.
,When is genetic testing and screening indicated in pediatric care? - ✔✔Only when results will
benefit the child or guide treatment.
What ethical conflicts might pediatricians face regarding religious considerations? -
✔✔Common conflicts include blood transfusions and end-of-life care.
What regulations govern children as research subjects? - ✔✔Strict regulations are in place to
protect them from undue risk.
What ethical principles should be applied during scarce resource allocation? - ✔✔Ethical
principles should guide the fair distribution of care during crises, such as pandemics.
What are the requirements for autonomous decision-making in pediatric patients? -
✔✔Patients must understand the nature, risks, and benefits of interventions, reason about
outcomes, and apply personal values.
What does HIPAA protect in pediatric care? - ✔✔It protects confidentiality.
What defines a mature minor in the context of medical consent? - ✔✔A mature minor is an
adolescent recognized by some states as competent to consent for medical care due to
cognitive or emotional maturity.
What is the status of emancipated minors regarding medical care? - ✔✔Emancipated minors
can seek care independently under certain conditions, such as being graduated, married, living
alone, pregnant, or a member of the armed forces.
What types of care can minors seek independently? - ✔✔Minors may independently seek care
for STDs, certain mental health conditions, drug/alcohol treatment, and other contagious
diseases.
, What are the key components of well visits in pediatric care? - ✔✔History taking, physical
examination, developmental assessment, nutritional evaluation, screening tests,
immunizations, anticipatory guidance, and parent/guardian counseling.
What is the purpose of well visits in pediatric care? - ✔✔To provide comprehensive pediatric
care, offer anticipatory guidance, assess health, and support parents in creating a healthy
environment.
What framework do well visits follow? - ✔✔They are based on American Academy of Pediatrics
(AAP) guidelines.
What is unique about history taking in pediatrics? - ✔✔It involves parents' observations and the
child's perspective if age-appropriate.
What is a key takeaway regarding pediatric care? - ✔✔Pediatric care requires integration of
physical, emotional, social, and cultural considerations.
How does multidisciplinary, coordinated care impact pediatric outcomes? - ✔✔It improves
outcomes.
Why is understanding assent, consent, and legal frameworks crucial in pediatric practice? -
✔✔It is essential for ethical pediatric practice.
What role do confidentiality and advocacy play in supporting children and adolescents? -
✔✔They are central to effectively supporting children and adolescents.
What are common ethical dilemmas in pediatric care? - ✔✔They often involve genetics,
religion, and resource allocation, requiring careful navigation.
Verified Answers
What are the primary goals of pediatric clinical practice? - ✔✔To deliver socially equitable,
culturally sensitive, ethical, and psychosocially informed care to all children.
What key considerations should be addressed in pediatric care? - ✔✔Address health disparities,
support social, cognitive, and emotional development, and assess environmental factors that
may influence adult disease.
What types of illnesses fall under the scope of pediatric care? - ✔✔Acute illnesses, chronic
illnesses, and mental health issues.
What is a major reason for pediatric hospitalizations? - ✔✔Chronic illnesses.
What model is used for team-based care in pediatrics? - ✔✔Patient-Centered Medical Home
(PCMH), which emphasizes continuous, coordinated care.
Who is included in the multidisciplinary team of a Patient-Centered Medical Home? -
✔✔Pediatricians, nurses, social workers, psychologists, and psychiatrists.
What is the goal of the multidisciplinary team in pediatric care? - ✔✔To assess, refer, and
manage physical, social, emotional, and cognitive needs.
How does the Patient-Centered Medical Home model differ from school-based or retail health
clinics? - ✔✔PCMH offers coordinated follow-up, while school-based or retail clinics often lack
this.
,Why can't infants and young children make autonomous medical decisions? - ✔✔They are not
capable of making informed decisions regarding their health.
Who provides consent for medical decisions on behalf of infants and young children? -
✔✔Parents or guardians provide consent in the best interest of the child.
What is the difference between assent and consent in pediatric care? - ✔✔Assent is the
agreement of a minor to participate in treatment, while consent is the legal permission
provided by parents or guardians.
What is the legal authority to make medical decisions for individuals typically 18 years or older?
- ✔✔Consent.
What term describes involving a child in medical decision-making according to their cognitive
ability? - ✔✔Assent.
What is the significance of assent in pediatric care? - ✔✔It encourages understanding of
treatment, risks, and benefits, and most adolescents can provide assent even if not full consent.
What are some exceptions where adolescents may consent to medical care without parental
involvement? - ✔✔Adolescents may consent to specific sexual or mental health care.
What is shared decision-making in pediatric care? - ✔✔It incorporates both the child's assent
and parental consent, with confidentiality considerations potentially limiting parental
knowledge.
Why is confidentiality important in pediatric care? - ✔✔It is central to trust-building between
the patient and healthcare provider.
,When is genetic testing and screening indicated in pediatric care? - ✔✔Only when results will
benefit the child or guide treatment.
What ethical conflicts might pediatricians face regarding religious considerations? -
✔✔Common conflicts include blood transfusions and end-of-life care.
What regulations govern children as research subjects? - ✔✔Strict regulations are in place to
protect them from undue risk.
What ethical principles should be applied during scarce resource allocation? - ✔✔Ethical
principles should guide the fair distribution of care during crises, such as pandemics.
What are the requirements for autonomous decision-making in pediatric patients? -
✔✔Patients must understand the nature, risks, and benefits of interventions, reason about
outcomes, and apply personal values.
What does HIPAA protect in pediatric care? - ✔✔It protects confidentiality.
What defines a mature minor in the context of medical consent? - ✔✔A mature minor is an
adolescent recognized by some states as competent to consent for medical care due to
cognitive or emotional maturity.
What is the status of emancipated minors regarding medical care? - ✔✔Emancipated minors
can seek care independently under certain conditions, such as being graduated, married, living
alone, pregnant, or a member of the armed forces.
What types of care can minors seek independently? - ✔✔Minors may independently seek care
for STDs, certain mental health conditions, drug/alcohol treatment, and other contagious
diseases.
, What are the key components of well visits in pediatric care? - ✔✔History taking, physical
examination, developmental assessment, nutritional evaluation, screening tests,
immunizations, anticipatory guidance, and parent/guardian counseling.
What is the purpose of well visits in pediatric care? - ✔✔To provide comprehensive pediatric
care, offer anticipatory guidance, assess health, and support parents in creating a healthy
environment.
What framework do well visits follow? - ✔✔They are based on American Academy of Pediatrics
(AAP) guidelines.
What is unique about history taking in pediatrics? - ✔✔It involves parents' observations and the
child's perspective if age-appropriate.
What is a key takeaway regarding pediatric care? - ✔✔Pediatric care requires integration of
physical, emotional, social, and cultural considerations.
How does multidisciplinary, coordinated care impact pediatric outcomes? - ✔✔It improves
outcomes.
Why is understanding assent, consent, and legal frameworks crucial in pediatric practice? -
✔✔It is essential for ethical pediatric practice.
What role do confidentiality and advocacy play in supporting children and adolescents? -
✔✔They are central to effectively supporting children and adolescents.
What are common ethical dilemmas in pediatric care? - ✔✔They often involve genetics,
religion, and resource allocation, requiring careful navigation.
