Peds Exam 1 (testbank) ACTUAL EXAM
QUESTIONS WITH COMPLETE SOLUTION
GUIDE (A+ GRADED 100% VERIFIED)
LATEST VERSION
Which nursing role is not directly involved when providing family-centered approach to the
pediatric population?
1. Advocacy
2. Case management
3. Patient education
4. Researcher - 4. Researcher
A nurse is working with pediatric clients in a research facility. The nurse recognizes that federal
guidelines are in place that delineate which pediatrics clients must give assent for participation
in research trials. Based upon the clients age, the nurse would seek assent from which children?
Select all that apply.
1. The precocious 4-year-old starting as a cystic fibrosis research-study participant.
2. The 7-year-old leukemia client electing to receive a newly developed medication, now being
researched.
3. The 10-year-old starting in an investigative study for clients with precocious puberty.
4. The 13-year-old client beginning participation in a research program for ADHD treatments. -
2. The 7-year-old leukemia client electing to receive a newly developed medication, now
being researched.
3. The 10-year-old starting in an investigative study for clients with precocious puberty.
,4. The 13-year-old client beginning participation in a research program for ADHD treatments.
The nurse in a pediatric acute-care unit is assigned the following tasks. Which task is not
appropriate for the registered to nurse complete?
1. Diagnose an 8-year-old with acute otitis media and prescribe an antibiotic.
2. Listen to the concerns of an adolescent about being out of school for a lengthy surgical
recovery.
3. Provide information to a mother of a newly diagnosed 4-year-old diabetic about local
support-group options.
4. Diagnose a 6-year-old with Diversional Activity Deficit related to placement in isolation. -
1. Diagnose an 8-year-old with acute otitis media and prescribe an antibiotic.
A 7-year-old child is admitted for acute appendicitis. The parents are questioning the nurse
about expectations during the childs recovery. Which information tool would be most useful in
answering a parents questions about the timing of key events?
1. Healthy People 2020
2. Clinical pathways
3. Child mortality statistics
4. National clinical practice guidelines - 2. Clinical pathways
The nurse recognizes that the pediatric client is from a cultural background different from that
of the hospital staff. Which goal is most appropriate for this client when planning nursing care?
1. Overlook or minimize the differences that exist.
2. Facilitate the family's ability to comply with the care needed.
3. Avoid inadvertently offending the family by imposing the nurses perspective.
4. Encourage complementary beneficial cultural practices as primary therapies. - 2. Facilitate
the family's ability to comply with the care needed.
,The telephone triage nurse at a pediatric clinic knows each call is important. Which call would
require extra attentiveness from the registered nurse because of an increased risk of mortality?
1. A 3-week-old infant born at 35 weeks gestation with gastroenteritis
2. A term 2-week-old infant of American Indian descent with an upper respiratory infection
3. A post term 4-week-old infant non-Hispanic black descent with moderate emesis after
feeding
4. A 1-week-old infant born at 40 weeks gestation with symptoms of colic - 1. A 3-week-old
infant born at 35 weeks gestation with gastroenteritis
Despite the availability of Childrens Health Insurance Programs (CHIP), many eligible children
are not enrolled. Which nursing intervention would be the most appropriate to help children
become enrolled in CHIP?
1. Assessment of the details of the familys income and expenditures
2. Case management to limit costly, unnecessary duplication of services
3. To advocate for the child by encouraging the family to investigate its CHIP eligibility
4. To educate the family about the need for keeping regular well-childvisit appointments - 3.
To advocate for the child by encouraging the family to investigate its CHIP eligibility
A supervisor is reviewing the documentation of the nurses in the unit. Which client
documentation is the most accurate and contains all the required part for a narrative entry?
1. 2/2/05 1630 Catheterized using an 8 French catheter, 45 mL clear yellow urine obtained,
specimen sent to lab, squirmed and cried softly during insertion of catheter. Quiet in mothers
arms following catheter removal. M. May RN
2. 1/9/05 2 pm NG tube placement confirmed and irrigated with 30 ml sterile water. Suction set
at low, intermittent. Oxygen via nasal canal at 2 L/min. Nares patent, pink, and nonirritated. K.
Earnst RN
3. 4:00 Trach dressing removed with dime-size stain of dry serous exudate. Site cleansed with
normal saline. Dried with sterile gauze. New sterile trach sponge and trach ties applied.
Respirations regular and even throughout the procedure. F. Luck RN
, 4. Feb. 05 Port-A-Cath assessed with Huber needle. Blood return presen - 1. 2/2/05 1630
Catheterized using an 8 French catheter, 45 mL clear yellow urine obtained, specimen sent to
lab, squirmed and cried softly during insertion of catheter. Quiet in mothers arms following
catheter removal. M. May RN
A 12-year-old pediatric client is in need of surgery. Which member of the health care team is
legally responsible for obtaining informed consent for an invasive procedure?
1. Nurse
2. Physician
3. Unit secretary
4. Social worker - 2. Physician
A child is being prepared for an invasive procedure. The mother of the child has legal custody
but is not present. After details of the procedure are explained, who can provide legal consent
on behalf of a minor child for treatment?
1. The divorced parent without custody
2. A cohabitating unmarried boyfriend of the childs mother
3. A grandparent who lives in the home with the child
4. A babysitter with written proxy consent - 4. A babysitter with written proxy consent
A 12-year-old child is admitted to the unit for a surgical procedure. The child is accompanied by
two parents and a younger sibling. What is the level of involvement in treatment decision
making for this child?
1. That of an emancipated minor.
2. That of a mature minor.
3. That of assent.
4. None. - 3. That of assent.
QUESTIONS WITH COMPLETE SOLUTION
GUIDE (A+ GRADED 100% VERIFIED)
LATEST VERSION
Which nursing role is not directly involved when providing family-centered approach to the
pediatric population?
1. Advocacy
2. Case management
3. Patient education
4. Researcher - 4. Researcher
A nurse is working with pediatric clients in a research facility. The nurse recognizes that federal
guidelines are in place that delineate which pediatrics clients must give assent for participation
in research trials. Based upon the clients age, the nurse would seek assent from which children?
Select all that apply.
1. The precocious 4-year-old starting as a cystic fibrosis research-study participant.
2. The 7-year-old leukemia client electing to receive a newly developed medication, now being
researched.
3. The 10-year-old starting in an investigative study for clients with precocious puberty.
4. The 13-year-old client beginning participation in a research program for ADHD treatments. -
2. The 7-year-old leukemia client electing to receive a newly developed medication, now
being researched.
3. The 10-year-old starting in an investigative study for clients with precocious puberty.
,4. The 13-year-old client beginning participation in a research program for ADHD treatments.
The nurse in a pediatric acute-care unit is assigned the following tasks. Which task is not
appropriate for the registered to nurse complete?
1. Diagnose an 8-year-old with acute otitis media and prescribe an antibiotic.
2. Listen to the concerns of an adolescent about being out of school for a lengthy surgical
recovery.
3. Provide information to a mother of a newly diagnosed 4-year-old diabetic about local
support-group options.
4. Diagnose a 6-year-old with Diversional Activity Deficit related to placement in isolation. -
1. Diagnose an 8-year-old with acute otitis media and prescribe an antibiotic.
A 7-year-old child is admitted for acute appendicitis. The parents are questioning the nurse
about expectations during the childs recovery. Which information tool would be most useful in
answering a parents questions about the timing of key events?
1. Healthy People 2020
2. Clinical pathways
3. Child mortality statistics
4. National clinical practice guidelines - 2. Clinical pathways
The nurse recognizes that the pediatric client is from a cultural background different from that
of the hospital staff. Which goal is most appropriate for this client when planning nursing care?
1. Overlook or minimize the differences that exist.
2. Facilitate the family's ability to comply with the care needed.
3. Avoid inadvertently offending the family by imposing the nurses perspective.
4. Encourage complementary beneficial cultural practices as primary therapies. - 2. Facilitate
the family's ability to comply with the care needed.
,The telephone triage nurse at a pediatric clinic knows each call is important. Which call would
require extra attentiveness from the registered nurse because of an increased risk of mortality?
1. A 3-week-old infant born at 35 weeks gestation with gastroenteritis
2. A term 2-week-old infant of American Indian descent with an upper respiratory infection
3. A post term 4-week-old infant non-Hispanic black descent with moderate emesis after
feeding
4. A 1-week-old infant born at 40 weeks gestation with symptoms of colic - 1. A 3-week-old
infant born at 35 weeks gestation with gastroenteritis
Despite the availability of Childrens Health Insurance Programs (CHIP), many eligible children
are not enrolled. Which nursing intervention would be the most appropriate to help children
become enrolled in CHIP?
1. Assessment of the details of the familys income and expenditures
2. Case management to limit costly, unnecessary duplication of services
3. To advocate for the child by encouraging the family to investigate its CHIP eligibility
4. To educate the family about the need for keeping regular well-childvisit appointments - 3.
To advocate for the child by encouraging the family to investigate its CHIP eligibility
A supervisor is reviewing the documentation of the nurses in the unit. Which client
documentation is the most accurate and contains all the required part for a narrative entry?
1. 2/2/05 1630 Catheterized using an 8 French catheter, 45 mL clear yellow urine obtained,
specimen sent to lab, squirmed and cried softly during insertion of catheter. Quiet in mothers
arms following catheter removal. M. May RN
2. 1/9/05 2 pm NG tube placement confirmed and irrigated with 30 ml sterile water. Suction set
at low, intermittent. Oxygen via nasal canal at 2 L/min. Nares patent, pink, and nonirritated. K.
Earnst RN
3. 4:00 Trach dressing removed with dime-size stain of dry serous exudate. Site cleansed with
normal saline. Dried with sterile gauze. New sterile trach sponge and trach ties applied.
Respirations regular and even throughout the procedure. F. Luck RN
, 4. Feb. 05 Port-A-Cath assessed with Huber needle. Blood return presen - 1. 2/2/05 1630
Catheterized using an 8 French catheter, 45 mL clear yellow urine obtained, specimen sent to
lab, squirmed and cried softly during insertion of catheter. Quiet in mothers arms following
catheter removal. M. May RN
A 12-year-old pediatric client is in need of surgery. Which member of the health care team is
legally responsible for obtaining informed consent for an invasive procedure?
1. Nurse
2. Physician
3. Unit secretary
4. Social worker - 2. Physician
A child is being prepared for an invasive procedure. The mother of the child has legal custody
but is not present. After details of the procedure are explained, who can provide legal consent
on behalf of a minor child for treatment?
1. The divorced parent without custody
2. A cohabitating unmarried boyfriend of the childs mother
3. A grandparent who lives in the home with the child
4. A babysitter with written proxy consent - 4. A babysitter with written proxy consent
A 12-year-old child is admitted to the unit for a surgical procedure. The child is accompanied by
two parents and a younger sibling. What is the level of involvement in treatment decision
making for this child?
1. That of an emancipated minor.
2. That of a mature minor.
3. That of assent.
4. None. - 3. That of assent.
