TEST BANK
Pediatric Nursing: The Critical Components of Nursing Care
Kathryn Rudd, and Diane Kocisko
3rd Edition
,Table of Contents
Chapter 01 Issues and Trends in Pediatric Nursing 1
Chapter 02 Standards of Practice and Ethical Considerations 16
Chapter 03 Family Dynamics and Communicating With Children and Families 32
Chapter 04 Cultural, Spiritual, and Environmental Influences on the Child 47
Chapter 05 End-of-Life Care 63
Chapter 06 Communicable Diseases 79
Chapter 07 Growth and Development of the Child 93
Chapter 08 Newborns and Infants 109
Chapter 09 Toddlers and Preschoolers 126
Chapter 10 School-Age Children 142
Chapter 11 Adolescents 158
Chapter 12 Respiratory Disorders 173
Chapter 13 Cardiovascular Disorders 188
Chapter 14 Neurological and Sensory Disorders 204
Chapter 15 Mental Health Disorders 220
Chapter 16 Gastrointestinal Disorders 236
Chapter 17 Renal Disorders 252
Chapter 18 Endocrine Disorders 267
Chapter 19 Reproductive and Genetic Disorders 283
Chapter 20 Hematological, Immunological, and Neoplastic Disorders 299
Chapter 21 Musculoskeletal Disorders 314
Chapter 22 Dermatological Diseases 328
Next Generation NCLEX Questions 343
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Test Bank - Pediatric Nursing: The Critical Components of Nursing Care, 3rd Edition (Rudd, 2023)
Chapter 1: Issues and Trends in Pediatric Nursing
MULTIPLE CHOICE
1. The nurse has provided a presentation to middle school children about nursing as a career.
One of the children stated that he wanted to be a pediatric nurse, because he wants to take
care of babies and little “kids.” What would be an appropriate response to this middle
school–aged child?
A. “Nursing is a general practice; all nurses must know how to take care of all ages of
patients.”
B. “As a pediatric nurse, you would get to care for babies and little kids as well as
children through their teenage years.”
C. “What you are describing is actually a neonatal nurse. Neonatal nurses work with
newborn babies, toddlers, and preschool-age children.”
D. “Being a pediatric nurse requires a master’s degree, so be sure to work hard in
school!”
ANS: B
Chapter: Chapter 1 Issues and Trends in Pediatric Nursing
Chapter Learning Objective: 1. Define pediatric nursing.
Page: 3
Heading: Introduction to Pediatric Nursing
Integrated Processes: Teaching and Learning
Client Need: Psychosocial Integrity
Cognitive Level: Application [Applying]
Concept: Cognition
Difficulty: Moderate
Feedback
A This is incorrect. Nurses can specialize in a number of areas. Pediatrics is one of
these areas.
B This is correct. Pediatric nursing care requires the nurse to use assessment and
evaluation tools that are unique to infants, children, and adolescent populations,
not just babies and young children.
C This is incorrect. This is not accurate. Neonatal nurses typically provide care to
infants. They would not provide care to toddlers or preschool-age children.
D This is incorrect. A master’s degree is not required to be a pediatric nurse.
However, advanced degrees and additional certification are available for
pediatric nurses.
PTS: 1 CON: Cognition
2. The medical-surgical float nurse is assigned to the pediatric unit for the first time and states
that the skills are “the same as general nursing since children are little adults with smaller
bodies.” What component of pediatric nursing contraindicates this statement?
A. Pediatric nursing involves care based on the developmental level of the patient.
B. Pediatric nursing involves the patient’s family in the plan of care.
C. Pediatric nursing in based on prevention of infectious diseases.
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Test Bank - Pediatric Nursing: The Critical Components of Nursing Care, 3rd Edition (Rudd, 2023)
D. Pediatric nursing involves cultural sensitivity in patient care.
ANS: A
Chapter: Chapter 1 Issues and Trends in Pediatric Nursing
Chapter Learning Objective: 7. Describe the roles of the pediatric nurse.
Page: 3
Heading: Introduction to Pediatric Nursing > Nursing Care for Children
Integrated Processes: Nursing Process
Client Need: Physiological Integrity: Reduction of Risk Potential
Cognitive Level: Analysis [Analyzing]
Concept: Safety
Difficulty: Moderate
Feedback
A This is correct. Pediatric nursing involves not only general nursing care and
planning but also the developmental level of the patient. The history of pediatric
nursing describes how the role has evolved into a specialty.
B This is incorrect. Although this is a component of pediatric nurses, it does not
answer the concern regarding the “little adults” comment.
C This is incorrect. Although this is a component of pediatric nurses, it does not
answer the concern regarding the “little adults” comment.
D This is incorrect. Although this is a component of pediatric nurses, it does not
answer the concern regarding the “little adults” comment.
PTS: 1 CON: Safety
3. The culturally sensitive pediatric nurse is aware of the racial makeup of the U.S. population.
Which of the following reflects the demographics of the U.S. pediatric population in 2018,
based on U.S. Census Bureau data?
A. The American Indian and Alaska Native population represent one-fifth of the
pediatric population.
B. About half of the children fall in the category of something other than White non-
Hispanic.
C. The population of Asian children decreased from 2015 to 2018.
D. There was no change in the population of Non-Hispanic children who represent
two or more races between 2015 and 2018.
ANS: B
Chapter: Chapter 1 Issues and Trends in Pediatric Nursing
Chapter Learning Objective: 4. Describe the projected racial population changes in the
United States.
Page: 5
Heading: Racial Makeup of American Children
Integrated Processes: Nursing Process
Client Need: Health Promotion and Maintenance
Cognitive Level: Application [Applying]
Concept: Population Health
Difficulty: Moderate
Feedback
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2|Page
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Test Bank - Pediatric Nursing: The Critical Components of Nursing Care, 3rd Edition (Rudd, 2023)
A This is incorrect. The American Indian and Alaska Native population represent
0.8% of the pediatric population.
B This is correct. About 50% of the children aged 0 to 17 in 2018 were White non-
Hispanic.
C This is incorrect. There was no change in the population of Asian, non-Hispanic
children from 2015 to 2018.
D This is incorrect. The population of non-Hispanic children who represent two or
more races increased from 4% in 2015 to 5% in 2018.
PTS: 1 CON: Population Health
4. The nurse at a family clinic is providing care to an adolescent patient diagnosed with
diabetes. The patient has verbalized discomfort with the feelings of isolation when unable to
drink alcohol with their friends. Which of the following would be the most appropriate
response to this statement?
A. “Drinking alcohol is not only illegal but dangerous for your blood sugar control
and overall well-being.”
B. “You can still drink alcohol, in moderation, if you control the sugar spike with
more insulin.”
C. “Prepare for alcohol intake with more water and less carbohydrates before drinking
to slow sugar spikes.”
D. “It is understandable that you want to be included, but perhaps we can work out a
plan on how to work through those situations.”
ANS: D
Chapter: Chapter 1 Issues and Trends in Pediatric Nursing
Chapter Learning Objective: 2. Describe the differences between nursing care of infants,
children, and adolescents and care of the adult population.
Page: 9
Heading: Role of the Pediatric Nurse
Integrated Processes: Communication and Documentation
Client Need: Physiological Integrity: Reduction of Risk Potential
Cognitive Level: Application [Applying]
Concept: Safety; Self
Difficulty: Moderate
Feedback
A This is incorrect. This is not a solution to the patient’s issues. The patient reports
feeling left out due to the disease process. This does not address the issue in a
developmentally appropriate manner to promote the optimal physical,
psychological, and social well-being.
B This is incorrect. This encourages unsafe health habits and does not address the
issue with the disease process and the adolescent’s need for inclusion.
C This is incorrect. This is not therapeutic communication, nor is it safe for the
adolescent. It does not care in a developmentally appropriate manner to promote
the optimal physical, psychological, and social well-being of the adolescent.
D This is correct. Helping the adolescent develop anticipatory guidance facilitates
independence and healthy responses to peer pressure.
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3|Page
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Test Bank - Pediatric Nursing: The Critical Components of Nursing Care, 3rd Edition (Rudd, 2023)
PTS: 1 CON: Safety | Self
5. Which statement best describes the common core concepts of the different models of
pediatric nursing?
A. All models focus on the open communication between the child and nurse.
B. All models focus on importance of family relationship to the child.
C. All models focus on safeguarding the child’s dignity during care.
D. All models focus on coordination of care needs that arise during illness.
ANS: B
Chapter: Chapter 1 Issues and Trends in Pediatric Nursing
Chapter Learning Objective: 5. Identify models of care applied to pediatric nursing.
Page: 5
Heading: Models of Care in Pediatric Nursing
Integrated Processes: Teaching and Learning
Client Need: Physiological Integrity: Physiological Adaptation
Cognitive Level: Analysis [Analyzing]
Concept: Family
Difficulty: Moderate
Feedback
A This is incorrect. This omits the necessity of family relationships in the care and
development of the child.
B This is correct. This is a common core concept in family-centered care,
relationship-based care, and pediatric medical home care.
C This is incorrect. This is a concept based on patient relationship-based care.
D This is incorrect. This is a component of pediatric medical home care.
PTS: 1 CON: Patient-Centered Care
6. Which of the following tasks is associated with the pediatric medical home care model of
pediatric nursing?
A. The nurse refers the family to a childhood cancer support group prior to discharge
from the hospital.
B. The nurse includes a simple explanation of the procedure to the child based on the
child’s developmental level.
C. The nurse includes the family’s cultural celebrations and observations while
providing care to the child.
D. The nurse develops the plan of care with the child and family as the focal point of
the interventions.
ANS: A
Chapter: Chapter 1 Issues and Trends in Pediatric Nursing
Chapter Learning Objective: 5. Identify models of care applied to pediatric nursing.
Page: 6
Heading: Models of Care in Pediatric Nursing > Pediatric Medical Home
Integrated Processes: Teaching and Learning
Client Need: Physiological Integrity: Physiological Adaptation
Cognitive Level: Application [Applying]
Concept: Family
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Test Bank - Pediatric Nursing: The Critical Components of Nursing Care, 3rd Edition (Rudd, 2023)
Difficulty: Moderate
Feedback
A This is correct. The pediatric medical home care model coordinates care and
includes referrals for community services for nonmedical needs.
B This is incorrect. This is a core concept of relationship-based care.
C This is incorrect. This is a core concept of cultural sensitivity and family-
centered care.
D This is incorrect. This is a core concept of relationship-based care.
PTS: 1 CON: Family
7. The pediatric nurse begins a research project on 8-year-old patients with the medical
diagnosis of pediatric acute-onset neuropsychiatric syndrome (PANS). The family has
consented to the research, but as the nurse begins to administer the intervention, the patient
refuses to cooperate. What is the appropriate response to this refusal?
A. The nurse should discuss with the family the options of performing the
intervention without the child’s knowledge.
B. The nurse should explain to the child that this is necessary and promise a reward at
the end of the research project.
C. The nurse should refuse to perform the intervention until the child consents to the
intervention and project.
D. The nurse should discuss the pros and cons of the research project with the child
and focus on the outcomes.
ANS: C
Chapter: Chapter 1 Issues and Trends in Pediatric Nursing
Chapter Learning Objective: 7. Describe the roles of the pediatric nurse; 9. Identify current
issues and trends in pediatric nursing practice, education, and research.
Page: 7
Heading: Issues in Pediatric Nursing
Integrated Processes: Nursing Process
Client Need: Physiological Integrity: Pharmacological and Parenteral Therapies
Cognitive Level: Analysis [Analyzing]
Concept: Communication; Professionalism
Difficulty: Moderate
Feedback
A This is incorrect. This could be considered assault and battery against the child.
Children aged 7 years and older can assent or dissent to be in a clinical trial.
B This is incorrect. This would be considered bribery, and per the Institutional
Review Board (IRB) guidelines, a clinical trial should not promise any direct
rewards.
C This is correct. Children aged 7 years and older can assent or dissent to be in a
clinical trial.
D This is incorrect. The 8-year-old child may not have the faculties or cognitive
development to comprehend “pros and cons” of a research project.
PTS: 1 CON: Communication; Professionalism
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Test Bank - Pediatric Nursing: The Critical Components of Nursing Care, 3rd Edition (Rudd, 2023)
8. A nurse is providing relationship-based care to a pediatric patient. Which of the following is
a challenge the nurse is likely to encounter while using this model of care?
A. Maintaining a sterile field for a procedure with a restless toddler
B. Communicating with the blended family on regular basis
C. Treating children with antibiotic-resistant illnesses
D. Caring for a larger number of children with autism spectrum disorders and
childhood depression
ANS: B
Chapter: Chapter 1 Issues and Trends in Pediatric Nursing
Chapter Learning Objective: 9. Identify current issues and trends in pediatric nursing
practice, education, and research.
Page: 7
Heading: Issues in Pediatric Nursing
Integrated Processes: Nursing Process
Client Need: Safe and Effective Care Environment
Cognitive Level: Analysis [Analyzing]
Concept: Family
Difficulty: Moderate
Feedback
A This is incorrect. This is a fundamental issue in nursing care, not a relationship
issue.
B This is correct. Maintaining communication with families and caregivers has
become more challenging due to the dynamics of current families.
C This is incorrect. There has been an increase in the number of antibiotic-resistant
illnesses. This is a trend that has influenced nursing roles and responsibilities,
not relationship-based care.
D This is incorrect. This is a trend that has influenced nursing roles and
responsibilities, not relationship-based care.
PTS: 1 CON: Family
9. The pediatric nurse desires to expand his or her career options to become the hospital’s
nurse educator of pediatrics. Which of the following is necessary for this nurse to achieve
this career goal?
A. The nurse is recommended to earn a minimum of a master’s degree in nursing.
B. The nurse must earn a minimum of a doctorate degree in nursing.
C. The nurse must implement and develop research in nursing practice.
D. The nurse must implement a plan to obtain certification in pediatrics.
ANS: A
Chapter: Chapter 1 Issues and Trends in Pediatric Nursing
Chapter Learning Objective: 8. Identify the different fields of pediatric nursing and the
education required for each.
Page: 7
Heading: Role of the Pediatric Nurse > Where Pediatric Nurses Work
Integrated Processes: Nursing Process
Client Need: Physiological Integrity
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Test Bank - Pediatric Nursing: The Critical Components of Nursing Care, 3rd Edition (Rudd, 2023)
Cognitive Level: Comprehension [Understanding]
Concept: Professionalism
Difficulty: Moderate
Feedback
A This is correct. Pediatric nurses with master’s degree preparation are often
employed as nurse educators. Many academic settings require nursing instructors
to have a nursing doctorate or be actively working to obtain a doctorate.
B This is incorrect. Pediatric nurses with master’s degree preparation are often
employed as nurse educators. Many academic settings require nursing instructors
to have a nursing doctorate or be actively working to obtain a doctorate
(keyword: minimum).
C This is incorrect. Although nurses with doctorates may develop and implement
research programs for hospitals, this is not necessary to obtain this position.
D This is incorrect. Although nurses may obtain certification in pediatrics, it is
often not the minimum requirement for nurse educator.
PTS: 1 CON: Professionalism
10. The school nurse is developing a teaching session for the population of children in a middle
school. The nurse has determined that the greatest need for the overall health of the children
is promotion of healthy foods. Which of the following interventions is most likely to be
effective?
A. Remove all unhealthy snacks from the vending machines.
B. Have a poster contest on healthy eating options.
C. Survey the student population during lunch breaks.
D. Engage the students in healthy choices with cooking lessons.
ANS: D
Chapter: Chapter 1 Issues and Trends in Pediatric Nursing
Chapter Learning Objective: 9. Identify current issues and trends in pediatric nursing
practice, education, and research.
Page: 8
Heading: Trends in Pediatric Nursing Practice > Obesity
Integrated Processes: Nursing Process
Client Need: Physiological Integrity: Reduction of Risk Potential
Cognitive Level: Analysis [Analyzing]
Concept: Health Promotion
Difficulty: Moderate
Feedback
A This is incorrect. This would only prevent the students from buying unhealthy
foods via the vending machine, not help them make choices.
B This is incorrect. Although this may help with a competition, it may not facilitate
lifestyle changes.
C This is incorrect. Although this may help assess the student’s lunchtime eating
habits, it would not help with the full picture of the problem.
D This is correct. Engaging the students in healthy options would promote active
learning and new skills.
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Test Bank - Pediatric Nursing: The Critical Components of Nursing Care, 3rd Edition (Rudd, 2023)
PTS: 1 CON: Health Promotion
11. The nurse recognizes the needs of professional development to provide safe and effective
care to the pediatric population by attending which of the following courses?
A. Procedure with rationale to administer human papilloma vaccine to the middle
school population
B. Study review of the incidence of bullying and intimidation in the elementary
school population
C. Demographic study of the U.S. population with regard to cultural diversity and
practices
D. How to provide individual health care education for the children without parental
interference
ANS: A
Chapter: Chapter 1 Issues and Trends in Pediatric Nursing
Chapter Learning Objective: 9. Identify current issues and trends in pediatric nursing
practice, education, and research.
Page: 8
Heading: Trends in Pediatric Nursing Practice
Integrated Processes: Nursing Process
Client Need: Safe and Effective Care Environment: Safety and Infection Control
Cognitive Level: Analysis [Analyzing]
Concept: Safety; Health Promotion
Difficulty: Moderate
Feedback
A This is correct. This is an example of shifting the focus of medical/nursing care
from disease treatment to disease prevention.
B This is incorrect. Although this is a safety issue, it would not increase knowledge
of the nurse as far as care provision in pediatric nursing practice.
C This is incorrect. This may enhance the knowledge base for certain cultural
practices, but it does not indicate how this would enhance practice.
D This is incorrect. This contraindicates the nursing model of relationship-based
nursing care.
PTS: 1 CON: Safety; Health Promotion
12. Which of the following continuing education courses would best enhance the pediatric
nurse’s practice in relationship to current trends?
A. Evidence-based practice on improving antibiotic adherence with education to the
family unit
B. Evidence-based practice on proper administration of antibiotics for children with
autoimmune diseases
C. How to enhance communication with children in regards to adherence to antibiotic
use
D. How to decrease instances of exacerbation of infections of children with
autoimmune diseases with antibiotics
ANS: A
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Pediatric Nursing: The Critical Components of Nursing Care
Kathryn Rudd, and Diane Kocisko
3rd Edition
,Table of Contents
Chapter 01 Issues and Trends in Pediatric Nursing 1
Chapter 02 Standards of Practice and Ethical Considerations 16
Chapter 03 Family Dynamics and Communicating With Children and Families 32
Chapter 04 Cultural, Spiritual, and Environmental Influences on the Child 47
Chapter 05 End-of-Life Care 63
Chapter 06 Communicable Diseases 79
Chapter 07 Growth and Development of the Child 93
Chapter 08 Newborns and Infants 109
Chapter 09 Toddlers and Preschoolers 126
Chapter 10 School-Age Children 142
Chapter 11 Adolescents 158
Chapter 12 Respiratory Disorders 173
Chapter 13 Cardiovascular Disorders 188
Chapter 14 Neurological and Sensory Disorders 204
Chapter 15 Mental Health Disorders 220
Chapter 16 Gastrointestinal Disorders 236
Chapter 17 Renal Disorders 252
Chapter 18 Endocrine Disorders 267
Chapter 19 Reproductive and Genetic Disorders 283
Chapter 20 Hematological, Immunological, and Neoplastic Disorders 299
Chapter 21 Musculoskeletal Disorders 314
Chapter 22 Dermatological Diseases 328
Next Generation NCLEX Questions 343
,______________________________________________________________________________________________
Test Bank - Pediatric Nursing: The Critical Components of Nursing Care, 3rd Edition (Rudd, 2023)
Chapter 1: Issues and Trends in Pediatric Nursing
MULTIPLE CHOICE
1. The nurse has provided a presentation to middle school children about nursing as a career.
One of the children stated that he wanted to be a pediatric nurse, because he wants to take
care of babies and little “kids.” What would be an appropriate response to this middle
school–aged child?
A. “Nursing is a general practice; all nurses must know how to take care of all ages of
patients.”
B. “As a pediatric nurse, you would get to care for babies and little kids as well as
children through their teenage years.”
C. “What you are describing is actually a neonatal nurse. Neonatal nurses work with
newborn babies, toddlers, and preschool-age children.”
D. “Being a pediatric nurse requires a master’s degree, so be sure to work hard in
school!”
ANS: B
Chapter: Chapter 1 Issues and Trends in Pediatric Nursing
Chapter Learning Objective: 1. Define pediatric nursing.
Page: 3
Heading: Introduction to Pediatric Nursing
Integrated Processes: Teaching and Learning
Client Need: Psychosocial Integrity
Cognitive Level: Application [Applying]
Concept: Cognition
Difficulty: Moderate
Feedback
A This is incorrect. Nurses can specialize in a number of areas. Pediatrics is one of
these areas.
B This is correct. Pediatric nursing care requires the nurse to use assessment and
evaluation tools that are unique to infants, children, and adolescent populations,
not just babies and young children.
C This is incorrect. This is not accurate. Neonatal nurses typically provide care to
infants. They would not provide care to toddlers or preschool-age children.
D This is incorrect. A master’s degree is not required to be a pediatric nurse.
However, advanced degrees and additional certification are available for
pediatric nurses.
PTS: 1 CON: Cognition
2. The medical-surgical float nurse is assigned to the pediatric unit for the first time and states
that the skills are “the same as general nursing since children are little adults with smaller
bodies.” What component of pediatric nursing contraindicates this statement?
A. Pediatric nursing involves care based on the developmental level of the patient.
B. Pediatric nursing involves the patient’s family in the plan of care.
C. Pediatric nursing in based on prevention of infectious diseases.
______________________________________________________________________________________________
1|Page
,______________________________________________________________________________________________
Test Bank - Pediatric Nursing: The Critical Components of Nursing Care, 3rd Edition (Rudd, 2023)
D. Pediatric nursing involves cultural sensitivity in patient care.
ANS: A
Chapter: Chapter 1 Issues and Trends in Pediatric Nursing
Chapter Learning Objective: 7. Describe the roles of the pediatric nurse.
Page: 3
Heading: Introduction to Pediatric Nursing > Nursing Care for Children
Integrated Processes: Nursing Process
Client Need: Physiological Integrity: Reduction of Risk Potential
Cognitive Level: Analysis [Analyzing]
Concept: Safety
Difficulty: Moderate
Feedback
A This is correct. Pediatric nursing involves not only general nursing care and
planning but also the developmental level of the patient. The history of pediatric
nursing describes how the role has evolved into a specialty.
B This is incorrect. Although this is a component of pediatric nurses, it does not
answer the concern regarding the “little adults” comment.
C This is incorrect. Although this is a component of pediatric nurses, it does not
answer the concern regarding the “little adults” comment.
D This is incorrect. Although this is a component of pediatric nurses, it does not
answer the concern regarding the “little adults” comment.
PTS: 1 CON: Safety
3. The culturally sensitive pediatric nurse is aware of the racial makeup of the U.S. population.
Which of the following reflects the demographics of the U.S. pediatric population in 2018,
based on U.S. Census Bureau data?
A. The American Indian and Alaska Native population represent one-fifth of the
pediatric population.
B. About half of the children fall in the category of something other than White non-
Hispanic.
C. The population of Asian children decreased from 2015 to 2018.
D. There was no change in the population of Non-Hispanic children who represent
two or more races between 2015 and 2018.
ANS: B
Chapter: Chapter 1 Issues and Trends in Pediatric Nursing
Chapter Learning Objective: 4. Describe the projected racial population changes in the
United States.
Page: 5
Heading: Racial Makeup of American Children
Integrated Processes: Nursing Process
Client Need: Health Promotion and Maintenance
Cognitive Level: Application [Applying]
Concept: Population Health
Difficulty: Moderate
Feedback
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2|Page
,______________________________________________________________________________________________
Test Bank - Pediatric Nursing: The Critical Components of Nursing Care, 3rd Edition (Rudd, 2023)
A This is incorrect. The American Indian and Alaska Native population represent
0.8% of the pediatric population.
B This is correct. About 50% of the children aged 0 to 17 in 2018 were White non-
Hispanic.
C This is incorrect. There was no change in the population of Asian, non-Hispanic
children from 2015 to 2018.
D This is incorrect. The population of non-Hispanic children who represent two or
more races increased from 4% in 2015 to 5% in 2018.
PTS: 1 CON: Population Health
4. The nurse at a family clinic is providing care to an adolescent patient diagnosed with
diabetes. The patient has verbalized discomfort with the feelings of isolation when unable to
drink alcohol with their friends. Which of the following would be the most appropriate
response to this statement?
A. “Drinking alcohol is not only illegal but dangerous for your blood sugar control
and overall well-being.”
B. “You can still drink alcohol, in moderation, if you control the sugar spike with
more insulin.”
C. “Prepare for alcohol intake with more water and less carbohydrates before drinking
to slow sugar spikes.”
D. “It is understandable that you want to be included, but perhaps we can work out a
plan on how to work through those situations.”
ANS: D
Chapter: Chapter 1 Issues and Trends in Pediatric Nursing
Chapter Learning Objective: 2. Describe the differences between nursing care of infants,
children, and adolescents and care of the adult population.
Page: 9
Heading: Role of the Pediatric Nurse
Integrated Processes: Communication and Documentation
Client Need: Physiological Integrity: Reduction of Risk Potential
Cognitive Level: Application [Applying]
Concept: Safety; Self
Difficulty: Moderate
Feedback
A This is incorrect. This is not a solution to the patient’s issues. The patient reports
feeling left out due to the disease process. This does not address the issue in a
developmentally appropriate manner to promote the optimal physical,
psychological, and social well-being.
B This is incorrect. This encourages unsafe health habits and does not address the
issue with the disease process and the adolescent’s need for inclusion.
C This is incorrect. This is not therapeutic communication, nor is it safe for the
adolescent. It does not care in a developmentally appropriate manner to promote
the optimal physical, psychological, and social well-being of the adolescent.
D This is correct. Helping the adolescent develop anticipatory guidance facilitates
independence and healthy responses to peer pressure.
______________________________________________________________________________________________
3|Page
,______________________________________________________________________________________________
Test Bank - Pediatric Nursing: The Critical Components of Nursing Care, 3rd Edition (Rudd, 2023)
PTS: 1 CON: Safety | Self
5. Which statement best describes the common core concepts of the different models of
pediatric nursing?
A. All models focus on the open communication between the child and nurse.
B. All models focus on importance of family relationship to the child.
C. All models focus on safeguarding the child’s dignity during care.
D. All models focus on coordination of care needs that arise during illness.
ANS: B
Chapter: Chapter 1 Issues and Trends in Pediatric Nursing
Chapter Learning Objective: 5. Identify models of care applied to pediatric nursing.
Page: 5
Heading: Models of Care in Pediatric Nursing
Integrated Processes: Teaching and Learning
Client Need: Physiological Integrity: Physiological Adaptation
Cognitive Level: Analysis [Analyzing]
Concept: Family
Difficulty: Moderate
Feedback
A This is incorrect. This omits the necessity of family relationships in the care and
development of the child.
B This is correct. This is a common core concept in family-centered care,
relationship-based care, and pediatric medical home care.
C This is incorrect. This is a concept based on patient relationship-based care.
D This is incorrect. This is a component of pediatric medical home care.
PTS: 1 CON: Patient-Centered Care
6. Which of the following tasks is associated with the pediatric medical home care model of
pediatric nursing?
A. The nurse refers the family to a childhood cancer support group prior to discharge
from the hospital.
B. The nurse includes a simple explanation of the procedure to the child based on the
child’s developmental level.
C. The nurse includes the family’s cultural celebrations and observations while
providing care to the child.
D. The nurse develops the plan of care with the child and family as the focal point of
the interventions.
ANS: A
Chapter: Chapter 1 Issues and Trends in Pediatric Nursing
Chapter Learning Objective: 5. Identify models of care applied to pediatric nursing.
Page: 6
Heading: Models of Care in Pediatric Nursing > Pediatric Medical Home
Integrated Processes: Teaching and Learning
Client Need: Physiological Integrity: Physiological Adaptation
Cognitive Level: Application [Applying]
Concept: Family
______________________________________________________________________________________________
4|Page
,______________________________________________________________________________________________
Test Bank - Pediatric Nursing: The Critical Components of Nursing Care, 3rd Edition (Rudd, 2023)
Difficulty: Moderate
Feedback
A This is correct. The pediatric medical home care model coordinates care and
includes referrals for community services for nonmedical needs.
B This is incorrect. This is a core concept of relationship-based care.
C This is incorrect. This is a core concept of cultural sensitivity and family-
centered care.
D This is incorrect. This is a core concept of relationship-based care.
PTS: 1 CON: Family
7. The pediatric nurse begins a research project on 8-year-old patients with the medical
diagnosis of pediatric acute-onset neuropsychiatric syndrome (PANS). The family has
consented to the research, but as the nurse begins to administer the intervention, the patient
refuses to cooperate. What is the appropriate response to this refusal?
A. The nurse should discuss with the family the options of performing the
intervention without the child’s knowledge.
B. The nurse should explain to the child that this is necessary and promise a reward at
the end of the research project.
C. The nurse should refuse to perform the intervention until the child consents to the
intervention and project.
D. The nurse should discuss the pros and cons of the research project with the child
and focus on the outcomes.
ANS: C
Chapter: Chapter 1 Issues and Trends in Pediatric Nursing
Chapter Learning Objective: 7. Describe the roles of the pediatric nurse; 9. Identify current
issues and trends in pediatric nursing practice, education, and research.
Page: 7
Heading: Issues in Pediatric Nursing
Integrated Processes: Nursing Process
Client Need: Physiological Integrity: Pharmacological and Parenteral Therapies
Cognitive Level: Analysis [Analyzing]
Concept: Communication; Professionalism
Difficulty: Moderate
Feedback
A This is incorrect. This could be considered assault and battery against the child.
Children aged 7 years and older can assent or dissent to be in a clinical trial.
B This is incorrect. This would be considered bribery, and per the Institutional
Review Board (IRB) guidelines, a clinical trial should not promise any direct
rewards.
C This is correct. Children aged 7 years and older can assent or dissent to be in a
clinical trial.
D This is incorrect. The 8-year-old child may not have the faculties or cognitive
development to comprehend “pros and cons” of a research project.
PTS: 1 CON: Communication; Professionalism
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Test Bank - Pediatric Nursing: The Critical Components of Nursing Care, 3rd Edition (Rudd, 2023)
8. A nurse is providing relationship-based care to a pediatric patient. Which of the following is
a challenge the nurse is likely to encounter while using this model of care?
A. Maintaining a sterile field for a procedure with a restless toddler
B. Communicating with the blended family on regular basis
C. Treating children with antibiotic-resistant illnesses
D. Caring for a larger number of children with autism spectrum disorders and
childhood depression
ANS: B
Chapter: Chapter 1 Issues and Trends in Pediatric Nursing
Chapter Learning Objective: 9. Identify current issues and trends in pediatric nursing
practice, education, and research.
Page: 7
Heading: Issues in Pediatric Nursing
Integrated Processes: Nursing Process
Client Need: Safe and Effective Care Environment
Cognitive Level: Analysis [Analyzing]
Concept: Family
Difficulty: Moderate
Feedback
A This is incorrect. This is a fundamental issue in nursing care, not a relationship
issue.
B This is correct. Maintaining communication with families and caregivers has
become more challenging due to the dynamics of current families.
C This is incorrect. There has been an increase in the number of antibiotic-resistant
illnesses. This is a trend that has influenced nursing roles and responsibilities,
not relationship-based care.
D This is incorrect. This is a trend that has influenced nursing roles and
responsibilities, not relationship-based care.
PTS: 1 CON: Family
9. The pediatric nurse desires to expand his or her career options to become the hospital’s
nurse educator of pediatrics. Which of the following is necessary for this nurse to achieve
this career goal?
A. The nurse is recommended to earn a minimum of a master’s degree in nursing.
B. The nurse must earn a minimum of a doctorate degree in nursing.
C. The nurse must implement and develop research in nursing practice.
D. The nurse must implement a plan to obtain certification in pediatrics.
ANS: A
Chapter: Chapter 1 Issues and Trends in Pediatric Nursing
Chapter Learning Objective: 8. Identify the different fields of pediatric nursing and the
education required for each.
Page: 7
Heading: Role of the Pediatric Nurse > Where Pediatric Nurses Work
Integrated Processes: Nursing Process
Client Need: Physiological Integrity
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Test Bank - Pediatric Nursing: The Critical Components of Nursing Care, 3rd Edition (Rudd, 2023)
Cognitive Level: Comprehension [Understanding]
Concept: Professionalism
Difficulty: Moderate
Feedback
A This is correct. Pediatric nurses with master’s degree preparation are often
employed as nurse educators. Many academic settings require nursing instructors
to have a nursing doctorate or be actively working to obtain a doctorate.
B This is incorrect. Pediatric nurses with master’s degree preparation are often
employed as nurse educators. Many academic settings require nursing instructors
to have a nursing doctorate or be actively working to obtain a doctorate
(keyword: minimum).
C This is incorrect. Although nurses with doctorates may develop and implement
research programs for hospitals, this is not necessary to obtain this position.
D This is incorrect. Although nurses may obtain certification in pediatrics, it is
often not the minimum requirement for nurse educator.
PTS: 1 CON: Professionalism
10. The school nurse is developing a teaching session for the population of children in a middle
school. The nurse has determined that the greatest need for the overall health of the children
is promotion of healthy foods. Which of the following interventions is most likely to be
effective?
A. Remove all unhealthy snacks from the vending machines.
B. Have a poster contest on healthy eating options.
C. Survey the student population during lunch breaks.
D. Engage the students in healthy choices with cooking lessons.
ANS: D
Chapter: Chapter 1 Issues and Trends in Pediatric Nursing
Chapter Learning Objective: 9. Identify current issues and trends in pediatric nursing
practice, education, and research.
Page: 8
Heading: Trends in Pediatric Nursing Practice > Obesity
Integrated Processes: Nursing Process
Client Need: Physiological Integrity: Reduction of Risk Potential
Cognitive Level: Analysis [Analyzing]
Concept: Health Promotion
Difficulty: Moderate
Feedback
A This is incorrect. This would only prevent the students from buying unhealthy
foods via the vending machine, not help them make choices.
B This is incorrect. Although this may help with a competition, it may not facilitate
lifestyle changes.
C This is incorrect. Although this may help assess the student’s lunchtime eating
habits, it would not help with the full picture of the problem.
D This is correct. Engaging the students in healthy options would promote active
learning and new skills.
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Test Bank - Pediatric Nursing: The Critical Components of Nursing Care, 3rd Edition (Rudd, 2023)
PTS: 1 CON: Health Promotion
11. The nurse recognizes the needs of professional development to provide safe and effective
care to the pediatric population by attending which of the following courses?
A. Procedure with rationale to administer human papilloma vaccine to the middle
school population
B. Study review of the incidence of bullying and intimidation in the elementary
school population
C. Demographic study of the U.S. population with regard to cultural diversity and
practices
D. How to provide individual health care education for the children without parental
interference
ANS: A
Chapter: Chapter 1 Issues and Trends in Pediatric Nursing
Chapter Learning Objective: 9. Identify current issues and trends in pediatric nursing
practice, education, and research.
Page: 8
Heading: Trends in Pediatric Nursing Practice
Integrated Processes: Nursing Process
Client Need: Safe and Effective Care Environment: Safety and Infection Control
Cognitive Level: Analysis [Analyzing]
Concept: Safety; Health Promotion
Difficulty: Moderate
Feedback
A This is correct. This is an example of shifting the focus of medical/nursing care
from disease treatment to disease prevention.
B This is incorrect. Although this is a safety issue, it would not increase knowledge
of the nurse as far as care provision in pediatric nursing practice.
C This is incorrect. This may enhance the knowledge base for certain cultural
practices, but it does not indicate how this would enhance practice.
D This is incorrect. This contraindicates the nursing model of relationship-based
nursing care.
PTS: 1 CON: Safety; Health Promotion
12. Which of the following continuing education courses would best enhance the pediatric
nurse’s practice in relationship to current trends?
A. Evidence-based practice on improving antibiotic adherence with education to the
family unit
B. Evidence-based practice on proper administration of antibiotics for children with
autoimmune diseases
C. How to enhance communication with children in regards to adherence to antibiotic
use
D. How to decrease instances of exacerbation of infections of children with
autoimmune diseases with antibiotics
ANS: A
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