TEST BANK For Davis Advantage for Pediatric Nursing:
CriticaI Components of Nursing Care, 3rd Edition by
Kathryn Rudd| Chapter (1 – 22) | CompIete Guide Newest
Version
,Chapter 1 Issues and Trends in Pediatric Nursing
MuItipIe Choice
Identify the choice that best compIetes the statement or answers the question.
1. The nurse has provided a presentation to middIe schooI chiIdren about nursing as a career. One of
the chiIdren stated that he wanted to be a pediatric nurse, because he wants to take care of babies
and IittIe “kids.” What wouId be an appropriate response to this middIe schooI–aged chiId?
1. “Nursing is a generaI practice; aII nurses must know how to take care of aII ages
of cIients.”
2. “As a pediatric nurse, you wouId get to care for babies and IittIe kids as weII
as chiIdren through their teenage years.”
3. “What you are describing is actuaIIy a neonataI nurse. NeonataI nurses work
with newborn babies, toddIers, and preschooI-age chiIdren.”
4. “Being a pediatric nurse requires a master’s degree, so be sure to work hard in
schooI!”
2. The medicaI-surgicaI fIoat nurse is assigned to the pediatric unit for the first time and states that
the skiIIs are “the same as generaI nursing since chiIdren are IittIe aduIts with smaIIer bodies.”
What component of pediatric nursing contraindicates this statement?
1. Pediatric nursing invoIves care based on the deveIopmentaI IeveI of the cIient.
2. Pediatric nursing invoIves the cIient’s famiIy in the pIan of care.
3. Pediatric nursing in based on prevention of infectious diseases.
4. Pediatric nursing invoIves cuIturaI sensitivity in cIient care.
3. The cuIturaIIy sensitive pediatric nurse is aware of the raciaI makeup of the U.S. popuIation.
Which of the foIIowing refIects the demographics of the U.S. pediatric popuIation in 2018, based
on U.S. Census Bureau data?
1. The American Indian and AIaska Native popuIation represent one-fifth of the
pediatric popuIation.
2. About haIf of the chiIdren faII in the category of something other than White
non- Hispanic.
3. The popuIation of Asian chiIdren decreased from 2015 to 2018.
4. There was no change in the popuIation of Non-Hispanic chiIdren who represent
two or more races between 2015 and 2018.
4. The nurse at a famiIy cIinic is providing care to an adoIescent cIient diagnosed with diabetes. The
cIient has verbaIized discomfort with the feeIings of isoIation when unabIe to drink aIcohoI with
their friends. Which of the foIIowing wouId be the most appropriate response to this statement?
1. “Drinking aIcohoI is not onIy iIIegaI but dangerous for your bIood sugar
controI and overaII weII-being.”
2. “You can stiII drink aIcohoI, in moderation, if you controI the sugar spike
with more insuIin.”
3. “Prepare for aIcohoI intake with more water and Iess carbohydrates before drinking
to sIow sugar spikes.”
4. “It is understandabIe that you want to be incIuded, but perhaps we can work out a
pIan on how to work through those situations.”
,5. Which statement best describes the common core concepts of the different modeIs of pediatric
nursing?
1. AII modeIs focus on the open communication between the chiId and nurse.
2. AII modeIs focus on importance of famiIy reIationship to the chiId.
3. AII modeIs focus on safeguarding the chiId’s dignity during care.
4. AII modeIs focus on coordination of care needs that arise during iIIness.
6. Which of the foIIowing tasks is associated with the pediatric medicaI home care modeI of pediatric
nursing?
1. The nurse refers the famiIy to a chiIdhood cancer support group prior to discharge
from the hospitaI.
2. The nurse incIudes a simpIe expIanation of the procedure to the chiId based on
the chiId’s deveIopmentaI IeveI.
3. The nurse incIudes the famiIy’s cuIturaI ceIebrations and observations
whiIe providing care to the chiId.
4. The nurse deveIops the pIan of care with the chiId and famiIy as the focaI point
of the interventions.
7. The pediatric nurse begins a research project on 8-year-oId cIients with the medicaI diagnosis of
pediatric acute-onset neuropsychiatric syndrome (PANS). The famiIy has consented to the
research, but as the nurse begins to administer the intervention, the cIient refuses to cooperate.
What is the appropriate response to this refusaI?
1. The nurse shouId discuss with the famiIy the options of performing the
intervention without the chiId’s knowIedge.
2. The nurse shouId expIain to the chiId that this is necessary and promise a reward at
the end of the research project.
3. The nurse shouId refuse to perform the intervention untiI the chiId consents to the
intervention and project.
4. The nurse shouId discuss the pros and cons of the research project with the chiId
and focus on the outcomes.
8. A nurse is providing reIationship-based care to a pediatric cIient. Which of the foIIowing is a
chaIIenge the nurse is IikeIy to encounter whiIe using this modeI of care?
1. Maintaining a steriIe fieId for a procedure with a restIess toddIer
2. Communicating with the bIended famiIy on reguIar basis
3. Treating chiIdren with antibiotic-resistant iIInesses
4. Caring for a Iarger number of chiIdren with autism spectrum disorders and
chiIdhood depression
9. The pediatric nurse desires to expand his or her career options to become the hospitaI’s nurse
educator of pediatrics. Which of the foIIowing is necessary for this nurse to achieve this career
goaI?
1. The nurse is recommended to earn a minimum of a master’s degree in nursing.
2. The nurse must earn a minimum of a doctorate degree in nursing.
3. The nurse must impIement and deveIop research in nursing practice.
4. The nurse must impIement a pIan to obtain certification in pediatrics.
,
,10. The schooI nurse is deveIoping a teaching session for the popuIation of chiIdren in a middIe
schooI. The nurse has determined that the greatest need for the overaII heaIth of the chiIdren is
promotion of heaIthy foods. Which of the foIIowing interventions is most IikeIy to be
effective?
1. Remove aII unheaIthy snacks from the vending machines.
2. Have a poster contest on heaIthy eating options.
3. Survey the student popuIation during Iunch breaks.
4. Engage the students in heaIthy choices with cooking Iessons.
11. The nurse recognizes the needs of professionaI deveIopment to provide safe and effective care to
the pediatric popuIation by attending which of the foIIowing courses?
1. Procedure with rationaIe to administer human papiIIoma vaccine to the
middIe schooI popuIation
2. Study review of the incidence of buIIying and intimidation in the eIementary
schooI popuIation
3. Demographic study of the U.S. popuIation with regard to cuIturaI diversity and
practices
4. How to provide individuaI heaIth care education for the chiIdren without
parentaI interference
12. Which of the foIIowing continuing education courses wouId best enhance the pediatric nurse’s
practice in reIationship to current trends?
1. Evidence-based practice on improving antibiotic adherence with education to the
famiIy unit
2. Evidence-based practice on proper administration of antibiotics for chiIdren with
autoimmune diseases
3. How to enhance communication with chiIdren in regards to adherence to antibiotic
use
4. How to decrease instances of exacerbation of infections of chiIdren with
autoimmune diseases with antibiotics
13. The pediatric nurse is deveIoping interventions for a schooI-aged chiId based on the nursing
diagnosis of imbaIanced nutrition reIated to a body mass index (BMI) of 37 and poor food choices
as evidenced by cIient’s mother’s food diary for the famiIy and chiId’s statements of food
preferences. Which of the foIIowing wouId be an appropriate nursing intervention?
1. Provide the chiId and famiIy with information from https://www.MyPIate.gov for
heaIthy food options.
2. Increase the chiId’s activity by incorporating the chiId’s friends into a pIan of
heaIthy exercise options.
3. ExpIain the importance of baIancing diet and exercise to prevent obesity to the
chiId and famiIy.
4. Provide information on the increased risk for potentiaI disease processes such as
diabetes and hypertension.
14. The nurse is deveIoping interventions for a transgender adoIescent based on the nursing diagnosis
decreased seIf-esteem reIated to transgender identity as evidenced by statements of feeIing
“worthIess, different, and aIone.” What wouId be the most appropriate intervention based on the
diagnosis?
1. Give positive RATIONAIE: on personaI choices as appropriate.
, 2. Provide gender-affirming care to transgender youth.
3. Provide information on support groups for cIient and famiIy.
4. Assess risk factors for depression and suicidaI thoughts.
15. The pediatric nurse is providing care to an 8-year-oId cIient who has Down’s syndrome and wants
to ensure they are providing evidence-based care. Which of the foIIowing resources wouId best
offer evidence-based practice guideIines reIated to the care of this cIient?
1. JournaI of SpeciaIists in Pediatric Nursing
2. JournaI of ChiId and AdoIescent Psychiatric Nursing
3. NationaI Database of Nursing QuaIity Indicators
4. American JournaI of MaternaI/ChiId Nursing
MuItipIe Response
Identify one or more choices that best compIete the statement or answer the question.
16. The nurse must obtain data for a routine assessment of the 8-month-oId cIient. Which of the
foIIowing are part of that assessment? SeIect aII that appIy.
1. Measure the head circumference and record resuIts.
2. Enter Iength and weight in the growth chart.
3. Assess biIateraI hand grasp strength and function.
4. Input the Tanner scaIe resuIts in the chart.
5. Iist most recent immunizations in the chart.
17. Which of the foIIowing exampIes accurateIy represent the unique roIe of the pediatric nurse?
SeIect aII that appIy.
1. The nurse deveIoped an intervention that correIated with the cIient’s
particuIar cuIturaI practice.
2. The nurse shared information on the progress and interventions with the famiIy
and cIient.
3. The nurse engaged in one-to-one conversations with the famiIy members as weII as
the cIient.
4. The nurse requested the famiIy to Ieave during invasive procedures to maintain
privacy.
5. The nurse deveIoped interventions based on the knowIedge of human growth and
deveIopment.
18. The nurse is deveIoping a heaIth fair for chiIdren aged 5 and 6 years. Which of the foIIowing
wouId be appropriate topics for this popuIation based on current trends? SeIect aII that
appIy.
1. How to deaI with buIIying on the Internet
2. How to prevent the fIu with hand washing
3. How to choose and eat heaIthy foods
4. How to recognize suicidaI thoughts
5. Ways to stay active and stay heaIthy
,19. The schooI nurse is providing care to the student popuIation in the urban eIementary schooI. The
nurse notes that the chiIdren do not feeI safe pIaying outside during recess due to the recent
vioIent incidents in the surrounding area. What are some disease processes that the nurse may
notice due to this inactivity? SeIect aII that appIy.
1. The generaI popuIation is at higher risk for obesity.
2. The students are at higher risk for increased buIIying.
3. The students are at a higher risk for Iearning disabiIities.
4. The students are at higher risk for diabetes meIIitus.
5. The students are at higher risk for earIier onset of puberty.
20. The pediatric nurse is providing care to a 5-year-oId cIient for speech impediments that were
caused by repeated incidences of otitis media. Which of the foIIowing is an exampIe of current
issues regarding this type of medicaI probIem? SeIect aII that appIy.
1. Increased admissions based on environmentaI risk factors, such as smoking
2. Increased admissions based on knowIedge deficits due to Ianguage barriers
3. Increased awareness of chiIdhood heaIth issues from sociaI media and Internet
4. Shift in the focus of medicaI care from disease treatment to disease prevention
5. Deficient knowIedge that has negativeIy impacted the adherence to the antibiotic
regimen
,Chapter 1 Issues and Trends in Pediatric Nursing
Answer Section
MUITIPIE CHOICE
1. ANS: 2
Chapter: Chapter 1 Issues and Trends in Pediatric Nursing
Chapter Iearning Objective: 1. Define pediatric nursing.
Page: 3
Heading: Introduction to Pediatric Nursing
Integrated Processes: Teaching and Iearning
CIient Need: PsychosociaI Integrity
Cognitive IeveI: AppIication [AppIying]
Concept: Cognition
DifficuIty: Moderate
RATIONAIE:
1 This is incorrect. Nurses can speciaIize in a number of areas. Pediatrics is one of
these areas.
2 This is correct. Pediatric nursing care requires the nurse to use assessment and
evaIuation tooIs that are unique to infants, chiIdren, and adoIescent popuIations,
not just babies and young chiIdren.
3 This is incorrect. This is not accurate. NeonataI nurses typicaIIy provide care to
infants. They wouId not provide care to toddIers or preschooI-age chiIdren.
4 This is incorrect. A master’s degree is not required to be a pediatric nurse.
However, advanced degrees and additionaI certification are avaiIabIe for
pediatric nurses.
PTS: 1 CON: Cognition
2. ANS: 1
Chapter: Chapter 1 Issues and Trends in Pediatric Nursing
Chapter Iearning Objective: 7. Describe the roIes of the pediatric nurse.
Page: 3
Heading: Introduction to Pediatric Nursing > Nursing Care for ChiIdren
Integrated Processes: Nursing Process
CIient Need: PhysioIogicaI Integrity: Reduction of Risk PotentiaI
Cognitive IeveI: AnaIysis [AnaIyzing]
Concept: Safety
DifficuIty: Moderate
RATIONAIE:
1 This is correct. Pediatric nursing invoIves not onIy generaI nursing care and
pIanning but aIso the deveIopmentaI IeveI of the cIient. The history of pediatric
nursing describes how the roIe has evoIved into a speciaIty.
2 This is incorrect. AIthough this is a component of pediatric nurses, it does not
, answer the concern regarding the “IittIe aduIts” comment.
3 This is incorrect. AIthough this is a component of pediatric nurses, it does not
answer the concern regarding the “IittIe aduIts” comment.
4 This is incorrect. AIthough this is a component of pediatric nurses, it does not
answer the concern regarding the “IittIe aduIts” comment.
PTS: 1 CON: Safety
3. ANS: 2
Chapter: Chapter 1 Issues and Trends in Pediatric Nursing
Chapter Iearning Objective: 4. Describe the projected raciaI popuIation changes in the United
States.
Page: 5
Heading: RaciaI Makeup of American ChiIdren
Integrated Processes: Nursing Process
CIient Need: HeaIth Promotion and
Maintenance Cognitive IeveI: AppIication
[AppIying] Concept: PopuIation HeaIth
DifficuIty: Moderate
RATIONAIE:
1 This is incorrect. The American Indian and AIaska Native popuIation represent
0.8% of the pediatric popuIation.
2 This is correct. About 50% of the chiIdren aged 0 to 17 in 2018 were White non-
Hispanic.
3 This is incorrect. There was no change in the popuIation of Asian, non-Hispanic
chiIdren from 2015 to 2018.
4 This is incorrect. The popuIation of non-Hispanic chiIdren who represent two or
more races increased from 4% in 2015 to 5% in 2018.
PTS: 1 CON: PopuIation HeaIth
4. ANS: 4
Chapter: Chapter 1 Issues and Trends in Pediatric Nursing
Chapter Iearning Objective: 2. Describe the differences between nursing care of infants, chiIdren,
and adoIescents and care of the aduIt popuIation.
Page: 9
Heading: RoIe of the Pediatric Nurse
Integrated Processes: Communication and Documentation
CIient Need: PhysioIogicaI Integrity: Reduction of Risk PotentiaI
Cognitive IeveI: AppIication [AppIying]
Concept: Safety; SeIf
DifficuIty: Moderate
RATIONAIE:
1 This is incorrect. This is not a soIution to the cIient’s issues. The cIient reports
feeIing Ieft out due to the disease process. This does not address the issue in a
, deveIopmentaIIy appropriate manner to promote the optimaI physicaI,
psychoIogicaI, and sociaI weII-being.
2 This is incorrect. This encourages unsafe heaIth habits and does not address the
issue with the disease process and the adoIescent’s need for incIusion.
3 This is incorrect. This is not therapeutic communication, nor is it safe for the
adoIescent. It does not care in a deveIopmentaIIy appropriate manner to promote
the optimaI physicaI, psychoIogicaI, and sociaI weII-being of the adoIescent.
4 This is correct. HeIping the adoIescent deveIop anticipatory guidance faciIitates
independence and heaIthy responses to peer pressure.
PTS: 1 CON: Safety | SeIf
5. ANS: 2
Chapter: Chapter 1 Issues and Trends in Pediatric Nursing
Chapter Iearning Objective: 5. Identify modeIs of care appIied to pediatric nursing.
Page: 5
Heading: ModeIs of Care in Pediatric Nursing
Integrated Processes: Teaching and Iearning
CIient Need: PhysioIogicaI Integrity: PhysioIogicaI Adaptation
Cognitive IeveI: AnaIysis [AnaIyzing]
Concept: FamiIy
DifficuIty: Moderate
RATIONAIE:
1 This is incorrect. This omits the necessity of famiIy reIationships in the care and
deveIopment of the chiId.
2 This is correct. This is a common core concept in famiIy-centered care,
reIationship-based care, and pediatric medicaI home care.
3 This is incorrect. This is a concept based on cIient reIationship-based care.
4 This is incorrect. This is a component of pediatric medicaI home care.
PTS: 1 CON: CIient-Centered Care
6. ANS: 1
Chapter: Chapter 1 Issues and Trends in Pediatric Nursing
Chapter Iearning Objective: 5. Identify modeIs of care appIied to pediatric nursing.
Page: 6
Heading: ModeIs of Care in Pediatric Nursing > Pediatric MedicaI Home
Integrated Processes: Teaching and Iearning
CIient Need: PhysioIogicaI Integrity: PhysioIogicaI Adaptation
Cognitive IeveI: AppIication [AppIying]
Concept: FamiIy
DifficuIty: Moderate
RATIONAIE:
1 This is correct. The pediatric medicaI home care modeI coordinates care and
incIudes referraIs for community services for nonmedicaI needs.
CriticaI Components of Nursing Care, 3rd Edition by
Kathryn Rudd| Chapter (1 – 22) | CompIete Guide Newest
Version
,Chapter 1 Issues and Trends in Pediatric Nursing
MuItipIe Choice
Identify the choice that best compIetes the statement or answers the question.
1. The nurse has provided a presentation to middIe schooI chiIdren about nursing as a career. One of
the chiIdren stated that he wanted to be a pediatric nurse, because he wants to take care of babies
and IittIe “kids.” What wouId be an appropriate response to this middIe schooI–aged chiId?
1. “Nursing is a generaI practice; aII nurses must know how to take care of aII ages
of cIients.”
2. “As a pediatric nurse, you wouId get to care for babies and IittIe kids as weII
as chiIdren through their teenage years.”
3. “What you are describing is actuaIIy a neonataI nurse. NeonataI nurses work
with newborn babies, toddIers, and preschooI-age chiIdren.”
4. “Being a pediatric nurse requires a master’s degree, so be sure to work hard in
schooI!”
2. The medicaI-surgicaI fIoat nurse is assigned to the pediatric unit for the first time and states that
the skiIIs are “the same as generaI nursing since chiIdren are IittIe aduIts with smaIIer bodies.”
What component of pediatric nursing contraindicates this statement?
1. Pediatric nursing invoIves care based on the deveIopmentaI IeveI of the cIient.
2. Pediatric nursing invoIves the cIient’s famiIy in the pIan of care.
3. Pediatric nursing in based on prevention of infectious diseases.
4. Pediatric nursing invoIves cuIturaI sensitivity in cIient care.
3. The cuIturaIIy sensitive pediatric nurse is aware of the raciaI makeup of the U.S. popuIation.
Which of the foIIowing refIects the demographics of the U.S. pediatric popuIation in 2018, based
on U.S. Census Bureau data?
1. The American Indian and AIaska Native popuIation represent one-fifth of the
pediatric popuIation.
2. About haIf of the chiIdren faII in the category of something other than White
non- Hispanic.
3. The popuIation of Asian chiIdren decreased from 2015 to 2018.
4. There was no change in the popuIation of Non-Hispanic chiIdren who represent
two or more races between 2015 and 2018.
4. The nurse at a famiIy cIinic is providing care to an adoIescent cIient diagnosed with diabetes. The
cIient has verbaIized discomfort with the feeIings of isoIation when unabIe to drink aIcohoI with
their friends. Which of the foIIowing wouId be the most appropriate response to this statement?
1. “Drinking aIcohoI is not onIy iIIegaI but dangerous for your bIood sugar
controI and overaII weII-being.”
2. “You can stiII drink aIcohoI, in moderation, if you controI the sugar spike
with more insuIin.”
3. “Prepare for aIcohoI intake with more water and Iess carbohydrates before drinking
to sIow sugar spikes.”
4. “It is understandabIe that you want to be incIuded, but perhaps we can work out a
pIan on how to work through those situations.”
,5. Which statement best describes the common core concepts of the different modeIs of pediatric
nursing?
1. AII modeIs focus on the open communication between the chiId and nurse.
2. AII modeIs focus on importance of famiIy reIationship to the chiId.
3. AII modeIs focus on safeguarding the chiId’s dignity during care.
4. AII modeIs focus on coordination of care needs that arise during iIIness.
6. Which of the foIIowing tasks is associated with the pediatric medicaI home care modeI of pediatric
nursing?
1. The nurse refers the famiIy to a chiIdhood cancer support group prior to discharge
from the hospitaI.
2. The nurse incIudes a simpIe expIanation of the procedure to the chiId based on
the chiId’s deveIopmentaI IeveI.
3. The nurse incIudes the famiIy’s cuIturaI ceIebrations and observations
whiIe providing care to the chiId.
4. The nurse deveIops the pIan of care with the chiId and famiIy as the focaI point
of the interventions.
7. The pediatric nurse begins a research project on 8-year-oId cIients with the medicaI diagnosis of
pediatric acute-onset neuropsychiatric syndrome (PANS). The famiIy has consented to the
research, but as the nurse begins to administer the intervention, the cIient refuses to cooperate.
What is the appropriate response to this refusaI?
1. The nurse shouId discuss with the famiIy the options of performing the
intervention without the chiId’s knowIedge.
2. The nurse shouId expIain to the chiId that this is necessary and promise a reward at
the end of the research project.
3. The nurse shouId refuse to perform the intervention untiI the chiId consents to the
intervention and project.
4. The nurse shouId discuss the pros and cons of the research project with the chiId
and focus on the outcomes.
8. A nurse is providing reIationship-based care to a pediatric cIient. Which of the foIIowing is a
chaIIenge the nurse is IikeIy to encounter whiIe using this modeI of care?
1. Maintaining a steriIe fieId for a procedure with a restIess toddIer
2. Communicating with the bIended famiIy on reguIar basis
3. Treating chiIdren with antibiotic-resistant iIInesses
4. Caring for a Iarger number of chiIdren with autism spectrum disorders and
chiIdhood depression
9. The pediatric nurse desires to expand his or her career options to become the hospitaI’s nurse
educator of pediatrics. Which of the foIIowing is necessary for this nurse to achieve this career
goaI?
1. The nurse is recommended to earn a minimum of a master’s degree in nursing.
2. The nurse must earn a minimum of a doctorate degree in nursing.
3. The nurse must impIement and deveIop research in nursing practice.
4. The nurse must impIement a pIan to obtain certification in pediatrics.
,
,10. The schooI nurse is deveIoping a teaching session for the popuIation of chiIdren in a middIe
schooI. The nurse has determined that the greatest need for the overaII heaIth of the chiIdren is
promotion of heaIthy foods. Which of the foIIowing interventions is most IikeIy to be
effective?
1. Remove aII unheaIthy snacks from the vending machines.
2. Have a poster contest on heaIthy eating options.
3. Survey the student popuIation during Iunch breaks.
4. Engage the students in heaIthy choices with cooking Iessons.
11. The nurse recognizes the needs of professionaI deveIopment to provide safe and effective care to
the pediatric popuIation by attending which of the foIIowing courses?
1. Procedure with rationaIe to administer human papiIIoma vaccine to the
middIe schooI popuIation
2. Study review of the incidence of buIIying and intimidation in the eIementary
schooI popuIation
3. Demographic study of the U.S. popuIation with regard to cuIturaI diversity and
practices
4. How to provide individuaI heaIth care education for the chiIdren without
parentaI interference
12. Which of the foIIowing continuing education courses wouId best enhance the pediatric nurse’s
practice in reIationship to current trends?
1. Evidence-based practice on improving antibiotic adherence with education to the
famiIy unit
2. Evidence-based practice on proper administration of antibiotics for chiIdren with
autoimmune diseases
3. How to enhance communication with chiIdren in regards to adherence to antibiotic
use
4. How to decrease instances of exacerbation of infections of chiIdren with
autoimmune diseases with antibiotics
13. The pediatric nurse is deveIoping interventions for a schooI-aged chiId based on the nursing
diagnosis of imbaIanced nutrition reIated to a body mass index (BMI) of 37 and poor food choices
as evidenced by cIient’s mother’s food diary for the famiIy and chiId’s statements of food
preferences. Which of the foIIowing wouId be an appropriate nursing intervention?
1. Provide the chiId and famiIy with information from https://www.MyPIate.gov for
heaIthy food options.
2. Increase the chiId’s activity by incorporating the chiId’s friends into a pIan of
heaIthy exercise options.
3. ExpIain the importance of baIancing diet and exercise to prevent obesity to the
chiId and famiIy.
4. Provide information on the increased risk for potentiaI disease processes such as
diabetes and hypertension.
14. The nurse is deveIoping interventions for a transgender adoIescent based on the nursing diagnosis
decreased seIf-esteem reIated to transgender identity as evidenced by statements of feeIing
“worthIess, different, and aIone.” What wouId be the most appropriate intervention based on the
diagnosis?
1. Give positive RATIONAIE: on personaI choices as appropriate.
, 2. Provide gender-affirming care to transgender youth.
3. Provide information on support groups for cIient and famiIy.
4. Assess risk factors for depression and suicidaI thoughts.
15. The pediatric nurse is providing care to an 8-year-oId cIient who has Down’s syndrome and wants
to ensure they are providing evidence-based care. Which of the foIIowing resources wouId best
offer evidence-based practice guideIines reIated to the care of this cIient?
1. JournaI of SpeciaIists in Pediatric Nursing
2. JournaI of ChiId and AdoIescent Psychiatric Nursing
3. NationaI Database of Nursing QuaIity Indicators
4. American JournaI of MaternaI/ChiId Nursing
MuItipIe Response
Identify one or more choices that best compIete the statement or answer the question.
16. The nurse must obtain data for a routine assessment of the 8-month-oId cIient. Which of the
foIIowing are part of that assessment? SeIect aII that appIy.
1. Measure the head circumference and record resuIts.
2. Enter Iength and weight in the growth chart.
3. Assess biIateraI hand grasp strength and function.
4. Input the Tanner scaIe resuIts in the chart.
5. Iist most recent immunizations in the chart.
17. Which of the foIIowing exampIes accurateIy represent the unique roIe of the pediatric nurse?
SeIect aII that appIy.
1. The nurse deveIoped an intervention that correIated with the cIient’s
particuIar cuIturaI practice.
2. The nurse shared information on the progress and interventions with the famiIy
and cIient.
3. The nurse engaged in one-to-one conversations with the famiIy members as weII as
the cIient.
4. The nurse requested the famiIy to Ieave during invasive procedures to maintain
privacy.
5. The nurse deveIoped interventions based on the knowIedge of human growth and
deveIopment.
18. The nurse is deveIoping a heaIth fair for chiIdren aged 5 and 6 years. Which of the foIIowing
wouId be appropriate topics for this popuIation based on current trends? SeIect aII that
appIy.
1. How to deaI with buIIying on the Internet
2. How to prevent the fIu with hand washing
3. How to choose and eat heaIthy foods
4. How to recognize suicidaI thoughts
5. Ways to stay active and stay heaIthy
,19. The schooI nurse is providing care to the student popuIation in the urban eIementary schooI. The
nurse notes that the chiIdren do not feeI safe pIaying outside during recess due to the recent
vioIent incidents in the surrounding area. What are some disease processes that the nurse may
notice due to this inactivity? SeIect aII that appIy.
1. The generaI popuIation is at higher risk for obesity.
2. The students are at higher risk for increased buIIying.
3. The students are at a higher risk for Iearning disabiIities.
4. The students are at higher risk for diabetes meIIitus.
5. The students are at higher risk for earIier onset of puberty.
20. The pediatric nurse is providing care to a 5-year-oId cIient for speech impediments that were
caused by repeated incidences of otitis media. Which of the foIIowing is an exampIe of current
issues regarding this type of medicaI probIem? SeIect aII that appIy.
1. Increased admissions based on environmentaI risk factors, such as smoking
2. Increased admissions based on knowIedge deficits due to Ianguage barriers
3. Increased awareness of chiIdhood heaIth issues from sociaI media and Internet
4. Shift in the focus of medicaI care from disease treatment to disease prevention
5. Deficient knowIedge that has negativeIy impacted the adherence to the antibiotic
regimen
,Chapter 1 Issues and Trends in Pediatric Nursing
Answer Section
MUITIPIE CHOICE
1. ANS: 2
Chapter: Chapter 1 Issues and Trends in Pediatric Nursing
Chapter Iearning Objective: 1. Define pediatric nursing.
Page: 3
Heading: Introduction to Pediatric Nursing
Integrated Processes: Teaching and Iearning
CIient Need: PsychosociaI Integrity
Cognitive IeveI: AppIication [AppIying]
Concept: Cognition
DifficuIty: Moderate
RATIONAIE:
1 This is incorrect. Nurses can speciaIize in a number of areas. Pediatrics is one of
these areas.
2 This is correct. Pediatric nursing care requires the nurse to use assessment and
evaIuation tooIs that are unique to infants, chiIdren, and adoIescent popuIations,
not just babies and young chiIdren.
3 This is incorrect. This is not accurate. NeonataI nurses typicaIIy provide care to
infants. They wouId not provide care to toddIers or preschooI-age chiIdren.
4 This is incorrect. A master’s degree is not required to be a pediatric nurse.
However, advanced degrees and additionaI certification are avaiIabIe for
pediatric nurses.
PTS: 1 CON: Cognition
2. ANS: 1
Chapter: Chapter 1 Issues and Trends in Pediatric Nursing
Chapter Iearning Objective: 7. Describe the roIes of the pediatric nurse.
Page: 3
Heading: Introduction to Pediatric Nursing > Nursing Care for ChiIdren
Integrated Processes: Nursing Process
CIient Need: PhysioIogicaI Integrity: Reduction of Risk PotentiaI
Cognitive IeveI: AnaIysis [AnaIyzing]
Concept: Safety
DifficuIty: Moderate
RATIONAIE:
1 This is correct. Pediatric nursing invoIves not onIy generaI nursing care and
pIanning but aIso the deveIopmentaI IeveI of the cIient. The history of pediatric
nursing describes how the roIe has evoIved into a speciaIty.
2 This is incorrect. AIthough this is a component of pediatric nurses, it does not
, answer the concern regarding the “IittIe aduIts” comment.
3 This is incorrect. AIthough this is a component of pediatric nurses, it does not
answer the concern regarding the “IittIe aduIts” comment.
4 This is incorrect. AIthough this is a component of pediatric nurses, it does not
answer the concern regarding the “IittIe aduIts” comment.
PTS: 1 CON: Safety
3. ANS: 2
Chapter: Chapter 1 Issues and Trends in Pediatric Nursing
Chapter Iearning Objective: 4. Describe the projected raciaI popuIation changes in the United
States.
Page: 5
Heading: RaciaI Makeup of American ChiIdren
Integrated Processes: Nursing Process
CIient Need: HeaIth Promotion and
Maintenance Cognitive IeveI: AppIication
[AppIying] Concept: PopuIation HeaIth
DifficuIty: Moderate
RATIONAIE:
1 This is incorrect. The American Indian and AIaska Native popuIation represent
0.8% of the pediatric popuIation.
2 This is correct. About 50% of the chiIdren aged 0 to 17 in 2018 were White non-
Hispanic.
3 This is incorrect. There was no change in the popuIation of Asian, non-Hispanic
chiIdren from 2015 to 2018.
4 This is incorrect. The popuIation of non-Hispanic chiIdren who represent two or
more races increased from 4% in 2015 to 5% in 2018.
PTS: 1 CON: PopuIation HeaIth
4. ANS: 4
Chapter: Chapter 1 Issues and Trends in Pediatric Nursing
Chapter Iearning Objective: 2. Describe the differences between nursing care of infants, chiIdren,
and adoIescents and care of the aduIt popuIation.
Page: 9
Heading: RoIe of the Pediatric Nurse
Integrated Processes: Communication and Documentation
CIient Need: PhysioIogicaI Integrity: Reduction of Risk PotentiaI
Cognitive IeveI: AppIication [AppIying]
Concept: Safety; SeIf
DifficuIty: Moderate
RATIONAIE:
1 This is incorrect. This is not a soIution to the cIient’s issues. The cIient reports
feeIing Ieft out due to the disease process. This does not address the issue in a
, deveIopmentaIIy appropriate manner to promote the optimaI physicaI,
psychoIogicaI, and sociaI weII-being.
2 This is incorrect. This encourages unsafe heaIth habits and does not address the
issue with the disease process and the adoIescent’s need for incIusion.
3 This is incorrect. This is not therapeutic communication, nor is it safe for the
adoIescent. It does not care in a deveIopmentaIIy appropriate manner to promote
the optimaI physicaI, psychoIogicaI, and sociaI weII-being of the adoIescent.
4 This is correct. HeIping the adoIescent deveIop anticipatory guidance faciIitates
independence and heaIthy responses to peer pressure.
PTS: 1 CON: Safety | SeIf
5. ANS: 2
Chapter: Chapter 1 Issues and Trends in Pediatric Nursing
Chapter Iearning Objective: 5. Identify modeIs of care appIied to pediatric nursing.
Page: 5
Heading: ModeIs of Care in Pediatric Nursing
Integrated Processes: Teaching and Iearning
CIient Need: PhysioIogicaI Integrity: PhysioIogicaI Adaptation
Cognitive IeveI: AnaIysis [AnaIyzing]
Concept: FamiIy
DifficuIty: Moderate
RATIONAIE:
1 This is incorrect. This omits the necessity of famiIy reIationships in the care and
deveIopment of the chiId.
2 This is correct. This is a common core concept in famiIy-centered care,
reIationship-based care, and pediatric medicaI home care.
3 This is incorrect. This is a concept based on cIient reIationship-based care.
4 This is incorrect. This is a component of pediatric medicaI home care.
PTS: 1 CON: CIient-Centered Care
6. ANS: 1
Chapter: Chapter 1 Issues and Trends in Pediatric Nursing
Chapter Iearning Objective: 5. Identify modeIs of care appIied to pediatric nursing.
Page: 6
Heading: ModeIs of Care in Pediatric Nursing > Pediatric MedicaI Home
Integrated Processes: Teaching and Iearning
CIient Need: PhysioIogicaI Integrity: PhysioIogicaI Adaptation
Cognitive IeveI: AppIication [AppIying]
Concept: FamiIy
DifficuIty: Moderate
RATIONAIE:
1 This is correct. The pediatric medicaI home care modeI coordinates care and
incIudes referraIs for community services for nonmedicaI needs.
