PEDS Final Exam Study Guide Questions With Verified Answers

In identification of the abused child, the nurse knows: - Answer incompatibility between the history and the injury is probably the most important criterion on which to base the decision to report suspected abuse In obtaining a history pertaining to an incident of abuse, the nurse should: - Answer avoiding biasing the child's retelling of the events Which of the following parental behavioral responses should alert the nurse to the possibility of maltreatment of the child? - Answer Parent displays anger at the child for being injured Physical assessment for child physical abuse: - Answer should identify all injuries The nurse working with the abused child and family: - Answer ii and iv - ii. Should teach the parents through demonstration and example rather than lecture, iv. Recognizes that the goal of the nurse-child relationships is to provide a role model for the parents in helping them to relate positively to their child. Based on the information provided, the nurse suspects that Malcolm is being physically abused. Which one of the following best supports this theory? - Answer Malcolm has physical evidence of previous injuries that are in various stages of healing Based on the above physical findings, documentation should include: - Answer i, ii, iii, iv - location and detailed description of arm injury, including asymmetry of injury and pain degree; color, size, and location of all bruising, including distinguishing characteristics such as shape; location, pattern, demarcation lines, and presence of scar, blisters, or scarring for burns; photographs of the injuries using a measurement tool. The best nursing goal for Malcolm at this time is: - Answer Protecting Malcolm from further abuse Malcolm has been admitted to the hospital for closed reduction of his fracture. The suspected child abuse has been reported to the state welfare department and a caseworker has been assigned. Which one of the following is the most appropriate nursing intervention for Malcolm at this time? - Answer Provide consistent caregiver during hospitalization Which one of the following regarding palliative care is false? - Answer Serves to hasten death Pediatric nurses report that a common obstacle to the provision of good palliative care is: - Answer Uncertainty about the goals of care When communicating with dying children, the nurse should remember that: - Answer games, art, and play provide good means of expression When assisting parents in supporting their dying child, the nurse should stress the importance of honesty; if parents are honest and and openly discuss their fears, the child is more likely to: - Answer Discuss his or her fears Fear of the unknown is one of the greatest threats to seriously ill children in which age-group? - Answer School-age children Separation is one of the greatest threats to seriously ill children in which age-group? - Answer Toddlers Fear of punishment is one of the greatest threats to seriously ill children of which age-group? - Answer Preschoolers The perceived inability to use their parents for emotional support is one of the greatest threats to seriously ill children of which age-group? - Answer adolescents Which one of the following age-groups is most likely to suffer negative reactions to an altered body image as a results of a life-threatening illness? - Answer Adolescents Which one of the following interventions is most important for the dying child? - Answer Control of pain When the parent of a child whose is dying tells the nurse the child is in pain, even when the child appears comfortable, the nurse should be sure that: - Answer pain control is administered on a regular preventative schedule Interventions to help the family prepare for the care of a terminally ill child should include: - Answer All of the above (educating the family, about complications of overfeeding and overhydration, providing a supply of medications to alleviate discomfort, encouraging fun and memorable activities) The sibling of a dying child may feel: - Answer all of the above (displaced, isolated, resentful) Methods to support grieving families at the time of death and in the grieving period after death include: - Answer allowing the family time to stay with the child after the death When a child dies suddenly, which one of the following interventions would be least beneficial? - Answer Avoiding having the family view the body of a disfigured child In regard to whether a child should attend the funeral of a loved one, the nurse should consider: - Answer that attending the funeral may be beneficial to the child Current research support the notion that: - Answer Involvement in the experiences of the dying sibling is beneficial Which one of the following techniques would be considered an example of the most therapeutic communication to use with the bereaved family? - Answer validating loss Which one of the following helping statements would be least therapeutic for the nurse to use with the bereaved family? - Answer "Fortunately his suffering is over now." Which one of the following symptoms would be considered normal grief behavior? - Answer All of the above (depression, anger, hearing the dead person's voice) The most common burn among young children is caused by: - Answer scald burns, as with hot water or grease The standard adult "rule of hands" cannot be used to determine the total body surface area of a burn in a child because: - Answer The child has different body proportions than the adult Brock, 12 years old, has burns involving the epidermis and part of the dermis. Blister and edema formation are present, and the burns are extremely sensitive to temperature changes, exposure to air, and light touch. Brock has: - Answer partial-thickness second-degree burns The severity of burn injury is determined by which of the following: - Answer ii, iv, vi - percentage of body surface area burned, depth of the burn, the causative agent The expected predominant symptom of a superficial burn is: - Answer Pain In conducting the physical examination of a pediatric burn patient, how would the nurse best assess to see whether circulation to the area is intact? - Answer Test injured surfaces for blanching and capillary refill